PENERAPAN HEAD ELEVATION 30° TERHADAP PENURUNAN TEKANAN INTRAKRANIAL (TIK) PADA PASIEN STROKE DENGAN MASALAH KEPERAWATAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF Di Ruang ICU RSUD Dr. Harjono Ponorogo

Stroke is a neurological deficit conditionncaused by obstruction or infarction that disrupts blood flow carrying oxygen to brain tissue, leading to cell necrosis and increased intracranial pressure (ICP). Among the non-pharmacological nursing interventions, head elevation 30° has been shown to be effective in reducing ICP by facilitating venous drainage from the brain and maintaining adequate cerebral perfusion. This study aimed to describe the application of the 30° head elevation intervention in nursing care for hemorrhagic stroke patients with the nursing problem of risk for ineffective cerebral perfusion.

This case study was conducted over five days, from July 25 - 29, 2025, in the Intensive Care Unit (ICU) of RSUD Dr. Harjono, Ponorogo. The nursing process approach were obtained through patient assessment, family interviews, and direct observation. The patient presented with decreased consciousness due to uncontrolled hypertension leading to intracerebral hemorrhage. Nursing interventions included
monitoring vital signs, assessing consciousness with the Glasgow Coma Scale, monitoring mean arterial pressure, and applying 30° head elevation. The intervention resulted in clinical improvement, with reduced ICP and stabilization of the patient’s condition, meeting the expected nursing outcomes.

Based on the results, the 30° head elevation intervention had a positive effect on reducing intracranial pressure. The patient’s condition improved in accordance with the expected outcome criteria, as indicated by an increased evaluation score. Therefore, the nursing problem of risk for ineffective cerebral perfusion was resolved

The intervention of nursing care for stroke patients is an effective, simple, and non-invasive nursing intervention for managing increased ICP in stroke patients. Its consistent application can support cerebral perfusion and improve patient outcomes. This case highlights the importance of evidence-based nursing interventions in critical care settings.