6 Daftar Isi New.docx

DAFTAR ISI

HALAMAN JUDUL.................................................................................................. i PERNYATAAN KEASLIAN .................................................................................... ii LEMBAR PERSETUJUAN....................................................................................... iii LEMBAR PENGESAHAN ....................................................................................... iv KATA PENGANTAR ............................................................................................... v ABSTRAK ................................................................................................................. vii DAFTAR ISI .............................................................................................................. ix DAFTAR TABEL ...................................................................................................... xii DAFTAR BAGAN ................................................................................................. xiii DAFTAR GAMBAR .................................................................................................xiv DAFTAR LAMPIRAN .............................................................................................. xv BAB 1 PENDAHULUAN 1.1 Latar Belakang .........................................................................................1 1.2 Rumusan Masalah ....................................................................................5 1.3 Tujuan Penelitian .....................................................................................5 1.3.1 Tujuan Umum..............................................................................5 1.3.2 Tujuan Khusus .............................................................................5 1.4 Manfaan Penelitian...................................................................................5 1.4.1 Manfaat Teoritis ..........................................................................5 1.4.2 Manfaat Praktis............................................................................6 BAB 2 TINJAUAN PUSTAKA 2.1 Tinjaun Pustaka ........................................................................................7 2.1.1 Konsep Cedera Kepala ...............................................................7 2.1.1.1 Pengertian Cedera Kepala...........................................7 2.1.1.2 Mekanisme Cedera kepala ..........................................8 2.1.1.3 Klasifikasi Cedera kepala ...........................................9 2.1.1.4 Komplikasi Cedera Kepala .........................................10 2.1.1.5 Patofisiologis Cedera kepala ......................................12 2.1.1.6 Penatalaksanaan Cedera Kepala .................................16 2.1.1.7 Pengkajian Tanda-Tanda Vital Cedera Kepala...........20 2.1.2 Konsep Regulasi Serebral ...........................................................22 2.1.2.1 Anatomi dan Fisiologi Serebral ..................................22 2.1.2.2 Tekanan Intrakranial ...................................................24

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2.1.2.3 Regulasi Serebral ........................................................26 2.1.2.4 Autoregulasi Serebral .................................................29 2.1.3 Konsep Tingkat Kesadaran .........................................................30 2.1.3.1 Pengertian Tingkat Kesadaran ....................................30 2.1.4 Konsep Mean Artery Pressure ...................................................34 2.1.4.1 Pengertian Mean Arterial Pressure ............................34 2.1.4.2 Mekanisme Mean Arterial Pressure...........................37 2.1.4.3 Pengukuran Mean Arterial Pressure ..........................38 2.1.4.4 Faktor-Faktor yang Mempengaruhi Mean Arterial Pressure ......................................................................40 2.1.5 Hubungan Tingkat Kesadaran (GCS) dengan Mean Artery Pressure .......................................................................................41 2.2 Konsep Konseptual ................................................................................43 2.3 Hipotesis Penelitian .................................................................................44 BAB 3 METODE PENELITIAN 3.1 Desain Penelitian .....................................................................................45 3.2 Populasi, Sampel, Teknik Sampling .......................................................46 3.2.1 Populasi..........................................................................................46 3.2.2 Sampel ...........................................................................................46 3.2.3 Sampling ........................................................................................46 3.3 Kriteria Sampel .......................................................................................47 3.3.1 Kriteria Inklusi ...............................................................................47 3.3.2 Kriteria Eksklusi ............................................................................47 3.4 Variabel Penelitian ..................................................................................48 3.5 Definisi Opresional .................................................................................49 3.6 Instrumen Penelitian ................................................................................50 3.7 Tempat Dan Waktu Penelitian ................................................................50 3.8 Prosedur Pengumpulan Dan Analisa Data ..............................................50 3.8.2 Pengumpulan Data .........................................................................50 3.8.2 Analisa Data ..................................................................................52 3.9 Teknik Pengolaan Data ..........................................................................53 3.10 Penyajian Data.........................................................................................59 3.11 Etika Penelitian ......................................................................................58 3.12 Kerangaka Oprasional .............................................................................59 BAB 4 HASIL DAN PEMBAHASAN PENELITIAN 4.1 Hasil penelitian .......................................................................................46 4.1.1 Gambaran Umum Tempat Penelitian ............................................60 4.1.2 Data Umum Responden .................................................................61 4.1.3 Data Khusus Responden ................................................................64 4.2 Pembahasan Penelitian ...........................................................................67 4.2.1 Gambaran Mean Arterial Pressure Responden Cedera Kepala ...67 4.2.2 Gambaran Tingkat Kesadaran Responden Cedera Kepala ............69

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4.2.3 Hubungan Mean Arterial Pressure Dengan Tingkat Kesadaran Responden Cedera Kepala ...........................................................70 4.2 Keterbatasan Penelitian ..........................................................................72 BAB 5 KESIMPULAN DAN SARAN 5.1 Kesimpulan Penelitian ............................................................................73 5.2 Saran Penelitian ......................................................................................73 DAFTAR PUSTAKA ................................................................................................74 LAMPIRAN ...............................................................................................................78

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DAFTAR TABEL Table 3.1 Definisi Operasional .................................................................................49 Table 4.1 Karakteristik Responden berdasarkan Usia ...............................................62 Table 4.2 Responden Berdasarkan Mean Arterial Pressure ......................................65 Table 4.3 Responden Berdasarkan tingkat kesadaran ................................................66 Table 4.4 Hasil Uji Statistik .......................................................................................66

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DAFTAR BAGAN

Bagan 2.1 Pathway Cedera Kepala ............................................................................15 Bagan 2.2 Kerangka Konseptual ................................................................................43 Bagan 3.1 Kerangka Oprasional ................................................................................60

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DAFTAR GAMBAR Gambar 4.1 Diagram Karakteristik Responden Berdasarkan Jenis Kelamin ...........61 Gambar 4.2 Diagram Karakteristik Responden Berdasarkan Usia ...........................61 Gambar 4.3 Diagram Karakteristik Responden Berdasarkan Tingkat Pendidikan ...62 Gambar 4.4 Diagram Karakteristik Responden Berdasarkan Riwayat Terjadinya Cedera Kepala............................................................................................63 Gambar 4.5 Diagram Responden Berdasarkan Klasifikasi Cedera Kepala ..............63 Gambar 4.6 Diagram Responden Berdasarkan Mean Artery Pressure .....................64 Gambar 4.7 Diagram Responden Berdasarkan Tingkat Kesadaran ..........................65

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DAFTAR LAMPIRAN

Lampiran 1 Plan Of Action ........................................................................................78 Lampiran 2 Surat Permohonan Menjadi Responden .................................................79 Lampiran 3 Lembar Persetujuan Responden (Informed Consent) .............................80 Lampiran 4 SOP Pengukuran Tekanan Darah.. .........................................................81 Lampiran 5 Penilaian Tingkat Kesadaran ..................................................................84 Lampiran 6 Lembar Demografi Responden ...............................................................85 Lampiran 7 Tabulasi Tingkat Kesadaran Dan Mean Arterial Pressure ....................86

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