Asuhan Keperawatan pada Pasien dengan Diagnosis Medis Sindrom Koroner Akut (SKA) dengan Masalah Keperawatan Prioritas Nyeri Akut serta Fokus Intervensi Kombinasi Terapi Murrotal dan Terapi Relaksasi Benson di Ruang ICCU RSUD Haji Provinsi Jawa Timur

Intruduction : Sindrom Koroner Akut (SKA) merupakan kondisi kegawatdaruratan kardiovaskular yang sering disertai nyeri dada akut dan perubahan status hemodinamik. Selain terapi farmakologis, diperlukan intervensi nonfarmakologis sebagai terapi pendamping untuk membantu menurunkan nyeri dan meningkatkan stabilitas hemodinamik. Kombinasi terapi relaksasi Benson dan terapi murottal merupakan salah satu intervensi yang berpotensi memberikan efek relaksasi fisiologis dan psikospiritual.Tujuannya untuk Mengetahui penerapan kombinasi terapi relaksasi Benson dan terapi murottal terhadap status hemodinamik yang meliputi tekanan darah, frekuensi nadi, serta intensitas nyeri pada pasien Sindrom Koroner Akut.
Methods : Penelitian ini menggunakan desain studi kasus dengan pendekatan Evidence Based Nursing Practice (EBNP). Subjek penelitian terdiri atas dua pasien Sindrom Koroner Akut yang dirawat di ICCU RSUD Haji Provinsi Jawa Timur. Result : Tn. E sebagai pasien intervensi mendapatkan kombinasi terapi relaksasi Benson dan terapi murottal selama ±15 menit setiap hari selama tiga hari disertai terapi standar, sedangkan Tn. I sebagai pembanding hanya mendapatkan terapi standar. Pengukuran dilakukan terhadap tekanan darah, frekuensi nadi, dan intensitas nyeri menggunakan Visual Analogue Scale (VAS). Hasil evaluasi menunjukkan bahwa pada pasien intervensi terjadi penurunan intensitas nyeri dari skala VAS 4 menjadi VAS 1 pada hari ketiga. Tekanan darah menurun dari 141/101 mmHg menjadi 109/64 mmHg, sedangkan frekuensi nadi menjadi lebih stabil dari 83 kali/menit menjadi 82 kali/menit. Pada pasien pembanding yang hanya mendapatkan terapi standar, penurunan nyeri dan perubahan status hemodinamik tidak seperti pasien yang mendapatkan kombinasi terapi. Conclusion : Kombinasi terapi relaksasi Benson dan terapi murottal berpotensi menjadi intervensi keperawatan nonfarmakologis yang efektif sebagai terapi pendamping dalam menurunkan intensitas nyeri dan membantu menstabilkan status hemodinamik pada pasien Sindrom Koroner Akut di ruang ICCU.
Kata Kunci: Sindrom Koroner Akut, Nyeri Akut, Intervensi kombinasi Terapi Relaksasi Benson dan Murrotal.

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Intruduction : Acute Coronary Syndrome (ACS) is a cardiovascular emergency commonly accompanied by acute chest pain and hemodynamic instability. In addition to pharmacological treatment, non-pharmacological interventions are needed as complementary therapies to reduce pain and improve hemodynamic stability. The combination of Benson Relaxation Therapy and Murottal Therapy is considered a potential intervention that provides both physiological relaxation and psychospiritual benefits. This study aimed to determine the implementation of the combination of Benson Relaxation Therapy and Murottal Therapy on hemodynamic status, including blood pressure, pulse rate, and pain intensity in patients with Acute Coronary Syndrome.
Methods : This study employed a case study design using an Evidence-Based Nursing Practice (EBNP) approach. The subjects consisted of two patients with Acute Coronary Syndrome admitted to the Intensive Cardiac Care Unit (ICCU) of RSUD Haji East Java Province. Result : Mr. E, as the intervention subject, received a combination of Benson Relaxation Therapy and Murottal Therapy for approximately 15 minutes daily over three consecutive days in addition to standard medical treatment, whereas Mr. I, as the comparison subject, received only standard therapy. Measurements included blood pressure, pulse rate, and pain intensity assessed using the Visual Analogue Scale (VAS). The evaluation results demonstrated that the intervention patient experienced a reduction in pain intensity from a VAS score of 4 to 1 by the third day. Blood pressure decreased from 141/101 mmHg to 109/64 mmHg, while pulse rate became more stable, changing from 83 beats/minute to 82 beats/minute. In contrast, the comparison patient who received only standard therapy showed less improvement in pain intensity and hemodynamic status. Conclusion : Therefore, the combination of Benson Relaxation Therapy and Murottal Therapy has the potential to serve as an effective non-pharmacological nursing intervention as an adjunctive therapy to reduce pain intensity and improve hemodynamic stability in patients with Acute Coronary Syndrome in the ICCU.

Keywords: Acute Coronary Syndrome, Acute Pain, Combination intervention of Benson Relaxation Therapy and Murrotal.