Repository Poltekkes Kemenkes Palangka Raya

Astriasi, Asri (2026) Asuhan keperawatan pada Tn. A dengan meningitis di Ruang Alexandri 3 RSUD dr. H. Moch Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Meningitis merupakan peradangan pada selaput otak (meninges) yang dapat disebabkan oleh infeksi bakteri, virus, atau jamur. Penyakit ini memiliki tingkat morbiditas dan mortalitas yang tinggi serta berpotensi menyebabkan komplikasi neurologis serius apabila tidak segera mendapatkan penanganan yang tepat. Kondisi ini memerlukan asuhan keperawatan yang komprehensif dan terstruktur guna mencegah perburukan kondisi pasien. Tujuan: Menggambarkan penerapan asuhan keperawatan secara menyeluruh pada Tn. A dengan diagnosis medis meningitis di Ruang Alexandri 3 RSUD dr. H. Moch Ansari Saleh Banjarmasin. Metode: Studi kasus ini menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus pada satu pasien meningitis melalui tahap pengkajian, penetapan diagnosis keperawatan, intervensi, implementasi, dan evaluasi. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi rekam medis selama 4 hari perawatan (15–18 April 2026). Hasil: Pasien mengalami penurunan kesadaran (GCS E4V2M5/delirium), gelisah, demam (37,9°C), dan afasia akibat gangguan neuromuskular. Diagnosis keperawatan yang ditegakkan yaitu gangguan perfusi serebral, hipertermia, dan gangguan komunikasi verbal. Evaluasi menunjukkan hipertermia teratasi ditandai suhu turun menjadi 36,3°C; gangguan perfusi serebral teratasi sebagian dengan berkurangnya gelisah dan tidak terjadi kejang; serta gangguan komunikasi verbal teratasi sebagian dengan munculnya kontak mata dan gerakan bibir sebagai komunikasi nonverbal. Kesimpulan: Penerapan asuhan keperawatan berbasis SDKI, SIKI, dan SLKI memberikan hasil positif terhadap kondisi pasien. Hipertermia berhasil teratasi sepenuhnya, sementara masalah perfusi serebral dan komunikasi verbal mengalami perbaikan bertahap. Pemulihan neurologis pada pasien meningitis membutuhkan waktu yang lebih panjang sehingga diperlukan kesinambungan intervensi pasca perawatan. Kata Kunci: Asuhan Keperawatan, Meningitis, Perfusi Serebral, Hipertermia, Gangguan Komunikasi Verbal. Background: Meningitis is inflammation of the lining of the brain (meninges) which can be caused by bacterial, viral or fungal infections. This disease has a high level of morbidity and mortality and has the potential to cause serious neurological complications if appropriate treatment is not received immediately. This condition requires comprehensive and structured maintenance to prevent the patient's condition from deteriorating. Objective: To describe the implementation of comprehensive nursing care for Mr. A with a medical diagnosis of meningitis in Alexandri Room 3 RSUD dr. H. Moch Ansari Saleh Banjarmasin. Method: This case study uses a qualitative descriptive method with a case study approach on one meningitis patient through the stages of assessment, determining a nursing diagnosis, intervention, implementation and evaluation. Data collection was carried out through interviews, observation, physical examination, and medical record documentation for 4 days of treatment (15–18 April 2026). Results: The patient experienced decreased consciousness (GCS E4V2M5/delirium), restlessness, fever (37.9°C), and aphasia due to neuromuscular disorders. The nursing diagnoses that were made were impaired cerebral perfusion, hyperthermia, and impaired verbal communication. Evaluation showed that hyperthermia resolved as the temperature dropped to 36.3°C; impaired cerebral perfusion resolved partially with reduced restlessness and absence of seizures; and verbal communication disorders are partially resolved by the emergence of eye contact and lip movements as nonverbal communication. Conclusion: Implementation of nursing care based on SDKI, SIKI, and SLKI provides positive results on the patient's condition. Hyperthermia resolved completely, while cerebral perfusion and verbal communication problems gradually improved. Neurological recovery in meningitis patients takes a longer time so that continuous post-treatment intervention is required. Keywords: Nursing Care, Meningitis, Cerebral Perfusion, Hyperthermia, Verbal Communication Disorders.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Meningitis, Perfusi Serebral, Hipertermia, Gangguan Komunikasi Verbal.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111004 Clinical Nursing - Tertiary (Rehabilitative) 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 04:26
Last Modified:	28 Jul 2026 04:26
URI:	http://repo.polkesraya.ac.id/id/eprint/3730

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