Keywords
Decreased Cardiac Output
Heart Care
Data Availability Statement
The data supporting the findings of this study are available from the corresponding author upon reasonable request. The data are not publicly available because they contain information that could compromise the privacy and confidentiality of the patients.
How to Cite
Abstract
Background: Congestive Heart Failure (CHF) is a chronic cardiovascular disorder characterized by the heart's inability to pump sufficient blood to meet metabolic demands, resulting in decreased cardiac output and impaired tissue perfusion. Patients commonly experience dyspnea, tachycardia, arrhythmias, orthopnea, and peripheral edema, requiring comprehensive nursing management.
Objective: To describe the implementation of the nursing process and patient outcomes in individuals with congestive heart failure and the nursing diagnosis of decreased cardiac output receiving emergency nursing care in the Intensive Cardiovascular Care Unit (ICVCU).
Methods: This descriptive case study applied the nursing process approach to two adult male patients diagnosed with CHF in the ICVCU of Kediri District Hospital in December 2025. Data were collected through interviews, physical examinations, observations, medical record reviews, vital sign monitoring, electrocardiography (ECG), oxygen saturation, fluid balance, and nursing documentation based on SDKI, SIKI, and SLKI. Data were analyzed descriptively throughout the nursing process.
Discussion: Both patients were diagnosed with decreased cardiac output based on similar clinical findings. Cardiac care interventions included hemodynamic and ECG monitoring, oxygen therapy, fluid balance monitoring, semi-Fowler positioning, and collaboration in antiarrhythmic therapy. After four days, both patients showed reduced dyspnea, improved oxygen saturation, more stable vital signs, improved peripheral perfusion, and better ECG findings, although the nursing diagnosis was partially resolved.
Conclusion: Cardiac care interventions effectively improved the clinical condition and hemodynamic stability of patients with CHF experiencing decreased cardiac output.
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Copyright (c) 2026 Na'ila Dewi Dzahabiyyah, Christianto Nugroho (Author)