Repository Poltekkes Kemenkes Palangka Raya

Surya, Stevany Natali (2026) Asuhan keperawatan pada anak dengan hidrosefalus obstruktif e.c. Tumor intrakranial pasca eksisi parsial tumor dan pemasangan VP shunt di Ruang Tulip IIA RSUD Ulin Banjarmasin Kalimantan Selatan. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Hidrosefalus obstruktif merupakan gangguan aliran cairan serebrospinal akibat adanya hambatan pada sistem ventrikel otak yang menyebabkan peningkatan tekanan intrakranial dan berbagai gangguan neurologis. Tujuan: Untuk mendeskripsikan asuhan keperawatan pada anak dengan hidrosefalus obstruktif e.c. tumor intrakranial pasca eksisi parsial tumor dan pemasangan VP Shunt. Metode: Studi kasus menggunakan metode deskriptif dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi keperawatan. Hasil: Hasil pengkajian menunjukkan pasien mengalami muntah berulang, riwayat kejang, penurunan kesadaran, dan riwayat revisi VP Shunt. Diagnosis keperawatan yang ditegakkan yaitu Risiko Perfusi Serebral Tidak Efektif, Nausea, Risiko Infeksi, dan Ketegangan Peran Pemberi Asuhan. Implementasi keperawatan dilakukan sesuai intervensi. Evaluasi menunjukkan masalah nausea mulai teratasi, ketegangan peran pemberi asuhan membaik, serta risiko perfusi serebral tidak efektif dan risiko infeksi belum terjadi. Kesimpulan: Penerapan asuhan keperawatan pada pasien hidrosefalus obstruktif menunjukkan adanya perbaikan pada sebagian masalah keperawatan dan peningkatan pemahaman keluarga dalam perawatan pasien. Pemantauan kondisi neurologis dan pencegahan komplikasi tetap diperlukan untuk mendukung hasil perawatan yang optimal. Background: Obstructive hydrocephalus is a disorder of cerebrospinal fluid flow caused by obstruction within the ventricular system, resulting in increased intracranial pressure and various neurological impairments. Objective: To describe nursing care for a child with Obstructive hydrocephalus due to an intracranial tumor following partial tumor excision and ventriculoperitoneal (VP) shunt placement. Method: This study employed a descriptive case study approach using the nursing process, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: Assessment findings showed recurrent vomiting, a history of seizures, decreased level of consciousness, and VP Shunt revision. The nursing diagnoses established were Ineffective Cerebral Tissue Perfusion Risk, Nausea, Risk for Infection, and Caregiver Role Strain. Nursing interventions were implemented according to the established care plan. Evaluation showed that nausea began to improve, caregiver role strain decreased, and no occurrence of ineffective cerebral perfusion or infection was identified. Conclusion: Nursing care provided to a patient with Obstructive hydrocephalus resulted in improvement in several nursing problems and increased family understanding of patient care. Continuous neurological monitoring and prevention of complications remain necessary to achieve optimal outcomes. Keywords: Nursing Care, Obstructive Hydrocephalus, Intracranial Tumor, VP Shunt.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Hidrosefalus Obstruktif, Tumor Intrakranial, VP Shunt.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1109 Neurosciences 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	14 Jul 2026 02:57
Last Modified:	14 Jul 2026 02:57
URI:	http://repo.polkesraya.ac.id/id/eprint/3535

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