Repository Poltekkes Kemenkes Palangka Raya

Mutiara, Mutiara (2026) Studi kasus asuhan keperawatan pada pasien Ny.R di Ruang Nusa Indah dengan Intracerebral hemorrhage (ICH) di RSUD dr. Doris Sylvanus Palangka Raya. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral Hemorrhage (ICH) adalah jenis stroke hemoragik yang disebabkan oleh perdarahan di jaringan otak dan dapat menyebabkan gangguan neurologis, salah satunya gangguan mobilitas fisik. Pada kasus ini umumnya dipicu oleh riwayat hipertensi kronis yang tidak terkontrol. Tujuan Penelitian: Tujuan penelitian ini dilakukan bertujuan untuk mengidentifikasi masalah keperawatan pada pasien Intracerebral Hemorrhage melalui proses pengkajian, penetapan diagnosa, perencanaan, implementasi dan evaluasi keperawatan. Metode Penelitian: Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus untuk menggambarkan penerapan asuhan keperawatan pada pasien Intracerebral Hemorrhage (ICH). Data diperoleh melalui wawancara, observasi, pemeriksaan fisik dan dokumentasi. Hasil Penelitian: Berdasarkan pengkajian, Pasien mengalami kelemahan ekstremitas kiri, memiliki riwayat hipertensi, serta hasil CT-Scan menunjukkan perdarahan di lobus frontotemporoparietal dextra. Diagnosa keperawatan yang ditegakkan adalah gangguan mobilitas fisik berhubungan dengan gangguan neuromuskular dan risiko perfusi serebral yang tidak efektif berhubungan dengan hipertensi. Setelah dilakukan asuhan keperawatan selama 3 hari, masalah risiko perfusi serebral tidak efektif teratasi dengan kondisi hemodinamik yang stabil, sedangkan masalah gangguan mobilitas fisik teratasi sebagian, ditandai dengan peningkatan kekuatan otot ekstremitas kiri dari skala 1 menjadi 2. Kesimpulan: Penerapan asuhan keperawatan yang komprehensif menunjukan hasil yang baik. Masalah risiko perfusi serebral tidak efektif dapat teratasi, sedangkan masalah gangguan mobilitas fisik menunjukkan perbaikan yang ditandai dengan meningkatnya kekuatan otot ekstremitas kiri. Penerapan asuhan keperawatan yang tepat membantu mendukung proses pemulihan pasien. Kata Kunci: Asuhan Keperawatan, Intracerebral Hemorrhage (ICH), Risiko Perfusi Serebral, Gangguan Mobilitas Fisik. Background: Intracerebral hemorrhage (ICH) is a type of hemorrhagic stroke caused by bleeding in the brain tissue and can lead to neurological disorders, including physical mobility impairments. In this case, it is generally triggered by a history of uncontrolled chronic hypertension. Research Objective: The objective of this study is to identify nursing issues in patients with intracerebral hemorrhage through the nursing assessment, diagnosis, planning, implementation, and evaluation processes. Research Methodology: This study employed a descriptive method using a case study approach based to describe the implementation of nursing care for patients with intracerebral hemorrhage (ICH). Data were collected through interviews, observations, physical examinations, and documentation. Research Findings: Based on the assessment, the patient exhibited weakness in the left extremities, had a history of hypertension, and the CT scan results showed bleeding in the right frontotemporoparietal lobe. The established nursing diagnoses were impaired physical mobility related to neuromuscular dysfunction and risk of ineffective cerebral perfusion related to hypertension. After 3 days of nursing care, the issue of ineffective cerebral perfusion was resolved with stable hemodynamic conditions, while the issue of physical mobility impairment was partially resolved, marked by an increase in left extremity muscle strength from a grade of 1 to 2. Conclusion: The implementation of comprehensive nursing care yielded positive results. The issue of ineffective cerebral perfusion was resolved, while the problem of impaired physical mobility showed improvement, as evidenced by increased muscle strength in the left extremity. The implementation of appropriate nursing care helped support the patient’s recovery process. Keywords: Nursing Care, Intracerebral Hemorrhage (ICH), Risk of Cerebral Perfusion, Physical Mobility Impairment.

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 (ICH), Risiko Perfusi Serebral, Gangguan Mobilitas Fisik. Nursing Care, Intracerebral Hemorrhage (ICH), Risk of Cerebral Perfusion, Physical Mobility Impairment.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111009 Nursing Research 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111010 Evidence-Based Nursing 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	23 Jul 2026 03:04
Last Modified:	23 Jul 2026 03:04
URI:	http://repo.polkesraya.ac.id/id/eprint/3628

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