KATA PENGANTAR

Puji dan syukur kami panjatkan ke hadirat Allah SWT atas rahmat dan

hidayah-Nya sehingga penulis dapat menyelesaikan karya tulis ilmiah dengan

judul “FAKTOR-FAKTOR YANG MEMPENGARUHI KESADARAN

MASYARAKAT UNTUK PEMERIKSAAN TEKANAN DARAH, GULA

DARAH, DAN STATUS GIZI DALAM UPAYA SKRINING PENYAKIT

TIDAK MENULAR DI WILAYAH KERJA PUSKESMAS KAMONING

KECAMATAN SAMPANG KABUPATEN SAMPANG” untuk memenuhi

tugas internship.

Penulis menyadari sepenuhnya, dalam penyusunan karya tulis ilmiah ini

masih jauh dari sempurna, tetapi penulis mencoba untuk memberikan yang terbaik

dengan segala keterbatasan yang penulis miliki. Dalam kesempatan kali ini,

penulis ingin menyampaikan ucapan terima kasih kepada dr. Intan Retnosari

selaku pembimbing yang telah bersedia meluangkan waktunya untuk

membimbing penulis selama internship.

Kritik dan saran penulis harapkan guna memperoleh hasil yang lebih baik

dalam menyempurnakan karya tulis ilmiah ini. Semoga dapat bermanfaat

khususnya bagi penulis dan pembaca pada umumnya. Amin ya rabbal alamin.

Sampang, 2 Juni 2021

Penulis

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 DAFTAR ISI

COVER............................................................................................................i
KATA PENGANTAR.....................................................................................ii
ABSTRAK.......................................................................................................iii
DAFTAR ISI....................................................................................................iv
DAFTAR TABEL ..........................................................................................v
DAFTAR GAMBAR ......................................................................................vi
DAFTAR LAMPIRAN...................................................................................vii
BAB 1 PENDAHULUAN...............................................................................1
1.1 Latar belakang....................................................................................1
1.2 Rumusan masalah ..............................................................................3
1.3 Tujuan ................................................................................................3
1.3.1 Tujuan Umum ...........................................................................3
1.3.2 Tujuan Khusus ..........................................................................3
1.4 Manfaat Penelitian...............................................................................5
1.4.1 Bagi Dinas Kesehatan Kota Kediri ..........................................5
1.4.2 Bagi Puskesmas Perawatan Ngletih Kota Kediri .....................5
1.4.3 Bagi Institusi Pendidikan .........................................................6
1.4.4 Bagi Masyarakat ......................................................................6
BAB 2 TINJAUAN PUSTAKA.....................................................................7
2.1 Health Belief Model (HBM)................................................................7
2.1.1 Definisi......................................................................................7
2.1.2 Domain Perilaku Kesehatan......................................................8
2.1.2.1 Konsep Pengetahuan.......................................................8
2.1.2.2 Sikap...............................................................................10
2.2 Penyakit Tidak Menular......................................................................12
2.2.1 Hipertensi..................................................................................13
2.2.1.1 Definisi dan Klasifikasi..................................................13
2.2.1.2 Etiologi...........................................................................14
2.2.1.3 Patofisiologi....................................................................16
2.2.1.4 Diagnosis........................................................................17
2.2.1.5 Komplikasi......................................................................18
2.2.1.6 Strategi Skrining Hipertensi...........................................18
2.2.2 Diabetes Melitus.......................................................................19
2.2.2.1 Definisi Diabetes Melitus...............................................19
2.2.2.2 Patogenesis ....................................................................21
2.2.2.3 Klasifikasi ......................................................................26
2.2.2.4 Diagnosis .......................................................................26
2.2.2.5 Komplikasi .....................................................................27
2.2.3 Obesitas ....................................................................................29
2.2.3.1 Definisi ..........................................................................29

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 2.2.3.2 Patofisiologi ...................................................................30
2.2.3.3 Diagnosis .......................................................................30
2.2.3.4 Komplikasi .....................................................................32
2.2.4 Pengetahuan dan Pencegahan PTM di Indonesia ....................32
2.3 Pemeriksaan Kesehatan Rutin Penyakit Tidak Menular ....................34
2.3.1 Faktor-Faktor yang berpengaruh Kesadaran untuk Pemeriksaan
Kesehatan Rutin ............................................................................ 35
BAB 3 KERANGKA KONSEP DAN HIPOTESIS.....................................44
3.1 Kerangka Konsep................................................................................45
3.2 Hipotesis Penelitian.............................................................................45
BAB 4 METODE PENELITIAN..................................................................48
4.1 Rancangan Penelitian.............................................................................48
4.2 Lokasi dan Waktu Penelitian...................................................................48
4.3 Populasi dan Sampel..............................................................................48
4.3.1 Populasi......................................................................................48
4.3.2 Sampel Penelitian .....................................................................49
4.3.3 Teknik Pengambilan Sampel ...................................................49
4.3.4 Karakteristik Sampel Penelitian....................................................50
4.4 Variabel Penelitian.................................................................................50
4.4.1 Variabel Bebas............................................................................50
4.4.2 Variabel Terikat...........................................................................50
4.5 Definisi Operasional...............................................................................50
4.6 Instrumen Penelitian dan Cara Pengumpulan Data....................................54
4.6.1 Instrumen Identitas Pribadi...........................................................54
4.6.2 Kuesioner..................................................................................54
4.6.3 Cara Pengumpulan Data............................................................54
4.7 Hubungan Antar Variabel.......................................................................55
4.8 Uji Validitas dan Reliabilitas Alat Ukur...................................................55
4.8.1 Uji Validitas................................................................................55
4.8.2 Uji Reliabilitas............................................................................56
4.9 Analisis Data.........................................................................................57
4.9.1 Pengolahan Data..........................................................................57
4.9.2 Analisis Data...............................................................................57
BAB 5 HASIL PENELITIAN DAN ANALISIS DATA.....................................59
5.1 Hasil Penelitian......................................................................................59
5.2 Analisis Data.........................................................................................59
5.2.1 Hasil Analisis Univariat...............................................................59
5.2.2 Analisis Bivariat Uji Chi-Square/Fisher........................................62
5.2.3 Analisis Multivariat.....................................................................68
BAB 6 PEMBAHASAN....................................................................................73
6.1 Pembahasan...........................................................................................73
BAB 7 KESIMPULAN DAN SARAN...............................................................88

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 7.1 Kesimpulan...........................................................................................88
7.2 Saran............................................................................................................88
7.2.1 Bagi pengelola pengembangan program Penyakit Tidak Menular di
Puskesmas Perawatan Ngletih Kecamatan Pesantren Kediri............88
7.2.2 Bagi penelitian selanjutnya...........................................................89
DAFTAR PUSTAKA......................................................................................92
LAMPIRAN....................................................................................................101

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 DAFTAR TABEL

Tabel 2.1 Klasifikasi tekanan darah..................................................................14

Tabel 2.2 Kriteria diagnosis DM......................................................................26
Tabel 2.3 Klasifikasi BMI................................................................................32
Tabel 2.4 Klasifikasi Lingkar Pinggang menurut International Obesity Task
Force ...............................................................................................32
Tabel 4.1 Tabel Populasi Penelitian ................................................................48
Tabel 4.2 Tabel Definisi Operasional...............................................................51
Tabel 5.1 Distribusi Frekuensi Variabel Responden........................................59
Tabel 5.2 Hasil Uji Bivariat Faktor-Faktor yang Mempengaruhi Kesadaran
untuk Skrining Tekanan Darah, Gula Darah, dan Status Gizi.........63
Tabel 5.3 Resume Hasil Uji Multivariat Regresi Logistik Berganda ..............68

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 DAFTAR GAMBAR

Gambar 2.1 Algoritme diagnosis......................................................................18

Gambar 2.2 Strategi Skrining Hipertensi.............................................................19
Gambar 2.3 Patofisiologi Diabetes Mellitus.....................................................22
Gambar 2.4 Klasifikasi Diabetes Mellitus........................................................26
Gambar 2.5 Metode pencegahan dan pengendalian PTM................................33
Gambar 4.1 Hubungan antar variable...............................................................55

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 DAFTAR LAMPIRAN

Lampiran 1 Dokumentasi Penelitian................................................................... 101

Lampiran 2 Kuesioner Penelitian ....................................................................... 103
Lampiran 3 Data Kuesioner................................................................................ 107
Lampiran 4 Output SPSS ................................................................................... 148

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