DAFTAR ISI

Halaman

HALAMAN JUDUL ....................................................................................... i

HALAMAN PENGESAHAN ......................................................................... ii
KATA PENGANTAR ..................................................................................... iii
INTISARI ......................................................................................................... v
DAFTAR ISI ................................................................................................... vii
DAFTAR TABEL ........................................................................................... x
DAFTAR GAMBAR ....................................................................................... xi
DAFTAR LAMPIRAN .................................................................................... xii
BAB I PENDAHULUAN ............................................................................... 1
A. Latar Belakang .................................................................................. 1
B. Rumusan Masalah ............................................................................. 2
C. Tujuan Penelitian ............................................................................... 2
C.1. Tujuan Umum ........................................................................... 2
C.2. Tujuan Khusus .......................................................................... 3
D. Manfaat Penelitian ............................................................................. 3
D.1. Untuk Masyarakat ...... .............................................................. 3
D.2. Untuk Rumah Sakit ................................................................... 3
D.3. Untuk Fakultas Kedokteran ...................................................... 4
D.4. Peneliti ...................................................................................... 4
BAB II TINJAUAN PUSTAKA ..................................................................... 5
A. Anatomi Saluran Anal ....................................................................... 5
B. Perdarahan Saluran Anal.................................................................... 6
B.1. Arteri ......................................................................................... 6
B.2. Vena .......................................................................................... 7
C. Hemoroid .......................................................................................... 8
C.1. Definisi ..................................................................................... 8
C.2. Etiopatogenesis.......................................................................... 9

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 C.3. Klasifikasi.................................................................................. 10
C.4. Gejala ........................................................................................ 11
C.5. Diagnosis ................................................................................... 12
C.6. Penatalaksanaan ........................................................................ 13
C.7. Prognosis ................................................................................... 18
D. Kerangka Teori .................................................................................. 19
E. Kerangka Konsep ............................................................................... 20
BAB III METODOLOGI PENELITIAN ......................................................... 21
A. Desain Penelitian .............................................................................. 21
B. Tempat dan Waktu Penelitian ........................................................... 21
C. Populasi dan Sampel ......................................................................... 22
C.1. Populasi ..................................................................................... 22
C.2. Sampel ....................................................................................... 22
C.3. Besar Sampel ............................................................................. 22
D. Kriteria Inklusi dan Eksklusi ............................................................. 23
D.1. Kriteria Inklusi .......................................................................... 23
D.2. Kriteria Eksklusi ....................................................................... 23
E. Variabel Penelitian ............................................................................. 23
F. Definisi Operasional .......................................................................... 23
F.1. Usia ........................................................................................... 23
F.2. Jenis Kelamin ........................................................................... 24
F.3. Pekerjaan .................................................................................. 24
F.4. Tipe Hemoroid ......................................................................... 24
F.5. Derajat Hemoroid ..................................................................... 24
G. Instrumen Penelitian .......................................................................... 24
H. Pengolahan dan Analisis Data ........................................................... 25
I. Etika Penelitian .................................................................................. 25
BAB IV HASIL DAN PEMBAHASAN .......................................................... 26
A. Hasil Penelitian .................................................................................. 26
A.1 Karakteristik Subyek Penelitian ............................................... 26
B. Pembahasan ....................................................................................... 29

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 B.1 Pola distribusi hemoroid berdasarkan usia ............................... 29
B.2 Pola distribusi hemoroid berdasarkan jenis kelamin ................ 30
B.3 Pola distribusi hemoroid berdasarkan pekerjaan ...................... 30
B.4 Pola distribusi hemoroid berdasarkan tipe hemoroid ............... 31
B.5 Pola distribusi hemoroid berdasarkan derajat hemoroid .......... 32
C. Keterbatasan Penelitian ..................................................................... 32
BAB V KESIMPULAN DAN SARAN .......................................................... 34
A. Kesimpulan ........................................................................................ 34
B. Saran .................................................................................................. 34
DAFTAR PUSTAKA ...................................................................................... 36
LAMPIRAN ..................................................................................................... 38

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 DAFTAR TABEL

Halaman
Tabel 3.1 Tempat dan Waktu Penelitian .................................................. 21
Tabel 4.1 Distribusi jenis kelamin ............................................................ 28
Tabel 4.2 Distribusi pekerjaan .................................................................. 28
Tabel 4.3 Distribusi tipe hemoroid ........................................................... 28

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 DAFTAR GAMBAR

Halaman

Gambar 2.1 Susunan dari otot sfingter eksternal ......................................... 5

Gambar 2.2 Anatomi saluran anal ................................................................ 6
Gambar 2.3 Perdarhan arteri rektum dan saluran anal ................................ 7
Gambar 2.4 Perdarahan vena rektum dan saluran anal ................................ 8
Gambar 2.5 Lokasi hemoroid …................................................................... 9
Gambar 2.6 Hemoroid interna dan hemoroid eksterna ................................ 10
Gambar 2.7 Rubber band ligation ................................................................ 15
Gambar 2.8 Infrared Photocoagulation ....................................................... 16
Gambar 2.9 Algoritma untuk pengobatan hemoroid .................................... 18
Gambar 2.10 Kerangka teori penelitian ......................................................... 19
Gambar 2.11 Kerangka konsep …………….................................................. 20
Gambar 4.1 Distribusi pasien hemoroid berdasarkan data rekam medik ..... 26
Gambar 4.2 Grafik distribusi kelompok umur ............................................. 27
Gambar 4.3 Grafik distribusi derajat hemoroid interna ............................... 29

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 DAFTAR LAMPIRAN

Halaman
Lampiran 1 Data subjek penelitian .............................................................. 38
Lampiran 2 Surat keterangan pelaksanaan penelitian .................................. 40
Lampiran 3 Keterangan lolos kaji etik ......................................................... 41
Lampiran 4 Penggunaan rumus Sturgess dalam pengelompokan usia ........ 42

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