Analisis Asuhan Keperawatan Pada TN.A Dengan Gangguan Sistem Kariovaskular Akibat Nstemi Dengan Intervensi Foot Massage Terhadap Penurunan Nyeri Dada Di Ruang Icu Rsud Cililin Tahun 2025

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Background: NSTEMI accounts for 32.4% of acute coronary syndrome (ACS) cases in Indonesia, with chest pain as the primary symptom due to subendocardial ischemia. Foot massage, as a non-pharmacological intervention, has the potential to reduce pain via endorphin release. Methods: A descriptive analytic case study of patient A (61 years old, male, type 2 diabetes mellitus) in the ICU of Cililin Regional Hospital (November 1-6, 2025). Gordon assessment, IDHS diagnosis (Acute Pain D.0077 priority), foot massage intervention of 20 minutes/day plus standard interventions (VS monitoring, education). Pre-post NRS pain scale. Results: Initial pain NRS 8/10 decreased to 4/10 (50% decrease) after 6 days; stable BP 80/60→120/80 mmHg; RR 27→18x/minute. No complications. Conclusion: Foot massage is effective in reducing chest pain in NSTEMI patients and is recommended as an adjuvant nursing intervention. Further studies are needed.