LAMPIRAN
FORMULIR PENELITIAN
NAMA :
JENIS KELAMIN :
USIA/TANGGAL LAHIR :
AGAMA :
SUKU :
PENDIDIKAN :
KELUHAN :
HASIL PEMERIKSAAN : 1. ANUS
2.REKTUM
3.KOLON SIGMOID 4.KOLON DESENDENS 5.KOLON TRANSVERSUM 6.KOLON ASENDENS 7. SEKUM
RIWAYAT PENYAKIT :
Hb : RDW : B : Ureum : PT
RBC : MPV : NA : Kreatinin : Kontrol :
WBC : PCT : LA : Asam Urat : Pasien :
HT : PDW : MA : Natrium : APTT
PLT : N : EA : Kalium : Kontrol :
MCV : L : BA : Chloride : Pasien :
MCH : M : AST : CEA : INR :
MCHC : E : ALT : CA125 : TT :
LAMPIRAN
Jeniskelamin
Frequency Percent Valid Percent
Cumulative Percent
Valid Laki-laki 22 52.4 52.4 52.4
Perempuan 20 47.6 47.6 100.0
Total 42 100.0 100.0
Umur
Frequency Percent Valid Percent
Cumulative Percent
Valid 1 3 7.1 7.1 7.1
2 11 26.2 26.2 33.3
3 8 19.0 19.0 52.4
4 6 14.3 14.3 66.7
5 9 21.4 21.4 88.1
6 5 11.9 11.9 100.0
Total 42 100.0 100.0
Agama
Frequency Percent Valid Percent
Cumulative Percent
Valid Islam 22 52.4 52.4 52.4
Protestan 20 47.6 47.6 100.0
Suku
Frequency Percent Valid Percent
Cumulative Percent
Valid Jawa 5 11.9 11.9 11.9
Batak 23 54.8 54.8 66.7
Karo 1 2.4 2.4 69.0
Nias 1 2.4 2.4 71.4
Lain-lain 12 28.6 28.6 100.0
Total 42 100.0 100.0
Pekerjaan
Frequency Percent Valid Percent
Cumulative Percent
Valid IbuRumahTangga 10 23.8 23.8 23.8
Pegawai 6 14.3 14.3 38.1
wiraswasta 8 19.0 19.0 57.1
pesiunan 6 14.3 14.3 71.4
Lain-lain 12 28.6 28.6 100.0
Total 42 100.0 100.0
Pendidikan
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidaksekolah 2 4.8 4.8 4.8
SD 5 11.9 11.9 16.7
SMP 10 23.8 23.8 40.5
SMA 19 45.2 45.2 85.7
Sarjana 6 14.3 14.3 100.0
Frequency Percent Valid Percent
Cumulative Percent
Valid Normal 32 76.2 76.2 76.2
hemoroid 10 23.8 23.8 100.0
Total 42 100.0 100.0
Rektum
Frequency Percent Valid Percent
Cumulative Percent
Valid Normal 33 78.6 78.6 78.6
Hemoroid 2 4.8 4.8 83.3
Massa protruded 4 9.5 9.5 92.9
edema 1 2.4 2.4 95.2
Hiperemis 2 4.8 4.8 100.0
Total 42 100.0 100.0
Sigmoid
Frequency Percent Valid Percent
Cumulative Percent
Valid Normal 29 69.0 69.0 69.0
Massa protruded 3 7.1 7.1 76.2
Edema 2 4.8 4.8 81.0
Scope tidakdilanjutkan 5 11.9 11.9 92.9
Hiperemis 2 4.8 4.8 97.6
granuloma, divertikel, polip
1 2.4 2.4 100.0
Desendens
Frequency Percent Valid Percent
Cumulative Percent
Valid Normal 24 57.1 57.1 57.1
Massa protruded 2 4.8 4.8 61.9
Edema 2 4.8 4.8 66.7
Scope tidakdilanjutkan 9 21.4 21.4 88.1
Hiperemis 2 4.8 4.8 92.9
Granuloma,polip, divertikel
3 7.1 7.1 100.0
Total 42 100.0 100.0
Transversum
Frequency Percent Valid Percent
Cumulative Percent
Valid Normal 25 59.5 59.5 59.5
Massa protruded 1 2.4 2.4 61.9
Edema 2 4.8 4.8 66.7
Scope tidakdilanjutkan 11 26.2 26.2 92.9
Hiperemis 1 2.4 2.4 95.2
Granuloma,polip, divertikel
2 4.8 4.8 100.0
Asendens
Frequency Percent Valid Percent
Cumulative Percent
Valid Normal 24 57.1 57.1 57.1
Massa protruded 2 4.8 4.8 61.9
Edema 1 2.4 2.4 64.3
Scope tidakdilanjutkan 12 28.6 28.6 92.9
Hiperemis 1 2.4 2.4 95.2
Granuloma,polip, divertikel
2 4.8 4.8 100.0
Total 42 100.0 100.0
Sekum
Frequency Percent Valid Percent
Cumulative Percent
Valid Normal 21 50.0 50.0 50.0
Massa protruded 2 4.8 4.8 54.8
Edema 2 4.8 4.8 59.5
Scope tidakdilanjutkan 14 33.3 33.3 92.9
Hiperemis 1 2.4 2.4 95.2
Granuloma,polip, divertikel
2 4.8 4.8 100.0
