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Putri, Nur Arida (2026) Asuhan keperawatan pada An. E dengan cerebral palsy di Ruang Anak Tulip II-A RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, POLITEKNIK KESEHATAN KEMENKES PALANGKA RAYA.

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Abstract

Latar Belakang: Cerebral Palsy (CP) merupakan gangguan neurologis nonprogresif akibat kerusakan otak yang memengaruhi gerak, postur, dan tumbuh kembang anak. CP tipe ataksik berkaitan dengan kelainan serebelum yang menyebabkan gangguan koordinasi dan ketidakstabilan postur. Tujuan Penelitian: Mendeskripsikan asuhan keperawatan meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi pada An. E dengan CP tipe ataksik. Metode Penelitian: Studi kasus deskriptif kualitatif pada An. E, usia 2 tahun 7 bulan, di Ruang Anak Tulip II-A RSUD Ulin Banjarmasin tanggal 9–11 April 2026. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi rekam medis. Intervensi berpedoman pada SDKI, SLKI, dan SIKI. Hasil Penelitian: Ditegakkan tiga diagnosis keperawatan, yaitu bersihan jalan napas tidak efektif (D.0001), defisit nutrisi (D.0019), dan gangguan tumbuh kembang (D.0106). Implementasi mencakup manajemen jalan napas, manajemen nutrisi, serta latihan duduk terarah berbasis Neuro Developmental Treatment (NDT). Hasil menunjukkan perbaikan pada ketiga diagnosis, dengan perkembangan paling bermakna pada Gangguan Tumbuh Kembang, ditandai toleransi latihan membaik, anak mampu mempertahankan posisi duduk dengan bantuan lebih lama, kontak mata dan ekspresi senyum mulai muncul, serta ibu semakin mandiri melakukan stimulasi di rumah. Kesimpulan: Asuhan keperawatan terpadu dengan latihan duduk terarah berbasis NDT menunjukkan perbaikan respons awal terhadap kontrol postur dan kemampuan duduk anak dengan CP tipe ataksik. Kata Kunci: Cerebral Palsy ataksik, gangguan tumbuh kembang, latihan duduk terarah, Neuro Developmental Treatment, asuhan keperawatan Background: Cerebral Palsy (CP) is a nonprogressive neurological disorder caused by brain damage that affects a child’s movement, posture, and development. Ataxic CP is associated with abnormalities in the cerebellum that cause coordination problems and postural instability. Objective: Describe the nursing care process, including assessment, diagnosis, planning, implementation, and evaluation, for Patient E with ataxic CP. Research Method: A qualitative descriptive case study of An. E, aged 2 years and 7 months, in the Tulip II-A Pediatric Ward at Ulin General Hospital in Banjarmasin from April 9–11, 2026. Data were collected through interviews, observations, physical examinations, and medical record documentation. The intervention was guided by the SDKI, SLKI, and SIKI guidelines. Research Findings: Three nursing diagnoses were established: Ineffective Airway Clearance (D.0001), Nutritional Deficit (D.0019), and Developmental Delay (D.0106). Interventions included airway management, nutritional management, and targeted sitting exercises based on Neuro Developmental Treatment (NDT). Results showed improvement in all three diagnoses, with the most significant progress observed in Developmental Delay, marked by improved exercise tolerance, the child’s ability to maintain a seated position with assistance for longer periods, the emergence of eye contact and smiling, and the mother becoming increasingly independent in providing stimulation at home. Conclusion: Integrated nursing care with NDT-based targeted sitting training demonstrated early improvements in postural control responses and sitting ability in a child with ataxic-type CP. Keywords: Ataxic Cerebral Palsy, developmental disorders, guided sitting exercises, Neurodevelopmental Treatment, nursing care

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Kata Kunci: Cerebral Palsy ataksik, gangguan tumbuh kembang, latihan duduk terarah, Neuro Developmental Treatment, asuhan keperawatan
Subjects:	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 > 111011 Nursing Specialties > 11101122 Pediatric Nursing 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	22 Jul 2026 05:39
Last Modified:	22 Jul 2026 05:39
URI:	http://repo.polkesraya.ac.id/id/eprint/3618

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