Repository Poltekkes Kemenkes Palangka Raya

Ananda, Rendy Arya (2026) Studi kasus asuhan keperawatan pada pasien ny. I dengan infark serebral di Ruang Seruni RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Infark serebral terjadi akibat kematian jaringan otak karena terhentinya suplai darah dan oksigen, umumnya disebabkan oleh sumbatan trombus atau emboli. Kondisi ini menjadi masalah kesehatan global karena merupakan penyebab utama kematian dan kecacatan. Peningkatan kejadian berkaitan dengan faktor risiko seperti hipertensi, diabetes, dan obesitas. Tujuan: Studi kasus ini bertujuan melaksanakan asuhan keperawatan pada klien dewasa dengan diagnosis medis infark serebral, dengan fokus utama mengevaluasi efektivitas intervensi posisi head up 30° dan latihan Range of Motion (ROM). Metode: Penelitian ini menggunakan metode deskriptif melalui pendekatan studi kasus. Pengumpulan data dilakukan secara holistik meliputi proses wawancara, observasi klinis, pemeriksaan fisik, serta analisis rekam medis selama tiga hari masa perawatan. Hasil: Evaluasi keperawatan setelah tiga hari implementasi menunjukkan perbaikan klinis yang berarti. Keluhan pusing klien mengalami penurunan signifikan, status hemodinamik khususnya nilai Mean Arterial Pressure (MAP) menjadi lebih stabil, serta terdapat peningkatan skala kekuatan otot dan kemampuan mobilitas harian. Kesimpulan: Integrasi asuhan keperawatan melalui pemantauan tekanan darah berkelanjutan, intervensi elevasi head up 30°, serta latihan sendi terprogram terbukti efektif untuk mempertahankan stabilitas perfusi serebral sekaligus mempercepat proses pemulihan mobilitas fisik. Background: Cerebral infarction occurs due to brain tissue death resulting from the cessation of blood and oxygen supply, generally caused by a thrombus or embolus occlusion. This condition is a global health issue as it is a leading cause of mortality and disability. The increased incidence is associated with risk factors such as hypertension, diabetes, and obesity. Objective: This case study aims to implement nursing care for an adult client with a medical diagnosis of cerebral infarction, with a primary focus on evaluating the effectiveness of a 30° head-up positioning intervention and Range of Motion (ROM) exercises. Methods: This study utilized a descriptive method through a case study approach. Data collection was conducted holistically, encompassing interviews, clinical observations, physical examinations, and medical record analysis over three days of nursing care. Results: The nursing evaluation after three days of implementation demonstrated meaningful clinical improvement. The client's complaints of dizziness decreased significantly, the hemodynamic status—particularly the Mean Arterial Pressure (MAP) value—became more stable, and there was an increase in the muscle strength scale and daily mobility capabilities. Conclusion: The integration of nursing care through continuous blood pressure monitoring, a 30° head-up elevation intervention, and programmed joint exercises proved effective in maintaining cerebral perfusion stability while accelerating the recovery process of physical mobility. Keywords: Cerebral infarction, cerebral perfusion, physical mobility.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Infark serebral, perfusi serebral, mobilitas fisik
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111009 Nursing Research 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	01 Jul 2026 02:29
Last Modified:	01 Jul 2026 02:29
URI:	http://repo.polkesraya.ac.id/id/eprint/3511

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