Acupressure Therapy as an Effort to Improve Sleep Quality and Estrogen Levels in Menopausal Women

Authors

  • Wiwiek Nainggolan Master of Applied Midwifery, Poltekkes Kemenkes Semarang
  • Mardiyono Mardiyono Master of Applied Nursing, Poltekkes Kemenkes Semarang
  • Ari Suwondo Master of Public Health, Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.25311/keskom.Vol10.Iss1.1529

Keywords:

akupresur, kualitas tidur, estrogen, menopause, PSQI

Abstract

The decrease in the hormone estrogen during menopause causes the quality of sleep to decrease. Sleep quality affects physical and psychological health which can reduce the quality of life of menopause. This study aims to prove that acupressure therapy can improve sleep quality and estrogen hormone levels in postmenopausal women. The design of this study is a Quasi experiment, which is by using existing groups. The number of samples was 40 respondents, selected using the Consecutive Sampling technique. The intervention group was given acupressure therapy on HT 7, PC 6, and GV 20 points 6 times for 2 weeks. Sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI) questionnaire and estrogen levels were measured by the ELISA method. Data analysis using Paired Sample Test and independent T-Test. Data analysis showed a change in the mean score of sleep quality and estrogen levels in the intervention group after being given acupressure therapy intervention (p = 0.000) (effect size = 0.90). Hasil dari penelitian ini terdapat perbedaan rerata skor kualitas tidur dan skor kadar estrogen antara kelompok intervensi dan kontrol (p = 0,000) (effect size=1.17). The conclusion of this study is acupressure therapy at points HT 7, PC 6, and GV 20 can improve sleep quality and estrogen hormone in menopausal women. This study implies that acupressure therapy interventions can be applied as part of obstetric care in menopausal women.

Downloads

Download data is not yet available.

References

Palupi, P., Afiyanti, Y., & Rachmawati, I. N. (2013). Pengalaman Seksualitas Perempuan Menopause. Jurnal Keperawatan Indonesia, 16(1), 1–10. https://doi.org/10.7454/jki.v16i1.13

Zolfaghari S, Yao C, Thompson C, Gosselin N, Desautels A, Dang-vu TT, et al. Effects of menopause on sleep quality and sleep disorders: Canadian Longitudinal Study on Aging. The Journal of The North American Menopause Society. 2020; DOI: 10.1097/GME.0000000000001462.

Misrina, Nuzula R. Hubungan Karakteristik Dengan Kesiapan Ibu Menghadapi Menopause Di Desa Meunasah Capa Kecamatan Kota Juang Tahun 2021. Journal Healthcare Technology Medicine. 2021; DOI: 10.33143/jhtm.v7i1.1473

Widjayanti Y. Gambaran Kualitas Tidur Wanita Menopause. Jurnal Penelitian Kesehatan. 2018; DOI: 10.54040/jpk.v8i1.125.

Permadi W. Terapi Hormon pada Menopause. Universitas Padjajaran. 2013; Available from: pustaka.unpad.ac.id/archives/138610.

Amanda SP, Rejeki S, Susilawati D. Pengaruh Relaksasi Otot Progresif Terhadap Kualitas Tidur Pada Perempuan Menopause. Cendekia Utama. 2019; DOI: 10.31596/jcu.v8i2.412.

Wiyatno ER, Pujiastuti RSE, Suheri T, Saha D. Effect Of Acupressure On Quality Of Sleep And Pulse Rate In Patients With Acute Myocardial Infarction. Belitung Nursing Journal. 2020;3:360–9. DOI: 10.33546/bnj.162.

Abedian Z, Eskandari L. The Effect of Acupressure on Sleep Quality in Menopausal Women : A Randomized Control Trial. Iranian Journal of Medical Sciences. 2015; PMID: 26170519; PMCID: PMC4487458.

Annelia R, Sunarsih, Astuti T, Murhan A, Sulastri. Pengaruh Terapi Akupresur Terhadap Kualitas Tidur Pasien Post Operasi Sectio Caesarea di RSIA Anugerah Medical Center Kota Metro. MAHESA: Malahayati Health Student Journal. 2022; DOI: 10.33024/mahesa.v2i3.6725.

Thin N, Hmwe T, Browne G, Mollart L, Allanson V, Chan SW. Acupressure to improve sleep quality of older people in residential aged care : a randomised controlled trial protocol. Trials Journal. 2020; DOI: 10.1186/s13063-020-04286-2.

Koosnadi Saputra. Akupunktur Dasar. Airlangga University Press. 2017. 46. Alfira N. Efek Akupresur Pada Titik P6 Dan St36 Untuk Mencegah Post Operative Nausea And Vomiting Mencegah Post Operative Nausea And Vomiting. Jurnal Ilmiah Keperawatan Sei Betik. 2017; DOI: 10.26630/jkep.v16i1.899.

Indrayani T, Damayanti M, Lail NH. The Effect of Acupressure Therapy on Sleep Quality of Elderly in Work Area of Melintang Health Center, Pangkalpinang. STRADA. 2021; DOI: 10.30994/sjik.v10i1.742

Shen E, Chen F, Chen Y, Lin M. Locating the Acupoint Baihui ( GV20 ) Beneath the Cerebral Cortex with MRI Reconstructed 3D Neuroimages. Evidence Based Complementary Alternative Medicine. 2011; DOI: 10.1093/ecam/neq047.

Siregar FG. Estradiol Serum Levels in Menopausal Women with and without Vasomotor Syndrome in Medan. KnE Medicine. 2016; DOI: 10.18502/kme.v1i1.542.

Meylana N. Efektivitas Akupresur Dan Aromaterapi Lavender Terhadap Insomnia Pada Wanita Perimenopause Di Desa Pancuranmas Magelang. Journal Of Holistic Nursing Science. 2016; Available from: journal.unimma.ac.id/index.php/nursing/article/view/1809

Amir N. Gangguan Tidur pada Lanjut Usia, Diagnosis dan Penatalaksanaan. Jakarta: Cermin Dunia Kedokteran. 2007.

Kargenti A, Marettih E. Kualitas hidup perempuan menopause. Marwah:Jurnal Perempuan, Agama dan Jender. 2012; DOI: 10.24014/marwah.v11i2.506.

Kravitz HM, Zhao X, Bromberger JT, Gold EB, Hall MH, Matthews KA, et al. Sleep Disturbance During the Menopausal Transition in a Multi-Ethnic Community Sample of Women. PMC Journal List. 2008; PMID: 18652093 PMCID: PMC2491500.

Iswari NLPAMAASW. Melatonin Dan Melatonin Receptor Agonist Sebagai Penanganan Insomnia Primer Kronis. e-Jurnal Medika Udayana. 2013; Available from:ojs.unud.ac.id/index.php/eum/article/view/5116

Majid YA, Fatimah S, Susanti RD. Pengaruh Akupresur Terhadap Kualitas Tidur Lansia Di Balai Perlindungan Sosial Tresna Werdha Ciparay. Jurnal Ilmiah Multi Sciencies. 2014; DOI: 10.52395/jkjims.v7i12.202.

Ariana PA, Putra GNW, Wiliantari NK. Relaksasi Otot Progresif Meningkatkan Kualitas Tidur Pada Lansia Wanita. Jurnal Keperawatan Silampari. 2020

Ariyanti H, Apriliana E. Pengaruh Fitoestrogen terhadap Gejala Menopause The Influence of Phytoestrogen on Menopause Sympthom. Medical Journal of Lampung University. 2016; Available from: juke.kedokteran.unila.ac.id.

Submitted

2023-05-02

Accepted

2023-07-20

Published

2024-06-27

How to Cite

1.
Nainggolan W, Mardiyono M, Suwondo A. Acupressure Therapy as an Effort to Improve Sleep Quality and Estrogen Levels in Menopausal Women . J Keskom [Internet]. 2024 Jun. 27 [cited 2024 Jul. 3];10(1):214-21. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/1529