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All Journal Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat Jurnal Praba: Jurnal Rumpun Kesehatan Umum
Dewi Robiatul Azizah
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Humanities Computer Science & IT Decision Sciences, Operations Research & Management Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Veterinary Other

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Asuhan Keperawatan Pada Ny. M Dengan Gangguan Sistem Persarafan: Stroke Non Hemoragik (SNH) Di Ruang Mawar 1 RSUD dr. Soeselo Kabupaten Tegal Dewi Robiatul Azizah; Ahmad Zakiudin
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.752

Abstract

Introduction: Non-Hemorrhagic Stroke (NHS) or ischemic stroke is the most common type of stroke resulting from blood vessel blockage that inhibits oxygen supply to brain tissue. The prevalence of stroke in Indonesia was recorded at 10.9 cases per 1,000 population in 2013 and increased to 70 cases per 1,000 population (equivalent to 7.0%) in 2017. At RSUD dr. Soeselo, Tegal Regency, the prevalence of stroke cases was recorded at 647 people (3.74%) in 2023, 682 people (3.94%) in 2024, and 1,120 people (6.48%) in 2025. These cases frequently cause impairments in physical, emotional, cognitive, and social functioning, necessitating comprehensive care and management. Writing Method: This scientific writing used descriptive narrative methods through a nursing process approach, aiming to describe nursing care in patients with Non-Hemorrhagic Stroke. Results: Four nursing diagnoses were identified in Ny. M with Non-Hemorrhagic Stroke: ineffective cerebral perfusion risk, impaired physical mobility, knowledge deficit, and fall risk. Nursing interventions included intracranial pressure increase management, neurological monitoring, intravenous medication administration, mobilization support, health education, and fall prevention. Conclusion: After two days of nursing implementation, 2 nursing diagnoses were resolved and 2 others were partially resolved: ineffective cerebral perfusion risk via discharge planning delegated to the ward nurse, and impaired physical mobility with discharge planning including recommendations for gradual passive range of motion exercises and continued family involvement in patient care.
Penyuluhan tentang Stroke Non-Hemoragik dan Latihan Range of Motion (ROM) di RSUD dr. Soeselo Kabupaten Tegal Ahmad Zakiudin; Tati Karyawati; Dewi Robiatul Azizah
Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat Vol. 4 No. 3 (2026): Juli : Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat
Publisher : Asosiasi Riset Ilmu Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/pandawa.v4i3.2916

Abstract

Non-hemorrhagic stroke is a neurological disorder caused by blockage of blood flow to the brain due to clots, plaque buildup, or other arterial obstructions. This condition is commonly associated with atherosclerosis, which causes thickening and narrowing of blood vessel walls and may lead to thrombosis. Stroke occurrence is influenced by various risk factors, including hypertension as the primary factor, as well as smoking, lack of physical activity, unhealthy diet, alcohol consumption, increased lipid levels, obesity, stress, and depression. This community service activity aims to increase family knowledge and skills regarding non-hemorrhagic stroke management and Range of Motion (ROM) exercises as an effort to maintain and improve muscle strength, optimize blood circulation, and prevent complications such as limb deformities. The activity was conducted through health education involving explanations about stroke, risk factors, prevention, and demonstrations of proper ROM exercise techniques. The implementation of this activity is expected to improve families’ understanding and ability to provide appropriate support for stroke patients, particularly in performing ROM exercises regularly and correctly. Increased knowledge and practical skills among families can contribute to improving the quality of care, supporting patient recovery, and reducing the risk of further disability caused by non-hemorrhagic stroke.
Co-Authors Ahmad Zakiudin Tati Karyawati