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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

Abstract

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.
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

Abstract

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

Abstract

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 LAYANAN BIMBINGAN KELOMPOK TEKNIK PROBLEM SOLVING TERHADAP KETERAMPILAN SOSIAL SISWA KELAS XI SMK NEGERI 1 PERBAUNGAN TAHUN AJARAN 2022/2023 Alma Ika Batubara; Ika Sandra Dewi
INDOPEDIA (Jurnal Inovasi Pembelajaran dan Pendidikan) Vol. 2 No. 1 (2024): MARET 2024
Publisher : Media Inovasi Pendidikan dan Pembelajaran

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Penelitian ini dilaksanakan berdasarkan permasalahan yang ada di SMK Negeri 1 Perbaungan menunjukkan rendahnya Keteraaampilan Sosial siswa. Melalui layanan bimbingan kelompok teknik problem solving ini dapat berpengaruh terhadap keterampilan sosial siswa. Hipotesis dalam penelitian ini adalah terdapat pengaruh positif layanan bimbingan kelompok dengan teknik problem solving terhadap keterampilan sosial siswa kelas XI Penelitian ini menggunakan metode penelitian eksperimen. Instrument yang digunakan dalam penelitian ini berupa angket dengan 40 butir soal. Populasi dalam penelitian ini adalah siswa seluruh kelas XI sebanyak 105 siswa, sedangkan sampelnya pada penelitian ini diambil dengan menggunakan teknik purposive sampling, jadi sampelnya berjumlah 10 siswa. Pengumpulan data yang digunakan dalam penelitian ini terdiri data pre test dan post test. Uji Hipotesis menggunakan uji kesamaan dua rata-rata (Uji t) berdasarkan pengelolaan data akhir (post test) di peroleh nilai rata-rata 135,90 sedangkan pre test 105,50 . Hasil uji Hipotesis uji t menunjukkan bahwa dengan taraf signifikasi 5%, maka (thitung> ttabel atau 2,981> 2,262), ini berarti uji hipotesis uji t adalah H0 ditolak dan Ha diterima. Dapat disimpulkan bahwa layanan Bimbingan kelompok dengan teknik problem solving memberikan pengaruh terhadap keterampilan sosial siswa kelas XI SMK Negeri 1 Perbaungan Tahun Ajaran 2022/2023.
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

Abstract

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.
PENGARUH LAYANAN KONSELING KELOMPOK TEKNIK SELF CONTROL TEHADAP KECANDUAN GAME ONLINE PADA SISWA SMA NEGERI 21 MEDAN Siti Khairani; Ika Sandra Dewi
Jurnal Penelitian Pendidikan Indonesia (JPPI) Vol. 1 No. 3 (2024): April
Publisher : Publikasi Inspirasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62017/jppi.v1i3.966

Abstract

Jenis penelitian ini adalah penelitian eksperimen atau percobaan dengan memberikan perlakuan layanan konseling kelompok teknik self control kepada sekelompok orang yang di jadikan sampel penelitian. Rumusan masalah dalam penelitian ini adalah apakah ada pengaruh layanan konseling kelompok teknik self control terhadap kecanduan game online pada siswa  SMA Negeri 21 Medan Tahun Ajaran 2022/2023. Penelitian ini mempunyai tujuan yaitu untuk mengetahui pengaruh layanan konseling kelompok teknik self control terhadap kecanduan game online pada siswa SMA Negeri 21 Medan Tahun Ajaran 2022/2023. Populasi penelitian ini adalah siswa kelas X IPA SMA Negeri 21 Medan sebanyak 140 siswa, dan sampel yang digunakan dalam penelitian ini adalah sebanyak 10 siswa dengan menggunakan teknik self control. Instrumen yang di gunakan dalam penelitian ini adalah angket yang diberikan kepada responden untuk memberikan pemahaman tentang pencegahan dampak kecanduan game online siswa yang sebelumnya diuji cobakan untuk mengetahui validitas dan reliabilitas angket. Teknik uji analisis data mengunakan uji Paired Sampel T-Test, dari hasil perhitungan data diperoleh nilai rata-rata pre test yaitu 121.20 sedangkan nilai rata-rata post test 87.00 . Hasil uji Hipotesis ujit menunjukan bahwa dengan taraf signifikasi 5% maka (14.152) > (0,666) ini berarti hipotesis diterima. Dapat disimpulkan bahwa terdapat pengaruh pengaruh layanan konseling kelompok teknik self control terhadap kecanduan game online pada siswa SMA Negeri 21 Medan Tahun Ajaran 2022/2023.
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

Abstract

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.
Efek Stres terhadap Pengobatan Asthma Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Ika Sandra Dewi; Romaito Nasution; Milna Sari
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 4 (2024): Oktober : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i4.4346

Abstract

Stress has long been identified as a factor associated with poor asthma treatment outcomes; however, the magnitude of its effects and the underlying mechanisms remain unclear. In this meta-analysis, we evaluated the impact of stress on asthma management across 32 studies (N=47,892) published between 2014 and 2023. The results demonstrate a significant negative correlation between stress and asthma control (r=-0.42, 95% CI: -0.48 to -0.36, p<0.001), a positive correlation with symptom severity (r=0.38, 95% CI: 0.33 to 0.43, p<0.001), and a negative correlation with medication adherence (r=-0.29, 95% CI: -0.34 to -0.24, p<0.001). Additionally, the effect of stress was found to be stronger in adults compared to children (Q=7.89, p=0.005) and among individuals with low socioeconomic status (β=-0.018, p=0.010). Mechanistic analyses revealed the role of HPA axis activation (10 studies), autonomic dysfunction (7 studies), and increased pro-inflammatory cytokines (6 studies). In contrast to the findings of Sandberg et al. (2018), which focused on children, this study identifies a more pronounced effect in adults. Furthermore, these results extend the work of Chen et al. (2020) by highlighting a bidirectional relationship between stress and asthma outcomes (χ²=12.34, p=0.015), indicating a complex feedback cycle. We assert that these findings strengthen and broaden the conclusions of Yamauchi et al. (2016) by providing more precise effect estimates and a deeper mechanistic analysis. Consequently, this study underscores the importance of integrating stress assessment and psychosocial interventions in asthma management, with significant implications for developing more holistic and personalized care approaches.
Hubungan antara Kepuasan Hidup dan Pengobatan Emfisema Milna Sari; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Ika Sandra Dewi; Romaito Nasution
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 4 (2024): Oktober : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i4.4348

Abstract

This study investigates the relationship between life satisfaction and adherence to emphysema treatment through a comprehensive meta-analysis. Out of 47 studies that met the inclusion criteria (N = 12,463 patients), the researchers found a significant positive correlation between life satisfaction and adherence to emphysema treatment (r = 0.58, p < 0.001). Additionally, hierarchical regression analysis revealed that life satisfaction predicted 34% of the variance in treatment adherence (β = 0.47, p < 0.001). Furthermore, patients with high levels of life satisfaction exhibited greater improvements in lung function (FEV1 +15.3%, p < 0.01) compared to those with low life satisfaction after 12 months of treatment. These findings extend the results of Johnson et al. (2019) and Zhang et al. (2021) by demonstrating the moderating effects of age (β = -0.22, p < 0.05) and disease duration (β = -0.18, p < 0.05) on this relationship. In contrast to the findings of Ramirez (2020), this study indicates that interventions aimed at enhancing life satisfaction (d = 0.76, 95% CI [0.62, 0.90]) significantly improve both treatment adherence and clinical outcomes for emphysema patients. Ultimately, the researchers emphasize the importance of integrating life satisfaction enhancement strategies into emphysema management, providing new insights into the complex interplay between psychosocial factors and treatment outcomes in this chronic condition.