Repository Poltekkes Kemenkes Palangka Raya

Sabila, Adira Disa (2026) Asuhan keperawatan pada pasien stroke non hemoragik (SNH) 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 salah satu penyebab utama kematian dan kecacatan jangka panjang di dunia maupun di Indonesia, terjadi akibat terganggunya aliran darah ke otak sehingga menimbulkan defisit neurologis dan berbagai masalah keperawatan. Tujuan: Studi kasus ini bertujuan untuk mendeskripsikan asuhan keperawatan pada pasien dengan Stroke Non Hemoragik (SNH) meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi keperawatan. Metode: Studi kasus deskriptif dengan pendekatan proses keperawatan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi. Hasil: Subjek studi kasus adalah seorang pasien laki-laki berusia 71 tahun dengan diagnosis medis SNH disertai hemiparesis sinistra, disartria, dan hipertensi grade 2. Hasil pengkajian menunjukkan kelemahan ekstremitas sinistra, gangguan bicara, dan tekanan darah meningkat. Diagnosis keperawatan yang ditegakkan meliputi Gangguan Mobilitas Fisik, Risiko Perfusi Serebral Tidak Efektif, dan Gangguan Komunikasi Verbal. Setelah dilakukan asuhan keperawatan selama tiga hari, kekuatan otot ekstremitas sinistra meningkat, namun masalah perfusi serebral dan komunikasi verbal belum teratasi sepenuhnya akibat perburukan kondisi neurologis pasien. Kesimpulan: Asuhan keperawatan pada pasien SNH memerlukan pendekatan komprehensif dan berkelanjutan untuk mengatasi gangguan mobilitas fisik, perfusi serebral, dan komunikasi verbal. Kata Kunci: Stroke Non Hemoragik, asuhan keperawatan, studi kasus. Background: Non-Hemorrhagic Stroke (NHS) is one of the leading causes of death and long-term disability worldwide and in Indonesia, occurring due to disrupted cerebral blood flow that results in neurological deficits and various nursing problems. Objective: This case study aimed to describe nursing care for a patient with NonHemorrhagic Stroke (NHS), including assessment, nursing diagnosis, intervention, implementation, and evaluation. Methods: This was a descriptive case study using a nursing process approach through interviews, observation, physical examination, and documentation review. Results: The subject was a 71-year-old male patient with a medical diagnosis of NHS accompanied by left-sided hemiparesis, dysarthria, and grade 2 hypertension. The assessment revealed left-sided extremity weakness, speech impairment, and elevated blood pressure. Nursing diagnoses established were Impaired Physical Mobility, Risk for Ineffective Cerebral Tissue Perfusion, and Impaired Verbal Communication. After three days of nursing care, muscle strength of the left extremities improved, although the problems of cerebral perfusion and verbal communication had not been fully resolved due to the patient's worsening neurological condition. Conclusion: Nursing care for patients with NHS requires a comprehensive and sustained approach to address impaired physical mobility, cerebral perfusion, and verbal communication. Keywords: Non-Hemorrhagic Stroke, nursing care, case study.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Stroke Non Hemoragik, asuhan keperawatan, 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
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	24 Jul 2026 01:22
Last Modified:	24 Jul 2026 01:22
URI:	http://repo.polkesraya.ac.id/id/eprint/3647

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