Oktaviani, Elma (2026) PENERAPAN FAMILIAR AUDITORY SENSORY TRAINING (FAST) TERHADAP PENINGKATAN SKOR GLASGOW COMA SCALE (GCS) PADA PASIEN STROKE DENGAN PENURUNAN KAPASITAS ADAPTIF INTRAKRANIAL DI RUANG FLAMBOYAN RSUD BLUD KOTA BANJAR. Diploma thesis, Poltekkes Kemenkes Tasikmalaya.
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Abstract
ABSTRAK Penerapan Familiar Auditory Sensory Training (FAST) Terhadap Peningkatan Skor Glasgow Coma Scale (GCS) Pada Pasien Stroke Dengan Penurunan Kapasitas Adaptif Intrakranial di Ruang Flamboyan RSUD BLUD Kota Banjar Elma Oktaviani¹ Dewi Aryanti, S.Kep., Ners., M.Sc. ² Arip Rahman S.ST., Ners., M.Tr.Kep. ³ Stroke hemoragik merupakan kondisi neurologis akut akibat pecahnya pembuluh darah otak yang menyebabkan perdarahan intraserebral, peningkatan tekanan intrakranial, dan penurunan tingkat kesadaran. Penurunan kesadaran terjadi akibat gangguan pada sistem Ascending Reticular Activating System (ARAS) di batang otak yang berperan dalam mempertahankan kewaspadaan. Kondisi ini menimbulkan berbagai komplikasi serius, di antaranya gangguan pola napas, risiko aspirasi, gangguan komunikasi verbal, serta keterbatasan mobilitas fisik. Salah satu intervensi nonfarmakologis yang dapat diintegrasikan dalam asuhan keperawatan untuk meningkatkan respons kesadaran adalah Familiar Auditory Sensory Training (FAST), yaitu pemberian stimulasi auditori bermakna berupa suara anggota keluarga terdekat secara terarah dan terstruktur. Karya Tulis Ilmiah ini bertujuan menggambarkan pelaksanaan asuhan keperawatan pada pasien stroke hemoragik dengan penurunan kapasitas adaptif intrakranial melalui penerapan FAST di Ruang Flamboyan RSUD BLUD Kota Banjar. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi. Subjek studi adalah satu orang pasien stroke hemoragik dengan penurunan kesadaran yang dirawat pada bulan April 2026. Hasil CT-Scan menunjukkan perdarahan subarachnoid disertai perdarahan intraserebral dengan edema serebri. Intervensi FAST diterapkan selama tiga hari dengan tiga sesi per hari, yaitu sesi pertama satu menit, sesi kedua empat menit, dan sesi ketiga lima menit, menggunakan suara langsung anggota keluarga. Hasil studi menunjukkan peningkatan nilai GCS secara bertahap dari E2V2M4 (8) pada hari pertama menjadi E3V3M5 (11) pada hari ketiga, disertai perbaikan respons neurologis berupa kemampuan membuka mata terhadap suara, mempertahankan kontak mata, mengikuti instruksi sederhana, serta munculnya respons verbal. Tanda-tanda vital pasien mengalami perbaikan dengan tekanan darah turun dari 170/100 mmHg menjadi 150/90 mmHg dan frekuensi napas dari 26x/menit menjadi 22x/menit. Penerapan FAST terbukti efektif sebagai terapi komplementer yang mampu menstimulasi batang otak dan korteks pendengaran sehingga mendukung peningkatan tingkat kesadaran pasien stroke hemoragik selama perawatan. Kata kunci: Stroke Hemoragik, Penurunan Kapasitas Adaptif Intrakranial, FAST, Stimulasi Auditori Familiar, Glasgow Coma Scale ABSTRACT The Application of Familiar Auditory Sensory Training (FAST) on the Improvement of Skor Glasgow Coma Scale (GCS) in Stroke Patients with Decreased Intracranial Adaptive Capacity in the Flamboyan Ward of RSUD BLUD Kota Banjar Elma Oktaviani¹ Dewi Aryanti, S.Kep., Ners., M.Sc. ² Arip Rahman S.ST., Ners., M.Tr.Kep. ³ Hemorrhagic stroke is an acute neurological condition caused by the rupture of cerebral blood vessels, resulting in intracerebral hemorrhage, increased intracranial pressure, and decreased level of consciousness. The decline in consciousness occurs due to disruption of the Ascending Reticular Activating System (ARAS) in the brainstem, which is responsible for maintaining wakefulness and alertness. This condition leads to various serious complications, including ineffective breathing patterns, aspiration risk, impaired verbal communication, and limited physical mobility. One non-pharmacological intervention that can be integrated into nursing care to improve consciousness response is Familiar Auditory Sensory Training (FAST), which involves providing meaningful auditory stimulation through the voice of the patient's closest family member in a structured and directed manner. This scientific paper aims to describe the nursing care process in a hemorrhagic stroke patient with decreased intracranial adaptive capacity through the application of FAST in the Flamboyan Ward of RSUD BLUD Kota Banjar. The method used was a case study with a nursing process approach, encompassing assessment, diagnosis, planning, implementation, and evaluation. The study subject was one hemorrhagic stroke patient with decreased consciousness admitted in April 2026. CT-Scan results revealed subarachnoid hemorrhage accompanied by intracerebral hemorrhage with cerebral edema. FAST intervention was administered over three days with three sessions per day: the first session lasting one minute, the second four minutes, and the third five minutes, using direct family member voices. The results demonstrated a gradual improvement in GCS scores from E2V2M4 (score 8) on the first day to E3V3M5 (score 11) on the third day, accompanied by neurological improvements including the ability to open eyes in response to voice, maintain brief eye contact, follow simple commands, and produce verbal responses. Vital signs also improved, with blood pressure decreasing from 170/100 mmHg to 150/90 mmHg and respiratory rate from 26 to 22 breaths per minute. The application of FAST proved effective as a complementary therapy that stimulates the brainstem and auditory cortex, thereby supporting the improvement of consciousness levels in hemorrhagic stroke patients during hospitalization. Keywords: Hemorrhagic stroke, decreased consciousness, FAST, familiar auditory stimulation, Glasgow Coma Scale Poltekkes Kemenkes Tasikmalaya
| Item Type: | Thesis (Diploma) | ||||||||||||
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| Uncontrolled Keywords: | Stroke Hemoragik, Penurunan Kapasitas Adaptif Intrakranial, FAST, Stimulasi Auditori Familiar, Glasgow Coma Scale | ||||||||||||
| Subjects: | R Medicine > R Medicine (General) R Medicine > RT Nursing |
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| Divisions: | Jurusan Keperawatan > D3 Keperawatan | ||||||||||||
| Depositing User: | Mhs ELMA OKTAVIANI | ||||||||||||
| Date Deposited: | 02 Jul 2026 08:15 | ||||||||||||
| Last Modified: | 02 Jul 2026 08:15 | ||||||||||||
| URI: | http://repo.poltekkestasikmalaya.ac.id/id/eprint/8889 |
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