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Analisa Faktor Yang Mempengaruhi Waktu Tunggu Pelayanan Obat Pasien Rawat Jalan Di Instalasi Farmasi Rumah Sakit Dr. Oen Kandang Sapi Solo Rara Elyza Herasmara Triagypta; Muljadi Hartono; Warsini; Lilik Sriwiyati
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.2094

Background: With advancements in medical technology, hospitals can provide fast and accurate medical services, serving as referral hospitals according to their level. The waiting time for prescription services also affects patients' expectations of hospital services, particularly pharmaceutical services. Efforts to reduce waiting times are necessary to enhance patient satisfaction, treatment effectiveness, and the workload of medical staff. Objective: The aim of this study is to identify the factors that influence the waiting time for outpatient medication services. Method: This research employs a mixed-method approach. The population in this study consisted of 10,607 prescription sheets and 23 pharmacy staff. The sample was taken using Slovin's formula, resulting in 385 prescription sheets and 10 staff members selected through consecutive sampling. Data analysis was conducted using Chi-square tests and qualitative analysis. Results: The study found that 93.5% of prescription sheets had waiting times that complied with standard of the minister of health, while 6.5% did not. The research also revealed no significant effect between the type of prescription and the compliance of waiting times for medication services at Dr. OEN KANDANG SAPI SOLO HOSPITAL, with a p-value of 0.134 (p>0.05). However, interviews indicated that factors such as drug availability, prescription completeness, human resources availability, and the availability of facilities and equipment do influence waiting times for medication services. Conclusion: The waiting time for medication services at the Pharmacy Installation of Dr. OEN KANDANG SAPI SOLO HOSPITAL mostly meets the standards. The type of prescription does not have a statistical impact; however, factors such as drug availability, prescription completeness, human resources, and facilities and equipment can affect waiting times.

Analisis asuhan keperawatan pada pasien dengan kegawatdaruratan sistem kardiovaskuler berbasis teori adaptasi calista roy Lilik Sriwiyati; Ayuni Rizka Utami; Yayuk Dwi Oktiva; Wiwik Wariani
JOURNAL OF Medical Surgical Concerns Vol. 5 No. 2 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/msc.v5i2.2042

Background: Cardiovascular emergencies are a leading cause of mortality and morbidity in Indonesia and worldwide. Approximately 80% of sudden deaths are caused by coronary heart disease. Nurses play an important role in the management of patients experiencing cardiovascular emergencies. Consistent and comprehensive implementation of the emergency nursing process is key to providing quality nursing care. Purpose: to analyze nursing care for patients with cardiovascular emergencies. Method: A case study design. Data were collected through direct observation, interviews with patients and families, and review of medical records. Variables collected included medical diagnoses, assessment data, physical examination and supporting examination results, problem analysis, interventions, implementation, and nursing evaluation. Results: STEMI patients experience chest pain, shortness of breath, cold sweats, ST elevation on electrocardiography, and elevated troponin levels. The nursing problem identified is ineffective myocardial perfusion. The actions taken included administering nasal cannula oxygen therapy at 3 lpm, recording a 12-lead ECG, administering ASA 300 mg, CPG 300 mg, parenteral fluids, ISDN 5 mg (sublingual), Candesartan 8 mg, inserting a urinary catheter, and observing vital signs. Evaluation after treatment in the ER showed that the problem of ineffective myocardial perfusion was partially resolved, so the patient was admitted to the ICCU for further treatment. Conclusion: Patients with cardiovascular emergencies experience ineffective myocardial tissue perfusion. Patients are given several treatments to address their emergency conditions, including ASA, CPG, ISDN, and Candesartan therapy. Keywords: Cardiovascular System; Emergency Care; Nursing Care. Pendahuluan: Kegawatdaruratan sistem kardiovaskular merupakan penyebab mortalitas dan morbiditas utama di Indonesia dan di dunia. Sekitar 80% kematian mendadak disebabkan oleh penyakit jantung coroner. Perawat memiliki peran yang penting dalam penanganan pasien yang mengalami kegawatdaruratan sistem kardiovaskular. Penerapan proses keperawatan gawat darurat secara konsisten dan komprehensif menjadi kunci keberhasilan dalam memberikan asuhan keperawatan yang berkualitas. Tujuan: Untuk menganalisis asuhan keperawatan pada pasien kegawatdaruratan sistem kardiovaskuler. Metode: Desain studi kasus. Data dikumpulkan dengan melakukan observasi langsung, wawancara dengan pasien dan keluarga, serta review rekam medis. Variabel yang dikumpulkan meliputi diagnosa medis, data hasil pengkajian, hasil pemeriksaan fisik dan pemeriksaan penunjang, analisis masalah, intervensi, implementasi, serta evaluasi keperawatan. Hasil: Pasien STEMI mengalami manifestasi nyeri dada, sesak napas, keringat dingin, Gambaran ST elevasi pada elektrokardiografi, serta adanya peningkatan troponin. Masalah keperawatan yang ditemukan adalah perfusi jaringan miokard tidak efektif. Tindakan yang dilakukan berupa pemberian terapi oksigen nasal canul 3 lpm, perekaman EKG 12 lead, pemberian terapi ASA 300 mg, CPG 300 mg, cairan parenteral, ISDN tab 5 mg (sub lingual), Candesartan 8 mg, pemasangan kateter urin dan observasi TTV. Evaluasi setelah dilakukan perawatan di UGD didapatkan hasil masalah perfusi jaringan miokard tidak efektif teratasi sebagian, maka untuk perawatan lebih lanjut pasien dirawat di ICCU Simpulan. Pasien dengan kegawatdaruratan sistem kardiovaskuler mengalami masalah perfusi jaringan miokard tidak efektif. Pasien diberikan beberapa tindakan untuk menangani kondisi kegawatdaruratannya berupa pemberian terapi ASA, CPG, ISDN, dan Candesartan. Kata Kunci: Asuhan Keperawatan; Kegawatdaruratan; Sistem Kardiovaskuler.

Gambaran Implementasi Manajemen Kesehatan dan Keselamatan Kerja pada Tenaga Medis dan Non Medis Rumah Sakit X Nathaniela Kezia Hermawan; Lilik Sriwiyati; I Putu Juni Andika; Sri Aminingsih
Tamilis Synex: Multidimensional Collaboration Vol. 4 No. 04 (2026): Tamilis Synex
Publisher : CV Edujavare Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70610/tls.v4i03.1502

Hospitals are work environments with high levels of occupational safety and health risks for medical and non-medical personnel, requiring the implementation of Hospital Occupational Health and Safety (K3RS) management through the application of risk management and preparedness in dealing with emergency situations.This study used a descriptive quantitative design with a cross-sectional approach.The research subjects consisted of 120 respondents, including medical and non-medical personnel, who were selected using purposive sampling. Data were collected using questionnaires and analyzed univariately. The implementation of risk management was mostly in the good category, although there were still obstacles in the consistency of incident reporting and the application of ergonomic principles in the work environment. The level of preparedness of medical and non-medical personnel was also mostly in the good category, as indicated by their understanding of hazard reporting mechanisms, risk documentation, and emergency response procedures. Respondent characteristics such as length of service and education level also influenced the implementation of K3RS. The implementation of risk management and preparedness has been good, but still needs improvement through strengthening the reporting culture, continuous monitoring, and improving workplace ergonomics.

Hubungan Kepuasan Pasien dengan Waktu Tunggu Pasien Rawat Jalan Rumah Sakit X Tata Arayan; Lilik Sriwiyati; Tunjung Sri Yulianti; I Putu Juni Andika
An Nafi': Multidisciplinary Science Vol. 2 No. 03 (2025): An Nafi’
Publisher : CV Edujavare Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70610/annafi.v2i03.936

Patient satisfaction is an important indicator of healthcare service quality, one of which is influenced by waiting time. Initial observation showed that the waiting time in the general polyclinic was still long, around 90–120 minutes. This study aims to determine whether there is a relationship between waiting time and patient satisfaction in outpatient installations. We conducted an observational study with a cross-sectional design. The population was 100 outpatients at Dr. Oen Hospital, Solo Baru, who visited in 2024. Using a purposive sampling technique, a sample of 64 patients was taken. There were two main variables studied, namely waiting time (measured by an observation sheet) and patient satisfaction (measured by a questionnaire). Data were analyzed using chi-square test. Most patients (79.7%) waited > 60 minutes with an average of 74.98 minutes, but 71.9% were still very satisfied. The chi-square analysis showed no significant relationship between waiting time and patient satisfaction (p = 0.399). Based on the results of the study, it can be concluded that the length of waiting time for registration does not affect patient satisfaction in outpatient installations. However, it is still recommended that the hospital continue to strive to reduce patient waiting time so that service capacity increases.

The Effect 0f Combined Pursed Lip Breathing and Peppermint Aromatherapy on the Respiratory Status of Coronary Heart Disease Patients Lilik Sriwiyati; Abu Bakar; Herdina Maryanti
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.645

Since cardiovascular disease is the world's biggest cause of death, it poses a threat to the entire planet. Common signs of cardiac issues include shortness of breath, changes in breathing patterns, breathing frequency, and breathing depth. Patients with coronary heart disease require intervention to enhance their respiratory condition since respiratory issues can negatively impact their quality of life. It is necessary to demonstrate how a combination therapy of pursed lip breathing (PLB) and peppermint aromatherapy affects the respiratory condition of individuals with coronary heart disease. Only one intervention—breathing exercises to lessen dyspnea or aromatherapy to lessen tension and anxiety in individuals with coronary heart disease—has been offered by prior research. In order to enhance the respiratory status of patients with coronary heart disease, this study combines pursed lip breathing with peppermint aromatherapy interventions. Purposive sampling strategies were used to split a sample of 44 coronary heart disease patients into an intervention group and a control group for the quasi-experimental study design. Stopwatches, oximeters, and observation sheets were the tools utilized. The Mann Whitney U Test and the Wilcoxon Signed Rank Test were used for statistical analysis. Following the intervention, the data demonstrated an increase in oxygen saturation and a decrease in respiratory rate. Both the rise in oxygen saturation and the decrease in respiratory rate were greater in the intervention group compared to the control group. The combination therapy of pursed lip breathing and peppermint aromatherapy had an impact on respiratory status, according to the statistical test findings, which indicated a p-value < 0.05. In patients with coronary heart disease, the combination therapy of pursed lip breathing and peppermint aromatherapy was found to significantly lower respiratory rate and raise oxygen saturation.

Hubungan tingkat pemahaman masyarakat terhadap efektivitas penerapan aplikasi satusehat Soelaiman Toesara Hendradiwirja; Safaruddin Safaruddin; Lilik Sriwiyati; Hendra Dwi Kurniawan
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i3.3725

Background: Digital transformation in the health sector has led to the development of the SATUSEHAT Mobile application as a continuation of PeduliLindungi. Although downloaded millions of times, its active users have declined significantly, presumably due to low public understanding. In Boyolali Regency, users decreased from 52,241 in May to 17,753 in July 2025, while in Pulisen Village, only 2,143 of 3,958 households use the application. Purpose: To examine the relationship between the level of public understanding and the effectiveness of the implementation of the SATUSEHAT Mobile application in Pulisen Village, Boyolali, Central Java, in 2025. Methods: This study employed a quantitative research design with a cross-sectional approach. The research involved 108 respondents from the community of Pulisen Village, Boyolali. The sample selected using a purposive sampling method. Results: The results showed a significant relationship between the level of public understanding and the effectiveness of the implementation of the SATUSEHAT Mobile application. A higher level of public understanding was associated with more effective application implementation. Conclusion: Communities with a better level of understanding tend to demonstrate more effective implementation of the SATUSEHAT Mobile application. Improved public understanding plays an important role in optimizing the utilization of the SATUSEHAT Mobile application in supporting health services. Keywords: Community Understanding; Effectiveness; SATUSEHAT Application. Pendahuluan: Transformasi digital di sektor kesehatan mendorong lahirnya aplikasi SATUSEHAT Mobile, sebagai lanjutan dari PeduliLindungi. Meski telah diunduh jutaan kali, jumlah pengguna aktif menurun signifikan, diduga akibat rendahnya pemahaman masyarakat. Studi pendahuluan di Kabupaten Boyolali menunjukkan penurunan pengguna dari 52,241 orang pada Mei menjadi 17,753 orang pada Juli 2025. Di Kelurahan Pulisen, hanya 2,143 dari 3,958 kepala keluarga yang menggunakan aplikasi tersebut. Tujuan: Untuk mengetahui bagaimana hubungan tingkat pemahaman masyarakat terhadap efektivitas penerapan aplikasi SATUSEHAT di Kelurahan Pulisen Boyolali Jawa Tengah 2025. Metode: Penelitian ini menggunakan desain kuantitatif dengan cross sectional. Penelitian ini melibatkan 108 responden dari masyarakat Kelurahan Pulisen. Sampel ditentukan menggunakan purposive sampling. Hasil: Hasil penelitian menunjukkan adanya hubungan antara tingkat pemahaman masyarakat terhadap efektivitas penerapan aplikasi SATUSEHAT Mobile. Tingkat pemahaman masyarakat memiliki hubungan yang signifikan dengan efektivitas penerapan aplikasi SATUSEHAT Mobile. Simpulan: Masyarakat dengan tingkat pemahaman yang lebih baik cenderung menunjukkan penerapan aplikasi yang lebih efektif. Semakin baik pemahaman masyarakat terhadap aplikasi SATUSEHAT Mobile, maka semakin efektif pula penerapan aplikasi tersebut dalam mendukung layanan kesehatan. Temuan ini menunjukkan bahwa peningkatan pemahaman masyarakat menjadi faktor dalam mengoptimalkan pemanfaatan aplikasi SATUSEHAT Mobile. Kata Kunci: Aplikasi SATUSEHAT; Efektivitas; Pemahaman Masyarakat.

Studi kasus asuhan keperawatan pada pasien pneumonia dengan diagnosa sekunder hypertensive hearth disease Lilik Sriwiyati; Tri Yahya Christina; Safaruddin Safaruddin; I Putu Juni Andika
JOURNAL OF Pharmacy and Tropical Issues Vol. 5 No. 2 (2025): December Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/pti.v5i2.3226

Background: Pneumonia is the leading cause of death among children under five years of age. In addition to infants, the elderly and individuals with weakened immune systems are also highly susceptible to pneumonia. The incidence of pneumonia in Indonesia is on the rise. The prevalence of pneumonia in Java Province remains quite high, warranting serious attention. Nursing care for patients with pneumonia is essential, given that this disease is quite serious and significantly impairs the patient’s ability to meet the body’s oxygen needs. Purpose: To analyze nursing care for patients with pneumonia and a secondary diagnosis of hypertensive heart disease, covering the assessment, establishment of nursing diagnoses, interventions, implementation, and evaluation. Method: This study is a descriptive-analytical study using a case study approach. The purpose of the study is to describe the implementation of nursing care for a patient with pneumonia and a secondary diagnosis of hypertensive heart disease. The subject of the case study was one patient with pneumonia. Data analysis was performed using descriptive analysis.. Results: A patient with pneumonia and a secondary diagnosis of hypertensive heart disease presented with signs and symptoms of shortness of breath, chest heaviness, palpitations, and weakness; blood pressure readings indicated stage 1 hypertension. ECG revealed sinus rhythm with first-degree AV block, alternating episodes of TAVB with junctional escape rhythm and multiple PJCs; blood gas analysis indicated compensated metabolic acidosis; the P/F ratio indicated mild respiratory failure; chest X-ray showed pneumonia; and the chest X-ray revealed cardiomegaly accompanied by aortosclerosis. Based on these findings, the nursing diagnoses were established as impaired gas exchange and decreased cardiac output. The established SLKI (Specific Nursing Interventions) were acid-base balance and increased cardiac output. The established SIKI (General Nursing Interventions) were respiratory monitoring and cardiac care. Conclusion: Following treatment of a patient with pneumonia and a secondary diagnosis of hypertensive heart disease, who presented with gas exchange abnormalities and reduced cardiac output, the patient was able to achieve acid-base balance and an increased cardiac output. Keywords: Hypertensive Heart Disease; Nursing Care; Pneumonia. Pendahuluan: Pneumonia merupakan penyebab kematian terbesar pada anak di bawah usia lima tahun. Selain pada balita, lansia dan individu dengan sistem imun yang rendah juga sangat rentan menderita pneumonia. Kejadian pneumonia di Indonesia menunjukkan adanya peningkatan. Prevalensi pneumonia di Provinsi Jawa masih cukup tinggi sehingga memerlukan perhatian serius. Asuhan keperawatan pada pasien dengan pneumonia sangat diperlukan mengingat penyakit ini cukup serius dan sangat mengganggu kemampuan pasien dalam memenuhi kebutuhan oksigen tubuh. Tujuan: Untuk menganalisis asuhan keperawatan pada pasien pneumonia dengan diagnosa sekunder hypertensive hearth disease mulai dari pengkajian, penegakan diagnose keperawatan, intervensi, implementasi dan evaluasi. Metode: Penelitian ini adalah jenis penelitian deskriptif analitik dengan pendekatan studi kasus. Tujuan penelitian untuk mengetahui gambaran pelaksanaan asuhan keperawatan pada pasien pneumonia dengan diagnose sekunder hypertensive hearth disease. Subyek studi kasus adalah satu pasien dengan pneumonia. Analisa data menggunakan analisis deskriptif. Hasil: Pasien dengan pneumonia dengan diagnose sekunder hypertensive hearth disease didapatkan tanda dan gejala sesak nafas, dada terasa berat, jantung berdebar-debar, tubuh terasa lemah, tekanan darah menunjukkan hipertensi derajat 1, EKG didapatkan Irama sinus dengan AV block derajat 1, alternating episode TAVB dengan irama lolos junctional dengan multiple PJC, analisa gas darah menunjukkan asidosis metabolic terkompensasi, P/F rasio menunjukkan gagal napas ringan, rontgen thorax menunjukkan pneumonia, thorax menunjukkan cardiomegaly disertai aortosclerosis. Berdasarkan data tersebut ditegakkan masalah keperawatan gangguan pertukaran gas dan penurunan cardiac output. SLKI yang ditegakkan adalah keseimbangan asam basa dan curah jantung meningkat. SIKI yang ditegakkan adalah pemantauan respirasi dan perawatan jantung. Simpulan: Setelah dilakukan perawatan pada pasien pneumonia dengan diagnosa sekunder hypertensive hearth disease dengan masalah pertukaran gas dan penurunan cardiac output, pasien mampu mencapai keseimbangan asam basa dan mencapai cardiac output yang meningkat. Kata Kunci: Asuhan Keperawatan; Hypertensive Hearth Disease; Pneumonia.

EDUKASI DAN DONASI AIR BERSIH SEBAGAI UPAYA PEMENUHAN AIR BERSIH DI DESA ALASOMBO, WERU, SUKOHARJO Hendra Dwi Kurniawan; Lilik Sriwiyati; Muljadi Hartono; Yovita Prabawati Tirta Dharma; Anastasia Lina Dwi Nursanti
Journal of Community Engagement in Health and Nursing Vol. 2 No. 1 (2024): January
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jcehn.v2i1.341

Air bersih merupakan hal yang penting dalam kehidupan sehari – hari. Ketersediaan air bersih wajib diperhatikan, karena sangat bermanfaat dan penting dalam kelangsungan hidup. Warga desa Alasombo, Kecamatan Weru, Kabupaten Sukoharjo setiap tahun mengalami kekurang air bersih dalam musim kemarau. Banyak warga yang belum memahami dan mengerti tentang pentingnya air bersih bagi kehidupan sehari – hari. Untuk itu perlu adanya edukasi tentang pemanfaatan air bersih dan donasi air bersih. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan warga dalam pemanfaatan dan pengelolaan air bersih bagi kelangsungan hidup sehari – hari dan juga donasi air bersih untuk memenuhi kebutuhan air bersih untuk kelangsungan hidup sehari – hari.

Nyeri dada pasien penyakit jantung koroner pasca pemberian terapi kombinasi pursed lip breathing dan aromaterapi peppermint Lilik Sriwiyati; Safaruddin Safaruddin; Tri Yahya Christina; I Putu Juni Andika
Hik Vol. 20 No. 3 (2026): Volume 20 Nomor 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i3.1869

Background: Cardiovascular disease is a global threat and a leading cause of death worldwide. One common symptom experienced by patients with coronary heart disease is chest pain, which can potentially reduce their quality of life. Therefore, interventions are needed to alleviate these symptoms, including analyzing the effects of a combination of pursed lip breathing and peppermint aromatherapy. Purpose: To analyze chest pain in patients with coronary heart disease after receiving a combination of pursed lip breathing and peppermint aromatherapy. Method: This study used a quasi-experimental design with pursual sampling. The total sample consisted of 44 coronary heart disease (CHD) patients undergoing treatment at Ir. Soekarno Regional General Hospital, Sukoharjo Regency, and they were divided into two groups: the intervention group and the control group. Data collection was conducted using an observation sheet, while statistical analysis was performed using the Wilcoxon Signed Rank Test and the Mann-Whitney U-test. Results: The combination of pursed lip breathing and peppermint aromatherapy was statistically proven to have a significant effect on pain reduction with a p-value of 0.000. Both groups experienced a decrease in pain scores at post-test compared to pre-test. However, the reduction in pain scores in the intervention group was significantly greater than in the control group. Conclusion: The combination of pursed lip breathing and peppermint aromatherapy had a positive effect on reducing chest pain scores in patients with coronary heart disease. There was a significant difference in pain reduction between the patient groups who received the intervention and those who did not. Suggestion: Nurses and healthcare institutions are encouraged to implement this combination therapy as a complementary stand-alone intervention, along with standard operating procedures (SOPs). Future researchers should monitor pain scores periodically after the intervention is discontinued to measure the duration of its effectiveness. Keywords: Chest Pain; Combination Therapy; Coronary Heart Disease; Peppermint Aromatherapy; Pursed Lip Breathing. Pendahuluan: Penyakit kardiovaskular merupakan ancaman global dan penyebab utama kematian di seluruh dunia. Salah satu gejala umum yang dialami pasien penyakit jantung koroner adalah nyeri dada, yang berpotensi megurangi kualitas hidup mereka. Oleh karena itu, diperlukan intervensi untuk meringankan gejala-gejala ini, termasuk analisis efek pengaruh dari kombinasi pursed lip breating (PLB) dan aromaterapi peppermint. Tujuan: Untuk menganalisis nyeri dada pasien penyakit jantung koroner pasca pemberian terapi kombinasi pursed lip breathing dan aromaterapi peppermint. Metode: Penelitian ini menggunakan desain kuasi-eksperimental dengan pemilihan sampel melalui teknik purposive sampling. Total sampel terdiri dari 44 pasien penyakit jantung koroner (PJK) yang menjalani perawatan di RSUD Ir Soekarno, Kabupaten Sukoharjo, kemudian dibagi mejadi dua kelompok, yaitu kelompok intervensi dan kontrol. Pengumpulan data dilakukan menggunakan lembar observasi, sedengakan analisis statistik diuji menggunakan Wilcoxon Signed Rank Test dan Mann Whithney U-Test. Hasil: Kombinasi Pursed lip breating (PLB) dan aromaterapi peppermint secara statistik terbukti memiliki efek signifikan dalam menurunkan skala nyeri dengan p-value= 0.000. Kedua kelompok mengalami penurunan skala nyeri pada post-test jika dibandingkan dengan pre-test. Namun, penurunan skala nyeri pada kelompok intervensi tercatat jauh lebih besar dibandingkan kelompok kontrol. Simpulan: Terapi kombinasi pursed lip breating (PLB) dan aromaterapi peppermint memberikan pengaruh positif dalam menurunkan skala nyeri dada pasien PJK. Terdapat perbedaan penurunan skala nyeri yang signifikan anatara kelompok pasien yang menerima intervensi dan yang tidak menerima intervensi. Saran: Perawat dan instansi pelayanan kesehatan diharapkan menerapkan kombinasi terapi ini sebagai intervensi mandiri komplementer berserta SOP bakunya. Bagi peneliti selanjutnya, dapat memantau skala nyeri secara berkala setelah intervensi dihentikan untuk mengukur durasi efektivitasnya. Kata Kunci: Aromaterapi Peppermint; Nyeri Dada; Penyakit Jantung Koroner; Pursed Lip Breathing; Terapi Kombinasi.

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