Oleh :
ZANURUL RIFHAN
070100024
FAKULTAS KEDOKTERAN
UNIVERSITAS SUMATERA UTARA
MEDAN
2010
FAKULTAS KEDOKTERAN
UNIVERSITAS SUMATERA UTARA
MEDAN
2010
LEMBAR PENGESAHAN
Hubungan Antara Waist-Hip Ratio dengan Derajat Nyeri
Penyakit Osteoartritis Lutut pada Pasien di RSUP.H.Adam Malik
NAMA
: ZANURUL RIFHAN
NIM
: 070100024
Pembimbing
Penguji I
Penguji II
ii
ABSTRAK
iii
ABSTRACT
Osteoarthritis (OA) is the most common joint disease. Based on the WHO
study in 2004, OA affects 151 million people around the world and affects 24
million people in ASEAN. The number tends to increase every year. Obesity is
often associated as a risk factor for knee OA and causing of the increase of pain
that the patient felt on its knee. This was followed by the fact that patients with
osteoarthritis and obesity feel more pain compared with patients who arent obese.
Due to that matter, there should be research on the relationship between knee OA
patients obesity status and the increased pain the patients felt on its knee.
The method of research is analytical with cross sectional research design.
The study population were patients with knee OA in RSUP.H.Adam Malik Medan.
Data collection was done in two ways, first by using the WOMAC questionnaire to
measure the degree of pain and second is to measure the circumference of the
waist and hips of the subject to get the waist-hip ratio. The obtained waist-hip
ratioll be divided into two category, obese or not obese. The statistical test used
was chi square with 90% level of significance. The data are then analysed using
the program PASW Statistics 18th version.
The samples were carefully selected using simple random sampling
technique and 46 people is needed. Based on the Chi Square test results, we
received a statistically significant relationship between the subjects categories of
waist-hip ratio and subjects degree of pain in which the p-value obtained is
smaller than 0.1 (0.089).
Handling the patient obesity state and the pain that the patients felt is
needed in order to increase the patients life quality. Improving services through
counseling, information, and education can be use as a choice of therapy in
addition to pharmacological therapy.
Key Words: Knee osteoarthritis, pain scale, waist-hip ratio
iv
KATA PENGANTAR
8. Keluarga besarku, mulai dari kakek, nenek, paman, tante dan sepupusepupuku, atas semua dukungan moral dan materi yang tak terkira.
9. Kepada semua teman-temanku, Yusuf, Bobby, Mahdi, Amir, Reza, Zainul,
Andika, Vani, Tissan dan Husnul yang telah membantuku dan
mengingatkan dalam menyiapkan karya tulis ilmiah ini serta memberikan
semangat untuk terus berjuang.
10. Semua pihak yang telah membantu baik secara moril maupun materil
dalam proses penelitian dan penyusunan karya tulis ini.
Demikianlah kata pengantar ini penulis sampaikan. Tidak akan pernah ada
ilmu pengetahuan baru yang diperoleh jika kita berhenti bertanya dan mencari
jawabnya. Semoga karya tulis ini dapat memberikan manfaat untuk bidang
kedokteran dan kesehatan masyarakat.
Penulis
vi
DAFTAR ISI
Halaman
Lembar Pengesahan........................................................................... i
Abstrak ............................................................................................... ii
Abstract .............................................................................................. iii
Kata Pengantar .................................................................................. iv
Daftar Isi ............................................................................................ vi
Daftar Tabel ....................................................................................... ix
Daftar Gambar .................................................................................. x
Daftar Lampiran ................................................................................ xi
BAB 1 PENDAHULUAN................................................................... 1
1.1. Latar Belakang .................................................................. 1
1.2. Rumusan Masalah ............................................................. 2
1.3. Tujuan Penelitian ............................................................... 2
1.3.1. Tujuan Umum .......................................................... 2
1.3.2. Tujuan Khusus ......................................................... 2
1.4. Manfaat Penelitian ............................................................. 3
BAB 2 TINJAUAN PUSTAKA ......................................................... 4
2.1. Pengertian Osteoartritis...................................................... 4
2.2. Patogenesis Osteoartritis .................................................... 4
2.3. Diagnosis Osteoartritis ....................................................... 7
2.3.1. Tanda dan Gejala Klinis ........................................... 7
2.3.2. Pemeriksaan Diagnostik ........................................... 9
2.3.3. Pemeriksaan Laboratorium....................................... 9
2.4. Penatalaksanaan Osteoartritis ............................................. 9
2.4.1. Terapi non-farmakologis .......................................... 10
2.4.2. Terapi farmakologis ................................................. 10
2.4.3. Terapi pembedahan .................................................. 11
vii
viii
ix
DAFTAR TABEL
Nomor
Judul
Halaman
Tabel 2.1.
Tabel 2.2.
12
modifikasi seperlunya
13
Tabel 5.1.
20
Tabel 5.2.
22
Tabel 5.3.
24
Tabel 5.5.
24
Tabel 5.6.
25
DAFTAR GAMBAR
Nomor
Judul
Halaman
12
13
xi
DAFTAR LAMPIRAN
Lampiran 1
Lampiran 2
Lampiran 3
Lampiran 4
Kuesioner
Lampiran 5
Lampiran 6
Lampiran 7
Master Data