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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,
Dentistry Health Professions Medicine & Pharmacology Nursing Public 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.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 622 Documents
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Integrated Agronursing Strategies to Mitigate Occupational Hazards among Global Agricultural Workers Kurniyawan, Enggal Hadi; Afandi, Alfid Tri; Nur, Kholid Rosyidi Muhammad; Kurniawan, Dicky Endrian; Mahardhika Rahmawati, Primasari; Emerson, Iraha; Mukhtar, Madiha; Rany Agustin Wulandari
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.v4i3.724

Abstract

Agricultural occupational hazards pose escalating threats to farming populations globally, yet fragmented evidence limits cohesive clinical and policy responses. This systematic review synthesizes contemporary research to inform an integrated agronursing framework addressing occupational health and safety among farmers. Following PRISMA 2020 guidelines, we searched Scopus, PubMed, and ProQuest for English-language, open-access studies published between 2022 and 2026. Ten studies spanning eight countries underwent a Joanna Briggs Institute critical appraisal and narrative synthesis due to methodological heterogeneity. Results indicate strong positive correlations between hazard knowledge and safety behaviors, though high-risk practices persist, including pesticide overconcentration (74.6%) and inconsistent use of personal protective equipment. Panel regression analysis revealed a monotonic escalation in severe agricultural trauma above 20°C, increasing 123% beyond 30°C. Multicomponent educational interventions demonstrated significant short-term improvements in sun safety knowledge and protective behaviors. At the same time, qualitative evidence highlighted structural determinants, piece-rate compensation, infrastructure deficits, and cultural norms that independently mediate risk exposure. Media analyses further revealed tendencies to individualize injury responsibility, obscuring upstream regulatory drivers. These findings confirm that knowledge acquisition alone cannot sustain behavioral change without concurrent environmental and policy-level interventions. Consequently, agronursing practice must evolve from episodic clinical care toward proactive, ecologically grounded models integrating standardized psychosocial screening, climate-responsive surveillance, and advocacy for equitable safety protocols. This framework equips rural health systems with evidence-based strategies to implement contextually tailored interventions, ultimately safeguarding farmer wellbeing and strengthening global agricultural resilience.
Family-Centered Tepid Water Sponging for Thermoregulation in Pediatric Complex Febrile Seizures: A Single-Case Study Musviro Musviro; Selia Calita Putri; Nurul Hayati; Novela Eka Candra Dewi
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.v4i3.725

Abstract

Febrile seizures in children, if prolonged and repeated, can cause serious complications for the child. Hyperthermia is a major nursing problem in children with febrile seizures, which can increase the risk of recurrent seizures if not treated immediately. A family-centered care approach is important in child care. The purpose of this study was to evaluate the use of tepid water sponges within a family-centered care approach to improve thermoregulation in children with febrile seizures. The research method was a case study. The participant in this study was a 3-year-old boy who was treated in the Bougenville Ward of Dr. Haryoto Lumajang Regional Hospital, with a medical diagnosis of complex febrile seizures, with nursing problems of hyperthermia and no history of allergies/extreme cold, the child did not have open wounds or severe infections, no dermatitis/severe eczema and the child did not experience severe respiratory disorders or unstable circulation. Data collection was conducted through interviews, observation, and documentation. The assessment results showed that the patient experienced increased body temperature, red skin, increased skin temperature, and tachycardia. The nursing problem that emerged was hyperthermia. The intervention carried out refers to the Indonesian Nursing Intervention Standards (SIKI), namely the management of external cooling hyperthermia using compresses soaked in tepid water, with a family-centered care approach. Family involvement is carried out through education and direct assistance during the action to increase family participation in child care. After 2 days of implementation, the results were a decrease in body temperature of 0.9–1.3°C, decreased redness, improved skin temperature, and decreased tachycardia. A tepid water sponge can help initiate peripheral vasodilation, increasing heat loss and lowering the child's body temperature. A tepid water sponge with a family-centered care approach can be used as a non-pharmacological intervention in the treatment of hyperthermia in children with febrile seizures
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.
Operationalizing the One Health Approach via Health Information Systems: A Systematic Review of Enablers, Barriers, and Technological Innovations Made Padma Puspita; Pande Putu Januraga; Ni Nyoman Sri Budayanti; Cokorda Rai Adi Pramartha; Nyoman Agus Jagat Raya
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.v4i3.730

Abstract

The escalating complexity of global health challenges, including emerging infectious diseases and antimicrobial resistance, necessitates integrated frameworks connecting human, animal, and environmental health. This systematic literature review evaluated the current implementation of One Health principles within Health Information Systems (HIS) and identified associated integration opportunities and challenges. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we systematically searched Google Scholar, PubMed, ProQuest, ScienceDirect, and IEEE Xplore for literature published between 2015 and 2025. From an initial pool of 18,092 records, seven studies met the strict inclusion criteria for final qualitative synthesis, highlighting a significant gap in empirical cross-sectoral HIS research. Findings demonstrate that One Health-oriented HIS significantly enhances disease surveillance, facilitates intersectoral collaboration, and supports evidence-based decision-making. Technological innovations, notably mobile health (mHealth) and geographic information systems (GIS), drive these improvements by enabling real-time data collection and advanced spatial analysis across diverse ecological settings. Critical implementation barriers persist. Interoperability limitations, inadequate digital infrastructure, severe resource constraints, fragmented governance, and persistent cross-sector data-sharing challenges severely impede seamless system integration. Maximizing the effectiveness of One Health-based HIS requires strengthening policy frameworks, promoting universal interoperability standards, and investing heavily in foundational digital infrastructure. This review provides critical evidence to guide the development of robust, integrated health information systems that can improve global preparedness, surveillance, and response to complex, multisectoral health threats.
Mitigating Uremic Pruritus and Improving Family Coping in Stage 5 Chronic Kidney Disease: A Dual-Intervention Case Study Using Topical Petrolatum Anggia Astuti Astuti; Luluk Sofia Davina Astuti; Zainal Abidin; Rizeki Dwi Fibriansari
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.v4i3.732

Abstract

Chronic Kidney Disease (CKD) imposes severe physical and psychosocial burdens, frequently precipitating a measurable decline in family coping mechanisms. This study explores the clinical efficacy of a dual intervention combining structured family coping support and topical petroleum jelly therapy for managing uremic pruritus and caregiver strain. Employing a descriptive case study design, researchers intervened with the family of a 55-year-old male diagnosed with stage 5 CKD who presented with severe pruritus, xerosis, and skin discoloration. The family initially exhibited care neglect, limited communication, and inadequate health literacy regarding appropriate symptom management. The protocol entailed targeted coping support education, along with twice-daily petroleum jelly application over eight consecutive days. Outcome measurements utilized the validated 5D Pruritus Scale and standardized nursing criteria to evaluate family coping. Post-intervention data revealed a significant reduction in the 5D Pruritus Scale score from 10 to 6, indicating a clear transition to mild pruritus. Family assessments concurrently demonstrated substantial improvements in health knowledge, active caregiving engagement, and interpersonal communication, effectively eliminating previous neglectful behaviors. These findings establish that integrating low-cost topical emollient therapy with targeted psychosocial education constitutes a highly effective, holistic nursing strategy. This comprehensive approach successfully mitigates dermatological distress while simultaneously restoring family coping capacity, offering a highly replicable model for advanced CKD management in community health settings.
Navigating the Hemodynamic Paradox: Integrated Nursing Management of Cardiogenic Shock Complicated by Acute Gastrointestinal Fluid Loss Fuad Alfian Nurfahmi; Dwi Yoga Setyarini; Nurul Arifah; Ikha Nurjihan; Yopi Darmawan
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.v4i3.736

Abstract

Cardiogenic shock is a life-threatening cardiovascular emergency characterized by profound systemic hypoperfusion and multi-organ dysfunction. This case study delineates the clinical trajectory of a 75-year-old female presenting with progressive dyspnoea, generalized weakness, and acute gastrointestinal distress manifesting as severe diarrhea. Clinical investigations revealed severe tachypnoea (50 breaths per minute), hypotension, cardiomegaly, and bilateral suprahilar pulmonary edema, establishing a diagnosis of cardiogenic shock secondary to rapid atrial fibrillation. Primary nursing diagnoses included an ineffective breathing pattern, activity intolerance, and diarrhea, prompting immediate collaborative therapeutic interventions. The deployed regimen encompassed intensive respiratory monitoring, strategic semi-Fowler positioning, high-flow oxygen therapy (8 L/min), structured energy management, and meticulously titrated intravenous fluid resuscitation. Following 72 hours of targeted nursing care, the patient demonstrated optimal clinical outcomes, evidenced by a normalized respiratory rate (20 breaths per minute), stabilized oxygen saturation (98%), complete resolution of diarrhea, and restored physical tolerance. The unique clinical challenge in this case involved the intricate intersection of cardiogenic respiratory failure and profound gastrointestinal fluid loss, which severely complicated conventional fluid titration protocols. This report validates an integrated nursing protocol that successfully coordinates non-invasive oxygenation strategies with precise metabolic and fluid stabilization. Rapid execution of structured positioning and tailored oxygenation bundles significantly mitigates myocardial workload and improves clinical outcomes in acute cardiac crises.
Non-Pharmacological Nursing Management of Edema in Acute Kidney Injury: A Case Study of Ankle Pump Exercises and 30° Leg Elevation Dewi Diniyatul Maulidiyah; Muhammad Zulfatul A’la; Murtaqib; Sujarwanto
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.450

Abstract

Acute Kidney Injury (AKI) frequently induces sodium retention and hypoalbuminemia, precipitating severe peripheral edema that threatens cardiopulmonary and neurological stability. Non-pharmacological interventions are increasingly sought to safely and effectively manage this complex fluid overload in clinical settings. This case study aimed to evaluate the clinical efficacy of a combined nursing intervention, specifically structured ankle pump exercises and 30-degree leg elevation, in mitigating peripheral edema severity in an adult patient with AKI. A descriptive, single-subject case study design was employed within a regional hospital ward setting. The intervention was administered twice daily over a consecutive five-day period. Edema severity was quantitatively assessed at baseline and post-intervention utilizing a standardized pitting edema observation sheet to measure precise tissue depth and rebound time. The intervention yielded clinically meaningful improvements by the third day of implementation. Bilateral lower extremity edema successfully decreased from Grade III to Grade II, accompanied by a measurable reduction in pitting depth and improved tissue recoil time. These objective findings demonstrate enhanced venous return and successful mobilization of interstitial fluid. Ankle pump exercises combined with 30-degree leg elevation represent a highly viable, cost-effective, and independent nursing strategy for managing peripheral edema in AKI patients. This non-pharmacological approach safely complements standard medical management, empowering patient self-care while circumventing the iatrogenic risks associated with aggressive pharmacological diuresis.
Sociodemographic and Psychosocial Determinants of Prenatal Exercise Participation: A Cross-Sectional Study Solehati; Raden Maria Veronika Widiatrilupi
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.601

Abstract

Pregnancy exercise is a vital non-pharmacological intervention for preparing women physically and mentally for childbirth. Despite its proven clinical benefits, participation rates in prenatal exercise classes remain suboptimal in many community healthcare settings. This study aimed to analyze the sociodemographic and psychosocial factors associated with pregnant women's participation in pregnancy exercise classes at a private midwifery practice in Indonesia. A quantitative cross-sectional design was employed. The study population comprised pregnant women in their second and third trimesters. Using a total sampling technique, 30 respondents were selected. Data were collected using a structured questionnaire that assessed maternal age, education level, occupation, and family support. Bivariate analysis was conducted using the Chi-Square test to determine statistically significant relationships. The findings revealed that only 40% of respondents regularly participated in the exercise classes. Bivariate analysis demonstrated significant relationships between class participation and maternal age (p=0.03), educational attainment (p=0.008), and employment status (p=0.037). Younger, highly educated, and non-working mothers exhibited substantially higher attendance rates. Conversely, older age, lower education, and occupational demands presented significant barriers to routine engagement. Maternal age, education, and occupation are critical determinants of prenatal exercise participation. Midwives and healthcare policymakers must leverage these insights to design targeted, inclusive health promotion strategies and flexible scheduling to overcome sociodemographic barriers and optimize maternal health outcomes.
Physical Activity and Dietary Protein Intake as Determinants of Nutritional Status in Undernourished Toddlers: A Cross-Sectional Study in Rural Indonesia Solo, Rosalia Astria Tanggu; Indasah, Indasah; Ambarika, Rahmania
Health and Technology Journal (HTechJ) Vol. 4 No. 4 (2026): August 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i4.603

Abstract

The first five years of life represent a critical developmental window that requires optimal nutrition and lifestyle inputs. Despite global health advancements, childhood undernutrition remains highly prevalent in rural Indonesia, exacerbated by inadequate dietary practices and unregulated physical exertion. This study investigates the simultaneous effects of physical activity levels and dietary protein intake on the nutritional status of toddlers aged 2-5 years in Weebaghe Village, East Nusa Tenggara. A quantitative cross-sectional design was employed, involving 99 toddlers selected from three community health posts. Multiple linear regression analysis was used to evaluate the relationships between the independent variables and the dependent variable, nutritional status, at a significance level of p < 0.05. The analysis revealed that both physical activity (p = 0.002) and protein intake (p = 0.041) significantly influence nutritional outcomes. Both variables exhibited an inverse relationship with nutritional status, indicating that higher physical exertion without adequate caloric compensation and excessive protein consumption independently predict poorer nutritional profiles in this undernourished cohort. These findings challenge conventional assumptions, highlighting that increased physical activity and excessive protein intake can detrimentally impact toddlers in resource-constrained settings. Public health interventions must prioritize balanced energy and macronutrient distributions tailored to the specific metabolic demands of malnourished children to prevent further deterioration in growth.

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