Repository Poltekkes Kemenkes Palangka Raya

Norhaliza, Wanda (2026) studi kasus asuhan keperawatan pada pasien meningioma midline di Ruang Intensive Care Unit Rumah Sakit Umum Daerah dr. H. Moch. Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Meningioma merupakan tumor otak yang berasal dari sel meningotelial. Pada kasus tumor midline, desakan massa sering kali memicu peningkatan tekanan intrakranial (TIK) yang berdampak pada penurunan kesadaran, hemiparesis, dan gangguan komunikasi verbal. Kondisi ini memerlukan asuhan keperawatan yang berfokus pada neuroproteksi dan pencegahan komplikasi imobilisasi. Tujuan: Mendeskripsikan asuhan keperawatan secara siginifikan pada Ny. W dengan diagnosis medis Meningioma Midline di ruang Intensive Care Unit RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Metode: Penelitian ini menggunakan desain studi kasus dengan pendekatan asuhan keperawatan yang meliputi pengkajian, diagnosis, rencana, implementasi, dan evaluasi. Subjek penelitian adalah satu pasien Ny. W yang diamati selama 3 hari di ruang intensif. Pengumpulan data dilakukan melalui observasi klinis, pemeriksaan fisik, studi dokumentasi Ct scan, dan wawancara keluarga. Hasil: Diagnosis keperawatan utama yang ditemukan adalah penurunan kapasitas adaptif intrakranial, gangguan mobilitas fisik, dan gangguan komunikasi verbal. Implementasi difokuskan pada manajemen TIK (posisi head up 30° dan kolaborasi diuretik osmosis), latihan ROM pasif, serta stimulasi sensorik. Setelah 3 hari perawatan, kondisi hemodinamik pasien stabil dengan MAP 94 mmHg, tingkat kesadaran meningkat menjadi apatis (GCS 12) dan kekuatan otot sisi kiri tetap pada skala 0 akibat adanya massa tumor yang masih menetap. Kesimpulan: Masalah keperawatan pada Ny. W belum teratasi secara total karena hambatan patologis dari tumor primer, namun rencana keperawatan berhasil menjaga stabilitas perfusi serebral dan mencegah komplikasi sekunder seperti kontraktur dan dekubitus. Dukungan keluarga dan kolaborasi interdisiplin menjadi faktor kunci dalam perawatan pasien di ruang Intensive Care Unit. Kata Kunci: Meningioma, Penurunan Kapasitas Adaptif Intrakranial, Mobilitas Fisik, Intensive Care Unit, Asuhan Keperawatan. Background : Meningioma is a brain tumor that originates from meningothelial cells. In cases of midline tumors, pressure from the mass often triggers increased intracranial pressure (ICP), which results in decreased consciousness, hemiparesis, and impaired verbal communication. This condition requires nursing care that focuses on neuroprotection and preventing immobilization complications. Objective : To describe comprehensive nursing care for Mrs. W, diagnosed with Midline Meningioma, in the Intensive Care Unit of Dr. H. Moch. Ansari Saleh Hospital, Banjarmasin. Methods : This study used a case study design with a nursing care approach encompassing assessment, diagnosis, intervention, implementation, and evaluation. The subject was Mrs. W, a patient observed for three days in the intensive care unit. Data were collected through clinical observation, physical examination, Ct scan documentation, and family interviews. Results : The primary nursing diagnoses identified were decreased intracranial adaptive capacity, impaired physical mobility, and impaired verbal communication. Implementation focused on ICP management (30° head up position and osmotic diuretics), passive ROM exercises, and sensory stimulation. After three days of treatment, the patient's hemodynamics were stable with a MAP of 94 mmHg, a level of consciousness that improved to apathetic (GCS 12), and left-sided muscle strength remaining at 0 due to the persistent tumor mass. Conclusion : Mrs. W nursing problems were not completely resolved due to pathological obstruction from the primary tumor. However, nursing interventions successfully maintained stable cerebral perfusion and prevented secondary complications such contractures and pressure ulcers. Family support and interdisciplinary collaboration are key factors in patient care in the Intensive Care Unit. Keywords : Meningioma, decreased intracranial adaptive capacity, Physical Mobility, Intensive Care Unit, Nursing Care.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Meningioma, Penurunan Kapasitas Adaptif Intrakranial, Mobilitas Fisik, Intensive Care Unit, Asuhan Keperawatan.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111003 Clinical Nursing - Secondary (Acute Care) 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 04:28
Last Modified:	24 Jul 2026 04:28
URI:	http://repo.polkesraya.ac.id/id/eprint/3677

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