ASUHAN KEPERAWATAN PADA PASIEN CONGESTIVE HEART FAILURE (CHF) DENGAN MASALAH KEPERAWATAN POLA NAFAS TIDAK EFEKTIF

Congestive Heart Failure (CHF) is a condition in which the heart's function as a pump to deliver oxygen-rich blood throughout the body is inadequate. One of the most common clinical manifestations found in patients with CHF is an ineffective breathing pattern. The purpose of this case study is to identify the nursing care provided to a patient with CHF, which includes assessment, nursing diagnosis, interventions, implementation, and evaluation.
The nursing care for the CHF patient was carried out in the ICVCU Room of Dr. Harjono Regional Public Hospital, Ponorogo, over a period of three days from July 7 to 9, 2025. The method used was the nursing process approach.
Assessment results indicated that Mrs. S was suffering from CHF. It was found that the patient complained of shortness of breath, weakness, and nausea, appeared to be using accessory respiratory muscles, had a bradypnea breathing pattern, and exhibited adventitious breath sounds (rhonchi). Nursing actions taken to relieve dyspnea included positioning the patient in semi-Fowler’s and administering oxygen via nasal cannula at 4 L/min. The researcher also assessed the patient’s complaints and monitored vital signs.
Evaluation showed that Mrs. S was no longer experiencing shortness of breath, respiratory function had improved, and the use of accessory respiratory muscles had ceased. This nursing care is expected to provide education and knowledge about CHF to both the patient and their caregivers.

Keywords : Congestive Heart Failure (CHF), Ineffective Breathing Pattern.