DAFTAR ISI

Halaman
HALAMAN JUDUL ..................................................................................... i
HALAMAN PERSETUJUAN ...................................................................... ii
KATA PENGANTAR ................................................................................... iii
ABSTRAK .................................................................................................... v
DAFTAR ISI ................................................................................................. vi
DAFTAR TABEL ......................................................................................... ix
DAFTAR BAGAN ........................................................................................ x
DAFTAR LAMPIRAN ................................................................................. xi

BAB I PENDAHULUAN
A. LATAR BELAKANG.................................................................................1
B. RUMUSAN MASALAH.............................................................................4
C. TUJUAN PENELITIAN..............................................................................4
D. MANFAAT PENELITIAN..........................................................................5
E. KEASLIAN PENELITIAN ........................................................................6
BAB II TINJAUAN PUSTAKA DAN KERANGKA TEORI
A. TINJAUAN PUSTAKA .................................................................... 9
1. ASAM URAT .............................................................................. 9
a. Pengertian............................................................................... 9
b. Etiologi Asam Urat ................................................................ 12
c. Patofisiologi............................................................................ 16
d. Penatalaksanaan...................................................................... 17
e. Pencegahan............................................................................. 22
f. Pemeriksaan Diagnostik......................................................... 23
g. Komplikasi ............................................................................ 25
2. KONSEP KEPATUHAN ............................................................ 26
a. Definisi Kepatuhan ................................................................ 26
b. Teori Munculnya Kepatuhan Dalam Mengkonsumsi Obat ... 29

vi
 c. Faktor-Faktor yang Mempengaruhi Kepatuhan..................... 32
3. KONSEP KETIDAKPATUHAN ................................................ 32
a. Pengertian Ketidakpatuhan .................................................... 32
b. Jenis Ketidakpatuhan ............................................................. 33
c. Faktor-Faktor yang Mempengaruhi Ketidakpatuhan ............ 33
d. Derajat Ketidakpatuhan.......................................................... 34
e. Faktor yang Berhubungan dengan Ketidakpatuhan............... 34
f. Akibat Ketidakpatuhan .......................................................... 35
g. Cara untuk Mengetahui Ketidakpatuhan ............................... 35
h. Mengukur Tingkat Ketidakpatuhan........................................ 36
4. KONSEP KEKAMBUHAN......................................................... 36
a. Definisi Kekambuhan............................................................. 36
b. Faktor Penyebab Terjadinya Kekambuhan ........................... 36
B. KERANGKA TEORI ........................................................................ 39
BAB III METODE PENELITIAN ..............................................................
40
A. KERANGKA KONSEP.................................................................... 40
B. HIPOTESA PENELITIAN................................................................ 41
C. VARIABEL PENELITIAN................................................................ 41
D. DEFINISI OPERASIONAL............................................................... 42
E. DESAIN PENELITIAN..................................................................... 43
F. POPULASI DAN SAMPEL............................................................... 43
G. TEMPAT PENELITIAN DAN WAKTU PENELITIAN.................. 46
H. ETIKA PENELITIAN........................................................................ 46
I. TEKNIK PENGUMPULAN DATA.................................................. 47
J. PROSEDUR PENGUMPULAN DATA............................................ 49
K. ANALISA DATA ............................................................................. 50
BAB IV HASIL PENELITIAN
A. KARAKTERISTIK RESPONDEN ................................................... 54
B. ANALISIS UNIVARIAT .................................................................. 55

vii
 1. Kepatuhan Minum Obat ..............................................................
56
2. Kekambuhan Pasien Asam Urat (Gout) ......................................
56
C. ANALISIS BIVARIAT ..................................................................... 57
BAB V PEMBAHASAN
A. INTERPRETASI DAN DISKUSI HASIL ........................................ 59
1. Analisis Univariat ........................................................................
59
2. Hubungan Kepatuhan Minum Obat Dengan Kekambuhan
Pasien Asam Urat (gout) di Ruang Medical Check Up Rumah
Sakit Pertamina Cilacap Tahun 2017 ..........................................
63
B. KETERBATASAN PENELITIAN ................................................... 65
C. IMPLIKASI TERHADAP PELAYANAN DAN PENELITIAN ..... 66
BAB VI SIMPULAN DAN SARAN
A. SIMPULAN ....................................................................................... 68
B. SARAN .............................................................................................. 68
Daftar Pustaka

viii
 ]DAFTAR TABEL

Halaman

Tabel 3.1 Identifikasi Variabel, Definisi Operasional, dan Skala

Pengukuran .................................................................................
42

Tabel 4.1. Karakteristik Pasien Asam Urat (Gout) di Ruang Medical

Check Up Rumah Sakit Pertamina Cilacap Tahun 2017............
55

Tabel 4.2. Distribusi Frekuensi Kepatuhan Minum Obat pada Pasien

Asam Urat (Gout) di Ruang Medical Check Up Rumah Sakit
Pertamina Cilacap Tahun 2017...................................................
56

Tabel 4.3. Distribusi Frekuensi Kekambuhan Pasien Asam Urat (Gout)

di Ruang Medical Check Up Rumah Sakit Pertamina Cilacap
Tahun 2017..................................................................................
57

Tabel 4.4. Hubungan Kepatuhan Minum Obat dengan Kekambuhan

Pasien Asam Urat (Gout) di Ruang Medical Check Up
Rumah Sakit Pertamina Cilacap Tahun 2017..............................
57

ix
 DAFTAR BAGAN

Halaman

Bagan 2.1. Kerangka Teori Penelitian ...................................................... 39

Bagan 3.1. Kerangka Konsep Penelitian .................................................. 40