Repository Poltekkes Kemenkes Palangka Raya

Rosiana, Rosiana (2026) Studi kasus asuhan keperawatan pada Tn. P dengan diagnosis strok non hemoragik (SNH) di Ruang Nusa Indah RSUD dr. Doris Sylvanus. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Strok non hemoragik (SNH) merupakan gangguan sirkulasi serebral akibat oklusi pembuluh darah yang dapat mengakibatkan penurunan kesadaran, hambatan mobilitas, dan ketergantungan fungsional. Kondisi ini menuntut asuhan keperawatan yang terintegrasi untuk mencegah komplikasi dan memperbaiki luaran klinis, sebagaimana dialami oleh Tn. P di Ruang Nusa Indah RSUD dr. Doris Sylvanus. Tujuan: Mendeskripsikan penerapan asuhan keperawatan pada Tn. P dengan diagnosis SNH di ruang tersebut. Metode: Desain yang digunakan adalah studi kasus deskriptif. Subjek penelitian adalah Tn. P dengan diagnosis medis SNH. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan telaah rekam medis. Analisis dilakukan dengan membandingkan temuan kasus terhadap teori dan standar asuhan keperawatan. Hasil: Ditegakkan tiga diagnosis keperawatan utama, yaitu risiko perfusi serebral tidak efektif, gangguan mobilitas fisik, dan risiko integritas kulit terganggu. Setelah dilakukan intervensi selama 3×24 jam, terjadi perbaikan kondisi yang ditandai dengan stabilisasi status neurologis, peningkatan kemampuan mobilisasi, serta tidak ditemukannya tanda-tanda kerusakan integritas kulit. Kesimpulan: Penerapan asuhan keperawatan secara terstruktur melalui tahapan pengkajian hingga evaluasi terbukti efektif dalam meningkatkan status klinis pasien SNH serta mencegah komplikasi. Perawat disarankan untuk mengoptimalkan intervensi berbasis standar dan melibatkan keluarga secara aktif dalam proses perawatan. Kata Kunci: asuhan keperawatan; strok non hemoragik; mobilitas fisik; perfusi serebral; studi kasus Background: Non-hemorrhagic strok (NHS) is a cerebral circulation disorder caused by vascular occlusion, which may lead to decreased consciousness, mobility impairment, and functional dependence. This condition requires integrated nursing care to prevent complications and improve clinical outcomes, as experienced by Mr. P at the Nusa Indah Ward of dr. Doris Sylvanus Regional General Hospital. Objective: To describe the implementation of nursing care for Mr. P with a diagnosis of NHS in that ward. Methods: This study employed a descriptive case study design. The subject was Mr. P with a medical diagnosis of NHS. Data were collected through interviews, observation, physical examination, and medical record review. Analysis was performed by comparing case findings with relevant nursing theories and standards of care. Results: Three primary nursing diagnoses were established: risk of ineffective cerebral perfusion, impaired physical mobility, and risk of impaired skin integrity. After 3×24 hours of nursing interventions, the patient's condition improved, as indicated by neurological status stabilization, enhanced mobilization ability, and the absence of signs of skin integrity impairment. Conclusion: The structured implementation of nursing care, from assessment through evaluation, proved effective in improving the clinical status of the NHS patient and preventing complications. Nurses are advised to optimize standard-based interventions and actively involve families in the care process. Keywords: nursing care; non-hemorrhagic strok; physical mobility; cerebral perfusion; case study

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	asuhan keperawatan; strok non hemoragik; mobilitas fisik; perfusi serebral; studi kasus
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:	27 Jul 2026 06:37
Last Modified:	27 Jul 2026 06:37
URI:	http://repo.polkesraya.ac.id/id/eprint/3689

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