Efficacy of combined chamomile aromatherapy and LI-4 (hegu) acupressure on post-cesarean pain: A quasi-experimental study
DOI:
https://doi.org/10.63868/npjn.v2i1.74Keywords:
Chamomile Aromatherapy; LI-4 (Hegu) Acupressure; Pain Intensity; Post-Cesarean SectionAbstract
Background: Effective pain management within the first 24 hours post-cesarean section is essential for maternal recovery. Non-pharmacological approaches, such as chamomile aromatherapy and LI-4 (Hegu) acupressure, offer accessible analgesic benefits with minimal side effects. However, evidence regarding their combined efficacy in post-cesarean patients remains limited.
Purpose: This study aims to determine the effectiveness of combined chamomile aromatherapy and LI-4 acupressure in reducing pain intensity among post-cesarean women.
Methods: A quasi-experimental two-group pretest–posttest design was utilized. Twenty participants were recruited via accidental sampling and allocated into an intervention group (n=10) receiving the combined therapy, and a control group (n=10) receiving deep breathing relaxation. Data normality was tested using the Kolmogorov–Smirnov test. Data were analyzed using a paired t-test for the normally distributed intervention group and a Wilcoxon test for the non-normally distributed control group.
Results: Most respondents were aged 25–37 years (80% intervention; 60% control) and underwent elective cesarean sections (90% intervention; 70% control). In the intervention group, the paired t-test revealed p-values of 0.009, 0.104, and 0.081 at 4, 8, and 12 hours post-surgery, respectively. Conversely, the control group showed significant pain reduction at 4 and 8 hours (p=0.016 and p=0.034).
Conclusion and recommendation: The combination of chamomile aromatherapy and LI-4 acupressure demonstrates a significant effect in reducing post-cesarean pain intensity at 4 hours post-surgery, offering a viable non-pharmacological pain management intervention.
References
Aini, M. N. (2023). Efektivitas relaksasi nafas dalam dan aromaterapi chamomile terhadap nyeri post operasi [Undergraduate thesis, Universitas 'Aisyiyah Yogyakarta]. Universitas 'Aisyiyah Yogyakarta Digital Library. https://digilib.unisayogya.ac.id/7042/1/NASKAH%20PUBLIKASI_MILA%20NUR%20AINI_1910201037%20-%20Mila%20Nur%20Aini.pdf
Akgün, M., & Boz, İ. (2020). The effects of acupressure on post-cesarean pain and analgesic consumption: A randomized single-blinded placebo-controlled study. International Journal for Quality in Health Care, 32(9), 609–617. https://doi.org/10.1093/intqhc/mzaa107
Ali Abdraboo, R., Abdel-Raof Amasha, H., & Ebrahim Ali, S. (2020). Effectiveness of inhalation of lavender oil in relieving post-cesarean section pain. The Malaysian Journal of Nursing, 12(1), 113–122. https://doi.org/10.31674/mjn.2020.v12i01.014
Alorfi, N. M. (2023). Pharmacological methods of pain management: Narrative review of medication used. International Journal of General Medicine, 16, 3247–3256. https://doi.org/10.2147/IJGM.S419239
Arora, N., Kumar, A., Kumar, A., & Sharma, R. S. (2022). Chronic pain management during a pandemic: Evidence-based review. Turkish Journal of Anaesthesiology and Reanimation, 50(3), 159–166. https://doi.org/10.5152/TJAR.2022.1328
Cabral, M. A. L., Leal, K. C. D. S., Dos Santos, J. J. S., Teixeira, F. C., Trindade, A. B. S., Miranda, A. B. S. A., Costa, L. D. R., Dantas, D. V., & Dantas, R. A. N. (2026). Effect of aromatherapy with Matricaria chamomilla in pain and anxiety management in hospital settings: A scoping review protocol. PLOS ONE, 21(1), Article e0339953. https://doi.org/10.1371/journal.pone.0339953
Collin, V., Maydinar, D. D., & Latifah, M. (2021). Pengaruh aromaterapi lavender terhadap penurunan intensitas nyeri pada pasien post sectio caesarea di ruangan Tribrata RS Bhayangkara Kota Bengkulu [Unpublished manuscript].
Delyka, M., Carolina, M., & Evie, E. (2022). Pengaruh teknik slow deep breathing terhadap penurunan intensitas nyeri pada pasien post sectio caesarea di Ruang Cempaka RSUD Dr. Doris Sylvanus Palangka Raya. Jurnal Surya Medika, 8(2), 31–36. https://doi.org/10.33084/jsm.v8i2.3852
Dey, T. N., Pasaribu, S. K., & Siregar, W. W. (2023). The effect of lavender aromatherapy on post sectio caesaria pain intensity at the Grandmed Hospital Lubuk Pakam. Jurnal Kebidanan Kestra (JKK), 6(1), 73–78. https://doi.org/10.35451/jkk.v6i1.1862
Düzel, B., Çam Yanik, T., Kanat, C., & Altun Uğraş, G. (2023). The effect of acupressure on pain level and hemodynamic parameters after coronary angiography: A randomized controlled study. Frontiers in Cardiovascular Medicine, 10, Article 1173363. https://doi.org/10.3389/fcvm.2023.1173363
Fazeli, F., Moeindarbary, S., Ahmadi, R., & Dehghani, N. (2020). Effect of acupressure point (LI4) on anxiety levels of pregnant women during labor: A systematic review and meta-analysis. Medical Education Bulletin, 1(2), 65–72.
Habibabad, H., Afrasiabifar, A., Mansourian, A., Mansourian, M., & Hosseini, N. (2023). Effect of chamomile aromatherapy with and without oxygen on pain of women in post cesarean section with spinal anesthesia: A randomized clinical trial. Heliyon, 9(4), Article e15323. https://doi.org/10.1016/j.heliyon.2023.e15323
Herawati, I., Sari, P. N., & Ermanto, B. (2023). Effectiveness of lavender aromatherapy on reducing pain intensity after 24 hours post sectio caesarea [Unpublished manuscript].
Herlyssa. (2022). The effectiveness of aromatherapy essential oil aroma orange in reducing pain scale 24 hours post cesarean section. [Journal name missing], 5(2), 10368–10375.
Hidayah, A. N., Musika, D. N., & Damayanti, F. N. (2023). Efektifitas massage effleurage terhadap penurunan tingkat pada pasien post sc (sectio caesarea) ERACS di RSUP Dr Kariadi [Unpublished manuscript].
Iswani, R., Ernita, E., & Erlina, E. (2024). Efektifitas aromaterapi lemon dan kompres hangat terhadap nyeri post SC di RSIA ABBY Kota Lhokseumawe. MAHESA: Malahayati Health Student Journal, 4(6), 2230–2239. https://doi.org/10.33024/mahesa.v4i6.14377
L., Liu, X., & Herr, K. (2007). Postoperative pain intensity assessment: A comparison of four scales in Chinese adults. Pain Medicine, 8(3), 223–234. https://doi.org/10.1111/j.1526-4637.2007.00296.x
Mirzaee, F., Hasaroeih, F. E., Mirzaee, M., & Ghazanfarpour, M. (2021). Comparing the effect of acupressure with or without ice in LI-4 point on labour pain and anxiety levels during labour: A randomised controlled trial. Journal of Obstetrics and Gynaecology, 41(3), 395–400.
Radmanesh, K., Janani, F., Changaee, F., & Mohammadi, R. (2025). The effect of aromatherapy with clove essential on anxiety and pain after cesarean section: A controlled randomized clinical trial. The Iranian Journal of Obstetrics, Gynecology and Infertility, 27(12), 31–42.
Rahman, M., Khan, N., Rahman, A., Alam, M., & Khan, A. (2022). Long-term effects of caesarean delivery on health and behavioural outcomes of the mother and child in Bangladesh. Journal of Health, Population and Nutrition, 41(1), Article 45. https://doi.org/10.1186/s41043-022-00326-6
Riskesdas RI. (2018). Laporan Riskesdas 2018 nasional. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
Soesilawati, P., Sutikno, A. E., & Adha, R. S. (2025). Chamomile (Matricaria chamomilla L.) as an anti-inflammatory agent for oral mucosa: Mechanisms and clinical evidence. International Journal of Current Science Research and Review, 8(7). https://doi.org/10.47191/ijcsrr/V8-i7-69
Sugito, A., Ta’adi, T., Ramlan, D., & Pujiastuti, R. S. E. (2023). Intervention of lavender aromatherapy and acupressure to reduce pain scale in postoperative sectio caesarea patients. Media Keperawatan Indonesia, 6(2), 117–126. https://doi.org/10.26714/mki.6.2.2023.117-126
Tirtawati, G. A., Purwandari, A., & Yusuf, N. H. (2020). Efektivitas pemberian aromaterapi lavender terhadap intensitas nyeri post sectio caesarea. JIDAN (Jurnal Ilmiah Bidan), 7(2), 38–44. https://doi.org/10.47718/jib.v7i2.1135
Vitani, R. A. I. (2019). Tinjauan literatur: Alat ukur nyeri untuk pasien dewasa [Literature review: Pain assessment tool to adults patients]. Jurnal Manajemen Asuhan Keperawatan, 3(1), 1–7. https://doi.org/10.33655/mak.v3i1.51
Widjayanti, T. B. (2020). Karakteristik ibu melahirkan sectio caesaria peserta Jaminan Kesehatan Nasional di rumah sakit profit X di sekitar Jakarta. Jurnal Epidemiologi Kesehatan Indonesia, 4(1). https://doi.org/10.7454/epidkes.v4i1.3699
World Health Organization. (2021). Caesarean section rates continue to rise, amid growing inequalities in access. https://www.who.int/news/item/16-06-2021-caesarean-section-rates-continue-to-rise-amid-growing-inequalities-in-access
Zardosht, R., Basiri, A., Sahebkar, A., & Emami, S. A. (2021). Effect of chamomile oil on cesarean section pain in primiparous women: A randomized clinical trial. Current Reviews in Clinical and Experimental Pharmacology, 16(4), 369–374. https://doi.org/10.2174/157488471566620033113315
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