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DAFTAR ISI

KATA PENGANTAR............................................................................................................i
DAFTAR ISI..........................................................................................................................ii
DAFTAR TABEL..................................................................................................................v
DAFTAR GAMBAR.............................................................................................................vi
DAFTAR LAMPIRAN..........................................................................................................vii
DAFTAR SINGKATAN........................................................................................................viii
EXECUTIVE SUMMARY.......................................................................................................1
BAB 1. PENDAHULUAN....................................................................................................
1.1. Latar Belakang.......................................................................................................
1.2.Perumusan Masalah
1.2.1. Pernyataan Masalah..................................................................................
1.2.2. Pertanyaan Masalah..................................................................................
1.3. Tujuan....................................................................................................................
1.3.1. Tujuan Umum...........................................................................................
1.3.2. Tujuan Khusus..........................................................................................
BAB 2. TINJAUAN PUSTAKA...........................................................................................
2.1. Kedokteran Keluarga.............................................................................................
2.2. Tuberkulosis Paru..................................................................................................
2.2.1 Definisi Tuberkulosis Paru..................................................................................
2.2.2 Epidemiologi Tuberkulosis Paru.........................................................................
2.2.3 Klasifikasi Tuberkulosis Paru..............................................................................
2.2.4 Cara Penularan Tuberkulosis Paru.......................................................................
2.2.5 Patogenesis Tuberkulosis Paru............................................................................
2.2.5.1 Tuberkulosis Primer................................................................................
2.2.5.2 Tuberkulosis Pasca Primer......................................................................
2.2.6 Gejala Klinis Tuberkulosis Paru..........................................................................
2.2.7 Risiko Penularan Tuberkulosis Paru....................................................................
2.2.8 Risiko Menjadi Sakit Tuberkulosis Paru.............................................................
2.2.9 Diagnosis Tuberkulosis Paru...............................................................................
2.2.10 Multi Drug Resistance Tuberculosis..................................................................
2.2.11 Pengobatan Tuberkulosis Paru...........................................................................

2.2.12 Evaluasi Pengobatan..........................................................................................


2.2.13 Komplikasi........................................................................................................
2.2.14 Pencegahan........................................................................................................
2.3. Kerangka Teori Tuberkulosis Paru........................................................................
BAB 3. DATA KLINIS..........................................................................................................
3.1. Identitas Pasien......................................................................................................
3.2. Status Kesehatan....................................................................................................
3.2.1.1 Keluhan Utama dan Keluhan Tambahan..........................................................
3.2.1.2 Riwayat Perjalanan Penyakit Sekarang............................................................
3.2.1.3 Riwayat Penyakit Dahulu.................................................................................
3.2.1.4 Riwayat Penyakit Keluarga..............................................................................
3.2.1.5 Riwayat Imunisasi............................................................................................
3.2.2 Pemeriksaan Fisik................................................................................................
3.2.3 Pemeriksaan Penunjang.......................................................................................
3.2.4 Diagnosis Kerja...................................................................................................
3.2.5 Diagnosis Banding...............................................................................................
3.2.6 Terapi yang telah diberikan Puskesmas Gembong..............................................
BAB 4. Data Keluarga dan Lingkungan................................................................................
4.1. Struktur Keluarga..................................................................................................
4.2. Genogram..............................................................................................................
4.3. Riwayat Imunisasi dan Kesehatan Keluarga.........................................................
4.4. Kondisi Ekonomi...................................................................................................
4.5. Pola Berobat..........................................................................................................
4.6. Pola Makan Sehari-hari.........................................................................................
4.6.1 Pola Makan Pasien Sehari-hari Ny.R..................................................................
4.6.2 Pola Makan Keluarga..........................................................................................
4.7. Kondisi Rumah......................................................................................................
4.7.1 Perumahan...........................................................................................................
4.7.2 Kondisi Bangunan...............................................................................................
4.7.3 Lokasi..................................................................................................................
4.7.4 Ventilasi...............................................................................................................
4.7.5 Pencahayaan........................................................................................................
4.7.6 Alat Kesejahteraan dalam Keluarga....................................................................

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4.7.7 Penggunaan Air Bersih........................................................................................


4.7.8 Pembuangan Sampah...........................................................................................
4.7.9 Pembuangan Limbah...........................................................................................
4.7.10 Kamar Mandi.....................................................................................................
4.7.11 Pembuangan Tinja & Jamban............................................................................
4.7.12 Lingkungan........................................................................................................
4.8 Denah Lokasi..........................................................................................................
4.9 Denah Rumah.........................................................................................................
4.10 Mandala of Health Ny.R......................................................................................
BAB 5. DIAGNOSIS HOLISTIK.........................................................................................
5.1. Ringkasan..............................................................................................................
5.2 Diagnosis Holistik..................................................................................................
5.3 Diagnosis Keluarga................................................................................................
5.3.1 Bentuk Keluarga..................................................................................................
5.3.2 Fungsi Keluarga...................................................................................................
BAB 6. RENCANA PENATALAKSANAAN HOLISTIK DAN KOMPREHENSIF.........
6.1. Aksis 1...................................................................................................................
6.2. Aksis 2...................................................................................................................
6.3. Aksis 3...................................................................................................................
6.4. Aksis 4...................................................................................................................
6.5. Aksis 5...................................................................................................................
BAB 7. INTERVENSI, HASIL INTERVENSI DAN PROGNOSIS....................................
7.1. Aksis 1...................................................................................................................
7.2. Aksis 2...................................................................................................................
7.3. Aksis 3...................................................................................................................
7.4. Aksis 4...................................................................................................................
7.5. Aksis 5...................................................................................................................
7.6. Prognosis...............................................................................................................
BAB 8. KESIMPULAN DAN SARAN................................................................................
8.1. Kesimpulan............................................................................................................
8.2. Saran......................................................................................................................
DAFTAR PUSTAKA.............................................................................................................
LAMPIRAN...........................................................................................................................

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DAFTAR TABEL
Tabel 1. Klasifikasi Tekanan Darah .....................................................................................9
Tabel 2. Modifikasi Gaya Hidup...........................................................................................11
Tabel 3. Prevalensi Diabetes, Hipertiroid dan Hipertensi tahun 2013 di Indonesia.............16
Tabel 4. Peta Prevalensi Kasus Hipertensi di Wilayah Kerja Puskesmas Gembong Tahun
2015.........................................................................................................................18
Tabel 5. Log Frame Goals Target Intervensi Hipertensi di Desa Gembong........................28
Tabel 6. Planning Rencana Intervensi Hipertensi di Desa Gembong ..................................32
Tabel 7. Rencana Kegiatan Intervensi Hipertensi di Desa Gembong...................................36
Tabel 8. Hasil Evaluasi Intervensi Hipertensi di Desa Gembong.........................................56

DAFTAR GAMBAR
Gambar 1. Alur Tatalaksana Hipertensi...............................................................................14
Gambar 2. Grafik 10 Besar Penyakit Bulan Agustus 2015 di Puskesmas Gembong...........17
Gambar 3. Paradigma Blum.................................................................................................20
Gambar 4. Diagram Fishbone untuk Identifikasi Masalah Hipertensi.................................24
Gambar 5. Flowchart Seluruh Kegiatan Intervensi.............................................................38
Gambar 6. Flowchart Kegiatan Penyuluhan Kepada Perwakilan Warga Desa Gembong...39
Gambar 7. Flowchart Kegiatan Penyuluhan Kepada Penderita Hipertensi di Desa
Gembong............................................................................................................39
Gambar 8. Flowchart Kegiatan Memantau Tekanan Darah Pasien Secara Berkala............40
Gambar 9. Diagram PDCA Penyuluhan Kepada Perwakilan Warga Desa Gembong..........46
Gambar 10. Diagram PDCA Penyuluhan Kepada Penderita Hipertensi di Desa Gembong..47
Gambar 11. Diagram PDCA Memantau Tekanan Darah Pasien Secara Berkala...................48
Gambar 12. Grafik Perbandingan Jawaban Benar Pre-test dan Post-test Perwakilan Warga
Desa Gembong Berdasarkan Nomor Soal..........................................................50
Gambar 13. Grafik Perbandingan Nilai Pre-test dan Post-test Perwakilan Warga
Desa Gembong...................................................................................................50
Gambar 14. Grafik Perbandingan Jawaban Benar Pre-test dan Post-test Penderita Hipertensi
di Desa Gembong Berdasarkan Nomor Soal......................................................51
Gambar 15. Grafik Perbandingan Nilai Pre-test dan Post-test Penderita Hipertensi di
Desa Gembong...................................................................................................52
Gambar 16. Grafik Perbandingan Jumlah Peserta Pada Intervensi II Berdasarkan Jenis
Kelamin..............................................................................................................52
Gambar 17. Flowchart Jumlah Responden yang Kontrol Setiap Minggunya Pada Intervensi
III dan Hasil Pengukuran Tekanan Darah pada Responden...............................54
Gambar 18. Diagram Metode Evaluasi Dengan Pendekatan Sistem.....................................55

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DAFTAR LAMPIRAN
Lampiran 1. Mini Survey......................................................................................................66
Lampiran 2. Pre-test dan Post-test Perwakilan Warga Desa Gembong...............................68
Lampiran 3. Pre-test dan Post-test Penderita Hipertensi di Desa Gembong.......................70
Lampiran 4. Saat Melakukan Mini Survey...........................................................................72
Lampiran 5. Penyuluhan Kepada Perwakilan Warga Desa Gembong.................................73
Lampiran 6. Sesi Tanya Jawab Kepada Perwakilan Warga Desa Gembong........................73
Lampiran 7. Salah Satu Peserta Saat Mengisi Pre-test........................................................74
Lampiran 8. Penyuluhan Kepada Penderita Hipertensi di Desa Gembong.........................74
Lampiran 9. Pengisian Post-test Setelah Pelaksanaan Penyuluhan.....................................75
Lampiran 10. Pembagian Tumbler Sudahkah anda minum obat hari ini?........................75
Lampiran 11. Daftar Hadir Peserta Penyuluhan Hipertensi di Desa Gembong.....................76
Lampiran 12. Pemasangan Poster di Balai Pengobatan Dewasa...........................................76
Lampiran 13. Poster Hipertensi.............................................................................................77

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DAFTAR SINGKATAN
ACEI

ACE Inhibitors

ARB

Angiotensin Receptor Blocker

BB

Beta Blocker

BUN

Blood Urea Nitrogen

CCB

Calcium Channel Blocker

DASH

Dietary Approach to Stop Hypertension

ESRD

End-Stage Renal Disease

MSG

Monosodium Glutamate

NaCl

Natrium Chlorida

NSAID

Non Steroidal Anti-Inflammatory Drugs

PDCA

Plan-Do-Check-Act

POA

Planning Of Action

TD

Tekanan Darah

TDD

Tekanan Darah Diastolik

TDS

Tekanan Darah Sistolik

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