Pengaruh Pemberian Aromaterapi Kapulaga (Cardamom Essential) terhadap Post Operative Nausea and Vomiting pada Pasien Pasca Spinal Anestesi

Delvara Atika Djohan; Tophan Heri Wibowo; Suci Khasanah

doi:10.55606/jurrike.v5i2.9890

Authors

Delvara Atika Djohan Universitas Harapan Bangsa
Tophan Heri Wibowo Universitas Harapan Bangsa
Suci Khasanah Universitas Harapan Bangsa

DOI:

https://doi.org/10.55606/jurrike.v5i2.9890

Keywords:

Cardamom Aromatherapy, Complementary Therapy, Nausea and Vomiting, PONV, Spinal Anesthesia

Abstract

Background: Postoperative Nausea and Vomiting (PONV) is a common complication following surgery, particularly in patients undergoing spinal anesthesia. Cardamom aromatherapy is a non-pharmacological intervention that is believed to have antiemetic and relaxation effects. Objective: To determine the effect of cardamom aromatherapy on Postoperative Nausea and Vomiting in patients undergoing spinal anesthesia. Methods: This study employed a quasi-experimental design with a two-group pretest–posttest design involving 60 respondents selected using purposive sampling (30 in the experimental group and 30 in the control group). The experimental group received cardamom aromatherapy, while the control group received standard care. PONV was assessed using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR). Data were analyzed using the Wilcoxon and Mann–Whitney tests. Results: The mean PONV score in the experimental group decreased from 2.53 to 1.93 (p<0.001), while the control group decreased from 2.30 to 2.00 (p=0.003). The between-group comparison showed no statistically significant difference (p=0.305). Conclusion: Cardamom aromatherapy was not more effective than standard care in reducing PONV among patients undergoing spinal anesthesia. Future studies should evaluate the concentration, duration, and timing of aromatherapy administration and control factors influencing PONV to obtain more optimal outcomes.

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References

Abdurahim, A., Widyastiti, I. G. A., Khairia, W., Tyasningsiwi, R. W., Pamungkas, G. T., Suwarno, E. H., & Maulana, R. (2022). Pengenalan dan pengendalian OPT kapulaga. Pertanian Press.

Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systematic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611. https://doi.org/10.1016/j.apjtb.2015.05.007

Ansar, J. W., Selri, N. P., Utami, D., & Anggorotomo, W. (2025). Hubungan antara usia, jenis kelamin, dan lama pembedahan dengan kejadian postoperative nausea and vomiting (PONV) pada pasien pasca laparotomi dengan anestesi spinal. Jurnal Ilmu Kedokteran dan Kesehatan, 12(6). https://doi.org/10.33024/jikk.v12i6.20186

Bahrah, B., Isnaini, Y. S., Romadhoni, H., Pongoh, A., & Erismawati, E. (2026). Pengaruh edukasi media video terhadap pengetahuan ibu hamil tentang cara pembuatan aromaterapi kapulaga di Puskesmas Wosi. Malahayati Nursing Journal, 8(1), 253–264. https://doi.org/10.33024/mnj.v8i1.22053

Bajwa, S. J. S., Bajwa, S. K., & Kaur, J. (2011). Management of postoperative nausea and vomiting: A review. Anesthesia, Essays and Researches, 5(2), 150–157. https://doi.org/10.4103/0259-1162.94752

Chang, S. H., & Wong, J. (2016). Management of postoperative nausea and vomiting in adults. UpToDate. https://www.uptodate.com

Elvir-Lazo, O. L., White, P. F., Yumul, R., & Eng, H. C. (2020). Management strategies for the treatment and prevention of postoperative nausea and vomiting (PONV). Anesthesia & Analgesia, 131(2), 411–448. https://doi.org/10.1213/ANE.0000000000004833

Friska Dewi, T., Ardiyanto, D., & Mana, T. A. (2019). Pola peresepan tanaman obat antidiabetes periode Januari–Maret 2016. Traditional Medicine Journal, 9(2), 58–64. https://doi.org/10.22435/toi.v9i2.6503.58-64

Gan, T. J., Belani, K. G., Bergese, S., Chung, F., Diemunsch, P., Habib, A. S., … Apfel, C. (2014). Fourth consensus guidelines for the management of postoperative nausea and vomiting. Anesthesia & Analgesia, 118(1), 85–113. https://doi.org/10.1213/ANE.0000000000000002

Gwinnutt, C. (2016). Postoperative nausea and vomiting: An update. British Journal of Anaesthesia, 116(2), 159–172.

Hines, S., Steels, E., Chang, A., & Gibbons, K. (2018). Aromatherapy for treatment of postoperative nausea and vomiting. Cochrane Database of Systematic Reviews, 2018(3), Article CD007598. https://doi.org/10.1002/14651858.CD007598.pub3

Istianah, I., Lutfianti, L., & Tohri, T. (2023). Pengaruh pemberian informasi prabedah terhadap kecemasan pasien prabedah terencana di ruang bedah RSUD R. Syamsudin SH Kota Sukabumi. Jurnal Kesehatan Rajawali, 12(2), 25–27. https://doi.org/10.54350/jkr.v12i2.141

Kapyarso, S. (2022). Keefektifan pemberian aromaterapi kapulaga untuk menekan rasa mual setelah dilakukan tindakan regional anestesi subarachnoid block (SAB) di Instalasi Anestesi RSUD Dr. Saiful Anwar Malang (Skripsi, STIKes Maharani Malang). http://repository.stikesmaharani.web.id/index.php?p=show_detail&id=377&keywords=

Kapyarso, S., Maria, L., & Mumpuni, R. Y. (2024). Keefektifan pemberian aromaterapi kapulaga untuk menekan rasa mual pasca tindakan regional anestesi subarachnoid block (SAB). Jurnal Ilmiah Kesehatan Media Husada, 13(1). https://doi.org/10.33475/jikmh.v13i1.330

Kementerian Kesehatan Republik Indonesia. (2021). Profil kesehatan Indonesia 2020. Kementerian Kesehatan Republik Indonesia. https://pusdatin.kemkes.go.id

Malikal Bulqis, P., & Bacthiar, A. (2024). Hubungan lama operasi dengan tingkat kejadian postoperative nausea and vomiting (PONV) dan shivering pada pasien pascaoperasi dengan anestesi umum. Jurnal Keperawatan Muhammadiyah, 9(3).

Maysarah, S., Yudono, D. T., & Novitasari, D. (2024). Gambaran kejadian mual muntah pascaoperasi dengan anestesi umum. Jurnal Penelitian Perawat Profesional. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Millizia, A., Sayuti, M., Nendes, T. P., & Rizaldy, M. B. (2021). Faktor-faktor yang berhubungan dengan kejadian postoperative nausea and vomiting pada pasien anestesi umum di Rumah Sakit Umum Cut Meutia Aceh Utara. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh, 7(2). https://doi.org/10.29103/averrous.v7i2.5391

Pujamukti, I. S. (2019). Hubungan status preloading cairan dengan kejadian postoperative nausea and vomiting (PONV) pada pasien pascaanestesi di RSUD Wonosari (Skripsi, Poltekkes Kemenkes Yogyakarta).

Ratih, K. A. K. (2021). Gambaran kejadian postoperative nausea and vomiting (PONV) pada pasien pascaoperasi dengan teknik anestesi spinal di RSUD Kabupaten Buleleng (Skripsi, Universitas Pendidikan Ganesha).

Setyawan, A. D., & Bermawie, N. (2018). Kapulaga di Indonesia: Jenis, budidaya, dan pemanfaatan. Buletin Penelitian Tanaman Rempah dan Obat, 29(2), 97–108. https://doi.org/10.21082/bultro.v29n2.2018

Tewu, H., Posangi, I., & Kumaat, L. (2015). Perbandingan mual-muntah pada premedikasi dengan pemberian ondansetron dan deksametason pascaoperasi sectio caesarea dengan anestesi regional. e-CliniC, 3(3), 800–804. https://doi.org/10.35790/ecl.3.3.2015.9832

World Health Organization. (2020). Global health estimates: Surgical procedures worldwide. World Health Organization. https://www.who.int

Zhang, Z., & Wang, X. (2025). The neural mechanism and pathways underlying postoperative nausea and vomiting: A comprehensive review. European Journal of Medical Research, 30(1). https://doi.org/10.1186/s40001-025-02632-1