Repository Poltekkes Kemenkes Palangka Raya

Aulia, Merinda (2026) Studi kasus asuhan keperawatan pada pasien intracerebral hemorrhage (ICH) di RSUD dr. H. Moch Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Intracerebral Hemorrhage (ICH) merupakan kegawatdaruratan neurologis akibat pendarahan pada jaringan otak yang beresiko menyebabkan kecacatan hingga kematian. Perawat berperan penting dalam memberikan asuhan keperawatan secara komprehensif melalui pengkajian, penetapan diagnosis, perencanaan, implementasi,, dan evaluasi untuk mempertahankan perfusi serebral serta mencegah komplikasi. Tujuan Penelitian: Mendeskripsikan pelaksanaan asuhan keperawatan pada pasien dengan Intracerebral Hemorrhage (ICH) di RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Metode Penelitian: Penelitian ini menggunakan metode deskriptif, berfokus pada dua pasien dengan diagnosis ICH. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, studi dokumentasi rekam medis, hasil lab, dan CT-Scan. Asuhan keperawatan dilaksanakan selama 2-3 hari melalui proses keperawatan yang meliputi pengkajian, analisis data, penetapan diagnosis keperawatan, penyusunan intervensi, implementasi tindakan berupa pemantauan neurologis, pemberian posisi head up 30º, latihan ROM pasif, pemantauan tanda-tanda vital, edukasi, kolaborasi terapi medis, serta evaluasi. Hasil Penelitian: Proses asuhan keperawatan pada kedua pasien berlangsung sesuai tahapan proses keperawatan. Hasil dari perawatan selama 3 hari menunjukkan variasi perkembangan yang signifikan antara kedua pasien yaitu, satu pasien (Ny.R) menunjukkan pemulihan yang signifikan dalam komunikasi verbal dan perfusi serebral, sementara pasien (Tn.S) mengalami kerusakan klinis prognesif yang menyebabkan kematian, menyoroti pengaruh keparahan awal, usia, dan respon fisiologis. Kesimpulan: Studi ini menekankan peran penting dari perawatan keperawatan komprehensif dan pemantauan berkelanjutan dalam mengelola pasien ICH. Kata Kunci: Intracerebral Hemorrhage, Asuhan Keperawatan, Studi Kasus Background: Intracerebral Hemorrhage (ICH) is a neurological emergency resulting from bleeding within brain tissue, carrying a risk of disability or even death. Nurses play a vital role in providing comprehensive nursing care encompassing assessment, diagnosis, planning, implementation, and evaluation to maintain cerebral perfusion and prevent complications. Research Objectives: To describe the implementation of nursing care for patients with Intracerebral Hemorrhage (ICH) at Dr. H. Moch. Ansari Saleh Regional General Hospital, Banjarmasin. Research Methods: This study employed a descriptive method, focusing on two patients diagnosed with intracerebral hemorrhage (ICH). Data were collected through interviews, observations, physical examinations, and reviews of medical records, laboratory results, and CT scans. Nursing care was administered over a period of 2-3 days following the nursing process, which encompassed assessment, data analysis, nursing diagnosis formulation, intervention planning, implementation of measures such as neurological monitoring, maintaining a 30º head-up position, passive range of motion (ROM) exercises, vital sign monitoring, patient education, and collaborative medical therapy and evaluation. Research Result: The nursing care process for both patients followed the standard stages of the nursing process. Outcomes after three days of care revealed significant differences in clinical progression: one patient (Mrs.R) demonstrated marked recovery in verbal communication and cerebral perfusion, whereas the other (Mr. S) experienced progressive clinical deterioration leading to death highlighting the influence of initial severity, age, and physiological response. Conclusions: This study emphasizes the important role of comprehensive nursing care and continuous monitoring in managing ICH patients. Keywords: Intracerebral Hemorrhage, Nursing Care, Case Study

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Intracerebral Hemorrhage, Asuhan Keperawatan, Studi Kasus Intracerebral Hemorrhage, Nursing Care, Case Study
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 03:11
Last Modified:	23 Jul 2026 03:11
URI:	http://repo.polkesraya.ac.id/id/eprint/3629

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