Repository Poltekkes Kemenkes Palangka Raya

Lestari, Mega Cahya (2026) Studi kasus asuhan keperawatan pada Ny. F dengan intracerebral hemorrhage (ICH) di Ruang ICU RSUD Ulin Banjarmasin Kalimantan Selatan. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang : Intracerebral Hemorrhage (ICH) merupakan stroke hemoragik akibat perdarahan spontan pada parenkim otak yang memiliki angka morbiditas dan mortalitas tinggi. Kondisi ini memerlukan penanganan serta asuhan keperawatan yang komprehensif untuk mencegah komplikasi dan mendukung pemulihan pasien. Tujuan Penelitian: Menggambarkan penerapan asuhan keperawatan pada pasien dengan Intracerebral Hemorrhage (ICH) di Ruang ICU RSUD Ulin Banjarmasin. Metode Penelitian: Penelitian ini menggunakan desain deskriptif dengan pendekatan studi kasus pada satu pasien dengan diagnosis medis Intracerebral Hemorrhage (ICH) yang dirawat di Ruang ICU RSUD Ulin Banjarmasin. Pengumpulan data dilakukan melalui wawancara, observasi, dan dokumentasi selama periode 20–22 Mei 2026. Analisis data dilakukan secara deskriptif berdasarkan tahapan proses keperawatan meliputi pengkajian, diagnosis keperawatan, perencanaan, implementasi, dan evaluasi. Hasil Penelitian: Subjek penelitian adalah Ny. F (55 tahun) dengan riwayat hipertensi dan diabetes melitus yang mengalami perdarahan intraserebral di ganglia basalis (38,5 mL) dan menjalani kraniotomi. Pengkajian menunjukkan GCS E2V(ETT)M3 dengan diagnosis keperawatan utama penurunan kapasitas adaptif intrakranial. Intervensi meliputi pemantauan neurologis dan hemodinamik, posisi semi Fowler, pengurangan stimulus, serta kolaborasi terapi medis. Evaluasi menunjukkan kondisi pasien stabil dan asuhan keperawatan terlaksana sesuai rencana. Kesimpulan: Asuhan keperawatan pada pasien ICH dapat dilaksanakan secara sistematis melalui proses keperawatan dan berperan penting dalam pemantauan kondisi neurologis, pencegahan komplikasi, serta mendukung stabilisasi pasien. Kata Kunci: Intracerebral Hemorrhage, asuhan keperawatan, ICU, stroke hemoragik. Background: Intracerebral Hemorrhage (ICH) is a hemorrhagic stroke caused by spontaneous bleeding within the brain parenchyma and is associated with high morbidity and mortality rates. This condition requires comprehensive management and nursing care to prevent complications and support patient recovery. Objective: To describe the implementation of nursing care for a patient with Intracerebral Hemorrhage (ICH) in the Intensive Care Unit (ICU) of Ulin Regional Hospital, Banjarmasin. Methods: This study employed a descriptive design with a case study approach involving one patient diagnosed with Intracerebral Hemorrhage (ICH) who was admitted to the ICU of Ulin Regional Hospital, Banjarmasin. Data were collected through interviews, observations, and documentation from May 20–22, 2026. Data were analyzed descriptively based on the nursing process, including assessment, nursing diagnosis, planning, implementation, and evaluation. Results: The subject was Mrs. F, a 55-year-old woman with a history of hypertension and diabetes mellitus who experienced an intracerebral hemorrhage in the basal ganglia (38.5 cc) and underwent a kraniotomi. Assessment findings showed a Glasgow Coma Scale (GCS) score of E2V(ETT)M3, with decreased intracranial adaptive capacity identified as the primary nursing diagnosis. Nursing interventions included neurological and hemodynamic monitoring, semi-Fowler positioning, reduction of environmental stimuli, and collaboration with the medical team. Evaluation indicated that the patient's condition remained stable and nursing care was implemented according to the established plan. Conclusion: Nursing care for patients with ICH can be implemented systematically through the nursing process and plays an important role in monitoring neurological status, preventing complications, and supporting patient stabilization. Keywords: Intracerebral Hemorrhage, Nursing Care, Intensive Care Unit, Hemorrhagic Stroke.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Intracerebral Hemorrhage, asuhan keperawatan, ICU, stroke hemoragik.
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 06:42
Last Modified:	04 Aug 2026 06:42
URI:	http://repo.polkesraya.ac.id/id/eprint/3827

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