Muhammad Hasyimi - Pengarang
Dr. Syamsul Firdaus, S.Kp, M.Kes - Dosen Pembimbing 1
Bisepta Prayogi, S.Kep, M.Kep - Dosen Pembimbing 2

KEMENTERIAN KESEHATAN REPUBLIK INDONESIA
POLITEKNIK KESEHATAN BANJARMASIN
PROGRAM STUDI DIPLOMA III
KEPERAWATAN
2025
ABSTRAK
Karya Tulis Ilmiah
MHAMMAD HASYIMI
IMPLEMENTASI THERAPEUTIC POSITION DALAM ASUHAN
KEPERAWATAN TERHADAP PARAMETER VITAL SIGN PADA PASIEN
SRTROKE NON HEMORAGIC DI RSUD RATU ZALECHA MARTAPURA
Syamsul Firdaus1 , Bisepta Prayogi2
xvii + 72 halaman ; 4 tabel ; 4 gambar
Stroke non hemoragik merupakan kondisi medis yang terjadi akibat
sumbatan aliran darah ke otak, sehingga menyebabkan gangguan saraf akut.
Penanganan pasien stroke tidak hanya terfokus pada aspek medis, tetapi juga
memerlukan intervensi pemeliharaan seperti penerapan posisi terapeutik (posisi
terapeutik). Posisi terapeutik dipercaya dapat membantu memperbaiki parameter
tanda-tanda vital (vital sign) seperti tekanan darah, frekuensi nadi, pernapasan,
suhu tubuh, dan saturasi oksigen. Penelitian ini bertujuan untuk mengeksplorasi
penerapan posisi terapeutik dalam asuhan keperawatan terhadap parameter tanda
vital pada pasien stroke non hemoragik di RSUD Ratu Zalecha Martapura.
Metode penulisan menggunakan pendekatan studi kasus terhadap dua
pasien stroke non hemoragik. Data dikumpulkan melalui wawancara, observasi,
dan pemeriksaan fisik yang dikhususkan pada tanda-tanda vital pasien sebelum
dan sesudah intervensi posisi terapeutik. Intervensi dilakukan dengan pemberian
posisi terapeutik sebanyak tiga kali sehari selama tiga hari, meliputi posisi semi
fowler, supinasi, lateral ke sisi sehat, dan lateral kesisi sakit
Hasil penelitian menunjukkan adanya perbaikan pada parameter tanda
vital kedua pasien setelah penerapan posisi terapeutik, seperti penurunan tekanan
darah dan frekuensi nadi serta peningkatan saturasi oksigen. Temuan ini
mendukung bahwa posisi terapeutik dapat menjadi intervensi pembedahan yang
efektif dan praktis dalam penatalaksanaan pasien stroke non hemoragik
Kesimpulan dari studi kasus ini menunjukkan bahwa penerapan posisi
terapeutik (therapeutic position) dalam asuhan keperawatan pada pasien stroke
non hemoragik terbukti memberikan dampak positif terhadap stabilitas parameter
tanda-tanda vital pasien, seperti tekanan darah, frekuensi nadi, respirasi, dan
saturasi oksigen.
Kata kunci : Stroke Non Hemoragik, Therapeutic Position, Parameter Vital
Sign, Tekanan Darah, Frekuensi Nadi, Respirasi, Saturasi Oksigen
Kepustakaan : 2017-2024
x
MINISTRY OF HEALTH OF THE REPUBLIC OF INDONESIA
HEALTH POLYTECHNIC BANJARMASIN
DIPLOMA III STUDY PROGRAM
NURSING
2025
ABSTRAK
Scientific Paper
MUHAMMAD HASYIMI
IMPLEMENTATION OF THERAPEUTIC POSITION IN NURSING CARE FOR
VITAL SIGN PARAMETERS IN NON-HEMORAGIC STROKE PATIENTS
AT RATU ZALECHA MARTAPURA
Syamsul Firdaus1 , Bisepta Prayogi2
xvii + 72 pages ; 4 tables ; 4 image
Non-hemorrhagic stroke is a medical condition that occurs due to blockage
of blood flow to the brain, causing acute nerve disorders. Handling of stroke
patients is not only focused on medical aspects, but also requires maintenance
interventions such as the application of therapeutic positions. Therapeutic
positions are believed to help improve vital sign parameters such as blood
pressure, pulse rate, respiration, body temperature, and oxygen saturation. This
study aims to explore the application of therapeutic positions in nursing care for
vital sign parameters in non-hemorrhagic stroke patients at RSUD Ratu Zalecha
Martapura.
The writing method employs a case study approach involving two patients
with non-hemorrhagic stroke. Data were collected through interviews,
observations, and physical examinations focusing on patients' vital signs before
and after the therapeutic positioning intervention. The intervention consisted of
applying therapeutic positions three times a day for three consecutive days,
including semi-Fowler's, supine, lateral on the unaffected side, and lateral on the
affected side.
The results of the study showed improvements in the vital sign parameters
of both patients after the implementation of therapeutic positioning, such as a
decrease in blood pressure and heart rate, as well as an increase in oxygen
saturation. These findings support the conclusion that therapeutic positioning can
be an effective and practical non-invasive intervention in the management of non￾hemorrhagic stroke patients.
The conclusion of this case study indicates that the implementation of
therapeutic positioning in nursing care for non-hemorrhagic stroke patients has
been proven to have a positive impact on the stability of vital sign parameters,
such as blood pressure, heart rate, respiratory rate, and oxygen saturation.
Keywords : Non-Hemorrhagic Stroke, Therapeutic Positioning, Vital Sign
Parameters, Blood Pressure, Heart Rate, Respiration, Oxygen Saturation
Bibliography : 2017-2024

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