Asuhan Keperawatan Gawat Darurat Dengan Non-St-Segment Elevation Myocardial Infarction Di Ruang Instalasi Gawat Darurat (Igd) Pjt Rsup Dr. Wahidin Sudirohusodo

Authors

DOI:

https://doi.org/10.63935/f6vnp098

Abstract

NSTEMI is a partial occlusion of the coronary artery without involving the entire thickness of the  myocardium so that there is no ST segment elevation on the ECG. PURPOSE: this study was to obtain an overview and experience in applying the theory of emergency nursing care with a diagnosis of Non-ST Segment Elevation Myocardial Infarction (NSTEMI) in Mr. D and Mr. A in the emergency room of the integrated heart center of Dr. Wahidin Sudirohusodo Hospital, Makassar. METHOD: the research method used was the Case Study method which was carried out in the emergency room of the integrated heart center of Dr. Wahidin Sudirohusodo Hospital, Makassar. RESULTS: the results of the nursing care assessment in NSTEMI cases found several gaps with the theory and cases where the theory states that in NSTEMI patients, general signs are usually respiratory distress, tachypnea, use of accessory respiratory muscles, dyspnea, depth of breath, respiratory rate, lung expansion, abnormal chest sounds, in cases no signs and symptoms were found that were the same as the theory. ANALYSIS: the results of the analysis of theory and cases found gaps in Breathing. CONCLUSION AND SUGGESTIONS: There are several gaps between cases and theories. Suggestions to the hospital to provide regular training, especially in handling patients with emergency cases to improve knowledge and skills for health workers, especially those in the IGD room of the Integrated Heart Center (PJT)

Downloads

Download data is not yet available.

References

Adi, G. S., & Hamid, M. A. (2023). Analisis Luaran Pasien Stroke Dengan Menggunakan

Standar Luaran Keperawatan Indonesia. The Indonesian Journal of Health …, 15(1),

7–14. https://doi.org/10.32528/tijhs.v15i1.536

Aqila Fardhila Haya, W. R. A. (2020). Asuhan Keperawatan Pada Pasien Unstable

Angina Pectoris (Uap) Dalam Pemenuhan Kebutuhan Oksigenasi.

Eprints.Ukh.Ac.Id, 8.

Ashar, M. U., Khotimah, N. K., Mukhtar, M., & Hafid, A. (2025). Edukasi Pijat Kaki

untuk Mengurangi Nyeri pada Pasien NSTEMI. Bhakti Patrika, 1(2), 40–44.

Aulia, H. D., Pratiwi, S. H., & Sari, E. A. (2023). Intervensi Pursed-Lip Breathing dan

Posisi High Fowler untuk Mengatasi Gejala Sesak Napas pada Pasien dengan

Coronary Artery Disease: Sebuah Studi Kasus. MAHESA : Malahayati Health

Bayu Prasetyo, Nur Chayati, & Sidiq Purnomo. (2024). Terapi Kompres Hangat Untuk

Menurunkan Nyeri Dada Pada Pasien Acute Coronary Syndrome Non-STEMI.

Jurnal Medika Nusantara, 2(2), 31–39.

Chaniago, N., Ayubbana, S., & Utami, I. (2024). Penerapan Relaksasi Benson Terhadap

Nyeri Pada Pasien Coronary Artery Disease (Cad) Di Ruang Penyakit Jantung Rsud

Jend. Ahmad Yani Metro. Jurnal Cendikia Muda, 4(3), 426–432.

Collins, S. P., Storrow, A., Liu, D., Jenkins, C. A., Miller, K. F., Kampe, C., & Butler, J.

(2021). Asuhan Keperawatan Dengan Masalah Keperawatan Nyeri Akut Pada

Pasien Acute Miokard Infark Di Rsud Dr.Soedirman Kebumen. 167–186.

Fauzan, R., & Nabiilah, A. E. (2025). J Sindrom Wellen : Deteksi Dini untuk Mencegah

Infark Anterior Masif. 4(4), 1–9.

Han, Y., Sun, S., Qiao, B., Liu, H., Zhang, C., Wang, B., Wei, S., & Chen, Y. (2022).

Timing of angiography and outcomes in patients with non-ST-segment elevation

myocardial infarction: Insights from the evaluation and management of patients with

acute chest pain in China registry. Frontiers in Cardiovascular Medicine,

9(October), 1–10.

Ibanez, B. et al. (2018). 2017 ESC Guidelines for the management of acute myocardial

infarction in patients presenting without persistent ST-segment elevation. European

Heart Journal

Kasuma, W. A., Supriandi, S., Christyanni, Y., & Farizki, R. (2021). Asuhan

Keperawatan pada Penderita Penyakit Jantung Koroner di Rumah Sakit Simpang

Gumul Kediri. Jurnal Forum Kesehatan : Media Publikasi Kesehatan Ilmiah, 11(1),

9–14.

Nugraha, F. (2022). Program studi diploma iii keperawatan jurusan keperawatan

bandung politeknik kesehatan kemenkes bandung 2022. 2022.

Nugroho, S. A. (2023). Asuhan Keperawatan Pasien Stemi Dengan Nyeri Akut Di Ruang

Icu Rsud Prembun. Accident Analysis and Prevention, 183(2), 153–164.

Nurani, V.B. (2021). Gangguan Pola Napas Tidak Efektif pada Pasien NSTEMI. Jurnal

Ilmu Keperawatan Indonesia.

Origuchi, H., Itoh, H., Momomura, S. I., Nohara, R., Daida, H., Masuda, T., Kohzuki,

M., Makita, S., Ueshima, K., Nagayama, M., Omiya, K., Adachi, H., & Goto, Y.

(2020). Active Participation in Outpatient Cardiac Rehabilitation Is Associated With

Better Prognosis After Coronary Artery Bypass Graft Surgery ― J-REHAB CABG

Study ―. Circulation Journal, 84(3), 427–435.

PPNI. (2019). Standar Luaran Keperawatan Indonesia Edisi 1 Cetakan II. Practice Nurse,

49(5), 191.

Pramudiana, N., & Pristianto, A. (2021). Penatalaksanaan Fisioterapi Komprehensif Pada

12

Kasus Pasca Coronary Artery By Pass Grafting Et Causa Coronary Artery Disease

Involving 3 Vessels (CAD3VD):

Rahman, I. A., & Dewi, R. L. (2023). Intervensi Teknik Relaksasi Benson Terhadap

Penurunan Skala Nyeri Pasien Unstable Angina Pectoris. Jurnal Keperawatan,

15(1), 33–39.

Samuel, S. D. Y., Yulianti, S., & Rosita. (2023). Asuhan Keperawatan Pada Pasien

Penyakit Jantung Koroner (PJK) dengan Masalah Keperawatan Nyeri Akut di

Instalasi Gawat Darurat Rsud Undata Provinsi Sulawesi Tengah. Jurnal Kolaboratif

Sains, 6(11), 1400–1408.

Sangadji, F. (2024). Pengaruh Relaksasi Benson Terhadap Nyeri Dada Pada Pasien

Sindrom Koroner Akut. Bookchapter Keperawatan Medikal ….

Scholz, K. H., Friede, T., Meyer, T., Jacobshagen, C., Lengenfelder, B., Jung, J.,

Fleischmann, C., Moehlis, H., Olbrich, H. G., Ott, R., Elsässer, A., Schröder, S.,

Thilo, C., Raut, W., Franke, A., Maier, L. S., & Maier, S. K. G. (2020). Prognostic

significance of emergency department bypass in stable and unstable patients with

ST-segment elevation myocardial infarction. European Heart Journal: Acute

Cardiovascular Care, 9(1_suppl), 34–44.

(Sugion et al., 2022). (2020). Jurnal Penelitian Perawat Profesional Pencegahan. British

Medical Journal, 2(5474), 1333–1336.

Tn, P., Tahun, S. U., Keperawatan, M., Ruang, D. I., Rsup, C., Sadikin, H., & Kunci, K.

(2022). Pemberian Terapi Relaksasi Benson Dan Foot Massage Akut Dengan

Diagnosa Medis Coronary Artery Disease.

Wiesenthal, D. L. (2023). Asuhan Keperawatan Pada Klien Tn.I.K Dengan Gangguan

Sistem Kardiovaskuler : Coronary Artery Disease (CAD) di Rumah Sakit Gunung

Maria Tomohon. Accident Analysis and Prevention, 183(2), 153–164.

Downloads

Published

2025-09-29

Issue

Section

Articles

How to Cite

Asuhan Keperawatan Gawat Darurat Dengan Non-St-Segment Elevation Myocardial Infarction Di Ruang Instalasi Gawat Darurat (Igd) Pjt Rsup Dr. Wahidin Sudirohusodo. (2025). Diagnosa, 1(2), 55_66. https://doi.org/10.63935/f6vnp098