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Health and Technology Journal (HTECHJ)
Published by KHD Production
ISSN : 29865662     EISSN : 2985959X     DOI : https://doi.org/10.53713/htechj.v1i1
Core Subject : Health,
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.
Articles 607 Documents
The Application of 30° Foot Elevation and Ankle Pump Techniques to Reduce Lower Limb Edema in Patients with Chronic Kidney Disease Aeni Fitriyah; Siswoyo; Ika Adelia Susanti; Jumanto
Health and Technology Journal (HTechJ) Vol. 4 No. 1 (2026): February 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i1.443

Abstract

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.
Integrating Handgrip Exercise and Lavender Aromatherapy into Nursing Care for Pain Management in Peptic Ulcer Patients with Melena Salma Dena; Muhamad Zulfatul A'la; Rondhianto Rondhianto; Mohammad Shodikin
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.451

Abstract

Peptic ulcer disease frequently precipitates acute pain and gastrointestinal hemorrhage, yet conventional analgesic use remains constrained by bleeding risks and mucosal irritation. This study evaluated the clinical effectiveness of integrating handgrip exercise and lavender aromatherapy into nursing care for pain reduction in a patient presenting with melena secondary to peptic ulcer disease. Employing a prospective single-patient case design, the intervention was administered over three consecutive days using standardized nursing protocols. Pain intensity was quantified using the Numerical Rating Scale (NRS) immediately before and after each 30-minute session, with continuous hemodynamic and clinical monitoring. Results demonstrated a progressive attenuation of pain intensity, with NRS scores declining from 7 to 4 across the intervention period, concurrent with improved physiological stability and enhanced patient-reported comfort. These outcomes suggest that the combined modalities operate through complementary neurophysiological pathways, leveraging diffuse noxious inhibitory controls and limbic-mediated autonomic regulation to modulate both sensory and affective pain dimensions. The findings underscore the clinical feasibility, safety, and analgesic potential of structured, nurse-delivered nonpharmacological interventions in acute gastrointestinal settings. Systematic integration of such multimodal protocols into routine nursing practice offers a viable strategy for optimizing pain management while minimizing pharmacological adverse effects. Further randomized controlled investigations are recommended to establish dose-response parameters, validate long-term efficacy, and develop standardized implementation guidelines for broader clinical adoption.
Development and Applicability Evaluation of a Pre-Hospital Patient/Injured Identification, Missing Search, and Tracking Software System in Disasters Nurcan Esin; Deniz Acuner
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.460

Abstract

A disaster-response software system has been developed to minimize the risk of missing patients/injured individuals, infants, and children, and to track them during disasters. This study investigates the software's contributions to field use and healthcare personnel's triage experiences. Software has been developed based on contributions of 10 expert senior managers and assessed via Lawshe's technique; the Content Validity Index (CVI) is 0.988. Subsequently, 25 disaster-experienced healthcare workers from Istanbul's 112 Emergency Health Services station evaluated the system through semi-structured, in-depth interviews. Collected qualitative data were coded and analyzed using content analysis in MAXQDA 24. The research is organized into two themes—disaster software system and triage experiences—with subcodes. Findings show that triage depends not only on clinical knowledge but also on environmental conditions, social response, intra-team communication, and psychological factors. The disaster software supports triage by facilitating identification, patient tracking, acceleration of interventions, and data security. Integrated modules—such as QR codes, fingerprint, photo, and location—reduce healthcare personnel's workload and improve data accuracy. However, challenges include inadequate infrastructure, manual data entry burdens, mobile device incompatibility, and a lack of legal regulation. Suggested improvements by participants include integration with MERNİS (Turkey’s central population registry), voice command capability, barcode technology, and DNA-based modules. Overall, digital solutions can critically support triage in disaster settings operating within multidimensional dynamics.
Ankle Pump Exercise and Foot Massage Intervention on Reducing Leg Edema in Chronic Kidney Disease (CKD) Patients Rondhianto; Alya 'Izzatur Rohmah; Mustakim; Jon Haffan Sutawardana
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.462

Abstract

Chronic Kidney Disease (CKD) is a significant health problem with increasing prevalence, characterized by a progressive decline in kidney function resulting in fluid accumulation in the body. One common clinical manifestation is edema in the lower extremities. Ankle pump exercises and foot massage are non-pharmacological interventions that can help reduce edema by improving venous and lymphatic circulation. This study aims to analyze the implementation of nursing care in relation to the effect of ankle pump exercise and foot massage on reducing leg edema in patients with chronic kidney disease (CKD). This study used a case study design with a nursing care approach in a CKD patient with edema in the Anturium Ward of Dr. Soebandi Regional General Hospital, Jember. Ankle pump exercises were performed for 10 minutes, followed by a 15-minute foot massage, which was repeated for three consecutive days of treatment. The degree of edema was evaluated using the edema pitting scale before and after the intervention. The results showed a decrease in edema from +2 to +1 (1 mm in the left leg) and from +1 to 0 (2 mm in the right leg). There was also a decrease in ankle circumference of 20 cm and instep of 25.5 cm on the right leg, and 19 cm at the ankle and 23.7 cm at the left leg. Furthermore, muscle strength increased from 2 cm to 5 cm in the left leg and from 1 cm to 4 cm in the right leg. Ankle pump exercises and foot massage effectively reduce edema in CKD patients. This therapy can be used as an independent nursing intervention to enhance the quality of life for patients with CKD who experience edema.
The Effect of Classical Lullaby Music Therapy on Anxiety in Primigravida Mothers in Labor Nanik Sugiarti; Finta isti kundarti; Wiwin Martiningsih
Health and Technology Journal (HTechJ) Vol. 3 No. 6 (2025): December 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i6.471

Abstract

Anxiety during pregnancy is often intensified by the anticipation of labor and delivery, which can be overwhelming due to a lack of prior experience. The consequences of untreated maternal anxiety extend beyond the mother, potentially affecting fetal growth and long-term child development. This study aims to determine the effect of classical Lullaby music therapy on anxiety in primigravida pregnant women facing childbirth. The research design employed a quasi-experimental pretest-posttest control group design. The total sample in the experimental group was n = 30, and in the control group, n = 30, using a purposive sampling technique. The population in this study consisted of all primigravida pregnant women who visited the antenatal care clinic at the Sananwetan Health Center in March and April 2025. Based on the T-test, the mean data on the pretest is 39.40, and the posttest is 32.43. There is a decrease in the score of 6.967. The significance value (Sig. 2-tailed) is 0.000, which is <0.05, so it can be concluded that there is a significant influence. The test results show that H0 is rejected and H1 is accepted, which means that classical lullaby music therapy is more effective in reducing anxiety levels in primigravida mothers compared to the control group. Therefore, it can be concluded that classical lullaby music has a positive effect on primigravida mothers in facing childbirth. This type of music can be used as a therapeutic option for pregnant women experiencing anxiety.
The Effect of Dzikir in Reducing Anxiety in Patients Undergoing Modified Radical Mastectomy (MRM) Khoiriandoh; Betie Febriana; Wahyu Endang
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.481

Abstract

Anxiety is a psychological problem often experienced by preoperative patients, especially in cases of breast cancer requiring major surgery such as Modified Radical Mastectomy (MRM). This condition can increase physiological stress, disrupt hemodynamic stability, slow down the healing process, and even affect prognosis. Non-pharmacological spiritual interventions, such as dzikir, are believed to help patients manage anxiety. This study aims to analyze the effect of dzikir on anxiety levels in preoperative MRM patients at Sultan Agung Islamic Hospital in Semarang. A quantitative study with a one-group pre-test post-test design was conducted on 30 patients who met the inclusion criteria. Anxiety levels were measured using the Depression Anxiety Stress Scale (DASS-42) questionnaire before and after the intervention. Data analysis used a paired t-test with a significance level of 0.05. Patients' anxiety levels before the intervention were in the moderate to severe category, with an average score of 26.4. After receiving dzikir istighfar therapy twice daily over an 8-hour observation period, the average anxiety score decreased to 15.2. The paired t-test showed a significant difference (p = 0.002). Dzikir therapy had a significant effect in reducing the anxiety levels of patients prior to MRM surgery. Dzikir can be used as a complementary intervention in perioperative nursing care, especially in hospitals based on Islamic values.
The Relationship Between Workload Level and the Incidence of Burnout Syndrome Among Nurses in the Surgical Inpatient Ward Ulil Absor; Betie Febriana; Wahyu Endang
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.482

Abstract

Burnout syndrome is a psychological condition characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, which can affect the quality of nursing care. Nurses in surgical inpatient wards are at high risk of experiencing burnout due to the high demands of patient care and heavy workload. This study aimed to analyze the relationship between workload level and the incidence of burnout syndrome among nurses in the surgical inpatient ward of Sultan Agung Islamic Hospital, Semarang. This research employed a quantitative method with a cross-sectional design. The study sample consisted of 118 nurses selected using a total sampling technique. The instruments used were the Nursalam workload questionnaire and the Maslach Burnout Inventory (MBI) to assess burnout syndrome. Data analysis was conducted using the Chi-Square test at a significance level of p < 0.000. The results showed that most respondents had a moderate workload (87.3%) and experienced a high level of burnout (66.9%). Statistical analysis indicated a significant relationship between workload level and the incidence of burnout syndrome (p = 0.000). Nurses with higher workloads tended to experience more severe burnout than those with lighter workloads. These findings emphasize that workload is an important factor influencing burnout among nurses. Therefore, hospital management is advised to implement workload management strategies, increase the number of nursing staff, and provide psychological support programs to reduce the risk of burnout and improve nurses’ well-being and performance.
Core Stability Exercise Intervention for Managing Pain and Flexibility in Nurses with Non-Specific Low Back Pain Nazli Alamri; Rahmania Ambarika; Novita Anna Anggraen
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.483

Abstract

Low Back Pain (LBP) affected 619 million people globally in 2020, and the number is projected to increase to 843 million by 2050. Among nurses, the prevalence of LBP reaches 72%, with significant risk factors including long working hours, poor posture, and heavy workloads. This condition negatively impacts nurses' well-being, productivity, and the quality of healthcare services. Physiotherapy interventions, particularly core stability exercises, have been proposed as a practical approach to reduce pain and improve functional mobility. This study aimed to examine the effect of core stability exercise on pain intensity and flexibility in nurses with non-specific LBP. A proper experimental study with a pre–post test control group design was conducted. A total of 47 nurses who met the inclusion criteria were recruited using simple random sampling. Pain intensity and flexibility were measured before and after the intervention. Data were analyzed using the paired sample t-test. Core stability exercise significantly reduced pain intensity (p = 0.000, <0.05) and significantly improved flexibility (p = 0.000, <0.05). These findings indicate that the intervention positively impacted musculoskeletal health among nurses with non-specific LBP. Core stability exercise is an effective intervention for reducing pain and enhancing flexibility in nurses with non-specific LBP. Activating core muscles through exercise promotes vasodilation, improves blood circulation, and increases oxygen and nutrient delivery to myofascial tissue, producing analgesic effects. In addition, coordinated muscle contractions enhance lumbar stability, reduce intervertebral disc pressure, and minimize muscle tension, improving functional flexibility.
The Relationship between Body Image and Psychological Stress Levels in Patients at the Dermatology Clinic of Sultan Agung Islamic Hospital Nur Afifah; Betie Febriana
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.484

Abstract

Body image and psychological stress influence patient well-being in the dermatology clinic. This study analyzes the relationship between body image and psychological stress levels in patients at the Dermatology Clinic of Sultan Agung Islamic Hospital. The study used a cross-sectional design with 100 respondents selected through a total sampling technique. The research instruments were the Multidimensional Body-Self Relations Questionnaire (MBSRQ) subscale questionnaire to measure body image and the Perceived Stress Scale (PSS) to measure psychological stress. Data analysis used the Pearson correlation test. The results showed that most respondents had a positive body image (55%) and moderate psychological stress (82%). The Pearson test produced a p-value of 0.008 with a correlation coefficient of 0.266, indicating a significant positive relationship. This study concludes that positive body image is associated with lower levels of psychological stress. A holistic approach is needed in dermatological services that encompasses patients' physical and psychological aspects.
Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly Anggia Astuti Astuti; Zainal Abidin; Rizeki Dwi Fibriansari; Devy Amanda
Health and Technology Journal (HTechJ) Vol. 3 No. 5 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v3i5.489

Abstract

Lack of sleep can harm the physical, mental, and emotional health, quality of life, cognitive function, and memory function of the elderly. Poor sleep quality can also directly affect health, with the risk of various problems such as hypertension, diabetes mellitus, stroke, obesity, heart disease, and several other conditions. Therefore, the need for effective non-pharmacological pain and symptom management strategies during sleep disorders is increasing. One recommended approach is relaxation therapy involving soaking the feet in warm water and jasmine aromatherapy before bedtime. This study aims to evaluate the effects of warm foot baths combined with jasmine aromatherapy on sleep quality and vital signs in older adults with insomnia. Using a case study design, the intervention was given to one participant, an 81-year-old woman diagnosed with moderate insomnia. The participant reported difficulty falling asleep, frequent waking during the night, dissatisfaction with her sleep quality, significant changes in sleep patterns, and insufficient rest. The therapy consisted of warm foot baths with jasmine aromatherapy, performed every night for five consecutive days before bedtime. To assess the effectiveness of the intervention, measurements were taken of changes in the Insomnia Severity Index (ISI) score, detailed observations of sleep patterns, and general monitoring of vital signs. The study showed a significant decrease in the ISI score from 19 (moderate insomnia) to 8 (mild insomnia). In addition, participants experienced improved sleep quality, characterized by sleeping through the night without waking up, increased sleep satisfaction, and adequate rest. Vital signs showed stabilization during the intervention period, indicating better physiological relaxation. These findings support using warm foot baths and jasmine aromatherapy as an effective nursing intervention to treat insomnia and improve sleep quality in the elderly.