Jurnal NERS
Vol. 21 No. 2 (2026): VOLUME 21 ISSUE 2 (MAY 2026)

Predictors of physical, psychological, and social vulnerability of cardiovascular emergencies prevention in disaster-prone communities: A cross-sectional study

Riza Fikriana (Universitas Kepanjen, Malang, Indonesia)
Dedi Kurniawan (Universitas Kepanjen, Malang, Indonesia)
Al Afik (Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia)



Article Info

Publish Date
31 May 2026

Abstract

Introduction: Cardiovascular emergencies are the leading cause of death worldwide. In disaster-prone areas, this condition can increase because people are at risk of experiencing stress due to disasters. This study aimed to analyze the predictors of physical, psychological, and social vulnerability factors for the prevention of cardiovascular emergencies. Methods: This was a cross-sectional study. A total of 150 respondents with high-risk criteria for cardiovascular diseases and living in disaster-prone areas in West Sumbawa, Indonesia, were selected using the accidental sampling technique. The variables in this study were human resource preparedness, infrastructure readiness, availability of policy systems, access system readiness, and physical, psychological, and social vulnerability. Data were collected via questionnaires and analyzed using Fisher’s exact test and binary logistic regression (α<0.05). Results: Economic status and social support from health workers and family members were associated with all vulnerability domains. Good economic status was significantly related to reduced physical (OR=0.075;95% CI=0.023–0.250) and social vulnerability (OR=0.052;95% CI=0.011–0.250), while low economic status was related to increased psychological vulnerability (OR=2.459;95% CI=1.022–5.917). Health worker support was a critical protective factor against physical vulnerability (OR=0.042;95% CI=0.004–0.476), and family support strongly mitigated social vulnerability (OR=0.080;95% CI=0.018–0.352). Conclusions: Socioeconomic stability and interpersonal support systems are related to reducing health vulnerability in cardiovascular emergencies. Interventions should prioritize strengthening household economic resilience, enhancing family based psychosocial support, and integrating trained health workers into disaster preparedness frameworks to improve cardiovascular outcomes in pregnant women.

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Journal Info

Abbrev

JNERS

Publisher

Subject

Nursing

Description

The scope of this journal includes studies that intend to examine and understand nursing health care interventions and health policies which utilize advanced nursing research. The journal also committed to improve the high quality research by publishing analytic techniques, measures, and research ...