Repository Poltekkes Kemenkes Palangka Raya

Sutrimo, Sutrimo (2026) Studi kasus asuhan keperawatan pada NY. H dengan post craniectomy akibat intracerebral hemorrhage (ICH) di RSUD Ulin Banjarmasin Kalimantan Selatan. Karya Tulis Ilmiah thesis, Poltekes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Traumatic Intracerebral Hemorrhage (tICH) merupakan perdarahan pada parenkim otak akibat trauma kepala yang dapat menyebabkan edema serebri, peningkatan tekanan intrakranial, dan penurunan kesadaran. Pada kondisi tertentu diperlukan tindakan decompressive craniectomy sehingga pasien memerlukan asuhan keperawatan yang komprehensif untuk mempertahankan stabilitas neurologis dan mencegah komplikasi. Tujuan Penelitian: Mendeskripsikan asuhan keperawatan pada Ny. H dengan Post Craniectomy akibat Traumatic Intracerebral Hemorrhage di RSUD Ulin Banjarmasin Kalimantan Selatan. Metode Penelitian: Penelitian menggunakan desain studi kasus deskriptif pada satu pasien yang dirawat di ICU RSUD Ulin Banjarmasin tanggal 10–12 Mei 2026. Data diperoleh melalui wawancara keluarga, observasi, pemeriksaan fisik, telaah rekam medis, dan dokumentasi. Proses keperawatan mengacu pada SDKI, SLKI, dan SIKI. Hasil Penelitian: Pasien mengalami penurunan kesadaran (GCS E1VETM4) serta terpasang ETT, ventilator mekanik, NGT, dan kateter urin. Diagnosis keperawatan meliputi Bersihan Jalan Napas Tidak Efektif, Penurunan Kapasitas Adaptif Intrakranial, Risiko Infeksi, dan Gangguan Mobilitas Fisik. Evaluasi menunjukkan perbaikan pada bersihan jalan napas, sedangkan diagnosis lainnya masih memerlukan pemantauan dan intervensi berkelanjutan. Kesimpulan: Asuhan keperawatan yang komprehensif berdasarkan SDKI, SLKI, dan SIKI berperan dalam mempertahankan stabilitas fisiologis serta membantu mencegah komplikasi pada pasien Post Craniectomy akibat Traumatic Intracerebral Hemorrhage. Kata Kunci: Traumatic Intracerebral Hemorrhage, Post Craniectomy, Asuhan Keperawatan, Bersihan Jalan Napas Tidak Efektif, Risiko Infeksi. Background: Traumatic Intracerebral Hemorrhage (tICH) is bleeding within the brain parenchyma caused by head trauma, which may result in cerebral edema, increased intracranial pressure, and decreased consciousness. In certain cases, decompressive craniectomy is required; therefore, patients need comprehensive nursing care to maintain neurological stability and prevent complications. Objective: To describe the nursing care provided to Mrs. H following decompressive craniectomy for Traumatic Intracerebral Hemorrhage at Ulin Regional Hospital, Banjarmasin, South Kalimantan. Methods: This descriptive case study involved one patient admitted to the Intensive Care Unit from May 10–12, 2026. Data were collected through family interviews, observation, physical examination, medical record review, and documentation. The nursing process was based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcomes Standards (SLKI), and Indonesian Nursing Interventions Standards (SIKI). Results: The patient presented with decreased consciousness (GCS E1VETM4) and required an Endotracheal Tube (ETT), mechanical ventilation, a Nasogastric Tube (NGT), and a urinary catheter. Nursing diagnoses included Ineffective Airway Clearance, Decreased Intracranial Adaptive Capacity, Risk for Infection, and Impaired Physical Mobility. Airway clearance improved, while the remaining problems required ongoing monitoring and interventions. Conclusion: Comprehensive nursing care based on SDKI, SLKI, and SIKI contributed to maintaining physiological stability and preventing complications in patients following decompressive craniectomy for Traumatic Intracerebral Hemorrhage. Keywords: Traumatic Intracerebral Hemorrhage, Post-Craniectomy, Nursing Care, Ineffective Airway Clearance, Risk for Infection.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Traumatic Intracerebral Hemorrhage, Post Craniectomy, Asuhan Keperawatan, Bersihan Jalan Napas Tidak Efektif, Risiko Infeksi.
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:	28 Jul 2026 02:38
Last Modified:	28 Jul 2026 02:38
URI:	http://repo.polkesraya.ac.id/id/eprint/3719

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