Repository Poltekkes Kemenkes Palangka Raya

Hidayat, Perdi (2026) Studi kasus asuhan keperawatan pada pasien dengan stroke non-hemoragik di RSUD DR. H. Moch. Ansari Saleh Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang : Stroke non-hemoragik merupakan gangguan neurologis akibat oklusi pembuluh darah serebral yang menyebabkan iskemia jaringan otak dan menimbulkan defisit neurologis seperti hemiparesis, gangguan komunikasi, dan risiko peningkatan tekanan intrakranial. Kondisi ini memerlukan penanganan asuhan keperawatan yang komprehensif, terstandar, dan berkesinambungan. Tujuan : Penelitian ini bertujuan untuk menggambarkan pelaksanaan asuhan keperawatan pada pasien dengan stroke non-hemoragik di RSUD dr. H. Moch. Ansari Saleh Banjarmasin Tahun 2026. Metode : Penelitian ini menggunakan desain deskriptif kualitatif dengan pendekatan studi kasus pada satu pasien stroke non-hemoragik. Pendekatan yang digunakan meliputi proses keperawatan yaitu pengkajian, diagnosis keperawatan, perencanaan, implementasi, dan evaluasi berdasarkan SDKI, SLKI, dan SIKI. Hasil : Pasien mengalami Risiko Perfusi Serebral Tidak Efektif dan Gangguan Mobilitas Fisik. Intervensi komprehensif berupa manajemen peningkatan tekanan intrakranial (pemantauan TIK, posisi head up 30°, minimalisasi stimulus, pencegahan kejang, kolaborasi antihipertensi), latihan ROM dan edukasi keluarga menghasilkan penurunan tekanan darah progresif, stabilitas neurologis (GCS tetap 15), peningkatan kekuatan otot pada Tn. S. Kesimpulan : Keberhasilan asuhan keperawatan pada pasien stroke non-hemoragik merupakan hasil pendekatan multimodal yang mengintegrasikan observasi ketat, tindakan terapeutik mandiri, kolaborasi medis, dan keterlibatan aktif keluarga secara berkesinambungan. Kata Kunci : Asuhan keperawatan, Gangguan mobilitas fisik, Manajemen tekanan intrakranial, Risiko perfusi serebral, Stroke non-hemoragik. Background: Non-hemorrhagic stroke is a neurological disorder caused by cerebral vascular occlusion leading to brain tissue ischemia and neurological deficits such as hemiparesis, communication impairment, and risk of increased intracranial pressure. This condition requires comprehensive, standardized, and continuous nursing care. Objective: This study aimed to describe the implementation of nursing care for patients with non-hemorrhagic stroke at dr. H. Moch. Ansari Saleh Regional Hospital Banjarmasin in 2026. Methods: This study employed a qualitative descriptive design with a case study approach on one non-hemorrhagic stroke patient, encompassing assessment, nursing diagnosis, planning, implementation, and evaluation based on SDKI, SLKI, and SIKI standards. Results: The patient presented with Ineffective Cerebral Perfusion Risk and Impaired Physical Mobility. Comprehensive interventions including intracranial pressure management (ICP monitoring, 30° head-up positioning, stimulus minimization, seizure prevention, antihypertensive collaboration), ROM exercises and family education resulted in progressive blood pressure reduction, neurological stability (GCS 15), improved muscle strength in Mr.S. Conclusion: Successful nursing care in non-hemorrhagic stroke patients results from a multimodal approach integrating close monitoring, independent therapeutic actions, medical collaboration, and active family involvement continuously. Keywords: Ineffective cerebral perfusion, Intracranial pressure management, Nursing care, Non-hemorrhagic stroke, Physical mobility impairment.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Asuhan keperawatan, Gangguan mobilitas fisik, Manajemen tekanan intrakranial, Risiko perfusi serebral, Stroke non-hemoragik.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111003 Clinical Nursing - Secondary (Acute Care) 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:	06 Aug 2026 03:42
Last Modified:	06 Aug 2026 03:42
URI:	http://repo.polkesraya.ac.id/id/eprint/3867

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