Repository Poltekkes Kemenkes Palangka Raya

Lantika, Grescia Imanuela (2026) Studi kasus asuhan keperawatan ensefalitis autoimun pada An.R di RSUD dr. H. Moch. Ansari Saleh Banjarmasin Kalimantan Tengah. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palanngka Raya.

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Abstract

Latar Belakang: Ensefalitis autoimun merupakan peradangan otak akibat disregulasi sistem imun yang dapat menimbulkan penurunan kesadaran, kejang, gangguan kognitif, hingga kecacatan neurologis permanen jika terlambat ditangani. Kasus ini ditemukan meningkat di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin, sehingga asuhan keperawatan komprehensif sangat diperlukan untuk mendukung keberhasilan luaran klinis pasien. Tujuan Penelitian: Menerapkan asuhan keperawatan secara komprehensif pada An. R dengan Ensefalitis Autoimun melalui tahap pengkajian, diagnosis, perencanaan, implementasi, hingga evaluasi keperawatan. Metode Penelitian: Studi kasus deskriptif kualitatif, dilaksanakan di Ruang Alexandri 2 pada tanggal 7–10 Maret 2026, dengan pengumpulan data melalui alloanamnesis, observasi, pemeriksaan fisik, dan penelusuran rekam medis. Hasil Penelitian: Ditegakkan tiga diagnosis keperawatan prioritas, yaitu Penurunan Kapasitas Adaptif Intrakranial (D.0066), Konfusi Akut (D.0124), dan Risiko Aspirasi (D.0006). Setelah tiga hari implementasi, ketiga diagnosis teratasi sebagian besar, ditandai peningkatan GCS dari 10 menjadi 14, kejang tidak berulang, orientasi membaik, serta kemampuan menelan pulih hingga NGT dapat dilepas. Saran: Diperlukan deteksi dini dan asuhan keperawatan yang cepat, tepat, dan holistik pada anak dengan ensefalitis autoimun guna mencegah komplikasi dan kecacatan neurologis jangka panjang. Kata kunci: Asuhan Keperawatan, Ensefalitis Autoimun, Anak Background : Autoimmune encephalitis is a brain inflammation caused by immune system dysregulation that can lead to decreased consciousness, seizures, cognitive impairment, and permanent neurological disability if treatment is delayed. Cases have been increasing at RSUD Dr. H. Moch. Ansari Saleh Banjarmasin, making comprehensive nursing care essential to support successful clinical outcomes. Objective: To implement comprehensive nursing care for Child R with Autoimmune Encephalitis through the stages of assessment, diagnosis, planning, implementation, and evaluation. Methods : A descriptive qualitative case study conducted in Alexandri 2 Ward from March 7–10, 2026, with data collected through alloanamnesis, observation, physical examination, and medical record review. Results : Three priority nursing diagnoses were established: Decreased Intracranial Adaptive Capacity (D.0066), Acute Confusion (D.0124), and Risk of Aspiration (D.0006). After three days of implementation, all three diagnoses were largely resolved, indicated by an increase in GCS from 10 to 14, absence of recurrent seizures, improved orientation, and restored swallowing ability that allowed removal of the NGT. Suggestion : Early detection and rapid, precise, holistic nursing care are needed for children with autoimmune encephalitis to prevent complications and long-term neurological disability. Keywords: Nursing Care, Autoimmune Encephalitis, child

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Ensefalitis Autoimun, Anak
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 07:36
Last Modified:	14 Aug 2026 07:36
URI:	http://repo.polkesraya.ac.id/id/eprint/3924

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