Health and Technology Journal (HTechJ)

Interactive Human Ludo Game to Elevate PHBS Knowledge in School-Age Kids

Lina Mahayaty — 2025-06-21

School-age children face various health challenges due to the suboptimal implementation of Clean and Healthy Living Behavior (PHBS), including irregular handwashing with soap and improper waste disposal. A lack of awareness regarding PHBS is one of the main contributing factors. This study aims to evaluate the effectiveness of an interactive educational approach using the Human Ludo game to enhance PHBS knowledge among school-age children. This research employed a one-group pretest-posttest design, with data analysis conducted using the Wilcoxon test. The results revealed a statistically significant increase in knowledge following the intervention (p-value = 0.000, significance level = 0.005), demonstrating the effectiveness of the Human Ludo game. Its interactive nature fosters active engagement, allowing children to better comprehend and retain health-related concepts. In conclusion, the Human Ludo game significantly improves children's knowledge of PHBS, providing an innovative, engaging, and effective learning method that can be widely applied in school-based health education programs. This game-based learning approach encourages participation, enhances knowledge retention, and promotes healthy behaviors. Future studies should explore the long-term effects of the Human Ludo game on knowledge retention and its potential applications across broader educational topics.

The Effect of Classical Music Therapy on Anxiety of Pregnant Women in The Third Trimester

Retha Rusbitawati Kartaatmaja — 2025-06-21

Anxiety in primigravid women during the third trimester stems from multifactorial influences, including hormonal fluctuations, physical strain, and psychosocial pressures. Maternal anxiety remains a pressing public health issue, particularly in regions with high maternal mortality rates. Non-pharmacological approaches, such as classical music therapy, offer promising solutions for reducing anxiety in antenatal care. This study aims to determine the effect of classical music therapy on anxiety in pregnant women in the third trimester. This study used a quasi-experimental method with a one-group pretest-posttest design. Sampling was done using total sampling with a sample size of 35 pregnant women. The instrument used the PASS (Perinatal Anxiety Screening Scale) questionnaire. Data analysis used the Wilcoxon Sign test. The dependent variable was anxiety in pregnant women in the third trimester. The independent variable was music therapy. The univariate results of the average anxiety in pregnant women in the third trimester before intervention were 51.17, and after intervention, it was 31.89. The Wilcoxon Test results show a P value of 0.0001, meaning that there is an effect of anxiety on pregnant women before and after being given classical music therapy. There is an effect of classical music therapy on anxiety in pregnant women in the third trimester. It is hoped that pregnant women who experience anxiety can do classical music therapy to relieve their anxiety.

Nursing Care for Hydronephrosis Patients Through Deep Breathing Relaxation Techniques Implementation to Reduce Pain: A Case Report

Miftah Salsabila — 2025-06-21

Hydronephrosis occurs due to a disorder in the urinary tract that causes the flow of urine from the urinary tract to be obstructed, causing the dilation of the channels in the kidneys. The main symptoms that hydronephrosis patients commonly feel are pain in the lower back, nausea, and fatigue. Deep breath relaxation therapy, as a non-pharmacological therapy, has the effect of reducing pain. This study aims to determine the effect of deep breath relaxation techniques in patients with hydronephrosis and pain complaints. The method used in this study was a case study of one patient who was given an intervention for three days. The pain intensity scale was measured using the Numeric Rating Scale (NRS). This study showed a significant reduction in pain intensity in hydronephrosis patients from a scale of 6 to a scale of 3, where the deep breath relaxation technique intervention was given for three consecutive days for three sets per day in patients. Based on the results of the study, the researcher suggests the use of deep breath relaxation techniques as a non-pharmacological therapy in hydronephrosis patients with pain complaints in clinical practice, which can be provided by health workers, especially nurses or as patient-independent therapy because deep breath relaxation techniques are easy to do therapy and do not require additional tools and materials to do so.

Application of Spiritual Emotional Freedom Technique (SEFT) to Reduce Anxiety Levels in Patients Pre-Operating Trans Urethral Resection of The Prostate (TURP)

Rifki Sudai — 2025-06-21

Anxiety in patients undergoing Transurethral Resection of the Prostate (TURP) surgery can have a significant impact on the physiological and psychological aspects of the patient. Anxiety in preoperative patients can result in surgery being postponed or canceled. One effort that can be made to reduce anxiety levels in preoperative TURP patients is to provide SEFT therapy. During tapping, there is an increase in the process of neurotransmitter signal travel, which reduces the regulation of the hypothalamic-pituitary-adrenal Axis (HPA axis), thereby reducing the production of stress hormones. This research method uses a case study, and pre-and post-implementation measurements are carried out. The sample used was one person. The research sample was given treatment, namely SEFT therapy, to reduce anxiety levels. The results of SEFT therapy were observed using the State-Trait Anxiety Inventory (STAI) measuring instrument. There was a decrease in anxiety levels before and after treatment; namely, the STAI score decreased to 31 (moderate anxiety). SEFT therapy can reduce anxiety because the tapping mechanism in SEFT therapy has the function of releasing endorphin hormones. Endorphin hormones help reduce psychological symptoms such as anxiety.

Age, Parity, and The Prevalence of Anemia in Third-Trimester Pregnant Women: A Correlation Study

Anggraini Dyah Setiyarini — 2025-06-21

Lack of iron the most prevalent type of anemia during pregnancy is and is still a global health problem. Both the mother and the unborn child are impacted by anemia. Data on pregnant women who experience anemia in Desa Semen in 2025 were 8 pregnant women. This study aimed to ascertain how age and parity relate to the prevalence of anemia in the third trimester of pregnancy in Semen Village, Semen Subdistrict, Kediri Regency. The study employed a cross-sectional methodology. There were fifteen participants in the study, which was carried out in Semen Village; Total sampling was used as the sampling method. A questionnaire on the mother's age and parity as well as the findings of laboratory tests to evaluate the anemia status were employed in the data-gathering process. Chi-square was utilized in both univariate and bivariate data analysis. The study revealed that the number of pregnant women at risk (less than 20 years and more than 35 years) was 7 (46.7%), and the number of pregnant women at risk (more than three times) was 7 (46.7%). Seven individuals (46.7%) had normal hemoglobin levels (≥11 g/dl) throughout pregnancy, while eight individuals (53.3%) had abnormal hemoglobin levels (<11 g/dl). The study of parity and age with the incidence of anemia revealed a p-value of 0.032 (p < 0.05) and 0.032 (p < 0.05), respectively. Additionally, in Semen Village, Semen Subdistrict, Kediri Regency, there is a correlation between the incidence of anemia in the third trimester of pregnancy and age, as well as between parity and anemia incidence. Researchers hope to program pregnancy at the ideal age and pay attention to the number of parities so that pregnancy is safer and healthier.

The Effect of Prenatal Yoga on Back Pain in Pregnant Women

Nareswari Nugraha — 2025-06-21

Hormonal changes during pregnancy alter the soft tissue that supports and connects the muscles, thereby reducing muscle flexibility and resulting in pregnant women's back pain. The purpose of this research is to determine whether prenatal yoga helps pregnant women with back discomfort. A pre-experimental research design was used. Non-probability sampling was conducted using a one-group pre-test-post-test design. We used the accidental sampling method to select 10 participants for the sample at random. A pregnant woman who happened to meet a researcher could be used as a sample when viewed as a suitable respondent. Data collection was done with observation sheets using the Numeric Rating Scale pain scale. According to the Wilcoxon test results, H0 is rejected and H1 is obtained, the ρ value is equal to 0.001, and the α value is less than 0.05. A 1.9% decrease is indicated by the average difference of 6.40 ± 4.50 between the pretest and posttest. The findings of this study indicate that expectant mothers' discomfort can be lessened by using prenatal yoga. Prenatal yoga may help pregnant women with back pain, according to one study. Prenatal yoga is intended to be used in conjunction with other therapies as a supplemental treatment to help pregnant women with their back pain.

Systematic Literature Review: Self-Harm in Indonesia and Its Influencing Factors

Rany Agustin Wulandari — 2025-06-21

Adolescence is a transitional period that experiences a variety of significant changes. The existence of various pressures and challenges can cause adolescents to experience negative feelings which ultimately choose to engage in self harm behavior. There are several factors that cause self harm behavior. The purpose of this study is to gain an in-depth understanding of the behavior and forms of self harm and the factors that cause self harm. The study was conducted using Systematic Literature Review (SLR) through the PRISMA method (Preferred Reporting Items for Systematic Reviews and Meta-analysis). The keywords used are self harm behavior, factors causing self harm, obtained 10 journal articles that match the inclusion criteria. Self harm behavior is done as an emotional response that cannot be expressed. It can take the form of self-mutilation, scratching, head banging, cutting, burning, drug abuse, tattooing and piercing, and even self-poisoning. Factors that cause self-harm behavior can be divided into two types, namely internal factors (Loneliness, Feelings of anxiety, Anger and guilt, Stress and depression, Communication problems, Low self-esteem, No self-confidence, Bipolar disorder and psychosocial problems, Parenting, Hatred, Gender, Skin color, Personality, Trauma, Loss, Genetics, Feeling like a failure, Parental neglect, Putting others first, Sadness), and external factors (Bullying, Social failure, Social and economic status, Sexual abuse victim, Internet, media, and cell phone use, Rejection from peers). Self harm behavior needs immediate prevention and management because if it is not treated immediately it will lead to suicide. There are 26 factors that cause self harm behavior.

Pursed Lips Breathing with Balloon Enhancing Airway Clearance in Children with Pneumonia

Musviro — 2025-06-21

Pneumonia can pose a serious threat to children's health. In pneumonia, increased lung secretions obstruct the airways, affecting breathing, especially in children who cannot expel sputum alone. If not treated immediately, this condition can be fatal. This study aimed to provide nursing care for children with nursing problems of ineffective airway clearance with Pursed Lips. Breathing using balloons can help improve gas exchange, which is observed by increasing oxygen saturation in the body and can help expel secretions. Participants in this study were pneumonia patients aged 3-5 years who were treated in the Bougenville Room of Dr. Haryoto Hospital, Lumajang, with nursing problems of Ineffective Airway Clearance and were not allergic to balloons. Data collection used interviews, observations, and documentation studies. The results of the assessment showed that An. A male, 5 years old, has a weak general condition, ineffective cough, sputum, additional breathing sounds of rhonchi, and an increased respiratory rate. The nursing problem that occurred was ineffective airway clearance. The interventions carried out refer to the Indonesian Nursing Intervention Standards (SIKI) intervention, namely airway management, respiratory monitoring, and Pursed Lips Breathing (PLB) actions. To attract children's interest, PLB uses balloons conceptualized as balloon play therapy, whose mechanism is similar to PLB with an atraumatic care approach. After nursing care for 4 days, the goals were achieved. Namely, changes in effective coughing increased, sputum decreased, additional breath sounds were absent, breathing patterns changed, and breathing frequency improved. Pursed Lips Breathing (PLB) can increase alveolar expansion in each lung lobe so that alveolar pressure increases and secretions can be pushed into the airway during expiration. PLB can be carried out to increase knowledge as an innovative intervention in treating children with pneumonia diagnosed with ineffective airway clearance.

Midwifery Care for Over 35 Years Multigravida Mothers with Premature Rupture of Membranes at the Age of a Term Pregnancy

Erica Diana Putri — 2025-06-21

Premature rupture of membranes (PROM) is a condition of rupture of the amniotic membrane after 37 weeks of gestation but before labor begins, which can increase the risk of intraamniotic infection, preterm labor, and operative measures such as cesarean section. This study aims to provide midwifery care for a case of PROM in a multigravida mother aged >35 years with a term pregnancy. This study used a case study design with an in-depth approach to the subject, Mrs. LN, age 40 years, G4P3003, gestational age 37 weeks, who came with complaints of discharge from the birth canal without adequate contractions. Data was collected through interviews, observation, physical examination, and documentation study. Examination using the Leopold palpation method, vaginal toucher, and examination with red litmus paper, which turns purple, indicating the presence of amniotic fluid. The diagnosis was the first stage of the labor latent phase with PROM. Obstetric interventions were carried out through observation, education, and referral to the hospital due to indications for postpartum MOW contraception. The study results showed that the mother and baby were born in good health, and the postpartum contraception plan could be implemented. This study emphasizes the importance of early detection of PROM and collaborative management in supporting maternal and infant safety.

Analysis of SI PENDEKAR Implementation with Technology Acceptance Model at Dr. Soedono General Hospital

Abdul Rohim — 2025-06-21

Health information systems are important in providing efficient and effective services in the era of rapid development of information technology today. This study analyzed healthcare workers' acceptance of the benefits of implementing the Integrated Outpatient Revisit Patient Service Information System (SI PENDEKAR) at the outpatient clinic in Dr. Soedono General Hospital. This study used quantitative analysis with a cross-sectional approach. The questionnaire used a Technology Acceptance Model (TAM) instrument to evaluate officer acceptance of SI PENDEKAR innovation. The research subjects included 30 healthcare workers related to the use of innovation on officers’ attitudes towards using (path coefficient = 0.578, p=0.001) and perceived usefulness on behavioral interest in using (path coefficient = 0.651, p =0.001). The healthcare worker’s perception of the benefits of this innovation will increase the attitude of acceptance and attitude of use, which can increase the speed of services in the outpatient clinic.

Causative Factors of Respiratory Tract Disorders among Agricultural Workers

Siti Amalia Galuh Putri Mawardi — 2025-06-21

Agricultural workers are particularly susceptible to respiratory ailments. This results from exposure to various harmful substances in the workplace, including dust, insecticides, and smoking. Farmers may have acute respiratory illnesses, such as upper respiratory tract infections, or chronic respiratory conditions, such as asthma and chronic obstructive pulmonary disease (COPD). This article aims to examine the literature about respiratory problems encountered by farmers. The databases utilized are Google Scholar, Semantic Scholar, and Science Direct. The specified English keywords are "Dust exposure" AND "Farmer" OR "Rice mill" AND "Lung function". Meanwhile, Indonesian keywords employ the terms "Exposure to dust" AND "Farmers" OR "Rice mill" AND "Lung function". The research findings indicate that respiratory illnesses pose a significant health issue for farmers. To prevent respiratory problems in farmers, minimizing their exposure to harmful substances in their work environment is necessary. The way to overcome this is by using Personal Protective Equipment (PPE), ensuring adequate ventilation in rice mills, and carrying out regular health checks to detect and treat respiratory problems early.

Relationship between Knowledge and Attitude with the Dangers of Bullying in High School Students

Sadya Bustomi — 2025-06-21

Bullying is a common issue in school environments and can have severe negative impacts on students' mental, social, and academic well-being. This study examined the Relationship between Knowledge and Attitude with the Dangers of Bullying in High School Students. A quantitative cross-sectional approach was used, involving 60 eleventh-grade students selected through total sampling. Data were collected using questionnaires distributed before and after the health education intervention and analyzed using univariate and bivariate tests. The univariate results showed that most respondents had high levels of bullying behavior (71.7%), low knowledge (68.3%), and negative attitudes (51.7%). After the intervention, improvements were observed in both knowledge and attitudes. Bivariate analysis revealed a significant relationship between knowledge and bullying (p = 0.017) and between attitude and bullying (p = 0.033). Health education proved effective as a promotive and preventive strategy for fostering positive behavior and empathy among adolescents. Therefore, schools should integrate health education into student development programs to create a safe and violence-free learning environment. This study contributes to bullying prevention through a structured, evidence-based educational approach.

The Association Between Perimenopausal Women's Knowledge and Educational Attainment and Their Readiness for Menopause

Dwi Margareta Andini — 2025-06-21

Women go through a phase called menopause, during which their menstrual periods stop during the climacteric era. Around age 45, ovarian function starts to deteriorate, which lowers the production of the hormone estrogen. Given that many women experience anxiety or fear during this time, they must know about menopause. This study's goal is to ascertain how perimenopausal women relate their degree of education and knowledge to their preparedness for menopause. This study uses a cross-sectional research design and is quantitatively analytical. Six hundred forty-one perimenopausal women made up the study population. Purposive sampling was used, and there were 89 participants in the sample. Research Results: Based on the results of the knowledge analysis, 48 respondents (53.9%) had good knowledge, 30 respondents (33.7%) had sufficient knowledge, and 11 respondents (12.4%) had insufficient knowledge. The analysis results of respondent readiness were in the category of ready-to-face menopause, with 67 respondents (75.3%) and 22 respondents (22.7%) not ready to face menopause. The chi-square non-parametric analysis test shows that the significance value obtained is 0.000. It can be concluded that there is a relationship between knowledge and readiness to face menopause in perimenopausal. There is a relationship between education level and readiness to face menopause in perimenopausal women with a value of p = 0.000.

Midwifery Care for Pregnant Women in the Third Trimester with the Obstetric Complaint of Low Back Pain

Bella Novelia Putri — 2025-06-21

Low back pain is a common musculoskeletal disorder experienced during pregnancy, with a prevalence ranging from 30% to 78% in regions such as the United States, Europe, and Africa. Approximately one-third of affected individuals experience low back pain that leads to decreased productivity and reduced quality of life. An increased body weight of 11–12 kg, along with hormonal and biomechanical changes during pregnancy, contributes to a higher risk of pain in the back, pelvis, and other musculoskeletal areas. Given the potential impact of such complications during pregnancy, health policymakers should place greater emphasis on addressing this issue. In addition, public education on the importance of maternal health, coupled with timely diagnosis and intervention efforts, plays a crucial role in reducing pregnancy complications. This study aims to provide midwifery care to a third-trimester pregnant woman with complaints of low back pain through a case study of Mrs. N.A. (G3P2002, 28 weeks gestation). Data were collected through interviews, observation, physical examination, and documentation review. Diagnoses were made based on subjective and objective findings, and interventions were implemented through health education and pregnancy gymnastics as a promotive and preventive approach to improving maternal well-being. The evaluation results showed a significant improvement in the client's lower back pain after the intervention. The client reported decreased pain intensity to the point where it no longer interfered with daily activities, indicating that the intervention was effective and aligned with the previously planned objectives and success indicators. It is essential to provide follow-up education and regular evaluations in midwifery practice to ensure that similar complaints do not recur or develop into more serious issues.

Optimizing Early Detection of TIA: A Literature Review of Clinical and Technological Screening Methods

Eko Prasetya Widianto — 2025-06-21

Transient Ischemic Attack (TIA) is a critical predictor of future stroke, yet it is frequently underrecognized due to its transient and often mild neurological manifestations. This literature review aims to synthesize clinical and technological approaches for early screening and detection of TIA, emphasizing strategies aligned with timely intervention and stroke prevention. A systematic search was conducted across PubMed, Scopus, and Google Scholar, identifying 94 articles. Following PRISMA guidelines, 10 studies were selected based on inclusion criteria related to early detection, emergency response, and digital health interventions. The analysis yielded three major themes: (1) the clinical relevance of early recognition of subtle neurological symptoms, (2) the role of emergency medical services and prehospital screening tools, and (3) the emergence of mobile health (mHealth) and telemedicine platforms in supporting early TIA detection. Findings indicate that while TIA symptoms are transient, they signal a significant risk of subsequent stroke, underscoring the need for prompt and accurate assessment. Technological innovations such as mobile applications and teleconsultation enhance traditional diagnostic methods but face challenges in implementation, including disparities in digital access and limited public awareness. In conclusion, integrating clinical vigilance with scalable technological solutions holds promise for improving early TIA detection, particularly in resource limited or remote settings. It is recommended that health systems invest in training emergency responders and adopt validated digital tools into prehospital protocols. Future research should focus on clinical validation and real-world integration of mHealth platforms to support global stroke prevention efforts.