KUESIONER PENELITIAN
I. IDENTITAS RESPONDEN
1. Nama : …...................................................................
2. Jenis Kelamin : 1. Laki-laki
2. Perempuan
3. Umur : …......Tahun
4. Pendidikan : 1. SD/SMP/SMA
2. Perguruan Tinggi
5. Berat badan : ………Kg
6. Tinggi Badan : ………cm
7. Kadar Gula Darah : ………mg/dl
8. Riwayat Keluarga
- Ayah
a. Penderita DM
b. Tidak
- Ibu
a. Penderita DM
b. Tidak
II. PENGETAHUAN
1. Konsumsi energi
Food recall 24 Jam
Bahan Makanan
Waktu Nama
Banyaknya Kecukupan Energi
Makan Makanan Jenis
Gram energi(Kal)
Pagi
Siang
Malam
V. Konsumsi Obat
MASTER DATA
JK Umur Didik IMT R_Ayah R_Ibu Pengetahuan Aktifitas Diet Obat Kadar
2 0 1 0 0 0 0 0 1 1 0
2 0 2 1 1 0 0 1 0 0 0
2 0 1 0 0 0 0 0 0 1 0
1 1 1 1 0 0 1 0 1 0 1
2 0 1 0 0 0 0 0 0 1 0
1 0 2 1 1 0 0 1 0 0 0
2 0 1 1 0 0 1 1 1 0 1
2 0 1 0 0 0 0 0 0 1 0
2 0 1 0 0 0 0 1 0 1 0
1 0 2 1 0 0 0 1 1 0 1
2 1 1 1 1 0 0 0 0 0 0
2 0 2 1 0 0 0 1 0 1 1
1 0 1 0 0 0 0 0 1 1 0
2 0 1 0 0 0 0 0 0 0 0
1 0 2 1 0 0 1 1 1 0 1
2 1 2 1 1 1 0 0 0 0 0
1 0 1 1 0 0 1 1 0 1 1
2 0 1 0 0 0 0 0 0 0 0
1 1 1 0 0 1 0 1 0 0 0
2 1 2 0 1 0 0 0 0 0 0
2 0 2 1 0 0 0 1 1 0 1
2 0 2 1 0 0 0 0 0 1 0
2 0 1 1 0 0 1 0 0 1 0
1 1 1 0 0 0 0 0 0 0 0
2 0 1 1 0 1 1 0 0 1 0
1 0 1 1 0 0 1 1 1 1 1
2 0 2 0 0 1 0 1 0 0 0
1 0 2 1 1 0 0 0 0 1 0
2 1 2 1 0 0 0 0 0 0 0
1 0 2 0 0 0 0 0 0 1 0
2 1 2 0 1 0 0 0 0 0 0
2 0 1 0 0 1 0 0 0 0 0
1 0 1 1 0 0 1 1 1 1 1
Frequency Table
JK
Cumulative
Frequency Percent Valid Percent Percent
Valid Laki-laki 19 31.1 31.1 31.1
Perempuan 42 68.9 68.9 100.0
Total 61 100.0 100.0
K_Umur
Cumulative
Frequency Percent Valid Percent Percent
Valid > 45 Tahun 50 82.0 82.0 82.0
<= 45 Tahun 11 18.0 18.0 100.0
Total 61 100.0 100.0
Didik
Cumulative
Frequency Percent Valid Percent Percent
Valid SD/SMP/SMA 38 62.3 62.3 62.3
Perguruan Tinggi 23 37.7 37.7 100.0
Total 61 100.0 100.0
K_IMT
Cumulative
Frequency Percent Valid Percent Percent
Valid Obesitas 32 52.5 52.5 52.5
Normal 29 47.5 47.5 100.0
Total 61 100.0 100.0
R_Ayah
Cumulative
Frequency Percent Valid Percent Percent
Valid Tidak 46 75.4 75.4 75.4
Ya 15 24.6 24.6 100.0
Total 61 100.0 100.0
Cumulative
Frequency Percent Valid Percent Percent
Valid Tidak 50 82.0 82.0 82.0
Ya 11 18.0 18.0 100.0
Total 61 100.0 100.0
Pengetahuan
Cumulative
Frequency Percent Valid Percent Percent
Valid Tidak Baik 50 82.0 82.0 82.0
Baik 11 18.0 18.0 100.0
Total 61 100.0 100.0
Aktifitas
Cumulative
Frequency Percent Valid Percent Percent
Valid Tidak Baik 37 60.7 60.7 60.7
Baik 24 39.3 39.3 100.0
Total 61 100.0 100.0
Diet
Cumulative
Frequency Percent Valid Percent Percent
Valid Tidak Baik 43 70.5 70.5 70.5
Baik 18 29.5 29.5 100.0
Total 61 100.0 100.0
Konsumsi Obat
Cumulative
Frequency Percent Valid Percent Percent
Valid Tidak 30 49.2 49.2 49.2
Ya 31 50.8 50.8 100.0
Total 61 100.0 100.0
Cumulative
Frequency Percent Valid Percent Percent
Valid Tidak Terkontrol 45 73.8 73.8 73.8
Terkontrol 16 26.2 26.2 100.0
Total 61 100.0 100.0
Crosstabs
JK * Kadar
JK * Kadar Crosstabulation
Kadar
Tidak
Terkontrol Terkontrol Total
JK Laki-laki Count 8 11 19
% within JK 42.1% 57.9% 100.0%
Perempuan Count 37 5 42
% within JK 88.1% 11.9% 100.0%
Total Count 45 16 61
% within JK 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for JK
.098 .027 .362
(Laki-laki / Perempuan)
For cohort Kadar =
.478 .279 .819
Tidak Terkontrol
For cohort Kadar =
4.863 1.962 12.054
Terkontrol
N of Valid Cases 61
K_Umur * Kadar
Crosstab
Kadar
Tidak
Terkontrol Terkontrol Total
K_ > 45 Tahun Count 36 14 50
Umur % within K_Umur 72.0% 28.0% 100.0%
<= 45 Tahun Count 9 2 11
% within K_Umur 81.8% 18.2% 100.0%
Total Count 45 16 61
% within K_Umur 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for K_Umur (>
.571 .110 2.981
45 Tahun / <= 45 Tahun)
For cohort Kadar = Tidak
.880 .634 1.221
Terkontrol
For cohort Kadar =
1.540 .407 5.823
Terkontrol
N of Valid Cases 61
Didik * Kadar
Crosstab
Kadar
Tidak
Terkontrol Terkontrol Total
Didik SD/SMP/SMA Count 28 10 38
% within Didik 73.7% 26.3% 100.0%
Perguruan Tinggi Count 17 6 23
% within Didik 73.9% 26.1% 100.0%
Total Count 45 16 61
% within Didik 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for
Didik (SD/SMP/SMA .988 .304 3.209
/ Perguruan Tinggi)
For cohort Kadar =
.997 .732 1.357
Tidak Terkontrol
For cohort Kadar =
1.009 .423 2.407
Terkontrol
N of Valid Cases 61
Riwayat * Kadar
R_Keluarga * Kadar Crosstabulation
Kadar
Tidak
Terkontrol Terkontrol Total
R_Keluarga Ada Count 22 16 38
% within R_Keluarga 57.9% 42.1% 100.0%
Tidak Ada Count 23 0 23
% within R_Keluarga 100.0% .0% 100.0%
Total Count 45 16 61
% within R_Keluarga 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidenc e
Int erval
Value Lower Upper
For cohort Kadar =
.579 .441 .759
Tidak Terk ontrol
N of V alid Cas es 61
K_IMT * Kadar
Crosstab
Kadar
Tidak
Terkontrol Terkontrol Total
K_ Obesitas Count 31 1 32
IMT % within K_IMT 96.9% 3.1% 100.0%
Normal Count 14 15 29
% within K_IMT 48.3% 51.7% 100.0%
Total Count 45 16 61
% within K_IMT 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for K_IMT
33.214 3.985 276.808
(Obesitas / Normal)
For cohort Kadar =
2.007 1.370 2.940
Tidak Terkontrol
For cohort Kadar =
.060 .009 .429
Terkontrol
N of Valid Cases 61
Pengetahuan * Kadar
Crosstab
Kadar
Tidak
Terkontrol Terkontrol Total
Pengetahuan Tidak Baik Count 43 7 50
% within Pengetahuan 86.0% 14.0% 100.0%
Baik Count 2 9 11
% within Pengetahuan 18.2% 81.8% 100.0%
Total Count 45 16 61
% within Pengetahuan 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for
Pengetahuan 27.643 4.911 155.598
(Tidak Baik / Baik)
For cohort Kadar =
4.730 1.344 16.652
Tidak Terkontrol
For cohort Kadar =
.171 .082 .359
Terkontrol
N of Valid Cases 61
Aktifitas * Kadar
Crosstab
Kadar
Tidak
Terkontrol Terkontrol Total
Aktifitas Tidak Baik Count 36 1 37
% within Aktifitas 97.3% 2.7% 100.0%
Baik Count 9 15 24
% within Aktifitas 37.5% 62.5% 100.0%
Total Count 45 16 61
% within Aktifitas 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for Aktifitas
60.000 6.975 516.121
(Tidak Baik / Baik)
For cohort Kadar =
2.595 1.544 4.361
Tidak Terkontrol
For cohort Kadar =
.043 .006 .306
Terkontrol
N of Valid Cases 61
Diet * Kadar
Crosstab
Kadar
Tidak
Terkontrol Terkontrol Total
Diet Tidak Baik Count 38 5 43
% within Diet 88.4% 11.6% 100.0%
Baik Count 7 11 18
% within Diet 38.9% 61.1% 100.0%
Total Count 45 16 61
% within Diet 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for Diet
11.943 3.160 45.131
(Tidak Baik / Baik)
For cohort Kadar =
2.272 1.261 4.096
Tidak Terkontrol
For cohort Kadar =
.190 .077 .469
Terkontrol
N of Valid Cases 61
Kadar
Tidak
Terkontrol Terkontrol Total
Konsumsi Tidak Count 22 8 30
Obat % within Konsumsi Obat 73.3% 26.7% 100.0%
Ya Count 23 8 31
% within Konsumsi Obat 74.2% 25.8% 100.0%
Total Count 45 16 61
% within Konsumsi Obat 73.8% 26.2% 100.0%
Chi-Square Tests
95% Confidence
Interval
Value Lower Upper
Odds Ratio for Kons umsi
.957 .306 2.994
Obat (Tidak / Ya)
For cohort Kadar = Tidak
.988 .733 1.333
Terkontrol
For cohort Kadar =
1.033 .445 2.398
Terkontrol
N of Valid Cases 61
Logistic Regression
Va riables in the Equa tion
Sc ore df Sig.
St ep Variables K_Umur .449 1 .503
0 K_IMT 18.570 1 .000
Pengetahuan 21.431 1 .000
Ak tifitas 26.901 1 .000
Diet 16.057 1 .000
Overall Statistics 42.393 5 .000
Chi-square df Sig.
St ep 1 St ep 64.659 5 .000
Block 64.659 5 .000
Model 64.659 5 .000
St ep 2a St ep -1. 185 1 .276
Block 63.474 4 .000
Model 63.474 4 .000
St ep 3a St ep -6. 624 1 .010
Block 56.850 3 .000
Model 56.850 3 .000
St ep 4a St ep -12.395 1 .000
Block 44.455 2 .000
Model 44.455 2 .000
St ep 5a St ep -15.200 1 .000
Block 29.255 1 .000
Model 29.255 1 .000
St ep 6 St ep 15.736 1 .000
Block 44.991 2 .000
Model 44.991 2 .000
a. A negative Chi-squares value indicates that the
Chi-squares value has dec reas ed from the
previous st ep.
Model Summary
Cronbach's
Alpha N of Items
.819 9
Item-Total Statistics
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