DAFTAR ISI

HALAMAN JUDUL
HALAMAN PENGESAHAN...........................................................................

SURAT PERNYATAAN.................................................................................... ii
KATA PENGANTAR........................................................................................ iii
DAFTAR ISI...................................................................................................... iv
DAFTAR TABEL.............................................................................................. x
DAFTAR GAMBAR......................................................................................... xi
DAFTAR LAMPIRAN.....................................................................................xiii
ABSTRAK.........................................................................................................xiv
BAB I PENDAHULUAN
1.1...........................................................................................................Lat
ar Belakang..................................................................................... 1
1.2...........................................................................................................Ru
musan Masalah............................................................................... 4
1.3...........................................................................................................Tuj
uan Penelitian ................................................................................ 4
1.3.1. Tujuan Umum......................................................................... 4
1.3.2. Tujuan Khusus........................................................................ 4
1.4...........................................................................................................Ma
nfaat Penelitian ..............................................................................
1.4.1. Manfaat Bagi Pendidikan.......................................................
1.4.2. Manfaat Bagi Puskesmas.......................................................
1.4.3. Manfaat Bagi Masyarakat......................................................

5
5
5
5

BAB II TINJAUAN PUSTAKA

2.1...........................................................................................................An
atomi dan Fisiologi Telinga............................................................ 6
2.1.1. Anatomi Telinga................................................................... 6
2.1.2. Fisiologi Telinga...................................................................15
2.2...........................................................................................................Ser
umen ..............................................................................................27
2.2.1 Definisi.................................................................................27
2.2.2 Komposisi dan Produksi Serumen.......................................28
2.2.3 Fisiologi Serumen................................................................31
2.2.4 Fungsi Serumen....................................................................33
2.2.5 Penyebab Akumulasi Serumen.............................................35
2.2.6 Penanganan Serumen...........................................................36
2.2.7 Kelainan Mengenai Serumen...............................................39
2.3...........................................................................................................Tuli
Konduktif........................................................................................42
2.3.1. Definisi.................................................................................42
2.3.2. Epidemiologi........................................................................43
2.3.3. Etiologi.................................................................................43
2.3.4. Patofisiologi..........................................................................47
2.3.5. Diagnosis dan Pemeriksaan Penunjang................................48
2.3.6. Penatalaksanaan....................................................................55
2.3.7. Prognosis..............................................................................56
2.4 Kriteria Lanjut Usia..........................................................................56
2.4.1 Definisi Usia.........................................................................56
2.4.2 Kriteria Usia.........................................................................56
2.5 Hubungan serumen obturans dengan kejadian tuli konduktif
pada lanjut usia..................................................................................57
2.6 Kerangka Teori..................................................................................59
2.7 Kerangka Konsep..............................................................................60
2.8 Hipotesis.............................................................................................60
BAB III METODE PENELITIAN
3.1 Jenis Penelitian..................................................................................61
3.2 Variabel Penelitian dan Definisi Operasional.................................61
3.2.1. Variabel yang diteliti..................................................................61
3.2.2. Definisi Operasional..................................................................62
3.3 Subyek Penelitian..............................................................................63
3.3.1. Populasi....................................................................................63
3.3.2. Sampel.....................................................................................63
3.4 Instrument Penelitian........................................................................66
3.4.1. Otoskop....................................................................................66

3.4.2. Garputala..................................................................................66
3.4.3. Kuesioner.................................................................................67
3.4.4. Alat Tulis.................................................................................67
3.5 Cara Penelitian (Alur Penelitian).....................................................68
3.6 Tempat dan Waktu Penelitian..........................................................69
3.7 Metode Pengumpulan Data..............................................................69
3.8 Analisa Hasil......................................................................................69
3.9 Etika Penelitian..................................................................................72
BAB IV HASIL DAN PEMBAHASAN
4.1 Hasil Penelitian..................................................................................74
4.1.1 Gambaran Umum Wilayah Kerja dan Program Puskesmas
Mantang.....................................................................................74
4.1.2 Karakteristik Responden...........................................................78
4.2 Analisa Univariat...............................................................................83
4.2.1 Serumen Obturans.....................................................................83
4.2.2 Tuli Konduktif...........................................................................86
4.3 Analisa Bivariat.................................................................................89
4.3.1 Distribusi Serumen Obturans dengan Tuli Konduktif...............89
4.4 Pembahasan Penelitian.....................................................................92
4.4.1 Serumen Obturans.....................................................................92
4.4.2 Tuli Konduktif...........................................................................93
4.4.3 Hubungan Antara Serumen Obturans dengan Tuli
Konduktif..................................................................................94
4.4.4 Keterbatasan Penelitian.............................................................96
BAB V PENUTUP
5.1 Kesimpulan.........................................................................................97
5.2 Saran...................................................................................................98

DAFTAR PUSTAKA.........................................................................................99
LAMPIRAN-LAMPIRAN...............................................................................101