Khaila Salsabila
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Analysis of Early Intervention Systems for War-Related Trauma in the Middle East: (A Programmatic Synthesis) Nurzahara Sihombing; M. Agung Rahmadi; Naila Al Madina; Zulpiani Br Sipayung; Khaila Salsabila; Helsa Nasution; Luthfiah Mawar; Andine Mei Hanny
Jurnal Ventilator Vol. 3 No. 4 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i4.2128

Abstract

This study critically examines the effectiveness of early intervention programs in addressing war-related trauma in the Middle East by meta-synthesizing forty-seven interventions implemented between 2010 and 2024. The analysis demonstrates that cognitive behavioral therapy (CBT) based interventions achieved a success rate of 78.3 percent with p value less than 0.001 in reducing post-traumatic stress disorder symptoms, with an effect size of d equal to 0.86 indicating substantial therapeutic strength. Group based interventions showed higher effectiveness (83.2 percent) than individual approaches (71.5 percent), and programs involving family support yielded better recovery outcomes (84.7 percent) than those without family involvement (69.3 percent). Regression analysis identified three primary predictors of successful intervention outcomes, namely intervention duration (beta 0.42, p value less than 0.001), therapist cultural competence (beta 0.38, p value less than 0.001), and the integration of social support systems (beta 0.35, p value less than 0.001). These findings expand on prior studies by Ennis et al. (2020) and Mawar et al. (2025), which were limited to evaluating CBT effectiveness, and also reinforce the significance of cultural dimensions and social support systems as critical determinants. In contrast to the meta analysis by Nocon et al. (2017), which reported an effectiveness rate of 65 percent for individual interventions, the present study reveals the superiority of group based approaches in communal Middle Eastern societies. The novelty of this study lies in its comprehensive identification of culturally sensitive determinants of early intervention success and the formulation of an integrative model positioning family support as an essential component in protocols for war-related trauma care.
Hubungan Self-Efficacy Dengan Self-Management Penderita Hipertensi Di Wilayah Kerja Puskesmas Sangkanhurip Kabupaten Bandung Monika Ginting; Saur Mian Sinaga; Khaila Salsabila; Roselina Tambunan; Srihesty Manan
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 17 No 1 (2026): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v17i1.476

Abstract

Abstrak Hipertensi merupakan penyebab utama kematian dini dengan prevalensi yang terus meningkat. Pengelolaan mandiri penting untuk mencegah komplikasi, namun seringkali penderita kurang yakin melaksanakannya secara konsisten. Tujuan penelitian ini adalah untuk mengetahui hubungan self-efficacy dengan self-management pada penderita hipertensi di Wilayah Kerja Puskesmas Sangkanhurip, Kabupaten Bandung. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional. Sampel ditentukan dengan teknik total sampling, 85 penderita hipertensi berusia 18-59 tahun. Instrumen yang digunakan adalah General Perceived Self-Efficacy Scale dan Persian Hypertension Self-Management Questionnaire. Analisis data menggunakan uji Spearman Rho. Hasil penelitian menunjukkan sebagian besar responden memiliki self-efficacy tinggi (81%) dan self-management baik (78%). Diperoleh nilai p<0,001 dengan r=0,609, menandakan hubungan kuat dan positif. Disimpulkan bahwa Self-efficacy berhubungan signifikan dengan Self-management pada penderita hipertensi. Temuan ini merekomendasikan pengembangan edukasi kesehatan dengan dukungan keluarga dan motivasi untuk memperkuat self-efficacy sehingga penderita hipertensi mampu mengelola penyakit secara optimal.