Repository Poltekkes Kemenkes Palangka Raya

Valentina, Adinda (2026) Asuhan keperawatan pada pasien dengan diagnosis stroke non hemoragik di Ruang Nusa Indah RSUD dr. Doris Sylvanus Palangka Raya. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke Non Hemoragik (SNH) merupakan penyebab utama mortalitas dan disabilitas global, dengan beban kasus yang terus meningkat di Indonesia. Di Ruang Nusa Indah RSUD dr. Doris Sylvanus Palangka Raya, tercatat 282 kasus SNH selama tahun 2025 dengan fatality rate cukup tinggi. Pasien SNH umumnya mengalami empat masalah keperawatan yang saling berinteraksi, yaitu risiko perfusi serebral tidak efektif, gangguan mobilitas fisik, gangguan komunikasi verbal, dan defisit nutrisi, namun penelitian terdahulu masih membahasnya secara parsial dan belum terintegrasi. Tujuan: Menerapkan asuhan keperawatan komprehensif pada pasien Stroke Non Hemoragik meliputi pengkajian, penetapan diagnosis, perencanaan, implementasi, dan evaluasi berdasarkan SDKI, SLKI, dan SIKI. Metode: Desain studi kasus deskriptif pada dua pasien Stroke Non Hemoragik di Ruang Nusa Indah RSUD dr. Doris Sylvanus Palangka Raya selama tiga hari perawatan. Data dikumpulkan melalui wawancara, observasi klinis, pemeriksaan fisik neurologis, dan studi dokumentasi rekam medis. Hasil: Pasien 1 yang memperoleh terapi trombolitik pada golden period menunjukkan luaran neurologis lebih baik dengan kesadaran compos mentis (GCS 15) yang stabil. Sebaliknya, Pasien 2 dengan krisis hipertensi dan Diabetes Melitus tidak terkontrol mengalami defisit neurologis berat (GCS 9) tanpa perbaikan hingga hari ketiga. Keempat masalah keperawatan teratasi sebagian setelah tiga hari intervensi; kekuatan otot meningkat pada kedua pasien, namun fungsi neurologis Pasien 2 relatif stagnan meskipun hemodinamik membaik. Kesimpulan: Ketepatan waktu intervensi medis awal dan komorbiditas menjadi determinan utama keparahan serta prognosis pemulihan pasien SNH. Asuhan keperawatan berbasis SDKI, SLKI, dan SIKI terbukti mampu memberikan perbaikan klinis terukur, meskipun pemulihan optimal memerlukan kesinambungan perawatan melalui discharge planning yang melibatkan keluarga. Kata Kunci: Asuhan Keperawatan, Stroke Non Hemoragik, Studi Kasus. Background: Non-Hemorrhagic Stroke (NHS) is a leading cause of mortality and disability worldwide, with a growing case burden in Indonesia. The Nusa Indah Ward of RSUD dr. Doris Sylvanus Palangka Raya recorded 282 NHS cases in 2025 with a considerable fatality rate. Patients with NHS commonly present with four interrelated nursing problems: risk of ineffective cerebral perfusion, impaired physical mobility, impaired verbal communication, and nutritional deficit, yet prior studies have generally addressed these separately. Objective: To implement comprehensive nursing care for patients with Non-Hemorrhagic Stroke, covering assessment, diagnosis, planning, implementation, and evaluation based on the Indonesian SDKI, SLKI, and SIKI standards. Method: A descriptive case study design was used, involving two patients with Non-Hemorrhagic Stroke in the Nusa Indah Ward of RSUD dr. Doris Sylvanus Palangka Raya over three days of care, with data collected through interviews, clinical observation, neurological examination, and medical record review. Results: Patient 1, who received thrombolytic therapy within the golden period, showed a better outcome with a stable, fully conscious state (GCS 15). Patient 2, with hypertensive crisis and uncontrolled Diabetes Mellitus, experienced severe neurological deficit (GCS 9) with no improvement through day three. All four nursing problems were partially resolved; muscle strength improved in both patients, though Patient 2's neurological function remained largely unchanged despite improved hemodynamics. Conclusion: Timeliness of initial medical intervention and comorbidities are key determinants of severity and recovery prognosis in NHS patients. Nursing care based on SDKI, SLKI, and SIKI proved effective in producing measurable clinical improvement, though optimal recovery requires continuity of care through family-involved discharge planning. Keywords: Nursing Care, Non-Hemorrhagic Stroke, Case Study.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Stroke Non Hemoragik, Studi Kasus
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 > 111011 Nursing Specialties > 11101117 Neuroscience Nursing 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	17 Jul 2026 01:36
Last Modified:	17 Jul 2026 01:36
URI:	http://repo.polkesraya.ac.id/id/eprint/3601

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