016 Iqbal Wahyuda Exempted.pdf

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KOMISI ETIK PENELTTIAN KESEIIATAIT (IGPIq HEALTH RESEARCH ETHICS COMMITTEE (HREC) POLITEKNIK KESEHATAN KEMEIYKES PONTIANAK Jl. 28 Oktober-Siantan Hulu Pontianak 78241 Kalimantan Barat Phone/Fu-+62 561882632 email: [email protected]

PERSETUJUAhI KOMISI ETIK E THI CS COMMI TTE E APPRO VAL

No.

01

6/KEPK-PK.PKP/Y2019

Komisi Etik Penelitian Kesehatan (KEPK) menyatakan bahwa protokol di bawah ini telah memenuhi prinsip etik yang tercantum dalam Deklarasi Helsinki 2008 dan oleh karena itu dapat dilaksanakan. The Health Research Ethics Committee states that the below pratocol meets the ethicol principle outlined in the Declaration of Helsinki 2008 and therefore can be carried out Judul Protokol Penelitian Title of the Research Protocol

Hubungan Dukungan Keluarga Dengan Kualitas Hidup Pada Pasien Diabetes mellitus Di Puskesmas Rawat Jalan Kecamatan Toho

Dokumea yang Disetujui Documenls Approved

Protokol versi I

Peneliti Utama Principl e Inves tigatar

lqbal Wahyuda

Tanggal disetujui Date ofApproval

2l

Januan2019 (Berlaku satu tahun sejak tanggal disetujui)

(validfor one yeor beginningfrom the date of approval) Institusi/Tempat Penelitian

Instittx

/

i on (s) P I rc e (s)

Puskesmas Rawat Jalan Kecamatan Toho, Mempawah

of

Reseqrch

Komisi Etik Penelitian Kesehatan (KEPK) berhak memantau kegiatan penelitian setiap saat. The Heolth Research Ethics Committee (HREC) has the right to monitor the research activities at any time.

Peneliti wajib mengumpulkan: The investigator(s) is/are obliged to submit: I Laporan kemajuan sebagai kajian lanjut: Tahunan Progress report as a continuing review: Anually t Laporan kejadian burukyang serius Report ofany serious adverse evenls Laporanakhir setelah penelitian selesai y/ - Final report upon the campletion af study

{r,^+ Ns. HalinaRahayq M.Kep SekretanslSecretary

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