Effectiveness of Acupressure at PC6, LR3, and SP6 in Reducing Blood Pressure among Hormonal Contraceptive Users with Hypertension at TPMB Sumariyah Malang City

Ratna Eka Putri, Rosyidah Alfitri, Nila Widya Keswara

Abstract


Background: Hormonal contraceptives widely used for family planning, can trigger side effects such as hypertension due to synthetic hormones affecting the renin-angiotensin-aldosterone system. This study aims to determine the effect of acupressure at points PC6 (Neiguan), LR3 (Taichong), and SP6 (Sanyinjiao) on blood pressure among hormonal contraceptive users with hypertension at TPMB Sumariyah, Malang City. Methods: This quantitative research employed a pre-experimental one-group pretest-posttest design. A total of 26 hormonal contraceptive users with hypertension were selected using consecutive sampling. Data collection involved measuring blood pressure before and after a seven-day intervention consisting of three acupressure sessions. Data were analyzed using the Wilcoxon Signed Rank Test due to non-normal distribution. Results: The study found a significant reduction in blood pressure following the intervention. The mean systolic blood pressure decreased from 145.85 mmHg (SD 7.45) to 126.15 mmHg (SD 6.37), while the mean diastolic pressure decreased from 92.00 mmHg (SD 6.88) to 75.38 mmHg (SD 8.59). Statistical analysis showed a p-value of 0.000 for both systolic and diastolic blood pressure, indicating a highly significant effect. Quantitatively, 100% of participants experienced a decrease in systolic pressure. Conclusions: Acupressure at points PC6, LR3, and SP6 effectively reduces blood pressure in hormonal contraceptive users with hypertension. This non-pharmacological therapy can serve as a complementary approach for midwives to manage contraceptive side effects. Future research should incorporate control groups and consider broader lifestyle factors and medical histories to further validate these findings.

References


Cholilalah, Rois Arifin, Aleria Irma Hatneny. Keluarga Berencana Kontrasepsi Dan Infertilitas. Angewandte Chemie International Edition, 6(11), 951–952. 2023. 82–95 p.

Bappenas. Keluarga Berencana. Jurnal Keperawatan. 2018;1.

Muslim MI, Ismiati. Asuhan Kebidanan Komunitas Pada Dengan Hipertensi Kontrasepsi 3 Bulan : Case Study. Jurnal Kesehatan Tropis Indonesia. 2025;3(2):81–8. doi:10.63265/jkti.v3i2.75

Timur DKPJ. Profil Kesehatan Provinsi Jawa Timur. Profil Kesehatan Provinsi Jawa Timur. 2024.

BKKBN. Publikasi Indikator Kienrja Pertama (IKU) BKKBN, 2023. Sustainability (Switzerland). 2023;11(1):1–14. PubMed PMID: 25246403.

Lanesta Rohi S, Widya Keswara N, Sri Purwanti A, Kebidanan P, Teknologi Sains dan Kesehatan dr Soepraoen Malang I. HUBUNGAN PENGETAHUAN MKJP DENGAN PENGGUNAAN MKJP PADAAKSEPTOR KB DI PMB LINDAHWATI RELATIONSHIP BETWEEN MKJP KNOWLEDGE AND MKJP USE AMONG FAMILY PLANNING ACCEPTORS AT PMB LINDAHWATI. Kesehatan Saintika Meditory, Jurnal [Internet]. 2024. Available from: https://jurnal.syedzasaintika.ac.id

Dinas Kesehatan Kota Malang. Profil Kesehatan Kota Malang Tahun 2024. Journal of Islamic Management Studies. 2025;8(2):36–48. PubMed PMID: 38252772.

Cristina A, Lauth R, Costa HF, Fernanda M, Franco L. A INFLUÊNCIA DAS PÍLULAS ANTICONCEPCIONAIS NA PRESSÃO ARTERIAL : UMA REVISÃO INTEGRATIVA THE INFLUENCE OF CONTRACEPTIVE PILLS ON BLOOD PRESSURE : AN A hipertensão arterial sistêmica ( HAS ) afeta cerca de um quarto da população adulta globalmente , totali. 2024.

Kim K, Moon JH, Ahn CH, Lim S. Effect of olmesartan and amlodipine on serum angiotensin-(1–7) levels and kidney and vascular function in patients with type 2 diabetes and hypertension. Diabetol Metab Syndr. 2023;15(1):1–12. doi:10.1186/s13098-023-00987-1

Lestari GI, Veronica MA. Hubungan kontrasepsi hormonal dengan kejadian hipertensi pada aseptor KB. Indonesian Scintific Journal of Midwifery [Internet]. 2023;1(2):58–65. Available from: https://ejournal.umpri.ac.id/index.php/ISJM/index

Nur Alfia S, Alfitri R, Teknologi Sanis dan Kesehatan dr Soepraoen Malang Kesdam V IR. Article HUBUNGAN PEMAKAIAN KB SUNTIK 3 BULAN DENGAN GANGGUAN HAID PADA WANITA USIA SUBUR DI PMB EKA YUSNIA WULANDARI KABUPATEN LUMAJANG [Internet]. 2024. Available from: https://stikes-nhm.e-journal.id/OBJ/index

Kamelia ND, Dwi Ariyani A, Program M, S1 S, Stikes Banyuwangi K, Program D. Terapi Akupresure pada Tekanan Darah Penderita Hipertensi. Nursing Information Journal. 2021;1(1):18–24.

Dewintasari NNP, Mustika IW, Sudiantara IK, Lestari AS, Henny Achjar KA, Gama IK, et al. The Effect of Acupressure Therapy at SP6 And LI4 Points on Lowering Blood Pressure in Elderly with Hypertension. Health Dynamics. 2025;2(6):224–32. doi:10.33846/hd20602

Sukmadi A, Alifariki LO, Arfini Kasman A IM, Siagian HJ. Terapi Akupresur Menurunkan Tekanan Darah Pasien Hipertensi. Jurnal Kesehatan. 2021;9(2):109–14. doi:10.25047/jkes.v9i2.224

Galih Jatnika, Akbar Budiana T, Yuswandi Y. The Effect of Acupressure Therapy on Blood Pressure At Hypertension Patient. Media Ilmu Kesehatan. 2023;11(1):29–35. doi:10.30989/mik.v11i1.679

Kemenkes RI. Asuhan Mandiri Akupresure. 2021.

Saputra A, Pebriani SH, Tafdhila T, Syafe’i A. Pengaruh Terapi Akupresur terhadap Tekanan Darah pada Penderita Hipertensi. Malahayati Nursing Journal. 2023;5(1):80–7. doi:10.33024/mnj.v5i1.7665

Harun L, Suwandewi A. PENERAPAN TERAPI AKUPRESUR TITIK LR 3 TAICHONG DAN LI 4 HEGU TERHADAP PENGENDALIAN HIPERTENSI DENGAN RISIKO PERFUSI SEREBRAL TIDAK EFEKTIF. Jurnal Gizi dan Kesehatan. 2023;4(2):126–33.

Pujiwati E. 202107082_Bab Ii. 2020;6–35.

Agustina N, Dewi Pertiwi F, Prastia TN, Masyarakat K, Kesehatan I. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMAKAIAN KB SUNTIK PADA PASANGAN USIA SUBUR DI DESA GUNUNG PUTRI KABUPATEN BOGOR TAHUN 2021. PROMOTOR Jurnal Mahasiswa Kesehatan Masyarakat [Internet]. 2022. Available from: http://ejournal.uika-bogor.ac.id/index.php/PROMOTOR

Sulastri, Afriyani L. Pengaruh kontrasepsi hormonal terhadap kejadian hipertensi pada akseptor KB di PMB. Midwifery Health Journal [Internet]. 2024;9(2):1–5. Available from: http://ojs.stikeskeluargabunda.ac.id/index.php/jurnalkebidananjambi

Muhimatul Inayah, Tin Utami, Siti Haniyah. LITERATUR REVIEW : PENGGUNAAN KONTRASEPSI HORMONAL DENGAN TEKANAN DARAH. Jurnal Sains Kebidanan. 2021 May;3:1–5.


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