Background: Pain during menstruation is not uncommon, especially in young women, which has an impact on their life activities.
Objective: To examine the effect of abdominal stretching exercise and cold compress therapy on decreasing intensity of menstrual pain in teenage girls.
Design: A quasi-experimental study with two group comparison pretest-posttest design at SMK Bakti Indonesia Medika, Indonesia. There were 46 respondents selected in this study by consecutive sampling that consisted of 23 samples in the abdominal stretching exercise group and 23 samples in the cold compress group. The menstrual pain was measured using VAS (visual analog scale). Data were analyzed using Mann-Whitney, Chi-Square, and Wilcoxon test.
Results: Findings showed that the mean of menstrual pain before intervention in the abdominal stretching exercise was 7.04 and in the cold compress therapy was 6.74 with p-value 0.211 (<0.05), which indicated that there was no mean difference of pain between both groups. However, after intervention, the menstrual pain was reduced from 7.04 to 1.91 (5.09 difference) in the abdominal stretching exercise group; and from 6.74 to 5.52 (1.22 difference) in the cold compress group with p-value 0.000 (<0.05), which indicated that there was statistically significant difference of menstrual pain before and after intervention, both abdominal stretching exercise and cold compress therapy.
Conclusion: There were statistically significant effects of abdominal stretching exercise and cold compress therapy on menstrual pain in teenage girls. The abdominal stretching exercise is more effective than cold compress therapy in reducing menstrual pain intensity. Thus, it is suggested that abdominal stretching exercise can be an alternative choice of management of dysmenorrhea in teenage girls, and can be a part of subject in the education as non-pharmacological medicine.
Copyright (c) 2017 Desta Ayu Cahya Rosyida, Agus Suwandono, Ida Ariyanti, Suhartono, Imam Djamaluddin Mashoedi, Diyah Fatmasari
This work is licensed under a Creative Commons Attribution 4.0 International License.
Article MetricsAbstract views: 1446 | PDF views: 678
Harel Z. A contemporary approach to dysmenorrhea in adolescents. Pediatric Drugs. 2002;4(12):797-805.
French L. Dysmenorrhea. American Family Physician. 2005; 71(2).
Tangchai K, Titapant V, Boriboonhirunsarn D. Dysme-norrhea in Thai adolescents: prevalence, impact and knowledge of treatment. Journal-Medical Association Of Thailand. 2004;87:S69-S73.
Liliwati I, Verna LKM, Khairani O. Dysmenorrhoea and its effects on school activities among adolescent girls in a rural school in Selangor, Malaysia. Medicine & Health. 2007;2(1):42-47.
Calis KA, Popat V, Devra KK, Kalantaridou SN. Dysmenorrhea. E-Medicine Obstetrics and Gynecology; 2009.
Rifqah Utami AN, Ansar J, Sidik D. Faktor yang berhubungan dengan kejadian dismenorea pada remaja putri di SMAN 1 Kahu Kabupaten Bone [Factors associated with dysmenorrhea in female adolescents of SMAN 1 Kahu Kabupaten Bone. Makassar: Universitas Hasanuddin; 2013.
Tampubolon J. Gambaran perilaku makan remaja putri dan kejadian dismenorea (nyeri haid) di SMA Cahaya Medan tahun 2013 [Eating behvior of female adolescents and dysmenorrhea at SMA Cahaya Medan in 2013]. Medan: Universitas Sumatera Utara; 2014.
Daley AJ. Exercise and primary dysmenorrhoea. Sports Medicine. 2008;38(8):659-670.
Hockenberry MJ, Wilson D, Rodgers CC. Wong's essentials of pediatric nursing: Philadelphia: Elsevier Health Sciences; 2016.
Kozier B. Fundamentals of nursing: concepts, process and practice. London: Pearson Education; 2008.
Nureka RP. Perbedaan efektifitas thermotherapy dan coldtherapy terhadap penurunan nyeri akibat spasme otot (Studi pada pegawai Dinas Sosial Tenaga Kerja Dan Transmigrasi Daerah Kabupaten Nganjuk) [Difference in effectiveness of thermotherapy and coldtherapy in reducing paindue to muscle spasm (Study in employees of Dinas Sosial Tenaga Kerja Dan Transmigrasi Daerah Kabupaten Nganjuk)]. Malang: University of Muhamma-diyah Malang; 2016.
Price SA, Wilson LM. Patofisiologi konsep klinis proses-proses penyakit [Pathopysiology of clinical concept of disease processes]. Jakarta: EGC; 2005.
Burckhardt CS, Jones KD. Adult measures of pain: the McGill Pain Questionnaire (MPQ), Rheumatoid Arthritis Pain Scale (RAPS), Short‐Form McGill Pain Questionnaire (SF‐MPQ), Verbal Descriptive Scale (VDS), Visual Analog Scale (VAS), and West Haven‐Yale Multidisciplinary Pain Inventory (WHYMPI). Arthritis Care & Research. 2003;49(S5): S96-S104.
Scott J, Huskisson EC. Graphic representation of pain. Pain. 1976;2(2):175-184.
Arovah NI. Dasar-dasar fisioterapi pada cedera olahraga [Basic of physiotherapy in sport injuries]. Yogyakarta: Program Studi Ilmu Keolahragaan Fakultas Ilmu Keolahragaan Universitas Negeri Yogyakarta; 2010.
Pickles VR, Hall WJ, Best FA, Smith GN. Prostaglandins in endometrium and menstrual fluid from normal and dysmenorrhoeic subjects. BJOG: An International Journal of Obstetrics & Gynaecology. 1965;72(2):185-192.