Repository Poltekkes Kemenkes Palangka Raya

Oktaviani, Melinda (2026) Studi kasus asuhan keperawatan pada pasien stroke non hemoragik (SNH) di Ruang Stroke Center Unit dan Alexandri 3 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 gangguan neurologis akibat sumbatan pembuluh darah serebral yang menyebabkan gangguan mobilitas fisik dan penurunan fungsi motorik. Kondisi ini menjadi penyebab utama kecacatan dan ketergantungan pada aktivitas sehari-hari. Mobilisasi dini diperlukan untuk meningkatkan pemulihan dan mencegah komplikasi akibat imobilisasi. Tujuan: Mendeskripsikan penerapan asuhan keperawatan pada pasien Stroke Non Hemoragik (SNH) dengan masalah Gangguan Mobilitas Fisik dan Risiko Perfusi Serebral Tidak Efektif di RSUD dr. H. Moch. Ansari Saleh Banjarmasin berdasarkan SDKI, SIKI, dan SLKI. Metode: Studi kasus dengan pendekatan Evidence-Based Practice (EBP) pada dua pasien Stroke Non Hemoragik (SNH), yaitu Ny. L (62 tahun) dan Tn. M (54 tahun). Asuhan keperawatan dilaksanakan selama tiga hari melalui pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi rekam medis. Hasil: Kedua pasien mengalami hemiparesis dengan tingkat keparahan berbeda. Diagnosis keperawatan yang ditegakkan adalah Gangguan Mobilitas Fisik dan Risiko Perfusi Serebral Tidak Efektif. Intervensi berupa dukungan mobilisasi dan pemantauan tekanan intrakranial. Setelah tiga hari, terjadi peningkatan kekuatan otot dan perbaikan tekanan darah pada kedua pasien. Kesimpulan: Asuhan keperawatan komprehensif dengan mobilisasi dini dan pemantauan neurologis efektif meningkatkan mobilitas fisik serta membantu mempertahankan perfusi serebral pada pasien Stroke Non Hemoragik (SNH). Kata Kunci: Stroke Non Hemoragik (SNH), Asuhan Keperawatan, Gangguan Mobilitas Fisik, Mobilisasi Dini, Perfusi Serebral. Background: Non Hemorrhagic Stroke is a neurological disorder caused by cerebral blood vessel occlusion, resulting in impaired physical mobility and decreased motor function. This condition is a major cause of disability and dependence in daily activities. Early mobilization is essential to promote recovery and prevent complications related to immobility. Objective: To describe the implementation of nursing care for patients with Non Hemorrhagic Stroke experiencing Impaired Physical Mobility and Risk for Ineffective Cerebral Tissue Perfusion at RSUD dr. H. Moch. Ansari Saleh Banjarmasin based on the Indonesian Nursing Diagnosis Standards, Nursing Intervention Standards, and Nursing Outcomes Standards. Method: This study employed a case study design using an Evidence-Based Practice (EBP) approach involving two patients diagnosed with Non Hemorrhagic Stroke (SNH), Mrs. L (62 years old) and Mr. M (54 years old). Nursing care was provided for three days through assessment, diagnosis, intervention, implementation, and evaluation. Data were collected through interviews, observations, physical examinations, and medical record reviews. Result: Both patients experienced hemiparesis with different levels of severity. The nursing diagnoses established were Impaired Physical Mobility and Risk for Ineffective Cerebral Tissue Perfusion. Interventions included mobility support and intracranial pressure monitoring. After three days, improvements were observed in muscle strength and blood pressure control in both patients. Conclusion: Comprehensive nursing care involving early mobilization and neurological monitoring was effective in improving physical mobility and maintaining cerebral perfusion in patients with Non Hemorrhagic Stroke. Keywords: Non Hemorrhagic Stroke, Nursing Care, Impaired Physical Mobility, Early Mobilization, Cerebral Perfusion.

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 (SNH), Asuhan Keperawatan, Gangguan Mobilitas Fisik, Mobilisasi Dini, Perfusi Serebral.
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 01:26
Last Modified:	28 Jul 2026 01:26
URI:	http://repo.polkesraya.ac.id/id/eprint/3700

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