The Effectiveness of 30° Head-Up Intervention Patients with Moderate Head Injury Post-Craniotomy

Natia Hasna Bilah, Arieni Ramadhan

Abstract


Moderate head injury is a neurological condition that carries a high risk of serious complications, particularly increased intracranial pressure (ICP), thus requiring appropriate and comprehensive nursing management. A patient with moderate head injury post-craniotomy requires intensive care to prevent further neurological damage. This research aims to analyze nursing care in patients with neurological system disorders due to moderate head injury post-craniotomy through the application of a 30° head-up intervention to reduce signs of increased intracranial pressure in the ICU. The method used was a descriptive analytical method with a case study approach on Mr. O, involving data collection through observation, physical examination, interviews, documentation review, and literature review. The results of the analysis indicate that the consistent and controlled application of the 30° head-up position can help improve hemodynamics, increase the level of consciousness, and reduce signs of increased intracranial pressure. This intervention also supports improved patient comfort and prevents further complications. Therefore, the 30° head-up position can be recommended as an effective non-pharmacological intervention in the nursing care of post-craniotomy patients with moderate head injury in critical care settings.

Keywords


head injury, intracranial pressure, position

Full Text:

PDF

References


Corwin, E. J. (2009). Handbook of pathophysiology. Lippincott Williams & Wilkins.

Ferenddito, A., & Rohmah, N. (2025). PENGARUH HEAD UP 300 TERHADAP PERUBAHAN SATURASI OKSIGEN PADA PASIEN CEDERA KEPALA BERAT. Jurnal Ilmiah Kesehatan Media Husada, 14(1), 95–102. https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://ojs.widyagamahusada.ac.id/index.php/JIK/article/download/448/285&ved=2ahUKEwi5-dnAjY2SAxUKy6ACHdbjLu8QFnoECC0QAQ&usg=AOvVaw26V1GsC29vXMWaUV784CkF

Greenberg, M. S. (2019). Handbook of neurosurgery (9th ed.). Thieme.

Maharani, S. (2025). Asuhan Keperawatan pada Pasien Cedera Kepala Post Craniotomy dengan Penerapan Posisi Head Up 30° untuk Menurunkan tekanan Intraranial di Ruang ICU RSUP Dr. M. Djamil Padang (Doctoral dissertation, Universitas Andalas). http://scholar.unand.ac.id/505767/

Nurfikasari, D., et al. (2025). Pengaruh Posisi Head Up 30° terhadap Perubahan Mean Arterial Pressure (MAP) Pasien Cedera Kepala Berat Post Craniotomy di Ruang ICU . Jurnal Penelitian Perawat Profesional, 7(2), 935–942. https://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/view/6445

Potter, P. A., & Perry, A. G. (2017). Fundamentals of nursing. Elsevier.

Ropper, A. H., & Brown, R. H. (2019). Adams and Victor’s principles of neurology. McGraw-Hill.

Smeltzer, S. C., et al. (2018). Brunner & Suddarth’s textbook of medical-surgical nursing. Wolters Kluwer.

Syafira, JZ. (2025). ANALISIS TINGKAT NYERI PADA PASIEN POST OPERASI KRANIOTOMI ASTROSITOMA DENGAN INTERVENSI HEAD-UP 30° DI RUMAH SAKIT URIP SUMOHARJO TAHUN 2025 KARYA ILMIAH AKHIR NERS. Repository Polkestanka. https://repository.poltekkes-tjk.ac.id/id/eprint/7362/

World Health Organization. (2023). Global status report on road safety. WHO. https://www-who-int.translate.goog/news-room/fact-sheets/detail/road-traffic-injuries?_x_tr_sl=en&_x_tr_tl=id&_x_tr_hl=id&_x_tr_pto=tc




DOI: https://doi.org/10.37311/jnj.v8i1.36934

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 Natia Hasna Bilah, Arieni Ramadhan

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.