Repository Poltekkes Kemenkes Palangka Raya

Yunika, Yunika (2026) Studi kasus asuhan keperawatan pasien tn.s dengan stroke non hemoragik (SNH) di RSUD dr. Doris Sylvanus Kota Palangka Raya. 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 yang dapat menyebabkan berbagai masalah kesehatan dan kecacatan. Pasien stroke dapat mengalami gangguan neurologis, pernapasan, mobilitas, serta kerusakan integritas kulit sehingga memerlukan asuhan keperawatan yang komprehensif dan berkesinambungan. Tujuan: Memperoleh gambaran pelaksanaan asuhan keperawatan pada pasien stroke non hemoragik di RSUD dr. Doris Sylvanus Palangka Raya. Metode: Studi ini menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus. Subjek penelitian adalah satu pasien laki-laki berusia 61 tahun dengan diagnosis stroke non hemoragik yang dirawat di Ruang Lavender RSUD dr. Doris Sylvanus Palangka Raya. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, implementasi, evaluasi, serta studi dokumentasi. Hasil: Hasil pengkajian menunjukkan pasien mengalami penurunan kesadaran, afasia, kelemahan ekstremitas kanan, sesak napas disertai batuk berdahak, ketergantungan dalam aktivitas sehari-hari, serta lecet pada punggung akibat tirah baring. Ditegakkan empat diagnosis keperawatan, yaitu bersihan jalan napas tidak efektif, risiko perfusi serebral tidak efektif, gangguan mobilitas fisik, dan gangguan integritas kulit. Setelah dilakukan asuhan keperawatan selama tiga hari, tiga diagnosis teratasi, yaitu bersihan jalan napas tidak efektif, risiko perfusi serebral tidak efektif, dan gangguan integritas kulit. Gangguan mobilitas fisik belum teratasi karena pasien masih mengalami kelemahan ekstremitas kanan. Kesimpulan: Pelaksanaan asuhan keperawatan secara sistematis dan komprehensif dapat membantu mengatasi sebagian besar masalah keperawatan pada pasien stroke non hemoragik, namun gangguan mobilitas fisik masih memerlukan intervensi lanjutan. Kata kunci: Asuhan keperawatan, stroke non hemoragik, bersihan jalan napas, perfusi serebral, mobilitas fisik, integritas kulit. Background: Non-hemorrhagic stroke is a neurological disorder caused by impaired blood flow to the brain and may result in various health problems and disabilities. Stroke patients may experience neurological, respiratory, mobility, and skin integrity problems, requiring comprehensive and continuous nursing care. Objective: To describe the implementation of nursing care for a patient with nonhemorrhagic stroke at Dr. Doris Sylvanus Regional Hospital, Palangka Raya. Methods: This study used a qualitative descriptive method with a case study approach. The subject was one 61-year-old male patient diagnosed with non-hemorrhagic stroke and treated in the Lavender Ward of Dr. Doris Sylvanus Regional Hospital, Palangka Raya. Data were collected through interviews, observation, physical examination, nursing implementation, evaluation, and documentation review. Results: The assessment showed that the patient experienced decreased consciousness, aphasia, right-sided extremity weakness, shortness of breath accompanied by a productive cough, dependence in daily activities, and skin abrasions on the back due to prolonged bed rest. Four nursing diagnoses were identified: ineffective airway clearance, risk for ineffective cerebral perfusion, impaired physical mobility, and impaired skin integrity. After three days of nursing care, three nursing diagnoses were resolved, namely ineffective airway clearance, risk for ineffective cerebral perfusion, and impaired skin integrity. However, impaired physical mobility remained unresolved because the patient continued to experience right-sided extremity weakness. Conclusion: Systematic and comprehensive nursing care can help resolve most nursing problems in patients with non-hemorrhagic stroke. Nevertheless, impaired physical mobility requires continued nursing interventions and further rehabilitation. Keywords: Nursing Care, Non-Hemorrhagic Stroke, Airway Clearance, Cerebral Perfusion, Physical Mobility, Skin Integrity.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan keperawatan, stroke non hemoragik, bersihan jalan napas, perfusi serebral, mobilitas fisik, integritas kulit. Nursing Care, Non-Hemorrhagic Stroke, Airway Clearance, Cerebral Perfusion, Physical Mobility, Skin Integrity.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110904 Neurology and Neuromuscular Diseases 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 08:10
Last Modified:	14 Aug 2026 08:10
URI:	http://repo.polkesraya.ac.id/id/eprint/3939

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