Application of 30-Degree Head Up Positioning for Stroke Patients with Intralranial Adaptive Capacity Decline in the HCU Mahakama Room of Dr. Saiful Anwar Regional General Hospital, Malang, East Java

Abstract

A stroke is a pathological condition that occurs in the brain due to insufficient oxygen supply through the bloodstream, caused by blockages or bleeding in the blood vessels leading to the brain. The main symptoms include hypoxia, sleep disturbances, and it is a major cause of disability globally. This study used a case study design. The research subjects in this paper involved two respondents who were medically diagnosed with Cerebrovascular Accident (CVA) in the HCU Mahakam Room of Dr. Saiful Anwar Regional General Hospital in Malang, East Java. Data collection was conducted directly by the researcher through interviews and assessments of the respondents. The interviews aimed to explore information about the problems faced by the clients subjectively. The results of the evaluation over three days showed that both patients experienced a decrease in blood pressure. In patient 1, the initial blood pressure before the 30-degree head-up position was 189/100 mmHg, and after the 30-degree head-up position, the blood pressure dropped to 175/92 mmHg. Additionally, Patient 1 experienced a reduction in headaches caused by increased intracranial pressure, indicating that the intervention was effective in lowering intracranial pressure. The procedure, performed for 30 minutes twice daily, showed positive results in the form of decreased blood pressure, which is an important clinical indicator of reduced intracranial pressure.