ASUHAN KEPERAWATAN GAWAT DARURAT PADA PASIEN STEMI DENGAN MASALAH KEPERAWATAN NYERI AKUT

ABSTRACT
EMERGENCY NURSING CARE FOR STEMI PATIENTS
WITH ACUTE PAIN
(Case Study at Dr. Harjono Regional Hospital, Ponorogo)
By: Saphira Nirmala Ramadhany
NIM. 22613578

ST-Elevation Myocardial Infarction (STEMI) is a life-threatening emergency resulting from complete blockage of a coronary artery, causing ischemia and severe chest pain. This study aims to provide nursing care for STEMI patients with acute pain.

The method used is a descriptive case study of a patient treated in the ICCU, with data collection through interviews, observations, and review of medical documentation.

Nursing care results June 24-25, 2025 showed the patient experiencing severe chest pain with increased blood pressure and pulse. A nursing diagnosis of acute pain associated with a physiologically injurious agent was established. Interventions provided included non-pharmacological pain management through deep breathing relaxation techniques and dhikr therapy. Implementation was carried out for 4x24 hours. Evaluation showed a decrease in pain scale, stable blood pressure, and improved nonverbal responses. Collaboration was carried out with the medical team to administer medications such as Aspirin, Clopidogrel, Nitroglycerin, and Morphine.

The conclusion of this case study is that nursing care utilizing pain management is effective in reducing acute pain levels in STEMI patients. Therefore, it can be recommended as a supportive intervention in addition to pharmacological therapy to improve patient comfort and quality of life.

Keywords: STEMI, Acute Pain, Nursing Care