Damayanti, Ivi (2026) Asuhan keperawatan pada NY. n dengan subarachnoid hemorrhage (SAH). Karya Tulis Ilmiah thesis, Poltekkes kemenkes palangka raya.
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Abstract
Latar Belakang: Subarachnoid Hemorrhage (SAH) merupakan stroke hemoragik akibat ruptur aneurisma yang memerlukan penanganan intensif. Tujuan Penelitian: Memaparkan asuhan keperawatan pada pasien SAH meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Metode Penelitian: Studi kasus deskriptif pada pasien SAH di RSUD dr. Doris Sylvanus Palangka Raya melalui wawancara, observasi, pemeriksaan fisik, dan rekam medis. Hasil Penelitian: Pasien Ny. N (78 tahun) compos mentis (GCS E4V5M6) dengan hipertensi berat (195/92 mmHg) mengeluhkan pusing, lemas, dan pandangan kabur. Kekuatan otot 4/5 dan laboratorium menunjukkan leukositosis. Diagnosis keperawatan: risiko perfusi serebral tidak efektif dan gangguan mobilitas fisik. Intervensi meliputi pemantauan tanda-tanda vital dan neurologis, posisi kepala elevasi 30°, mobilisasi bertahap, ROM, serta edukasi keluarga. Evaluasi menunjukkan masalah teratasi sebagian dengan tekanan darah menurun menjadi 190/89 mmHg dan kekuatan otot stabil. Kesimpulan: Asuhan keperawatan pada pasien SAH dengan kesadaran baik berfokus pada stabilisasi hemodinamik, pencegahan komplikasi tirah baring, dan pelibatan keluarga dalam rehabilitasi untuk meningkatkan kemandirian fungsional pasien. Background: Subarachnoid Hemorrhage (SAH) is a hemorrhagic stroke caused by aneurysm rupture that requires intensive management. Objective: To describe nursing care for SAH patients including assessment, diagnosis, intervention, implementation, and evaluation. Method: A descriptive case study on an SAH patient at dr. Doris Sylvanus Hospital Palangka Raya through interviews, observation, physical examination, and medical records. Results: Mrs. N (78 years old) was compos mentis (GCS E4V5M6) with severe hypertension (195/92 mmHg) complaining of dizziness, weakness, and blurred vision. Muscle strength was 4/5 and laboratory results showed leukocytosis. Nursing diagnoses included risk of ineffective cerebral perfusion and impaired physical mobility. Interventions included monitoring vital signs and neurological status, head elevation at 30°, gradual mobilization, ROM exercises, and family education. Evaluation showed partial resolution of problems with blood pressure decreasing to 190/89 mmHg and stable muscle strength. Conclusion: Nursing care for SAH patients with good consciousness focuses on hemodynamic stabilization, prevention of bed rest complications, and family involvement in rehabilitation to improve patient functional independence.
| Item Type: | Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah) |
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| Subjects: | 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111007 Nursing Theory 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111011 Nursing Specialties 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111011 Nursing Specialties > 11101113 Medical-Surgical Nursing |
| Divisions: | Jurusan Keperawatan > Program Studi Diploma III Keperawatan |
| Depositing User: | Mahasiswa D3 Keperawatan |
| Date Deposited: | 07 Sep 2026 04:04 |
| Last Modified: | 07 Sep 2026 04:04 |
| URI: | http://repo.polkesraya.ac.id/id/eprint/3755 |
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