Repository Poltekkes Kemenkes Palangka Raya

Claudia, Selin (2026) Studi kasus asuhan keperawatan pada pasien Tn.A dengan stroke non hemoragik (SNH) di Ruang Seruni RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Stroke non hemoragik (SNH) mengakibatkan kerusakan jaringan otak pada area motorik dan pusat bicara, yang sering kali memicu manifestasi klinis berupa hemiparesis serta afasia. Dampak tersebut secara signifikan menimbulkan gangguan mobilitas fisik dan gangguan komunikasi verbal, sehingga membatasi kemandirian serta menurunkan kualitas hidup pasien. Oleh karena itu, diperlukan intervensi keperawatan yang intensif dan dini berupa latihan pemulihan fungsi motorik serta stimulasi bicara untuk mencegah komplikasi imobilisasi dan mempercepat proses rehabilitasi. Tujuan Penelitian: Memberikan pengalaman komprehensif dalam mengaplikasikan asuhan keperawatan sistematis pada pasien stroke non hemoragik dengan diagnosa keperawatan gangguan mobilitas fisik dan gangguan komunikasi verbal. Hasil Penelitian: Berdasarkan observasi dan tindakan selama tiga hari, intervensi latihan Range of Motion (ROM) pasif/aktif secara terjadwal serta terapi komunikasi terapeutik yang konsisten terbukti efektif. Hasil evaluasi menunjukkan adanya peningkatan kekuatan otot pada ekstremitas yang lemah, peningkatan toleransi aktivitas, serta perbaikan dalam respon komunikasi verbal pasien yang menjadi lebih jelas dan terarah dengan kondisi klinis yang berangsur membaik. Kesimpulan: Pelaksanaan latihan mobilitas yang disiplin dan stimulasi komunikasi secara berkala pada pasien stroke non hemoragik merupakan kunci keberhasilan untuk mengoptimalkan kemandirian fungsional, mencegah kekakuan sendi, serta memulihkan kemampuan interaksi sosial pasien. Kata Kunci: Stroke Non Hemoragik, Gangguan Mobilitas Fisik, Gangguan Komunikasi Verbal, Range of Motion (ROM), Asuhan Keperawatan. Background: Stroke Non Hemorrhagic (SNH) results in brain tissue damage in the motor areas and speech centers, which frequently triggers clinical manifestations such as hemiparesis and aphasia. These impacts significantly lead to impaired physical mobility and impaired verbal communication, thereby limiting independence and reducing the patient's quality of life. Therefore, intensive and early nursing interventions in the form of motor function recovery exercises and speech stimulation are required to prevent immobilization complications and accelerate the rehabilitation process. Objective: To provide a comprehensive experience in applying systematic nursing care to a stroke non hemorrhagic patient with nursing diagnoses of impaired physical mobility and impaired verbal communication. Results: Based on observations and actions over three days, scheduled passive/active Range of Motion (ROM) exercise interventions and consistent therapeutic communication therapy proved to be effective. Evaluation results showed an increase in muscle strength in the weak extremities, increased activity tolerance, and improvements in the patient's verbal communication response, which became clearer and more focused, with clinical conditions gradually improving. Conclusion: The implementation of disciplined mobility exercises and regular communication stimulation in stroke non hemorrhagic patients is key to success in optimizing functional independence, preventing joint stiffness, and restoring the patient's social interaction abilities. Keywords: Stroke Non Hemorrhagic, Impaired Physical Mobility, Impaired Verbal Communication, Range of Motion (ROM), Nursing Care.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Stroke Non Hemoragik, Gangguan Mobilitas Fisik, Gangguan Komunikasi Verbal, Range of Motion (ROM), Asuhan Keperawatan.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111007 Nursing Theory 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 > 111011 Nursing Specialties 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 03:59
Last Modified:	06 Aug 2026 03:59
URI:	http://repo.polkesraya.ac.id/id/eprint/3878

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