PENGARUH PEMANTAUAN TEKANAN INTRAKRANIAL TERHADAP PENINGKATAN PERFUSI SEREBRAL PADA PASIEN NON HEMORAGIC STROKE DI RUANG IGD RSUD LABUANG BAJI MAKASSAR

LUKU, MOH. AKRAM (2026) PENGARUH PEMANTAUAN TEKANAN INTRAKRANIAL TERHADAP PENINGKATAN PERFUSI SEREBRAL PADA PASIEN NON HEMORAGIC STROKE DI RUANG IGD RSUD LABUANG BAJI MAKASSAR. Undergraduate (S1) thesis, Univeristas Muslim Indonesia.

	Text 01. SAMPUL.pdf Download (109kB)
	Text 04. LEMBAR PENGESAHAN.pdf Download (263kB)
	Text 07. DAFTAR ISI.pdf Download (104kB)
	Text 06. ABSTRAK.pdf Download (138kB)
	Text 10. BAB 1.pdf Download (126kB)
	Text 13. BAB IV.pdf Download (215kB)
	Text 15. DAFTAR PUSTAKA.pdf Download (160kB)

Abstract

Stroke non-hemoragik berisiko meningkatkan tekanan intrakranial (TIK)
yang dapat menurunkan perfusi serebral dan memperburuk luaran.
Tujuan: Mendeskripsikan pengaruh pemantauan TIK dan intervensi posisi
terhadap perfusi serebral pada pasien stroke non-hemoragik fase akut di
IGD. Metode: Laporan kasus pasien dewasa dengan diagnosis stroke
non-hemoragik. Data diperoleh melalui pengkajian primer–sekunder,
pemeriksaan penunjang (CT-scan, EKG, dan laboratorium), serta
observasi serial parameter neurologis (GCS, pupil), hemodinamik (MAP),
respirasi (SpO₂), dan tanda bahaya TIK. Intervensi keperawatan mengacu
SLKI–SIKI: posisi head-up 30°, meminimalkan stimulus lingkungan,
pemantauan neurologis terstruktur, optimasi oksigenasi, pencegahan
komplikasi, dan kolaborasi terapi medis. Hasil: Pemantauan TIK yang
sistematis memfasilitasi deteksi dini perburukan dan keputusan klinis
cepat. Penerapan head-up 30° dan lingkungan tenang membantu
mempertahankan oksigenasi serta stabilitas hemodinamik; selama
periode observasi tidak tampak penurunan GCS akut, MAP tetap dalam
target, dan tujuan jangka pendek (stabilitas respirasi dan hemodinamik)
tercapai. Kesimpulan: Pada fase akut stroke non-hemoragik,
pemantauan TIK terstruktur yang dipadukan dengan intervensi
nonfarmakologis—khususnya head-up 30°—dan optimasi oksigenasi
berkontribusi mempertahankan perfusi serebral dan meningkatkan
keselamatan. Disarankan penerapan protokol pemantauan standar di IGD
untuk mempercepat pengambilan keputusan dan meningkatkan luaran.

Non-hemorrhagic stroke can elevate intracranial pressure (ICP),
compromising cerebral perfusion and clinical outcomes. Objective: To
describe the effect of structured ICP monitoring and positioning on
cerebral perfusion during the acute phase in the emergency department
(ED). Methods: Case report of an adult with non-hemorrhagic stroke. Data
were collected via primary–secondary assessment, ancillary tests (CT
scan, ECG, laboratory), and serial observations of neurologic (GCS,
pupils), hemodynamic (MAP), and respiratory (SpO₂) parameters,
including ICP red-flags. Nursing interventions followed Indonesian SLKI–
SIKI: 30° head-up positioning, environmental stimulus minimization,
structured neurologic checks, oxygenation optimization, complication
prevention, and collaborative medical therapy. Results: Systematic ICP
monitoring enabled early recognition of deterioration and timely decisions.
Implementing a 30° head-up position within a calm environment supported
oxygenation and hemodynamic stability; no acute GCS decline was
observed during the observation window, MAP remained on target, and
short-term goals (respiratory and hemodynamic stability) were achieved.
Conclusions: In acute non-hemorrhagic stroke, structured ICP monitoring
combined with non-pharmacologic measures—particularly 30° head-up—
and oxygenation optimization helps maintain cerebral perfusion and
enhances patient safety. Adoption of standardized ED monitoring protocols
is recommended to accelerate decision-making and improve outcomes.

Item Type:	Thesis (Undergraduate (S1))
Uncontrolled Keywords:	stroke non-hemoragik, tekanan intrakranial, head-up 30° non-hemorrhagic stroke, intracranial pressure, 30° head-up
Subjects:	R Medicine > RT Nursing
Divisions:	FAKULTAS KESEHATAN MASYARAKAT > ILMU KEPERAWATAN
Depositing User:	Sitti Hadijah
Date Deposited:	13 Feb 2026 01:41
Last Modified:	13 Feb 2026 01:41
URI:	http://192.168.168.84/id/eprint/7869

Actions (login required)

View Item