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PENGARUH SANITASI LINGKUNGAN DAN PERSONAL HYGIENE TERHADAP KEJADIAN PENYAKIT SKABIES PADA WARGA BINAAN PEMASYARAKATAN YANG BEROBAT KE KLINIK DI RUMAH TAHANAN NEGARA KLAS 1 MEDAN
(Mohon kuesioner ini diisi dengan baik dan benar, yang mana kuesioner ini dipergunakan untuk menyelesaikan tesis/ tugas akhir pada program studi S2 Ilmu Kesehatan Masyarakat Fakultas Kesehatan Masyarakat Universitas Sumatera Utara. Atas kesediaan warga binaan pemasyarakatan sebagai responden dalam kuesioner ini diucapkan terima kasih)
Nomor Responden
Hari / Tanggal Wawancara Identitas responden : :
102
103
B. Personal Hygiene No A. Pertanyaan Kebersihan Rambut 1. Apakah anda mencuci rambut sekurang-kurangnya 2x Seminggu? 2. Apakah anda menggunakan sumber air yang bersih saat Mencuci rambut? 3. Apakah anda mencuci rambut dengan menggunakan Shampoo? 4.Apakah anda menggunakan peralatan sendiri? B. Kebersihan Kulit 1. Apakah anda mandi 2x sehari secara teratur? 2. Apakah anda mandi dengan menggunakan air bersih? 3. Apakah anda mandi dengan menggunakan sabun? 4. Apakah anda mengganti pakaian setiap hari ? 5. Apakah anda menggunakan peralatan mandi seperti sabun dan handuk sendiri? Kebersihan Tangan, Kaki dan Kuku 1. Apakah anda mencuci tangan dengan sabun sebelum makan? 2. Apakah anda mencuci tangan dengan sabun sesudah makan? 3. Apakah anda tidak hanya mengelap tangan saja sebelum atau sesudah makan? 4. Apakah kuku tangan dan kaki anda dalam keadaan pendek dan bersih? 5. Apakah anda memotong kuku tangan dan kaku secara teratur? Ya Tidak
Lampiran 2 LEMBARAN OBSERVASI SANITASI LINGKUNGAN RUMAH TAHANAN Nama Blok : Hari / Tanggal Pemeriksaan : Nama Petugas Pemeriksaan : A. Sanitasi Lingkungan (Dilakukan observasi dan pengukuran secara langsung di Rumah Tahanan) 1. Ketersediaan air bersih untuk warga binaan pemasyarakatan a. Mencukupi untuk mandi, cuci dan kakus (MCK) dan wudu bagi yang Muslim b. Tidak mencukupi untuk mandi, cuci dan kakus
1
2. Luas ventilasi ..% dari luas ruangan/kamar (dibandingkan dengan syarat Permenkes No.829 Tahun 1999 yaitu >10%). a. Sesuai b. Tidak sesuai
1 0
3. Kelembaban % (dibandingkan dengan syarat Permenkes No.829 Tahun 1999 yaitu 40-70%). a. Sesuai b. Tidak sesuai
1 0
4. Pencahayaan . Lux (dibandingkan dengan syarat Permenkes No.829 Tahun 1999 yaitu 60 lux) a. Sesuai b. Tidak sesuai
1 0
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5. Jumlah warga binaan pemasyarakatan dalam 1 kamar .orang. Luas kamar .. meter a. Sesuai b. Tidak sesuai 6. Kondisi lantai ruang tahanan a. Kedap air b. Tidak kedap air
1 0 1 0
Lampiran 3
Item-Total Statistics Scale Mean if Item Deleted 2.47 2.53 2.50 2.50 Scale Variance if Item Deleted .740 .671 .672 .741 Corrected Item-Total Correlation .448 .434 .499 .370 Cronbach's Alpha if Item Deleted .582 .591 .544 .633
Scale Sta tisti cs Mean 3.33 Variance 1.126 St d. Deviation 1.061 N of Items 4
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Reliability
[DataSet0] D:\Kebersihan kulit data.sav
Ite m S tati stics Kulit1 Kulit2 Kulit3 Kulit4 Kulit5 Mean .83 .83 .93 .87 .80 St d. Deviation .379 .379 .254 .346 .407 N 30 30 30 30 30
Item-Total Statistics Scale Mean if Item Deleted 3.43 3.43 3.33 3.40 3.47 Scale Variance if Item Deleted 1.013 1.013 1.126 1.007 1.016 Corrected Item-Total Correlation .467 .467 .598 .557 .404 Cronbach's Alpha if Item Deleted .684 .684 .656 .648 .715
Scale Sta tisti cs Mean 4.27 Variance 1.513 St d. Deviation 1.230 N of Items 5
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Ite m S tati stics KTKK1 KTKK2 KTKK3 KTKK4 KTKK5 Mean .67 .60 .53 .73 .77 St d. Deviat ion .479 .498 .507 .450 .430 N 30 30 30 30 30
Item-Total Statistics Scale Mean if Item Deleted 2.63 2.70 2.77 2.57 2.53 Scale Variance if Item Deleted 2.033 1.872 2.116 2.047 1.982 Corrected Item-Total Correlation .521 .627 .408 .564 .668 Cronbach's Alpha if Item Deleted .748 .710 .788 .734 .702
Scale Sta tisti cs Mean 3.30 Variance 2.976 St d. Deviation 1.725 N of Items 5
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41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84
2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2
2 2 1 2 2 2 1 1 2 2 2 2 2 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 1 2 2 2 2 2 1 2
2 2 2 2 2 2 2 1 2 2 2 2 2 1 2 2 2 2 1 2 2 1 2 1 2 2 2 2 2 2 2 1 1 2 2 2 2 2 2 2 2 1 2 2
2 2 1 2 2 2 2 1 2 2 2 2 2 1 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 1 2 2 2 2 2 1 2
2 1 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 1 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 1
1 1 2 1 1 1 1 2 1 1 1 1 1 1 1 1 1 2 1 1 2 1 1 2 2 1 1 2 1 1 1 2 1 1 1 1 1 1 2 2 1 1 1 1
2 1 1 1 1 1 1 1 2 1 1 1 1 1 1 2 1 1 1 1 2 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1
2 1 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 1 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 1 2 2 2 2 2 2 1
2 1 1 2 1 1 1 1 2 1 1 1 1 1 1 1 2 1 1 1 2 1 1 1 2 2 1 2 1 1 2 2 1 1 1 1 2 1 1 1 2 1 2 1
1 2 2 1 1 1 1 1 1 2 1 1 1 1 1 1 1 2 2 2 1 2 1 1 1 2 1 1 2 2 1 1 2 1 1 1 2 1 2 2 1 2 1 2
111
85 86 87 88 89 90 91 92 93 94 95 96 97
2 2 2 2 2 2 1 2 2 2 2 1 2
2 1 1 2 2 2 2 2 2 2 1 2 1
2 2 2 2 2 1 2 2 2 2 2 1 1
2 1 1 2 2 2 2 2 2 2 1 2 2
2 2 2 2 2 2 1 2 2 2 1 2 2
1 1 1 1 1 1 2 1 1 1 2 1 2
1 2 1 1 1 1 1 2 1 1 1 1 1
2 2 2 2 2 2 1 2 2 2 2 2 2
2 1 1 2 1 1 1 1 1 1 1 1 2
1 1 2 1 1 1 2 1 1 1 2 1 2
Lampiran 5
Frequencies
Ketersediaan Air Frequency 11 86 97 Percent 11.3 88.7 100.0 Valid Percent 11.3 88.7 100.0 Cumulative Percent 11.3 100.0
Valid
Ventilasi Ruangan Frequency 22 75 97 Percent 22.7 77.3 100.0 Valid Percent 22.7 77.3 100.0 Cumul ative Percent 22.7 100.0
Valid
Kelembaban Frequency 18 79 97 Percent 18.6 81.4 100.0 Valid Percent 18.6 81.4 100.0 Cumul ative Percent 18.6 100.0
Valid
Pencahayaan Frequency 15 82 97 Percent 15.5 84.5 100.0 Valid Percent 15.5 84.5 100.0 Cumul ative Percent 15.5 100.0
Valid
Kepadatan Penghuni Frequency 17 80 97 Percent 17.5 82.5 100.0 Valid Percent 17.5 82.5 100.0 Cumul ative Percent 17.5 100.0
Valid
112
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Kondisi Lantai Frequency 71 26 97 Percent 73.2 26.8 100.0 Valid Percent 73.2 26.8 100.0 Cumul ative Percent 73.2 100.0
Valid
Kebersihan Rambut Frequency 81 16 97 Percent 83.5 16.5 100.0 Valid Percent 83.5 16.5 100.0 Cumulative Percent 83.5 100.0
Valid
Kebersihan Kulit Frequency 21 76 97 Percent 21.6 78.4 100.0 Valid Percent 21.6 78.4 100.0 Cumulative Percent 21.6 100.0
Valid
Kebersihan Tangan, Kaki dan Kuku Frequency 59 38 97 Percent 60.8 39.2 100.0 Valid Percent 60.8 39.2 100.0 Cumulative Percent 60.8 100.0
Valid
Kejadian Skabies Frequency 63 34 97 Percent 64.9 35.1 100.0 Valid Percent 64.9 35.1 100.0 Cumul ative Percent 64.9 100.0
Valid
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Cukup
Tidak Cukup
Total
Count Ex pec ted Count % within Keters ediaan Air Count Ex pec ted Count % within Keters ediaan Air Count Ex pec ted Count % within Keters ediaan Air
Chi-Square Tests Value 11.920 b 9.715 11.558 df 1 1 1 As ymp. Sig. (2-sided) .001 .002 .001 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.001
a. Computed only for a 2x2 table b. 1 cells (25.0%) have expected count less than 5. The minimum expected count is 3. 86.
115
Ventilasi Ruangan
Baik
Tidak B aik
Total
Count Ex pec ted Count % within V entilasi Ruangan Count Ex pec ted Count % within V entilasi Ruangan Count Ex pec ted Count % within V entilasi Ruangan
Chi-Square Tests Value 2.793b 2.008 2.707 df 1 1 1 As ymp. Sig. (2-sided) .095 .156 .100 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.080
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 7. 71.
116
Kelembaban
Baik
Tidak B aik
Total
Count Ex pec ted Count % within K elembaban Count Ex pec ted Count % within K elembaban Count Ex pec ted Count % within K elembaban
Chi-Square Tests Value 4.081b 3.051 3.916 df 1 1 1 As ymp. Sig. (2-sided) .043 .081 .048 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.042
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 6. 31.
117
Pencahayaan
Baik
Tidak B aik
Total
Count Ex pec ted Count % within P encahay aan Count Ex pec ted Count % within P encahay aan Count Ex pec ted Count % within P encahay aan
Chi-Square Tests Value 1.052b .535 1.019 df 1 1 1 As ymp. Sig. (2-sided) .305 .465 .313 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.230
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 5. 26.
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Kepadatan Penghuni
Baik
Tidak B aik
Total
Count Ex pec ted Count % within K epadatan Penghuni Count Ex pec ted Count % within K epadatan Penghuni Count Ex pec ted Count % within K epadatan Penghuni
Chi-Square Tests Value 11.434 b 9.620 10.962 df 1 1 1 As ymp. Sig. (2-sided) .001 .002 .001 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.001
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 5. 96.
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Kondis i Lantai
Baik
Tidak B aik
Total
Count Ex pec ted Count % within K ondisi Lantai Count Ex pec ted Count % within K ondisi Lantai Count Ex pec ted Count % within K ondisi Lantai
Chi-Square Tests Value 5.512b 4.441 5.352 df 1 1 1 As ymp. Sig. (2-sided) .019 .035 .021 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.019
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 9. 11.
120
Baik
Kurang Baik
Total
Count Ex pec ted Count % within K ebersihan Rambut Count Ex pec ted Count % within K ebersihan Rambut Count Ex pec ted Count % within K ebersihan Rambut
Chi-Square Tests Value .637b .261 .621 df 1 1 1 As ymp. Sig. (2-sided) .425 .609 .431 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.300
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 5. 61.
121
Baik
Kurang Baik
Total
Count Ex pec ted Count % within K ebersihan K ulit Count Ex pec ted Count % within K ebersihan K ulit Count Ex pec ted Count % within K ebersihan K ulit
Chi-Square Tests Value 11.768 b 10.062 11.330 df 1 1 1 As ymp. Sig. (2-sided) .001 .002 .001 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.001
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 7. 36.
122
Baik
Kurang Baik
Total
Count Ex pec ted Count % within Kebersihan Tangan, Kaki dan Kuku Count Ex pec ted Count % within Kebersihan Tangan, Kaki dan Kuku Count Ex pec ted Count % within Kebersihan Tangan, Kaki dan Kuku
Chi-Square Tests Value 7.590b 6.436 7.993 df 1 1 1 As ymp. Sig. (2-sided) .006 .011 .005 Exact Sig. (2-sided) Exact Sig. (1-sided)
Pearson Chi-Square Continuity Correction a Likelihood Ratio Fis her's Exact Test Linear-by-Linear As sociation N of Valid Cases
.005
a. Computed only for a 2x2 table b. 0 cells (.0%) have expected count less than 5. The minimum expected count is 13. 32.
Lampiran 6
Logistic Regression
Case Processing Summary Unweighted Cases Selected Cases
a
a. If weight is in effect, s ee class ification table for the total number of cases.
Enc odi ng
Step 0
Va riables in the Equa tion B -.617 S. E. .213 W ald 8.400 df 1 Sig. .004 Ex p(B) .540
St ep 0
Constant
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Variables not in the Equation Step 0 Variables Air Ventilasi Klembaban Kepadatan Lantai Kulit KTKK Score 11.920 2.793 5.117 11.434 4.750 11.768 7.590 39.106 df 1 1 1 1 1 1 1 7 Sig. .001 .095 .024 .001 .029 .001 .006 .000
Overall Statistics
Model Summar y Ste p 1 -2 Log likeliho od 77 .330 a Co x & Snel l R Squa re .39 2 Na gelkerke R Squa re .54 0
a. Es tima tion term inated a t iteration num be r 6 b ecau se pa ram eter estim ate s ch ang ed b y les s tha n .0 01.
Classification Table a Predicted Kejadian Skabies Tidak Sakit Sakit 55 8 13 21 Percentage Correct 87.3 61.8 78.4
Step 1
125
Va riables in the Equa tion B -2.582 -.642 -1.081 -1.850 1.324 -2.057 -2.716 16.285 S.E. 1.110 .698 .666 .831 .762 .803 .849 4.249 W ald 5.408 .845 2.634 4.954 3.018 6.567 10.241 14.691 df 1 1 1 1 1 1 1 1 Sig. .020 .358 .105 .026 .082 .010 .001 .000 Exp(B) .076 .526 .339 .157 3.757 .128 .066 1E+007 95.0% C.I.for EXP(B) Lower Upper .009 .666 .134 2.068 .092 1.252 .031 .802 .844 16.722 .027 .616 .013 .349
Step a 1
a. Variable(s) entered on step 1: Air, Ventilasi, Klembaban, Kepadatan, Lantai, Kulit, KTKK.
Logistic Regression
Case Processing Summary Unweighted Cases Selected Cases
a
a. If weight is in effect, s ee class ification table for the total number of cases.
Enc odi ng
126
Step 0
Va riables in the Equa tion B -.617 S. E. .213 W ald 8.400 df 1 Sig. .004 Ex p(B) .540
St ep 0
Constant
Variables not in the Equation Step 0 Variables Air Klembaban Kepadatan Lantai Kulit KTKK Score 11.920 5.117 11.434 4.750 11.768 7.590 38.668 df 1 1 1 1 1 1 6 Sig. .001 .024 .001 .029 .001 .006 .000
Overall Statistics
127
Model Summar y Ste p 1 -2 Log likeliho od 78 .165 a Co x & Snel l R Squa re .38 7 Na gelkerke R Squa re .53 3
a. Es tima tion term inated a t iteration num be r 6 b ecau se pa ram eter estim ate s ch ang ed b y les s tha n .0 01.
Classification Table a Predicted Kejadian Skabies Sakit Tidak Sakit 5 58 14 20 Percentage Correct 92.1 58.8 80.4
Step 1
Variables in the Equation B -2.612 -1.214 -1.856 1.455 -2.091 -2.538 15.161 S.E. 1.101 .654 .833 .737 .794 .798 3.976 Wald 5.629 3.446 4.971 3.895 6.933 10.115 14.543 df 1 1 1 1 1 1 1 Sig. .018 .063 .026 .048 .008 .001 .000 Exp(B) .073 .297 .156 4.284 .124 .079 3840205 95.0% C.I.for EXP(B) Lower Upper .008 .635 .082 1.070 .031 .799 1.010 18.167 .026 .586 .017 .378
Step a 1
128
Logistic Regression
Case Processing Summary Unweighted Cases Selected Cases
a
a. If weight is in effect, s ee class ification table for the total number of cases.
Enc odi ng
Step 0
Va riables in the Equa tion B -.617 S. E. .213 W ald 8.400 df 1 Sig. .004 Ex p(B) .540
St ep 0
Constant
129
Va riables not in the Equa tion St ep 0 Variables Air Kepadatan Lantai Kulit KTKK Sc ore 11.920 11.434 4.750 11.768 7.590 35.672 df 1 1 1 1 1 5 Sig. .001 .001 .029 .001 .006 .000
Overall Statistics
Model Summar y Ste p 1 -2 Log likeliho od 81 .627 a Co x & Snel l R Squa re .36 5 Na gelkerke R Squa re .50 2
a. Es tima tion term inated a t iteration num be r 6 b ecau se pa ram eter estim ate s ch ang ed b y les s tha n .0 01.
Classification Table a Predicted Kejadian Skabies Sakit Tidak Sakit 55 8 12 22 Percentage Correct 87.3 64.7 79.4
Step 1
130
Variables in the Equation B -2.331 -1.896 1.547 -2.271 -2.608 12.873 S.E. 1.082 .814 .740 .785 .790 3.658 Wald 4.643 5.420 4.372 8.367 10.913 12.384 df 1 1 1 1 1 1 Sig. .031 .020 .037 .004 .001 .000 Exp(B) .097 .150 4.698 .103 .074 389517.6 95.0% C.I.for EXP(B) Lower Upper .012 .810 .030 .741 1.102 20.033 .022 .481 .016 .346
Step a 1
131
Lampiran 7
132
133