Repository Poltekkes Kemenkes Palangka Raya

M. Andin, Nanda Indah Sari (2026) Asuhan keperawatan pada Ny. S stroke non hemoragik (SNH) di Ruang Topaz RSUD dr. H. Moch Ansari Saleh Banjarmasin Kalimantan Selatan. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke Non Hemoragik (SNH) merupakan salah satu masalah kesehatan utama yang menjadi penyebab kematian dan kecacatan tertinggi di dunia maupun di Indonesia, dengan gangguan mobilitas fisik sebagai salah satu dampak yang paling sering muncul akibat penurunan kekuatan otot. Tujuan: Mengidentifikasi pelaksanaan asuhan keperawatan pada pasien dengan Stroke Non Hemoragik. Metode: Penelitian desktiptif studi kasus dengan pendekatan proses keperawatan (pengkajian, penegakan diagnosis keperawatan, penyusunan intervensi, pelaksanaan implementasi, dan evaluasi) pada dua partisipan yang memenuhi kriteria inklusidan ekslusi. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi. Hasil : Pengkajian menunjukkan kesadaran composmentis GCS E4V5M6, sakit kepala, kelemahan pada kedua ekstremitas sebelah kanan. Diagnosis keperawatan utama yaitu gangguan mobilitas fisik berhubungan dengan penurunan kekuatan otot, dengan riwayat hipertensi sebagai faktor pencetus terjadinya SNH. Setelah diberikan implementasi latihan ROM pasif secara berkala, belum terjadi peningkatan kekuatan otot yang signifikan dalam waktu studi yang terbatas, namun latihan tetap memberikan manfaat dalam mencegah kekakuan sendi dan mempertahankan rentang gerak. Kesimpulan : Asuhan Keperawatan pada pasien dengan SNH terbukti memberikan manfaat bagi pasien. Penerapan latihan ROM pasif sesuai dengan teori dan terbukti bermanfaat sebagai bentuk rehabilitasi dini bagi pasien SNH dengan gangguan mobilitas fisik, sehingga disarankan untuk dilaksanakan secara konsisten dan berkelanjutan baik oleh tenaga kesehatan maupun keluarga pasien di rumah. Kata Kunci : Asuhan Keperawatan, Stroke Non Hemoragik Background: Non-Hemorrhagic Stroke (NHS) is one of the major health problems and the leading cause of death and disability worldwide, including in Indonesia. Physical mobility impairment is among the most common consequences of this condition, resulting from decreased muscle strength. Objective: To identify the implementation of nursing care in patients with Non-Hemorrhagic Stroke. Method: A descriptive case study using a nursing process approach (assessment, nursing diagnosis, intervention planning, implementation, and evaluation) conducted on two participants who met the inclusion and exclusion criteria. Data were collected through interviews, observation, physical examination, and document review. Results: Assessment revealed that patients were conscious (composmentis) with a GCS score of E4V5M6, presenting with headache and weakness of the right upper and lower extremities. The primary nursing diagnosis was impaired physical mobility related to decreased muscle strength, with a history of hypertension as the precipitating factor for NHS. Following the implementation of passive ROM exercises on a regular basis, no significant improvement in muscle strength was observed within the limited study period; however, the exercises were still beneficial in preventing joint stiffness and maintaining range of motion. Conclusion: The application of passive ROM exercises is consistent with theoretical frameworks and has proven beneficial as a form of early rehabilitation for NHS patients with impaired physical mobility. It is therefore recommended that these exercises be implemented consistently and continuously, both by healthcare professionals and by the patient’s family at home. Keywords : Nursing Care, Non-Hemorrhagic Stroke.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan Keperawatan, Stroke Non Hemoragik
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 07:07
Last Modified:	04 Aug 2026 07:07
URI:	http://repo.polkesraya.ac.id/id/eprint/3836

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