Effectiveness of a combination of lemon peppermint and murottal for postoperative nausea, vomiting, and anxiety after general anesthesia

Destiana Destiana; Suharsono Suharsono; Dina Indrati Dyah Sulistyowati

doi:10.33024/minh.v7i6.299

Authors

Destiana Destiana Politeknik Kesehatan Kementrian Kesehatan Semarang
Suharsono Suharsono Politeknik Kesehatan Kementrian Kesehatan Semarang
Dina Indrati Dyah Sulistyowati Politeknik Kesehatan Kementrian Kesehatan Semarang

DOI:

https://doi.org/10.33024/minh.v7i6.299

Keywords:

Anxiety, Aromatherapy, Lemon, Murottal, Nausea, Peppermint, Vomiting

Abstract

Background: Nausea, vomiting, and anxiety are the most common complications after surgery with anesthesia in the first 24 hours after surgery. Handling this problem can be provided with complementary therapy in the form of lemon peppermint and murottal aromatherapy which is able to have a psychological effect on emotions, thoughts, suggest calm and reduce anxiety, and is absorbed by the central nervous system, autonomic nervous system or endocrine system. system in the brain to provide a relaxing effect.

Purpose: Explains the effectiveness of the combination of lemon peppermint and murottal aromatherapy against nausea, vomiting and anxiety in post-operative patients under general anesthesia.

Method: The research design uses a Quasi Experiment study with Pre-Post Test with Control Group Design. The sample size was 70 participants with each group consisting of 35 participants, using consecutive sampling technique. Analysis of this research data used the Repeated ANOVA test and the General Linear Model test to test differences between groups (ρ<0.05), followed by the Post-Hoc test to find out which group had the most influence.

Results: It shows that from the 2 groups, it was found that the combined intervention of lemon peppermint and murottal aromatherapy was more influential and effective in reducing nausea, vomiting and anxiety with a ρ-value of 0.000.

Conclusion: The combination of lemon peppermint and murottal aromatherapy was more effective in reducing nausea, vomiting and anxiety in post-operative patients under general anesthesia compared to other groups.

References

Amirshahi, M., Behnamfar, N., Badakhsh, M., Rafiemanesh, H., Keikhaie, K. R., Sheyback, M., & Sari, M. (2020). Prevalence of postoperative nausea and vomiting: A systematic review and meta-analysis. Saudi journal of anaesthesia, 14(1), 48-56.

Bhattacharya, R., Hwang, J. H., & Ko, C. (2020). The Patient with Nausea and Vomiting. Yamada’s Handbook of Gastroenterology, 47.

Briggs, P., Hawrylack, H., & Mooney, R. (2016). Inhaled peppermint oil for postop nausea in patients undergoing cardiac surgery. Nursing2023, 46(7), 61-67.

Caumo, W., Schmidt, A. P., Schneider, C. N., Bergmann, J., Iwamoto, C. W., Bandeira, D., & Ferreira, M. B. C. (2001). Risk factors for preoperative anxiety in adults. Acta Anaesthesiologica Scandinavica, 45(3), 298-307.

Data and information center of the Ministry of Health of the Republic of Indonesia. (2021). Profil Kesehatan Indonesia 2020. Kementerian Kesehatan Republik Indoensia. 1–480 p. received from: https://media.neliti.com/media/publications/554203-efektivitas-penerapan-vidio-dan-leaflet-c9aab682.pdf

Denholm, L., & Gallagher, G. (2018). Physiology and pharmacology of nausea and vomiting. Anaesthesia & Intensive Care Medicine, 19(9), 513-516.

Guyton, A. C., & Hall, J. E. (2012). Buku ajar fisiologi kedokteran. Jakarta. EGC.

Kim, Y. S., Kim, J. W., Ha, N. Y., Kim, J., & Ryu, H. S. (2020). Herbal therapies in functional gastrointestinal disorders: a narrative review and clinical implication. Frontiers in Psychiatry, 11, 601.

Liang, J., Zhang, Y., Chi, P., Liu, H., Jing, Z., Cao, H., & Kong, D. (2023). Essential oils: Chemical constituents, potential neuropharmacological effects and aromatherapy-A review. Pharmacological Research-Modern Chinese Medicine, 6, 100210.

Maghami, M., Afazel, M. R., Azizi-Fini, I., & Maghami, M. (2020). The effect of aromatherapy with peppermint essential oil on nausea and vomiting after cardiac surgery: A randomized clinical trial. Complementary Therapies in Clinical Practice, 40, 101199.

Nursalam, N. (2013). Konsep penerapan metode penelitian ilmu keperawatan. Salemba Medika.

Price, S., & Price, L. (2021). Carrier Oils. Aromatherapy for Health Professionals Revised Reprint E-Book: Aromatherapy for Health Professionals Revised Reprint E-Book, 151.

Rambod, M., Pasyar, N., Karimian, Z., & Farbood, A. (2023). The effect of lemon inhalation aromatherapy on pain, nausea, as well as vomiting and neurovascular assessment in patients for lower extremity fracture surgery: a randomized trial. BMC Complementary Medicine and Therapies, 23(1), 208.

Rhodes, V. A., & McDaniel, R. W. (2001). Nausea, vomiting, and retching: complex problems in palliative care. CA: A cancer journal for clinicians, 51(4), 232-248.

Safajou, F., Soltani, N., Taghizadeh, M., Amouzeshi, Z., & Sandrous, M. (2020). The effect of combined inhalation aromatherapy with lemon and peppermint on nausea and vomiting of pregnancy: A double-blind, randomized clinical trial. Iranian journal of nursing and midwifery research, 25(5), 401-406.

Silvia, E., & Halawa, D. F. (2023). Pengaruh Pemberian Aromaterapi Peppermint terhadap Keluhan Mual Muntah pada Ibu Hamil Trimester I di Wilayah Kerja Puskesmas Pondok Tinggi. Journal on Education, 6(1), 3730-3745.

Suresh, S., Polaner, D. M., & Coté, C. J. (2019). Regional anesthesia. In A practice of anesthesia for infants and children (pp. 941-987). Elsevier.

Thangaleela, S., Sivamaruthi, B. S., Kesika, P., Bharathi, M., Kunaviktikul, W., Klunklin, A., & Chaiyasut, C. (2022). Essential oils, phytoncides, aromachology, and aromatherapy—a review. Applied Sciences, 12(9), 4495.

World Health Organization. (2020). Constitution of the World Health Organization. Jenewa. Received from: https://apps.who.int/gb/bd/pdf_files/BD_49th-en.pdf#page=6

Wright, D., Ralston, C., & Slade, D. (2020). Additional Pre-operative Considerations and Techniques. In Manual of Complex Abdominal Wall Reconstruction (pp. 63-82). CRC Press.

Zung, W. W. (1971). Self-rating anxiety scale. BMC Psychiatry.