Repository Poltekkes Kemenkes Palangka Raya

Selfiani, Selfiani (2026) Studi kasus asuhan keperawatan pada pasien Ny.R dengan stroke non hemoragik (SNH) di Ruang Nusa Indah RSUd dr. Doris Sylvanus Palangka Raya Kalimantan Tengah. Karya Tulis Ilmiah thesis, Poltekkes kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke Non Hemoragik (SNH) merupakan gangguan neurologis akibat sumbatan trombus atau emboli yang menghambat aliran darah ke otak sehingga menimbulkan defisit neurologis. Stroke menjadi penyebab utama kecacatan dan kematian di Indonesia. Tujuan Penelitian: Melaksanakan asuhan keperawatan secara komprehensif pada pasien Ny. R dengan Stroke Non Hemoragik di Ruang Nusa Indah RSUD dr. Doris Sylvanus Palangka Raya. Metode Penelitian: Penelitian deskriptif dengan pendekatan studi kasus pada satu pasien. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi berdasarkan SDKI, SLKI, dan SIKI. Hasil Penelitian: Pasien mengalami kelemahan dan kebas ekstremitas kiri, sakit kepala, hipertensi (166/112 mmHg), kekuatan otot 3/3, serta konstipasi selama lima hari. Diagnosis keperawatan meliputi risiko perfusi serebral tidak efektif, gangguan mobilitas fisik, konstipasi. Intervensi berupa pemantauan tanda vital dan status neurologis, posisi semi Fowler 30°, latihan ROM, serta manajemen eliminasi fekal. Setelah lima hari, kondisi pasien membaik ditandai peningkatan kekuatan otot, berkurangnya sakit kepala, penurunan tekanan darah, dan membaiknya eliminasi fekal. Kesimpulan: Asuhan keperawatan berdasarkan SDKI, SLKI, dan SIKI membantu meningkatkan kondisi pasien, namun intervensi dan pemantauan lanjutan tetap diperlukan. Kata Kunci: Asuhan Keperawatan,Resiko Perfusi Serebral Tidak Efektif,Gangguan Mobilitas Fisik, Konstipasi. Background: Non-Hemorrhagic Stroke (NHS) is a neurological disorder caused by thrombotic or embolic occlusion that reduces cerebral blood flow, resulting in neurological deficits. Stroke remains a leading cause of disability and mortality in Indonesia. Research Objective: To implement comprehensive nursing care for Mrs. R with Non-Hemorrhagic Stroke in the Nusa Indah Ward of dr. Doris Sylvanus Hospital, Palangka Raya. Research Method: This descriptive case study involved one patient. Data were collected through interviews, observation, physical examination, and documentation review using SDKI, SLKI, and SIKI. Results: The patient experienced left-sided weakness and numbness, headache, hypertension (166/112 mmHg), muscle strength of 3/3 in the left extremities, and constipation. Nursing diagnoses included impaired physical mobility, constipation, and risk for ineffective cerebral tissue perfusion. Interventions included range of motion exercises, monitoring vital signs and neurological status, semi-Fowler positioning, and bowel elimination management. After five days, the patient's condition improved, as shown by increased muscle strength, reduced headache, lower blood pressure, and improved bowel elimination. Conclusion: Comprehensive nursing care based on SDKI, SLKI, and SIKI improved the patient's clinical condition. Continued nursing interventions and follow-up monitoring remain necessary. Keywords: Non-Hemorrhagic Stroke, Nursing Care, Impaired Physical Mobility, Constipation, Risk for Ineffective Cerebral Tissue Perfusion.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Kata Kunci: Asuhan Keperawatan,Resiko Perfusi Serebral Tidak Efektif,Gangguan Mobilitas Fisik, Konstipasi.
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:	04 Aug 2026 04:35
Last Modified:	04 Aug 2026 04:35
URI:	http://repo.polkesraya.ac.id/id/eprint/3798

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