The Effect of Acupressure and Lavender Aromatherapy Combination on Blood Pressure and Anxiety in Postpartum Women
Corresponding Author(s) : Ekki Noviana
ekkinoviana4@gmail.com
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 10 No. 1 (2022): 2022 Volume - 10 Issue - 1
Abstract
Postpartum is one of the periods with the highest risk of complications during pregnancy. In addition, anxiety is one of the factors that can cause hypertension. One of the non-pharmacological techniques that can be used is a combination of acupressure and lavender aromatherapy. This study aims to prove the effect of combination therapy with acupressure and lavender aromatherapy on reducing blood pressure and anxiety in postpartum women with hypertension. Quasi-experimental research, a pre-test and post-test with a control group design. The sampling technique used purposive sampling with the number of subjects 34 respondents divided into two groups. Analysis of the data used to determine the effect of the intervention before and after treatment on blood pressure data was the Wilcoxon test, while the paired t-test was for anxiety data. The Mann-Whitney test was utilized to assess differences in blood pressure, whereas the independent t-test was employed for anxiety. The mean difference in blood pressure and anxiety in each group decreased, but the mean difference in the intervention group was more significant than the control group. The analysis results on the mean post-test of systolic blood pressure showed a value of 134.41 mmHg (p=0.000), the mean post-test of diastolic blood pressure was 89.47 mmHg (p=0.108), and the mean post-test of anxiety score was 9.8 (p=0.001). The combination of acupressure and lavender aromatherapy has been shown to reduce blood pressure and anxiety in postpartum women with hypertension.
Keywords
Acupressure
anxiety
hypertension
lavender aromatherapy
postpartum women
1.
Ekki Noviana, Runjati, Bedjo Santoso. The Effect of Acupressure and Lavender Aromatherapy Combination on Blood Pressure and Anxiety in Postpartum Women. Int. J. of Allied Med. Sci. and Clin. Res. [Internet]. 2022 Mar. 21 [cited 2025 Dec. 11];10(1):108-13. Available from: https://ijamscr.com/ijamscr/article/view/1150
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References
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1. Sharma KJ, Kilpatrick SJ. Postpartum hypertension: etiology, diagnosis, and management. Obstet Gynecol Surv. 2017;72(4):248-52. doi: 10.1097/OGX.0000000000000424, PMID 28426127.
2. Yu Y, Zhang S, Wang G, Hong X, Mallow EB, Walker SO, Pearson C, Heffner L, Zuckerman B, Wang X. The combined association of psychosocial stress and chronic hypertension with preeclampsia. Am J Obstet Gynecol. 2013;209(5):438.e1-438.e12. doi: 10.1016/j.ajog.2013.07.003, PMID 23850528.
3. Eliyana Y, Kering Terhadap PTB, Ibu Preeklampsia TDPada. Postpartum. J Info Kesehat. 2019;17(1):1-15.
4. Ritonga NJ, Setiani O, Umaroh U, Budhi R K, Amri F. Roselle flower (hibiscus sabdariffa) in the treatment of hypertension in postpartum mothers. Belitung Nurs J. 2017;3(3):229-37. doi: 10.33546/bnj.95.
5. Magee L, P VD. Prevention and treatment of postpartum hypertension [review]. Cochrane Libr. 2013.
6. Goel A, Maski MR, Bajracharya S, Wenger JB, Zhang D, Salahuddin S, Shahul SS, Thadhani R, Seely EW, Karumanchi SA, Rana S. Epidemiology and mechanisms of de novo and persistent hypertension in the postpartum period. Circulation. 2015;132(18):1726-33. doi: 10.1161/CIRCULATIONAHA.115.015721, PMID 26416810.
7. Kemenkes RI. Survei Demografi dan Kesehatan Indonesia 2017. Jakarta: Kementerian Kesehatan Indonesia; 2017.
8. Jateng D, Jawa Tengah Tahun PKP 2019. 2019. PMID 3511351(24).
9. Purwati NA, Kualitatif S. Kecemasan Pada Penderita Preeklampsia. J Ilm Rekam Medis Inform Kesehat. 2020;10(1):23-7.
10. Hardianti FA, Khoirun QKN, Kecemasan MairoN, Kejadian Preeklampsia RPD, Hamil PadaI. Kecemasan, Riwayat Preeklampsia dan Kejadian Preeklampsia Pada Ibu Hamil Multigravida. j.keperawatan.terap. 2018;4(1):21-6. doi: 10.31290/jkt.v(4)i(1)y(2018).page:21-26.
11. Febriani Y, Rasipin R. Analysis of factors related to anxiety level in postpartum mothers at Citra Insani maternity home. J Ilm Kesehat. 2020;9(2):670-7.
12. Aini FN, Widyawati MN, Santoso B. Diagnosa Preeklampsia Pada ibu Hamil menggunakan sistem informasi berbasis web. J Keperawatan Silampari. 2019;2(2):18-27. doi: 10.31539/jks.v2i2.508.
13. Majid YA, Rini PS. Terapi akupresur memberikan rasa tenang dan nyaman serta mampu menurunkan tekanan darah lansia. J Sci n.a. 2016;1(1):79-86. doi: 10.30604/jika.v1i1.11.
14. Chen H, Shen FE, Tan XD, Jiang WB, Gu YH. Efficacy and safety of acupuncture for essential hypertension: A meta-analysis. Med Sci Monit. 2018;24:2946-69. doi: 10.12659/MSM.909995, PMID 29735972.
15. Maisi S, Suryono S, Widyawati MN, Suwondo A, Kusworowulan S. Effectiveness of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. Belitung Nurs J. 2017;3(6):750-6. doi: 10.33546/bnj.301.
16. Apryanti YP, Suhartono S, Ngadiyono N. The impact of lavender aromatherapy on pain intensity and beta endorphin levels in post-caesarean mothers. Belitung Nurs J. 2017;3(5):487-95. doi: 10.33546/bnj.199.
17. Dewi IP. Aromaterapi Lavender sebagai media Relaksasi. J Udayana. 2013;2(1):1-17.
18. Hajiri F, Pujiastuti SE, Siswanto J. Terapi Murottal dengan Akupresur terhadap Tingkat Kecemasan dan Kadar Gula Darah Pada Pasien Dengan Penyakit Jantung Koroner. J Keperawatan Silampari. 2019;2(2):146-59. doi: 10.31539/jks.v2i2.507.
References
1. Sharma KJ, Kilpatrick SJ. Postpartum hypertension: etiology, diagnosis, and management. Obstet Gynecol Surv. 2017;72(4):248-52. doi: 10.1097/OGX.0000000000000424, PMID 28426127.
2. Yu Y, Zhang S, Wang G, Hong X, Mallow EB, Walker SO, Pearson C, Heffner L, Zuckerman B, Wang X. The combined association of psychosocial stress and chronic hypertension with preeclampsia. Am J Obstet Gynecol. 2013;209(5):438.e1-438.e12. doi: 10.1016/j.ajog.2013.07.003, PMID 23850528.
3. Eliyana Y, Kering Terhadap PTB, Ibu Preeklampsia TDPada. Postpartum. J Info Kesehat. 2019;17(1):1-15.
4. Ritonga NJ, Setiani O, Umaroh U, Budhi R K, Amri F. Roselle flower (hibiscus sabdariffa) in the treatment of hypertension in postpartum mothers. Belitung Nurs J. 2017;3(3):229-37. doi: 10.33546/bnj.95.
5. Magee L, P VD. Prevention and treatment of postpartum hypertension [review]. Cochrane Libr. 2013.
6. Goel A, Maski MR, Bajracharya S, Wenger JB, Zhang D, Salahuddin S, Shahul SS, Thadhani R, Seely EW, Karumanchi SA, Rana S. Epidemiology and mechanisms of de novo and persistent hypertension in the postpartum period. Circulation. 2015;132(18):1726-33. doi: 10.1161/CIRCULATIONAHA.115.015721, PMID 26416810.
7. Kemenkes RI. Survei Demografi dan Kesehatan Indonesia 2017. Jakarta: Kementerian Kesehatan Indonesia; 2017.
8. Jateng D, Jawa Tengah Tahun PKP 2019. 2019. PMID 3511351(24).
9. Purwati NA, Kualitatif S. Kecemasan Pada Penderita Preeklampsia. J Ilm Rekam Medis Inform Kesehat. 2020;10(1):23-7.
10. Hardianti FA, Khoirun QKN, Kecemasan MairoN, Kejadian Preeklampsia RPD, Hamil PadaI. Kecemasan, Riwayat Preeklampsia dan Kejadian Preeklampsia Pada Ibu Hamil Multigravida. j.keperawatan.terap. 2018;4(1):21-6. doi: 10.31290/jkt.v(4)i(1)y(2018).page:21-26.
11. Febriani Y, Rasipin R. Analysis of factors related to anxiety level in postpartum mothers at Citra Insani maternity home. J Ilm Kesehat. 2020;9(2):670-7.
12. Aini FN, Widyawati MN, Santoso B. Diagnosa Preeklampsia Pada ibu Hamil menggunakan sistem informasi berbasis web. J Keperawatan Silampari. 2019;2(2):18-27. doi: 10.31539/jks.v2i2.508.
13. Majid YA, Rini PS. Terapi akupresur memberikan rasa tenang dan nyaman serta mampu menurunkan tekanan darah lansia. J Sci n.a. 2016;1(1):79-86. doi: 10.30604/jika.v1i1.11.
14. Chen H, Shen FE, Tan XD, Jiang WB, Gu YH. Efficacy and safety of acupuncture for essential hypertension: A meta-analysis. Med Sci Monit. 2018;24:2946-69. doi: 10.12659/MSM.909995, PMID 29735972.
15. Maisi S, Suryono S, Widyawati MN, Suwondo A, Kusworowulan S. Effectiveness of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. Belitung Nurs J. 2017;3(6):750-6. doi: 10.33546/bnj.301.
16. Apryanti YP, Suhartono S, Ngadiyono N. The impact of lavender aromatherapy on pain intensity and beta endorphin levels in post-caesarean mothers. Belitung Nurs J. 2017;3(5):487-95. doi: 10.33546/bnj.199.
17. Dewi IP. Aromaterapi Lavender sebagai media Relaksasi. J Udayana. 2013;2(1):1-17.
18. Hajiri F, Pujiastuti SE, Siswanto J. Terapi Murottal dengan Akupresur terhadap Tingkat Kecemasan dan Kadar Gula Darah Pada Pasien Dengan Penyakit Jantung Koroner. J Keperawatan Silampari. 2019;2(2):146-59. doi: 10.31539/jks.v2i2.507.
2. Yu Y, Zhang S, Wang G, Hong X, Mallow EB, Walker SO, Pearson C, Heffner L, Zuckerman B, Wang X. The combined association of psychosocial stress and chronic hypertension with preeclampsia. Am J Obstet Gynecol. 2013;209(5):438.e1-438.e12. doi: 10.1016/j.ajog.2013.07.003, PMID 23850528.
3. Eliyana Y, Kering Terhadap PTB, Ibu Preeklampsia TDPada. Postpartum. J Info Kesehat. 2019;17(1):1-15.
4. Ritonga NJ, Setiani O, Umaroh U, Budhi R K, Amri F. Roselle flower (hibiscus sabdariffa) in the treatment of hypertension in postpartum mothers. Belitung Nurs J. 2017;3(3):229-37. doi: 10.33546/bnj.95.
5. Magee L, P VD. Prevention and treatment of postpartum hypertension [review]. Cochrane Libr. 2013.
6. Goel A, Maski MR, Bajracharya S, Wenger JB, Zhang D, Salahuddin S, Shahul SS, Thadhani R, Seely EW, Karumanchi SA, Rana S. Epidemiology and mechanisms of de novo and persistent hypertension in the postpartum period. Circulation. 2015;132(18):1726-33. doi: 10.1161/CIRCULATIONAHA.115.015721, PMID 26416810.
7. Kemenkes RI. Survei Demografi dan Kesehatan Indonesia 2017. Jakarta: Kementerian Kesehatan Indonesia; 2017.
8. Jateng D, Jawa Tengah Tahun PKP 2019. 2019. PMID 3511351(24).
9. Purwati NA, Kualitatif S. Kecemasan Pada Penderita Preeklampsia. J Ilm Rekam Medis Inform Kesehat. 2020;10(1):23-7.
10. Hardianti FA, Khoirun QKN, Kecemasan MairoN, Kejadian Preeklampsia RPD, Hamil PadaI. Kecemasan, Riwayat Preeklampsia dan Kejadian Preeklampsia Pada Ibu Hamil Multigravida. j.keperawatan.terap. 2018;4(1):21-6. doi: 10.31290/jkt.v(4)i(1)y(2018).page:21-26.
11. Febriani Y, Rasipin R. Analysis of factors related to anxiety level in postpartum mothers at Citra Insani maternity home. J Ilm Kesehat. 2020;9(2):670-7.
12. Aini FN, Widyawati MN, Santoso B. Diagnosa Preeklampsia Pada ibu Hamil menggunakan sistem informasi berbasis web. J Keperawatan Silampari. 2019;2(2):18-27. doi: 10.31539/jks.v2i2.508.
13. Majid YA, Rini PS. Terapi akupresur memberikan rasa tenang dan nyaman serta mampu menurunkan tekanan darah lansia. J Sci n.a. 2016;1(1):79-86. doi: 10.30604/jika.v1i1.11.
14. Chen H, Shen FE, Tan XD, Jiang WB, Gu YH. Efficacy and safety of acupuncture for essential hypertension: A meta-analysis. Med Sci Monit. 2018;24:2946-69. doi: 10.12659/MSM.909995, PMID 29735972.
15. Maisi S, Suryono S, Widyawati MN, Suwondo A, Kusworowulan S. Effectiveness of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. Belitung Nurs J. 2017;3(6):750-6. doi: 10.33546/bnj.301.
16. Apryanti YP, Suhartono S, Ngadiyono N. The impact of lavender aromatherapy on pain intensity and beta endorphin levels in post-caesarean mothers. Belitung Nurs J. 2017;3(5):487-95. doi: 10.33546/bnj.199.
17. Dewi IP. Aromaterapi Lavender sebagai media Relaksasi. J Udayana. 2013;2(1):1-17.
18. Hajiri F, Pujiastuti SE, Siswanto J. Terapi Murottal dengan Akupresur terhadap Tingkat Kecemasan dan Kadar Gula Darah Pada Pasien Dengan Penyakit Jantung Koroner. J Keperawatan Silampari. 2019;2(2):146-59. doi: 10.31539/jks.v2i2.507.