Repository Poltekkes Kemenkes Palangka Raya

Kristina, Ayu (2026) Studi kasus asuhan keperawatan pada Tn.F dengan stroke non hemoragik (SNH) di Ruang Seruni RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke non-hemoragik adalah gangguan neurologis yang disebabkan oleh penyumbatan pembuluh darah serebral, yang mengakibatkan kerusakan jaringan otak dan berbagai masalah keperawatan yang membutuhkan perawatan yang komprehensif. Tujuan: Mendeskripsikan pelaksanaan asuhan keperawatan bagi pasien stroke non-hemoragik di Bangsal Seruni, RSUD Umum Ulin Banjarmasin. Metode: Penelitian ini menggunakan desain deskriptif menggunakan pendekatan studi kasus yang melibatkan satu pasien yang didiagnosis dengan stroke non-hemoragik. Proses keperawatan meliputi penilaian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi berdasarkan Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Intervensi Keperawatan Indonesia (SIKI), dan Standar Capaian Keperawatan Indonesia (SLKI). Hasil: Penilaian mengungkapkan hemiparesis sisi kiri, disfagia, disartria, ketergantungan dalam aktivitas perawatan diri, dan riwayat hipertensi dan stroke sebelumnya. Lima diagnosis keperawatan ditetapkan: Defisit Gizi, Defisit Perawatan Diri: Mandi, Gangguan Mobilitas Fisik, Risiko Perfusi Jaringan Serebral yang Tidak Efektif, dan Gangguan Komunikasi Verbal. Intervensi keperawatan meliputi manajemen gizi melalui tabung nasogastrik (NGT), bantuan perawatan diri, dukungan mobilitas dan latihan rentang gerak (ROM), pemantauan perfusi serebral dan tanda-tanda vital, dan dukungan komunikasi verbal disertai dengan pendidikan keluarga. Asuhan keperawatan dilaksanakan selama tiga hari. Evaluasi menunjukkan bahwa Defisit Gizi, Defisit Perawatan Diri, dan Gangguan Komunikasi Verbal teratasi sebagian, Risiko Perfusi Jaringan Serebral Tidak Efektif tetap terkendali, sedangkan Gangguan Mobilitas Fisik belum teratasi. Kesimpulan: Perawatan keperawatan yang komprehensif, sistematis, dan berpusat pada keluarga membantu menjaga kondisi klinis pasien, memenuhi kebutuhan dasar, mencegah komplikasi, dan mendukung proses rehabilitasi pada pasien dengan stroke non-hemoragik. Kata kunci: Stroke non-hemoragik, perawatan keperawatan. Background: Non-hemorrhagic stroke is a neurological disorder caused by the obstruction of cerebral blood vessels, resulting in brain tissue damage and various nursing problems that require comprehensive nursing care. Objective: To describe the implementation of nursing care for a patient with non-hemorrhagic stroke in the Seruni Ward, Ulin Regional General Hospital, Banjarmasin. Methods: This study employed a descriptive design using a case study approach involving one patient diagnosed with non-hemorrhagic stroke. The nursing process included assessment, nursing diagnosis, intervention, implementation, and evaluation based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcomes Standards (SLKI). Results: The assessment revealed left-sided hemiparesis, dysphagia, dysarthria, dependence in self-care activities, and a history of hypertension and previous stroke. Five nursing diagnoses were established: Nutritional Deficit, Self-Care Deficit: Bathing, Impaired Physical Mobility, Risk for Ineffective Cerebral Tissue Perfusion, and Impaired Verbal Communication. Nursing interventions included nutritional management through a nasogastric tube (NGT), assistance with self-care, mobility support and range of motion (ROM) exercises, monitoring of cerebral perfusion and vital signs, and verbal communication support accompanied by family education. Nursing care was implemented for three days. Evaluation showed that the Nutritional Deficit, Self-Care Deficit, and Impaired Verbal Communication were partially resolved, the Risk for Ineffective Cerebral Tissue Perfusion remained under control, while the Impaired Physical Mobility had not yet resolved. Conclusion: Comprehensive, systematic, and family-centered nursing care helped maintain the patient's clinical condition, meet basic needs, prevent complications, and support the rehabilitation process in patients with non-hemorrhagic stroke. Keywords: Non-hemorrhagic stroke, nursing care.

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, perawatan keperawatan
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111003 Clinical Nursing - Secondary (Acute Care) 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:	06 Aug 2026 03:03
Last Modified:	06 Aug 2026 03:03
URI:	http://repo.polkesraya.ac.id/id/eprint/3845

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