DAFTAR ISI

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

Halaman pengesahan...............................................................................................ii

Lembar penyataan ..................................................................................................iii

Kata Pengantar........................................................................................................iv

Daftar Isi...................................................................................................................v

Daftar Tabel..............................................................................................................x

Daftar Gambar.......................................................................................................xii

Daftar Lampiran....................................................................................................xiii

Abstrak..................................................................................................................xiv

BAB I PENDAHULUAN

1.1 Latarbelakang...............................................................................................1
1.2 Rumusan masalah.........................................................................................4
1.3 Tujuan penelitian..........................................................................................4
1.3.1 Tujuan umum....................................................................................4
1.3.2 Tujuan khusus...................................................................................4
1.4 Manfaat penelitian........................................................................................5
1.4.1 Manfaat teoritis.................................................................................5
1.4.2 Manfaat praktis.................................................................................6
1.4.2.1.......................................................Bagi Pelayanan Kesehatan

...............................................................................................6
1.4.2.2..........................................................Bagi Instansi Pendidikan

...............................................................................................6
1.4.2.3..........................................................Bagi Peneliti Berikutnya

...............................................................................................6

BAB II TINJAUAN PUSTAKA

2.1 Demam Berdarah Dengue............................................................................7

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 2.1.1 Definisi ............................................................................................7
2.1.2 Epidemiologi ...................................................................................7
2.1.3 Etiologi dan Transmisi.....................................................................7
2.1.4 Faktor yang mempengaruhi terjadinya DBD...................................9
2.1.5 Patofisiologi dan Patogenesis.........................................................15
2.1.6 Spektrum Klinis dan Derajat Penyakit...........................................21
2.1.7 Diagnosis .......................................................................................21
2.1.8 Pemeriksaan penunjang..................................................................22
2.1.8.1 Pemeriksaan laboratorium................................................22
2.1.8.2 Darah lengkap...................................................................22
2.1.8.3 Isolasi virus.......................................................................23
2.1.8.4 Identifikasi virus...............................................................23
2.1.8.5 Uji serologi ......................................................................24
2.1.8.6 Metode diagnosis baru......................................................27
2.1.8.7 Pemeriksaan radiologi......................................................28
2.1.9 Diagnosis banding..........................................................................28
2.1.9 Penatalaksanaan.............................................................................30
2.1.9 Komplikasi ....................................................................................36
2.1.9 Pencehagan dan pemberantasan DBD............................................38
2.1.9 Prognosis .......................................................................................41
2.2 Pengetahuan ...............................................................................................42
2.2.1 Pengertian pengetahuan..................................................................42
2.2.2 Tingkat pengetahuan.......................................................................42
2.2.3 Kriteria pengetahuan.......................................................................44
2.2.4 Cara memperoleh pengetahuan......................................................45
2.2.5 Faktor-faktor yang mempengaruhi pengetahuan............................47

BAB III METODE PENELITIAN

3.1 Jenis dan Rancangan Penelitian.................................................................50

3.2 Lokasi dan Waktu Penelitian......................................................................50
3.3 Variabel dan Definisi Operasional..............................................................50
3.3.1 Variabel...........................................................................................50
3.3.2 Definisi Operasional.......................................................................50
3.4 Populasi dan Sampel..................................................................................51
3.4.1 Populasi .........................................................................................51
3.4.2 Sampel............................................................................................52
3.4.3 Kriteria inklusi................................................................................52
3.4.4 Kriteria eksklusi..............................................................................52
3.5 Instrumen Penelitian...................................................................................52
3.6 Cara Kerja Penelitian..................................................................................53
3.7 Alur Penelitian (alur penelitian).................................................................54
3.8 Analisis Data..............................................................................................55
3.8.1 Analisis Univariat...........................................................................55
3.9 Etika Penelitian...........................................................................................55

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BAB IV PEMBAHASAN
4.1 Profil Puskesmas Tanjung Karang..............................................................57
4.1.1 Keadaan geografi ...........................................................................58
4.1.2 Keadaan penduduk.........................................................................59
4.1.3 Keadaan umum kelurahan..............................................................59
4.1.4 Sarana dan Tenaga Kesehatan........................................................60
4.1.5 Derajat kesehatan............................................................................62
4.2 Hasil penelitian ..........................................................................................87
4.2.1 Karakteristik Sampel atau Responden...........................................87
4.2.1.1. Karakteristik Responden Berdasarkan Usia..................87
4.2.1.2. Karakteristik Responden Berdasarkan Jenis Kelamin...88
4.2.1.3. Karakteristik Responden Berdasarkan Tingkat

Pendidikan.....................................................................89
4.2.1.4. Karakteristik Responden Berdasarkan Pekerjaan..........91
4.2.2 Analisis univariat...........................................................................92
4.2.2.1 Gambaran Pengetahuan Keluarga Berdasarkan Penyebab

Demam Berdarah Dengue..............................................92

4.2.2.2 Gambaran Pengetahuan Keluarga Berdasarkan Tanda

Dan Gejala Demam Berdarah Dengue..........................93

4.2.2.3 Gambaran Pengetahuan Keluarga Berdasarkan

Pencegahan Demam Berdarah Dengue.........................94

4.2.2.4 Gambaran Pengetahuan Keluarga Berdasarkan

Penatalaksanaan Demam Berdarah Dengue..................96

4.3 Pembahasan ...............................................................................................97
BAB V PENUTUP
5.1 Simpulan..................................................................................................101
5.2 Saran ........................................................................................................102
Daftar Pustaka......................................................................................................103
Lampiran .............................................................................................................105

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 DAFTAR TABEL

Tabel 3.1 Definisi Operasional..............................................................................51

Tabel 4.1 Luas dan Waktu Tempuh Puskesmas.....................................................58

Tabel 4.2 Jumlah Penduduk dan Kepala Keluarga Tahun 2018............................59

Tabel 4.3 Keadaan Umum Desa Wilayah Kerja Puskesmas Tanjung Karang Tahun
2018........................................................................................................................59

Tabel 4.4 Data Ketenagaan Puskesmas Tanjung Karang Tahun 2018.................60

Tabel 4.5 Keadaan Sarana Prasarana Kesehatan Di Puskesmas Tanjung Karang

Tahun 2018.............................................................................................................62

Tabel 4.6. Hasil kegiatan program TB di Puskesmas Tanjung Karang Tahun

2018........................................................................................................................67

Tabel 4.7 Angka Konversi (Convention Rate).......................................................68

Tabel 4.8 Hasil pengobatan (untuk Kasus tahun 2017).........................................68

Tabel 4.9 Jumlah pencapaian program ISPA Puskesmas Tanjung Karang tahun
2018........................................................................................................................69

Tabel 4.11 Kasus ISPA pada masing –masing Kelurahan......................................70

Tabel 4.12 Data kasus IMS tahun 2018.................................................................71

Tabel 4.13 Penemuan Kasus Diare di Puskesmas Tanjung Karang Tahun 2018...73

Tabel 4.14. Angka Penemuan Kasus Baru Kusta Tahun 2018..............................74

Tabel 4.15.Pencapaian imunisasi tahun 2018........................................................76

Tabel 4.16. Pencapaian BIAS tahun 2018.............................................................77

Tabel 4.17. Distribusi Kasus demam berdarah dengue Puskesmas Tanjung Karang
Tahun 2018.............................................................................................................79

Tabel 4.17. Hasil Kegiatan Pemantauan Jentik Berkala (PJB) Tahun 2018....80

Tabel 4.18. Distribusi Kasus DBD Puskesmas Tanjung Karang Tahun 2019....80

Tabel 4.19. Kasus malaria Klinis Puskesmas Tanjung Karang..............................82

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Tabel 4.20. Hasil Pemantauan Penyakit Tidak Menular (PTM) Tahun 2018....83

Tabel 4.21 Jumlah jamaah haji tahun 2018............................................................85

Tabel 4.22. Kejadian Luar Biasa (KLB) di Puskesmas Tanjung Karang Tahun
2018........................................................................................................................86

Tabel 4.23. Karakteristik Responden Berdasarkan Usia.......................................87

Tabel 4.24. Karakteristik Responden Berdasarkan Jenis Kelamin........................88

Tabel 4.25. Karakteristik Responden Berdasarkan Tingkat Pendidikan................90

Tabel 4.26. Karakteristik Responden Berdasarkan Pekerjaan...............................91

Tabel4.27.Gambaran pengetahuan keluerga berdasarkan penyebab demam

berdarah dengue.....................................................................................................92

Tabel 4.28. Gambaran pengetahuan keluarga berdasarkan tanda dan gejala demam
berdarah dengue ...................................................................................................94

Tabel 4.29. Gambaran pengetahuan keluarga berdasarkan pencegahan demam

berdarah dengue ...................................................................................................95

Tabel 4.30. Gambaran pengetahuan keluarga berdasarkan penatalaksanaan demam

berdarah dengue ...................................................................................................96

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 DAFTAR GAMBAR

Gambar 2.1. Aedes aegypti betina..................................................................9

Gambar 2.2. Patogenesis Terjadinya Syok Pada DBD.................................19

Gambar 2.3. Patogenesis Terjadinya Perdarahan pada DBD........................20

Gambar 2.4.........................................Spektrum Klinis Infeksi Virus Dengue

21

Gambar 2.5. Klasifikasi Infeksi Dengue.......................................................22

Gambar 3.1. .............................................................................Alur penelitian

54

Gambar 4.1. ...............Peta Wilayah Puskesmas Tanjung Karang Tahun 2018

57

Gambar 4.2. Umur Harapan Hidup Kota Mataram Tahun 2007 – 2012.......64

Gambar 4.3 Data demam berdarah dengue pada bulan Januari-Juni dari
tahun 2017-2019...........................................................................................81

Gambar 4.4. ...............................................Diagram Sebaran Usia Responden

88

Gambar 4.5. ...............................Diagram Sebaran Jenis Kelamin Responden

89

Gambar 4.6. Diagram Sebaran Tingkat Pendidikan Responden...................90

Gambar 4.7. Diagram Sebaran Pekerjaan Responden..................................91

Gambar 4.8. Diagram gambaran pengetahuan keluarga berdasarkan

penyebab demam berdarah dengue...............................................................93

Gambar 4.9. Diagram gambaran pengetahuan keluarga berdasarkan tanda

dan gejala demam berdarah dengue..............................................................94

Gambar 4.10...............Diagram gambaran pengetahuan keluarga berdasarkan

pencegahan demam berdarah dengue...........................................................95

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Gambar 4.11.Diagram gambaran pengetahuan keluarga berdasarkan
penatalaksanaan demam berdarah dengue....................................................97

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 DAFTAR LAMPIRAN

Lampiran 1. Lembar Informed Consent...............................................................105

Lampiran 2. Lembar Persetujuan Menjadi Responden........................................106

Lampiran 3. Lembar Kuesioner Penelitian..........................................................107

Lampiran 4. Dokumentasi....................................................................................110

Lampiran 5. Surat Izin Penelitian........................................................................112

Lampiran 6. Data Primer Responden...................................................................113

Lampiran 7. Tabulasi data....................................................................................114

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