Analisis Penerapan Asuhan Keperawatan pada Pasien Stroke Hemoragik Post-Kraniotomi
Studi Kasus Intervensi Posisi Head Up 30° RSUD Tarakan Jakarta
DOI:
https://doi.org/10.59680/anestesi.v4i2.2572Keywords:
30° Head-Up Position, Cerebral Perfusion, Hemorrhagic Stroke, ICU, Nursing CareAbstract
This study aimed to analyze the implementation of nursing care in hemorrhagic stroke patients, with a particular emphasis on the application of the 30° head-up position in the Intensive Care Unit (ICU) of Tarakan Regional General Hospital (RSUD Tarakan), Jakarta. The study employed a case study design utilizing a nursing process approach, encompassing assessment, nursing diagnosis, planning, implementation, and evaluation. The research subject was a post-craniotomy hemorrhagic stroke patient receiving care in the ICU. Nursing care was administered in accordance with the Indonesian Nursing Diagnosis Standards (SDKI), the Indonesian Nursing Intervention Standards (SIKI), and the Indonesian Nursing Outcome Standards (SLKI). The assessment identified three priority nursing diagnoses: Ineffective Cerebral Tissue Perfusion Risk, Ineffective Airway Clearance, and Impaired Physical Mobility. Nursing interventions administered included neurological and hemodynamic monitoring, airway management, passive mobilization, and the application of the 30° head-up positioning. Following three days of nursing care delivery, the patient demonstrated notable clinical improvement, as evidenced by enhanced hemodynamic stability, a reduction in blood pressure from 205/119 mmHg to 130/100 mmHg, successful mechanical ventilator weaning, administration of oxygen therapy via nasal cannula at 4 L/minute, an increase in oxygen saturation from 94% to 98%, and the absence of immobilization-related complications.
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