Article Per Year (5 Year)
p-Index From 2021 - 2026
0.61
P-Index
This Author published in this journals
All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Adi Husada Nursing Journal Lentera Perawat
Gunawan, Annisa Pratiwi
Unknown Affiliation
Health Professions Medicine & Pharmacology Nursing Physics Public Health

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
The Relationship Between Onset-To-Treatment Time Interval and History of PCI Therapy With Triage Selection in The Cardiac Emergency Center For STEMI Patients Hanafiah, Yusuf; Zaharany, Tsania Ayu; Gunawan, Annisa Pratiwi; Amita, Dzikra Fitria; Risdianti, Helza; Firstania, Aurelia; Rajagukguk, Sartika; Aris, Muhammad Chairul
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.649

Abstract

STEMI remains the leading cause of cardiovascular mortality, demanding an integrated management system to save the myocardium, where the accuracy of triage decisions is the key determinant of timely access to cardiac catheterization. However, in practice, several clinical factors can complicate triage assessment, including variations in symptom presentation and specific patient characteristics. A prolonged onset-to-symptom interval often alters and obscures symptoms, while a history of prior Percutaneous Coronary Intervention (PCI) is not always clearly evident. This study employed an analytical observational design with a cross-sectional approach to analyze the correlation between independent and dependent variables. The study was conducted in the Cardiac Emergency Center (CEC) of Haji Adam Malik General Hospital during the period of September to December 2024. The study population consisted of all patients diagnosed with ST-Elevation Myocardial Infarction (STEMI). The sampling technique used was total sampling, yielding 86 respondents. Based on statistical testing, the correlation between STEMI onset time and triage category selection was found to be 0.003, indicating a significant correlation between the two variables. Meanwhile, the variable of PCI history with triage category selection had a significance value of 0.308, suggesting no correlation between the two variables. The onset-to-symptom interval is a factor significantly correlated with the selection of triage priority level in STEMI patients at the Cardiac Emergency Center. This reinforces the principle of “time is muscle” in STEMI management, where the duration from symptom onset to hospital arrival directly influences the assessment of severity and the determination of treatment priority by nurses.
Perceived susceptibility and vaccine hesitancy among mothers in completing basic immunization: A qualitative study Amita, Dzikra Fitria; Risdianti, Helza; Firstania, Aurellia; Zaharany, Tsania Ayu; Rajagukguk, Sartika; Khoirot, Risyda Ma'arifatul; Fajri, Dinda Nur; Gunawan, Annisa Pratiwi; Pitora, Tobi
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.705

Abstract

Background: Immunization is a highly effective public health intervention to reduce child morbidity and mortality. However, declining immunization coverage in several regions of Indonesia, including North Bengkulu Regency, reflects growing vaccine hesitancy. In Arga Makmur, concerns about post-immunization adverse events (KIPI) influence mothers’ decisions, indicating a shift in perceived susceptibility within the Health Belief Model. Objective: This study aimed to explore mothers’ perceived susceptibility related to childhood immunization and how these perceptions contribute to vaccine hesitancy in Arga Makmur, North Bengkulu. Methods: A descriptive qualitative study was conducted between October and November 2022 in the working area of the Argamakmur Community Health Center, North Bengkulu Regency, Indonesia. Nine mothers of children with incomplete immunization status were selected using purposive sampling. Data were collected through semi-structured in-depth interviews, audio-recorded, transcribed verbatim, and analyzed using Braun and Clarke’s six-phase thematic analysis. Results: Four major themes emerged from the analysis: (1) fear that injections could cause illness in children, (2) suspicion regarding the safety of vaccines and medications, (3) perceptions that children were physically weak or unfit to receive immunization, and (4) fatalistic beliefs reflected in surrender to divine destiny. Mothers tended to perceive the risks associated with vaccination as more immediate and threatening than the risks posed by vaccine-preventable infectious diseases. These perceptions were reinforced by misinformation, social narratives, and personal observations of post-immunization reactions. Conclusion: Vaccine hesitancy among mothers in Arga Makmur is strongly associated with a shift in perceived susceptibility—from concern about infectious diseases toward fear of vaccine-related risks. Addressing this imbalance requires effective risk communication, strengthening trust in healthcare providers, counteracting misinformation, and implementing culturally and religiously sensitive health promotion strategies to improve immunization acceptance.
Self-Efficacy as a Behavioral Enabler of Self-Care in Chronic Heart Failure Pitora, Tobi; Risdianti, Helza; Amita, Dzikra Fitria; Firstania, Aurellia; Bunga, Dinda Nur Fajri Hidayati; Gunawan, Annisa Pratiwi; Hanafiah, Yusuf
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.992

Abstract

Background: Chronic heart failure (CHF) is a major health problem associated with morbidity, repeated hospitalization, and long-term self-management demands. Although self-care is essential for symptom control and prevention of deterioration, many patients have difficulty maintaining effective daily management. Self-efficacy is considered an important psychological factor that may support self-care behavior.. Objective: This study aimed to examine the relationship between self-efficacy and self-care among patients with chronic heart failure and to contextualize the role of self-efficacy in supporting self-management behavior. Methods: A cross-sectional study was conducted involving 74 patients with CHF. Data were collected using the Self-Care of Heart Failure Index (SCHFI) v.6.2 and the General Self-Efficacy (GSE) Scale. Data were analyzed using descriptive statistics, Pearson’s correlation, independent t-test, and multiple linear regression. Results: Most participants were male (70.3%), with a mean age of 52.01 ± 13.46 years. The mean self-efficacy score was 35.00 ± 3.75, and the mean self-care score was 69.66 ± 3.80. Self-efficacy was positively correlated with self-care (r = 0.343, p = 0.003) and remained a significant predictor in multivariate analysis (β = 0.31, p = 0.004). Conclusion: Self-efficacy was positively associated with self-care among patients with chronic heart failure, but the modest strength of the relationship suggests that self-care is shaped by multiple interacting factors. These findings support the view that self-efficacy functions as a behavioral enabler rather than a standalone determinant of self-care. Interventions aimed at improving CHF self-management should therefore combine confidence-building strategies with broader educational, clinical, and contextual support
Co-Authors Amita, Dzikra Fitria Aris, Muhammad Chairul Bunga, Dinda Nur Fajri Hidayati fajri, Dinda nur Firstania, Aurelia Firstania, Aurellia Hanafiah, Yusuf Helza Risdianti Khoirot, Risyda Ma'arifatul Pitora, Tobi Rajagukguk, Sartika Zaharany, Tsania Ayu