Repository Poltekkes Kemenkes Palangka Raya

Elvii, Elvi (2026) Asuhan keperawatan pada pasien epidural hematoma (EDH) dengan risiko peningkatan tekanan intrakranial di RSUD dr. Doris Sylvanus. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang : Epidural Hematoma (EDH) merupakan perdarahan yang terjadi di antara tulang tengkorak dan dura mater yang disebabkan oleh trauma kepala. Kondisi ini dapat menyebabkan peningkatan tekanan intrakranial yang berpotensi menimbulkan kerusakan jaringan otak, penurunan kesadaran, hingga kematian apabila tidak ditangani secara tepat. Oleh karena itu, peran perawat dan pemberian asuhan keperawatan yang komprehensif sangat penting untuk memantau kondisi neurologis serta mencegah terjadinya komplikasi lebih lanjut. Tujuan Penelitian : Tujuan penulisan karya tulis ilmiah ini yaitu untuk menerapkan asuhan keperawatan pada pasien dengan Epidural Hematoma (EDH) yang mengalami risiko peningkatan tekanan intrakranial di RSUD dr. Doris Sylvanus. Metode Penelitian : Menggunakan pendekatan studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis keperawatan, perencanaan, implementasi, dan evaluasi. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, serta dokumentasi rekam medis pasien. Hasil Penelitian : Hasil menunjukkan kedua pasien mengalami tanda-tanda risiko peningkatan tekanan intrakranial. Pemantauan Mean Arterial Preasure (MAP) dalam batas normal yang dapat mendukung perfusi otak secara adekuat. Masalah keperawatan utama adalah risiko penurunan kapasitas adaptif, ditandai dengan adaya hematoma akibat peningkatan tekanan intrakranial. Intervensi keperawatan meliputi pemantauan status neurologis, tanda vital, balance cairan, MAP, pemberian posisi kepala 30º, serta kolaborasi dalam terapi medis. Setelah dilakukan asuhan keperawatan selama 3 hari, kondisi pasien menunjukkan perbaikan, ditandai dengan stabilnya tanda vital, nilai MAP yang terkontrol, keseimbangan cairan adekuat, serta peningkatan respons neurologis. Kesimpulan : Kesimpulan dari studi kasus ini menunjukkan bahwa penerapan asuhan keperawatan secara komprehensif dapat membantu memantau dan mengurangi risiko peningkatan tekanan intrakranial pada pasien dengan Epidural Hematoma. Kata kunci: Asuhan Keperawatan, Epidural Hematoma, Tekanan Intrakranial. Background: Epidural Hematoma (EDH) is a hemorrhage that occurs between the skull and the dura mater caused by head trauma. This condition can lead to increased intracranial pressure, which may result in brain tissue damage, decreased level of consciousness, and even death if not managed appropriately. Therefore, the role of nurses and the provision of comprehensive nursing care are essential in monitoring neurological status and preventing further complications. Objective: The purpose of this scientific paper was to implement nursing care for patients with Epidural Hematoma (EDH) who were at risk of increased intracranial pressure at dr. Doris Sylvanus Regional Hospital. Methods: This study used a case study approach with the nursing process method, which included assessment, nursing diagnosis, planning, implementation, and evaluation. Data were collected through interviews, observations, physical examinations, and patient medical record documentation. Results: The results showed that both patients exhibited signs of risk for increased intracranial pressure. Mean Arterial Pressure (MAP) monitoring remained within normal limits, which supported adequate cerebral perfusion. The main nursing problem identified was the risk of decreased adaptive intracranial capacity, characterized by the presence of hematoma due to increased intracranial pressure. Nursing interventions included monitoring neurological status, vital signs, fluid balance, and MAP, positioning the head at 30°, and collaborating in medical therapy. After three days of nursing care, the patients’ conditions improved, as indicated by stable vital signs, controlled MAP values, adequate fluid balance, and improved responses. Conclusion: This case study concludes that the implementation of comprehensive nursing care can help monitor and reduce the risk of increased intracranial pressure in patients with Epidural Hematoma. Keywords: Nursing Care, Epidural Hematoma, Intracranial Pressure.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Epidural Hematoma, Tekanan Intrakranial.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences > 110903 Central Nervous System 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 Jul 2026 02:53
Last Modified:	14 Jul 2026 02:53
URI:	http://repo.polkesraya.ac.id/id/eprint/3534

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