Asuhan Keperawatan dengan Masalah Gangguan Mobilitas Fisik pada Klien Stroke di Rumah Sakit Siti Khodijah Sepanjang Sidoarjo

Stroke iskemik merupakan gangguan neurologis akibat terhambatnya aliran darah ke otak yang menyebabkan kerusakan jaringan saraf. Salah satu masalah keperawatan gangguan mobilitas fisik berhubungan dengan kelemahan otot, sehingga pasien mengalami keterbatasan dalam melakukan aktivitas sehari-hari. Apabila tidak segera ditangani, kondisi tersebut dapat menimbulkan komplikasi seperti kontraktur, atrofi otot, dekubitus, dan penurunan kualitas hidup. Penelitian ini bertujuan melaksanakan asuhan keperawatan pada pasien stroke iskemik dengan masalah gangguan mobilitas fisik di Rumah Sakit Siti Khodijah Cabang Sepanjang Sidoarjo. Metode yang digunakan adalah studi kasus deskriptif dengan pendekatan proses keperawatan pada dua pasien. Data diperoleh melalui wawancara, observasi, pemeriksaan fisik, dokumentasi, dan telaah rekam medis. Proses keperawatan meliputi pengkajian, penetapan diagnosis, perencanaan, implementasi, dan evaluasi berdasarkan SDKI, SIKI, dan SLKI. Hasil menunjukkan kedua pasien mengalami peningkatan kemampuan mobilisasi setelah diberikan dukungan mobilisasi, latihan Range of Motion (ROM), perubahan posisi secara berkala, edukasi kepada pasien dan keluarga, serta kolaborasi dengan fisioterapis selama tiga hari. Perbaikan ditandai dengan bertambahnya kekuatan otot, rentang gerak sendi, toleransi aktivitas, serta kemampuan berpindah secara bertahap. Penerapan asuhan keperawatan yang sistematis sesuai standar keperawatan Indonesia mendukung pemulihan fungsi motorik, mengurangi risiko komplikasi akibat imobilisasi, dan meningkatkan kemandirian pasien dalam memenuhi aktivitas sehari-hari.

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Ischemic stroke is a neurological disorder caused by obstructed blood flow to the brain, resulting in nerve tissue damage. One nursing issue associated with this condition is impaired physical mobility due to muscle weakness, which limits the patient's ability to perform activities of daily living. If left untreated, this condition can lead to complications such as contractures, muscle atrophy, pressure ulcers, and a decline in quality of life. This study aimed to provide nursing care for ischemic stroke patients experiencing impaired physical mobility at Siti Khodijah Hospital, Sepanjang Branch, Sidoarjo. A descriptive case study method utilizing the nursing process approach was applied to two patients. Data were collected through interviews, observations, physical examinations, documentation, and medical record reviews. The nursing process encompassed assessment, diagnosis, planning, implementation, and evaluation based on Indonesian nursing standards (SDKI, SIKI, and SLKI). The results showed that both patients experienced improved mobility capabilities following interventions that included mobility support, Range of Motion (ROM) exercises, periodic repositioning, patient and family education, and collaboration with physiotherapists over a three-day period. Improvements were evidenced by increased muscle strength, joint range of motion, activity tolerance, and a gradual improvement in transfer abilities. The application of systematic nursing care in accordance with Indonesian nursing standards supports the recovery of motor function, reduces the risk of complications associated with immobility, and enhances patient independence in performing activities of daily living.