Herlina, Heni (2025) PENERAPAN POSISI HEAD UP 30° UNTUK MENURUNKAN TEKANAN INTRAKRANIAL PADA PASIEN STROKE HEMORAGIK DENGAN PENURUNAN KESADARAN DI RUANG INSTALASI GAWAT DARURAT RSUD PROVINSI BANTEN. Lainnya thesis, UNIVERSITAS SULTAN AGENG TIRTAYASA.
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Abstract
Hemorrhagic stroke is a medical emergency caused by the rupture of blood vessels in the brain, resulting in intracranial bleeding and increased intracranial pressure (ICP). This condition has high mortality and disability rates, especially in patients with a history of chronic hypertension. In the Emergency Department, elevated ICP is frequently found in hemorrhagic stroke patients with decreased consciousness and poses a risk of cerebral herniation. One recommended non-invasive intervention is the 30° head-up position, proven to lower ICP and improve cerebral perfusion. This intervention is based on the Evidence-Based Nursing (EBN) approach, which integrates scientific evidence, clinical experience, and patient conditions to enhance nursing care effectiveness. This study aims to implement emergency nursing care by applying the 30° head-up position in hemorrhagic stroke patients at the Emergency Department of Banten Provincial Hospital. A descriptive case study method was used with two patients experiencing decreased consciousness and increased ICP. Results showed improved consciousness and cognitive function, reduced headache, better blood pressure and pulse pressure, improved breathing patterns, and neurological reflexes. This intervention is effective in addressing decreased intracranial adaptive capacity and can be applied as part of evidence-based nursing practice.
| Item Type: | Thesis (Lainnya) | ||||||
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| Additional Information: | Stroke hemoragik merupakan kondisi gawat darurat akibat pecahnya pembuluh darah di otak, yang menimbulkan perdarahan intrakranial dan peningkatan tekanan intrakranial (TIK). Kondisi ini memiliki angka mortalitas dan kecacatan tinggi, terutama pada pasien dengan riwayat hipertensi kronis. Di ruang Instalasi Gawat Darurat, peningkatan TIK cukup sering ditemukan pada pasien stroke hemoragik dengan penurunan kesadaran dan berisiko menyebabkan herniasi serebral. Salah satu intervensi non-invasif yang direkomendasikan adalah posisi head up 30°, yang telah terbukti menurunkan TIK dan meningkatkan perfusi serebral. Intervensi ini didasarkan pada pendekatan Evidence Based Nursing (EBN), yang mengintegrasikan bukti ilmiah, pengalaman klinis, dan kondisi pasien untuk meningkatkan efektivitas asuhan keperawatan. Penelitian ini bertujuan untuk melaksanakan asuhan keperawatan gawat darurat dengan menerapkan posisi Head Up 30° pada pasien stroke hemoragik di Ruang Instalasi Gawat Darurat RSUD Provinsi Banten. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan asuhan keperawatan pada dua pasien stroke hemoragik yang mengalami penurunan kesadaran dengan peningkatan TIK. Hasil menunjukkan setelah dilakukan posisi Head Up 30° terdapat peningkatan tingkat kesadaran dan fungsi kognitif, penurunan nyeri kepala, perbaikan tekanan darah, tekanan nadi, pola napas, dan refleks neurologis. Intervensi ini terbukti efektif dalam mengatasi penurunan kapasitas adaptif intrakranial dan dapat diterapkan sebagai bagian dari praktik keperawatan berbasis bukti. | ||||||
| Uncontrolled Keywords: | Hemorrhagic stroke, intracranial pressure, head-up 30° Stroke hemoragik, tekanan intrakranial, head-up 30° | ||||||
| Subjects: | R Medicine > RT Nursing | ||||||
| Divisions: | 07-Fakultas Kedokteran > Pendidikan Profesi Ners 07-Fakultas Kedokteran |
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| Depositing User: | Mrs Heni Herlina | ||||||
| Date Deposited: | 18 Sep 2025 06:07 | ||||||
| Last Modified: | 18 Sep 2025 06:07 | ||||||
| URI: | http://eprints.untirta.ac.id/id/eprint/54694 |
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