2.halaman Judul PDF
2.halaman Judul PDF
2.halaman Judul PDF
Disusun oleh:
20130310127
2017
i
HALAMAN PENGESAHAN KTI
Disusun oleh:
20130310127
dr. Vista Nurasti P., M.Kes, Sp. KJ dr. Ida Rochmawati, M. Sc, Sp. KJ (K)
Mengetahui,
Kaprodi Pendidikan Dokter
Fakultas Kedokteran dan Ilmu Kesehatan
Universitas Muhammadiyah Yogyakarta
NIK: 1971102819971730
ii
PERNYATAAN KEASLIAN PENELITIAN
NIM : 20130310127
iii
KATA PENGANTAR
Assalamualaikum Wr. Wb
Dengan menyebut nama Allah SWT yang Maha Pengasih lagi Maha
Penyayang, puja dan puji syukur penulis panjatkan atas kehadirat-Nya, yang telah
Kecemasan dengan Tingkat Keluhan Nyeri Ulu Hati Pada Pasien Gastritis di
rangka memenuhi salah satu syarat untuk memperoleh derajat Sarjana Kedokteran
berbagai rintangan dan kesulitan. Namun, akhirnya semua itu dapat penulis atasi.
Penulis menyadari bahwa tanpa bantuan dan bimbingan berbagai pihak, sangatlah
sulit bagi penulis untuk menyelesaikan karya tulis ilmiah ini. Untuk itu, pada
iv
2. dr. Vista Nurasti Pradanita, M.Kes, Sp.KJ, selaku dosen pembimbing, dan
3. dr. Ida Rochmawati, M.Sc, Sp.KJ (K), selaku dosen penguji, yang telah
skripsi ini.
4. Rumah Sakit Harapan Ibu Purbalingga, yang telah bekerja sama dan
5. Kedua orang tua Bapak Taufik Haryanto serta Ibu Apriyani yang selalu
Illahi, dan Hafizh Fariezkadilla Aulia yang selalu membantu dan memberi
juga Bimo sebagai tempat berkeluh kesah dan memberikan dukungan serta
v
9. Teman-teman Medallion Pendidikan Dokter 2013 atas kerja sama, bantuan
10. Semua pihak yang telah membantu dalam kelancaran penelitian ini dan
penyelesainan Karya Tulis Ilmiah ini yang tidak dapat diucapkan satu
persatu.
masih jauh dari sempurna, sehingga kritik dan saran yang bersifat membangun
mempersembahkan hasil yang lebih baik lagi. Semoga Karya Tulis Ilmiah ini
kedokteran.
Penulis
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DAFTAR ISI
HALAMAN JUDUL................................................................................................ i
PENGESAHAN ...................................................................................................... ii
PERNYATAAN..................................................................................................... iii
KATA PENGANTAR ........................................................................................... iv
DAFTAR ISI ......................................................................................................... vii
DAFTAR TABEL .................................................................................................. ix
DAFTAR GAMBAR .............................................................................................. x
INTISARI............................................................................................................... xi
ABSTRACT ............................................................................................................ xii
BAB I ...................................................................................................................... 1
PENDAHULUAN .................................................................................................. 1
A. Latar Belakang Masalah ............................................................................... 1
B. Rumusan Masalah ........................................................................................ 6
C. Tujuan ........................................................................................................... 6
D. Manfaat Penelitian ....................................................................................... 6
E. Keaslian Penelitian ....................................................................................... 6
BAB II ..................................................................................................................... 9
TINJAUAN PUSTAKA ......................................................................................... 9
A. Tinjauan Pustaka .......................................................................................... 9
1. Definisi Kecemasan .................................................................................. 9
2. Klasifikasi Kecemasan ............................................................................ 11
3. Epidemiologi Kecemasan ....................................................................... 12
4. Etiologi Kecemasan ................................................................................ 13
5. Gambaran Klinis Kecemasan .................................................................. 16
6. Gastritis ................................................................................................... 19
7. Epidemiologi Gastritis ............................................................................ 21
8. Timbulnya Gastritis ................................................................................ 22
9. Gambaran Klinis Gastritis....................................................................... 22
10. Definisi Nyeri........................................................................................ 23
11. Mekanisme Nyeri .................................................................................. 24
12. Nyeri Ulu Hati....................................................................................... 26
13. Hubungan Kecemasan dengan Nyeri Ulu Hati pada Pasien Gastritis .. 26
B. Kerangka Teori ........................................................................................... 30
C. Kerangka Konsep ....................................................................................... 31
D. Hipotesis .................................................................................................... 31
BAB III ................................................................................................................. 32
METODE PENELITIAN ...................................................................................... 32
A. Metode Penelitian ....................................................................................... 32
B. Populasi dan Sampel Penelitian ................................................................. 33
1. Populasi ................................................................................................... 33
2. Sampel..................................................................................................... 33
3. Besar Sampel .......................................................................................... 34
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C. Lokasi dan Waktu Penelitian ...................................................................... 35
1. Lokasi ...................................................................................................... 35
2. Waktu ...................................................................................................... 35
D. Variabel Penelitian ..................................................................................... 36
1. Variabel bebas (independent variable) .................................................... 36
2. Variabel terikat (dependent variable) ...................................................... 36
E. Definisi Operasional ................................................................................... 36
1. Kecemasan .............................................................................................. 36
2. Keluhan Nyeri Ulu Hati .......................................................................... 36
3. Pasien Gastritis........................................................................................ 37
F. Instrumen Penelitian ................................................................................... 37
1. Kuisioner Hamilton Anxiety Rating Scale (HARS) ................................ 37
2. Kuisioner Numeric Visual Analog Scale (NVAS) .................................. 38
G. Jalannya Penelitian ..................................................................................... 40
1. Prosedur Persiapan .................................................................................. 40
2. Prosedur Teknis ...................................................................................... 40
3. Prosedur Penyusunan Laporan ................................................................ 41
H. Uji Validitas dan Uji Realibiltas ................................................................ 41
1. Uji Validitas ............................................................................................ 41
2. Uji Reliabilitas ........................................................................................ 42
I. Analisa Data ............................................................................................... 43
BAB IV ................................................................................................................. 44
HASIL DAN PEMBAHASAN ............................................................................. 44
A. Hasil Penelitian .......................................................................................... 44
1. Deskripsi Umum Lokasi Penelitian ........................................................ 44
2. Deskripsi Subjek Penelitian .................................................................... 44
3. Deskripsi Data Penelitian ........................................................................ 47
B. Pembahasan ................................................................................................ 52
C. Keterbatasan Penelitian .............................................................................. 54
BAB V................................................................................................................... 56
A. Kesimpulan................................................................................................. 56
B. Saran ........................................................................................................... 56
1. Saran bagi pasien gastritis ....................................................................... 56
2. Saran bagi pihak Rumah Sakit ................................................................ 57
3. Saran bagi Institusi Pendidikan ............................................................... 57
4. Saran bagi peneliti selanjutnya ............................................................... 57
DAFTAR PUSTAKA ........................................................................................... 58
LAMPIRAN
viii
DAFTAR TABEL
ix
DAFTAR GAMBAR
x
INTISARI
xi
ABSTRACT
Purpose: To examine the relationship between anxiety level and epigastric pain
level of gastritis patient at Harapan Ibu Purbalingga Hospital.
Results and Discussion: The most frequency of anxiety level is respondents with
severe anxiety 29.4% of the total respondents and 27 respondents (52.9%) had
moderate pain. There is a positive relationship between the level of anxiety with
an epigastric pain level in patients with gastritis at Harapan Ibu Purbalingga
Hospital. The results of Spearman rho test values obtained p = 0.000 and r =
0.545. The higher of the anxiety levels, the higher the epigastric pain level of
gastritis patient at Harapan Ibu Purbalingga Hospital.
xii