i

LEMBAR PENGESAHAN

Laporan home visite ini sebagai salah satu prasyarat untuk dapat
mengikuti ujian Profesi Dokter di Fakultas Kedokteran
Universitas Wijaya Kusuma Surabaya

LAPORAN HOME VISIT PUSKESMAS

TANGGULANGIN

Disusun Oleh :

Asmaul Chusnah 08700070

Mengetahui,
Tanggulangin, 22 April 2015

Kepala Puskesmas Tanggulangin Pembimbing Puskesmas Tanggulangin

drg. Erni Wahyuni dr. Widyastuti

NIP. 196905102002122002 NIP. 198609132014022002

ii
 KATA PENGANTAR

Puji syukur kami panjatkan ke hadirat Tuhan Yang Maha Esa

karena atas berkat dan rahmat-Nya, saya dapat menyelesaikan penyusunan
laporan home visite ini tepat pada waktunya. Penyusunan laporan home
visit ini sebagai bagian dari tugas kepaniteraan klinik Ilmu Kesehatan
Masyarakat, dan sebagai salah satu syarat kelulusan pendidikan dokter di
Fakultas Kedokteran Universitas Wijaya Kusuma Surabaya.

Atas terselesaikannya laporan home visit ini, saya menyampaikan

terima kasih kepada :

1. Prof. Dr. Sri Harmadji, dr, Sp.THT-KL (K), selaku Rektor

Universitas Wijaya Kusuma Surabaya.
2. Prof. Dr. H. Djanggan Sargowo, dr, Sp.PD, Sp.JP (K), FIHA,
FACC, FCAPC, FESC, FASCC, selaku Dekan Fakultas
Kedokteran Universitas Wijaya Kusuma Suarabaya.
3. Prof. Dr. Rika Subarniati Triyoga, dr, SKM, selaku Kepala
Bagian Ilmu Kesehatan Masyarakat Fakultas Kedokteran
Universitas Wijaya Kusuma Surabaya berserta staf.
4. Ayu Cahyani, N, dr, MKKK, selaku Koordinator Kepaniteraan
Klinik Ilmu Kedokteran Komunitas Fakultas Kedokteran
Universitas Wijaya Kusuma Surabaya.
5. Prof. Dr. Sudarso, M.Sc selaku pembimbing yang telah
memberikan arahan kepada saya.
6. Kepala Dinas Kesehatan Kabupaten Sidoarjo beserta staf.
7. drg. Erni Wahyuni selaku Kepala Puskesmas Tanggulangin
Kabupaten Sidoarjo beserta staf.
8. dr. Widyastuti selaku dokter pembimbing home visit.
9. Kepala Desa Kali Tengah beserta staf.
10. Bidan Desa beserta Kader di Desa Kali Tengah .

iii
 11. Rekan - rekan dokter muda dan semua pihak yang telah
membantu menyelesaikan laporan ini.
Saya menyadari laporan ini masih jauh dari sempurna sehingga
kritik dan saran yang membangun sangat saya hargai guna penyempurnaan
laporan ini. Semoga laporan ini dapat bermanfaat bagi kita semua.

Tanggulangin, April 2015

Penulis

iv
 DAFTAR ISI

HALAMAN JUDUL..........................................................................................
i
Lembar Pengesahan...........................................................................................
ii
Kata Pengantar..................................................................................................
iii
Daftar Isi.............................................................................................................
iv
Pendahuluan ......................................................................................................
1
Form Hasil Kegiatan Dokter Keluarga..............................................................
3
Laporan Home Visite Dokter Keluarga............................................................
4
BAB I STATUS PENDERITA.......................................................................
5
A. PENDAHULUAN
....................................................................................................
....................................................................................................
5
B. IDENTITAS PENDERITA
....................................................................................................
....................................................................................................
5
C. ANAMNESIS
....................................................................................................
....................................................................................................
6
D. ANAMNESIS SISTEM
....................................................................................................
....................................................................................................
8
E. PEMERIKSAAN FISIK

v
 ....................................................................................................
....................................................................................................
9
F. PEMERIKSAAN PENUNJANG
....................................................................................................
....................................................................................................
11
G. RESUME
....................................................................................................
....................................................................................................
11
H. PATIENT CENTERED DIAGNOSIS
....................................................................................................
....................................................................................................
12
I. PENATALAKSANAAN
....................................................................................................
....................................................................................................
12
J. FOLLOW UP
....................................................................................................
....................................................................................................
13
BAB II IDENTIFIKASI FUNGSI-FUNGSI KELUARGA..........................
13
A. FUNGSI KELUARGA
....................................................................................................
....................................................................................................
17
B. APGAR SCORE
....................................................................................................
....................................................................................................
18
C. SCREEM
....................................................................................................
....................................................................................................
21
D. KARAKTERISTIK DEMOGRAFI KELUARGA
....................................................................................................
....................................................................................................
22
E. INFORMASI POLA INTERAKSI KELUARGA

vi
 ....................................................................................................
....................................................................................................
23
F. PERTANYAAN SIRKULER
....................................................................................................
....................................................................................................
23
BAB III IDENTIFIKASI FAKTOR-FAKTOR YANG
MEMPENGARUHI KESEHATAN
...................................................................................................
...................................................................................................
25
A. IDENTIFIKASI FAKTOR PERILAKU dan NON
PERILAKU KELUARGA
...............................................................................................
...............................................................................................
26
B. IDENTIFIKASI LINGKUNGAN RUMAH
.....................................................................................................
.....................................................................................................
27
BAB IV DAFTAR MASALAH.........................................................................
28
BAB V PATIENT MANAGEMENT..............................................................
29
A. PATIENT CENTERED MANAGEMENT
...............................................................................................
...............................................................................................
29
B. PREVENSI BEBAS TBC UNTUK ANGGOTA
KELUARGA
...............................................................................................
...............................................................................................
31
C. PREVENSI BEBAS DIARE UNTUK ANGGOTA
MASYARAKAT
...............................................................................................
...............................................................................................
31
BAB VI TINJAUAN PUSTAKA......................................................................
33
A. LATAR BELAKANG

vii
 ...............................................................................................
...............................................................................................
33
B. DEFINISI
.....................................................................................................
.....................................................................................................
34
C. KLASIFIKASI
.....................................................................................................
.....................................................................................................
35
D. ETIOLOGI DAN FAKTOR RESIKO
.....................................................................................................
.....................................................................................................
35
E. EPIDEMIOLOGI
.....................................................................................................
.....................................................................................................
39
F. PATOFISIOLOGI DAN PATOGENESIS
.....................................................................................................
.....................................................................................................
41
G. FAKTOR-FAKTOR LINGKUNGAN YANG
MEMPENGARUHI TERJADINYA DIARE
.....................................................................................................
.....................................................................................................
41
H. GEJALA KLINIS
.....................................................................................................
.....................................................................................................
49
I. MEDIKAMENTOSA
.....................................................................................................
.....................................................................................................
50
J. TRANSMISI DAN PENCEGAHAN
.....................................................................................................
.....................................................................................................
53
BAB VII PENUTUP..........................................................................................
54
A. KESIMPULAN

viii
 .....................................................................................................
.....................................................................................................
54
B. SARAN
.....................................................................................................
.....................................................................................................
55
DAFTAR PUSTAKA.........................................................................................
56
LAMPIRAN I.....................................................................................................
57
LAMPIRAN II...................................................................................................
58
LAMPIRAN III..................................................................................................
59
LAMPIRANIV...................................................................................................
60

ix