Lampiran 1

PERSETUJUAN MENJADI RESPONDEN PENELITIAN

(Inform Consent)

Yang bertanda tangan dibawah ini :

Nama (inisial) :

Umur :

Pekerjaan :

Alamat :

Menyatakan dengan sesungguhnya bahwa setelah mendapatkan penjelasan

penelitian dan memahami informasi yang diberikan oleh peneliti serta mengetahui

tujuan dan manfaat dari penelitian, maka dengan ini saya secara sukarela bersedia

menjadi responden dalam penelitian ini.

Demikian pernyataan ini respoden dibuat dengan sebenar-benarnya dan penuh

kesadaran dan tanpa paksaan dari pihak manapun.

Makassar,................................2017

yang menyatakan

(.....................................)
 KUESIONER PENELITIAN
KUESIONER A : KARAKTERISTIK RESPONDEN

Petunjuk :

Jawablah pertanyaan dibawah ini dengan cara menuliskan jawaban atau

melingkari alternatif jawaban yang telah tersedia

No. Responden :

Usia : ................. Tahun

Jenis Kelamin : 1. Laki-laki 2. Perempuan

Tingkat pendidikan : 1. SD

2. SMP

3. SMA

4. DIII

5. S1

Pekerjaan :

Pernah mengikuti pengobatan TB : 1. Ya 2. Tidak

Kontak dengan pasien TB : 1. Ya 2. Tidak

Pengawas Menelan Obat (PMO) : 1. Ada 2. Tidak

Hasil Pemetiksaan Lab/VCT* : 1. Positif 2. Negatif

Resisten terhadap OAT * : 1. Negatif 2. Positif

Ket:

*= diisi oleh peneliti berdasarkan hasil pemeriksaan

KUESIONER B : PERNYATAAN TENTANG PERILAKU PETUGAS
KESEHATAN

Petunjuk :

1. Isilah daftar pernyataan tentang perilaku Petugas Kesehatan dengan

memberikan tanda (√ ) pada kolom yang disediakan. Pernyataan sesuai

dengan yang persepsi saudara

NO PERTANYAAN Ya Tidak
1) Petugas Kesehatan selalu ada di ruang Poli DOTS
2) Petugas Kesehatan selalu ramah dalam melayanani
Pasien
3) Petugas kesehatan (petugas TB) memiliki banyak
kesibukan sehingga sulit ditemui oleh pasien
4) Petugas TB sangat cuek dan tidak memperhatikan
pasien
5) Petugas selalu mengunjungi rumah pasien bila pasien
lupa mengambil obat
6) Petugas TB memotivasi pasien jika pasien datang ke
Puskesmas
7) Petugas TB selalu menghubungi pasien agar rutin
mengambil obat
8) .Petugas TB memberi obat sesuai dengan kebutuhan
pasien
KUESIONER C : PERNYATAAN TENTANG PENGETAHUAN TB MDR

Petunjuk :

2. Isilah daftar pernyataan tentang perilaku caring dengan memberikan tanda (√

) pada kolom yang disediakan. Pernyataan sesuai dengan yang persepsi

saudara

NO PERTANYAAN Benar Salah

1. PENGETAHUAN
1) Penyakit TB disebabkan oleh kuman
2) Gejala utama penyakit TB adalah batuk lebih dari 20
hari
3) Penyakit TB dapat menular dari pasien TB ke orang
yang ada disekitarnya apabila tidak segera diobati
4) TB MDR merupakan penyakit TB lanjutan

5) Orang yang tidak teratur minum obat TB dapat terkena

TB MDR
6) TB MDR adalah dampak dari ketidakpatuhan berobat
pada TB kategori I
7) Pasien TB akan dinyatakan MDR melalui pemeriksaan
lanjutan (Tes Cepat Molekuler)
8) .Pasien TB MDR akan menjalani pengobatan yang
panjang dan lama serta jumlah obat yang banyak
9) Pasien TB MDR wajib minum obat setiap hari sesuai
program
10) Pasien TB MDR perlu menggunakan alat pelindung diri
karena dapat menularkan kepada keluarga dan orang
disekitarnya.
RECODE umur (35 thru 54=2) (15 thru 34=1) INTO Kat_umur.
VARIABLE LABELS Kat_umur 'Kat_umur'.
EXECUTE.
FREQUENCIES VARIABLES=Kat_umur Jk riwayat_berobat kontak_TB PMO VCT Perilaku_ptugas Pengetahuan Resistensi_OAT
/ORDER=ANALYSIS.

Frequencies

[DataSet0]

Statistics

riwayat_ Perilaku_
Kat_umur Jk berobat kontak_TB PMO VCT ptugas
N Valid 60 60 60 60 60 60 60
Missing 0 0 0 0 0 0 0

Statistics

Resistensi_
Pengetahuan OAT
N Valid 60 60
Missing 0 0

Frequency Table
Kat_umur

Cumulative
Frequency Percent Valid Percent Percent
Valid 15-34 tahun 34 56.7 56.7 56.7
35-54 tahun 26 43.3 43.3 100.0
Total 60 100.0 100.0

Jk

Cumulative
Frequency Percent Valid Percent Percent
Valid laki-laki 25 41.7 41.7 41.7

Page 1
 Jk

Cumulative
Frequency Percent Valid Percent Percent
Valid Perempuan 35 58.3 58.3 100.0
Total 60 100.0 100.0

riwayat_berobat

Cumulative
Frequency Percent Valid Percent Percent
Valid Ya 54 90.0 90.0 90.0
Tidak 6 10.0 10.0 100.0
Total 60 100.0 100.0

kontak_TB

Cumulative
Frequency Percent Valid Percent Percent
Valid Ya 47 78.3 78.3 78.3
Tidak 13 21.7 21.7 100.0
Total 60 100.0 100.0

PMO

Cumulative
Frequency Percent Valid Percent Percent
Valid Ada 40 66.7 66.7 66.7
Tidak ada 20 33.3 33.3 100.0
Total 60 100.0 100.0

VCT

Cumulative
Frequency Percent Valid Percent Percent
Valid Positif 15 25.0 25.0 25.0
negatif 45 75.0 75.0 100.0
Total 60 100.0 100.0

Perilaku_ptugas

Cumulative
Frequency Percent Valid Percent Percent
Valid Baik 36 60.0 60.0 60.0
Kurang 24 40.0 40.0 100.0
Total 60 100.0 100.0

Pengetahuan

Cumulative
Frequency Percent Valid Percent Percent
Valid Baik 45 75.0 75.0 75.0
Kurang 15 25.0 25.0 100.0
Total 60 100.0 100.0

Page 2
 Resistensi_OAT

Cumulative
Frequency Percent Valid Percent Percent
Valid Negatif 3 5.0 5.0 5.0
Positif 57 95.0 95.0 100.0
Total 60 100.0 100.0

CROSSTABS
/TABLES=Kat_umur BY Resistensi_OAT
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ CC RISK
/CELLS=COUNT EXPECTED TOTAL
/COUNT ROUND CELL.

Crosstabs

[DataSet0]

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
Kat_umur *
Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

Kat_umur * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
Kat_umur 15-34 tahun Count 1 33 34
Expected Count 1.7 32.3 34.0
% of Total 1.7% 55.0% 56.7%
35-54 tahun Count 2 24 26
Expected Count 1.3 24.7 26.0
% of Total 3.3% 40.0% 43.3%
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Page 3
 Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square .700 a 1 .403
Continuity Correction b .057 1 .811
Likelihood Ratio .697 1 .404
Fisher's Exact Test .574 .399
Linear-by-Linear
Association .688 1 .407
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is 1,30.
b. Computed only for a 2x2 table

Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .107 .403
N of Valid Cases 60

Risk Estimate

95% Confidence Interval

Value Lower Upper
Odds Ratio for Kat_umur
(15-34 tahun / 35-54 .364 .031 4.245
tahun)
For cohort
Resistensi_OAT = Negatif .382 .037 3.991
For cohort
Resistensi_OAT = Positif 1.051 .928 1.192
N of Valid Cases 60

CROSSTABS
/TABLES=Jk BY Resistensi_OAT
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ CC RISK
/CELLS=COUNT EXPECTED TOTAL
/COUNT ROUND CELL.

Crosstabs

Page 4
[DataSet0]

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
Jk * Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

Jk * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
Jk laki-laki Count 2 23 25
Expected Count 1.2 23.8 25.0
% of Total 3.3% 38.3% 41.7%
Perempuan Count 1 34 35
Expected Count 1.8 33.2 35.0
% of Total 1.7% 56.7% 58.3%
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square .812 a 1 .368
Continuity Correction b .090 1 .764
Likelihood Ratio .802 1 .371
Fisher's Exact Test .565 .374
Linear-by-Linear
Association .798 1 .372
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is 1,25.
b. Computed only for a 2x2 table

Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .116 .368
N of Valid Cases 60

Page 5
 Risk Estimate

95% Confidence Interval

Value Lower Upper
Odds Ratio for Jk (laki-
laki / Perempuan) 2.957 .253 34.539
For cohort
Resistensi_OAT = Negatif 2.800 .268 29.212
For cohort
Resistensi_OAT = Positif .947 .833 1.077
N of Valid Cases 60

CROSSTABS
/TABLES=riwayat_berobat BY Resistensi_OAT
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ CC RISK
/CELLS=COUNT EXPECTED TOTAL
/COUNT ROUND CELL.

Crosstabs

[DataSet0]

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
riwayat_berobat *
Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

riwayat_berobat * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
riwayat_berobat Ya Count 1 53 54
Expected Count 2.7 51.3 54.0
% of Total 1.7% 88.3% 90.0%
Tidak Count 2 4 6
Expected Count .3 5.7 6.0
% of Total 3.3% 6.7% 10.0%

Page 6
 riwayat_berobat * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square 11.267 a 1 .001
Continuity Correction b 5.614 1 .018
Likelihood Ratio 6.224 1 .013
Fisher's Exact Test .024 .024
Linear-by-Linear
Association 11.079 1 .001
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is ,30.
b. Computed only for a 2x2 table

Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .398 .001
N of Valid Cases 60

Risk Estimate

95% Confidence Interval

Value Lower Upper
Odds Ratio for
riwayat_berobat (Ya / .038 .003 .511
Tidak)
For cohort
Resistensi_OAT = Negatif .056 .006 .526
For cohort
Resistensi_OAT = Positif 1.472 .835 2.595
N of Valid Cases 60

SAVE OUTFILE='C:\Users\User\Documents\Skripsi MDR\spss 60.sav'

/COMPRESSED.
CROSSTABS
/TABLES=kontak_TB BY Resistensi_OAT
/FORMAT=AVALUE TABLES

Page 7
 /STATISTICS=CHISQ CC RISK
/CELLS=COUNT EXPECTED TOTAL
/COUNT ROUND CELL.

Crosstabs

[DataSet0] C:\Users\User\Documents\Skripsi MDR\spss 60.sav

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
kontak_TB *
Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

kontak_TB * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
kontak_TB Ya Count 3 44 47
Expected Count 2.4 44.6 47.0
% of Total 5.0% 73.3% 78.3%
Tidak Count 0 13 13
Expected Count .6 12.4 13.0
% of Total .0% 21.7% 21.7%
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square .873 a 1 .350
Continuity Correction b .047 1 .829
Likelihood Ratio 1.508 1 .219
Fisher's Exact Test 1.000 .474
Linear-by-Linear
Association .859 1 .354
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is ,65.
b. Computed only for a 2x2 table

Page 8
 Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .120 .350
N of Valid Cases 60

Risk Estimate

95% Confidence Interval

Value Lower Upper
For cohort
Resistensi_OAT = Positif .936 .869 1.009
N of Valid Cases 60

CROSSTABS
/TABLES=PMO BY Resistensi_OAT
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ CC RISK
/CELLS=COUNT EXPECTED TOTAL
/COUNT ROUND CELL.

Crosstabs

[DataSet0] C:\Users\User\Documents\Skripsi MDR\spss 60.sav

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
PMO * Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

PMO * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
PMO Ada Count 1 39 40
Expected Count 2.0 38.0 40.0
% of Total 1.7% 65.0% 66.7%
Tidak ada Count 2 18 20
Expected Count 1.0 19.0 20.0

Page 9
 PMO * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
PMO Tidak ada % of Total 3.3% 30.0% 33.3%
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square 1.579 a 1 .209
Continuity Correction b .395 1 .530
Likelihood Ratio 1.466 1 .226
Fisher's Exact Test .255 .255
Linear-by-Linear
Association 1.553 1 .213
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is 1,00.
b. Computed only for a 2x2 table

Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .160 .209
N of Valid Cases 60

Risk Estimate

95% Confidence Interval

Value Lower Upper
Odds Ratio for PMO (Ada /
Tidak ada) .231 .020 2.713
For cohort
Resistensi_OAT = Negatif .250 .024 2.594
For cohort
Resistensi_OAT = Positif 1.083 .928 1.264
N of Valid Cases 60

CROSSTABS
/TABLES=VCT BY Resistensi_OAT
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ CC RISK
/CELLS=COUNT EXPECTED TOTAL

Page 10
 /COUNT ROUND CELL.

Crosstabs

[DataSet0] C:\Users\User\Documents\Skripsi MDR\spss 60.sav

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
VCT * Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

VCT * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
VCT Positif Count 1 14 15
Expected Count .8 14.2 15.0
% of Total 1.7% 23.3% 25.0%
negatif Count 2 43 45
Expected Count 2.2 42.8 45.0
% of Total 3.3% 71.7% 75.0%
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square .117 a 1 .732
Continuity Correction b .000 1 1.000
Likelihood Ratio .110 1 .740
Fisher's Exact Test 1.000 .585
Linear-by-Linear
Association .115 1 .735
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is ,75.
b. Computed only for a 2x2 table

Page 11
 Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .044 .732
N of Valid Cases 60

Risk Estimate

95% Confidence Interval

Value Lower Upper
Odds Ratio for VCT
(Positif / negatif) 1.536 .129 18.248
For cohort
Resistensi_OAT = Negatif 1.500 .146 15.390
For cohort
Resistensi_OAT = Positif .977 .841 1.134
N of Valid Cases 60

CROSSTABS
/TABLES=Pengetahuan BY Resistensi_OAT
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ CC RISK
/CELLS=COUNT EXPECTED TOTAL
/COUNT ROUND CELL.

Crosstabs

[DataSet0] C:\Users\User\Documents\Skripsi MDR\spss 60.sav

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
Pengetahuan *
Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

Pengetahuan * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
Pengetahuan Baik Count 3 42 45

Page 12
 Pengetahuan * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
Pengetahuan Baik Expected Count 2.2 42.8 45.0
% of Total 5.0% 70.0% 75.0%
Kurang Count 0 15 15
Expected Count .8 14.2 15.0
% of Total .0% 25.0% 25.0%
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square 1.053 a 1 .305
Continuity Correction b .117 1 .732
Likelihood Ratio 1.778 1 .182
Fisher's Exact Test .566 .415
Linear-by-Linear
Association 1.035 1 .309
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is ,75.
b. Computed only for a 2x2 table

Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .131 .305
N of Valid Cases 60

Risk Estimate

95% Confidence Interval

Value Lower Upper
For cohort
Resistensi_OAT = Positif .933 .863 1.009
N of Valid Cases 60

CROSSTABS
/TABLES=Perilaku_ptugas BY Resistensi_OAT
/FORMAT=AVALUE TABLES
/STATISTICS=CHISQ CC RISK

Page 13
 /CELLS=COUNT EXPECTED TOTAL
/COUNT ROUND CELL.

Crosstabs

[DataSet0] C:\Users\User\Documents\Skripsi MDR\spss 60.sav

Case Processing Summary

Cases
Valid Missing Total
N Percent N Percent N Percent
Perilaku_ptugas *
Resistensi_OAT 60 100.0% 0 .0% 60 100.0%

Perilaku_ptugas * Resistensi_OAT Crosstabulation

Resistensi_OAT
Negatif Positif Total
Perilaku_ptugas Baik Count 1 35 36
Expected Count 1.8 34.2 36.0
% of Total 1.7% 58.3% 60.0%
Kurang Count 2 22 24
Expected Count 1.2 22.8 24.0
% of Total 3.3% 36.7% 40.0%
Total Count 3 57 60
Expected Count 3.0 57.0 60.0
% of Total 5.0% 95.0% 100.0%

Chi-Square Tests

Asymp. Sig. Exact Sig. (2- Exact Sig. (1-

Value df (2-sided) sided) sided)
Pearson Chi-Square .936 a 1 .333
Continuity Correction b .132 1 .717
Likelihood Ratio .915 1 .339
Fisher's Exact Test .558 .350
Linear-by-Linear
Association .920 1 .337
N of Valid Cases b 60

a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is 1,20.
b. Computed only for a 2x2 table

Page 14
 Symmetric Measures

Value Approx. Sig.

Nominal by Nominal Contingency Coefficient .124 .333
N of Valid Cases 60

Risk Estimate

95% Confidence Interval

Value Lower Upper
Odds Ratio for
Perilaku_ptugas (Baik / .314 .027 3.675
Kurang)
For cohort
Resistensi_OAT = Negatif .333 .032 3.475
For cohort
Resistensi_OAT = Positif 1.061 .929 1.211
N of Valid Cases 60

Page 15