Comparison of Effects of Massage Therapy Alone and in Combination With Green Coconut Water Therapy on B-Endorphin Level in Teenage Girls With Dysmenorrhea

Abstract

Background: Dysmenorrhea is pain during menstruation in lower abdomen, and is not due to other diseases. Effleurage massage and consuming green coconut water are considered able to reduce menstrual pain. However, little is known about the effect of the combination between the two interventions.Objective: To compare the effectiveness of effleurage massage and in combination with green coconut water on pain, anxiety, and ß-endorphin level in teenage girls with menstrual pain (dysmenorrhea).Design: A quasy experiment with pretest-posttest approach design with control group. There were 36 samples recruited in this study by purposive sampling, which were divided into a massage therapy group, the combination therapy group, and a control group. Menstrual pain was measured using Numeric Rating Scale, while anxiety was measured using Zung Self rating Anxiety Scale (ZSAS), and endorphin level using ELISA (Enzyme-Linked Immunosorbent Assay). One way anova test and repeated anova were performed as a bivariate analysis. Mancova and post hoc anova were used for multivariate analysis.Result: The combination of massage and green coconut water was more effective in reducing pain (p 0.013) and anxiety levels (p 0.000), and in increasing β-endorphin (p 0.029) with significant value of <0.05 compared to the massage therapy alone.Conclusion: The combination of effleurage massage and green coconut water had significant effect in decreasing anxiety and pain levels, and increasing β-endorphin levels in teenage girls with painful periods (dysmenorrhea); and more effective than performing effleurage massage only. It is suggested that this combination therapy could be used as an alternative therapy for women with dysmenrrohea.

The Impact of Effleurage Technique Massage on Blood Pressure toward Elderly Hypertension in Peguyangan Village

“…Massage effleurage during the pandemic that is carried out regularly by the elderly will be able to reduce and prevent complications due to hypertension. According to previous research from Harris & Richards (2010) combined isotonic and isometric resistance exercise effectively modifies endothelial function in hypertensive patients and increases endothelium vasodilation so as to prevent arteriosclerosis (Ulya et al, 2017) and can improve the quality of life of the elderly (Putra et al, 2021).…”

Efektivitas Masase Effleurage dan Akupresur Sanyinjiao Point Terhadap Intensitas Nyeri Haid

“…Level in Teenage Girls with Dysmenorrhea" adanya pengaruh yang signifikan terhadap penurunan tingkat kecemasan dan nyeri, serta meningkatkan β-kadar endorfin pada remaja saat nyeri haid. Hal ini dikarenakan pijat effleurage bertujuan untuk meningkatkan sirkulasi darah, memberi tekanan, menghangatkan otot perut serta meningkatkan kesehatan fisik dan relaksasi mental (Ulya et al, 2017).…”

The Therapeutic Benefits of Warm Compresses in Alleviating Menstrual Pain (Dysmenorrhea) among Young Woman

“…Interviews were conducted with the Student Affairs Section and some female students, which revealed that 40 of them had experienced primary dysmenorrhea. The most prevalent way of managing dysmenorrhea was through the consumption of anti-pain medication or by resting [8].…”