Repository Poltekkes Kemenkes Palangka Raya

Istianah, Zahra Lailatul (2026) Studi kasus asuhan keperawatan pada pasien Ny. D dan Ny. H dengan 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: ICH adalah perdarahan spontan dalam parenkim otak akibat pecahnya pembuluh darah serebral yang umumnya disebabkan hipertensi. Kondisi ini menjadi penyebab utama kecacatan dan kematian secara global maupun nasional. Pasien ICH mengalami gangguan neurologis berupa kelemahan ekstremitas dan gangguan mobilitas yang membutuhkan asuhan keperawatan komprehensif. Tujuan Penelitian: Membandingkan asuhan keperawatan pada pasien Ny. D dan Ny. H dengan Intracerebral Hemorrhage (ICH) di RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Metode Penelitian: Desain penelitian menggunakan studi kasus deskriptif dengan pendekatan proses keperawatan. Penelitian ini melibatkan dua pasien terdiagnosis ICH yang dirawat di RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Data dikumpulkan melalui wawancara, observasi, dan studi dokumentasi, berpedoman pada SDKI, SLKI, dan SIKI. Hasil Penelitian: Kedua pasien memiliki riwayat hipertensi sebagai faktor risiko utama ICH. Diagnosis keperawatan yang ditegakkan adalah Risiko Perfusi Serebral Tidak Efektif dan Gangguan Mobilitas Fisik. Intervensi meliputi posisi head up 30°, pemantauan neurologis, dan latihan ROM pasif. Tekanan darah kedua pasien membaik dan kekuatan otot meningkat setelah tiga hari perawatan. Kesimpulan: Asuhan keperawatan komprehensif pada pasien ICH memberikan perkembangan positif pada stabilisasi hemodinamik dan mobilitas fisik. Masalah keperawatan teratasi sebagian dan intervensi perlu dilanjutkan. Kata Kunci: Asuhan Keperawatan, Intracerebral Hemorrhage, Gangguan Mobilitas Fisik, Perfusi Serebral, Range of Motion. Background: ICH is a spontaneous hemorrhage within the brain parenchyma resulting from the rupture of cerebral blood vessels, commonly caused by hypertension. This condition is a leading cause of disability and mortality both globally and nationally. Patients with ICH experience neurological impairments including extremity weakness and mobility disorders that require comprehensive nursing care. Research Objective: Comparing nursing care for patients Mrs. D and Mrs. H with Intracerebral Hemorrhage (ICH) at dr. H. Moch. Ansari Saleh Regional General Hospital, Banjarmasin. Research Method: This study employed a descriptive case study design using a nursing process approach. It involved two patients diagnosed with ICH who were treated at RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Data were collected through interviews, observation, and documentation review, guided by the SDKI, SLKI, and SIKI frameworks. Results: Both patients had a history of hypertension as the primary risk factor for ICH. The nursing diagnoses established were Ineffective Cerebral Perfusion Risk and Impaired Physical Mobility. Interventions included a 30° head-up positioning, neurological monitoring, and passive range-of-motion exercises. Blood pressure improved in both patients and muscle strength increased following three days of care. Conclusion: Comprehensive nursing care for ICH patients yielded positive progress in hemodynamic stabilization and physical mobility. Nursing problems were partially resolved, and interventions need to be continued. Keywords: Nursing Care, Intracerebral Hemorrhage, Impaired Physical Mobility, Cerebral Perfusion, Range of Motion.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Intracerebral Hemorrhage, Gangguan Mobilitas Fisik, Perfusi Serebral, Range of Motion.
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 > 1109 Neurosciences 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	28 Jul 2026 02:08
Last Modified:	28 Jul 2026 02:08
URI:	http://repo.polkesraya.ac.id/id/eprint/3707

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