Vii-x Daftar Isi.docx

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DAFTAR ISI

Halaman Judul ...................................................................................................... i Halaman Pengesahan............................................................................................. ii Halaman Persetujuan............................................................................................. iii Abstrak ................................................................................................................. iv Kata Pengantar ......................................................................................................vi Daftar Isi ............................................................................................................... vii Daftar Tabel .......................................................................................................... x Daftar Gambar ....................................................................................................... xi BAB I

PENDAHULUAN ............................................................................... 1 1.1.

Latar Belakang ......................................................................... 1

1.2.

Rumusan Masalah .................................................................... 3

1.3.

Aspek Dari Disiplin Ilmu Yang Terkait dengan Judul Pendekatan

Kedokteran

Keluarga

Pada

Penderita

Hiperkolesterolemia ...........................................................4 1.4.

1.5. BAB II

Tujuan Dan Manfaat Studi Kasus ............................................ 5 1.4.1.

Tujuan Umum .......................................................... 5

1.4.2.

Tujuan Khusus ......................................................... 6

1.4.3.

Manfaat Studi Kasus ................................................ 6

Indikator Keberhasilan Tindakan ............................................. 7

ANALISIS KEPUSTAKAAN DANBERDASARKAN KASUS ...... 8 2.1.

Kerangka Teori .........................................................................8

2.2.

Konsep Mandala..................................................................... 9

2.3.

Pendekatan Diagnosis Holistik Pada Pelayanan Kedokteran Keluarga Di Layanan Primer .................................................... 10

2.4.

Hiperkolesterolemia .................................................................. 13 2.4.1.

Definisi ..................................................................... 13

2.4.2.

Klasifikasi................................................................. 15

2.4.3.

Epidemiologi Hiperkolesterolemia .......................... 16 A. Trias Epidemiologi ............................................ 14

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B. Variabel Epidemiologi.......................................20 2.4.4.

Patogenesis............................................................... 21

2.4.5.

Manifestasi Klinis..................................................... 24

2.4.6.

Diagnosis.................................................................. 24

2.4.7.

Penatalaksanaan........................................................ 25

2.4.8.

Komplikasi................................................................27

2.4.9.

Pencegahan............................................................... 27

2.4.10.

Prognosis .................................................................. 30

BAB III METODOLOGI DAN LOKASI STUDI KASUS .............................. 31 3.1.

Metodologi ............................................................................... 31

3.2.

Lokasi dan Waktu Studi Kasus ................................................ 31

3.3.

Gambaran Umum Lokasi Studi Kasus ..................................... 32

3.4.

3.3.1.

Letak Geografis........................................................ 33

3.3.2.

Keadaan Demografis................................................ 33

Sarana Kesehatan...................................................................... 37 3.4.1.

Data Dasar Puskesmas............................................. 37

3.4.2.

Struktur Organisasi ................................................... 37

3.4.3.

Tenaga Kesehatan .................................................... 38

3.4.4.

Sarana Pelayanan Kesehatan……………………….39

3.4.5.

Visi Dan Misi Puskesmas…………………………..39

3.4.6.

Upaya Kesehatan…………………………………...40

3.4.7.

10 Penyakit Terbanyak………………………….….44

3.4.8.

Alur Pelayanan Puskesmas…………………….…...45

BAB IV HASIL DAN PEMBAHASAN ............................................................46 4.1.

Hasil dan Pembahasan Studi Kasus ......................................... 46 4.1.1.

Identitas Pasien ........................................................ 46

4.1.2.

Riwayat Penyakit..................................................... 46

4.1.3.

Pemeriksaan Fisik ……............................................ 47

4.1.4.

Penunjang................................................................. 51

4.1.5.

Diagnosis.................................................................. 51

4.1.6.

Penatalaksanaan dan Edukasi................................... 51

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4.1.7. 4.2.

4.3.

Prognosis .................................................................. 51

Pendekatan Holistik.................................................................. 51 4.2.1.

Profil Keluarga......................................................... 51

4.2.2.

Karakteristik Demografi Keluarga ........................... 52

4.2.3.

Penilaian Status Sosial dan Kesejahteraan Hidup .... 52

4.2.4.

Kepemilikan Barang Berharga ................................. 53

4.2.5.

Penilaian Perilaku Kesehatan ................................... 53

4.2.6.

Pola Konsumsi Makanan Keluarga .......................... 53

4.2.7.

Pola Dukungan Keluarga ......................................... 54

4.2.8.

Fungsi Fisiologis (APGAR) ..................................... 54

4.2.9.

Fungsi Patologis (SCREEM) ................................... 56

Pembahasan .............................................................................. 58

BAB V KESIMPULAN DAN SARAN................................................................ 65 5.1

KESIMPULAN.......................................................................... 65

5.2

SARAN....................................................................................... 65

DAFTAR PUSTAKA............................................................................................ 66 LAMPIRAN ........................................................................................................ 68

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DAFTAR TABEL

Tabel 1.

Kadar Kolesterol LDL ........................................................................ 15

Tabel 2.

Kadar Kolesterol Trigliserida ............................................................ 16

Tabel 3.

Kadar Kolesterol HDL ....................................................................... 16

Tabel 4.

Interpretasi Lipid Plasma ................................................................... 25

Tabel 5.

Dosis Statin maksimal yang direkomendasikan ................................. 26

Tabel 6.

Data Jumlah Penduduk di Wilayah Kerja Puskesmas Cendrawasih Tahun 2017 ................................................................... 34

Tabel 7.

Data Jumlah menurut Jenis Kelamin dan Kelompok Umur di Wilayah Kerja Puskesmas Cendrawasih Tahun 2017 ........................ 34

Tabel 8.

Data Kepadatan Penduduk menurut Luas Wilayah di wilayah kerja Puskesmas Cendrawasih tahun 2017 ....................................... 35

Tabel 9.

Data jumlah penduduk menurut Tingkat Pendidikan di wilayah kerja Puskesmas Cendrawasih tahun 2017 ....................................... 36

Tabel 10. Data jumlah penduduk menurut Mata Pencaharian di Wilayah Kerja Puskesmas Cendrawasih........................................................... 36 Tabel 11. Data dan jumlah penduduk menurut Agama di wilayah kerja Puskesmas Cendrawasih tahun 2017.................................................. 37 Tabel 12. Tenaga Kesehatan Puskesmas Cendrawasih Tahun 2018 .................. 39 Tabel 13. Daftar 10 Penyakit Terbanyak Bulan Januari 2019 di Puskesmas Cendrawasih ................................................................... 44 Tabel 14. Anggota Keluarga yang Tinggal Serumah ......................................... 52 Tabel 15. Lingkungan Tempat Tinggal .............................................................. 53 Tabel 16. Penilaian Fungsi Fisiologis (APGAR) Keluarga Penderita Hiperkolesterolemia ........................................................................... 56 Tabel 17. Skoring Kemampuan Pasien dan Keluarga dalam Penyelesaian Masalah dalam keluarga ..................................................................... 60 Tabel 18. Rencana Pelaksanaan (Plan Of Action) ............................................. 63

x

xi

DAFTAR GAMBAR

Gambar 1.

Kerangka Teori .............................................................................. 8

Gambar 2.

Konsep Mandala……..................................................................... 9

Gambar 3.

Mekanisme Hiperkolesterolemia ..................................................... 24

Gambar 4.

Puskesmas Cendrawasih .................................................................. 32

Gambar 5.

Peta Wilayah Kerja Puskesmas Cendrawasih .................................. 33

Gambar 6.

Struktur Organisasi Puskesmas Cendrawasih .................................. 38

Gambar 7.

Bagan Alur Pelayanan Puskesmas Cendrawasih ............................. 45

Gambar8.

Genogram ......................................................................................... 57

Gambar 9.

Wawancara Pasien ........................................................................... 68

Gambar 10. Kondisi Dapur + ruang makan ......................................................... 68 Gambar 11. Kondisi Ruang Keluarga .................................................................. 69 Gambar 12. Kondisi Kamar Tidur ....................................................................... 69 Gambar 13. Kondisi Kamar Mandi ...................................................................... 69

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