ASUHAN KEPERAWATAN RISIKO LUKA TEKAN DENGAN TERAPI TOPIKAL GEL ALOE VERA PADA PASIEN STROKE HEMORAGIK

Gayatri, Ni Wayan Cening Setiari (2024) ASUHAN KEPERAWATAN RISIKO LUKA TEKAN DENGAN TERAPI TOPIKAL GEL ALOE VERA PADA PASIEN STROKE HEMORAGIK. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2024.

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Abstract

ASUHAN KEPERAWATAN RISIKO LUKA TEKAN DENGAN TERAPI TOPIKAL GEL ALOE VERA PADA PASIEN STROKE HEMORAGIK Studi dilakukan di Ruang Panyembrama (ICU) RSD Mangusada Kabupaten Badung Tahun 2024 Ni Wayan Cening Setiari Gayatri Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: ceningsetiarigayatri@gmail.com ABSTRAK Stroke hemoragik merupakan penyakit yang disebabkan oleh perdarahan pada otak sehingga pasien mengalami penurunan kesadaran serta defisit neurologis sehingga akhirnya mengalami tirah baring. Hal tersebut menyebabkan pasien berisiko mengalami luka tekan atau ulkus dekubitus. Penelitian ini bertujuan untuk mendeskripsikan asuhan keperawatan risiko luka tekan dengan terapi topikal gel aloe vera pada pasien stroke hemoragik di Ruang Panyembrama (ICU) RSD Mangusada. Penelitian ini menggunakan metode deskriptif dengan teknik studi kasus yang dilaksanakan pada bulan Februari 2024. Berdasarkan hasil pengkajian didapatkan pasien tirah baring, tingkat kesadaran stupor, penurunan hidrasi kulit, suhu kulit meningkat, dan kemerahan pada bagian sakrum. Berdasarkan analisis data fokus pasien, maka dapat ditegakkan diagnosis keperawatan risiko luka tekan dibuktikan dengan riwayat stroke. Perencanaan keperawatan disusun berdasarkan pedoman Standar Luaran Keperawatan Indonesia dan Standar Intervensi Keperawatan Indonesia sedangkan intervensi inovasi berdasarkan Evidance Based Practice. Intervensi yang diberikan yaitu intervensi utama pencegahan luka tekan dan intervensi inovasi terapi topikal gel aloe vera. Implementasi diberikan sesuai dengan rencana keperawatan yang telah ditetapkan yaitu pencegahan luka tekan dan pemberian terapi topikal gel aloe vera dua kali sehari. Hasil penelitian menunjukkan bahwa dengan pemberian terapi topikal gel aloe vera dapat mencegah luka tekan atau ulkus dekubitus. Dengan adanya penelitian ini diharapkan petugas kesehatan dapat mengimplementasikan terapi topikal gel aloe vera dalam pencegahan luka tekan atau ulkus dekubitus. Kata Kunci: Risiko Luka Tekan, Stroke hemoragik, Terapi Topikal Gel Aloe vera NURSING CARE FOR THE RISKS OF PRESSURE INJURIES WITH TOPICAL ALOE VERA GEL THERAPY FOR HEMORRHAGIC STROKE PATIENTS The study was conducted in the Panyembrama Room (ICU) at Mangusada Hospital, Badung Regency in 2024 Ni Wayan Cening Setiari Gayatri Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email: ceningsetiarigayatri@gmail.com ABSTRACT Hemorrhagic stroke is a disease caused by bleeding in the brain so that the patient experiences decreased consciousness and neurological deficits, resulting in bed rest. This cause the patients at risk of developing pressure injuries or decubitus ulcers. This study aims to describe nursing care for the risk of pressure ulcers using topical aloe vera gel therapy for hemorrhagic stroke patients in the Panyembrama Room (ICU) at Mangusada Hospital. This research used a descriptive method with a case study technique which was carried out in February 2024. Based on the results of the assessment, it was found that the patient was on bed rest, the level of consciousness was stupor, decreased skin hydration, increased skin temperature, and redness in the sacrum. Based on the analysis of patient focus data, a nursing diagnosis of pressure ulcer risk can be established as evidenced by a history of stroke. Nursing planning is prepared based on the guidelines of the Indonesian Nursing Outcome Standards and Indonesian Nursing Intervention Standards, while innovation interventions are based on Evidence Based Practice. The interventions provided are the main intervention to prevent pressure ulcers and the innovative intervention of topical aloe vera gel therapy. Implementation is given in accordance with the established nursing plan, namely preventing pressure sores and administering topical aloe vera gel therapy twice a day. The results of the study showed that administering topical therapy with aloe vera gel could prevent pressure sores or decubitus ulcers. With this research, it is hoped that health workers can implement topical aloe vera gel therapy in preventing pressure sores or decubitus ulcers. Keywords: Risk of Pressure Sores, Hemorrhagic Stroke, Topical Aloe vera Gel Therapy

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