[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-id-113":3,"doc-seo-236723-113":41,"doc-detail-236723-id":114},{"code":4,"msg":5,"data":6},0,"success",[7,13,17,21,25,29,33,37],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":4,"slug":12},178,1,"Template","Faktur","faktur",{"id":14,"doc_module":9,"doc_module_name":10,"category_name":15,"show_sort_weight":4,"slug":16},192,"Formulir","formulir-192",{"id":18,"doc_module":9,"doc_module_name":10,"category_name":19,"show_sort_weight":4,"slug":20},180,"Media Sosial","media-sosial",{"id":22,"doc_module":9,"doc_module_name":10,"category_name":23,"show_sort_weight":4,"slug":24},179,"Poster","poster",{"id":26,"doc_module":9,"doc_module_name":10,"category_name":27,"show_sort_weight":4,"slug":28},176,"Presentasi","presentasi",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":4,"slug":32},177,"Resume","resume",{"id":34,"doc_module":9,"doc_module_name":10,"category_name":35,"show_sort_weight":4,"slug":36},182,"Surat","surat-a95d00d3aaf04f3b854ecf140f00d385",{"id":38,"doc_module":9,"doc_module_name":10,"category_name":39,"show_sort_weight":4,"slug":40},183,"Umum","umum-07d1ff437201438088836b2b1ed3c90f",{"code":4,"msg":42,"data":43},"ok",{"site_id":44,"language":45,"slug":46,"title":47,"keywords":48,"description":49,"schema_data":50,"social_meta":107,"head_meta":109,"extra_data":111,"updated_unix":113},113,"id","lampiran-lampiran-informed-consent-and-respondent-questionnaire-for-uric-acid-levels","Lampiran-lampiran - Lembar Informed Consent dan Kuesioner Responden Kadar Asam Urat","","Lampiran ini memuat lembar informed consent (Surat Persetujuan Menjadi Responden) dan lembar kuesioner responden untuk penelitian berjudul “Gambaran Kadar Asam Urat Pada Masyarakat Usia Produktif Di Desa Kubu, Kecamatan Kubu, Kabupaten Karangasem”. Form persetujuan mencakup identitas calon responden serta kesediaan mengikuti penelitian, termasuk hak untuk membatalkan bila merasa dirugikan. Lembar kuesioner berisi identitas (nama, umur, jenis kelamin, tingkat pendidikan), data antropometri (berat badan, tinggi badan, IMT), serta hasil pemeriksaan kadar asam urat (mg/dL).",{"@graph":51,"@context":106},[52,68,89],{"@type":53,"itemListElement":54},"BreadcrumbList",[55,59,62,65],{"item":56,"name":57,"@type":58,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":60,"name":10,"@type":58,"position":61},"https://docshare.wps.com/id/template/",2,{"item":63,"name":15,"@type":58,"position":64},"https://docshare.wps.com/id/template/formulir/",3,{"item":66,"name":47,"@type":58,"position":67},"https://docshare.wps.com/id/template/lampiran-lampiran-informed-consent-and-respondent-questionnaire-for-uric-acid-levels/236723/",4,{"url":66,"name":47,"@type":69,"image":70,"author":75,"headline":47,"publisher":78,"fileFormat":81,"inLanguage":45,"description":49,"dateModified":82,"datePublished":83,"encodingFormat":81,"isAccessibleForFree":84,"interactionStatistic":85},"DigitalDocument",{"url":71,"@type":72,"width":73,"height":74},"https://docshare.wps.com/thumbnails/lampiran-lampiran-informed-consent-and-respondent-questionnaire-for-uric-acid-levels/236723.png","ImageObject",442,249,{"name":76,"@type":77},"Lucas Vance","Person",{"url":56,"name":79,"@type":80},"DocShare","Organization","application/pdf","2026-09-20","2026-09-11",true,{"@type":86,"interactionType":87,"userInteractionCount":9},"InteractionCounter",{"@type":88},"ViewAction",{"@type":90,"mainEntity":91},"FAQPage",[92,98,102],{"name":93,"@type":94,"acceptedAnswer":95},"Apa saja komponen yang harus diisi pada lembar informed consent responden?","Question",{"text":96,"@type":97},"Lembar informed consent memuat nama, tanggal lahir, usia, dan alamat, serta pernyataan bersedia/tidak bersedia menjadi subjek penelitian setelah memperoleh penjelasan manfaat dan risiko.","Answer",{"name":99,"@type":94,"acceptedAnswer":100},"Data apa yang dikumpulkan dalam lembar kuesioner responden?",{"text":101,"@type":97},"Kuesioner mengumpulkan identitas responden, tingkat pendidikan, data antropometri (berat badan, tinggi badan, IMT), dan hasil pemeriksaan kadar asam urat (mg/dL).",{"name":103,"@type":94,"acceptedAnswer":104},"Bagaimana prosedur persetujuan ketika responden merasa dirugikan?",{"text":105,"@type":97},"Responden berhak membatalkan persetujuan kapan saja apabila merasa dirugikan dalam bentuk apa pun.","https://schema.org",{"og:url":66,"og:type":108,"og:title":47,"og:site_name":79,"og:description":49},"article",{"robots":110,"canonical":66},"index,follow",{"doc_id":112,"site_id":44},236723,1789107172,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":76,"user_avatar":117,"doc_module":9,"category_id":14,"category_name":15,"doc_title":47,"doc_description":49,"doc_content":118,"file_id":119,"file_url":120,"file_type":121,"file_size":122,"view_count":9,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":123,"language":124,"language_code":45,"site_id":44,"html_lang":45,"table_of_contents":125,"faqs":126,"seo_title":127,"seo_description":49,"update_tm":113,"read_time":67},549768064622,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","INFORMED CONSENT  \n(Surat Persetujuan Menjadi Responden)  \nYang bertanda tangan dibawah ini :  \nNama :  \nTanggal lahir :  \nUsia :  \nAlamat :  \nSetelah mendapatkan keterangan dan penjelasan dari peneliti sertamengetahui manfaat dan risiko penelitian yang berjudul “Gambaran Kadar Asam Urat Pada Masyarakat Usia Produktif Di Desa Kubu, Kecamatan Kubu, Kabupaten Karangasem” dengan ini menyatakan bersedia/tidak bersedia *) ikut serta sebagai subjek penelitian, dengan catatan bila sewaktu – waktu merasadirugikan dalam bentuk apapun berhak membatalkan persetujuan ini.  \nDemikian surat pertanyaan ini dibuat tanpa ada pemaksaan dari pihak manapun dan informasi yang diperoleh dapat digunakan sepenuhnya untuk kepentingan penelitian.  \nKarangasem,……………….. Yang membuat pernyataan,  \n(…………………………….)  \n*) coret yang tidak perlu  \nLEMBAR KUESIONER RESPONDEN  \nA. Identitas Responden No. responden :  \nNama :  \nUmur : Tahun  \nJenis Kelamin :  \n1. Tingkat Pendidikan  \na. SD  \nb. SMP  \nc. SMA/SMK  \nd. Perguruan Tinggi  \nB. Antroprometri  \n1. Berat Badan : kg  \n2. Tinggi Badan : cm  \n3. IMT : kg/m2  \nC. Pemeriksaan Pemeriksaan Kadar Asam Urat : mg/dL  \n\n| No.\u003Cbr>Responden | Umur\u003Cbr>(Tahun) | Jenis Kelamin | Tingkat Pendidikan | Berat Badan\u003Cbr>(kg) | Tinggi Badan\u003Cbr>(cm) | IMT (kg/m2 ) | Kadar Asam Urat\u003Cbr>(mg/dL) |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| 001 | 50 | L | Tidak Sekolah | 93 | 181 | 28,3 | 7,1 |\n| 002 | 64 | P | Tidak Sekolah | 69 | 148 | 31,5 | 6,2 |\n| 003 | 52 | L | Tidak Sekolah | 88,3 | 175 | 28,8 | 7,7 |\n| 004 | 32 | P | SD | 70 | 160 | 27,3 | 5,9 |\n| 005 | 54 | L | Tidak Sekolah | 59 | 160 | 23 | 5,1 |\n| 006 | 31 | P | Perguruan Tinggi | 57 | 155 | 23,7 | 5 |\n| 007 | 27 | L | SMK | 85,6 | 173 | 28,6 | 8,3 |\n| 008 | 25 | P | SMA | 60,1 | 169 | 21 | 5,2 |\n| 009 | 30 | P | Perguruan Tinggi | 55 | 143 | 26,9 | 4,9 |\n| 010 | 22 | P | SMA | 61,4 | 156 | 25,2 | 5,5 |\n| 011 | 56 | P | Tidak sekolah | 75,8 | 154 | 31,9 | 6,5 |\n| 012 | 45 | L | SD | 55,6 | 170 | 19,2 | 5,1 |\n| 013 | 21 | P | SMA | 61 | 166 | 22,1 | 4,2 |\n| 014 | 21 | P | SMK | 47,5 | 167 | 17 | 4,8 |\n| 015 | 39 | L | SMP | 53 | 169 | 18,5 | 8,4 |\n| 016 | 28 | L | SMA | 60 | 165 | 22 | 7,7 |\n| 017 | 34 | L | SMK | 55 | 154 | 23,2 | 4,2 |\n| 018 | 35 | P | SMP | 65 | 150 | 28,8 | 5,6 |\n| 019 | 20 | P | SMK | 73,2 | 161 | 28,2 | 6,8 |\n| 020 | 45 | L | Perguruan Tinggi | 89,7 | 178 | 28,3 | 7,2 |\n| 021 | 39 | L | SMP | 86,9 | 170 | 30,3 | 7,3 |\n| 022 | 41 | P | SMP | 62 | 156 | 25,5 | 6,6 |\n\n\n| 023 | 45 | P | SMP | 45 | 151 | 19,7 | 7,2 |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n| 024 | 57 | P | Tidak Sekolah | 59 | 150 | 26,2 | 6,1 |\n| 025 | 34 | P | SMP | 51 | 145 | 24,2 | 5,3 |\n| 026 | 23 | P | SMA | 58 | 152 | 25,1 | 5,5 |\n| 027 | 30 | L | Tidak Sekolah | 77,7 | 167 | 27,8 | 7,9 |\n| 028 | 45 | P | SD | 54 | 149 | 24,3 | 5,9 |\n| 029 | 55 | L | SD | 81 | 169 | 28,3 | 8,6 |\n| 030 | 43 | L | SMP | 68 | 166 | 24,7 | 8,1 |\n| 031 | 34 | P | SMK | 54 | 156 | 22,2 | 5,8 |\n| 032 | 19 | P | SMA | 51 | 164 | 19 | 4,1 |\n| 033 | 26 | P | SMA | 61 | 160 | 23,8 | 5,3 |\n| 034 | 45 | P | SMP | 57 | 159 | 22,6 | 5,9 |\n| 035 | 27 | L | SMK | 85,8 | 171 | 29,2 | 7,4 |\n| 036 | 34 | L | SMP | 78,2 | 169 | 27,3 | 7,7 |\n| 037 | 29 | P | Perguruan Tinggi | 45 | 150 | 20 | 4,8 |\n| 038 | 60 | P | Tidak sekolah | 49 | 145 | 23,3 | 5,2 |\n| 039 | 45 | P | SD | 46 | 155 | 19,1 | 4,4 |\n| 040 | 22 | P | SMA | 50 | 160 | 19,5 | 5,1 |\n| 041 | 47 | L | SMP | 83,1 | 169 | 29 | 7,5 |\n| 042 | 55 | L | Tidak Sekolah | 93.7 | 179 | 29,2 | 8,3 |\n| 043 | 35 | P | Perguruan Tinggi | 55 | 163 | 20,7 | 5,7 |\n| 044 | 39 | L | SMA | 58.3 | 168 | 20,6 | 6 |\n\nAlat dan Bahan  \nAlat POCT, strip test, blood lancet, alkohol swab dan pen lancet  \nMasker medis  \nKresek kuning  \nHand scoon  \nDokumentasi Kegiatan","cbCaipiPnYlKhA75","https://ap.wps.com/l/cbCaipiPnYlKhA75","pdf",2625758,12,"Indonesian","# Informed Consent\n## Identitas dan Persetujuan Responden\n# Lembar Kuesioner Responden\n## Identitas Responden\n## Antropometri\n## Pemeriksaan Kadar Asam Urat\n## Tabel Data Responden\n# Alat dan Bahan\n## Peralatan Pemeriksaan\n## Alat Pendukung\n# Dokumentasi Kegiatan","[{\"question\":\"Apa saja komponen yang harus diisi pada lembar informed consent responden?\",\"answer\":\"Lembar informed consent memuat nama, tanggal lahir, usia, dan alamat, serta pernyataan bersedia/tidak bersedia menjadi subjek penelitian setelah memperoleh penjelasan manfaat dan risiko.\"},{\"question\":\"Data apa yang dikumpulkan dalam lembar kuesioner responden?\",\"answer\":\"Kuesioner mengumpulkan identitas responden, tingkat pendidikan, data antropometri (berat badan, tinggi badan, IMT), dan hasil pemeriksaan kadar asam urat (mg/dL).\"},{\"question\":\"Bagaimana prosedur persetujuan ketika responden merasa dirugikan?\",\"answer\":\"Responden berhak membatalkan persetujuan kapan saja apabila merasa dirugikan dalam bentuk apa pun.\"}]","Lampiran-lampiran - Lembar Informed Consent dan Kuesioner Responden Kadar Asam Urat | PDF"]