LAMPIRAN

Lampiran 1

Informed Consent

Persetujuan Menjadi Responden

Selamat pagi/siang/sore bapak/ibu

Perkenalkan nama saya Bryan A. Choesni mahasiswa SI Program Studi Ilmu Keperawatan,

Fakultas Kesehatan, Universitas Kristen Indonesia Maluku akan melakukan penilitian dengan

judul “Faktor-Faktor Yang Berhubungan Dengan Kejadian Penyakit Malaria Tertiana”

keperluan tersebut, saya mohon kesediaan bapak/ibu untuk menjadi responden dalam penilitian

ini dimana bapak/ibu akan mengisi kuesioner yang telah disediakan dengan jujur terkait dengan

penilitian saya lakukan. Semua informasi yang bapak/ibu berikan dijamin kerahasiaannya.

Setelah Bapak/Ibu membaca maksud dan kegiatan penilitian diatas, maka saya mohon

untuk mengisi nama dan tanda tangan di bawah ini.

Nama :

Tanda Tangan :

Terima kasih atas kesediaan Bapak/Ibu untuk ikut serta selama penilitian ini.
Lampiran 2

LEMBARAN KUESIONER

Faktor-Faktor Yang Berhubungan Dengan Kejadian Penyakit Malaria Tertiana Pada

Pasien Di Rsu Piru Seram Bagian Barat 2017

A. identitas responden

nama :

umur :

jenis kelamin :

pekerjaan :

B. petunjuk : Berilah tanda check (√) pada kolom yang telah disediakan sesuai pendapat

saudara yang dianggap benar.

Kuesioner Pengetahuan

No Penyataan Jawaban
Ya Tidak
1. Malaria merupakan penyakit infeksi yang disebabkan oleh
parasit plasmodium
2. Lingkungan yang kotor dapat menyebabkan terjadinya
penyakit malaria
3. Penyebab penyakit malaria adalah plasmodium
4 Plasmodium vivax bukan penyebab malaria pada manusia

5. Tanda dan gejala malaria tertiana yaitu demam pada hari

ke tiga
6. Plasmodium vivax menginfeksi sel darah merah yang
muda
7. Penyakit malaria ditularkan melalui sentuhan atau air liur
orang yang menderita penyakit malaria.
8. Penularan penyakit malaria dipengaruhi oleh faktor Host,
Agent dan lingkungan.
9. Karakteristik naymuk anopheles yaitu hidup di daerah
tropik dan sub tropic
10. Gejala penyakit malaria yaitu demam tinggi, menggigil,
berkeringat, sakit kepala
11. Penularan pada manusia melalui transfusi darah atau jarum
suntik yang tercemar serta dari ibu hamil kepada janinnya
12. Nyamuk malaria menggigit manusia pada saat malam hari.
13. Penularan Penyakit malaria di sebabkan oleh nyamuk
Anopheles
14. Nyamuk anopheles jantan tidak dapat menularkan malaria

15. Menemukan dan mengobati penderita sedini mungkin akan

sangat membantu mencegah penularan
16. Tidak keluar rumah saat pagi adalah salah satu pencegahan
dari suatu gigitan malaria
17. Menggunakan kelambu yang mengandung insektisida
adalah salah satu pencegahan malaria.
18 Penderita malaria dapat mengalami anemia.

Kuesioner perilaku

No Pertanyaan Jawaban
Ya Tidak
1. Apakah anda sudah mengikuti program pemerintah dalam
pemberantasan penyakit malaria ?
2. Apakah anda pernah menderita penyakit malaria (karena
perilaku yang tidak hidup sehat dan bersih) ?
3. Apakah anda memberikan obat penurun panas jika sala
satu anggota keluarga yang diduga terkena malaria ?
4. Apakah anda melakukan pengobatan secara rutin ?
5. Apakah anda sering keluar malam tanpa menggunakan
jaket atau pakaian berlengan panjang ?
6. Apakah anda sering menggantungkan pakaian didalam
rumah baik kotor maupun bersih ?
7. Apakah anda menggunakan kelambu saat tidur ?
8. Apakah anda menggunakan obat anti nyamuk bakar,
semprot dan oles (lotion) pada saat akan tidur ?
9. Apakah anda mengerikan tempat air tergenang di rumah
dan sekitar rumah ?
10. Apakah anda berpatisipasi dengan masyarakat dalam
penanggulangan penyakit malaria ?

Terimah Kasih Atas Partisipasinya

Tuhan Memberkati
 Lampiran 3

HASIL UJI KUISIONER PENELITIAN PENGETAHUAN DAN PERILAKU DI RUMAH

SAKIT SUMBER HIDUP

A. PENGETAHUAN

Correlations
total
p1 p2 p3 p4 p5 p6 p7 p8 p9 p10 p11 p12 p13 p14 p15 p16 p17 p18 p19 p20 skor
p Pearson
.472* .523* .796* .934 - .773*
1 Correlatio 1 * * .150 .381* .033 * .384* .235 .455* ** .385* .233 .186 -.279 .172 .238 .313 .451* *
.144
n
Sig. (2-
.008 .003 .428 .038 .864 .000 .036 .210 .012 .000 .035 .215 .448 .326 .136 .363 .206 .092 .012 .000
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.472* - .472 .398 .627*
2 Correlatio * 1 .111 .176 .279 .234 .354 .193 .118 .327 .354 .380* .202 ** -.042 * .279 .441* .234 *
.200
n
Sig. (2-
.008 .558 .352 .136 .212 .055 .307 .534 .078 .055 .038 .284 .289 .008 .825 .029 .136 .015 .212 .000
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.523* .577 - - - .508*
3 Correlatio * .111 1 .253 .250 .342 .433* .433* .354 .309 ** .213 .213 -.236 .049 .111 .196 *
.236 .190 .050
n
Sig. (2-
.003 .558 .177 .183 .064 .017 .017 .055 .097 .001 .258 .258 .209 .314 .209 .797 .793 .558 .300 .004
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.894 - .402 .505*
4 Correlatio .150 .176 .253 1 .443* .402* .000 .000 ** .293 .183 -.067 .135 .150 -.060 * .063 .388* .217 *
.239
n
Sig. (2- 1.00 1.00
.428 .352 .177 .014 .028 .000 .116 .334 .723 .477 .203 .428 .754 .028 .740 .034 .250 .004
tailed) 0 0
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.463* - .542*
5 Correlatio .381* .279 .250 .443* 1 .196 .433* .144 .354 * .289 .053 .213 .238 -.236 .196 .100 .446* -.098 *
.236
n
Sig. (2-
.038 .136 .183 .014 .300 .017 .447 .055 .010 .122 .780 .258 .209 .206 .209 .300 .599 .014 .607 .002
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson -
.484 .569
6 Correlatio .033 .234 .342 .402* .196 1 -.056 .085 ** -.045 .085 .010 .167 .434 .033 -.018 ** .196 .398* .426* .434*
*
n
Sig. (2-
.864 .212 .064 .028 .300 .767 .656 .007 .812 .656 .956 .378 .016 .864 .923 .001 .300 .029 .019 .016
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.796* .722 - - .547*
7 Correlatio * .354 .433* .000 .433* -.056 1 .306 .102 .356 ** .123 .277 -.355 .085 .144 .193 .226 *
.218 .027
n
Sig. (2- 1.00
.000 .055 .017 .017 .767 .101 .591 .053 .000 .517 .138 .247 .885 .055 .656 .447 .307 .230 .002
tailed) 0
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
- - .433
8 Correlatio .384* .193 .433* .000 .144 .085 .306 1 .102 .208 .306 .123 .123 .055 .085 * .032 .085 .448*
.082 .027
n
Sig. (2- 1.00
.036 .307 .017 .447 .656 .101 .591 .270 .101 .517 .517 .667 .885 .775 .656 .017 .866 .656 .013
tailed) 0
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.894* .484* - .516*
9 Correlatio .235 .118 .354 * .354 * .102 .102 1 .218 .272 -.113 .264 .067 -.134 .311 .000 .315 .311 *
.301
n
Sig. (2- 1.00
.210 .534 .055 .000 .055 .007 .591 .591 .247 .146 .552 .159 .106 .724 .481 .094 .090 .094 .003
tailed) 0
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.463* - - .518*
1 Correlatio .455* .327 .309 .293 * -.045 .356 .208 .218 1 .356 .263 .263 .308 -.321 .000 .327 .106 *
.175 .045
0 n
Sig. (2- 1.00
.012 .078 .097 .116 .010 .812 .053 .270 .247 .053 .160 .160 .355 .097 .084 .812 .078 .578 .003
tailed) 0
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.934* .577* .722* - .508* .745*
1 Correlatio * .354 * .183 .289 .085 * .306 .272 .356 1 .277 .277 .110 -.218 .226 .144 .354 * *
.082
1 n
Sig. (2-
.000 .055 .001 .334 .122 .656 .000 .101 .146 .053 .138 .138 .667 .563 .247 .230 .447 .055 .004 .000
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
- - .385
1 Correlatio .385* .380* .213 -.067 .053 .010 .123 .123 .263 .277 1 .318 -.262 .010 .053 .202 .010 .367*
.113 .111 *
2 n
Sig. (2-
.035 .038 .258 .723 .780 .956 .517 .517 .552 .160 .138 .087 .560 .035 .162 .956 .780 .284 .956 .046
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
- - -
1 Correlatio .233 .202 .213 .135 .213 .167 .277 .123 .264 .263 .277 .318 1 .081 .167 .380* .010 .367*
.262 .413* .267
3 n
Sig. (2-
.215 .284 .258 .477 .258 .378 .138 .517 .159 .160 .138 .087 .162 .670 .023 .378 .155 .038 .956 .046
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
- - - - - .598* - -
1 Correlatio -.144 -.200 -.236 -.239 -.236 * -.218 -.082 -.175 -.111 1 -.042 -.157 -.182
.434 .301 .082 .262 .144 * .296 .094
4 n
Sig. (2-
.448 .289 .209 .203 .209 .016 .247 .667 .106 .355 .667 .560 .162 .448 .000 .113 .619 .825 .407 .335
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.472* - .381 .472*
1 Correlatio .186 * -.190 .150 .238 .033 -.027 -.027 .067 .308 .110 .385* .081 1 -.144 .172 * * .033 .398*
.144
5 n
Sig. (2-
.326 .008 .314 .428 .206 .864 .885 .885 .724 .097 .563 .035 .670 .448 .448 .363 .038 .008 .864 .029
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson -
- - .598 -
1 Correlatio -.279 -.042 -.236 -.060 -.236 -.018 -.355 .055 -.321 -.262 .413 ** 1 .120 .047 -.200 -.018 -.118
.134 .218 * .144
6 n
Sig. (2-
.136 .825 .209 .754 .209 .923 .055 .775 .481 .084 .247 .162 .023 .000 .448 .527 .804 .289 .923 .536
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.569* - .562* .518*
1 Correlatio .172 .398* .049 .402* .196 * .085 .085 .311 -.045 .226 .010 .167 .172 .120 1 .342 * .282 *
.296
7 n
Sig. (2-
.363 .029 .797 .028 .300 .001 .656 .656 .094 .812 .230 .956 .378 .113 .363 .527 .064 .001 .131 .003
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
- - .381
1 Correlatio .238 .279 -.050 .063 .100 .196 .144 .433* .000 .000 .144 .053 .047 .342 1 .279 .196 .388*
.267 .094 *
8 n
Sig. (2- 1.00 1.00
.206 .136 .793 .740 .599 .300 .447 .017 .447 .780 .155 .619 .038 .804 .064 .136 .300 .034
tailed) 0 0
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.380 - .472 .562 .684*
1 Correlatio .313 .441* .111 .388* .446* .398* .193 .032 .315 .327 .354 .202 * -.200 ** .279 1 .234
.042 ** *
9 n
Sig. (2-
.092 .015 .558 .034 .014 .029 .307 .866 .090 .078 .055 .284 .038 .825 .008 .289 .001 .136 .212 .000
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
p Pearson
.508 - .468*
2 Correlatio .451* .234 .196 .217 -.098 .426* .226 .085 .311 .106 ** .010 .010 .033 -.018 .282 .196 .234 1 *
.157
0 n
Sig. (2-
.012 .212 .300 .250 .607 .019 .230 .656 .094 .578 .004 .956 .956 .407 .864 .923 .131 .300 .212 .009
tailed)
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
to Pearson
.773* .627* .508* .505* .542* .547* .516 .518* .745 * .367 - .398 .518 .388 .684* .468*
ta Correlatio * * * * * .434* * .448* ** * ** .367 * * -.118 ** * * * 1
.182
l n
sk Sig. (2-
or tailed) .000 .000 .004 .004 .002 .016 .002 .013 .003 .003 .000 .046 .046 .335 .029 .536 .003 .034 .000 .009
N 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30
**. Correlation is significant at
the 0.01 level (2-tailed).
*. Correlation is significant at
the 0.05 level (2-tailed).

Case Processing Summary

N %
Cases Valid 30 100.0
a
Excluded 0 .0
Total 30 100.0
a. Listwise deletion based on all variables
in the procedure.

Reliability Statistics
Cronbach's
Alpha N of Items
.789 20

Item Statistics
Mean Std. Deviation N
p1 .57 .504 30
p2 .77 .430 30
p3 .67 .479 30
p4 .83 .379 30
p5 .67 .479 30
p6 .63 .490 30
p7 .60 .498 30
p8 .60 .498 30
p9 .80 .407 30
p10 .70 .466 30
p11 .60 .498 30
p12 .73 .450 30
p13 .73 .450 30
p14 .53 .507 30
p15 .57 .504 30
p16 .53 .507 30
p17 .63 .490 30
p18 .67 .479 30
p19 .77 .430 30
p20 .63 .490 30

Item-Total Statistics
Corrected Cronbach's
Scale Mean if Scale Variance Item-Total Alpha if Item
Item Deleted if Item Deleted Correlation Deleted
p1 12.67 14.851 .722 .755
p2 12.47 15.775 .570 .768
p3 12.57 16.047 .425 .776
p4 12.40 16.455 .426 .777
p5 12.57 15.978 .444 .775
p6 12.60 16.317 .341 .781
p7 12.63 15.826 .463 .773
p8 12.63 16.240 .354 .781
p9 12.43 16.323 .432 .777
p10 12.53 16.120 .420 .776
p11 12.63 14.999 .690 .758
p12 12.50 16.741 .262 .786
p13 12.50 16.741 .262 .786
p14 12.70 18.976 -.300 .821
p15 12.67 16.506 .281 .785
p16 12.70 18.631 -.224 .816
p17 12.60 15.972 .433 .775
p18 12.57 16.530 .295 .784
p19 12.47 15.637 .614 .766
p20 12.60 16.179 .378 .779
 B. PERILAKU

Correlations
skor_tota
p1 p2 p3 p4 p5 p6 p7 p8 p9 p10 l
p1 Pearson
1 .432* .554** .200 .408* .120 .736** .397* .200 .408* .762**
Correlation
Sig. (2-tailed) .017 .001 .288 .025 .527 .000 .030 .288 .025 .000
N 30 30 30 30 30 30 30 30 30 30 30
p2 Pearson
.432* 1 .155 .118 .327 .234 .354 .234 .118 .327 .551**
Correlation
Sig. (2-tailed) .017 .414 .534 .078 .212 .055 .212 .534 .078 .002
N 30 30 30 30 30 30 30 30 30 30 30
p3 Pearson
.554** .155 1 .218 .206 .257 .505** .408* .400* .365* .688**
Correlation
Sig. (2-tailed) .001 .414 .247 .274 .171 .004 .025 .028 .047 .000
N 30 30 30 30 30 30 30 30 30 30 30
p4 Pearson
.200 .118 .218 1 .400* .484** -.068 -.035 .792** .218 .525**
Correlation
Sig. (2-tailed) .288 .534 .247 .028 .007 .721 .856 .000 .247 .003
N 30 30 30 30 30 30 30 30 30 30 30
p5 Pearson
.408* .327 .206 .400* 1 .106 .505** .106 .400* .524** .661**
Correlation
Sig. (2-tailed) .025 .078 .274 .028 .578 .004 .578 .028 .003 .000
N 30 30 30 30 30 30 30 30 30 30 30
p6 Pearson
.120 .234 .257 .484** .106 1 -.056 -.005 .484** -.045 .419*
Correlation
Sig. (2-tailed) .527 .212 .171 .007 .578 .767 .980 .007 .812 .021
N 30 30 30 30 30 30 30 30 30 30 30
p7 Pearson
.736** .354 .505** -.068 .505** -.056 1 .367* .102 .356 .658**
Correlation
Sig. (2-tailed) .000 .055 .004 .721 .004 .767 .046 .591 .053 .000
N 30 30 30 30 30 30 30 30 30 30 30
p8 Pearson
.397* .234 .408* -.035 .106 -.005 .367* 1 .138 .257 .495**
Correlation
Sig. (2-tailed) .030 .212 .025 .856 .578 .980 .046 .466 .171 .005
N 30 30 30 30 30 30 30 30 30 30 30
p9 Pearson
.200 .118 .400* .792** .400* .484** .102 .138 1 .218 .617**
Correlation
Sig. (2-tailed) .288 .534 .028 .000 .028 .007 .591 .466 .247 .000
 N 30 30 30 30 30 30 30 30 30 30 30
p10 Pearson
.408* .327 .365* .218 .524** -.045 .356 .257 .218 1 .608**
Correlation
Sig. (2-tailed) .025 .078 .047 .247 .003 .812 .053 .171 .247 .000
N 30 30 30 30 30 30 30 30 30 30 30
skor Pearson
.762** .551** .688** .525** .661** .419* .658** .495** .617** .608** 1
_tota Correlation
l Sig. (2-tailed) .000 .002 .000 .003 .000 .021 .000 .005 .000 .000
N 30 30 30 30 30 30 30 30 30 30 30
*. Correlation is significant at the 0.05 level
(2-tailed).
**. Correlation is significant at the 0.01 level (2-
tailed).

Case Processing Summary

N %
Cases Valid 30 100.0
Excludeda 0 .0
Total 30 100.0
a. Listwise deletion based on all variables
in the procedure.

Reliability Statistics
Cronbach's
Alpha N of Items
.801 10

Item Statistics
Mean Std. Deviation N
p1 .53 .507 30
p2 .77 .430 30
p3 .70 .466 30
p4 .80 .407 30
p5 .70 .466 30
p6 .63 .490 30
p7 .60 .498 30
p8 .63 .490 30
p9 .80 .407 30
 Item Statistics
Mean Std. Deviation N
p1 .53 .507 30
p2 .77 .430 30
p3 .70 .466 30
p4 .80 .407 30
p5 .70 .466 30
p6 .63 .490 30
p7 .60 .498 30
p8 .63 .490 30
p9 .80 .407 30
p10 .70 .466 30

Item-Total Statistics
Corrected Cronbach's
Scale Mean if Scale Variance Item-Total Alpha if Item
Item Deleted if Item Deleted Correlation Deleted
p1 6.33 5.816 .667 .758
p2 6.10 6.576 .428 .788
p3 6.17 6.144 .582 .770
p4 6.07 6.685 .406 .790
p5 6.17 6.213 .549 .774
p6 6.23 6.806 .258 .809
p7 6.27 6.133 .537 .775
p8 6.23 6.599 .344 .799
p9 6.07 6.478 .513 .780
p10 6.17 6.351 .484 .782