Repository Poltekkes Kemenkes Palangka Raya

Desti, Natalia (2026) Asuhan keperawatan pada pasien Ny.M dengan diagnosis medis stroke non hemoragik di Ruang Seruni RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke non hemoragik merupakan gangguan neurologis akibat terhambatnya aliran darah ke otak karena sumbatan trombus atau emboli yang menyebabkan berkurangnya suplai oksigen dan nutrisi ke jaringan otak. Stroke non hemoragik menjadi jenis stroke yang paling sering ditemukan di Indonesia dan masih menjadi masalah kesehatan yang serius karena dapat menyebabkan kecacatan fisik, gangguan neurologis, penurunan kemampuan aktivitas sehari-hari, bahkan kematian. Perawat memiliki peran penting dalam memberikan asuhan keperawatan secara komprehensif untuk mencegah komplikasi dan meningkatkan proses pemulihan pasien. Tujuan: Melaksanakan asuhan keperawatan secara komprehensif pada pasien dengan diagnosis medis stroke non hemoragik di Ruang Seruni RSUD Ulin Banjarmasin meliputi pengkajian, penegakan diagnosis keperawatan, intervensi, implementasi, dan evaluasi keperawatan. Metode: Penelitian ini menggunakan metode studi kasus deskriptif dengan subjek satu orang pasien yaitu Ny. M yang dirawat di Ruang Seruni RSUD Ulin Banjarmasin dengan diagnosis medis stroke non hemoragik. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, studi dokumentasi, serta pemeriksaan penunjang. Analisis data dilakukan dengan membandingkan data yang ditemukan pada pasien dengan teori dan standar asuhan keperawatan berdasarkan SDKI, SIKI, dan SLKI. Hasil: Hasil pengkajian menunjukkan pasien mengalami kelemahan ekstremitas sebelah kiri, nyeri kepala, afasia, penglihatan kabur, dan riwayat hipertensi. Pemeriksaan fisik menunjukkan tekanan darah 156/74 mmHg, nadi 74 x/menit, respirasi 20 x/menit, suhu 37°C, saturasi oksigen 98%, serta GCS E3 V4 M6. Berdasarkan data pengkajian ditegakkan dua diagnosis keperawatan utama yaitu risiko perfusi serebral tidak efektif dan gangguan mobilitas fisik. Intervensi keperawatan dilakukan selama tiga hari berupa pemantauan status neurologis dan tanda vital, pemberian posisi semi-Fowler, mempertahankan suhu tubuh normal, latihan mobilisasi bertahap, serta melibatkan keluarga dalam proses perawatan. Evaluasi menunjukkan kondisi pasien mengalami perkembangan secara bertahap ditandai dengan kondisi hemodinamik yang stabil dan meningkatnya toleransi aktivitas. Kesimpulan: Penerapan asuhan keperawatan pada pasien stroke non hemoragik dapat dilakukan secara komprehensif mulai dari pengkajian sampai evaluasi. Intervensi keperawatan yang tepat dan berkesinambungan berperan penting dalam mempertahankan perfusi serebral, meningkatkan mobilitas fisik, mencegah komplikasi, dan mendukung proses pemulihan pasien secara optimal. Kata kunci: Asuhan keperawatan, Gangguan mobilitas fisik, Risiko perfusi serebral tidak efektif, Stroke non hemoragik Background: Non-hemorrhagic stroke is a neurological disorder due to obstruction of blood flow to the brain due to thrombus blockage or embolism that causes reduced oxygen and nutrient supply to brain tissue. Non-hemorrhagic stroke is the most common type of stroke found in Indonesia and is still a serious health problem because it can cause physical disability, neurological disorders, decreased ability to do daily activities, and even death. Nurses have an important role in providing comprehensive nursing care to prevent complications and improve the patient's recovery process. Objective: To carry out comprehensive nursing care for patients with a medical diagnosis of non-hemorrhagic stroke in the Seruni Room of Ulin Banjarmasin Hospital including review, enforcement of nursing diagnosis, intervention, implementation, and evaluation of nursing. Methods: This study used a descriptive case study method with the subject of one patient, Mrs. M who was treated in the Seruni Room of Ulin Banjarmasin Hospital with a medical diagnosis of non-hemorrhagic stroke. Data collection was carried out through interviews, observations, physical examinations, documentation studies, and supporting examinations. Data analysis was carried out by comparing the data found in patients with the theory and standards of nursing care based on SDKI, SIKI, and SLKI. Results: The results of the study showed that the patient experienced weakness of the left extremity, headache, aphasia, blurred vision, and a history of hypertension. Physical examination showed blood pressure of 156/74 mmHg, pulse of 74 x/min, respiration of 20 x/min, temperature of 37°C, oxygen saturation of 98%, and GCS E3 V4 M6. Based on the assessment data, two main nursing diagnoses were established, namely the risk of ineffective cerebral perfusion and physical mobility disorders. Nursing interventions were carried out for three days in the form of monitoring neurological status and vital signs, providing a semi-Fowler position, maintaining normal body temperature, gradual mobilization exercises, and involving families in the treatment process. Evaluation showed that the patient's condition developed gradually characterized by stable hemodynamic conditions and increased activity tolerance. Conclusion: The application of nursing care in non-hemorrhagic stroke patients can be carried out comprehensively from assessment to evaluation. Appropriate and continuous nursing interventions play an important role in maintaining cerebral perfusion, improving physical mobility, preventing complications, and supporting the patient's recovery process optimally. Keywords: Nursing care, Physical mobility disorders, Risk of ineffective cerebral perfusion, Non hemorrhagic stroke

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan keperawatan, Gangguan mobilitas fisik, Risiko perfusi serebral tidak efektif, Stroke non hemoragik
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:	14 Aug 2026 07:09
Last Modified:	14 Aug 2026 07:09
URI:	http://repo.polkesraya.ac.id/id/eprint/3923

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