Repository Poltekkes Kemenkes Palangka Raya

Wardana, Youan Mandala .P. (2026) Studi kasus asuhan keperawatan pada pasien dengan diagnosa guillain-barré syndrome (GBS) di Ruang ICU RSUD Ulin Banjarmasin. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Guillain-Barré Syndrome (GBS) merupakan polineuropati demielinisasi inflamasi akut yang dapat menyebabkan kelumpuhan progresif. Kondisi ini menjadi kritis apabila menyerang otot pernapasan hingga menyebabkan gagal napas yang memerlukan perawatan intensif di ICU. Tujuan Penelitian: Mendeskripsikan asuhan keperawatan pada pasien dengan diagnosa Guillain-Barré Syndrome (GBS) di ruang ICU RSUD Ulin Banjarmasin. Metode Penelitian: Penelitian ini menggunakan desain studi kasus deskriptif pada satu pasien (Ny. S). Fokus studi meliputi pengkajian, diagnosa, intervensi, implementasi, dan evaluasi keperawatan. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi. Hasil Penelitian: Ny. S mengalami GBS dengan tetraparese, gagal napas, leukositosis (34.100/μL), hipoalbuminemia (2,7 g/dL), dan ketergantungan total. Ditegakkan lima diagnosa keperawatan yaitu Pola Napas Tidak Efektif, Gangguan Mobilitas Fisik, Risiko Gangguan Integritas Kulit, Defisit Perawatan Diri, dan Gangguan Komunikasi Verbal. Evaluasi menunjukkan risiko gangguan integritas kulit teratasi, pola napas dan komunikasi verbal teratasi sebagian, sedangkan mobilitas fisik dan perawatan diri belum teratasi. Kesimpulan: Asuhan keperawatan pada pasien GBS di ICU memerlukan pemantauan respirasi yang ketat, pencegahan komplikasi akibat imobilisasi, serta pemenuhan kebutuhan dasar secara komprehensif selama perawatan intensif. Kata Kunci : Asuhan Keperawatan, GBS, ICU, Ventilator. Background: Guillain-Barré Syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy that can cause progressive paralysis. This condition becomes critical when it affects the respiratory muscles, leading to respiratory failure that requires intensive care in the ICU. Objective: To describe nursing care in patients diagnosed with Guillain-Barré Syndrome (GBS) in the ICU room of RSUD Ulin Banjarmasin. Method: This study used a descriptive case study design on one patient (Mrs. S). The focus of the study included nursing assessment, diagnosis, intervention, implementation, and evaluation. Data collection was conducted through interviews, observation, physical examination, and documentation studies. Result: Mrs. S experienced GBS with tetraparesis, respiratory failure, leukocytosis (34,100/μL), hypoalbuminemia (2.7 g/dL), and total dependence. Five nursing diagnoses were established: Ineffective Breathing Pattern, Impaired Physical Mobility, Risk for Impaired Skin Integrity, Self-Care Deficit, and Impaired Verbal Communication. Evaluation showed that the risk for impaired skin integrity was resolved, ineffective breathing pattern and impaired verbal communication were partially resolved, while impaired physical mobility and self-care deficit were unresolved. Conclusion: Nursing care for GBS patients in the ICU requires strict respiratory monitoring, prevention of complications due to immobilization, and comprehensive fulfillment of basic needs during intensive care. Keywords: GBS, ICU, Nursing Care, Ventilator.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	GBS, Asuhan Keperawatan, ICU, Ventilator.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111007 Nursing Theory 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:	23 Sep 2026 08:23
Last Modified:	23 Sep 2026 08:23
URI:	http://repo.polkesraya.ac.id/id/eprint/4010

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