Repository Poltekkes Kemenkes Palangka Raya

Rahmat, Rahmat (2026) Studi kasus asuhan keperawatan pada pasien Tn. P dengan intracerebral hemorrhage (ICH) di Ruang Stroke Center RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral Hemorrhage (ICH) merupakan perdarahan pada jaringan otak yang dapat menyebabkan gangguan neurologis, peningkatan tekanan intrakranial, penurunan perfusi serebral, serta keterbatasan aktivitas. Pada kasus Tn. P, ICH ditandai dengan hemiparesis sinistra, afasia, disartria, dan hasil CT scan menunjukkan perdarahan pada pons kanan sekitar ±2–3 cc. Kondisi ini memerlukan asuhan keperawatan komprehensif untuk mempertahankan perfusi serebral, membantu mobilitas, meningkatkan komunikasi, serta mencegah komplikasi akibat tirah baring. Tujuan: Menggambarkan pelaksanaan asuhan keperawatan pada Tn. P dengan Intracerebral Hemorrhage di Ruang Stroke Center RSUD Ulin Banjarmasin. Metode: Penelitian ini menggunakan desain studi kasus deskriptif dengan pendekatan proses keperawatan, meliputi pengkajian, penetapan diagnosis, perencanaan, implementasi, dan evaluasi selama tiga hari perawatan. Data dikumpulkan melalui observasi, wawancara keluarga, pemeriksaan fisik, studi dokumentasi, dan pemeriksaan penunjang. Hasil: Diagnosis keperawatan yang ditegakkan meliputi gangguan mobilitas fisik, gangguan komunikasi verbal, dan risiko perfusi jaringan serebral tidak efektif. Implementasi dilakukan melalui pemantauan neurologis dan tanda vital, posisi semi-Fowler, latihan ROM pasif, perubahan posisi, komunikasi sederhana, serta edukasi keluarga. Kesimpulan: Asuhan keperawatan membantu mempertahankan kondisi pasien, mencegah komplikasi, dan mendukung keselamatan pasien, meskipun pemantauan lanjutan tetap diperlukan pada hari ketiga perawatan Kata kunci: Intracerebral Hemorrhage, asuhan keperawatan, penurunan kesadaran, gangguan mobilitas fisik, gangguan komunikasi verbal Background: Intracerebral Hemorrhage (ICH) is bleeding within brain tissue that can cause neurological impairment, increased intracranial pressure, decreased cerebral perfusion, and limited activity. In Mr. P, ICH was indicated by left hemiparesis, aphasia, dysarthria, and CT scan findings showing hemorrhage in the right pons of approximately 2–3 cc. This condition requires comprehensive nursing care to maintain cerebral perfusion, support mobility, improve communication, and prevent complications caused by prolonged bed rest. Objective: This study aims to describe the implementation of nursing care for Mr. P with Intracerebral Hemorrhage in the Stroke Center Room of Ulin Regional General Hospital Banjarmasin. Method: This research used a descriptive case study design with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation during three days of care. Data were collected through observation, family interviews, physical examination, documentation review, and supporting examinations. Results: The nursing diagnoses established were impaired physical mobility, impaired verbal communication, and risk of ineffective cerebral tissue perfusion. Interventions included neurological and vital sign monitoring, semi-Fowler positioning, passive range-ofmotion exercises, repositioning, simple communication, and family education. Conclusion: Nursing care helped maintain the patient’s condition, prevent complications, and support safety, although ongoing monitoring remained necessary on the third day of treatment. Keywords: Intracerebral Hemorrhage, nursing care, impaired physical mobility, impaired verbal communication, cerebral perfusion

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Kata kunci: Intracerebral Hemorrhage, asuhan keperawatan, penurunan kesadaran, gangguan mobilitas fisik, gangguan komunikasi verbal
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 01:55
Last Modified:	14 Sep 2026 01:55
URI:	http://repo.polkesraya.ac.id/id/eprint/3959

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