Repository Poltekkes Kemenkes Palangka Raya

Hanifa, Devina (2026) Studi kasus asuhan keperawatan pada Ny. S dengan stroke non hemoragik (SNH) di Ruang Topaz RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke adalah penyebab utama cacat saraf. Stroke non-hemoragik (SNH) dapat menimbulkan kerusakan pada jaringan otak, menyebabkan ketidakadekuatan aliran darah dan hemiparesis karena kerusakan area motorik. Hal ini menyebabkan perfusi serebral dan mobilitas pasien terganggu sehingga timbul keluhan nyeri dan sulit melakukan aktivitas harian. Head up 30º dan Range of Motion (ROM) dapat membantu peredaran darah dan meningkatkan kekuatan otot secara efektif, sehingga mendukung pemulihan pasien secara bertahap. Tujuan Penelitian: Studi kasus ini bertujuan mengetahui dampak pemberian asuhan keperawatan pada Ny. S dengan stroke non hemoragik. Metode Penelitian: Desain penelitian menggunakan metode deskriptif, data diperoleh dengan observasi, wawancara, pemeriksaan fisik, dan dokumentasi. Subjek dalam penelitian ini adalah pasien SNH dengan risiko perfusi serebral tidak efektif dan gangguan mobilitas fisik. Hasil Penelitian: Penerapan head up 30º dan ROM pasif dan aktif 2x sehari selama 3 hari sebagai terapi non-farmakologis menunjukkan hasil penurunan skala nyeri dari skala 3 menjadi 0, tekanan darah stabil, dan peningkatan skala otot dari skala 2 menjadi 4. Kesimpulan: Penerapan head up 30º efektif dalam menurunkan nyeri, stabilitas neurologis, dan ROM pasif dan aktif efektif dalam meningkatkan kekuatan otot pada pasien SNH jika dilakukan secara konsisten. Kata Kunci: Stroke Non Hemoragik, SNH, Head Up 30º, Range Of Motion (ROM).   Background: Stroke is the leading cause of neurological defects. Non-hemorrhagic stroke (SNH) can cause damage to brain tissue, causing blood flow inefficiency and hemiparesis due to damage to the motor area. This causes cerebral perfusion and the patient's mobility to be disrupted, resulting in complaints of pain and difficulty in carrying out daily activities. The 30º head up and Range of Motion (ROM) can effectively help blood circulation and increase muscle strength, thus supporting the gradual recovery of functional movement and patient independence. Objectives: This case study aims to determine the impact of nursing care on patients with non-hemorrhagic stroke. Method: The research design uses a descriptive method, data is obtained by observation, interviews, physical examinations, and documentation. Subjects in this study were SNH patients at risk of ineffective cerebral perfusion and impaired physical mobility. Results: The application of 30º head up and passive and active ROM 2x a day for 3 days as non-pharmacological therapy showed results in a decrease in pain scale from a scale of 3 to 0, stable blood pressure, and an increase in muscle scale from a scale of 2 to 4. Conclusion: The application of 30º head up is effective in reducing pain, neurological stability, and passive and active ROM is effective in increasing muscle strength in SNH patients if done consistently. Keywords: Non-Hemorrhagic Stroke, SNH, Head Up 30º, Range Of Motion (ROM)

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, SNH, Head Up 30º, Range Of Motion (ROM)
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 > 111010 Evidence-Based Nursing 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	04 Aug 2026 04:13
Last Modified:	04 Aug 2026 04:13
URI:	http://repo.polkesraya.ac.id/id/eprint/3787

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