Repository Poltekkes Kemenkes Palangka Raya

Alfauzia, Lailatul (2026) Studi kasus asuhan keperawatan pada Tn. L dengan diagnosa subdural hematoma di RSUD dr. Doris Sylvanus Palangka Raya. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar belakang : Subdural Hematoma (SDH) merupakan penumpukan darah diruang subdural akibat trauma kepala yang dapat memicu peningkatan tekanan intrakranial, penurunan kesadaran serta gangguan mobilitas fisik. Tujuan Penelitian : Menganalisis asuhan keperawatan dengan pendekatan sebab-akibat pada pasien SDH yang mengalami gangguan mobilitas fisik. Metode Penelitian : Desain penelitian mengunakan studi kasus deskriptif pada Tn. L diruang ICU RSUD Dr. Doris Sylvanus. Hasil Penelitian : Pengkajian harri pertama menunjukan pasien mengalami kelemahan anggota gerak kanan (Hemiparesis). Intervensi keperawatan yang diberikan meliputi latihan rentang gerak pasif (Passive ROM) minimal 3 kali sehari dan alih baring sertiap 2 jam untuk mencegah dekubitus. Pada hai kedua, intervensi dimodifikasi dengan latihan mobilitas diatas tempat tidur selama 5-10 menit. Pada hari ketiga, kelemahan motorik berkurang, dan pasien mampu mandiri berpindah dari posisi tidur ke posisi duduk. Kesimpulan : Implementasi latihan Passive ROM dan mobilisasi bertahapsecara intensif terbukti efektif meningkatkan kekuatan otot serrta meminimalkan resiko komplikasi akibat imobilisasi pada pasien SDH. Kata Kunci : Asuhan Keperawatan, Subdural Hematoma (SDH), Gangguan Mobilitas Fisik, Craniotomy, Rangge of Motion (ROM) Pasif, ICU. Background: : Subdural Hematoma (SDH) is an accumulation of blood in the subdural space caused by head trauma, which can trigger increased pressure, decreased consciouness and impaired pshycal mobility. Objective: To analize nursing care using a cause-and-effect approach in SDH patients experiencing impaired pshycal mobility. Methods: This research employed a descritive case studydesigh focusion on Mr. L in the ICU of RSUD Dr. Doris Sylvanus Palangka Raya. Results: The first-day assesment revealed right-sided weakness (hemiparesis). The nursing interventions provided included passive range of motion (Pasive ROM) exercices at least 3 times a day and position changes every 2 hours to prevent pressure ulcers. On the second day, ad the patient was able to independently transition from a lying to a sitting position. Conculision: Intensive implementation of passive ROM and gradual mobilization streagth and minimizing the risk of complication due to omobilizattion in SDH patient. Key Wolds: Nuersing Care, Subdural Hematoma (SDH), Impayred Pshycal Mobility, Craniotomy,Passive Rangge of Motion (ROM), ICU.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Subdural Hematoma (SDH), Gangguan Mobilitas Fisik, Craniotomy, Rangge of Motion (ROM) Pasif, ICU. Nuersing Care, Subdural Hematoma (SDH), Impayred Pshycal Mobility, Craniotomy,Passive Rangge of Motion (ROM), ICU.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111007 Nursing Theory 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 > 111011 Nursing Specialties 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	12 Aug 2026 02:26
Last Modified:	12 Aug 2026 02:26
URI:	http://repo.polkesraya.ac.id/id/eprint/3896

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