Lampiran 1: Formulir Pengambilan Data No. Status: No. Studi: Nama pasien: Tgl. Masuk/Keluar: Data demografis Tanggal lahir (dd/mm/yy): atau usia (tahun): Berat badan (kg): Alamat: Jenis kelamin: Laki-laki Perempuan Tanda Vital Tekanan Darah : _____ mmHg Denyut Nadi : ______x/menit Pernafasan : ______x/menit o
Manifestasi Klinis OralDemam, Suhu: ___ C Aksila Rektal Timpani Muntah Sakit kepala / sendi Kejang Lain-lain: __________ Pemeriksaan spesifik: Petekie Pendarahan mukosa : epistaksis / gusi Syok Hepatomegali Lain-lain: __________
Mual /
Tatalaksana / Outcome Derajat Penyakit : _____ Tatalaksana : Antipiretik / corticosteroid Resusitasi Cairan : NaCl 0,9% RL RA, Lain-lain : _______ Obat Resusitasi : __________ Transfusi : PRC FFP Trombosit
Outcome : Sembuh / Meninggal
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Lampiran 2 DAFTAR RIWAYAT HIDUP
Nama : Jeffri Simatupang Tempat/Tanggal Lahir : Medan / 12 Maret 1992 Agama : Kristen Alamat : Jl. Angsa No. 9A, Medan Riwayat Pendidikan : 1. TK Sutomo 1 Medan 1997 2. SD Sutomo 1 Medan 1998 3. SMP Sutomo 1 Medan 2004 4. SMA Sutomo 1 Medan 2007 5. Fakultas Kedokteran USU 2010 Riwayat Pelatihan : 1. Pelatihan Balut Bidai TBM FK USU 2010 2. Seminar Dokter Keluarga dan Workshop Sirkumsisi SCOPH FK USU 2010 3. Seminar dan Workshop Basic Life Support & Traumatology 2011
Tim Bantuan Medis FK USU 4. Seminar Dokter Keluarga dan Workshop Sirkumsisi SCOPH FK USU 2011 5. S emi nar Nasional “ Professionalism in Medical World” 2013 Indonesian Medical Olympiad 2013 Surabaya Riwayat Organisasi : 1. Anggota Seksi Medis Baksos KMB USU 2010 2. Anggota Seksi Transport Baksos KMB FK USU 2011
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3. Ketua Penyuluhan Seksi Medis Baksos KMB USU 2011 4. Anggota Seksi Olahraga Bulu Tangkis PORSENI FK USU 2012 5. Anggota Seksi PT Baksos MIND FK USU 2012 6. Koordinator Seksi Medis Baksos KMB USU 2012 7. Wakil Ketua Perayaan Natal KMK FK USU 2012 8. Anggota Seksi Transportasi Baksos KMK FK USU 2013 9. Anggota Seksi Acara PMB FK USU 2013 10. Ketua Baksos MIND FK USU 2013 11. Panitia Baksos KMB USU 2013
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Lampiran 3
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Lampiran 4
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Lampiran 5 HASIL ANALISIS DATA SPSS
Sta tist Jenis Kelamin La ics Responden ma Ra wat N Valid 110 110 110 110 an Mis Bul sin an g0 Ra 00 wat Je 0 an nis Ta Valid Percent Cumulative Percent Frequency Percent Kel hu am n in Ra Re Perempuan Valid Laki-Laki 46 41.8 41.8 41.8 wat 64 58.2 58.2 100.0 Total 110 100.0 100.0 sp an on de n
La ma Frequency Ra Percent Valid Percent Cumulative Percent wa tan 0 Hari 23 20.9 20.9 20.9 1-2 Hari 5 4.5 4.5 25.5 3-4 Hari 40 36.4 36.4 61.8 5-6 Hari 27 24.5 24.5 86.4 =7 Hari 15 13.6 13.6 100.0 Total 110 100.0 100.0 Val id
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Bulan Rawatan Frequency Percent Valid Percent Cumulative Percent
Januari 9 8.2 8.2 8.2 Februari 12 10.9 10.9 19.1 Maret 9 8.2 8.2 27.3 April 2 1.8 1.8 29.1 Mei 3 2.7 2.7 31.8 Juni 7 6.4 6.4 38.2 Juli 13 11.8 11.8 50.0 Agustus 7 6.4 6.4 56.4 September 9 8.2 8.2 64.5 Oktober 8 7.3 7.3 71.8 November 12 10.9 10.9 82.7 Desember 19 17.3 17.3 100.0 Total 110 100.0 100.0
Valid
Bulan Rawatan 2011 Frequency Percent Valid Percent Cumulative Percent
Januari 8 11.8 11.8 11.8 Februari 6 8.8 8.8 20.6 Maret 2 2.9 2.9 23.5 Mei 3 4.4 4.4 27.9 Juni 4 5.9 5.9 33.8 Juli 9 13.2 13.2 47.1 Agustus 3 4.4 4.4 51.5 September 7 10.3 10.3 61.8 Oktober 5 7.4 7.4 69.1 November 10 14.7 14.7 83.8 Desember 11 16.2 16.2 100.0 Total 68 100.0 100.0
Valid
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Bulan Rawatan 2012 Frequency Percent Valid Percent Cumulative Percent
Januari 1 2.4 2.4 2.4 Februari 6 14.3 14.3 16.7 Maret 7 16.7 16.7 33.3 April 2 4.8 4.8 38.1 Juni 3 7.1 7.1 45.2 Juli 4 9.5 9.5 54.8 Agustus 4 9.5 9.5 64.3 September 2 4.8 4.8 69.0 Oktober 3 7.1 7.1 76.2 November 2 4.8 4.8 81.0 Desember 8 19.0 19.0 100.0 Total 42 100.0 100.0
Valid
Tahun Rawatan Frequency Percent Valid Percent Cumulative Percent
Valid 2011 68 61.8 61.8 61.8 2012 42 38.2 38.2 100.0 Total 110 100.0 100.0
Statistics Kategori Umur Gejala Demam Gejala dan Tanda Kejang
Gejala Mual Muntah
Gejala Sakit Kepala, Sendi, RetroOrbital
N Valid 110 110 110 110 110 Missing 0 0 0 0 0
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Kat eg Frequency oriPercent Valid Percent Cumulative Percent Um ur 0-1 Tahun 10 9.1 9.1 9.1 2-5 Tahun 24 21.8 21.8 30.9 6-9 Tahun 28 25.5 25.5 56.4 10-14 Tahun 41 37.3 37.3 93.6 15-18 Tahun 7 6.4 6.4 100.0 Total 110 100.0 100.0 Val id
Gej ala Frequency De Percent Valid Percent Cumulative Percent ma m Val id De ma Gej m ala 11 Frequency Percent Valid Percent Cumulative Percent da 0 n 10 Ta 0.0 nd97.3 Kejang 3 2.7 2.7 100.0 Total 110 100.0 100.0 Valid 10 Tidak Ada 107 97.3 97.3 a 0.0 Kej 10 an 0.0 g
Gej ala Frequency Mu Percent Valid Percent Cumulative Percent al Mu Tidak Ada 35 31.8 31.8nta 31.8 Mual 5 4.5 4.5 36.4 Muntah 36 32.7 32.7 69.1 Mual h Total 110 100.0 100.0 Muntah 34 30.9 30.9 100.0 Val id
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Val id
Gej ala Frequency Percent Valid Percent Cumulative Percent Sa kit Ke pal 61.8 Sakit Kepala 15 13.6 13.6 75.5 Sakit Sendi 15 13.6 13.6 89.1 Tidak Ada 68 61.8 61.8 Sakit Kepala+Sendia,11 10.0 10.0 99.1 Sakit Kepala+Sendi+Retro Se ndi , Ret ro Orbital 1 .9 .9 100.0Or bit al Tot al 11 0 Sta 10 tist Tanda Petekie Tanda Tanda Syok Tanda Pendarahan Tanda Dan 0.0 ics Hepatomegali Mukosa Gejala Lain 10 0.0
N Valid 110 110 110 110 110 Mis sin g0 00 00
Ta nd FrequencyaPercent Valid Percent Cumulative Percent Pet eki Valid Tidak Ada 29 26.4 26.4 26.4ePetekie 81 73.6 73.6 100.0 Total 110 100.0 100.0
Ta nd Frequency Percent Valid Percent Cumulative Percent a He pat om Valid Tidak Ada 83 75.5 75.5 75.5 Hepatomegali 27 24.5 24.5 100.0 Total 110 100.0 100.0 eg ali
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Tanda Syok
Frequency Percent Valid Percent Cumulative Percent
Valid Tidak Ada 105 95.5 95.5 95.5 Syok 5 4.5 4.5 100.0 Total 110 100.0 100.0
Tanda Pendarahan Mukosa Frequency Percent Valid Percent Cumulative Percent
Tidak Ada 75 68.2 68.2 68.2 Epistaksis 7 6.4 6.4 74.5 Pendarahan Gusi 1 .9 .9 75.5 Melena 17 15.5 15.5 90.9 Epistaksis+Melena 3 2.7 2.7 93.6 Epistaksis+Gusi 1 .9 .9 94.5 Epistaksis+Gusi+Melena 6 5.5 5.5 100.0 Total 110 100.0 100.0
Valid
Tanda Dan Gejala Lain
Frequency Percent Valid Percent Cumulative Percent
Tidak Ada 67 60.9 60.9 60.9 Batuk 11 10.0 10.0 70.9 Nyeri Perut Sekitar Ulu Hati 21 19.1 19.1 90.0 Oral Trush 1 .9 .9 90.9 Penurunan Kesadaran 1 .9 .9 91.8 Ruam Makulopapular 2 1.8 1.8 93.6 Ascites 3 2.7 2.7 96.4 Mengigil 2 1.8 1.8 98.2 Sakit Menelan 2 1.8 1.8 100.0 Total 110 100.0 100.0
Valid
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Statistics Jenis Transfusi Derajat Penyakit
Outcome Pasien
N Valid 110 110 110 Missing 0 0 0
Jenis Transfusi Frequency Percent Valid Percent Cumulative Percent
Tidak Ada 17 15.5 15.5 15.5 RL 76 69.1 69.1 84.5 D5%+NaCl 0.45% 6 5.5 5.5 90.0 RL+D5%+NaCl 0.45% 4 3.6 3.6 93.6 D5%+NaCl 0.225% 2 1.8 1.8 95.5 PRC+FFP+NaCl 0.9% 1 .9 .9 96.4 PRC+Trombosit+RL+D5%+
Valid
NaCl 0.45% 1 .9 .9 97.3
FFP+Trombosit+RL+D5%+ NaCl 0.45%
1 .9 .9 98.2
FFP+Trombosit+D5% NaCl 0.45%
1 .9 .9 99.1
Trombosit+NaCl 0.9%+RL 1 .9 .9 100.0 Total 110 100.0 100.0
Derajat Penyakit Frequency Percent Valid Percent Cumulative Percent
DF 21 19.1 19.1 19.1 DHF Grade 1 19 17.3 17.3 36.4 DHF Grade 2 51 46.4 46.4 82.7 DHF Grade 3 15 13.6 13.6 96.4 DHF Grade 4 4 3.6 3.6 100.0 Total 110 100.0 100.0 Valid
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Ou tco Frequency mePercent Valid Percent Cumulative Percent Pa sie Valid Sembuh 103 93.6 93.6 93.6nMeninggal 7 6.4 6.4 100.0 Total 110 100.0 100.0
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Lampiran 6 MASTER DATA
No Nama JK LP BR Umur Demam Kejang MM Sakit Petekie HPMG Syok PM SSL Transfusi Derajat Outcome 1 MDM 2 2 12 3 1 0 0 0 0 0 0 0 1 0 0 1 2 CNS 2 2 12 3 1 0 3 1 1 0 0 1 0 0 2 1 3 FS 2 2 12 3 1 0 3 0 1 0 0 0 0 0 2 1 4 AS 1 3 4 4 1 0 1 0 0 0 0 0 0 0 1 1 5 AF 1 2 6 1 1 0 0 0 1 0 1 1 0 0 4 1 6 DR 2 2 3 1 1 0 0 1 1 0 0 3 2 0 2 1 7 SS1 2 4 9 2 1 0 2 1 0 0 0 3 3 0 4 1 8 AZ 2 3 9 2 1 0 2 0 1 0 0 0 0 0 3 1 9 SN 2 2 9 3 1 0 1 0 1 0 0 3 2 0 2 1
10 SPT 1 2 2 1 1 0 2 0 0 0 0 4 0 0 2 1 11 NK 2 0 3 0 1 0 2 0 0 0 0 3 4 0 3 2 12 RAA 2 2 7 2 1 0 2 0 1 0 0 0 5 0 2 1 13 RR 1 3 1 0 1 0 3 0 0 1 1 3 1 0 3 1 14 FA 2 2 6 1 1 0 2 0 0 0 0 3 2 0 1 1 15 SEH 2 0 10 1 1 0 3 4 1 1 0 3 0 0 2 2 16 AP 1 2 3 0 1 1 0 0 1 0 0 0 1 0 2 1 17 SI 2 2 10 0 1 0 0 0 1 0 0 0 0 0 2 1 18 SE 2 2 11 1 1 0 2 0 1 0 0 0 6 0 2 1 19 FAT 2 3 11 1 1 0 0 2 0 0 0 0 6 0 2 1 20 AT 2 4 11 2 1 0 2 0 0 0 0 0 0 0 0 1 21 LKBS 2 3 10 3 1 0 0 2 0 1 0 0 1 0 2 1 22 AR 1 3 1 3 1 0 3 0 1 1 0 3 0 0 2 1 23 DTG 1 2 1 1 1 0 2 0 0 0 0 0 2 0 0 1 24 JBG 1 2 1 3 1 0 2 1 1 0 0 0 0 0 1 1 25 ANP 1281100011001011
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26 IMB 2 2 9 3 1 0 2 0 1 0 0 0 0 0 2 1 27 YN 2 3 7 3 1 0 1 0 1 1 0 5 2 0 3 1 28 PU 2 3 5 1 1 0 0 0 1 1 0 0 0 0 2 1 29 MN 1 0 7 2 1 0 2 0 0 1 0 4 2 3 3 2 30 CS 2 3 12 1 1 0 2 0 0 1 0 0 2 0 3 1 31 SBB 2 3 7 2 1 0 0 4 1 1 0 0 2 0 2 1 32 TI 2 3 10 3 1 0 1 2 1 0 0 0 0 0 2 1 33 FAS 1 3 8 3 1 0 2 0 0 0 0 1 1 0 2 1 34 DLR 2 2 6 3 1 0 3 2 1 1 0 0 0 4 3 2 35 BSS 1 3 1 3 1 0 3 4 1 0 0 0 2 0 2 1 36 EK 1 3 12 3 1 0 3 1 1 0 0 0 0 0 3 1 37 JU 2 2 11 3 1 0 0 0 1 0 0 6 2 0 2 1 38 TAD 2 4 10 4 1 0 3 0 0 0 0 0 2 0 0 1 39 AZZ 1 4 2 1 1 0 2 1 1 0 0 0 0 0 3 1 40 BO 1 4 12 2 1 0 2 0 1 0 0 6 0 5 3 1 41 HY1 2 2 7 3 1 0 3 1 0 0 0 0 0 0 2 1 42 JSS1 2 4 8 2 1 0 2 4 0 0 0 3 0 0 2 1 43 AEAF 2 3 9 2 1 0 3 2 1 1 0 3 2 0 2 1 44 JGS 1 2 7 3 1 0 2 0 1 0 0 0 2 0 2 1 45 DS 2 0 7 2 1 0 0 0 1 0 1 0 6 4 3 2 46 DMADA 2 0 6 1 1 0 3 1 1 1 0 1 0 0 3 1 47 FBK 2 3 9 0 1 0 0 0 1 0 0 0 0 0 1 1 48 ZAPBB 2 3 2 1 1 0 3 0 1 0 0 0 0 0 2 1 49 SAH 1 2 12 1 1 0 0 0 0 0 0 3 0 0 2 1 50 HBN 1 2 1 3 1 0 3 0 1 1 0 1 0 0 2 1 51 PADM 2 4 12 4 1 0 3 0 1 0 0 0 7 0 2 1 52 SS2 2 3 12 2 1 0 2 2 1 0 0 0 0 0 2 1 53 APA 1 2 11 1 1 0 3 2 0 0 0 3 0 0 2 1 54 ZAU 2 2 9 3 1 0 0 4 0 0 0 0 0 0 0 1
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55 MHB 2 2 8 0 1 0 0 0 1 0 0 0 0 0 1 1 56 RA1 1 4 8 1 1 0 2 0 1 0 1 0 0 0 3 1 57 SMS 1 4 9 3 1 0 0 1 1 1 0 0 0 0 2 1 58 MAH 1 3 11 2 1 0 0 2 1 0 0 1 0 0 2 1 59 SS3 1 1 10 4 1 0 0 0 1 0 0 3 0 0 2 1 60 AYL 2 2 10 2 1 0 2 0 1 1 0 0 0 0 2 1 61 ASPG 1 2 11 2 1 0 0 0 1 1 0 3 2 0 2 1 62 GES 2 4 12 2 1 0 2 0 1 0 0 0 0 0 2 1 63 AM 1 2 12 3 1 0 0 5 1 0 0 0 0 0 2 1 64 IADR 2 3 11 1 1 0 3 0 1 0 1 0 0 0 4 1 65 MA 1 1 12 0 1 0 2 0 1 0 0 3 0 0 4 2 66 DMS 2 2 12 0 1 0 0 0 1 0 0 0 8 0 1 1 67 FSS 1 2 7 1 1 0 3 0 1 0 0 0 0 0 2 1 68 NRS 1 2 7 3 1 0 2 4 1 0 0 0 0 0 2 1 69 LPS 1 4 2 3 1 0 2 0 0 0 0 6 0 0 2 1 70 MY 2 2 2 1 1 1 2 2 0 1 0 6 0 0 2 1 71 DAA 1 3 1 2 1 0 2 0 1 0 0 0 0 0 0 1 72 RI 1 2 9 3 1 0 3 0 1 0 0 2 2 0 2 1 73 JSS2 2 4 2 3 1 0 2 0 0 0 0 0 1 0 1 1 74 RA2 1 3 5 2 1 0 3 0 1 1 0 0 0 0 2 1 75 NA 2 2 1 1 1 0 3 0 1 0 0 0 0 0 1 1 76 LH 2 0 11 1 1 0 0 0 1 0 0 6 2 0 0 1 77 MDZ 1 3 2 0 1 0 0 0 0 1 0 4 0 0 2 1 78 RAW 1 0 10 1 1 0 3 2 1 0 0 0 0 0 0 1 79 SS4 2 0 11 3 1 0 2 0 0 1 0 0 0 0 0 1 80 DE 2 2 2 3 1 0 3 4 1 0 0 0 1 0 2 1 81 FAHA 2 2 2 3 1 0 3 2 1 1 0 0 2 0 2 1 82 EFS 2 2 3 2 1 0 2 1 1 0 0 0 0 0 1 1 83 YS 2 4 8 3 1 0 0 1 1 0 0 0 0 0 1 1
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84 ZH 1 1 7 2 1 1 3 4 1 1 0 6 2 6 3 2 85 NAD 2 2 6 1 1 0 2 0 1 0 0 3 0 0 0 1 86 MRSMS 1 3 6 4 1 0 0 4 1 0 0 0 0 0 0 1 87 HT 1 4 6 3 1 0 3 0 1 0 0 0 5 0 2 1 88 LRS 2 0 3 2 1 0 0 2 1 1 0 0 1 0 2 1 89 JHC 1 0 12 2 1 0 0 0 1 0 0 0 0 0 0 1 90 KHD 1 0 12 2 1 0 0 4 1 0 0 0 0 0 0 1 91 MAA 1 0 12 3 1 0 0 0 1 0 0 0 1 0 0 1 92 ASK 1 0 12 3 1 0 0 2 0 0 0 1 0 0 1 1 93 PRH 2 0 4 2 1 0 0 0 1 0 0 0 2 0 0 1 94 LES 2 0 12 2 1 0 3 0 0 0 0 0 2 0 0 1 95 AFF 1 0 2 3 1 0 0 0 1 0 0 0 0 0 1 1 96 MS 1 0 3 2 1 0 1 1 0 0 0 0 0 0 1 1 97 IABB 2 0 3 3 1 0 2 1 1 0 0 0 0 0 0 1 98 HY2 2 2 7 4 1 0 3 1 1 0 0 0 0 0 2 1 99 AIS 2 4 7 0 1 0 3 0 1 1 0 0 0 0 2 1
100 NBD 2 2 5 3 1 0 2 0 1 0 0 0 0 0 1 1 101 ATA 1 0 11 3 1 0 0 0 1 0 0 0 8 0 0 1 102 AFA 1 0 7 3 1 0 3 1 1 0 0 0 0 0 1 1 103 ABS 2 3 8 3 1 0 3 0 1 0 0 3 0 0 2 1 104 AML 2 0 11 3 1 0 2 0 1 0 0 0 1 0 0 1 105 ZCH 2 0 1 3 1 0 2 0 1 0 0 0 0 0 1 1 106 MMBT 2 3 3 2 1 0 0 4 1 0 0 0 0 0 1 1 107 RABB 2 3 2 2 1 0 3 0 1 0 0 0 0 0 1 1 108 HN 2 1 2 2 1 0 2 0 1 1 0 0 7 0 3 1 109 DHTB 2 0 12 4 1 0 3 2 0 1 0 0 2 0 0 1 110 GL 1 1 3 3 1 0 3 2 1 0 000001
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