SKRIPSI - core.ac.uk ?· 2.2 Konsep Pola Tidur ... Lampiran 8 SAP Pelaksanaan Pencegahan Tersier ...…

  • Published on
    12-Mar-2019

  • View
    213

  • Download
    0

Embed Size (px)

Transcript

<p>EFEKTIVITAS PENYELESAIAN MASALAH POLA TIDUR </p> <p>PADA AGREGAT PENDERITA DIABETES MELLITUS </p> <p>MELALUI PENDEKATAN MODEL COMMUNITY AS </p> <p>PARTNER </p> <p>SKRIPSI </p> <p>Oleh : </p> <p>DIAN RINDA EKA ARISTA </p> <p>08060074 </p> <p>PROGRAM STUDI ILMU KEPERAWATAN </p> <p>FAKULTAS ILMU KESEHATAN </p> <p>UNIVERSITAS MUHAMMADIYAH MALANG </p> <p>2012 </p> <p>EFEKTIVITAS PENYELESAIAN MASALAH POLA TIDUR PADA </p> <p>AGREGAT PENDERITA DIABETES MELLITUS MELALUI </p> <p>PENDEKATAN MODEL COMMUNITY AS PARTNER </p> <p>SKRIPSI </p> <p>Untuk Memenuhi Sebagai Persyaratan Mencapai Derajat Sarjana Keperawatan (S.Kep) Pada Program Studi Ilmu Keperawatan Fakultas Ilmu Kesehatan </p> <p>Universitas Muhammadiyah Malang </p> <p>Oleh : </p> <p>DIAN RINDA EKA ARISTA </p> <p>08060074 </p> <p>PROGRAM STUDI ILMU KEPERAWATAN </p> <p>FAKULTAS ILMU KESEHATAN </p> <p>UNIVERSITAS MUHAMMADIYAH MALANG </p> <p>2012 </p> <p>SURAT PERNYATAAN KEASLIAN TULISAN </p> <p>Saya yang bertandatangan dibawah ini : </p> <p>Nama : Dian Rinda Eka Arista </p> <p>Nim : 08060074 </p> <p>Program Studi : Program Studi Ilmu Keperawatan FIKES UMM </p> <p>Judul skripsi : Efektivitas Penyelesaian Masalah Pola Tidur Pada Agregat </p> <p>Penderita Diabetes Mellitus Melalui Pendekatan Model </p> <p>Community As Partner </p> <p>Menyatakan dengan sebenar-benarnya bahwa tugas akhir yang saya tulis ini benar-</p> <p>benar hasil karya saya sendiri, bukan merupakan pengambilalihan tulisan atau pikiran </p> <p>orang lain yang saya akui sebagai tulisan atau pikiran saya sendiri. </p> <p>Apabila kemudian hari dapat dibuktikan bahwa tugas akhir ini adalah jiplakan, maka </p> <p>saya bersedia menerima sanksi atas perbuatan tersebut. </p> <p>Malang, 28 Juli 2012 </p> <p>Yang membuat pernyataan, </p> <p>Dian Rinda Eka Arista </p> <p> NIM : 08060074 </p> <p>Efektivitas Penyelesaian Masalah Pola Tidur Pada Agregat </p> <p>Penderita Diabetes Mellitus Melalui Pendekatan Model </p> <p>Community As Partner </p> <p>Dian Rinda Eka Arista1, Yoyok Bekti Prasetyo,M.Kep.,Sp.Kom.2, Titik Agustiyaningsih,S.Kep.Ns3 </p> <p>INTISARI </p> <p>Latar Belakang : Model Community as Partner sangat sesuai diterapkan pada agregat penderita Diabetes Mellitus karena mampu memberikan upaya penyelesaian masalah secara menyeluruh yakni berupa pencegahan primer, pencegahan sekunder, dan pencegahan tersier. Upaya pencegahan primer dilakukan untuk mencegah munculnya derajat reaksi atau munculnya permasalahan gangguan pola tidur pada agregat penderita diabetes mellitus yang belum mengalami gangguan pola tidur, pencegahan sekunder dilakukan untuk mencegah terjadinya peningkatan derajat reaksi atau mencegah terjadinya peningkatan tingkat gangguan pola tidur yang dialami oleh penderita diabetes mellitus. Dan untuk pencegahan tersier dilakukan sebagai upaya mencegah terjadinya ketidakseimbangan tambahan atau mencegah terjadinya kerusakan lebih lanjut dari komplikasi suatu penyakit. Penelitian ini bertujuan untuk mengetahui efektivitas penyelesaian masalah pola tidur pada agregat penderita diabetes mellitus dengan pendekatan model community as partner. Metode Penelitian : Penelitian ini merupakan penelitian eksperimental menggunakan pendekatan One Group Pretest-Postest without Control Group Design dengan mencari hubungan sebab akibat yang melibatkan satu kelompok subjek. Subyek penelitian adalah agregat penderita diabetes melitus yang mengalami gangguan pola tidur (n = 30) diambil dengan metode probability sampling dengan tehnik simple random sampling. Analisa data dilakukan dengan menggunakan sistem komputerisasi dengan menggunakan analisis uji T analisis. </p> <p>Hasil : Hasil dari perhitungan uji statistik dengan menggunakan T- tes menunjukkan bahwa nilai probabilitas yakni sebesar 0,000 atau (p</p> <p>The Effectiveness of Problem Solved Sleep Pattern on an Aggregate of </p> <p>Diabetics Patients Approach Community as Partner Model </p> <p>Dian Rinda Eka Arista1, Yoyok Bekti Prasetyo,M.Kep.,Sp.Kom.2, </p> <p>Titik Agustiyaningsih,S.Kep.Ns3 </p> <p>ABSTRACT </p> <p>Background of study: Community as partner model was appropriate to be </p> <p>implemented for aggregate people with Diabetics since it could give the whole </p> <p>problem solved that was primary, secondary and tertiary preventions. Primary </p> <p>prevention was conducted to avoid degree of reaction or emergence sleep pattern </p> <p>disturbance for aggregate of Diabetics Patients who did not suffer sleep pattern </p> <p>disturbance, secondary prevention was done to avoid increasing level of sleep pattern </p> <p>disturbance that was suffered by people with diabetics. And for tertiary prevention, it </p> <p>was conducted as prevention additional imbalanced or avoid more injury of illness </p> <p>complication. The objective of this study was to know the effectiveness of problem-</p> <p>solved for sleep pattern on an aggregate of diabetics patients with community as </p> <p>partner model. </p> <p>Research method: this study used experimental method by using One Group Pretest-</p> <p>Posttest without Control Group Design approach by looking the cause-effect relationship </p> <p>which included one subject group. The subject of this study was aggregate of </p> <p>diabetics patients who suffered sleep pattern disturbance (n = 30) that was taken by </p> <p>using probability sampling method with simple random sampling technique. Data analysis was </p> <p>done by using computer system using t-test analysis. </p> <p>The Result of Study: the calculation result of statistical test by using t-test showed </p> <p>that probability of 0,000 or (p</p> <p>DAFTAR ISI </p> <p>HALAMAN JUDUL ............................................................................................... i </p> <p>LEMBAR PERSETUJUAN.................................................................................... </p> <p>LEMBAR PENGESAHAN.................................................................................... </p> <p>ii </p> <p>iii </p> <p>LEMBAR KEASLIAN PENELITIAN................................................................ </p> <p>MOTTO...................................................................................................................... </p> <p>LEMBAR PERSEMBAHAN................................................................................. </p> <p>iv </p> <p>v </p> <p>vi </p> <p>KATA PENGANTAR ........................................................................................... </p> <p>ABSTRAK.................................................................................................................. </p> <p>DAFTAR ISI ............................................................................................................. </p> <p>vii </p> <p>ix </p> <p>xi </p> <p>DAFTAR TABEL ................................................................................................... xv </p> <p>DAFTAR GAMBAR .............................................................................................. xvi </p> <p>DAFTAR LAMPIRAN ........................................................................................... xvii </p> <p>BAB I PENDAHULUAN ...................................................................................... 1 </p> <p>1.1 Latar Belakang ......................................................................................... 1 </p> <p>1.2 Rumusan Masalah ................................................................................... 5 </p> <p>1.3 Tujuan Penelitian .................................................................................... 5 </p> <p>1.3.1 Tujuan Umum .............................................................................. 5 </p> <p>1.3.2 Tujuan Khusus .............................................................................. 5 </p> <p>1.4 Manfaat Penelitian .................................................................................. 6 </p> <p>1.4.1Bagi Agregat Penderita Diabetes Mellitus ...................................... 6 </p> <p>1.4.2 Bagi Institusi Keperawatan ......................................................... 6 </p> <p>1.4.3 Bagi Peneliti .................................................................................. 6 </p> <p>1.4.4 Bagi Peneliti Selanjutnya ............................................................. 6 </p> <p>BAB II TINJAUAN PUSTAKA .......................................................................... 7 </p> <p>2.1 Strategi Intervensi Community as Partner dalam penyelesaian </p> <p>masalah pola tidur pada penderita Diabetes Mellitus .................................. </p> <p>7 </p> <p>2.1.1 Konsep Community as Partner ....................................................... 7 </p> <p>2.12 Strategi Intervensi Community as Partner untuk Menurunkan </p> <p>Gangguan Pola Tidur pada penderita Diabetes Mellitus .................... </p> <p>10 </p> <p>2.2 Konsep Pola Tidur.................................................................................. 13 </p> <p>2.2.1 Fisiologi Tidur ............................................................................... 13 </p> <p>2.2.2 Tahapan Tidur ............................................................................... 14 </p> <p>2.2.2.1 Tidur Non Rapid Eye Movemen....................................... 14 </p> <p>2.2.2.2 Tidur Rapid Eye Movement ............................................. 15 </p> <p>2.2.3 Fungsi Tidur .................................................................................. 16 </p> <p>2.2.4 Kualitas Tidur ................................................................................ 17 </p> <p>2.2.5 Faktor-Faktor yang Mempengaruhi Kebutuhan Tidur ......... 17 </p> <p>2.2.5.1 Penyakit................................................................................. 17 </p> <p>2.2.5.2 Latihan Fisik dan Kelelahan............................................... 18 </p> <p>2.2.5.3 Strees Psikologis................................................................... 18 </p> <p>2.2.5.4 Obat-Obatan........................................................................ 18 </p> <p>2.2.5.5 Lingkungan .......................................................................... 18 </p> <p>2.2.6 Macam-Macam Gangguan Tidur................................................ 19 </p> <p>2.2.6.1 Insomnia............................................................................... 19 </p> <p>2.2.6.2 Hyperinsomnia................................................................ 19 </p> <p>2.2.6.3 Narcolepsy ........................................................................... 19 </p> <p>2.2.6.4 Sleep Apnea?Mendengkur.............................................. 20 </p> <p>2.2.6.5 Parasomnia .......................................................................... 20 </p> <p>2.2.6.6 Enuresa ................................................................................ 20 </p> <p>2.2.7 Parameter Gangguan Tidur.......................................................... 20 </p> <p>2.3 Konsep Diabetes Mellitus.......................................................................... 22 </p> <p>2.3.1 Definisi Diabetes Mellitus................................................................ 22 </p> <p>2.3.1 Insulin.............................................................................................. 22 </p> <p>2.3.2 Klasifikasi Diabetes Mellitus ........................................................... 22 </p> <p>2.3.2.1 Diabetes Mellitus Tipe 1 ................................................ 22 </p> <p>2.3.2.2 Diabetes Mellitus Tipe 2 ................................................ 23 </p> <p>2.3.2.3 Diabetes Mellitus Tipe lain............................................. 23 </p> <p>2.3.2.4 Diabetes Mellitus Gestasional ....................................... 23 </p> <p>2.3.3 Gejala dan Tanda-Tanda Diabetes Mellitus ................................. 23 </p> <p>2.3.4 Komplikasi Diabetes Mellitus ......................................................... 24 </p> <p>1.4.4.1 Komplikasi Metabolik Akut ...................................... 24 </p> <p>1.4.4.2 Komplikasi Metabolik Kronik................................... 24 </p> <p>2.4 Pola Tidur Pada Penderita Diabetes Mellitus........................................ 24 </p> <p>2.4.1 Faktor Fisik..................................................................................... 25 </p> <p>2.4.1.1 Nokturia.............................................. </p> <p> 2.4.1.2 Sering MerasaHaus. .................................................... </p> <p>25 </p> <p>25 </p> <p>2.4.1.3 Sering Merasa Lapar................................................ 26 </p> <p>2.4.1.4 Gatal-Gatal Pada Kulit....................................... 26 </p> <p>2.4.1.5 Kesemutan dan Kram pada kulit ............................... 26 </p> <p>2.4.1.6 Nyeri............................................................................... 26 </p> <p>2.4.2 Faktor Psikososial.......................................................................... 26 </p> <p>2.4.3 Faktor Lingkungan........................................................................ 27 </p> <p>2.5 Gangguan Pola Tidur pada Penderita Diabetes Mellitus...................... 27 </p> <p>2.6 Peran Perawat dalam Agregat Penderita Diabetes Mellitus.................. 29 </p> <p>BAB III KERANGKA KONSEP ........................................................................ 31 </p> <p>3.1 Kerangka Konsep ................................................................................... 31 </p> <p>3.2 Hipotesis Penelitian ................................................................................ 32 </p> <p>BAB IV METODE PENELITIAN ..................................................................... 33 </p> <p>4.1 Desain Penelitian .................................................................................... 33 </p> <p>4.2 Kerangka Penelitian ................................................................................ 33 </p> <p>4.3 Desain Sampling ..................................................................................... 34 </p> <p>4.3.1 Populasi .......................................................................................... 34 </p> <p>4.3.2 Sampel ............................................................................................ 35 </p> <p>4.3.2.1 Teknik sampling ........................................................... 36 </p> <p>4.4 Variabel Penelitian .................................................................................. 36 </p> <p>4.4.1 Variabel Independen .................................................................... 36 </p> <p>4.4.2 Variabel Dependen ....................................................................... 36 </p> <p>4.5 Definisi Operasional ............................................................................... 36 </p> <p>4.6 Waktu dan Tempat Penelitian ............................................................... 37 </p> <p>4.7 Instrumen Penelitian............................................................................... 38 </p> <p>4.8 Prosedur Pengumpulan Data ................................................................ 38 </p> <p>4.8.1 Tahap Persiapan ............................................................................ 38 </p> <p>4.8.2 Tahap Pelaksanaan ....................................................................... 38 </p> <p>4.9 Analisa Data ............................................................................................. 39 </p> <p>4.9.1Univariat .......................................................................................... 39 </p> <p>4.9...</p>