Finger Hold Relaxation Combined with Ginger Aromatherapy for Emesis Gravidarum
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Sep 30, 2024
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Emesis Gravidarum, Finger Hold relaxation, Ginger Aromatherapy
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Abstract
Pregnancy is a period from conception to childbirth, involving complex physiological and psychological adjustments due to significant hormonal and physical changes. One of the main symptoms in the early stages of pregnancy is nausea and vomiting, which hormonal changes, emotions, or anxiety can cause. This study aims to determine the effect of finger hold relaxation combined with ginger (Zingiber Officinale) aromatherapy on emesis gravidarum in first-trimester pregnant women in the work area of Puskesmas Embong Ijuk, 2024. The research method used is a pre-experiment with a one-group pre-test-post-test approach without control. The research sample consists of 24 first-trimester pregnant women with emesis gravidarum, selected using purposive sampling technique. The instrument used is the PUQE-24 questionnaire. Data analysis was performed using the Wilcoxon test. The analysis results show a significant difference between pre-test and post-test values (p-value = 0.000), indicating the influence of finger hold relaxation combined with ginger aromatherapy on emesis gravidarum in first-trimester pregnant women. Finger hold relaxation effectively reduces stress that can trigger nausea, while ginger aromatherapy acts directly on the symptoms of nausea through chemical pathways. This combined approach provides holistic treatment that considers not only physical symptoms but also the mental well-being of pregnant women. It is hoped that first-trimester pregnant women can apply finger hold relaxation combined with ginger aromatherapy as an alternative non-pharmacological therapy to treat emesis gravidarum.
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Palupi, R. ., Febrina, L. ., & Sari, W. I. P. E. . (2024). Finger Hold Relaxation Combined with Ginger Aromatherapy for Emesis Gravidarum. Journal of Midwifery and Nursing, 6(3), 724-731. https://doi.org/10.35335/jmn.v6i3.5591
References
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Azaria Khasandra Nur, & Anjrawati. (2023). Pengaruh Aromaterapi Jahe Untuk Mengurangi Mual dan Muntah Pada Ibu Hamil. https://doi.org/https://doi.org/10.47650/jpp.v6i4.926
Catur, R., Wulandari, L., & Ciptaning Mulia, M. (2021). Literature Review: The Effectiveness of Ginger (Zingiber officinale Roscoe) for Nausea and Vomiting in the First Trimester of Pregnancy. Eduvest-Journal of Universal Studies, 1(8). https://doi.org/10.36418/edv.v1i8.147
Crespi, B. J. (2024). Nausea, vomiting and conflict in pregnancy The adaptive significance of Growth-Differentiation Factor 15. In Evolution, Medicine and Public Health (Vol. 12, Issue 1, pp. 75–81). Oxford University Press. https://doi.org/10.1093/emph/eoae008
Dekkers, G. W. F. Broeren. M. A. C. , T. . S. E. M. , Kop. W. J. , and Pop. V. J. M. (2019). Hormonal and psychological factors in nausea and vomiting during pregnancy. Cambridge University Press.
Dyna, F., & Febriani, P. (2020). Pemberian Aromaterapi Ginger Oil Terhadap Frekuensi Mual Muntah Pada Ibu Hamil Morning Sickness. In Jurnal Keperawatan (Vol. 12, Issue 1). https://doi.org/https://doi.org/10.32583/keperawatan.v12i1.689
Ekacahyaningtyas, M., Murti, D. K., & Nurlaily, A. P. (2022). Aromaterapi Ginger Oil Untuk Menurunkan Derajat Morning Sickness Pada Ibu Hamil Trimester I. In Journal of Advanced Nursing and Health Sciences (Vol. 3, Issue 1).
Fajri, M. A., Rimayanti, A., Fatimah, A. N., & Karomah, P. N. (2023). Systematic Review: Effectiveness Of Ginger Decoction To Manage First Trimester Emesis Gravidarum.
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
Gadsby, R., Ivanova, D., Trevelyan, E., Hutton, J. L., & Johnson, S. (2020). Nausea and vomiting in pregnancy is not just “morning sickness”: Data from a prospective cohort study in the UK. British Journal of General Practice, 70(697), E534–E539. https://doi.org/10.3399/bjgp20X710885
Hamdani, S. U., Zill-e-Huma, Zafar, S. W., Suleman, N., Um-ul-Baneen, Waqas, A., & Rahman, A. (2022). Effectiveness of relaxation techniques ‘as an active ingredient of psychological interventions’ to reduce distress, anxiety and depression in adolescents: a systematic review and meta-analysis. In International Journal of Mental Health Systems (Vol. 16, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s13033-022-00541-y
Hamidah Eneng, A. H. A. M. S. (2023). Pengaruh relaksasi genggam jari terhadap kecemasan pasien preoperatif benigna prostat hiperplasia di ruang Minajaya 1 RSUD Jampangkulon. Journal Of Public Health Innovation (JPHI).
Haniyah, S., & Adriani, P. (2020). Effectiveness of the Finger Handheld Relaxation and the Self-Tapping Relaxation Technique on Dysmenorrhea Pain in Nursing Students. https://doi.org/10.2991/ahsr.k.200204.023
Hijrawati, N., Okvitasari, Y., & Wulandatika, D. (2023). Faktor-Faktor Yang Berhubungan Dengan Kejadian Hiperemesis Gravidarum Pada Ibu Hamil Di Poliklinik Rumah Sakit Islam Banjarmasin. Jurnal Keperawatan Suaka Insan (JKSI), 8(2). https://doi.org/10.51143/jksi.v8i2.457
Larasati, I., & Hidayati, E. (2022). Relaksasi genggam jari pada pasien post operasi. Ners Muda, 3(1). https://doi.org/10.26714/nm.v3i1.9394
Latifah, L., Carolin, B. T., & Kurniati, D. (2023). Perbedaan Pemberian Aromaterapi Jahe dan Lavender Terhadap Mual Muntah Ibu Hamil Trimester I di Puskesmas Mekar Baru Tangerang. Malahayati Nursing Journal, 5(10), 3372–3381. https://doi.org/10.33024/mnj.v5i10.9345
Li, H., Liu, Y., Luo, D., Ma, Y., Zhang, J., Li, M., Yao, L., Shi, X., Liu, X., & Yang, K. (2019). Ginger for health care: An overview of systematic reviews. In Complementary Therapies in Medicine (Vol. 45, pp. 114–123). Churchill Livingstone. https://doi.org/10.1016/j.ctim.2019.06.002
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. In Frontiers in Medicine (Vol. 8). Frontiers Media S.A. https://doi.org/10.3389/fmed.2021.809270
Millspaugh, J., Errico, C., Mortimer, S., Kowalski, M. O., Chiu, S., & Reifsnyder, C. (2021). Jin Shin Jyutsu® Self-Help Reduces Nurse Stress: A Randomized Controlled Study. Journal of Holistic Nursing, 39(1), 4–15. https://doi.org/10.1177/0898010120938922
Mohammed Seid, A., Mehari, E. A., Bekalu, A. F., Dula Sema, F., Limenh, L. W., Geremew, D. T., Tessema, T. A., Anagaw, Y. K., Mitku, M. L., Worku, M. C., Bizuneh, G. K., Ayenew, W., & Simegn, W. (2024). Prevalence of hyperemesis gravidarum and associated factors among pregnant women at comprehensive specialized hospitals in northwest Ethiopia: Multicenter cross-sectional study. SAGE Open Medicine, 12. https://doi.org/10.1177/20503121241257163
Nelson-Piercy, C., Dean, C., Shehmar, M., Gadsby, R., O’Hara, M., Hodson, K., & Nana, M. (2024). The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69). BJOG: An International Journal of Obstetrics and Gynaecology, 131(7), e1–e30. https://doi.org/10.1111/1471-0528.17739
Parihar, S., & Singh, S. (2019). Maternal and fetal outcomes in pregnant women with hyperemesis gravidarum. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 8(3), 901. https://doi.org/10.18203/2320-1770.ijrcog20190854
Pramesti, A. N., Sutikanti, & Puspita, D. (2020). Pengaruh Pemberian Aromaterapi Jahe Terhadap Mual Muntah (Emesis) Pada Ibu Hamil Di Wilayah Kerja Puskesmas Sungai Durian Kabupaten Kubu Raya. Vol.11 No.1. https://doi.org/https://doi.org/10.54630/jk2.v11i1.115
Sari, N., & Norhapifah, H. (2022). Pengaruh Terapi Genggam Jari Terhadap Tingkat Kecemasan Ibu Hamil Preoperasi Sectio Caesarea. 7(7), 2548–1398. https://doi.org/https://doi.org/10.36418/syntax-literate.v7i11.9921
Sari, W. I. P. E., Kurniyati., & Esmianti, F. (2023). Penerapan Asuhan Kebidanan Tradisional Komplementer untuk Mengurangi Keluhan Mual Muntah pada Ibu Hamil. PT. Nasya Expanding Management.
Shahrajabian, M. H., Sun, W., & Cheng, Q. (2019). Clinical aspects and health benefits of ginger (Zingiber officinale) in both traditional Chinese medicine and modern industry. In Acta Agriculturae Scandinavica Section B: Soil and Plant Science (Vol. 69, Issue 6, pp. 546–556). Taylor and Francis Ltd. https://doi.org/10.1080/09064710.2019.1606930
Silviani, Y. E., Maiseptyasari, R., Fahriani, M., & Putri, S. D. (2021). Pengaruh Teknik Relaksasi Genggam Jari Terhadap Penurunan Kecemasan Pada Pasien Pre Operasi Persalinan Sesar Di Ruangan Kebidanan RSUD Kepahiang. Indonesian Midwifery and Health Sciences Journal, 5(4), 406–416. https://doi.org/10.20473/imhsj.v5i4.2021.406-416
Siregar, E. L. A., Nasution, Z., & Lumbanraja, S. (2022). The Effect of Ginger Booking and the Aroma of Lemon Inhalation Therapy Towards Gerdadian Emesis Gravidarum for Pregnant Mothers in Trimester I. Vol.10 No.4. https://doi.org/https://doi.org/10.35335/midwifery.v10i4.795
Supriyatin, Suryadi, B., & Agustina, M. (2021). Anxiety Levels In Patients Pre-Operative Ca. Mamae Can Be Lowered With Finger-Holding Relaxation Techniques. Vol.01 No.01. https://doi.org/https://doi.org/10.53801/jcn.v1i01.5
Tiara Carolin, B., & Regita Putri, M. (2022). Overcoming Emesis Gravidarum By Consuming Ginger (Zingiber Officinale Var. Rubrum). In Volatiles & Essent. Oils (Vol. 9, Issue 1).
Wardani, P. K., & Umar, M. Y. (2023). The relationship between age and parity with the incidence of hyperemesis gravidarum in pregnant women at inpatient puskesmas Kota Karang Bandar Lampung in 2020. Jurnal Aisyah?: Jurnal Ilmu Kesehatan, 8(S1), 277–280. https://doi.org/10.30604/jika.v8is1.1715
Yonezawa, Y., Takahashi, I., Ohseto, H., Ueno, F., Onuma, T., Noda, A., Murakami, K., Ishikuro, M., Obara, T., & Kuriyama, S. (2024). Genome-wide association study of nausea and vomiting during pregnancy in Japan: the TMM BirThree Cohort Study. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06376-4
Zhang, H., Wu, S., Feng, J., & Liu, Z. (2020). Risk factors of prolonged nausea and vomiting during pregnancy. Risk Management and Healthcare Policy, 13, 2645–2654. https://doi.org/10.2147/RMHP.S273791
An, J., Zhu, X., Shi, Z., & An, J. (2024). A serial mediating effect of perceived family support on psychological well-being. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-18476-z
Anggraini, F. D., Nisa’, F., & Abidah, S. N. (2021). Effectivity of Essential Oil Diffuser Blend Aromatherapy for Decrease Morning Sickness in The First Trimester of Pregnancy in Wonokromo Surabaya. In 2740 Indian Journal of Forensic Medicine & Toxicology (Vol. 15, Issue 3). https://doi.org/0.37506/ijfmt.v15i3.15722
Azaria Khasandra Nur, & Anjrawati. (2023). Pengaruh Aromaterapi Jahe Untuk Mengurangi Mual dan Muntah Pada Ibu Hamil. https://doi.org/https://doi.org/10.47650/jpp.v6i4.926
Catur, R., Wulandari, L., & Ciptaning Mulia, M. (2021). Literature Review: The Effectiveness of Ginger (Zingiber officinale Roscoe) for Nausea and Vomiting in the First Trimester of Pregnancy. Eduvest-Journal of Universal Studies, 1(8). https://doi.org/10.36418/edv.v1i8.147
Crespi, B. J. (2024). Nausea, vomiting and conflict in pregnancy The adaptive significance of Growth-Differentiation Factor 15. In Evolution, Medicine and Public Health (Vol. 12, Issue 1, pp. 75–81). Oxford University Press. https://doi.org/10.1093/emph/eoae008
Dekkers, G. W. F. Broeren. M. A. C. , T. . S. E. M. , Kop. W. J. , and Pop. V. J. M. (2019). Hormonal and psychological factors in nausea and vomiting during pregnancy. Cambridge University Press.
Dyna, F., & Febriani, P. (2020). Pemberian Aromaterapi Ginger Oil Terhadap Frekuensi Mual Muntah Pada Ibu Hamil Morning Sickness. In Jurnal Keperawatan (Vol. 12, Issue 1). https://doi.org/https://doi.org/10.32583/keperawatan.v12i1.689
Ekacahyaningtyas, M., Murti, D. K., & Nurlaily, A. P. (2022). Aromaterapi Ginger Oil Untuk Menurunkan Derajat Morning Sickness Pada Ibu Hamil Trimester I. In Journal of Advanced Nursing and Health Sciences (Vol. 3, Issue 1).
Fajri, M. A., Rimayanti, A., Fatimah, A. N., & Karomah, P. N. (2023). Systematic Review: Effectiveness Of Ginger Decoction To Manage First Trimester Emesis Gravidarum.
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
Gadsby, R., Ivanova, D., Trevelyan, E., Hutton, J. L., & Johnson, S. (2020). Nausea and vomiting in pregnancy is not just “morning sickness”: Data from a prospective cohort study in the UK. British Journal of General Practice, 70(697), E534–E539. https://doi.org/10.3399/bjgp20X710885
Hamdani, S. U., Zill-e-Huma, Zafar, S. W., Suleman, N., Um-ul-Baneen, Waqas, A., & Rahman, A. (2022). Effectiveness of relaxation techniques ‘as an active ingredient of psychological interventions’ to reduce distress, anxiety and depression in adolescents: a systematic review and meta-analysis. In International Journal of Mental Health Systems (Vol. 16, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s13033-022-00541-y
Hamidah Eneng, A. H. A. M. S. (2023). Pengaruh relaksasi genggam jari terhadap kecemasan pasien preoperatif benigna prostat hiperplasia di ruang Minajaya 1 RSUD Jampangkulon. Journal Of Public Health Innovation (JPHI).
Haniyah, S., & Adriani, P. (2020). Effectiveness of the Finger Handheld Relaxation and the Self-Tapping Relaxation Technique on Dysmenorrhea Pain in Nursing Students. https://doi.org/10.2991/ahsr.k.200204.023
Hijrawati, N., Okvitasari, Y., & Wulandatika, D. (2023). Faktor-Faktor Yang Berhubungan Dengan Kejadian Hiperemesis Gravidarum Pada Ibu Hamil Di Poliklinik Rumah Sakit Islam Banjarmasin. Jurnal Keperawatan Suaka Insan (JKSI), 8(2). https://doi.org/10.51143/jksi.v8i2.457
Larasati, I., & Hidayati, E. (2022). Relaksasi genggam jari pada pasien post operasi. Ners Muda, 3(1). https://doi.org/10.26714/nm.v3i1.9394
Latifah, L., Carolin, B. T., & Kurniati, D. (2023). Perbedaan Pemberian Aromaterapi Jahe dan Lavender Terhadap Mual Muntah Ibu Hamil Trimester I di Puskesmas Mekar Baru Tangerang. Malahayati Nursing Journal, 5(10), 3372–3381. https://doi.org/10.33024/mnj.v5i10.9345
Li, H., Liu, Y., Luo, D., Ma, Y., Zhang, J., Li, M., Yao, L., Shi, X., Liu, X., & Yang, K. (2019). Ginger for health care: An overview of systematic reviews. In Complementary Therapies in Medicine (Vol. 45, pp. 114–123). Churchill Livingstone. https://doi.org/10.1016/j.ctim.2019.06.002
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. In Frontiers in Medicine (Vol. 8). Frontiers Media S.A. https://doi.org/10.3389/fmed.2021.809270
Millspaugh, J., Errico, C., Mortimer, S., Kowalski, M. O., Chiu, S., & Reifsnyder, C. (2021). Jin Shin Jyutsu® Self-Help Reduces Nurse Stress: A Randomized Controlled Study. Journal of Holistic Nursing, 39(1), 4–15. https://doi.org/10.1177/0898010120938922
Mohammed Seid, A., Mehari, E. A., Bekalu, A. F., Dula Sema, F., Limenh, L. W., Geremew, D. T., Tessema, T. A., Anagaw, Y. K., Mitku, M. L., Worku, M. C., Bizuneh, G. K., Ayenew, W., & Simegn, W. (2024). Prevalence of hyperemesis gravidarum and associated factors among pregnant women at comprehensive specialized hospitals in northwest Ethiopia: Multicenter cross-sectional study. SAGE Open Medicine, 12. https://doi.org/10.1177/20503121241257163
Nelson-Piercy, C., Dean, C., Shehmar, M., Gadsby, R., O’Hara, M., Hodson, K., & Nana, M. (2024). The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69). BJOG: An International Journal of Obstetrics and Gynaecology, 131(7), e1–e30. https://doi.org/10.1111/1471-0528.17739
Parihar, S., & Singh, S. (2019). Maternal and fetal outcomes in pregnant women with hyperemesis gravidarum. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 8(3), 901. https://doi.org/10.18203/2320-1770.ijrcog20190854
Pramesti, A. N., Sutikanti, & Puspita, D. (2020). Pengaruh Pemberian Aromaterapi Jahe Terhadap Mual Muntah (Emesis) Pada Ibu Hamil Di Wilayah Kerja Puskesmas Sungai Durian Kabupaten Kubu Raya. Vol.11 No.1. https://doi.org/https://doi.org/10.54630/jk2.v11i1.115
Sari, N., & Norhapifah, H. (2022). Pengaruh Terapi Genggam Jari Terhadap Tingkat Kecemasan Ibu Hamil Preoperasi Sectio Caesarea. 7(7), 2548–1398. https://doi.org/https://doi.org/10.36418/syntax-literate.v7i11.9921
Sari, W. I. P. E., Kurniyati., & Esmianti, F. (2023). Penerapan Asuhan Kebidanan Tradisional Komplementer untuk Mengurangi Keluhan Mual Muntah pada Ibu Hamil. PT. Nasya Expanding Management.
Shahrajabian, M. H., Sun, W., & Cheng, Q. (2019). Clinical aspects and health benefits of ginger (Zingiber officinale) in both traditional Chinese medicine and modern industry. In Acta Agriculturae Scandinavica Section B: Soil and Plant Science (Vol. 69, Issue 6, pp. 546–556). Taylor and Francis Ltd. https://doi.org/10.1080/09064710.2019.1606930
Silviani, Y. E., Maiseptyasari, R., Fahriani, M., & Putri, S. D. (2021). Pengaruh Teknik Relaksasi Genggam Jari Terhadap Penurunan Kecemasan Pada Pasien Pre Operasi Persalinan Sesar Di Ruangan Kebidanan RSUD Kepahiang. Indonesian Midwifery and Health Sciences Journal, 5(4), 406–416. https://doi.org/10.20473/imhsj.v5i4.2021.406-416
Siregar, E. L. A., Nasution, Z., & Lumbanraja, S. (2022). The Effect of Ginger Booking and the Aroma of Lemon Inhalation Therapy Towards Gerdadian Emesis Gravidarum for Pregnant Mothers in Trimester I. Vol.10 No.4. https://doi.org/https://doi.org/10.35335/midwifery.v10i4.795
Supriyatin, Suryadi, B., & Agustina, M. (2021). Anxiety Levels In Patients Pre-Operative Ca. Mamae Can Be Lowered With Finger-Holding Relaxation Techniques. Vol.01 No.01. https://doi.org/https://doi.org/10.53801/jcn.v1i01.5
Tiara Carolin, B., & Regita Putri, M. (2022). Overcoming Emesis Gravidarum By Consuming Ginger (Zingiber Officinale Var. Rubrum). In Volatiles & Essent. Oils (Vol. 9, Issue 1).
Wardani, P. K., & Umar, M. Y. (2023). The relationship between age and parity with the incidence of hyperemesis gravidarum in pregnant women at inpatient puskesmas Kota Karang Bandar Lampung in 2020. Jurnal Aisyah?: Jurnal Ilmu Kesehatan, 8(S1), 277–280. https://doi.org/10.30604/jika.v8is1.1715
Yonezawa, Y., Takahashi, I., Ohseto, H., Ueno, F., Onuma, T., Noda, A., Murakami, K., Ishikuro, M., Obara, T., & Kuriyama, S. (2024). Genome-wide association study of nausea and vomiting during pregnancy in Japan: the TMM BirThree Cohort Study. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06376-4
Zhang, H., Wu, S., Feng, J., & Liu, Z. (2020). Risk factors of prolonged nausea and vomiting during pregnancy. Risk Management and Healthcare Policy, 13, 2645–2654. https://doi.org/10.2147/RMHP.S273791
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