Repository Poltekkes Kemenkes Palangka Raya

Yuliani, Yuliani (2026) Asuhan keperawatan klien Tn. M dengan stroke hemoragik di Ruang Stroke Center RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar belakang: Stroke hemoragik merupakan keadaan kegawatdaruratan saraf akibat pecahnya pembuluh darah otak yang dapat menyebabkan peningkatan tekanan intrakranial, penurunan kesadaran, dan gangguan mobilitas fisik. Kondisi ini memerlukan pemeliharaan melalui penerapan posisi semi-Fowler dan latihan Range of Motion (ROM) pasif untuk mendukung pemulihan pasien. Tujuan: Mendeskripsikan pelaksanaan asuhan keperawatan pada pasien stroke hemoragik melalui proses pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Metode: Penelitian menggunakan desain studi kasus pada satu pasien stroke hemoragik, yaitu Tn. M yang dirawat di Ruang Stroke Center RSUD Ulin Banjarmasin. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, dan telaah rekam medis selama pemberian asuhan keperawatan. Hasil: Ditegakkan dua diagnosis keperawatan, yaitu penurunan kapasitas adaptif intrakranial dan gangguan mobilitas fisik. Setelah dilakukan intervensi berupa posisi semi-Fowler dan latihan ROM pasif, terjadi peningkatan status neurologi yang ditandai dengan peningkatan respon verbal serta peningkatan kekuatan otot ekstremitas kanan dari skala 0 menjadi 1. Namun, gangguan mobilitas fisik belum teratasi sepenuhnya sehingga memerlukan intervensi lanjutan. Saran: Posisi semi-Fowler dan latihan ROM pasif perlu diterapkan secara berkelanjutan dengan melibatkan keluarga dan kolaborasi tenaga kesehatan untuk mendukung pemulihan pasien. Background: Hemorrhagic stroke is a neurological emergency caused by the rupture of a blood vessel in the brain, which can cause increased intracranial pressure, decreased consciousness, and impaired physical mobility. This condition requires maintenance through the application of a semi-Fowler's position and passive Range of Motion (ROM) exercises to support patient recovery. Objective: To describe the implementation of nursing care for hemorrhagic stroke patients through the process of assessment, diagnosis, intervention, implementation, and evaluation. Methods: The study used a case study design on one hemorrhagic stroke patient, Mr. M, who was treated in the Stroke Center Ward of Ulin Regional Hospital, Banjarmasin. Data were obtained through interviews, observation, physical examination, and medical record review during the provision of nursing care. Results: Two nursing diagnoses were established: decreased intracranial adaptive capacity and impaired physical mobility. Following interventions such as the semi-Fowler's position and passive ROM exercises, neurological status improved, as indicated by increased verbal responsiveness and an increase in right extremity muscle strength from 0 to 1. However, the impaired physical mobility was not fully resolved and required further intervention. Recommendation: The semi-Fowler's position and passive ROM exercises should be implemented continuously, involving the family and collaborating with healthcare professionals to support the patient's recovery. Keywords: Hemorrhagic stroke, Nursing care, passive range of motion (ROM), semiFowler's

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan keperawatan, Range of Motion (ROM) pasif, stroke hemoragik, semi-Fowler,
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:	24 Jul 2026 01:54
Last Modified:	24 Jul 2026 01:54
URI:	http://repo.polkesraya.ac.id/id/eprint/3652

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