DAFTAR ISI

Halaman Judul ...................................................................................................... i

Halaman Pengesahan............................................................................................. ii
Halaman Persetujuan............................................................................................. iii
Abstrak ................................................................................................................. iv
Kata Pengantar ......................................................................................................vi
Daftar Isi ............................................................................................................... vii
Daftar Tabel .......................................................................................................... x
Daftar Gambar ....................................................................................................... xi
BAB I PENDAHULUAN ............................................................................... 1
1.1. Latar Belakang ......................................................................... 1
1.2. Rumusan Masalah .................................................................... 2
1.3. Aspek Dari Disiplin Ilmu Yang Terkait dengan Judul
Pendekatan Kedokteran Keluarga Pada Penderita
DBD……...................................................................................3
1.4. Tujuan Dan Manfaat Studi Kasus ............................................ 4
1.4.1. Tujuan Umum .......................................................... 5
1.4.2. Tujuan Khusus ......................................................... 5
1.4.3. Manfaat Studi Kasus ................................................ 5
1.5. Indikator Keberhasilan Tindakan ............................................. 6
BAB II ANALISIS KEPUSTAKAAN DAN BERDASARKAN KASUS...... 7
2.1. Kerangka Teori .........................................................................7
2.2. Konsep Mandala........................................................................8
2.3. Pendekatan Diagnosis Holistik Pada Pelayanan Kedokteran
Keluarga Di Layanan Primer….................................................9
2.4. Demam Berdarah Dengue…....................................................12
2.4.1. Definisi…................................................................12
2.4.2. Epidemiologi DBD…..............................................12
A. Trias Epidemiologi….......................................12
B. Variabel Epidemiologi......................................14

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 2.4.3. Etiologi...................................................................16
2.4.4. Faktor Resiko.........................................................18
2.4.5. Patogenesis.............................................................19
2.4.6. Manifestasi Klinis...................................................20
2.4.7. Derajat DBD...........................................................22
2.4.8. Pemeriksaan Penunjang..........................................22
2.4.9. Diagnosis Banding..................................................24
2.4.10. Penatalaksanaan......................................................25
2.4.11. Pencegahan.............................................................26
2.4.12. Prognosis….............................................................27
2.4.13. Peranan Keluarga dalam Penanggulangan DBD....27
BAB III METODOLOGI DAN LOKASI STUDI KASUS .............................30
3.1. Metodologi .............................................................................30
3.2. Lokasi dan Waktu Studi Kasus ..............................................30
3.3. Gambaran Umum Lokasi Studi Kasus ...................................31
3.3.1. Letak Geografis.......................................................31
3.3.2. Keadaan Demografis...............................................32
3.4. Sarana Pelayanan Kesehatan....................................................35
3.4.1. Data Dasar Puskesmas.............................................35
3.4.2. Struktur Organisasi..................................................36
3.4.3. Tenaga Kesehatan....................................................36
3.4.4. Sarana Pelayanan Kesehatan...................................37
3.4.5. Visi dan Misi Pusekesmas…...................................37
3.4.6. Upaya Kesehatan Puskesmas……………………..37
3.4.7. Daftar 10 penyakit terbanyak………………….….40
3.4.8. Alur Pelayanan Puskesmas…………………..……41
BAB IV HASIL DAN PEMBAHASAN ..........................................................42
4.1. Hasil dan Pembahasan Studi Kasus ........................................42
4.1.1. Identitas Pasien .......................................................42
4.1.2. Riwayat Penyakit.....................................................42
4.1.3. Pemeriksaan Fisik ……...........................................43

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 4.1.4. Pemeriksaan Penunjang...........................................47
4.1.5. Diagnosis.................................................................47
4.1.6. Penatalaksanaan dan Edukasi..................................47
4.1.7. Prognosis.................................................................47
4.2. Pendekatan Holistik.................................................................47
4.2.1. Profil Keluarga........................................................47
4.2.2. Karakteristik Demografi Keluarga…......................48
4.2.3. Penilaian Status Sosial dan Kesejahteraan
Hidup.......................................................................48
4.2.4. Kepemilikaan Barang-Barang Berharga.................49
4.2.5. Penilaian Perilaku Kesehatan…..............................49
4.2.6. Sarana Pelayanan Kesehatan...................................49
4.2.7. Status Sosial dan Kesejahteraan Keluarga..............49
4.2.8. Pola Konsumsi Makanan Keluarga….....................50
4.2.9. Pola Dukungan Keluarga…....................................50
4.2.10. Analisa Kedokteran Keluarga.................................52
4.2.10.1. . Fungsi Fisiologis (APGAR)…...............52
4.2.10.2. . Fungsi Patologis (SCREEM) .................54
4.2.10.3. . Fungsi Keturunan (Genogram)...............54
4.3. Pembahasan….........................................................................55
BAB V KESIMPULAN DAN SARAN...............................................................64
5.1 KESIMPULAN..........................................................................64
5.2 SARAN......................................................................................65
DAFTAR PUSTAKA..........................................................................................67
LAMPIRAN ........................................................................................................68

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 DAFTAR TABEL

Tabel 1. Klasifikasi Derajat Penyakit DBD.........................................22

Tabel 2. Data Jumlah Penduduk di Wilayah Kerja Puskesmas
Layang...................................................................................32
Tabel 3. Data Jumlah Penduduk menurut Jenis Kelamin dalam Wilayah
Kerja Puskesmas Layang…...................................................33
Tabel 4. Data Jumlah Kelahiran menurut Jenis Kelamin dan Kelompok
Umur di Wilayah Kerja Puskesmas Layang...........................33
Tabel 5. Distribusi Penduduk Berdasarkan Penggolongan Usia di
Wilayah Kerja Puskesmas Layang….....................................34
Tabel 6. Distribusi Penduduk Menurut Tingkat Pendidikan dalam
Wilayah Kerja Puskesmas Layang…....................................34
Tabel 7. Distribusi Penduduk Menurut Pekerjaan dalam Wilayah Kerja
Puskesmas Layang…............................................................35
Tabel 8. Tenaga Kesehatan Puskesmas Layang..................................36
Tabel 9. Anggota Keluarga yang Tinggal Serumah….........................48
Tabel 10. Lingkungan Tempat Tinggal….............................................48
Tabel 11. Pelayanan Kesehatan.............................................................49
Tabel 12. Penilaian Fungsi Fisiologis (APGAR) Keluarga Penderita
Demam Berdarah Dengue.....................................................53
Tabel 13. Skoring Kemampuan Pasien dan Keluarga dlam Penyelesaian
Masalah dalam Keluarga.......................................................55
Tabel 14. Rencana Pelaksanaan (Plan of Action)..................................60

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 DAFTAR GAMBAR

Gambar 1. Kerangka Teori ..............................................................................7

Gambar 2. Konsep Mandala…….....................................................................8
Gambar 3. Nyamuk Aedes Aegypti dan Aedes albopictus…...........................18
Gambar 4. Patogenesis DBD…......................................................................19
Gambar 5. Puskesmas Layang…....................................................................31
Gambar 6. Peta Wilayah Kerja Puskesmas Layang........................................31
Gambar 7. Struktur Organisasi Puskesmas Layang.........................................36
Gambar 8. Bagan Alur Pelayanan Puskesmas Layang…................................41
Gambar 9. Genogram.....................................................................................54
Gambar 10. Wawancara dan Pemeriksaan Pasien............................................68
Gambar 11. Kondisi Ruang Tengah….............................................................68
Gambar 12. Kondisi Kamar Tidur....................................................................69
Gambar 13. Kondisi Ruang Dapur…...............................................................69
Gambar 14. Kondisi Tampat Cuci Piring….....................................................70
Gambar 15. Kondisi WC…..............................................................................70

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