Repository Poltekkes Kemenkes Palangka Raya

Danuarta, Hosea (2026) Studi kasus asuhan Keperawatan pada pasien Ny. R dengan Intraventricular hemorrhage (IVH) di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar belakang: Intraventricular Hemorrhage (IVH) merupakan perdarahan pada sistem ventrikel otak yang dapat menyebabkan gangguan neurologis, peningkatan tekanan intrakranial, dan komplikasi yang mengancam jiwa sehingga memerlukan asuhan keperawatan yang komprehensif. Tujuan penelitian: Menggambarkan asuhan keperawatan pada pasien dengan Intraventricular Hemorrhage (IVH) di Ruang Stroke Center RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Metode penelitian: Penelitian menggunakan desain studi kasus deskriptif dengan pendekatan proses keperawatan. Subjek penelitian adalah Ny. R dengan diagnosis medis IVH. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi. Hasil penelitian: Pasien mengalami kelemahan ekstremitas kanan, afasia, tekanan darah 159/105 mmHg, skor National Institutes of Health Stroke 22, serta hasil CT scan menunjukkan perdarahan pada thalamus dan nucleus lentiformis kiri. Diagnosis keperawatan yang ditegakkan meliputi penurunan kapasitas adaptif intrakranial, gangguan mobilitas fisik, dan gangguan komunikasi verbal. Setelah pemberian asuhan keperawatan selama tiga hari, masalah penurunan kapasitas adaptif intrakranial dan gangguan mobilitas fisik belum teratasi, sedangkan gangguan komunikasi verbal menunjukkan perbaikan. Saran: Tenaga kesehatan diharapkan meningkatkan pemantauan status neurologis, pengendalian tekanan darah, dan pencegahan komplikasi pada pasien IVH. Klien dan keluarga perlu berperan aktif dalam proses perawatan dan rehabilitasi. Penelitian selanjutnya disarankan dilakukan dengan cakupan subjek dan periode observasi yang lebih luas untuk mendukung pengembangan praktik keperawatan berbasis bukti. Kata kunci: Intraventricular Hemorrhage, Asuhan Keperawatan, Penurunan Kapasitas Adaptif Intrakranial Background: Intraventricular hemorrhage (IVH) is bleeding that occurs in the ventricular system of the brain and can cause neurological disorders, increased intracranial pressure, and potentially life-threatening complications. This condition requires comprehensive nursing care to support the patient's recovery process. Research objective: To describe nursing care for patients with Intraventricular Hemorrhage (IVH) in the Stroke Center room of Dr. H. Moch. Ansari Saleh Regional General Hospital, Banjarmasin. Research Method: A descriptive case study design with a nursing process approach was used. The subject was Mrs. R, diagnosed with Intraventricular Hemorrhage (IVH). Data were collected through interviews, observation, physical examination, and documentation. Results: The patient experienced right extremity weakness, aphasia, blood pressure of 159/105 mmHg, an NIHSS score of 22, and a CT scan showed bleeding in the thalamus and left lentiform nucleus. The nursing diagnoses were decreased intracranial adaptive capacity, impaired physical mobility, and impaired verbal communication. After three days of nursing care, the decreased intracranial adaptive capacity and impaired physical mobility had not been resolved, while the impaired verbal communication showed improvement. Suggestion: Healthcare professionals are expected to improve neurological status monitoring, blood pressure control, and complication prevention in IVH patients. Clients and families need to play an active role in the care and rehabilitation process. Further research is recommended with a broader range of subjects and observation periods to support the development of evidence-based nursing practice. Keywords: Intraventricular Hemorrhage, Nursing Care, Decreased Intracranial Adaptive Capacity

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Intraventricular Hemorrhage, Asuhan Keperawatan, Penurunan Kapasitas Adaptif Intrakranial
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 04:11
Last Modified:	28 Jul 2026 04:11
URI:	http://repo.polkesraya.ac.id/id/eprint/3720

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