Repository Poltekkes Kemenkes Palangka Raya

Asofi, Alma (2026) Asuhan keperawatan pada Ny.R dengan stroke non hemoragik (SNH) di Ruang Stroke Center Rsud Ulin Banjarmasin Kalimantan Selatan. 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 otak yang menyebabkan berkurangnya suplai darah dan oksigen ke jaringan otak. Kondisi ini dapat menimbulkan berbagai masalah keperawatan, terutama penurunan kapasitas adaptif intrakranial dan gangguan mobilitas fisik yang memerlukan penatalaksanaan secara komprehensif. Tujuan: Penelitian ini bertujuan menerapkan asuhan keperawatan pada pasien SNH melalui tahapan pengkajian, penetapan diagnosis, penyusunan intervensi, implementasi, dan evaluasi keperawatan. Metode: Penelitian menggunakan metode studi kasus dengan pendekatan proses keperawatan pada Ny. R di Ruang Stroke Center RSUD Ulin Banjarmasin, Kalimantan Selatan. Asuhan keperawatan dilaksanakan selama tiga hari, yaitu 7–9 Mei 2026. Hasil: Pengkajian menunjukkan pasien mengalami kelemahan ekstremitas kanan, penurunan kesadaran dengan GCS 10 (E2V3M5), tekanan darah 185/111 mmHg, serta riwayat hipertensi. Diagnosis keperawatan yang ditegakkan adalah Penurunan Kapasitas Adaptif Intrakranial berhubungan dengan hipertensi dan Gangguan Mobilitas Fisik berhubungan dengan penurunan kekuatan otot. Intervensi meliputi pemantauan neurologis dan tanda vital, pemberian posisi semi Fowler, dukungan mobilisasi, serta latihan ROM pasif. Evaluasi menunjukkan kondisi neurologis menurun dan belum terdapat peningkatan mobilitas yang signifikan. Kesimpulan: Asuhan keperawatan telah dilaksanakan sesuai proses keperawatan. Meskipun masalah belum teratasi selama tiga hari perawatan, intervensi yang diberikan mampu mempertahankan kondisi pasien, mencegah komplikasi imobilisasi, dan mendukung proses pemulihan berkelanjutan. Kata Kunci : Stroke Non Hemoragik, Asuhan Keperawatan, Gangguan Mobilitas Fisik, Penurunan Kapasitas Adaptif Intrakranial, ROM Pasif. Background: Non-Hemorrhagic Stroke (NHS) is a neurological disorder caused by cerebral blood vessel obstruction, resulting in decreased blood and oxygen supply to brain tissue. This condition may lead to various nursing problems, particularly decreased intracranial adaptive capacity and impaired physical mobility, which require comprehensive nursing care. Objective: This study aimed to implement nursing care for patients with Non-Hemorrhagic Stroke through assessment, nursing diagnosis, intervention planning, implementation, and evaluation. Methods: This study employed a case study method using the nursing process approach on Mrs. R, who was treated in the Stroke Center Ward at Ulin Regional General Hospital, Banjarmasin, South Kalimantan. Nursing care was provided for three days, from May 7 to May 9, 2026. Results: The assessment revealed that the patient experienced right extremity weakness, decreased consciousness with a Glasgow Coma Scale (GCS) score of 10 (E2V3M5), blood pressure of 185/111 mmHg, and a history of hypertension. The nursing diagnoses established were Decreased Intracranial Adaptive Capacity related to hypertension and Impaired Physical Mobility related to decreased muscle strength. Interventions included neurological and vital signs monitoring, Semi-Fowler positioning, mobilization support, and passive Range Of Motion (ROM) exercises. Evaluation showed a decline in neurological status and no significant improvement in physical mobility. Conclusion: Nursing care was implemented according to the nursing process. Although the nursing problems were not resolved during the three-day treatment period, the interventions helped maintain the patient's condition, prevent complications related to immobility, and support the ongoing recovery process. Keywords : Non-Hemorrhagic Stroke, Nursing Care, Impaired Physical Mobility, Decreased Intracranial Adaptive Capacity, Passive Range Of Motion (ROM).

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, Gangguan Mobilitas Fisik, Penurunan Kapasitas Adaptif Intrakranial, ROM Pasif.
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:	04 Aug 2026 05:09
Last Modified:	04 Aug 2026 05:09
URI:	http://repo.polkesraya.ac.id/id/eprint/3807

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