INFORMED CONSENT/LEMBAR PERSETUJUAN MENJADI RESPONDEN

Teks penuh

(1)

Lampiran 1. Kuesioner Penelitian

PENGARUH KARAKTERISTIK NELAYAN, LINGKUNGAN FISIK RUMAH,

KARAKTERISTIK RUMAH DAN KEBIASAAN MEROKOK TERHADAP

PENYAKIT TBC PADA NELAYAN DI KAMPUNG NELAYAN

SEBERANG LINGKUNGAN XII KELURAHAN BELAWAN I,

MEDAN TAHUN 2015

INFORMED CONSENT/LEMBAR PERSETUJUAN MENJADI

RESPONDEN

Bersama ini saya menyatakan kesanggupan saya sebagai responden pada penelitian

saudari Fithri Handayani Lubis dengan judul: “Pengaruh Karakteristik Nelayan,

Lingkungan Fisik Rumah, Karakteristik Rumah dan Kebiasaan Merokok terhadap

Gangguan Pernapasan pada Nelayan di Kampung Nelayan Seberang Lingkungan

XII Kelurahan Belawan I, Medan Tahun 2015”. Demikian pernyataan ini saya

buat, dengan sebenar-benarnya dan semoga dapat memenuhi harapan saudara.

A. Identitas Responden

1.

Nama

2.

Umur

3.

Masa Kerja

4.

Pendidikan Terakhir

5.

Riwayat Pekerjaan

B03. Tuberkulosis Paru (TB Paru)

6.

Apakah akhir-akhir ini anda batuk?

1. Ya 2. Tidak

Jika ya, apakah batuk tersebut disertai gejala :

a.

Dahak

1. Ya 2. Tidak

b.

Darah/Dahak bercampur darah

1. Ya 2. Tidak

c.

Demam

1. Ya 2. Tidak

d.

Nyeri dada

1. Ya 2. Tidak

e.

Sesak napas

1. Ya 2. Tidak

f.

Berkeringat malam hari tanpa

kegiatan fisik

1. Ya 2. Tidak

(2)

7.

Apakah anda pernah didiagnosis

TB Paru oleh tenaga kesehatan?

1. Ya 2. Tidak

C. Kebiasaan Merokok

8.

Apakah Anda Merokok?

1. Ya 2. Tidak

9.

Apakah Anda sekarang masih

merokok?

1. Ya 2. Tidak

10.

Berapa batang rokok yang anda

habiskan dalam sehari?

……….batang/hari

11.

Apakah anda merokok di dalam

rumah?

1. Ya 2. Tidak

D. Lingkungan Fisik Rumah

12.

Luas lantai rumah

... x ... m²

13.

Apakah terdapat ventilasi di rumah

a.

Lubang angin

1. Ya, ukur luas

2. Tidak

b.

Jendela (biasa dibuka)

1. Ya, ukur luas

2. Tidak

c.

Pintu

1. Ya, ukur luas

2. Tidak

14.

Luas ventilasi rumah

Luas total ventilasi

(D.2a+D.2b+D.2c)

Luas lantai (D.1)

x 100%

……...%

15.

Jenis lantai rumah

(dominan)

1. Tanah 5. Ubin

2. Batu/Bata 6. Keramik

3. Papan/kayu 7. Lainnya

4. Semen/plester

16.

Jenis dinding rumah

(dominan)

1. Bambu 5. Ubin

2. Batu/Bata 6. Keramik

3. Papan/tripleks 7. Lainnya

4. Semen/plester

17.

Apakah terdapat ventilasi di dapur berupa :

a.

Lubang angin

1. Ya 2. Tidak

b.

Jendela (biasa dibuka)

1. Ya 2. Tidak

c.

Pintu

1. Ya 2. Tidak

d.

Cerobong asap/langit-lamgit

terbuka

1. Ya 2. Tidak

18.

Kelembaban Rumah

……...%

19.

Suhu Rumah

……...ºC

(3)

E. Kepadatan Hunian

20.

Jumlah

anggota keluarga

utama/anggota keluarga lain yang

ada/tinggal menetap di rumah

dalam satu bulan terakhir.

..………….... orang

21.

Kepadatan hunian rumah

Jumlah Anggota Keluarga

Luas Seluruh Lantai Rumah

………...m²

F. Kegiatan Rumah

22.

Jenis bahan bakar digunakan

sehari – hari untuk kegiatan dapur

1.

Kayu bakar/arang

2.

Batu bara

3.

Minyak Tanah

4.

Gas

5.

Listrik

23.

Apakah di rumah ini biasa

digunakan obat anti nyamuk

1. Ya 2. Tidak

24.

Bila ya, jenis obat anti nyamuk

yang biasa digunakan di dalam

rumah

1.

Bakar : …….bh/hari

2.

Semprot : …….ltr/bln

3.

Elektrik : …….bh/hari

4.

Lainnya : ……

G. Kebiasaan Keluarga

25.

Membuka jendela ruang keluarga

1.Tidak pernah dibuka

2.Kadang-kadang

3.Setiap hari dibuka

26.

Membuka jendela kamar tidur

1.Tidak pernah dibuka

2.Kadang-kadang

3.Setiap hari dibuka

(4)

Lampiran 2. Analisis Univariat

Frequency Table

Umur

Frequency Percent Valid Percent Cumulative Percent

Valid 21 - 30 28 33.3 33.3 33.3 31-40 26 31.0 31.0 64.3 41-50 15 17.9 17.9 82.1 >50 15 17.9 17.9 100.0 Total 84 100.0 100.0 kelmasakerja

Frequency Percent Valid Percent Cumulative Percent

Valid 1-10 12 14.3 14.3 14.3 11-20 38 45.2 45.2 59.5 21-30 16 19.0 19.0 78.6 31-40 8 9.5 9.5 88.1 41-50 7 8.3 8.3 96.4 >50 3 3.6 3.6 100.0 Total 84 100.0 100.0 Riwayatkerja

Frequency Percent Valid Percent Cumulative Percent

Valid Tdk ada 81 96.4 96.4 96.4

Ada 3 3.6 3.6 100.0

Total 84 100.0 100.0

Ventilasi

Frequency Percent Valid Percent Cumulative Percent

Valid memenuhi syarat 47 56.0 56.0 56.0

Tdk memenuhi syarat 37 44.0 44.0 100.0

(5)

Suhu

Frequency Percent Valid Percent Cumulative Percent

Valid memenuhi syarat 49 58.3 58.3 58.3

Tdk memenuhi syarat 35 41.7 41.7 100.0

Total 84 100.0 100.0

Kelembaban

Frequency Percent Valid Percent Cumulative Percent

Valid Baik 25 29.8 29.8 29.8

Tdk baik 59 70.2 70.2 100.0

Total 84 100.0 100.0

Lubangasap dapur

Frequency Percent Valid Percent Cumulative Percent

Valid Baik 12 14.3 14.3 14.3

Tdk baik 72 85.7 85.7 100.0

Total 84 100.0 100.0

Kepadatan

Frequency Percent Valid Percent Cumulative Percent

Valid Tdk padat 35 41.7 41.7 41.7

Padat 49 58.3 58.3 100.0

Total 84 100.0 100.0

Bahanbakar

Frequency Percent Valid Percent Cumulative Percent

Valid Memenuhi syarat 44 52.4 52.4 52.4

Tdk memenuhi syarat 40 47.6 47.6 100.0

Total 84 100.0 100.0

obatnyamuk

Frequency Percent Valid Percent Cumulative Percent

Valid Memenuhi syarat 34 40.5 40.5 40.5

Tdk memenuhi syarat 50 59.5 59.5 100.0

(6)

Membukajendela

Frequency Percent Valid Percent Cumulative Percent

Valid Baik 38 45.2 45.2 45.2

Tdk baik 46 54.8 54.8 100.0

Total 84 100.0 100.0

Merokok

Frequency Percent Valid Percent Cumulative Percent

Valid Tdk merokok 29 34.5 34.5 34.5

Merokok 55 65.5 65.5 100.0

Total 84 100.0 100.0

TBC

Frequency Percent Valid Percent Cumulative Percent

Valid tdk sakit 76 90.5 90.5 90.5

sakit 8 9.5 9.5 100.0

(7)

Lampiran 3. Analisis Bivariat

Crosstabs

Umur * TBC

Crosstab Count TBC Total tdk sakit sakit Umur 21 - 30 26 2 28 31-40 23 3 26 41-50 14 1 15 >50 13 2 15 Total 76 8 84 Chi-Square Tests

Value df Asymp. Sig. (2-sided)

Pearson Chi-Square .701a 3 .873

Likelihood Ratio .700 3 .873

Linear-by-Linear Association .220 1 .639

N of Valid Cases 84

a. 4 cells (50.0%) have expected count less than 5. The minimum expected count is 1.43.

Kelmasakerja * TBC

Crosstab Count TBC Total tdk sakit sakit kelmasakerja 1-10 12 0 12 11-20 36 2 38 21-30 15 1 16 31-40 6 2 8 41-50 5 2 7 >50 2 1 3 Total 76 8 84

(8)

Chi-Square Tests

Value df Asymp. Sig. (2-sided)

Pearson Chi-Square 9.407a 5 .094

Likelihood Ratio 8.491 5 .131

Linear-by-Linear Association 8.257 1 .004

N of Valid Cases 84

a. 7 cells (58.3%) have expected count less than 5. The minimum expected count is .29.

Riwayatkerja * TBC

Crosstab TBC Total tdk sakit sakit Riwayatkerja Tdk ada 73 8 81 Ada 3 0 3 Total 76 8 84 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square .327a 1 .567 Continuity Correctionb .000 1 1.000 Likelihood Ratio .612 1 .434

Fisher's Exact Test 1.000 .738

Linear-by-Linear Association .324 1 .569

N of Valid Casesb 84

a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is .29. b. Computed only for a 2x2 table

Ventilasi * TBC

Crosstab

TBC

Total

tdk sakit sakit

Ventilasi memenuhi syarat 46 1 47

Tdk memenuhi syarat 30 7 37

(9)

Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 6.774a 1 .009 Continuity Correctionb 4.965 1 .026 Likelihood Ratio 7.262 1 .007

Fisher's Exact Test .019 .012

Linear-by-Linear Association 6.693 1 .010

N of Valid Casesb 84

a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 3.52. b. Computed only for a 2x2 table

Suhu * TBC

Crosstab

TBC

Total

tdk sakit sakit

Suhu Memenuhi syarat 47 2 49

Tdk memenuhi syarat 29 6 35 Total 76 8 84 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 4.042a 1 .044 Continuity Correctionb 2.668 1 .102 Likelihood Ratio 4.053 1 .044

Fisher's Exact Test .062 .052

Linear-by-Linear Association 3.994 1 .046

N of Valid Casesb 84

a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 3.33. b. Computed only for a 2x2 table

(10)

Kelembaban * TBC

Crosstab TBC Total tdk sakit sakit Kelembaban Baik 19 6 25 Tdk baik 57 2 59 Total 76 8 84 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 8.656a 1 .003 Continuity Correctionb 6.430 1 .011 Likelihood Ratio 7.812 1 .005

Fisher's Exact Test .008 .008

Linear-by-Linear Association 8.553 1 .003

N of Valid Casesb 84

a. 1 cells (25.0%) have expected count less than 5. The minimum expected count is 2.38. b. Computed only for a 2x2 table

Lubangasap * TBC

Crosstab TBC Total tdk sakit sakit Cerobongasap Baik 12 0 12 tdk baik 64 8 72 Total 76 8 84

(11)

Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 1.474a 1 .225 Continuity Correctionb .466 1 .495 Likelihood Ratio 2.603 1 .107

Fisher's Exact Test .595 .275

Linear-by-Linear Association 1.456 1 .228

N of Valid Casesb 84

a. 1 cells (25.0%) have expected count less than 5. The minimum expected count is 1.14. b. Computed only for a 2x2 table

Kepadatan * TBC

Crosstab TBC Total tdk sakit sakit Kepadatan Tdk padat 34 1 35 Padat 42 7 49 Total 76 8 84 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 3.095a 1 .079 Continuity Correctionb 1.911 1 .167 Likelihood Ratio 3.561 1 .059

Fisher's Exact Test .131 .079

Linear-by-Linear Association 3.058 1 .080

N of Valid Casesb 84

a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 3.33. b. Computed only for a 2x2 table

(12)

Bahanbakar * TBC

Crosstab

TBC

Total

tdk sakit sakit

Bahanbakar Memenuhi syarat 43 1 44

Tdk memenuhi syarat 33 7 40 Total 76 8 84 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 5.638a 1 .018 Continuity Correctionb 4.009 1 .045 Likelihood Ratio 6.191 1 .013

Fisher's Exact Test

.025 .021

Linear-by-Linear Association

5.571 1 .018

N of Valid Casesb

84

a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 3.81. b. Computed only for a 2x2 table

Obat nyamuk * TBC

Crosstab

TBC

Total

tdk sakit sakit

obatnyamuk Memenuhi syarat 32 2 34

Tdk memenuhi syarat 44 6 50

(13)

Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square .879a 1 .348 Continuity Correctionb .312 1 .576 Likelihood Ratio .929 1 .335

Fisher's Exact Test .464 .295

Linear-by-Linear Association .869 1 .351

N of Valid Casesb 84

a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 3.24. b. Computed only for a 2x2 table

Membukajendela * TBC

Crosstab TBC Total tdk sakit sakit Membukajendela Baik 37 1 38 Tdk baik 39 7 46 Total 76 8 84 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 3.825a 1 .053 Continuity Correctionb 2.504 1 .114 Likelihood Ratio 4.352 1 .037

Fisher's Exact Test .067 .053

Linear-by-Linear Association 3.780 1 .052

N of Valid Casesb 84

a. 2 cells (50.0%) have expected count less than 5. The minimum expected count is 3.62. b. Computed only for a 2x2 table

(14)

Merokok * TBC

Crosstab TBC Total tdk sakit sakit Merokok Tdk merokok 29 0 29 Merokok 47 8 55 Total 76 8 84 Chi-Square Tests Value df Asymp. Sig. (2-sided) Exact Sig. (2-sided) Exact Sig. (1-sided) Pearson Chi-Square 4.662a 1 .031 Continuity Correctionb 3.127 1 .077 Likelihood Ratio 7.213 1 .007

Fisher's Exact Test .046 .028

Linear-by-Linear Association 4.607 1 .032

N of Valid Casesb 84

a. 1 cells (25.0%) have expected count less than 5. The minimum expected count is 2.76. b. Computed only for a 2x2 table

(15)

Lampiran 4. Analisis Multivariat

Logistic Regression

Block 1: Method = Enter

Omnibus Tests of Model Coefficients

Chi-square df Sig.

Step 1 Step 121.419 9 .000

Block 121.419 9 .000

Model 121.419 9 .000

Model Summary

Step -2 Log likelihood Cox & Snell R Square Nagelkerke R Square

1 78.377 .405 .716 Classification Tablea Observed Predicted TBC Percentage Correct tdk sakit sakit Step 1 TBC tdk sakit 75 1 98.7 sakit 2 6 75.0 Overall Percentage 96.4

a. The cut value is .500

Variables in the Equation

B S.E. Wald df Sig. Exp(B)

Step 1a Ventilasi 2.462 .753 10.680 1 001 11.228 Kelembaban -3.159 1.963 2.589 1 .022 .034 Kepadatan 3.502 .871 2.336 1 .006 11.772 Bahanbakar -111 522 .034 1 .743 .708 Membukajendela -2.199 .983 5.002 1 .003 .043 Merokok 1.550 .706 4.565 1 .033 4.666 Suhu -1.068 1.704 .078 1 .877 .895 Cerobongasap -214 .687 .085 1 .998 .806 kelmasakerja -111 .679 .043 1 .827 .798 Constant -5.918 1.051 11.335 1 .000 .002

a. Variable(s) entered on step 1: Ventilasi, Kelembaban, Kepadatan, Bahanbakar, Membukajendela, Merokok, Suhu, Cerobongasap, kelmasakerja.

(16)

Lampiran 5. Dokumentasi Penelitian

Lampiran 5.1. Dokumentasi Penelitian

(17)

Lampiran 5.3. Dokumentasi Penelitian

(18)

Lampiran 5.5. Dokumentasi Penelitian

Figur

Memperbarui...

Referensi

Memperbarui...