Case report of nephrotiliasis (kidney stone) patients with acute pain problems
Keywords:
acute pain, Kidney stones, nephrolithiasisAbstract
Abstract Kidney Stones or often called Nephrolithiasis is a common public health problem and the prevalence
continues to increase worldwide with a prevalence of kidney stones of 6 per 100 population / 1,499,400
Indonesians suffer from kidney stones with an age range of 30-60 years. Kidney stones (Nephrolithiasis) is the
formation of hard stones in the kidneys derived from minerals and salts, calcium and oxalic acid. This comes from
waste in the blood that crystallizes and accumulates over time, this can occur in the kidneys, ureters, bladder, and
urethra. Because of the formation of kidney stones, the flow of urine blocked which causes increased pressure in
the kidneys, causing pain and discomfort. The results of the assessment in the emergency unit of PKU
Muhammadiyah Bantul Hospital on Mrs. D aged 71 years with a diagnosis of kidney stones (nephrotiliasis)
accompanied by complaints of acute pain in the right waist accompanied and pain when urinating without blood.
Additionally, the patient vomited when transported to the hospital. Regarding those conditions, the author carried
out nursing interventions focused on using pharmacological and non-pharmacological therapy. The outcome after
interventions and two hours of obersevation, the patient's complain about her pain had decreased from a scale of
4 to 2. The patient said she felt comfortable but still looked a little anxious about her condition because the patient
would be followed up for surgery to remove her kidney stones. The role of nurses during treatment is very
important in order to improve the comfort and quality of life of patients
References
Budi Utami, W., Suwarni, S., Saiful Amin, M., Kusumawardhani, I., Sari Febriana, N., Putri Arindra,
S., & Sanchia Guivenera National College of Health Sciences, Z. I. (2020). 2G Counseling
(Prevent Kidney Stones and Love Kidney With A Healthy Lifestyle) Community of RW VI
Semanggi Village, Pasar Kliwon District 2G Counseling (Prevent Kidney Stones And Love Kidney
With A Healthy Lifestyle) Community of RW VI Semanggi Village, Pas. 596–602.
Geng, J., Qiu, Y., Kang, Z., Li, Y., Li, J., Liao, R., Qin, Z., Yang, Q., & Su, B. (2022). The association
between caffeine intake and risk of kidney stones: A population-based study. Frontiers in
Nutrition, 9. https://doi.org/10.3389/fnut.2022.935820
Hadibrata, E., & Suharmanto. (2022). Factors related to the occurrence of stones. Journal of
Professional Nurse Research, 4(3), 1041–1046.
Nisa, L., & Suandika, M. (2023). Case Study of Implementation in Mr. S with Acute Pain Nursing
Diagnosis of Post Percutaneous Nephrolithomy (PCNL). Journal of Emergencies, 5(1), 51–58.
https://doi.org/10.32583/jgd.v5i1.1296
Nugroho, R. K., & Suyanto, S. (2023). Meta-Analysis of the Effect of Deep Breathing Relaxation
Techniques on Pain in Postoperative Patients. Journal of Professional Nursing Research, 5(3),
–1048. https://doi.org/10.37287/jppp.v5i3.1698
Purwati, D., & Anita, D. C. (2025). Overcoming Acute Pain in Kidney Stone Patients: A Case Study at
Bantul Hospital. Proceedings of the National Seminar on Research and Community Service, 3(22),
–726.
Setiyadi, A. (2023). PERIOPERATIVE NURSING Author. July, 81–98.
Sucipto, Ade et al. (2016). UROLOGICAL NURSING.
Suwarni, S., & Setyaningrum, R. (2025). Community-Based Services: Health Improvement, Risk Factor
Screening, and Vein Crystal Examination for the Prevention of Kidney Stone Formation. 6(1),
–494.
Veranika, M., Inayati, A., & Ayubbana, S. (2025). Implementation of Deep Breathing Relaxation
Techniques for Pain in Postoperative Patients. Journal of Young Scholars, 5(1), 386–391.
