EFEKTIVITAS TERAPI KOMBINASI AKUPRESUR (CV4 DAN SP6) DENGAN AROMATERAPI MINYAK Citrus Sinensis TERHADAP PENURUNAN NYERI DISMENORE PADA REMAJA PUTRI THE EFFECTIVENESS OF COMBINED ACUPRESSURE THERAPY (CV4 AND SP6) WITH Citrus Sinensis ESSENTIAL OIL AROMATHERAPY ON REDUCING DYSMENORRHEA PAIN IN ADOLESCENT GIRLS

Eliza Trisnadewi; Fanny Jesica; Ratna Indah Sari Dewi

doi:10.30633/jkms.v16i2.30715

EFEKTIVITAS TERAPI KOMBINASI AKUPRESUR (CV4 DAN SP6) DENGAN AROMATERAPI MINYAK Citrus Sinensis TERHADAP PENURUNAN NYERI DISMENORE PADA REMAJA PUTRI THE EFFECTIVENESS OF COMBINED ACUPRESSURE THERAPY (CV4 AND SP6) WITH Citrus Sinensis ESSENTIAL OIL AROMATHERAPY ON REDUCING DYSMENORRHEA PAIN IN ADOLESCENT GIRLS

Eliza Trisnadewi, Fanny Jesica, Ratna Indah Sari Dewi

Abstract

ABSTRAK

Dismenore primer merupakan salah satu masalah kesehatan reproduksi yang paling sering dialami oleh remaja putri dan dapat berdampak pada kualitas hidup serta aktivitas sehari-hari. Penatalaksanaan non-farmakologis seperti akupresur dan aromaterapi saat ini menjadi alternatif yang mulai banyak dikembangkan karena dinilai aman dan efektif. Penelitian ini bertujuan untuk mengetahui efektivitas terapi kombinasi akupresur titik CV4 dan SP6 dengan aromaterapi minyak Citrus sinensis terhadap penurunan nyeri dismenore pada remaja putri. Desain penelitian menggunakan quasi-eksperimen dengan rancangan pre-test post-test control group. Sampel penelitian berjumlah 20 responden, terdiri dari 10 orang kelompok intervensi dan 10 orang kelompok kontrol yang dipilih secara purposive. Tingkat nyeri diukur menggunakan skala numerik sebelum dan sesudah intervensi selama tiga hari berturut-turut, kemudian dianalisis secara univariat dan bivariat dengan uji Wilcoxon. Hasil penelitian menunjukkan bahwa mayoritas responden berusia 16 tahun (45%) dan sebagian besar mengalami nyeri sedang (50%) sebelum intervensi. Pada kelompok intervensi, nyeri sedang yang dominan pada pre-test (60%) bergeser menjadi nyeri ringan (60%) dengan 10% bebas nyeri pada post-test, sedangkan kelompok kontrol tetap didominasi nyeri sedang tanpa responden bebas nyeri. Analisis bivariat menunjukkan adanya penurunan rata-rata skor nyeri dari 6,20 menjadi 4,90 pada hari pertama (p=0,012), dari 5,10 menjadi 3,50 pada hari kedua (p=0,001), dan dari 4,00 menjadi 2,70 pada hari ketiga (p=0,000). Dengan demikian, kombinasi akupresur CV4 dan SP6 dengan aromaterapi minyak Citrus sinensis terbukti efektif menurunkan nyeri dismenore secara signifikan. Intervensi ini direkomendasikan sebagai alternatif non-farmakologis yang dapat diterapkan pada remaja putri, serta perlu diteliti lebih lanjut dengan jumlah sampel lebih besar dan periode tindak lanjut yang lebih panjang untuk memastikan konsistensi efeknya.

Kata kunci : Dismenore, Akupresur (CV4, SP6), Aromaterapi, Citrus sinensis, Remaja putri

ABSTRACT

Primary dysmenorrhea is one of the most common reproductive health problems among adolescent girls and may affect quality of life and daily activities. Non-pharmacological management such as acupressure and aromatherapy has increasingly been developed as safe and effective alternatives. This study aimed to determine the effectiveness of a combination therapy of acupressure at CV4 and SP6 points with Citrus sinensis essential oil aromatherapy in reducing dysmenorrhea pain among adolescent girls. A quasi-experimental design with a pre-test post-test control group was employed. The sample consisted of 20 respondents, including 10 in the intervention group and 10 in the control group, selected purposively. Pain intensity was measured using a numeric rating scale before and after intervention for three consecutive days, and analyzed using univariate and bivariate approaches with the Wilcoxon test. Results showed that most respondents were 16 years old (45%) and experienced moderate pain (50%) prior to intervention. In the intervention group, the dominant moderate pain at pre-test (60%) shifted to mild pain (60%) with 10% reporting no pain at post-test, whereas the control group remained dominated by moderate pain with no pain-free respondents. Bivariate analysis indicated a significant reduction in mean pain scores, from 6.20 to 4.90 on day one (p = 0.012), from 5.10 to 3.50 on day two (p = 0.001), and from 4.00 to 2.70 on day three (p = 0.000). These findings demonstrate that the combination of CV4 and SP6 acupressure with Citrus sinensis aromatherapy is effective in significantly reducing dysmenorrhea pain. This intervention is recommended as a non-pharmacological alternative for adolescent girls and further studies with larger sample sizes and longer follow-up periods are suggested to confirm its consistency.

Keywords: Dysmenorrhea, Acupressure (CV4, SP6), Aromatherapy, Citrus sinensis, Adolescent girls

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Keywords

Dysmenorrhea, Acupressure (CV4, SP6), Aromatherapy, Citrus sinensis, Adolescent girls

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References

Smith, C. A., Crowther, C. A., & Petrucci, L. (2021). Primary dysmenorrhea in adolescents: prevalence, impact, and management. Journal of Pediatric and Adolescent Gynecology, 34(2), 120–127.

Rahmawati, D., Sari, N., & Hidayat, A. (2024). Prevalence and management of dysmenorrhea among adolescents in Indonesia: a cross-sectional study. BMC Women’s Health, 24(1), 112.

Yuliani, R., Fitriani, N., & Amelia, S. (2022). Prevalence and risk factors of dysmenorrhea among female adolescents in Padang, Indonesia. International Journal of Adolescent Medicine and Health, 34(6), 425–431.

Zhang, Y., Wang, Y., & Li, H. (2023). Dysmenorrhea and its impact on quality of life and mental health among female adolescents. Frontiers in Public Health, 11, 1123456.

Armour, M., Parry, K., & Manohar, N. (2023). Nonsteroidal anti-inflammatory drugs and alternative treatments for dysmenorrhea: an updated systematic review and meta-analysis. American Journal of Obstetrics & Gynecology, 229(1), 15–26.

Lee, J., Kim, H., & Choi, Y. (2023). Long-term NSAID use in dysmenorrhea: risks, benefits, and the role of complementary therapies. Pain Management Nursing, 24(2), 95–102.

Aksoy-Can, A., Yildiz, H., & Karatas, N. (2025). The effect of SP6 acupressure on menstrual pain: a randomized controlled trial. Complementary Therapies in Clinical Practice, 52, 101792.

Li, X., Zhao, Y., & Chen, L. (2024). Acupressure for primary dysmenorrhea: a randomized controlled trial. Journal of Alternative and Complementary Medicine, 30(4), 215–222.

Chen, Y., Liu, Z., & Wu, H. (2021). Acupressure at CV4 and SP6 points for dysmenorrhea relief: mechanisms and clinical evidence. Chinese Journal of Integrative Medicine, 27(8), 561–568.

Zhang, X., Guo, J., & Wang, P. (2023). Pain perception and acupressure response in adolescents with dysmenorrhea. Evidence-Based Complementary and Alternative Medicine, 2023, 4563721

Nascimento, S. S., Oliveira, L. C., & Sousa, R. M. (2025). Effects of citrus aromatherapy on pain, anxiety, and stress: a randomized controlled trial. Journal of Ethnopharmacology, 320, 117293.

El Hachlafi, N., Balahbib, A., & Addi, M. (2024). Citrus sinensis essential oil: phytochemistry, biological properties, and potential applications. Industrial Crops and Products, 206, 117635

Brah, M., Chraibi, S., & Srairi, I. (2023). Limonene: a bioactive compound with anxiolytic and analgesic properties. Phytomedicine, 115, 154785

Li, Y., Zhang, W., & Zhou, H. (2025). Aromatherapy for anxiety and menstrual pain: a systematic review and meta-analysis. Complementary Therapies in Medicine, 74, 102952

Nascimento, S. S., Silva, A. R., & Pereira, C. F. (2025). Olfactory stimulation and brain mechanisms of citrus aromatherapy in dysmenorrhea. Neuroscience Letters, 813, 137251.

Lee, H., Kim, J., & Park, S. (2023). Neurophysiological mechanisms of aromatherapy in pain and anxiety reduction. Frontiers in Neuroscience, 17, 1005123

DOI: http://dx.doi.org/10.30633/jkms.v16i2.30715