Repository Poltekkes Kemenkes Palangka Raya

Negara, Muhammad Abdee (2026) Asuhan keperawatan pada pasien stroke hemoragik dengan intraventricular hemorrhage (IVH) di Ruang Nusa Indah RSUD dr. Doris Sylvanus Palangka Raya Kalimantan Tengah. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke hemoragik dengan Intraventricular Hemorrhage (IVH) merupakan kondisi neurologis akut yang mengancam jiwa akibat perdarahan pada sistem ventrikel otak, umumnya disebabkan hipertensi tidak terkontrol. Tujuan Penelitian: Mendeskripsikan asuhan keperawatan pada dua pasien stroke hemoragik dengan IVH di Ruang Nusa Indah RSUD dr. Doris Sylvanus Palangka Raya. Metode Penelitian: Studi kasus deskriptif pada dua pasien IVH yang dirawat Februari 2026. Data dikumpulkan melalui wawancara, pemeriksaan fisik, dan telaah rekam medis, kemudian dianalisis menggunakan standar SDKI, SLKI, dan SIKI. Hasil Penelitian: Tiga diagnosis keperawatan ditetapkan pada kedua kasus: Gangguan Mobilitas Fisik, Gangguan Komunikasi Verbal, dan Risiko Perfusi Serebral Tidak Efektif. Setelah dua hingga tiga hari intervensi, GCS meningkat dari 12 menjadi 13 dan kekuatan otot mengalami perbaikan parsial. Masalah komunikasi verbal dan risiko perfusi serebral belum teratasi sehingga memerlukan tindak lanjut. Kesimpulan: Asuhan keperawatan sistematis berbasis SDKI-SLKI-SIKI yang didukung keterlibatan aktif keluarga terbukti membantu perbaikan kondisi neurologis pasien IVH secara bertahap. Rehabilitasi lanjutan dan kontrol hipertensi merupakan kunci pemulihan optimal jangka panjang. Kata Kunci: Stroke Hemoragik; Intraventricular Hemorrhage; Asuhan Keperawatan; SDKI; Mobilitas Fisik; Perfusi Serebral Background: Hemorrhagic stroke with Intraventricular Hemorrhage (IVH) is an acute, life threatening neurological condition resulting from bleeding within the brain's ventricular system, most commonly caused by uncontrolled hypertension. Objective: To describe the nursing care provided to two hemorrhagic stroke patients with IVH in the Nusa Indah Ward of RSUD dr. Doris Sylvanus Palangka Raya. Method: A descriptive case study was conducted on two IVH patients admitted in February 2026. Data were collected through interviews, physical examinations, and medical record reviews, then analyzed using the SDKI, SLKI, and SIKI nursing standards. Result: Three nursing diagnoses were established in both cases: Impaired Physical Mobility, Impaired Verbal Communication, and Risk for Ineffective Cerebral Perfusion. Following two to three days of intervention, the Glasgow Coma Scale (GCS) improved from 12 to 13 and muscle strength showed partial recovery. Verbal communication impairment and the risk of ineffective cerebral perfusion remained unresolved and require further follow-up. Conclusion: Systematic nursing care based on SDKI-SLKI-SIKI standards, supported by active family involvement, was shown to gradually improve the neurological condition of IVH patients. Continued rehabilitation and hypertension management are key to achieving optimal long-term recovery. Keywords: Hemorrhagic Stroke; Intraventricular Hemorrhage; Nursing Care; SDKI; Physical Mobility; Cerebral Perfusion

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Kata Kunci: Stroke Hemoragik; Intraventricular Hemorrhage; Asuhan Keperawatan; SDKI; Mobilitas Fisik; Perfusi Serebral
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110904 Neurology and Neuromuscular Diseases 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:	23 Jul 2026 03:16
Last Modified:	23 Jul 2026 03:16
URI:	http://repo.polkesraya.ac.id/id/eprint/3630

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