<![CDATA[ABSTRAK Cedera kepala ringan merupakan kondisi yang membutuhkan pemantauan neurologis secara berkelanjutan karena perubahan kondisi klinis dapat terjadi setelah trauma. Penatalaksanaan keperawatan yang tepat diperlukan untuk mempertahankan stabilitas neurologis, mengontrol nyeri, dan mencegah komplikasi akibat cedera. Tujuan dalam penelitian ini adalah mendeskripsikan penatalaksanaan keperawatan pada pasien dengan cedera kepala ringan. Studi ini menggunakan desain case study pada seorang perempuan berusia 34 tahun dengan cedera kepala ringan akibat kecelakaan lalu lintas. Data diperoleh melalui pengkajian, pemeriksaan fisik dan penunjang, penetapan diagnosis keperawatan, intervensi, implementasi, dan evaluasi selama tiga hari perawatan. Hasil pengkajian menunjukkan riwayat penurunan kesadaran, pusing, nyeri kepala, leher dan wajah kiri, serta edema, hematoma, abrasi, dan laserasi wajah. Pemeriksaan CT-scan menunjukkan tidak terdapat perdarahan intrakranial, tetapi ditemukan fraktur zygomaticomaxillary complex (ZMC) kiri. Tiga diagnosis keperawatan teridentifikasi, yaitu risiko perfusi serebral tidak efektif, nyeri akut, dan gangguan integritas kulit. Setelah tiga hari intervensi, kondisi neurologis tetap stabil dengan GCS 15 dan kesadaran compos mentis. Keluhan pusing berkurang, intensitas nyeri menurun dari 7/10 menjadi 5/10, dan edema wajah mengalami penurunan. penatalaksanaan keperawatan yang meliputi pemantauan neurologis, manajemen nyeri, dan perawatan luka menunjukkan perkembangan klinis yang positif pada pasien cedera kepala ringan dengan cedera wajah penyerta. Pemantauan berkelanjutan dan edukasi pasien serta keluarga diperlukan untuk mendukung pemulihan dan mencegah komplikasi. Kata Kunci: cedera kepala ringan; asuhan keperawatan; manajemen nyeri; perfusi serebral ABSTRACT Mild traumatic brain injury was a condition that required continuous neurological monitoring because clinical changes could occur after trauma. Appropriate nursing management was needed to maintain neurological stability, control pain, and prevent complications. This study aimed to describe nursing management in a patient with mild traumatic brain injury. A case study design was used involving a 34-year-old woman who experienced mild traumatic brain injury following a traffic accident. Data were collected through assessment, physical and supporting examinations, nursing diagnosis, intervention, implementation, and evaluation during three days of treatment. The assessment showed a history of loss of consciousness, dizziness, and pain in the head, neck, and left side of the face, accompanied by facial edema, hematoma, abrasion, and laceration. A CT scan showed no intracranial hemorrhage but revealed a left zygomaticomaxillary complex (ZMC) fracture. Three nursing diagnoses were identified: risk for ineffective cerebral tissue perfusion, acute pain, and impaired skin integrity. After three days of nursing interventions, the patient remained neurologically stable with a Glasgow Coma Scale score of 15 and compos mentis consciousness. The dizziness decreased, the pain intensity decreased from 7/10 to 5/10, and facial edema decreased. Nursing management, including neurological monitoring, pain management, and wound care, resulted in positive clinical progress in the patient with mild traumatic brain injury and associated facial injury. Continuous monitoring and education for the patient and family were needed to support recovery and prevent complications. Keywords: mild traumatic brain injury; nursing care; pain management; cerebral perfusion.]]>
