KUESIONER PENELITIAN
1. Nomor Responden :
2. Nama :
3. Jenis Kelamin :
4. Status Pendidikan :
PENGETAHUAN RESPONDEN
a. Meliputi luas untuk ruang tidur, untuk dinding, lantai, untuk ruang di
dalam rumah, untuk ruang dapur, dan luasnya > 8m² untuk 1 sampai 2
penghuni.
a. > 8 meter
b. 8 meter
sehat?
a. bersih
4. Apakah anggota keluarga anda pernah mengalami gejala batuk, pilek yang
a. Ya
b. Tidak
a. Ya
b. Tidak ada
a. Satu
setiap harinya ?
a. Di dalam rumah
b. Diluar rumah
rumah? ?
a. Di semua ruangan
keluarga
serta kematian
b. Batuk- batuk
10. Apakah terdapat ventilasi di rumah ( lubang angin, jendela (biasa dibuka),
a. Ya
b. Tidak ada
Keterangan : S = Setuju
TS = Tidak Setuju
Jawaban
No Pernyataan
S TS
1 Apakah Bapak setuju rumah yang sehat adalah rumah
yang tidak padat huni.
2 Apakah Bapak setuju ukuran luas rumah > 8m² dihuni
oleh 1 sampai 2 penghuni
3 Apakah Bapak setuju ventilasi yang sesuai dalam
kriteria rumah sehat tidak harus memiliki sarana
ventilasi untuk pengaturan sirkulasi udara.
4 Apakah Bapak setuju Terlalu banyak jumlah penghuni
dalam ruangan sempit tidak menyebabkan kurangnya
jumlah oksigen dalam ruangan.
5 Apakah Bapak setuju Ruangan di dalam rumah tidak
harus ditata agar berfungsi sebagai ruang tamu, ruang
keluarga, ruang makan, ruang tidur, kamar mandi dan
ruang bermain anak.
6 Apakah Bapak setuju gejala- gejala batuk, pilek yang
kadang disertai demam, sesak napas, selama kurang
lebih 14 hari merupakan gejala penyakit ISPA.
7 Apakah Bapak setuju merokok di dalam rumah
merupakan salah satu cara supaya udara di dalam
rumah tetap sehat.
8 Apakah Bapak setuju Merokok dapat membahayakan
bagi kesehatan serta mengakibatkan kematian.
Keterangan : 1= Baik
0 = Buruk
Jawaban
No Pernyataan
Baik Buruk
1 Apakah setiap hari bapak / Ibu membuka
jendela rumah di pagi/ siang hari?
Lampiran 2
Komponen Yang
NO. Kriteria Nilai Kategori
Dinilai
1 Ventilasi a. Luas ventilasi > 10% 1 MS
luas lantai
b. Luas ventilasi < 10% 0 TMS
luas lantai
c. Tidak ada 0 TMS
2. Pencahayaan a. 60-120 Lux 1 MS
b. ≤20 dan ≥120 Lux 0 TMS
3. Jenis dinding a. Tembok/triplek 1 MS
b. Papan/ anyaman 0 TMS
bambu
4. Kepadatan hunian a. Luas ruangan >8 m2 1 MS
untuk 2 orang
b. Luas ruangan <8 0 TMS
m2= untuk 2 orang
5. Kelembaban a. 40-70% 1 MS
b. <40 dan > 70% 0 TMS
*MS : Memenuhi Syarat
Lampiran 11 Lanjutan.
MASTER DATA
Hubungan Antara Kondisi Fisik Rumah Dan karakteristik Kepala Keluarga Serta Perilaku Penghuni Dengan Kejadian Ispa
di Desa Jadi Makmur Dusun Pasar I Kecamatan Bagan Sinembah Kabupaten Rokan Hilir
Provinsi Riau Tahun 2015
umur S.
JK S. penget Pengetahuan sikap Tindakan
No umur kategor JK Pendidikan sikap Tindakan
kategori Pendidikan ahuan kategori kategori kategori
i kategori
1 1 Tua 0 Perempuan 0 SD 0 Buruk 0 Buruk 0 Buruk
2 0 Muda 1 Laki-laki 0 SD 0 Buruk 0 Buruk 0 Buruk
Keterangan:
Sikap: Tindakan :
1 = Baik 1 = Baik
0 = Buruk 0 = Buruk
Frequency Table
Umur Responden
Frequency Percent Valid Percent Cumulative
Percent
21-30 Tahun 22 73,3 73,3 73,3
Valid 31- 40 Tahun 8 26,7 26,7 100,0
Total 30 100,0 100,0
Jenis Kelamin
Frequency Percent Valid Percent Cumulative
Percent
L 17 56,7 56,7 56,7
Valid P 13 43,3 43,3 100,0
Total 30 100,0 100,0
status pendidikan
Frequenc Percent Valid Cumulative
y Percent Percent
rendah ( tidak sekolah,
10 33,3 33,3 33,3
SD)
Valid
Cukup (SMP, SMA) 20 66,7 66,7 100,0
Total 30 100,0 100,0
KEJADIAN ISPA
Frequency Percent Valid Percent Cumulative
Percent
TIDAK
11 36,7 36,7 36,7
ISPA
Valid
ISPA 19 63,3 63,3 100,0
Total 30 100,0 100,0
Observasi Ventilasi
Frequency Percent Valid Cumulative
Percent Percent
Tidak memenuhi
17 56,7 56,7 56,7
syarat
Valid
Memenuhi syarat 13 43,3 43,3 100,0
Total 30 100,0 100,0
Observasi Pencahayaan
Frequency Percent Valid Cumulative
Percent Percent
Tidak memenuhi
15 50,0 50,0 50,0
syarat
Valid
Memenuhi syarat 15 50,0 50,0 100,0
Total 30 100,0 100,0
Observasi Kelembaban
Frequency Percent Valid Cumulative
Percent Percent
Tidak memenuhi
14 46,7 46,7 46,7
syarat
Valid
Memenuhi syarat 16 53,3 53,3 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 1
Frequency Percent Valid Percent Cumulative
Percent
0 14 46,7 46,7 46,7
Valid 1 16 53,3 53,3 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 2
Frequency Percent Valid Percent Cumulative
Percent
0 14 46,7 46,7 46,7
Valid 1 16 53,3 53,3 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 3
Frequency Percent Valid Percent Cumulative
Percent
0 15 50,0 50,0 50,0
Valid 1 15 50,0 50,0 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 4
Frequency Percent Valid Percent Cumulative
Percent
0 23 76,7 76,7 76,7
Valid 1 7 23,3 23,3 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 5
Frequency Percent Valid Percent Cumulative
Percent
0 16 53,3 53,3 53,3
Valid 1 14 46,7 46,7 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 6
Frequency Percent Valid Percent Cumulative
Percent
0 13 43,3 43,3 43,3
Valid 1 17 56,7 56,7 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 7
Frequency Percent Valid Percent Cumulative
Percent
0 5 16,7 16,7 16,7
Valid 1 25 83,3 83,3 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 8
Frequency Percent Valid Percent Cumulative
Percent
0 16 53,3 53,3 53,3
Valid 1 14 46,7 46,7 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 9
Frequency Percent Valid Percent Cumulative
Percent
0 15 50,0 50,0 50,0
Valid 1 15 50,0 50,0 100,0
Total 30 100,0 100,0
Pertanyaan pengetahuan 10
Frequency Percent Valid Percent Cumulative
Percent
Valid 0 30 100,0 100,0 100,0
Pertanyaan Sikap 1
Frequency Percent Valid Percent Cumulative
Percent
0 19 63,3 63,3 63,3
Valid 1 11 36,7 36,7 100,0
Total 30 100,0 100,0
Pertanyaan Sikap 2
Frequency Percent Valid Percent Cumulative
Percent
0 16 53,3 53,3 53,3
Valid 1 14 46,7 46,7 100,0
Total 30 100,0 100,0
Pertanyaan Sikap 3
Frequency Percent Valid Percent Cumulative
Percent
0 20 66,7 66,7 66,7
Valid 1 10 33,3 33,3 100,0
Total 30 100,0 100,0
Pertanyaan Sikap 4
Frequency Percent Valid Percent Cumulative
Percent
0 21 70,0 70,0 70,0
Valid 1 9 30,0 30,0 100,0
Total 30 100,0 100,0
Pertanyaan Sikap 5
Frequency Percent Valid Percent Cumulative
Percent
,0 17 56,7 56,7 56,7
Valid 1,0 13 43,3 43,3 100,0
Total 30 100,0 100,0
Pertanyaan Sikap 6
Frequency Percent Valid Percent Cumulative
Percent
0 20 66,7 66,7 66,7
Valid 1 10 33,3 33,3 100,0
Total 30 100,0 100,0
Pertanyaan Sikap 7
Frequency Percent Valid Percent Cumulative
Percent
0 9 30,0 30,0 30,0
Valid 1 21 70,0 70,0 100,0
Total 30 100,0 100,0
Pertanyaan Sikap 8
Frequency Percent Valid Percent Cumulative
Percent
0 23 76,7 76,7 76,7
Valid 1 7 23,3 23,3 100,0
Total 30 100,0 100,0
Pertanyaan Tindakan 1
Frequency Percent Valid Percent Cumulative
Percent
0 7 23,3 23,3 23,3
Valid 1 23 76,7 76,7 100,0
Total 30 100,0 100,0
Pertanyaan Tindakan 2
Frequency Percent Valid Percent Cumulative
Percent
0 17 56,7 56,7 56,7
Valid 1 13 43,3 43,3 100,0
Total 30 100,0 100,0
Pertanyaan Tindakan 3
Frequency Percent Valid Percent Cumulative
Percent
0 6 20,0 20,0 20,0
Valid 1 24 80,0 80,0 100,0
Total 30 100,0 100,0
Pertanyaan Tindakan 4
Frequency Percent Valid Percent Cumulative
Percent
0 8 26,7 26,7 26,7
Valid 1 22 73,3 73,3 100,0
Total 30 100,0 100,0
Pertanyaan Tindakan 5
Frequency Percent Valid Percent Cumulative
Percent
0 5 16,7 16,7 16,7
Valid 1 25 83,3 83,3 100,0
Total 30 100,0 100,0
Crosstabs
Umur Responden * Kejadian ISPA
Crosstab
Kejadian ISPA Total
TIDAK ISPA ISPA
Count 6 7 13
21-30
Tahun Expected Count 6,9 6,1 13,0
Umur % within Umur Responden 46,2% 53,8% 100,0%
Responden Count 10 7 17
31-40
Expected Count 9,1 7,9 17,0
Tahun
% within Umur Responden 58,8% 41,2% 100,0%
Count 16 14 30
Total Expected Count 16,0 14,0 30,0
% within Umur Responden 53,3% 46,7% 100,0%
Chi-Square Tests
Value df Asymp. Exact Sig. Exact Sig.
Sig. (2- (2-sided) (1-sided)
sided)
Pearson Chi-Square ,475a 1 ,491
b
Continuity Correction ,102 1 ,749
Likelihood Ratio ,476 1 ,490
Fisher's Exact Test ,713 ,374
Linear-by-Linear Association ,459 1 ,498
N of Valid Cases 30
a. 0 cells (0,0%) have expected count less than 5. The minimum expected count is
6,07.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,125 ,491
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Chi-Square Tests
Value df Asymp. Sig. Exact Sig. Exact Sig.
(2-sided) (2-sided) (1-sided)
Pearson Chi-
1,265a 1 ,261
Square
Continuity
,575 1 ,448
Correctionb
Likelihood Ratio 1,276 1 ,259
Fisher's Exact Test ,299 ,225
N of Valid Cases 30
a. 0 cells (0,0%) have expected count less than 5. The minimum expected count is
6,53.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,201 ,261
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Chi-Square Tests
Value df Asymp. Exact Sig. Exact
Sig. (2- (2-sided) Sig. (1-
sided) sided)
Pearson Chi-Square 1,094a 1 ,296
Continuity Correctionb ,452 1 ,501
Likelihood Ratio 1,098 1 ,295
Fisher's Exact Test ,457 ,251
Linear-by-Linear Association 1,057 1 ,304
N of Valid Cases 30
a. 0 cells (0,0%) have expected count less than 5. The minimum expected count is
5,60.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,188 ,296
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Crosstab
Kejadian ISPA Total
TIDAK ISPA ISPA
Count 8 9 17
Tidak
Expected Count 9,1 7,9 17,0
memenuhi
syarat % within Observasi 100,0
47,1% 52,9%
Observasi Ventilasi %
Ventilasi Count 8 5 13
Memenuhi Expected Count 6,9 6,1 13,0
syarat % within Observasi 100,0
61,5% 38,5%
Ventilasi %
Count 16 14 30
Expected Count 16,0 14,0 30,0
Total
% within Observasi 100,0
53,3% 46,7%
Ventilasi %
Chi-Square Tests
Value df Asymp. Sig. Exact Sig. Exact Sig.
(2-sided) (2-sided) (1-sided)
Pearson Chi-Square ,621a 1 ,431
Continuity Correctionb ,175 1 ,676
Likelihood Ratio ,624 1 ,430
Fisher's Exact Test ,484 ,339
Linear-by-Linear
,600 1 ,439
Association
N of Valid Cases 30
a. 0 cells (0,0%) have expected count less than 5. The minimum expected count is
6,07.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,142 ,431
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Crosstab
Kejadian ISPA Total
TIDAK ISPA ISPA
Count 9 6 15
Tidak
Expected Count 8,0 7,0 15,0
memenuhi
syarat % within Observasi 100,0
60,0% 40,0%
Observasi Pencahayaan %
Pencahayaan Count 7 8 15
Memenuhi Expected Count 8,0 7,0 15,0
syarat % within Observasi 100,0
46,7% 53,3%
Pencahayaan %
Count 16 14 30
Expected Count 16,0 14,0 30,0
Total
% within Observasi 100,0
53,3% 46,7%
Pencahayaan %
Chi-Square Tests
Value df Asymp. Sig. Exact Sig. Exact Sig.
(2-sided) (2-sided) (1-sided)
Pearson Chi-Square ,536a 1 ,464
b
Continuity Correction ,134 1 ,714
Likelihood Ratio ,537 1 ,464
Fisher's Exact Test ,715 ,358
Linear-by-Linear
,518 1 ,472
Association
N of Valid Cases 30
a. 0 cells (0,0%) have expected count less than 5. The minimum expected count is
7,00.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,132 ,464
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Crosstab
Kejadian ISPA Total
TIDAK ISPA ISPA
Count 7 5 12
Tidak
Expected Count 6,4 5,6 12,0
memenuhi
syarat % within Observasi
Observasi 58,3% 41,7% 100,0%
Jenis Dinding
Jenis
Dinding Count 9 9 18
Memenuhi Expected Count 9,6 8,4 18,0
syarat % within Observasi
50,0% 50,0% 100,0%
Jenis Dinding
Count 16 14 30
Expected Count 16,0 14,0 30,0
Total
% within Observasi
53,3% 46,7% 100,0%
Jenis Dinding
Chi-Square Tests
Value df Asymp. Sig. Exact Sig. Exact Sig.
(2-sided) (2-sided) (1-sided)
Pearson Chi-Square ,201a 1 ,654
Continuity Correctionb ,006 1 ,940
Likelihood Ratio ,201 1 ,654
Fisher's Exact Test ,722 ,471
Linear-by-Linear
,194 1 ,659
Association
N of Valid Cases 30
a. 0 cells (0,0%) have expected count less than 5. The minimum expected count is
5,60.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,082 ,654
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Crosstab
Kejadian ISPA Total
TIDAK ISPA ISPA
Count 7 7 14
Tidak
Expected Count 7,5 6,5 14,0
memenuhi
syarat % within Observasi 100,0
50,0% 50,0%
Observasi Kelembaban %
Kelembaban Count 9 7 16
Memenuhi Expected Count 8,5 7,5 16,0
syarat % within Observasi 100,0
56,2% 43,8%
Kelembaban %
Count 16 14 30
Expected Count 16,0 14,0 30,0
Total
% within Observasi 100,0
53,3% 46,7%
Kelembaban %
Chi-Square Tests
Value df Asymp. Exact Sig. Exact Sig.
Sig. (2- (2-sided) (1-sided)
sided)
Pearson Chi-Square ,117a 1 ,732
Continuity Correctionb ,000 1 1,000
Likelihood Ratio ,117 1 ,732
Fisher's Exact Test 1,000 ,509
Linear-by-Linear
,113 1 ,736
Association
N of Valid Cases 30
a. 0 cells (0,0%) have expected count less than 5. The minimum expected count is
6,53.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,062 ,732
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Chi-Square Tests
Value df Asymp. Sig. Exact Sig. Exact Sig.
(2-sided) (2-sided) (1-sided)
Pearson Chi-Square 4,983a 1 ,026
b
Continuity Correction 3,308 1 ,069
Likelihood Ratio 4,919 1 ,027
Fisher's Exact Test ,042 ,035
Linear-by-Linear
4,817 1 ,028
Association
N of Valid Cases 30
a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is
3,30.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,377 ,026
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Chi-Square Tests
Value df Asymp. Sig. Exact Sig. Exact Sig.
(2-sided) (2-sided) (1-sided)
Pearson Chi-Square ,408a 1 ,523
Continuity Correctionb ,057 1 ,811
Likelihood Ratio ,408 1 ,523
Fisher's Exact Test ,694 ,404
Linear-by-Linear
,395 1 ,530
Association
N of Valid Cases 30
a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is
4,20.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,116 ,523
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Chi-Square Tests
Value df Asymp. Exact Sig. Exact Sig.
Sig. (2- (2-sided) (1-sided)
sided)
Pearson Chi-Square 3,913a 1 ,048
b
Continuity Correction 2,272 1 ,132
Likelihood Ratio 5,863 1 ,015
Fisher's Exact Test ,071 ,057
Linear-by-Linear
3,783 1 ,052
Association
N of Valid Cases 30
a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is
2,10.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,340 ,048
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Chi-Square Tests
Value df Asymp. Sig. Exact Sig. Exact Sig.
(2-sided) (2-sided) (1-sided)
Pearson Chi-Square 6,429a 1 ,011
b
Continuity Correction 4,464 1 ,035
Likelihood Ratio 6,283 1 ,012
Fisher's Exact Test ,030 ,018
Linear-by-Linear
6,214 1 ,013
Association
N of Valid Cases 30
a. 1 cells (25,0%) have expected count less than 5. The minimum expected count is
3,00.
b. Computed only for a 2x2 table
Symmetric Measures
Value Approx. Sig.
Nominal by Nominal Contingency Coefficient ,420 ,011
N of Valid Cases 30
a. Not assuming the null hypothesis.
b. Using the asymptotic standard error assuming the null hypothesis.
Lampiran 5
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