DAFTAR ISI

HALAMAN JUDUL .
LEMBAR PENGESAHAN ....................................
LEMBAR PERNYATAAN KEASLIAN .............
ABSTRACT .
ABSTRAK ..
DAFTAR ISI

i
iii
v
vi
viii
x

BAB I. PENDAHULUAN

1.1 Latar Belakang Penelitian ..

1.2 Rumusan Masalah .
1.3 Tujuan Penelitian
1.4 Manfaat Penelitian .

2
BAB II. TINJAUAN PUSTAKA ..
II.1 Definisi ...............

II.2 Etiologi ...................

3
II.3 Faktor Resiko ..................................................................................
II.4 Patofisiologi ....................................................................................
II.5 Gejala dan Tanda ............................................................................

II.6 Pemeriksaan ....................................................................................

7
II.7 Diagnosa Banding ...........................................................................
II.8 Komplikasi ......................................................................................

10

II.9 Penatalaksanaan .............................................................................

II.9.1. Non operatif..........................................................................

9
II.9.2. Operatif..................................................................................
10
II.10 Efikasi hemorhoidopeksi stapler terhadap hemorhoidektomi.........
12
BAB III. METODE PENELITIAN ...
12
III.1. Kerangka Konseptual Penelitian.............................................
III.2. Rancangan Penelitian ............................................................
III.3. Obyek Penelitian ...................................................................

13

13

III.4 Lokasi dan waktu penelitian ..................................................

17
III.5. Populasi dan sampel ..............................................................
III.5.1 Populasi .........................................................................

23

III.5.2 Sampel .........................................................................

III.5.3 Besaran sampel ............................................................
26
III.6 Prosedur kerja ........................................................................
III.7 Parameter yang diukur ..........................................................

11

26

III.7.I Lama tinggal di Rumah Sakit ( Length of Stay ) .............

27

III.7.2 Nyeri pasca operasi ( Pain Score ) ..................................

27
III.7.3 Kecepatan mobilisasi penderita ......................................
27
III.8.Batasan Operasional Variabel ................................................
III.8.1 Hemorhoid interna derajat III .......................................

28

III.8.2 Hemorhoidektomi ...........................................................

28
III.8.3 Hemorhoidopeksi Stapler ...............................................
III.9 Analisis statistik .....................................................................
III.10 Alur Penelitian ....................................................................

28

28

III.11 Justifikasi Etik .....................................................................

29
III.11.1 Rangkuman Karakteristik Penelitian ............................
III.11.2 Landasan Keilmuan Penelitian .......................................
III.11.3 Prosedur informed Consent ..........................................

29

29

III.11.4 Analisa Kelayakan Etik ..................................................

29
III.11.5 Kesimpulan ....................................................................
BAB IV. HASIL DAN PEMBAHASAN ..

12

30

IV.I Lama tinggal di Rumah Sakit ( Length of Stay ) .........................

30

IV.2 Nyeri pasca operasi ( Pain Score ) ..............................................

30
IV.3 Kecepatan mobilisasi penderita ...................................................
30
BAB V. SIMPULAN DAN SARAN
V.1 Kesimpulan .

32

V.2 Saran ..
33
DAFTAR PUSTAKA ...
LAMPIRAN

34

35

35

35

36

36

37

13

38

38

39

41

44

44

45

46

50

14