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Background: Hypertension in pregnancy is one of the contributors to the maternal mortality rate (MMR) in Indonesia. The combination of yoga and acupressure was expected to help pregnant women in lowering blood pressure.Objectives: This study aimed to test the combination of prenatal yoga and acupressure against blood pressure in pregnant women who had hypertension.Methods: This study was a quasi-experiment using a pre-post-test design with control group. The population in this study was all pregnant women in the Depok Regional Health Center. The inclusion criteria for this study included: pregnant women aged > 20 weeks of pregnancy, suffering from hypertension, namely systolic TD ≥140 mmHg and diastolic ≥90 mmHg. As for pregnant women who had a history of preeclampsia, had a history of bleeding in this pregnancy, pregnant women with placenta previa totalis were excluded from this study. The sample was taken by purposive sampling with the number of respondents as many as 30 pregnant women in the intervention group and 30 pregnant women in the control group. Data analysis used SPSS version 20 with descriptive and Chi-square tests for respondent characteristics. Bivariate analysis was analyzed with the Wilcoxon test, while to find out the difference in blood pressure between the two groups, the Mann-Witney U test was used.Results: Statistical results obtained that there was a significant difference in the blood pressure of pregnant women before and after yoga and acupressure. In addition, there were significant differences in blood pressure reduction between the intervention group and the control group.Conclusions: Yoga and acupressure combination was proven to reduce blood pressure. It is hoped that midwives or other health workers could implement it by teaching pregnant women, especially who suffer hypertension

Sectio Caesarea surgery causes pain on a mild to severe scale in patients, impacting hemodynamic conditions, so attention is needed to this problem and its management with non-pharmacological therapy using aromatherapy and acupressure as a treatment companion in health services. The aim of the study was to analyze the effect of lavender aromatherapy and acupressure interventions on reducing the pain scale in postoperative sectio caesarea patients. This study used a quasi-experimental design with a pre-test and post-test with a control group design with a total sample of 16 respondents in each group taken by random sampling system. The group was given lavender aromatherapy intervention and acupressure, while the control group was only given lavender aromatherapy. The results of the research from the t-test showed that the administration of aromatherapy and acupressure had an effect on reducing the pain scale of postoperative sectio caesarea patients with a p-value = 0.000 and a decrease in the mean pain scale from 4.44 (pre-test) to 2.50 (post-test). This shows that aromatherapy and acupressure as complementary therapies can be used as non-pharmacological therapies as supporting treatment and alternative self-care to assist in overcoming pain problems in postoperative sectio caesarea patients. This study shows that lavender aromatherapy and acupressure effectively reduce pain scales in postoperative sectio caesarea patients.

Labor pain is the main issue that happens to women during delivery. In Brazil, labor pain can reach over 50% of the natality rate in a hospital, which is the highest percentage in the world. If labor pain is neglected, mothers can experience depression and distress related to their sexual activity. It will also increase the demand for sectio caesarea delivery. One of the methods to relieve labor pain with no continuous provision of medicine, effective cost, and relatively low risk is acupressure. The objective of this study is to examine the effectiveness of acupressure therapy on relieving labor pain during the Active Phase of the First Stage. This study applied a literature review research method by searching and examining previous journal articles that match the inclusion criteria and exclusion criteria. The journal articles were obtained from the Google Scholar database, ResearchGate, Wiley Online Library, and Elsevier with the keywords Acupressure, Labor Pain or Akupresur, Nyeri Persalinan. From thirteen articles analyzed, nine articles suggest LI4 acupressure point which is placed at metacarpal between the thumb and index finger. The majority of articles claim that severe pain occurs during labor before being intervened. Meanwhile, all articles state that acupressure is effective in relieving labor pain during the Active Phase of the First Stage.

Breastfeeding provides benefits for both mother and baby. Breasti imilk containsi imany nutrientsi ithat babiesi need ini ithe ifirst 6i (six) months after birth. There are factors that influence exclusive breastfeeding that can inhibit the secretion of the oxytocin hormone. One way to stimulate the oxytocin hormone and increase comfort is by oxytocin massage. The prolactin and oxytocin hormones play a very important role in the adequacy of breast milk production. One way to generate the let down reflex is by doing therapy acupressure. The purpose of this study was to analyze the effect of giving little finger acupressure and oxytocin massage to the output time and adequacy of breastfeeding in postpartum mothers at Panembahan Senopati Hospital, Bantul. The design of this research is the Randomized Controlled Trial (RCT) with a quantitative approach. The population in this study were all postpartum mothers who experienced vaginal delivery at the Panembahan Senopati Hospital Bantul in 2021, as many as 166 people. The number of samples in this study was 70 postpartum mothers who met the inclusion criteria based on the calculation of the slovin formula. The results showed that acupressure had more effect on the time of output and the adequacy of breast milk than oxytocin massage for postpartum mothers at RSUD Panembahan Senopati Bantul.

Abstract Diabetes Mellitus is a worldwide metabolic disease and becomes a challenge for the health practitioner. Unfortunately, less than half of these diabetic individuals are aware of their conditions, and less than 1% of those receiving medical treatment achieve their therapeutic targets. Acupressure is an alternative method that is believed to be an effective way of treating diabetic patients with reducing symptoms and complications. This research aims to discover the effect of period acupressure therapy on blood sugar levels in type two diabetes mellitus patients in Lumajang Acupressure Clinic. It uses an observational analytic design with pre-test and post-test approach. It involved 36 participants who were split into two groups and contained 18 participants for each group. The first group received acupressure therapy for three weeks, while the second group received eight weeks. Both groups underwent acupressure at the San Yin Jiao (SP-6) acupoint for 20 minutes three times a week. All participants in both groups had their blood glucose checked before and after acupressure therapy. The results showed that the two groups were significantly different for the paired t-test and the independent t-test. The acupressure therapy period has an effect on decreasing blood sugar levels in type two diabetes mellitus patients at Lumajang acupressure clinic. Keywords : Acupressure, the period of therapy, blood glucose level, type two diabetes mellitus Correspondence : Anungputri113@gmail.com

Background: Low back pain is pain that arises below the costal margin and above the inferior gluteal fold. In Traditional Chinese Medicine (TCM) low back pain is referred to as Yao Tong. Low back pain cases experienced by patients are pain that gets worse when exposed to cold air, is too tired and feels stiff and heavy. The patient has low back pain with damp cold pathogenic syndrome. Purpose: To prove the effect of combination therapy for Swedish massage in the back and waist area, acupressure at Shenshu (BL23), Dachangshu (BL25), Taixi (KI3), Taibai (SP3), Fenglong (ST40) and turmeric herbs (Curcuma longa Linn) on low back pain sufferers. Methods: Management of low back pain with Swedish, acupressure and herbal massage methods. Swedish massage therapy is performed on the back and waist area. Acupressure at the points of Shenshu (BL23), Dachangshu (BL25), Taixi (KI3), Taibai (SP3), Fenglong (ST40) with the principle of therapy of kidney and spleen tonification and elimination of cold moist pathogens. The most common herbal therapy for patients is turmeric (Curcuma longa Linn). Results: The curcumin compounds in turmeric can inhibit lipoxygenase, phospholipase A2 and COX-2 so they can reduce low back pain. In the treatment of low back pain, massage and acupressure are performed 2 times a week 12 times. While herbal therapy is given for 42 days taken once a day with a dose of 9 grams of turmeric simplicia. Conlussion: Swedish massage therapy, acupressure and herbs can reduce low back pain.

Background: Hemifacial spasm (HFS) is a condition of unilateral, involuntary, irregular, spasmodic movements of the face. The condition is most commonly a result of vascular loop compression at the root entry zone of the facial nerve. Patient whose hemifacial spasm with left-sided facial complaints often twitching since 6 months ago. This 69-year-old man with hyperlipidemia and hypertension had diagnosed with hemifacial spasm by neurologist. Purpose: To prove the effect of acupuncture on Fengchi (GB 20), Neiguan (PC 6) and Taichong (LR 3) accompanied with acupressure on Taichong (LR 3) and auricular acupressure on the Ear Shenmen point in patient with hemifacial spasm. Methods: Handling Hemifacial spasm with acupuncture on Fengchi (GB 20), Neiguan (PC 6) and Taichong (LR 3) with the reducing method and strong stimulation three times a week, acupressure on the Taichong (LR 3) twice a day for 30 times pressure and auricular acupressure on ear Shenmen, twice a day for 5 minutes. Results: Biochemical mechanism of acupuncture and acupressure involve the stimulation of acupoint that lead to complex neuro-hormonal response. In handling hemifacial spasm, acupunture given for 15 times, taken three times a week combined with acupressure and auricular acupressure. This therapy overcome the symptoms of facial twitching in hemifacial spasm. Conclusion: Acupuncture combined with acupressure and auricular acupressure can be used to overcome facial twitching in hemifacial spasm.

Salah satu pengobatan penyakit kanker pada anak adalah kemoterapi yang memiliki  efek samping mual muntah. Mual muntah pada penyandang kanker anak usia sekolah dapat mengakibatkan gangguan nutrisi, emosional, bermain dan fungsi sekolah. Hal ini dapat menurunkan kualitas hidup anak. Salah satu terapi adjuvan yang dapat menurunkan mual muntah setelah pemberian kemoterapi adalah akupresur yang bersifat non invasif dan tidak membahayakan. Akupresur titik Nei guan menggunakan metode penekanan pada pergelangan tangan.  Penelitian ini dilakukan untuk mengetahui pengaruh pemberian akupresur Nei Guan terhadap mual muntah kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah.            Desain penelitian adalah kuasi eksperimen melalui pendekatan pre-post test design study with control dengan single blind. Responden terbagi atas kelompok kontrol dan kelompok intervensi yang masing-masing berjumlah 15 orang. Kedua kelompok mendapatkan antiemetik yang sama. Pengukuran mual dilakukan 3 kali pada pagi dan malam hari menggunakan instrumen Pediatric Nausea Assessment Tools (PeNAT), sedangkan interval muntah didokumentasikan setiap muntah dan retching. Data dianalisis dengan uji Mann Whitney dan uji t independent.            Hasil analisis pada kelompok kontrol menunjukkan rerata nilai mual cenderung mengalami kenaikan dan interval muntah yang lebih cepat dibandingkan dengan kelompok intervensi. Hasil kesimpulannya adalah secara klinis terdapat pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah meskipun secara statistik belum bermakna (nilai p>0,05). Perawat diharapkan dapat melakukan monitoring mual muntah berkelanjutan dan akupresur dapat dipertimbangkan sebagai terapi adjuvan selain pemberian terapi farmakologi untuk menurunkan mual muntah.

Background: a Migraine is a headache with pain attacks lasting 4 - 72 hours. Pain is usually unilateral, it is pulsating, the intensity of pain is moderate to severe and aggravated by activity, and can be accompanied by nausea, vomiting, photophobia, and phonophobia. Headaches are one of the most common disorders of the nervous system. It has been estimated that 47% of the adult population experience headaches at least once in the past year in general. According to TCM, headache is a disease with a headache accompanied by a variety of symptoms, where the cause is an external pathogen and causes in the body. Acupressure is one form of traditional treatment skills by suppressing acupuncture points with emphasis on using fingers or blunt objects on the surface of the body, in order to support promotive, effective, rehabilitative efforts. In addition to acupressure, herbal drinks can also be used to reduce pain, namely aromatic ginger. Purpose: Knowing the effect of acupressure and aromatic ginger herbs (Kaempferia galangal Linn.) combination therapy in reducing migraine complaints. Methods: Acupressure at Fengchi point (GB20) 50 times, Taiyang (EX-HN5) 50 times, Sanyinjiao (SP6) 30 times, Taichong (LR3) 50 times and aromatic ginger herbs (Kaempferia galangal Linn.) 15 grams for 28 days. Results: Migraine complaints decreased from 5 times a month to 3 times a month. No more complaints of nausea, hypochondrium pain, diarrhea, and insomnia. Conclusion: Acupressure at Fengchi point (GB20) was 50 times of the pressure, Taiyang (EX-HN5) was 50 times of the pressure, Sanyinjiao (SP6) was 30 times of the pressure, Taichong (LR3) was 50 times of the pressure and the aromatic ginger herbs (Kaempferia galangal Linn.) As much as 15 grams for 28 days could reduce migraine complaints.

The study of women in the first stage of labor using McGill Pain Questionnaire to assess pain found that 60% of maternity described pain due to uterine contractions was very severe (intolerable, unverable, extremely severe), 30% moderate pain. In multipara 45% of pain is severe, 30% is moderate pain, 25% is mild pain (Acute Pain Services (APS), 2007). The aim of this study was to determine the effect of acupressure on the level of labor pain at the first time in maternity. Type of quantitative research, research design Quasy experiment. The population of first-time maternity with a 4-6 cm opening numbered 45 women giving birth per month, a sample of 40 respondents. The one group pre - post-test research design with interventions with acupressure point combinations L04 (he kuk) and thai cong that were carried out during the first active phase was 4-6 for 40 times at the time of his joke. The results showed that the level of first stage pain in maternity before acupressure was 6.00, SD 1,219 and after acupressure was 5.05 SD 1,218, it was concluded that there was an acupressure effect on the level of labor pain (p-value=0,000). The application of L04 (he kuk) acupressure and Cong Thai can reduce labor pain in the first stage active phase of opening 4-6.

Elderly Gymnastics, Acupressure, Hypertension, Elderly. Hypertension is the number one occurrence that causes death. Hypertension is a lifelong disease and treatment can be done using blood and using long-term anti hypertensive agents. The purpose of this study was to determine whether patients could make improvements in hypertensive patients at the Posyandu Srondol Banyumanik elderly. This type of research is quasi experimental design with a sample of 22 respondents, 11 respondents received treatment for elderly gymnastics while 11 respondents received acupressure treatment. The study was conducted once a week for 3 weeks with 60 minutes of elderly gymnastics and 10 minutes of acupressure. The results of this study prove that there were no significant differences in blood pressure before and after treatment. This is evidenced by the value of ρ 0.05. In addition from the results of the mean mean difference between acupressure and elderly gymnastics, it can be seen that acupressure is more effective in lowering blood pressure compared to elderly gymnastics. Conclusion: acupressure is more effective in lowering blood pressure than elderly exercise.

Postoperative Nausea and vomiting (PONV) is a common complication after surgery.The incidence of postoperative nausea vomiting is approximately 30% of all patients undergoing inpatient surgery and 70% of cases occur within the first 24 hours. One of nausea and vomiting treatment is non-pharmacological therapies with complementary acupressure therapy. Furthermore, the research was conducted to determine the effect of acupressure complementary therapies against postoperative nausea and vomiting.The research was Quasi-Experimental research design Non-equivalent Control Group, the sampling technique used purposive sampling technique. Based on results of sample calculation used amounted to 22 respondents, consisting of 11 experimental groups and 11 control groups. Collecting data was used questionnaire and analyzed using univariate and bivariate analysis by Wilcoxon and Mann-Whitney with α values (