Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
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All Journal Health and Technology Journal (HTECHJ)
Lutfiasih Rahmawati
Faculty of Nursing, Universitas Jember, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Family Palliative Care Exposure and Psychological Well-Being Among Senior High School Students Farida Nur Qomariyah; Lutfiasih Rahmawati
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.727

Abstract

Adolescents supporting family members with serious, chronic, or life-limiting illnesses face unique psychosocial challenges, yet empirical evidence from low- and middle-income countries remains scarce. This study examined the psychological well-being of senior high school students and its association with exposure to family palliative care. A cross-sectional study was conducted at a public high school in Jember from March to April 2026. Using consecutive sampling, 100 students (mean age 16.81 years, SD = 0.95; 61.0% female) were recruited from a population of 348. Psychological well-being was assessed via the validated Indonesian WHO-5 Well-Being Index, with scores below 13 indicating poor well-being. Data were analyzed using descriptive statistics, exact tests, and crude odds ratios (OR). Notably, 66.0% of respondents exhibited poor well-being overall. However, family palliative care exposure was significantly associated with WHO-5 status (p = 0.004). Counterintuitively, exposed students were nearly 4 times more likely to report adequate well-being than their unexposed peers (OR = 3.91, 95% CI = 1.62–9.41). This positive association likely reflects psychological resilience, benefit finding, and robust communal family support, rather than a direct protective effect of the illness itself. Given the multidimensional nature of family illness exposure, educational institutions must implement subtle, non-stigmatizing screening protocols and targeted referral pathways to support adolescents navigating hidden home-care responsibilities effectively.
Nurse-Led Cold Compress Therapy to Mitigate Hemodialysis Cannulation Pain: A Descriptive Case Study Sinta Wijayanti; Lutfiasih Rahmawati; Nur Aminatu Rohima; Fitri Nuriya Santy; Ana Nistiandani
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.728

Abstract

Repeated arteriovenous fistula cannulation induces significant procedural pain in patients undergoing maintenance hemodialysis, necessitating effective, non-pharmacological pain management strategies. This study aimed to evaluate the efficacy of a simple, nurse-led cold compress therapy in reducing cannulation-related pain among patients with chronic kidney disease (CKD). A descriptive case study was conducted in a hospital hemodialysis unit between June and July 2025. Two adult male patients (aged 45 and 53 years) reporting procedural pain were enrolled. Pain intensity was assessed using the Numeric Rating Scale (NRS) at baseline and following two subsequent hemodialysis sessions. The intervention consisted of applying ice cubes enclosed in a rubber glove to the cannulation site for approximately 10 minutes prior to needle insertion. At baseline, patients reported moderate (NRS 6) and severe (NRS 7) pain, respectively. Following the second intervention session, pain scores decreased to 4 and 5. By the third session, pain further diminished to mild levels (NRS 2 and 3). Notably, no adverse cutaneous or systemic events were observed during the application. Pre-cannulation cold compress therapy represents a feasible, low-cost, and safe nurse-led intervention that progressively mitigates hemodialysis cannulation pain. Larger, randomized controlled trials are warranted to validate these preliminary findings, isolate the analgesic effect, and standardize optimal clinical application protocols.
Co-Authors Ana Nistiandani Farida Nur Qomariyah Fitri Nuriya Santy Nur Aminatu Rohima Sinta Wijayanti