Repository Poltekkes Kemenkes Palangka Raya

Madiah, Abidatul (2026) Studi kasus asuhan keperawatan pada Ny. Y dengan stroke Intracerebral hemorrhage (ICH) di Ruang Stroke Center RSUD Ulin Banjarmasin Kalimantan Selatan. Karya Tulis Ilmiah thesis, Poltekkes kemenkes palangkaraya.

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Abstract

Latar Belakang: Stroke Intracerebral Haemorrhage (ICH) merupakan jenis stroke akut nontraumatik paling mematikan dengan mortalitas dini 30-40%. Di Indonesia, ICH menyumbang 20-30% kasus stroke dan penyebab utama kematian serta kecacatan. Bedah kraniotomi penting untuk mengurangi tekanan intrakranial, namun berdampak pada penurunan kesadaran dan penumpukan sekret akibat pemasangan Endotracheal Tube (ETT). Peran perawat sangat krusial dalam intervensi menjaga patensi jalan napas pasien. Tujuan Penelitian: Melaksanakan asuhan keperawatan nyata pada pasien ICH meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Metode Penelitian: Studi kasus deskriptif kualitatif pada Ny. Y di Stroke Center RSUD Ulin Banjarmasin selama empat hari pada 30 April 2026 melalui observasi dan asuhan keperawatan. Hasil Penelitian: Pasien mengalami penurunan kesadaran, demam, dan hipertensi (140/109 mmHg). Diagnosis keperawatan meliputi penurunan kapasitas adaptif intrakranial, risiko aspirasi, ketidakstabilan glukosa darah, hipertermia, dan kesiapan peningkatan koping keluarga. Intervensi berupa manajemen tekanan intrakranial melalui posisi head of bed 30º serta edukasi keluarga. Setelah empat hari, demam menurun, pasien sadar membuka mata, namun belum bisa bicara serta menggerakkan tubuhnya. Kesimpulan: Posisi semi-fowler efektif membantu pernapasan dan mengatasi penumpukan sekret pasien ICH. Karya ilmiah ini diharapkan menjadi acuan peningkatan kualitas asuhan keperawatan stroke hemoragik. Kata kunci : Asupan Keperawatan, Evaluasi, Kraniotomi, Posisi Semi-Fowler, Sekret, Stroke Intracerebral Hemorrhage (ICH). Background: Intracerebral Hemorrhage (ICH) is the deadliest type of acute non-traumatic stroke, with an early mortality rate of 30–40%. In Indonesia, ICH accounts for 20–30% of stroke cases and is a leading cause of death and disability. Craniotomy is essential for reducing intracranial pressure; however, it can lead to a decline in consciousness and the accumulation of secretions due to the placement of an endotracheal tube (ETT). Nurses play a crucial role in interventions to maintain airway patency. Objective: To provide comprehensive nursing care for an ICH patient, encompassing assessment, diagnosis, planning, implementation, and evaluation. Method: A qualitative descriptive case study involving Mrs. Y at the Stroke Center of Ulin Regional General Hospital (RSUD), Banjarmasin, conducted over four days in February 2026 through observation and the provision of nursing care. Results: The patient exhibited a decline in consciousness, fever, and hypertension (140/109 mmHg). Nursing diagnoses included decreased intracranial adaptive capacity, risk for aspiration, unstable blood glucose, hyperthermia, and readiness for enhanced family coping. Interventions focused on intracranial pressure management specifically maintaining the head of the bed at a 30º angle and family education. After four days, the fever subsided and the patient regained consciousness (opening her eyes), although she remained unable to speak or move her body. Conclusion: The semi-Fowler position is effective in supporting respiration and managing secretion accumulation in ICH patients. This paper is intended to serve as a reference for improving the quality of nursing care for hemorrhagic stroke patients. Keywords: Nursing Intake, Evaluation, Craniotomy, Semi-Fowler Position, Secretions, Intracerebral Hemorrhage (ICH) Stroke.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asupan Keperawatan, Evaluasi, Kraniotomi, Posisi Semi-Fowler, Sekret, Stroke Intracerebral Hemorrhage (ICH).
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:	28 Jul 2026 01:15
Last Modified:	28 Jul 2026 01:15
URI:	http://repo.polkesraya.ac.id/id/eprint/3699

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