Analisis Asuhan Keperawatan Pada Pasien Dengan Gangguan Sistem Neurologi Akibat Stroke Infark Dengan Penerapan Intervensi Head Up 30o Di Ruang ICU RSUD Cibabat Cimahi Tahun 2025
DOI:
https://doi.org/10.31004/joecy.v6i1.9076Keywords:
Ischemic stroke, cerebral perfusion, 30° head-up position, nursing care, ICUAbstract
Background : Stroke is one of the leading causes of death and disability worldwide. Ischemic stroke occurs due to obstruction of blood flow in cerebral vessels, resulting in impaired cerebral perfusion. This condition may cause various neurological problems that require prompt and appropriate management, particularly for patients treated in the Intensive Care Unit (ICU). One of the non-pharmacological nursing interventions that can be applied to improve cerebral perfusion is the 30° head-up position, which aims to enhance brain oxygenation and reduce intracranial pressure. Objective: This study aimed to analyze nursing care for patients with neurological disorders due to ischemic stroke through the implementation of the 30° head-up intervention for the risk of ineffective cerebral perfusion in the ICU of Cibabat Regional General Hospital, Cimahi, in 2025. Methods : With a nursing care process approach including assessment, nursing diagnosis, planning, implementation, and evaluation. Data were collected through observation, interviews, physical examinations, review of medical records, and literature studies. The results showed that the implementation of the 30° head-up position as part of nursing care can help improve cerebral perfusion, maintain brain oxygenation, and stabilize the neurological condition of ischemic stroke patients. Therefore, this intervention can be considered an effective nursing action to support the management of stroke patients in intensive care units. Conclusion: The results of this study indicate that the implementation of the 30° head-up position as part of nursing care can help improve cerebral perfusion, maintain brain oxygenation, and stabilize the neurological condition of ischemic stroke patients. This intervention can beconsidered an effective nursing action to support the management of stroke patients in the ICU.
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