Repository Poltekkes Kemenkes Palangka Raya

Elpina, Elpina (2025) Studi kasus asuhan keperawatan pada Tn. T dengan stroke non hemoragik disertai efusi pleura di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke non hemoragik dapat disertai efusi pleura yang memperburuk fungsi respirasi, menghambat mobilisasi, dan meningkatkan kompleksitas asuhan keperawatan. Tujuan: Menggambarkan penerapan asuhan keperawatan pada pasien stroke non hemoragik disertai efusi pleura di Ruang Alexandri III RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Metode: Studi kasus deskriptif dengan pendekatan proses keperawatan pada satu pasien selama 19–22 April 2026. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, studi dokumentasi, dan rekam medis, kemudian dianalisis berdasarkan SDKI, SLKI, dan SIKI. Hasil: Ditegakkan tiga diagnosis keperawatan, yaitu pola napas tidak efektif, risiko perfusi serebral tidak efektif, dan gangguan mobilitas fisik. Intervensi meliputi manajemen jalan napas, pemantauan neurologis, terapi oksigen, latihan Range of motion (ROM), mobilisasi bertahap, dan kolaborasi medis. Evaluasi menunjukkan risiko perfusi serebral tidak efektif mengalami perbaikan, sedangkan pola napas tidak efektif dan gangguan mobilitas fisik belum teratasi. Kesimpulan: Penerapan asuhan keperawatan secara komprehensif berdasarkan SDKI, SLKI, dan SIKI mendukung stabilitas kondisi pasien, namun masalah respirasi dan mobilitas masih memerlukan perawatan berkelanjutan. Kata kunci: stroke non hemoragik, efusi pleura, asuhan keperawatan, studi kasus. Background: Non-hemorrhagic stroke can be accompanied by pleural effusion, which impairs respiratory function, hinders mobilization, and increases the complexity of nursing care. Objective: To describe the implementation of nursing care for a patient with non-hemorrhagic stroke and pleural effusion in the Alexandri III Ward of Dr. H. Moch. Ansari Saleh Regional General Hospital, Banjarmasin. Method: A descriptive case study using the nursing process approach was conducted on a single patient from April 19–22, 2026. Data were collected through interviews, observation, physical examinations, document reviews, and medical records, then analyzed based on SDKI, SLKI, and SIKI standards. Results: Three nursing diagnoses were established: ineffective breathing pattern, risk for ineffective cerebral perfusion, and impaired physical mobility. Interventions included airway management, neurological monitoring, oxygen therapy, Range of Motion (ROM) exercises, progressive mobilization, and medical collaboration. Evaluation showed improvement in the risk for ineffective cerebral perfusion, whereas the ineffective breathing pattern and impaired physical mobility remained unresolved. Conclusion: Comprehensive nursing care based on SDKI, SLKI, and SIKI supported the stability of the patient's condition; however, respiratory and mobility issues still require ongoing care. Keywords: non-hemorrhagic stroke, pleural effusion, nursing care, case study.

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, efusi pleura, asuhan keperawatan, studi kasus
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:	06 Aug 2026 03:16
Last Modified:	06 Aug 2026 03:16
URI:	http://repo.polkesraya.ac.id/id/eprint/3849

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