DI BAGIAN ANESTESIOLOGI DAN REANIMASI RS Dr. SARDJITO YOGYAKARTA Tesis untuk memenuhi sebagian persyaratan mencapai derajat Sarjana S-2 Program Studi Ilmu Kedokteran Klinik MS-PPDS Anestesiologi dan Reanimasi diajukan oleh : ARDIANTO 03/1862/I-SP/0092 Kepada SEKOLAH PASCASARJANA UNIVERSITAS GADJAH MADA YOGYAKARTA 2007 xii INTISARI Tujuan: Mengetahui kebermaknaan hubungan antara pengetahuan aspek yuridis medis dan pertimbangan subjektif provider dengan penerapan informed consent di bagian anestesiologi dan reanimasi RS Dr. Sardjito. Desain: penelitian observasional dengan desain cross sectional. Studi korelasi dikaji terhadap pengetahuan yuridis medis dan pertimbangan normatif dalam hubungannya dengan penerapan informed consent. Subjek: subjek penelitian ini adalah dokter spesialis yang bekerja di bagian anestesiologi dan reanimasi RS Dr. Sardjito Yogyakarta. Pengambilan sampel dilakukan secara purposive dan accidentil, yaitu dokter spesialis diambil yang bertugas sore hari di bagian anestesiologi dan reanimasi RS Dr. Sardjito. Observasi: Observasi langsung dilakukan dengan mengamati pelaksanaan informed consent masing-masing provider sebelum dilakukan tindakan medik dengan berpedoman pada chek list. Observasi Tidak langsung dilakukan dengan cara mengecek dokumen menggunakan Check List dengan sampel rekam medik pasien sejak 1 Maret 2007 s.d 8 Maret 2007 sebanyak 100 orang. Pengukuran: Data dikumpulkan dengan instrumen kuesioner. Skala nominal digunakan untuk mengukur data jenis kelamin, sedangkan data pengetahuan yuridis medis, penerapan informed consent, umur, pendidikan, tingkat penghasilan, dan lama kerja diukur dengan skala ordinal. Analisis data: analisis data dilakukan dengan uji univariabel menggunakan uji distribusi frekuensi, uji bivariabel menggunakan uji chi square berdasarkan tabel 2 x 2, dan uji multivariabel menggunakan uji regresi logistik. Kata kunci: pengetahuan aspek yuridis medis, informed consent xiii ABSTRACT Objective: To investigate the significance of the correlation between the knowledge of the medical juridical aspect and the provider subjective consideration of the implementation of informed consent in the anesthesiology and the reanimation of Dr. Sardjito hospital. Design: It is an observational study with cross sectional design. The correlation study investigates the correlation between the medical juridical knowledge and the normative consideration in its relationship with the implementation of informed consent. Subject: The subject of the study is the specialists in the anesthesiology and reanimation department of Dr. Sardjito hospital, Yogyakarta. The samples are drawn using purposive and accidental techniques, which mean that the specialists working in the evening shift of the anesthesiology and reanimation department of Dr. Sardjito hospital. Observation: Direct observation is conducted by observing the implementation of the informed consent of each of the providers before a medical treatment is carried out following the existing check list. Indirect observation is conducted by checking the documents using the check list with the samples of medical record of the patients since March 1st, 2007 to March 8th, 2007 in the sum of 100 individuals. Measurement: The data is collected using questionnaire instrument. Nominal scale is used to measure the data of sex, while the data of medical juridical knowledge, the implementation of informed consent, age, education, income, and working period are measured using ordinal scale. Data analysis: The data is analyzed using the univariable test of frequency distribution, bivariable test using chi square test based on 2 x 2 table and multivariable test using logistic regression test. Key words: the knowledge of medical juridical aspect, informed consent.