105
Perguruan Tinggi : Universitas Sumatera Utara
Bidang Keahlian : T.H.T.K.L.
Waktu Disediakan : 12 Jam/Minggu
II. Komisi Pembimbing
A. Nama
: Dr. dr. Tengku Siti Hajar Haryuna, Sp.T.H.T.K.L.
NIP
: 197906202002122003
Pangkat/Golongan : Pembina (IV/a)
Jabatan
: Lektor Kepala (Ketua Departemen T.H.T.K.L. FK USU)
Fakultas
: Kedokteran
Perguruan Tinggi : Universitas Sumatera Utara
Bidang Keahlian : T.H.T.K.L.
Waktu Disediakan : 6 Jam/Minggu
B. Nama
: Dr.dr. Devira Zahara,M.Ked (ORL-HNS),Sp.T.H.T.K.L.(K)
NIP
:
197812072008012013
Pangkat/Golongan : Pembina (IV/a)
Jabatan
: Lektor
Fakultas
: Kedokteran
Perguruan Tinggi : Universitas Sumatera Utara
Bidang Keahlian : T.H.T.K.L.
106
Daftar Riwayat Hidup
Data Pribadi
Nama
: dr. Rina Hayati
Tempat/Tanggal lahir
: Medan/21 Agustus 1985
Jabatan
: PPDS T.H.T.K.L.
Agama
: Islam
AlamatRumah
: Jl. Kamboja, Perumahan Permata Setia Budi 2
Blok B4, Medan
No.HP
: 081328354937
Alamat e-mail
: rinaalfa10@gmail.com
Instansi
: Fakultas Kedokteran Universitas
Sumatera Utara
Nama Orang Tua
: 1. Ayah : H. Basuki Waluyo
2. Ibu
: Hj. Rahmawati
Pendidikan Formal
1995 - 2000
SDN Lebuh Dalam Menggala Tulang Bawang
2000 - 2002
SLTPN 2 Bandar Lampung
2002 - 2004
SMU Negeri 2 Bandar Lampung
2004 - 2010
S-1 Fakultas Kedokteran Universitas Islam Indonesia
2012 - sekarang
1. Peserta S-2 Magister Kedokteran Klinik
107
Riwayat Pekerjaan
Dokter Umum RSUD A. Wahab Sjahranie Samarinda Kalimantan Timur
(2010 s/d sekarang)
Keanggotaan Organisasi Profesi Nasional/Internasional
1.
Anggota Ikatan Dokter Indonesia (IDI) (2010 s/d sekarang)
2.
Anggota Muda Perhimpunan Dokter Spesialis Telinga Hidung
Tenggorok Kepala dan Leher Indonesia (PERHATI-KL) (2012 s/d
sekarang)
Medan, Mei 2017
108
LAMPIRAN 1
95
LAMPIRAN 2
DATA PASIEN
NO USIA JK TIPE OMSK/
TELINGA OP JENIS TULI TIPE PERFORASI OTOREA
KOLES-
TEATOMA GRANULASI RANTAI PENDENGARAN RIW OP PEROKOK
97
V 11 65 60 75 70 75 70 80 75 50 45 25 25 20 20 25 25 73.75 68.75 -5
I 11 30 35 30 35 25 30 55 60 10 10 30 25 25 25 35 35 35 40 5
III 6 40 35 25 20 25 20 40 35 20 15 5 5 15 10 20 20 32.5 27.5 -5
96
98
99
98
118
LAMPIRAN 3
97
98
99
98
118
LAMPIRAN 4
Pre timpanoplasti
98
98
99
98
118
99
98
99
98
118
LAMPIRAN 5
Descriptives
Statistic Std. Error
Usia Mean 27.1429 3.14967
95% Confidence Interval for
Mean
Lower Bound 20.5728
Upper Bound 33.7129
5% Trimmed Mean 26.0238
Median 24.0000
Variance 208.329
Std. Deviation 14.43359
Minimum 11.00
Maximum 64.00
Range 53.00
Interquartile Range 22.00
Skewness 1.077 .501
Kurtosis .631 .972
Usia Mean 1.90 .238
95% Confidence Interval for
Mean
Lower Bound 1.41
Upper Bound 2.40
5% Trimmed Mean 1.84
Median 2.00
Variance 1.190
Std. Deviation 1.091
Minimum 1
Maximum 4
Range 3
Interquartile Range 2
100
98
99
98
118
Kurtosis -.297 .972
Jenis kelamin Mean 1.57 .111
95% Confidence Interval for
Mean
Std. Deviation .507
Minimum 1
Maximum 2
Range 1
Interquartile Range 1
Skewness -.311 .501
Kurtosis -2.115 .972
Tipe OMSK Mean 1.29 .101
95% Confidence Interval for
Mean
Std. Deviation .463
Minimum 1
Maximum 2
Range 1
Interquartile Range 1
Skewness 1.023 .501
101
98
99
98
118
Kurtosis -1.064 .972
Perforasi membran timpani Mean 2.05 .176
95% Confidence Interval for
Mean
Std. Deviation .805
Minimum 1
Maximum 3
Range 2
Interquartile Range 2
Skewness -.090 .501
Kurtosis -1.417 .972
Tipe timpanoplasti Mean 1.95 .320
95% Confidence Interval for
Mean
Lower Bound 1.29
Upper Bound 2.62
5% Trimmed Mean 1.84
Median 1.00
Variance 2.148
Std. Deviation 1.465
Minimum 1
Maximum 5
Range 4
Interquartile Range 2
102
98
99
98
118
Skewness 1.144 .501
Kurtosis -.246 .972
Jenis tuli Mean 1.57 .202
95% Confidence Interval for
Mean
Std. Deviation .926
Minimum 1
Maximum 3
Range 2
Interquartile Range 2
Skewness 1.023 .501
Kurtosis -1.064 .972
Tests of Normality
Kolmogorov-Smirnova Shapiro-Wilk
103
98
99
98
118
Tipe timpanoplasti .409 21 .000 .674 21 .000
Jenis tuli .446 21 .000 .570 21 .000
a. Lilliefors Significance Correction
Usia
Frequency Percent Valid Percent Cumulative Percent
Valid 11-23 tahun 10 47.6 47.6 47.6
Frequency Percent Valid Percent Cumulative Percent
Valid Pria 9 42.9 42.9 42.9
Wanita 12 57.1 57.1 100.0
Total 21 100.0 100.0
Tipe OMSK
Frequency Percent Valid Percent Cumulative Percent
Valid Tipe Jinak 15 71.4 71.4 71.4
Tipe Ganas 6 28.6 28.6 100.0
Total 21 100.0 100.0
Jenis tuli
Frequency Percent Valid Percent Cumulative Percent
Valid Tuli konduktif 15 71.4 71.4 71.4
Tuli Campur 6 28.6 28.6 100.0
Total 21 100.0 100.0
104
98
99
98
118
Perforasi membran timpani
Frequency Percent Valid Percent Cumulative Percent
Valid Sentral 6 28.6 28.6 28.6
Subtotal 8 38.1 38.1 66.7
Total 7 33.3 33.3 100.0
Total 21 100.0 100.0
Tipe timpanoplasti
Frequency Percent Valid Percent Cumulative Percent
Valid Tipe I 14 66.7 66.7 66.7
Frequency Percent Valid Percent Cumulative Percent
Valid 0-5 dB 12 57.1 57.1 57.1
Statistic Std. Error
AC pre op frekuensi 500Hz Mean 48.33 4.230
95% Confidence Interval
for Mean
Lower Bound 39.51
105
98
99
98
118
5% Trimmed Mean 47.10
Median 45.00
Variance 375.833
Std. Deviation 19.386
Minimum 20
Maximum 100
Range 80
Interquartile Range 28
Skewness .876 .501
Kurtosis 1.068 .972
AC post op frekuensi 500Hz Mean 42.14 4.091
95% Confidence Interval
for Mean
Lower Bound 33.61
Upper Bound 50.68
5% Trimmed Mean 40.26
Median 35.00
Variance 351.429
Std. Deviation 18.746
Minimum 20
Maximum 100
Range 80
Interquartile Range 25
Skewness 1.447 .501
Kurtosis 3.291 .972
AC pre op frekuensi 1kHz Mean 46.19 4.280
95% Confidence Interval
106
98
99
98
118
Variance 384.762
Std. Deviation 19.615
Minimum 15
Maximum 90
Range 75
Interquartile Range 20
Skewness .896 .501
Kurtosis .345 .972
AC post op frekuensi 1kHz Mean 39.05 4.091
95% Confidence Interval
for Mean
Lower Bound 30.51
Upper Bound 47.58
5% Trimmed Mean 37.86
Median 35.00
Variance 351.548
Std. Deviation 18.750
Minimum 15
Maximum 85
Range 70
Interquartile Range 28
Skewness 1.045 .501
Kurtosis .433 .972
AC pre op frekuensi 2kHz Mean 46.43 4.631
95% Confidence Interval
for Mean
Lower Bound 36.77
Upper Bound 56.09
5% Trimmed Mean 45.24
Median 40.00
Variance 450.357
Std. Deviation 21.222
Minimum 20
Maximum 95
107
98
99
98
118
Range 75
Interquartile Range 38
Skewness .817 .501
Kurtosis -.400 .972
AC post op frekuensi 2kHz Mean 39.05 4.559
95% Confidence Interval
for Mean
Lower Bound 29.54
Upper Bound 48.56
5% Trimmed Mean 37.06
Median 30.00
Variance 436.548
Std. Deviation 20.894
Minimum 20
Maximum 95
Range 75
Interquartile Range 28
Skewness 1.307 .501
Kurtosis 1.056 .972
AC pre op frekuensi 4kHz Mean 53.57 4.978
95% Confidence Interval
for Mean
Lower Bound 43.19
Upper Bound 63.96
5% Trimmed Mean 52.30
Median 45.00
Variance 520.357
Std. Deviation 22.811
Minimum 25
Maximum 105
Range 80
Interquartile Range 23
Skewness 1.252 .501
Kurtosis .579 .972
108
98
99
98
118
AC post op frekuensi 4kHz Mean 46.67 5.202
95% Confidence Interval
for Mean
Lower Bound 35.81
Upper Bound 57.52
5% Trimmed Mean 45.20
Median 35.00
Variance 568.333
Std. Deviation 23.840
Minimum 15
Maximum 105
Range 90
Interquartile Range 30
Skewness 1.197 .501
Kurtosis .594 .972
BC pre op frekuensi 500Hz Mean 11.90 3.527
95% Confidence Interval
for Mean
Lower Bound 4.55
Upper Bound 19.26
5% Trimmed Mean 10.45
Median 10.00
Variance 261.190
Std. Deviation 16.161
Minimum -10
Maximum 60
Range 70
Interquartile Range 13
Skewness 1.947 .501
Kurtosis 4.202 .972
BC post op frekuensi 500Hz Mean 11.43 3.401
95% Confidence Interval
for Mean
Lower Bound 4.33
Upper Bound 18.52
5% Trimmed Mean 9.93
109
98
99
98
118
Median 10.00
Variance 242.857
Std. Deviation 15.584
Minimum -10
Maximum 60
Range 70
Interquartile Range 13
Skewness 1.995 .501
Kurtosis 4.662 .972
BC pre op frekuensi 1kHz Mean 13.10 3.724
95% Confidence Interval
for Mean
Lower Bound 5.33
Upper Bound 20.86
5% Trimmed Mean 11.83
Median 10.00
Variance 291.190
Std. Deviation 17.064
Minimum -10
Maximum 60
Range 70
Interquartile Range 28
Skewness 1.161 .501
Kurtosis 1.299 .972
BC post op frekuensi 1kHz Mean 11.67 3.456
95% Confidence Interval
for Mean
Lower Bound 4.46
Upper Bound 18.88
5% Trimmed Mean 10.24
Median 10.00
Variance 250.833
Std. Deviation 15.838
Minimum -10
110
98
99
98
118
Maximum 60
Range 70
Interquartile Range 20
Skewness 1.519 .501
Kurtosis 3.196 .972
BC pre op frekuensi 2kHz Mean 22.86 3.677
95% Confidence Interval
for Mean
Lower Bound 15.19
Upper Bound 30.53
5% Trimmed Mean 22.06
Median 20.00
Variance 283.929
Std. Deviation 16.850
Minimum -5
Maximum 65
Range 70
Interquartile Range 15
Skewness 1.121 .501
Kurtosis 1.175 .972
BC post op frekuensi 2kHz Mean 19.76 3.771
95% Confidence Interval
for Mean
Lower Bound 11.89
Upper Bound 27.63
5% Trimmed Mean 18.64
Median 15.00
Variance 298.690
Std. Deviation 17.283
Minimum -5
Maximum 65
Range 70
Interquartile Range 15
111
98
99
98
118
Kurtosis 1.398 .972
BC pre op frekuensi 4kHz Mean 23.33 4.410
95% Confidence Interval
for Mean
Lower Bound 14.14
Upper Bound 32.53
5% Trimmed Mean 22.02
Median 20.00
Variance 408.333
Std. Deviation 20.207
Minimum 0
Maximum 70
Range 70
Interquartile Range 23
Skewness 1.273 .501
Kurtosis .970 .972
BC post op frekuensi 4kHz Mean 20.24 4.558
95% Confidence Interval
for Mean
Lower Bound 10.73
Upper Bound 29.74
5% Trimmed Mean 18.86
Median 15.00
Variance 436.190
Std. Deviation 20.885
Minimum -5
Maximum 70
Range 75
Interquartile Range 20
Skewness 1.392 .501
Kurtosis 1.464 .972
112
98
99
98
118
Tests of Normality
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic Df Sig.
a. Lilliefors Significance Correction
*. This is a lower bound of the true significance.
Ranks
N Mean Rank Sum of Ranks
AC post op frekuensi 500Hz -
AC pre op frekuensi 500Hz
Negative Ranks 13a 7.77 101.00
Positive Ranks 1b 4.00 4.00
Ties 7c
Total 21
AC post op frekuensi 1kHz - AC
pre op frekuensi 1kHz
Negative Ranks 14d 8.32 116.50
Positive Ranks 1e 3.50 3.50
113
98
99
98
118
Ties 6f
Total 21
AC post op frekuensi 2kHz - AC
pre op frekuensi 2kHz
Negative Ranks 14g 8.32 116.50
Positive Ranks 1h 3.50 3.50
Ties 6i
Total 21
AC post op frekuensi 4kHz - AC
pre op frekuensi 4kHz
Negative Ranks 15j 8.80 132.00
Positive Ranks 1k 4.00 4.00
Ties 5l
Total 21
a. AC post op frekuensi 500Hz < AC pre op frekuensi 500Hz
b. AC post op frekuensi 500Hz > AC pre op frekuensi 500Hz
c. AC post op frekuensi 500Hz = AC pre op frekuensi 500Hz
d. AC post op frekuensi 1kHz < AC pre op frekuensi 1kHz
e. AC post op frekuensi 1kHz > AC pre op frekuensi 1kHz
f. AC post op frekuensi 1kHz = AC pre op frekuensi 1kHz
g. AC post op frekuensi 2kHz < AC pre op frekuensi 2kHz
h. AC post op frekuensi 2kHz > AC pre op frekuensi 2kHz
i. AC post op frekuensi 2kHz = AC pre op frekuensi 2kHz
j. AC post op frekuensi 4kHz < AC pre op frekuensi 4kHz
k. AC post op frekuensi 4kHz > AC pre op frekuensi 4kHz
l. AC post op frekuensi 4kHz = AC pre op frekuensi 4kHz
Test Statisticsb
AC post op
frekuensi 500Hz -
AC pre op
frekuensi 500Hz
AC post op
frekuensi 1kHz -
AC pre op
frekuensi 1kHz
AC post op
frekuensi 2kHz -
AC pre op
frekuensi 2kHz
AC post op
frekuensi 4kHz -
AC pre op
frekuensi 4kHz
Z -3.092a -3.242a -3.240a -3.352a
Asymp. Sig. (2-tailed) .002 .001 .001 .001
a. Based on positive ranks.
b. Wilcoxon Signed Ranks Test
114
98
99
98
118
BC post op frekuensi 500Hz -
BC pre op frekuensi 500Hz
Negative Ranks 3a 2.50 7.50
Positive Ranks 1b 2.50 2.50
Ties 17c
Total 21
BC post op frekuensi 1kHz - BC
pre op frekuensi 1kHz
Negative Ranks 3d 2.00 6.00
Positive Ranks 0e .00 .00
Ties 18f
Total 21
BC post op frekuensi 2kHz - BC
pre op frekuensi 2kHz
Negative Ranks 10g 5.50 55.00
Positive Ranks 0h .00 .00
Ties 11i
Total 21
BC post op frekuensi 4kHz - BC
pre op frekuensi 4kHz
Negative Ranks 5j 3.00 15.00
Positive Ranks 0k .00 .00
Ties 16l
Total 21
115
98
99
98
118
Ranks
N Mean Rank Sum of Ranks
BC post op frekuensi 500Hz -
BC pre op frekuensi 500Hz
Negative Ranks 3a 2.50 7.50
Positive Ranks 1b 2.50 2.50
Ties 17c
Total 21
BC post op frekuensi 1kHz - BC
pre op frekuensi 1kHz
Negative Ranks 3d 2.00 6.00
Positive Ranks 0e .00 .00
Ties 18f
Total 21
BC post op frekuensi 2kHz - BC
pre op frekuensi 2kHz
Negative Ranks 10g 5.50 55.00
Positive Ranks 0h .00 .00
Ties 11i
Total 21
BC post op frekuensi 4kHz - BC
pre op frekuensi 4kHz
Negative Ranks 5j 3.00 15.00
Positive Ranks 0k .00 .00
Ties 16l
Total 21
a. BC post op frekuensi 500Hz < BC pre op frekuensi 500Hz
b. BC post op frekuensi 500Hz > BC pre op frekuensi 500Hz
c. BC post op frekuensi 500Hz = BC pre op frekuensi 500Hz
d. BC post op frekuensi 1kHz < BC pre op frekuensi 1kHz
e. BC post op frekuensi 1kHz > BC pre op frekuensi 1kHz
f. BC post op frekuensi 1kHz = BC pre op frekuensi 1kHz
g. BC post op frekuensi 2kHz < BC pre op frekuensi 2kHz
h. BC post op frekuensi 2kHz > BC pre op frekuensi 2kHz
i. BC post op frekuensi 2kHz = BC pre op frekuensi 2kHz
j. BC post op frekuensi 4kHz < BC pre op frekuensi 4kHz
k. BC post op frekuensi 4kHz > BC pre op frekuensi 4kHz
l. BC post op frekuensi 4kHz = BC pre op frekuensi 4kHz
116
98
99
98
118
Test Statisticsb
BC post op
frekuensi 500Hz -
BC pre op
frekuensi 500Hz
BC post op
frekuensi 1kHz -
BC pre op
frekuensi 1kHz
BC post op
frekuensi 2kHz -
BC pre op
frekuensi 2kHz
BC post op
frekuensi 4kHz -
BC pre op
frekuensi 4kHz
Z -1.000a -1.633a -2.970a -2.041a
Asymp. Sig. (2-tailed) .317 .102 .003 .041
a. Based on positive ranks.
b. Wilcoxon Signed Ranks Test
Descriptives
Statistic Std. Error
Ambang dengar pre
timpanoplasti
Mean 48.6310 4.10874
95% Confidence Interval
for Mean
Lower Bound 40.0603
Upper Bound 57.2016
5% Trimmed Mean 47.0668
Median 40.0000
Variance 354.516
Std. Deviation 18.82861
Minimum 30.00
Maximum 96.25
Range 66.25
Interquartile Range 26.88
Skewness 1.186 .501
Kurtosis .485 .972
Ambang dengar pasca
timpanoplasti
Mean 41.7262 4.12011
95% Confidence Interval
for Mean
Lower Bound 33.1318
Upper Bound 50.3206
5% Trimmed Mean 39.9636
117
98
99
98
118
Variance 356.481
Std. Deviation 18.88070
Minimum 20.00
Maximum 96.25
Range 76.25
Interquartile Range 30.63
Skewness 1.431 .501
95% Confidence Interval
for Mean
Lower Bound -10.0657
Upper Bound -3.7438
5% Trimmed Mean -6.8287
Median -5.0000
Variance 48.222
Std. Deviation 6.94419
Minimum -20.00
Maximum 5.00
Range 25.00
Interquartile Range 11.25
Skewness -.427 .501
Kurtosis -.722 .972
Tests of Normality
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic Df Sig.
Ambang dengar pre
timpanoplasti
.224 21 .007 .843 21 .003
118
98
99
98
118
Ambang dengar pasca
timpanoplasti
.235 21 .004 .844 21 .003
Peningkatan ambang dengar
setelah timpanoplasti
.179 21 .076 .942 21 .236
a. Lilliefors Significance Correction
Descriptive Statistics
N Mean Std. Deviation Minimum Maximum
Ambang dengar pre
timpanoplasti
21 48.6310 18.82861 30.00 96.25
Ambang dengar pasca
timpanoplasti
21 41.7262 18.88070 20.00 96.25
Ranks
N Mean Rank Sum of Ranks
Ambang dengar pasca
timpanoplasti - Ambang
dengar pre timpanoplasti
Negative Ranks 16a 9.19 147.00
Positive Ranks 1b 6.00 6.00
Ties 4c
Total 21
a. Ambang dengar pasca timpanoplasti < Ambang dengar pre timpanoplasti
b. Ambang dengar pasca timpanoplasti > Ambang dengar pre timpanoplasti
c. Ambang dengar pasca timpanoplasti = Ambang dengar pre timpanoplasti
Test Statisticsb
Ambang dengar pasca timpanoplasti -
Ambang dengar pre timpanoplasti
Z -3.351a
Asymp. Sig. (2-tailed) .001
a. Based on positive ranks.
b. Wilcoxon Signed Ranks Test