PROPOSAL

INFORMED CONSENT KONTRASEPSI IUD DITINJAU DARI SUDUT

PANDANG PASIEN DI PUSKESMAS CIAWI

Disusun oleh :
ADELINA ANNISA PERMATA
NPM 1102013006

Skripsi ini diajukan sebagai salah satu syarat mendapatkan gelar Sarjana Kedokteran

FAKULTAS KEDOKTERAN
UNIVERSITAS YARSI
TAHUN 2016

LEMBAR PERSETUJUAN

Telah disetujui oleh dosen pembimbing, proposal penelitian dari :

Nama

: Adelina Annisa Permata

NPM

: 1102013006

Fakultas

: Kedokteran Umum

Universitas

: Yarsi

Tingkat

: Pendidikan Sarjana I

Judul

: Informed Consent kontrasepsi IUD ditinjau dari sudut pandang pasien di

puskesmas ciawi

Pembimbing : dr. Bambang Poerwantoro, MH. Kes

Diajukan untuk memenuhi persyaratan tugas akhir pendidikan sarjana.

Jakarta, Juli 2016

Dosen Pembimbing,

Peneliti,

dr. Bambang Poerwantoro, MH. Kes

Adelina Annisa Permata

ii

DAFTAR ISI

HALAMAN JUDUL........................................................................................................... i
HALAMAN PERSETUJUAN........................................................................................... ii
DAFTAR ISI....................................................................................................................... iii
DAFTAR GAMBAR.......................................................................................................... v
BAB 1 PENDAHULUAN................................................................................................... 1
1.1. Latar Belakang Masalah....................................................................................... 2
1.2. Perumusan Masalah.............................................................................................. 3
1.3. Tujuan Penelitian.................................................................................................. 3
1.3.1. Tujuan Umum............................................................................................. 3
1.3.2. Tujuan Khusus............................................................................................ 3
1.4. Manfaat Penelitian................................................................................................ 3
BAB 2 TINJAUAN PUSTAKA.......................................................................................... 5
2.1. Kajian Pustaka...................................................................................................... 5
2.1.1. Informed Consent........................................................................................ 5
2.1.1.1. Definisi Informed Consent............................................................. 5
2.1.1.2. Dasar Hukum Informed Consent................................................... 6
2.1.1.3. Tujuan Informed Consent.............................................................. 9
2.1.1.4. Bentuk Persetujuan Informed Consent........................................... 12
2.1.1.5. Bentuk Penjelasan dalam Informed Consent.................................. 13
2.1.1.6. Pemberi Informasi dan Penerima Persetujan.................................. 15
2.1.1.7. Pemberi Persetujuan....................................................................... 15
2.1.1.8. Penolakan Pemeriksaan/Tindakan.................................................. 17
2.1.2. Kontrasepsi IUD..........................................................................................18
2.1.2.1. Definisi IUD....................................................................................16
2.1.2.2. Jenis Jenis IUD................................................................................
16
2.1.2.3. Cara Kerja IUD............................................................................... 21
2.1.2.4. Mekanisme Kerja............................................................................ 21
2.1.2.5. Efektivitas....................................................................................... 22
2.1.2.6. Keuntungan dan Kerugian.............................................................. 23
2.1.2.7. Indikasi dan Kontraindikasi............................................................ 24
2.1.2.8. Efek Samping..................................................................................25
2.2. Kerangka Teori............................................................................................... 26
2.3. Kerangka Konsep........................................................................................... 27
2.4. Definisi Operasional.......................................................................................27
BAB 3 METODE PENELITIAN ................................................................................... 29
3.1. Jenis Penelitian..................................................................................................... 29
3.2. Rancangan Penelitian............................................................................................ 29
3.3. Populasi................................................................................................................. 29
3.4. Sampel................................................................................................................... 29

iii

3.5. Cara Penetapan Sampel........................................................................................ 30

3.6. Penetapan Besar Sampel........................................................................................30
3.7. Jenis Data...............................................................................................................31
3.8. Cara Pengukuran dan Pengumpulan Data............................................................. 31
3.9. Instrumen Pengumpulan Data............................................................................... 31
3.10. Analisis Data........................................................................................................32
3.11. Alur Penelitian..................................................................................................... 33
3.12. Jadwal Penelitian................................................................................................. 34
DAFTAR PUSTAKA ......................................................................................................... 35
ANGGARAN PENELITIAN............................................................................................ 37
BIODATA PENELITI ....................................................................................................... 38

iv

DAFTAR BAGAN
Bagan 1. Kerangka Teori..................................................................................................... 25
Bagan 2. Kerangka Konsep.................................................................................................. 27
Bagan 3. Alur Penelitian....................................................................................................... 35

DAFTAR GAMBAR

Gambar 2.1 Jenis IUD Copper-T......................................................................................... 18

Gambar 2.2 Jenis IUD Multi Load....................................................................................... 19
Gambar 2.3 Jenis IUD Lippes Loop..................................................................................... 20

vi

DAFTAR TABEL
Tabel 1. Definisi Operasional..... ......................................................................................... 28
Tabel 2. Jadwal Penelitian.................................................................................................... 36

vii