Repository Poltekkes Kemenkes Palangka Raya

Putra, Rendy Mahdandy (2026) Studi kasus asuhan keperawatan pada pasien strok non hemoragik di RSUD dr.Doris Sylvanus Tahun 2026. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Strok non hemoragik merupakan gangguan neurologis akibat tersumbatnya aliran darah ke otak yang menyebabkan penurunan fungsi neurologis, kelemahan otot, gangguan mobilitas, hingga ketergantungan aktivitas sehari-hari. Strok non hemoragik menjadi jenis strok dengan prevalensi tertinggi dan memerlukan penatalaksanaan serta asuhan keperawatan yang komprehensif untuk mencegah komplikasi dan meningkatkan kemampuan fungsional pasien. Tujuan: Memberikan gambaran pelaksanaan asuhan keperawatan pada pasien Strok Non Hemoragik (SNH) di RSUD dr. Doris Sylvanus Palangka Raya Tahun 2026. Metode: Penelitian ini menggunakan desain deskriptif kualitatif dengan pendekatan studi kasus pada dua pasien strok non hemoragik di Ruang Nusa Indah RSUD dr. Doris Sylvanus Palangka Raya. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dokumentasi rekam medis, dan pelaksanaan proses asuhan keperawatan yang meliputi pengkajian, diagnosis keperawatan, perencanaan, implementasi, dan evaluasi. Hasil: Hasil studi kasus menunjukkan kedua pasien memiliki riwayat hipertensi sebagai faktor risiko utama strok non hemoragik. Pasien 1 mengalami kelemahan ekstremitas kiri dan gangguan bicara dengan kondisi kesadaran compos mentis, sedangkan pasien 2 mengalami penurunan kesadaran dan kelemahan ekstremitas kanan dengan kondisi neurologis lebih berat. Diagnosa keperawatan utama yang ditemukan meliputi gangguan mobilitas fisik, gangguan komunikasi verbal, defisit perawatan diri, dan penurunan kapasitas adaptif intrakranial. Implementasi keperawatan dilakukan melalui latihan Range of Motion (ROM), dukungan mobilisasi, pemantauan status neurologis, promosi komunikasi, serta pencegahan komplikasi. Evaluasi menunjukkan adanya peningkatan mobilitas fisik, perbaikan komunikasi verbal, dan peningkatan kemampuan aktivitas seharihari secara bertahap pada pasien. Kesimpulan: Asuhan keperawatan yang dilakukan secara komprehensif pada pasien strok non hemoragik dapat membantu meningkatkan mobilitas fisik, kemampuan komunikasi, serta mendukung proses pemulihan pasien. Intervensi keperawatan yang tepat, terutama latihan ROM dan mobilisasi dini, berperan penting dalam mencegah komplikasi dan meningkatkan kemandirian pasien. Kata Kunci: asuhan keperawatan, mobilitas fisik, stroke non hemoragik, strok non-hemoragik, terapi ROM Background: Non-hemorrhagic stroke is a neurological disorder due to blockage of blood flow to the brain that causes decreased neurological function, muscle weakness, mobility disorders, and dependence on daily activities. Nonhemorrhagic stroke is the type of stroke with the highest prevalence and requires comprehensive management and nursing care to prevent complications and improve the patient's functional ability. Objective: To provide an overview of the implementation of nursing care for NonHemorrhagic Stroke (SNH) patients at dr. Doris Sylvanus Palangka Raya Hospital in 2026. Methods: This study used a qualitative descriptive design with a case study approach on two non-hemorrhagic stroke patients in the Nusa Indah Room of dr. Doris Sylvanus Palangka Raya Hospital. Data collection is carried out through interviews, observations, physical examinations, documentation of medical records, and the implementation of nursing care processes which include assessment, nursing diagnosis, planning, implementation, and evaluation. Results: The results of the case study showed that both patients had a history of hypertension as the main risk factor for non-hemorrhagic stroke. Patient 1 experienced weakness of the left extremity and speech impairment with a condition of composing consciousness, while patient 2 experienced decreased consciousness and weakness of the right extremity with a more severe neurological condition. The main nursing diagnoses found included physical mobility impairment, verbal communication impairment, self-care deficits, and decreased intracranial adaptive capacity. Nursing implementation is carried out through Range of Motion (ROM) exercises, mobilization support, neurological status monitoring, communication promotion, and complication prevention. Evaluation showed an increase in physical mobility, improved verbal communication, and a gradual improvement in the ability to daily activities. Conclusion: Comprehensive nursing care in non-hemorrhagic stroke patients can help improve physical mobility, communication skills, and support the patient's recovery process. Appropriate nursing interventions, especially ROM exercises and early mobilization, play an important role in preventing complications and increasing patient independence. Keywords: nursing care, physical mobility, non-hemorrhagic stroke, nonhemorrhagic stroke, ROM therapy

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	asuhan keperawatan, mobilitas fisik, stroke non hemoragik, strok non-hemoragik, terapi ROM
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
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	14 Sep 2026 01:42
Last Modified:	14 Sep 2026 01:42
URI:	http://repo.polkesraya.ac.id/id/eprint/3958

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