Nursing Care with A Medical Diagnosis of Non-hemorrhagic Stroke in High Care Unit of Banjarnegara Islamic Hospital: A Case Study
DOI:
https://doi.org/10.56359/gj.v3i1.45Keywords:
case study, nursing care, strokeAbstract
Objective: The purpose of this study was to determine the development of non-hemorrhagic stroke patients by maximizing the implementation of ROM during treatment.
Method: The method used is descriptive method with a case study approach in non-haemorrhagic stroke patients with decreased consciousness. The case study process was carried out by finding patient data and classified according to continued inclusion criteria. interviews (to the family) and secondary data collection from medical records, observation of the patient's condition and periodic physical examinations. After obtaining the data, further documentation of the nursing process is carried out from assessment, data analysis, nursing problems, nursing interventions, nursing implementation and evaluation.
Result: Nursing problems that arise include: risk of ineffective cerebral perfusion related to hypertension, ineffective airway clearance related to retained secretions and impaired physical mobility associated with decreased muscle strength, Three nursing problems have not been resolved because stroke is a brain tissue damage that is characterized by irreversible (cannot be returned) and it takes a long time for the recovery process.
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References
Adha, Sucy Aprillia. 2017. Asuhan Keperawatan Gangguan Mobilitas Fisik Pada Pasien Stroke Non Hemoragik Di IRNA C RSSN BUKIT TINGGI. Bukittinggi.
Anderson, Price Sylvia, and Lorraine McCarty Wilson. 2006. Patofisiologi : Konsep Klinis Proses-Proses Penyakit. Vol. 2. Jakarta.
Anggriani, Anggriani, Zulkarnain Zulkarnain, Sulaiman Sulaiman, and Roni Gunawan. 2018. “Pengaruh Rom (Range Of Motion) Terhadap Kekuatan Otot Ekstremitas Pada Pasien Stroke Non Hemoragic.” Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan 3(2):64. doi: 10.34008/jurhesti.v3i2.46.
Axanditya, B., E. Kustiowati, and D. P. 2014. “Hubungan Faktor Risiko Stroke Non Hemoragik Dengan Fungsi Motorik.” Jurnal Kedokteran Diponegoro 3(1):105206.
Batticaca, Fransisca B. 2011. Asuhan Keperawatan Klien Dengan Gangguan Sistem Persarafan.
Costa, Alice Gabrielle de Sousa, Ana Railka de Souza Oliveira, Felipe Emmanuel Coelho Alves, Daniel Bruno Resende Chaves, Rafaella Pessoa Moreira, and Thelma Leite de Araujo. 2010. “Diagnóstico de Enfermagem: Mobilidade Física Prejudicada Em Pacientes Acometidos Por Acidente Vascular Encefálico.” Revista Da Escola de Enfermagem 44(3):753–58. doi: 10.1590/S0080-62342010000300029.
Ganong, W. F. 2012. Buku Ajar Fisiologi Kedokteran. Jakarta: penerbit Buku Kedokteran EGC.
Faadilah, A., Asmara, A. N., Rahayu, A., & Koswara, A. (2021). Pengaruh Penyuluhan Kesehatan Tentang Penyakit Stroke Terahdap Tingkat Pengetahuan Keluarga. Kolaborasi Jurnal Pengabdian Masyarakat, 1(1), 42–51.
Ghani, Lannywati, and Laurentia K. Mihardja. 2016. “Faktor Risiko Dominan Penderita Stroke Di Indonesia Faktor Risiko Dominan Penderita Stroke Di Indonesia DOMINANT RISK FACTORS OF STROKE IN INDONESIA.” Buletin Penelitian Kesehatan 49–58.
Kusuma, Arif Hendra, and Atika Dhiah Anggraeni. 2019. “Pengaruh Posisi Head Up 30 Derajat Terhadap Nyeri Kepala Pada Pasien Cedera Kepala Ringan.” Jurnal Ilmu Keperawatan Dan Kebidanan 10(2):417. doi: 10.26751/jikk.v10i2.699.
Murtaqib. 2016. “Perbedaan Latihan Range Of Motion (ROM) Pasif Dan Aktif Selama 1 - 2 Minggu Terhadap Peningkatan Rentang Gerak Sendi Pada Penderita Stroke Di Kecamatan Tanggul Kabupaten Jember.” Jurnal Keperawatan Soedirman 8(1):56–68.
Muttaqin, Arif. 2011. Asuhan Keperawatan Klien Dengan Gangguan Sistem Persarafan. Jakarta: Salemba Medika.
Pertami, Sumirah Budi, Siti Munawaroh, and Ni Wayan Dwi Rosmala. 2019. “Pengaruh Elevasi Kepala 30 Derajat Terhadap Saturasi Oksigen Dan Kualitas Tidur Pasien Strok.” Health Information : Jurnal Penelitian 11(2):133–44. doi: 10.36990/hijp.v11i2.133.
Potter Patricia A, Perry Anne Griffin (. ). 2005. Buku Ajar : Fundamental Keperawatan Konsep, Proses, Dan Praktik. 1st ed. Jakarta: EGC.
Rahayu, G. Z., Monika, H., Fauziah, H., & Irawan, B. E. (2021). Pemenuhan kebutuhan pengetahuan dasar penyakit stroke pada masyarakat awam. Kolaborasi Jurnal Pengabdian Masyarakat, 1(1), 52–59.
Riset Kesehatan Dasar. 2013. Laporan Nasional 2013.
Sarah, U., S. Bambang, and K. Bm Wara. 2007. “Pengaruh Latihan Range of Motion (Rom) Terhadap Fleksibilitas Sendi Lutut Pada Lansia Di Panti Wreda Wening Wardoyo Ungaran.” Pengaruh Latihan ROM Media Ners 1(2):49.
Sari et al. 2015. “Batasan Karakteristik Dan Faktor Yang Berhubungan (Etiologi) Diagnosa Keperawatan: Hambatan Mobilitas Fisik Pada Pasien Stroke.” Universitas Lambung Mangkurat 3(1):12–21. doi: 10.20527/dk.v3i1.1702.
Setiadi. 2013. Konsep Dan Praktik Penulisan Riset Keperawatan. 2nd ed. Yogyakarta: Graha Ilmu.
Tim Pokja SDKI DPP PPNI. 2016. Standar Diagnosa Keperawatan Indonesia. Dewan Pengurus Pusat.
Tim Pokja SIKI DPP PPNI. 2018. “Standar Intervensi Keperawatan Indonesia : Definisi Dan Tindakan Keperawatan.” Jakarta Selatan: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Tim Pokja SLKI DPP PPNI. 2019. Standar Luaran Keperawatan Indonesia : Definisi Dan Kriteria Hasil Keperawatan. Jakarta Selatan: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.
Sherina, N., Ramdan, D., & Hidayat, N. (2022). Pendampingan Asuhan Keperawatan Medikal Bedah pada Pasien dengan Gangguan Sistem Persyarafan (Stroke Hemoragik) di Ruang Flamboyan RSUD Banjar. Kolaborasi Jurnal Pengabdian Masyarakat, 2(2), 175–197.
Widianti, W., Andriani, D., Firdaus, F. A., & Setiawan, H. (2021). Range of Motion Exercise to Improve Muscle Strength among Stroke Patients: A Literature Review. International Journal of Nursing and Health Services (IJNHS), 4(3), 332–343.
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