Bifirda Ulima, LAP Hemoroid

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l\li2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb0\sl-322\slmult0 \par\pard\ql\
li2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb0\sl-322\slmult0 \par\pard\ql\li
2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb0\sl-322\slmult0 \par\pard\ql\li24

\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\s
b0\sl-322\slmult0 \par\pard\ql\li2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb0
\sl-322\slmult0 \par\pard\ql\li2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb0\s
l-322\slmult0 \par\pard\ql\li2481\sb282\sl-322\slmult0 \up0 \expndtw-4\charscale
x100 \ul0\nosupersub\cf1\f2\fs28 FAKTOR RISIKO KEJADIAN HEMORRHOID PADA USIA \pa
r\pard\ql \li5369\sb0\sl-320\slmult0 \up0 \expndtw-4\charscalex100 21-30 TAHUN \
par\pard\ql \li5074\sb0\sl-322\slmult0 \par\pard\ql\li5074\sb0\sl-322\slmult0 \p
ar\pard\ql\li5074\sb135\sl-322\slmult0 \up0 \expndtw-4\charscalex100 LAPORAN HAS
IL \par\pard\ql \li4688\sb198\sl-322\slmult0 \up0 \expndtw-4\charscalex100 KARYA
TULIS ILMIAH \par\pard\ql \li2525\sb0\sl-276\slmult0 \par\pard\ql\li2525\sb0\sl
-276\slmult0 \par\pard\ql\li2525\sb0\sl-276\slmult0 \par\pard\ql\li2525\sb208\sl
-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 Diajukan
sebagai syarat untuk mengikuti ujian hasil Karya Tulis Ilmiah \par\pard\ql \li37
82\sb4\sl-276\slmult0 \up0 \expndtw-3\charscalex100 mahasiswa program strata-1 k
edokteran umum \par\pard\ql \li5285\sb0\sl-480\slmult0 \par\pard\ql\li5285\ri452
3\sb296\sl-480\slmult0\tx5636 \up0 \expndtw-3\charscalex100 BIFIRDA ULIMA \line\
tab \up0 \expndtw-3\charscalex100 G2A008038 \par\pard\ql \li3312\sb0\sl-276\slmu
lt0 \par\pard\ql\li3312\sb0\sl-276\slmult0 \par\pard\ql\li3312\sb0\sl-276\slmult
0 \par\pard\ql\li3312\sb0\sl-276\slmult0 \par\pard\ql\li3312\sb0\sl-276\slmult0
\par\pard\ql\li3312\sb0\sl-276\slmult0 \par\pard\ql\li3312\sb13\sl-276\slmult0 \
up0 \expndtw-3\charscalex100 PROGRAM PENDIDIKAN SARJANA KEDOKTERAN \par\pard\ql
\li4551\ri3790\sb36\sl-480\slmult0\fi134\tx5532 \up0 \expndtw-3\charscalex100 FA
KULTAS KEDOKTERAN \up0 \expndtw-3\charscalex100 UNIVERSITAS DIPONEGORO \line\tab
\up0 \expndtw-3\charscalex100 TAHUN 2012 \par\pard\ql \li6229\sb0\sl-253\slmult
0 \par\pard\ql\li6229\sb175\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\no
supersub\cf3\f4\fs22 i \par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb
0\sl-240{\bkmkstart Pg2}{\bkmkend Pg2}\par\pard\ql \li3125\sb0\sl-322\slmult0 \p
ar\pard\ql\li3125\sb0\sl-322\slmult0 \par\pard\ql\li3125\sb0\sl-322\slmult0 \par
\pard\ql\li3125\sb0\sl-322\slmult0 \par\pard\ql\li3125\sb0\sl-322\slmult0 \par\p
ard\ql\li3125\sb0\sl-322\slmult0 \par\pard\ql\li3125\sb82\sl-322\slmult0 \up0 \e
xpndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs28 LEMBAR PENGESAHAN LAPORAN HAS
IL KTI \par\pard\ql \li2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb316\sl-322\
slmult0 \up0 \expndtw-4\charscalex100 FAKTOR RISIKO KEJADIAN HEMORRHOID PADA USI
A \par\pard\ql \li5369\sb0\sl-320\slmult0 \up0 \expndtw-4\charscalex100 21-30 TA
HUN \par\pard\ql \li5580\sb0\sl-276\slmult0 \par\pard\ql\li5580\sb0\sl-276\slmul
t0 \par\pard\ql\li5580\sb85\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\no
supersub\cf4\f5\fs24 Disusun Oleh \par\pard\ql \li5285\sb0\sl-280\slmult0 \par\p
ard\ql\li5285\sb0\sl-280\slmult0 \par\pard\ql\li5285\ri4523\sb1\sl-280\slmult0\t
x5636 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 BIFIRDA ULIMA \l
ine\tab \up0 \expndtw-3\charscalex100 G2A008038 \par\pard\ql \li5465\sb0\sl-276\
slmult0 \par\pard\ql\li5465\sb268\sl-276\slmult0 \up0 \expndtw-5\charscalex100 T
elah disetujui \par\pard\ql \li5103\sb0\sl-276\slmult0 \par\pard\ql\li5103\sb0\s
l-276\slmult0 \par\pard\ql\li5103\sb12\sl-276\slmult0 \up0 \expndtw-3\charscalex
100 \ul0\nosupersub\cf4\f5\fs24 Semarang, 28 Juli 2012 \par\pard\ql \li5583\sb0\
sl-276\slmult0 \par\pard\ql\li5583\sb268\sl-276\slmult0 \up0 \expndtw-3\charscal
ex100 \ul0\nosupersub\cf2\f3\fs24 Pembimbing \par\pard\ql \li4234\sb0\sl-420\slm
ult0 \par\pard\ql\li4234\sb0\sl-420\slmult0 \par\pard\ql\li4234\sb0\sl-420\slmul
t0 \par\pard\ql\li4234\ri3468\sb6\sl-420\slmult0\tx4889 \up0 \expndtw-3\charscal
ex100 dr. Niken Puruhita, M.Med, Sc, Sp.GK \line\tab \up0 \expndtw-3\charscalex1
00 NIP. 197202091998022001 \par\pard\li2748\sb0\sl-276\slmult0\par\pard\li2748\s
b0\sl-276\slmult0\par\pard\li2748\sb0\sl-276\slmult0\par\pard\li2748\sb119\sl-27
6\slmult0\fi0\tx8329 \up0 \expndtw-3\charscalex100 Ketua Penguji\tab \up0 \expnd
tw-3\charscalex100 Penguji\par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb
0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\s
lmult0\par\pard\li2268\sb276\sl-276\slmult0\fi120\tx7309 \up0 \expndtw-3\charsca
lex100 dr. Santoso, M.Si.Med\tab \up0 \expndtw-3\charscalex100 dr. Bambang Joni,
Sp.PD\par\pard\li2268\sb137\sl-276\slmult0\fi0\tx7369 \up0 \expndtw-3\charscale
x100 NIP. 198302132008121001\tab \up0 \expndtw-3\charscalex100 NIP. 196306021991
011001\par\pard\ql \li6202\sb0\sl-253\slmult0 \par\pard\ql\li6202\sb0\sl-253\slm

t0 \par\pard\ql\li6202\sb0\sl-253\slmult0 \par\pard\ql\li6202\sb41\sl-253\slmult
0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 ii
{\shp {\*\shpinst\shpleft4234\shptop9998\shpright8240\shpbottom10022\shpfhdr0\sh
pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz212\shplid0
{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{
\sn geoRight}{\sv 4006}}{\sp{\sn geoBottom}{\sv 24}}
{\sp{\sn pVerticies}{\sv 8;4;(0,24);(4006,24);(4006,0);(0,0)}}
{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}
}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\s
p{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\s
p{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
{\shp {\*\shpinst\shpleft2388\shptop13310\shpright4683\shpbottom13334\shpfhdr0\s
hpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz316\shplid1
}
}}
}
}}
}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 167772
15}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv
1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}
}}
\sn geoRight}{\sv 1290}}{\sp{\sn geoBottom}{\sv 468}}{\sp{\sn shapePath}{\sv 4}}
{\sp{\sn pSegmentInfo}{\sv 2;9;16384;45824;1;45824;1;45824;1;45824;32768}}
{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn lineWidth}{\sv 11325}
}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocume

nt}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}
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hpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz409\shplid5{\sp{\sn shapeType}
{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp
{\sn lineWidth}{\sv 11325}}
}}\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart P
g3}{\bkmkend Pg3}\par\pard\ql \li3963\sb0\sl-276\slmult0 \par\pard\ql\li3963\sb0
l-276\slmult0 \par\pard\ql\li3963\sb0\sl-276\slmult0 \par\pard\ql\li3963\sb0\sl276\slmult0 \par\pard\ql\li3963\sb0\sl-276\slmult0 \par\pard\ql\li3963\sb80\sl-2
76\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 PERNYATAAN
KEASLIAN PENELITIAN \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\
sb0\sl-276\slmult0 \par\pard\ql\li2268\sb272\sl-276\slmult0 \up0 \expndtw-3\char
scalex100 \ul0\nosupersub\cf4\f5\fs24 Yang bertanda tangan ini, \par\pard\li2268
\sb0\sl-276\slmult0\par\pard\li2268\sb9\sl-276\slmult0\fi0\tx3708 \up0 \expndtw3\charscalex100 Nama\tab \up0 \expndtw-3\charscalex100 : Bifirda Ulima\par\pard\
li2268\sb0\sl-276\slmult0\fi0\tx3708 \up0 \expndtw-3\charscalex100 NIM\tab \up0
\expndtw-3\charscalex100 : G2A008038\par\pard\li2268\sb0\sl-276\slmult0\fi0\tx37
08 \up0 \expndtw-3\charscalex100 Alamat\tab \up0 \expndtw-3\charscalex100 : Jl.
Menteri Supeno 17B Semarang\par\pard\li2268\sb1\sl-276\slmult0\fi0\tx3686 \up0 \
expndtw-3\charscalex100 Mahasiswa\tab \up0 \expndtw-3\charscalex100 : Program Pe
ndidikan Sarjana Kedokteran Fakultas Kedokteran\par\pard\ql \li3828\sb1\sl-268\s
lmult0 \up0 \expndtw-5\charscalex100 UNDIP Semarang \par\pard\ql \li2268\sb0\sl276\slmult0 \par\pard\ql\li2268\sb10\sl-276\slmult0 \up0 \expndtw-3\charscalex10
0 Dengan ini menyatakan bahwa, \par\pard\ql \li2628\sb0\sl-410\slmult0 \par\pard
\ql\li2628\ri1505\sb24\sl-410\slmult0\tx2988\tx2988 \up0 \expndtw-1\charscalex10
0 a)\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Karya Tulis Ilmiah
saya ini adalah asli dan belum pernah dipublikasi atau \line\tab \up0 \expndtw1\charscalex100 diajukan untuk mendapatkan gelar akademik di Universitas Diponeg
oro \line \tab \up0 \expndtw-3\charscalex100 maupun di perguruan tinggi lain. \p
ar\pard\ql \li2628\ri1500\sb11\sl-410\slmult0\tx2988\tx2988 \up0 \expndtw-1\char
scalex100 b)\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Karya Tul
is ini adalah murni gagasan, rumusan, dan penelitian saya \line\tab \up0
\expndtw0\charscalex104 sendiri, tanpa bantuan orang lain, kecuali pembimbing d
an pihak lain \line \tab \up0 \expndtw-3\charscalex100 sepengetahuan pembimbing.
\par\pard\ql \li2628\ri1501\sb8\sl-413\slmult0\tx2988\tx2988\tx2988 \up0 \expnd
tw-2\charscalex100 c)\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 D
alam karya tulis ini tidak terdapat karya atau pendapat yang telah ditulis \line
\tab \up0 \expndtw0\charscalex102 atau dipublikasikan orang lain, kecuali s
ecara tertulis dengan jelas \line \tab \up0 \expndtw0\charscalex100 dicantumk
an sebagai acuan dalam naskah dengan disebutkan nama \line \tab \up0 \exp
ndtw-2\charscalex100 pengarang dan judul buku aslinya serta dicantumkan dalam da
ftar pustaka. \par\pard\ql \li7429\sb0\sl-276\slmult0 \par\pard\ql\li7429\sb0\sl
-276\slmult0 \par\pard\ql\li7429\sb0\sl-276\slmult0 \par\pard\ql\li7429\sb113\sl
-276\slmult0 \up0 \expndtw-3\charscalex100 Semarang, 28 Juli 2012 \par\pard\ql \
li7309\sb144\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Yang membuat pernyataa
n, \par\pard\ql \li8029\sb0\sl-276\slmult0 \par\pard\ql\li8029\sb0\sl-276\slmult
0 \par\pard\ql\li8029\sb0\sl-276\slmult0 \par\pard\ql\li8029\sb136\sl-276\slmult
0 \up0 \expndtw-3\charscalex100 Bifirda Ulima \par\pard\ql \li6195\sb0\sl-253\sl
mult0 \par\pard\ql\li6195\sb0\sl-253\slmult0 \par\pard\ql\li6195\sb0\sl-253\slmu
\par\pard\ql\li6195\sb72\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosup
ersub\cf3\f4\fs22 iii

}
}}
}}
l-322\slmult0 \par\pard\ql\li4911\sb0\sl-322\slmult0 \par\pard\ql\li4911\sb0\sl322\slmult0 \par\pard\ql\li4911\sb82\sl-322\slmult0 \up0 \expndtw-4\charscalex10
0 \ul0\nosupersub\cf1\f2\fs28 KATA PENGANTAR \par\pard\qj \li2268\sb0\sl-415\slm
ult0 \par\pard\qj\li2268\ri1504\sb287\sl-415\slmult0\fi566 \up0 \expndtw-3\chars
calex100 \ul0\nosupersub\cf4\f5\fs24 Puji syukur tiada terhingga kiranya pantas
dihaturkan kehadirat Allah SWT, \line \up0 \expndtw0\charscalex104 karena atas b
erkat dan rahmat-Nya penulis dapat menyelesaikan Karya Tulis \line \up0 \expndtw
0\charscalex100 Ilmiah ini. Penulisan Karya Tulis Ilmiah ini dilakukan dalam ran
gka memenuhi \line \up0 \expndtw0\charscalex104 salah satu syarat untuk menc
apai gelar Sarjana Kedokteran di Fakultas \line \up0 \expndtw-3\charscalex1
00 Kedokteran Universitas Diponegoro. Penulis menyadari sangatlah sulit u
ntuk \line \up0 \expndtw-3\charscalex100 menyelesaikan Karya Tulis Ilmiah ini ta
npa bantuan dan bimbingan dari berbagai \line \up0 \expndtw0\charscalex100 pihak
sejak penyusunan proposal sampai dengan terselesaikannya laporan hasil \line \u
p0 \expndtw0\charscalex102 Karya Tulis Ilmiah ini. Bersama ini penulis menyampai
kan terima kasih yang \line \up0 \expndtw-3\charscalex100 sebesar-besarnya serta
penghargaan yang setinggi-tingginya kepada: \par\pard\ql \li2268\ri1505\sb10\sl
-410\slmult0\tx2695\tx2695\tx2695\tx2695 \up0 \expndtw-3\charscalex100 1. \tab \
up0 \expndtw-1\charscalex100 Rektor Universitas Diponegoro Semarang yang telah m
emberi kesempatan \line\tab \up0 \expndtw-5\charscalex100 kepada penulis untuk m
enimba ilmu di Universitas Diponegoro. \line \up0 \expndtw-3\charscalex100 2. \u
p0 \expndtw-2\charscalex100 Dekan Fakultas Kedokteran UNDIP yang telah mem
berikan sarana dan \line\tab \up0 \expndtw-2\charscalex100 prasarana kepada pe
nulis sehingga penulis dapat menyelesaikan Karya Tulis \line \tab \up0 \expndtw3\charscalex100 Ilmiah ini dengan baik dan lancar. \par\pard\ql \li2268\ri1502\s
b2\sl-420\slmult0\tx2695\tx2695\tx2695 \up0 \expndtw-3\charscalex100 3. \tab \up
0 \expndtw-3\charscalex100 Dr. Niken Puruhita, M.med, Sc, Sp.GK selaku dosen pem
bimbing yang telah \line\tab \up0 \expndtw-1\charscalex100 menyediakan waktu, te
naga, dan pikiran untuk membimbing penulis dalam \line \tab \up0 \expndtw-3\char
scalex100 penyusunan Karya Tulis Ilmiah ini. \par\pard\li2268\sb114\sl-276\slmul
t0\fi0\tx2695 \up0 \expndtw-1\charscalex100 4.\tab \up0 \expndtw0\charscalex100
Abi dan Umi yang senantiasa memberikan perhatian, kasih sayang dan do\u8217?a\pa
r\pard\li2268\sb139\sl-276\slmult0\fi427 \up0 \expndtw-1\charscalex100 kepada pe
nulis.\par\pard\ql \li2268\ri1502\sb21\sl-413\slmult0\tx2695\tx2695\tx2695 \up0
\expndtw-3\charscalex100 5. \tab \up0 \expndtw0\charscalex100 Kakak tercinta A

ntariksa Wisuda Shofan beserta keluarga yang selalu \line\tab \up0 \expndt
w-3\charscalex100 memberikan dukungannya. Semoga tercapai segala cita dan impian
mu. \line \up0 \expndtw-3\charscalex100 6. \up0 \expndtw-1\charscalex100 Kakak
tersayang Prima Yudha Yuana beserta keluarga yang senantiasa \line\tab \u
p0 \expndtw-2\charscalex100 memberikan perhatian dan kasih sayang kepada penulis
. \par\pard\li2268\sb121\sl-276\slmult0\fi0\tx2695 \up0 \expndtw0\charscalex100
7.\tab \up0 \expndtw0\charscalex100 Bapak-bapak penguji Karya Tulis Ilmiah atas
saran dan masukannya untuk\par\pard\li2268\sb139\sl-276\slmult0\fi427 \up0 \expn
dtw0\charscalex100 kesempurnaan Karya Tulis Ilmiah ini.\par\pard\ql \li2268\ri15
07\sb19\sl-410\slmult0\tx2695\tx2695\tx2695 \up0 \expndtw-3\charscalex100 8. \ta
b \up0 \expndtw0\charscalex102 Sahabat terkasih Dian Putri Utami, Dian Ratnasari
, Gita Soraya Diananta, \line\tab \up0 \expndtw-1\charscalex100 Dewinta Widyanin
gtyas, dan Febrina Ernawati atas cinta, kasih sayang, dan \line \tab \up0 \expnd
tw-2\charscalex100 kesetiakawanan yang telah diberikan selama ini. \par\pard\ql
\li6164\sb0\sl-253\slmult0 \par\pard\ql\li6164\sb7\sl-253\slmult0 \up0 \expndtw4\charscalex100 \ul0\nosupersub\cf3\f4\fs22 iv
}
}}
}}
l-410\slmult0 \par\pard\ql\li2268\ri1498\sb262\sl-410\slmult0\tx2695\tx2695 \up0
\expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs24 9.\ul0\nosupersub\cf5\f6\f
s24 \ul0\nosupersub\cf4\f5\fs24 Serta pihak lain yang tidak mungkin pen
ulis sebutkan satu-persatu atas \line\tab \up0 \expndtw0\charscalex101 bantua
nnya secara langsung maupun tidak langsung sehingga Karya Tulis \line \tab \up0
\expndtw-3\charscalex100 Ilmiah ini dapat terselesaikan dengan baik. \par\pard\q
j \li2268\ri1502\sb11\sl-410\slmult0\fi566 \up0 \expndtw0\charscalex100 Akhir k
ata, penulis berharap Allah SWT berkenan membalas segala \up0 \expndtw-4\
charscalex100 kebaikan semua pihak yang telah membantu. Semoga Karya Tulis Ilmia
h ini dapat \up0 \expndtw-5\charscalex100 bermanfaat bagi kita semua. \par\pard\
ql \li7309\sb0\sl-276\slmult0 \par\pard\ql\li7309\sb265\sl-276\slmult0 \up0 \exp
ndtw-3\charscalex100 Semarang, 28 Juli 2012 \par\pard\ql \li8149\sb0\sl-276\slmu
0 \par\pard\ql\li8149\sb136\sl-276\slmult0 \up0 \expndtw-5\charscalex100 Penulis

\par\pard\ql \li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0
\par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \p
ard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\par
d\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\
ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql
\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\l
i6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6
0\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\
sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb
0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\
sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl
-253\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-2
53\slmult0 \par\pard\ql\li6190\sb0\sl-253\slmult0 \par\pard\ql\li6190\sb0\sl-253
\slmult0 \par\pard\ql\li6190\sb94\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \
ul0\nosupersub\cf3\f4\fs22 v
}
}}
}}
76\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR ISI
\par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\slmult0\par\pard\
li2268\sb0\sl-276\slmult0\par\pard\li2268\sb8\sl-276\slmult0\fi0\tldot\tx9901 \u
p0 \expndtw-5\charscalex100 \ul0\nosupersub\cf4\f5\fs24 HALAMAN JUDUL ...\tab \u
p0 \expndtw-5\charscalex100 ... i\par\pard\li2268\sb137\sl-276\slmult0\fi0\tldot
\tx9841 \up0 \expndtw-5\charscalex100 LEMBAR PENGESAHAN ...\tab \up0 \expndtw-5\
charscalex100 ... ii\par\pard\li2268\sb139\sl-276\slmult0\fi0\tldot\tx9841 \up0
\expndtw-5\charscalex100 PERNYATAAN KEASLIAN ...\tab \up0 \expndtw-5\charscalex1
00 .. iii\par\pard\li2268\sb137\sl-276\slmult0\fi0\tldot\tx9901 \up0 \expndtw-5\
charscalex100 KATA PENGANTAR ...\tab \up0 \expndtw-5\charscalex100 . iv\par\pard

\li2268\sb139\sl-276\slmult0\fi0\tldot\tx9902 \up0 \expndtw-5\charscalex100 DAFT
AR ISI ...\tab \up0 \expndtw-5\charscalex100 . vi\par\pard\li2268\sb137\sl-276\s
lmult0\fi0\tldot\tx9781 \up0 \expndtw-5\charscalex100 DAFTAR GRAFIK ...\tab \up0
\expndtw-5\charscalex100 . viii\par\pard\li2268\sb139\sl-276\slmult0\fi0\tldot\
tx9842 \up0 \expndtw-5\charscalex100 DAFTAR TABEL ...\tab \up0 \expndtw-5\charsc
alex100 .. ix\par\pard\li2268\sb137\sl-276\slmult0\fi0\tldot\tx9961 \up0 \expndt
w-5\charscalex100 DAFTAR GAMBAR ...\tab \up0 \expndtw-5\charscalex100 ..x\par\pa
rd\li2268\sb139\sl-276\slmult0\fi0\tldot\tx9781 \up0 \expndtw-5\charscalex100 DA
FTAR LAMPIRAN ...\tab \up0 \expndtw-5\charscalex100 ... xi\par\pard\li2268\sb137
\sl-276\slmult0\fi0\tldot\tx9781 \up0 \expndtw-5\charscalex100 DAFTAR SINGKATAN
...\tab \up0 \expndtw-5\charscalex100 .. xii\par\pard\li2268\sb139\sl-276\slmult
0\fi0\tldot\tx9722 \up0 \expndtw-5\charscalex100 ABSTRAK ...\tab \up0 \expndtw-5
\charscalex100 .. xiii\par\pard\li2268\sb138\sl-276\slmult0\fi0\tldot\tx9662 \up
0 \expndtw-5\charscalex100 ABSTRACT ...\tab \up0 \expndtw-5\charscalex100 ... xi
v\par\pard\li2268\sb139\sl-276\slmult0\fi0\tldot\tx9901 \up0 \expndtw-5\charscal
ex100 BAB I PENDAHULUAN ...\tab \up0 \expndtw-5\charscalex100 ...1\par\pard\li2
268\sb137\sl-276\slmult0\fi0\tldot\tx9962 \up0 \expndtw-5\charscalex100 1.1 Lat
ar Belakang ...\tab \up0 \expndtw-5\charscalex100 ..1\par\pard\li2268\sb139\sl-2
76\slmult0\fi0\tldot\tx9961 \up0 \expndtw-5\charscalex100 1.2 Masalah Penelitia
n ...\tab \up0 \expndtw-5\charscalex100 ..4\par\pard\li2268\sb137\sl-276\slmult0
\fi0\tldot\tx10021 \up0 \expndtw-5\charscalex100 1.3 Tujuan Penelitian ...\tab
\up0 \expndtw-5\charscalex100 .5\par\pard\li2268\sb139\sl-276\slmult0\fi420\tldo
t\tx9961 \up0 \expndtw-5\charscalex100 1.3.1 Tujuan Umum ...\tab \up0 \expndtw5\charscalex100 ..5\par\pard\li2268\sb137\sl-276\slmult0\fi420\tldot\tx10021 \up
0 \expndtw-5\charscalex100 1.3.2 Tujuan Khusus ...\tab \up0 \expndtw-5\charscal
ex100 .5\par\pard\li2268\sb139\sl-276\slmult0\fi0\tldot\tx9961 \up0 \expndtw-5\c
harscalex100 1.4 Manfaat Penelitian ...\tab \up0 \expndtw-5\charscalex100 ..6\p
ar\pard\li2268\sb137\sl-276\slmult0\fi0\tldot\tx9901 \up0 \expndtw-5\charscalex1
00 1.5 Orisinalitas Penelitian ...\tab \up0 \expndtw-5\charscalex100 ...6\par\p
ard\li2268\sb140\sl-276\slmult0\fi0\tldot\tx9962 \up0 \expndtw-5\charscalex100 B
AB II TINJAUAN PUSTAKA ...\tab \up0 \expndtw-5\charscalex100 ..9\par\pard\li226
8\sb136\sl-276\slmult0\fi0\tldot\tx10022 \up0 \expndtw-5\charscalex100 2.1 Defi
nisi Hemorrhoid dan Anatomi Kanalis Analis ...\tab \up0 \expndtw-5\charscalex100
.9\par\pard\li2268\sb139\sl-276\slmult0\fi0\tldot\tx9841 \up0 \expndtw-5\charsc
alex100 2.2 Klasifikasi Hemorrhoid ...\tab \up0 \expndtw-5\charscalex100 ..1 2\
par\pard\li2268\sb137\sl-276\slmult0\fi0\tldot\tx9842 \up0 \expndtw-5\charscalex
100 2.3 Penatalaksanaan Hemorrhoid ...\tab \up0 \expndtw-5\charscalex100 ..1 4\
par\pard\li2268\sb140\sl-276\slmult0\fi0\tldot\tx9782 \up0 \expndtw-5\charscalex
100 2.4 Faktor Risiko Hemorrhoid ...\tab \up0 \expndtw-5\charscalex100 ...1 6\p
ar\pard\li2268\sb136\sl-276\slmult0\fi0 \up0 \expndtw-5\charscalex100 BAB III K
ERANGKA TEORI, KERANGKA KONSEP, DAN HIPOTESIS .....2 4\par\pard\li2268\sb139\sl276\slmult0\fi0\tldot\tx9781 \up0 \expndtw-5\charscalex100 3.1 Kerangka Teori..
.\tab \up0 \expndtw-5\charscalex100 ...2 4\par\pard\li2268\sb138\sl-276\slmult0\
fi0\tldot\tx9841 \up0 \expndtw-5\charscalex100 3.2 Kerangka Konsep ...\tab \up0
\expndtw-5\charscalex100 ..2 4\par\pard\ql \li6195\sb0\sl-253\slmult0 \par\pard
\ql\li6195\sb39\sl-253\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf3
\f4\fs22 vi
}
}}
}}
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g7}{\bkmkend Pg7}\par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\
slmult0\par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\slmult0\pa
r\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2
268\sb0\sl-276\slmult0\par\pard\li2268\sb88\sl-276\slmult0\fi0\tldot\tx9902 \up0
\expndtw-5\charscalex100 \ul0\nosupersub\cf4\f5\fs24 3.3 Hipotesis ...\tab \up
0 \expndtw-5\charscalex100 .25\par\pard\li2268\sb137\sl-276\slmult0\fi420\tldot\
tx9781 \up0 \expndtw-5\charscalex100 3.3.1 Hipotesis Mayor ...\tab \up0 \expndt
w-5\charscalex100 ...2 5\par\pard\li2268\sb139\sl-276\slmult0\fi420\tldot\tx9901
\up0 \expndtw-5\charscalex100 3.3.2 Hipotesis Minor ...\tab \up0 \expndtw-5\ch
arscalex100 .26\par\pard\li2268\sb137\sl-276\slmult0\fi0\tldot\tx9842 \up0 \expn
dtw-5\charscalex100 BAB IV METODE PENELITIAN ...\tab \up0 \expndtw-5\charscalex
100 ..2 7\par\pard\li2268\sb139\sl-276\slmult0\fi0\tx2688\tldot\tx9902 \up0 \exp
ndtw-5\charscalex100 4.1\tab \up0 \expndtw-5\charscalex100 Ruang Lingkup Penelit
ian ...\tab \up0 \expndtw-5\charscalex100 .27\par\pard\li2268\sb137\sl-276\slmul
t0\fi420\tldot\tx9902 \up0 \expndtw-5\charscalex100 4.1.1 Ruang Lingkup Tempat.
..\tab \up0 \expndtw-5\charscalex100 .27\par\pard\li2268\sb139\sl-276\slmult0\fi
420\tldot\tx9842 \up0 \expndtw-5\charscalex100 4.1.2 Ruang Lingkup Waktu ...\ta
b \up0 \expndtw-5\charscalex100 ..2 7\par\pard\li2268\sb137\sl-276\slmult0\fi420
\tldot\tx9782 \up0 \expndtw-5\charscalex100 4.1.3 Ruang Lingkup Keilmuan ...\ta
b \up0 \expndtw-5\charscalex100 ...2 7\par\pard\li2268\sb139\sl-276\slmult0\fi0\
tx2688\tldot\tx9841 \up0 \expndtw-5\charscalex100 4.2\tab \up0 \expndtw-5\charsc
alex100 Rancangan Penelitian ...\tab \up0 \expndtw-5\charscalex100 ..2 7\par\par
d\li2268\sb137\sl-276\slmult0\fi0\tx2688\tldot\tx9842 \up0 \expndtw-5\charscalex
100 4.3\tab \up0 \expndtw-5\charscalex100 Populasi dan Subjek Penelitian ...\tab
\up0 \expndtw-5\charscalex100 ..2 7\par\pard\li2268\sb139\sl-276\slmult0\fi420\
tldot\tx9842 \up0 \expndtw-5\charscalex100 4.3.1 Populasi ...\tab \up0 \expndtw5\charscalex100 ..2 7\par\pard\li2268\sb137\sl-276\slmult0\fi420\tldot\tx9781 \u
p0 \expndtw-5\charscalex100 4.3.2 Subjek Penelitian ...\tab \up0 \expndtw-5\char
scalex100 ...2 8\par\pard\li2268\sb139\sl-276\slmult0\fi420\tldot\tx9841 \up0 \e
xpndtw-5\charscalex100 4.3.3 Cara Pengambilan Subjek Penelitian ...\tab \up0 \ex
pndtw-5\charscalex100 ..2 9\par\pard\li2268\sb137\sl-276\slmult0\fi420\tldot\tx9
842 \up0 \expndtw-5\charscalex100 4.3.4 Besar Subjek Penelitian...\tab \up0 \exp
ndtw-5\charscalex100 ..2 9\par\pard\li2268\sb140\sl-276\slmult0\fi0\tx2688\tldot
\tx9781 \up0 \expndtw-5\charscalex100 4.4\tab \up0 \expndtw-5\charscalex100 Vari
abel Penelitian ...\tab \up0 \expndtw-5\charscalex100 ...3 0\par\pard\li2268\sb1
37\sl-276\slmult0\fi420\tldot\tx9841 \up0 \expndtw-5\charscalex100 4.4.1 Variab
el Bebas ...\tab \up0 \expndtw-5\charscalex100 ..3 0\par\pard\li2268\sb139\sl-27
6\slmult0\fi420\tldot\tx9781 \up0 \expndtw-5\charscalex100 4.4.2 Variabel Terik
at ...\tab \up0 \expndtw-5\charscalex100 ...3 0\par\pard\li2268\sb137\sl-276\slm
ult0\fi0\tx2688\tldot\tx9901 \up0 \expndtw-5\charscalex100 4.5\tab \up0 \expndtw
-5\charscalex100 Definisi Operasional...\tab \up0 \expndtw-5\charscalex100 .31\p
ar\pard\li2268\sb139\sl-276\slmult0\fi0\tx2688\tldot\tx9901 \up0 \expndtw-5\char
scalex100 4.6\tab \up0 \expndtw-5\charscalex100 Cara Pengumpulan Data ...\tab \u
p0 \expndtw-5\charscalex100 .32\par\pard\li2268\sb137\sl-276\slmult0\fi420\tldot
\tx9782 \up0 \expndtw-5\charscalex100 4.6.1 Instrumen Penelitian ...\tab \up0 \e

xpndtw-5\charscalex100 ...3 2\par\pard\li2268\sb139\sl-276\slmult0\fi420\tldot\t
x9841 \up0 \expndtw-5\charscalex100 4.6.2 Jenis Data ...\tab \up0 \expndtw-5\cha
rscalex100 ..3 2\par\pard\li2268\sb137\sl-276\slmult0\fi0\tx2688\tldot\tx9781 \u
p0 \expndtw-5\charscalex100 4.7\tab \up0 \expndtw-5\charscalex100 Alur Penelitia
n ...\tab \up0 \expndtw-5\charscalex100 ...3 3\par\pard\li2268\sb139\sl-276\slmu
lt0\fi0\tx2688\tldot\tx9782 \up0 \expndtw-5\charscalex100 4.8\tab \up0 \expndtw5\charscalex100 Analisis Data ...\tab \up0 \expndtw-5\charscalex100 ...3 4\par\p
ard\li2268\sb137\sl-276\slmult0\fi420\tldot\tx9901 \up0 \expndtw-5\charscalex100
4.8.1 Analisis Univariat...\tab \up0 \expndtw-5\charscalex100 .34\par\pard\li2
268\sb139\sl-276\slmult0\fi420\tldot\tx9781 \up0 \expndtw-5\charscalex100 4.8.2
Analisis Bivariat ...\tab \up0 \expndtw-5\charscalex100 ...3 4\par\pard\li2268\
sb137\sl-276\slmult0\fi0\tx2688\tldot\tx9841 \up0 \expndtw-5\charscalex100 4.9\t
ab \up0 \expndtw-5\charscalex100 Etika Penelitian ...\tab \up0 \expndtw-5\charsc
alex100 ..3 4\par\pard\li2268\sb140\sl-276\slmult0\fi0\tldot\tx9782 \up0 \expndt
w-5\charscalex100 BAB V HASIL PENELITIAN ...\tab \up0 \expndtw-5\charscalex100 .
..3 6\par\pard\li2268\sb136\sl-276\slmult0\fi0\tldot\tx9841 \up0 \expndtw-5\char
scalex100 BAB VI PEMBAHASAN ...\tab \up0 \expndtw-5\charscalex100 ..4 4\par\pard
\li2268\sb139\sl-276\slmult0\fi0\tldot\tx9902 \up0 \expndtw-5\charscalex100 BAB
VII SIMPULAN DAN SARAN ...\tab \up0 \expndtw-5\charscalex100 .48\par\pard\li2268
\sb137\sl-276\slmult0\fi0\tldot\tx9841 \up0 \expndtw-5\charscalex100 DAFTAR PUST
AKA ...\tab \up0 \expndtw-5\charscalex100 ..4 9\par\pard\li2268\sb140\sl-276\slm
ult0\fi0\tldot\tx9842 \up0 \expndtw-5\charscalex100 LAMPIRAN ...\tab \up0 \expnd
tw-5\charscalex100 ..5 2\par\pard\ql \li6154\sb193\sl-253\slmult0 \up0 \expndtw4\charscalex100 \ul0\nosupersub\cf3\f4\fs22 vii
}
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}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\s
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76\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR GRAF
IK \par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\slmult0\par\pa
rd\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb8\sl-276\slmult0\fi0\tldot\tx9781
\up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Grafik 1. Karakteris

tik jenis kelamin responden...\tab \up0 \expndtw-4\charscalex100 ...3 6\par\pard
\li2268\sb137\sl-276\slmult0\fi0\tldot\tx9902 \up0 \expndtw-4\charscalex100 Graf
ik 2. Data usia responden ...\tab \up0 \expndtw-4\charscalex100 .37\par\pard\li
2268\sb139\sl-276\slmult0\fi0\tldot\tx9901 \up0 \expndtw-4\charscalex100 Grafik
3. Data derajat hemorrhoid responden ...\tab \up0 \expndtw-4\charscalex100 .38\
\slmult0 \par\pard\ql\li6113\sb0\sl-253\slmult0 \par\pard\ql\li6113\sb0\sl-253\s
lmult0 \par\pard\ql\li6113\sb0\sl-253\slmult0 \par\pard\ql\li6113\sb0\sl-253\slm
t0 \par\pard\ql\li6113\sb0\sl-253\slmult0 \par\pard\ql\li6113\sb0\sl-253\slmult0
par\pard\ql\li6113\sb0\sl-253\slmult0 \par\pard\ql\li6113\sb17\sl-253\slmult0 \u
p0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 viii
}
}}
}}
76\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR TABE

L \par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\slmult0\par\par
d\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb145\sl-276\slmult0\fi0\tldot\tx978
1 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Tabel 1. Perhitunga
n subjekpenelitian ...\tab \up0 \expndtw-4\charscalex100 ...3 0\par\pard\li2268\
sb139\sl-276\slmult0\fi0\tldot\tx9841 \up0 \expndtw-4\charscalex100 Tabel 2. Hu
bungan kejadian konstipasi dengan hemorrhoid ...\tab \up0 \expndtw-4\charscalex1
00 ..3 9\par\pard\li2268\sb137\sl-276\slmult0\fi0\tldot\tx9902 \up0 \expndtw-4\c
harscalex100 Tabel 3. Hubungan riwayat tumor rektum dengan kejadian hemorrhoid
...\tab \up0 \expndtw-4\charscalex100 .40\par\pard\li2268\sb139\sl-276\slmult0\f
i0\tldot\tx9781 \up0 \expndtw-3\charscalex100 Tabel 4. Hubungan jenis aktivitas
fisik dengan kejadian hemorrhoid ...\tab \up0 \expndtw-4\charscalex100 ...4 1\p
ar\pard\qj \li2268\ri1442\sb14\sl-420\slmult0 \up0 \expndtw-3\charscalex100 Tabe
l 5. Hubungan riwayat hemorrhoid keluarga dengan kejadian hemorrhoid .. 42 \lin
e \up0 \expndtw-3\charscalex100 Tabel 6. Hubungan posisi saat buang air besar d
engan kejadian hemorrhoid ......4 3 \par\pard\ql \li6166\sb0\sl-253\slmult0 \par
\par\pard\ql\li6166\sb90\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosu
persub\cf3\f4\fs22 ix
}
}}
}}

g10}{\bkmkend Pg10}\par\pard\ql \li5160\sb0\sl-276\slmult0 \par\pard\ql\li5160\s
l-276\slmult0 \par\pard\ql\li5160\sb0\sl-276\slmult0 \par\pard\ql\li5160\sb80\sl
-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR GA
MBAR \par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb0\sl-276\slmult0\par\
pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb8\sl-276\slmult0\fi0\tldot\tx97
81 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Gambar 2.1 Vaskula
risasi kanalis analis ...\tab \up0 \expndtw-5\charscalex100 ...1 0\par\pard\li22
68\sb137\sl-276\slmult0\fi0\tldot\tx9782 \up0 \expndtw-5\charscalex100 Gambar 2.
2 Hemorrhoid interna dan hemorrhoid externa ...\tab \up0 \expndtw-5\charscalex1
00 ...1 3\par\pard\ql \li6205\sb0\sl-253\slmult0 \par\pard\ql\li6205\sb0\sl-253\
slmult0 \par\pard\ql\li6205\sb0\sl-253\slmult0 \par\pard\ql\li6205\sb0\sl-253\sl
lmult0 \par\pard\ql\li6205\sb199\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \u
l0\nosupersub\cf3\f4\fs22 x
}
}}
}}
-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR LA
MPIRAN \par\pard\ql \li2268\sb0\sl-413\slmult0 \par\pard\ql\li2268\ri3173\sb298\
sl-413\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Lampira
n 1. Ethical Clearance \line \up0 \expndtw-3\charscalex100 Lampiran 2. Informe
d Consent \line \up0 \expndtw-3\charscalex100 Lampiran 3. Kuesioner penelitian
\line \up0 \expndtw-3\charscalex100 Lampiran 4. Hasil analisis \par\pard\ql \li
2268\ri3027\sb2\sl-420\slmult0 \up0 \expndtw-3\charscalex100 Lampiran 5. Dokume
ntasi penelitian \line \up0 \expndtw-3\charscalex100 Lampiran 6. Biodata mahasi
swa \par\pard\ql \li6180\sb0\sl-253\slmult0 \par\pard\ql\li6180\sb0\sl-253\slmul
par\pard\ql\li6180\sb0\sl-253\slmult0 \par\pard\ql\li6180\sb0\sl-253\slmult0 \pa
r\pard\ql\li6180\sb0\sl-253\slmult0 \par\pard\ql\li6180\sb0\sl-253\slmult0 \par\
pard\ql\li6180\sb0\sl-253\slmult0 \par\pard\ql\li6180\sb0\sl-253\slmult0 \par\pa
rd\ql\li6180\sb0\sl-253\slmult0 \par\pard\ql\li6180\sb0\sl-253\slmult0 \par\pard
\ql\li6180\sb0\sl-253\slmult0 \par\pard\ql\li6180\sb0\sl-253\slmult0 \par\pard\q
3\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 xi
}
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}}
-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR SI
NGKATAN \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb0\sl-276\s
lmult0 \par\pard\ql\li2268\sb272\sl-276\slmult0\tx2988 \up0 \expndtw-3\charscale
x100 \ul0\nosupersub\cf4\f5\fs24 BMP \tab \up0 \expndtw-3\charscalex100 : Bowel
Management Program \par\pard\ql \li6140\sb0\sl-253\slmult0 \par\pard\ql\li6140\s
3\slmult0 \par\pard\ql\li6140\sb0\sl-253\slmult0 \par\pard\ql\li6140\sb0\sl-253\
sl-253\slmult0 \par\pard\ql\li6140\sb78\sl-253\slmult0 \up0 \expndtw-3\charscale
x100 \ul0\nosupersub\cf3\f4\fs22 xii
}
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}}
-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 ABSTRAK \
par\pard\qj \li2268\sb0\sl-415\slmult0 \par\pard\qj\li2268\ri1502\sb295\sl-415\s
lmult0 \up0 \expndtw0\charscalex102 LATAR BELAKANG. \ul0\nosupersub\cf4\f5\fs24
Beberapa faktor risiko kejadian hemorrhoid pada usia \up0 \expndtw0\charscalex10
0 dewasa belum banyak dipublikasikan. Penelitian ini bertujuan untuk mengetahui
\up0 \expndtw0\charscalex100 besar risiko kejadian konstipasi, riwayat tumo
r rektum, jenis aktivitas fisik, \up0 \expndtw0\charscalex104 riwayat hemorr
hoid pada keluarga, dan posisi serta lama duduk saat buang air \up0 \expndtw-3\c
harscalex100 besar terhadap kejadian hemorrhoid pada usia 21-30 tahun. \par\pard
\qj \li2268\ri1498\sb405\sl-415\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosup
ersub\cf2\f3\fs24 METODE\ul0\nosupersub\cf4\f5\fs24 . Penelitian ini adalah
penelitian observasional dengan pendekatan \up0 \expndtw-1\charscalex100 kasu
s kontrol. Subyek berjumlah 54 orang. Kasus penelitian ini adalah penderita \up0
\expndtw0\charscalex103 hemorrhoid yang didapatkan dari catatan medik RSUP Dr.
Kariadi Semarang \up0 \expndtw-1\charscalex100 sedangkan kontrol penelitian ini
adalah orang yang tidak menderita hemorrhoid. \up0 \expndtw-2\charscalex100 Anal
isis data yang digunakan adalah uji chi square dan rasio odd. \par\pard\qj \li22
68\sb0\sl-400\slmult0 \par\pard\qj\li2268\ri1502\sb38\sl-400\slmult0 \up0 \expnd
tw0\charscalex100 \ul0\nosupersub\cf2\f3\fs24 HASIL. \ul0\nosupersub\cf4\f5\fs24
Rerata usia responden 24,93,77 tahun (kasus) dan 22,11,92 tahun \line \up0 \ex
pndtw-4\charscalex100 (kontrol), berjenis kelamin perempuan \up0 \expndtw-3\c
harscalex100 55,5% (kasus) dan perempuan 61,1% \par\pard\qj \li2268\ri1501\s
b11\sl-412\slmult0 \up0 \expndtw0\charscalex100 (kontrol). Pada analisis data de
ngan menggunakan rasio odd didapatkan hasil \up0 \expndtw0\charscalex100 kejad
ian konstipasi (OR=2,125; CI95%=0,715-6,315; p=0,172), riwayat tumor \up0 \expn
dtw-3\charscalex100 rektum \up0 \expndtw0\charscalex103 (OR=2,080; CI95%=0,17724,405; p=0,552), jenis aktivitas fisik \up0 \expndtw-1\charscalex100 (OR=1,
000; CI95%=0,059-16,854; p=1,000), riwayat hemorrhoid pada keluarga \up0 \expndt
w-3\charscalex100 (OR=2,059; CI95%=0,622-6,816; p=0,233), posisi dan lama duduk
saat buang air \up0 \expndtw-4\charscalex100 besar (OR=6,667; CI95%=0,791-56,215
; p=0,067). \par\pard\qj \li2268\sb0\sl-413\slmult0 \par\pard\qj\li2268\ri1501\s
b15\sl-413\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf2\f3\fs24 SIMP
ULAN. \ul0\nosupersub\cf4\f5\fs24 Kejadian konstipasi, riwayat tumor rektum, riw
ayat hemorrhoid \line \up0 \expndtw0\charscalex104 pada keluarga, posisi dan lam
a duduk saat buang air besar merupakan faktor \line \up0 \expndtw-3\charscalex10
0 risiko kejadian hemorrhoid pada usia 21-30 tahun. Sedangkan jenis aktivitas fi
sik \line \up0 \expndtw-3\charscalex100 bukan merupakan faktor risiko kejadian h
emorrhoid pada usia 21-30 tahun. \par\pard\qj \li2268\ri1507\sb402\sl-420\slmult
0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 KATA KUNCI.\ul0\nosu
persub\cf4\f5\fs24 Kejadian konstipasi, aktivitas fisik, riwayat keluarga, posi
si saat \up0 \expndtw-5\charscalex100 buang air besar, kejadian hemorrhoid \par\
pard\ql \li6147\sb0\sl-253\slmult0 \par\pard\ql\li6147\sb25\sl-253\slmult0 \up0
\expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 xiii
}

}}
}}
-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf6\f7\fs24 ABSTRACT
\par\pard\qj \li2268\sb0\sl-413\slmult0 \par\pard\qj\li2268\ri1501\sb298\sl-413\
slmult0 \up0 \expndtw-3\charscalex100 BACKGROUND. \ul0\nosupersub\cf7\f8\fs24 So
me risk factors for hemorrhoids at an adult age has not been \up0 \expndtw0\char
scalex100 widely publicized. The aim of this study are to find out that constipa
tion, rectal \up0 \expndtw0\charscalex105 tumor, physical activity, family histo
ry, and sitting position and time during \up0 \expndtw-3\charscalex100 defecatio
n as risk factors of hemorrhoids among 21-30 old year adult. \par\pard\qj \li226
8\sb0\sl-410\slmult0 \par\pard\qj\li2268\ri1504\sb20\sl-410\slmult0 \up0 \expndt
w0\charscalex102 \ul0\nosupersub\cf6\f7\fs24 METHOD. \ul0\nosupersub\cf7\f8\fs24
This was an observational study with case-control design. A total \up0 \expndtw
0\charscalex103 subjects of 54 peoples were recruited in the study. Cases were
hemorrhoid\u8217?s \up0 \expndtw-1\charscalex100 patients obtained from medical
records of Dr. Kariadi hospital Semarang while \up0 \expndtw0\charscalex100 cont
rols were those who do not suffer from hemorrhoids. Analysis of data using \up0
\expndtw-3\charscalex100 chi square and odds ratio. \par\pard\qj \li2268\sb0\sl410\slmult0 \par\pard\qj\li2268\ri1504\sb21\sl-410\slmult0 \up0 \expndtw0\charsc
alex102 \ul0\nosupersub\cf6\f7\fs24 RESULTS. \ul0\nosupersub\cf7\f8\fs24 The mea
n age of cases 24.93.77 years old (cases) and 22.11.92 \line \up0 \expndtw-3\chars
calex100 years old (control), female 55.5% (cases) and female 61.1% (control). I
n the data \line \up0 \expndtw-3\charscalex100 analysis with odds ratio obtained
that constipation (OR=2.125; CI95%=0.715-\par\pard\ql \li2268\sb121\sl-276\slmu
lt0\tx5581 \up0 \expndtw-2\charscalex100 6.315; p=0.172), rectal tumor \tab \
up0 \expndtw-4\charscalex100 (OR=2.080; CI95%=0.177-24.405, p=0.552), \par\par
d\ql \li2268\sb144\sl-276\slmult0\tx4053 \up0 \expndtw-4\charscalex100 physical
activity \tab \up0 \expndtw-4\charscalex100 (OR=1.000; CI95%=0.059-16.854, p=
1.000), family history \par\pard\qj \li2268\ri1502\sb6\sl-420\slmult0 \up0 \ex
pndtw-4\charscalex100 (OR=2.059; CI95%=0.622-6.816, p=0.233), the sitting positi
on during defecation \up0 \expndtw-4\charscalex100 (OR=0.308; CI95%=0.95-1.002,
p=0.46) and time during defecation (OR=1.360; \up0 \expndtw-5\charscalex100 CI95
%=0.458-4.042, p=0.580). \par\pard\qj \li2268\ri1501\sb406\sl-413\slmult0 \up0 \
expndtw-3\charscalex100 \ul0\nosupersub\cf6\f7\fs24 CONCLUSIONS. \ul0\nosupersub
\cf7\f8\fs24 Constipation, rectal tumor, family history, and sitting positions \
up0 \expndtw-3\charscalex100 and time during defecation are risk factors of hemo
rrhoids among 21-30 old year \up0 \expndtw-1\charscalex100 age adult. While phys
ical activity is not risk factor of hemorrhoids among 21-30 \up0 \expndtw-2\char
scalex100 old year age adult. \par\pard\qj \li2268\sb0\sl-400\slmult0 \par\pard\
qj\li2268\ri1506\sb38\sl-400\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersu

b\cf6\f7\fs24 KEYWORDS. \ul0\nosupersub\cf7\f8\fs24 Constipation, physical activ
ity, family history, defecate position, \up0 \expndtw-3\charscalex100 hemorrhoid
s. \par\pard\ql \li6147\sb0\sl-253\slmult0 \par\pard\ql\li6147\sb0\sl-253\slmult
0 \par\pard\ql\li6147\sb156\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\no
supersub\cf3\f4\fs22 xiv
}
}}
}}
-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf8\f9\fs24 BAB I \p
ar\pard\ql \li5302\sb0\sl-276\slmult0 \par\pard\ql\li5302\sb8\sl-276\slmult0 \up
0 \expndtw-3\charscalex100 PENDAHULUAN \par\pard\ql \li2268\sb0\sl-276\slmult0 \
par\pard\ql\li2268\sb268\sl-276\slmult0 \up0 \expndtw-3\charscalex100 1.1\ul0\no
supersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Latar Belakang \par\pard\qj
\li2693\ri1504\sb316\sl-553\slmult0\fi707 \up0 \expndtw0\charscalex102 \ul0\nos
upersub\cf9\f10\fs24 Hemorrhoid adalah pelebaran dan inflamasi dari \ul0\nosuper
sub\cf11\f12\fs24 pleksus\ul0\nosupersub\cf9\f10\fs24 arteri-vena \up0 \expndtw
0\charscalex100 di saluran anus yang berfungsi sebagai katup untuk mencegah inko
ntinensia \up0 \expndtw0\charscalex107 flatus dan cairan. Selain itu \ul0\no
supersub\cf11\f12\fs24 pleksus\ul0\nosupersub\cf9\f10\fs24 arteri-vena terse
but juga dapat \up0 \expndtw-1\charscalex100 mengalami perdarahan.\ul0\super\c
f12\f13\fs24 1 \par\pard\qj \li2693\ri1505\sb13\sl-546\slmult0\fi707 \up0 \expnd
tw0\charscalex101 \ul0\nosupersub\cf9\f10\fs24 Hemorrhoid merupakan penyakit di
daerah anus yang cukup banyak \up0 \expndtw0\charscalex102 ditemukan dalam prakt
ek dokter sehari-hari. Di Amerika Serikat lima ratus \up0 \expndtw0\charscalex10
1 ribu orang didiagnosa menderita hemorrhoid setiap tahunnya. Bahkan 75% \up0 \e
xpndtw-3\charscalex100 penduduk dunia pernah mengalami hemorrhoid.\ul0\super\cf1
2\f13\fs24 2 \par\pard\qj \li2695\ri1507\sb11\sl-550\slmult0\fi705 \up0 \expndtw
0\charscalex103 \ul0\nosupersub\cf9\f10\fs24 Tingginya prevalensi hemorrhoid dis
ebabkan oleh beberapa faktor \up0 \expndtw0\charscalex106 antara lain: kurangn
ya konsumsi makanan berserat, konstipasi, usia, \up0 \expndtw0\charscalex10
3 keturunan, kebiasaan duduk terlalu lama, peningkatan tekanan abdominal \up0 \e

xpndtw0\charscalex108 karena tumor, pola buang air besar yang salah, hubungan se
ks peranal, \up0 \expndtw-1\charscalex100 kurangnya intake cairan, kurang olah r
aga dan kehamilan.\ul0\super\cf12\f13\fs24 3 \par\pard\qj \li2695\ri1510\sb11\sl
-550\slmult0\fi705 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf9\f10\fs24 Seb
uah penelitian di Amerika Utara pada tahun 2008 menunjukkan \up0 \expndtw0\chars
calex103 bahwa 14,8% orang dewasa mengalami konstipasi. Angka ini lebih tinggi \
up0 \expndtw0\charscalex104 daripada penyakit kronis lainnya seperti hipertensi,
obesitas, dan diabetes \up0 \expndtw0\charscalex103 melitus, sementara konsti
pasi merupakan salah satu faktor risiko dari \up0 \expndtw-1\charscalex100
kejadian hemorrhoid.\ul0\super\cf12\f13\fs24 3,4 \par\pard\ql \li6183\sb0\sl-25
slmult0 \par\pard\ql\li6183\sb197\sl-253\slmult0 \up0 \expndtw-4\charscalex100 \
ul0\nosupersub\cf3\f4\fs22 1
}
}}
}}
\sl-253\slmult0 \par\pard\ql\li9866\sb0\sl-253\slmult0 \par\pard\ql\li9866\sb166
\sl-253\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf3\f4\fs22 2 \par
\pard\qj \li2693\ri1504\sb102\sl-550\slmult0\fi707 \up0 \expndtw0\charscalex103
\ul0\nosupersub\cf9\f10\fs24 Tumor rektum juga dapat memicu terjadinya
hemorrhoid. \line \up0 \expndtw0\charscalex100 Berdasarkan data yang diperole
h dari \ul0\nosupersub\cf11\f12\fs24 United States Cancer Statistics \ul0\nosupe
rsub\cf9\f10\fs24 pada \line \up0 \expndtw-3\charscalex100 tahun \up0 \expndtw-1
\charscalex100 2007 terdapat \up0 \expndtw0\charscalex100 142.672 orang yang
didiagnosa menderita tumor \par\pard\qj \li2693\ri1508\sb14\sl-546\slmult0 \u
p0 \expndtw0\charscalex100 rektum di Amerika Serikat, dengan rincian 72.755 pria
dan 69.917 wanita. \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Sem
entara itu\ul0\nosupersub\cf9\f10\fs24 penelitian yang dilakukan di \ul0\n
osupersub\cf11\f12\fs24 Hemorrhoid Care Medical \up0 \expndtw0\charscalex103
Clinic\ul0\nosupersub\cf9\f10\fs24 didapatkan hasil bahwa sebanyak 90% pasien
tumor rektum juga \up0 \expndtw-3\charscalex100 menderita hemorrhoid.\ul0\super\
cf12\f13\fs24 5 \par\pard\qj \li2693\ri1511\sb11\sl-550\slmult0\fi707 \up0 \expn
dtw0\charscalex104 \ul0\nosupersub\cf9\f10\fs24 Selain kedua hal di atas, k

ebiasaan duduk terlalu lama juga \line \up0 \expndtw0\charscalex103 merupaka
n faktor penyebab kejadian hemorrhoid. Hal tersebut dapat \line \up0 \exp
ndtw-1\charscalex100 dicegah dengan melakukan aktivitas fisik ringan seperti ber
olahraga, karena \line \up0 \expndtw0\charscalex101 dapat melemaskan dan mengura
ngi ketegangan otot. Sebuah penelitian di \line \up0 \expndtw0\charscalex100 Aus
tralia pada tahun \up0 \expndtw-1\charscalex100 2004 menunjukkan bahwa seba
nyak \up0 \expndtw-1\charscalex100 43% orang \par\pard\ql \li2693\ri1507\sb10\s
l-551\slmult0\tx3401 \up0 \expndtw0\charscalex102 dewasa tidak gemar berolahraga
. Hal tersebut dapat meningkatkan risiko \line \up0 \expndtw-3\charscalex100 ter
hadap masalah kesehatan, salah satunya adalah hemorrhoid.\ul0\super\cf12\f13\fs2
4 6 \line \tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Prevale
nsi hemorrhoid di Indonesia juga tergolong cukup tinggi. Di \line \up0 \expndtw2\charscalex100 RSCM Jakarta pada \ul0\nosupersub\cf4\f5\fs24 dua\ul0\nosupersub
\cf9\f10\fs24 tahun terakhir, hemorrhoid mendominasi sebanyak \line \up0 \expnd
tw0\charscalex105 20% dari pasien kolonoskopi.\ul0\super\cf12\f13\fs24 7\ul0\nos
upersub\cf9\f10\fs24 Sedangkan di RS Bhakti Wira Tamtama \line \up0 \expndtw0\c
harscalex103 Semarang pada tahun 2008 dari 1575 kasus di instalasi rawat jalan k
linik \line \up0 \expndtw-2\charscalex100 bedah, kasus hemorrhoid mencapai 16%
dari seluruh total kasus di instalasi \line \up0 \expndtw0\charscalex103 terseb
ut. Penelitian yang dilakukan pada penderita hemorrhoid di rumah \line \up0 \exp
ndtw0\charscalex100 sakit tersebut diperoleh hasil bahwa terdapat hubungan
antara riwayat \line \up0 \expndtw-3\charscalex100 keluarga dan konstipasi de
ngan kejadian hemorrhoid.\ul0\super\cf12\f13\fs24 8
}
}}
}}
{\shp {\*\shpinst\shpleft9060\shptop2066\shpright9060\shpbottom1586\shpfhdr0\shp
bxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz244\shplid2{\sp{\sn shapeType}{\
sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\
sn lineWidth}{\sv 11325}}
\pard\qj \li2693\ri1505\sb60\sl-553\slmult0\fi707 \up0 \expndtw0\charscalex105 \
ul0\nosupersub\cf9\f10\fs24 Masuknya pengaruh budaya barat di Indonesia seperti
pemakaian \up0 \expndtw0\charscalex102 jamban duduk juga memegang peranan dalam
kejadian hemorrhoid. Sebab \up0 \expndtw0\charscalex106 hemorrhoid dapat terjadi
akibat proses mengejan berlebihan pada posisi \up0 \expndtw-1\charscalex100 dud

uk saat defekasi yang berkelanjutan.\ul0\super\cf12\f13\fs24 9 \par\pard\qj \li2
695\ri1502\sb0\sl-560\slmult0\fi705 \up0 \expndtw0\charscalex106 \ul0\nosupersub
\cf9\f10\fs24 Kejadian hemorrhoid cenderung meningkat seiring dengan \
line \up0 \expndtw0\charscalex107 bertambahnya usia seseorang, dimana usia
puncaknya adalah \up0 \expndtw0\charscalex100 45-65 \par\pard\qj \li2695\ri1503
\sb0\sl-553\slmult0 \up0 \expndtw0\charscalex102 tahun.\ul0\super\cf12\f13\fs24
2,10\ul0\nosupersub\cf9\f10\fs24 Sekitar setengah dari orang-orang yang berumur
50 tahun pernah \line \up0 \expndtw0\charscalex100 mengalami hemorrhoid.\ul0\s
uper\cf12\f13\fs24 11\ul0\nosupersub\cf9\f10\fs24 Suatu penelitian yang dil
akukan di RSUP H. \line \up0 \expndtw0\charscalex101 Adam Malik Medan pada ta
hun 2010 menunjukkan bahwa tingkat kejadian \line \up0 \expndtw0\charscalex102 h
emorrhoid lebih besar pada usia lebih dari \up0 \expndtw0\charscalex102 45
tahun. Hal tersebut \par\pard\qj \li2695\ri1514\sb0\sl-550\slmult0 \up0 \exp
ndtw0\charscalex100 dikarenakan orang lanjut usia sering mengalami konstipasi, s
ehingga terjadi \up0 \expndtw0\charscalex105 penekanan berlebihan pada \ul0\
nosupersub\cf11\f12\fs24 pleksus hemorrhoidalis\ul0\nosupersub\cf9\f10\fs24
karena proses \up0 \expndtw-1\charscalex100 mengejan.\ul0\super\cf12\f13\fs
24 10,12 \par\pard\qj \li2695\ri1503\sb0\sl-550\slmult0\fi705 \up0 \expndtw0\cha
rscalex109 \ul0\nosupersub\cf9\f10\fs24 Namun sekarang ini terjadi perubahan
pola hidup manusia. \up0 \expndtw0\charscalex105 Perubahan ini meliputi p
erubahan pola makan yang cenderung lebih \up0 \expndtw0\charscalex106 menyu
kai makanan siap saji yang tinggi lemak, garam dan rendah serat \up0 \expndtw0\c
harscalex106 serta kurangnya aktivitas fisik manusia, terlebih lagi pada usia pr
oduktif \up0 \expndtw0\charscalex104 (21-30 tahun). U\ul0\nosupersub\cf4\f5\fs24
sia produktif adalah usia ketika seseorang masih mampu \up0 \expndtw0\charscale
x104 bekerja dan menghasilkan sesuatu. Sehingga dalam rentang usia tersebut \up0
\expndtw0\charscalex104 seseorang akan cenderung aktif bekerja dan rentan terja
di perubahan pola \up0 \expndtw0\charscalex102 hidup seperti yang telah diuraika
n di atas. Hal tersebut tentunya juga dapat \up0 \expndtw-1\charscalex100 memicu
terjadinya hemorrhoid.\ul0\super\cf13\f14\fs24 9
}
}}
}}

ul0\nosupersub\cf9\f10\fs24 Suatu studi prospektif yang dilakukan di \ul0\nosupe
rsub\cf11\f12\fs24 Rajashi Medical College \line \up0 \expndtw0\charscalex103 Ho
spital \ul0\nosupersub\cf9\f10\fs24 menunjukkan bahwa dari 430 pasien yang didia
gnosa menderita \line \up0 \expndtw0\charscalex102 hemorrhoid, terdapat 180 pasi
en atau sekitar 41,86% berada dalam rentang \line \up0 \expndtw0\charscalex106 u
sia 21-30 tahun\ul0\nosupersub\cf4\f5\fs24 .\ul0\super\cf13\f14\fs24 13\ul0\nos
upersub\cf14\f15\fs24 \ul0\nosupersub\cf9\f10\fs24 Penelitian yang dilakukan di
RSUP H. Adam Malik \line \up0 \expndtw0\charscalex101 Medan pada tahun 2005 jug
a menunjukkan angka yang cukup tinggi, yaitu \line \up0 \expndtw-2\charscalex100
sebesar \up0 \expndtw0\charscalex102 31,4% orang Indonesia berusia \up0 \exp
ndtw0\charscalex102 21-30 tahun menderita \ul0\nosupersub\cf11\f12\fs24 Irita
ble \par\pard\ql \li2695\sb216\sl-276\slmult0 \up0 \expndtw-3\charscalex100 Bowe
l Syndrome \ul0\nosupersub\cf9\f10\fs24 yang dapat disebabkan oleh hemorrhoid.\u
l0\super\cf12\f13\fs24 14 \par\pard\qj \li2693\ri1501\sb56\sl-553\slmult0\fi770
\up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Berdasarkan uraian d
i atas, peneliti menganggap penting untuk \up0 \expndtw-1\charscalex100 mel
akukan penelitian yang mampu menjelaskan faktor-faktor apa saja yang \up0 \expnd
tw0\charscalex100 mempengaruhi terjadinya hemorrhoid pada orang dewasa
produktif \up0 \expndtw-3\charscalex100 khususnya orang yang berusia 21-30 ta
hun. \par\pard\qj \li2693\ri1503\sb0\sl-560\slmult0\fi720 \up0 \expndtw-2\charsc
alex100 Permasalahan ini menarik sekali untuk diangkat, oleh karena itu
\up0 \expndtw-4\charscalex100 peneliti diyakinkan untuk melakukan penelitian den
gan judul \ul0\nosupersub\cf2\f3\fs24 \u8220?Faktor Risiko \up0 \expndtw-5\chars
calex100 Kejadian Hemorrhoid pada Usia 21-30 Tahun\u8221? \par\pard\ql \li2268\s
05\sl-276\slmult0 \up0 \expndtw-3\charscalex100 1.2\ul0\nosupersub\cf15\f16\fs24
\ul0\nosupersub\cf2\f3\fs24 Masalah Penelitian \par\pard\qj \li2693\ri1507\sb
314\sl-555\slmult0\fi707 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf4\f5\fs2
4 Berdasarkan latar belakang tersebut di atas dapat dirumuskan \up0 \expn
dtw-2\charscalex100 masalah sebagai berikut:\ul0\super\cf16\f17\fs24 \ul0\nosup
ersub\cf4\f5\fs24 Apakah kejadian konstipasi, riwayat tumor rektum, \up0 \expndt
w0\charscalex106 jenis aktivitas fisik, riwayat hemorrhoid pada keluarga, dan po
sisi serta \up0 \expndtw0\charscalex105 lama duduk saat buang air besar merupaka
n faktor-faktor yang berisiko \up0 \expndtw-3\charscalex100 terhadap kejadian he
morrhoid pada usia 21-30 tahun?
}
}}

}}
\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb12\sl-276\slmult0 \up0
\expndtw0\charscalex101 \ul0\nosupersub\cf8\f9\fs24 1.3\ul0\nosupersub\cf10\f11
\fs24 \ul0\nosupersub\cf8\f9\fs24 Tujuan Penelitian \par\pard\ql \li2693\sb0\sl
-276\slmult0 \par\pard\ql\li2693\sb8\sl-276\slmult0 \up0 \expndtw-2\charscalex10
0 1.3.1 Tujuan Umum \par\pard\qj \li3259\ri1503\sb316\sl-553\slmult0\fi448 \up0
\expndtw0\charscalex103 \ul0\nosupersub\cf9\f10\fs24 Untuk membuktikan apakah ke
jadian konstipasi, riwayat tumor \line \up0 \expndtw0\charscalex104 rektum, jeni
s aktivitas fisik, riwayat hemorrhoid pada keluarga, dan \line \up0 \expndtw0\ch
arscalex102 posisi serta lama duduk saat buang air besar merupakan faktor-faktor
\line \up0 \expndtw-1\charscalex100 yang berisiko terhadap kejadian hemorrhoid
pada usia 21-30 tahun. \par\pard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql\li26
95\sb0\sl-276\slmult0 \par\pard\ql\li2695\sb224\sl-276\slmult0 \up0 \expndtw-1\c
harscalex100 \ul0\nosupersub\cf8\f9\fs24 1.3.2\ul0\nosupersub\cf10\f11\fs24 \ul
0\nosupersub\cf8\f9\fs24 Tujuan Khusus \par\pard\ql \li3259\ri1518\sb310\sl-560\
slmult0\tx3545 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf9\f10\fs24 1.\ul0\
nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Menganalisis besarnya ris
iko kejadian konstipasi terhadap kejadian \line\tab \up0 \expndtw-1\charscalex10
0 hemorrhoid pada usia 21-30 tahun. \par\pard\ql \li3259\ri1504\sb0\sl-560\slmul
t0\tx3545 \up0 \expndtw0\charscalex105 2.\ul0\nosupersub\cf17\f18\fs24 \ul0\nos
upersub\cf9\f10\fs24 Menganalisis besarnya risiko riwayat tumor rektum ter
hadap \line\tab \up0 \expndtw-1\charscalex100 kejadian hemorrhoid pada usia 21-3
0 tahun. \par\pard\ql \li3262\ri1517\sb0\sl-540\slmult0\tx3545 \up0 \expndtw0\ch
arscalex102 3.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Mengan
alisis besarnya risiko jenis aktivitas fisik terhadap kejadian \line\tab \up0 \e
xpndtw-1\charscalex100 hemorrhoid \ul0\nosupersub\cf4\f5\fs24 pada usia 21-30 ta
hun\ul0\nosupersub\cf9\f10\fs24 . \par\pard\ql \li3262\ri1518\sb19\sl-540\slmult
0\tx3545 \up0 \expndtw0\charscalex105 4.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosu
persub\cf9\f10\fs24 Menganalisis besarnya risiko riwayat hemorrhoid pada keluarg
a \line\tab \up0 \expndtw-1\charscalex100 terhadap kejadian hemorrhoid pada usi
a 21-30 tahun. \par\pard\ql \li3262\ri1505\sb4\sl-560\slmult0\tx3545 \up0 \expnd
tw0\charscalex106 5.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24
Menganalisis besarnya risiko posisi duduk saat buang air besar \line\tab \up0 \
expndtw-1\charscalex100 terhadap kejadian hemorrhoid pada usia 21-30 tahun. \par
\pard\ql \li3259\ri1519\sb0\sl-560\slmult0\tx3545 \up0 \expndtw0\charscalex102 6
.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Menganalisis besar
nya risiko lama duduk saat buang air besar \line\tab \up0 \expndtw-1\char
scalex100 terhadap kejadian hemorrhoid pada usia 21-30 tahun.
}
}}
}}
\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb12\sl-276\slmult0 \up0
\expndtw-2\charscalex100 \ul0\nosupersub\cf8\f9\fs24 1.4\ul0\nosupersub\cf10\f1
1\fs24 \ul0\nosupersub\cf8\f9\fs24 Manfaat Penelitian \par\pard\ql \li2695\sb0
\sl-276\slmult0 \par\pard\ql\li2695\sb268\sl-276\slmult0 \up0 \expndtw-3\charsca
lex100 \ul0\nosupersub\cf4\f5\fs24 1.\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersu
b\cf4\f5\fs24 Bagi Masyarakat \par\pard\qj \li2976\ri1504\sb58\sl-550\slmult0 \u
p0 \expndtw-4\charscalex100 Memberikan informasi kepada masyarakat mengenai berb
agai faktor yang \up0 \expndtw0\charscalex101 mempengaruhi terjadinya hemorrhoid
, sehingga dapat dilakukan upaya \up0 \expndtw-3\charscalex100 pencegahan terjad
inya hemorrhoid. \par\pard\ql \li2616\sb237\sl-276\slmult0 \up0 \expndtw-3\chars
calex100 2.\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Bagi Peneli
ti Lain \par\pard\qj \li2976\ri1507\sb38\sl-550\slmult0 \up0 \expndtw0\charscale
x102 Sebagai tambahan pengetahuan dan pengalaman dalam melakukan \up0 \exp
ndtw-2\charscalex100 penelitian ilmiah terhadap faktor-faktor yang menyebab
kan terjadinya \up0 \expndtw-3\charscalex100 hemorrhoid. \par\pard\ql \li2695\s
b237\sl-276\slmult0 \up0 \expndtw-4\charscalex100 3.\ul0\nosupersub\cf5\f6\fs24
\ul0\nosupersub\cf4\f5\fs24 Bagi Bidang Keilmuan \par\pard\qj \li2976\ri1504\sb
66\sl-540\slmult0 \up0 \expndtw0\charscalex100 Dari hasil penelitian akan di
ketahui faktor-faktor yang berhubungan \line \up0 \expndtw-1\charscalex100 de
ngan kejadian hemorrhoid pada usia \up0 \expndtw-1\charscalex100 21-30 tahu
n sehingga dapat \par\pard\qj \li2976\ri1505\sb21\sl-540\slmult0 \up0 \expndtw
-3\charscalex100 memperkaya khasanah ilmu pengetahuan mengenai hemorrhoid pada u
sia \up0 \expndtw-3\charscalex100 21-30 tahun. \par\pard\ql \li2268\sb0\sl-276\s
lmult0 \par\pard\ql\li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb247\sl-276\s
lmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf8\f9\fs24 1.5\ul0\nosuper
sub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Orisinalitas Penelitian \par\par
d\ql \li5458\sb0\sl-276\slmult0 \par\pard\ql\li5458\sb128\sl-276\slmult0 \up0 \e
xpndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 Keaslian Penelitian\par\pard\
sect\sectd\sbknone\cols2\colno1\colw5761\colsr160\colno2\colw5839\colsr160\ql \l
i2693\sb168\sl-253\slmult0\tx4827 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\
cf18\f19\fs22 N \up0 \expndtw-3\charscalex100 Nama Peneliti\tab \up0 \expndtw-3\
charscalex100 Judul\par\pard\ql \li2693\sb1\sl-251\slmult0\tx4628 \up0 \expndtw3\charscalex100 o\tab \up0 \expndtw-3\charscalex100 Penelitian\par\pard\ql \li26
93\sb7\sl-230\slmult0\tx4498 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf19\f
20\fs20 1 Pigot F,\tab \up0 \expndtw-2\charscalex100 Risk Factors\par\pard\ql \
li2942\sb0\sl-230\slmult0\tx4498 \up0 \expndtw-2\charscalex100 Siproudhis L\ul0\
super\cf20\f21\fs19 15\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f2
0\fs20 associated\par\pard\ql \li2942\sb1\sl-227\slmult0\tx4498 \up0 \expndtw-2\
charscalex100 (Gastroenterol\tab \up0 \expndtw-3\charscalex100 with\par\pard\ql
\li2942\sb1\sl-230\slmult0\tx4498 \up0 \expndtw-2\charscalex100 Clin Biol.2005)\
tab \up0 \expndtw-2\charscalex100 Hemmoroidal\par\pard\ql \li4503\sb1\sl-230\slm

ult0 \up0 \expndtw-2\charscalex100 symptoms in\par\pard\ql \li4503\sb0\sl-230\sl
mult0 \up0 \expndtw-2\charscalex100 specialized\par\pard\ql \li4503\sb1\sl-230\s
lmult0 \up0 \expndtw-2\charscalex100 consultant\par\pard\column \ql \li20\sb168\
sl-253\slmult0\tx2577 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf18\f19\fs2
2 Metode Penelitian\tab \up0 \expndtw-3\charscalex100 Hasil Penelitian\par\pard\
ql \li5921\sb0\sl-230\slmult0 \par\pard\ql \li20\sb28\sl-230\slmult0\tx2011 \up0
\expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 Case control\tab \up0 \e
xpndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Ada hubungan antara riwayat
\par\pard\ql \li2006\sb0\sl-230\slmult0 \up0 \expndtw-2\charscalex100 keluarga y
ang menderita\par\pard\ql \li20\sb1\sl-227\slmult0\tx2011 \up0 \expndtw-2\charsc
alex100 n=1033\tab \up0 \expndtw-2\charscalex100 hemorrhoid \ul0\nosupersub\cf21
\f22\fs20 (OR= 5,17;\par\pard\ql \li20\sb1\sl-230\slmult0\tx2011 \up0 \expndtw-2
\charscalex100 \ul0\nosupersub\cf19\f20\fs20 pada pasien\tab \up0 \expndtw-2\cha
rscalex100 \ul0\nosupersub\cf21\f22\fs20 CI=4,05-6,61; p<0,0001)\ul0\nosupersub\
cf19\f20\fs20 ,\par\pard\ql \li20\sb1\sl-230\slmult0\tx2011 \up0 \expndtw-2\char
scalex100 hemorrhoid\tab \up0 \expndtw-2\charscalex100 makan makanan pedas,\par\
pard\ql \li20\sb0\sl-230\slmult0\tx2011 \up0 \expndtw-2\charscalex100 dibandingk
an dengan\tab \up0 \expndtw-2\charscalex100 konstipasi \ul0\nosupersub\cf21\f22\
fs20 (OR= 3,93; CI=\par\pard\ql \li20\sb1\sl-230\slmult0\tx2011 \up0 \expndtw-2\
charscalex100 \ul0\nosupersub\cf19\f20\fs20 pasien yang tidak\tab \up0 \expndtw2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 3,09-5,00; p<0,0001)\ul0\nosupersu
b\cf19\f20\fs20 , olahraga\par\pard\ql \li20\sb0\sl-230\slmult0\tx2011 \up0 \exp
ndtw-2\charscalex100 didiagnosa\tab \up0 \expndtw-2\charscalex100 berat \ul0\nos
upersub\cf21\f22\fs20 (OR= 2,79; CI= 1,60-\par\pard\ql \li20\sb1\sl-227\slmult0\
tx2011 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 hemorrhoid di
RS\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 4,87; p<0,1)
\ul0\nosupersub\cf19\f20\fs20 dengan kejadian\par\pard\ql \li20\sb2\sl-230\slmu
lt0\tx2011 \up0 \expndtw-2\charscalex100 Bagatelle Cedex\tab \up0 \expndtw-2\cha
rscalex100 hemorrhoid.
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
{\shp {\*\shpinst\shpleft7808\shptop11911\shpright10633\shpbottom11931\shpfhdr0\
shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz447\shplid8
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}}
bxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz1117\shplid20{\sp{\sn shapeType}
\pard\li2693\sb0\sl-230\slmult0\par\pard\li2693\sb65\sl-230\slmult0\fi0\tx2942\t
x4503\tx5921\tx7907 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20
2\tab \up0 \expndtw-2\charscalex100 Melina Tiza\ul0\super\cf20\f21\fs19 9\tab \u
p0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Hubungan\tab \up0 \exp
ndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 Cross-sectional\tab \up0 \exp
ndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Posisi saat buang air besar,\
par\pard\li2942\sb1\sl-230\slmult0\fi1560\tx7907 \up0 \expndtw-2\charscalex100 A
ntara Posisi\tab \up0 \expndtw-2\charscalex100 konsumsi rendah serat dan\par\par
d\li2942\sb0\sl-230\slmult0\fi0\tx4503\tx5921\tx7907 \up0 \expndtw-2\charscalex1
00 (Karya Tulis\tab \up0 \expndtw-2\charscalex100 Saat Buang\tab \up0 \expndtw-2
\charscalex100 n=116\tab \up0 \expndtw-2\charscalex100 asites bukan merupakan fa
ktor\par\pard\li2942\sb0\sl-228\slmult0\fi0\tx4503\tx5921\tx7907 \up0 \expndtw-2
\charscalex100 Ilmiah.2007)\tab \up0 \expndtw-2\charscalex100 Air Besar dan\tab
\up0 \expndtw-2\charscalex100 pada pria dan wanita\tab \up0 \expndtw-2\charscale
x100 risiko hemorrhoid. Genetik\par\pard\li4503\sb2\sl-230\slmult0\fi0\tx5921\tx
7907 \up0 \expndtw-2\charscalex100 Faktor Risiko\tab \up0 \expndtw-2\charscalex1
00 dengan usia >40\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs
20 (RP=2,5; CI= 1,460-4,253;\par\pard\li4503\sb0\sl-230\slmult0\fi0\tx5921\tx790
7 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Lainnya\tab \up0 \
expndtw-2\charscalex100 tahun di Semarang\tab \up0 \expndtw-2\charscalex100 \ul0
\nosupersub\cf21\f22\fs20 p<0,05)\ul0\nosupersub\cf19\f20\fs20 , tumor \ul0\nosu
persub\cf21\f22\fs20 (RP=2,4; CI=\par\pard\li4503\sb0\sl-230\slmult0\fi0\tx7907
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 terhadap\tab \up0 \e

xpndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 1,290-4,300; p<0,05)\ul0\no
supersub\cf19\f20\fs20 dan\par\pard\li4503\sb1\sl-230\slmult0\fi0\tx7907 \up0 \
expndtw-2\charscalex100 Terjadinya\tab \up0 \expndtw-2\charscalex100 sirosis hat
i \ul0\nosupersub\cf21\f22\fs20 (RP=3,7; CI=\par\pard\li4503\sb0\sl-230\slmult0\
fi0\tx7907 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Hemorrhoi
d\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 2,723-4,966; p
<0,05)\par\pard\li2693\sb1\sl-227\slmult0\fi5213 \up0 \expndtw-2\charscalex100 \
ul0\nosupersub\cf19\f20\fs20 merupakan faktor risiko\par\pard\li2693\sb2\sl-230\
slmult0\fi5213 \up0 \expndtw-2\charscalex100 hemorrhoid.\par\pard\li2693\sb0\sl230\slmult0\par\pard\li2693\sb1\sl-230\slmult0\fi0\tx2942\tx4503\tx5921\tx7907 \
up0 \expndtw-2\charscalex100 3\tab \up0 \expndtw-2\charscalex100 Diah Irawati\ul
0\super\cf20\f21\fs19 8\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f
20\fs20 Hubungan\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20
Case control\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Ri
wayat keluarga \ul0\nosupersub\cf21\f22\fs20 (OR=5,17;\par\pard\li2942\sb0\sl-23
0\slmult0\fi1560\tx7907 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\f
s20 Antara\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 CI= 4
,05-6,61; p<0,0001)\ul0\nosupersub\cf19\f20\fs20 dan\par\pard\li2942\sb1\sl-230
\slmult0\fi0\tx4503\tx5921\tx7907 \up0 \expndtw-2\charscalex100 (Karya Tulis\tab
\up0 \expndtw-2\charscalex100 Riwayat\tab \up0 \expndtw-2\charscalex100 n=252\t
ab \up0 \expndtw-2\charscalex100 kontipasi \ul0\nosupersub\cf21\f22\fs20 (OR= 3.
093; CI=\par\pard\li2942\sb0\sl-228\slmult0\fi0\tx4503\tx5921\tx7907 \up0 \expnd
tw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Ilmiah.2008)\tab \up0 \expndtw2\charscalex100 Keluarga,\tab \up0 \expndtw-2\charscalex100 pada pasien\tab \up0
\expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 3,09-5,00; p<0,0001)\par
\pard\li4503\sb1\sl-230\slmult0\fi0\tx5921\tx7907 \up0 \expndtw-2\charscalex100
\ul0\nosupersub\cf19\f20\fs20 Konstipasi,\tab \up0 \expndtw-2\charscalex100 hemo
rrhoid\tab \up0 \expndtw-2\charscalex100 merupakan faktor risiko\par\pard\li4503
\sb1\sl-230\slmult0\fi0\tx5921\tx7907 \up0 \expndtw-2\charscalex100 dan Olahraga
\tab \up0 \expndtw-2\charscalex100 dibandingkan dengan\tab \up0 \expndtw-2\chars
calex100 hemorrhoid. Sedangkan\par\pard\li4503\sb0\sl-230\slmult0\fi0\tx5921\tx7
907 \up0 \expndtw-2\charscalex100 Berat Dengan\tab \up0 \expndtw-2\charscalex100
pasien yang tidak\tab \up0 \expndtw-2\charscalex100 olahraga berat bukan merupa
kan\par\pard\li4503\sb0\sl-230\slmult0\fi0\tx5921\tx7907 \up0 \expndtw-2\charsca
lex100 Kejadian\tab \up0 \expndtw-2\charscalex100 menderita\tab \up0 \expndtw-2\
charscalex100 faktor risiko hemorrhoid.\par\pard\li4503\sb1\sl-230\slmult0\fi0\t
x5921 \up0 \expndtw-2\charscalex100 Hemorrhoid\tab \up0 \expndtw-2\charscalex100
hemorrhoid di RS\par\pard\li4503\sb0\sl-228\slmult0\fi0\tx5921 \up0 \expndtw-2\
charscalex100 Pada Pasien\tab \up0 \expndtw-2\charscalex100 Bakti Wira Tamtama\p
ar\pard\li4503\sb1\sl-230\slmult0\fi0\tx5921 \up0 \expndtw-2\charscalex100 Rawat
Jalan di\tab \up0 \expndtw-2\charscalex100 Semarang\par\pard\ql \li4503\ri3151\
sb5\sl-226\slmult0 \up0 \expndtw-4\charscalex100 Klinik Bedah \line \up0 \expndt
w-4\charscalex100 Rumah Sakit \line \up0 \expndtw-4\charscalex100 Tentara Bakti
\line \up0 \expndtw-4\charscalex100 Wira \par\pard\ql \li4503\ri3299\sb0\sl-240\
slmult0 \up0 \expndtw-4\charscalex100 Tamtama \line \up0 \expndtw-4\charscalex10
0 Semarang \par\pard\li2693\sb222\sl-230\slmult0\fi0\tx2942\tx4503\tx5921\tx7907
\up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\charscalex100 H.\tab \up0 \
expndtw-2\charscalex100 Etiology of\tab \up0 \expndtw-2\charscalex100 \ul0\nosup
ersub\cf21\f22\fs20 Cohort\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1
9\f20\fs20 Usia di atas 46 tahun \ul0\nosupersub\cf21\f22\fs20 (p= 0,006;\par\pa
rd\li2693\sb1\sl-230\slmult0\fi249\tx4503\tx7907 \up0 \expndtw-2\charscalex100 \
ul0\nosupersub\cf19\f20\fs20 Gebbensleben,\tab \up0 \expndtw-2\charscalex100 Thr
ombosed\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 OR=3,824
) \ul0\nosupersub\cf19\f20\fs20 , olahraga berat\par\pard\li2693\sb0\sl-228\slmu
lt0\fi249\tx4503\tx5921\tx7907 \up0 \expndtw-2\charscalex100 Y. Hilger, H.\tab \
up0 \expndtw-2\charscalex100 External\tab \up0 \expndtw-2\charscalex100 (n=58)\t
ab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 (p=0,008; OR= 6,4
48)\ul0\nosupersub\cf19\f20\fs20 , \ul0\nosupersub\cf21\f22\fs20 dry\par\pard\li
2693\sb1\sl-230\slmult0\fi249\tx4503\tx5921\tx7907 \up0 \expndtw-2\charscalex100
\ul0\nosupersub\cf19\f20\fs20 Rohde\ul0\super\cf20\f21\fs19 16\tab \up0 \expndt

w-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Hemorrhoid\tab \up0 \expndtw-2\c
harscalex100 Pada pasien\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\
f22\fs20 cleaning\ul0\nosupersub\cf19\f20\fs20 setelah defekasi\par\pard\li2693
\sb1\sl-230\slmult0\fi3228\tx7907 \up0 \expndtw-2\charscalex100 hemorrhoid exter
na\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 (p=0,007; OR=
3,785)\ul0\nosupersub\cf19\f20\fs20 memiliki\par\pard\li2693\sb0\sl-230\slmult
0\fi249\tx5921\tx7907 \up0 \expndtw-2\charscalex100 (BioMed\tab \up0 \expndtw-2\
charscalex100 di Park Clinic Berlin\tab \up0 \expndtw-2\charscalex100 risiko tin
ggi terhadap kejadian\par\pard\li2693\sb0\sl-230\slmult0\fi249\tx7907 \up0 \expn
dtw-2\charscalex100 Central.2009)\tab \up0 \expndtw-2\charscalex100 hemorrhoid.\
par\pard\li2693\sb229\sl-230\slmult0\fi0\tx2942\tx4503\tx5921\tx7907 \up0 \expnd
tw-2\charscalex100 5\tab \up0 \expndtw-2\charscalex100 Hasnil\tab \up0 \expndtw2\charscalex100 Karakteristik\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\
cf21\f22\fs20 Retrospektif\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1
9\f20\fs20 Kejadian hemorrhoid meningkat\par\pard\li2693\sb1\sl-230\slmult0\fi24
9\tx4503\tx5921\tx7907 \up0 \expndtw-2\charscalex100 Mubarak\ul0\super\cf20\f21\
fs19 12\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 Penderit
a\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf21\f22\fs20 Deskriptif\tab
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 pada usia \u8805?45
tahun dan tidak\par\pard\li2942\sb0\sl-230\slmult0\fi1560\tx7907 \up0 \expndtw2\charscalex100 Hemoroid\tab \up0 \expndtw-2\charscalex100 ada perbedaan tingkat
kejadian\par\pard\li2942\sb1\sl-230\slmult0\fi0\tx4503\tx5921\tx7907 \up0 \expn
dtw-2\charscalex100 (Karya Tulis\tab \up0 \expndtw-2\charscalex100 berdasarkan\t
ab \up0 \expndtw-2\charscalex100 n=83\tab \up0 \expndtw-2\charscalex100 antara l
aki-laki dan perempuan.\par\pard\li2942\sb0\sl-230\slmult0\fi0\tx4503\tx5921 \up
0 \expndtw-2\charscalex100 Ilmiah.2010)\tab \up0 \expndtw-2\charscalex100 Umur d
an\tab \up0 \expndtw-2\charscalex100 pada pasien\par\pard\li4503\sb1\sl-227\slmu
lt0\fi0\tx5921 \up0 \expndtw-2\charscalex100 Jenis Kelamin\tab \up0 \expndtw-2\c
harscalex100 hemorrhoid di RSUP\par\pard\li4503\sb2\sl-230\slmult0\fi0\tx5921 \u
p0 \expndtw-2\charscalex100 di RSUP. H.\tab \up0 \expndtw-2\charscalex100 H. Ada
m Malik\par\pard\li4503\sb0\sl-230\slmult0\fi0\tx5921 \up0 \expndtw-2\charscalex
100 Adam Malik\tab \up0 \expndtw-2\charscalex100 Medan tahun 2008-\par\pard\li45
03\sb0\sl-230\slmult0\fi0\tx5921 \up0 \expndtw-2\charscalex100 tahun 2008-\tab \
up0 \expndtw-2\charscalex100 2009\par\pard\ql \li4503\sb0\sl-230\slmult0 \up0 \e
xpndtw-4\charscalex100 2009
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}}
ul0\nosupersub\cf4\f5\fs24 Penelitian ini berbeda dengan penelitian-peneliti
an yang telah \up0 \expndtw0\charscalex100 disebutkan di atas. Perbedaan yang
khas adalah pada usia sampel penelitian, \up0 \expndtw0\charscalex100 dimana may
oritas penelitian tersebut meneliti kejadian hemorrhoid pada usia \up0 \expndtw2\charscalex100 di atas 40 tahun, sedangkan pada penelitian ini usia yang dipili
h berada dalam \up0 \expndtw-3\charscalex100 rentang 21-30 tahun (usia produktif
). \par\pard\qj \li2683\ri1503\sb9\sl-552\slmult0\fi717 \up0 \expndtw0\charscale
x100 Selain itu pada penelitian ini akan diteliti mengenai faktor risiko dari \u
p0 \expndtw-1\charscalex100 kejadian hemorrhoid pada usia 21-30 tahun yaitu keja
dian konstipasi, riwayat \up0 \expndtw0\charscalex103 tumor rektum, jenis aktivi
tas fisik, riwayat hemorrhoid pada keluarga, dan \up0 \expndtw0\charscalex106 po
sisi serta lama duduk saat buang air besar pada penderita hemorrhoid \up0 \expnd
tw-1\charscalex100 dengan metode \ul0\nosupersub\cf7\f8\fs24 case control \ul0\n
osupersub\cf4\f5\fs24 yang didiagnosa sementara di RSUP. Dr. Kariadi \up0 \expnd
tw-2\charscalex100 Semarang pada tahun 2006-2011.
}
}}
}}
-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\f9\fs24 BAB II \p
0 \expndtw-5\charscalex100 TINJAUAN PUSTAKA \par\pard\ql \li2268\sb0\sl-276\slmu
lt0 \par\pard\ql\li2268\sb268\sl-276\slmult0 \up0 \expndtw-5\charscalex100 2.1\u
l0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Definisi Hemorrhoid da
n Anatomi Kanalis Analis \par\pard\qj \li2693\ri1505\sb314\sl-555\slmult0\fi707
\up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Hemorrhoid merupakan
pelebaran dan inflamasi pembuluh darah \line \up0 \expndtw0\charscalex102
vena di daerah anus yang berasal dari \ul0\nosupersub\cf11\f12\fs24 plexu
s hemorrhoidalis\ul0\nosupersub\cf9\f10\fs24 . \ul0\nosupersub\cf11\f12\fs24 P
lexus \line \up0 \expndtw-1\charscalex100 hemorrhoidalis\ul0\nosupersub\cf9\f10\
fs24 tersebut merupakan jaringan normal yang terdapat pada \line \up0 \e
xpndtw0\charscalex100 semua orang yang berfungsi untuk mencegah inkontinen
sia flatus dan \line \up0 \expndtw-3\charscalex100 cairan. \par\pard\qj \li269
3\ri1508\sb0\sl-555\slmult0\fi707 \up0 \expndtw0\charscalex105 Karena adanya s
uatu faktor pencetus, pleksus tersebut dapat \up0 \expndtw-2\charscalex100
mengalami pelebaran, inflamasi, bahkan perdarahan. Pelebaran ini berkaitan \up0

\expndtw0\charscalex100 dengan peningkatan tekanan vena pada pleksus tersebut ya
ng sering terjadi \up0 \expndtw0\charscalex106 pada usia 50 tahun ke atas. Dima
na pelebaran ini tidak diikuti dengan \up0 \expndtw-3\charscalex100 perubahan ko
ndisi anatomi dari kanalis analis. \ul0\super\cf12\f13\fs24 1,3,17,18 \par\pard\
qj \li2693\ri1442\sb0\sl-551\slmult0\fi707 \up0 \expndtw-2\charscalex100 \ul0\no
supersub\cf9\f10\fs24 Kanalis analis merupakan bagian terbawah dari usus
besar yang \up0 \expndtw-3\charscalex100 berfungsi untuk mengeluarkan feses. Se
cara anatomi, kanalis analis memiliki \up0 \expndtw-1\charscalex100 panjang kura
ng lebih 1,5 inci atau sekitar 4 cm, yang berjalan ke bawah dan \up0 \expndtw-4\
charscalex100 belakang dari ampulla rekti sampai anus. Selain saat defekasi, din
ding kanalis \up0 \expndtw0\charscalex100 analis dipertahankan oleh \ul0\nosuper
sub\cf11\f12\fs24 musculus levator ani\ul0\nosupersub\cf9\f10\fs24 dan \ul0\nos
upersub\cf11\f12\fs24 musculus sphincter ani \up0 \expndtw-2\charscalex100 \ul0\
nosupersub\cf9\f10\fs24 supaya saling berdekatan.\ul0\super\cf12\f13\fs24 19 \
ul0\nosupersub\cf9\f10\fs24 Mekanisme \ul0\nosupersub\cf11\f12\fs24 sphincter
ani\ul0\nosupersub\cf9\f10\fs24 memiliki tiga unsur \up0 \expndtw0\charscal
ex100 pembentuk yakni \ul0\nosupersub\cf11\f12\fs24 musculus sphincter ani exter
nus, musculus sphincter ani \up0 \expndtw-6\charscalex100 internus, dan musculus
puborectalis. \par\pard\ql \li6183\sb0\sl-253\slmult0 \par\pard\ql\li6183\sb0\s
l-253\slmult0 \par\pard\ql\li6183\sb0\sl-253\slmult0 \par\pard\ql\li6183\sb171\s
l-253\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf3\f4\fs22 9
}
}}
}}
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ef18690672c1506dc804e4115fb6b25b2b28c1c15c8cb162db4f04071f3007a100608e08c5797f89
3e08fc2ef173b4baef81bc357970ecd23dec5a6c7a7deb4adf7a4379a72da5cb3b7477799c9201c6
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3c3afdcdad9c81d78cd747aafec6ff001874b8d5341f19787f5e0e0acbf6eb03a514c03e5a465afe
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90974dd4926bf0d7f0827f1445722303cd4fdd2932973e696725d98b93cb6e62010a300e3ad6526b
ca665924bab809b658c1c65824786243939cb167dddf3c0fba73bf6bfb29fed26d32adc69be1430b
1cbedf125a3344becbe58dd1e792010dd00ef5d9e93fb1c7c5cbb994eb5e20f0e68d6fd0496ab26a
9290490576fdad532a091bb1b46076ae67c3dc5f5aa5970f6322e5a2bc29349be5dfdf5a6af5b76b
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258300141c6e1c707046057d97a6fec330cad226bdf12f596b767590db685a3d858a961f2b33dd5d
4f7d21765247c8912fcc4e38c57a9689fb167c0fb08d1754d2b5ef134ca58abeb5e22d45a28cb6cd
ce969612da5a86936ed7fdd91b4f21989cfb182f0fb8d719371adf53c0e9771c54a519c62f5d5538
548a7caeebdf6deed2d9704fc47e0cc2a72a53cc7309a6d5f0d868c684acd5d2954ad17a689be45a
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pard\sb0\sl-240{\bkmkstart Pg24}{\bkmkend Pg24}\par\pard\ql \li9784\sb0\sl-253\s
t0 \par\pard\ql\li9784\sb206\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\n
osupersub\cf3\f4\fs22 10 \par\pard\qj \li2693\ri1442\sb60\sl-552\slmult0\fi707 \
up0 \expndtw0\charscalex102 \ul0\nosupersub\cf11\f12\fs24 Musculus sphincter ani
internus \ul0\nosupersub\cf9\f10\fs24 dibentuk oleh penebalan otot polos \line
\up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf11\f12\fs24 stratum circulare\u
l0\nosupersub\cf9\f10\fs24 pada ujung atas kanalis analis sehingga beker
ja secara \line \up0 \expndtw-2\charscalex100 involuntar. Sedangkan \ul0\nosupe
rsub\cf11\f12\fs24 musculus sphincter ani externus\ul0\nosupersub\cf9\f10\fs24
dilapisi oleh otot lurik \line \up0 \expndtw-2\charscalex100 sehingga bekerja se
cara voluntar.\ul0\super\cf12\f13\fs24 19 \ul0\nosupersub\cf9\f10\fs24 Vaskulari
sasi kanalis analis sebagian besar \line \up0 \expndtw-2\charscalex100 diperoleh
dari \ul0\nosupersub\cf11\f12\fs24 arteri hemorrhoidalis superior\ul0\nosupersu
b\cf9\f10\fs24 , \ul0\nosupersub\cf11\f12\fs24 arteri hemorrhoidalis medialis\ul
0\nosupersub\cf9\f10\fs24 , \line \up0 \expndtw-2\charscalex100 dan \ul0\nosuper
sub\cf11\f12\fs24 arteri hemorrhoidalis inferior\ul0\nosupersub\cf9\f10\fs24 . \
ul0\nosupersub\cf11\f12\fs24 Arteri hemorrhoidalis superior\ul0\nosupersub\cf9\f
10\fs24 merupakan \line \up0 \expndtw0\charscalex100 kelanjutan langsung dari \
ul0\nosupersub\cf11\f12\fs24 arteri mesenterika inferior\ul0\nosupersub\cf9\f1
0\fs24 . \ul0\nosupersub\cf11\f12\fs24 Arteri hemorrhoidalis \line \up0 \expndt
w-2\charscalex100 medialis\ul0\nosupersub\cf9\f10\fs24 merupakan percabangan
anterior \ul0\nosupersub\cf11\f12\fs24 arteri iliaka interna\ul0\nosupersub\
cf9\f10\fs24 , dan \ul0\nosupersub\cf11\f12\fs24 arteri \line \up0 \expndtw-6\
charscalex100 hemorrhoidalis inferior\ul0\nosupersub\cf9\f10\fs24 merupakan cab
ang arteri \ul0\nosupersub\cf11\f12\fs24 pudenda interna\ul0\nosupersub\cf9\f10\
fs24 .\ul0\super\cf12\f13\fs24 20 \par\pard\qj \li2693\ri1442\sb0\sl-552\slmult0
\fi707 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Sistem vena
pada kanalis analis berasal dari \ul0\nosupersub\cf11\f12\fs24 vena hemorr
hoidalis \up0 \expndtw-4\charscalex100 superior\ul0\nosupersub\cf9\f10\fs24 da
n \ul0\nosupersub\cf11\f12\fs24 vena hemorrhoidalis inferior\ul0\nosupersub\c
f9\f10\fs24 . \ul0\nosupersub\cf11\f12\fs24 Vena hemorrhoidalis superior \up0
\expndtw0\charscalex100 \ul0\nosupersub\cf9\f10\fs24 berasal dari \ul0\nosupers
ub\cf11\f12\fs24 plexus hemorrhoidalis internus\ul0\nosupersub\cf9\f10\fs24 dan
berjalan ke arah kranial ke \up0 \expndtw-3\charscalex100 dalam \ul0\nosupersub
\cf11\f12\fs24 vena mesenterika inferior\ul0\nosupersub\cf9\f10\fs24 dan seteru

snya melalui \ul0\nosupersub\cf11\f12\fs24 vena lienalis\ul0\nosupersub\cf9\f10\
fs24 ke \ul0\nosupersub\cf11\f12\fs24 vena \up0 \expndtw-4\charscalex100 porta\
ul0\nosupersub\cf9\f10\fs24 . \ul0\nosupersub\cf11\f12\fs24 Vena hemorrhoidalis
inferior\ul0\nosupersub\cf9\f10\fs24 mengalirkan darah ke dalam \ul0\nosupersub
\cf11\f12\fs24 vena pudenda \up0 \expndtw-6\charscalex100 interna\ul0\nosupersub
\cf9\f10\fs24 dan ke dalam \ul0\nosupersub\cf11\f12\fs24 vena iliaka interna\ul
0\nosupersub\cf9\f10\fs24 dan \ul0\nosupersub\cf11\f12\fs24 sistem kava\ul0\nos
upersub\cf9\f10\fs24 . \par\pard\ql \li4654\sb0\sl-276\slmult0 \par\pard\ql\li46
6\slmult0 \up0 \expndtw-6\charscalex100 Gambar 2.1 Vaskularisasi kanalis analis
\par\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg2
5}{\bkmkend Pg25}\par\pard\ql \li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb0
l-253\slmult0 \par\pard\ql\li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb206\s
l-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 11 \par\
pard\qj \li2693\ri1443\sb62\sl-550\slmult0\fi707 \up0 \expndtw0\charscalex100 \u
l0\nosupersub\cf9\f10\fs24 Sistem simpatik dan sistem parasimpatik memegang pera
nan penting \up0 \expndtw0\charscalex100 dalam persarafan rektum. Serabut simpat
ik berasal dari \ul0\nosupersub\cf11\f12\fs24 plexus mesenterikus \up0 \expndtw2\charscalex100 inferior\ul0\nosupersub\cf9\f10\fs24 dan \ul0\nosupersub\cf11\f
12\fs24 sistem parasakral\ul0\nosupersub\cf9\f10\fs24 yang terbentuk dari gangl
ion-ganglion simpatis \up0 \expndtw0\charscalex100 lumbal ruas kedua, ketiga, da
n keempat. Sedangkan persarafan parasimpatik \up0 \expndtw-6\charscalex100 beras
al dari saraf sakral kedua, ketiga, dan keempat.\ul0\super\cf12\f13\fs24 20 \par
ul0\nosupersub\cf9\f10\fs24 Penderita hemorrhoid sering mengeluh merasa tidak ny
aman akibat \line \up0 \expndtw-2\charscalex100 benjolan yang keluar dari anus.
Keluhan tersebut dikarenakan gangguan rotasi \line \up0 \expndtw0\charscalex100
bantalan anus. Dalam keadaan normal, bantalan anus akan menempel secara \line \u
p0 \expndtw-2\charscalex100 longgar pada lapisan otot sirkuler. Namun ketika def
ekasi, \ul0\nosupersub\cf11\f12\fs24 musculus\ul0\nosupersub\cf9\f10\fs24 \ul0\
nosupersub\cf11\f12\fs24 sphincter \line \up0 \expndtw-2\charscalex100 ani exter
na\ul0\nosupersub\cf9\f10\fs24 akan berelaksasi. Bantalan anus akan berotasi ke
arah luar (eversi) \line \up0 \expndtw-1\charscalex100 membentuk bibir anorektu
m. Faktor endokrin, usia, konstipasi, dan mengejan \line \up0 \expndtw0\charscal
ex103 dalam waktu yang lama menyebabkan gangguan eversi pada bantalan \l
ine \up0 \expndtw-7\charscalex100 tersebut.\ul0\super\cf12\f13\fs24 3,10 \par\pa
rd\qj \li2693\ri1443\sb10\sl-551\slmult0\fi707 \up0 \expndtw0\charscalex104 \ul0
\nosupersub\cf9\f10\fs24 Defekasi merupakan suatu proses pembuangan kotoran
seperti \line \up0 \expndtw-1\charscalex100 pembuangan tinja atau feses. P
ada prosesnya, rektum dan kanalis analis \line \up0 \expndtw-3\charscalex10
0 memiliki peranan untuk mengeluarkan massa feses yang terbentuk dengan cara \li
ne \up0 \expndtw0\charscalex100 yang terkontrol. Refleks kontraksi dari rek
tum dan otot sphincter akan \line \up0 \expndtw-1\charscalex100 menimbulkan
keinginan untuk defekasi. Refleks tersebut dipicu oleh gerakan \line \up0 \expnd
tw-4\charscalex100 usus yang mendorong feses ke arah rektum. Selain itu, dengan
adanya kontraksi \line \up0 \expndtw-1\charscalex100 dari \ul0\nosupersub\cf11\f
12\fs24 sphincter ani externa \ul0\nosupersub\cf9\f10\fs24 dan \ul0\nosupersub\c
f11\f12\fs24 sphincter ani interna\ul0\nosupersub\cf9\f10\fs24 menyebabkan fese
s tidak \line \up0 \expndtw-6\charscalex100 keluar secara terus menerus melainka
n sedikit demi sedikit.\ul0\super\cf12\f13\fs24 21
}
}}
}}
\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 12 \pa
r\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb12\sl-276\slmult0 \up
0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\f9\fs24 2.2\ul0\nosupersub\cf10\f
11\fs24 \ul0\nosupersub\cf8\f9\fs24 Klasifikasi Hemorrhoid \par\pard\qj \li269
5\ri1442\sb316\sl-553\slmult0\fi705 \up0 \expndtw-4\charscalex100 \ul0\nosupersu
b\cf9\f10\fs24 Diagnosa hemorrhoid dapat ditegakkan salah satunya dengan anoskop
i. \line \up0 \expndtw0\charscalex101 Anoskopi adalah pemeriksaan pada anus dan
rektum dengan menggunakan \line \up0 \expndtw0\charscalex100 sebuah spekulum. Pe
meriksaan ini dapat menentukan letak dari hemorrhoid \line \up0 \expndtw-5\chars
calex100 tersebut. Secara anoskopi, berdasarkan letaknya hemorrhoid terbagi atas
:\ul0\super\cf12\f13\fs24 17,22 \par\pard\ql \li2695\sb236\sl-276\slmult0 \up0
\expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs24 a.\ul0\nosupersub\cf17\f18
\fs24 \ul0\nosupersub\cf9\f10\fs24 Hemorrhoid eksterna \par\pard\qj \li2976\r
i1442\sb30\sl-560\slmult0 \up0 \expndtw0\charscalex100 Merupakan pelebaran dan p
enonjolan \ul0\nosupersub\cf11\f12\fs24 vena\ul0\nosupersub\cf9\f10\fs24 \ul0\n
osupersub\cf11\f12\fs24 hemorrhoidalis inferior\ul0\nosupersub\cf9\f10\fs24 yan
g \up0 \expndtw-6\charscalex100 timbul di sebelah luar \ul0\nosupersub\cf11\f12\
fs24 musculus\ul0\nosupersub\cf9\f10\fs24 \ul0\nosupersub\cf11\f12\fs24 sphinct
er ani\ul0\nosupersub\cf9\f10\fs24 . \par\pard\ql \li2695\sb215\sl-276\slmult0 \
up0 \expndtw-3\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf
9\f10\fs24 Hemorrhoid interna \par\pard\ql \li2695\ri1442\sb56\sl-553\slmult0\
fi280\tx2976 \up0 \expndtw0\charscalex101 Merupakan pelebaran dan penonjolan \ul
0\nosupersub\cf11\f12\fs24 vena hemorrhoidalis superior\ul0\nosupersub\cf9\f10\f
s24 dan \line\tab \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf11\f12\fs24 m
edia\ul0\nosupersub\cf9\f10\fs24 yang timbul di sebelah proksimal dari \ul0\nos
upersub\cf11\f12\fs24 musculus\ul0\nosupersub\cf9\f10\fs24 \ul0\nosupersub\cf11
\f12\fs24 sphincter ani\ul0\nosupersub\cf9\f10\fs24 . \line \up0 \expndtw-4\cha
rscalex100 Kedua jenis hemorrhoid ini sangat sering dijumpai dan terjadi pada se
kitar 35% \up0 \expndtw-6\charscalex100 penduduk yang berusia di atas 25 tahun.\
ul0\super\cf12\f13\fs24 17 \par\pard\qj \li2695\ri1444\sb0\sl-555\slmult0\fi705
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Hemorrhoid eksterna d
iklasifikasikan sebagai bentuk akut dan kronis. \line \up0 \expndtw-5\charscalex

100 Bentuk akut dapat berupa pembengkakan bulat kebiruan pada pinggir anus yang
\line \up0 \expndtw0\charscalex102 merupakan suatu hematoma. Bentuk ini sering t
erasa sangat nyeri dan gatal \line \up0 \expndtw0\charscalex102 karena ujung-uju
ng saraf pada kulit merupakan reseptor nyeri. Hemorrhoid \line \up0 \expndtw-5\c
harscalex100 eksterna kronis atau \ul0\nosupersub\cf11\f12\fs24 skin tag\ul0\nos
upersub\cf9\f10\fs24 biasanya merupakan \ul0\nosupersub\cf11\f12\fs24 sequele\u
l0\nosupersub\cf9\f10\fs24 dari hematoma akut.\ul0\super\cf12\f13\fs24 17
}
}}
}}
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a7eb1e281a941ab5d78b35bd3a4f189b2bff00136a5796962ba86a6d022dc58d95be9cd6ff006505
2bf6ea8a72cd2ac959e1f0b6bdeca35b4b34f4fdfdfecaf3dc3ea30ff9fd88e9f6e1d2dff4efc8fc
24d53fe08aff00b276aef726eff67ef1bc70dce8be23f0eb58587c6bd534ed321d1bc5fabf8335ff
0013da5bd8db78d5614feded6fe1ef83b53d42493ce31dc68910d396c62b8bc8ee3b0bdff8247fec
dfa9c57306a3f027c5d791dcc9a8328b9f8b9773b58dbeade21d73c4fabd869be678c0c76165ac6a
be26f11b6a896f1a5cdd5af88356b4374a935b3da7ed5d149667356b61708bfeddadaedabbd77ae9
d2de41f51869fbec46892f8e3d3fedcfebd4fc89f09ffc1337e06781bc2be27f04f85be015fe99e1
8f19a784e2f13693ff0009ec5750ea90f81be25df7c5cf0b4534b73e2d92e71a6f8e754bfbf0e676
9e6d39edf44b99e7d2ada3b51a9f093fe09cdf07fe0778effe1667c37f81371a4f8da2b4d774ed3b
5ad53c5da5f89a6d0b4bf10ea3e1ad4af74cf0fc7e22f10ea7069165049e11d0adac63b58c4b069f
66b6324f3c4f2993f58a8a6b34aab5587c2a7ff5eea3edd1d66ba76fd2c2c0c17fcbeaff00f81c3c
9ffcfbf2fc59f8d9ab7fc129bf66dd6b46d4741bff00d9be4167ad787fc5de1bd76f6cbc6d6ba7eb
9afd978dbc7ba7fc4dd72efc45adda78a21d43c45adc3e33d274dbff000feb5ae4da85ef87ac2ce1
d0b4c7834645b2ae30ff00c11aff006539ee6e6e6f3f678f13dd473e8bad787d74a97e2ddd47a15b
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f5787c2b7a5df25557b5ada2ac974ec1f51a7ff3fabffe070f2ffa77e5f8bf2b7e41e85ff04d2f84
fe1ff8c7e16f8fd6bf0afc7f79f163c1d67a0d9e87e24d5be304fa8dbc517866d27b1d145de85278
b23d0af7ec505ddeba2c9a6ac4f7979757cf09bab9b9926e2fc57ff048dfd9dfc6fa6f8e746f12fc
1af1fde695f11bc67e27f1ff008a6c2d7e325c69704fe28f1b69f3e97e32b9b07d37c536d79a769f
e27b19becfaa6930de3592a456a6c12cdad2dca7ed8514bfb4ea3ff986c2e9fddade5dabf97e2c16
060bfe5f57ff00c0e1e4ff00e7df97e2cfc5bd0bfe0937fb3f7863574d7fc3bf077e20e8bad4569a
ce956da8587c6ad4565b2f0debf05e43a9f83b4e171e30b88f4df09ccd7b25d47a558c704b69771d
acb637b6a6d62269685ff0488fd9afc39e1f3e11d33e0678dc784a5b7b4b7bcf0c5d7c66d42e745d
4e5b05f1ac3a7ea5aadb3f8c449a8ea9a6da7c42f165969b77733bada59ea66dd62648a323f6c68a
6b34a89a7f56c23b77856fd2ba7ff0e1f51a7ff3f6bffe070f2fee797a6acfc83f86bff04c7f819f
083c51a778dfc01f0275ad27c5fa51bd92dbc4337c458f50d526bad5bc3de35f0c6b37d7f3def8ae
5fb65d6a7a57c43f181bc663144751d52df548618ae747d23ec7e4f07fc116ff006464f0df88fc23
7bfb37f8ab5ef0f78ba29a0f10e9fe24f8cbab6b275086f2dee6df50885fdc78e46a76ff00da4974
e3549e1be5bad4d61b34bc9e4169167f7528a1e6955ef430cedfdca9e5ff004f7cbfad2cbea34ffe
7f623ff038ff00f21fd5df95bf1ef52ff825e7c05d7fc09e19f86de2bf809a978cfc1fe10d53e2b6
bbe1fd37c5de3db4d7ae34fd7be35e8b6de1ff00883aea6a175e24170daddce9b6769ff08deac9e4
ea3e0dbcb5b7bef0cdd69d751f9ade7537fc11a7f650bad564d5aeff00671d7ef2f2e354f1e6b77b
7373f149deeaff0054f89ba4dd68de399afb538fc5516b77b6de21b5bfbe9f50d3af3549b4eb9bf9
e3bcb8b69ded6d561fdc9a2a7fb4aa7fcf8c36f7f82af97fd3df2be9ddf71fd461ff003fb11f39c7
a5bfb9e5f8fa5bf113c39ff047afd97bc2de2ef0cf8d34ff00d9ff00c537faaf8463f0f43a2e9de2
1f8b371e21f08a5b7856f748d4f45b29fc19aa78b67f0cc9a747abe85a4eb77fa60d2d74dd4f5bb2
5d5aeed1afa7ba9a6ee340ff008261fc14f0acde06bbf0ff00c1bf18e9ba87c2f834db4f865aac1f
14d1356f87763a2cbab4ba3e9de0ed563f13c7a8e8f61a6ff6eead05bc697324ed653c3617173716
7676d147fb074557f69d4ffa06c22d2df0d6f2ef5deba7e2c5f51a7ff3fb11ff0081c7ff0090feae
fcadf8ff00f163fe098df05be387c406f8b1f12be0ef8e755f8a021f02d9da7c40d27e346b5e19f1
3691a5fc39b4f1058f87743d06e3c3de3dd3acf4ad0af2dbc55e238fc5da52594d6de31fedcd546b
c2e92fa74675e7fc130fe01df7873e17785752fd9e2e35cf0ffc17d63e296bff000d349d6bc6d65a
bc5e1bd63e347862e7c1bf11afe19353f13dc497375abf87ef2e6db4fb9bb7967f0e5c18751d05ec
efed6de64fd7ea2a7fb4aa7fcf8c374fb153a5bfe9ef96de6c7f51a7ff003fabff00e070f2ff00a7
7e5f8b3f9f5f00ff00c1133e0df85fc7df16fc5fe2af07f8a3e22697f116edafb4ef0b6b317c30d0
23f0a49358788f45821d33c6fe1cd722f1df88068de1ef14ea7a3697fdbf7f61a769f2bcfe2db0d2
23f1d5fea7e22d4be88d0ffe0989f05fc3ff00db31d97c21f18dcdaeb9f08be20fc01bab0d47e288
9f4fb6f82ff13755b9d6fc55f0f34cb78fc5309b6d0cea57da849e1ef3bcfbdf0b43a8ea51689776
8750bc337ec1514bfb4677bfb0c337a7d9abd2dff4fb5dba87d4a16b7b6c45bfc70f2ffa77e5f8b3
f12f55ff00823f7ecb5aaea10ea67f670d4346bb834ef869a623f84fe2127840adbfc23b1d334cf0
44d6d2f877c53a75f697a8da69fa369769ac6a7a3df69d7de238ece36d6a6ba77ba6bae93c1dff00
04acfd9bbc07078fed7c39fb32c1e47c4cf0978b7c0de2b1ae78a346f1149ff08c78e6fae352f125
97872e355f114f75e13bcbbbc9ccd0eb3a04f65acda88e0b786fd6dada08d3f6428a1e6351daf430
da6bf054f2ff00a7be57f5058182ff0097d5ff00f038797fd3bebd7d59f86d3ffc11a3f64c96f753
d42dbf66cd6b48bcd5ec34cd2eeee342f89aba44d1d8699e169fc14b6b697169e295b9b7b6bef0dd
e5f69fab5b19a5b4be6bfbebf16d0eab72f7c3ecdbcf807e368342f0cf87346d035e934ef0e5b5dd
bdbcbe22f16691afeaaf1f9a1ec62bad5f50f104d7f7ab6b6e12c2d9aea59a482c6ded2d44be4db4
2abf7e515bd2ce71341a74e961a2d5edfbba8f7567bd5fe9994f2ba35138caae21a6eed73d3ee9f5
a5dd7e2cfce5ff00867cf89e793e1f6c9eb8d53c398cfb7fc4f68ff867bf89ff00f42fb7fe0d3c39
ff00cbdafd1aa2babfd65c7ffcfac27fe0badffcbcc7fb1709fcf88ffc0e9fff002afeaefcadf9ca
7f67bf89f9c0f0fb118ebfda9e1c1cfa63fb768ff867bf89ff00f42fb7fe0d3c39ff00cbdafd1aa2
8ff5971fff003eb09ff82eafff002ffeaefcac7f62e13f9f11ff0081d3ff00e55fd5df95b81f861a
1ea5e1bf03689a2eaf6e2d750b26d57cf804b04fb16e759d46ee0264b69678097b69e1918472b842
c50b6e535df514578556a4ab55a95a492955a93a9251ba8a94e4e4d4536da49b76bb6edbb7b9ead3
82a54e14e3771a708c237d5da11515769257b2d6c96bd028a28accb0a28a2800a28a2800a28a2800
a28a2800a28a2800a28a2800a28a2800a28a2800a28a2800a28a2803ffd9}}}}}\pard\sb0\sl-24
0{\bkmkstart Pg27}{\bkmkend Pg27}\par\pard\ql \li9784\sb0\sl-253\slmult0 \par\pa
rd\ql\li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb0\sl-253\slmult0 \par\pard
\ql\li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb0\sl-253\slmult0 \par\pard\q
l\li9784\sb206\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\
f4\fs22 13 \par\pard\ql \li3804\sb0\sl-276\slmult0 \par\pard\ql\li3804\sb0\sl-27
\pard\ql\li3804\sb12\sl-276\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersu
b\cf9\f10\fs24 Gambar 2.2 Hemorrhoid interna dan hemorrhoid externa \par\pard\ql
\li3401\sb0\sl-276\slmult0 \par\pard\ql\li3401\sb0\sl-276\slmult0 \par\pard\ql\
li3401\sb0\sl-276\slmult0 \par\pard\ql\li3401\sb136\sl-276\slmult0 \up0 \expndtw
-6\charscalex100 Hemorrhoid interna dikelompokkan ke dalam 4 derajat, yakni: \pa
r\pard\ql \li3401\sb264\sl-276\slmult0\tx4820 \up0 \expndtw-1\charscalex100 a.\u
l0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Derajat I \tab \up0 \e
xpndtw-3\charscalex100 : bila terjadi pembesaran hemorrhoid yang tidak prolaps \
par\pard\qj \li4961\ri1468\sb50\sl-560\slmult0 \up0 \expndtw-2\charscalex100 ke
luar kanalis analis yang hanya dapat dilihat dengan \up0 \expndtw-6\charscalex10
0 anorektoskop. \par\pard\ql \li3401\sb215\sl-276\slmult0\tx4820 \up0 \expndtw-2
\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Der
ajat II \tab \up0 \expndtw-6\charscalex100 : pembesaran hemorrhoid yang prolaps
dan menghilang \par\pard\qj \li4935\ri2257\sb66\sl-540\slmult0 \up0 \expndtw-6\c
harscalex100 atau dapat masuk kembali ke dalam anus secara \up0 \expndtw-6\chars
calex100 spontan. \par\pard\ql \li3401\sb239\sl-276\slmult0\tx4820 \up0 \expndtw
-2\charscalex100 c.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 D
erajat III \tab \up0 \expndtw0\charscalex103 : pembesaran hemorrhoid yang prolap
s dimana harus \par\pard\qj \li4961\ri1445\sb66\sl-540\slmult0 \up0 \expndtw0\ch
arscalex100 dibantu dengan dorongan jari untuk memasukkannya \up0 \expndtw-6\cha
rscalex100 kembali ke dalam anus. \par\pard\ql \li3401\sb239\sl-276\slmult0\tx48
20 \up0 \expndtw-2\charscalex100 d.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersu
b\cf9\f10\fs24 Derajat IV \tab \up0 \expndtw0\charscalex100 : prolaps hemorrhoid
yang yang permanen. Prolaps ini \par\pard\ql \li4961\sb0\sl-276\slmult0 \par\pa
rd\ql\li4961\sb8\sl-276\slmult0 \up0 \expndtw-6\charscalex100 rentan dan cenderu
ng mengalami trombosis dan infark. \par\pard\sect\sectd\fs24\paperw11900\paperh1
6820\pard\sb0\sl-240{\bkmkstart Pg28}{\bkmkend Pg28}\par\pard\ql \li9770\sb0\sl253\slmult0 \par\pard\ql\li9770\sb0\sl-253\slmult0 \par\pard\ql\li9770\sb0\sl-25
slmult0 \par\pard\ql\li9770\sb206\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \
ul0\nosupersub\cf3\f4\fs22 14 \par\pard\qj \li2695\ri1469\sb62\sl-550\slmult0\fi
705 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Risiko perdaraha
n dapat dideteksi oleh adanya stigmata perdarahan \up0 \expndtw0\charscalex102
berupa bekuan darah yang masih menempel, erosi, kemerahan di atas \up0
\expndtw-6\charscalex100 hemorrhoid.\ul0\super\cf12\f13\fs24 3 \par\pard\ql \li
68\sb85\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\f9\fs24
2.3\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Penatalaksanaan
Hemorrhoid \ul0\super\cf22\f23\fs24 3 \par\pard\qj \li2695\ri1445\sb341\sl-546\s
lmult0\fi705 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Pada pend
erita hemorrhoid dapat ditangani dengan 2 (dua) macam \up0 \expndtw-1\charsc
alex100 penatalaksanaan, yaitu penatalaksanaan farmakologis dan penatalaksa
naan \up0 \expndtw-1\charscalex100 bedah. Kedua macam penatalaksanaan terseb
ut memiliki keuntungan dan \up0 \expndtw-6\charscalex100 kerugiannya masing-m
asing. \par\pard\li2695\sb249\sl-276\slmult0\fi0\tx3970 \up0 \expndtw-6\charscal
ex100 a.\tab \up0 \expndtw-6\charscalex100 Penatalaksanaan medis\par\pard\ql \li
2976\sb0\sl-276\slmult0 \par\pard\ql\li2976\sb17\sl-276\slmult0 \up0 \expndtw-7\
charscalex100 \u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs2
4 Nonfarmakologis \par\pard\qj \li3262\ri1448\sb36\sl-552\slmult0\fi708 \up0 \e
xpndtw0\charscalex100 Penatalaksanaan ini bertujuan untuk mencegah sem
akin \up0 \expndtw0\charscalex100 memburuknya hemorrhoid dengan cara mem
perbaiki defekasi. \up0 \expndtw-5\charscalex100 Penatalaksanaan ini berupa pe
rbaikan pola hidup, perbaikan pola makan \up0 \expndtw0\charscalex100 dan minum
, perbaikan pola/cara defekasi. Memperbaiki defekasi \up0 \expndtw-2\charsc
alex100 merupakan pengobatan yang harus selalu ada dalam setiap bentuk dan \up0
\expndtw-6\charscalex100 derajat hemorrhoid. \par\pard\qj \li3262\ri1442\sb8\sl552\slmult0\fi708 \up0 \expndtw-4\charscalex100 Perbaikan defekasi disebut \ul0\
nosupersub\cf11\f12\fs24 Bowel Management Program (BMP) \line \up0 \expndtw-4\ch
arscalex100 \ul0\nosupersub\cf9\f10\fs24 yang terdiri dari diet, cairan, serat t
ambahan, pelicin feses, dan perubahan \line \up0 \expndtw-1\charscalex100 perila
ku buang air. Bersamaan dengan program BMP tersebut di atas, \line \up0 \expndtw
-6\charscalex100 biasanya juga dilakukan tindakan kebersihan lokal dengan cara m
erendam \line \up0 \expndtw-2\charscalex100 anus dalam air sehingga eksudat
atau sisa tinja yang lengket dapat \line \up0 \expndtw-6\charscalex100 dib
ersihkan.

}
}}
}}
r\pard\li2976\sb0\sl-276\slmult0\par\pard\li2976\sb37\sl-276\slmult0\fi0\tx3262
\up0 \expndtw-9\charscalex100 \ul0\nosupersub\cf9\f10\fs24 \u-4051?\tab \up0 \ex
pndtw-9\charscalex100 Farmakologis\par\pard\qj \li3262\ri1442\sb33\sl-550\slmult
0\fi708 \up0 \expndtw-2\charscalex100 Penatalaksanaan farmakologis bertujuan
untuk memperbaiki \up0 \expndtw-4\charscalex100 defekasi sekaligus meredakan at
au menghilangkan keluhan serta gejala. \up0 \expndtw-6\charscalex100 Obat-obat f
armakologis hemorrhoid dapat dibagi atas: \par\pard\ql \li3262\sb257\sl-276\slmu
lt0 \up0 \expndtw-7\charscalex100 \u-3913?\ul0\nosupersub\cf17\f18\fs24 \ul0\no
supersub\cf9\f10\fs24 Memperbaiki defekasi \par\pard\qj \li3262\ri5331\sb33\sl580\slmult0 \up0 \expndtw-6\charscalex100 \u-3913?\ul0\nosupersub\cf17\f18\fs24
\ul0\nosupersub\cf9\f10\fs24 Meredakan keluhan subyektif \line \up0 \expndtw-6
\charscalex100 \u-3913?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs
24 Menghentikan perdarahan \par\pard\qj \li2976\ri4164\sb0\sl-580\slmult0\fi285
\up0 \expndtw-6\charscalex100 \u-3913?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosup
ersub\cf9\f10\fs24 Menekan atau mencegah timbulnya gejala \up0 \expndtw-10\char
scalex80 \u-4051? \up0 \expndtw-6\charscalex100 Tindakan medis \ul0\nosupersub\c
f11\f12\fs24 minimal invasive \par\pard\qj \li3262\ri1442\sb0\sl-560\slmult0\fi7
08 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Tindakan untuk m
enghentikan atau memperlambat semakin \up0 \expndtw-5\charscalex100 memburukn
ya penyakit dengan tindakan-tindakan pengobatan yang tidak \up0 \expndtw-6\chars
calex100 terlalu invasive, antara lain : \par\pard\ql \li3262\sb193\sl-276\slmul
t0 \up0 \expndtw-7\charscalex100 \u-3913?\ul0\nosupersub\cf17\f18\fs24 \ul0\nos
upersub\cf9\f10\fs24 Skleroterapi \par\pard\qj \li3545\ri1445\sb58\sl-550\slmul
t0 \up0 \expndtw-4\charscalex100 Skleroterapi adalah penyuntikan larutan kim
ia yang merangsang, \up0 \expndtw0\charscalex101 misalnya 5% fenol dalam miny
ak nabati. Terapi ini efektif untuk \up0 \expndtw-6\charscalex100 hemorrhoid der
ajat I dan II. \par\pard\ql \li3262\sb237\sl-276\slmult0 \up0 \expndtw-7\charsca
lex100 \u-3913?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Liga
si dengan gelang karet \par\pard\qj \li3545\ri1445\sb56\sl-553\slmult0 \up0 \exp
ndtw-4\charscalex100 Penatalaksanaan ini digunakan pada hemorrhoid yang be
sar atau \up0 \expndtw-4\charscalex100 mengalami prolaps. Penempatan gelang kar
et ini cukup jauh dari garis \up0 \expndtw-3\charscalex100 mukokutan untuk men
ghindari timbulnya nyeri yang merupakan \up0 \expndtw-6\charscalex100 penyul

it pada penatalaksanaan jenis ini.
}
}}
}}
\up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 b.\tab \up0 \expndtw6\charscalex100 Penatalaksanaan bedah\par\pard\qj \li2976\ri1445\sb25\sl-560\slm
ult0\fi731 \up0 \expndtw0\charscalex103 Tindakan ini terdiri dari dua tahap yait
u pertama yang bertujuan \up0 \expndtw0\charscalex100 untuk menghentikan atau me
mperlambat perburukan penyakit dan kedua \up0 \expndtw-6\charscalex100 untuk men
gangkat jaringan yang sudah lanjut. \par\pard\ql \li2976\sb235\sl-276\slmult0 \u
p0 \expndtw-7\charscalex100 \u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupers
ub\cf9\f10\fs24 Bedah beku \par\pard\qj \li3262\ri1485\sb61\sl-546\slmult0 \up0
\expndtw-5\charscalex100 Teknik ini menggunakan pendinginan dengan suhu yang re
ndah, namun \line \up0 \expndtw-4\charscalex100 dapat menyebabkan kematian mukos
a yang sukar ditentukan. Sehingga \line \up0 \expndtw-3\charscalex100 teknik in
i hanya cocok digunakan sebagai terapi paliatif karsinoma \line \up0 \exp
ndtw-6\charscalex100 rektum. \par\pard\ql \li2976\sb258\sl-276\slmult0 \up0 \exp
ndtw-7\charscalex100 \u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\
f10\fs24 Hemoroidektomi \par\pard\qj \li3262\ri1443\sb58\sl-550\slmult0 \up0 \e
xpndtw-3\charscalex100 Terapi bedah dipilih untuk penderita yang mengalami keluh
an menahun, \line \up0 \expndtw-1\charscalex100 penderita hemorrhoid derajat III
dan IV, penderita dengan perdarahan \line \up0 \expndtw-5\charscalex100 berulan
g, dan anemia yang tidak sembuh dengan terapi sederhana lainnya. \par\pard\ql \l
268\sb85\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\f9\fs2
4 2.4\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Faktor Risiko H
emorrhoid \par\pard\ql \li3401\sb0\sl-276\slmult0 \par\pard\ql\li3401\sb268\sl-2
76\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Faktor ris
iko hemorrhoid antara lain: \par\pard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql
\li2695\sb8\sl-276\slmult0 \up0 \expndtw-4\charscalex100 a.\ul0\nosupersub\cf17\

f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Kurangnya konsumsi makanan berserat \par\
pard\qj \li2976\ri1504\sb56\sl-552\slmult0\fi731 \up0 \expndtw-2\charscalex100 \
ul0\nosupersub\cf4\f5\fs24 Serat makanan yang tinggi mampu mencegah dan m
engobati \up0 \expndtw0\charscalex100 konstipasi apabila diiringi dengan peningk
atan intake cairan yang cukup \up0 \expndtw-2\charscalex100 setiap hari. Konsums
i cairan dapat membantu kerja serat makanan dalam \up0 \expndtw0\charscalex100 t
ubuh. Suatu studi meta-analisis di Barcelona menyimpulkan bahwa \up0 \exp
ndtw0\charscalex101 kebiasaan mengonsumsi serat akan menurunkan gejala dan perda
rahan \up0 \expndtw-3\charscalex100 pada hemorrhoid.
}
}}
}}
r\pard\qj \li2976\ri1506\sb60\sl-553\slmult0\fi731 \up0 \expndtw0\charscalex101
\ul0\nosupersub\cf4\f5\fs24 Namun penelitian pada tahun 2007 di Semarang dengan
sampel \up0 \expndtw-5\charscalex100 pria dan wanita usia >40 tahun menyimpulkan
bahwa kurangnya konsumsi \up0 \expndtw0\charscalex102 makanan berserat buka
n merupakan faktor risiko dari kejadian \up0 \expndtw-3\charscalex100
hemorrhoid. (\ul0\nosupersub\cf7\f8\fs24 PR=1,3; CI=0,690-2,294; p>0,05).\ul0\su
per\cf13\f14\fs24 9,23,24 \par\pard\ql \li2695\sb216\sl-276\slmult0 \up0 \expndt
w-3\charscalex100 \ul0\nosupersub\cf9\f10\fs24 b.\ul0\nosupersub\cf17\f18\fs24
\ul0\nosupersub\cf9\f10\fs24 Konstipasi \par\pard\qj \li2976\ri1502\sb56\sl-55
2\slmult0\fi710 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf4\f5\fs24 Konstip
asi berarti pelannya pergerakan tinja melalui usus besar \up0 \expndtw-1\charsca
lex100 yang disebabkan oleh tinja yang kering dan keras pada \ul0\nosupersub\c
f7\f8\fs24 colon descenden \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\
fs24 yang menumpuk karena absorpsi cairan yang berlebihan.\ul0\super\cf13\f14\fs
24 18\ul0\nosupersub\cf4\f5\fs24 Pada konstipasi \up0 \expndtw0\charscalex102 d
iperlukan waktu mengejan yang lebih lama. Tekanan yang keras saat \up0 \expndtw0
\charscalex102 mengejan dapat mengakibatkan trauma berlebihan pada \ul
0\nosupersub\cf7\f8\fs24 plexus \up0 \expndtw-3\charscalex100 hemorrhoidalis\u
l0\nosupersub\cf4\f5\fs24 sehingga menyebabkan hemorrhoid. \par\pard\qj \li2976

\ri1501\sb0\sl-553\slmult0\fi731 \up0 \expndtw0\charscalex100 Sebuah penelitian
yang dilakukan pada pasien hemorrhoid di RS \up0 \expndtw-4\charscalex100 Bakti
Wira Tamtama Semarang tahun 2008 mengambil kesimpulan bahwa \up0 \expndtw0\chars
calex101 konstipasi merupakan faktor risiko dari hemorrhoid (\ul0\nosupersub\cf
7\f8\fs24 p<0,0001\ul0\nosupersub\cf4\f5\fs24 dengan \up0 \expndtw-3\charscalex
100 nilai \ul0\nosupersub\cf7\f8\fs24 OR=3,093; CI=3,09-5,00\ul0\nosupersub\cf4\
f5\fs24 ).\ul0\super\cf13\f14\fs24 8,10 \par\pard\qj \li2976\ri4340\sb0\sl-560\s
lmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Beberapa penyeb
ab konstipasi antara lain : \ul0\super\cf13\f14\fs24 25 \up0 \expndtw-7\charscal
ex100 \ul0\nosupersub\cf9\f10\fs24 \u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\n
osupersub\cf9\f10\fs24 Peningkatan stress psikologis \par\pard\qj \li3262\ri150
2\sb0\sl-553\slmult0\fi446 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\
fs24 Emosi yang kuat diperkirakan menyebabkan konstipasi dengan \up0 \expnd
tw-1\charscalex100 menghambat gerak peristaltik usus melalui kerja epinefrin dan
sistem \up0 \expndtw0\charscalex106 syaraf simpatis. Stress juga dapat men
yebabkan usus spastik \up0 \expndtw-5\charscalex100 (spastik/konstipasi hiper
tonik atau iritasi colon).
}
}}
}}
r\pard\ql \li2976\sb0\sl-276\slmult0 \par\pard\ql\li2976\sb32\sl-276\slmult0\tx3
262 \up0 \expndtw-10\charscalex80 \ul0\nosupersub\cf9\f10\fs24 \u-4051? \tab \up
0 \expndtw-6\charscalex100 Ketidaksesuaian diet \par\pard\qj \li3262\ri1499\sb36
\sl-552\slmult0\fi446 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf4\f5\fs24
Makanan yang lunak akan menghasilkan suatu produk yang tidak \up0 \expndtw-4\cha
rscalex100 cukup untuk merangsang refleks pada proses defekasi. Makan makanan \u
p0 \expndtw-3\charscalex100 yang rendah serat seperti; beras, telur dan daging
segar akan membuat \up0 \expndtw-2\charscalex100 makanan tersebut bergerak l
ebih lambat di saluran cerna. Namun \up0 \expndtw-3\charscalex100 dengan m
eningkatkan intake cairan dapat mempercepat pergerakan \up0 \expndtw-3\char
scalex100 makanan tersebut di saluran cerna. \par\pard\ql \li2976\sb256\sl-276\s

lmult0\tx3262 \up0 \expndtw-10\charscalex80 \ul0\nosupersub\cf9\f10\fs24 \u-4051
? \tab \up0 \expndtw-6\charscalex100 Penggunaan obat-obatan \par\pard\qj \li3262
\ri1503\sb36\sl-553\slmult0\fi446 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\
cf4\f5\fs24 Obat-obatan seperti ; morfin, codein, obat-obatan adrenergik dan \up
0 \expndtw-1\charscalex100 antikolinergik lain dapat memperlambat pergerakan
colon melalui \up0 \expndtw-3\charscalex100 mekanisme kerja sistem syaraf
pusat sehingga dapat menyebabkan \up0 \expndtw-5\charscalex100 konstipasi. \
par\pard\li2976\sb259\sl-276\slmult0\fi0\tx3262 \up0 \expndtw-10\charscalex100 \
ul0\nosupersub\cf9\f10\fs24 \u-4051?\tab \up0 \expndtw-10\charscalex100 Usia lan
jut\par\pard\qj \li3401\ri1505\sb35\sl-550\slmult0\fi285 \up0 \expndtw-3\charsca
lex100 \ul0\nosupersub\cf4\f5\fs24 Pada orang lanjut usia terjadi penyerapan air
yang berlebihan pada \line \up0 \expndtw0\charscalex100 saluran cerna. Sehingga
konsistensi tinja yang dikeluarkan menjadi \line \up0 \expndtw-3\charscalex100
keras. \par\pard\ql \li2695\sb237\sl-276\slmult0 \up0 \expndtw0\charscalex102 \u
l0\nosupersub\cf9\f10\fs24 c.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\
f10\fs24 Usia \par\pard\qj \li2976\ri1502\sb58\sl-550\slmult0\fi710 \up0 \expn
dtw-1\charscalex100 Pada usia tua terjadi degenerasi dari jaringan-jaringan tubu
h, otot \line \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf11\f12\fs24 sphinct
er\ul0\nosupersub\cf9\f10\fs24 pun juga menjadi tipis dan atonis. Karena \ul0\n
osupersub\cf11\f12\fs24 sphincter\ul0\nosupersub\cf9\f10\fs24 nya lemah \line \u
p0 \expndtw0\charscalex104 maka dapat timbul prolaps. Selain itu pada usia tua j
uga sering terjadi \line \up0 \expndtw-1\charscalex100 sembelit yang dikarenakan
penyerapan air yang berlebihan pada saluran \line \up0 \expndtw-4\charscalex100
cerna. Hal tersebut menyebabkan konsistensi tinja menjadi keras. Sehingga
}
}}
}}
r\pard\qj \li2976\ri1443\sb70\sl-540\slmult0 \up0 \expndtw0\charscalex100 \ul0\n
osupersub\cf9\f10\fs24 terjadi penekanan berlebihan pada \ul0\nosupersub\cf11\f1
2\fs24 plexus hemorrhoidalis\ul0\nosupersub\cf9\f10\fs24 yang dipicu oeh \up0 \
expndtw-6\charscalex100 proses mengejan untuk mengeluarkan tinja.\ul0\super\cf12

\f13\fs24 10,16 \par\pard\qj \li2976\ri1434\sb12\sl-550\slmult0\fi710 \up0 \expn
dtw-4\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Pada tahun 2009, sebuah penelit
ian pada pasien hemorrhoid usia 16-\line \up0 \expndtw-2\charscalex100 80 tahun
di Park Klinik Berlin mengambil kesimpulan bahwa faktor usia di \line \up0 \expn
dtw-3\charscalex100 atas 46 tahun \ul0\nosupersub\cf11\f12\fs24 (OR=3,824; CI=1,
468-9,961; p=0,006)\ul0\nosupersub\cf9\f10\fs24 memiliki risiko tinggi \par\par
d\qj \li2976\ri1446\sb11\sl-550\slmult0 \up0 \expndtw-1\charscalex100 terhadap k
ejadian hemorrhoid. Hal tersebut diperkuat oleh penelitian pada \line \up0 \expn
dtw0\charscalex101 penderita hemorrhoid di RSUP H. Adam Malik Medan tahun 2010 y
ang \line \up0 \expndtw-3\charscalex100 menunjukkan bahwa insiden tertinggi kasu
s hemorrhoid terjadi pada usia 45 \par\pard\ql \li2976\sb247\sl-264\slmult0 \up0
\expndtw-5\charscalex100 tahun dengan prosentase sebesar 43,4% dari 83 sampel y
ang diteliti.\ul0\super\cf12\f13\fs24 12,16 \par\pard\ql \li2695\sb267\sl-276\sl
mult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf9\f10\fs24 d.\ul0\nosupers
ub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Keturunan \par\pard\qj \li2976\
ri1434\sb58\sl-550\slmult0\fi710 \up0 \expndtw0\charscalex100 Adanya kelemahan d
inding vena di daerah anorektal yang didapat \line \up0 \expndtw-2\charscalex100
sejak lahir akan memudahkan terjadinya hemorrhoid setelah mendapat \line
\up0 \expndtw-4\charscalex100 paparan tambahan seperti mengejan terlalu kuat at
au terlalu lama, konstipasi, \line \up0 \expndtw-4\charscalex100 dan lain-lain.
Dalam suatu penelitian dengan subjek pria dan wanita usia >40 \line \up0 \expndt
w0\charscalex100 tahun di Semarang tahun 2007 menunjukkan bahwa riwayat hemorrh
oid \line \up0 \expndtw-1\charscalex100 dalam keluarga merupakan faktor risiko h
emorrhoid \ul0\nosupersub\cf11\f12\fs24 (PR=2,5; CI=1,460-\line \up0 \expndtw-6\
charscalex100 4,253; p<0,05)\ul0\nosupersub\cf9\f10\fs24 . \par\pard\qj \li2976\
ri1498\sb2\sl-560\slmult0\fi710 \up0 \expndtw-3\charscalex100 Hasil penelitian t
ersebut diperkuat dengan penelitian pada penderita \line \up0 \expndtw-3\charsca
lex100 hemorrhoid di RS. Bakti Wira Tamtama Semarang pada tahun \up0 \ex
pndtw-6\charscalex100 2008. \par\pard\qj \li2976\ri1445\sb0\sl-560\slmult0 \up0
\expndtw-4\charscalex100 Penelitian tersebut menunjukkan bahwa keturunan merupak
an faktor risiko \up0 \expndtw-6\charscalex100 dari hemorrhoid (\ul0\nosupersub\
cf11\f12\fs24 OR:5,17; CI:4,06-6,61; p<0,0001)\ul0\nosupersub\cf9\f10\fs24 . \ul
0\super\cf12\f13\fs24 8,9 \par\pard\ql \li2695\sb196\sl-276\slmult0 \up0 \expndt
w-4\charscalex100 \ul0\nosupersub\cf9\f10\fs24 e.\ul0\nosupersub\cf17\f18\fs24
\ul0\nosupersub\cf9\f10\fs24 Tumor abdomen
}
}}
}}
r\pard\qj \li2976\ri1442\sb62\sl-550\slmult0\fi731 \up0 \expndtw0\charscalex100
\ul0\nosupersub\cf9\f10\fs24 Tumor abdomen yang memiliki pengaruh besar terhadap
kejadian \up0 \expndtw0\charscalex102 hemorrhoid adalah tumor di daerah pelvis
seperti tumor ovarium, tumor \up0 \expndtw-6\charscalex100 rektal, dan lain-lain
. \par\pard\qj \li2976\ri1443\sb11\sl-550\slmult0 \up0 \expndtw0\charscalex104 T
umor ini dapat menekan vena sehingga alirannya terganggu dan \up0 \expnd
tw-1\charscalex100 menyebabkan pelebaran \ul0\nosupersub\cf11\f12\fs24 plexus he
morrhoidalis\ul0\nosupersub\cf9\f10\fs24 . Penelitian dengan subjek \up0 \expndt
w0\charscalex101 pria dan wanita usia > 40 tahun di Semarang tahun 2007 menun
jukkan \up0 \expndtw-3\charscalex100 bahwa tumor \ul0\nosupersub\cf11\f12\fs24 (
RP= 2,5; CI= 1,460-4,253; p=0,05)\ul0\nosupersub\cf9\f10\fs24 merupakan faktor
risiko \up0 \expndtw-6\charscalex100 dari kejadian hemorrhoid.\ul0\super\cf12\f1
3\fs24 9 \par\pard\ql \li2695\sb237\sl-276\slmult0\tx2976 \up0 \expndtw-7\charsc
alex100 \ul0\nosupersub\cf9\f10\fs24 f. \tab \up0 \expndtw-6\charscalex100 Pola
buang air besar yang salah \par\pard\qj \li2976\ri1442\sb36\sl-553\slmult0\fi731
\up0 \expndtw0\charscalex101 Pemakaian jamban duduk juga dapat meningkatka
n insidensi \line \up0 \expndtw0\charscalex101 hemorrhoid. Menurut dr. Eka Gina
njar, dengan pemakaian jamban yang \line \up0 \expndtw-1\charscalex100 duduk po
sisi usus dan anus tidak dalam posisi tegak. Sehingga akan \line \up0 \
expndtw-1\charscalex100 menyebabkan tekanan dan gesekan pada vena di daerah rekt
um dan anus. \line \up0 \expndtw0\charscalex102 Berbeda halnya pada penggunaan j
amban jongkok. Posisi jongkok saat \line \up0 \expndtw0\charscalex100 defekasi
dapat mencegah terjadinya konstipasi yang secara tidak langsung \line \up0 \expn
dtw-4\charscalex100 dapat mencegah terjadinya hemorrhoid. Hal tersebut dikarenak
an pada posisi \line \up0 \expndtw-2\charscalex100 jongkok, \ul0\nosupersub\cf11
\f12\fs24 valvula\ul0\nosupersub\cf9\f10\fs24 \ul0\nosupersub\cf11\f12\fs24 ili
caecal\ul0\nosupersub\cf9\f10\fs24 yang terletak antara usus kecil dan \ul0\nos
upersub\cf11\f12\fs24 caecum\ul0\nosupersub\cf9\f10\fs24 dapat \line \up0 \expn
dtw-1\charscalex100 menutup secara sempurna sehingga tekanan dalam \ul0\nos
upersub\cf11\f12\fs24 colon \ul0\nosupersub\cf9\f10\fs24 cukup untuk \line \u
p0 \expndtw-6\charscalex100 mengeluarkan feses. \par\pard\qj \li2976\ri1503\sb0\
sl-553\slmult0\fi731 \up0 \expndtw-2\charscalex100 Selain itu menghindari kebias
aan untuk menunda ke jamban ketika \line \up0 \expndtw0\charscalex100 sudah dir
asa ingin buang air besar juga dapat menurunkan kejadian \line \up0 \exp
ndtw0\charscalex103 konstipasi. Namun sebuah studi pada tahun 2007 di RSUP Dr.
Kariadi \line \up0 \expndtw-1\charscalex100 Semarang mengambil satu kesimpulan
, bahwa posisi saat buang air besar
}
}}

}}
\up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf9\f10\fs24 bukan merupakan fak
tor resiko dari kejadian hemorrhoid\tab \up0 \expndtw-1\charscalex100 \ul0\n
osupersub\cf11\f12\fs24 (PR=1,2;\par\pard\li2976\sb276\sl-276\slmult0\fi0 \up0 \
expndtw-1\charscalex100 CI=0,672-2,144; p=0,05)\ul0\nosupersub\cf9\f10\fs24 .\ul
0\super\cf12\f13\fs24 7,9\par\pard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql\li
2695\sb0\sl-276\slmult0 \par\pard\ql\li2695\sb275\sl-276\slmult0 \up0 \expndtw-4
\charscalex100 \ul0\nosupersub\cf9\f10\fs24 g.\ul0\nosupersub\cf17\f18\fs24 \ul
0\nosupersub\cf9\f10\fs24 Kurang intake cairan \par\pard\qj \li2976\ri1442\sb36\
sl-553\slmult0\fi731 \up0 \expndtw0\charscalex100 Kurangnya intake cairan setiap
hari dapat meningkatkan kejadian \up0 \expndtw0\charscalex100 hemorrhoid. Hal
tersebut dikarenakan, kurangnya intake cairan dapat \up0 \expndtw-1\charsc
alex100 menyebabkan tinja menjadi keras sehingga seseorang akan cenderung
\up0 \expndtw-6\charscalex100 mengejan untuk mengeluarkan tinja tersebut. \par\
pard\qj \li2976\ri1442\sb8\sl-552\slmult0\fi731 \up0 \expndtw-6\charscalex100 Se
mentara itu, proses mengejan tersebut dapat meningkatkan tekanan \up0 \expndtw-4
\charscalex100 pada \ul0\nosupersub\cf11\f12\fs24 plexus hemorrhoidalis\ul0\nosu
persub\cf9\f10\fs24 . Dengan intake cairan yang cukup setiap harinya \up0 \expnd
tw-3\charscalex100 dapat membantu melunakkan tinja dan membersihkan usus. Sehing
ga tidak \up0 \expndtw-3\charscalex100 perlu mengejan untuk mengeluarkan tinja.
Menurut seorang dokter penyakit \up0 \expndtw0\charscalex102 dalam RS. Cipto Man
gunkusumo setiap orang membutuhkan air kurang \up0 \expndtw-6\charscalex100 lebi
h 30 mililiter per kilogram berat badan setiap hari.\ul0\super\cf12\f13\fs24 7 \
par\pard\ql \li2695\sb216\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosu
persub\cf9\f10\fs24 h.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs2
4 Kurang aktivitas fisik \par\pard\qj \li2976\ri1442\sb58\sl-550\slmult0\fi731
\up0 \expndtw-1\charscalex100 Kebiasaan melakukan gerakan ringan dapat menguran
gi frekuensi \line \up0 \expndtw-1\charscalex100 untuk duduk dan merupakan s
alah satu pencegahan dari kekambuhan \line \up0 \expndtw-1\charscalex100 hem
orrhoid. Selain itu dengan melakukan olahraga yang ringan seperti \line \u
p0 \expndtw-5\charscalex100 berenang dan menggerakkan daerah perut diharapkan da
pat melemaskan dan \line \up0 \expndtw-1\charscalex100 mengurangi ketegangan dar
i otot.\ul0\super\cf12\f13\fs24 22,26 \ul0\nosupersub\cf9\f10\fs24 Namun dengan
melakukan aktivitas \line \up0 \expndtw-3\charscalex100 yang terlalu berat sepe
rti mengangkat benda berat akan meningkatkan risiko \line \up0 \expndtw-3\charsc
alex100 kejadian hemorrhoid. Hal tersebut dikarenakan terjadi peregangan \ul0\no
supersub\cf11\f12\fs24 musculus

}
}}
}}
r\pard\qj \li2976\ri1445\sb70\sl-540\slmult0 \up0 \expndtw-4\charscalex100 \ul0\
nosupersub\cf11\f12\fs24 sphincter ani\ul0\nosupersub\cf9\f10\fs24 yang berulan
g sehingga ketika penderita mengejan akan terjadi \up0 \expndtw-5\charscalex100
peregangan yang bertambah buruk. \par\pard\qj \li2976\sb0\sl-552\slmult0 \par\pa
rd\qj\li2976\ri1441\sb19\sl-552\slmult0\fi731 \up0 \expndtw0\charscalex102 Penel
itian pada pasien hemorrhoid di RS Bagatelle Cedex tahun \up0 \expndtw-1\charsca
lex100 2005 mengambil kesimpulan bahwa aktivitas fisik yang berat \ul0\nosupersu
b\cf11\f12\fs24 (OR=2,79; \up0 \expndtw-1\charscalex100 CI=1,60-4,87; p<0,1)\ul
0\nosupersub\cf9\f10\fs24 merupakan faktor risiko dari hemorrhoid. Penelitian \
up0 \expndtw-4\charscalex100 tersebut diperkuat oleh penelitian yang dilakukan d
i Park Klinik Berlin tahun \up0 \expndtw0\charscalex102 2009 pada pasien hemorrh
oid usia 16-80 tahun. Dari penelitian tersebut \up0 \expndtw-1\charscalex100 da
pat diambil kesimpulan bahwa aktivitas yang berat dapat menyebabkan \up0 \expndt
w-2\charscalex100 hemorrhoid \ul0\nosupersub\cf11\f12\fs24 (OR=6,448; CI=1,622-2
5,268; p= 0,008).\ul0\nosupersub\cf9\f10\fs24 Namun penelitian \up0 \expndtw0
\charscalex100 lain pada pasien hemorrhoid di RS Bakti Wira Tamtama Semarang tah
un \up0 \expndtw-5\charscalex100 2008 menunjukkan hasil yang berbeda. Dari penel
itian tersebut menunjukkan \up0 \expndtw0\charscalex100 bahwa aktivitas fisik ya
ng berat \ul0\nosupersub\cf11\f12\fs24 (OR=2,79; CI= 1,60-4,87; p<0,01)\ul0\nosu
persub\cf9\f10\fs24 tidak \up0 \expndtw-6\charscalex100 berhubungan dengan keja
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Sebuah
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ult0 \par\pard\ql\li2268\sb268\sl-276\slmult0 \up0 \expndtw-5\charscalex100 4.1\
ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Ruang Lingkup Penelit
ian\par\pard\sect\sectd\sbknone\cols2\colno1\colw5779\colsr60\colno2\colw5921\co
lsr160\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql \li2695\sb0\sl-276\slmult0 \pa
r\pard\ql \li2695\sb5\sl-276\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupers
ub\cf9\f10\fs24 4.1.1\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24
Ruang Lingkup Tempat\par\pard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql \li269
5\sb1\sl-276\slmult0 \up0 \expndtw-4\charscalex100 4.1.2\ul0\nosupersub\cf17\f18
\fs24 \ul0\nosupersub\cf9\f10\fs24 Ruang Lingkup Waktu\par\pard\ql \li2695\sb0\
sl-276\slmult0 \par\pard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql \li2695\sb27
6\sl-276\slmult0 \up0 \expndtw-4\charscalex100 4.1.3\ul0\nosupersub\cf17\f18\fs2
4 \ul0\nosupersub\cf9\f10\fs24 Ruang Lingkup Keilmuan\par\pard\ql \li2268\sb0\s
l-276\slmult0 \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql \li2268\sb0\s
l-276\slmult0 \par\pard\ql \li2268\sb5\sl-276\slmult0 \up0 \expndtw-5\charscalex
100 \ul0\nosupersub\cf8\f9\fs24 4.2\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersu
b\cf8\f9\fs24 Rancangan Penelitian\par\pard\column \ql \li5839\sb0\sl-276\slmul
t0 \par\pard\ql \li5839\sb0\sl-276\slmult0 \par\pard\ql \li20\sb5\sl-276\slmult0
\up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 : RSUP Dr. Kariadi
Semarang\par\pard\qj \li102\ri1487\sb49\sl-552\slmult0\tx254 \up0 \expndtw-6\cha
rscalex100 : Penelitian dan pengumpulan data dilakukan \line\tab \up0 \expndtw6\charscalex100 selama periode Maret-Mei 2012\par\pard\ql \li50\sb228\sl-276\slm
ult0 \up0 \expndtw-6\charscalex100 : Ilmu Bedah Digestif \par\pard\sect\sectd\s
bknone \qj \li2695\ri1479\sb47\sl-540\slmult0 \up0 \expndtw-2\charscalex100 Jeni
s penelitian ini adalah observasional analitik dengan pendekatan \ul0\nos
upersub\cf11\f12\fs24 case \up0 \expndtw-6\charscalex100 control. \par\pard\ql
i2268\sb247\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\f9\
fs24 4.3\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Populasi dan
Subjek Penelitian \par\pard\ql \li2695\sb264\sl-276\slmult0 \up0 \expndtw-3\cha
rscalex100 \ul0\nosupersub\cf9\f10\fs24 4.3.1\ul0\nosupersub\cf17\f18\fs24 \ul0
\nosupersub\cf9\f10\fs24 Populasi\par\pard\sect\sectd\sbknone\cols2\colno1\colw6
373\colsr40\colno2\colw5347\colsr160\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql

\li3262\sb14\sl-276\slmult0 \up0 \expndtw-2\charscalex100 4.3.1.1\ul0\nosupersub
\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Populasi target\par\pard\ql \li326
2\sb0\sl-276\slmult0 \par\pard\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql \li326
2\sb0\sl-276\slmult0 \par\pard\ql \li3262\sb1\sl-276\slmult0 \up0 \expndtw-3\cha
rscalex100 4.3.1.2\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 P
opulasi terjangkau\par\pard\ql \li6113\sb0\sl-253\slmult0 \par\pard\ql \li6113\s
b0\sl-253\slmult0 \par\pard\ql \li6113\sb0\sl-253\slmult0 \par\pard\ql \li6113\s
b0\sl-253\slmult0 \par\pard\ql \li6113\sb166\sl-253\slmult0 \up0 \expndtw-5\char
scalex100 \ul0\nosupersub\cf3\f4\fs22 27\par\pard\column \ql \li6413\sb0\sl-276\
slmult0 \par\pard\ql \li20\sb14\sl-276\slmult0 \up0 \expndtw-6\charscalex100 \ul
0\nosupersub\cf9\f10\fs24 : Penderita hemorrhoid dan orang\par\pard\ql \li114\r
i1456\sb49\sl-552\slmult0\fi155\tx295\tx280 \up0 \expndtw-6\charscalex100 sehat
yang berusia\ul0\nosupersub\cf8\f9\fs24 \ul0\nosupersub\cf9\f10\fs24 21-30 tahu
n \line \up0 \expndtw-6\charscalex100 : Penderita hemorrhoid yang berusia \line\
tab \up0 \expndtw-6\charscalex100 21-30 tahun yang datang berobat dan \line \up0
\expndtw-6\charscalex100 atau dirawat di RSUP Dr. Kariadi \line \up0 \expndtw0\
charscalex101 Semarang dan orang sehat di kota \line\tab \up0 \expndtw-6\ch
arscalex100 Semarang yang berusia 21-30 tahun.
}
}}
}}
0 \expndtw-4\charscalex100 \ul0\nosupersub\cf9\f10\fs24 4.3.2\ul0\nosupersub\cf1
7\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Subjek Penelitian \par\pard\li3262\sb0\
sl-276\slmult0\par\pard\li3262\sb5\sl-276\slmult0\fi0\tx4112 \up0 \expndtw-6\cha
rscalex100 4.3.2.1.\tab \up0 \expndtw-6\charscalex100 Kasus\par\pard\qj \li4112\
ri1477\sb41\sl-550\slmult0 \up0 \expndtw0\charscalex100 Kelompok kasus dalam

penelitian ini adalah penderita \line \up0 \expndtw-2\charscalex100 hem
orrhoid yang mengalami gejala klinis dan telah didiagnosa \line \up0 \expndtw0\c
harscalex100 menderita penyakit tersebut oleh dokter bedah yang diketahui \line
\up0 \expndtw0\charscalex104 dari catatan medik RSUP Dr. Kariadi Semarang pada t
ahun \line \up0 \expndtw-5\charscalex100 2006-2011. \par\pard\ql \li4537\sb237\s
l-276\slmult0 \up0 \expndtw-6\charscalex100 Kriteria inklusi \par\pard\ql \li447
2\ri1477\sb81\sl-546\slmult0\tx4832\tx4832\tx4832 \up0 \expndtw-4\charscalex100
\u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Penderita
hemorrhoid yang datang berobat dan atau \line\tab \up0 \expndtw-4\charscal
ex100 dirawat di RSUP Dr. Kariadi Semarang yang tercatat di \line \tab \up0 \exp
ndtw-3\charscalex100 catatan medik RSUP Dr. Kariadi Semarang pada tahun \line \t
ab \up0 \expndtw-6\charscalex100 2006-2011 \par\pard\ql \li4472\sb258\sl-276\slm
ult0 \up0 \expndtw-6\charscalex100 \u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\n
osupersub\cf9\f10\fs24 Usia 21-30 tahun \par\pard\ql \li4472\ri1444\sb50\sl-56
0\slmult0\tx4832 \up0 \expndtw0\charscalex103 \u-4051?\ul0\nosupersub\cf17\f18\f
s24 \ul0\nosupersub\cf9\f10\fs24 Bersedia menjadi responden penelitian
dengan \line\tab \up0 \expndtw-6\charscalex100 menandatangani \ul0\nosupersub\
cf11\f12\fs24 informed consent \par\pard\li3262\sb232\sl-276\slmult0\fi0\tx4112
\up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 4.3.2.2.\tab \up0 \ex
pndtw-6\charscalex100 Kontrol\par\pard\qj \li4112\ri1502\sb41\sl-550\slmult0 \up
0 \expndtw-5\charscalex100 Kelompok kontrol dalam penelitian ini adalah orang ya
ng tidak \line \up0 \expndtw0\charscalex101 menderita hemorrhoid dan dipilih
secara \ul0\nosupersub\cf11\f12\fs24 simple random \line \up0 \expndtw-3\char
scalex100 sampling \ul0\nosupersub\cf9\f10\fs24 dan dilakukan \ul0\nosupersub\
cf11\f12\fs24 matching \ul0\nosupersub\cf9\f10\fs24 berdasarkan usia \up0 \ex
pndtw-6\charscalex100 (21-30 \par\pard\ql \li4112\sb237\sl-276\slmult0 \up0 \exp
ndtw-6\charscalex100 tahun). \par\pard\ql \li4678\sb264\sl-276\slmult0 \up0 \exp
ndtw-6\charscalex100 Kriteria inklusi \par\pard\ql \li4537\ri1444\sb86\sl-540\sl
mult0\tx4820 \up0 \expndtw0\charscalex100 \u-4051?\ul0\nosupersub\cf17\f18\fs24
\ul0\nosupersub\cf9\f10\fs24 Orang sehat di kota Semarang yang tidak mengalami
\line\tab \up0 \expndtw-6\charscalex100 gejala klinis dan tidak didiagnosa mend
erita hemorrhoid
}
}}
}}
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f8222ffc11d0ff00c11bfe0ffc69f851ff000d163f68d1f17fe24e93f10c6bdff0a87fe1509f0e9d
2fc2f6be1b3a41d33fe1687c501ab8b816a2f05fff0068697e4ef36e6ce5c09c807edad145140051
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451401ffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg43}{\bkmkend Pg43}\par\pard\ql \li9
sb0\sl-253\slmult0 \par\pard\ql\li9784\sb206\sl-253\slmult0 \up0 \expndtw-3\char
scalex100 \ul0\nosupersub\cf3\f4\fs22 29 \par\pard\ql \li4537\sb0\sl-276\slmult0
persub\cf9\f10\fs24 \u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f
10\fs24 Usia 21-30 tahun \par\pard\ql \li4537\ri1444\sb50\sl-560\slmult0\tx4820
\up0 \expndtw0\charscalex103 \u-4051?\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupe
rsub\cf9\f10\fs24 Bersedia menjadi responden penelitian dengan \line\ta
b \up0 \expndtw-6\charscalex100 menandatangani \ul0\nosupersub\cf11\f12\fs24 inf
ormed consent \par\pard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql\li2695\sb0\sl
-276\slmult0 \par\pard\ql\li2695\sb223\sl-276\slmult0 \up0 \expndtw-5\charscalex
100 \ul0\nosupersub\cf9\f10\fs24 4.3.3\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupe
rsub\cf9\f10\fs24 Cara Pengambilan Subjek Penelitian \par\pard\qj \li3262\ri1443
\sb58\sl-550\slmult0 \up0 \expndtw-5\charscalex100 Penelitian ini menggunakan 2
(dua) cara pengambilan subjek penelitian, \up0 \expndtw-2\charscalex100 yakni \u
l0\nosupersub\cf11\f12\fs24 consecutive sampling\ul0\nosupersub\cf9\f10\fs24 un
tuk kelompok kasus dan \ul0\nosupersub\cf11\f12\fs24 simple random \up0 \expndtw
-6\charscalex100 sampling\ul0\nosupersub\cf9\f10\fs24 untuk kelompok kontrol. \
ar\pard\ql\li2695\sb225\sl-276\slmult0 \up0 \expndtw-5\charscalex100 4.3.4\ul0\n
osupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Besar Subjek Penelitian \p
ar\pard\qj \li3262\ri1484\sb58\sl-550\slmult0 \up0 \expndtw-4\charscalex100 Besa
r subjek dalam penelitian ini dihitung berdasarkan \ul0\nosupersub\cf11\f12\fs24
odds \ul0\nosupersub\cf9\f10\fs24 rasio untuk \up0 \expndtw-1\charscalex100 stu
di \ul0\nosupersub\cf11\f12\fs24 case control\ul0\nosupersub\cf9\f10\fs24 tidak
berpasangan yang dapat dirumuskan sebagai \up0 \expndtw-6\charscalex100 berik
ut\ul0\super\cf12\f13\fs24 29 \par\pard\ql \li3262\sb0\sl-276\slmult0 \par\pard\
\li3262\sb0\sl-276\slmult0 \par\pard\ql\li3262\sb53\sl-276\slmult0 \up0 \expndtw
-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Keterangan: \par\pard\li3259\sb137
\sl-276\slmult0\fi0\tx4954 \up0 \expndtw-6\charscalex100 n\tab \up0 \expndtw-6\c
harscalex100 = besarnya subjek penelitian\par\pard\li3259\sb276\sl-276\slmult0\f
i0\tx4954 \up0 \expndtw-6\charscalex100 Z\u945?\tab \up0 \expndtw-6\charscalex10
0 = deviat baku normal untuk tingkat kemaknaan (\u945?) =\par\pard\li3259\sb276\
sl-276\slmult0\fi1867 \up0 \expndtw-6\charscalex100 0,05\par\pard\li3259\sb0\sl276\slmult0\par\pard\li3259\sb1\sl-276\slmult0\fi0\tx4954 \up0 \expndtw-5\charsc
alex100 P\ul0\sub\cf12\f13\fs24 1\tab \up0 \expndtw-6\charscalex100 \ul0\nosuper
sub\cf9\f10\fs24 = proporsi efek standar\par\pard\li3259\sb275\sl-276\slmult0\fi
0\tx4954 \up0 \expndtw-5\charscalex100 P\ul0\sub\cf12\f13\fs24 2\tab \up0 \expnd
tw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 = clinical judgement\par\pard\li
3259\sb0\sl-276\slmult0\par\pard\li3259\sb1\sl-276\slmult0\fi0\tx4954 \up0 \expn
dtw-6\charscalex100 Z\u946?\tab \up0 \expndtw-6\charscalex100 = deviat baku untu
k \ul0\nosupersub\cf11\f12\fs24 Power \ul0\nosupersub\cf9\f10\fs24 penelitian =
80 %\par\pard\li3259\sb275\sl-276\slmult0\fi0\tx4954 \up0 \expndtw-6\charscalex1
00 P\tab \up0 \expndtw-5\charscalex100 = (P\ul0\sub\cf12\f13\fs24 1 \ul0\nosuper
sub\cf9\f10\fs24 + P\ul0\sub\cf12\f13\fs24 2\ul0\nosupersub\cf9\f10\fs24 )\par\p
ard\li3259\sb0\sl-276\slmult0\par\pard\li3259\sb1\sl-276\slmult0\fi0\tx4954 \up0
\expndtw-6\charscalex100 Q\tab \up0 \expndtw-6\charscalex100 = 1 - P\par\pard\s
ect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg44}{\bkmkend
Pg44}\par\pard\ql \li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb0\sl-253\slm
t0 \par\pard\ql\li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb206\sl-253\slmul
t0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 30 \par\pard\qj \li
3262\ri1445\sb70\sl-540\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf9
\f10\fs24 Hasil perhitungan besarnya subjek penelitian berdasar penelitian
\up0 \expndtw-6\charscalex100 sebelumnya disajikan dalam tabel di bawah ini : \

ar\pard\ql\li3262\sb247\sl-276\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupe
rsub\cf8\f9\fs24 Tabel 1. Perhitungan Subjek Penelitian \par\pard\li3346\sb0\sl276\slmult0\par\pard\li3346\sb18\sl-276\slmult0\fi0\tx5165\tx8015 \up0 \expndtw6\charscalex100 No\tab \up0 \expndtw-6\charscalex100 Variabel\tab \up0 \expndtw6\charscalex100 n\par\pard\li3346\sb145\sl-276\slmult0\fi86\tx3937\tx7818 \up0 \
expndtw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 1\tab \up0 \expndtw-6\chars
calex100 Kejadian konstipasi\tab \up0 \expndtw-6\charscalex100 10.50\par\pard\li
3346\sb137\sl-276\slmult0\fi86\tx3937\tx7818 \up0 \expndtw-6\charscalex100 2\tab
\up0 \expndtw-6\charscalex100 Riwayat tumor abdomen\tab \up0 \expndtw-6\charsca
lex100 97.02\par\pard\li3346\sb139\sl-276\slmult0\fi86\tx3937\tx7758 \up0 \expnd
tw-6\charscalex100 3\tab \up0 \expndtw-6\charscalex100 Jenis aktivitas fisik\tab
\up0 \expndtw-6\charscalex100 153.14\par\pard\li3346\sb137\sl-276\slmult0\fi86\
tx3937\tx8022 \up0 \expndtw-6\charscalex100 4\tab \up0 \expndtw-6\charscalex100
Riwayat hemorrhoid pada keluarga\tab \up0 \expndtw-6\charscalex100 9\par\pard\li
3346\sb139\sl-276\slmult0\fi86\tx3937\tx7818 \up0 \expndtw-6\charscalex100 5\tab
\up0 \expndtw-6\charscalex100 Posisi duduk saat buang air besar\tab \up0 \expnd
tw-6\charscalex100 26.06\par\pard\qj \li3262\ri1459\sb449\sl-553\slmult0\fi735 \
up0 \expndtw-1\charscalex100 Berdasarkan perhitungan besarnya subjek penelitian
di atas dan \up0 \expndtw-4\charscalex100 keterbatasan waktu dan biaya dalam pen
elitian ini maka besarnya subjek \up0 \expndtw0\charscalex102 penelitian adalah
54 sampel yang terdiri dari 27 sampel kasus dan 27 \up0 \expndtw-6\charscalex100
sampel kontrol. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb0
\sl-276\slmult0 \par\pard\ql\li2268\sb104\sl-276\slmult0 \up0 \expndtw-5\charsca
lex100 \ul0\nosupersub\cf8\f9\fs24 4.4\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupe
rsub\cf8\f9\fs24 Variabel Penelitian \par\pard\ql \li2695\sb264\sl-276\slmult0
\up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf9\f10\fs24 4.4.1\ul0\nosupersub\
cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Variabel Bebas \par\pard\qj \li3262\
ri1443\sb58\sl-550\slmult0 \up0 \expndtw-4\charscalex100 Variabel bebas dalam pe
nelitian ini antara lain kejadian kontipasi, riwayat \up0 \expndtw-5\charscalex1
00 tumor rektum, jenis aktivitas fisik, riwayat hemorrhoid pada keluarga, dan \u
p0 \expndtw-6\charscalex100 posisi serta lama duduk saat buang air besar. \par\p
ard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql\li2695\sb0\sl-276\slmult0 \par\pa
rd\ql\li2695\sb225\sl-276\slmult0 \up0 \expndtw-4\charscalex100 4.4.2\ul0\nosupe
rsub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Variabel Terikat \par\pard\qj \
li3262\ri1443\sb50\sl-560\slmult0 \up0 \expndtw-5\charscalex100 Variabel terikat
dalam penelitian ini adalah kejadian hemorrhoid pada usia \up0 \expndtw-6\chars
calex100 21-30 tahun.
}
}}
}

}}
}
}}
}
}}
}
}}
}
}}
}

}}
}
}}
}
}}
}
}}
}
}}
}

}}
}
}}
}
}}
}
}}
}
}}

}}
11\fs24 \ul0\nosupersub\cf8\f9\fs24 Definisi Operasional\par\pard\sect\sectd\s
bknone\cols2\colno1\colw5337\colsr160\colno2\colw6263\colsr160\ql \li3262\sb0\sl
-253\slmult0 \par\pard\ql \li3262\sb0\sl-253\slmult0 \par\pard\ql \li3262\sb207\
sl-253\slmult0\tx3789 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf23\f24\fs2
2 No\tab \up0 \expndtw-6\charscalex100 Variabel\par\pard\ql \li3262\sb131\sl-276
\slmult0\tx3789 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf9\f10\fs24 1\tab
\up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf24\f25\fs22 Kejadian\par\pard\q
l \li3794\sb103\sl-253\slmult0 \up0 \expndtw-6\charscalex100 hemorrhoid\par\pard
\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql \li3262\sb0\sl-276\slmult0 \par\pard
\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql \li3262\sb94\sl-276\slmult0\tx3789 \
up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf9\f10\fs24 2\tab \up0 \expndtw-6\
charscalex100 \ul0\nosupersub\cf24\f25\fs22 Kejadian\par\pard\ql \li3794\sb103\s
l-253\slmult0 \up0 \expndtw-6\charscalex100 konstipasi\par\pard\ql \li3262\sb0\s
l-276\slmult0 \par\pard\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql \li3262\sb196
\sl-276\slmult0\tx3789\tx4764 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf9\
f10\fs24 3\tab \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf24\f25\fs22 Riway
at\tab \up0 \expndtw-6\charscalex100 tumor\par\pard\ql \li3794\sb103\sl-253\slmu
lt0 \up0 \expndtw-6\charscalex100 rektum\par\pard\ql \li3262\sb0\sl-276\slmult0
\par\pard\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql \li3262\sb161\sl-276\slmult
0\tx3789\tx4557 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf9\f10\fs24 4\tab
\up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf24\f25\fs22 Jenis\tab \up0 \exp
ndtw-7\charscalex100 aktivitas\par\pard\ql \li3794\sb103\sl-253\slmult0 \up0 \ex
pndtw-6\charscalex100 fisik\par\pard\column \ql \li5497\sb0\sl-253\slmult0 \par\
pard\ql \li5497\sb0\sl-253\slmult0 \par\pard\ql \li20\sb207\sl-253\slmult0\tx342
6 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf23\f24\fs22 Definisi operasion
al\tab \up0 \expndtw-5\charscalex100 Skala\par\pard\ql \li20\sb131\sl-253\slmult
0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf24\f25\fs22 Penderita yang me
ngalami gejala \up0 \expndtw-5\charscalex100 Nominal\par\pard\ql \li20\sb126\sl
-253\slmult0\tx828 \up0 \expndtw-6\charscalex100 klinis\tab \up0 \expndtw0\chars
calex104 hemorrhoid
dan
telah\par\pard\ql \li20\sb127\sl-253\slmult0\tx345
9 \up0 \expndtw-1\charscalex100 didiagnosis menderita hemorrhoid\tab \up0 \exp
ndtw-4\charscalex100 1.\ul0\nosupersub\cf25\f26\fs22 \ul0\nosupersub\cf24\f25\f
s22 Ya\par\pard\ql \li20\sb126\sl-253\slmult0\tx3459 \up0 \expndtw0\charscalex1
00 oleh dokter bedah, yang diketahui\tab \up0 \expndtw-4\charscalex100 2.\ul0\
nosupersub\cf25\f26\fs22 \ul0\nosupersub\cf24\f25\fs22 Tidak\par\pard\ql \li20
\sb127\sl-253\slmult0 \up0 \expndtw-6\charscalex100 dari catatan medik RSUP Dr.
Kariadi\par\pard\ql \li20\sb126\sl-253\slmult0 \up0 \expndtw-6\charscalex100 Sem
arang tahun 2006-2011.\par\pard\ql \li5497\sb0\sl-253\slmult0 \par\pard\ql \li54
97\sb0\sl-253\slmult0 \par\pard\ql \li20\sb2\sl-253\slmult0 \up0 \expndtw-1\char
scalex100 Suatu keadaan yang dialami oleh \up0 \expndtw-5\charscalex100 Nomi
nal\par\pard\ql \li20\sb126\sl-253\slmult0 \up0 \expndtw-5\charscalex100 respond
en berkaitan dengan persepsi\par\pard\ql \li20\sb126\sl-253\slmult0 \up0 \expndt

w-1\charscalex100 gangguan buang air besar berupa\par\pard\ql \li20\sb126\sl
-253\slmult0 \up0 \expndtw-3\charscalex100 susah buang air besar, konsistens
i\par\pard\ql \li20\sb126\sl-253\slmult0\tx1836\tx2215 \up0 \expndtw0\charscalex
100 keras, frekuensi\tab \up0 \expndtw-4\charscalex100 <\tab \up0 \expndtw0\ch
arscalex105 3x dalam\par\pard\ql \li20\sb127\sl-253\slmult0 \up0 \expndtw-5\ch
arscalex100 seminggu, dan perlu mengejan untuk\par\pard\ql \li20\sb126\sl-253\sl
mult0 \up0 \expndtw-6\charscalex100 mengeluarkannya.\ul0\super\cf26\f27\fs20 20\
par\pard\ql \li5497\sb0\sl-253\slmult0 \par\pard\ql \li5497\sb0\sl-253\slmult0 \
par\pard\ql \li20\sb2\sl-253\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersu
b\cf24\f25\fs22 Adanya tumor di daerah rektum \up0 \expndtw-5\charscalex100
Nominal\par\pard\ql \li20\sb126\sl-253\slmult0 \up0 \expndtw-3\charscalex100 yan
g telah didiagnosis secara klinis,\par\pard\ql \li20\sb126\sl-253\slmult0\tx3459
\up0 \expndtw-4\charscalex100 yang diketahui melalui wawancara\tab \up0 \exp
ndtw-4\charscalex100 1.\ul0\nosupersub\cf25\f26\fs22 \ul0\nosupersub\cf24\f25\f
s22 Ya\par\pard\ql \li20\sb127\sl-253\slmult0\tx3459 \up0 \expndtw-6\charscalex
100 dan data catatan medik.\tab \up0 \expndtw-4\charscalex100 2.\ul0\nosupersub\
cf25\f26\fs22 \ul0\nosupersub\cf24\f25\fs22 Tidak\par\pard\ql \li5497\sb0\sl-2
53\slmult0 \par\pard\ql \li20\sb253\sl-253\slmult0 \up0 \expndtw-2\charscalex100
Berat atau ringannya suatu aktivitas \up0 \expndtw-5\charscalex100 Nominal\par\
pard\ql \li20\sb126\sl-253\slmult0 \up0 \expndtw-3\charscalex100 fisik yang dila
kukan oleh responden\par\pard\ql \li20\sb126\sl-253\slmult0\tx3459\tx4511 \up0 \
expndtw0\charscalex104 dalam kegiatan sehari-hari yang\tab \up0 \expndtw-4\ch
arscalex100 1.\ul0\nosupersub\cf25\f26\fs22 \ul0\nosupersub\cf24\f25\fs22 Bera
t\tab \up0 \expndtw-6\charscalex100 (kuli\par\pard\ql \li20\sb126\sl-253\slmult0
\tx1342\tx2808\tx3743 \up0 \expndtw-6\charscalex100 dibedakan\tab \up0 \expndtw6\charscalex100 berdasarkan\tab \up0 \expndtw-6\charscalex100 jenis\tab \up0 \ex
pndtw-6\charscalex100 bangunan,\par\pard\ql \li20\sb129\sl-253\slmult0\tx3743 \u
p0 \expndtw-6\charscalex100 pekerjaan.\tab \up0 \expndtw-6\charscalex100 kuli pa
nggul)\par\pard\ql \li3454\sb126\sl-253\slmult0 \up0 \expndtw-4\charscalex100 2.
\ul0\nosupersub\cf25\f26\fs22 \ul0\nosupersub\cf24\f25\fs22 Ringan\par\pard\ql
\li3738\sb126\sl-253\slmult0 \up0 \expndtw-6\charscalex100 (sekretaris,\par\par
d\ql \li3738\sb126\sl-253\slmult0 \up0 \expndtw-6\charscalex100 mahasiswa)
}
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r\pard\li3262\sb0\sl-276\slmult0\par\pard\li3262\sb20\sl-276\slmult0\fi0\tx3794\
tx5497\tx8898 \dn2 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10\fs24 5\tab \
up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf24\f25\fs22 Faktor
riwayat\tab
\up0 \expndtw-1\charscalex100 Riwayat kejadian hemorrhoid pada\tab \up0 \expndt
w-1\charscalex100 Nominal\par\pard\li3262\sb103\sl-253\slmult0\fi532\tx5497 \up0
\expndtw-1\charscalex100 hemorrhoid pada\tab \up0 \expndtw-1\charscalex100 angg
ota keluarga dalam satu tingkat\par\pard\li3262\sb126\sl-253\slmult0\fi532\tx549
7\tx8931 \up0 \expndtw-1\charscalex100 keluarga\tab \up0 \expndtw-1\charscalex10

0 generasi yang terkait responden,\tab \up0 \expndtw-1\charscalex100 1.\ul0\n
osupersub\cf25\f26\fs22 \ul0\nosupersub\cf24\f25\fs22 Ya\par\pard\li3262\sb126
\sl-253\slmult0\fi2235\tx8931 \up0 \expndtw-6\charscalex100 yang diketahui melal
ui wawancara.\tab \up0 \expndtw-6\charscalex100 2.\ul0\nosupersub\cf25\f26\fs22
\ul0\nosupersub\cf24\f25\fs22 Tidak\par\pard\li3262\sb0\sl-276\slmult0\par\par
d\li3262\sb232\sl-276\slmult0\fi0\tx3794\tx5497\tx8898 \dn2 \expndtw-6\charscale
x100 \ul0\nosupersub\cf9\f10\fs24 6\tab \up0 \expndtw-6\charscalex100 \ul0\nosup
ersub\cf24\f25\fs22 Posisi duduk saat\tab \up0 \expndtw-6\charscalex100 Posisi r
esponden saat defekasi.\tab \up0 \expndtw-6\charscalex100 Nominal\par\pard\li326
2\sb103\sl-253\slmult0\fi532\tx8931 \up0 \expndtw-6\charscalex100 buang air besa
r\tab \up0 \expndtw-6\charscalex100 1.\ul0\nosupersub\cf25\f26\fs22 \ul0\nosupe
rsub\cf24\f25\fs22 Duduk\par\pard\li3262\sb127\sl-253\slmult0\fi5669 \up0 \expn
dtw-2\charscalex100 2.\ul0\nosupersub\cf25\f26\fs22 \ul0\nosupersub\cf24\f25\fs
22 Jongkok\par\pard\li3262\sb0\sl-276\slmult0\par\pard\li3262\sb230\sl-276\slmu
lt0\fi0\tx3794\tx5497\tx8898 \dn2 \expndtw-3\charscalex100 \ul0\nosupersub\cf9\f
10\fs24 7\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf24\f25\fs22 Lama d
uduk saat\tab \up0 \expndtw-2\charscalex100 Banyaknya waktu yang digunakan\ta
b \up0 \expndtw-2\charscalex100 Nominal\par\pard\li3262\sb103\sl-253\slmult0\fi5
32\tx5497 \up0 \expndtw-2\charscalex100 buang air besar\tab \up0 \expndtw-2\char
scalex100 oleh responden untuk buang air\par\pard\li5497\sb126\sl-253\slmult
0\fi0\tx8931\tx9215 \up0 \expndtw-6\charscalex100 besar.\tab \up0 \expndtw-6\cha
rscalex100 1.\tab \up0 \expndtw-6\charscalex100 >10 menit\par\pard\li8931\sb126\
sl-253\slmult0\fi0\tx9215 \up0 \expndtw-6\charscalex100 2.\tab \up0 \expndtw-6\c
harscalex100 <10 menit\par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li226
sb138\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\f9\fs24 4
.6\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Cara Pengumpulan D
ata \par\pard\ql \li2695\sb0\sl-276\slmult0 \par\pard\ql\li2695\sb268\sl-276\slm
ult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf9\f10\fs24 4.6.1\ul0\nosupe
rsub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Instrumen Penelitian \par\pard\
ql \li3262\sb264\sl-276\slmult0 \up0 \expndtw-6\charscalex100 Instrumen dalam pe
nelitian ini terdiri dari: \par\pard\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql\
li3262\sb8\sl-276\slmult0 \up0 \expndtw-4\charscalex100 a.\ul0\nosupersub\cf17\f
18\fs24 \ul0\nosupersub\cf9\f10\fs24 Catatan medik yang meliputi nama, usia, da
n diagnosis dari responden. \par\pard\ql \li3262\ri1442\sb58\sl-550\slmult0\tx35
45\tx3545 \up0 \expndtw-4\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\no
supersub\cf9\f10\fs24 Kuesioner yang meliputi faktor-faktor risiko yakni kejadia
n konstipasi, \line\tab \up0 \expndtw-4\charscalex100 riwayat tumor rektum, riwa
yat hemorrhoid pada keluarga, dan posisi \line \tab \up0 \expndtw-6\charscalex
100 serta lama duduk saat buang air besar. (terlampir) \par\pard\ql \li2695\sb21
7\sl-276\slmult0 \up0 \expndtw-4\charscalex100 4.6.2\ul0\nosupersub\cf17\f18\fs2
4 \ul0\nosupersub\cf9\f10\fs24 Jenis Data \par\pard\ql \li3262\sb0\sl-276\slmul
t0 \par\pard\ql\li3262\sb8\sl-276\slmult0 \up0 \expndtw-6\charscalex100 Jenis da
ta yang dikumpulkan antara lain : \par\pard\ql \li3194\sb0\sl-276\slmult0 \par\p
ard\ql\li3194\sb8\sl-276\slmult0 \up0 \expndtw-1\charscalex100 a.\ul0\nosupersub
\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Data primer \par\pard\ql \li3554\s
b264\sl-276\slmult0 \up0 \expndtw-6\charscalex100 Data yang diperoleh dari wawan
cara dengan menggunakan kuesioner.
}
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0 \expndtw-3\charscalex100 \ul0\nosupersub\cf9\f10\fs24 b.\ul0\nosupersub\cf17\f
18\fs24 \ul0\nosupersub\cf9\f10\fs24 Data sekunder \par\pard\ql \li3554\sb264\
sl-276\slmult0 \up0 \expndtw-6\charscalex100 Data yang diperoleh dari catatan me
dik RSUP. Dr. Kariadi Semarang. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\par
ql\li2268\sb16\sl-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf8\
f9\fs24 4.7\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf8\f9\fs24 Alur Pene
litian\par\pard\sect\sectd\sbknone\cols2\colno1\colw5982\colsr110\colno2\colw566
8\colsr160\ql \li3161\sb0\sl-253\slmult0 \par\pard\ql \li3161\sb0\sl-253\slmult0
\par\pard\ql \li3161\sb237\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\no
supersub\cf3\f4\fs22 Penderita hemorrhoid usia 21-\par\pard\qj \li3237\ri42\sb9\
sl-309\slmult0\tx3461 \up0 \expndtw-3\charscalex100 30 tahun yang datang ke poli
\line\tab \up0 \expndtw-3\charscalex100 Bedah Digestif RSUP Dr.\par\pard\ql \li
3749\sb50\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Kariadi Semarang\par\pard

\ql \li4685\sb229\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Sampel\par\pard\c
olumn \ql \li7244\sb0\sl-253\slmult0 \par\pard\ql \li7244\sb0\sl-253\slmult0 \pa
r\pard\ql \li1261\sb237\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Orang sehat
berusia 21-30\par\pard\ql \li1172\sb55\sl-253\slmult0 \up0 \expndtw-3\charscale
x100 tahun yang tidak mengalami\par\pard\ql \li1907\sb59\sl-253\slmult0 \up0 \ex
pndtw-3\charscalex100 hemorrhoid\par\pard\ql \li8029\sb0\sl-253\slmult0 \par\par
d\ql \li8029\sb0\sl-253\slmult0 \par\pard\ql \li8029\sb0\sl-253\slmult0 \par\par
d\ql \li1957\sb28\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Kriteria eksklusi
\par\pard\ql \li20\sb211\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Kriteria i
nklusi\par\pard\ql \li7671\sb0\sl-253\slmult0 \par\pard\ql \li7671\sb0\sl-253\sl
mult0 \par\pard\ql \li7671\sb0\sl-253\slmult0 \par\pard\ql \li7671\sb0\sl-253\sl
mult0 \par\pard\ql \li1599\sb46\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Kon
trol \par\pard\sect\sectd\sbknone \ql \li5677\sb0\sl-310\slmult0 \par\pard\ql\li
77\sb0\sl-310\slmult0 \par\pard\ql\li5677\ri3862\sb21\sl-310\slmult0\tx5907\tx61
30 \up0 \expndtw-3\charscalex100 Wawancara, pencatatan \line\tab \up0 \expndtw-3
\charscalex100 data penderita dari \line \tab \up0 \expndtw-3\charscalex100 cata
tan medik \par\pard\ql \li6233\sb0\sl-253\slmult0 \par\pard\ql\li6233\sb0\sl-253
\slmult0 \par\pard\ql\li6233\sb0\sl-253\slmult0 \par\pard\ql\li6233\sb179\sl-253
\slmult0 \up0 \expndtw-3\charscalex100 Analisis Data \par\pard\ql \li5948\sb0\sl
53\slmult0 \up0 \expndtw-3\charscalex100 Penulisan Laporan
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11\fs24 \ul0\nosupersub\cf8\f9\fs24 Analisis Data \par\pard\qj \li2695\ri1445\
sb318\sl-550\slmult0\fi705 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf9\f10
\fs24 Data penelitian yang telah dikumpulkan akan diproses dengan \ul0\nosupersu
b\cf11\f12\fs24 editing, \up0 \expndtw-3\charscalex100 coding,\ul0\nosupersub\cf
9\f10\fs24 dan tabulasi. Analisis data yang dilakukan mencakup analisis univari
at \up0 \expndtw-6\charscalex100 dan bivariat. \par\pard\ql \li2695\sb237\sl-276
\slmult0 \up0 \expndtw-4\charscalex100 4.8.1\ul0\nosupersub\cf17\f18\fs24 \ul0\
nosupersub\cf9\f10\fs24 Analisis univariat \par\pard\qj \li3401\ri1469\sb58\sl
-550\slmult0\fi569 \up0 \expndtw0\charscalex100 Analisis univariat dilakukan ter
hadap setiap variabel penelitian \up0 \expndtw-4\charscalex100 untuk melihat gam
baran distribusi frekuensi dan presentase pada setiap \up0 \expndtw-6\charscalex
100 variabel. \par\pard\ql \li2695\sb217\sl-276\slmult0 \up0 \expndtw-4\charscal
ex100 4.8.2\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Analisi
s bivariat \par\pard\qj \li3401\ri1443\sb57\sl-551\slmult0\fi569 \up0 \expndtw-5
\charscalex100 Analisis bivariat digunakan untuk menganalisa hubungan antara 2 \
line \up0 \expndtw-1\charscalex100 (dua) variabel, yaitu kejadian konstipasi, ri
wayat tumor, jenis aktivitas \line \up0 \expndtw-1\charscalex100 fisik, riwayat
hemorrhoid pada keluarga, lama duduk, dan posisi serta \line \up0 \expndtw-3\cha
rscalex100 lama duduk saat buang air besar terhadap kejadian hemorrhoid dengan \
line \up0 \expndtw-5\charscalex100 uji \ul0\nosupersub\cf11\f12\fs24 chi square\
ul0\nosupersub\cf9\f10\fs24 . Dilakukan analisis risiko untuk menilai besar risi
ko setiap \line \up0 \expndtw-1\charscalex100 variabel terhadap kejadian hemo
rrhoid. Seluruh analisis dilakukan \line \up0 \expndtw0\charscalex100 dengan
menggunakan program \ul0\nosupersub\cf11\f12\fs24 SPSS for Windows\ul0\nosupersu
b\cf9\f10\fs24 . Data ditampilkan \line \up0 \expndtw-6\charscalex100 dalam bent
uk tabel. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\sb0\sl-276
\slmult0 \par\pard\ql\li2268\sb245\sl-276\slmult0 \up0 \expndtw-5\charscalex100
\ul0\nosupersub\cf8\f9\fs24 4.9\ul0\nosupersub\cf10\f11\fs24 \ul0\nosupersub\cf

8\f9\fs24 Etika Penelitian \par\pard\qj \li2695\ri1443\sb38\sl-550\slmult0\fi70
5 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Subjek dan responden
yang diwawancarai untuk pengisian kuesioner \line \up0 \expndtw-5\charscalex100
pada penelitian ini diberi jaminan kerahasiaan terhadap data-data yang diberika
n \line \up0 \expndtw-5\charscalex100 dan berhak untuk menolak menjadi responden
. Sebelum melakukan penelitian,
}
}}
}}
osupersub\cf9\f10\fs24 terlebih dahulu responden diberi \ul0\nosupersub\cf11\f12
\fs24 informed consent\ul0\nosupersub\cf9\f10\fs24 dan menandatanganinya \up0 \
expndtw-6\charscalex100 untuk legalitas persetujuan. \par\pard\qj \li2695\ri1442
\sb12\sl-550\slmult0\fi705 \up0 \expndtw-3\charscalex100 Selain itu, penelitian
ini juga akan mendapat persetujuan berupa \ul0\nosupersub\cf11\f12\fs24 ethical
\up0 \expndtw-2\charscalex100 clearance\ul0\nosupersub\cf9\f10\fs24 dari Komi
te Etik Penelitian Kedokteran Universitas Diponegoro \up0 \expndtw-6\charsca
lex100 sebelum dilakukan pengumpulan data terhadap subjek penelitian.
}
}}
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f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Jenis Kelamin \par\pard\li3401\sb0\sl-276\s
lmult0\par\pard\li3401\sb7\sl-276\slmult0\fi569\tx4767 \up0 \expndtw-2\charscale
x100 Grafik\tab \up0 \expndtw-2\charscalex100 1. menunjukkan bahwa mayoritas
subjek penelitian\par\pard\li3401\sb276\sl-276\slmult0\fi0 \up0 \expndtw-2\cha
rscalex100 berjenis kelamin perempuan dengan proporsi sebesar 20 responde
n\par\pard\li3401\sb276\sl-276\slmult0\fi0\tx7280\tx8828 \up0 \expndtw-2\charsca
lex100 (37,0%) pada kelompok kasus dan\tab \up0 \expndtw-2\charscalex100 16
responden\tab \up0 \expndtw-2\charscalex100 (29,6%) pada\par\pard\li3401\sb276

\sl-276\slmult0\fi0 \up0 \expndtw-2\charscalex100 kelompok kontrol.\par\pard\ql
i3826\sb0\sl-276\slmult0 \par\pard\ql\li3826\sb1\sl-276\slmult0 \up0 \expndtw-6\
charscalex100 \ul0\nosupersub\cf2\f3\fs24 Grafik 1. Karakteristik Jenis Kelamin
Responden (n=54) \par\pard\ql \li4713\sb264\sl-276\slmult0 \up0 \expndtw-3\chars
calex100 \ul0\nosupersub\cf27\f28\fs24 20 \par\pard\ql \li4713\sb0\sl-276\slmult
0 \par\pard\ql\li4713\sb168\sl-276\slmult0 \up0 \expndtw-3\charscalex100 15 \par
\pard\ql \li4713\sb0\sl-276\slmult0 \par\pard\ql\li4713\sb188\sl-276\slmult0 \up
0 \expndtw-3\charscalex100 10 \par\pard\ql \li9870\sb103\sl-253\slmult0 \up0 \ex
pndtw-3\charscalex100 \ul0\nosupersub\cf28\f29\fs22 Kasus \par\pard\li4834\sb103
\sl-276\slmult0\fi0\tx9870 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf27\f2
8\fs24 5\tab \dn3 \expndtw-3\charscalex100 \ul0\nosupersub\cf28\f29\fs22 Kontrol
\par\pard\ql \li4834\sb0\sl-276\slmult0 \par\pard\ql\li4834\sb173\sl-276\slmult0
\up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf27\f28\fs24 0 \par\pard\ql \li2
128\sl-276\slmult0 \up0 \expndtw-8\charscalex100 \ul0\nosupersub\cf4\f5\fs24 5.1
.2.\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Usia \par\pard\ql \l
i3970\sb264\sl-276\slmult0 \up0 \expndtw0\charscalex100 Usia responden yang meng
alami kejadian hemorrhoid berkisar \par\pard\ql \li3401\sb0\sl-276\slmult0 \par\
pard\ql\li3401\sb8\sl-276\slmult0\tx4104 \up0 \expndtw-6\charscalex100 antara \t
ab \up0 \expndtw-1\charscalex100 24,93,56 tahun dengan usia maksimum 30 tahun
dan usia \par\pard\ql \li6128\sb23\sl-253\slmult0 \up0 \expndtw-3\charscalex1
00 \ul0\nosupersub\cf3\f4\fs22 36 \par\pard\sect\sectd\fs24\paperw11900\paperh16
820{\shp
z-10000\shplid50
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00145145007fffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg51}{\bkmkend Pg51}\par\pard\q
l \li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb0\sl-253\slmult0 \par\pard\ql
i9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb206\sl-253\slmult0 \up0 \expndtw3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 37 \par\pard\qj \li3401\ri1450\sb70\
sl-540\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs24 minimum
21 tahun. Sedangkan usia responden yang tidak mengalami \line \up0 \expndtw-4\c
harscalex100 kejadian hemorrhoid berkisar antara \up0 \expndtw-4\charscalex10
0 22,071,92 tahun dengan usia \par\pard\ql \li3401\sb239\sl-276\slmult0 \up0 \
expndtw-6\charscalex100 maksimum 28 tahun dan usia minimum 21 tahun. \par\pard\q
l \li5180\sb0\sl-276\slmult0 \par\pard\ql\li5180\sb0\sl-276\slmult0 \par\pard\ql
\li5180\sb272\sl-276\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf2\f
3\fs24 Grafik 2. Data Usia Responden (n=54)\par\pard\sect\sectd\sbknone\cols2\co
lno1\colw8951\colsr160\colno2\colw2649\colsr160\ql \li4466\sb0\sl-253\slmult0 \p
ar\pard\ql \li4466\sb50\sl-253\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupe
rsub\cf28\f29\fs22 16\par\pard\ql \li4466\sb96\sl-253\slmult0 \up0 \expndtw-2\ch
arscalex100 14\par\pard\ql \li4466\sb96\sl-253\slmult0 \up0 \expndtw-2\charscale
x100 \ul0\nosupersub\cf30\f31\fs22 12\par\pard\ql \li4466\sb95\sl-253\slmult0 \u
p0 \expndtw-2\charscalex100 \ul0\nosupersub\cf28\f29\fs22 10\par\pard\ql \li4577
\sb96\sl-253\slmult0 \up0 \expndtw-3\charscalex100 8\par\pard\ql \li4577\sb96\sl
-253\slmult0 \up0 \expndtw-3\charscalex100 6\par\pard\ql \li4577\sb96\sl-253\slm
ult0 \up0 \expndtw-3\charscalex100 4\par\pard\ql \li4577\sb95\sl-253\slmult0 \up
0 \expndtw-3\charscalex100 2\par\pard\ql \li4577\sb96\sl-253\slmult0 \up0 \expnd
tw-3\charscalex100 0\par\pard\ql \li5485\sb22\sl-253\slmult0\tx7100 \up0 \expndt
w-3\charscalex100 Kasus\tab \up0 \expndtw-3\charscalex100 Kontrol\par\pard\colum
n \ql \li9111\sb0\sl-230\slmult0 \par\pard\ql \li20\sb159\sl-230\slmult0 \up0 \e
xpndtw-3\charscalex100 \ul0\nosupersub\cf31\f32\fs20 21 tahun\par\pard\qj \li20\
ri1850\sb23\sl-361\slmult0 \up0 \expndtw-3\charscalex100 22 tahun \line \up0 \ex
pndtw-3\charscalex100 23 tahun \line \up0 \expndtw-3\charscalex100 24 tahun \lin
e \up0 \expndtw-3\charscalex100 25 tahun \line \up0 \expndtw-3\charscalex100 26
tahun \line \up0 \expndtw-3\charscalex100 27 tahun \line \up0 \expndtw-3\charsca
lex100 28 tahun \line \up0 \expndtw-3\charscalex100 30 tahun \par\pard\sect\sect
d\sbknone \qj \li3401\ri1455\sb276\sl-553\slmult0\fi569 \up0 \expndtw-1\charscal
ex100 \ul0\nosupersub\cf4\f5\fs24 Grafik 2. menunjukkan bahwa proporsi terbesar
pada kelompok \up0 \expndtw-1\charscalex100 kasus maupun kontrol adalah usia 21
tahun dengan jumlah responden \up0 \expndtw-6\charscalex100 sebesar \up0 \expndt
w0\charscalex102 9 responden pada kelompok kasus dan 16 responden pada \up0 \e
xpndtw-6\charscalex100 kelompok kontrol. \par\pard\ql \li2834\sb0\sl-276\slmult0
\par\pard\ql\li2834\sb0\sl-276\slmult0 \par\pard\ql\li2834\sb224\sl-276\slmult0
\up0 \expndtw-7\charscalex100 5.1.3.\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersu
b\cf4\f5\fs24 Derajat Hemorrhoid \par\pard\qj \li3401\ri1449\sb61\sl-546\slmult0
\fi1027 \up0 \expndtw0\charscalex103 Derajat hemorroid diperoleh dari catata
n medik yang \line \up0 \expndtw0\charscalex102 ditegakkan berdasarkan gejal
a klinis yang dirasakan responden, \line \up0 \expndtw0\charscalex100 pemeri
ksaan fisik dan bahkan dipastikan dengan pemeriksaan \line \up0 \expn
dtw-3\charscalex100 penunjang. Berdasarkan penelitian yang telah dilakukan
didapatkan \par\pard\sect\sectd\fs24\paperw11900\paperh16820{\shp
z-10000\shplid51

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40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
40051451400514514005145140051451400514514005145140051451400514514005145140051451
400514514005145140051451400514514005145140051451401fffd9}}}}}\pard\sb0\sl-240{\b
kmkstart Pg52}{\bkmkend Pg52}\par\pard\ql \li9784\sb0\sl-253\slmult0 \par\pard\q
9784\sb206\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\f
s22 38 \par\pard\qj \li3401\ri1445\sb70\sl-540\slmult0 \up0 \expndtw0\charscalex
101 \ul0\nosupersub\cf4\f5\fs24 bahwa hemorrhoid interna grade III
merupakan
kasus yang paling \up0 \expndtw-6\charscalex100 sering terjadi dengan jumlah res
poden sebanyak 10 orang. \par\pard\ql \li4443\sb0\sl-276\slmult0 \par\pard\ql\li
\charscalex100 \ul0\nosupersub\cf2\f3\fs24 Grafik 3. Data derajat hemorrhoid res
ponden (n=27) \par\pard\ql \li4665\sb0\sl-241\slmult0 \par\pard\ql\li4665\sb152\
sl-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf32\f33\fs21 10 \p
ar\pard\ql \li4771\sb0\sl-241\slmult0 \par\pard\ql\li4771\sb39\sl-241\slmult0 \u
p0 \expndtw-3\charscalex100 8 \par\pard\ql \li8543\sb1\sl-215\slmult0 \up0 \expn
dtw-3\charscalex100 \ul0\nosupersub\cf34\f35\fs19 Eksterna\par\pard\sect\sectd\s
bknone\cols2\colno1\colw8383\colsr160\colno2\colw3217\colsr160\ql \li4771\sb92\s
l-241\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf32\f33\fs21 6\par\
pard\ql \li4771\sb0\sl-241\slmult0 \par\pard\ql \li4771\sb49\sl-241\slmult0 \up0
\expndtw-3\charscalex100 4\par\pard\ql \li4771\sb0\sl-241\slmult0 \par\pard\ql
\li4771\sb50\sl-241\slmult0 \up0 \expndtw-3\charscalex100 2\par\pard\ql \li4771\
sb0\sl-241\slmult0 \par\pard\ql \li4771\sb49\sl-241\slmult0 \up0 \expndtw-3\char
scalex100 0\par\pard\ql \li5523\sb21\sl-241\slmult0 \up0 \expndtw-3\charscalex10
0 \ul0\nosupersub\cf33\f34\fs21 Derajat Hemorrhoid\par\pard\column \ql \li20\sb1
47\sl-218\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf34\f35\fs19 In
terna grade I\par\pard\qj \li20\ri1869\sb23\sl-347\slmult0 \up0 \expndtw-2\chars
calex100 Interna grade II \line \up0 \expndtw-2\charscalex100 Interna grade III
\line \up0 \expndtw-2\charscalex100 Interna grade IV \par\pard\sect\sectd\sbknon
e \ql \li2834\sb0\sl-560\slmult0 \par\pard\ql\li2834\ri1446\sb318\sl-560\slmult0
\tx3413 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf2\f3\fs24 5.2.\ul0\nosupe
rsub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Besar risiko kejadian konstipa
si terhadap kejadian hemorrhoid \line\tab \up0 \expndtw-6\charscalex100 pada u
sia 21-30 tahun \par\pard\qj \li3401\ri1444\sb0\sl-553\slmult0\fi569 \up0 \expnd
tw-5\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Konstipasi adalah suatu keadaan y
ang dialami seseorang berkaitan \up0 \expndtw-5\charscalex100 dengan persepsi ga
ngguan buang air besar berupa susah buang air besar, \up0 \expndtw-2\charscalex1
00 konsistensi keras, frekuensi kurang dari tiga kali dalam seminggu, dan \up0 \
expndtw-6\charscalex100 perlu mengejan untuk mengeluarkannya. \par\pard\sect\sec
td\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg53}{\bkmkend Pg53}\
\pard\ql\li9784\sb0\sl-253\slmult0 \par\pard\ql\li9784\sb206\sl-253\slmult0 \up0
\expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 39 \par\pard\ql \li3739\sb
0\sl-276\slmult0 \par\pard\ql\li3739\sb12\sl-276\slmult0 \up0 \expndtw-6\charsca
lex100 \ul0\nosupersub\cf2\f3\fs24 Tabel 2. Hubungan Kejadian Konstipasi dengan

Hemorrhoid \par\pard\li3903\sb0\sl-276\slmult0\par\pard\li3903\sb15\sl-276\slmul
t0\fi0\tx6274\tx9047 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf4\f5\fs24 K
onstipasi\tab \up0 \expndtw-6\charscalex100 Hemorrhoid\tab \up0 \expndtw-6\chars
calex100 Total\par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb10\sl-276\sl
mult0\fi2198\tx7388 \up0 \expndtw-6\charscalex100 Ya\tab \up0 \expndtw-6\charsca
lex100 Tidak\par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb9\sl-276\slmul
t0\fi0\tx5324\tx6954\tx8586 \up0 \expndtw-6\charscalex100 Ya\tab \up0 \expndtw-6
\charscalex100 15 (27,8%)\tab \up0 \expndtw-6\charscalex100 10 (18,5%)\tab \up0
\expndtw-6\charscalex100 25 (46,3%)\par\pard\li3693\sb276\sl-276\slmult0\fi0\tx5
324\tx6954\tx8586 \up0 \expndtw-6\charscalex100 Tidak\tab \up0 \expndtw-6\charsc
alex100 12 (22,2%)\tab \up0 \expndtw-6\charscalex100 17 (31,5%)\tab \up0 \expndt
w-6\charscalex100 29 (53,7%)\par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\
sb13\sl-276\slmult0\fi0\tx5324\tx6954\tx8586 \up0 \expndtw-6\charscalex100 Total
\tab \up0 \expndtw-6\charscalex100 27 (50%)\tab \up0 \expndtw-6\charscalex100 27
(50%)\tab \up0 \expndtw-6\charscalex100 54 (100%)\par\pard\ql \li3691\sb0\sl-27
6\slmult0 \par\pard\ql\li3691\sb1\sl-276\slmult0 \up0 \expndtw-6\charscalex100 (
X\ul0\super\cf13\f14\fs24 2 \ul0\nosupersub\cf4\f5\fs24 = 1,862; p = 0,172; OR =
2,125; CI95% = 0,715-6,315) \par\pard\qj \li3401\sb0\sl-553\slmult0 \par\pard\q
j\li3401\ri1443\sb43\sl-553\slmult0\fi569 \up0 \expndtw-5\charscalex100 Berdasar
kan uji analisis diperoleh hasil bahwa kejadian konstipasi \up0 \expndtw-2\chars
calex100 tersebar merata pada kedua kelompok penelitian dengan proporsi 15 \up0
\expndtw-4\charscalex100 responden (27,8%) pada kelompok kasus dan 10 respond
en (18,5%) \up0 \expndtw-3\charscalex100 pada kelompok kontrol. Setelah dilakuk
an pengolahan data lebih lanjut \up0 \expndtw-1\charscalex100 didapatkan kesimp
ulan bahwa orang yang mengalami konstipasi \up0 \expndtw-4\charscalex100 me
miliki risiko 2,125 kali untuk terjadi hemorrhoid dibanding dengan \up0 \expndtw
-6\charscalex100 orang yang tidak mengalami konstipasi. \par\pard\ql \li2834\ri1
457\sb542\sl-560\slmult0\tx3413 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf
2\f3\fs24 5.3.\ul0\nosupersub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Besar
risiko riwayat tumor terhadap kejadian hemorrhoid pada \line\tab \up0 \expndtw-6
\charscalex100 usia 21-30 tahun \par\pard\qj \li3401\ri1443\sb0\sl-555\slmult0\f
i569 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Riwayat tumor rek
tum merupakan suatu kejadian dimana terdapat \line \up0 \expndtw-1\charscalex100
tumor di daerah rektum yang telah didiagnosa secara klinis. Tabel 3. \line \up0
\expndtw0\charscalex101 diketahui bahwa tidak terdapat banyak perbedaan p
ada jumlah \line \up0 \expndtw0\charscalex101 responden yang memiliki riwaya
t tumor pada kedua kelompok \line \up0 \expndtw-6\charscalex100 penelitian.
}
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r\pard\ql \li3980\sb0\sl-276\slmult0 \par\pard\ql\li3980\sb0\sl-276\slmult0 \par
\pard\ql\li3980\sb0\sl-276\slmult0 \par\pard\ql\li3980\sb20\sl-276\slmult0 \up0
\expndtw-6\charscalex100 \ul0\nosupersub\cf2\f3\fs24 Tabel 3. Hubungan Riwayat T

umor Rektum dengan Kejadian \par\pard\ql \li6461\sb264\sl-276\slmult0 \up0 \expn
dtw-5\charscalex100 Hemorrhoid \par\pard\li3693\sb0\sl-276\slmult0\par\pard\li36
93\sb19\sl-276\slmult0\fi317\tx6274\tx9047 \up0 \expndtw-6\charscalex100 \ul0\no
supersub\cf4\f5\fs24 Riwayat\tab \up0 \expndtw-6\charscalex100 Hemorrhoid\tab \u
p0 \expndtw-6\charscalex100 Total\par\pard\li3693\sb276\sl-276\slmult0\fi387\tx5
892\tx7388 \up0 \expndtw-6\charscalex100 Tumor\tab \up0 \expndtw-6\charscalex100
Ya\tab \up0 \expndtw-6\charscalex100 Tidak\par\pard\li3693\sb0\sl-276\slmult0\p
ar\pard\li3693\sb1\sl-276\slmult0\fi336 \up0 \expndtw-6\charscalex100 Rektum\par
\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb9\sl-276\slmult0\fi0\tx5324\tx
6954\tx8586 \up0 \expndtw-6\charscalex100 Ya\tab \up0 \expndtw-6\charscalex100 2
(3,7%)\tab \up0 \expndtw-6\charscalex100 1 (1,9%)\tab \up0 \expndtw-6\charscale
x100 3 (5,6%)\par\pard\li3693\sb276\sl-276\slmult0\fi0\tx5324\tx6954\tx8586 \up0
\expndtw-6\charscalex100 Tidak\tab \up0 \expndtw-6\charscalex100 25 (46,3%)\tab
\up0 \expndtw-6\charscalex100 26 (48,1%)\tab \up0 \expndtw-6\charscalex100 51 (
94,4%)\par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb10\sl-276\slmult0\fi
0\tx5324\tx6954\tx8586 \up0 \expndtw-6\charscalex100 Total\tab \up0 \expndtw-6\c
harscalex100 27 (50%)\tab \up0 \expndtw-6\charscalex100 27 (50%)\tab \up0 \expnd
tw-6\charscalex100 54 (100%)\par\pard\ql \li3970\sb273\sl-276\slmult0 \up0 \expn
dtw-6\charscalex100 (X\ul0\super\cf13\f14\fs24 2\ul0\nosupersub\cf4\f5\fs24 = 0
,353; p = 0,552; OR = 2,080; CI95% = 0,177-24,405) \par\pard\qj \li3401\sb0\sl-5
53\slmult0 \par\pard\qj\li3401\ri1442\sb43\sl-553\slmult0\fi569 \up0 \expndtw-5\
charscalex100 Setelah dilakukan uji statistik dengan menggunakan uji \ul0\nosupe
rsub\cf7\f8\fs24 odds ratio \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf4\f5
\fs24 didapatkan kesimpulan bahwa orang dengan riwayat tumor rektum \up0
\expndtw-2\charscalex100 memiliki risiko 2,080 kali untuk terjadi hemorrhoid dib
anding dengan \up0 \expndtw-6\charscalex100 orang yang tidak memiliki riwayat tu
mor rektum. \par\pard\ql \li2834\sb0\sl-540\slmult0 \par\pard\ql\li2834\ri1446\s
b38\sl-540\slmult0\tx3413 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf2\f3\f
s24 5.4.\ul0\nosupersub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Besar risik
o jenis aktivitas fisik terhadap kejadian hemorrhoid \line\tab \up0 \expnd
tw-5\charscalex100 pada usia 21-30 tahun \par\pard\qj \li3401\ri1475\sb12\sl-550
\slmult0\fi569 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Jenis
aktivitas didefinisikan sebagai kondisi berat ringannya \up0 \expndtw0\char
scalex100 aktivitas fisik dari responden yang dibedakan berdasarkan jenis
\up0 \expndtw-6\charscalex100 pekerjaan.
}
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0 \expndtw-6\charscalex100 \ul0\nosupersub\cf2\f3\fs24 Tabel 4. Hubungan Jenis A
ktivitas Fisik dengan Kejadian \par\pard\ql \li6178\sb0\sl-276\slmult0 \par\pard
\ql\li6178\sb8\sl-276\slmult0 \up0 \expndtw-5\charscalex100 Hemorrhoid \par\pard
\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb7\sl-276\slmult0\fi16\tx6274\tx9047
\up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Jenis Aktivitas\tab \
up0 \expndtw-6\charscalex100 Hemorrhoid\tab \up0 \expndtw-6\charscalex100 Total\
par\pard\li3693\sb276\sl-276\slmult0\fi473\tx5892\tx7388 \up0 \expndtw-6\charsca
lex100 Fisik\tab \dn2 \expndtw-6\charscalex100 Ya\tab \dn2 \expndtw-6\charscalex
100 Tidak\par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb19\sl-276\slmult0
\fi0\tx5324\tx6954\tx8586 \up0 \expndtw-6\charscalex100 Ringan\tab \up0 \expndtw
-6\charscalex100 26 (48,1%)\tab \up0 \expndtw-6\charscalex100 26 (48,1%)\tab \up
0 \expndtw-6\charscalex100 52 (96,3%)\par\pard\li3693\sb0\sl-276\slmult0\par\par
d\li3693\sb1\sl-276\slmult0\fi0\tx5324\tx6954\tx8586 \up0 \expndtw-6\charscalex1
00 Berat\tab \up0 \expndtw-6\charscalex100 1 (1,9%)\tab \up0 \expndtw-6\charscal
ex100 1 (1,9%)\tab \up0 \expndtw-6\charscalex100 2 (3,7%)\par\pard\li3693\sb0\sl
-276\slmult0\par\pard\li3693\sb12\sl-276\slmult0\fi0\tx5324\tx6954\tx8586 \up0 \
expndtw-6\charscalex100 Total\tab \up0 \expndtw-6\charscalex100 27 (50%)\tab \up
0 \expndtw-6\charscalex100 27 (50%)\tab \up0 \expndtw-6\charscalex100 54 (100%)\
p0 \expndtw-6\charscalex100 (X\ul0\super\cf13\f14\fs24 2\ul0\nosupersub\cf4\f5\f
s24 = 0,000; p = 1,000; OR = 1,000; CI95% = 0,059-16,854) \par\pard\qj \li3401\
sb0\sl-552\slmult0 \par\pard\qj\li3401\ri1443\sb44\sl-552\slmult0\fi569 \up0 \ex
pndtw-1\charscalex100 Mayoritas responden dalam penelitian ini melakukan aktiv
itas \up0 \expndtw-4\charscalex100 ringan yakni sebanyak 26 responden (48,1%) pa
da kelompok kasus dan \up0 \expndtw-5\charscalex100 didapatkan jumlah yang sama
pada kelompok kontrol. Setelah dilakukan \up0 \expndtw-2\charscalex100 analisis
lebih lanjut, didapatkan nilai \ul0\nosupersub\cf7\f8\fs24 odds \ul0\nosupersub\
cf4\f5\fs24 ratio sebesar 1,000 sehingga \up0 \expndtw-3\charscalex100 jenis akt
ivitas fisik bukan merupakan faktor risiko kejadian hemorrhoid \up0 \expndtw-6\c
harscalex100 pada usia 21-30 tahun. \par\pard\ql \li2834\ri1446\sb542\sl-560\slm
ult0\tx3413 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 5.5.\ul0\n
osupersub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Besar risiko riwayat hemor
rhoid pada keluarga terhadap kejadian \line\tab \up0 \expndtw-6\charscalex100 he
morrhoid pada usia 21-30 tahun \par\pard\qj \li3401\ri1474\sb0\sl-560\slmult0\fi
569 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Setelah dilakukan
penelitian pada responden dengan usia 21-30 \line \up0 \expndtw-3\charscalex100
tahun didapatkan responden sebanyak \up0 \expndtw-3\charscalex100 10 respond
en \up0 \expndtw-4\charscalex100 (18,5%) yang \par\pard\qj \li3401\ri1505\sb0\s
l-560\slmult0 \up0 \expndtw0\charscalex101 memiliki riwayat hemorrhoid pada kelo
mpok kasus. Pada kelompok \line \up0 \expndtw0\charscalex102 kontrol responden
yang memiliki riwayat hemorrhoid sebesar \up0 \expndtw-5\charscalex100 6
}
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}}
}}
r\pard\qj \li3401\ri1444\sb70\sl-540\slmult0\tx4555 \up0 \expndtw-5\charscalex10
0 \ul0\nosupersub\cf4\f5\fs24 responden \tab \up0 \expndtw0\charscalex101 (11,1%
). Sehingga proporsi riwayat hemorrhoid pada \line\up0 \expndtw-6\charscale

x100 keluarga tersebar merata pada kedua kelompok. \par\pard\ql \li3290\sb0\sl-2
76\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf2\f3\fs24 Tabel 5. Hu
bungan Riwayat Hemorrhoid Keluarga dengan Kejadian \par\pard\ql \li5612\sb264\sl
-276\slmult0 \up0 \expndtw-5\charscalex100 Hemorrhoid \par\pard\li3693\sb0\sl-27
6\slmult0\par\pard\li3693\sb24\sl-276\slmult0\fi317\tx6274\tx9047 \up0 \expndtw6\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Riwayat\tab \up0 \expndtw-6\charscal
ex100 Hemorrhoid\tab \up0 \expndtw-6\charscalex100 Total\par\pard\li3693\sb276\s
l-276\slmult0\fi134\tx5892\tx7388 \up0 \expndtw-6\charscalex100 Hemorrhoid\tab \
up0 \expndtw-6\charscalex100 Ya\tab \up0 \expndtw-6\charscalex100 Tidak\par\pard
\li3693\sb276\sl-276\slmult0\fi278 \up0 \expndtw-6\charscalex100 Keluarga\par\pa
rd\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb9\sl-276\slmult0\fi0\tx5324\tx695
4\tx8586 \up0 \expndtw-6\charscalex100 Ya\tab \up0 \expndtw-6\charscalex100 10 (
18,5%)\tab \up0 \expndtw-6\charscalex100 6 (11,1%)\tab \up0 \expndtw-6\charscale
x100 16 (29,6%)\par\pard\li3693\sb276\sl-276\slmult0\fi0\tx5324\tx6954\tx8586 \u
p0 \expndtw-6\charscalex100 Tidak\tab \up0 \expndtw-6\charscalex100 17 (31,5%)\t
ab \up0 \expndtw-6\charscalex100 21 (38,9%)\tab \up0 \expndtw-6\charscalex100 38
(70,4%)\par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb10\sl-276\slmult0\
fi0\tx5324\tx6954\tx8586 \up0 \expndtw-6\charscalex100 Total\tab \up0 \expndtw-6
\charscalex100 27 (50%)\tab \up0 \expndtw-6\charscalex100 27 (50%)\tab \up0 \exp
ndtw-6\charscalex100 54 (100%)\par\pard\ql \li3859\sb269\sl-276\slmult0 \up0 \ex
pndtw-6\charscalex100 (X\ul0\super\cf13\f14\fs24 2\ul0\nosupersub\cf4\f5\fs24 =
1,421; p = 0,233; OR = 2,059; CI95% = 0,622-6,816) \par\pard\qj \li3401\sb0\sl546\slmult0 \par\pard\qj\li3401\ri1444\sb75\sl-546\slmult0\fi569 \up0 \expndtw-3
\charscalex100 Dari data hasil penelitian dapat diambil kesimpulan bahwa orang \
up0 \expndtw0\charscalex100 dengan riwayat hemorrhoid pada keluarga memiliki ris
iko 2,059 kali \up0 \expndtw-3\charscalex100 untuk terjadi hemorrhoid dibanding
dengan orang yang tidak memiliki \up0 \expndtw-6\charscalex100 riwayat hemorrhoi
d pada keluarganya. \par\pard\ql \li2834\sb0\sl-540\slmult0 \par\pard\ql\li2834\
ri1446\sb39\sl-540\slmult0\tx3413 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\
cf2\f3\fs24 5.6.\ul0\nosupersub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Besa
r risiko posisi dan lama duduk saat buang air besar terhadap \line\tab \up0 \exp
ndtw-6\charscalex100 kejadian hemorrhoid pada usia 21-30 tahun \par\pard\qj \li3
401\ri1445\sb21\sl-540\slmult0\fi569 \up0 \expndtw0\charscalex104 \ul0\nosupersu
b\cf4\f5\fs24 Posisi dan lama duduk saat buang air besar adalah posisi dan \up0
\expndtw-6\charscalex100 waktu yang dibutuhkan oleh responden saat defekasi.
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}}
0 \expndtw-6\charscalex100 \ul0\nosupersub\cf2\f3\fs24 Tabel 6. Hubungan Posisi
dan Lama saat Buang Air Besar dengan \par\pard\ql \li5972\sb0\sl-276\slmult0 \pa
r\pard\ql\li5972\sb8\sl-276\slmult0 \up0 \expndtw-5\charscalex100 Kejadian Hemor

rhoid \par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb7\sl-276\slmult0\fi1
58\tx5050\tx6800\tx9306 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf4\f5\fs2
4 Posisi\tab \up0 \expndtw-6\charscalex100 Lama\tab \up0 \expndtw-6\charscalex10
0 Hemorrhoid\tab \up0 \expndtw-6\charscalex100 Total\par\pard\li3693\sb276\sl-27
6\slmult0\fi195\tx5074\tx6527\tx7808 \up0 \expndtw-6\charscalex100 BAB\tab \up0
\expndtw-6\charscalex100 BAB\tab \dn2 \expndtw-6\charscalex100 Ya\tab \dn2 \expn
dtw-6\charscalex100 Tidak\par\pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb1
9\sl-276\slmult0\fi0\tx4786\tx6063\tx7479\tx8898 \up0 \expndtw-5\charscalex100 \
ul0\super\cf13\f14\fs24 *\ul0\nosupersub\cf4\f5\fs24 Duduk\tab \up0 \expndtw-6\c
harscalex100 >10 menit\tab \up0 \expndtw-6\charscalex100 4 (7,41%)\tab \up0 \exp
ndtw-6\charscalex100 3 (5,56%)\tab \up0 \expndtw-6\charscalex100 7 (12,97%)\par\
pard\li3693\sb0\sl-276\slmult0\par\pard\li3693\sb1\sl-276\slmult0\fi1092\tx6063\
tx7479\tx8898 \up0 \expndtw-6\charscalex100 <10 menit\tab \up0 \expndtw-6\charsc
alex100 2 (3,71%)\tab \up0 \expndtw-6\charscalex100 10 (18,52%)\tab \up0 \expndt
w-6\charscalex100 12 (22,23%)\par\pard\li3693\sb276\sl-276\slmult0\fi0\tx4786\tx
6063\tx7479\tx8898 \up0 \expndtw-5\charscalex100 \ul0\super\cf13\f14\fs24 #\ul0\
nosupersub\cf4\f5\fs24 Jongkok\tab \up0 \expndtw-6\charscalex100 >10 menit\tab \
up0 \expndtw-6\charscalex100 8 (14,81%)\tab \up0 \expndtw-6\charscalex100 7 (12,
96%)\tab \up0 \expndtw-6\charscalex100 15 (27,77%)\par\pard\li3693\sb276\sl-276\
slmult0\fi1092\tx6063\tx7479\tx8898 \up0 \expndtw-6\charscalex100 <10menit\tab \
up0 \expndtw-6\charscalex100 13 (24,07%)\tab \up0 \expndtw-6\charscalex100 7 (12
,96%)\tab \up0 \expndtw-6\charscalex100 20 (37,03%)\par\pard\li3693\sb0\sl-276\s
lmult0\par\pard\li3693\sb12\sl-276\slmult0\fi0\tx6063\tx7479\tx8898 \up0 \expndt
w-6\charscalex100 Total\tab \up0 \expndtw-6\charscalex100 27 (50%)\tab \up0 \exp
ndtw-6\charscalex100 27 (50%)\tab \up0 \expndtw-6\charscalex100 54 (100%)\par\pa
rd\ql \li3746\sb0\sl-276\slmult0 \par\pard\ql\li3746\sb5\sl-276\slmult0 \up0 \ex
pndtw-6\charscalex100 \ul0\super\cf13\f14\fs24 *\ul0\nosupersub\cf4\f5\fs24 (X\u
l0\super\cf13\f14\fs24 2\ul0\nosupersub\cf4\f5\fs24 = 3,352; p = 0,067; OR = 6,
667; CI95% = 0,791-56,215) \par\pard\ql \li3799\sb264\sl-276\slmult0 \up0 \expnd
tw-6\charscalex100 \ul0\super\cf13\f14\fs24 #\ul0\nosupersub\cf4\f5\fs24 (X\ul0\
super\cf13\f14\fs24 2\ul0\nosupersub\cf4\f5\fs24 = 0,486; p = 0,486; OR = 0,615
; CI95% = 0,157-2,419) \par\pard\qj \li3401\ri1469\sb57\sl-551\slmult0\fi569 \up
0 \expndtw-2\charscalex100 Pada Tabel 6. tentang hubungan posisi dan lama saat b
uang air \line \up0 \expndtw-5\charscalex100 besar dengan kejadian hemorrhoid te
rlihat bahwa mayoritas responden \line \up0 \expndtw-3\charscalex100 pada kedua
kelompok tidak terbiasa duduk pada saat buang air besar. \line \up0 \expndtw-4\c
harscalex100 Namun pada perhitungan dengan \ul0\nosupersub\cf7\f8\fs24 odds rati
o\ul0\nosupersub\cf4\f5\fs24 dapat disimpulkan bahwa \line \up0 \expndtw-1\char
scalex100 orang dengan posisi duduk dan lama >10 menit saat buang air besar \lin
e \up0 \expndtw-2\charscalex100 memiliki risiko 6,667 kali untuk terjadi hemorrh
oid dibanding orang \line \up0 \expndtw-5\charscalex100 yang buang air besar den
gan posisi jongkok dalam waktu yang singkat \line \up0 \expndtw-5\charscalex100
(<10 menit).
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}}
-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf2\f3\fs24 BAB VI \p
0 \expndtw-5\charscalex100 PEMBAHASAN \par\pard\ql \li2268\sb0\sl-276\slmult0 \p
\pard\ql\li2268\sb136\sl-276\slmult0 \up0 \expndtw-4\charscalex100 6.1.\ul0\nosu
persub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Karakteristik Responden Penel
itian \par\pard\qj \li2834\ri1443\sb318\sl-550\slmult0\fi566 \up0 \expndtw0\char
scalex101 \ul0\nosupersub\cf4\f5\fs24 Berdasarkan karakteristik responden yan
g telah diuraikan diatas, \up0 \expndtw0\charscalex100 didapatkan proporsi te
rbesar pada jenis kelamin perempuan pada kelompok \up0 \expndtw-3\charscalex100
kasus. Hal tersebut sesuai dengan penelitian sebelumnya yang dilakukan oleh \up0
\expndtw-1\charscalex100 Melina Tiza pada tahun 2007 yang menyatakan bahwa mayo
ritas penderita \up0 \expndtw-6\charscalex100 hemorrhoid adalah wanita.\ul0\supe
r\cf13\f14\fs24 9 \par\pard\qj \li2834\ri1443\sb11\sl-550\slmult0\fi566 \up0 \ex
pndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Pada distribusi usia responden
didapatkan proporsi terbesar yakni pada \line \up0 \expndtw-1\charscalex100 usi
a 21 tahun baik pada kelompok kasus maupun kelompok kontrol. Hal ini \line \up0
\expndtw0\charscalex100 bertentangan dengan penelitian sebelumnya yang menyataka
n bahwa pada \line \up0 \expndtw-2\charscalex100 usia tua terjadi degenerasi dar
i jaringan-jaringan tubuh dimana otot \ul0\nosupersub\cf7\f8\fs24 sphincter \lin
e \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf4\f5\fs24 menjadi tipis dan at

onis sehingga berisiko terjadi hemorrhoid. \ul0\super\cf13\f14\fs24 4,10,16 \par
ul0\nosupersub\cf4\f5\fs24 Selain itu, berdasarkan data hasil penelitian d
iketahui pula bahwa \line \up0 \expndtw-4\charscalex100 kejadian hemorrhoid
tersering pada usia \up0 \expndtw-4\charscalex100 21-30 tahun adalah hemorr
hoid \par\pard\qj \li2834\ri1446\sb4\sl-560\slmult0 \up0 \expndtw0\charscalex100
interna grade III. Hal tersebut dikarenakan data yang digunakan pada \
line \up0 \expndtw-5\charscalex100 kelompok kasus diperoleh dari catatan medik R
SUP. Dr. Kariadi Semarang. \par\pard\qj \li2268\ri1444\sb541\sl-560\slmult0\tx28
34 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 6.2.\ul0\nosupersub
\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Besar risiko kejadian konstipasi te
rhadap kejadian hemorrhoid pada usia \line\tab \up0 \expndtw-6\charscalex100 2130 tahun \par\pard\ql \li3401\sb215\sl-276\slmult0 \up0 \expndtw-3\charscalex100
\ul0\nosupersub\cf4\f5\fs24 Data yang diperoleh mengenai kejadian konstipasi da
pat diambil suatu \par\pard\ql \li2834\sb0\sl-276\slmult0 \par\pard\ql\li2834\sb
8\sl-276\slmult0 \up0 \expndtw-2\charscalex100 kesimpulan bahwa kejadian konstip
asi merupakan faktor risiko dari kejadian \par\pard\ql \li6128\sb23\sl-253\slmul
t0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 44
}
}}
}}
r\pard\ql \li2834\sb0\sl-276\slmult0 \par\pard\ql\li2834\sb12\sl-276\slmult0\tx5
234 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf4\f5\fs24 hemorrhoid pada
usia \tab \up0 \expndtw0\charscalex100 210-30 tahun. Hal ini sesuai dengan
penelitian \par\pard\qj \li2834\ri1444\sb34\sl-555\slmult0 \up0 \expndtw0\chars
calex102 sebelumnya yang telah dilakukan oleh Pigot F di RS Bagatelle pada tahun
\line \up0 \expndtw-2\charscalex100 2005 yang mengambil kesimpulan bahwa konsti
pasi merupakan faktor risiko \line \up0 \expndtw0\charscalex102 dari kejadian he
morrhoid. Hal ini dikarenakan pada konstipasi diperlukan \line \up0 \expndtw0\ch
arscalex100 waktu mengejan yang lebih lama. Sehingga terjadi trauma yang berlebi
han \line \up0 \expndtw-6\charscalex100 pada \ul0\nosupersub\cf7\f8\fs24 plexus

hemorrhoidalis \ul0\nosupersub\cf4\f5\fs24 karena tekanan yang keras saat mengej
an.\ul0\super\cf13\f14\fs24 15 \par\pard\qj \li2268\ri1475\sb541\sl-560\slmult0\
tx2834 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf2\f3\fs24 6.3.\ul0\nosupe
rsub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Besar risiko riwayat tumor terh
adap kejadian hemorrhoid pada usia 21-\line \tab \up0 \expndtw-6\charscalex100 3
0 tahun \par\pard\qj \li2834\ri1439\sb0\sl-553\slmult0\fi566 \up0 \expndtw-3\cha
rscalex100 \ul0\nosupersub\cf4\f5\fs24 Pada faktor risiko riwayat tumor pun dapa
t disimpulkan bahwa riwayat \line \up0 \expndtw-4\charscalex100 tumor rektum mer
upakan faktor risiko dari kejadian hemorrhoid pada usia 21-\line \up0 \expndtw-1
\charscalex100 30 tahun. Hal ini disebabkan tumor dapat menekan vena sehingga al
irannya \line \up0 \expndtw0\charscalex103 terganggu dan menyebabkan pelebara
n \ul0\nosupersub\cf7\f8\fs24 plexus hemorrhoidalis\ul0\nosupersub\cf4\f5\fs24
. Hasil \line \up0 \expndtw0\charscalex102 penelitian ini tidak berbeda de
ngan penelitian yang pernah dilakukan \line \up0 \expndtw-4\charscalex100 se
belumnya oleh Melina Tiza pada pasien hemorrhoid dengan usia > 40 tahun \line \u
p0 \expndtw-5\charscalex100 di kota Semarang pada tahun \up0 \expndtw-5\char
scalex100 2007.\ul0\super\cf13\f14\fs24 \ul0\nosupersub\cf4\f5\fs24 Pada pene
litian tersebut diperoleh \par\pard\ql \li2834\sb202\sl-276\slmult0 \up0 \expn
dtw-5\charscalex100 kesimpulan bahwa tumor merupakan faktor risiko dari kejadian
hemorrhoid.\ul0\super\cf13\f14\fs24 12 \par\pard\qj \li2268\sb0\sl-560\slmult0
\par\pard\qj\li2268\ri1466\sb50\sl-560\slmult0\tx2834 \up0 \expndtw-2\charscalex
100 \ul0\nosupersub\cf2\f3\fs24 6.4.\ul0\nosupersub\cf15\f16\fs24 \ul0\nosupers
ub\cf2\f3\fs24 Besar risiko jenis aktivitas fisik terhadap kejadian hemorrhoid
pada usia \line\tab \up0 \expndtw-6\charscalex100 21-30 tahun \par\pard\qj \li28
34\ri1444\sb0\sl-550\slmult0\fi566 \up0 \expndtw0\charscalex103 \ul0\nosupersub\
cf4\f5\fs24 Pada penelitian ini, jenis aktivitas fisik yang dimaksud adalah jeni
s \line \up0 \expndtw0\charscalex100 aktivitas fisik yang ringan. Sehingga diper
oleh kesimpulan bahwa aktivitas \line \up0 \expndtw-5\charscalex100 fisik ringan
bukan merupakan faktor risiko dari kejadian hemorrhoid pada usia
}
}}
}}

r\pard\qj \li2834\ri1444\sb60\sl-552\slmult0 \up0 \expndtw-5\charscalex100 \ul0\
nosupersub\cf4\f5\fs24 21-30 tahun. Hasil penelitian ini sesuai dengan penelitia
n yang telah dilakukan \up0 \expndtw0\charscalex100 sebelumnya oleh Gebbensleben
et al di Park Klinik Berlin pada tahun 2009 \up0 \expndtw0\charscalex104 yang
mengambil kesimpulan bahwa aktivitas fisik yang berat dapat \up0 \expndtw
-2\charscalex100 menyebabkan hemorrhoid. Karena pada aktivitas tersebut terjadi
peregangan \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf7\f8\fs24 musculus\ul0
\nosupersub\cf4\f5\fs24 \ul0\nosupersub\cf7\f8\fs24 sphincter ani \ul0\nosupers
ub\cf4\f5\fs24 yang berulang sehingga ketika penderita mengejan \up0 \expndtw-6\
charscalex100 akan terjadi peregangan yang bertambah buruk.\ul0\super\cf13\f14\f
s24 14,15 \par\pard\qj \li2268\ri1445\sb542\sl-560\slmult0\tx2834 \up0 \expndtw0
\charscalex100 \ul0\nosupersub\cf2\f3\fs24 6.5.\ul0\nosupersub\cf15\f16\fs24 \u
l0\nosupersub\cf2\f3\fs24 Besar risiko riwayat hemorrhoid pada keluarga t
erhadap kejadian \line\tab \up0 \expndtw-6\charscalex100 hemorrhoid pada usia 2
1-30 tahun \par\pard\qj \li2834\ri1506\sb0\sl-560\slmult0\fi566 \up0 \expndtw-2\
charscalex100 \ul0\nosupersub\cf4\f5\fs24 Diah Irawati dengan penelitiannya
pada pasien hemorrhoid di RS \line \up0 \expndtw-2\charscalex100 Tentara Ba
kti Wira Tamtama Semarang pada tahun \up0 \expndtw-2\charscalex100 2008 me
ngambil \par\pard\qj \li2834\ri1446\sb0\sl-560\slmult0 \up0 \expndtw-4\charscale
x100 kesimpulan bahwa riwayat keluarga merupakan faktor risiko dari hemorrhoid.
\up0 \expndtw-2\charscalex100 Hasil penelitian tersebut tidak berbeda denga
n hasil penelitian ini yang \up0 \expndtw-6\charscalex100 dilakukan pada pas
ien dengan usia 21-30 tahun.\ul0\super\cf13\f14\fs24 8 \par\pard\qj \li2834\ri14
43\sb0\sl-553\slmult0\fi623 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5
\fs24 Riwayat hemorrhoid pada keluarga merupakan salah satu faktor risiko \up0 \
expndtw0\charscalex100 dari kejadian hemorrhoid. Adanya kelemahan dinding
vena di daerah \up0 \expndtw-3\charscalex100 anorektal yang didapat sejak lahi
r memudahkan terjadinya hemorrhoid ketika \up0 \expndtw-6\charscalex100 terjadi
paparan tambahan. \par\pard\qj \li2268\ri1446\sb526\sl-540\slmult0\tx2834 \up0 \
expndtw-1\charscalex100 \ul0\nosupersub\cf2\f3\fs24 6.6.\ul0\nosupersub\cf15\f16
\fs24 \ul0\nosupersub\cf2\f3\fs24 Besar risiko posisi dan lama duduk saa
t buang air besar terhadap \line\tab \up0 \expndtw-6\charscalex100 kejadian
hemorrhoid pada usia 21-30 tahun \par\pard\qj \li2834\ri1446\sb0\sl-560\slmult0\
fi566 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Penelitian yang
telah dilakukan dapat disimpulkan bahwa posisi duduk \line \up0 \expndtw-3\chars
calex100 dengan lama >10 menit saat buang air besar merupakan faktor risiko keja
dian
}
}}

}}
osupersub\cf4\f5\fs24 hemorrhoid pada usia 21-30 tahun. Pada posisi duduk, posis
i usus dan anus \line \up0 \expndtw-1\charscalex100 tidak dalam posisi tegak. Se
hingga menyebabkan tekanan dan gesekan pada \line \up0 \expndtw0\charscalex104 v
ena di daerah rektum dan anus. Hal ini bertentangan dengan penelitian \line \up0
\expndtw0\charscalex102 sebelumnya yang dilakukan oleh Melina Tiza pada penderi
ta hemorrhoid \line \up0 \expndtw-2\charscalex100 dengan usia > 40 tahun di kota
Semarang pada tahun 2007 yang mengambil \line \up0 \expndtw-1\charscalex100 kes
impulan bahwa posisi duduk bukan merupakan faktor risiko kejadian \line \u
p0 \expndtw-6\charscalex100 hemorrhoid.\ul0\super\cf13\f14\fs24 12 \par\pard\qj
\li2268\ri1444\sb11\sl-550\slmult0\fi566 \up0 \expndtw0\charscalex102 \ul0\nosup
ersub\cf4\f5\fs24 Pada penelitian, pengumpulan data mengenai riwayat tumor rektu
m tidak \up0 \expndtw-3\charscalex100 mengklasifikasikan responden berdasar l
ama menderita tumor rektum tersebut. \up0 \expndtw-1\charscalex100 Sehingga
penelitian ini tidak dapat menghubungkan antara lama menderita tumor \up0 \expnd
tw-5\charscalex100 rektum dengan kejadian hemorrhoid. Maka dari itu perlu dilaku
kan penelitian serupa \up0 \expndtw-6\charscalex100 untuk mengetahui hubungan ke
duanya.
}
}}
}}

-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf2\f3\fs24 BAB VII \
p0 \expndtw-5\charscalex100 SIMPULAN DAN SARAN \par\pard\ql \li2268\sb0\sl-276\s
ult0 \par\pard\ql\li2268\sb136\sl-276\slmult0 \up0 \expndtw0\charscalex101 7.1.\
ul0\nosupersub\cf15\f16\fs24 \ul0\nosupersub\cf2\f3\fs24 Simpulan \par\pard\ql
\li3401\sb0\sl-276\slmult0 \par\pard\ql\li3401\sb268\sl-276\slmult0 \up0 \expnd
tw-6\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Berdasar penelitian yang telah di
lakukan dapat disimpulkan bahwa : \par\pard\ql \li2834\ri1446\sb30\sl-560\slmult
0\tx3120\tx3120 \up0 \expndtw0\charscalex100 a.\ul0\nosupersub\cf5\f6\fs24 \ul0
\nosupersub\cf4\f5\fs24 Kejadian konstipasi, riwayat tumor rektum, riwayat
hemorhoid pada \line\tab \up0 \expndtw0\charscalex103 keluarga, serta posisi d
an lama duduk saat buang air besar merupakan \line \tab \up0 \expndtw-6\charscal
ex100 faktor risiko kejadian hemorrhoid pada usia 21-30 tahun. \par\pard\ql \li2
834\ri1446\sb0\sl-560\slmult0\tx3120 \up0 \expndtw0\charscalex100 b.\ul0\nosuper
sub\cf5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Jenis aktivitas fisik bukan merupak
an faktor risiko kejadian hemorrhoid \line\tab \up0 \expndtw-6\charscalex100 pad
a usia 21-30 tahun. \par\pard\ql \li2268\sb0\sl-276\slmult0 \par\pard\ql\li2268\
sb0\sl-276\slmult0 \par\pard\ql\li2268\sb204\sl-276\slmult0 \up0 \expndtw0\chars
calex103 \ul0\nosupersub\cf2\f3\fs24 7.2.\ul0\nosupersub\cf15\f16\fs24 \ul0\nos
upersub\cf2\f3\fs24 Saran \par\pard\ql \li2834\ri1460\sb310\sl-560\slmult0\tx31
20 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf4\f5\fs24 a.\ul0\nosupersub\cf
5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Perlu dilakukan edukasi mengenai faktor r
isiko kejadian hemorhoid pada \line\tab \up0 \expndtw-6\charscalex100 usia 21-30
tahun \par\pard\ql \li2834\ri1443\sb9\sl-550\slmult0\tx3120\tx3120 \up0 \expndt
w-2\charscalex100 b.\ul0\nosupersub\cf5\f6\fs24 \ul0\nosupersub\cf4\f5\fs24 Per
lu dilakukan penelitian yang serupa dengan meninjau faktor-faktor lain \line\tab
\up0 \expndtw-2\charscalex100 seperti: kurangnya konsumsi makanan berserat, kur
angnya intake cairan, \line \tab \up0 \expndtw-6\charscalex100 kehamilan, lama m
enderita tumor rektum dengan kejadian hemorrhoid. \par\pard\ql \li6128\sb0\sl-25
persub\cf3\f4\fs22 48
}
}}
}}
0 \expndtw-5\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR PUSTAKA \par\pard\
ql \li2268\sb0\sl-270\slmult0 \par\pard\ql\li2268\sb0\sl-270\slmult0 \par\pard\q
li2268\ri1442\sb29\sl-270\slmult0\tx2693\tx2693\tx2693 \up0 \expndtw-6\charscale
x100 \ul0\nosupersub\cf4\f5\fs24 1. \tab \up0 \expndtw0\charscalex108 Riwanto I
gn. Usus halus, apendiks, kolon, dan anorektum. Dalam: \line\tab \up0 \ex
pndtw0\charscalex100 Sjamsuhidajat R, Jong WD, penyunting. Buku Ajar Ilmu Bedah.
Edisi ke-3. \line \tab \up0 \expndtw-6\charscalex100 Jakarta: EGC; 2010. hal. 7
88-792. \par\pard\ql \li2268\sb0\sl-280\slmult0 \par\pard\ql\li2268\ri1442\sb2\s
l-280\slmult0\tx2695\tx2695\tx2695 \up0 \expndtw-6\charscalex100 2. \tab \up0 \e
xpndtw0\charscalex102 Anonymous. Hemorrhoids. National Digestive Disease
Information \line \tab \up0 \expndtw-5\charscalex100 Clearinghouse [serial on
the internet]. 2010 [cited 2011 Oct 17]. Available from: \line \tab \up0 \expnd
tw-6\charscalex100 {\field{\*\fldinst {HYPERLINK http://digestive.niddk.nih.gov/
ddiseases/pubs/hemorrhoids }}{\fldrslt {\ul0\nosupersub\cf4\f5\fs24 http://diges
tive.niddk.nih.gov/ddiseases/pubs/hemorrhoids.}}} \par\pard\ql \li2268\ri1443\sb
261\sl-280\slmult0\tx2695\tx2695\tx2695 \up0 \expndtw-6\charscalex100 \ul0\nosup
ersub\cf4\f5\fs24 3. \tab \up0 \expndtw-5\charscalex100 Simadibrata M. Hemoroid.
Dalam: Sudoyo Aru W, Setiyohadi B, Alwi I, Setiati \line\tab \up0 \expndtw-5\ch
arscalex100 S, Simadibrata M, penyunting. Buku Ajar Ilmu Penyakit Dalam. Jakarta
: Interna \line \tab \up0 \expndtw-6\charscalex100 Publishing; 2006. hal. 397-39
9. \par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb6\sl-276\slmult0\fi0\tx
2695 \up0 \expndtw-2\charscalex100 4.\tab \up0 \expndtw-1\charscalex100 Fox-Oren
stein A, McNally M, Odunsi S. Update on Constipation: One\par\pard\li22
68\sb0\sl-276\slmult0\fi427 \up0 \expndtw-1\charscalex100 Treatment does not Fit
All. Cleveland Clinical Journal of Medicine. 2008.\par\pard\li2268\sb276\sl-276
\slmult0\fi0\tx2695 \up0 \expndtw-2\charscalex100 5.\tab \up0 \expndtw-1\charsca
lex100 US Cancer Statistic Working Group. Atlanta: United State Cancer Statistic
s;\par\pard\li2268\sb0\sl-276\slmult0\fi427\tx4060\tx5123\tx6604\tx7916 \up0 \ex
pndtw-2\charscalex100 c1999-2007\tab \up0 \expndtw-2\charscalex100 [updated\tab
\up0 \expndtw-2\charscalex100 2010; cited\tab \up0 \expndtw-2\charscalex100 20
12 Feb\tab \up0 \expndtw-2\charscalex100 25]. Available from:\par\pard\ql
\li2695\sb1\sl-254\slmult0 \up0 \expndtw-3\charscalex100 {\field{\*\fldinst {HYP
ERLINK http://apps.nccd.cdc.gov/uscs/ }}{\fldrslt {\ul0\nosupersub\cf4\f5\fs24 h
ttp://www.cdc.gov/uscs.}}} \par\pard\qj \li2268\sb0\sl-280\slmult0 \par\pard\qj\
li2268\ri1446\sb5\sl-280\slmult0\tx2695\tx2695 \up0 \expndtw-6\charscalex100 \ul
0\nosupersub\cf4\f5\fs24 6. \tab \up0 \expndtw-4\charscalex100 Struber, JC. Cons
idering Physical Inactivity in Relation to Obesity. The Internet \line\tab \up0
\expndtw-5\charscalex100 Journal of Allied Health Sciences and Practices. 2004.
\par\pard\ql \li2268\ri1446\sb261\sl-280\slmult0\tx2695\tx2695\tx2695\tx2695 \up
0 \expndtw-6\charscalex100 7. \tab \up0 \expndtw-4\charscalex100 Osman N. Indone
sian Hemorrhoid Increase Blamed on Western Toilets. Jakarta \line \tab \up0 \exp
ndtw-5\charscalex100 Globe [serial on the internet]. 2011 [cited 2011 Nov 23]. A
vailable from: \line \tab \up0 \expndtw-6\charscalex100 {\field{\*\fldinst {HYPE
RLINK http://www.thejakartaglobe.com/health/indonesian-hemorrhoid-increase-blame
d-on-western-toilets/365518 }}{\fldrslt {\ul0\nosupersub\cf4\f5\fs24 http://www.
thejakartaglobe.com/health/indonesian-hemorrhoid-increase-}}}\line \tab \up0 \ex
pndtw-6\charscalex100 {\field{\*\fldinst {HYPERLINK http://www.thejakartaglobe.c
om/health/indonesian-hemorrhoid-increase-blamed-on-western-toilets/365518 }}{\fl
drslt {\ul0\nosupersub\cf4\f5\fs24 blamed-on-western-toilets/365518.}}} \par\par

d\ql \li2268\ri1502\sb261\sl-280\slmult0\tx2695\tx2695\tx2695\tx2695 \up0 \expnd
tw-6\charscalex100 \ul0\nosupersub\cf4\f5\fs24 8. \tab \up0 \expndtw0\charscalex
102 Irawati D. Hubungan antara Riwayat Keluarga, Konstipasi, dan Olahraga \line\
tab \up0 \expndtw-3\charscalex100 Berat dengan Kejadian Hemorrhoid pada Pasien R
awat Jalan di Klinik Bedah \line \tab \up0 \expndtw0\charscalex101 Rumah Sakit T
entara Bakti Wira Tamtama Semarang [karya tulis ilmiah]. \line \tab \up0 \expndt
w-3\charscalex100 Semarang: Universitas Muhammadiyah Semarang; 2008. \par\pard\q
l \li2268\ri1445\sb261\sl-280\slmult0\tx2695\tx2695\tx2695 \up0 \expndtw-6\chars
calex100 9. \tab \up0 \expndtw0\charscalex100 Yanuardani MT. Hubungan antara Pos
isi saat Buang Air Besar dan Faktor \line\tab \up0 \expndtw-2\charscalex100 Risi
ko Lainnya terhadap Terjadinya Hemorrhoid [proposal karya tulis ilmiah]. \line \
tab \up0 \expndtw-6\charscalex100 Semarang: Universitas Diponegoro; 2007. \par\p
ard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb11\sl-276\slmult0\fi0\tx2695 \up
0 \expndtw-3\charscalex100 10.\tab \up0 \expndtw-2\charscalex100 Kumar V, Cotran
RS, Robbins SL. Buku Ajar Patologi Volume 2. Edisi ke-7.\par\pard\li2268\sb0\sl
-276\slmult0\fi427 \up0 \expndtw-3\charscalex100 Jakarta: EGC; 2007. hal. 635.
}
}}
}
}}
}}

\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf4\f5\fs24 11.\tab \up0 \expndtw1\charscalex100 Pearl K. Hemorrhoids. Hemorrhoids National Digestive Disease Inf
ormation\par\pard\li2268\sb0\sl-276\slmult0\fi427 \up0 \expndtw-2\charscalex100
Clearinghouse. 2004.\par\pard\ql \li2268\ri1443\sb260\sl-280\slmult0\tx2695\tx26
95\tx2695 \up0 \expndtw-6\charscalex100 12. \tab \up0 \expndtw0\charscalex100 Mu
barak H. Karakteristik Penderita Hemoroid Berdasarkan Umur dan Jenis \line\tab \
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karya tulis ilmiah]. \line \tab \up0 \expndtw-6\charscalex100 Medan: Universitas
Sumatera Utara; 2010. \par\pard\qj \li2268\ri1445\sb261\sl-280\slmult0\tx2695\t
x2695 \up0 \expndtw-6\charscalex100 13. \tab \up0 \expndtw0\charscalex103 Sarkar
H, Hassan M, Laila RN. Pattern of Anorectal Disorders in Surgical \line\tab \up
0 \expndtw-6\charscalex100 Practice in Rajhshahi. The Journal of Teachers Associ
ation RMC. 2008. \par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb14\sl-276
\slmult0\fi0\tx2695 \up0 \expndtw-3\charscalex100 14.\tab \up0 \expndtw-2\charsc
alex100 Nurman A. Gambaran Kinik Sindroma Iritabel: Studi Pendahuluan. Universa\
par\pard\li2268\sb0\sl-276\slmult0\fi427 \up0 \expndtw-3\charscalex100 Medicina.
2005.\par\pard\ql \li2268\ri1482\sb259\sl-280\slmult0\tx2695\tx2695\tx2695 \up0
\expndtw-6\charscalex100 15. \tab \up0 \expndtw0\charscalex100 Pigot F, Siproud
his L, Allaert FA. Risk Factors associated with Hemorroidal \line\tab \up0 \expn
dtw0\charscalex100 Symptoms in Specialized Consultant. Gastroenterol Clin Biol.
2005; 29(12): \line \tab \up0 \expndtw-6\charscalex100 1270-4. \par\pard\ql \li2
268\ri1443\sb261\sl-280\slmult0\tx2695\tx2695\tx2695 \up0 \expndtw-6\charscalex1
00 16. \tab \up0 \expndtw-1\charscalex100 Gebbenslaben O, Hilger Y, Rohde H
. Etiology of Thrombosed External \line\tab \up0 \expndtw-1\charscalex100 He
morrhoid: Result from a Prospective Cohort Study. The Internet Journal of \line
\tab \up0 \expndtw-6\charscalex100 Gastroenterology. 2005. \par\pard\ql \li2268\
sb0\sl-270\slmult0 \par\pard\ql\li2268\ri1443\sb19\sl-270\slmult0\tx2695\tx2695\
tx2695 \up0 \expndtw-6\charscalex100 17. \tab \up0 \expndtw0\charscalex102 Linds
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disi ke-6. Jakarta: EGC; \line \tab \up0 \expndtw-6\charscalex100 2006. hal. 467
-468. \par\pard\ql \li2268\sb0\sl-273\slmult0 \par\pard\ql\li2268\ri1442\sb15\sl
-273\slmult0\tx2695\tx2695\tx2695\tx2695 \up0 \expndtw-6\charscalex100 18. \tab
\up0 \expndtw-2\charscalex100 Cintron JR, Abcarian H. Benign Anorectal: He
morrhoids. In: Wolff BG, \line\tab \up0 \expndtw-3\charscalex100 Fleshman JW,
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dtw-4\charscalex100 ASCRS Textbook of Colon and Rectal Surgery. Pensylvania: Spr
inger Science: \line \tab \up0 \expndtw-6\charscalex100 2007. p.156. \par\pard\l
i2268\sb0\sl-276\slmult0\par\pard\li2268\sb15\sl-276\slmult0\fi0\tx2695 \up0 \ex
pndtw-1\charscalex100 19.\tab \up0 \expndtw0\charscalex100 Snell R. Anatomi Klin
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\li2268\ri1446\sb259\sl-280\slmult0\tx2695\tx2695 \up0 \expndtw-6\charscalex100
20. \tab \up0 \expndtw-3\charscalex100 Ramming KP. Penyakit Kolon dan Rektum. Da
lam: Sabiston DC, penyunting. \line\tab \up0 \expndtw-6\charscalex100 Buku Ajar
Bedah Volume 2. Jakarta: EGC; 2010. p. 14-17. \par\pard\ql \li2268\sb0\sl-270\sl
mult0 \par\pard\ql\li2268\ri1443\sb19\sl-270\slmult0\tx2695\tx2695\tx2695 \up0 \
expndtw-6\charscalex100 21. \tab \up0 \expndtw0\charscalex102 Guyton B, Hall
J. Propulsi dan Pencampuran Makanan dalam Saluran \line\tab \up0 \expndtw0
\charscalex100 Pencernaan. Dalam: Guyton B, Hall J, penyunting. Buku Aja
r Fisiologi \line \tab \up0 \expndtw-6\charscalex100 Kedokteran. Edisi ke-11. J
akarta: EGC; 2008. hal.830. \par\pard\qj \li2268\sb0\sl-280\slmult0 \par\pard\qj
\li2268\ri1446\sb2\sl-280\slmult0\tx2695\tx2695 \up0 \expndtw-6\charscalex100 22
. \tab \up0 \expndtw-2\charscalex100 Anoscopy. New York: Harvard Health Publicat
ions; 2010 [cited 2011 Nov 1]. \line\tab \up0 \expndtw-5\charscalex100 Available
from: http://www.health.harvard.edu/diagnostic-tests/anoscopy.htm. \par\pard\li
2268\sb0\sl-276\slmult0\par\pard\li2268\sb3\sl-276\slmult0\fi0\tx2695 \up0 \expn
dtw-3\charscalex100 23.\tab \up0 \expndtw-2\charscalex100 Constipation. Baltimor
e: University of Maryland Medical Center; 2009 [cited\par\pard\li2268\sb0\sl-276

\slmult0\fi427 \up0 \expndtw-3\charscalex100 2011 Nov 5]. Available from:\par\pa
rd\ql \li2695\sb1\sl-267\slmult0 \up0 \expndtw-6\charscalex100 http://www.umm.ed
u/altmed/articles/constipation-000041.htm.
}
}}
}}
r\pard\ql \li2268\sb0\sl-270\slmult0 \par\pard\ql\li2268\ri1439\sb23\sl-270\slmu
lt0\tx2695\tx2695\tx2695 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf4\f5\fs
24 24. \tab \up0 \expndtw-3\charscalex100 Alonso P, Mills E, Heels D, Lopez M, Z
hou Q, Johanson JF, et al. Fiber for the \line\tab \up0 \expndtw-1\charscalex100
Treatment of Hemorrhoid Complications: a systematic review and meta-\li
ne \tab \up0 \expndtw-6\charscalex100 analysis. Am J Gastroenterol. 2006; 101(1)
: 181-8. \par\pard\li2268\sb0\sl-276\slmult0\par\pard\li2268\sb19\sl-276\slmult0
\fi0\tx2695 \up0 \expndtw-3\charscalex100 25.\tab \up0 \expndtw-2\charscalex100
Siregar CT. Kebutuhan Dasar Manusia Eliminasi B.A.B [karya tulis ilmiah].\par\pa
rd\li2268\sb0\sl-276\slmult0\fi427 \up0 \expndtw-3\charscalex100 Medan: Universi
tas Sumatera Utara; 2004.\par\pard\qj \li2268\ri1442\sb256\sl-280\slmult0\tx2695
\tx2695 \up0 \expndtw-6\charscalex100 26. \tab \up0 \expndtw-1\charscalex100 Hem
orrhoids and What to Do about Them. New York: Harvard Health \line\tab
\up0 \expndtw-6\charscalex100 Publications; 2004 [cited 2011 Nov 1]. Available
from: \par\pard\qj \li2695\ri1452\sb1\sl-280\slmult0 \up0 \expndtw-5\charscalex1
00 http://www.health.harvard.edu/newsweek/Hemorrhoids_and_what_to_do_about \up0
\expndtw-6\charscalex100 _them.htm. \par\pard\li2268\sb0\sl-276\slmult0\par\pard
\li2268\sb6\sl-276\slmult0\fi0\tx2695 \up0 \expndtw-3\charscalex100 27.\tab \up0
\expndtw-2\charscalex100 Merdikoputro D. Hemorrhoid pada Ibu Hamil. Suara Merde
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calex100 13.\par\pard\li2268\sb276\sl-276\slmult0\fi0\tx2695 \up0 \expndtw-3\cha
rscalex100 28.\tab \up0 \expndtw-2\charscalex100 Vohra S, Akoury H, Bernstein P,
Einarson TR, Pairaudeau N, Taddio A, et al.\par\pard\li2268\sb0\sl-276\slmult0\
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tw-3\charscalex100 Pregnancy. Journal of Obstetrics and Gynecology Canada. 2009.
\par\pard\li2268\sb276\sl-276\slmult0\fi0\tx2695 \up0 \expndtw-3\charscalex100 2
9.\tab \up0 \expndtw-2\charscalex100 Sastroasmoro S, Ismael S. Dasar-Dasar Metod
ologi Penelitian Klinis. Edisi ke-\par\pard\li2268\sb0\sl-276\slmult0\fi427 \up0
\expndtw-3\charscalex100 3. Jakarta: Sagung Seto; 2008.
}
}}
}}
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ar\pard\sect\sectd\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg67}
{\bkmkend Pg67}\par\pard\ql \li5321\sb0\sl-276\slmult0 \par\pard\ql\li5321\sb0\s
l-276\slmult0 \par\pard\ql\li5321\sb0\sl-276\slmult0 \par\pard\ql\li5321\sb0\sl-

\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 Form Informe
d Consent \par\pard\qj \li2695\sb0\sl-420\slmult0 \par\pard\qj\li2695\ri1504\sb6
\sl-420\slmult0\fi1012 \up0 \expndtw-3\charscalex100 Bapak-Ibu yang saya horm
ati, terima kasih atas kesediaannya \line \up0 \expndtw-3\charscalex100 menj
adi responden penelitian ini, yang berjudul \up0 \expndtw-3\charscalex100 \
u8220?\ul0\nosupersub\cf4\f5\fs24 Hubungan Kejadian \par\pard\qj \li2695\ri1504
\sb9\sl-410\slmult0 \up0 \expndtw-3\charscalex100 Konstipasi, Riwayat Tumor, Jen
is Aktivitas Fisik, Riwayat Hemorrhoid pada \line \up0 \expndtw-2\charscalex100
Keluarga, Lama Duduk, serta Posisi dan Lama Duduk saat Buang Air Besar \line \up
0 \expndtw-2\charscalex100 terhadap Kejadian Hemorrhoid pada Usia \up0 \expn
dtw-2\charscalex100 21-30 tahun.\u8221? Penelitian ini \par\pard\qj \li2695\r
i1505\sb6\sl-415\slmult0 \up0 \expndtw0\charscalex100 bertujuan untuk mengetahui
faktor-faktor resiko yang berhubungan dengan \up0 \expndtw-1\charscalex100 keja
dian hemorrhoid pada usia 21-30 tahun. Adapun manfaat dari penelitian \up0 \expn
dtw-2\charscalex100 ini adalah memberikan informasi kepada masyarakat meng
enai berbagai \up0 \expndtw-3\charscalex100 faktor yang mempengaruhi terjadinya
hemorrhoid. Sehingga dapat dilakukan \up0 \expndtw-5\charscalex100 upaya penceg
ahan terhadap penyakit tersebut. \par\pard\qj \li2695\ri1501\sb0\sl-415\slmult0\
fi705 \up0 \expndtw-2\charscalex100 Dalam penelitian ini, saya memohon kese
diaan Bapak-Ibu untuk \up0 \expndtw-1\charscalex100 diwawancarai selama 1 jam.
Hasil penelitian ini akan saya rahasiakan dari \up0 \expndtw0\charscalex104 pih
ak-pihak yang tidak berkepentingan. Bila ada hal-hal yang ingin \up0 \ex
pndtw0\charscalex102 ditanyakan lebih lanjut mengenai penelitian ini,
Bapak-Ibu dapat \up0 \expndtw-3\charscalex100 menghubungi Bifirda Ulima (085
649032555) \par\pard\qj \li2695\ri1502\sb0\sl-410\slmult0\fi705 \up0 \expndtw-4\
charscalex100 Setelah mendapatkan penjelasan secara rinci dan memahami prosedur
\line \up0 \expndtw0\charscalex100 penelitian ini maupun risiko yang akan timbul
, saya bersedia berpartisipasi \line \up0 \expndtw-1\charscalex100 sebagai resp
onden dalam penelitian \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf9\f10\f
s24 \u8220?\ul0\nosupersub\cf4\f5\fs24 Hubungan Kejadian Konstipasi, \par\pard
\qj \li2695\ri1502\sb6\sl-410\slmult0 \up0 \expndtw-1\charscalex100 Riwayat Tumo
r, Jenis Aktivitas Fisik, Riwayat Hemorrhoid pada Keluarga, \up0 \expndtw-1\char
scalex100 Lama Duduk, serta Posisi dan Lama Duduk saat Buang Air Besar terhadap
\up0 \expndtw-5\charscalex100 Kejadian Hemorrhoid pada Usia 21-30 tahun.\u8221?
\par\pard\li2695\sb0\sl-276\slmult0\par\pard\li2695\sb270\sl-276\slmult0\fi4613\
tx9470 \up0 \expndtw-5\charscalex100 Semarang,\tab \up0 \expndtw-5\charscalex100
2012\par\pard\li2695\sb0\sl-276\slmult0\par\pard\li2695\sb0\sl-276\slmult0\par\
pard\li2695\sb1\sl-276\slmult0\fi57\tx6041\tx9150 \up0 \expndtw-5\charscalex100
\ul0\nosupersub\cf9\f10\fs24 Responden\tab \up0 \expndtw-5\charscalex100 Saksi\t
ab \up0 \expndtw-5\charscalex100 Peneliti\par\pard\li2695\sb0\sl-276\slmult0\par
\pard\li2695\sb0\sl-276\slmult0\par\pard\li2695\sb0\sl-276\slmult0\par\pard\li26
95\sb0\sl-276\slmult0\par\pard\li2695\sb276\sl-276\slmult0\fi0\tldot\tx3629\tx56
07\tldot\tx6709\tx8749 \up0 \expndtw-5\charscalex100 (...\tab \up0 \expndtw-5\ch
arscalex100 ..)\tab \up0 \expndtw-5\charscalex100 (...\tab \up0 \expndtw-5\chars
calex100 ..)\tab \up0 \expndtw-5\charscalex100 (Bifirda Ulima)\par\pard\sect\sec
td\fs24\paperw11900\paperh16820\pard\sb0\sl-240{\bkmkstart Pg68}{\bkmkend Pg68}\
ard\ql\li5069\sb0\sl-276\slmult0 \par\pard\ql\li5069\sb80\sl-276\slmult0 \up0 \e
xpndtw-5\charscalex100 \ul0\nosupersub\cf9\f10\fs24 KUESIONER PENELITIAN \par\pa
rd\ql \li2714\sb0\sl-380\slmult0 \par\pard\ql\li2714\ri1479\sb59\sl-380\slmult0\
tx3199\tx3886 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf24\f25\fs22 HUBUNG
AN KEJADIAN KONSTIPASI, RIWAYAT TUMOR, JENIS AKTIVITAS \up0 \expndtw-5\charscale
x100 FISIK, RIWAYAT HEMORRHOID PADA KELUARGA , LAMA DUDUK, SERTA \line\tab \up0
\expndtw-5\charscalex100 POSISI DAN LAMA DUDUK SAAT BUANG AIR BESAR TERHADAP \li
ne \tab \up0 \expndtw-5\charscalex100 KEJADIAN HEMORRHOID PADA USIA 21-30 TAHUN
\par\pard\li2693\sb0\sl-276\slmult0\par\pard\li2693\sb258\sl-276\slmult0\fi2\tx5
149\tldot\tx5614\tx6132 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf9\f10\fs

24 Tanggal wawancara\tab \up0 \expndtw-5\charscalex100 : ...\tab \up0 \expndtw-5
\charscalex100 ../...\tab \up0 \expndtw-5\charscalex100 ../...\par\pard\li2693\s
\slmult0\fi0 \up0 \expndtw-5\charscalex100 DATA IDENTITAS PASIEN\par\pard\li2693
\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 1\tab \up0 \expnd
tw-5\charscalex100 Kode Pasien :\par\pard\li2693\sb146\sl-276\slmult0\fi0\tx3228
\up0 \expndtw-5\charscalex100 2\tab \up0 \expndtw-5\charscalex100 Nama Pasien :
\par\pard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 3
\tab \up0 \expndtw-5\charscalex100 Jenis kelamin :\par\pard\li2693\sb137\sl-276\
slmult0\fi851 \up0 \expndtw-5\charscalex100 a.\ul0\nosupersub\cf17\f18\fs24 \ul
0\nosupersub\cf9\f10\fs24 Laki-laki\par\pard\li2693\sb139\sl-276\slmult0\fi851 \
up0 \expndtw-5\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf
9\f10\fs24 Perempuan\par\pard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expnd
tw-5\charscalex100 4\tab \up0 \expndtw-5\charscalex100 Usia :\par\pard\li2693\sb
147\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 5\tab \up0 \expndtw5\charscalex100 Alamat :\par\pard\li2693\sb0\sl-276\slmult0\par\pard\li2693\sb0\
sl-276\slmult0\par\pard\li2693\sb9\sl-276\slmult0\fi0 \up0 \expndtw-5\charscalex
100 PERTANYAAN SKRINING\par\pard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \ex
pndtw-5\charscalex100 6\tab \up0 \expndtw-5\charscalex100 Apakah Saudara merasa
sering keluar darah dari anus?\par\pard\li2693\sb139\sl-276\slmult0\fi851 \up0 \
expndtw-5\charscalex100 a.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10
\fs24 Ya\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0 \expndtw-5\charscalex10
0 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak\par\pard\l
i2693\sb150\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 7\tab \up0 \
expndtw-5\charscalex100 Apakah Saudara merasa terdapat penonjolan pada anus?\par
\pard\li2693\sb136\sl-276\slmult0\fi851 \up0 \expndtw-5\charscalex100 a.\ul0\nos
upersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya\par\pard\li2693\sb139\sl276\slmult0\fi851 \up0 \expndtw-5\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24
\ul0\nosupersub\cf9\f10\fs24 Tidak\par\pard\li2693\sb147\sl-276\slmult0\fi0\tx3
228 \up0 \expndtw-5\charscalex100 8\tab \up0 \expndtw-5\charscalex100 Apakah Sau
dara sering merasa gatal pada anus?\par\pard\li2693\sb139\sl-276\slmult0\fi851 \
up0 \expndtw-5\charscalex100 a.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf
9\f10\fs24 Ya\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0 \expndtw-5\charsca
lex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak\par\p
ard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 9\tab \
up0 \expndtw-5\charscalex100 Apakah anus Saudara sering mengeluarkan lendir?\par
\pard\li2693\sb136\sl-276\slmult0\fi851 \up0 \expndtw-5\charscalex100 a.\ul0\nos
upersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya\par\pard\ql \li3545\sb139
\sl-276\slmult0 \up0 \expndtw0\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \u
l0\nosupersub\cf9\f10\fs24 Tidak
}
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pbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz1405\shplid93{\sp{\sn shapeType
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-276\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf9\f10\fs24 DATA KEJ
ADIAN KONSTIPASI \par\pard\li2693\sb166\sl-276\slmult0\fi0\tx3228 \up0 \expndtw5\charscalex100 10\tab \up0 \expndtw-5\charscalex100 Apakah Saudara sering meras
a susah untuk buang air besar?\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0 \
i2693\sb147\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 11\tab \up0
\expndtw-5\charscalex100 Apakah Saudara perlu mengejan ketika buang air besar?\p
ar\pard\li2693\sb139\sl-276\slmult0\fi851 \up0 \expndtw-5\charscalex100 a.\ul0\n
osupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya\par\pard\li2693\sb137\s
l-276\slmult0\fi851 \up0 \expndtw-5\charscalex100 b.\ul0\nosupersub\cf17\f18\fs2
4 \ul0\nosupersub\cf9\f10\fs24 Tidak\par\pard\li2693\sb149\sl-276\slmult0\fi0\t
x3228 \up0 \expndtw-5\charscalex100 12\tab \up0 \expndtw-5\charscalex100 Bagaima
na konsistensi feses Saudara saat buang air besar?\par\pard\li2693\sb139\sl-276\
slmult0\fi851 \up0 \expndtw-5\charscalex100 a.\ul0\nosupersub\cf17\f18\fs24 \ul
0\nosupersub\cf9\f10\fs24 Keras\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0
\expndtw-5\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f1
0\fs24 Lunak\par\pard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\cha
rscalex100 13\tab \up0 \expndtw-5\charscalex100 Bagaimana frekuensi buang air be
sar Saudara?\par\pard\li2693\sb137\sl-276\slmult0\fi851\tx3828 \up0 \expndtw-5\c
harscalex100 a.\tab \up0 \expndtw-5\charscalex100 < 3x dalam seminggu\par\pard\l
i2693\sb139\sl-276\slmult0\fi851 \up0 \expndtw-5\charscalex100 b.\ul0\nosupersub
\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 > 3x dalam seminggu\par\pard\li2693
\sb146\sl-276\slmult0\fi0 \up0 \expndtw-5\charscalex100 DATA RIWAYAT TUMOR\par\p

ard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 14\tab
\up0 \expndtw-5\charscalex100 Apakah Saudara pernah menderita tumor rektum?\par\
pard\li2693\sb137\sl-276\slmult0\fi851 \up0 \expndtw-5\charscalex100 a.\ul0\nosu
persub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya\par\pard\li2693\sb139\sl-2
76\slmult0\fi851 \up0 \expndtw-5\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24
\ul0\nosupersub\cf9\f10\fs24 Tidak\par\pard\li2693\sb149\sl-276\slmult0\fi0\tx32
28 \up0 \expndtw-5\charscalex100 15\tab \up0 \expndtw-5\charscalex100 Apakah Sau
dara sedang menderita tumor rektum?\par\pard\li2693\sb137\sl-276\slmult0\fi851 \
up0 \expndtw-5\charscalex100 a.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf
9\f10\fs24 Ya\par\pard\li2693\sb139\sl-276\slmult0\fi851 \up0 \expndtw-5\charsca
lex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak\par\p
ard\li2693\sb147\sl-276\slmult0\fi0 \up0 \expndtw-5\charscalex100 DATA JENIS AKT
IVITAS FISIK\par\pard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-5\cha
rscalex100 16\tab \up0 \expndtw-5\charscalex100 Apakah Saudara gemar berolahraga
?\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0 \expndtw-5\charscalex100 a.\ul
0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak\par\pard\ql \li35
45\sb128\sl-276\slmult0 \up0 \expndtw0\charscalex103 b.\ul0\nosupersub\cf17\f18\
fs24 \ul0\nosupersub\cf9\f10\fs24 Ya \par\pard\ql \li2693\sb144\sl-276\slmult0\
tx3228 \up0 \expndtw-5\charscalex100 17 \tab \up0 \expndtw-6\charscalex100 Apaka
h jenis olahraga yang sering dilakukan pasien? \par\pard\ql \li3545\sb144\sl-276
\slmult0 \up0 \expndtw-4\charscalex100 a.\ul0\nosupersub\cf17\f18\fs24 \ul0\nos
upersub\cf9\f10\fs24 Angkat besi, berkuda, bersepeda \par\pard\ql \li3545\sb144\
sl-276\slmult0 \up0 \expndtw-4\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \u
l0\nosupersub\cf9\f10\fs24 Jogging, lari, senam \par\pard\li2693\sb150\sl-276\sl
mult0\fi0\tx3228 \up0 \expndtw-5\charscalex100 18\tab \up0 \expndtw-4\charscalex
100 Apakah pekerjaan Saudara termasuk pekerjan berat seperti kuli bangunan,\par\
pard\li2693\sb139\sl-276\slmult0\fi535 \up0 \expndtw-5\charscalex100 kuli panggu
l?\par\pard\ql \li3588\sb123\sl-276\slmult0 \up0 \expndtw-3\charscalex100 a.\ul0
\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya
}
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-276\slmult0 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\cf9\f10\fs24 b.\ul0\n
osupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak \par\pard\li2693\sb1
66\sl-276\slmult0\fi0\tx3228\tx8886\tx9531 \up0 \expndtw-4\charscalex100 19\tab
\up0 \expndtw-4\charscalex100 Apakah pekerjaan Saudara termasuk pekerjaan y
ang\tab \up0 \expndtw-4\charscalex100 lebih\tab \up0 \expndtw-4\charscalex100 ba
nyak\par\pard\li2693\sb137\sl-276\slmult0\fi535 \up0 \expndtw-4\charscalex100 me
nghabiskan waktu dengan duduk?\par\pard\li2693\sb139\sl-276\slmult0\fi895 \up0 \
i2693\sb149\sl-276\slmult0\fi0 \up0 \expndtw-4\charscalex100 DATA KETURUNAN HEMO
RRHOID\par\pard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-4\charscale
x100 20\tab \up0 \expndtw-4\charscalex100 Apakah orang tua Saudara menderita hem
orrhoid?\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0 \expndtw-4\charscalex10
0 a.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya\par\pard\li26
93\sb139\sl-276\slmult0\fi851 \up0 \expndtw-4\charscalex100 b.\ul0\nosupersub\cf
17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak\par\pard\li2693\sb147\sl-276\slm
ult0\fi0\tx3228 \up0 \expndtw-4\charscalex100 21\tab \up0 \expndtw-4\charscalex1
00 Apakah anak Saudara tersebut menderita hemorrhoid?\par\pard\li2693\sb139\sl-2
76\slmult0\fi851 \up0 \expndtw-4\charscalex100 a.\ul0\nosupersub\cf17\f18\fs24
\ul0\nosupersub\cf9\f10\fs24 Ya\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0
\expndtw-4\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f1
0\fs24 Tidak\par\pard\li2693\sb148\sl-276\slmult0\fi0 \up0 \expndtw-4\charscalex
100 DATA LAMA DUDUK\par\pard\li2693\sb147\sl-276\slmult0\fi0\tx3228 \up0 \expndt
w-4\charscalex100 22\tab \up0 \expndtw-4\charscalex100 Berapa lama Saudara duduk
dalam sehari?\par\pard\li2693\sb139\sl-276\slmult0\fi851\tx3828 \up0 \expndtw-4
\charscalex100 a.\tab \up0 \expndtw-4\charscalex100 > 8 jam/hari\par\pard\li2693

\sb137\sl-276\slmult0\fi851 \up0 \expndtw-4\charscalex100 b.\ul0\nosupersub\cf17
\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 < 8jam/hari\par\pard\li2693\sb149\sl-276
\slmult0\fi0 \up0 \expndtw-4\charscalex100 DATA LAMA DAN POSISI BUANG AIR BESAR\
par\pard\li2693\sb149\sl-276\slmult0\fi0\tx3228 \up0 \expndtw-4\charscalex100 23
\tab \up0 \expndtw-4\charscalex100 Apakah Saudara menggunakan kloset duduk ketik
a buang air besar?\par\pard\li2693\sb137\sl-276\slmult0\fi851 \up0 \expndtw-4\ch
arscalex100 a.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya\par
\pard\li2693\sb139\sl-276\slmult0\fi851 \up0 \expndtw-4\charscalex100 b.\ul0\nos
upersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak\par\pard\li2693\sb146\
sl-276\slmult0\fi0\tx3228 \up0 \expndtw-4\charscalex100 24\tab \up0 \expndtw-4\c
harscalex100 Berapa lama waktu yang Saudara perlukan untuk setiap kali buang air
\par\pard\li2693\sb140\sl-276\slmult0\fi535 \up0 \expndtw-4\charscalex100 besar?
\par\pard\li2693\sb137\sl-276\slmult0\fi851\tx3828 \up0 \expndtw-4\charscalex100
a.\tab \up0 \expndtw-4\charscalex100 > 5 menit\par\pard\ql \li3545\sb128\sl-276
\slmult0 \up0 \expndtw-2\charscalex100 b.\ul0\nosupersub\cf17\f18\fs24 \ul0\nos
upersub\cf9\f10\fs24 < 5 menit \par\pard\ql \li2693\sb144\sl-276\slmult0\tx3228
\up0 \expndtw-5\charscalex100 25 \tab \up0 \expndtw-2\charscalex100 Apakah Sauda
ra sembari melakukan pekerjaan lain saat buang air besar \par\pard\ql \li3228\sb
144\sl-276\slmult0 \up0 \expndtw-6\charscalex100 seperti sambil membaca buku/ma
jalah/koran? \par\pard\ql \li3545\sb144\sl-276\slmult0 \up0 \expndtw0\charscalex
106 a.\ul0\nosupersub\cf17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Ya \par\pard\q
l \li3545\sb124\sl-276\slmult0 \up0 \expndtw0\charscalex100 b.\ul0\nosupersub\cf
17\f18\fs24 \ul0\nosupersub\cf9\f10\fs24 Tidak
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x100 \ul0\nosupersub\cf35\f36\fs26 Jenis kelamin \par\pard\ql \li3573\sb0\sl-207
\slmult0 \par\pard\ql\li3573\sb150\sl-207\slmult0 \up0 \expndtw-2\charscalex100
\ul0\nosupersub\cf36\f37\fs18 Jenis kelamin responden * Penderita hemorrhoid Cro
sstabulation \par\pard\ql \li8569\sb0\sl-207\slmult0 \par\pard\ql\li8569\sb146\s
l-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 Pender
ita hemorrhoid \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb159\sl-207\
slmult0\fi6313\tx9674 \up0 \expndtw-2\charscalex100 Kasus\tab \up0 \expndtw-2\ch
arscalex100 Kontrol\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb148\sl207\slmult0\fi0\tx4738\tx6010\tx9263\tx10214 \up0 \expndtw-2\charscalex100 Jenis
kelamin responden\tab \up0 \expndtw-2\charscalex100 Laki-laki\tab \up0 \expndtw
-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 7\tab \up0 \expndtw-2\c
harscalex100 11\par\pard\li4738\sb0\sl-207\slmult0\par\pard\li4738\sb146\sl-207\
slmult0\fi1271\tx9114\tx10163 \up0 \expndtw-2\charscalex100 Expected Count\tab \
up0 \expndtw-2\charscalex100 9.0\tab \up0 \expndtw-2\charscalex100 9.0\par\pard\
li4738\sb0\sl-207\slmult0\par\pard\li4738\sb145\sl-207\slmult0\fi1271\tx8852\tx9
902 \up0 \expndtw-2\charscalex100 % within Jenis kelamin\tab \up0 \expndtw-2\cha
rscalex100 38.9%\tab \up0 \expndtw-2\charscalex100 61.1%\par\pard\li4738\sb115\s
l-207\slmult0\fi1271 \up0 \expndtw-2\charscalex100 responden\par\pard\li4738\sb0
\sl-207\slmult0\par\pard\li4738\sb145\sl-207\slmult0\fi1271\tx8852\tx9902 \up0 \
expndtw-2\charscalex100 % within Penderita\tab \up0 \expndtw-2\charscalex100 25.
9%\tab \up0 \expndtw-2\charscalex100 40.7%\par\pard\li4738\sb112\sl-207\slmult0\
fi1271 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li4738\sb0\sl-207\slmul
t0\par\pard\li4738\sb148\sl-207\slmult0\fi1271\tx8852\tx9902 \up0 \expndtw-2\cha
rscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 13.0%\tab \up0 \expndtw2\charscalex100 20.4%\par\pard\li4738\sb0\sl-207\slmult0\par\pard\li4738\sb145\s
l-207\slmult0\fi0\tx6010\tx9165\tx10214 \up0 \expndtw-2\charscalex100 Perempuan\
tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 20\tab
\up0 \expndtw-2\charscalex100 16\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li
2347\sb145\sl-207\slmult0\fi3663\tx9013\tx10062 \up0 \expndtw-2\charscalex100 Ex
pected Count\tab \up0 \expndtw-2\charscalex100 18.0\tab \up0 \expndtw-2\charscal
ex100 18.0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb148\sl-207\slmul
t0\fi3663\tx8852\tx9902 \up0 \expndtw-2\charscalex100 % within Jenis kelamin\tab
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50.0%\par\pard\li6010\sb112\sl-207\slmult0\fi0 \up0 \expndtw-2\charscalex100 re
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}
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x100 \ul0\nosupersub\cf35\f36\fs26 Derajat hemorrhoid \par\pard\ql \li3773\sb0\s
x100 \ul0\nosupersub\cf36\f37\fs18 Tingkat hemorrhoid respoden * Penderita hemor
rhoid Crosstabulation \par\pard\ql \li9410\sb0\sl-207\slmult0 \par\pard\ql\li941
0\sb146\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs
18 Penderita hemorrhoid \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb15
9\sl-207\slmult0\fi7175\tx10494 \up0 \expndtw-2\charscalex100 Kasus\tab \up0 \ex
pndtw-2\charscalex100 Kontrol\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347
\sb148\sl-207\slmult0\fi0\tx4659\tx6990\tx10106\tx11111 \up0 \expndtw-2\charscal
ex100 Tingkat hemorrhoid\tab \up0 \expndtw-2\charscalex100 hemorrhoid eksterna\t
ab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 3\tab \
up0 \expndtw-2\charscalex100 0\par\pard\li2347\sb113\sl-207\slmult0\fi0 \up0 \ex
pndtw-2\charscalex100 respoden\par\pard\li4659\sb33\sl-207\slmult0\fi2330\tx9957
\tx10962 \up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\charsc
alex100 1.5\tab \up0 \expndtw-2\charscalex100 1.5\par\pard\li4659\sb0\sl-207\slm
ult0\par\pard\li4659\sb145\sl-207\slmult0\fi2330\tx9597\tx10902 \up0 \expndtw-2\
charscalex100 % within Tingkat\tab \up0 \expndtw-2\charscalex100 100.0%\tab \up0
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expndtw-2\charscalex100 hemorrhoid respoden\par\pard\li4659\sb0\sl-207\slmult0\p
ar\pard\li4659\sb145\sl-207\slmult0\fi2330\tx9695\tx10902 \up0 \expndtw-2\charsc
alex100 % within Penderita\tab \up0 \expndtw-2\charscalex100 11.1%\tab \up0 \exp
ndtw-2\charscalex100 .0%\par\pard\li4659\sb112\sl-207\slmult0\fi2330 \up0 \expnd
tw-2\charscalex100 hemorrhoid\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659
\sb148\sl-207\slmult0\fi2330\tx9796\tx10902 \up0 \expndtw-2\charscalex100 % of T
otal\tab \up0 \expndtw-2\charscalex100 5.6%\tab \up0 \expndtw-2\charscalex100 .0
%\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb145\sl-207\slmult0\fi0\tx
6990\tx10106\tx11111 \up0 \expndtw-2\charscalex100 hemorrhoid interna grade I\ta
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p0 \expndtw-2\charscalex100 0\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659
\sb145\sl-207\slmult0\fi2330\tx9957\tx10962 \up0 \expndtw-2\charscalex100 Expect
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3.5\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb148\sl-207\slmult0\fi2
330\tx9597\tx10902 \up0 \expndtw-2\charscalex100 % within Tingkat\tab \up0 \expn
dtw-2\charscalex100 100.0%\tab \up0 \expndtw-2\charscalex100 .0%\par\pard\li4659
\sb112\sl-207\slmult0\fi2330 \up0 \expndtw-2\charscalex100 hemorrhoid respoden\p
ar\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb145\sl-207\slmult0\fi2330\tx
9695\tx10902 \up0 \expndtw-2\charscalex100 % within Penderita\tab \up0 \expndtw2\charscalex100 25.9%\tab \up0 \expndtw-2\charscalex100 .0%\par\pard\li4659\sb11
5\sl-207\slmult0\fi2330 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li4659
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up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 13.0%\
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d\li4659\sb146\sl-207\slmult0\fi0\tx6990\tx10106\tx11111 \up0 \expndtw-2\charsca
lex100 hemorrhoid interna grade II\tab \up0 \expndtw-2\charscalex100 Count\tab \
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}
g73}{\bkmkend Pg73}\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb0\sl-20
7\slmult0\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb0\sl-207\slmult0\
par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb0\sl-207\slmult0\par\pard\l
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sl-207\slmult0\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb110\sl-207\s
lmult0\fi0\tx6990\tx10106\tx11111 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\
cf37\f38\fs18 hemorrhoid interna grade\tab \up0 \expndtw-2\charscalex100 Count\t
ab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 0\par\pard\
ql \li4659\sb102\sl-207\slmult0 \up0 \expndtw-2\charscalex100 III \par\pard\li46
59\sb43\sl-207\slmult0\fi2330\tx9957\tx10962 \up0 \expndtw-2\charscalex100 Expec
ted Count\tab \up0 \expndtw-2\charscalex100 3.0\tab \up0 \expndtw-2\charscalex10
0 3.0\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb145\sl-207\slmult0\fi
2330\tx9597\tx10902 \up0 \expndtw-2\charscalex100 % within Tingkat\tab \up0 \exp
ndtw-2\charscalex100 100.0%\tab \up0 \expndtw-2\charscalex100 .0%\par\pard\li465
9\sb115\sl-207\slmult0\fi2330 \up0 \expndtw-2\charscalex100 hemorrhoid respoden\
par\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb145\sl-207\slmult0\fi2330\t
x9695\tx10902 \up0 \expndtw-2\charscalex100 % within Penderita\tab \up0 \expndtw
-2\charscalex100 22.2%\tab \up0 \expndtw-2\charscalex100 .0%\par\pard\li4659\sb1
\up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 11.1%
\tab \up0 \expndtw-2\charscalex100 .0%\par\pard\li4659\sb0\sl-207\slmult0\par\pa
rd\li4659\sb145\sl-207\slmult0\fi0\tx6990\tx10106\tx11111 \up0 \expndtw-2\charsc
alex100 hemorrhoid interna grade\tab \up0 \expndtw-2\charscalex100 Count\tab \up
0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 0\par\pard\ql \li
4659\sb102\sl-207\slmult0 \up0 \expndtw-2\charscalex100 IV \par\pard\li4659\sb43
\sl-207\slmult0\fi2330\tx9957\tx10962 \up0 \expndtw-2\charscalex100 Expected Cou
nt\tab \up0 \expndtw-2\charscalex100 3.0\tab \up0 \expndtw-2\charscalex100 3.0\p
ar\pard\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb148\sl-207\slmult0\fi2330\tx
9597\tx10902 \up0 \expndtw-2\charscalex100 % within Tingkat\tab \up0 \expndtw-2\
charscalex100 100.0%\tab \up0 \expndtw-2\charscalex100 .0%\par\pard\li4659\sb112
\sl-207\slmult0\fi2330 \up0 \expndtw-2\charscalex100 hemorrhoid respoden\par\par
d\li4659\sb0\sl-207\slmult0\par\pard\li4659\sb145\sl-207\slmult0\fi2330\tx9695\t
x10902 \up0 \expndtw-2\charscalex100 % within Penderita\tab \up0 \expndtw-2\char
scalex100 22.2%\tab \up0 \expndtw-2\charscalex100 .0%\par\pard\li4659\sb115\sl-2
07\slmult0\fi2330 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li4659\sb0\s
l-207\slmult0\par\pard\li4659\sb145\sl-207\slmult0\fi2330\tx9695\tx10902 \up0 \e
xpndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 11.1%\tab \u
p0 \expndtw-2\charscalex100 .0%\par\pard\li4659\sb0\sl-207\slmult0\par\pard\li46
tidak hemorrhoid\tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\ch
arscalex100 0\tab \up0 \expndtw-2\charscalex100 27\par\pard\li2347\sb0\sl-207\sl
mult0\par\pard\li2347\sb148\sl-207\slmult0\fi4642\tx9856\tx10861 \up0 \expndtw-2
\charscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100 13.5\tab \up0 \e
xpndtw-2\charscalex100 13.5\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\s
b145\sl-207\slmult0\fi4642\tx9897\tx10602 \up0 \expndtw-2\charscalex100 % within
Tingkat\tab \up0 \expndtw-2\charscalex100 .0%\tab \up0 \expndtw-2\charscalex100
100.0%\par\pard\li2347\sb112\sl-207\slmult0\fi4642 \up0 \expndtw-2\charscalex10
0 hemorrhoid respoden\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb149\s
l-207\slmult0\fi4642\tx9897\tx10602 \up0 \expndtw-2\charscalex100 % within Pende
rita\tab \up0 \expndtw-2\charscalex100 .0%\tab \up0 \expndtw-2\charscalex100 100
.0%\par\pard\li2347\sb112\sl-207\slmult0\fi4642 \up0 \expndtw-2\charscalex100 he
morrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0
\fi4642\tx9897\tx10701 \up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expndt
w-2\charscalex100 .0%\tab \up0 \expndtw-2\charscalex100 50.0%\par\pard\li2347\sb
0\sl-207\slmult0\par\pard\li2347\sb126\sl-207\slmult0\fi0\tx6990\tx10007\tx11013
\up0 \expndtw-2\charscalex100 Total\tab \up0 \expndtw-2\charscalex100 Count\tab
\up0 \expndtw-2\charscalex100 27\tab \up0 \expndtw-2\charscalex100 27\par\pard\
1 \up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100
27.0\tab \up0 \expndtw-2\charscalex100 27.0\par\pard\li6990\sb0\sl-207\slmult0\
par\pard\li6990\sb145\sl-207\slmult0\fi0\tx9695\tx10701 \up0 \expndtw-2\charscal
ex100 % within Tingkat\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw
-2\charscalex100 50.0%\par\pard\ql \li6990\sb101\sl-207\slmult0 \up0 \expndtw-2\
charscalex100 hemorrhoid respoden

}
}}
}
}}
}
}}
}
}}
}
}}

}
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}}
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}}
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}}

}}
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}}
}
}}
{\sp{\sn pVerticies}{\sv 8;5;(0,513);(0,513);(0,0);(4642,0);(4642,513)}}
{\sp{\sn pSegmentInfo}{\sv 2;12;16384;45824;1;45824;1;45824;1;45824;1;45824;2457
7;32768}}
}}
}
}}
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}
sl-207\slmult0\par\pard\li2268\sb0\sl-207\slmult0\par\pard\li2268\sb88\sl-207\sl
mult0\fi4721\tx9597\tx10602 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f
38\fs18 % within Penderita\tab \up0 \expndtw-2\charscalex100 100.0%\tab \up0 \ex
pndtw-2\charscalex100 100.0%\par\pard\li2268\sb115\sl-207\slmult0\fi4721 \up0 \e
xpndtw-2\charscalex100 hemorrhoid\par\pard\li2268\sb0\sl-207\slmult0\par\pard\li
2268\sb145\sl-207\slmult0\fi4721\tx9695\tx10701 \up0 \expndtw-2\charscalex100 %
of Total\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex1
00 50.0%\par\pard\li2268\sb0\sl-299\slmult0\par\pard\li2268\sb0\sl-299\slmult0\p
ar\pard\li2268\sb146\sl-299\slmult0\fi0 \up0 \expndtw-3\charscalex100 \ul0\nosup
ersub\cf35\f36\fs26 Kejadian konstipasi\par\pard\ql \li3490\sb0\sl-207\slmult0 \
par\pard\ql\li3490\sb133\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosup
ersub\cf36\f37\fs18 Kebiasaan konstipasi responden * Penderita hemorrhoid Crosst
abulation \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb169\sl-207\slmul
t0\fi5713 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 Penderita
hemorrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb147\sl-207\slmul
t0\fi5799\tx9165\tx10276 \up0 \expndtw-2\charscalex100 Kasus\tab \up0 \expndtw-2
\charscalex100 Kontrol\tab \up0 \expndtw-2\charscalex100 Total\par\pard\li2347\s
b0\sl-207\slmult0\par\pard\li2347\sb146\sl-207\slmult0\fi0\tx4755\tx5497\tx8651\
tx9710\tx10708 \up0 \expndtw-2\charscalex100 Kebiasaan konstipasi\tab \up0 \expn
dtw-2\charscalex100 Ya\tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw
-2\charscalex100 15\tab \up0 \expndtw-2\charscalex100 10\tab \up0 \expndtw-2\cha
rscalex100 25\par\pard\li2347\sb112\sl-207\slmult0\fi0 \up0 \expndtw-2\charscale
x100 responden\par\pard\li2347\sb33\sl-207\slmult0\fi3149\tx8499\tx9558\tx10557
\up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100 1
2.5\tab \up0 \expndtw-2\charscalex100 12.5\tab \up0 \expndtw-2\charscalex100 25.
0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb147\sl-207\slmult0\fi3149
\tx8339\tx9397\tx10298 \up0 \expndtw-2\charscalex100 % within Kebiasaan\tab \up0
\expndtw-2\charscalex100 60.0%\tab \up0 \expndtw-2\charscalex100 40.0%\tab \up0
\expndtw-2\charscalex100 100.0%\par\pard\li2347\sb113\sl-207\slmult0\fi3149 \up
0 \expndtw-2\charscalex100 konstipasi responden\par\pard\li2347\sb0\sl-207\slmul
t0\par\pard\li2347\sb145\sl-207\slmult0\fi3149\tx8339\tx9397\tx10396 \up0 \expnd
tw-2\charscalex100 % within Penderita\tab \up0 \expndtw-2\charscalex100 55.6%\ta
b \up0 \expndtw-2\charscalex100 37.0%\tab \up0 \expndtw-2\charscalex100 46.3%\pa
r\pard\li2347\sb115\sl-207\slmult0\fi3149 \up0 \expndtw-2\charscalex100 hemorrho
id\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi314
9\tx8339\tx9397\tx10396 \up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expnd
tw-2\charscalex100 27.8%\tab \up0 \expndtw-2\charscalex100 18.5%\tab \up0 \expnd
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00 Tidak\tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex1

00 12\tab \up0 \expndtw-2\charscalex100 17\tab \up0 \expndtw-2\charscalex100 29\
par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb148\sl-207\slmult0\fi3149\t
x8499\tx9558\tx10557 \up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expn
dtw-2\charscalex100 14.5\tab \up0 \expndtw-2\charscalex100 14.5\tab \up0 \expndt
w-2\charscalex100 29.0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb146\
sl-207\slmult0\fi3149\tx8339\tx9397\tx10298 \up0 \expndtw-2\charscalex100 % with
in Kebiasaan\tab \up0 \expndtw-2\charscalex100 41.4%\tab \up0 \expndtw-2\charsca
lex100 58.6%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li2347\sb112\sl-2
07\slmult0\fi3149 \up0 \expndtw-2\charscalex100 konstipasi responden\par\pard\li
7\tx10396 \up0 \expndtw-2\charscalex100 % within Penderita\tab \up0 \expndtw-2\c
harscalex100 44.4%\tab \up0 \expndtw-2\charscalex100 63.0%\tab \up0 \expndtw-2\c
harscalex100 53.7%\par\pard\li2347\sb113\sl-207\slmult0\fi3149 \up0 \expndtw-2\c
harscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145
\sl-207\slmult0\fi3149\tx8339\tx9397\tx10396 \up0 \expndtw-2\charscalex100 % of
Total\tab \up0 \expndtw-2\charscalex100 22.2%\tab \up0 \expndtw-2\charscalex100
31.5%\tab \up0 \expndtw-2\charscalex100 53.7%\par\pard\li2347\sb0\sl-207\slmult0
\par\pard\li2347\sb126\sl-207\slmult0\fi0\tx5497\tx8651\tx9710\tx10708 \up0 \exp
ndtw-2\charscalex100 Total\tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \exp
ndtw-2\charscalex100 27\tab \up0 \expndtw-2\charscalex100 27\tab \up0 \expndtw-2
\charscalex100 54\par\pard\li5497\sb0\sl-207\slmult0\par\pard\li5497\sb147\sl-20
7\slmult0\fi0\tx8499\tx9558\tx10557 \up0 \expndtw-2\charscalex100 Expected Count
\tab \up0 \expndtw-2\charscalex100 27.0\tab \up0 \expndtw-2\charscalex100 27.0\t
ab \up0 \expndtw-2\charscalex100 54.0
}
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}
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}}

}
}}
}
mult0\fi0\tx8339\tx9397\tx10298 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf
37\f38\fs18 % within Kebiasaan\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0
\expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard
\ql \li5497\sb104\sl-207\slmult0 \up0 \expndtw-2\charscalex100 konstipasi respon
den \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb156\sl-207\slmult0\fi3
149\tx8240\tx9299\tx10298 \up0 \expndtw-2\charscalex100 % within Penderita\tab \
up0 \expndtw-2\charscalex100 100.0%\tab \up0 \expndtw-2\charscalex100 100.0%\tab
\up0 \expndtw-2\charscalex100 100.0%\par\pard\li2347\sb112\sl-207\slmult0\fi314
9 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207\slmult0\pa
r\pard\li2347\sb148\sl-207\slmult0\fi3149\tx8339\tx9397\tx10298 \up0 \expndtw-2\
charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expnd
tw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li234
7\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-2
07\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb120\sl-207\slmul
t0\fi3586 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Chi-Square
Tests\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb150\sl-207\slmult0\f
i4479\tx8358\tx9808 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18
Asymp. Sig. (2-\tab \up0 \expndtw-2\charscalex100 Exact Sig. (2-\tab \up0 \expnd
tw-2\charscalex100 Exact Sig. (1-\par\pard\li2347\sb115\sl-207\slmult0\fi2628\tx
6132\tx7199\tx8653\tx10103 \up0 \expndtw-2\charscalex100 Value\tab \up0 \expndtw
-2\charscalex100 df\tab \up0 \expndtw-2\charscalex100 sided)\tab \up0 \expndtw-2
\charscalex100 sided)\tab \up0 \expndtw-2\charscalex100 sided)\par\pard\li2347\s
b0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi0\tx5117\tx6543\tx7750
\up0 \expndtw-2\charscalex100 Pearson Chi-Square\tab \up0 \expndtw-2\charscalex1
00 1.862\ul0\super\cf38\f39\fs18 a\tab \up0 \expndtw-2\charscalex100 \ul0\nosupe
rsub\cf37\f38\fs18 1\tab \up0 \expndtw-2\charscalex100 .172\par\pard\li2347\sb0\
sl-207\slmult0\par\pard\li2347\sb107\sl-207\slmult0\fi0\tx5185\tx6543\tx7750 \up
0 \expndtw-2\charscalex100 Continuity Correction\ul0\super\cf38\f39\fs18 b\tab \
up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 1.192\tab \up0 \expnd
tw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 .275\par\pard\li2347\sb0\
sl-207\slmult0\par\pard\li2347\sb104\sl-207\slmult0\fi0\tx5185\tx6543\tx7750 \up
0 \expndtw-2\charscalex100 Likelihood Ratio\tab \up0 \expndtw-2\charscalex100 1.
873\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 .171\p
ar\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb107\sl-207\slmult0\fi0\tx920
6\tx10650 \up0 \expndtw-2\charscalex100 Fisher's Exact Test\tab \up0 \expndtw-2\
charscalex100 .275\tab \up0 \expndtw-2\charscalex100 .137\par\pard\li2347\sb0\sl
-207\slmult0\par\pard\li2347\sb107\sl-207\slmult0\fi0\tx5185\tx6543\tx7750 \up0
\expndtw-2\charscalex100 Linear-by-Linear\tab \up0 \expndtw-2\charscalex100 1.82

8\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 .176\par
\pard\ql \li2347\sb101\sl-207\slmult0 \up0 \expndtw-2\charscalex100 Association
\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb118\sl-207\slmult0\fi0\tx5
437 \up0 \expndtw-2\charscalex100 N of Valid Cases\tab \up0 \expndtw-2\charscale
x100 54\par\pard\ql \li2328\sb0\sl-207\slmult0 \par\pard\ql\li2328\sb134\sl-207\
slmult0 \up0 \expndtw-1\charscalex100 a. 0 cells (,0%) have expected count less
than 5. The minimum expected count is 12,50. \par\pard\ql \li2328\sb0\sl-207\slm
ult0 \par\pard\ql\li2328\sb106\sl-207\slmult0 \up0 \expndtw-2\charscalex100 b. C
omputed only for a 2x2 table \par\pard\ql \li4551\sb0\sl-207\slmult0 \par\pard\q
li4551\sb0\sl-207\slmult0 \par\pard\ql\li4551\sb85\sl-207\slmult0 \up0 \expndtw2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Risk Estimate \par\pard\ql \li5876
\sb0\sl-207\slmult0 \par\pard\ql\li5876\sb146\sl-207\slmult0 \up0 \expndtw-2\cha
rscalex100 \ul0\nosupersub\cf37\f38\fs18 95% Confidence Interval \par\pard\li234
7\sb0\sl-207\slmult0\par\pard\li2347\sb158\sl-207\slmult0\fi2628\tx6037\tx7191 \
up0 \expndtw-2\charscalex100 Value\tab \up0 \expndtw-2\charscalex100 Lower\tab \
up0 \expndtw-2\charscalex100 Upper\par\pard\li2347\sb0\sl-207\slmult0\par\pard\l
i2347\sb145\sl-207\slmult0\fi0\tx5185\tx6440\tx7489 \up0 \expndtw-2\charscalex10
0 Odds Ratio for Kebiasaan\tab \up0 \expndtw-2\charscalex100 2.125\tab \up0 \exp
ndtw-2\charscalex100 .715\tab \up0 \expndtw-2\charscalex100 6.315\par\pard\ql \l
i2347\ri3710\sb9\sl-320\slmult0 \up0 \expndtw-2\charscalex100 konstipasi respond
en (Ya / \line \up0 \expndtw-2\charscalex100 Tidak)
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
}
}}
}
}}
}
}}
}
}}
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}}
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}}
}
}}
}
}}
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}}
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}}
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}}
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}}
}
}}
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}}
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}}
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}}
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}}
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}}
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}}
}
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}}
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}}
}
}}
}
}}
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}}
}
}}
}
}}
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}}
}
}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
}
}}
}
}}
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}}
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}}
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}}
}}

}}
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}}
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}}

}}
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}}
}
}}
}}
}}

}}
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}}
}
}}
}}
}}
}}
}
}}
}
}}
}}
}}
}}

}
}}
}
}}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
}
}}
}
}}
}
}}
}
}}

}
}}
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}}
}
}}
}}

}}
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}}
}
}}
}
}}
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}

}}
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}}
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}
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}
}}
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}}
}
}}

}
}}
}}
}}
}}
}
}}
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}}
}}
}}
}}
}
}}
}

}}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
{\sp{\sn pVerticies}{\sv 8;7;(0,504);(2389,504);(2389,0);(0,0);(0,504);(2388,504
);(0,504)}}
824;1;45824;24577;32768}}

}}
}
}}
}
}}
}
}}
}
}}
}

}}
}
}}
}
}}
}
}}
}
}}
}

}}
}
}}
}
}}
7;32768}}
}}
}
}}
}

}}
}
}}
}}
}}
}
}}
}}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
7;32768}}
}}
}}
}}
}
}}
}}
}}

}
}}
}}
}}
}
}}
}
}}
}

}}
}
}}
}
}}
}
}}
}
}}
}

}}
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}}
}
}}
}}
}

}}
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}}
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}}
}
}}
}

}}
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}}
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}}
}
}}
}

}}
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}}
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}}
}
}}
}

}}
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}
}}
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}}
}

}}
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}}
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}}
}
}}
}

}}
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}

}}
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}

}}
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}}

}
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}}

}}
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}}
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}}
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}}

}
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}
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}
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}
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}
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}
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}

}}
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}
}}
}
}}
}
}}
}
}}
}
}}
}
mult0\fi0\tx5185\tx6440\tx7489 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf3
7\f38\fs18 For cohort Penderita\tab \up0 \expndtw-2\charscalex100 1.450\tab \up0
\expndtw-2\charscalex100 .846\tab \up0 \expndtw-2\charscalex100 2.485\par\pard\
ql \li2347\sb103\sl-207\slmult0 \up0 \expndtw-2\charscalex100 hemorrhoid = Kasus
\par\pard\li2268\sb0\sl-207\slmult0\par\pard\li2268\sb116\sl-207\slmult0\fi79\t
x5285\tx6440\tx7489 \up0 \expndtw-2\charscalex100 For cohort Penderita\tab \up0
\expndtw-2\charscalex100 .682\tab \up0 \expndtw-2\charscalex100 .386\tab \up0 \e
xpndtw-2\charscalex100 1.206\par\pard\li2268\sb112\sl-207\slmult0\fi79 \up0 \exp
ndtw-2\charscalex100 hemorrhoid = Kontrol\par\pard\li2268\sb0\sl-207\slmult0\par
\pard\li2268\sb107\sl-207\slmult0\fi79\tx5437 \up0 \expndtw-2\charscalex100 N of
Valid Cases\tab \up0 \expndtw-2\charscalex100 54\par\pard\li2268\sb0\sl-299\slm
ult0\par\pard\li2268\sb0\sl-299\slmult0\par\pard\li2268\sb183\sl-299\slmult0\fi0
\up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf35\f36\fs26 Riwayat tumor rektu
m\par\pard\ql \li3466\sb0\sl-207\slmult0 \par\pard\ql\li3466\sb136\sl-207\slmult
0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Riwayat tumor rekt
um responden * Penderita hemorrhoid Crosstabulation \par\pard\li2347\sb0\sl-207\
slmult0\par\pard\li2347\sb165\sl-207\slmult0\fi5713 \up0 \expndtw-2\charscalex10
0 \ul0\nosupersub\cf37\f38\fs18 Penderita hemorrhoid\par\pard\li2347\sb0\sl-207\
slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi5799\tx9165\tx10276 \up0 \expndtw
-2\charscalex100 Kasus\tab \up0 \expndtw-2\charscalex100 Kontrol\tab \up0 \expnd
tw-2\charscalex100 Total\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb14
8\sl-207\slmult0\fi0\tx4755\tx5497\tx8749\tx9808\tx10806 \up0 \expndtw-2\charsca
lex100 Riwayat tumor rektum\tab \up0 \expndtw-2\charscalex100 Ya\tab \up0 \expnd
tw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 2\tab \up0 \expndtw-2
\charscalex100 1\tab \up0 \expndtw-2\charscalex100 3\par\pard\li2347\sb112\sl-20
7\slmult0\fi0 \up0 \expndtw-2\charscalex100 responden\par\pard\li2347\sb33\sl-20
7\slmult0\fi3149\tx8600\tx9659\tx10658 \up0 \expndtw-2\charscalex100 Expected Co
unt\tab \up0 \expndtw-2\charscalex100 1.5\tab \up0 \expndtw-2\charscalex100 1.5\
tab \up0 \expndtw-2\charscalex100 3.0\par\pard\li2347\sb0\sl-207\slmult0\par\par
d\li2347\sb145\sl-207\slmult0\fi3149\tx8339\tx9397\tx10298 \up0 \expndtw-2\chars
calex100 % within Riwayat tumor\tab \up0 \expndtw-2\charscalex100 66.7%\tab \up0
\expndtw-2\charscalex100 33.3%\tab \up0 \expndtw-2\charscalex100 100.0%\par\par
d\li2347\sb115\sl-207\slmult0\fi3149 \up0 \expndtw-2\charscalex100 rektum respon
den\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi31
49\tx8439\tx9498\tx10497 \up0 \expndtw-2\charscalex100 % within Penderita\tab \u
p0 \expndtw-2\charscalex100 7.4%\tab \up0 \expndtw-2\charscalex100 3.7%\tab \up0
\expndtw-2\charscalex100 5.6%\par\pard\li2347\sb112\sl-207\slmult0\fi3149 \up0
\expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\pard\
li2347\sb148\sl-207\slmult0\fi3149\tx8439\tx9498\tx10497 \up0 \expndtw-2\charsca
lex100 % of Total\tab \up0 \expndtw-2\charscalex100 3.7%\tab \up0 \expndtw-2\cha
rscalex100 1.9%\tab \up0 \expndtw-2\charscalex100 5.6%\par\pard\li2347\sb0\sl-20
7\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi2407\tx5497\tx8651\tx9710\tx107
08 \up0 \expndtw-2\charscalex100 Tidak\tab \up0 \expndtw-2\charscalex100 Count\t
ab \up0 \expndtw-2\charscalex100 25\tab \up0 \expndtw-2\charscalex100 26\tab \up
0 \expndtw-2\charscalex100 51\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347
\sb146\sl-207\slmult0\fi3149\tx8499\tx9558\tx10557 \up0 \expndtw-2\charscalex100
Expected Count\tab \up0 \expndtw-2\charscalex100 25.5\tab \up0 \expndtw-2\chars
calex100 25.5\tab \up0 \expndtw-2\charscalex100 51.0\par\pard\li2347\sb0\sl-207\
slmult0\par\pard\li2347\sb148\sl-207\slmult0\fi3149\tx8339\tx9397\tx10298 \up0 \
expndtw-2\charscalex100 % within Riwayat tumor\tab \up0 \expndtw-2\charscalex100
49.0%\tab \up0 \expndtw-2\charscalex100 51.0%\tab \up0 \expndtw-2\charscalex100
100.0%\par\pard\li2347\sb112\sl-207\slmult0\fi3149 \up0 \expndtw-2\charscalex10
0 rektum responden\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-2
07\slmult0\fi3149\tx8339\tx9397\tx10396 \up0 \expndtw-2\charscalex100 % within P
enderita\tab \up0 \expndtw-2\charscalex100 92.6%\tab \up0 \expndtw-2\charscalex1
00 96.3%\tab \up0 \expndtw-2\charscalex100 94.4%\par\pard\li2347\sb115\sl-207\sl
mult0\fi3149 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207
\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi3149\tx8339\tx9397\tx10396 \up0
\expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 46.3%\tab
\up0 \expndtw-2\charscalex100 48.1%\tab \up0 \expndtw-2\charscalex100 94.4%\par\
pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb126\sl-207\slmult0\fi0\tx5497\t
x8651\tx9710\tx10708 \up0 \expndtw-2\charscalex100 Total\tab \up0 \expndtw-2\cha
rscalex100 Count\tab \up0 \expndtw-2\charscalex100 27\tab \up0 \expndtw-2\charsc
alex100 27\tab \up0 \expndtw-2\charscalex100 54
}
}}
}
}}

}
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}
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}
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}
}}
}
}}
}
}}
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}}

}
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}
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}
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}
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}
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}
}}
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}}
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}
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}
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}
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}
}}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}
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}}

}
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}
}}
}
mult0\fi0\tx8499\tx9558\tx10557 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf
37\f38\fs18 Expected Count\tab \up0 \expndtw-2\charscalex100 27.0\tab \up0 \expn
dtw-2\charscalex100 27.0\tab \up0 \expndtw-2\charscalex100 54.0\par\pard\li5497\
sb0\sl-207\slmult0\par\pard\li5497\sb148\sl-207\slmult0\fi0\tx8339\tx9397\tx1029
8 \up0 \expndtw-2\charscalex100 % within Riwayat tumor\tab \up0 \expndtw-2\chars
calex100 50.0%\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\chars
calex100 100.0%\par\pard\ql \li5497\sb102\sl-207\slmult0 \up0 \expndtw-2\charsca
lex100 rektum responden \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb15
5\sl-207\slmult0\fi3149\tx8240\tx9299\tx10298 \up0 \expndtw-2\charscalex100 % wi
thin Penderita\tab \up0 \expndtw-2\charscalex100 100.0%\tab \up0 \expndtw-2\char
scalex100 100.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li2347\sb115\
sl-207\slmult0\fi3149 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\s

298 \up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 5
0.0%\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex100 1
00.0%\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\
pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li234
7\sb119\sl-207\slmult0\fi3586 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36
\f37\fs18 Chi-Square Tests\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb
153\sl-207\slmult0\fi4479\tx8358\tx9808 \up0 \expndtw-2\charscalex100 \ul0\nosup
ersub\cf37\f38\fs18 Asymp. Sig. (2-\tab \up0 \expndtw-2\charscalex100 Exact Sig.
(2-\tab \up0 \expndtw-2\charscalex100 Exact Sig. (1-\par\pard\li2347\sb112\sl-2
07\slmult0\fi2628\tx6132\tx7199\tx8653\tx10103 \up0 \expndtw-2\charscalex100 Val
ue\tab \up0 \expndtw-2\charscalex100 df\tab \up0 \expndtw-2\charscalex100 sided)
\tab \up0 \expndtw-2\charscalex100 sided)\tab \up0 \expndtw-2\charscalex100 side
d)\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi0\t
x5218\tx6543\tx7750 \up0 \expndtw-2\charscalex100 Pearson Chi-Square\tab \up0 \e
xpndtw-2\charscalex100 .353\ul0\super\cf38\f39\fs18 a\tab \up0 \expndtw-2\charsc
alex100 \ul0\nosupersub\cf37\f38\fs18 1\tab \up0 \expndtw-2\charscalex100 .552\p
5\tx6543\tx7650 \up0 \expndtw-2\charscalex100 Continuity Correction\ul0\super\cf
38\f39\fs18 b\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 .0
00\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 1.000\p
5\tx6543\tx7750 \up0 \expndtw-2\charscalex100 Likelihood Ratio\tab \up0 \expndtw
-2\charscalex100 .359\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\ch
arscalex100 .549\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb104\sl-207
\slmult0\fi0\tx9105\tx10650 \up0 \expndtw-2\charscalex100 Fisher's Exact Test\ta
b \up0 \expndtw-2\charscalex100 1.000\tab \up0 \expndtw-2\charscalex100 .500\par
\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb107\sl-207\slmult0\fi0\tx5285\
tx6543\tx7750 \up0 \expndtw-2\charscalex100 Linear-by-Linear\tab \up0 \expndtw-2
\charscalex100 .346\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\char
scalex100 .556\par\pard\ql \li2347\sb102\sl-207\slmult0 \up0 \expndtw-2\charscal
ex100 Association \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb117\sl-2
07\slmult0\fi0\tx5437 \up0 \expndtw-2\charscalex100 N of Valid Cases\tab \up0 \e
xpndtw-2\charscalex100 54\par\pard\ql \li2328\sb0\sl-207\slmult0 \par\pard\ql\li
2328\sb135\sl-207\slmult0 \up0 \expndtw-1\charscalex100 a. 2 cells (50,0%) have
expected count less than 5. The minimum expected count is 1,50. \par\pard\ql \li
\charscalex100 b. Computed only for a 2x2 table \par\pard\ql \li4551\sb0\sl-207\
mult0 \par\pard\ql\li4551\sb0\sl-207\slmult0 \par\pard\ql\li4551\sb85\sl-207\slm
ult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Risk Estimate \
par\pard\ql \li5876\sb0\sl-207\slmult0 \par\pard\ql\li5876\sb146\sl-207\slmult0
\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 95% Confidence Inter
val \par\pard\li4976\sb0\sl-207\slmult0\par\pard\li4976\sb157\sl-207\slmult0\fi0
\tx6037\tx7191 \up0 \expndtw-2\charscalex100 Value\tab \up0 \expndtw-2\charscale
x100 Lower\tab \up0 \expndtw-2\charscalex100 Upper
}
}}
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}}
}
}}
}
lmult0\fi0\tx5185\tx6440\tx7390 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf
37\f38\fs18 Odds Ratio for Riwayat\tab \up0 \expndtw-2\charscalex100 2.080\tab \
up0 \expndtw-2\charscalex100 .177\tab \up0 \expndtw-2\charscalex100 24.405\par\p
ard\ql \li2347\ri3795\sb9\sl-320\slmult0 \up0 \expndtw-2\charscalex100 tumor rek
tum responden \line \up0 \expndtw-2\charscalex100 (Ya / Tidak) \par\pard\li2347\
\up0 \expndtw-2\charscalex100 For cohort Penderita\tab \up0 \expndtw-2\charscale
x100 1.360\tab \up0 \expndtw-2\charscalex100 .583\tab \up0 \expndtw-2\charscalex
100 3.175\par\pard\ql \li2347\sb103\sl-207\slmult0 \up0 \expndtw-2\charscalex100
hemorrhoid = Kasus \par\pard\li2268\sb0\sl-207\slmult0\par\pard\li2268\sb116\sl
-207\slmult0\fi79\tx5285\tx6440\tx7489 \up0 \expndtw-2\charscalex100 For cohort
Penderita\tab \up0 \expndtw-2\charscalex100 .654\tab \up0 \expndtw-2\charscalex1
00 .129\tab \up0 \expndtw-2\charscalex100 3.313\par\pard\li2268\sb113\sl-207\slm
ult0\fi79 \up0 \expndtw-2\charscalex100 hemorrhoid = Kontrol\par\pard\li2268\sb0
\sl-207\slmult0\par\pard\li2268\sb107\sl-207\slmult0\fi79\tx5437 \up0 \expndtw-2
\charscalex100 N of Valid Cases\tab \up0 \expndtw-2\charscalex100 54\par\pard\li
2268\sb0\sl-299\slmult0\par\pard\li2268\sb0\sl-299\slmult0\par\pard\li2268\sb146
\sl-299\slmult0\fi0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf35\f36\fs26
Aktivitas fisik\par\pard\ql \li3837\sb0\sl-207\slmult0 \par\pard\ql\li3837\sb132
\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Akti
vitas fisik responden * Penderita hemorrhoid Crosstabulation \par\pard\li2347\sb
0\sl-207\slmult0\par\pard\li2347\sb169\sl-207\slmult0\fi5727 \up0 \expndtw-2\cha
rscalex100 \ul0\nosupersub\cf37\f38\fs18 Penderita hemorrhoid\par\pard\li2347\sb
0\sl-207\slmult0\par\pard\li2347\sb148\sl-207\slmult0\fi5813\tx9179\tx10290 \up0
\expndtw-2\charscalex100 Kasus\tab \up0 \expndtw-2\charscalex100 Kontrol\tab \u
p0 \expndtw-2\charscalex100 Total\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li
2347\sb145\sl-207\slmult0\fi0\tx4618\tx5511\tx8665\tx9724\tx10722 \up0 \expndtw2\charscalex100 Aktivitas fisik responden\tab \up0 \expndtw-2\charscalex100 Ring
an\tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 26\
tab \up0 \expndtw-2\charscalex100 26\tab \up0 \expndtw-2\charscalex100 52\par\pa
rd\li4618\sb0\sl-207\slmult0\par\pard\li4618\sb145\sl-207\slmult0\fi892\tx8514\t
x9573\tx10571 \up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\c
harscalex100 26.0\tab \up0 \expndtw-2\charscalex100 26.0\tab \up0 \expndtw-2\cha
rscalex100 52.0\par\pard\li4618\sb0\sl-207\slmult0\par\pard\li4618\sb148\sl-207\
slmult0\fi892\tx8353\tx9412\tx10312 \up0 \expndtw-2\charscalex100 % within Aktiv
itas fisik\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscale
x100 50.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li4618\sb112\sl-207
\slmult0\fi892 \up0 \expndtw-2\charscalex100 responden\par\pard\li4618\sb0\sl-20
7\slmult0\par\pard\li4618\sb145\sl-207\slmult0\fi892\tx8353\tx9412\tx10410 \up0
\expndtw-2\charscalex100 % within Penderita\tab \up0 \expndtw-2\charscalex100 96
.3%\tab \up0 \expndtw-2\charscalex100 96.3%\tab \up0 \expndtw-2\charscalex100 96
.3%\par\pard\li4618\sb115\sl-207\slmult0\fi892 \up0 \expndtw-2\charscalex100 hem
orrhoid\par\pard\li4618\sb0\sl-207\slmult0\par\pard\li4618\sb146\sl-207\slmult0\
fi892\tx8353\tx9412\tx10410 \up0 \expndtw-2\charscalex100 % of Total\tab \up0 \e
xpndtw-2\charscalex100 48.1%\tab \up0 \expndtw-2\charscalex100 48.1%\tab \up0 \e
xpndtw-2\charscalex100 96.3%\par\pard\li4618\sb0\sl-207\slmult0\par\pard\li4618\
sb145\sl-207\slmult0\fi0\tx5511\tx8763\tx9822\tx10821 \up0 \expndtw-2\charscalex
100 Berat\tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex
100 1\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 2\pa
15\tx9674\tx10672 \up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw
-2\charscalex100 1.0\tab \up0 \expndtw-2\charscalex100 1.0\tab \up0 \expndtw-2\c
harscalex100 2.0\par\pard\li4618\sb0\sl-207\slmult0\par\pard\li4618\sb146\sl-207
\slmult0\fi892\tx8353\tx9412\tx10312 \up0 \expndtw-2\charscalex100 % within Akti
vitas fisik\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscal
ex100 50.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\ql \li5511\sb108\s
l-207\slmult0 \up0 \expndtw-2\charscalex100 responden \par\pard\li5511\sb0\sl-20
7\slmult0\par\pard\li5511\sb151\sl-207\slmult0\fi0\tx8454\tx9513\tx10511 \up0 \e
xpndtw-2\charscalex100 % within Penderita\tab \up0 \expndtw-2\charscalex100 3.7%
\tab \up0 \expndtw-2\charscalex100 3.7%\tab \up0 \expndtw-2\charscalex100 3.7%\p
ar\pard\ql \li5511\sb108\sl-207\slmult0 \up0 \expndtw-2\charscalex100 hemorrhoid
}
}}
}
}}
}
}}
}
}}
}
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}
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}
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}
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}
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}
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}
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}
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}
}}

}
}}
}
}}
}
}}
}
}}
{\sp{\sn pVerticies}{\sv 8;6;(2389,0);(0,0);(0,521);(2389,521);(2388,0);(0,0)}}
824;24577;32768}}
}}

}
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}}
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}
lmult0\fi3163\tx8454\tx9513\tx10511 \up0 \expndtw-2\charscalex100 \ul0\nosupersu
b\cf37\f38\fs18 % of Total\tab \up0 \expndtw-2\charscalex100 1.9%\tab \up0 \expn
dtw-2\charscalex100 1.9%\tab \up0 \expndtw-2\charscalex100 3.7%\par\pard\li2347\
\tx10722 \up0 \expndtw-2\charscalex100 Total\tab \up0 \expndtw-2\charscalex100 C
ount\tab \up0 \expndtw-2\charscalex100 27\tab \up0 \expndtw-2\charscalex100 27\t
ab \up0 \expndtw-2\charscalex100 54\par\pard\li5511\sb0\sl-207\slmult0\par\pard\
li5511\sb145\sl-207\slmult0\fi0\tx8514\tx9573\tx10571 \up0 \expndtw-2\charscalex
100 Expected Count\tab \up0 \expndtw-2\charscalex100 27.0\tab \up0 \expndtw-2\ch
arscalex100 27.0\tab \up0 \expndtw-2\charscalex100 54.0\par\pard\li5511\sb0\sl-2
07\slmult0\par\pard\li5511\sb145\sl-207\slmult0\fi0\tx8353\tx9412\tx10312 \up0 \
expndtw-2\charscalex100 % within Aktivitas fisik\tab \up0 \expndtw-2\charscalex1
00 50.0%\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex1
00 100.0%\par\pard\ql \li5511\sb104\sl-207\slmult0 \up0 \expndtw-2\charscalex100
responden \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb157\sl-207\slmu
lt0\fi3163\tx8255\tx9314\tx10312 \up0 \expndtw-2\charscalex100 % within Penderit
a\tab \up0 \expndtw-2\charscalex100 100.0%\tab \up0 \expndtw-2\charscalex100 100
.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li2347\sb112\sl-207\slmult
0\fi3163 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207\slm
ult0\par\pard\li2347\sb148\sl-207\slmult0\fi3163\tx8353\tx9412\tx10312 \up0 \exp
ndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0
\expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\par
d\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\s
7\slmult0\fi3586 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Chi
-Square Tests\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb150\sl-207\sl
mult0\fi4479\tx8358\tx9808 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f3
8\fs18 Asymp. Sig. (2-\tab \up0 \expndtw-2\charscalex100 Exact Sig. (2-\tab \up0
\expndtw-2\charscalex100 Exact Sig. (1-\par\pard\li2347\sb115\sl-207\slmult0\fi
2628\tx6132\tx7199\tx8653\tx10103 \up0 \expndtw-2\charscalex100 Value\tab \up0 \
expndtw-2\charscalex100 df\tab \up0 \expndtw-2\charscalex100 sided)\tab \up0 \ex
pndtw-2\charscalex100 sided)\tab \up0 \expndtw-2\charscalex100 sided)\par\pard\l
i2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi0\tx5218\tx6543\
tx7650 \up0 \expndtw-2\charscalex100 Pearson Chi-Square\tab \up0 \expndtw-2\char
scalex100 .000\ul0\super\cf38\f39\fs18 a\tab \up0 \expndtw-2\charscalex100 \ul0\
nosupersub\cf37\f38\fs18 1\tab \up0 \expndtw-2\charscalex100 1.000\par\pard\li23
47\sb0\sl-207\slmult0\par\pard\li2347\sb107\sl-207\slmult0\fi0\tx5285\tx6543\tx7
650 \up0 \expndtw-2\charscalex100 Continuity Correction\ul0\super\cf38\f39\fs18
b\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 .000\tab \up0
\expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 1.000\par\pard\li23
650 \up0 \expndtw-2\charscalex100 Likelihood Ratio\tab \up0 \expndtw-2\charscale
x100 .000\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100
1.000\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb107\sl-207\slmult0\fi
0\tx9105\tx10650 \up0 \expndtw-2\charscalex100 Fisher's Exact Test\tab \up0 \exp
ndtw-2\charscalex100 1.000\tab \up0 \expndtw-2\charscalex100 .755\par\pard\li234
50 \up0 \expndtw-2\charscalex100 Linear-by-Linear\tab \up0 \expndtw-2\charscalex
100 .000\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 1
.000\par\pard\ql \li2347\sb101\sl-207\slmult0 \up0 \expndtw-2\charscalex100 Asso
ciation \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb119\sl-207\slmult0
\fi0\tx5437 \up0 \expndtw-2\charscalex100 N of Valid Cases\tab \up0 \expndtw-2\c
harscalex100 54\par\pard\ql \li2328\sb0\sl-207\slmult0 \par\pard\ql\li2328\sb133
\sl-207\slmult0 \up0 \expndtw-1\charscalex100 a. 2 cells (50,0%) have expected c
ount less than 5. The minimum expected count is 1,00.
}
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7;32768}}
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}
\ul0\nosupersub\cf36\f37\fs18 Risk Estimate \par\pard\ql \li5876\sb0\sl-207\slmu
lt0 \par\pard\ql\li5876\sb146\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\
nosupersub\cf37\f38\fs18 95% Confidence Interval \par\pard\li2347\sb0\sl-207\slm
ult0\par\pard\li2347\sb157\sl-207\slmult0\fi2628\tx6037\tx7191 \up0 \expndtw-2\c
harscalex100 Value\tab \up0 \expndtw-2\charscalex100 Lower\tab \up0 \expndtw-2\c
harscalex100 Upper\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-2
07\slmult0\fi0\tx5185\tx6440\tx7390 \up0 \expndtw-2\charscalex100 Odds Ratio for
Aktivitas fisik\tab \up0 \expndtw-2\charscalex100 1.000\tab \up0 \expndtw-2\cha
rscalex100 .059\tab \up0 \expndtw-2\charscalex100 16.854\par\pard\ql \li2347\sb1
03\sl-207\slmult0 \up0 \expndtw-2\charscalex100 responden (Ringan / Berat) \par\
pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb117\sl-207\slmult0\fi0\tx5185\t
x6440\tx7489 \up0 \expndtw-2\charscalex100 For cohort Penderita\tab \up0 \expndt
w-2\charscalex100 1.000\tab \up0 \expndtw-2\charscalex100 .244\tab \up0 \expndtw
-2\charscalex100 4.105\par\pard\ql \li2347\sb102\sl-207\slmult0 \up0 \expndtw-2\
charscalex100 hemorrhoid = Kasus \par\pard\li2268\sb0\sl-207\slmult0\par\pard\li
0 For cohort Penderita\tab \up0 \expndtw-2\charscalex100 1.000\tab \up0 \expndtw
-2\charscalex100 .244\tab \up0 \expndtw-2\charscalex100 4.105\par\pard\li2268\sb
112\sl-207\slmult0\fi79 \up0 \expndtw-2\charscalex100 hemorrhoid = Kontrol\par\p
ard\li2268\sb0\sl-207\slmult0\par\pard\li2268\sb107\sl-207\slmult0\fi79\tx5437 \
up0 \expndtw-2\charscalex100 N of Valid Cases\tab \up0 \expndtw-2\charscalex100

54\par\pard\li2268\sb0\sl-299\slmult0\par\pard\li2268\sb0\sl-299\slmult0\par\par
d\li2268\sb146\sl-299\slmult0\fi0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\
cf35\f36\fs26 Riwayat hemorrhoid keluarga\par\pard\ql \li3636\sb0\sl-207\slmult0
\par\pard\ql\li3636\sb132\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nos
upersub\cf36\f37\fs18 Riwayat hemorrhoid keluarga * Penderita hemorrhoid Crossta
bulation \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb169\sl-207\slmult
0\fi5713 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 Penderita h
emorrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb148\sl-207\slmult
0\fi5799\tx9165\tx10276 \up0 \expndtw-2\charscalex100 Kasus\tab \up0 \expndtw-2\
charscalex100 Kontrol\tab \up0 \expndtw-2\charscalex100 Total\par\pard\li2347\sb
0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi0\tx4755\tx5497\tx8651\t
x9808\tx10708 \up0 \expndtw-2\charscalex100 Riwayat hemorrhoid\tab \up0 \expndtw
-2\charscalex100 Ya\tab \up0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\
charscalex100 10\tab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charsca
lex100 16\par\pard\li2347\sb112\sl-207\slmult0\fi0 \up0 \expndtw-2\charscalex100
keluarga\par\pard\li4755\sb33\sl-207\slmult0\fi741\tx8600\tx9659\tx10557 \up0 \
expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100 8.0\tab
\up0 \expndtw-2\charscalex100 8.0\tab \up0 \expndtw-2\charscalex100 16.0\par\pa
rd\li4755\sb0\sl-207\slmult0\par\pard\li4755\sb148\sl-207\slmult0\fi741\tx8339\t
x9397\tx10298 \up0 \expndtw-2\charscalex100 % within Riwayat\tab \up0 \expndtw-2
\charscalex100 62.5%\tab \up0 \expndtw-2\charscalex100 37.5%\tab \up0 \expndtw-2
\charscalex100 100.0%\par\pard\li4755\sb113\sl-207\slmult0\fi741 \up0 \expndtw-2
\charscalex100 hemorrhoid keluarga\par\pard\li4755\sb0\sl-207\slmult0\par\pard\l
i4755\sb145\sl-207\slmult0\fi741\tx8339\tx9397\tx10396 \up0 \expndtw-2\charscale
x100 % within Penderita\tab \up0 \expndtw-2\charscalex100 37.0%\tab \up0 \expndt
w-2\charscalex100 22.2%\tab \up0 \expndtw-2\charscalex100 29.6%\par\pard\li4755\
sb114\sl-207\slmult0\fi741 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li4
755\sb0\sl-207\slmult0\par\pard\li4755\sb146\sl-207\slmult0\fi741\tx8339\tx9397\
tx10396 \up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex1
00 29.6%\par\pard\li4755\sb0\sl-207\slmult0\par\pard\li4755\sb145\sl-207\slmult0
\fi0\tx5497\tx8651\tx9710\tx10708 \up0 \expndtw-2\charscalex100 Tidak\tab \up0 \
expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 17\tab \up0 \exp
ndtw-2\charscalex100 21\tab \up0 \expndtw-2\charscalex100 38\par\pard\li4755\sb0
\sl-207\slmult0\par\pard\li4755\sb147\sl-207\slmult0\fi741\tx8499\tx9558\tx10557
\up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100
19.0\tab \up0 \expndtw-2\charscalex100 19.0\tab \up0 \expndtw-2\charscalex100 38
.0
}
}}
}

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}}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}}
}}
}
}}
}
}}
}}
}}
}
}}
}
}}

}}
}
}}
}
}}
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}}

}}
}
}}
}
}}
}}
}}

}}
}
}}
}
}}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
b\cf37\f38\fs18 % within Riwayat\tab \up0 \expndtw-2\charscalex100 44.7%\tab \up
0 \expndtw-2\charscalex100 55.3%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pa
rd\li2347\sb112\sl-207\slmult0\fi3149 \up0 \expndtw-2\charscalex100 hemorrhoid k
eluarga\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\
fi3149\tx8339\tx9397\tx10396 \up0 \expndtw-2\charscalex100 % within Penderita\ta
b \up0 \expndtw-2\charscalex100 63.0%\tab \up0 \expndtw-2\charscalex100 77.8%\ta
b \up0 \expndtw-2\charscalex100 70.4%\par\pard\li2347\sb115\sl-207\slmult0\fi314
9 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207\slmult0\pa
r\pard\li2347\sb145\sl-207\slmult0\fi3149\tx8339\tx9397\tx10396 \up0 \expndtw-2\
charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 31.5%\tab \up0 \expnd
tw-2\charscalex100 38.9%\tab \up0 \expndtw-2\charscalex100 70.4%\par\pard\li2347
\sb0\sl-207\slmult0\par\pard\li2347\sb127\sl-207\slmult0\fi0\tx5497\tx8651\tx971
0\tx10708 \up0 \expndtw-2\charscalex100 Total\tab \up0 \expndtw-2\charscalex100
Count\tab \up0 \expndtw-2\charscalex100 27\tab \up0 \expndtw-2\charscalex100 27\
tab \up0 \expndtw-2\charscalex100 54\par\pard\li5497\sb0\sl-207\slmult0\par\pard
\li5497\sb145\sl-207\slmult0\fi0\tx8499\tx9558\tx10557 \up0 \expndtw-2\charscale
x100 Expected Count\tab \up0 \expndtw-2\charscalex100 27.0\tab \up0 \expndtw-2\c
harscalex100 27.0\tab \up0 \expndtw-2\charscalex100 54.0\par\pard\li5497\sb0\sl207\slmult0\par\pard\li5497\sb148\sl-207\slmult0\fi0\tx8339\tx9397\tx10298 \up0

\expndtw-2\charscalex100 % within Riwayat\tab \up0 \expndtw-2\charscalex100 50.0
%\tab \up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex100 100.
0%\par\pard\ql \li5497\sb101\sl-207\slmult0 \up0 \expndtw-2\charscalex100 hemorr
hoid keluarga \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb156\sl-207\s
lmult0\fi3149\tx8240\tx9299\tx10298 \up0 \expndtw-2\charscalex100 % within Pende
rita\tab \up0 \expndtw-2\charscalex100 100.0%\tab \up0 \expndtw-2\charscalex100
100.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li2347\sb115\sl-207\slm
ult0\fi3149 \up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207\
slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi3149\tx8339\tx9397\tx10298 \up0 \
expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 50.0%\tab \
up0 \expndtw-2\charscalex100 50.0%\tab \up0 \expndtw-2\charscalex100 100.0%\par\
pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li234
7\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb120\sl
-207\slmult0\fi3586 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18
Chi-Square Tests\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb152\sl-207
\slmult0\fi4479\tx8358\tx9808 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37
\f38\fs18 Asymp. Sig. (2-\tab \up0 \expndtw-2\charscalex100 Exact Sig. (2-\tab \
up0 \expndtw-2\charscalex100 Exact Sig. (1-\par\pard\li2347\sb112\sl-207\slmult0
\fi2628\tx6132\tx7199\tx8653\tx10103 \up0 \expndtw-2\charscalex100 Value\tab \up
0 \expndtw-2\charscalex100 df\tab \up0 \expndtw-2\charscalex100 sided)\tab \up0
\expndtw-2\charscalex100 sided)\tab \up0 \expndtw-2\charscalex100 sided)\par\par
d\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi0\tx5117\tx65
43\tx7750 \up0 \expndtw-2\charscalex100 Pearson Chi-Square\tab \up0 \expndtw-2\c
harscalex100 1.421\ul0\super\cf38\f39\fs18 a\tab \up0 \expndtw-2\charscalex100 \
ul0\nosupersub\cf37\f38\fs18 1\tab \up0 \expndtw-2\charscalex100 .233\par\pard\l
i2347\sb0\sl-207\slmult0\par\pard\li2347\sb107\sl-207\slmult0\fi0\tx5285\tx6543\
tx7750 \up0 \expndtw-2\charscalex100 Continuity Correction\ul0\super\cf38\f39\fs
18 b\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 .799\tab \u
p0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 .371\par\pard\li
2347\sb0\sl-207\slmult0\par\pard\li2347\sb108\sl-207\slmult0\fi0\tx5185\tx6543\t
x7750 \up0 \expndtw-2\charscalex100 Likelihood Ratio\tab \up0 \expndtw-2\charsca
lex100 1.433\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex1
00 .231\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb104\sl-207\slmult0\
fi0\tx9206\tx10650 \up0 \expndtw-2\charscalex100 Fisher's Exact Test\tab \up0 \e
xpndtw-2\charscalex100 .372\tab \up0 \expndtw-2\charscalex100 .186\par\pard\li23
750 \up0 \expndtw-2\charscalex100 Linear-by-Linear\tab \up0 \expndtw-2\charscale
x100 1.395\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100
.238\par\pard\ql \li2347\sb101\sl-207\slmult0 \up0 \expndtw-2\charscalex100 Ass
ociation \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb118\sl-207\slmult
0\fi0\tx5437 \up0 \expndtw-2\charscalex100 N of Valid Cases\tab \up0 \expndtw-2\
charscalex100 54\par\pard\ql \li2328\sb0\sl-207\slmult0 \par\pard\ql\li2328\sb13
4\sl-207\slmult0 \up0 \expndtw-1\charscalex100 a. 0 cells (,0%) have expected co
unt less than 5. The minimum expected count is 8,00. \par\pard\ql \li2328\sb0\sl
-207\slmult0 \par\pard\ql\li2328\sb106\sl-207\slmult0 \up0 \expndtw-2\charscalex
100 b. Computed only for a 2x2 table
}
}}
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}}
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}}
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}}
}
}}
}
}}
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}}
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}}
}
}}
}
}}
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}}
}
}}
}
}}
}
}}
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}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
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}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
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}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
}
}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
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}}
}
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}}
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}}
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}}
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}}
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}}
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}
}}
}
\ul0\nosupersub\cf36\f37\fs18 Risk Estimate \par\pard\ql \li5876\sb0\sl-207\slmu
lt0 \par\pard\ql\li5876\sb146\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\
nosupersub\cf37\f38\fs18 95% Confidence Interval \par\pard\li2347\sb0\sl-207\slm
ult0\par\pard\li2347\sb157\sl-207\slmult0\fi2628\tx6037\tx7191 \up0 \expndtw-2\c
harscalex100 Value\tab \up0 \expndtw-2\charscalex100 Lower\tab \up0 \expndtw-2\c
harscalex100 Upper\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-2
07\slmult0\fi0\tx5185\tx6440\tx7489 \up0 \expndtw-2\charscalex100 Odds Ratio for
Riwayat\tab \up0 \expndtw-2\charscalex100 2.059\tab \up0 \expndtw-2\charscalex1
00 .622\tab \up0 \expndtw-2\charscalex100 6.816\par\pard\ql \li2347\ri3736\sb10\
sl-320\slmult0 \up0 \expndtw-2\charscalex100 hemorrhoid keluarga (Ya / \line \up
0 \expndtw-2\charscalex100 Tidak) \par\pard\li2347\sb0\sl-207\slmult0\par\pard\l
For cohort Penderita\tab \up0 \expndtw-2\charscalex100 1.397\tab \up0 \expndtw-
2\charscalex100 .832\tab \up0 \expndtw-2\charscalex100 2.347\par\pard\ql \li2347

\sb103\sl-207\slmult0 \up0 \expndtw-2\charscalex100 hemorrhoid = Kasus \par\pard
\li2268\sb0\sl-207\slmult0\par\pard\li2268\sb116\sl-207\slmult0\fi79\tx5285\tx64
40\tx7489 \up0 \expndtw-2\charscalex100 For cohort Penderita\tab \up0 \expndtw-2
\charscalex100 .679\tab \up0 \expndtw-2\charscalex100 .339\tab \up0 \expndtw-2\c
harscalex100 1.359\par\pard\li2268\sb115\sl-207\slmult0\fi79 \up0 \expndtw-2\cha
rscalex100 hemorrhoid = Kontrol\par\pard\li2268\sb0\sl-207\slmult0\par\pard\li22
68\sb104\sl-207\slmult0\fi79\tx5437 \up0 \expndtw-2\charscalex100 N of Valid Cas
es\tab \up0 \expndtw-2\charscalex100 54\par\pard\li2268\sb0\sl-299\slmult0\par\p
ard\li2268\sb0\sl-299\slmult0\par\pard\li2268\sb149\sl-299\slmult0\fi0 \up0 \exp
ndtw-3\charscalex100 \ul0\nosupersub\cf35\f36\fs26 Posisi dan lama duduk\par\par
d\ql \li3854\sb0\sl-207\slmult0 \par\pard\ql\li3854\sb130\sl-207\slmult0 \up0 \e
xpndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Posisi duduk dan lama BAB *
Penderita hemorrhoid Crosstabulation \par\pard\li2347\sb0\sl-207\slmult0\par\pa
rd\li2347\sb171\sl-207\slmult0\fi6022 \up0 \expndtw-2\charscalex100 \ul0\nosuper
sub\cf37\f38\fs18 Penderita hemorrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\pa
rd\li2347\sb145\sl-207\slmult0\fi6111\tx9472\tx10583 \up0 \expndtw-2\charscalex1
00 Kasus\tab \up0 \expndtw-2\charscalex100 Kontrol\tab \up0 \expndtw-2\charscale
x100 Total\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmul
t0\fi0\tx4748\tx5818\tx9062\tx10113\tx11111 \up0 \expndtw-2\charscalex100 Posisi
duduk dan lama BAB\tab \up0 \expndtw-2\charscalex100 >10menit\tab \up0 \expndtw
-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 4\tab \up0 \expndtw-2\c
harscalex100 3\tab \up0 \expndtw-2\charscalex100 7\par\pard\li4748\sb0\sl-207\sl
mult0\par\pard\li4748\sb148\sl-207\slmult0\fi1070\tx8912\tx9964\tx10962 \up0 \ex
pndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100 2.2\tab \
up0 \expndtw-2\charscalex100 4.8\tab \up0 \expndtw-2\charscalex100 7.0\par\pard\
702\tx10602 \up0 \expndtw-2\charscalex100 % within Posisi duduk dan\tab \up0 \ex
pndtw-2\charscalex100 57.1%\tab \up0 \expndtw-2\charscalex100 42.9%\tab \up0 \ex
pndtw-2\charscalex100 100.0%\par\pard\li4748\sb112\sl-207\slmult0\fi1070 \up0 \e
xpndtw-2\charscalex100 lama BAB\par\pard\li4748\sb0\sl-207\slmult0\par\pard\li47
00 % within Penderita\tab \up0 \expndtw-2\charscalex100 66.7%\tab \up0 \expndtw2\charscalex100 23.1%\tab \up0 \expndtw-2\charscalex100 36.8%\par\pard\li4748\sb
48\sb0\sl-207\slmult0\par\pard\li4748\sb145\sl-207\slmult0\fi1070\tx8651\tx9702\
tx10701 \up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\charscalex1
00 36.8%\par\pard\li4748\sb0\sl-207\slmult0\par\pard\li4748\sb147\sl-207\slmult0
\fi0\tx5818\tx9062\tx10014\tx11013 \up0 \expndtw-2\charscalex100 <10menit\tab \u
p0 \expndtw-2\charscalex100 Count\tab \up0 \expndtw-2\charscalex100 2\tab \up0 \
expndtw-2\charscalex100 10\tab \up0 \expndtw-2\charscalex100 12\par\pard\li5818\
1 \up0 \expndtw-2\charscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100
3.8\tab \up0 \expndtw-2\charscalex100 8.2\tab \up0 \expndtw-2\charscalex100 12.
0
}
}}
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}
b\cf37\f38\fs18 % within Posisi duduk dan\tab \up0 \expndtw-2\charscalex100 16.7
%\tab \up0 \expndtw-2\charscalex100 83.3%\tab \up0 \expndtw-2\charscalex100 100.
0%\par\pard\li2347\sb112\sl-207\slmult0\fi3470 \up0 \expndtw-2\charscalex100 lam
a BAB\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi
3470\tx8651\tx9702\tx10701 \up0 \expndtw-2\charscalex100 % within Penderita\tab
\up0 \expndtw-2\charscalex100 33.3%\tab \up0 \expndtw-2\charscalex100 76.9%\tab
\up0 \expndtw-2\charscalex100 63.2%\par\pard\li2347\sb115\sl-207\slmult0\fi3470
\up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\
pard\li2347\sb145\sl-207\slmult0\fi3470\tx8651\tx9702\tx10701 \up0 \expndtw-2\ch
arscalex100 % of Total\tab \up0 \expndtw-2\charscalex100 10.5%\tab \up0 \expndtw
-2\charscalex100 52.6%\tab \up0 \expndtw-2\charscalex100 63.2%\par\pard\li2347\s

\tx11013 \up0 \expndtw-2\charscalex100 Total\tab \up0 \expndtw-2\charscalex100 C
ount\tab \up0 \expndtw-2\charscalex100 6\tab \up0 \expndtw-2\charscalex100 13\ta
b \up0 \expndtw-2\charscalex100 19\par\pard\li5818\sb0\sl-207\slmult0\par\pard\l
00 Expected Count\tab \up0 \expndtw-2\charscalex100 6.0\tab \up0 \expndtw-2\char
scalex100 13.0\tab \up0 \expndtw-2\charscalex100 19.0\par\pard\li5818\sb0\sl-207
\slmult0\par\pard\li5818\sb148\sl-207\slmult0\fi0\tx8651\tx9702\tx10602 \up0 \ex
pndtw-2\charscalex100 % within Posisi duduk dan\tab \up0 \expndtw-2\charscalex10
0 100.0%\par\pard\ql \li5818\sb101\sl-207\slmult0 \up0 \expndtw-2\charscalex100
lama BAB \par\pard\li5818\sb0\sl-207\slmult0\par\pard\li5818\sb156\sl-207\slmult
0\fi0\tx8552\tx9604\tx10602 \up0 \expndtw-2\charscalex100 % within Penderita\tab
\up0 \expndtw-2\charscalex100 100.0%\tab \up0 \expndtw-2\charscalex100 100.0%\t
ab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li5818\sb115\sl-207\slmult0\fi0
\up0 \expndtw-2\charscalex100 hemorrhoid\par\pard\li5818\sb0\sl-207\slmult0\par
\pard\li5818\sb145\sl-207\slmult0\fi0\tx8651\tx9702\tx10602 \up0 \expndtw-2\char
scalex100 % of Total\tab \up0 \expndtw-2\charscalex100 31.6%\tab \up0 \expndtw-2
\charscalex100 68.4%\tab \up0 \expndtw-2\charscalex100 100.0%\par\pard\li2347\sb
0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\s
lmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par
\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li23
47\sb19\sl-207\slmult0\fi3586 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36
\f37\fs18 Chi-Square Tests\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb
150\sl-207\slmult0\fi4479\tx8358\tx9808 \up0 \expndtw-2\charscalex100 \ul0\nosup
ersub\cf37\f38\fs18 Asymp. Sig. (2-\tab \up0 \expndtw-2\charscalex100 Exact Sig.
(2-\tab \up0 \expndtw-2\charscalex100 Exact Sig. (1-\par\pard\li2347\sb115\sl-2
07\slmult0\fi2628\tx6132\tx7199\tx8653\tx10103 \up0 \expndtw-2\charscalex100 Val
ue\tab \up0 \expndtw-2\charscalex100 df\tab \up0 \expndtw-2\charscalex100 sided)
\tab \up0 \expndtw-2\charscalex100 sided)\tab \up0 \expndtw-2\charscalex100 side
d)\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi0\t
x5117\tx6543\tx7750 \up0 \expndtw-2\charscalex100 Pearson Chi-Square\tab \up0 \e
xpndtw-2\charscalex100 3.352\ul0\super\cf38\f39\fs18 a\tab \up0 \expndtw-2\chars
calex100 \ul0\nosupersub\cf37\f38\fs18 1\tab \up0 \expndtw-2\charscalex100 .067\
par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb108\sl-207\slmult0\fi0\tx51
85\tx6543\tx7750 \up0 \expndtw-2\charscalex100 Continuity Correction\ul0\super\c
f38\f39\fs18 b\tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 1
.741\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\charscalex100 .187\
85\tx6543\tx7750 \up0 \expndtw-2\charscalex100 Likelihood Ratio\tab \up0 \expndt
w-2\charscalex100 3.325\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\
charscalex100 .068\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb107\sl-2
07\slmult0\fi0\tx9206\tx10650 \up0 \expndtw-2\charscalex100 Fisher's Exact Test\
tab \up0 \expndtw-2\charscalex100 .129\tab \up0 \expndtw-2\charscalex100 .095\pa
\tx6543\tx7750 \up0 \expndtw-2\charscalex100 Linear-by-Linear\tab \up0 \expndtw2\charscalex100 3.176\tab \up0 \expndtw-2\charscalex100 1\tab \up0 \expndtw-2\ch
arscalex100 .075\par\pard\ql \li2347\sb100\sl-207\slmult0 \up0 \expndtw-2\charsc
alex100 Association \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb119\sl
-207\slmult0\fi0\tx5437 \up0 \expndtw-2\charscalex100 N of Valid Cases\tab \up0
\expndtw-2\charscalex100 19\par\pard\ql \li2328\sb0\sl-207\slmult0 \par\pard\ql\
li2328\sb133\sl-207\slmult0 \up0 \expndtw-1\charscalex100 a. 3 cells (75,0%) hav
e expected count less than 5. The minimum expected count is 2,21. \par\pard\ql \
li2328\sb0\sl-207\slmult0 \par\pard\ql\li2328\sb106\sl-207\slmult0 \up0 \expndtw
-2\charscalex100 b. Computed only for a 2x2 table

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}
slmult0 \par\pard\ql\li4551\sb0\sl-207\slmult0 \par\pard\ql\li4551\sb38\sl-207\s
lmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf36\f37\fs18 Risk Estimate
\par\pard\ql \li5876\sb0\sl-207\slmult0 \par\pard\ql\li5876\sb146\sl-207\slmult
0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 95% Confidence Int
erval \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb157\sl-207\slmult0\f
i2628\tx6037\tx7191 \up0 \expndtw-2\charscalex100 Value\tab \up0 \expndtw-2\char
scalex100 Lower\tab \up0 \expndtw-2\charscalex100 Upper\par\pard\li2347\sb0\sl-2
07\slmult0\par\pard\li2347\sb145\sl-207\slmult0\fi0\tx5185\tx6440\tx7390 \up0 \e
xpndtw-2\charscalex100 Odds Ratio for Posisi duduk\tab \up0 \expndtw-2\charscale
x100 6.667\tab \up0 \expndtw-2\charscalex100 .791\tab \up0 \expndtw-2\charscalex
100 56.215\par\pard\ql \li2347\ri3723\sb10\sl-320\slmult0 \up0 \expndtw-2\charsc
alex100 dan lama BAB (>10menit / \line \up0 \expndtw-2\charscalex100 <10menit) \
5\tx6440\tx7390 \up0 \expndtw-2\charscalex100 For cohort Penderita\tab \up0 \exp
ndtw-2\charscalex100 3.429\tab \up0 \expndtw-2\charscalex100 .830\tab \up0 \expn
dtw-2\charscalex100 14.163\par\pard\ql \li2347\sb103\sl-207\slmult0 \up0 \expndt
w-2\charscalex100 hemorrhoid = Kasus \par\pard\li2268\sb0\sl-207\slmult0\par\par
d\li2268\sb116\sl-207\slmult0\fi79\tx5285\tx6440\tx7489 \up0 \expndtw-2\charscal
ex100 For cohort Penderita\tab \up0 \expndtw-2\charscalex100 .514\tab \up0 \expn
dtw-2\charscalex100 .211\tab \up0 \expndtw-2\charscalex100 1.255\par\pard\li2268
\sb115\sl-207\slmult0\fi79 \up0 \expndtw-2\charscalex100 hemorrhoid = Kontrol\pa
7 \up0 \expndtw-2\charscalex100 N of Valid Cases\tab \up0 \expndtw-2\charscalex1
00 19\par\pard\li2268\sb0\sl-299\slmult0\par\pard\li2268\sb0\sl-299\slmult0\par\
pard\li2268\sb149\sl-299\slmult0\fi0 \up0 \expndtw-3\charscalex100 \ul0\nosupers
ub\cf35\f36\fs26 Posisi dan lama jongkok\par\pard\ql \li3310\sb0\sl-207\slmult0
persub\cf36\f37\fs18 Posisi jongkok dan lama BAB * Penderita hemorrhoid Crosstab
ulation \par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb171\sl-207\slmult0
\fi6087 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf37\f38\fs18 Penderita he
morrhoid\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slmult0
\fi6178\tx9551 \up0 \expndtw-2\charscalex100 Kasus\tab \up0 \expndtw-2\charscale
x100 kontrol\par\pard\li2347\sb0\sl-207\slmult0\par\pard\li2347\sb145\sl-207\slm
ult0\fi0\tx4755\tx5873\tx9129\tx10175 \up0 \expndtw-2\charscalex100 Posisi jongk
ok dan lama\tab \up0 \expndtw-2\charscalex100 >10 menit\tab \up0 \expndtw-2\char
scalex100 Count\tab \up0 \expndtw-2\charscalex100 8\tab \up0 \expndtw-2\charscal
ex100 7\par\pard\li2347\sb115\sl-207\slmult0\fi0 \up0 \expndtw-2\charscalex100 B
AB\par\pard\li4755\sb33\sl-207\slmult0\fi1118\tx8979\tx10026 \up0 \expndtw-2\cha
rscalex100 Expected Count\tab \up0 \expndtw-2\charscalex100 9.0\tab \up0 \expndt
w-2\charscalex100 6.0\par\pard\li4755\sb0\sl-207\slmult0\par\pard\li4755\sb146\s
l-207\slmult0\fi1118\tx8718\tx9765 \up0 \expndtw-2\charscalex100 % within Posisi
jongkok dan\tab \up0 \expndtw-2\charscalex100 53.3%\tab \up0 \expndtw-2\charsca
lex100 46.7%\par\pard\li4755\sb112\sl-207\slmult0\fi1118 \up0 \expndtw-2\charsca
lex100 lama BAB\par\pard\li4755\sb0\sl-207\slmult0\par\pard\li4755\sb147\sl-207\
slmult0\fi1118\tx8718\tx9765 \up0 \expndtw-2\charscalex100 % within Penderita\ta
b \up0 \expndtw-2\charscalex100 38.1%\tab \up0 \expndtw-2\charscalex100 50.0%\pa
r\pard\li4755\sb113\sl-207\slmult0\fi1118 \up0 \expndtw-2\charscalex100 hemorrho
id\par\pard\li4755\sb0\sl-207\slmult0\par\pard\li4755\sb145\sl-207\slmult0\fi111
8\tx8718\tx9765 \up0 \expndtw-2\charscalex100 % of Total\tab \up0 \expndtw-2\cha
rscalex100 22.9%\tab \up0 \expndtw-2\charscalex100 20.0%\par\pard\li4755\sb0\sl207\slmult0\par\pard\li4755\sb147\sl-207\slmult0\fi0\tx5873\tx9030\tx10175 \up0
\expndtw-2\charscalex100 <10 menit\tab \up0 \expndtw-2\charscalex100 Count\tab \
up0 \expndtw-2\charscalex100 13\tab \up0 \expndtw-2\charscalex100 7
}
}}
}
}}

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{\sp{\sn pSegmentInfo}{\sv 2;10;16384;4582

Bifirda Ulima, LAP Hemoroid

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{\rtf1{\fonttbl

{\f2 Times New Roman Bold;}

2481\sb0\sl-322\slmult0 \par\pard\ql\li2481\sb0\sl-322\slmult0 \par\pard\ql\li24

011001\par\pard\ql \li6202\sb0\sl-253\slmult0 \par\pard\ql\li6202\sb0\sl-253\slm

}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocume

\sn geoRight}{\sv 1290}}{\sp{\sn geoBottom}{\sv 468}}

\expndtw-3\charscalex100 5. \tab \up0 \expndtw0\charscalex100 Kakak tercinta A

0 \par\pard\ql\li8149\sb136\sl-276\slmult0 \up0 \expndtw-5\charscalex100 Penulis

charscalex100 KATA PENGANTAR ...\tab \up0 \expndtw-5\charscalex100 . iv\par\pard

\tx9782 \up0 \expndtw-5\charscalex100 4.6.1 Instrumen Penelitian ...\tab \up0 \e

\up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf4\f5\fs24 Grafik 1. Karakteris

76\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 DAFTAR TABE

{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}{\sp

15}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv

qj\li2268\ri1506\sb38\sl-400\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersu

3 keturunan, kebiasaan duduk terlalu lama, peningkatan tekanan abdominal \up0 \e

dtw0\charscalex104 \ul0\nosupersub\cf9\f10\fs24 Selain kedua hal di atas, k

akibat proses mengejan berlebihan pada posisi \up0 \expndtw-1\charscalex100 dud

b0\sl-253\slmult0 \par\pard\ql\li9897\sb0\sl-253\slmult0 \par\pard\ql\li9897\sb0

nt}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}

tab \up0 \expndtw-2\charscalex100 Hemmoroidal\par\pard\ql \li4503\sb1\sl-230\slm

{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}

{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}

{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}

{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}

\up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf19\f20\fs20 terhadap\tab \up0 \e

\ul0\nosupersub\cf19\f20\fs20 Rohde\ul0\super\cf20\f21\fs19 16\tab \up0 \expndt

mengalami pelebaran, inflamasi, bahkan perdarahan. Pelebaran ini berkaitan \up0

\cf11\f12\fs24 vena mesenterika inferior\ul0\nosupersub\cf9\f10\fs24 dan seteru

iklasifikasikan sebagai bentuk akut dan kronis. \line \up0 \expndtw-5\charscalex

\sn geoRight}{\sv 1065}}{\sp{\sn geoBottom}{\sv 480}}

ghindari timbulnya nyeri yang merupakan \up0 \expndtw-6\charscalex100 penyul

\li2695\sb8\sl-276\slmult0 \up0 \expndtw-4\charscalex100 a.\ul0\nosupersub\cf17\

l0\nosupersub\cf4\f5\fs24 sehingga menyebabkan hemorrhoid. \par\pard\qj \li2976

scalex100 makanan tersebut di saluran cerna. \par\pard\ql \li2976\sb256\sl-276\s

expndtw-6\charscalex100 proses mengejan untuk mengeluarkan tinja.\ul0\super\cf12

{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{

{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}

0 \expndtw-3\charscalex100 Lama Duduk saat\par\pard\ql \li604\sb59\sl-253\slmult

{\sp{\sn pVerticies}{\sv 8;4;(0,450);(1290,450);(1290,0);(0,0)}}

nt}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}

\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lin

\sn geoRight}{\sv 20}}{\sp{\sn geoBottom}{\sv 385}}

{\sp{\sn pVerticies}{\sv 8;4;(0,750);(1560,750);(1560,0);(0,0)}}

{\sp{\sn pSegmentInfo}{\sv 2;8;16384;45824;1;45824;1;45824;24577;32768}}

{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{

15}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv

{\sp{\sn pVerticies}{\sv 8;4;(0,675);(2355,675);(2355,0);(0,0)}}

15}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv

{\sp{\sn pVerticies}{\sv 8;4;(0,720);(2400,720);(2400,0);(0,0)}}

{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 0}}{\s

{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}

{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}

373\colsr40\colno2\colw5347\colsr160\ql \li3262\sb0\sl-276\slmult0 \par\pard\ql

ri1477\sb41\sl-550\slmult0 \up0 \expndtw0\charscalex100 Kelompok kasus dalam

\up0 \expndtw-6\charscalex100 sebelumnya disajikan dalam tabel di bawah ini : \

p{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\s

p{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\s

p{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\s

nt}{\sv 1}}{\sp{\sn lineColor}{\sv 16777215}}

en berkaitan dengan persepsi\par\pard\ql \li20\sb126\sl-253\slmult0 \up0 \expndt

{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{

{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{

{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{