i

HUBUNGAN ANTARA KEYAKINAN ORANG TUA : PERSEPSI

KESERIUSAN DENGAN PERILAKU IBU DALAM MENGELOLA ANAK

ARFID

SKRIPSI

Untuk Memenuhi Sebagai Persyaratan Mencapai Derajat Sarjana

Keperawatan (S.Kep) Pada Program Studi Ilmu Keperawatan Fakultas Ilmu

Kesehatan Universitas Muhammadiyah Malang

Oleh :

NABILAH ARIF

201510420311088

PROGRAM STUDI ILMU KEPERAWATAN

FAKULTAS ILMU KESEHATAN

UNIVERSITAS MUHAMMADIYAH MALANG

2019

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SURAT PERNYATAAN KEASLIAN TULISAN

Saya Yang Bertanda Tangan di Bawah ini :

Nama : Nabilah Arif

Nim : 201510420311088

Program Studi : Ilmu Keperawatan Fakultas Ilmu Kesehatan

Judul Skripsi : Hubungan Antara Keyakinan Orang Tua : Persepsi Keseriusan dengan Perilaku Ibu dalam Mengelola Anak ARFID

Menyatakan dengan sebenarnya bahwa tugas akhir yangsaya tulis benar-benar

hasil karya saya sendiri, bukan merupakan pengambilan tulisan atau pikiran orang lain

yang saya akui sebagai tulisan atau pikiran saya sendiri. Apabila kemudian hari dapat

dibuktikan bahwa tugas akhir ini adalah jiplakan, maka saya bersedia menerima sanksi

atau perbuatan tersebut.

Malang, 26 Februari 2019 Yang Membuat Pernyataan

Nabilah Arif

201510420311088

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KATA PENGANTAR

Assalamualaikum Wr. Wb.

Alhamdulillahirobbil ‘Alamin, segala puji dan syukur penulis panjatkan kepada

Allah SWT, yang telah melimpahkan rahmat dan hidayah-Nya. Sehingga penulis dapat

menyelesaikan skripsi ini, dengan judul “Hubungan Antara Keyakinan Orang Tua :

Persepsi Keseriusan dengan Perilaku Ibu dalam Mengelola Anak ARFID”. Sebagai

persyaratan untuk memperoleh gelar sarjana keperawatan (S.Kep) pada Program Studi

Ilmu Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Malang.

Penulis menyadari bahwa tugas akhir ini dapat terselesaikan berkat bantuan,

arahan, dukungan, dan bimbingan dari berbagai pihak. Penulis tidak lupa mengucapkan

terima kasih yang sebesar-besarnya kepada yang terhormat :

1. Kedua orangtua saya H. Arif Rochman Hakim dan Hj. Anik Sofridah yang

selalu memanjatkan do’a, memberi dukungan moral maupun material. Serta

kedua adik saya, Bilqies Zahiroh dan Ahmad Daydan Kamil serta seluruh

keluarga besar yang selalu memberikan doa dan dukungannya.

2. Bapak Faqih Ruhyanudin, M.Kep., Sp. Kep.MB selaku Dekan Fakultas Ilmu

Kesehatan Universitas Muhammadiyah Malang.

3. Ibu Nur Lailatul Masruroh, MNS selaku Kaprodi Program Studi Ilmu

Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Malang.

4. Bapak Yoyok Bekti Prasetyo, M.Kep., Sp.Kom selaku pembimbing I saya yang

telah memberikan dukungan, meluangkan waktu, motivasi, arahan serta

masukan yang sangat berguna dalam penyusunan skripsi.

5. Bapak Chairul Huda Al – Husna selaku pembimbing II saya yang telah

memberikan dukungan, meluangkan waktu, motivasi, arahan serta masukan

yang sangat berguna dalam penyusunan skripsi.

6. Ibu Nurul Aini, S.Kep., M.Kep dan Ibu Nur Melizza, S.Kep., Ns., M.Kep

selaku penguji 1 dan 2.

7. Seluruh Dosen dan staf pengajar Program Studi Ilmu Keperawatan Fakultas

Ilmu Kesehatan Universitas Muhammadiyah Malang.

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8. Keluarga besar Pondok Pesantren Birrul Waalidain yang selalu memberikan

doa dan dukungannya.

9. Responden yang berperan aktif dan meluangkan waktu untuk penelitian saya

sehingga penelitian ini dapat berjalan sesuai dengan apayang diharapkan.

10. Teman-teman PSIK B 2015 dan semua pihak yang telah membantu

menyelesaikan skripsi ini yang tidak dapat saya sebutkan satu per satu.

Mohon maaf atas segala kesalahan dan ketidaksopanan yang mungkin telah

saya perbuat. Semoga Allah SWT senantiasa memudahkan setiap langkah-langkah kita

menuju kebaikan dan selalu menganugerahkan kasih sayang untuk kita semua, Amin.

Penulis menyadari bahwa penyusunan tugas akhir skripsi ini masih jauh dari

sempurna.oleh karena itu segala saran dan kritikan yang sifatnya membangun sangat

saya harapkan. Semoga tugas akhir skripsiini dapat bermanfaat bagi masyarakat dan

dunia kesehatan khususnya dibidang keperawatan.

Malang, 25 Februari 2019

penulis

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DAFTAR ISI

Halaman Judul .......................................................................................................................... i Lembar Persetujuan ................................................................................................................ ii Lembar Pengesahan ............................................................................................................... iii Keaslian Penelitian ................................................................................................................. iv Kata Pengantar ........................................................................................................................ v Abstrak .................................................................................................................................... vii Abstract ..................................................................................................................................viii Daftar Isi .................................................................................................................................. ix Daftar Tabel ............................................................................................................................ xi Daftar Gambar ...................................................................................................................... xii Daftar Lampiran ................................................................................................................... xiii BAB I PENDAHULUAN .................................................................................................... 1 1.1 Latar Belakang ............................................................................................................... 1 1.2 Rumusan Masalah ......................................................................................................... 8 1.3 Tujuan Penelitian ......................................................................................................... 8 1.4 Manfaat Penelitian ........................................................................................................ 9 1.5 Keaslian Penelitian ....................................................................................................... 9

BAB II TINJAUAN PUSTAKA ........................................................................................11 2.1 Konsep Keyakinan Orang Tua (Persepsi Keseriusan) dalam Perspektif Health

Belief Model ....................................................................................................................11 2.1.1 Teori Health Belief Model .............................................................................11 2.1.2 Indikator Perceived Seriousness ......................................................................15

2.2 Konsep Asuhan Keperawatan Perilaku Ibu dalam Mengelola Anak ARFID ...19 2.2.1 ARFID (Avoidant Restrictive Food Intake Disorder) ....................................19 2.2.2 Perilaku Pengasuhan (Perilaku Ibu) dalam Mengelola Anak ARFID .21 2.2.3 Indikator Perilaku Ibu dalam Mengelola Anak ARFID .......................23 2.2.4 Asuhan Keperawatan Perilaku Ibu dalam Mengelola Anak ARFID ..26

2.3 Hubungan Antara Persepsi Keseriusan dengan Perilaku Ibu dalam Mengelola Anak ARFID ...............................................................................................................28

BAB III KERANGKA KONSEP DAN HIPOTESIS..................................................29 3.1 Kerangka Konsep .......................................................................................................29 3.2 Kerangka Konseptual ................................................................................................30 3.3 Hipotesis ......................................................................................................................32 BAB IV METODOLOGI PENELITIAN ......................................................................33 4.1 Desain Penelitian ........................................................................................................33 4.2 Kerangka Penelitian ...................................................................................................34 4.3 Populasi, Sampling, dan Sampel ...............................................................................35

4.3.1 Populasi ........................................................................................................35 4.3.2 Sampling .....................................................................................................35 4.3.3 Sampel ..........................................................................................................35 4.3.4 Karakteristik Sampel ..................................................................................36

4.4 Variabel Penelitian ......................................................................................................36 4.4.1 Variabel Independen ..................................................................................36 4.4.2 Variabel Dependen .....................................................................................37

4.5 Definisi Operasional ..................................................................................................37 4.6 Tempat Penelitian dan Waktu Penelitian ................................................................39

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4.7 Instrumen Penelitian ..................................................................................................39 4.7.1 Kuisioner Karakteristik .........................................................................39 4.7.2 Kuesioner Persepsi Keseriusan ............................................................40 4.7.3 Kuesioner Perilaku Ibu dalam Mengelola Anak ARFID .................40

4.8 Uji Validitas dan Uji Reliabilitas ...............................................................................41 4.8.1 Uji Validitas .............................................................................................41 4.8.2 Uji Reliabilitas .........................................................................................42

4.9 Prosedur Pengumpulan Data ....................................................................................42 4.10 Analisa Data ................................................................................................................44

4.10.1 Langkah – Langkah Pengolahan Data ...............................................44 4.10.2 Analisa Univariat ...................................................................................45 4.10.3 Analisa Bivariat .....................................................................................45

4.11 Etika Penelitian ...........................................................................................................46 BAB V HASIL PENELITIAN DAN ANALISIS DATA ............................................49 5.1 Penilaian Karakteristik Responden ..........................................................................49 5.2 Deskripsi Keyakinan Orang Tua : Persepsi Keseriusan Pada Anak ARFID .....51

5.2.1 Persepsi Keseriusan Orang Tua Berdasarkan Karakteristik Responden ...........................................................................................................51 5.2.2 Persepsi Keseriusan Orang Tua Berdasarkan Indikator ...................55

5.3 Deskripsi Perilaku Ibu dalam Mengelola Anak ARFID .......................................56 5.3.1 Perilaku Ibu Berdasarkan Karakteristik Responden ..........................56 5.3.2 Perilaku Ibu Berdasarkan Indikator .....................................................60

5.4 Hubungan Antara Persepsi Keseriusan Orang Tua dengan Perilaku Ibu dalam Mengelola Anak ARFID ...........................................................................................61

BAB VI PEMBAHASAN ...................................................................................................63 6.1 Interpretasi dan Diskusi Hasil ..................................................................................63

6.1.1 Gambaran Persepsi Keseriusan Orang Tua dalam Mengelola Anak ARFID Berdasarkan Karakteristik Responden ...........................................63

6.1.2 Gambaran Perilaku Ibu dalam Mengelola Anak ARFID Berdasarkan Karakteristik Responden ..........................................................68

6.1.3 Hubungan Antara Persepsi Keseriusan Orang Tua dengan Perilaku Ibu dalam Mengelola Anak ARFID ..............................................................70

6.2 Keterbatasan Penelitian .............................................................................................74 6.3 Implikasi Keperawatan ..............................................................................................74 BAB VII KESIMPULAN DAN SARAN ........................................................................77 7.1 Kesimpulan ................................................................................................................77 7.2 Saran .............................................................................................................................78 Daftar Pustaka…………………………………………………………………….80

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DAFTAR TABEL

Tabel 2.2a Diagnosa Keperawatan, Nursing Intervention Classification (NIC), Nursing Outcome Classification (NOC) .................................................................................................26 Tabel 2.2b Indikator Nursing Intervention Classification (NIC), Nursing Outcome Classification (NOC) .....................................................................................................................................27 Tabel 4.1 Definisi Operasional ............................................................................................38 Tabel 4.2 Kisi – Kisi Kuesioner Persepsi Keseriusan ......................................................40 Tabel 4.3 Kisi – Kisi Kuesioner Perilaku Ibu ...................................................................41 Tabel 4.4 Uji Validitas ...........................................................................................................41 Tabel 4.5 Uji Reliabilitas .......................................................................................................42 Tabel 4.6 Koefisiensi Korelasi .............................................................................................46 Tabel 5.1 Distribusi Frekuensi Karakteristik Responden ................................................50 Tabel 5.2 Frekuensi Persepsi Keseriusan Orang Tua dalam Mengelola Anak ARFID Berdasarkan Karakteristik Responden ...............................................................................52 Tabel 5.3 Frekuensi Kuesioner Persepsi Keseriusan Orang Tua dalam Mengelola Anak ARFID ....................................................................................................................................56 Tabel 5.4 Frekuensi Perilaku Ibu dalam Mengelola Anak ARFID Berdasarkan Karakteristik Responden ......................................................................................................57 Tabel 5.5 Frekuensi Kuesioner Perilaku Ibu dalam Mengelola Anak ARFID .............60 Tabel 5.6 Correlation Persepsi Keseriusan Orang Tua dengan Perilaku Ibu dalam Mengelola Anak ARFID ......................................................................................................61

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DAFTAR GAMBAR

Gambar 2.1 Teori Health Belief Model (Glanz, 2008). ........................................................15 Gambar 3.1 Kerangka Konsep ............................................................................................30 Gambar 4.2 Kerangka Penelitian ........................................................................................34

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DAFTAR LAMPIRAN

LAMPIRAN 1 Surat Kesediaan Pembimbing I. ..............................................................86 LAMPIRAN 2 Surat Kesediaan Pembimbing II ..............................................................87 LAMPIRAN 3 Lembar ACC Judul Skripsi .......................................................................88 LAMPIRAN 4 Surat Izin Studi Pendahuluan dan Penelitian .........................................89 LAMPIRAN 5 Lembar Informed Consent Responden..................................................90 LAMPIRAN 6 Lembar Kuesioner .....................................................................................91 LAMPIRAN 7 Surat Izin Penelitian dan Pengambilan Data oleh Badan Kesatuan Bangsa dan Politik Provinsi Jawa Timur ............................................................................93 LAMPIRAN 8 Surat Izin Penelitian dan Pengambilan Data oleh Dinas Kesehatan Kabupaten Malang ................................................................................................................94 LAMPIRAN 9 Surat Izin Penelitian dan Pengambilan Data oleh Badan Kesatuan Bangsa dan Politik Kabupaten Malang. .............................................................................95 LAMPIRAN 10 Surat Bukti Telah Melakukan Penelitian ..............................................96 LAMPIRAN 11 Lembar Konsultasi Pembimbing I. .......................................................97 LAMPIRAN 12 Lembar Konsultasi Pembimbing II. .................................................. 100 LAMPIRAN 13 Lembar Uji Plagiasi I - IV.................................................................... 103 LAMPIRAN 14 Lembar Uji Plagiasi V - VI. ................................................................. 104 LAMPIRAN 15 Analisa Univariat ................................................................................... 105 LAMPIRAN 16 Analisa Data Variabel Persepsi Keseriusan Berdasarkan Karakteristik Responden. .......................................................................................................................... 107 LAMPIRAN 17 Analisa Data Variabel Perilaku Ibu Berdasarkan Karakteristik Responden ........................................................................................................................... 112 LAMPIRAN 18 Analisa Bivariat ..................................................................................... 117 LAMPIRAN 19 Dokumentasi Penelitian ....................................................................... 118

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