Health and Technology Journal (HTechJ)

Development and Applicability Evaluation of a Pre-Hospital Patient/Injured Identification, Missing Search, and Tracking Software System in Disasters

2025-09-15T13:47:07+07:00

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.

Midwifery Care for Neonates with Jaundice

2025-05-27T08:02:45+07:00

Excess bilirubin accumulation occurs in 60% of babies born on time and 80% of premature babies in the first week of life, causing the skin and sclera to turn yellow. This condition is called neonatal jaundice. It is important to provide appropriate treatment so that severe complications such as kernicterus and permanent neurological damage can be avoided. This study aims to analyze Midwifery Care for Neonates with Jaundice. This study applied a case study design with a comprehensive approach to midwifery care in one patient. Information was collected through interviews, observations, physical examinations, and documentation studies. The data was then analyzed by following the stages of the midwifery process, which include assessment, diagnosis, intervention, implementation, and evaluation. A case study was conducted on baby A, aged 7 days with a birth weight of 3020 grams, who had jaundice on the face, neck, and chest. The diagnosis was a 7-day-old full-term neonate with physiological jaundice. The intervention was conducted by educating mothers to dry the baby for 10-15 minutes before 10 am and breastfeed as often as possible, 8-12 times a day. Evaluation at the second visit showed that the facial, neck, and chest jaundice was no longer visible, and the body weight increased from 3010 grams to 3030 grams. This case demonstrates the effectiveness of non-pharmacological interventions in managing physiological jaundice. An educative approach through adequate breastfeeding and exposure to morning sunlight as natural phototherapy is proven to be safe and easy to do at home.

Agronursing Approaches in Supporting the Mental Health of Agricultural Workers

2025-09-15T12:00:35+07:00

Agricultural workers face complex work pressures such as social isolation, weather dependency, and limited access to health services, which impact their mental health. Agronursing is emerging as a nursing approach that is responsive to the specific needs of agrarian communities in a holistic and culturally based manner. This article explores the role of agronursing in supporting farmworkers' mental health through contextualized and sustainable interventions. This literature review employed a systematic search in ScienceDirect, PubMed, and MDPI databases for articles published between 2020 and 2025. From 4,371 identified articles, a multi-stage screening and eligibility process was conducted, resulting in 10 articles that met all inclusion criteria for final analysis. Burnout and mental health problems are prevalent among agricultural workers due to various internal and external stressors. Various approaches, such as increasing psychological and social capital, self-coping strategies, and multimodal interventions, have proven effective in maintaining farmers' mental well-being. An agronursing perspective and community support are important in sustainably building farmers' psychological resilience. Farmers' mental health is adversely affected by economic stress, overwork, and social isolation, with stigma and mistrust hindering access to support. Effective interventions must be context-sensitive and involve farmers to ensure psychological impact and community acceptance.

The Effect of Dzikir in Reducing Anxiety in Patients Undergoing Modified Radical Mastectomy (MRM)

2025-09-15T13:44:55+07:00

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

2025-09-15T13:44:22+07:00

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

2025-08-29T10:18:18+07:00

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

2025-09-15T13:40:39+07:00

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.

Effectiveness of Beetroot (Beta vulgaris) Juice in Reducing Anemia among Pregnant Women

2025-09-15T13:33:22+07:00

Anemia in pregnancy remains a global health problem with high prevalence, particularly in developing countries, including Indonesia. Limited adherence to iron supplement consumption has prompted the need for alternative, locally available food-based interventions that are more acceptable to the community. This study aimed to evaluate the effectiveness of beetroot (Beta vulgaris) juice in increasing hemoglobin (Hb) levels and alleviating clinical symptoms of anemia among pregnant women in the Tengger region, East Java. A pre-experimental one-group pretest–posttest design was employed. Thirty-eight pregnant women in their second to third trimester who met the inclusion criteria consumed 200 ml of beetroot juice daily for 14 days. Hemoglobin levels were measured before and after the intervention using the cyanmethemoglobin method and documentation of anemia-related clinical symptoms. The findings revealed a significant increase in Hb levels from an average of 10.4 ± 0.8 g/dL to 11.5 ± 0.9 g/dL (p < 0.001). The proportion of pregnant women with mild anemia decreased from 76.3% to 34.2%, while the proportion of non-anemic status increased. In addition, clinical complaints such as weakness, dizziness, and shortness of breath were also significantly reduced. No serious adverse events were reported, with mild side effects that did not interfere with respondent compliance. In conclusion, administering beetroot juice effectively increases hemoglobin levels and improves clinical symptoms of anemia in pregnant women, and has the potential to be an affordable, non-pharmacological nutritional strategy that can support integration into antenatal programs in resource-limited settings.

Warm Foot Bath Therapy and Jasmine Aromatherapy to Treat Insomnia in the Elderly

2025-09-15T13:36:26+07:00

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.

Implementation of E-Healthy Application in Islamic Boarding Schools to Optimize Health Management for Students

2025-06-16T07:26:34+07:00

Effective health management in Islamic boarding schools is crucial to safeguard students’ well-being, particularly in settings with limited healthcare resources. Traditional health monitoring methods are often insufficient for timely interventions. This study evaluates the implementation of the E-Healthy application as a digital solution to optimize health management in Islamic boarding schools. A descriptive study was conducted among 36 students recruited using simple random sampling. The mean perceived ease of use score was 44.3 (SD = 5.0), with 75.0% of students rating the application as easy to use. The median perceived usefulness score was 49.0 (range 38–55), with 88.9% of students agreeing that the application was beneficial for health monitoring. Both outcomes demonstrated statistically significant positive perceptions (p < 0.05, 95% CI). The E-Healthy application is user-friendly and perceived as valuable in supporting student health management. Its integration into Islamic boarding schools has the potential to strengthen health systems in line with WHO digital health priorities and the United Nations Sustainable Development Goals (SDG 3: Good Health and Well-Being). Future research should evaluate long-term health outcomes and scalability across diverse educational institutions.

Implementation of Lavender Aromatherapy for Post-Caesarean Section Mothers Experiencing Acute Pain

2025-09-15T12:02:26+07:00

A Caesarean section is a surgical procedure through the abdominal wall and uterus to remove the fetus, which generally causes more severe postpartum pain than standard delivery. Pain due to surgery, if not immediately addressed, will hinder the mother's recovery process and the baby's breastfeeding process. One effort that can be done to reduce pain is with non-pharmacological methods, one of which is through the administration of lavender aromatherapy. This study aimed to explore the implementation of lavender aromatherapy administration for post-cesarean section mothers experiencing acute pain in the Lotus Room of Dr. Haryoto Lumajang Regional Hospital. The method used in this study was a case study involving one participant who met the inclusion criteria, namely a post-CS patient treated in the Lotus Room of Dr. Haryoto Lumajang Regional Hospital, exhibiting 5 out of 6 significant signs and symptoms of acute pain with a moderate to severe pain scale. Data was collected on March 18-20, 2025, using interviews, observation, and documentation techniques. The measurement instrument for the level of pain reduction was the Numeric Rating Scale (NRS) and the observation sheet for outcome criteria. Aromatherapy was implemented using a diffuser with five drops of lavender essential oil twice daily for 20 minutes. The study results showed a reduction in pain levels, with the following criteria: pain complaints decreased from 8 (severe) to 2 (mild), decreased grimacing, decreased anxiety, decreased protective behavior, improved pulse rate, and improved sleep quality. Pain management with one of the lavender aromatherapy interventions can reduce pain from 8 to 2 on NRS.

Implementation of 5P Marketing Strategy to Improve Non-BPJS Patient Loyalty at Surya Husada Primary Clinic, Indonesia

2025-09-29T12:37:33+07:00

Patient loyalty is a critical determinant of sustainability for private healthcare providers, particularly in developing countries where competition with public insurance systems is intense. This study aimed to analyze the influence of the 5P marketing mix strategy—product, price, place, promotion, and people—on the loyalty of non-National Health Insurance (non-BPJS) patients at Klinik Pratama Surya Husada Tulungagung, Indonesia. A quantitative explanatory design was employed with a sample of 110 non-BPJS patients selected through purposive sampling. Data were collected using a validated questionnaire and analyzed through multiple regression. Classical assumption tests confirmed normality, absence of multicollinearity, homoscedasticity, and autocorrelation, validating the regression model. The results indicated that product (β = 0.601, p < 0.001), promotion (β = 0.080, p < 0.001), and people (β = 0.308, p < 0.001) had significant positive effects on patient loyalty. In contrast, price (β = −0.070, p < 0.001) and place (β = −0.079, p < 0.001) showed significant adverse effects. The simultaneous effect test revealed that all five variables significantly influenced loyalty (F = 2026.128, p < 0.001). The coefficient of determination (R² = 0.990; Adjusted R² = 0.989) demonstrated that the 5P marketing mix could explain 99% of the variance in patient loyalty. These findings underscore the critical role of service quality, human resources, and effective promotion in strengthening patient loyalty, while pricing and accessibility require careful strategic adjustments. The study contributes to healthcare marketing literature by validating the 5P framework in the Indonesian primary care context. It provides actionable insights for private clinics seeking to enhance competitiveness in a dual healthcare system.

Midwifery Care for Pregnant Women with Late-Term Pregnancy and Oligohydramnios

2025-06-30T09:00:03+07:00

Late-term pregnancy is defined as a pregnancy that has reached 41 weeks and 6 days or more, which includes the risk of oligohydramnios. Proper management of late-term pregnancy is essential through labor induction to reduce the risks of morbidity and mortality. This study aims to analyze Midwifery care for pregnant women with late-term pregnancy and oligohydramnios. This study utilized a case study methodology with a thorough midwifery care approach for one patient. Data collection involved interviews, observations, physical assessments, and documentation reviews. The data were analyzed following the midwifery process steps: assessment, diagnosis, intervention, implementation, and evaluation. The case study was conducted with Mrs. R, who showed no signs of labor. A diagnosis was made of G3P2OO3 at a gestational age of 41-42 weeks, characterized by late-term pregnancy and intrauterine live fetal oligohydramnios. The intervention involved referring the patient to the hospital for labor induction. The evaluation revealed that the cesarean section was successful, and both the mother and baby were healthy after the delivery. This case highlights the significance of early detection and sound decision-making in managing overdue pregnancies to mitigate the risks of complications for both mother and newborn.

Parental Self-Awareness Management Towards Children with Gadget Addiction

2025-05-27T08:02:24+07:00

Prolonged gadget exposure significantly impairs children’s emotional regulation and social adaptability. Such challenges underscore the critical role of early intervention in realigning developmental trajectories and equipping children with adaptive skills for managing frustration and interpersonal engagement. Effective parental self-awareness management entails deliberate strategies to regulate screen time while enriching children’s environments with non-digital stimuli. The research aims to determine the management of parental self-awareness towards children who are addicted to gadgets. The research design is qualitative with a phenomenological method. Collecting data by interviews and observations. Based on the results of interviews with informants, four themes were obtained that explained the research problem. The themes obtained are based on parents' experiences managing self-awareness in children addicted to gadgets. The themes obtained are (1) the use of gadgets in everyday life, (2) characteristics of gadget dependence, (3) strategies to optimize gadget use, and (4) strategies to reduce gadget dependence. Management of parental self-awareness towards children addicted to gadgets, namely by supervising children when playing with gadgets, giving children time limits so they do not overdo it, and directing them to educational websites that children can use. For busy working parents, it is recommended that they still be able to control the intensity (duration and frequency) of gadget use by only giving them gadgets when parents are at home and controlling the activities (playing games or accessing the internet) children do with gadgets.

The Impact of Pesticide Exposure on Farmers' Respiratory Health: An Agronursing Perspective

2025-09-29T07:11:12+07:00

Pesticide exposure is one of the most significant risks farmers faces, especially regarding respiratory health. Lack of understanding about using personal protective equipment (PPE) and safe work procedures makes farmers vulnerable to respiratory problems. This study aims to identify the impact of pesticide exposure on farmers' respiratory health from an agronursing perspective. This research is a literature review study that uses a quantitative descriptive approach. The sample was taken from 10 articles from PubMed, Science Direct, and Semantic Scholar, which were considered most relevant. The study showed pesticide exposure is significantly associated with increased respiratory disorders such as asthma, chronic cough, and decreased lung function. Risk factors include frequency of spraying, type of pesticide, and lack of PPE use. The agronursing approach is important in the prevention and management of health impacts due to pesticides. The role of nurses as educators, behavior change facilitators, and intervention developers is essential to increase farmers' awareness and health protection.