hanna proposal baru.doc

8/14/2019 hanna proposal baru.doc

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PROPOSAL PENELITIAN

HUBUNGAN TINGKAT PENGETAHUAN PADA PASIEN

HIPERTENSI DENGAN UPAYA PENCEGAHAN STROKE

DI RSUD SUKOHARJO

Disusun Oleh :

HANNA HANINDYASTITI

P27220011 177

DIV KEPERAWATAN MEDIKAL BEDAH

POLITEKNIK KESEHATAN SRAKARTA

201!

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HALAMAN PERSETUJUAN

HUBUNGAN TINGKAT PENGETAHUAN PADA PASIEN

HIPERTENSI DENGAN UPAYA PENCEGAHAN STROKE

DI RSUD SUKOHARJO

sul"n K"#$" Tulis Il%i"h

Di"&u'"n (leh :

HANNA HANINDYASTITI

P27220011177

Telah diajukan dan die!ujui un!uk di"e#!ahankan dihada"an Ti$ Pen%uji

Uulan Ka#&a Tuli Il$iah "ada !an%%al '''''

Pe%)i%)in* Pe%)i%)in*

Yeni Tu+u R(hi%"h,SK-,M'es M"#+(n(,S'e-,Ns,MP.

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DA(TAR ISI

H"l"%"n &u.ul////////////////////1

H"l"%"n -en*es"h"n////////2

D"+"# isi////////////////////!

BAB I PENDAHLAN

AL"+"# )el"'"n* %"s"l"h ////////////

BPe#u%us"n M"s"l"h////////////////3

4Tu&u"n -eneli+i"n/////////////////7

DM"n""+ -eneli+i"n7

EKe"sli"n Peneli+i"n5

BAB II TIN6AAN PSTAKA11

A Pen*e+"hu"n11

Pen*e#+i"n 11

B Hi-e#+ensi1!

1 Pen*e#+i"n ."n 'l"sii'"si1!

2 6enis hi-e#+ensi1!

! P"+(isi(l(*i1!

E+i(l(*i1

8e&"l" hi-e#+ensi13

3 K(%-li'"si17

4 S+#('e17

1 Pen*e#+i"n17

2 E+i(l(*i 15

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! 9"'+(# #esi'(15

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Hi-e#+ensi20

E Ke#"n*'" +e(#i2

9 V"#i")el -eneli+i"n2

8 Hi-(+esis -eneli+i"n23

BAB III METODOLO8I PENELITIAN27

ARu"n* lin*'u-27

B Des"in Peneli+i"n27

4 P(-ul"si ."n S"%-el25

D Deinisi O-e#"si(n"l, ;"#i")el ."n S'"l" Peneli+i"n2

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9 Me+(.e Pen*(l"h"n ."n An"lisis D"+"!!

8 V"li.i+"s ."n #e")ili+"s!!

H V"#i")el Peneli+i"n!

IAn"lisis D"+"!

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BAB I

PENDAHULUAN

A) La!a# Belakan% Maalah

Hi-e#+ensi %e#u-"'"n -enin*'"+"n ."#i +e'"n"n ."#"hsystolik .i"+"s

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Di In.(nesi", sesu"i .en*"n su#;e$ $"n* .il"'u'"n ."l"%

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s+#('e -"." -"sien hi-e#+ensi Peneli+i"n ini .il"'u'"n .i RSD Su'(h"#&(

."n .i"%)il -"sien hi-e#+ensi

B) Pe#u$uan Maalah

M"s"l"h 'e-e#""+"n $"n* ."-"+ .i#u%us'"n ."#i -eneli+i"n ini

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C) Tujuan Peneli!ian

1 Tu&u"n %u%

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se#"n*"nstroke-"." -"sien hi-e#+ensi

2 Tu&u"n Khusus

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Su'(h"#&(

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E) Kealian Peneli!ian

Peneli+i"n ini .il"'u'"n "+"s ."s"# +en+"n* -e%)e#i"n -en*e+"hu"n

+e#h"."- -"sien s"n*"+ %ini% se'"li, +e#u+"%" -"." u-"$" -en>e*"h"n

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)e#hu)un*"n .en*"n ini "n+"#" l"in :

1 Peneli+i"n $"n* .il"'u'"n (leh N"el" 9".hil""n*"n '"sus '(n+#(l

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.il"'u'"n se)elu%n$"

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."n hipertropi tunika media

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sel &"n+un* +i."' h"n$" )e#+"%)"h u'u#"n u'u-i l"*i

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sklerosis koroner A'hi#n$" "'"n ."n .i i'u+i dilatasiventrikel'i#i, )il"

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dekompensasi


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! 9"'+(# Resi'(

Leil" Hen.e#s(n


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."#i *u%-"l"n ."#"h $"n* %">e+ ."n -e%)uluh ."#"h $"n* %en$e%-i+


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1= Men*u#"n*i 'e*e%u'"n

O#"n* $"n* *e%u' $"n* )"n$"' %en*'(nsu%si '"l(#i +in**i

%e%-un$"i #esi'( )es"# +e#&".i hi-e#+ensi ."n "'hi#n$" )i"s"n$"

+e#&".i s+#('e Den*"n %en*u#"n*i )e#"+ )"."n ."-"+ %enu#un'"n

+e'"n"n ."#"h .en*"n &"l"n %en*u#"n*i "su-"n '"l(#i .en*"n

%"'"n %"'"n"n $"n* '"n.un*"n le%"'n$" #en."h, *un"'"n susu

'#i% un+u' %en"%)"h '"n.un*"n -#(+ein ."l"% se#e"l, ."n su-

6"n*"n *un"'"n s"n+"n se)"*"i )"h"n un+u' %en**u#ih'"n

%"'"n"n

2= Au+h(+e#"-i hi-e#+ensi

2!


24/40

Men"n**ul"n*i s+#('e -"." -"sien hi-e#+ensi )is" .il"'u'"n

.en*"n >"#" %e.i+"si S$"#"+n$" h"#us .il"'u'"n se>"#" #u+in,

+"n-" %en*en"l #"s" )(s"n ."n ."l"% "'+u 'u#"n* le)ih ! ?

)ul"n Me.i+"si ini .il"'u'"n se+i"- h"#i sel"%" 'u#"n* le)ih 20

%eni+ )(leh .il"'u'"n -"." -"*i h"#i "+"u "'+u lu"n*

!= Hen+i'"n 'e)i"s"n %e#('('

Pen*"-u#"n "+"u -en*e#"s"n -e%)uluh ."#"h $"n* .ise)u+

arterosklerosis, %e#u-"'"n "'i)"+ -e#+"%" '"li ."#i %e#('(', ."n

&u*" +e#&".i )e#'u#"n*n$" ;(lu%e -"s>" ."#"h, #('(' ."-"+

%en$e)")'"n 'en"i'"n +e'"n"n ."#"h 2 ? 10 %eni+ se+el"h

.ihis"-, '"#en" %e#"n*s"n* s"#" %en*elu"#'"n h(#%(n $"n* )is"

%en$e)")'"n -en*e#u+"n -e%)uluh ."#"h sehin**" +ensi %en&".i

n"i' ."n %en$e)")'"n "'+(# #esi'( +e#&".i s+#('e

= Men*hin."#i s+#es

Pe#u)"h"n -(l" hi.u- $"n* se#)" (+(%"+is %en$e)")'"n +u)uh

'u#"n* *e#"' ."n -e#u)"h"n $"n* %eli-u+i lin*'un*"n, isi', ."n

s(si"l %e%-en*"#uhi %"nusi" %eni%)ul'"n s+#es .en*"n )e#)"*"i

%"nies+"si .i"n+"#"n$" hi-e#+ensi ."n ."-"+ %en$e)")'"n s+#('e

H"l ini ."-"+ .i>e*"h .en*"n >"#" )e#us"h" #el"'s"si ."l"%

%en*h"."-i %"s"l"h, %el"'u'"n #e#esin*, ."n ."-"+ &u*" .en*"n

%en."l"%i "*"%" ."n )e#us"h" %en>i-+"'"n 'elu"#*" $"n*

)"h"*i"

2


25/40

E) Ke#an%ka Te+#i

Ke-e#>"$""n

. T#".isi

(ak!+# Pendukun%

" Ke+e#se.i""n"sili+"s

) Ke+e#>"-"i"n

"sili+"s

(ak!+# Pend+#+n%

" Pen*e+"hu"n

-e+u*"s 'eseh"+"n

) Si'"- -e+u*"s

> Ke+#"%-il"n

e*"h"n-en$"'i+

Tin*'"+ Pen*e+"hu"n

-"sien hi-e#+ensi +en+"n*

u-"$" %en*u#"n*i s+#('e

-"$" %en*u#"n*i

s+#('e


26/40

H0 +i."' "." hu)un*"n "n+"# +in*'"+ -en*e+"hu"n -"sien hi-e#+ensi .en*"n

u-"$" %en*u#"n*i se#"n*"n s+#('e

H1 A." hu)un*"n "n+"#" +in*'"+ -en*e+"hu"n -"sien hi-e#+ensi .en*"n

u-"$" %en*u#"n*i se#"n*"n s+#('e

BAB III

23


27/40

METODELOGI PENELITIAN

A) Ruan% Lin%ku"

Peneli+i"n ini +e#.i#i ."#i )e)e#"-" lin*'u- -eneli+i"n, "n+"#" l"in :

1 Lin*'u- M"s"l"h

Pe#%"s"l"h"n -"." -eneli+i"n ini .i)"+"si +en+"n* +in*'"+ -en*e+"hu"n

-"sien hi-e#+ensi ."n u-"$" -en>e*"h"n s+#('e

2 Lin*'u- Keil%u"n

Lin*'u- 'eil%u"n -"." -eneli+i"n ini "."l"h il%u 'e-e#""+"n '#i+is ."n

il%u %e+(.(l(*i -eneli+i"n

! Lin*'u- S"s"#"n

S"s"#"n -eneli+i"n ini "."l"h -"sien .en*"n hi-e#+ensi $"n* 'e%un*'in"n

)is" %en*"l"%i s+#('e .i RSD Su'(h"#&(

Lin*'u- L('"si

Peneli+i"n "'"n .il"'u'"n .i #u"n* -e#""+"n in+ensi RSD Su'(h"#&(

Lin*'u- "'+u

Peneli+i"n "'"n .il"'s"n"'"n -"." )ul"n M"#e+6uli 201!

B) Deain "eneli!ian

Peneli+i"n ini %e#u-"'"n -eneli+i"n ini "."l"h .is'#i-+i "n"li+i' $"i+u

su"+u %e+(.e -eneli+i"n $"n* .il"'u'"n .en*"n +u&u"n u+"%" un+u' %e%)u"+

*"%)"#"n "+"u .es'#i-si +en+"n* su"+u 'e".""n se>"#" ()$e'i+ se#+" %en>()"

%en**"li )"*"i%"n" ."n %en*"-" en(%en" 'eseh"+"n i+u +e#&".i Me+(.e

-en.e'"+"nn$" "."l"h cross sectional .i%"n" -eneli+i"n .il"'u'"n s"+u

"'+u, +i."' %en*i'u+i 'e.e-"n "+"u 'e)el"'"n*


28/40

C) P+"ulai dan Sa$"el

A P(-ul"si

P(-ul"si "."l"h selu#uh su)&e' -eneli+i"n "#" Pu#-(si;e S"%-lin*

$"i+u +e'ni' -enen+u"n s"%-el .en*"n -e#+i%)"n*"n +e#+en+u

e*"h se&"' .ini .i #u"n* in"si RSD Su'(h"#&( $"n* "'"n

.isele'si sesu"i .en*"n '#i+e#i" in'lusi ."n e's'lusi $"n* +el"h

.i+e+"-'"n

) K#i+e#i" S"%-el

1= K#i+e#i" in'lusi

" P"sien $"n* .i#""+ .i #u"n* in+ensi

) P"sien .en*"n hi-e#+ensi

25


29/40

> P"sien $"n* 'e%un*'in"n ."-"+ %en*"l"%i

s+#('e

. P"sien s"."# -enuh

e P"sien ."-"+ %enulis, %e%)">" ."n

%en.en*"#'"n

P"sien $"n* )e#usi" F 15 +"hun

2= K#i+e#i" e's'lusi

" P"sien $"n* +i."' .en*"n hi-e#+ensi

) P"sien .i)""h 15 +"hun

> P"sien +i."' s"."#

D)De*inii O"e#ai+nal. /a#ia-el dan Skala Peneli!ian

N( V"#i")el Deinisi O-e#"si(n"l S'"l"

1 Tin*'"+ -en*e+"hu"n

-"sien hi-e#+ensi

+en+"n* u-"$"

%en>e*"h se#"n*"n

s+#('e

H"l ? h"l $"n* .i'e+"hui

-"sien hi-e#+ensi %en*en"i

s+#('e %eli-u+i :

" Pen*e#+i"n s+#('e

) T"n." ."n *e&"l" s+#('e

> H"l $"n* ."-"+

%enin*'"+'"n 'e&".i"n

s+#('e

. Pen$e)") s+#('e

In+e#;"l

2


30/40

e -"$" un+u' %en*u#"n*i

se#"n*"n s+#('e

Die+ -"sien hi-e#+ensi

* Ol"h #"*" -"sien hi-e#+ensi

h P(l" hi.u- %eli-u+i

'e*e%u'"n, %en*hin."#i

#('(', "u+h(+e#"-i

hi-e#+ensi, %en*hin."#i

s+#es

Tin*'"+ -en*e+"hu"n

%en*u#"n*i se#"n*"n s+#('e

.iu'u# .en*"n 20 i+e%

-e#+"n$""n .en*"n '#i+e#i"

&"")"n )en"# %en."-"+

s'(#e ."n &"")"n $"n*

s"l"h %en."-"+ s'(#e 0

Den*"n -e%)e#i"n

'uesi(ne# -"." -"sien s"+u

-e#s"+u

2 -"$" "+"u >"#">"#"

%en>e*"h se#"n*"n

s+#('e

H"lh"l $"n* .i'e+"hui -"sien

hi-e#+ensi un+u' %en*u#"n*i

+e#&".in$" se#"n*"n s+#('e

Meli-u+i :

" Pe#u)"h"n -(l" hi.u-

In+e#;"l

!0


31/40

) Pen*()"+"n +e'"n"n ."#"h

> Pen*"+u#"n (l"h #"*"

. Ke)i"s"n %e#('('

e Pen*el(l""n s+#es

Pen*"+u#"n %"'"n"n

-"$" un+u' %en*u#"n*i

se#"n*"n s+#('e .iu'u# .en*"n

se-uluh i+e% -e#+"n$""n

.en*"n '#i+e#i" &"")"n $"n*

-"lin* +e-"+ .i)e#i nil"i !,

%en.e'"+i +e-"+ .i)e#i nil"i 2

."n $"n* +i."' +e-"+ .i)e#i

nil"i 1 Den*"n -e%)e#i"n

'uesi(ne# -"." -"sien s"+u

-e#s"+u

E)Me!+de Pen%u$"ulan Da!a

Pen*u%-ul"n ."+" "'"n .il"'u'"n .en*"n >"#" se)"*"i )e#i'u+ $"i+u :

1 Pen.e'"+"n 'e-"." #es-(n.en, %e%-e#'en"l'"n .i#i, ."n %en&el"s'"n

%"'su. ."n +u&u"n 'e-"." #es-(n.en

2 6i'" #es-(n.en se+u&u %"'" %e%-e#sil"h'"n un+u' %e%)">" le%)"#

-e#se+u&u"n 'e%u.i"n +"n." +"n*"n

! Se+el"h se+u&u -en*u%-ul"n ."+" .il"'u'"n .en*"n >"#" ""n>"#"

l"n*sun*, ."l"% %en**un"'"n -"n.u"n ."+"# -e#+"n$""n $"n* +el"h

!1


32/40

.isi"-'"n ."l"% 'uesi(ne# Pen*u%-ul"n ."+" .il"'u'"n -"." +i"-

#es-(n.en s"+u -e#s"+u

D"+" +en+"n* '"#"'+e#is+i' #es-(n.en .i'u%-ul'"n )e#."s"#'"n

'uesi(ne# '"#"'+e#is+i' #es-(n.en

n+u' %en*e+"hui +in*'"+ -en*e+"hu"n -"sien +en+"n* -en>e*"h"n

s+#('e ."+" .i-e#(leh ."#i 'uesi(ne# +in*'"+ -en*e+"hu"n

Pen*u'u#"n .en*"n '#i+e#i" :

* Tin**i : )il" s'(# F 7 @ ."#i nil"i

%"'si%"l

h Se."n*: )il" s'(# F 0 @ 7 @ ."#i nil"i

%"'si%"l

i Ren."h : )il" s'(# 0 @ ."#i nil"i

%"'si%"l

3 n+u' %en*e+"hui u-"$" %en>e*"h +e#&".in$" s+#('e .i-e#(leh ."#i

'uesi(ne# u-"$" %en*u#"n*i +e#&".in$" s+#('e

Pen*u'u#"n .en*"n '#i+e#i" :

" -"$" +in**i )il" s'(# 21 ? !0

) -"$" se."n* )il" s'(# 10 ? 20

> -"$" 'u#"n* )il" se'(# 10

()Me!+de Pen%+lahan dan Analii Da!a

!2


33/40

1 Pen*(l"h"n ."+"

Se+el"h -en*u%-ul"n ."+" se*e#" .i-e#i's" h"sil ."+" $"n*

+e#'u%-ul un+u' %elih"+ 'elen*'"-"n isi"n 'u(si(ne# A-")il" ."+" $"n*

'u#"n* len*'"- se*e#" .ilen*'"-i, 'e%u.i"n .i(l"h .en*"n +"h"-"n

se)"*"i )e#i'u+ $"i+u :

" Pen*'(.e"n


34/40

> Ins+#u%en un+u' %enil"i u-"$" %en*u#"n*i se#"n*"n s+#('e -"."

-"sien hi-e#+ensi $"n* )e#isi ins+#u%en -e#+"n$""n -ilih"n *"n."

.en*"n -enil"i"n $"n* -"lin* +e-"+ .i)e#i nil"i !, %en.e'"+i +e-"+

.i)e#i nil"i 2 ."n $"n* +i."' +e-"+ .i)e#i nil"i 1

Se+el"h ins+#u%en+ -eneli+i"n .i)u"+ l"lu -e#+"n$""n .iu&i .en*"n

;"li.i+"s ."n #e")ili+"s '"#en" ins+#u%en .i)u"+ sen.i#i (leh -eneli+i

" V"li.i+"s

V"li.i+"s "."l"h su"+u in.e's $"n* %enun&u''"n "l"+ u'u# i+u

)en"# ? )en"# %en*u'u# "-" $"n* .iu'u#


35/40

) Reli")ili+"s

Reli")ili+"s "."l"h in.e's $"n* %enun&u''"n se&"uh %"n" su"+u "l"+

-en*u'u# ."-"+ .i-e#>"$" "+"u ."-"+ .i"n."l'"n H"l ini )e#"#+i

%enun&u''"n se&"uh %"n" h"sil -en*u'u#"n i+u +e+"- '(nsis+en "+"u

+e+"- "s"s )il" .il"'u'"n -en*u'u#"n .u" '"li "+"u le)ih +e#h"."-

*e&"l" $"n* s"%", .en*"n %en**un"'"n "l"+ u'u# $"n* s"%"

&i #eli")ili+"s %en**un"'"n #u%us "l-h", $"i+u :

n L1LM=1e*"h se#"n*"n s+#('e -"." -"sien hi-e#+ensi

!


36/40

I)Analii Da!a

D"+" $"n* +e#'u%-ul "'"n .i"n"lisis se>"#" .es'#i-+i' ."n "n"li+i'

1 An"lis" uni;"#i"+

Men*"n"lisis ;"#i")el;"#i")el $"n* "." se>"#" .es'#i-+i .en*"n

%en*hi+un* .is+#i)usi #e'uensi ."n -#(-(#si un+u' %en*e+"hui

'"#"'+e#is+i' ."#i #es-(n.en H"siln$" .is"&i'"n ."l"% )en+u' +")el

.is+#i)usi #e'uensi

2 An"lis" )i;"#i"+

An"lis" $"n* .il"'u'"n un+u' %elih"+ hu)un*"n .u" ;"#i")el )e)"s ."n

+e#i'"+ Te'ni' $"n* .i*un"'"n $"i+u +e'ni' '(#el"si 4hi Su"#e Ru%us

$"n* .i*un"'"n un+u' %en*hi+un* '(eisien '(#el"si "."l"h

( )

h

h

f

ff)

=

2

02

'e+e#"n*"n

2) '(eisien '(#el"si 4hi Su"#e

0f #e'uensi $"n* .i()se#;"si

hf

#e'uensi $"n* .ih"#"-'"n

!3


37/40

P#+edu# Peneli!ian

Peneli+i"n ini .il"'u'"n ."l"% ! +"h"-, $"i+u +"h"- -e#si"-"n, +"h"- -el"'s"n""n,

+"h"- -en$"&i"n h"sil :

1 T"h"- -e#si"-"n

Di%ul"i .en*"n -en*"&u"n &u.ul -eneli+i"n, %el"'s"n"'"n s+u.i

-en."hulu"n, -en$usun"n -#(-(s"l, %e%)u"+ &"."l -eneli+i"n, u&i"n

-#(-(s"l, -e#i&in"n -eneli+i"n

2 T"h"- -el"'s"n""n

" Pe#""+ ."n -"sien .i #u"n* -e#""+"n in+ensi RSD Su'(h"#&( se)"*"i

-ese#+" -eneli+i"n .i)e#i'"n in(#%"si +en+"n* #en>"n" ."n .i%in+"i

-e#se+u&u"n un+u' )e#-"#+isi-"si ."l"% -eneli+i"n ."n )e#se.i"

%en"n."+"n*"ni informed consent

) Mel"'s"n"'"n -eneli+i"n .en*"n ""n>"#" -"." -"sien hi-e#+ensi se>"#"

l"n*sun* .en*"n %en**un"'"n 'uis(ne# $"n* +el"h .i-e#si"-'"n

> Me%"su''"n le%)"# -en*"%"+"n 'e ."l"% le%)"# ()se#;"si

. Men*u%-ul'"n ."+"."+" $"n* .i-e#(leh se+i"- "'+u

e Mel"'u'"n e.i+in* ."+"

Mel"'u'"n "n"lisis ."+"

! T"h"- -en$"&i"n -eneli+i"n

!7


38/40

" Men$usun l"-(#"n h"sil -eneli+i"n

) K(nsul+"si l"-(#"n -eneli+i"n

> P#esen+"si h"sil -eneli+i"n

!5


39/40

Da*!a# Pu!aka

A#i'un+(, S i.s'#i-si

NO Ke*i"+"n

Bul"n

M"#e+ A-#il Mei 6uni 6uli1 2 ! 1 2 ! 1 2 ! 1 2 ! 1 2 !

1 Pen*"&u"n

6u.ul

2 Pen$usun"n

P#(-(s"l

! Se%in"#

P#(-(s"l

Pe#i&in"n

Peneli+i"n

Pen*u%-ul"n

D"+"

3 Pen*(l"h"n

D"+"

7 Pen$usun"n

L"-(#"n

5 Se%in"# H"sil

Re;isi

10 Pen**"n.""n

KTI


40/40

h++-:#e-(si+(#$usu">i.)i+s+#e"%12!3752774(;e#-.

h++-:li)#"#$u-n;&">i.-.s1'e-e#""+"n0520!12021)")1-.

L"il" i.-e#-us+"'""nin.e-h-

Y"s%in

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