DAFTAR ISI

Halaman

KATA PENGANTAR................................................................................... i
DAFTAR ISI................................................................................................ iii
DAFTAR GAMBAR..................................................................................... v
DAFTAR TABEL......................................................................................... vi
DAFTAR LAMPIRAN................................................................................. vii

BAB I PENDAHULUAN
1.1......................................................................................................Latar
Belakang...................................................................................... 1
1.2......................................................................................................Rumusan
Masalah ....................................................................................... 6
1.3......................................................................................................Tujuan
Penelitian..................................................................................... 7
1.4......................................................................................................Manfaat
Penelitian..................................................................................... 7

BAB II TINJAUAN PUSTAKA

2.1......................................................................................................Stres
8
2.1.1. Pengertian........................................................................ 8
2.1.2. Etiologi............................................................................ 10
2.1.3. Aspek-Aspek Stres.......................................................... 11
2.1.4. Jenis-Jenis Stres.............................................................. 12
2.1.5. Manifestasi Klinis........................................................... 13
2.1.6. Tahapan Stres.................................................................. 13
2.1.7. Manajemen Stres............................................................. 15
2.1.8. Alat Ukur Stres................................................................ 23
2.1.9. Respon Tubuh Terhadap Stres......................................... 24
2.1.10. Perubahan Hormon Saat Stres......................................... 24
2.1.11. Perubahan Hormon Oleh Stres Psikolgis Kronis Yang
Merugikan....................................................................... 28
2.2......................................................................................................Luka
Diabetik....................................................................................... 29
2.2.1 Pengertian........................................................................ 29
2.2.2 Klasifikasi Luka Diabetik............................................... 30
2.2.3 Etiologi............................................................................ 30

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 2.2.4 Patofisiologi.................................................................... 32
2.2.5 Manifestasi Klinis........................................................... 33
2.2.6 Proses Granulasi Luka DM............................................. 34
2.2.7 Proses Penyembuhan luka............................................... 35
2.2.8 Faktor Yang Mempengaruhi Proses Granulasi
Luka DM......................................................................... 36
2.2.9 Pengkajian Luka DM...................................................... 37
2.3......................................................................................................Kerangka
Konsep Penelitian....................................................................... 39
2.4......................................................................................................Hipotesis
Penelitian..................................................................................... 39

BAB III METODE PENELITIAN

3.1......................................................................................................Jenis Dan
Rancangan Penelitian.................................................................. 40
3.2......................................................................................................Lokasi
dan Waktu Penelitian................................................................... 40
3.3......................................................................................................Populasi
dan Sampel.................................................................................. 41
3.4......................................................................................................Metode
Pengumpulan Data...................................................................... 44
3.5......................................................................................................Variabel
dan Definisi Operasional............................................................. 44
3.6......................................................................................................Metode
Pengukuran................................................................................. 45
3.7......................................................................................................Pengolaha
n dan Analisis Data..................................................................... 49

BAB IV HASIL PENELITIAN

4.1 Gambaran Umum lokasi Penelitian............................................ 51
4.2 Analisis Univariat........................................................................ 53
4.3 Tabulasi Analisis Bivariat .......................................................... 55

BAB V PEMBAHASAN
5.1. Tingkat Stres Pasien Diabetes Mellitus di RSUD Dr. H.
Kumpulan Pane Tebing Tinggi.................................................... 57
5.2. Penyembuhan Luka Diabetes Mellitus di RSUD Dr. H.
Kumpulan Pane Tebing Tinggi.................................................... 58
5.3. Hubungan tingkat stres dengan penyembuhan luka Diabetes
Mellitus di RSUD Dr. H. Kumpulan Pane Tebing Tinggi .......... 61

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BAB VI KESIMPULAN DAN SARAN
6.1 Kesimpulan.................................................................................. 66
6.2 Saran............................................................................................ 66

DAFTAR PUSTAKA................................................................................... 68

DAFTAR GAMBAR

Gambar Judul Halaman

2.1 Skema patogenesis kaki diabetik................................................ 32

2.2 Kerangka Konsep Penelitian hubungan tingkat stres
dengan penyembuhan luka Diabetes Mellitus di RSUD
Dr. H. Kumpulan Pane Tebing Tinggi tahun 2016................... 39

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DAFTAR TABEL

Tabel Judul Halaman

2.1 Hasil Tingkatan Depression Anxiety Stres Scale................................. 24

2.2 Perubahan Horman Selama Respon Stres........................................... 26

3.1 Rencana Kegiatan Penelitian.............................................................. 41

3.2 Variabel Dan Defenisi Operasional..................................................... 45

3.3 Pengkajian Luka DM.......................................................................... 47

4.1 Distribusi Responden Berdasarkan Frekuensi Karakteristik Pasien

Diabetes Mellitus di RSUD Dr. H. Kumpulan Pane Tebing Tinggi. . . 53

4.2 Distribusi Responden Berdasarkan Kategori Tingkat Stres Pasien

Diabetes Mellitus di RSUD Dr. H. Kumpulan Pane Tebing Tinggi. . . 54

4.3 Distribusi Responden Berdasarkan Kategori Penyembuhan Luka

Diabetes Mellitus di RSUD Dr. H. Kumpulan Pane Tebing Tinggi. . . 55

4.4 Hubungan Tingkat Stres Dengan Penyembuhan Luka Diabetes

Mellitus di RSUD Dr. H. Kumpulan Pane Tebing Tinggi.................. 55

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 DAFTAR LAMPIRAN

Lampiran Judul Halaman

1 Lembar Permohonan Bersedia Menjadi Responden..................... 70

2 Lembar Persetujuan Responden ................................................... 71

3 Lembar Kuesioner......................................................................... 72

4 Lembar Master Data dan Lembar Observasi................................. 77

5 Lembar Hasil Analisis Data........................................................... 80