Gunawan, Annisa Pratiwi
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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.
THE RELATIONSHIP BETWEEN SLEEP QUALITY AND QUALITY OF LIFE IN HEMODIALYSIS PATIENTS Risdianti, Helza; Firstania, Aurelia; Zaharany, Tsania Ayu; Rajagukguk, Sartika; Gunawan, Annisa Pratiwi; Nurani, Rahmawati Dian; Bunga, Dinda Nur Fajri Hidayati; Khoirot, Risyda Marifatul; Pitora, Tobi
Jurnal Kesehatan Kusuma Husada Vol. 17 No. 1, Januari 2026
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v17i1.1909

Abstract

Background: Hemodialysis therapy has physical and psychological effects that can affect patients' sleep quality and quality of life and exacerbate their condition. Poor quality of life affects patients' sleep quality, partly due to anxiety or stress. If hemodialysis patients experience many problems, it will affect their quality of life, including disruption to their daily activities. The purpose of this study is to determine the relationship between sleep quality and quality of life in hemodialysis patients. Methods: This study uses correlation and a cross-section. It uses PSQI and the European Quality of Life 5 Dimensions. We used purposive sampling. There were 42 hemodialysis patients. Data collection was conducted in October 2024 at the PMI Hospital in Bogor City.Results: A total of 34 (81%) hemodialysis patients experienced poor sleep quality, while 16 (38.1%) experienced a moderate quality of life, and 9 (21.4%) experienced a low quality of life. There was a relationship between sleep quality and quality of life in hemodialysis patients, with a p-value < 0.004 and a correlation of -.435**.Conclusion: This means that poor sleep quality in hemodialysis patients will have an impact on their moderate to low quality of life. Sleep quality plays an important role in improving the quality of life of hemodialysis patients. Hemodialysis patients can improve their sleep quality by creating a sleep schedule, exercising regularly, getting exposure to sunlight, and sleeping when they feel sleepy so that they do not feel tired.
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.