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LAMPIRAN
Lampiran 1. Ethical Clearance
51
52
Lampiran 2. Persetujuan Setelah Penjelasan/Informed Consent.
JUDUL PENELITIAN : HUBUNGAN ANTARA PAPARAN ASAP PEMBAKARAN LILIN BATIK DENGAN GAMBARAN EKG PENGRAJIN BATIK TULIS PELAKSANA : SEKAR ARUM N. K. (MAHASISWA FK UNDIP) INFORMED CONSENT Yth. Ibu/Saudari : …………………… Nama saya Sekar Arum N. K. , saya mahasiswa Program Studi S1 Pendidikan Dokter Fakultas Kedokteran UNDIP. Saya melakukan penelitian berjudul Hubungan antara Paparan Asap Pembakaran Lilin Batik dengan Gambaran EKG Pengrajin Batik Tulis. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara paparan asap pembakaran lilin batik dengan gambaran EKG pengrajin batik tulis yang dilihat dari perbedaan gambaran EKG antara kelompok pengrajin batik tulis dengan kelompok kontrol serta hubungan antara lama paparan dengan perubahan gambaran EKG. Apabila Ibu/Saudari setuju menjadi peserta penelitian maka ada beberapa hal yang akan peneliti lakukan, yaitu: -
Pengambilan data mengenai pekerjaan, riwayat dan gejala penyakit jantung dan pembuluh darah, kebiasaan merokok, mengonsumsi alkohol dan obatobatan dengan menggunakan kuesioner
-
Pemeriksaan tekanan darah, denyut nadi, dan EKG
-
Pengambilan data akan dilakukan dalam satu kali tatap muka
Keuntungan bagi Ibu/Saudari ikut dalam penelitian ini adalah dapat mengevaluasi fungsi jantung dan mendapat edukasi mengenai pencegahan penyakit akibat kerja. Saya menjamin bahwa penelitian ini tidak akan menimbulkan efek yang merugikan pada Ibu/Saudari. Dalam penelitian ini tidak ada intervensi dalam bentuk apapun terhadap Ibu/Saudari. Setiap data pemeriksaan dan penelitian dijamin kerahasiaannya dengan tidak mencantumkan identitas subjek pada laporan hasil penelitan. Sebagai peserta penelitian keikutsertaan ini bersifat sukarela dan tidak dikenakan biaya penelitian. Apabila ada informasi yang belum jelas atau pertanyaan mengenai penelitian ini Ibu/Saudari bisa menghubungi saya Sekar,
53
mahasiswa Program Studi S1 Pendidikan Dokter FK UNDIP (HP 082137284614). Terima kasih atas kerjasama Ibu/Saudari.
Setelah mendengar dan memahami penjelasan tentang penelitian, dengan ini saya menyatakan: Nama
: ..........................................................................................................
Usia
: ..........................................................................................................
Jenis kelamin : Laki-laki / Perempuan* Pekerjaan
: ..........................................................................................................
Alamat
: ..........................................................................................................
Menyatakan
: SETUJU / TIDAK SETUJU* Semarang, ……………….2015
Yang memberikan penjelasan
(
Yang membuat pernyataan persetujuan
)
(
*coret salah satu Contact Person: Sekar Arum Nuring Kurnia (Sekar) 082137284614
)
54
Lampiran 3. Kuesioner Penelitian Kuesioner Penelitian Tanggal
:
Nama Pewawancara : PENELITIAN HUBUNGAN ANTARA PAPARAN ASAP PEMBAKARAN LILIN BATIK DENGAN GAMBARAN EKG PENGRAJIN BATIK TULIS (Isi atau lingkari nomor jawaban) 1. 2. 3.
No responden Nama Jenis kelamin
4. 5.
Usia Alamat
6.
Pengrajin batik tulis
7. 8.
Lama menjadi pengrajin batik tulis Durasi kerja
9.
Tempat membatik
10.
Apakah memiliki pekerjaan lain yang menyebabkan terpapar asap secara kronik? Adakah riwayat penyakit kardiovaskuler? Adakah gejala penyakit kardiovaskuler? Adakah kebiasaan merokok atau menghisap tembakau?
11.
12.
13.
: : : 1. Laki-laki 2. Perempuan : ..........tahun : ............................................................................ ............................................................................ ............................................................................ ............................................................................ : 1. Ya 2. Tidak : ..........tahun : ..........jam per hari ..........hari per minggu : 1. Ruangan terbuka (tidak berdinding) 2. Ruangan tertutup (berdinding) : 1. Ya, sebutkan: 2. Tidak
: 1. Ya, sebutkan: 2. Tidak : 1. Ya, sebutkan: 2. Tidak : 1. Ya 2. Tidak
55
14.
15.
Adakah kebiasaan mengonsumsi alkohol? Apakah mengonsumsi obat berikut (bisa lebih dari satu jawaban)
: 1. Ya 2. Tidak : 1. Ciprofloxacin 2. Chloroquine 3. Diphenhidramin 4. Digoxin 5. Teofilin 6. Propanolol 7. Procainamide 8. Ephedrine 9. Pseudoephedrine 10. Lainnya.........................................................
Hasil Pengukuran BB
:
kg
TB
:
cm
TD
:
Denyut nadi
:
/
mmHg kali/menit
Gambaran EKG a. Gelombang P a1. Durasi
:
detik
a2. Amplitudo
:
mm
b. Kompleks QRS
:
detik
c. Interval PR
:
detik
d. Interval QT
:
detik
e. Segmen ST
: normal/tidak normal
f. Gelombang T
: normal/tidak normal
g. Denyut jantung
:
kali/menit
(normal/takikardi/bradikardi) h. Aksis QRS
:
°
(normal/deviasi ke kiri/deviasi ke kanan/indeterminate)
56
Lampiran 4. Data EKG
57
Lampiran 5. Hasil analisis
Means Report Usia Pekerjaan
Mean
Std. Deviation
Median
Min
Max
Pengrajin batik
44,40
7,356
42,00
32
58
Bukan pengrajin
43,00
6,425
43,00
31
52
43,70
6,824
42,50
31
58
batik Total
Report IMT Pekerjaan
Mean
Std. Deviation
Median
Range
Min
Max
Pengrajin batik
24,565
4,6183
23,111
15,6
17,2
32,7
Bukan pengrajin
27,671
5,8236
25,970
23,8
20,8
44,6
26,118
5,4004
25,813
27,4
17,2
44,6
batik Total
Descriptives Statistic Mean
43,70 Lower Bound
41,15
Upper Bound
46,25
Std. Error 1,246
95% Confidence Interval for Mean 5% Trimmed Mean
43,61
Median
42,50
Variance Usia
46,562
Std. Deviation
6,824
Minimum
31
Maximum
58
Range
27
Interquartile Range
8
Skewness Kurtosis Mean IMT
,052
,427
-,078
,833
26,118
,9860
Lower Bound
24,101
Upper Bound
28,134
95% Confidence Interval for Mean 5% Trimmed Mean
25,696
58
Median
25,813
Variance
29,164
Std. Deviation
5,4004
Minimum
17,2
Maximum
44,6
Range
27,4
Interquartile Range
5,9
Skewness
1,445
,427
Kurtosis
3,701
,833
Tests of Normality Kolmogorov-Smirnova Statistic
df
Shapiro-Wilk
Sig.
Statistic
Usia
,127
30
,200*
IMT
,146
30
,100
df
Sig.
,965
30
,418
,903
30
,010
*. This is a lower bound of the true significance. a. Lilliefors Significance Correction
T-Test Group Statistics Pekerjaan
N
Mean
Std. Deviation
Std. Error Mean
Pengrajin batik
15
44,40
7,356
1,899
Bukan pengrajin batik
15
43,00
6,425
1,659
Usia
Independent Samples Test Levene's Test for Equality of
t-test for Equality of
Variances
Means
F
Equal variances assumed Usia Equal variances not assumed
Sig.
,393
t
,536
df
,555
28
,555
27,5 03
59
Independent Samples Test t-test for Equality of Means Sig. (2-tailed)
Mean Difference
Std. Error Difference
Equal variances assumed
,583
1,400
2,522
Equal variances not assumed
,583
1,400
2,522
Usia
Independent Samples Test t-test for Equality of Means 95% Confidence Interval of the Difference Lower
Upper
Equal variances assumed
-3,766
6,566
Equal variances not assumed
-3,770
6,570
Usia
NPar Tests Mann-Whitney Test Ranks Pekerjaan
IMT
N
Mean Rank
Sum of Ranks
Bukan pengrajin batik
15
17,80
267,00
Pengrajin batik
15
13,20
198,00
Total
30
Test Statisticsa IMT Mann-Whitney U Wilcoxon W Z Asymp. Sig. (2-tailed) Exact Sig. [2*(1-tailed Sig.)] a. Grouping Variable: Pekerjaan b. Not corrected for ties.
78,000 198,000 -1,432 ,152 ,161b
60
PR and QT interval Descriptives Statistic Mean
Std. Error
155,00 Lower Bound
149,06
Upper Bound
160,94
2,903
95% Confidence Interval for Mean 5% Trimmed Mean
154,76
Median
152,50
Variance PR
252,897
Std. Deviation
15,903
Minimum
127
Maximum
186
Range
59
Interquartile Range
26
Skewness
,323
,427
-,693
,833
385,43
4,090
Kurtosis Mean Lower Bound
377,07
Upper Bound
393,80
95% Confidence Interval for Mean 5% Trimmed Mean
384,70
Median
387,00
Variance QT
501,771
Std. Deviation
22,400
Minimum
351
Maximum
438
Range
87
Interquartile Range
37
Skewness Kurtosis
,390
,427
-,393
,833
Tests of Normality Kolmogorov-Smirnova Statistic PR QT
,108 ,107
df
Shapiro-Wilk
Sig.
Statistic
df
Sig.
30
,200*
,963
30
,372
30
,200*
,968
30
,487
61
*. This is a lower bound of the true significance. a. Lilliefors Significance Correction
T-Test Group Statistics Pekerjaan
N
Mean
Std. Deviation
Std. Error Mean
Pengrajin batik
15
153,13
13,783
3,559
Bukan pengrajin batik
15
156,87
18,067
4,665
Pengrajin batik
15
393,87
22,427
5,791
Bukan pengrajin batik
15
377,00
19,596
5,060
PR
QT Independent Samples Test Levene's Test for Equality
t-test for Equality of Means
of Variances F
Equal variances assumed
Sig.
1,762
t
,195
df
-,636
28
-,636
26,173
2,193
28
2,193
27,505
PR Equal variances not assumed Equal variances assumed
,232
,634
QT Equal variances not assumed Independent Samples Test t-test for Equality of Means Sig. (2-tailed)
Mean Difference
Std. Error Difference
Equal variances assumed
,530
-3,733
5,867
Equal variances not assumed
,530
-3,733
5,867
Equal variances assumed
,037
16,867
7,690
Equal variances not assumed
,037
16,867
7,690
PR
QT Independent Samples Test t-test for Equality of Means 95% Confidence Interval of the Difference Lower
Upper
Equal variances assumed
-15,752
8,285
Equal variances not assumed
-15,790
8,323
Equal variances assumed
1,115
32,618
Equal variances not assumed
1,102
32,631
PR
QT
62
PR
QT
63
Crosstabs Pekerjaan * Interpretasi Crosstabulation Interpretasi Tidak normal Count Pengrajin batik
% within
Pek
Total
Normal
8
7
15
53,3%
46,7%
100,0%
1
14
15
6,7%
93,3%
100,0%
9
21
30
30,0%
70,0%
100,0%
Pekerjaan
erja Count
an Bukan pengrajin batik
% within Pekerjaan Count
Total
% within Pekerjaan
Chi-Square Tests Value
df
Asymp. Sig.
Exact
Exact Sig. (1-
(2-sided)
Sig. (2-
sided)
sided) Pearson Chi-
7,778a
1
,005
5,714
1
,017
8,576
1
,003
Square Continuity Correctionb Likelihood Ratio Fisher's Exact Test Linear-by-Linear
,014 7,519
1
,007
,006
Association N of Valid Cases
30
a. 2 cells (50,0%) have expected count less than 5. The minimum expected count is 4,50. b. Computed only for a 2x2 table Risk Estimate Value
95% Confidence Interval Lower
Odds Ratio for Pekerjaan (Pengrajin batik / Bukan
16,000
1,656 154,59
pengrajin batik) For cohort Interpretasi = Tidak normal For cohort Interpretasi = Normal N of Valid Cases
Upper
5 8,000 ,500 30
1,136 56,330 ,286
,873
64
65
Lampiran 6. Dokumentasi penelitian
66
Lampiran 7. Biodata mahasiswa
Identitas Nama
: Sekar Arum Nuring Kurnia
NIM
: 22010111130124
Tempat, tanggal lahir
: Semarang, 17 April 1994
Jenis kelamin
: Perempuan
Alamat
: Jl. Tembalang Selatan III, Villa Mutiara E3
Nomor HP
: 082137284614
Email
:
[email protected]
Riwayat Pendidikan SD
: SDN 03 Purwodadi
Lulus tahun 2005
SMP
: SMPN 1 Purwodadi
Lulus tahun 2008
SMA : SMA Semesta Semarang
Lulus tahun 2011
Fakultas Kedokteran Universitas Diponegoro
Masuk tahun 2011
