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Lampiran 1.
PROSEDUR PENGUKURAN CIMT
1) Memposisikan pemeriksa dan pasien senyaman mungkin dimana pasien terbaring pada tempat tidur dan pemeriksa duduk di samping kanan pasien. 2) Mengekstensikan leher dan memposisikan kepala pasien menoleh
kontralateral terhadap sisi leher yang akan diperiksa, kemudian mengoleskan gel pada leher atau pada transduser.
3) Melakukan skrinning arteri karotis komunis menggunakan transduser dengan orientasi transversal, dari proksimal hingga distal, sambil melihat layar monitor hingga menemukan bulbus karotikus.
4) Memposisikan orientasi transduser menjadi longitudinal pada sisi lateral arteri karotis kemudian merekam pencitraan pada monitor dalam bentuk gambar diam.
5) Melakukan pengukuran CIMT pada dinding jauh pembuluh darah menggunakan perangkat lunak pada alat.
6) Melakukan pemeriksaan dan pengukuran CIMT pada sisi leher yang lain dengan cara yang sama.
Lampiran 5. Kuesioner
DAFTAR TILIK PENELUSURAN REKAM MEDIK DAN
WAWANCARA
No. CM :
Nama :
Jenis kelamin : Laki-laki Perempuan
Umur :
Pekerjaan :
Alamat :
No. HP :
Tinggi badan : _____cm Berat badan : _____ kg BMI : _____ kg/m2 Kontrol teratur/tidak : Ya Tidak
Status merokok : Ya Tidak
Data
Hipertensi
Tekanan darah terakhir
Lama hipertensi Obat yang diminum
Data DM
Status DM : Ya Tidak
Anamnesis 3P + kadar GDS Anamnesis 3P + kadar GDP
2PP ______mg/dl Kadar HbA1c :
Lama DM :
Obat yang diminum : Data dislipidemia
Status dislipidemia : Ya Tidak
Kadar kolesterol total : ________ mg/dl (dislipidemia: ≥240 mg/dl) Kadar kolesterol LDL : ________ mg/dl (dislipidemia: ≥160 mg/dl) Kadar kolesterol HDL : ________ mg/dl (dislipidemia: <40 mg/dl) Kadar trigliserida : ________ mg/dl (dislipidemia: ≥200 mg/dl) Lama dislipidemia :
Obat yang diminum :
GLOBAL PHYSICAL ACTIVITY QUESTIONNAIRE (GPAQ)
Jenis Aktivitas Contoh Aktivitas
Aktivitas ringan Duduk, berdiri, mencuci piring, memasak, menyetrika, bermain musik, menonton tv, mengemudikan kendaraan, berjalan perlahan
Aktivitas sedang Menyapu, mengepel, mencuci mobil, menanam tanaman, memanen tanaman, menimba air, bersepeda pergi pulang beraktivitas,
Aktivitas berat Membawa barang berat, berkebun (menggali), bersepeda (16-22km/jam), bermain sepak bola,
Olahraga sedang
Aerobik low-impact, berkuda, voli, berjalan sedang dan cepat, bowling, golf, tenis meja, berenang, bersepeda, jogging, menari, tai chi, yoga, kriket
Olahraga berat Sepak bola, basket, gym angkat berat, berlari, rugby, tennis, aerobik high-impact, aerobik air, menari ballet, berenang cepat
Aktivitas fisik
Kode Pertanyaan Jawaban
Aktivitas saat belajar / bekerja
(Aktivitas termasuk kegiatan belajar, latihan, aktivitas rumah tangga, dll P1
Apakah aktivitas sehari- hari Anda, termasuk
aktivitas berat (seperti membawa beban berat, menggali atau pekerjaan konstruksi lain ) ?
1. Ya
2. Tidak (langsung ke P4)
P2 Berapa hari dalam seminggu Anda
melakukan aktivitas berat? hari P3 Berapa lama dalam sehari biasanya Anda
melakukan aktivitas berat?
Jam menit
P4
Apakah aktivitas sehari-hari Anda termasuk
aktivitas sedang yang menyebabkan peningkatan nafas dan denyut nadi, seperti mengangkat beban ringan dan jalan sedang (minimal 10 menit secara kontinyu) ?
Perjalanan ke tempat aktivtias, berbelanja, beribadah diluar, dll)
P7 Apakah Anda berjalan kaki atau bersepeda untuk pergi ke suatu tempat minimal 10 menit kontinyu ?
1. Ya
2. Tidak (langsung ke P10)
P8 Berapa hari dalam seminggu Anda
berjalan kaki atau bersepeda untuk pergi ke suatu tempat?
hari
P9 Berapa lama dalam sehari biasanya Anda
berjalan kaki atau bersepeda untuk pergi ke suatu tempat?
Jam menit
Aktivitas rekreasi (Olaraga, fitnes, dan rekreasi lainnya)
P10
Apakah Anda melakukan olahraga, fitnes, atau rekreasi yang berat seperti lari, sepak bola atau rekreasi lainnya yang mengakibatkan peningkatan nafas dan denyut nadi secara besar (minimal dalam 10 menit secara kontinyu)?
1. Ya
2. Tidak (langsung ke P13)
P11
Berapa hari dalam seminggu biasanya anda melakukan olahraga, fitness, atau rekreasi yang tergolong berat?
hari
P12
Berapa lama dalam sehari biasanya anda melakukan olahraga, fitness, atau rekreasi yang tergolong berat?
Jam menit
P13
Apakah Anda melakukan olahraga, fitness, atau rekreasi yang tergolong sedang seperti berjalan cepat, bersepeda, berenang, voli yang mengakibatkan peningkatan nafas dan denyut nadi (minimal dalam 10 menit secara kontinyu)?
1. Ya lainnya yang tergolong sedang?
hari
P15
Berapa lama dalam sehari biasanya anda melakukan olahraga, fitness, atau rekreasi yang tergolong sedang?
Jam menit
Aktivitas menetap (Sedentary behavior)
Aktivitaas yang tidak memerlukan banyak gerak seperti duduk saat bekerja, duduk saat di kendaraan, menonton televisi, atau berbaring, KECUALI tidur
No
DM DM
(tahun) dislipidemia
aktivitas
fisik (mm) Aterosklerosis
Lampiran 7. Hasil Analisis Statistik Frequencies
Frequency Table
Je nis kelamin
15 46.9 46.9 46.9
17 53.1 53.1 100.0
32 100.0 100.0
Laki-laki
Perempuan
Total Valid
Frequency Percent Valid Percent
Cumulative Percent
Usia
5 15.6 15.6 15.6
8 25.0 25.0 40.6
19 59.4 59.4 100.0
32 100.0 100.0
Frequency Percent Valid Percent
Cumulative Percent
Obesitas
17 53.1 53.1 53.1
15 46.9 46.9 100.0
32 100.0 100.0
Ya
Tidak Total Valid
Frequency Percent Valid Percent
Cumulative Percent
DM
16 50.0 50.0 50.0
16 50.0 50.0 100.0
32 100.0 100.0
Ya
Tidak Total Valid
Frequency Percent Valid Percent
Cumulative Percent
Dislipide mia
22 68.8 68.8 68.8
10 31.3 31.3 100.0
32 100.0 100.0
Ya Tidak
Total Valid
Frequency Percent Valid Percent
Cumulative Percent
Tingka t aktivitas fisik
21 65.6 65.6 65.6
Frequency Percent Valid Percent
Jenis kelamin * DM
N of Valid CasesValue df
Computed only for a 2x2 table a.
Mann-Whitney Test
Mann-Whitney U 104.500
Wilcoxon W 240.500
Z -1.008
Asymp. Sig. (2-tailed) .313
Exact Sig. [2*(1-tailed Sig.)] .381b
a. Grouping Variable: DM b. Not corrected for ties.
Obesitas * DM
N of Valid CasesValue df
Asymp. Sig. (2-sided)
4 cells (66.7%) have expected count less than 5. The minimum expected count is 2.50.
a.
N of Valid Cases
Value df
Computed only for a 2x2 table a.
0 cells (.0%) have expected count less than 5. The minimum expected count is 7. 50.
Tingkat aktivitas fisik * DM
N of Valid CasesValue df
Computed only for a 2x2 table a.
0 cells (.0%) have expected count less than 5. The minimum expected count is 5. 00. N of Valid Cases
Value df
Asymp. Sig. (2-sided)
4 cells (66.7%) have expected count less than 5. The minimum expected count is 1.50.
Mann-Whitney Test
Mann-Whitney U 118.000
Wilcoxon W 254.000
Z -.450
Asymp. Sig. (2-tailed) .653
Exact Sig. [2*(1-tailed Sig.)] .724b
a. Grouping Variable: DM b. Not corrected for ties.
Riwayat merokok*DM
Riwayat merokok * DM Crosstabulation DM
Pearson Chi-Square 1.166a
1 .280
Continuity Correctionb .518 1 .472
Likelihood Ratio 1.174 1 .279
Fisher's Exact Test .473 .236
Linear-by-Linear
Association 1.130 1 .288
N of Valid Cases 32
a. 0 cells (0.0%) have expected count less than 5. The minimum expected count is 6.50.
b. Computed only for a 2x2 table
Derajat hipertensi*DM
Derajat hipertensi * DM Crosstabulation
DM
Total
Ya Tidak
Derajat hipertensi HT derajat 2 Count 3 5 8
% within Derajat hipertensi 37.5% 62.5% 100.0%
HT derajat 1 Count 6 8 14
Total Count 16 16 32
% within Derajat hipertensi 50.0% 50.0% 100.0%
Chi-Square Tests
a. 2 cells (33.3%) have expected count less than 5. The minimum expected count is 4.00.
Mann-Whitney Test
Mann-Whitney U 93.000
Wilcoxon W 229.000
Z -1.413
Asymp. Sig. (2-tailed) .158
Exact Sig. [2*(1-tailed Sig.)] .196b
a. Grouping Variable: DM b. Not corrected for ties.
Lama hipertensi*DM
Lama hipertensi * DM Crosstabulation
DM
Linear-by-Linear Association .215 1 .643
N of Valid Cases 32
a. 4 cells (66.7%) have expected count less than 5. The minimum
Mann-Whitney Test
Mann-Whitney U 118.500
Wilcoxon W 254.500
Z -.426
Asymp. Sig. (2-tailed) .670
Exact Sig. [2*(1-tailed Sig.)] .724b
a. Grouping Variable: DM b. Not corrected for ties.
Explore
Jenis Kelamin-CIMT (DM - Non DM)
Obesitas-CIMT (DM)
Dislipidemia-CIMT (DM – Non DM)
Case Summaries
CIMT
DM Dislipidemia N Mean Std. Deviation Median Minimum Maximum
Ya Ya 13 1.0185 .44784 .9300 .51 2.22
Tingkat aktivitas fisik-CIMT (DM – Non DM)
Case Summaries
Deviation Median Minimum Maximum
Explore
Riwayat merokok-CIMT (DM-Non DM)
Case Summaries
16 .9456 .43066 .8550 .51 2.22
16 .7525 .32298 .7100 .35 1.64
32 .8491 .38709 .7500 .35 2.22
DM Ya
Tidak Total
N Mean Std. Deviation Median Minimum Maximum
Mann-Whitney Test
Jenis kelamin (Keseluruhan) Explore
Tests of Normality
Jenis kelamin
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic df Sig.
CIMT Laki-laki .229 15 .033 .850 15 .017
Perempuan .137 17 .200* .908 17 .092
*. This is a lower bound of the true significance. a. Lilliefors Significance Correction
NPar Tests
N Mean Rank Sum of Ranks
Test Statisticsb
Not corrected for ties. a.
Usia (Keseluruhan) Explore
Tests of Normality
Usia
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic df Sig.
CIMT 20-39 .308 5 .136 .834 5 .148
40-49 .325 8 .013 .810 8 .036
50-59 .153 19 .200* .872 19 .016
*. This is a lower bound of the true significance. a. Lilliefors Significance Correction
NPar Tests
Kruskal-Wallis Test
Obesitas (Keseluruhan) Explore
Tests of Normality
Obesitas
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic df Sig.
CIMT Ya .166 17 .200* .872 17 .024
Tidak .166 15 .200* .911 15 .141
NPar Tests
Mann-Whitney Test
Ranks
Obesitas N
Mean Rank
Sum of Ranks
CIMT Ya 17 18.65 317.00
Tidak 15 14.07 211.00
Total 32
Dislipidemi (Keseluruhan) Explore
Tests of Normality
Dislipidemia
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic df Sig.
CIMT Ya .149 22 .200* .865 22 .006
Tidak .150 10 .200* .931 10 .454
*. This is a lower bound of the true significance.
NPar Tests
Mann-Whitney Test
Ranks
Dislipidemia N
Mean Rank
Sum of Ranks
CIMT Ya 22 19.30 424.50
Tidak 10 10.35 103.50
Total 32
Tingkat aktivitas fisik (Keseluruhan) Explore
Tests of Normality
Tingkat aktivitas fisik
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic df Sig.
CIMT Rendah .186 21 .055 .826 21 .002
Sedang .165 8 .200* .965 8 .856
Tinggi .290 3 . .926 3 .475
NPar Tests
Kruskal-Wallis Test
Riwayat merokok (Keseluruhan) Explore
Tests of Normality
Riwayat merokok
Kolmogorov-Smirnova Shapiro-Wilk
Statistic df Sig. Statistic df Sig.
CIMT Ya .196 13 .182 .879 13 .069
Tidak .165 19 .189 .898 19 .045
NPar Tests
Mann-Whitney Test
Ranks
Riwayat
merokok N
Mean Rank
Sum of Ranks
CIMT Ya 13 18.00 234.00
Tidak 19 15.47 294.00
Penjelasan penelitian dan wawancara oleh penulis
Lampiran 9.
BIODATA MAHASISWA
Identitas
Nama : Mutiara Chairsabella
NIM : 22010112130070
Tempat/Tanggal Lahir: Semarang, 5 September 1994 Jenis Kelamin : Perempuan
Alamat : Jl. Wamena Raya D.194/195 Beji, Ungaran No. Handphone : 081321347312
Email : chairsa@live.com
Riwayat Pendidikan Formal
1. SD : SDIT Assalamah Ungaran Lulus tahun: 2006 2. SMP : SMP Semesta Semarang Lulus tahun: 2009 3. SMA : SMA Semesta Semarang Lulus tahun: 2012 4. S1 : Fakultas Kedokteran Universitas Diponegoro Masuk tahun: 2012
Keanggotaan Organisasi
1. Bidang Hubungan Luar HIMA KU Undip tahun 2013 s/d 2014 2. AMSA Undip tahun 2013 s/d 2014
Publikasi Ilmiah
1. Mutiara Chairsabella, Valensa Yosephi, Yustina Wahyuningtiyas, Kis Djamiatun. Vaksin Vektor Virus Penguat BCG Sebagai Upaya Eliminasi Tuberkulosis (TB). JIMKI, 2016, Volume 4, Nomor 1, Halaman 24-34
Prestasi