Health and Technology Journal (HTECHJ)
Health and Technology Journal (HTECHJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case reports and letters to the editor in the fields of nursing, midwifery, public health, pharmacy, medicine, nutrition, and allied health sciences.
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<![CDATA[The Effect of Combined Foot Massage and Leg Elevation on Foot Edema in Third-Trimester Pregnant Women ]]>
<![CDATA[Meisya Nuraliffa]]>;
<![CDATA[Yeni Yulistanti]]>;
<![CDATA[Wiwin Renny Rahmawati]]>;
<![CDATA[Lulut Handayani]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.424
<![CDATA[Pregnancy, particularly during the third trimester, is commonly associated with lower-limb edema due to increased pressure on the pelvic veins and inferior vena cava from the enlarging uterus. Foot edema in late pregnancy results from this venous compression, leading to elevated hydrostatic pressure and fluid accumulation in the interstitial spaces of the feet and ankles. Management of foot edema can be performed non-pharmacologically, one approach being a combination of foot massage and leg elevation. The objective of this study was to determine the effect of the combination of foot massage and leg elevation on foot edema in third-trimester pregnant women. This research employed a quasi-experimental study design with a two-group pretest-posttest design and a control group. The sample was 30 respondents. The sampling technique used was purposive sampling. The instruments used were the SOP and the pitting scale observation sheet. Data analysis using the Wilcoxon test showed a p-value < 0.001, indicating a statistically significant reduction in foot edema before and after the intervention. Additionally, the Mann-Whitney test yielded a p-value of 0.003, confirming a statistically significant difference in posttest results between the intervention and control groups. The combination of foot massage and leg elevation significantly reduced foot edema in pregnant women in the third trimester. Clinically, this combination can be applied as a simple and effective non-pharmacological intervention to reduce physiological foot edema during pregnancy.]]>
<![CDATA[Management of Oral Hygiene Health Education with Animated Video Media on Improving Knowledge of Families and Pediatric Patients ]]>
<![CDATA[Oktaviana Dwi Kartikasari]]>;
<![CDATA[Nurfika Asmaningrum]]>;
<![CDATA[Dicky Endrian Kurniawan]]>;
<![CDATA[Fitri Chandra Kuspita]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.442
<![CDATA[School-age children are susceptible to disease and need health supervision. Children who are sick have a high dependence on others in terms of self-care. Children who are sick and unable to fulfill their self-care will experience self-care deficit problems. One component of personal hygiene often forgotten when self-care during illness oral hygiene is. This study aims to determine how health education using animated video media on oral hygiene can improve family and patient knowledge of self-care, especially oral hygiene. This research is a descriptive, quantitative study that uses a case study approach. The research design was a one-group pre-test-post-test design, in which a knowledge questionnaire was administered before and after health education. There are differences in knowledge scores before and after health education is provided to both families and patients, with increased knowledge of oral hygiene. Evaluation of oral hygiene using the OHI-S score shows a decrease in score, indicating improvement from poor to moderate, and is performed 4 times every 24 hours until discharge. Providing oral hygiene education can increase parents' and patients' knowledge and interest in self-care.]]>
<![CDATA[The Application of 30° Foot Elevation and Ankle Pump Techniques to Reduce Lower Limb Edema in Patients with Chronic Kidney Disease ]]>
<![CDATA[Aeni Fitriyah]]>;
<![CDATA[Siswoyo]]>;
<![CDATA[Ika Adelia Susanti]]>;
<![CDATA[Jumanto]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.443
<![CDATA[Lower extremity edema is a common complication in patients with stage 5 chronic kidney disease (CKD) due to fluid imbalance. Non-pharmacological therapies such as ankle pump exercises and 30°-foot elevation can be effective alternative interventions to reduce edema. This study aims to determine the effectiveness of combining ankle pump exercises and 30°-foot elevation in reducing the degree of edema in CKD patients. This research employed a quantitative descriptive case study method involving one patient with stage 5 CKD. The intervention consisted of ankle pump exercises and 30°-foot elevation conducted over three consecutive days. Each ankle pump session lasted 1 minute per position, and foot elevation was maintained for 5–10 minutes per session. Edema assessment was conducted pre- and post-intervention using the Grading Pitting Edema scale. The study showed no reduction in the edema grade from day one to day three. However, a decrease in edema depth was observed on the third day of the intervention, indicating that no significant reduction in the overall edema grade occurred. The application of ankle pump exercises and 30°-foot elevation over three days did not show a clinically significant reduction in edema. However, a positive effect began to emerge on the third day, with a 1 mm decrease in edema depth. The combination therapy has the potential to reduce lower extremity edema in CKD patients, but it requires consistent application and optimal intensity to achieve significant outcomes. This intervention may serve as a safe, non-invasive, and practical non-pharmacological option in evidence-based nursing care.]]>
<![CDATA[Factors Influencing the High Acceptance of Injectable Contraceptives ]]>
<![CDATA[Rifzul Maulina]]>;
<![CDATA[Dian Setyorini]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.560
<![CDATA[The use of injectable contraceptives remains the leading choice among women of reproductive age (WRA) in various regions in Indonesia. The number of injectable family planning (FP) acceptors has increased significantly compared to other contraceptive methods. This study aims to describe and analyze the factors influencing the high number of injectable contraceptive acceptors. This research employed a descriptive, cross-sectional design. The study population consisted of all active injectable contraceptive acceptors (35 respondents), selected using a total sampling technique. Data were analyzed descriptively using frequency and percentage distribution. The results showed that most respondents had good knowledge about injectable contraceptives (60.0%), a positive attitude toward their use (68.6%), received spousal support (74.3%), perceived the role of health workers as good (80.0%), and stated that access to services was easily reachable (82.9%). These factors collectively contributed to the high interest and continued use of injectable contraceptives in the study area. These findings underscore the importance of involving husbands and ensuring that midwifery services are supportive and accessible to sustain family planning programs in rural settings.]]>
<![CDATA[The Effect of Infant Massage on Mother-Infant Bonding Among Infants Aged 6-12 Months ]]>
<![CDATA[Ririn Indriani]]>;
<![CDATA[Finta Isti Kundarti]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.565
<![CDATA[Mother–infant bonding is a fundamental component of early emotional development and has long-term effects on infants’ behavioral, psychological, and neurodevelopmental outcomes. Infant massage is widely recognized as a complementary intervention that promotes parent–child interaction, facilitates emotional closeness, and enhances touch-mediated communication between mothers and infants. This study aims to investigate the effect of infant massage on bonding among infants aged 6–12 months. This research employed a quasi-experimental design with a pretest–posttest control group. The intervention included structured training using standardized massage techniques, followed by four weeks of home-based practice. Bonding was measured using the Maternal Infant Bonding Scale (MIBS) before and after the intervention. Data analysis used paired t-tests to assess within-group differences and independent t-tests to compare outcomes between the intervention and control groups. The results showed a significant improvement in bonding scores among mothers in the intervention group p-value = 0.011, with apparent differences compared to the control group. Observational data revealed enhanced maternal sensitivity, increased affectionate behavior, and greater emotional attunement. These findings suggest that infant massage is a practical, low-cost, and feasible intervention that can be effectively integrated into community-based maternal and child health programs to promote emotional attachment and support early developmental outcomes.]]>
<![CDATA[The Effect of Endorphin Massage on Reducing Anxiety Levels During the First Stage of Labor ]]>
<![CDATA[Didin Prasetya Cahyaningsih]]>;
<![CDATA[Rifzul Maulina]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.571
<![CDATA[Anxiety in mothers entering the latent phase of the first stage of labor can arise due to various factors, including psychological conditions, lack of family support, fear of the birthing process, limited information, and physical complaints experienced during labor. One non-pharmacological approach that has the potential to help reduce anxiety is endorphin massage, a massage technique believed to stimulate the release of endorphins, which are natural stress reducers. This study aims to assess the effectiveness of endorphin massage in reducing anxiety levels in pregnant women. The research design used a quantitative descriptive method with a one-group pretest–posttest approach. A total of 25 mothers in the first stage of labor at TPMB Diah Ulul in Probolinggo City were included in the sample. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Univariate analysis was used to describe the distribution of results, while differences in anxiety scores were tested using the t-test. The results showed a statistically significant decrease in anxiety after endorphin massage (t = 19.5; p < 0.001), with the average HARS score decreasing from 29.9 to 13.9. These findings indicate that endorphin massage is an effective non-pharmacological intervention and can be recommended as a supportive measure to help reduce anxiety in laboring mothers, thereby potentially improving comfort and the quality of the birthing experience.]]>
<![CDATA[The Effect of Health Promotion of Common Cold Massage Skills on The Duration of Healing of ARI (Common Cold) in Toddlers ]]>
<![CDATA[Laili Fajriyah]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.572
<![CDATA[Acute respiratory infections (ARIs), particularly the common cold, account for 30–40% of toddler consultations in primary care settings in Indonesia. Nonpharmacological complementary therapies are urgently needed to reduce disease burden and antibiotic misuse. To evaluate the impact of a 2-day parent-administered "common-cold massage" program on illness duration among toddlers with mild ARI. A quasi-experimental, one-group pre-test/post-test study was conducted at PMB Nurul Asyaroti, Malang, Indonesia. Following ethical approval and parental consent, 16 toddlers (12–59 months) meeting the inclusion criteria were enrolled. Parents received a 30-minute health promotion session and an illustrated leaflet and then applied the 10-step massage twice daily for two consecutive days. Illness duration (in hours from baseline to the first 24-hour period free of nasal congestion/rhinorrhea) was documented by parents and verified by a blinded assessor on day 3. Data were analyzed with a paired t-test; effect size (Cohen's d) and 95% CI are reported. Mean illness-duration decreased from 4.6 days (SD 0.89) pre-intervention to 2.9 days (SD 0.62) post-intervention (mean reduction 1.7 days; 95 % CI 1.2–2.1; p < 0.001; Cohen's d = 2.1, indicating a huge effect). No adverse events were reported. Teaching parents a short, standardized massage significantly shortened the duration of common colds in toddlers. A randomized controlled trial is warranted to confirm the efficacy and cost-effectiveness of the intervention before scaling it across Indonesian community health centers.]]>
<![CDATA[The Effect of Pregnancy Exercises on Sleep Quality among Pregnant Women ]]>
<![CDATA[Sri Wahyuni]]>;
<![CDATA[Nila Widya Keswara]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.577
<![CDATA[Pregnant women commonly experience sleep disturbances, which may affect maternal well-being. Prenatal exercise is a non-pharmacological intervention that can improve sleep quality by promoting relaxation and reducing physical discomfort. This study aimed to examine the effect of prenatal exercise on sleep quality among pregnant women. A quasi-experimental study with a one-group pre-test and post-test design was conducted from May to August 2024. A total of 33 pregnant women were selected using purposive sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after participation in a structured prenatal exercise program conducted regularly. Data were analyzed using a paired sample t-test. The mean PSQI score decreased significantly from 12.39 before the intervention to 5.44 after the intervention, with a p-value of 0.000, indicating a substantial improvement in sleep quality. Prenatal exercise has a significant positive effect on sleep quality in pregnant women. It can be recommended as a safe and effective intervention to be integrated into routine antenatal care services.]]>
<![CDATA[The Relationship Between the Use of 3-Month DMPA Injectable Contraception and the Incidence of Spotting among Contraception Users ]]>
<![CDATA[Ely Christiana Wahjuningtyas]]>;
<![CDATA[Reny Retnaningsih]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.578
<![CDATA[The 3-month DMPA injectable contraceptive is widely used because of its effectiveness, convenience, and affordability. However, prolonged use may cause side effects, particularly menstrual disturbances such as spotting, which can affect user comfort and compliance. This study's aimed to analyze the association between the duration of 3-month DMPA injectable contraceptive use and the occurrence of spotting among family planning acceptors. This analytical cross-sectional study involved 30 family planning acceptors selected through purposive sampling. Data were collected using a structured questionnaire and analyzed using the Chi-square test with a significance level of 0.05. Among the 30 respondents, 66.7% had used the 3-month DMPA injectable contraceptive for 1–2 years, and 43.3% experienced spotting. Statistical analysis showed no significant association between the duration of 3-month DMPA use and spotting (p = 0.088). Spotting is a common side effect among users of the 3-month DMPA injectable contraceptive, but it is not significantly associated with the duration of use. Comprehensive counseling and education regarding potential side effects are essential to improve user comfort and contraceptive compliance.]]>
<![CDATA[Analysis of the Impact of Child Marriage on Delivery Complications ]]>
<![CDATA[Nunik Hindrawati]]>;
<![CDATA[Raden Maria Veronika Widiatrilupi]]>
<![CDATA[ Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026 ]]>
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DOI: 10.53713/htechj.v4i1.581
<![CDATA[Child marriage remains a persistent public health issue in Indonesia, including in Jember Regency. Early marriage is closely linked to adolescent pregnancy and may increase the risk of childbirth complications, which contribute to maternal and neonatal morbidity. This study aimed to analyze the association between child marriage (<18 years) and the incidence of childbirth complications. A cross-sectional analytical study was conducted using purposive sampling. The study included 30 mothers who had delivered between January and December 2024 and met the inclusion criteria. Data were obtained from medical records. Age at marriage was categorized as <18 years or≥18 years, and childbirth complications were recorded as present or absent. Data were analyzed using the Chi-square test and logistic regression. Of the total respondents, 2 mothers married before age 18, and 28 married at age 18 or older. Childbirth complications occurred in 1 out of 2 mothers (50.0%) who married before 18 years and in 24 out of 28 mothers (85.7%) who married at ≥18 years. Statistical analysis showed a significant association between age at marriage and childbirth complications (p = 0.042). Logistic regression analysis indicated that age at marriage was associated with the risk of childbirth complications (OR = 5.45). Age at marriage is significantly associated with the incidence of childbirth complications. These findings highlight the importance of preventing child marriage, strengthening reproductive health education, and improving the quality of antenatal care services to reduce maternal and neonatal complications.]]>
