Repository Poltekkes Kemenkes Palangka Raya

Oslan, Jesslyn Irene (2026) Studi kasus asuhan keperawatan pada pasien stroke non hemoragik (SNH) di Ruang Seruni Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang : Stroke Non Hemoragik (SNH) mencakup 88% dari total kasus stroke dan menjadi penyebab kematian utama di Indonesia setelah penyakit jantung. Sumbatan aliran darah ke otak pada kasus SNH memicu kematian sel saraf yang berdampak signifikan pada kecacatan fisik hingga kematian mendadak. Peran perawat sangat krusial dalam memberikan asuhan keperawatan komprehensif guna meminimalkan resiko kerusakan jaringan otak yang permanen. Tujuan Penelitian : Melaksanakan asuhan keperawatan secara nyata pada pasien SNH yang meliputi tahap pengkajian, penetapan diagnosis, perencanaan, implementasi, hingga evaluasi keperawatan. Metode Penelitian : Penelitian kualitatif dengan desain studi kasus deskriptif pada Ny. E di ruang Seruni RSUD Ulin Banjarmasin. Pengumpulan data dilakukan melalui observasi dan asuhan keperawatan selama 4 hari pada Februari 2026. Hasil Penelitian : Pengkajian menemukan kelemahan wajah, bicara pelo, pusing, dan hipertensi (166/109 mmHg). Diagnosis yang diangkat adalah resiko perfusi serebral tidak efektif dan gangguan komunikasi verbal. Intervensi keperawatan meliputi manajemen tekanan intrakranial dengan posisi head of bed 30⁰ serta promosi komunikasi. Setelah 3 hari kondisi klinis membaik : Tekanan darah stabil (125/80 mmHg), keluhan pusing hilang, dan kemampuan komunikasi verbal meningkat secara signifikan. Kesimpulan : Asuhan keperawatan yang sistematis terbukti efektif mengatasi masalah keperawatan pada pasien SNH melalui perbaikan hemodinamik dan kemampuan fungsional. Kata kunci : Stroke Non Hemoragik, Asupan Keperawatan, Perfusi Serebral, Komunikasi Verbal. Background: Non-Hemorrhagic Stroke (NHS) accounts for 88% of total stroke cases and is a leading cause of death in Indonesia following heart disease. Blockage of blood flow to the brain in NHS cases triggers nerve cell death, which has a significant impact ranging from physical disability to sudden death. The role of nurses is crucial in providing comprehensive nursing care to minimize the risk of permanent brain tissue damage. Objective: To implement actual nursing care for NHS patients, including the stages of assessment, diagnosis, planning, implementation, and nursing evaluation. Methods: This is qualitative research using a descriptive case study design on Mrs. E in the Seruni Ward of RSUD Ulin Banjarmasin. Data collection was conducted through observation and nursing care over a 4-day period in February 2026. Results: Assessment revealed facial weakness, slurred speech (dysarthria), dizziness, and hypertension (166/109 mmHg). The nursing diagnoses established were risk of ineffective cerebral perfusion and impaired verbal communication. Nursing interventions included intracranial pressure management by positioning the head of the bed at 30⁰ and communication promotion. After 3 days, the clinical condition improved: blood pressure stabilized (125/80 mmHg), dizziness subsided, and verbal communication ability increased significantly. Conclusion: Systematic nursing care is proven effective in addressing nursing problems in NHS patients through hemodynamic improvement and functional recovery. Keywords: Non-Hemorrhagic Stroke, Nursing Care, Cerebral Perfusion, Verbal Communication.

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 Non Hemoragik, Asupan Keperawatan, Perfusi Serebral, Komunikasi Verbal.
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:	27 Jul 2026 02:31
Last Modified:	27 Jul 2026 02:31
URI:	http://repo.polkesraya.ac.id/id/eprint/3684

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