Miranda, Novianita Yula (2026) Penerapan Asuhan Keperawatan Pada Pasien dengan Cerebral Infark diruang Stroke Center RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangkaraya.
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Abstract
Latar Belakang: Cerebral Infark atau stroke iskemik merupakan gangguan sirkulasi darah otak mendadak akibat sumbatan arteri yang memicu kematian jaringan otak. Dampak klinisnya meliputi hemiparesis, penurunan kesadaran, serta gangguan fungsi neurologis yang menimbulkan masalah keperawatan utama berupa penurunan kapasitas adaptif intrakranial, gangguan mobilitas fisik, dan gangguan komunikasi verbal. Latihan Range of Motion (ROM) menjadi intervensi non-farmakologis krusial untuk menstimulasi kekuatan otot dan meminimalisir risiko kecacatan permanen. Tujuan: Mendeskripsikan penerapan asuhan keperawatan yang komprehensif pada pasien Cerebral Infark dengan fokus intervensi latihan ROM pasif untuk meningkatkan kekuatan otot. Metode: Penelitian ini menggunakan desain studi kasus deskriptif kualitatif dengan pendekatan asuhan keperawatan. Subjek penelitian adalah seorang pasien wanita (Ny. K, 68 tahun) dengan diagnosis Cerebral Infark di Ruang Stroke Center RSUD Ulin Banjarmasin. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik neurologis, serta instrumen skala Manual Muscle Testing (MMT). Asuhan keperawatan dikelola selama 5 hari masa praktik klinik. Hasil: Hasil pengkajian awal menunjukkan tingkat kesadaran pasien apatis (GCS 13) dengan kelemahan ekstremitas kiri (kekuatan otot 3). Setelah diberikan implementasi keperawatan berupa stabilisasi perfusi jaringan, pemantauan TIK, dan latihan ROM pasif terstruktur yang melibatkan keluarga, kondisi pasien mengalami peningkatan signifikan. Pada evaluasi hari terakhir, kapasitas adaptif intrakranial teratasi ditandai dengan kesadaran penuh (compos mentis, GCS 15), keluhan pelo hilang, dan fungsi mobilitas fisik serta pemulihan fungsional motorik pasien menunjukkan perkembangan yang optimal. Kesimpulan: Penerapan asuhan keperawatan yang sistematis dikombinasikan dengan intervensi terapi ROM pasif dini terbukti efektif dalam memulihkan status neurologis, meningkatkan kekuatan otot, serta mencegah komplikasi kontraktur pada pasien Cerebral Infark. Kata Kunci: Asuhan Keperawatan; Cerebral Infark Range of Motion (ROM); Kekuatan Otot; Stroke Iskemik Background: Cerebral infarction, or ischemic stroke, is a sudden disruption of cerebral blood circulation caused by arterial occlusion, which triggers brain tissue necrosis. Its clinical impacts include hemiparesis, decreased consciousness, and neurological dysfunctions that lead to primary nursing problems, such as decreased intracranial adaptive capacity, impaired physical mobility, and impaired verbal communication. Range of Motion (ROM) exercises serve as a crucial non-pharmacological intervention to stimulate muscle strength and minimize the risk of permanent disability. Objective: To describe the implementation of comprehensive nursing care in a patient with cerebral infarction, focusing on passive ROM exercise interventions to increase muscle strength. Methods: This study used a descriptive qualitative case study design with a nursing care approach. The research subject was a female patient (Mrs. K, 68 years old) diagnosed with cerebral infarction in the Stroke Center Unit at RSUD Ulin Banjarmasin. Data collection was conducted through interviews, observation, neurological physical examination, and the Manual Muscle Testing (MMT) scale instrument. Nursing care was managed over a 5-day clinical practice period. Results: The initial assessment showed an apathetic level of consciousness (GCS 13) with weakness in the left extremities (muscle strength score of 3). Following the implementation of nursing care—consisting of tissue perfusion stabilization, intracranial pressure (ICP) monitoring, and structured passive ROM exercises involving the family—the patient's condition improved significantly. On the final day of evaluation, the decreased intracranial adaptive capacity was resolved, marked by full consciousness (compos mentis, GCS 15), resolution of dysarthria (slurred speech), and optimal progress in physical mobility and functional motor recovery. Conclusion: The systematic application of nursing care combined with early passive ROM therapy is proven effective in restoring neurological status, increasing muscle strength, and preventing contracture complications in patients with cerebral infarction. Keywords: Nursing Care; Cerebral Infarction; Range of Motion (ROM); Muscle Strength; Ischemic Stroke
| Item Type: | Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah) |
|---|---|
| Uncontrolled Keywords: | Kata Kunci: Asuhan Keperawatan; Cerebral Infark Range of Motion (ROM); Kekuatan Otot; Stroke Iskemik |
| Subjects: | 11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110904 Neurology and Neuromuscular Diseases 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111001 Aged Care Nursing 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: | 10 Aug 2026 04:00 |
| Last Modified: | 10 Aug 2026 04:00 |
| URI: | http://repo.polkesraya.ac.id/id/eprint/3881 |
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