Repository Poltekkes Kemenkes Palangka Raya

Risky, Damares (2026) Studi kasus asuhan keperawatan pada Tn. S dengan cerebral infarction di Ruang Seruni RSUD Ulin Banjarmasin Kalimantan Selatan. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Cerebral infarction atau infark serebral merupakan salah satu jenis stroke iskemik yang terjadi akibat terhambatnya aliran darah ke jaringan otak sehingga mengakibatkan berkurangnya suplai oksigen dan nutrisi yang dibutuhkan sel-sel otak. Kondisi ini dapat menimbulkan berbagai gangguan neurologis yang berdampak pada kemampuan fungsional pasien. Data rawat inap Ruang Seruni RSUD Ulin Banjarmasin periode 2025 menunjukkan bahwa cerebral infarction termasuk diagnosis dominan pada kelompok penyakit saraf, terutama pada pasien usia di atas 50 tahun. Tujuan: Mendeskripsikan asuhan keperawatan pada pasien Tn. S dengan diagnosis cerebral infarction di Ruang Seruni RSUD Ulin Banjarmasin. Metode: Studi kasus deskriptif dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Data diperoleh melalui pengkajian pasien, pemeriksaan fisik, catatan terapi, dan laporan kasus. Hasil: Pasien laki-laki usia 60 tahun memiliki riwayat hipertensi, kolesterol, dan diabetes melitus. Keluhan utama berupa pandangan kabur, kesulitan melihat ke arah kiri, sakit kepala, kelemahan ekstremitas kanan, serta ketergantungan dalam melakukan beberapa aktivitas sehari-hari. Diagnosis keperawatan yang diprioritaskan adalah penurunan kapasitas adaptif intrakranial, gangguan mobilitas fisik, dan defisit perawatan diri. Intervensi keperawatan yang diberikan meliputi pemantauan status neurologis, pemantauan tanda vital, pemberian posisi semi Fowler, latihan rentang gerak atau latihan gerak sendi , mobilisasi bertahap, bantuan pemenuhan aktivitas perawatan diri, edukasi kepada pasien dan keluarga, serta kolaborasi terapi medis. Setelah dilakukan intervensi, kondisi pasien menunjukkan perbaikan yang ditandai dengan tekanan darah yang lebih terkontrol, peningkatan kemampuan mobilisasi, dan meningkatnya kemandirian pasien dalam memenuhi kebutuhan sehari-hari, meskipun masalah belum teratasi sepenuhnya. Kesimpulan: Asuhan keperawatan yang terstruktur pada pasien cerebral infarction membantu mempertahankan stabilitas neurologis, meningkatkan kemampuan mobilitas fisik, dan meningkatkan kemandirian pasien dalam melakukan aktivitas sehari-hari. Pemantauan berkelanjutan, edukasi keluarga, pengendalian faktor risiko, serta rehabilitasi dini perlu terus dilanjutkan untuk mencegah komplikasi dan meningkatkan kualitas hidup pasien. Kata kunci: Cerebral infarction; stroke iskemik; asuhan keperawatan; penurunan kapasitas adaptif intrakranial; gangguan mobilitas fisik; defisit perawatan diri. Background: Cerebral infarction or cerebral infarction is a type of ischemic stroke that occurs due to obstructed blood flow to brain tissue, resulting in a reduced supply of oxygen and nutrients needed by brain cells. This condition can give rise to various neurological disorders that have an impact on the patient's functional ability. Hospitalization data for the Seruni Room of Ulin Banjarmasin Hospital for the 2025 period shows that cerebral infarction is the dominant diagnosis in the neurological disease group, especially in patients over 50 years old. Objective: To describe nursing care in Mr. S patients with cerebral infarction diagnosis in the Seruni Room of Ulin Hospital Banjarmasin. Method: Descriptive case study with a nursing process approach that includes study, diagnosis, planning, implementation, and evaluation. Data were obtained through patient assessments, physical examinations, therapy records, and case reports. Results: Male patients aged 60 years had a history of hypertension, cholesterol, and diabetes mellitus. The main complaints are blurred vision, difficulty seeing to the left, headaches, weakness of the right extremity, and dependence in doing some daily activities. Prioritized nursing diagnoses are decreased intracranial adaptive capacity, physical mobility impairment, and self-care deficits. The nursing interventions provided include neurological status monitoring, vital sign monitoring, semi-Fowler positioning, range of motion exercises, gradual mobilization, assistance in fulfilling self-care activities, education to patients and families, and medical therapy collaboration. After the intervention, the patient's condition showed improvement characterized by more controlled blood pressure, increased mobilization ability, and increased patient independence in meeting daily needs, although the problem has not been completely resolved. Conclusion: Structured nursing care in cerebral infarction patients helps maintain neurological stability, improves physical mobility abilities, and increases patient independence in carrying out daily activities. Continuous monitoring, family education, risk factor control, and early rehabilitation need to be continued to prevent complications and improve the quality of life of patients. Keywords: Cerebral infarction; ischemic stroke; nursing care; decreased intracranial adaptive capacity; impaired physical mobility; Self-Care Deficit

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Keperawatan, Stroke, Acute Stroke
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 06:56
Last Modified:	04 Aug 2026 06:56
URI:	http://repo.polkesraya.ac.id/id/eprint/3832

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