Repository Poltekkes Kemenkes Palangka Raya

Marshada, Villa (2026) Asuhan keperawatan pada Ny. A dengan strok non hemoragik di Ruang Nusa Indah RSUD dr. Doris Sylvanus. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke Non Hemoragik merupakan gangguan neurologis akibat terhambatnya aliran darah ke otak yang dapat menyebabkan kelemahan ekstremitas, penurunan kekuatan otot, dan gangguan mobilitas fisik. Kondisi tersebut mengakibatkan keterbatasan aktivitas sehari-hari sehingga diperlukan asuhan keperawatan yang komprehensif untuk membantu meningkatkan kemampuan mobilisasi dan mencegah komplikasi akibat imobilisasi. Tujuan: Memberikan asuhan keperawatan secara komprehensif pada pasien Stroke Non Hemoragik dengan gangguan mobilitas fisik di RSUD dr. Doris Sylvanus Palangka Raya. Metode: Penelitian ini menggunakan desain studi kasus deskriptif dengan subjek satu pasien yaitu Ny. A yang mengalami Stroke Non Hemoragik dengan gangguan mobilitas fisik. Pengumpulan data dilakukan melalui proses keperawatan yang meliputi pengkajian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi keperawatan. Observasi dilakukan selama 3 hari dengan teknik analisis data secara deskriptif. Intervensi utama yang diberikan berupa latihan Range of Motion (ROM) pasif dan dukungan mobilisasi secara bertahap dengan melibatkan keluarga pasien. Hasil: Hasil studi menunjukkan Ny. A mengalami hemiparesis kiri dengan penurunan kekuatan otot pada ekstremitas kiri yaitu tangan kiri 1/5 dan kaki kiri 2/5 serta keterbatasan mobilitas fisik. Setelah dilakukan implementasi keperawatan berupa latihan Range of Motion (ROM) pasif dan dukungan mobilisasi selama 3 hari, pasien menunjukkan peningkatan kekuatan otot secara bertahap. Kekuatan otot ekstremitas atas kiri meningkat dari 1/5 menjadi 2/5 dan ekstremitas bawah kiri meningkat dari 2/5 menjadi 3/5, namun pasien masih memerlukan bantuan keluarga dalam melakukan aktivitas sehari-hari. Kesimpulan: Asuhan keperawatan melalui latihan Range of Motion (ROM) pasif dan dukungan mobilisasi dapat membantu meningkatkan kemampuan gerak serta mencegah komplikasi akibat imobilisasi pada pasien Stroke Non Hemoragik dengan gangguan mobilitas fisik. Implementasi keperawatan perlu dilakukan secara berkelanjutan dan melibatkan keluarga untuk mendukung proses pemulihan pasien secara optimal. Kata kunci: asuhan keperawatan, gangguan mobilitas fisik, Range of Motion (ROM), Stroke Non Hemoragik. Background: Ischemic Stroke (Non-Hemorrhagic Stroke) is a neurological disorder caused by obstruction of blood flow to the brain which can result in extremity weakness, decreased muscle strength, and impaired physical mobility. This condition causes limitations in daily activities; therefore, comprehensive nursing care is needed to improve physical mobility and prevent complications due to immobilization. Objective: To provide comprehensive nursing care for patients with Ischemic Stroke (Non-Hemorrhagic Stroke) experiencing impaired physical mobility at dr. Doris Sylvanus Regional Hospital, Palangka Raya. Methods: This study used a descriptive case study design with one subject, Mrs. A, who experienced Ischemic Stroke (Non-Hemorrhagic Stroke) with impaired physical mobility. Data collection was carried out through the nursing process including assessment, nursing diagnosis, intervention, implementation, and nursing evaluation. Observation was conducted for 3 days using descriptive data analysis techniques. The main interventions provided were passive Range of Motion (ROM) exercises and gradual mobilization support involving the patient’s family. Results: The results showed that Mrs. A experienced left hemiparesis with decreased muscle strength in the left extremities, namely left hand muscle strength of 1/5 and left leg muscle strength of 2/5, accompanied by impaired physical mobility. After the implementation of nursing care in the form of passive Range of Motion (ROM) exercises and mobilization support for 3 days, the patient showed gradual improvement in muscle strength. Muscle strength in the left upper extremity increased from 1/5 to 2/5, while muscle strength in the left lower extremity increased from 2/5 to 3/5. However, the patient still required family assistance in performing daily activities. Conclusion: Nursing care through passive Range of Motion (ROM) exercises and mobilization support can help improve physical mobility and prevent complications due to immobilization in patients with Ischemic Stroke (Non-Hemorrhagic Stroke) and impaired physical mobility. Nursing implementation needs to be carried out continuously and involve the family to support the patient’s recovery process optimally. Keywords: impaired physical mobility, Ischemic Stroke (Non-Hemorrhagic Stroke), nursing care, Range of Motion (ROM).

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	asuhan keperawatan, gangguan mobilitas fisik, Range of Motion (ROM), Stroke Non Hemoragik.
Subjects:	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 > 111011 Nursing Specialties > 11101117 Neuroscience Nursing 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	16 Jul 2026 08:03
Last Modified:	16 Jul 2026 08:03
URI:	http://repo.polkesraya.ac.id/id/eprint/3599

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