Manajemen keperawatan gangguan mobilitas fisik pada stroke iskemik akut dengan ketidakstabilan hemodinamik: Laporan kasus
Nursing management of physical mobility disorders in acute ischemic stroke with hemodynamic instability: Case reports
DOI:
https://doi.org/10.33023/jikep.v12i1.3120Keywords:
Hemodinamik, Imobilisasi, Mobilisasi dini, Stroke non hemoragik, ICUAbstract
Stroke non-hemoragik adalah penyebab utama kecacatan, seringkali menyebabkan gangguan gerak tiba-tiba yang dapat memperburuk ketidakstabilan tekanan darah dan meningkatkan risiko komplikasi serius karena gerakan pasien yang terbatas di ruang ICU. Laporan kasus ini menjelaskan cara mengobati pasien stroke non-hemoragik yang mengalami gangguan gerak dan tekanan darah yang tidak stabil. Metode yang digunakan adalah penanganan satu kasus pasien stroke non-hemoragik yang dirawat di ICU. Intervensi utama termasuk memberikan mobilisasi dini, seperti latihan gerakan aktif pasif, mengubah posisi setiap dua jam, dan menempatkan kepala pasien 30 derajat ke atas, disertai dengan pemantauan tekanan darah yang ketat. Hasil perawatan tiga hari menunjukkan bahwa persendian masih fleksibel, kulit tidak terluka, tekanan darah stabil, dan tingkat kesadaran pasien meningkat, meskipun kekuatan otot tidak menunjukkan peningkatan yang signifikan. Kesimpulan yang dapat ditarik adalah bahwa mobilisasi pasif dini dapat dilakukan dengan aman dan efektif pada pasien stroke non-hemoragik dengan tekanan darah yang tidak stabil, untuk mencegah komplikasi akibat gerakan terbatas selama pemantauan ketat. Studi ini memberikan panduan praktis bagi perawat dalam menangani pasien stroke kritis yang memiliki tekanan darah tidak stabil di ICU.
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References
Agustin, Y., Khoiriyati, A., & Purwanti, R. (2025). Penerapan Head Up 30? Terhadap Perfusi Serebral Dan Hemodinamik Pasien Post-Craniectomy Hari Ke-7 Di Ruangan Intensive Care Unit RSUD Temanggung. 6, 6383–6392.
Antoni, T. (2025). Pengaruh Latihan Range Of Motion (ROM) Untuk Meningkatkan Kekuatan Otot Pada Pasien Stroke Non Hemoragik Di Ruang Rawat Inap Berlian RS. Permata Hati Lampung Timur. Malahayati Nursing Journal, 32(3), 167–186.
Battaglini, D., Robba, C., Lopes Da Silva, A., Dos Santos Samary, C., Leme Silva, P., Dal Pizzol, F., Pelosi, P., & Rocco, P. R. M. (2020). Brain-heart interaction after acute ischemic stroke. Critical Care, 24(1), 1–12. https://doi.org/10.1186/s13054-020-02885-8
Bulwa, Z., Gomez, C., Morales-Vidal, S., & Biller, J. (2019). Management of Blood Pressure After Acute Ischemic Stroke. Current Neurology and Neuroscience Reports, 19. https://doi.org/10.1007/s11910-019-0941-z
Ding, R., & Zhang, H. (2021). Efficacy of very early mobilization in patients with acute stroke: a systematic review and meta-analysis. Annals of Palliative Medicine, 10(11), 11776–11784. https://doi.org/10.21037/APM-21-2997
Issabella, P., & Basuki, N. (2024). The Impact of 30-Degree Head-Up Position on Cerebral Perfusion in Moderate Brain Injury Patients. Jurnal Kegawatdaruratan Medis Indonesia ( JKMI ), 3(1), 68–75.
Katsanos, A. H., Joundi, R. A., Palaiodimou, L., Ahmed, N., Kim, J. T., Goyal, N., Maier, I. L., De Havenon, A., Anadani, M., Matusevicius, M., Mistry, E. A., Khatri, P., Arthur, A. S., Sarraj, A., Yaghi, S., Shoamanesh, A., Catanese, L., Psychogios, M. N., Tsioufis, K., … Tsivgoulis, G. (2024). Blood Pressure Trajectories and Outcomes after Endovascular Thrombectomy for Acute Ischemic Stroke. Hypertension, 81(3), 629–635. https://doi.org/10.1161/HYPERTENSIONAHA.123.22164
Kemenkes. (2021). Pedoman dan Standar Penelitian dan Pengembangan Kesehatan Nasional. In Komisi Etik Penelitian dan Pengembangan Keseheatan Nasional.
Li, X., & Kong, Y. (2025). Safety and Efficacy of Very Early Mobilization in Acute Stroke: A Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2025.10.021
Nogueira, R. C., Aries, M., Minhas, J. S., H Petersen, N., Xiong, L., Kainerstorfer, J. M., & Castro, P. (2022). Review of studies on dynamic cerebral autoregulation in the acute phase of stroke and the relationship with clinical outcome. Journal of Cerebral Blood Flow and Metabolism, 42(3), 430–453. https://doi.org/10.1177/0271678X211045222
Nurcahya, I., Kusyairi, A., & Sunanto. (2023). Pengaruh Pemberian Terapi Aktifitas Range of Motion (ROM) Terhadap Peningkatan Kekuatan Otot Pada Pasien Stroke. Health Research Journal, 1(2), 11–21.
Riskesda. (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balitbangkes (p. hal 156). https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Setyopranoto, I. (2021). Stroke: Gejala dan penatalaksanaan. Cermin Dunia Kedokteran, 38(4), 247.
Syaharuddin, S., Fardi, F., & Damayanti, T. (2025). Monitoring 30° Head Elevation to Enhance Cerebral Perfusion in Traumatic Brain Injury Patients. Jurnal Ilmiah Kesehatan Sandi Husada, 14(1), 55–63. https://doi.org/10.35816/jiskh.v14i1.1247
Tian, C., Chen, J., Zhang, J., & Du, F. (2025). Assessment of Cerebral Hemodynamic Changes in Acute Ischemic Stroke Patients Following Mechanical Thrombectomy Using CT Perfusion Imaging. Frontiers in Neurology, 16(September), 1–11. https://doi.org/10.3389/fneur.2025.1628717
Tosi, R. S., Suparto, S., & Angeline, R. (2023). Literature Review?: Target Tekanan Darah Pada Pasien Stroke Iskemik Dan Hemoragik. Jurnal MedScientiae, 2(3), 371–377. https://doi.org/10.36452/jmedscientiae.v2i3.2973
Wells, A. J., & Reilly, P. L. (2025). 50 Years of the Glasgow Coma Scale: A historical perspective. Journal of Clinical Neuroscience?: Official Journal of the Neurosurgical Society of Australasia, 133, 110994. https://doi.org/10.1016/j.jocn.2024.110994
WHO. (2020). Avoiding Heart Attacks and Strokes. WHO Library Cataloguing in Publication Data, 1–4.
Yue, M., Ma, Z. Y., Lei, M. J., Cui, C. Y., & Jin, Y. (2018). Early mobilization for mechanically ventilated patients in the intensive care unit: A systematic review and meta-analysis. Frontiers of Nursing, 5(4), 301–310. https://doi.org/10.1515/fon-2018-0039
Zhou, J., Zhang, C., Zhou, J. D., & Zhang, C. K. (2022). Effect of early progressive mobilization on intensive care unit-acquired weakness in mechanically ventilated patients: An observational study. Medicine (United States), 101(44), E31528. https://doi.org/10.1097/MD.0000000000031528
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