Repository Poltekkes Kemenkes Palangka Raya

Bulit, Prita Mardea (2026) Asuhan keperawatan pada tn. M dengan intracerebral hemorrhage (ICH) di RSUD dr. Doris Sylvanus Palangka Raya. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral Hemorrhage (ICH) merupakan salah satu jenis stroke hemoragik yang disebabkan oleh pecahnya pembuluh darah di dalam parenkim otak. Kondisi ini dapat menyebabkan peningkatan tekanan intrakranial, gangguan perfusi serebral, gangguan mobilitas fisik, serta berbagai komplikasi yang berpotensi mengancam jiwa sehingga memerlukan asuhan keperawatan yang optimal serta cepat dan tepat. Tujuan Penelitian: Mendeskripsikan penerapan asuhan keperawatan pada pasien dengan Intracerebral Hemorrhage (ICH) di RSUD dr. Doris Sylvanus Palangka Raya. Metode Penelitian: Penelitian ini menggunakan desain studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi. Subjek penelitian adalah satu pasien dengan diagnosis medis Intracerebral Hemorrhage (ICH) yang menjalani perawatan di RSUD dr. Doris Sylvanus Palangka Raya. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, studi dokumentasi, dan telaah rekam medis. Hasil Penelitian: Hasil pengkajian menunjukkan pasien mengalami hemiparesis sinistra, afasia, hipertensi, dan gangguan mobilitas fisik. Diagnosis keperawatan yang ditegakkan yaitu perfusi serebral tidak efektif dan gangguan mobilitas fisik. Intervensi yang diberikan meliputi pemantauan status neurologis, pemantauan tekanan intrakranial, dukungan mobilisasi, latihan rentang gerak (ROM), serta kolaborasi terapi medis. Setelah dilakukan tindakan keperawatan, kondisi pasien relatif stabil, tidak terjadi penurunan neurologis yang signifikan, namun pasien masih memerlukan rehabilitasi lanjutan untuk meningkatkan kemampuan fungsional. Kesimpulan: Penerapan asuhan keperawatan pada pasien dengan Intracerebral Hemorrhage (ICH) dapat membantu mempertahankan stabilitas kondisi pasien, mencegah komplikasi, serta mendukung proses pemulihan melalui pendekatan keperawatan yang sistematis dan berkesinambungan. Kata Kunci: Intracerebral Hemorrhage, ICH, Stroke Hemoragik, Asuhan Keperawatan, Perfusi Serebral, Gangguan Mobilitas Fisik. Background: Intracerebral Hemorrhage (ICH) is a type of hemorrhagic stroke caused by the rupture of blood vessels within the brain parenchyma. This condition can lead to increased intracranial pressure, impaired cerebral perfusion, physical mobility limitations, and various lifethreatening complications. Therefore, comprehensive nursing care is required to prevent further deterioration and improve patient outcomes. Objective: To describe the implementation of nursing care for a patient with Intracerebral Hemorrhage (ICH) at dr. Doris Sylvanus Regional Hospital, Palangka Raya. Methods: This study employed a case study design using the nursing process approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The subject was one patient diagnosed with Intracerebral Hemorrhage (ICH) who was hospitalized at dr. Doris Sylvanus Regional Hospital, Palangka Raya. Data were collected through interviews, observation, physical examination, documentation review, and medical record analysis. Results: The assessment revealed that the patient experienced left hemiparesis, aphasia, hypertension, and impaired physical mobility. The nursing diagnoses established were ineffective cerebral perfusion and impaired physical mobility. Nursing interventions included neurological status monitoring, intracranial pressure monitoring, mobility support, range of motion (ROM) exercises, communication enhancement, health education, and collaboration with the medical team. Following nursing interventions, the patient's condition remained relatively stable without significant neurological deterioration; however, further rehabilitation was still required to improve functional abilities. Conclusion: The implementation of nursing care in patients with Intracerebral Hemorrhage (ICH) can help maintain patient stability, prevent complications, and support the recovery process through a systematic and continuous nursing approach. Keywords: Intracerebral Hemorrhage, ICH, Hemorrhagic Stroke, Nursing Care, Cerebral Perfusion, Impaired Physical Mobility.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Intracerebral Hemorrhage, ICH, Stroke Hemoragik, Asuhan Keperawatan, Perfusi Serebral, Gangguan Mobilitas Fisik.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110904 Neurology and Neuromuscular Diseases 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:	13 Jul 2026 05:26
Last Modified:	13 Jul 2026 05:26
URI:	http://repo.polkesraya.ac.id/id/eprint/3524

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