Repository Poltekkes Kemenkes Palangka Raya

Pitria, Yosa (2026) Studi kasus asuhan keperawatan pada Tn.R Dengan Stroke Non Hemoragik (SNH) di Ruang Seruni RSUD Ulin Banjarmasin. Laporan Tugas Akhir thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke merupakan penyebab utama kecacatan di dunia. Di RSUD Ulin Banjarmasin, stroke menempati urutan ke-6 penyakit terbanyak dengan rata-rata >89 pasien per bulan, didominasi oleh stroke non-hemoragik (SNH) sebesar 80%. Pasien SNH umumnya mengalami defisit neurologis seperti hemiparesis dan disartria yang menurunkan kemampuan fungsional, sehingga memerlukan asuhan keperawatan komprehensif. Tujuan: Menerapkan asuhan keperawatan dan pengelolaan pada pasien SNH di Ruang Seruni RSUD Ulin Banjarmasin. Metode: Penelitian ini menggunakan desain studi kasus deskriptif dengan pendekatan asuhan keperawatan (pengkajian hingga evaluasi). Subjek studi adalah Tn. R dengan diagnosis SNH. Data dikumpulkan selama 3 hari melalui wawancara, observasi, pemeriksaan fisik fokus neurologis, dan dokumentasi rekam medis. Hasil: Pengkajian awal menunjukkan Tn. R sadar penuh (GCS 15), mengalami hemiparesis dekstra dengan penurunan kekuatan otot, dan disartria. Diagnosis keperawatan utama adalah Gangguan Mobilitas Fisik berhubungan dengan gangguan neuromuskular. Intervensi yang diberikan meliputi latihan Range of motion (ROM) pasif-aktif bertahap serta alih baring setiap 2 jam. Setelah 3 hari, masalah teratasi sebagian yang ditandai dengan peningkatan rentang gerak sendi, adanya respons tahanan ringan pada tonus otot, dan kemampuan mempertahankan posisi semi-fowler secara mandiri. Saran: Penerapan asuhan keperawatan terstruktur melalui mobilisasi dini dan latihan ROM konsisten efektif meminimalkan kecacatan fungsional, mencegah komplikasi imobilisasi, serta mengoptimalkan pemulihan motorik pasien SNH. Kata Kunci: Stroke Non Hemoragik, Asuhan Keperawatan, Gangguan Mobilitas Fisik, Range of motion (ROM). Background: Stroke is a leading cause of disability worldwide. At Ulin Regional Hospital, Banjarmasin, stroke ranks sixth in prevalence, with an average of >89 patients per month, dominated by nonhemorrhagic stroke (SNH) at 80%. SNH patients generally experience neurological deficits such as hemiparesis and dysarthria, which reduce functional ability, requiring comprehensive nursing care. Objective: To implement nursing care and management for SNH patients in the Seruni Ward of Ulin Regional Hospital, Banjarmasin. Methods: This study used a descriptive case study design with a nursing care approach (assessment to evaluation). The study subject was Mr. R, diagnosed with SNH. Data were collected over 3 days through interviews, observation, a neurologically focused physical examination, and medical record documentation. Results: Initial assessment revealed Mr. R was fully conscious (GCS 15), had right hemiparesis with decreased muscle strength, and dysarthria. The primary nursing diagnosis was Impaired Physical Mobility related to neuromuscular disorders. The intervention included gradual passive-active Range of motion (ROM) exercises and bed elevations every 2 hours. After 3 days, the problem partially resolved, as indicated by increased joint Range of motion, a mild resistance response to muscle tone, and the ability to independently maintain a semi-Fowler's position. Suggestion: The implementation of structured nursing care through early mobilization and consistent ROM exercises effectively minimized functional disability, prevented immobilization complications, and optimized motor recovery in patients with SNH. Keywords: Non-Hemorrhagic Stroke, Nursing Care, Impaired Physical Mobility, Range of motion (ROM).

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Laporan Tugas Akhir)
Uncontrolled Keywords:	Stroke Non Hemoragik, Asuhan Keperawatan, Gangguan Mobilitas Fisik, 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:	06 Aug 2026 03:45
Last Modified:	06 Aug 2026 03:45
URI:	http://repo.polkesraya.ac.id/id/eprint/3870

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