Repository Poltekkes Kemenkes Palangka Raya

Anggraeni, Cindy (2026) Studi kasus asuhan keperawatan pada pasien diagnosis intracerebral hemorrhage (ICH) post craniotomy di RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral Hemorrhage (ICH) merupakan bentuk stroke akut paling mematikan dengan angka kematian 30%–40%, terutama dalam 48 jam pertama pascaserangan. Kondisi ini terjadi akibat pecahnya pembuluh darah otak yang menyebabkan kerusakan jaringan otak dan gangguan neurologis. Tujuan: Penelitian ini bertujuan untuk mengetahui perbandingan efektivitas intervensi Range of Motion (ROM) dalam meningkatkan mobilitas fisik dan posisi Head Up 30–45° dalam manajemen peningkatan tekanan intrakranial pada pasien Intracerebral Hemorrhage (ICH). Metode: Penelitian menggunakan metode deskriptif dengan pendekatan studi kasus berbasis Evidence Based Practice (EBP) untuk mengeksplorasi penerapan kedua intervensi keperawatan tersebut pada pasien Intracerebral Hemorrhage (ICH). Hasil: Setelah pelaksanaan latihan ROM sebanyak dua kali sehari selama tiga hari dan pengaturan posisi Head Up 30–45° secara konsisten selama perawatan, terdapat peningkatan yang signifikan pada skala kekuatan otot dan tingkat kesadaran pasien. Kesimpulan: Latihan Range of Motion (ROM) dan pengaturan posisi Head Up 30–45° terbukti efektif meningkatkan kekuatan otot serta tingkat kesadaran pada pasien Intracerebral hemorrhage (ICH), dengan hasil yang optimal apabila kedua intervensi diterapkan sedini mungkin. Kata Kunci: Intracerebral Hemorrhage, Range of Motion, Head Up 30–45°, Kekuatan Otot, Tekanan Intrakranial Background: Intracerebral hemorrhage (ICH) is the deadliest form of acute stroke, with a mortality rate of 30%–40%, particularly within the first 48 hours following the onset of symptoms. This condition occurs due to the rupture of a blood vessel in the brain, leading to brain tissue damage and neurological deficits. Objective: This study aims to determine the comparative effectiveness of Range of Motion (ROM) interventions in improving physical mobility and the 30–45° Head-Up position in the management of increased intracranial pressure in patients with Intracerebral Hemorrhage (ICH). Method: This study employed a descriptive method with a case study approach based on Evidence-Based Practice (EBP) to explore the application of these two nursing interventions in patients with Intracerebral Hemorrhage (ICH). Results: After performing ROM exercises twice daily for three days and consistently maintaining a 30–45° Head Up position throughout care, there was a significant improvement in muscle strength and the patients’ level of consciousness. Conclusion: Range of Motion (ROM) exercises and a 30–45° head-up position have been proven effective in improving muscle strength and level of consciousness in patients with intracerebral hemorrhage (ICH), with optimal results when both interventions are implemented as early as possible. Keywords: Intracerebral Hemorrhage, Range of Motion, Head Up 30–45°, Muscle Strength, Intracranial Pressure

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Intracerebral Hemorrhage, Range of Motion, Head Up 30–45°, Kekuatan Otot, Tekanan Intrakranial
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:	23 Jul 2026 03:19
Last Modified:	23 Jul 2026 03:19
URI:	http://repo.polkesraya.ac.id/id/eprint/3631

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