Repository Poltekkes Kemenkes Palangka Raya

Mursida, Zahrina Nurfaiza (2026) Studi kasus asuhan keperawatan pada pasien intracerebral hemorrhage (ICH) berdasarkan etiologi trauma dan hipertensi di RSUD dr. Doris Sylvanus. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral Hemorrhage (ICH) merupakan kondisi kegawatdaruratan neurologis yang memiliki angka morbiditas dan mortalitas yang tinggi. Kondisi ini terjadi akibat perdarahan di dalam jaringan otak yang dapat menyebabkan kerusakan sel otak dan peningkatan tekanan intrakranial. Selain itu, ICH juga dapat menimbulkan gangguan fungsi neurologis sehingga memerlukan penanganan yang cepat dan menyeluruh. Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis penerapan asuhan keperawatan pada dua pasien ICH dengan etiologi yang berbeda di RSUD dr. Doris Sylvanus berdasarkan diagnosis keperawatan prioritas sesuai kondisi klinis masing-masing pasien. Metode Penelitian: Penelitian ini menggunakan metode studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, penetapan diagnosis keperawatan, perencanaan, pelaksanaan, dan evaluasi. Hasil Penelitian: Hasil studi kasus menunjukkan adanya perbedaan prioritas masalah keperawatan pada dua pasien ICH dengan etiologi yang berbeda. Pada pasien ICH akibat cedera otak traumatik yang dirawat di ICU, diagnosis keperawatan prioritas yang ditemukan adalah penurunan kapasitas adaptif intrakranial, gangguan ventilasi spontan, dan perfusi serebral tidak efektif. Sementara itu, pada pasien ICH akibat hipertensi, diagnosis keperawatan prioritas yang ditemukan adalah perfusi serebral tidak efektif dan gangguan mobilitas fisik. Kesimpulan: Asuhan keperawatan pada pasien ICH perlu disesuaikan dengan kondisi klinis dan etiologi masing-masing pasien karena terdapat perbedaan diagnosis keperawatan prioritas antara pasien ICH akibat cedera otak traumatik dan hipertensi. Background: Intracerebral Hemorrhage (ICH) is a neurological emergency condition with high morbidity and mortality rates. This condition occurs due to bleeding within the brain tissue, which can cause brain cell damage and increased intracranial pressure. In addition, ICH may also lead to neurological dysfunction, requiring prompt and comprehensive management. Objective: This study aimed to analyze the implementation of nursing care in two patients with different ICH etiologies at RSUD dr. Doris Sylvanus based on priority nursing diagnoses according to each patient’s clinical condition. Methods: This study used a case study method with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. Results: The results showed differences in the priority nursing problems between two patients with different ICH etiologies. In the patient with traumatic brain injury-related ICH who was treated in the ICU, the priority nursing diagnoses identified were risk for decreased adaptive intracranial capacity, impaired spontaneous ventilation, and ineffective cerebral tissue perfusion. Meanwhile, in the patient with hypertension-related ICH, the priority nursing diagnoses identified were ineffective cerebral tissue perfusion and impaired physical mobility. Conclusion: Nursing care for patients with ICH needs to be adjusted according to the clinical condition and etiology of each patient because there are differences in priority nursing diagnoses between patients with traumatic brain injury-related ICH and hypertension-related ICH. Keywords: Nursing Care, Intracerebral Hemorrhage, Ineffective Cerebral Tissue Perfusion, Intracranial Pressure

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Intracerebral Hemorrhage, Perfusi Serebral Tidak Efektif, Tekanan Intrakranial
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110904 Neurology and Neuromuscular Diseases 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:	13 Jul 2026 05:19
Last Modified:	13 Jul 2026 05:19
URI:	http://repo.polkesraya.ac.id/id/eprint/3523

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