PRATIWI, EKA PRATAMA LEGIYANTI (2025) APPLICATION OF 30-DEGREE HEAD-UP POSITION TO REDUCE INTRACRANIAL PRESSURE IN PATIENTS WITH HEMORRHAGIC STROKE IN GARUDA 6 ROOM BANTEN PROVINCIAL GENERAN HOSPITAL IN 2025. Lainnya thesis, UNIVERSITAS SULTAN AGENG TIRTAYASA.
![[img]](https://eprints.untirta.ac.id/style/images/fileicons/text.png) |
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_Fulltext.pdf Restricted to Registered users only Download (3MB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_02.pdf Restricted to Registered users only Download (534kB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_03.pdf Restricted to Registered users only Download (362kB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_04.pdf Restricted to Registered users only Download (155kB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_05.pdf Restricted to Registered users only Download (91kB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_Reff.pdf Restricted to Registered users only Download (203kB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_Lamp.pdf Restricted to Registered users only Download (749kB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_CP.pdf Restricted to Registered users only Download (284kB) |
|
Text (KIAN)
Eka Pratama Legiyanti Pratiwi_8832240002_01.pdf Restricted to Registered users only Download (489kB) |
Abstract
Background: Hemorrhagic stroke is the rupture of a blood vessel in the brain, leading to decreased blood and oxygen supply to the brain, as well as increased intracranial pressure (ICP). Hemorrhagic stroke due to intracerebral hemorrhage has a global prevalence of 3.4 million cases, with 2.8 million deaths in the past 10 years. Objective: This case study aims to provide nursing care by applying a 30° head-up position, measured using a protractor, to reduce ICP in hemorrhagic stroke patients in the Garuda 6 Room at the Banten Provincial General Hospital. Method: This final scientific work for nurse qualification is descriptive in nature, using a case study approach by providing nursing care for five days to two patients with the same primary nursing problem. Results: Assessment of both patients revealed signs and symptoms of increased ICP, such as decreased consciousness, dizziness, nausea and vomiting, unstable hemodynamic status, hemiparesis, and CT scan results showing brain hemorrhage. The main nursing diagnosis for both patients was a risk for ineffective cerebral perfusion, with an intervention of applying a 30° head-up position based on EBN (Evidence-Based Nursing) to reduce ICP. The implementation was carried out over 5 days (5×24 hours), and evaluation was done 30 minutes after implementation. The results showed a decrease in ICP in both patients, marked by stable hemodynamic status, reduced headache, and improved MAP values ranging from 70–100 mmHg. Conclusion: The 30° headup position is an effective technique to reduce ICP, thereby addressing the risk of ineffective cerebral perfusion in both patients.
| Item Type: | Thesis (Lainnya) | ||||||
|---|---|---|---|---|---|---|---|
| Contributors: |
|
||||||
| Additional Information: | Latar belakang: Stroke hemoragik merupakan pecahnya pembuluh darah otak sehingga terjadi penurunan suplai darah dan oksigen ke otak, serta peningkatan pada tekanan intrakranial (TIK). Stroke hemoragik karena perdarahan intraserebral memiliki prevalensi global mencapai 3,4 juta kasus dengan 2,8 juta kematian dalam 10 tahun terakhir. Tujuan: Studi kasus ini bertujuan untuk melakukan asuhan keperawatan di rawat inap dengan penerapan posisi head up 30° dengan cara diukur menggunakan busur derajat untuk mengurangi TIK pada pasien stroke hemoragik di Ruang Garuda 6 RSUD Provinsi Banten. Metode: Karya Ilmiah Akhir Ners ini berupa deskripsi dengan pendekatan studi kasus dengan melaksanakan asuhan keperawatan selama lima hari kepada kedua pasien dengan masalah keperawatan utama yang sama. Hasil: Asuhan keperawatan dilakukan selama 5x24 jam. Hasil pengkajian kedua pasien memiliki tanda-gejala peningkatan TIK ditandai dengan penurunan kesadaran, pusing, mual-muntah, status hemodinamik tidak stabil, hemiparesis, dan hasil CT Scan ada perdarahan di otak. Diagnosis keperawatan utama kedua pasien adalah risiko perfusi serebral tidak efektif dengan intervensi pemberian posisi head up 30 sesuai EBN untuk mengurangi TIK. Implementasi dilakukan selama 3x24 jam. Evaluasi dilakukan 30 menit setelah pelaksaan implementasi. Hasilnya pada kedua pasien menunjukkan adanya TIK yang menurun ditandai dengan status hemodinamik stabil, sakit kepala menurun, dan nilai MAP membaik berkisar 70-100 mmHg. Kesimpulan: Posisi head-up 30 mendukung salah satu teknik yang dapat mengurangi TIK sehingga risiko perfusi serebral tidak efektif pada kedua pasien teratasi. | ||||||
| Uncontrolled Keywords: | Hemorrhagic Stroke, Intracranial Pressure, 30-Degree Head-Up. Stroke Hemoragik, Tekanan Intrakranial (TIK), Head up 30o . | ||||||
| Subjects: | R Medicine > RT Nursing | ||||||
| Divisions: | 07-Fakultas Kedokteran 07-Fakultas Kedokteran > Pendidikan Profesi Ners |
||||||
| Depositing User: | Mrs Eka Pratama Legiyanti Pratiwi | ||||||
| Date Deposited: | 19 Sep 2025 06:35 | ||||||
| Last Modified: | 19 Sep 2025 06:35 | ||||||
| URI: | http://eprints.untirta.ac.id/id/eprint/54706 |
Actions (login required)
 |
View Item |