Health and Technology Journal (HTechJ)

Nursing Care for Dengue Hemorrhagic Fever Patients with Deep Breath Relaxation Intervention to Reduce Pain

Tita Saskia Asmoro — 2025-08-18

Dengue fever or hemorrhagic fever is an acute infectious disease that can be transmitted by the Aedes aegypti mosquito. The virus carried by the Aedes aegypti mosquito will attack cells in the liver, disrupting liver function and causing swelling and bleeding. Symptoms that can occur are high fever, muscle and joint pain, and rash. One of the nonpharmacological therapies is deep breath relaxation therapy to reduce pain. This study aims to analyze deep breath relaxation techniques to reduce pain. This research design used a case report approach. The pain can decrease after being given deep breath relaxation therapy for 3 days. On the first day, on a scale of 7, it decreased to a scale of 2 on the third day of hospitalization. Applying deep breath relaxation techniques can help reduce pain intensity by relaxing skeletal muscles that experience spasms due to increased prostaglandins, so that vasodilation of blood vessels will increase blood flow that is spasmed and ischemic. This technique can help a person or patient control themselves when feeling emotional discomfort, physical stress, or pain. Deep breath relaxation techniques can be given to patients who experience pain as a nonpharmacological therapy. The application of this relaxation technique is proven to reduce pain intensity.

Spinal Manipulation Therapy for Reducing the Incidence of Low Back Pain among Workers in the Agro-industrial Sector

Femas Agusta Regi Darmawan — 2025-08-18

Workers in the agro-industrial sector, such as farmers, are very vulnerable to Low Back Pain, because several risk factors cause low back pain in farmers, such as their working position not being in an ergonomic position and being in an extended position at a particular time without any movement or shift in position. Low Back Pain can be very dangerous if not treated immediately, as it can cause adverse effects for the sufferer. One of the methods that can be used in overcoming Low Back Pain in farmers is Spinal Manipulation therapy. This therapy focuses on improving the spine's position and restoring its function to what it was before. This study aimed to determine whether Spinal Manipulation Therapy can reduce the incidence of LBP in farmers in the Agroindustry area. The method used was a literature review using journals as reference sources accessed from Google Scholar, PubMed, and ScienceDirect with keywords "Spinal Manipulation Therapy" AND "Low Back Pain" AND "Agroindustrial Sector". The results indicate that providing Spinal Manipulation therapy to farmers suffering from LBP is effective because the therapy can improve posture, reduce back pain, and improve physical mobility. Therefore, Spinal Manipulative Therapy is one of the most effective therapies for treating low back pain in farmers because it can improve their quality of life.

Midwifery Care for Pregnant Women with Late-Term Pregnancy

Finta isti kundarti — 2025-08-18

Late-term pregnancy occurs at 41 weeks to 41 weeks and six days of gestation. It poses potential risks to both the mother and the fetus. Appropriate management is crucial for preventing morbidity and mortality. This study aims to analyze Midwifery Care for Pregnant Women with Late-Term Pregnancy. This study employs a case study design with a comprehensive midwifery care approach for one patient. Data collection was carried out using a combination of interviews, direct observation, physical examinations, and document review. The analysis followed the structured stages of the midwifery care process, which include assessment, diagnosis, implementation, and evaluation. The case study was conducted on Mrs. YS, who did not experience signs of labor and refused induction. The diagnosis was established as G3P1011 with a gestational age of 42-42 weeks and a late-term intrauterine live fetus. The intervention involved referring the patient to the hospital for a cesarean section. The evaluation showed that the C-section went well, and the mother and baby were in good health after delivery. This case study highlights the importance of early detection and appropriate decision-making when managing overdue pregnancies. Refusing induction poses a clinical challenge requiring an educational and collaborative approach to avoid increasing the risk of maternal and neonatal complications.

Midwifery Care for Postpartum Mothers with Breast Milk Problems

Frida Indah Rahmaningrum — 2025-08-18

Failure of exclusive breastfeeding is caused by poor milk production, which can be influenced by stress, lack of understanding, and the mother's physiological condition. Inadequate milk production can negatively affect the growth and development of the baby. Non-pharmacological interventions such as oxytocin massage effectively stimulate oxytocin and prolactin hormones that play an important role in breast milk production. The purpose of this study was to provide postpartum midwifery care with the problem of breast milk not flowing through oxytocin massage therapy. This research used a case study approach to Mrs. FHP's complaint of breast milk not flowing in the right breast. Data were collected through interviews, observations, physical examinations, and documentation studies. The intervention was carried out by teaching the client's husband to use oxytocin massages, and monitoring was carried out for 7 days. Evaluation results showed increased breast milk production after oxytocin massage was performed twice a day for 15 minutes. Oxytocin massage is proven to be effective as a non-pharmacological intervention in overcoming the problem of poor milk production in postpartum women. Appropriate midwifery care can help mothers achieve exclusive breastfeeding success.

Midwifery Care for Pregnant Women with Atopic Dermatitis

Finta isti kundarti — 2025-08-18

Atopic dermatitis, or atopic eczema, is a chronic inflammatory skin disease characterized by itchy red skin lesions, xerosis, ichthyosis, and skin pain. Among the social impacts of atopic dermatitis are difficulty and isolation in relationships and social stigmatization. In addition, atopic dermatitis is known to cause sleep disturbances, anxiety, hyperactivity, and depression. This study aims to provide midwifery care in cases of atopic dermatitis experienced by pregnant women in the third trimester. The case study design in this study uses an in-depth approach to the subjective mother A, age 31 years, G3P1011, gestational age 32-33 weeks, who comes with complaints of itching on the body with skin conditions experiencing dryness and scaling, which causes the skin surface to feel rough. Data was collected through interviews, observation, physical examination, and documentation study. The examination was carried out through inspection and palpation of the skin area experiencing complaints, along with an assessment of the skin condition. Interviews regarding the history of allergies and precipitating factors reinforced the initial diagnosis. The diagnosis made was atopic dermatitis in pregnant women in the third trimester with complaints of pruritic and dry skin. Midwifery interventions were carried out through observation and education. Evaluation results showed a decrease in itching complaints and improved skin condition. This study emphasizes the importance of early detection of skin dryness and a holistic approach in supporting the comfort and skin health of pregnant women.

Midwifery Care in Pregnant Women with Mild Anemia

Dina Rosidatul Husna — 2025-08-18

Anemia in pregnant women is a global and national problem that can increase the risk of maternal and infant morbidity and mortality. Anemia in pregnancy is a decrease in the capacity of blood to carry oxygen caused by a decrease in the number of red blood cells or a reduced hemoglobin concentration in the blood circulation. This study aims to analyze midwifery care in pregnant women with mild anemia. This study used a case study design with a comprehensive midwifery care approach in one patient. Data were collected through interviews, observations, physical examinations, and documentation studies. Data were analyzed using the stages of the midwifery process, which include assessment, diagnosis, intervention, implementation, and evaluation. The case study was conducted on Mrs. FF, who had a hemoglobin level of 10.2 gr/dL. The diagnosis was made G1P0000, gestational age 29-30 weeks, with mild anemia of an intrauterine live fetus. The intervention was carried out by educating about the importance of iron-rich nutrition, giving oral supplementation according to the recommended dose, and monitoring hemoglobin levels. The evaluation showed an increase in hemoglobin level to 11.2 gl/Dl after 8 weeks of intervention, with clinical improvement. This case demonstrates the importance of early detection of anemia in pregnancy and appropriate management through education, supplementation, and regular monitoring. A collaborative approach between health workers and pregnant women is essential to prevent anemia-related maternal and fetal complications.

The Effectiveness of the Knee-Chest Position in Midwifery Care for Correcting the Position of the Breech Presentation Fetus

Finta isti kundarti — 2025-08-18

Breech presentation is an abnormal fetal position in which the buttocks or feet are located at the lower part near the birth canal, while the head is positioned above. This condition occurs in 3-4% of pregnancies and can increase the risk of delivery complications. The knee chest position is a non-invasive intervention that can help change the fetal position from breech to vertex (head down) through gravitational mechanisms and changes in pelvic space. This study aims to evaluate the effectiveness of the knee chest position in changing fetal position from breech presentation to vertex presentation in third-trimester pregnancy. This study used a case study approach with documentation of SOAP (Subjective, Objective, Assessment, Plan). The research subject was Mrs. LA at 32-33 weeks of gestational age, diagnosed with breech presentation. The knee chest position intervention was performed thrice daily for 15 minutes over 2 weeks with regular evaluations. After 2 weeks of knee chest position intervention, there was a change in fetal position from breech presentation to vertex presentation. Ultrasonographic evaluation showed successful fetal rotation without complications in either the mother or fetus. This study concludes that the knee chest position proved effective as a non-invasive intervention for managing breech presentation in third-trimester pregnancy. This research adds scientific evidence regarding the effectiveness of the knee chest position as a conservative management alternative before considering other medical interventions.

Analysis of Factors Influencing Cognitive Function Decline in Elderly Prolanis Patients with Type 2 Diabetes Mellitus in the Kedungjajang Community Health Center Working Area, Lumajang

Dewi Agustin Wulandari — 2025-08-18

Diabetes mellitus is a metabolic disorder characterized by persistent chronic hyperglycemia due to hormonal disturbances such as insulin resistance. Decreased cognitive function can start from the mildest form, such as being prone to forgetfulness, progress to mild cognitive impairment and eventually to dementia, the most severe clinical form. This study aims to explore the cognitive function and characteristics of elderly patient in the working area of the Kedungjajang Community Health Center. This research used a correlational analytic method with a cross-sectional approach. The study was conducted in the Kedungjajang Community Health Center Working Area. The respondents were elderly patients suffering from type 2 diabetes mellitus. Purposive sampling was utilized in this study during JuneJuly 2024. Interviews with patients were conducted using the Mini-Mental State Examination (MMSE) questionnaire. Among the 95 participants, the age group majority was 45-59 years (61.1%), with a predominant female gender distribution (83.2%). The duration of suffering from type 2 diabetes mellitus was most commonly less than 5 years (75.8%), with glucose levels over 200 mg/dl (53.7%). The analysis of this study used bivariate and subsequent multivariate tests, revealing a p-value (<0.25), indicating a significant correlation between the duration of illness and the decline in cognitive function. The results of this study are expected to educate about the importance of maintaining stable glucose levels to prevent worsening cognitive factors.

Health Policy Strategy for Controlling Pneumonia Disease

Dina Rawan G.Rana Dina — 2025-08-18

The increase in pneumonia cases directly impacts the burden of health services, marked by a surge in the number of visits to service facilities, an increase in hospitalization rates, and high pressure on medical personnel in health centers and hospitals. This study analyzes the policy strategy for controlling pneumonia in Central Kalimantan. This study uses qualitative research with a descriptive phenomenological approach that emphasizes the health policy strategy for controlling pneumonia in Central Kalimantan to gain a deep understanding of the stakeholders' implementation. Based on the study's results, although the National Action Plan for controlling pneumonia focuses on toddlers, in Central Kalimantan, most cases of pneumonia are found in the pre-elderly age group (45-59 years), indicating a mismatch between national policies and local conditions. Environmental factors, air pollution, and comorbid conditions, such as chronic obstructive pulmonary disease (COPD) and diabetes, may not have been sufficiently considered in the policy. In Central Kalimantan, poor air quality due to forest fires and extreme climate change worsens health, especially in the pre-elderly age group. Therefore, the pneumonia control strategy in this area needs to be adjusted to local epidemiological conditions, environmental and social risk factors, socio-economic conditions, adjustments to prevention and treatment strategies, and collaboration between sectors, including focusing on adult, pre-elderly, and elderly age groups, not just toddlers.

A Caring Approach to Families with Pregnant Women in the Third Trimester Regarding Clean and Healthy Living Behavior in Efforts to Prevent Stunting

Ayu Puspita Ayu — 2025-08-18

Stunting remains a serious challenge in Indonesia, particularly during the third trimester of pregnancy, a critical period for fetal growth. This study aims to analyze the application of a caring approach to families with pregnant women in their third trimester to improve Clean and Healthy Living Behavior (CHLB) as an effort to prevent stunting in Sebangau District. The study was conducted over six months in 2025 using qualitative and quantitative descriptive approaches. Data were collected through participatory observation, in-depth interviews, documentation, and questionnaires distributed to pregnant women and family members. Samples were taken purposively, involving intervention and control groups in six urban villages. Data analysis was conducted using descriptive methods and Principal Component Analysis (PCA) to identify the main components influencing the effectiveness of the caring approach to CHLB and the risk of stunting. The results show that the application of caring dimensions such as emotional, social, and empowerment support has a positive effect on improving CHLB in pregnant women. The dominant influencing factors are family empathy, communication with health workers, and access to sanitation facilities. In conclusion, a caring approach in families can improve CHLB in pregnant women and has significant potential in preventing stunting during pregnancy. The recommendation of this research is the need for integration of caring approaches in public health promotive and preventive programs, as well as the development of caring-based family intervention models that can be implemented at local and national levels.

The Effect of Facilities, Patient Reception Procedures, and Nurse Communication on Inpatient Satisfaction at Sultan Imanuddin Hospital

Saripah Marlisaningsih — 2025-08-18

Patient satisfaction is a critical indicator of healthcare service quality and a key determinant of a hospital's performance and reputation. This study analyzed the factors influencing inpatient satisfaction at Sultan Imanuddin Hospital, a regional referral hospital in Central Kalimantan, Indonesia, focusing on three independent variables: facilities, patient admission procedures, and nurse communication. A quantitative research design was employed using a multiple linear regression analysis on data collected from 368 inpatients through a structured questionnaire. The data were analyzed using SPSS 25, incorporating validity and reliability tests, classical assumption tests, and hypothesis testing. The results revealed that facilities (β = 0.917, p = 0.000) and nurse communication (β = 0.382, p = 0.000) have a statistically significant positive effect on patient satisfaction. In contrast, patient admission procedures showed no significant influence (β = 0.004, p = 0.781). The Adjusted R-Square value of 0.979 indicates that the model can explain 97.9% of the variation in patient satisfaction, demonstrating a very high explanatory power. These findings suggest that physical infrastructure and interpersonal care are the most critical drivers of patient satisfaction in this setting. Therefore, hospital management should prioritize continuous improvement of facilities and invest in training programs to enhance nurses' communication skills. Although administrative procedures are essential, their impact on satisfaction is minimal, highlighting the need for a patient-centered approach emphasizing comfort, empathy, and effective interaction. This study contributes to the growing body of evidence on healthcare quality in public hospitals in Indonesia. It provides actionable insights for policymakers and healthcare managers aiming to improve service delivery and patient outcomes.

The Effect of Knowledge and Patient Satisfaction on Interest in Online Reservations in the Outpatient Unit of Jember Clinic Hospital

Nurul Hamizah — 2025-08-18

Patient knowledge and satisfaction are important factors influencing interest in using healthcare services, including online reservation systems. Optimal use of information technology and appropriate patient education can improve the hospital service experience. This study aims to determine the influence of patient knowledge and satisfaction on their interest in using the online reservation system at the Outpatient Unit of Jember Clinic Hospital. This study used an analytical approach with a descriptive cross-sectional design. A sample of 100 respondents was determined using the purposive sampling technique based on the Slovin formula. Data analysis was performed using multiple linear regression using SPSS for Windows software. The analysis showed that patient knowledge positively and significantly affected interest in using online reservations (t-count 5.623). Patient satisfaction also positively and significantly influences this interest (t-count 3.273). Patient knowledge and satisfaction have been shown to drive interest in using online reservation systems significantly. Therefore, it is recommended that hospitals develop educational programs and improve the quality of online reservation services to increase patient interest.

Midwifery Care of Pregnancy in Pregnant Women with Anemia

Miftaqul Jannah — 2025-08-18

Pregnancy anemia is a condition where the hemoglobin level in the blood falls below normal due to a decrease in the number of erythrocytes or hemoglobin, thereby reducing the blood's ability to carry oxygen to the vital organs of the mother and fetus. The aim of this study is to determine the effectiveness of a combination of iron (Fe) tablets and dates in addressing anemia. This research uses a case study approach, which aims to explore a phenomenon in depth within clearly defined boundaries. Data were comprehensively collected from various sources and documented using the SOAP method (Subjective, Objective, Assessment, Plan), providing a complete understanding of the case involving the respondent. The main focus of this study is on the phenomena arising from complaints and examination results during the period of midwifery care. The study was conducted on Mrs. DN at 38 weeks of gestation with moderate anemia, and the intervention provided consisted of the consumption of Fe tablets and 7 dates per day for 14 days. The results of the 2-week intervention showed successful outcomes for moderate pregnancy anemia, with an increase in hemoglobin levels from 9.2 g% to 9.9 g%. The case analysis established is Mrs. DN at 38 weeks of gestation with moderate anemia. The conclusion of this study is that the combination of Fe tablets and 7 dates per day for 14 days is effective as an intervention for managing moderate pregnancy anemia.

Nurses' Roles in the Implementation of the Fourth Patient Safety Goals: Literature Review

Fairuza Fajar Yumna — 2025-08-18

Patient safety is a critical component of healthcare quality. Surgical procedures pose significant risks, with frequent incidents such as wrong-site surgeries and retained surgical instruments. To mitigate these risks, the Fourth Patient Safety Goals emphasize the correct site, correct procedure, and correct surgical patient. Nurses, who are involved in every stage of surgical care, play a vital role in ensuring of the correct site, procedure, and surgical patient. The objective of this research is to analyze and identify the role of nurses in implementing the Fourth Patient Safety Goal, specifically in ensuring the correct site, procedure, and patient in surgical settings. This study employed a literature review method using databases including Google Scholar, PubMed, and Science Direct. A total of 11 articles published between 2024 and 2025 were selected using inclusion and exclusion criteria based on the PICO(S) approach. Article quality was assessed using JBI Appraisal Tools. The findings show that nurses contribute significantly to all three phases of the Surgical Safety Checklist (sign in, time out, sign out). Their roles include verifying surgical information, ensuring team communication, providing emotional support for patients, coordinating interdisciplinary collaboration, and integrating technology-based tools. Barriers identified include lack of training, incomplete documentation, and limited compliance with protocols. Nurses play a central role in ensuring the correct site, procedure, and surgical patient. Strengthening their competence, fostering interprofessional collaboration, and applying technological innovations are essential strategies to enhance patient safety in surgical settings.

The Effectiveness of Acquaintance Therapy on Improving Interaction Skills in Clients with Social Isolation at Radjiman Wediodiningrat Hospital

Enggal Hadi Kurniyawan — 2025-08-18

Hebephrenic schizophrenia presents with symptoms such as disorganized thinking, emotional disturbances, and behavioral issues that often lead to social isolation. Clients experiencing social isolation demonstrate impaired interpersonal relationships and a tendency to withdraw from social settings. Acquaintance therapy is a psychiatric nursing intervention conducted gradually to enhance the client's social interaction capabilities. This study aims to determine the effectiveness of acquaintance therapy in improving interaction skills in a client with social isolation at Garuda Ward, Radjiman Wediodiningrat Hospital, Lawang, Malang. Using a case study design, this research involved a 30-year-old male client diagnosed with hebephrenic schizophrenia and social isolation. The intervention was conducted over six consecutive days, lasting 15 to 30 minutes each. Data collection included observation, interviews, and nursing documentation. The study revealed a significant improvement in the client interaction skills after the intervention, with symptoms of social isolation reducing from 13 to 2. The client could introduce himself, converse with others, and participate in group activities. These findings indicate that acquaintance therapy is effective in enhancing social interaction in clients with social isolation and can be considered a recommended non-pharmacological approach in psychiatric nursing practice.