Repository Poltekkes Kemenkes Palangka Raya

Annur, Muhammad Fauzi (2026) Asuhan keperawatan pada pasien Tn. T dengan stroke non hemoragik (SNH) di Ruang Topaz RSUD dr. H. Moch. Anshari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke Non Hemoragik (SNH) merupakan gangguan neurologis yang terjadi akibat sumbatan pada pembuluh darah otak sehingga menyebabkan penurunan suplai oksigen dan nutrisi ke jaringan otak. Kondisi ini dapat menimbulkan berbagai masalah keperawatan, seperti risiko perfusi serebral tidak efektif, perfusi jaringan perifer tidak efektif, dan gangguan mobilitas fisik. Tujuan Penelitian: Mendeskripsikan asuhan keperawatan pada pasien dengan Stroke Non Hemoragik (SNH) di Ruang Topaz RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Metode Penelitian: Studi kasus deskriptif pada satu pasien Stroke Non Hemoragik yang dirawat pada tanggal 3–5 April 2026. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan telaah rekam medis, kemudian dianalisis menggunakan Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), dan Standar Intervensi Keperawatan Indonesia (SIKI). Hasil Penelitian: Hasil pengkajian menunjukkan pasien mengalami hemiparesis ekstremitas kanan, disartria, dan penurunan kekuatan otot 1/5. Diagnosis keperawatan yang ditegakkan yaitu Perfusi Jaringan Perifer Tidak Efektif, Risiko Perfusi Serebral Tidak Efektif, dan Gangguan Mobilitas Fisik. Implementasi keperawatan dilakukan selama tiga hari melalui pemantauan status neurologis, pemantauan sirkulasi perifer, latihan rentang gerak (ROM), mobilisasi bertahap, serta kolaborasi dengan tim kesehatan. Evaluasi menunjukkan kondisi pasien relatif stabil, namun masalah keperawatan belum teratasi sehingga intervensi dilanjutkan. Kesimpulan: Asuhan keperawatan yang sistematis berdasarkan SDKI, SLKI, dan SIKI membantu mempertahankan stabilitas kondisi pasien Stroke Non Hemoragik. Pemantauan neurologis, latihan mobilisasi, serta dukungan keluarga diperlukan untuk mendukung proses pemulihan dan meningkatkan kualitas hidup pasien. Kata Kunci: Stroke Non Hemoragik; Asuhan Keperawatan; Perfusi Serebral; Perfusi Jaringan Perifer; Gangguan Mobilitas Fisik. Background: Non-Hemorrhagic Stroke (NHS) is a neurological disorder caused by the obstruction of cerebral blood vessels, resulting in reduced oxygen and nutrient supply to brain tissue. This condition may lead to various nursing problems, including ineffective cerebral tissue perfusion risk, ineffective peripheral tissue perfusion, and impaired physical mobility. Objective: To describe nursing care provided to a patient with Non-Hemorrhagic Stroke (NHS) in the Topaz Ward of Dr. H. Moch. Ansari Saleh Regional Hospital, Banjarmasin. Methods: This descriptive case study was conducted on one patient diagnosed with Non-Hemorrhagic Stroke who was hospitalized from April 3 to April 5, 2026. Data were collected through interviews, observation, physical examination, and medical record review. Data analysis was carried out using the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcomes Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Results: The assessment findings revealed right-sided hemiparesis, dysarthria, and decreased muscle strength (1/5). The nursing diagnoses established were Ineffective Peripheral Tissue Perfusion, Risk for Ineffective Cerebral Tissue Perfusion, and Impaired Physical Mobility. Nursing interventions were implemented over three days and included neurological status monitoring, peripheral circulation monitoring, range of motion (ROM) exercises, gradual mobilization, and collaboration with the healthcare team. Evaluation showed that the patient's condition remained relatively stable; however, the nursing problems had not been fully resolved, and continued interventions were required. Conclusion: Systematic nursing care based on SDKI, SLKI, and SIKI contributed to maintaining the stability of the patient's condition with Non-Hemorrhagic Stroke. Neurological monitoring, mobilization exercises, and family support are essential to support the recovery process and improve the patient's quality of life. Keywords: Non-Hemorrhagic Stroke; Nursing Care; Cerebral Perfusion; Peripheral Tissue Perfusion; Impaired Physical Mobility.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Stroke Non Hemoragik; Asuhan Keperawatan; Perfusi Serebral; Perfusi Jaringan Perifer; Gangguan Mobilitas Fisik.
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:	03 Aug 2026 01:12
Last Modified:	03 Aug 2026 01:12
URI:	http://repo.polkesraya.ac.id/id/eprint/3773

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