Supp. File(s): Research Instrument
Pericardial Acupressure (P6) to reduce nausea and vomiting for pregnant women
DOI : 10.33024/jkm.v8i4.7236
Latar Belakang: Mual dan muntah kehamilan adalah komplikasi kehamilan yang paling umum terjadi pada 85% ibu hamil . Tingginya kadar hormon hCG pada kehamilan diduga menjadi penyebab mual dan muntah. Akupresure merupakan perkembangan terapi pijat yang berlangsung seiring dengan perkembangan ilmu akupuntur. Akupresur pada titik nerikardium 6 dapat mengurangi mual dan muntah karena dari stimulasi tersebut dapat meningkatkan pelepasan beta-endorphin.
Tujuan : Untuk mengetahui pengaruh akupresu P6 untuk megurangi mual dan muntah pada ibu hamil..
Metode: Penelitian ini merupakan penelitian pra eksperiment dengan menggunakan desain penelitian one group pre-post-test design. Pendekatan yang digunakan adalah cross sectional. Penelitian ini dilakukan di Klinik Taman Sari 6 Kota Pekanbaru. Populasi dalam penelitian ini adalah seluruh ibu hamil yang melakukan pemeriksaan kehamilan di klinik Taman Sari bulan Februari – Juli 2022. Teknik pengambilan sampel menggunakan total sampling yang berjumlah 25 orang. Penelitian dilakukan dengan cara kunjungan rumah, selanjutnya dilakukan informed consent dan pre-test setelah itu di lakukan akupresure dalam waktu 3 hari pada pagi hari dan setelah hari ke 3 dilakukan post-test. Instrumen dalam penelitian ini Lembar kuesioner Pregnancy- Unique Quantification of Emesis-24 (PUQE 24). Analisa data secara univariat dan bivariate dengan Uji T-Test.
Hasil : Hasil penelitian didapatkan rata-rata frekuensi mual dan muntah sebelum diberikan akupresur pada titik perikardium 6 adalah sebesar 2.56 (SD 0.51) dan sesudah diberikan akupresur pada titik perikardium 6 terjadi penurunan frekuensi mual dan muntah dengan nilai rata-rata sebesar 2,04 (SD 0.35). Hasil Uji Two Sample T Test menunjukkan bahwa ada pengaruh akupresur pada titik perikardium 6 (p-0,000).
Kesimpulan: ada pengaruh akupresu P6 untuk megurangi mual dan muntah pada ibu hamil..
Saran : Untuk menjaga kehamilan berjalan denga naman, ibu hamil tidak boleh mengesampingan keluhan yang dirasakan termasuk mual-dan muntah karena dapat menjadi masalah serius. Akupresur merupakan pengobatan non-invasif yang baik diambil oleh ibu hamil untuk mengurangi mual dan muntah.
Kata Kunci : mual, muntah, acupresur P6, ibu hamil
ABSTRACT
Background: Nausea and vomiting during pregnancy are the most common pregnancy complications that occur in 85% of pregnant women. High levels of the hormone hCG in pregnancy are thought to be the cause of nausea and vomiting. Acupressure is the development of massage therapy that goes hand in hand with the development of acupuncture. Acupressure at the point of pericardium 6 can reduce nausea and vomiting because the stimulation can increase the release of beta-endorphin.
Purpose: To determine the effect of P6 acupressure to reduce nausea and vomiting in pregnant women.
Method: This research is a pre-experimental study using a one-group pre-post-test research design. The approach used is cross-sectional. This research was conducted at Taman Sari 6 Clinic, Pekanbaru City. The population in this study were all pregnant women who had a pregnancy check-up at the Taman Sari clinic from February to July 2022. The sampling technique used a total sampling of 25 people. The instrument in this study was the Pregnancy- Unique Quantification of Emesis-24 (PUQE 24) questionnaire. Data analysis was univariate and bivariate with the T-Test.
Results: The results showed that the average frequency of nausea and vomiting before being given acupressure at the pericardium 6 was 2.56 (SD 0.51) and after being given acupressure at the pericardium 6 there was a decrease in the frequency of nausea and vomiting with an average value of 2.04 ( SD 0.35). The results of the Two Sample T Test showed that there was an effect of acupressure on the 6th pericardial point (p-0.000).
Conclusion: there is an effect of P6 acupressure to reduce nausea and vomiting in pregnant women.
Suggestion: To keep the pregnancy going with the name, pregnant women should not put aside the complaints they feel, including nausea and vomiting because they can be a serious problem. Acupressure is a non-invasive treatment that is good for pregnant women to reduce nausea and vomiting.
Keywords: Nausea,Pregnant Women, P6 Acupressure,Vomiting
Supplement Files
- Adlan, A. S., Chooi, K. Y., & Mat Adenan, N. A. (2017). Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy: A double-blind randomized controlled trial. Journal of Obstetrics and Gynaecology Research, 43(4), 662–668. https://doi.org/10.1111/jog.13269
- Anisa, H., Heni, P., Esti, S., Priyo, R., & Kep, M. (2014). Pengaruh Akupresur thd Morning Sickness. Jurnal Ilmu Kesehatan, 36–43.
- Boelig, R. C., Barton, S. J., Saccone, G., Kelly, A. J., Edwards, S. J., & Berghella, V. (2017). Interventions for treating hyperemesis gravidarum: A cochrane systematic review and meta-analysis. Journal of Maternal-Fetal and Neonatal Medicine, 31(18), 2492–2505. https://doi.org/10.1080/14767058.2017.1342805
- Can Gürkan, Ö., & Arslan, H. (2008). Effect of acupressure on nausea and vomiting during pregnancy. Complementary Therapies in Clinical Practice, 14(1), 46–52. https://doi.org/10.1016/j.ctcp.2007.07.002
- Dunbar, K., Yadlapati, R., & Konda, V. (2022). Heartburn, Nausea, and Vomiting During Pregnancy. The American Journal of Gastroenterology, 117(10), 10–15. https://doi.org/10.14309/ajg.0000000000001958
- Fadhilah, N., Mayetti, & Rasyid, R. (2021). Effect of Pericardium Point Acupressure 6 on Gravidarum Emesis Trimester I Pregnant Women at the Working Area Public Halth Center Koto Berapak In 2020. Midwifery.Iocspublisher.Org, 10(1), 367–378. https://midwifery.iocspublisher.org/index.php/midwifery/article/view/221%0Ahttps://midwifery.iocspublisher.org/index.php/midwifery/article/view/221/186
- Fejzo, M. S., Trovik, J., Grooten, I. J., Sridharan, K., Roseboom, T. J., Vikanes, Å., Painter, R. C., & Mullin, P. M. (2019). Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nature Reviews Disease Primers, 5(1). https://doi.org/10.1038/s41572-019-0110-3
- Handayani, N., & Afiyah, R. K. (2019). Pada Ibu Hamil di Praktek Mandiri Bidan Sidoarjo. Jurnal Kebidanan, XI(2), 102–109.
- Hollyer, T., Boon, H., Georgousis, A., Smith, M., & Einarson, A. (2002). The use of CAM by women suffering from nausea and vomiting during pregnancy. BMC Complementary and Alternative Medicine, 2, 1–6. https://doi.org/10.1186/1472-6882-2-5
- Indah Sari, D., & Wahyuningsih, S. (2021). The Effectiveness of Acupressure Therapy on Decreasing Complaints of Nausea and Vomiting in Pregnant Women. Nursing and Health Sciences Journal (NHSJ), 1(1), 20–30. https://doi.org/10.53713/nhs.v1i1.5
- Liu, C., Zhao, G., Qiao, D., Wang, L., He, Y., Zhao, M., Fan, Y., & Jiang, E. (2022). Emerging Progress in Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum: Challenges and Opportunities. Frontiers in Medicine, 8(January), 1–17. https://doi.org/10.3389/fmed.2021.809270
- Mahmoud, R., Ghani, A., Tawfik, A., & Ibrahim, A. (2013). The Effect of Aromatherapy Inhalation on Nausea and Vomiting in Early Pregnancy : A Pilot Randomized Controlled Trial. 3(6), 10–22.
- Mariza, A., & Ayuningtias, L. (2019). Penerapan akupresur pada titik P6 terhadap emesis gravidarum pada ibu hamil trimester 1. 13(3), 218–224.
- McParlin, C., O’Donnell, A., Robson, S. C., Beyer, F., Moloney, E., Bryant, A., Bradley, J., Muirhead, C. R., Nelson-Piercy, C., Newbury-Birch, D., Norman, J., Shaw, C., Simpson, E., Swallow, B., Yates, L., & Vale, L. (2016). Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: A systematic review. JAMA - Journal of the American Medical Association, 316(13), 1392–1401. https://doi.org/10.1001/jama.2016.14337
- Munjiah, I., Madjid, T. H., Herman, H., Husin, F., Akbar, I. B., & Rizal, A. (2015). Perbedaan Pengaruh Akupunktur dan Vitamin B6 terhadap Penurunan Intensitas Mual Muntah pada Emesis Gravidarum Berat. Ijemc, 2(180), 4–9.
- O’Donnell, A., McParlin, C., Robson, S. C., Beyer, F., Moloney, E., Bryant, A., Bradley, J., Muirhead, C., Nelson-Piercy, C., Newbury-Birch, D., Norman, J., Simpson, E., Swallow, B., Yates, L., & Vale, L. (2016). Treatments for hyperemesis gravidarum and nausea and vomiting in pregnancy: A systematic review and economic assessment. Health Technology Assessment, 20(74), vii–268. https://doi.org/10.3310/hta20740
- Rad, M. N., Lamyian, M., Heshmat, R., Jaafarabadi, M. A., & Yazdani, S. (2012). A randomized clinical trial of the efficacy of kid21 point (youmen) acupressure on nausea and vomiting of pregnancy. Iranian Red Crescent Medical Journal, 14(11), 699–703. https://doi.org/10.5812/ircmj.2153
- Saberi, F., Sadat, Z., Abedzadeh-Kalahroudi, M., & Taebi, M. (2013). Acupressure and ginger to relieve nausea and vomiting in pregnancy: A randomized study. Iranian Red Crescent Medical Journal, 15(9), 854–861. https://doi.org/10.5812/ircmj.12984
- Santi, D. R. (2013). Pengaruh Aromaterapi Blended Peppermint dan Ginger Oil terhadap Rasa Mual pada Ibu Hamil Trimester Satu di Puskesmas Rengel Kabupaten Tuban. Jurnal Said Med, 5 No. 2, 2011–2014.
- Sari, S. I. P., Noviani, A., Masdiputri, S. N., & Inayah, N. (2017). Relationship Of Education, Family Income, Compliance And Procedure Consumption Of Iron Tablet To Anemia Among Pregnant Women. In Proceedings of the International Conference on Applied Science and Health, No. 1, p.(Relationship Of Education, Family Income, Compliance And Procedure Consumption Of Iron Tablet To Anemia Among Pregnant Women).
- Sulistiarini, U., Widyawati, M. N., & Rahayu, D. L. (2018). Studi Literatur: Acupressure Pericardium Dan Aromatherapy Citrus Untuk Mengurangi Mual Muntah Ibu Hamil. Jurnal Kebidanan, 8(2), 146. https://doi.org/10.31983/jkb.v8i2.3744
- Utara, U. S., Utara, U. S., & Utara, U. S. (2019). Pengaruh Hidro-Aroma Terapi Terhadap Kenyamanan , Heart Rate , dan Saturasi Oksigen pada Pasien Gagal Jantung.
- Wandira, A. (2016). Efektifitas Aromaterapi Lemon dalam Mengurangi Mual dan Muntah pada Ibu Hamil Trimester Pertama.
Copyright (c) 2022 Jurnal Kebidanan Malahayati