1

KATA PENGANTAR

Assalamualaikum Wr Wb
Alhamdulillahi rabbil alamin, segala puji bagi ALLAH SWT atas segala
rahmat dan hidayah-Nya penulis dapat menyelesaikan penyusunan proposal
penelitian ini yang berjudul Beberapa Faktor Karakteristik Pasangan Usia Subur
menjadi Akseptor KB di Puskesmas Kedai Durian Kecamatan Medan Johor Kota
Medan Tahun 2014.
Dalam proses penyusunan penelitia tidak terlepas dari bantuan dan
dukungan dari semua pihak, maka kami ucapkan terimakasih kepada:
1;
2;
3;
4;
5;

Prof. Dr. Rozaini, MPH selaku dosen penguji KKS Ilmu Kedokteran
Komunitas dan Ilmu Kesehatan FK UISU.
dr. Faisal Balatif, M.KES selaku kepala bagian KKS Ilmu Kedokteran
Komunitas dan Ilmu Kesehatan FK UISU.
dr. Edward Kosasih, MARS selaku dosen pembimbing KKS Ilmu Kedokteran
Komunitas dan Ilmu Kesehatan FK UISU.
dr. Mayang Sari Ayu, MARS selaku dosen pembimbing KKS Ilmu
Kedokteran Komunitas dan Ilmu Kesehatan FK UISU.
Seluruh pengajar dan staf bagian Ilmu Kedokteran Komunitas dan Ilmu
Kesehatan FK UISU.

Penulis menyadari bahwa Karya Tulis Ilmiah ini masih jauh dari
kesempurnaan baik dari segi bahasa maupun isinya, karena itu peneliti sangat
mengharapkan saran yang membangun dari semua pihak agar dalam penulisan
selanjutnya dapat lebih baik lagi.
Wassalamualaikum wr,wb
Medan, Maret 2013

Hormat Penulis

DAFTAR ISI
KATA PENGHANTAR................................................................................

DAFTAR ISI.................................................................................................

iii

DAFTAR TABEL.........................................................................................

xi

BAB I PENDAHULUAN.............................................................................

1.1; Latar Belakang.........................................................................................

1.2. Rumusan Masalah ..................................................................................

1.3. Hipotesis Penelitian ...............................................................................

1.4. Tujuan Penelitian ...................................................................................

1.5. Manfaat Penelitian .................................................................................

BAB II TINJAUAN PUSTAKA..................................................................

2.1. Pasangan Usia Subur..............................................................................

2.2. Program
2.1.1 Trombositopenia.................................................................................. .

2.1.2 Penurunan Trombosit pada DBD.....................................................

2.1.3 Kerusakan Trombosit......................................................................

2.1.4. Kurangnya Produksi Trombosit......................................................

2.2. DBD .......................................................................................................

2.2.1. Epidemiologi........................................................................................

2.2.2. Etiologi.................................................................................................

2.2.3. Patogenesis...........................................................................................

2.2.4. Patofisiologi.........................................................................................

11

2.2.5. Tanda dan Gejala Klinis.......................................................................

13

2.2.5.1. Manifestasi Klinis DBD....................................................................

14

2.2.5.2. Gejala Klinis.....................................................................................

15

2.2.5.3. Derajat DBD menurut WHO............................................................

15

2.2.6.Pemeriksaan Penunjang .......................................................................

16

2.2.6.1. Pemeriksaan Laboratorium...............................................................

16

2.2.6.2. Pemeriksaan Uji Tourniquet..............................................................

17

2.2.7.Diagnosa Banding.................................................................................

17

2.2.7.1. Demam Dengue (DD).......................................................................

17

2.2.7.2. Demam Berdarah Dengue (DBD).....................................................

17

2.2.8. Penatalaksanaaan.................................................................................

18

2.2.9. Penangaanan dan Pencegahan..............................................................

18

2.2.9.1.Penanganan untuk penderita DBD.....................................................

19

2.2.9.2. Pencegahan terhadap nyamuk...........................................................

19

2.2.10. Prognosis............................................................................................

19

BAB III METODE PENELITIAN.............................................................

20

3.1. Kerangka Konsep....................................................................................

20

3.2. Variabel Penelitian................................................................................. .

20

3.3. Defenisi Operasional ..............................................................................

20

3.4. Desain Penelitian ..................................................................................

21

3.5. Lokasi dan Waktu penelitian ..................................................................

21

3.5.1. Lokasi ..................................................................................................

21

3.5.2. Waktu...................................................................................................

21

3.5. Populasi dan Sampel Penelitian .............................................................

21

3.6.1. Populasi................................................................................................

21

3.6.2. Sampel .................................................................................................

21

3.7. Kriteria Inklusi dan Eksklusi..................................................................

22

3.7.1. Kriteria Inklusi.....................................................................................

22

3.7.2. Kriteria Eksklusi..................................................................................

23

3.8. Tekhnik Pengumpulan Data....................................................................

23

3.8.1. Sumber Data.........................................................................................

23

3.8.2. Langkah-Langkah Pengumpulan Data ................................................

23

3.9. Pengolahan dan Analisi Data..................................................................

23

BAB IV HASIL PENELITIAN DAN PEMBAHASAN............................

24

4.1. Hasil Penelitian ......................................................................................

24

4.2. Analisa Univariat....................................................................................

24

4.2.1. Berdasarkan Usia ................................................................................

24

4.2.2. Berdasarkan Jenis Kelamin .................................................................

24

4.2.3. Berdasarkan Derajat Keparahan..........................................................

25

4.3. Analisa Bivariat.......................................................................................

25

4.3.1. Berdasarkan Usia dan Derajat DBD....................................................

25

4.3.2. Berdasarkan Jenis Kelamin dan Derajat DBD.....................................

26

4.3.3. Berdasarkan Nilai Trombosit ..............................................................

26

4.4. Pembahasan ............................................................................................

27

4.4.1. Berdasarkan Usia ................................................................................

27

4.4.2. Berdasarkan Jenis Kelamin .................................................................

28

4.4.3. Berdasarkan Derajat Keparahan .........................................................

28

4.4.4. Berdasarkan Jumlah Trombosit ...........................................................

29

4.4.5. Berdasarkan Hasil Uji Hipotesis..........................................................

29

BAB V KESIMPULAN DAN SARAN.......................................................

30

5.1. Kesimpulan.............................................................................................

30

5.2. Saran ......................................................................................................

30

DAFTAR PUSTAKA...................................................................................

31

LAMPIRAN...

33

DAFTAR TABEL

NOMORJUDUL

HALAMAN

Tabel4.1

Berdasarkanusia...............................................................24

Tabel4.2

BerdasarkanJenisKelamin............25

Tabel4.3

BerdasarkanDerajatKeparahan.........................................25

Tabel4.4

BerdasarkanUsiadanDerajatDBD...................................26

Tabel4.5

BerdasarkanJenisKelamindanDerajatDBD...................26

Tabel4.6

BerdasarkanNilaiTrombosit.............................................27

Tabel4.7

BerdasarkanHasilUjiHipotesis........................................27