Ana Yuliana, Tiara Ajeng Listyani, Ikrima Rahmasari, Darah Ifalahma, Rizki Nugraha Wargani

KOMBINASI ACUPRESSURE MASSAGE DAN AROMATERAPI LEMON (CYTRUS) SEBAGAI PENATALAKSANAAN EMESIS GRAVIDARUM PADA IBU HAMIL

Introduction

Kombinasi acupressure massage dan aromaterapi lemon (cytrus) sebagai penatalaksanaan emesis gravidarum pada ibu hamil. Atasi emesis gravidarum (mual muntah) pada ibu hamil dengan kombinasi acupressure massage dan aromaterapi lemon. Studi menunjukkan efektivitas terapi non-farmakologi ini.

Abstract

Kejadian Emesis Gravidarum (mual muntah) pada ibu hamil yaitu 60-80% primigravida dan 40-60% multigravida. Emesis gravidarum bila tidak segera ditangani akan bertambah menjadi hiperemesis dan dapat mengakibatkan pertumbuhan janin terganggu, janin mati dalam kandungan dan janin dapat mengalami kelainan kongenital. Penanganan emesis gravidarum secara nonfarmakologi atau terapi komplementer mempunyai kelebihan lebih murah dan tidak mempunyai efek farmakologi. Salah satu terapi yang aman dan bisa diberikan pada ibu hamil yang mengalami mual muntah dengan memberikan aromaterapi lemon dan Acupressure Massage. Penelitian ini bertujuan untuk mengetahui efektifitas kombinasi acupressure massage dan aromaterapi citrus limon terhadap penurunan emesis gravidarum pada ibu hamil. Desain penelitian menggunakan metode experiment dengan one group pretest-posttest design. Variabel bebas adalah kombinasi acupressure massage dan aromaterapi citrus limon, variabel terikat adalah emesis gravidarum. Teknik sampling dalam penelitian adalah teknik purposive sampling, sampel 20 ibu hamil trimester I. Instrument penelitian menggunakan media aromaterapi citrus limon, lembar jadwal tindakan acupressure massage, serta Pregnancy Unique Quantification of Emesis (PUQE-24). Tahapan penelitian terdiri dari 3 tahap yaitu tahap I pretest sebelum diberikan intervensi, tahap II adalah pemberian intervensi kombinasi acupressure massage dan aromaterapi citrus limon, tahap III adalah posttest pasca pemberian intervensi. Analisis data yang digunakan adalah uji t-test. Hasil penelitian rata-rata kejadian emesis gravidarum sebelum diberikan terapi adalah 9.3 (kategori derajat sedang), rata-rata kejadian emesis gravidarum setelah diberikan terapi adalah 5.5 (kategori derajat ringan). Hasil analisis dengan uji t-test nilai p-value < ? yaitu 0,000 < 0,05 yang artinya ada pengaruh pemberian terapi kombinasi aromaterapi lemon (citrus) dan acupressure massage terhadap penurunan emesis gravidarum. Kesimpulan pemberian terapi kombinasi aromaterapi citrus lemon dan acupressure massage efektif menurunkan emesis gravidarum pada ibu hamil. Saran diharapkan tenaga kesehatan memberikan edukasi kepada ibu hamil tentang cara nonfarmokologi mengatasi emesis gravidarum secara mandiri.

Review

This study addresses a highly relevant clinical issue: emesis gravidarum, a common discomfort affecting a significant percentage of pregnant women, with potential progression to hyperemesis and adverse fetal outcomes. The authors appropriately highlight the need for safe and accessible non-pharmacological interventions. Their investigation into the combined efficacy of acupressure massage and lemon aromatherapy is commendable, as both modalities have individual evidence suggesting benefit for nausea and vomiting. The study's clear objective to assess the effectiveness of this combination in reducing emesis gravidarum is well-articulated, and the abstract reports a statistically significant reduction in emesis severity from a moderate to a mild category following the intervention, indicating a promising outcome. While the reported findings are encouraging, the methodological design presents certain limitations that temper the strength of causal inference. The use of a one-group pretest-posttest experimental design, without a control group, makes it challenging to definitively attribute the observed improvement solely to the intervention. Factors such as the placebo effect, natural regression to the mean, or other concurrent life events (history) cannot be entirely ruled out. Furthermore, a sample size of 20 pregnant women, though suitable for an exploratory pilot study, is relatively small and may limit the generalizability of the findings to a broader population. While the abstract mentions the use of the PUQE-24 scale, a validated instrument, further details on the standardization and fidelity of the acupressure massage (specific points, duration, frequency) and aromatherapy application would enhance replicability. Despite these methodological considerations, the study provides valuable preliminary evidence supporting the potential of combining acupressure massage and lemon aromatherapy as an effective, non-invasive strategy for managing emesis gravidarum. The findings advocate for the inclusion of such complementary therapies in health education for pregnant women, as recommended by the authors. For future research, a robust randomized controlled trial (RCT) incorporating a larger sample and a control group (e.g., a placebo or standard care group) would significantly strengthen the evidence base and help isolate the true effects of the combined intervention. Additionally, exploring the long-term effects and comparing the efficacy of the combined therapy against individual components could offer deeper insights. This study serves as an important step towards integrating safe and affordable complementary therapies into antenatal care.

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