Daftar Isi

Sampul muka iLembar persetujuan penelitian iiLembar pengesahan iiiLembar pernyataan ivAbstrak vAbstract viKata pengantar viiDaftar isi ixDaftar tabel xiiDaftar Gambar xiiiDaftar Singkatan xivDaftar Lampiran xv

BAB I PENDAHULUANA. Latar Belakang................................................................................................1

B. Rumusan Masalah...........................................................................................3

C. Tujuan Penelitian............................................................................................41. Tujuan umum 42. Tujuan khusus 4

D. Manfaat Hasil Penelitian................................................................................41. Bagi masyarakat 42. Bagi peneliti 53. Bagi Instansi terkait 54. Bagi Pengembangan ilmu 5

BAB II TINJAUAN PUSTAKA2.1.1 Definisi Tuberkulosis ................................................................................6

2.1.2 Epidemologi...............................................................................................6

2.1.3 Patofisiologi................................................................................................7

2.1.4 Klasifikasi ................................................................................................131. Tuberkulosis Paru 132. Tuberkulosis ekstra paru 16

2.1.5 Cara penularan..........................................................................................17

2.1.6 Diagnosis..................................................................................................19

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2.1.6.1. Gejala klinis 192.1.6.2. Pemeriksaan fisik 202.1.6.3. Pemeriksaan bakteriologik 212.1.6.4. Pemeriksaan radiologi 232.1.6.5. Pemeriksaan lain 24

2.1.7 Penatalaksanaan............................................................................................27

2.1.8 Pengaruh Penyuluhan Petugas Kesehatan Terhadap Pengetahuan TB Paru 30

2.1.9 Pengaruh Media Massa Terhadap Pengetahuan TB Paru.............................31

2.1.10 Pengetahuan................................................................................................332.1.10.1 Definisi Pengetahuan.....................................................................332.1.10.2 Tingkat Pengetahuan......................................................................332.1.10.3 Pengukuran Pengetahuan...............................................................34

BAB III KERANGKA KONSEP DAN HIPOTESIS PENELITIAN3.1 Kerangka Konsep ............................................................................................45

3.2 Hipotesis Penelitian .........................................................................................47BAB 4 METODE PENELITIAN4.1 Sampel.............................................................................................................484.2 Populasi...........................................................................................................484.3 Jenis Penelitian................................................................................................484.4 Variabel Penelitian..........................................................................................494.5 Lokasi dan Waktu Penelitian...........................................................................494.6 Prosedur Penelitian/Pengumpulan Data..........................................................514.7 Metode Analisis...............................................................................................51BAB 5 HASIL ANALYSIS5.1Gambaran Umum Daerah Penelitian................................................................535.2ANALISIS DATA............................................................................................56

5.2.1 Jumlah penderita suspek Tuberkulosis Paru dan Non suspek Tuberkulosis Paru..........................................................................................................56

5.2.2Umur.........................................................................................................565.2.3Tingkat pendidikan...................................................................................575.2.4 Tingkat pengetahuan responden..............................................................575.2.5Perilaku hidup sehat..................................................................................595.2.6Peran petugas kesehatan...........................................................................61

5.3PEMBAHASAN...............................................................................................625.3.1Faktor Pengetahuan..................................................................................625.3.2 Faktor perilaku hidup sehat.....................................................................635.3.3 Faktor peran petugas kesehatan...............................................................63

BAB 6 KESIMPULAN DAN SARAN6.1 Kesimpulan......................................................................................................656.2 Saran................................................................................................................65

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DAFTAR PUSTAKA

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Aditama, Tjandra Yoga; Yulherina. (2003). Tuberkulosis: diagnosis, terapi &

masalahnya. Jakarta: Yayasan Penerbitan Ikatan Dokter Indonesia.

Dinas Kesehatan Jawa Timur. (2011). Profil Kesehatan Provinsi Jatim. Tersedia

dihttp://dinkes.jatimprov.go.id/userfile/dokumen/1111111111_111111111

1_Profil_Kesehatan_Provinsi_Jawa_Timur_Tahun_2011.pdf diakses

tanggal 9 September 2013

Dinas Kesehatan Republik Indonesia. (2009). Tuberkulosis Masih Merupakan

Masalah Kesehatan Penting di Indonesia. Tersedia di

http://www.depkes.go.id/index.php?vw=2&id=1923 diakses tanggal 15

September 2013.

Djojodibroto, darmanto. (2005). Respirologi. Jakarta: EGC

Hariadi, Slamet. (2010) Buku Ajar Ilmu Penyakit Paru 2010. Surabaya:

Departemen Ilmu Penyakit Paru FK Unair-RSUD Dr. Soetomo

Lucas SB. Hispathology. In: Davies, editor. Clinical tuberculosis, 2nd ed. New

York: Chapman & Hall Medical, 1998;p.113-27.

Millenium Development Goals. Diperoleh dari

http://www.unicef.org/mdg/childmortality.html. Diunduh tanggal 25 Maret

2012.

Perhimpunan Dokter Paru Indonesia. Pedoman Diagnosis dan Penatalaksanaan

Tuberkulosis di Indonesia. 2011.

Pedoman Nasional Penanggulangan Tuberkulosis. Jakarta: Departemen Kesehatan

Republik Indonesia: 2006.

Pengendalian TB di Indonesia Sudah Mendekati Target MDG’s. Diperoleh dari :

http://www.depkes.go.id/index.php/berita/press-release/857-pengendalian-

tb-di-indonesia-mendekati-target-mdg.html. Diunduh tanggal 26 Maret

2013

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Sudoyo; Setyohadi; Bambang. (2006). Ilmu Penyakit Dalam jilid II Edisi IV.

Jakarta: Pusat Penerbitan Departemen Penyakit Dalam.

Werdhani, Retno Asti. (2002). Patofisiologi, Diagnosis, Dan Klafisikasi Tuberkulosis. Jakarta: Departemen Ilmu Kedokteran Komunitas, Okupasi, Dan Keluarga FKUI

WHO. (2009). Global Tuberculosis Report 2009. Tersedia di

http://www.who.int/TBC/publications/global_report/en/ diakses tanggal 15

September 2013

World Health Organization. Tuberculosis. Diperoleh dari:

http://www.who.int/mediacentre/factsheets/fs104/en/. Diunduh tanggal 27

Maret 2013.

DAFTAR GAMBAR

Gambar 2.1.2 Insiden Penyakit Tuberkulosis (WHO, 2009)`...............................7

Gambar 2.1.3 Patogenesis Tuberkulosis (Werdhani; Retno,A. 2002)..................13

Gambar 2.1.4.1 Skema klasifikasi tuberculosis (Depkes, 2005)...........................14

Gambar 2.1.4.2 Skema klasifikasi tuberculosis (Depkes, 2005)...........................17

Gambar 2.1.5 Skema diagram perkembangan tipikal TB (Lucas, 1998)..............18

Gambar 2.1.6 Alur Diagnosis Paru (Sudoyo, Setyohadi, Bambang, 2006)..........27

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DAFTAR SINGKATAN

BAL : Broncho Alveolar Lavage

BJH : Biopsi Jarum Halus

BTA : Bakteri Tahan Asam

CT-scan : Computed Tomography

HIV : Human Immunodeficiency Virus

IVATLD : International Union Against Tuberculosis and Lung Disease

LED : Laju Endap Darah

SPS : Sewaktu Pagi Sewaktu

OAT : Obat Anti Tuberkulosis

TB paru : Tuberkulosis Paru

TBC : Tuberkulosis

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TBCLB : Trans Bronchial Lung Biopsy

Toraks PA : Toraks Postero Anterior

TTB : Trans Thoracal Biopsy

WHO : World Health Organitation

DAFTAR TABEL

Tabel 2.1.7.1 Jenis, Sifat dan Dosis OAT (Depkes, 2009)....................................

Tabel 2.1.7.2 Panduan OAT di Indonesia Program nasional TB di Indonesia .. . .

menggunakan panduan OAT berdasarkan kategorinya (Depkes,

2009)................................................................................................

Tabel 4.5 Definisi Istilah/Operasional..................................................................

Tabel 5.2.1 jumlah penderita suspek TB dan non suspek TB...............................

Tabel 5.2.2 Umur Responden ..............................................................................

Tabel 5.2.3 Tingkat Pendidikan.............................................................................

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Tabel 5.2.4 Tingkat pengetahuan responden tentang Tuberkulosis Paru .............

Tabel 5.2.5 Kejadian tuberkulosis menurut faktor resiko tingkat pengetahuan

tentang tuberkulosis ...........................................................................

Tabel 5.2.6 Perilaku hidup sehat...........................................................................

Tabel 5.2.7 Kejadian tuberkulosis menurut faktor perilaku hidup sehat ..............

Tabel 5.2.8 Tingkat pengetahuan responden tentang Tuberkulosis Paru .............

Tabel 5.2.9 Kejadian tuberkulosis menurut faktor peran petugas kesehatan .......

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