Repository Poltekkes Kemenkes Palangka Raya

Marelino, Andrean Jesen (2026) Asuhan Keperawatan Pada Pasien Stroke Non Hemoragik Dengan Risiko Aspirasi di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke Non Hemoragik (SNH) merupakan jenis stroke yang paling sering terjadi dan dapat menyebabkan disfagia sebagai komplikasi yang meningkatkan risiko aspirasi, serta memperburuk luaran klinis pasien. Tujuan: Melaksanakan asuhan keperawatan komprehensif pada pasien Stroke Non Hemoragik dengan disfagia melalui pendekatan proses keperawatan di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Metode: Penelitian menggunakan desain studi kasus deskriptif pada satu pasien Stroke Non Hemoragik dengan disfagia. Data dikumpulkan melalui pengkajian, pemeriksaan fisik, pemeriksaan saraf kranial, skrining disfagia menggunakan Gugging Swallowing Screen (GUSS), pemeriksaan penunjang, serta penerapan proses keperawatan berdasarkan SDKI, SLKI, dan SIKI selama tiga hari. Hasil: Pasien mengalami stroke berulang dengan hipertensi, diabetes melitus tipe 2, dan dislipidemia. Skor GUSS awal 3 menunjukkan disfagia berat. Diagnosis keperawatan meliputi Risiko Aspirasi, Gangguan Menelan, dan Defisit Nutrisi. Implementasi difokuskan pada pencegahan aspirasi, latihan effortful swallow, dan pemenuhan nutrisi melalui NGT. Setelah tiga hari, skor GUSS meningkat menjadi 8, kadar albumin meningkat dari 3,2 menjadi 3,5 g/dL, dan tidak terjadi aspirasi selama perawatan. Kesimpulan: Asuhan keperawatan komprehensif berbasis bukti membantu meningkatkan kemampuan menelan serta mencegah komplikasi aspirasi pada pasien Stroke Non Hemoragik dengan disfagia. Kata kunci: Asuhan keperawatan, disfagia, gangguan menelan, risiko aspirasi, stroke non hemoragik. Background: Non-hemorrhagic stroke (NHS) is the most common type of stroke and can lead to dysphagia complication that increases the risk of aspiration and worsens clinical outcomes. Objective: To provide comprehensive nursing care for a patient with non-hemorrhagic stroke and dysphagia using the nursing process approach at Dr. H. Moch. Ansari Saleh Regional General Hospital, Banjarmasin. Methods: This study employed a descriptive case study design involving a single patient with non-hemorrhagic stroke and dysphagia. Data were collected through patient assessment, physical examination, cranial nerve assessment, dysphagia screening using the Gugging Swallowing Screen (GUSS), and diagnostic tests. The nursing process was implemented over three days based on Indonesian nursing standards (SDKI, SLKI, and SIKI). Results: The patient had a recurrent stroke with underlying hypertension, type 2 diabetes mellitus, and dyslipidemia. The initial GUSS score was 3, indicating severe dysphagia. Nursing diagnoses included Risk for Aspiration, Impaired Swallowing, and Nutritional Deficit. Interventions focused on aspiration prevention, "effortful swallow" exercises, and nutritional support via a nasogastric tube (NGT). After three days, the GUSS score improved to 8, albumin levels rose from 3.2 to 3.5 g/dL, and no aspiration occurred during the care period. Conclusion: Evidence-based comprehensive nursing care helps improve swallowing ability and prevents aspiration complications in patients with non-hemorrhagic stroke and dysphagia. Keywords: Nursing care, dysphagia, impaired swallowing, risk for aspiration, nonhemorrhagic stroke.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan keperawatan, disfagia, gangguan menelan, risiko aspirasi, stroke non hemoragik.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111009 Nursing Research 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111010 Evidence-Based Nursing 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 03:55
Last Modified:	23 Jul 2026 03:55
URI:	http://repo.polkesraya.ac.id/id/eprint/3644

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