ASUHAN KEPERAWATAN PADA PASIEN DENGAN DEFISIT PERAWATAN DIRI (MANDI) AKIBAT STROKE NON HEMORAGIK DI RUANG KUSAMBA RSUD KLUNGKUNG TAHUN 2025

Purnamasari, Ni Komang Dian (2025) ASUHAN KEPERAWATAN PADA PASIEN DENGAN DEFISIT PERAWATAN DIRI (MANDI) AKIBAT STROKE NON HEMORAGIK DI RUANG KUSAMBA RSUD KLUNGKUNG TAHUN 2025. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2025.

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Abstract

NURSING CARE FOR PATIENT WITH SELF-CARE DEFICIT (BATHING) RELATED NON-HEMORAGIC STROKE IN THE KUSAMBA ROOM AT KLUNGKUNG HOSPITAL IN 2025 ABSTRACT Non-hemorrhagic stroke is a condition that occurs due to a disruption in blood flow to the brain area caused by a blood clot that blocks a blood vessel. The purpose of this study was: to determine nursing care for patients who experience self-care deficits (bathing) due to non-hemorrhagic stroke in the Kusamba Room, Klungkung Hospital in 2025. This study used a case study design with a descriptive method on one subject in the Kusamba Room, Klungkung Hospital. Sampling used a purposive sampling technique in accordance with the inclusion and exclusion criteria that had been set. Data collected through interview methods, observation, physical examination and medical record studies were compiled in nursing care. The results of the assessment showed that the patient complained that his left hand and foot were still weak, said he had not taken a shower for 2 days, and said he did not want to take a shower because his right hand was on an IV and his left hand was numb and still difficult to move, the patient seemed to shake his head when asked to take a shower, the patient's skin looked dry, his body smelled, his hair seemed to fall out, the patient's fingernails and toenails looked long and dirty, his teeth looked yellow and there was bad breath. The diagnosis is self-care deficit (bathing) related to neuromuscular disorders d.d the patient refuses to perform self-care, is unable to bathe independently and has little interest in performing self-care. Nursing interventions provided include self-care support (bathing) and nail care carried out for 5x24 hours. The evaluation results showed that the problems experienced by the patient were partially resolved. Keywords: non-hemorrhagic stroke, self-care deficit (bathing), nursing care ASUHAN KEPERAWATAN PADA PASIEN DENGAN DEFISIT PERAWATAN DIRI (MANDI) AKIBAT STROKE NON HEMORAGIK DI RUANG KUSAMBA RSUD KLUNGKUNG TAHUN 2025 ABSTRAK Stroke non hemoragik adalah suatu kondisi yang terjadi karena adanya gangguan pada aliran darah menuju daerah otak yang disebabkan oleh adanya bekuan darah yang menyumbat suatu pembuluh darah. Tujuan penelitian ini adalah: untuk mengetahui asuhan keperawatan pada pasien yang mengalami defisit perawatan diri (mandi) akibat stroke non hemoragik di Ruang Kusamba RSUD Klungkung Tahun 2025. Penelitian ini menggunakan desain studi kasus dengan metode deskriptif pada satu subjek di Ruang Kusamba RSUD Klungkung. Pengambilan sampel menggunakan teknik purposive sampling sesuai dengan kriteria inklusi dan eksklusi yang sudah ditetapkan. Data yang dikumpulkan melalui metode wawancara, observasi, pemeriksaan fisik dan studi rekam medis yang disusun dalam suatu asuhan keperawatan. Hasil pengkajian didapatkan pasien mengeluh tangan dan kaki sebelah kiri masih lemas, mengatakan belum mandi sejak 2 hari yang lalu, dan mengatakan dirinya tidak mau mandi karena tangan sebelah kanan terpasang infus dan tangan di sebelah kiri mati rasa dan masih sulit untuk digerakkan, pasien tampak menggelengkan kepala saat diajak untuk mandi, kulit pasien tampak kering, badan tercium bau, rambut tampak rontok, kuku tangan dan kaki pasien tampak panjang dan kotor, gigi tampak kuning dan adanya bau mulut. Diagnosis yang ditegakkan adalah defisit perawatan diri (mandi) b.d gangguan neuromuskular d.d pasien menolak melakukan perawatan diri, tidak mampu mandi secara mandiri dan minat melakukan perawatan diri kurang. Intervensi keperawatan yang diberikan meliputi dukungan perawatan diri (mandi) serta perawatan kuku yang dilakukan selama 5x24 jam. Hasil evaluasi menunjukkan bahwa masalah yang dialami pasien teratasi sebagian. Kata kunci : stroke non hemoragik, defisit perawatan diri (mandi), asuhan keperawatan

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