Repository Poltekkes Kemenkes Palangka Raya

Windy, Windy Mariska (2026) Studi kasus asuhan keperawatan pada pasien stroke non hemoragik (SNH) di RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Laporan Tugas Akhir thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Pendahuluan: Stroke non hemoragik adalah suatu ganguan pada otak karena terhentinya atau penyumbatan aliran darah ke otak. Tujuan: Memahami asuhan keperawatan pasien Stroke Non Hemoragik di ruang Alexandri 3 RSUD dr. H. Ansari Saleh Banjarmasin. Metode: Penelitian deskriptif bentuk studi kasus mengunakan pendekatan asuhan keperawatan dengan jumlah 1 partisipan. Penelitian di lakukan di ruang alexandri 3 RSUD dr. H. Ansari Saleh Banjarmasin. Analisis membandingkan teori yang ada dan selanjutnya dituangkan dalam pembahasan opini. Hasil: Data Hasil pengkajian kesadaran somnolen, hemiparesis sinistra, bicara pelo, dan kelemahan ekstremitas kiri dengan kekuatan otot awal 3/3/1/1. Tiga diagnosis keperawatan yaitu risiko perfusi jaringan serebral tidak efektif, gangguan mobilitas fisik, dan gangguan komunikasi verbal. Intervensi yang diberikan meliputi pemantauan status neurologis dan tanda vital, pemberian posisi kepala elevasi 30°, latihan Range of Motion (ROM) secara bertahap selama tiga hari, serta stimulasi komunikasi verbal. Hasil evaluasi menunjukkan bahwa gangguan mobilitas fisik dan gangguan komunikasi verbal mengalami peningkatan, ditandai dengan kekuatan otot meningkat menjadi 3/3/3/3 serta kemampuan komunikasi yang lebih baik. Sementara itu, diagnosis risiko perfusi jaringan serebral tidak efektif belum sepenuhnya teratasi dan masih memerlukan pemantauan lanjutan. Kesimpulan: Terdapat 2 diagnosa keperawatan yang teratasi yaitu gangguan mobilitas fisik dan gangguan komunikasi verbal, dan terdapat 1 diagnosis keperawatan yang belum sepenuhnya teratasi yaitu risiko perfunsi serebral tidak efektif Introduction: Non-hemorrhagic stroke is a brain disorder caused by the cessation or blockage of blood flow to the brain. Objective: To understand the nursing care for patients with Non-Hemorrhagic Stroke in the Alexandri 3 ward at RSUD dr. H. Ansari Saleh Banjarmasin. Methods: This is a descriptive study in the form of a case study using a nursing care approach with 1 participant. The study was conducted in the Alexandri 3 ward at RSUD dr. H. Ansari Saleh Banjarmasin. The analysis compares existing theories which are subsequently presented in the discussion. Results: Assessment data showed somnolence consciousness, left hemiparesis, slurred speech, and weakness in the left extremities with an initial muscle strength of 3/3/1/1. Three nursing diagnoses were identified: risk of ineffective cerebral tissue perfusion, impaired physical mobility, and impaired verbal communication. Interventions provided included monitoring neurological status and vital signs, 30° head elevation positioning, gradual Range of Motion (ROM) exercises over three days, and verbal communication stimulation. Evaluation results showed that impaired physical mobility and impaired verbal communication improved, marked by muscle strength increasing to 3/3/3/3 and better communication skills. Meanwhile, the diagnosis of risk for ineffective cerebral tissue perfusion has not been fully resolved and still requires ongoing monitoring. Conclusion: There are 2 resolved nursing diagnoses, namely impaired physical mobility and impaired verbal communication, and 1 nursing diagnosis that has not been fully resolved, which is the risk of ineffective cerebral perfusion.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan / Skripsi / Tesis / Disertasi (Laporan Tugas Akhir)
Uncontrolled Keywords:	Stroke Non Hemoragik
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
Divisions:	Jurusan Kebidanan > Program Studi Diploma III Kebidanan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	23 Sep 2026 07:30
Last Modified:	23 Sep 2026 07:30
URI:	http://repo.polkesraya.ac.id/id/eprint/3990

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