Comparison of Conventional, Complementary and Distraction Therapies to Reduce Dysmenorrhea in Adolescents
Keywords:
Dysmenorrhea, Adolescent Girls, Conventional Therapy, Complementary Therapy, Diversion Therapy
Abstract
Menstruation is one of the changes experienced by adolescent girls. During this period, women often experience discomfort such as dysmenorrhea, which can affect physical health and daily activities. The incidence of dysmenorrhea remains high worldwide and in Indonesia, but it can be managed through both pharmacological and non-pharmacological methods. The purpose of this study was to determine the effectiveness of conventional, complementary and diversion therapy in overcoming dysmenorrhea in adolescents. The study design was a retrospective cohort. The sample used was 35 using a purposive sampling technique at MTsN 1 Serang Regency in March-April 2025. Data analysis used in this study was the Wilcoxon Test and Kruskal-Wallis Test. The results showed that there was a significant relationship between post-test results and pre-test in complementary therapy (p = 0.005) and diversion therapy (p = 0.007) with dysmenorrhea, while conventional therapy (p = 0.458) did not have a significant relationship with dysmenorrhea. Overall, the three therapies had a significant effect on dysmenorrhea (p <0.001). The post-test results of the three therapies were analyzed and found that there was no significant relationship with dysmenorrhea (p = 0.812). This indicates that complementary and diversional therapies have comparable effectiveness in reducing dysmenorrhea pain. It is hoped that medical personnel and adolescents can begin to consider integration strategies to treat dysmenorrhea pain.
References
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Hailemeskel, S., Demissie, A. & Assefa, N. (2016). Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: evidence from female university students in Ethiopia. International Journal of Women’s Health, 489–496.
Handayani, T. H., Budiman, M. A., Amalia, R. L. R., Pribadi, A., Elfirta, R. R. & Ferdian, P. R. (2022). Aktivitas antioksidan, total fenolik, dan total flavonoid madu Apis mellifera dari hutan akasia (Accacia crassicarpa) Riau, Indonesia dengan beberapa perlakuan pengeringan. Jurnal Biologi Indonesia, 18(2), 231–243.
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Khotimah, H. & Subagio, S. U. (2021). Aplikasi Fitofarmaka Akupresur Menggunakan Aromaterapi Essential Oil Lemon untuk Mengatasi Dismenore pada Remaja. Faletehan Health Journal, 8(03), 187–193.
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Martin-Saavedra, J. S. & Ruiz-Sternberg, A. M. (2020). The effects of music listening on the management of pain in primary dysmenorrhea: A randomized controlled clinical trial. Nordic Journal of Music Therapy, 29(5), 398–415.
Mawaddah, S. (2019). PPENGARUH PEMBERIAN SARI KURMA TERHADAP PENINGKATAN KADAR HEMOGLOBIN PADA REMAJA PUTRI YANG MENGALAMI ANEMIA. Media Informasi, 15(2), 160–164.
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Prawirohardjo, S., Wiknjosastro, H. & Sumapraja, S. (2011). Ilmu Kandungan edisi ketiga. Jakarta: Yayasan Bina Pustaka Sarwono, 274–278.
Puspita, N. L. M. (2018). Pengaruh Pemberian Jus Wortel Terhadap Nyeri Dismenorea Pada Remaja Putri: The Influence Of Carrot Juice And Avocado Juice To Dysmenorrhoea Pain In Adolescent Girls. Jurnal Ilmiah Kebidanan (Scientific Journal of Midwifery), 4(1), 14–19.
Rachmawati, A. & Safriana, R. E. (2020). Efektivitas Endorphin Massage dan Senam Dismenore dalam Menurunkan Dismenore Primer. MPPKI (Media Publikasi Promosi Kesehatan Indonesia): The Indonesian Journal of Health Promotion, 3(3), 192–196.
Rambi, C. & Bajak, C. (2019). Pengaruh Aromaterapi Lemon (Citrus) Terhadap Penurunan Dismenore Pada Mahasiswi Keperawatan. Jurnal Ilmiah Sesebanua, 3(1), 27–34.
Rusyanti, S., Iswanti, T., Sutianingsih, H., Khotimah, H. & Wati, D. R. (2023). Terapi Non Farmakologi Pada Dismenore (1st ed., Vol. 1). Nuansa Fajar Cemerlang.
Samba Conney, C., Akwo Kretchy, I., Asiedu-Danso, M. & Allotey-Babington, G. L. (2019). Complementary and alternative medicine use for primary dysmenorrhea among senior high school students in the western region of Ghana. Obstetrics and Gynecology International, 2019(1), 8059471.
Shehata, N., Arafa, A., El Wahed, H., Fahim, A. S. & Hussein, G. K. (2018). Epidemiology of dysmenorrhea among university students in Egypt. Int J Womens Health Wellness, 4(1), 73.
Sugiharti, R. K. & Sumarni, T. (2018). Hubungan Antara Kebiasaaan Olahraga Dengan Kejadian Nyeri Haid Primer Pada Remaja. Bidan Prada, 9(1).
Susanti, E. T., Rusminah, R. & Sari, A. K. (2016). Kompres Hangat Terhadap Tingkat Nyeri Dismenore. Jurnal Keperawatan Karya Bhakti, 2(1), 1–6.
Suthiwong, J., Thongsri, Y. & Yenjai, C. (2017). A new furanocoumarin from the fruits of Scaevola taccada and antifungal activity against Pythium insidiosum. Natural Product Research, 31(4), 453–459.
Ulya, F. H., Suwandono, A., Ariyanti, I., Suwondo, A., Kumorowulan, S. & Pujiastuti, S. E. (2017). Comparison of effects of massage therapy alone and in combination with green coconut water therapy on B-endorphin level in teenage girls with dysmenorrhea. Belitung Nursing Journal, 3(4), 412–419.
Wieminaty, A. F. & Nurvitasari, R. D. (2024). Pengaruh Pendidikan Kesehatan Dalam Menurunkan Kejadian Dismenorea Pada Remaja. MEDICAL JURNAL OF AL-QODIRI, 9(2), 193–198.
Wijaya, A., Anwar, R., Adnani, Q. E. S., Susiarno, H., Arya, I. F. D. & Setiawan, I. (2024). How physical exercises ameliorate dysmenorrhea in adolescence. Jurnal Keolahragaan, 12(1), 40–49.
Wijayanti, D. U. & Kusmiwiyati, A. (2019). Perbedaan penurunan nyeri dismenorea pada remaja dengan tatalaksana guided imagery dan kompres hangat. Jurnal Pendidikan Kesehatan, 8(1), 11–22.
Zhao, H., Jang, J.-H., Ryu, Y.-H. & Han, C.-H. (2025). Acupuncture-Related Therapies for Primary Dysmenorrhea: A Systematic Review and Network Meta-Analysis. Journal of Integrative and Complementary Medicine.
Acheampong, K., Baffour-Awuah, D., Ganu, D., Appiah, S., Pan, X., Kaminga, A. & Liu, A. (2019). Prevalence and predictors of dysmenorrhea, its effect, and coping mechanisms among adolescents in Shai Osudoku District, Ghana. Obstetrics and Gynecology International, 2019.
Al-Matouq, S., Al-Mutairi, H., Al-Mutairi, O., Abdulaziz, F., Al-Basri, D., Al-Enzi, M. & Al-Taiar, A. (2019). Dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatrics, 19, 1–12.
Chen, C. X., Draucker, C. B. & Carpenter, J. S. (2018). China Supply Custom Plastic Crate Storage Crates Products Cheap Price-Zhongyi Plastic Technology Co., Ltd. BMC Women’s Health, 18.
Damm, T., Lamvu, G., Carrillo, J., Ouyang, C. & Feranec, J. (2019). Continuous vs. cyclic combined hormonal contraceptives for treatment of dysmenorrhea: a systematic review. Contraception: X, 1, 100002.
Fajrin, I., Alam, G. & Usman, A. N. (2020). Prostaglandin level of primary dysmenorrhea pain sufferers. Enfermería Clínica, 30, 5–9.
Hailemeskel, S., Demissie, A. & Assefa, N. (2016). Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: evidence from female university students in Ethiopia. International Journal of Women’s Health, 489–496.
Handayani, T. H., Budiman, M. A., Amalia, R. L. R., Pribadi, A., Elfirta, R. R. & Ferdian, P. R. (2022). Aktivitas antioksidan, total fenolik, dan total flavonoid madu Apis mellifera dari hutan akasia (Accacia crassicarpa) Riau, Indonesia dengan beberapa perlakuan pengeringan. Jurnal Biologi Indonesia, 18(2), 231–243.
Harris, C., Flexeder, C., Thiering, E., Buyken, A., Berdel, D., Koletzko, S., Bauer, C.-P., Brüske, I., Koletzko, B. & Standl, M. (2015). Changes in dietary intake during puberty and their determinants: results from the GINIplus birth cohort study. BMC Public Health, 15, 1–19.
Hasanah, D. N., Sendra, E. & Wijayanti, L. A. (2024). The Effectiveness of Modern Acoustic Music as Distraction Technique for Reducing Menstrual Pain. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 11(1), 1–8.
Itani, R., Soubra, L., Karout, S., Rahme, D., Karout, L. & Khojah, H. M. J. (2022). Primary dysmenorrhea: pathophysiology, diagnosis, and treatment updates. Korean Journal of Family Medicine, 43(2), 101.
Ituga, A. S., Taqiyah, Y. & Agustini, T. (2020). Pengaruh Pemberian Terapi Musik Klasik terhadap Penurunan Dismenore Primer pada Remaja Putri. Window of Nursing Journal, 61–72.
Juntu, P. & Ananta, G. (2023). An overview and management of painful menstrual disorder (Dysmenorrhea): a narrative literature review. Sriwijaya Journal of Obstetrics and Gynecology, 1(2), 57–59.
Kementrian Kesehatan Republik Indonesia. (2024). Survei Dasar Kesehatan Indonesia (SDKI).
Khotimah, H. & Lintang, S. S. (2022a). Terapi Non-Farmakologi untuk Mengatasi Nyeri Dismenore pada Remaja. Faletehan Health Journal, 9(03), 343–352. https://doi.org/10.33746/fhj.v9i3.499
Khotimah, H. & Lintang, S. S. (2022b). Terapi Non-Farmakologi untuk Mengatasi Nyeri Dismenore pada Remaja. Faletehan Health Journal, 9(03), 343–352.
Khotimah, H. & Subagio, S. U. (2021). Aplikasi Fitofarmaka Akupresur Menggunakan Aromaterapi Essential Oil Lemon untuk Mengatasi Dismenore pada Remaja. Faletehan Health Journal, 8(03), 187–193.
Kim, S.-D. (2020). Quality of safety reporting for complementary and alternative therapies for dysmenorrhea. Complementary Therapies in Clinical Practice, 39, 101160.
Kirsch, E., Rahman, S., Kerolus, K., Hasan, R., Kowalska, D. B., Desai, A. & Bergese, S. D. (2024). Dysmenorrhea, a narrative review of therapeutic options. Journal of Pain Research, 2657–2666.
Larasati, T. A. & Alatas, F. (2016). Dismenore primer dan faktor risiko Dismenore primer pada Remaja. Jurnal Majority, 5(3), 79–84.
MacGregor, B., Allaire, C., Bedaiwy, M. A., Yong, P. J. & Bougie, O. (2023). Disease burden of dysmenorrhea: Impact on life course potential. International Journal of Women’s Health, 499–509.
Martin-Saavedra, J. S. & Ruiz-Sternberg, A. M. (2020). The effects of music listening on the management of pain in primary dysmenorrhea: A randomized controlled clinical trial. Nordic Journal of Music Therapy, 29(5), 398–415.
Mawaddah, S. (2019). PPENGARUH PEMBERIAN SARI KURMA TERHADAP PENINGKATAN KADAR HEMOGLOBIN PADA REMAJA PUTRI YANG MENGALAMI ANEMIA. Media Informasi, 15(2), 160–164.
Organization, W. H. (2013). WHO traditional medicine strategy: 2014-2023. World Health Organization.
Prawirohardjo, S., Wiknjosastro, H. & Sumapraja, S. (2011). Ilmu Kandungan edisi ketiga. Jakarta: Yayasan Bina Pustaka Sarwono, 274–278.
Puspita, N. L. M. (2018). Pengaruh Pemberian Jus Wortel Terhadap Nyeri Dismenorea Pada Remaja Putri: The Influence Of Carrot Juice And Avocado Juice To Dysmenorrhoea Pain In Adolescent Girls. Jurnal Ilmiah Kebidanan (Scientific Journal of Midwifery), 4(1), 14–19.
Rachmawati, A. & Safriana, R. E. (2020). Efektivitas Endorphin Massage dan Senam Dismenore dalam Menurunkan Dismenore Primer. MPPKI (Media Publikasi Promosi Kesehatan Indonesia): The Indonesian Journal of Health Promotion, 3(3), 192–196.
Rambi, C. & Bajak, C. (2019). Pengaruh Aromaterapi Lemon (Citrus) Terhadap Penurunan Dismenore Pada Mahasiswi Keperawatan. Jurnal Ilmiah Sesebanua, 3(1), 27–34.
Rusyanti, S., Iswanti, T., Sutianingsih, H., Khotimah, H. & Wati, D. R. (2023). Terapi Non Farmakologi Pada Dismenore (1st ed., Vol. 1). Nuansa Fajar Cemerlang.
Samba Conney, C., Akwo Kretchy, I., Asiedu-Danso, M. & Allotey-Babington, G. L. (2019). Complementary and alternative medicine use for primary dysmenorrhea among senior high school students in the western region of Ghana. Obstetrics and Gynecology International, 2019(1), 8059471.
Shehata, N., Arafa, A., El Wahed, H., Fahim, A. S. & Hussein, G. K. (2018). Epidemiology of dysmenorrhea among university students in Egypt. Int J Womens Health Wellness, 4(1), 73.
Sugiharti, R. K. & Sumarni, T. (2018). Hubungan Antara Kebiasaaan Olahraga Dengan Kejadian Nyeri Haid Primer Pada Remaja. Bidan Prada, 9(1).
Susanti, E. T., Rusminah, R. & Sari, A. K. (2016). Kompres Hangat Terhadap Tingkat Nyeri Dismenore. Jurnal Keperawatan Karya Bhakti, 2(1), 1–6.
Suthiwong, J., Thongsri, Y. & Yenjai, C. (2017). A new furanocoumarin from the fruits of Scaevola taccada and antifungal activity against Pythium insidiosum. Natural Product Research, 31(4), 453–459.
Ulya, F. H., Suwandono, A., Ariyanti, I., Suwondo, A., Kumorowulan, S. & Pujiastuti, S. E. (2017). Comparison of effects of massage therapy alone and in combination with green coconut water therapy on B-endorphin level in teenage girls with dysmenorrhea. Belitung Nursing Journal, 3(4), 412–419.
Wieminaty, A. F. & Nurvitasari, R. D. (2024). Pengaruh Pendidikan Kesehatan Dalam Menurunkan Kejadian Dismenorea Pada Remaja. MEDICAL JURNAL OF AL-QODIRI, 9(2), 193–198.
Wijaya, A., Anwar, R., Adnani, Q. E. S., Susiarno, H., Arya, I. F. D. & Setiawan, I. (2024). How physical exercises ameliorate dysmenorrhea in adolescence. Jurnal Keolahragaan, 12(1), 40–49.
Wijayanti, D. U. & Kusmiwiyati, A. (2019). Perbedaan penurunan nyeri dismenorea pada remaja dengan tatalaksana guided imagery dan kompres hangat. Jurnal Pendidikan Kesehatan, 8(1), 11–22.
Zhao, H., Jang, J.-H., Ryu, Y.-H. & Han, C.-H. (2025). Acupuncture-Related Therapies for Primary Dysmenorrhea: A Systematic Review and Network Meta-Analysis. Journal of Integrative and Complementary Medicine.
Published
2025-11-30
Section
Articles
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