Implementation of 30-Degree Head-Up Position Intervention to Increase Oxygen Saturation in Hemorrhagic Stroke Patients in the Emergency Room of Blambangan Regional Hospital, Banyuwangi: A Case Study

Abstract

A stroke is a neurological deficit characterized by sudden symptoms that last more than 24 hours, caused by cerebrovascular disorders. A stroke, also known as a cerebrovascular injury, is a condition in which the brain loses function due to the cessation/reduction of blood supply. The amount of oxygen contained in the blood to meet tissue needs is seen through oxygen saturation. The head-up position is one way to increase oxygen saturation. The purpose of this paper is to determine the effect of providing a 30-degree head-up position on increasing oxygen saturation in hemorrhagic stroke patients. This scientific paper is structured as a case study using the nursing care approach, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. The non-pharmacological intervention consisted of a 30-degree head-up position on oxygen saturation increase. After performing a 30-degree head-up position for 30 minutes, oxygen saturation improved from 88% to 96% and mean arterial pressure (MAP) improved from 134 mmHg to 125 mmHg. This result indicates that the 30-degree head-up position intervention had a positive effect on oxygen saturation.