Repository Poltekkes Kemenkes Palangka Raya

Natalia, Sherly (2026) Studi kasus asuhan keperawatan pada Ny. M dengan infark serebri di Ruang Seruni RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Infark serebri merupakan salah satu jenis strok iskemik yang terjadi akibat sumbatan pembuluh darah otak sehingga menyebabkan gangguan perfusi serebral dan kerusakan jaringan otak. Kondisi ini dapat menimbulkan penurunan kesadaran, kelemahan ekstremitas, keterbatasan mobilisasi, serta meningkatkan risiko komplikasi seperti gangguan integritas kulit. Tujuan Penelitian: Melaksanakan asuhan keperawatan secara komprehensif pada pasien dengan infark serebri di Ruang Seruni RSUD Ulin Banjarmasin. Metode Penelitian: Penelitian menggunakan metode studi kasus deskriptif dengan pendekatan proses keperawatan yang meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Subjek penelitian adalah satu pasien dengan diagnosis medis infark serebri yang dirawat selama tiga hari. Hasil Penelitian: Hasil pengkajian menunjukkan pasien mengalami penurunan kesadaran dengan GCS 11 (E4 V2 M5), kelemahan ekstremitas kiri, sakit kepala ringan, dan keterbatasan mobilisasi. CT scan menunjukkan lesi hipodens pada area oksipital dengan kesan infark serebri. Diagnosis keperawatan yang ditegakkan yaitu perfusi serebral tidak efektif, gangguan mobilitas fisik, dan risiko gangguan integritas kulit. Intervensi meliputi pemantauan neurologis, monitoring GCS, posisi semi Fowler, mobilisasi, perubahan posisi setiap 2 jam, perawatan kulit, dan edukasi keluarga. Setelah tiga hari perawatan, kondisi neurologis pasien relatif stabil, kelemahan ekstremitas kiri masih ada, pasien masih memerlukan bantuan aktivitas sehari-hari, dan tidak ditemukan luka tekan. Kesimpulan: Asuhan keperawatan pada pasien infark serebri memerlukan pemantauan neurologis berkelanjutan, dukungan mobilisasi, dan pencegahan gangguan integritas kulit untuk mempertahankan kondisi pasien serta mencegah komplikasi selama perawatan. Kata Kunci: Asuhan keperawatan, Infark serebri, Strok iskemik, Perfusi serebral. Background: Cerebral infarction is a type of ischemic stroke that occurs due to a blockage in a blood vessel in the brain, causing impaired cerebral perfusion and brain tissue damage. This condition can cause decreased consciousness, limb weakness, limited mobility, and an increased risk of complications such as impaired skin integrity. Research Objective: To provide comprehensive nursing care to patients with cerebral infarction in the Seruni Ward of Ulin Regional Hospital, Banjarmasin. Research Method: This study used a descriptive case study method with a nursing process approach that included assessment, diagnosis, intervention, implementation, and evaluation. The subject was one patient with a medical diagnosis of cerebral infarction who was hospitalized for three days. Research Results: The assessment revealed a decreased consciousness with a GCS score of 11 (E4 V2 M5), left limb weakness, mild headache, and limited mobility. A CT scan revealed a hypodense lesion in the occipital area, suggesting cerebral infarction. The nursing diagnoses were ineffective cerebral perfusion, impaired physical mobility, and risk of impaired skin integrity. Interventions included neurological monitoring, GCS monitoring, semi-Fowler's position, mobilization, position changes every 2 hours, skin care, and family education. After three days of treatment, the patient's neurological condition was relatively stable, left extremity weakness persisted, the patient still required assistance with daily activities, and no pressure ulcers were found. Conclusion: Nursing care for patients with cerebral infarction requires continuous neurological monitoring, mobilization support, and prevention of impaired skin integrity to maintain the patient's condition and prevent complications during treatment. Keywords: Nursing care, Cerebral infarction, Ischemic stroke, Cerebral perfusion.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan keperawatan, Infark serebri, Strok iskemik, Perfusi serebral.
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:	23 Jul 2026 03:34
Last Modified:	23 Jul 2026 03:34
URI:	http://repo.polkesraya.ac.id/id/eprint/3636

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