Repository Poltekkes Kemenkes Palangka Raya

Elsanawati, Elsanawati (2026) Studi kasus asuhan keperawatan pada pasien dengan intracerebral hemorrhage (ICH) di RSUD dr Doris Sylvanus. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral Hemorrhage (ICH) merupakan stroke hemoragik akibat pecahnya pembuluh darah di dalam parenkim otak yang dapat menyebabkan peningkatan tekanan intrakranial, edema serebral, gangguan perfusi serebral, dan kerusakan jaringan otak. Kondisi ini menimbulkan berbagai masalah keperawatan yang memerlukan penanganan komprehensif. Tujuan: Menggambarkan pelaksanaan asuhan keperawatan pada pasien dengan Intracerebral Hemorrhage (ICH) di RSUD dr. Doris Sylvanus Palangka Raya. Metode: Penelitian ini menggunakan metode studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dokumentasi rekam medis, dan pemeriksaan penunjang selama 3×24 jam perawatan. Hasil: Pengkajian menunjukkan pasien mengalami penurunan kesadaran, hipertensi, hemiparesis, dan hasil CT-Scan menunjukkan perdarahan intraserebral disertai edema serebral. Diagnosis keperawatan yang ditegakkan meliputi penurunan kapasitas adaptif intrakranial, gangguan mobilitas fisik, dan risiko defisit nutrisi. Implementasi dilakukan sesuai intervensi yang telah direncanakan. Evaluasi menunjukkan sebagian masalah keperawatan mengalami perbaikan, sedangkan kondisi neurologis masih memerlukan pemantauan lanjutan. Kesimpulan: Penerapan proses keperawatan secara sistematis membantu mengatasi masalah keperawatan pada pasien ICH serta mendukung proses pemulihan pasien. Kata Kunci: Asuhan Keperawatan, Intracerebral Hemorrhage, Penurunan Kapasitas Adaptif Intrakranial, Gangguan Mobilitas Fisik, Risiko Defisit Nutrisi. Background: Intracerebral Hemorrhage (ICH) is a hemorrhagic stroke caused by the rupture of blood vessels in the parenchyma of the brain that can cause increased intracranial pressure, cerebral edema, cerebral perfusion disorders, and brain tissue damage. This condition poses various nursing problems that require comprehensive treatment. Objective: To describe the implementation of nursing care for patients with Intracerebral Hemorrhage (ICH) at dr. Doris Sylvanus Palangka Raya Hospital. Methods: This study uses a case study method with a nursing process approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. Data collection was carried out through interviews, observations, physical examinations, documentation of medical records, and supporting examinations during 3×24 hours of treatment. Results: The study showed that the patient had decreased consciousness, hypertension, hemiparesis, and CT-Scan results showed intracerebral hemorrhage accompanied by cerebral edema. Established nursing diagnoses include decreased intracranial adaptive capacity, impaired physical mobility, and risk of nutritional deficits. Implementation is carried out according to the planned intervention. Evaluation shows that some nursing problems have improved, while neurological conditions still require further monitoring. Conclusion: The systematic application of nursing processes helps to overcome nursing problems in ICH patients and supports the patient's recovery process. Keywords: nursing care, intracerebral hemorrhage, decreased intracranial adaptive capacity, impaired physical mobility, risk of nutritional deficit.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Intracerebral Hemorrhage, Penurunan Kapasitas Adaptif Intrakranial, Gangguan Mobilitas Fisik, Risiko Defisit Nutrisi
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
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	21 Jul 2026 05:27
Last Modified:	21 Jul 2026 05:27
URI:	http://repo.polkesraya.ac.id/id/eprint/3612

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