Repository Poltekkes Kemenkes Palangka Raya

Kristina, Agrelya Novita (2026) Studi kasus asuhan keperawatan pasien dengan intracerebral hemorraghe (ICH) e.c. kejang post-stroke di Ruang Stroke Center RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral hemorrhage (ICH) merupakan salah satu jenis stroke hemoragik yang disebabkan oleh perdarahan spontan dalam jaringan otak dengan angka morbiditas dan mortalitas tinggi yang berisiko menimbulkan kerusakan neurologis berat, salah satu komplikasi yang dapat terjadi adalah kejang post-stroke akibat iritasi jaringan otak oleh darah dan peningkatan tekanan intrakranial. Kejang pada pasien ICH dapat memperburuk kondisi neurologis, meningkatkan kebutuhan oksigen otak, serta berisiko menimbulkan cedera tambahan. Tujuan Penelitian: Mendeskripsikan pelaksanaan asuhan keperawatan pada pasien ICH dengan kejang post-stroke di Ruang Stroke Center RSUD Ulin Banjarmasin. Metode Penelitian: Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus melalui proses keperawatan meliputi pengkajian, diagnosa, intervensi, implementasi, dan evaluasi. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi. Hasil Penelitian: Pengkajian menunjukkan pasien mengalami penurunan kesadaran, gangguan mobilitas, dan tanda peningkatan tekanan intrakranial. Diagnosa keperawatan meliputi penurunan kapasitas adaptif intrakranial, gangguan mobilitas fisik dan risiko cedera. Intervensi dilakukan melalui pemantauan tanda vital dan status neurologis, manajemen kejang, pemenuhan kebutuhan dasar, serta pencegahan komplikasi. Evaluasi menunjukkan kondisi pasien membaik, namun masih memerlukan perawatan lanjutan. Kesimpulan: Asuhan keperawatan yang dilakukan secara sistematis dan berkelanjutan dapat membantu memperbaiki kondisi pasien ICH dengan kejang post-stroke serta mencegah komplikasi lebih lanjut. Kata Kunci: Intracerebral Hemorrhage, Kejang Post-Stroke, Stroke Hemoragik, Asuhan Keperawatan. Background: Intracerebral hemorrhage (ICH) is a type of hemorrhagic stroke caused by spontaneous bleeding within brain tissue, with high morbidity and mortality rates and a risk of severe neurological damage. One possible complication is post-stroke seizures due to irritation of brain tissue by blood and increased intracranial pressure. Seizures in ICH patients can worsen neurological conditions, increase brain oxygen demand, and raise the risk of additional injury. Objective: To describe the implementation of nursing care in patients with ICH and post-stroke seizures in the Stroke Center Room of RSUD Ulin Banjarmasin. Methods: This study used a descriptive method with a case study approach through the nursing process, including assessment, diagnosis, intervention, implementation, and evaluation. Data were collected through interviews, observation, physical examination, and documentation review. Results: Assessment showed decreased consciousness, impaired mobility, and signs of increased intracranial pressure. Nursing diagnoses included decreased intracranial adaptive capacity, impaired physical mobility, and risk of injury. Interventions included monitoring vital signs and neurological status, seizure management, fulfillment of basic needs, and prevention of complications. Evaluation showed improvement in the patient’s condition, although further care was still required. Conclusion: Systematic and continuous nursing care can improve the condition of patients with ICH and post-stroke seizures and prevent further complications. Keywords: intracerebral hemorrhage, post-stroke seizures, hemorrhagic stroke, nursing care.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Intracerebral Hemorrhage, Kejang Post-Stroke, Stroke Hemoragik, Asuhan Keperawatan. intracerebral hemorrhage, post-stroke seizures, hemorrhagic stroke, nursing care.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111008 Nursing Practical 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:	16 Jul 2026 06:52
Last Modified:	16 Jul 2026 06:52
URI:	http://repo.polkesraya.ac.id/id/eprint/3564

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