Key result
Comprehensive nursing care achieves a ~5-point pain reduction in unstable angina.
Why the study?
Medical-surgical nursing care for patients with Unstable Angina Pectoris requires detailed description to guide clinical practice and improve patient outcomes.
Case Report (n=1)
No
Comprehensive medical-surgical nursing interventions, including semi-Fowler positioning, oxygen therapy, and relaxation techniques, successfully improved pain and breathing patterns in a patient with unstable angina pectoris.
May support multimodal nursing care in unstable angina; leaves open generalizability beyond this single case.
Attachment Unstable Angina Pectoris is an acute coronary syndrome caused by reduced blood flow to the heart muscle, resulting in chest pain. According to the World Health Organization (WHO) in 2022, cardiovascular diseases accounted for 17.5 million deaths (15.5%). This study aimed to provide medical-surgical nursing care for patients with Unstable Angina Pectoris. This study employed a qualitative method with a descriptive case study approach. The research subject was a patient diagnosed with Unstable Angina Pectoris, namely Mr. J, aged 76 years. The study was conducted from April 30 to May 2, 2026, in the Melati Ward of Vita Insani Hospital Pematangsiantar. The nursing assessment of Mr. J revealed complaints of left-sided chest pain with a pain scale of 7, radiating to the shoulder and back. The nursing diagnoses established were acute pain, decreased cardiac output, and ineffective breathing pattern. After three days of nursing care, including pain management, oxygen therapy, monitoring, semi-Fowler positioning, deep breathing relaxation techniques, health education, and collaborative medical therapy, the patient's condition improved significantly. Medical-surgical nursing care provided to patients with Unstable Angina Pectoris resulted in clinical improvement, and all nursing problems were successfully resolved. Patients are expected to adhere to medications, adopt a healthy lifestyle, and follow a heart-healthy diet to prevent recurrence and complications
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Sinaga et al. (2026) conducted a case report in Unstable Angina Pectoris (n=1). Medical-surgical nursing care was evaluated on Clinical improvement and pain scale reduction. Three days of medical-surgical nursing care for a 76-year-old man with unstable angina pectoris successfully resolved acute pain, reducing his reported pain scale from 7 to 2.
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