Nursing Diagnoses in Acute Stroke Patients at the Emergency Department

Dublin Core

Title

Nursing Diagnoses in Acute Stroke Patients at the Emergency Department

Subject

acute stroke,
nursing diagnosis,
Indonesian nursing
diagnosis standards

Description

Introduction: Stroke is the second leading cause of death and the third
leading cause of disability worldwide. Nurses play a crucial role in
providing care for stroke patients. Accurate and precise nursing diagnoses
serves as the foundation for providing appropriate nursing care. This study
aims to identify nursing diagnoses in acute stroke patients based on the
Indonesian Nursing Diagnosis Standards.
Methods: This study utilized a descriptive research design. The research
sample consisted of 471 patients (205 hemorrhagic strokes; 266 ischemic
strokes) selected through random sampling techniques. The data were
collected from the medical records of stroke patients treated at the
Emergency Department of Muhammadiyah Lamongan Hospital from
January to December 2023. The research instrument was a summary sheet,
and data were analyzed descriptively.
Results: The results of this study indicate that common signs and symptoms
in hemorrhagic stroke included headache, decreased level of
consciousness, and increased blood pressure. The most frequent nursing
diagnoses observed were decreased intracranial adaptive capacity,
impaired physical mobility, and verbal communication impairment.
Similarly, common signs and symptoms in ischemic stroke include
difficulty moving extremities, decreased range of motion (ROM), and
decreased muscle strength. The most frequent nursing diagnoses observed
were impaired physical mobility, risk for falls, and decreased intracranial
adaptive capacity.
Conclusion: There are differences in signs and symptoms between
hemorrhagic stroke and ischemic stroke during the acute phase, as well as
differences in primary nursing diagnoses. However, these distinctions may
vary in subsequent phases depending on the severity of the disease and
underlying comorbidities.

Creator

Nur Hidayati1*, Elfa Aldianti1, Aprelia Afidatul Hanafi1, & Nichapatr
Phutthikhamin2

Source

https://doi.org/10.37363/bnr.2024.54412

Date

18 October 2024

Contributor

peri irawan

Format

pdf

Language

english

Type

text

Files

Collection

Citation

Nur Hidayati1*, Elfa Aldianti1, Aprelia Afidatul Hanafi1, & Nichapatr Phutthikhamin2, “Nursing Diagnoses in Acute Stroke Patients at the Emergency Department,” Repository Horizon University Indonesia, accessed April 22, 2026, https://repository.horizon.ac.id/items/show/11843.