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All Journal Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences International Journal of Medicine and Health Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Detector: Jurnal Inovasi Riset Ilmu Kesehatan Jurnal Mahasiswa Ilmu Kesehatan Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Jurnal Medika Nusantara Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi Medical Laboratory Journal Vitamedica: Jurnal Rumpun Kesehatan Umum Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan The Journal General Health and Pharmaceutical Sciences Research Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Observasi: Jurnal Publikasi Ilmu Psikologi Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan International Journal Of Public Health International Journal of Health and Medicine Jurnal Praba: Jurnal Rumpun Kesehatan Umum
Helsa Nasution
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Religion Arts Humanities Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Hubungan Dukungan Sosial dalam Pengobatan Sklerosis Multipel Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing; Romaito Nasution; Milna Sari
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 2 No. 4 (2024): November : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v2i4.4424

Abstract

This meta-analysis examined the relationship between social support and medication adherence among multiple sclerosis (MS) patients through a synthesis of 47 studies (N=12,356). The findings confirmed a significant positive correlation (r=0.42, p<0.001, 95% CI [0.38, 0.46]) with substantial heterogeneity (I²=84.0%). Contrary to Cohen et al.'s (2019) finding that informational support was the strongest predictor, our moderator analyses revealed emotional support as the most robust predictor (β=0.39, p<0.001). Furthermore, this research demonstrated that the effects of social support on MS medication adherence were stronger among women (β=0.18, p=0.023) and patients with longer disease duration (β=0.24, p=0.009), extending Franqueiro et al.'s (2023) findings regarding gender differences in social support effectiveness. Family support showed the largest effect (r=0.48, p<0.001), followed by friends (r=0.40, p<0.001) and healthcare providers (r=0.35, p<0.001). Moreover, mediation modeling revealed a significant role of self-efficacy (indirect effect=0.21, 95% CI [0.17, 0.25]), expanding upon Bandura's (2018) model. Supporting Lavorgna et al.'s (2018) findings, our results confirmed that online social support proved equally effective as offline support (Q=1.87, p=0.171). These findings demonstrated robustness through sensitivity analyses and trim-and-fill procedures, confirming resilience against publication bias (adjusted r=0.39, 95% CI [0.35, 0.43]). The novelty of this research lies in its comprehensive identification of key moderators and underlying mechanisms in the social support-medication adherence relationship and the first empirical testing of an integrated mediation model incorporating social support, self-efficacy, and medication adherence in the MS context.
The Dynamics of Personal Adjustment in Quranic Memorization Students: A Mixed-Methods Analysis of Self-Acceptance, Objective Self-Action, and Self-Confidence in Islamic Boarding Schools M. Agung Rahmadi; Said Agil Husin Al Munawar; Achmad Syahid; Abdul Rahman Shaleh; Helsa Nasution
International Journal of Medicine and Health Vol. 3 No. 4 (2024): Desember : International Journal of Medicine and Health (IJMH)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i4.4362

Abstract

This study examines the dynamics of personal adjustment in Quranic memorization students using a mixed methods approach, combining quantitative field analysis as primary data and meta-analysis as secondary data. The field study involved 515 students from two Indonesian Islamic boarding schools: Pesantren Tahfizh Daarul Qur'an and Yayasan Islamic Centre Sumatera Utara. The meta-analysis included 30 studies (N = 4,827) from international databases. The quantitative analysis showed a high level of personal adjustment among students (M = 3.66, SD = 0.52), with the highest score on acting objectively according to one's conditions and potential (M = 3.85, SD = 0.48). Regression analysis revealed that self-acceptance significantly predicted overall personal adjustment (β = 0.42, p < .001). The meta-analysis confirmed a positive relationship between self-acceptance and personal adjustment (r = 0.53, 95% CI [0.47, 0.59]). Moderator analysis indicated a stronger effect for female students (r = 0.58) than males (r = 0.49). These findings extend the research of Ahmad et al. (2022) and Rahma (2023) by identifying unique factors influencing personal adjustment of Quranic memorization students, such as memorization intensity (β = 0.31, p < .01) and social support in Quranic boarding schools (β = 0.28, p < .01). Additionally, the integration of primary and secondary data provides a comprehensive understanding of the dynamics of personal adjustment in Quranic memorization students, emphasizing the importance of evidence-based interventions to enhance the psychological well-being of these students.
The Construct of Emotional Support in Quranic Memorization Students: A Study on the Dynamic Influence of Reliable Relationships, Trusted Guidance, Psychological Well-being, and Quranic Memorization Achievement M. Agung Rahmadi; Achmad Syahid; Said Agil Husin Al Munawar; Abdul Rahman Shaleh; Helsa Nasution; Luthfiah Mawar
International Journal of Health and Medicine Vol. 1 No. 4 (2024): October : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v1i4.109

Abstract

Using a mixed-method approach, This study examines emotional support for Quranic memorization students (santri tahfidz) in Islamic boarding schools (pesantren). Quantitative analysis of 515 santri tahfidz revealed high levels of emotional support (M = 3.74, SD = 0.68) with two primary dimensions: reliable relationships (74.96%) and trusted guidance (75.17%). Multiple regression analysis uncovered a significant relationship between emotional support and Quranic memorization achievement (β = 0.42, p < .001, R² = 0.18). A meta-analysis of 28 studies (N = 3,627) confirmed a positive correlation between emotional support and students' psychological well-being (r = 0.39, 95% CI [0.34, 0.44]). MANOVA results indicated significant differences in santri tahfidz's perceptions of emotional support based on gender (Wilks' λ = .97, F(2, 512) = 7.85, p < .001, partial η² = .03) and age (Wilks' λ = .95, F(4, 1022) = 6.73, p < .001, partial η² = .03). These findings extend previous research by Hasfi (2018) and Vista (2018) by identifying the specific roles of teacher support (β = 0.31, p < .01) and peer support (β = 0.28, p < .01) in enhancing student resilience. Furthermore, this study contributes to a more comprehensive understanding of emotional support dynamics in pesantren tahfidz education, integrating Bronfenbrenner's (1979) ecological perspective and Deci and Ryan's (2000) self-determination theory. Finally in a practical context, the researcher evaluates this study has implications for the development of more structured and efficient emotional support intervention programs in tahfidz pesantren.
Reproductive Status Affecting the Incidence of Hypertension in Pregnancy at Prof. Dr. Chairuddin P. Lubis Educational Hospital, Medan City Luthfiah Mawar; Rahayu Lubis; Asfriyati Asfriyati; M. Agung Rahmadi; Helsa Nasution
International Journal of Public Health Vol. 2 No. 1 (2025): March : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v2i1.300

Abstract

Hypertension in pregnancy is one of the leading causes of maternal mortality, with a global prevalence of 5–10% (Khedagi & Bello, 2021). This study aims to analyze the effect of reproductive status—maternal age, gravidity, and parity—on the incidence of hypertension in pregnancy at Prof. Dr. Chairuddin P. Lubis Educational Hospital, Medan. A case-control design was employed with 96 respondents, consisting of 48 cases and 48 controls. Bivariate analysis revealed that pregnant women aged ≥35 years have a 2.839-fold higher risk of developing hypertension compared to those aged <35 years (OR=2.839; 95% CI: 1.123–7.177; p=0.027). First pregnancy (primigravida) increases the risk by 2.742 times compared to multigravida (OR=2.742; 95% CI: 1.047–7.178; p=0.040), while nulliparous women have a 2.714-fold higher risk compared to those who have given birth (OR=2.714; 95% CI: 1.101–6.693; p=0.030). Multivariate analysis identified maternal age ≥35 years and nulliparity as the most significant predictors (p=0.005). These findings align with studies by Wiranto & Putriningtyas (2021), Hinkosa et al. (2020), and Luo et al. (2020), which confirmed that advanced maternal age and nulliparity increase the risk of pregnancy complications. The novelty of this research lies in integrating all three reproductive status factors as simultaneous predictors of hypertension risk, providing a new perspective compared to previous studies focused on single variables. Based on these findings, early detection and targeted health education for high-risk mothers are strongly recommended.
Analisis Longitudinal Prevalensi Post-Traumatic Stress Disorder Pengungsi Suriah : Suatu Studi 14 Tahun Pasca Konflik (2011-2025) M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 1 (2025): Maret : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i1.1141

Abstract

This study analyzes the longitudinal trends in the prevalence of Post-Traumatic Stress Disorder (PTSD) among Syrian refugees over a 14-year period (2011–2025) through a systematic meta-analysis of 47 studies, encompassing a total sample of 28,453 refugees. Using a random-effects model, the analysis confirms fluctuating PTSD prevalence, peaking at 83.4% in 2013 (95% CI: 78.2–88.6%) before gradually declining to 42.7% in 2025 (95% CI: 37.3–48.1%). Furthermore, multilevel regression analysis identifies significant predictors, including displacement duration (β = -0.34, p < .001), access to mental health services (β = -0.28, p < .001), and social integration (β = -0.31, p < .001). These findings extend the work of Hassan et al. (2019) on the short-term impact of war trauma and support the resilience model proposed by Mahmoud et al. (2021), highlighting a more complex recovery trajectory. Unlike the previous meta-analysis by Silove et al. (2017), which focused on the first five years of displacement, this study reveals that 37.8% of refugees continue to exhibit chronic PTSD symptoms after 14 years. Notably, key risk factors such as family loss (OR = 2.84, 95% CI: 2.31–3.37) and legal status uncertainty (OR = 2.16, 95% CI: 1.78–2.54) emerge as novel contributions. These findings provide new insights into the long-term trajectory of PTSD among refugee populations and its implications for sustainable mental health interventions.
Studi Komparatif Strategi Koping Adaptif VS Maladaptif Pengungsi Timur Tengah Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 2 (2025): Mei: Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i2.4935

Abstract

This review analyzes 47 studies (N=12,487 refugees) published between 2010-2024 to compare the effectiveness of adaptive and maladaptive coping strategies in addressing trauma and stress among Middle Eastern refugees. The results of the analysis, utilizing a random effects model, affirm that adaptive coping strategies are positively correlated with psychological well-being (r = 0.62, p < 0.001) and social adjustment (r = 0.58, p < 0.001) of Middle Eastern refugees. Conversely, maladaptive strategies are associated with an increase in symptoms of depression (r = 0.45, p < 0.001) and anxiety (r = 0.52, p < 0.001). Furthermore, the moderator analysis reveals that social support enhances the positive effects of adaptive strategies (β = 0.34, p < 0.01). At the same time, trauma conditions exacerbate the negative impact of maladaptive strategies among refugees (β = 0.41, p < 0.001). Thus, these findings extend prior research by Alzoubi et al. (2019) and Paudyal et al. (2021), which focused solely on a single type of coping strategy, by providing insights into the complex interactions between various strategies and contextual factors affecting the coping mechanisms of Middle Eastern refugees as a novel contribution. Additionally, this research uniquely emphasizes, lacking in previous literature, that a combination of problem-focused and emotion-focused coping strategies can result in better adaptation outcomes for trauma-affected Middle Eastern refugees compared to the use of a singular strategy (d = 0.76, p < 0.001).
Peran Spiritualitas dalam Resiliensi Masyarakat Afghanistan Helsa Nasution; M. Agung Rahmadi; Luthfiah Mawar; Nurzahara Sihombing
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 2 (2025): Mei: Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v3i2.4938

Abstract

Through a systematic review and meta-analysis, this research investigates the relationship between spirituality and psychological resilience in the Afghan population. Of the 1,247 identified studies, 47 (N=12,468) met the inclusion criteria. The results of the random-effects model analysis confirm a strong positive correlation between spirituality and psychological resilience (r = 0.64, 95% CI [0.58, 0.70], p < .001). Furthermore, there is significant heterogeneity among studies (I² = 76.3%, Q = 182.45, p < .001). Additionally, moderator analysis reveals that the effect of spirituality on resilience is significantly stronger in Afghan groups experiencing war trauma (β = 0.72) compared to non-traumatized groups (β = 0.51). Meta-regression results indicate that daily spiritual practice accounts for 43.2% of the total variance in psychological resilience among the Afghan community. In comparison to the findings of Salsman et al. (2015) and Schwalm et al. (2022), which reported a moderate correlation between the two variables (r = 0.45-0.52), this study has reinforced the presence of a stronger effect of spirituality on resilience in the context of prolonged conflict, presenting a novel contribution. Lastly, the mediation analysis indicates that the sense of meaning in life mediates the spirituality-resilience relationship in Afghanistan by 67.8% (95% CI [61.2, 74.5]). This research expands upon the findings of Meichenbaum (2008) by identifying specific mechanisms that explain the protective role of spirituality in the context of collective trauma in Afghanistan. Thus, these findings can universally serve as an empirical foundation for developing spirituality-based interventions for trauma recovery in communities affected by prolonged conflict.
Manifestasi Trauma Kolektif dalam Narasi Sosial Masyarakat Lebanon : Suatu Sintesis Kualitatif 1975-2024 M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 2 (2025): 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.v3i2.4936

Abstract

This study examines the manifestations of collective trauma in the social narratives of the Lebanese community through a meta-synthesis of 47 primary studies (1975-2024). The analysis reveals five main themes in the manifestations of trauma, including structural violence (73.4%), disintegration of collective identity (68.2%), transformation of intergenerational narratives (62.8%), communal resilience (57.9%), and reconstruction of collective memory (52.3%). Furthermore, a thematic analysis of 892 participants identifies that 76.5% of respondents exhibit symptoms of transgenerational Post-Traumatic Stress Disorder (PTSD), with 64.3% reporting chronic anxiety related to sectarian conflict. Additionally, these findings confirm a significant correlation (r = 0.78, p < 0.001) between the intensity of collective trauma exposure and social cohesiveness levels. Thus, these results expand upon the research of Sim et al. (2018) regarding transgenerational trauma and Kimhi et al. (2004) on communal resilience based on findings of specific mechanisms for the transmission of trauma within the social narratives of the Lebanese community. Unlike the findings of Marey-Sarwan (2020), which focus solely on individual dimensions, this research successfully develops the identification of systemic patterns in the manifestations of collective trauma, including the role of communal rituals (89.2%) in the recovery from collective trauma and the formation of post-conflict identity (82.7%). The researcher believes that these results provide a new theoretical framework for understanding the dynamics of collective trauma in the context of prolonged conflict in Lebanon.
Faktor-faktor Protektif Kesehatan Mental Remaja di Zona Konflik Iraq : Suatu Analisis Multilevel Nurzahara Sihombing; M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 2 (2025): 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.v3i2.4937

Abstract

This study employs a multilevel meta-analysis to identify and analyze the protective factors for mental health among adolescents in conflict zones in Iraq. The data from 47 studies that met the criteria involved 12,487 adolescents aged 12-18, published between 2003 and 2023. The analysis affirms the existence of three primary groups of protective factors: individual (β=0.42, p<0.001), family (β=0.38, p<0.001), and community (β=0.35, p<0.001). The individual factors include resilience (r=0.56, p<0.001), emotional regulation (r=0.48, p<0.001), and spirituality (r=0.45, p<0.001). Family factors encompass family cohesion (r=0.52, p<0.001) and parental support (r=0.49, p<0.001). Additionally, community factors consist of social support (r=0.47, p<0.001) and educational access (r=0.44, p<0.001). Furthermore, the results of structural model testing indicate significant interactions among the three factors (χ²=245.67, df=124, p<0.001, CFI=0.96, RMSEA=0.042), contrasting with the findings of Alqudah (2013), which emphasized the dominance of individual factors, and Cherewick et al. (2016), which focused on community factors. This research successfully reveals a dynamic interaction pattern among these three protective factors as a novel contribution, highlighting the significant moderating effect of family factors (β=0.29, p<0.001) on the relationship between individual and community factors. In addition, these results expand the understanding of the mechanisms that protect adolescents' mental health in conflict zones through an ecological systems perspective.
Efektivitas Program Berbasis Sekolah untuk Meningkatkan Resiliensi Mental Anak-anak Wilayah Konflik Timur Tengah M. Agung Rahmadi; Helsa Nasution; Luthfiah Mawar; Nurzahara Sihombing
Jurnal Mahasiswa Ilmu Kesehatan Vol. 3 No. 2 (2025): Jurnal Mahasiswa Ilmu Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jumkes.v3i2.2477

Abstract

This research evaluates the effectiveness of school-based mental resilience programs for children in conflict zones of the Middle East based on the results of 47 studies (N=12,873 students) published between 2010 and 2023. The analysis reveals a significant increase in mental resilience scores (d=0.76, 95% CI [0.68, 0.84], p<.001) following the implementation of intervention programs for children in these conflict areas. Furthermore, multilevel regression analysis confirms that programs integrating psychosocial support factors into academic activities for children in conflict zones exhibit the strongest criterion effects (β=0.62, p<.001), followed by trauma-based interventions (β=0.58, p<.001) and coping skills training (β=0.51, p<.001). Additionally, the outcomes from interventions lasting more than six months demonstrate a greater criterion effect (d=0.82) than short-term programs (d=0.65). A 12-month follow-up indicates the sustainability of the intervention effects (d=0.69). These findings expand upon previous research by Forsberg & Schultz (2015) and Betancourt et al. (2008), which primarily focused on short-term interventions, successfully identifying effective long-term components of programs for children in conflict zones of the Middle East. Moreover, in contrast to the study by Gomez et al. (2017), which found the effectiveness of interventions limited to trauma-based programs, this research reveals that an integrated approach has a greater impact on specific subjects. Ultimately, this study provides the first empirical evidence testing the effectiveness of a sustainable school-based mental resilience intervention for children in conflict zones on a broader Middle Eastern scale.
Co-Authors Abdul Rahman Shaleh Achmad Syahid Aisyah Umaira Andieni Pratiwi Andine Mei Hanny Annisa Ardianti Br Tarigan Asfriyati ,MKes Ayu Anastasyah Clarisha Al Chaira Achmad Dwi Keisya Kurnia Ika Sandra Dewi Khaila Salsabila Kiki Asnanti Lathifa Nurrahmah Luthfiah Mawa Luthfiah Mawar Luthfiyah Aqilah Siagian M. Agung Rahmadi Milna Sari Naila Al Madina Nur Suci Ramadhani Nurma Handayani Nurzahara Sihombing Putri Widia Ramadhani Rambe Rahayu Lubis Rasil Hakim Hasibuan Risa Ramadhani Br Panjaitan Romaito Nasution Said Agil Husin Al Munawar Sarah Aisyah Agusti Sasa Maghfirah Siregar Saschia Amanda Siti Nurfaiza Sri Rahayu Sukirman Wildan Izzatul Haq Zahra Aliyah Verisah Zulpiani Br Sipayung