Repository Poltekkes Kemenkes Palangka Raya

Putri, Yulia Flora Cintia (2026) Studi kasus asuhan keperawatan pada pasien ensefalopati uremikum di RSUD dr. Doris Sylvanus Palangka Raya Kalimantan Tengah. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Ensefalopati uremikum merupakan gangguan neurologis akibat akumulasi toksin uremik pada pasien dengan gagal ginjal yang dapat menyebabkan penurunan kesadaran hingga koma. Kondisi ini memerlukan penanganan dan asuhan keperawatan yang komprehensif untuk mencegah komplikasi lebih lanjut. Tujuan Penelitian: Mendeskripsikan pelaksanaan asuhan keperawatan pada pasien dengan ensefalopati uremikum di Ruang ICU RSUD dr. Doris Sylvanus Palangka Raya. Metode Penelitian: Penelitian ini menggunakan metode studi kasus dengan pendekatan deskriptif. Subjek penelitian adalah satu pasien dengan diagnosis medis ensefalopati uremikum yang dirawat di Ruang ICU RSUD dr. Doris Sylvanus Palangka Raya. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi. Hasil Penelitian: Hasil pengkajian menunjukkan pasien mengalami penurunan kesadaran, gangguan fungsi ginjal, dan ketidakseimbangan cairan. Diagnosis keperawatan yang ditegakkan meliputi konfusi akut dan hipervolemia. Intervensi yang diberikan berupa pemantauan status neurologis, pemantauan keseimbangan cairan, manajemen lingkungan aman, serta kolaborasi terapi medis dan hemodialisis. Evaluasi menunjukkan adanya perbaikan kondisi pasien setelah pemberian asuhan keperawatan. Kesimpulan: Asuhan keperawatan yang diberikan secara komprehensif dan kolaboratif dapat membantu meningkatkan kondisi pasien dengan ensefalopati uremikum serta mencegah terjadinya komplikasi. Kata Kunci: Ensefalopati Uremikum, Asuhan Keperawatan, ICU. Background: Uremic encephalopathy is a neurological disorder caused by the accumulation of uremic toxins in patients with kidney failure, resulting in decreased consciousness and potentially leading to coma. This condition requires comprehensive nursing care to prevent further complications. Objective: To describe the implementation of nursing care for a patient with uremic encephalopathy in the Intensive Care Unit (ICU) of RSUD dr. Doris Sylvanus Palangka Raya. Methods: This study employed a descriptive case study approach. The subject was one patient diagnosed with uremic encephalopathy and treated in the ICU of RSUD dr. Doris Sylvanus Palangka Raya. Data were collected through interviews, observation, physical examination, and documentation review. Results: The assessment revealed decreased consciousness, impaired renal function, and fluid volume imbalance. The nursing diagnoses included acute confusion and hypervolemia. Nursing interventions consisted of neurological monitoring, fluid balance management, maintaining a safe environment, and collaboration in medical therapy and hemodialysis. Evaluation showed an improvement in the patient’s condition following the implementation of nursing care. Conclusion: Comprehensive and collaborative nursing care contributed to improving the patient’s condition and reducing the risk of complications in patients with uremic encephalopathy. Keywords: Uremic Encephalopathy, Nursing Care, Intensive Care Unit (ICU).

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Ensefalopati Uremikum, Asuhan Keperawatan, ICU
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:	06 Aug 2026 03:47
Last Modified:	06 Aug 2026 03:47
URI:	http://repo.polkesraya.ac.id/id/eprint/3871

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