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Adjusment of Students in Islamic Boarding Schools M. Agung Rahmadi; Helsa Nasution
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 2 (2022): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i2.4597

This study aims to describe the student adjustment in the Islamic boarding school. This adjustment is divided into two aspects: personal and social adjustments. This study used a quantitative descriptive method. The research population was 2,695 students of class 1 in Musthafawiyah Islamic Boarding School Purbabaru. The sample chosen was 349 students selected by using the proportional random sampling technique. The data were collected by using instruments and analyzed by using the descriptive method. The results indicated that the student self-adjustment is in a good category. Thus, the students are able to adapt to themselves and socially so that they feel satisfied with themselves and their environment.

Peran Motivasi Internal dalam Pengobatan Penyakit Fibromyalgia M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Ika Sandra Dewi; Milna Sari
Jurnal Anestesi Vol. 2 No. 4 (2024): Oktober : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v2i4.1408

This research examines the role of internal motivation in the success of fibromyalgia treatment through a systematic review and meta-analysis. Out of 1,247 identified articles, 27 studies met the inclusion criteria. The meta-analysis results indicate a significant positive correlation between internal motivation and medication adherence (r = 0.42, p < 0.001), as well as quality of life (r = 0.38, p < 0.001) among fibromyalgia patients. Additionally, a significant negative relationship was found between internal motivation and pain intensity (r = -0.31, p < 0.001). Moderator analysis revealed that the effect of internal motivation is stronger in behavioral interventions compared to pharmacological treatments (Q = 8.7, p = 0.003). Furthermore, meta-regression results indicated that disease duration significantly moderates the relationship between internal motivation and fibromyalgia treatment (? = -0.02, p = 0.03), with internal motivation having a more substantial effect in patients with a longer duration of illness. Additionally, the average age of fibromyalgia patients was found to moderate the relationship between internal motivation and patient quality of life (? = 0.01, p = 0.02). Among six clinical trials evaluating interventions to enhance internal motivation, the meta-analysis showed a significant effectiveness (d = 0.56, 95% CI: 0.38 to 0.74, p < 0.001). Consequently, these findings extend previous research by Ng et al. (2015) on the role of internal motivation in chronic conditions, demonstrating its strong relevance in the context of fibromyalgia. This study also differs from Karlsson et al. (2019), which did not find a significant correlation. The results reveal a consistent relationship between internal motivation and fibromyalgia treatment outcomes. Lastly, the novelty of this study lies in identifying specific moderating factors and providing a comprehensive evaluation of motivation-based interventions in the context of fibromyalgia.

Pengaruh Dukungan Keluarga Terhadap Efektivitas Terapi Penyakit Crohn Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Milna Sari
Jurnal Anestesi Vol. 2 No. 4 (2024): Oktober : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v2i4.1425

This study examines the impact of family support on the effectiveness of Crohn's disease therapy through a meta-analysis of 18 studies involving 5,876 patients. The analysis reveals a significant positive effect (Hedges' g = 0.58, 95% CI [0.42, 0.74], p < .001) of family support on various therapeutic outcomes. The strongest effect was observed in the dimensions of quality of life (g = 0.67, 95% CI [0.48, 0.86]) and clinical remission (OR = 2.14, 95% CI [1.68, 2.73]). Furthermore, emotional support was found to have the largest effect (g = 0.63, 95% CI [0.45, 0.81]) compared to other types of family support. Mediation analysis indicated that medication adherence (indirect effect = 0.15, 95% CI [0.08, 0.22]), stress reduction (0.12, 95% CI [0.05, 0.19]), and increased self-efficacy (0.09, 95% CI [0.03, 0.15]) were significant mediators in the relationship between family support and Crohn's disease treatment efficacy. Additionally, a stronger effect of family support was observed in patients with more severe disease (Q = 4.82, p = .028) and samples with a higher proportion of females (? = 0.012, p = .03). These findings extend the work of Sewitch et al. (2001) and Moradkhani et al. (2013) by providing a more precise quantification of the effects of family support and identifying several key moderators. Unlike Trindade et al. (2017), this study consistently found a positive effect of family support on Crohn's disease therapy. The novelty of this research lies in identifying specific mechanisms and moderating factors affecting the relationship between family support and therapy effectiveness, offering a deeper understanding of the complex role of family support in Crohn's disease management.

Efek Depresi terhadap Efektivitas Pengobatan Penyakit Crohn Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Milna Sari
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i3.1372

Crohn's disease is a chronic inflammatory condition of the gastrointestinal tract that is often accompanied by psychological disorders such as depression. This study aims to analyze the impact of depression on the effectiveness of Crohn's disease treatment through a systematic review and meta-analysis. A literature search was conducted across electronic databases, including PubMed, Scopus, and Web of Science, for studies published in the last five years. Of the 1,247 articles identified, 28 studies met the inclusion criteria. The meta-analysis results indicate that Crohn's disease patients with depression have a lower remission rate (OR = 0.65, 95% CI: 0.54-0.78) and a higher relapse rate (HR = 1.58, 95% CI: 1.32-1.89) compared to patients without depression. Additionally, subgroup analysis reveals that the negative effects of depression are more pronounced in patients receiving biological therapy. These findings underscore the importance of a holistic approach in the management of Crohn's disease, considering the psychological aspects of patients to optimize treatment outcomes.

Kepuasan Hidup dan Pengaruhnya Terhadap Keberhasilan Pengobatan Penyakit Lupus Ika Sandra Dewi; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Milna Sari
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i3.1379

This study examines the relationship between life satisfaction and the effectiveness of systemic lupus erythematosus (SLE) treatment through a systematic review and meta-analysis of 32 studies (N=8,746) published between 2018 and 2023. The analysis reveals a moderate negative correlation between life satisfaction and lupus disease activity (r=-0.38, 95% CI: -0.44 to -0.32, p<0.001). More specifically, the data demonstrate a strong positive correlation between life satisfaction and quality of life in the context of health (r=0.52, 95% CI: 0.47-0.57, p<0.001) and a moderate positive correlation with medication adherence (r=0.34, 95% CI: 0.28-0.40, p<0.001). Longitudinal analysis (n=6 studies) shows that early improvements in life satisfaction are significantly predictive of reductions in lupus disease activity (?=-0.24, p<0.001) and enhancements in quality of life (?=0.29, p<0.001) over six months to 2 years. Meta-regression analysis further identifies age (?=0.008, p=0.03) and disease duration (?=0.015, p=0.01) as significant moderators of the effect of life satisfaction on SLE treatment outcomes. These findings extend previous research by Diener and Chan (2011) on well-being and health and by Mok et al. (2019) on depression in SLE by emphasizing the specific role of life satisfaction in SLE management. The novelty of this study lies in its focus on life satisfaction rather than solely negative risk factors, highlighting the potential for life satisfaction-based interventions in the management of SLE. This research supports the integration of life satisfaction assessments and psychosocial interventions into standard SLE care protocols, offering new insights into the psychoimmunological approach to SLE treatment.

Pengaruh Emosi Positif Terhadap Hasil Pengobatan Penyakit Rheumatoid Arthritis Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Ika Sandra Dewi; Milna Sari
Jurnal Ventilator Vol. 2 No. 3 (2024): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v2i3.1389

This study evaluates the impact of positive emotions on rheumatoid arthritis (RA) treatment outcomes through a meta-analysis of 47 studies (2015-2024) involving 12,384 patients. The primary findings reveal a significant positive correlation between positive emotions and improved RA treatment outcomes (r = 0.42, p < 0.001), with the strongest effects observed in enhanced quality of life (r = 0.51) and physical function (r = 0.45). Patients exhibiting high positive emotions demonstrated greater reductions in pain (d = 0.38), decreased inflammation (d = 0.29), and improved physical function (d = 0.45) compared to control groups. Moreover, moderator analyses uncovered stronger effects among elderly patients (? = 0.012, p = 0.025) and those with longer RA duration (? = 0.018, p = 0.009). Finally, mediational analyses indicated that positive emotions contributed to improved treatment adherence (indirect effect = 0.09, 95% CI [0.05, 0.13]) and increased physical activity (indirect effect = 0.07, 95% CI [0.03, 0.11]) in RA patients. These findings extend Fredrickson's (2001) Broaden-and-Build theory and support Keefe et al.'s (2002) biopsychosocial model. Compared to meta-analyses by Brosseau et al. (2018) and Zhou et al. (2020), this study provides more comprehensive evidence on the role of positive emotions in various RA treatment outcomes. The novelty of this research lies in the analysis of previously unexplored mediating and moderating mechanisms, as well as a comparison of effectiveness with pharmacological interventions (SMD = 0.18, 95% CI [-0.05, 0.41], p = 0.124). These results support the integration of positive emotion-based interventions in RA management and expand upon Strand et al.'s (2019) findings on patient expectations in RA treatment.

Pengaruh Kecemasan Terhadap Kepatuhan Pengobatan Kanker Payudara M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Milna Sari
Jurnal Medika Nusantara Vol. 2 No. 3 (2024): Agustus : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v2i3.1354

Anxiety is a psychological factor commonly experienced by breast cancer patients and can influence medication adherence. This study aims to analyze the impact of anxiety on medication adherence among breast cancer patients through a meta-analysis of published studies. A systematic search was conducted across electronic databases, including PubMed, Scopus, and PsycINFO, to identify relevant studies published in the last five years. Inclusion criteria encompassed observational and experimental studies measuring anxiety levels and medication adherence in breast cancer patients. A meta-analysis was performed using a random-effects model to compute the effect size. The analysis revealed a significant negative relationship between anxiety levels and adherence to breast cancer treatment (r = -0.38, 95% CI: -0.45 to -0.31, p < 0.001). These findings indicate that patients with higher levels of anxiety are likely to have lower adherence to breast cancer treatment. Consequently, the findings underscore the importance of psychological interventions in reducing patient anxiety and improving medication adherence in breast cancer patients. Finally, the study highlights the need for clinical implications and future research recommendations. The results reinforce the necessity for further research and development in improving treatment outcomes and quality of life for breast cancer patients in the future.

Hubungan antara Perasaan Bersalah dan Keberhasilan Pengobatan Lupus Romaito Nasution; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Ika Sandra Dewi; Milna Sari
An-Najat Vol. 2 No. 4 (2024): NOVEMBER - An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i4.1858

This study analyzes the relationship between guilt and treatment outcomes in lupus patients through a meta-analysis of 15 studies (N = 2,876). The results indicate a significant negative correlation (r = -0.32, 95% CI [-0.39, -0.25], p < 0.001) between levels of guilt and lupus treatment success. Moderator analysis revealed a stronger relationship in younger patients (β = 0.015, SE = 0.006, p = 0.013) and those with a shorter disease duration (β = -0.021, SE = 0.009, p = 0.019). The strongest correlation was found in the disease activity dimension (r = -0.38, 95% CI [-0.46, -0.29]) compared to quality of life (r = -0.30, 95% CI [-0.38, -0.21]) or medication adherence (r = -0.25, 95% CI [-0.34, -0.15]). Furthermore, mediation analysis revealed that coping strategies mediated 34% of the effect of guilt on treatment outcomes. Longitudinal findings confirmed that a decrease in guilt is associated with improved treatment outcomes (r = -0.29, 95% CI [-0.41, -0.16], p < 0.001). These findings extend Witvliet et al. (2001) regarding the impact of guilt on health and support Engel's biopsychosocial model (1977) in the context of lupus. Unlike Navarrete-Navarrete et al. (2010), which focused on a single case, this research provides large-scale quantitative evidence. Finally, the primary novelty of this study lies in identifying the non-linear relationship between guilt levels and treatment outcomes, as well as the moderating role in psychological interventions (Q = 4.12, df = 1, p = 0.042). Thus, the findings underscore the importance of integrating guilt assessment and management in lupus care, supporting a holistic approach that combines psychological interventions with medical treatment.

Efek Kecemasan Sosial pada Pengobatan Penyakit Behçet Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Milna Sari
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 4 (2024): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i4.807

Behçet's disease is a multisystem inflammatory disorder that can significantly impact patients' quality of life. This study conducts a meta-analysis aimed at elucidating the effects of social anxiety on treatment outcomes for Behçet's disease through a comprehensive synthesis of existing literature. Initially, a systematic search was performed across major electronic databases to identify relevant studies published between 2014 and 2024. Out of 1,253 initially identified articles, 18 studies met the inclusion criteria, encompassing 2,487 Behçet's disease patients. The meta-analysis revealed a significant negative correlation between social anxiety levels and treatment adherence for Behçet's disease (r = -0.42, p < 0.001), which was positively associated with disease symptom severity (g = 0.58, 95% CI [0.41, 0.75]). Moderator analysis indicated that the effect of social anxiety on Behçet's treatment outcomes was more pronounced in patients with mucocutaneous manifestations (Q = 7.23, p = 0.007). Additionally, social anxiety showed a strong negative correlation with patients' quality of life in health (r = -0.53, p < 0.001), with the most substantial impact observed in the social functioning domain. Furthermore, thematic analysis of the potential mechanisms underlying the relationship between anxiety and Behçet's treatment outcomes confirmed the mediating roles of patient-doctor communication barriers, increased stigma perception, and avoidance behaviour. These findings underscore the importance of assessing and addressing social anxiety in the comprehensive management of Behçet's disease. The researchers suggest that these findings could have implications for improving patient treatment and quality of life. Finally, the study supports the integration of targeted psychological interventions into standard care protocols for Behçet's disease and emphasizes the need for a biopsychosocial approach to managing this condition.

Efek Emosi Negatif pada Pengobatan Penyakit Endometriosis Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Ika Sandra Dewi; Milna Sari
Observasi : Jurnal Publikasi Ilmu Psikologi Vol. 2 No. 4 (2024): November : Observasi: Jurnal Publikasi Ilmu Psikologi
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/observasi.v2i4.781

This meta-analysis investigates the impact of negative emotions on the effectiveness of endometriosis treatment. Of the 1,245 articles identified, 32 studies (n=4,876 patients) met the inclusion criteria. The results revealed a significant negative correlation between negative emotions and treatment effectiveness (r = -0.38, 95% CI [-0.45, -0.31], p < 0.001). Subgroup analysis further demonstrated a stronger effect on medical treatments (r = -0.43) compared to surgical treatments (r = -0.29, p = 0.02). Additionally, negative emotions were most strongly correlated with pain intensity (r = -0.45), followed by quality of life (r = -0.39), medication adherence (r = -0.33), and patient satisfaction with treatment (r = -0.28, p = 0.02). The meta-analysis of randomized controlled trials (RCTs) (n=8) indicated that psychological interventions could significantly enhance endometriosis treatment outcomes (SMD = 0.58, 95% CI [0.39, 0.77], p < 0.001), with cognitive-behavioural therapy (CBT) being the most effective intervention (SMD = 0.67). Furthermore, the study found that the average age of patients moderates the relationship between negative emotions and endometriosis treatment (β = -0.015, p = 0.03), specifically indicating that the strongest effects of negative emotions are observed in younger patients. Finally, mediation analysis identified that pain perception, medication adherence, and maladaptive coping mechanisms are key mechanisms in the relationship between negative emotions and treatment effectiveness. These findings extend previous research by As-Sanie et al. (2014) and Lagana et al. (2017) by quantifying the impact of negative emotions and validating the effectiveness of psychological interventions as a novel contribution. The researchers advocate for a biopsychosocial approach in endometriosis management to facilitate routine screening for psychological issues and recommend the integration of holistic interventions combining medical and psychological support into standard endometriosis care.

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