KARYA TULIS ILMIAH PEMBERIAN LEMON INHALASI AROMATERAPY UNTUK MENGURANGI MENGURANGI MUAL MUNTAH PADA KEHAMILAN TRIMESTER I DI BPM ISTIANATUL KABUPATEN KEBUMEN Diajukan Untuk Memenuhi Jenjang Pendidikan Diploma III Kebidanan
Disusun oleh: MELINDA SUSANTI NIM : B1401182
PROGRAM STUDI DIPLOMA III KEBIDANAN SEKOLAH TINGGI ILMU KESEHATAN MUHAMMADIYAH GOMBONG TAHUN 2017
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KARYA TULIS ILMIAH PEMBERIAN LEMON INHALASI AROMATERAPY UNTUK MENGURANGI MUAL MUNTAH PADA KEHAMILAN TRIMESTER I DI BPM ISTIANATUL 1 KABUPATEN KEBUMEN 2
Melinda Susanti , Juni Sofiana, S. ST., M.Keb
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INTISARI Latar belakang: Kasus mual muntah di Indonesia terdapat 50-90% kasus yang
dialami oleh ibu hamil. Masalah ini dapat menimbulkan efek yang negatif bagi ibu hamil seperti dehidrasi, ketidak seimbangan elektrolit, hipertensi vena dan perdarahan, rupture esofageal , dan lebih jauh lagi mereka akan mengalami dehidrasi berat. Oleh sebab itu diperlukan penangan yang tepat untuk mengatasi masalah tersebut. Cara penangan yang tepat tanpa menimbulkan efek samping yaitu dengan cara non farmakologi, misalnya lemon inhalasi aromaterapi. Tujuan: Mengetahui efektivitas pemberian lemon inhalasi aromaterapi untuk mengurangi mual muntah pada kehamilan trimester I. Metode: Jenis penelitian ini adalah deskriftif analitik dengan pendekatan studi kasus. Dalam hal ini penulis menggambarkan fakta-fakta dari pengkajian yang didapatkan dari wawancara dan observasi langsung. Hasil: Setelah deberikan lemon inhalasi aromaterapi, terjadi penurunan frekuensi mual muntah pada ketiga partisipan, yaitu 4 kali menjadi 2 kali (partisipan 1 dan 2), 5 kali menjadi 3 kali (parisipan 3). Kesimpulan: Pemeberian Lemon inhalasi aromaterapi dapat menurunkan frekuensi mual muntah pada ibu hamil trimester 1 di bpm istianatul. Kata kunci Referensi Jumlah halaman
:kehamilan trimester I, mual muntah, lemon inhalasi aromaterapi :46 literatur (2007-2015) :xi + 68 + lampiran
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Judul Skripsi Mahasiswi Prodi DIII STIKES Muhammadiyah Gombong 3 Dosen STIKES Muhammadiyah Gombong 2
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SCIENTIFIC PAPER GIVING LEMON INHALING AROMATERAPY TO REDUCE VOMITING NAUSEA OF TRIMESTER 1 PREGNANCY IN INDEPNDENT MIDWIFERY CLINIC OF ISTIANATUL 1 IN KEBUMEN 2 3 Melinda Susanti , Juni Sofiana, S. ST., M.Keb ABSTRACT Background: There are 50%-90% cases of vomiting nausea in Indonesia suffered by pregnant mothers. This problem may have negative effects for them, such as dehydration, electrolyte imbalances, venous hypertension and bleeding, esophageal rupture. In addition, they may have severe dehydration as the consequence. Therefore, apropertreatmentis needed to overcome the problem. The no side-effect way is by applying non-pharmacological technique, such as lemon inhaling aromatherapy. Objective: To know the effect of giving lemon inhaling aromatherapy to reduce vomiting nausea in trimester 1 pregnancy. Method: This study is an analytic descriptive with case study approach. The writer describes the facts of the assessment obtained from interviews and direct observation. Result: After being given lemon inhaling aromatherapy, the vomiting nausea frequency was decreasing - 4 times to be twice (participant 1 and 2), 5 times to be 3 times (participant 3). Conclusion: Giving lemon inhaling aromatherapy can reduce the frequency of vomiting nausea in trimester 1 pregnancy in Independent Midwifery Clinic of Istianatul in Kebumen. Keywords Reference Pages
: Trimester 1 pregnancy, vomiting nausea, lemon inhaling aromatherapy : 46 literatures (2007-2015) : xi + 68 + appendices
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Title Student of DIII Program of Midwifery Dept 3 Lecturerof Muhammadiyah Health Science Institute of Gombong 2
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KATA PENGANTAR
Segala puja dan puji syukur senantiasa saya panjatkan kepada Allah SWT yang telah memberikan rahmat dan hidayah-Nya sehingga dalam penulisan karya ilmiah ini saya tidak mengalami kendala yang berarti hingga terselesaikannya karya tulis ilmiah yang saya berijudul “Pemberian Lemon Inhalasi Aromaterapy terhadap Mual Muntah pada Kehamilan Trimester 1 di BPM Istianatul Kabupaten Kebumen”. Pada kesempatan ini, dalam penulisan karya tulis ilmiah ini saya mendapatkan banyak bantuan dari berbagai pihak, oleh karenanya dari hati yang terdalam saya ingin mengungkapkan rasa terimakasih kepada : 1. Hj Herniyatun, M.Kep. Sp.Mat selaku Ketua STIKes Muhammadiyah Gombong. 2. Eka Novyriana, S.ST.,M.P.H selaku Ketua Prodi DIII Kebidanan STIKes Muhammadiyah Gombong. 3. Juni Sofiana, M.Keb selaku Pembimbing KTI yang telah memberikan banyak masukan dan saran dalam penyusunan karya tulis ilmiah ini. 4. Siti Mutoharoh, S.ST., M.P.H selaku Penguji I yang telah memberikan banyak masukan dan saran dalam penyusunan karya tulis ilmiah ini. 5. Penghargaan khusus kepada orangtua yang selalu memberikan support sehingga penulis dapat meyelesaikan karya tulis ilmiah ini. 6. Teman-teman seperjuangan yang selalu motivasi baik berupa pendapat maupun hal-hal lainnya dalam rangka menyelesaikan pembuatan karya tulis ilmiah ini. 7. Pihak-pihak terkait lainnya yang juga turut serta membantu saya dalam pembuatan karya tulis ilmiah ini. Saya sangat menyadari tidak ada manusia yang sempurna dalam penulisan karya tulis ilmiah ini, apabila nantinya terdapat kekurangan dan kesalahan dalam penulisan karya tulis ilmiah ini, saya selaku penulis sangat berharap kepada seluruh pihak agar dapat memberikan kritik dan juga saran seperlunya. Akhir kata, semoga karya tulis ilmiah ini dapat memberikan manfaat dan bahan pembelajaran kepada kita semua.
Kebumen, Agustus 2017
Penulis
vii
DAFTAR ISI
HALAMAN SAMPUL HALAMAN JUDUL .............................................................................................. i HALAMAN PERSETUJUAN.............................................................................. ii HALAMAN PENGESAHAN .............................................................................. iii HALAMAN ORISINALITAS............................................................................. iv INTISARI ...............................................................................................................v ABSTRACT .......................................................................................................... vi KATA PENGANTAR ......................................................................................... vii DAFTAR ISI ....................................................................................................... viii DAFTAR TABEL................................................................................................. ix DAFTAR GAMBAR ..............................................................................................x DAFTAR LAMPIRAN ........................................................................................ xi BAB I PENDAHULUAN A. Latar Belakang.........................................................................................1 B. Tujuan Penelitian.....................................................................................7 C. Manfaat ....................................................................................................8 BAB II TINJAUAN PUSTAKA A. Tinjauan Teori ......................................................................................... 9 1. Kehamilan ...........................................................................................9 2. Mual Muntah.....................................................................................19 3. Aromaterapii .....................................................................................30 B. Kerangka Teori ......................................................................................40 BAB III METODE PENELITIAN A. Jenis Penelitian ......................................................................................41 B. Tempat dan Waktu.................................................................................42 C. Partisipan ...............................................................................................42 D. Instrumen ...............................................................................................43 BAB IV MANAJEMEN KASUS, HASIL, DAN PEMBAHASAN A. Manajemen Kasus..................................................................................49 B. Hasil .......................................................................................................59 C. Pembahasan ...........................................................................................62 BAB V PENUTUP A. Kesimpulan ............................................................................................66 B. Saran ......................................................................................................66 DAFTAR PUSTAKA lAMPIRAN
viii
DAFTAR TABEL
Tabel 1. Perubahan mual muntah sebelum diberikan penerapan dan sesudah diberikan penerapan pada 4 hari ..............................................................61 Tabel 2. Penurunan kondisi mual muntah dalam setiap evaluasi...........................61
ix
DAFTAR GAMBAR
Gambar 1. Kerangka Teori .....................................................................................40
x
DAFTAR LAMPIRAN
Lampiran 1. Jadwal Penelitian Lampiran 2. Lembar Informed Consent Lampiran 3. SOP Pemberian Lemon Inhalasi Aromaterapi Lampiran 4. Lembar Observasi Penurunan Kondisi Mual Muntah Lampiran 5. Dokumentasi Penerapan Asuhan Lampiran 6. Lembar Konsultasi Karya Tulis Ilmiah
xi
B A B I P E N D A H
A .
U L U A N
L A A T T A R B E L A K A N G
P e l a y a n a n a n t e n a t a l c a r e m e r u p a k a n p e l a y a n a n k e s e h a t a n o l e h t e n a g a k e s e h a ta n
p r o f e s s io n a l ( d o k t e r s p e s ia lis
k a n d u n g a n
d a n
k e b i d a n a n , d o k t e r
u m u m , b i d a n d a n p e r a w a t ) k e p a d a i b u h a m i l s e s u a i p e d o m a n , h a l i n i s a n g a t p e n t i n g
u n tu k
m e n ja m i n
n o r m a l . T u ju a n
b a h w a
d a r i p e la y a n a n
s e b a ik - b a ik n y a f is ik
p ro s e s
a la m i a h
k e s e h a ta n
s e m a sa
d a ri k e h a m ila n h a m il ia la h
d a n m e n ta l, s e r t a m e n y e la m a tk a n ib u
k e h a m ila n , p e r s a lin a n d a n
m a s a n if a s , s e h in g g a k e a d a a n
n o r m a l, t id a k
a k a n
T u ju a n
h a n y a
fis ik
t e ta p i ju g a
b e r j a l a n
m e n y i a p k a n
d a n a n a k
d a l a m
m e r e k a s e h a t d a n
m e n t a l ( P r a w i r o h a r d jo , 2 0 0 9 ) .
p e l a y a n a n p a d a i b u h a m i l m e n u r u t D e p k e s R I ( 2 0 1 4 ) a d a l a h u n t u k
m e n ja g a a g a r i b u
h a m i l d a p a t m e l a l u i m a s a k e h a m i l a n n y a , p e r s a l i n a n d a n
n i f a s d e n g a n b a i k d a n s e l a m a t , s e r t a m e n g h a s i l k a n b a y i y a n g s e h a t . K e h a m ila n
m e ru p a k a n
su a tu
p e r is tiw a
in d a h
y a n g
s a n g a t d i n a n t i -
n a n t i k a n p a s a n g a n s u a m i i s t r i ( M u r n i , 2 0 0 9 ) . M a s a k e h a m i l a n d i m u l a i d a r i k o n s e p s i s a m p a i l a h i r n y a ja n i n . L a m a n y a h a m i l n o r m a l a d a l a h 2 8 0 h a r i ( 4 0 m in g g u
a ta u
K e h a m ila n
9
b u la n
7
d ib a g i d a la m
h a r i) 3
d ih it u n g
d a r i h a id
tr iw u la n , p e r ta m a
p e rta m a
h a id
t e r a k h i r .
d i m u l a i d a r i h a s i l k o n s e p s i
s a m p a i 3 b u l a n , t r i w u l a n k e d u a d i m u l a i d a r i b u l a n k e e m p a t s a m p a i 6 b u l a n , tr iw u la n
k e tig a
d a ri
b u la n
k e t u ju h
s a m p a i
1
9
b u la n
( S a if u d in ,
2 0 0 8 ) .
2
K e h a m ila n
m e lib a tk a n
p e ru b a h a n
p e r u b a h a n s o s i a l d a l a m
f is ik
m a u p u n
e m o s io n a l d a r i ib u
s e r t a
k e l u a r g a ( P r a w i r o h a r d j o , 2 0 0 9 ) .
M e n u ru t K u r n ia p e r u b a h a n
fis ik
( 2 0 0 9 ) , s e la m a
se p e rti p e m b e s a ra n
k e h a m ila n
t r i m e s t e r I d a p a t t e r ja d i
p a y u d a r a , s e r in g
m u n t a h , k o n s t ip a s i, c e p a t le la h , s a k it k e p a la , k r a m
b u a n g
a i r k e c i l , m u a l
p e ru t, d a n
p e n i n g k a t a n
b e r a t b a d a n . K e t i d a k n y a m a n a n p a d a i b u h a m i l t r i m e s t e r I a n t a r a l a i n n g i d a m , k e p u t i h a n , s e r i n g b u a n g a i r k e c i l ( P r a w i r o h a r d j o , 2 0 0 9 ) . B u la n - b u la n
p e rta m a
k e h a m ila n ,
te rd a p a t
p e ra sa a n
e n e g , h a l
i n i
m u n g k i n d i k a r e n a k a n k a d a r h o r m o n e s t e r o g e n y a n g m e n i n g k a t . T i d a k ja r a n g d i j u m p a i a d a n y a g e ja l a m u a l p a d a b u l a n p e r t a m a k e h a m i l a n ( M a n u a b a , 2 0 1 0 ) . M u a l m u n ta h
m e ru p a k a n
k e lu h a n
y a n g
s e r in g
d ia la m i o le h
w a n it a
h a m i l
t e r u t a m a t r i m e s t e r p e r t a m a ( E i n a r s o n , A . e t a l 2 0 0 7 ) . K a s u s m u a l m u n ta h d i I n d o n e s ia te r d a p a t 5 0 -9 0 %
k a s u s y a n g d i a l a m i
o l e h i b u h a m i l . N a m u n p a d a k a s u s s e p e r t i i n i t i d a k m e n y e b a b k a n k e m a t i a n p a d a i b u
h a m il k a r e n a m u a l m u n t a h
h a n y a
k e k u ra n g a n
n u t r is i d a n
c a i r a n
( M a h a r a n i , 2 0 1 0 ) . M u a l m u n t a h p a d a k e h a m i l a n b i a s a n y a b e r s i f a t r i n g a n d a n m e r u p a k a n k o n d i s i y a n g d a p a t d i k o n t r o l s e s u a i d e n g a n k o n d i s i m a s i n g - m a s i n g i n d i v i d u . B i l a k e a d a a n i n i s e m a k i n b e r a t d a n t i d a k d a p a t d i t a n g g u l a n g i m a k a d i s e b u t h ip e r e m e s is
g r a v i d a r u m , d i l a p o r k a n
t e r ja d i s e k i t a r
0 ,5 % - 2 %
d a r i s e m u a
k e h a m i l a n ( R u n i a r i , 2 0 1 0 ) . M u a l m u n ta h
t e r ja d i p a d a 6 0 - 8 0 %
p r im ig r a v id a d a n 4 0 -6 0 %
t e r ja d i
p a d a m u l t i g r a v i d a . S e c a r a f i s i o l o g i s , r a s a m u a l t e r j a d i a k i b a t k a d a r e s t r o g e n
3
y a n g
m e n in g k a t d a la m
d a ra h
( P r a w ir o h a r d jo , 2 0 0 8 ) . M k e h a m ila n
b ia s a n y a
s e h in g g a
m e m p e n g a r u h i s is te m
p e n c e r n a a n
e n u r u t T i r a n ( 2 0 0 9 ) , p e n y e b a b m u a l m u n t a h s e l a m a
d is e b a b k a n
o le h
p e ru b a h a n
h o rm o n
d a la m
s i s t e m
e n d o k r i n y a n g t e r j a d i s e l a m a k e h a m i l a n , t e r u t a m a d i s e b a b k a n o l e h t i n g g i n y a flu k t u a s i k a d a r H C G
( h u m a n c h o r i o n i c g o n a d o t r o p h i n ) .
M a s a l a h m u a l m u n t a h d a p a t m e n i m b u l k a n e f e k y a n g m e r u g ik a n b a g i p a s i e n ( G u n d z i k , 2 0 0 8 ) . M e n u r u t C o n w a y ( 2 0 0 9 ) , e f e k m u a l d a n m u n t a h i n i a n ta ra
la in
d e h id r a s i, k e tid a k
p e r d a r a h a n , r u p t u r e
s e im b a n g a n
e s o fa g e a l, d a n
e le k t r o lit , h ip e r te n s i v e n a
k e a d a a n
d a n
l a n j u t d a p a t m e m b u a t p a s i e n
m e n g a l a m i d e h i d r a s i b e r a t . D a r i 3 6 0 w a n it a h a m il, 2 % p a g i h a r i d a n s e k i t a r 8 0 %
d i a n t a r a n y a m e n g a l a m i m u a l m u n t a h d i
m e n g a l a m i m u a l m u n t a h s e p a n j a n g h a r i . K o n d i s i
i n i b i a s a n y a b e r t a h a n d a n m e n c a p a i p u n c a k p a d a u s i a k e h a m i l a n 9 m i n g g u . N a m u n
d e m ik ia n , s e k it a r 1 8 %
k a s u s m u a l m u n ta h
a k a n
b e r l a n j u t s a m p a i
k e l a h i r a n ( F a u z i y a h , 2 0 1 2 ) . S e s u a i d e n g a n e v i d e n c e b a s e d p r a c t i c e , p e m e r i n t a h t e l a h m e n e t a p k a n p r o g r a m
k e b i ja k a n
A N C
s e b a g a i
b e r ik u t
m i n i m a l 4 x s e l a m a k e h a m i l a n ( k u n ju n g a n T M m i n g g u , k u n ju n g a n T M
:
k u n ju n g a n I s e b e lu m
A N C
d i l a k u k a n
u s i a k e h a m i l a n 1 4
I I u s i a k e h a m i l a n 1 4 - 2 8 m i n g g u , k u n ju n g a n T M
I I I
u s i a k e h a m i l a n 2 8 - 3 6 m i n g g u d a n l e b i h d a r i 3 6 m i n g g u ) ( P a n t i k a w a t i , 2 0 1 0 ) . B i d a n a d a l a h s a l a h s a t u t e n a g a k e s e h a t a n y a n g m e m b e r i k a n p e l a y a n a n o b s t e t r i , s a l a h s a t u n y a d e n g a n m e m b e r i k a n p e l a y a n a n p e m e r i k s a a n i b u h a m i l u n tu k
m e n g e ta h u i k e a d a a n
ib u
d a n
ja n in . D a l a m
m e la k u k a n
p e l a y a n a n
4
A n t e n a t a l
C a r e ( A N C )
h e n d a k n y a
m o tiv a s i m e n g e n a i y a n g
s e la lu
d ir a s a k a n
ib u
m e m b e rik a n
h a m il te r m a s u k
p e n je l a s a n
d a n
d id a la m n y a
m u a l
m u n t a h ( A r i a n t o , 2 0 0 9 ) . M e n g u r a n g i m u a l m u n t a h p a d a t r i m e s t e r 1 d e n g a n c a r a m e m b e r i k a n t e r a p i y a n g s e s u a i d e n g a n k e b u t u h a n d a n m e n g a t u r p o l a m a k a n s e t i a p h a r i n y a d e n g a n
c a ra m e m p e rta h a n k a n
s e b a ik n y a m in u m d e n g a n s e r in g
h id r a s i y a n g
m e m a d a i d a n
c a ir a n
e l e k t r o l i t ,
2 l i t e r a ir p e r h a r i , m e n g h i n d a r i p e r u t k o s o n g s e t i a p s a a t
m a k a n k e c il s e tia p
1 - 2 ja m
y a n g t e r d i r i d a r i m a k a n a n l u n a k
( E i n a r s o n , A . e t a l 2 0 0 7 ) . R e a lis a s i
y a n g
p a lin g
m u d a h
d ila k s a n a k a n
a d a la h
p e l a k s a n a a n
k o m u n i k a s i , i n f o r m a s i d a n e d u k a s i ( K I E ) k e p a d a p a s i e n d e n g a n m a t e r i - m a t e r i m e n g e n a i
p e m a n ta u a n
k e s e h a ta n
ib u
h a m il
d a n
p e n a t a l a k s a n a a n
k e t i d a k n y a m a n a n s e l a m a h a m i l ( S u l i s t y a w a t i , 2 0 1 2 ) . T e r a p i k o m p le m e n te r y a n g m e n g u ra n g i m u a l m u n ta h tu m b u h a n
y a n g
m e n g a la m i
h a ru m
p e n g u a p a n
p e m a n f a a t a n
b a u
d a ri
a d a la h d a n
se s e o ra n g
m e la lu i h u b u n g a n
S u m b e r
m in y a k
h a ru m
2 0 0 9 ).
tu m b u h a n
p s ik o l o g i ,
s ta tu s
y a n g
u n tu k
m e n c e g a h
d a n
a r o m a t e r a p i . A r o m a t e r a p i a d a l a h m i n y a k
m e m p u n y a i
(P o tts ,
p e r a s a a n ,
d a p a t d ig u n a k a n
P r in s ip
u ta m a
b u n g a
u n tu k
a ta u
s p ir itu a l p ik ir a n
k o n s e n tra si
d a n d a n
d ig u n a k a n
tin g g i
p a s ie n
m e n g u b a h
y a i t u k o n d i s i
k o n d is i
f i s i k
( C a r s t e n s , 2 0 1 0 ) .
s e b a g a i a r o m a t e r a p i d i a n t a r a n y a
b e r a s a l d a r i p e p e r m i n t , b u n g a l a v e n d e r , b u n g a m a w a r , j a h e , l e m o n 2 0 0 7 ; B u c k l e , 2 0 0 7 ; K i m , e t a l , 2 0 0 7 ) .
m u d a h
a ro m a te ra p i
m e m p e n g a ru h i tu b u h
d a n
( A l l e n ,
5
P r in s ip
k e r ja
n e u ro tr a n s m itte r
a r o m a te r a p i d i d a la m
s e p e rti
e n s e p a lin
d a n
tu b u h
y a itu
e n d o rp in
m e m a c u
y a n g
p e l e p a s a n
m e m p u n y a i
e f e k
a n a l g e s i c d a n m e n i n g k a t k a n p e r a s a a n n y a m a n d a n r i l e k s ( P o t t s , 2 0 0 9 ) . B a u h a ru m
d a ri a ro m a te ra p i d itr a n s m is ik a n
m e la lu i s is t e m
lim b ik
m e n u ju
m e la lu i
d u a
ja lu r , ja lu r
p e r t a m a
h i p o t a l a m u s d a n s a m p a i p i t u i t a r i . J a l u r y a n g
k e d u a d i t r a n m i s i k a n m e l a l u i k o r t e k o l f a c t o r y m e n u j u t h a l a m u s d a n k e m u d i a n m e n u j u n e o c o r t e x . M e l a l u i k e d u a j a l u r i n i a r o m a t e r a p i a k a n
d i o l a h s a m p a i
m e n i m b u l k a n p e r s e p s i i n d i v i d u ( C o o k , 2 0 0 8 ) . L e m o n m i n y a k e s e n s i a l ( C i t r u s l e m o n ) a d a l a h s a l a h s a t u y a n g p a l i n g b a n y a k d i g u n a k a n m i n y a k h e r b a l d a l a m y a n g
a m a n
p a d a
k e h a m i l a n d a n d i a n g g a p s e b a g a i o b a t
k e h a m ila n . M e n u r u t
se b u a h
s tu d i,
4 0 %
w a n ita
t e l a h
m e n g g u n a k a n a r o m a l e m o n u n t u k m e r e d a k a n m u a l d a n m u n t a h , d a n 2 6 , 5 % d a ri m e re k a
te la h
d ila p o rk a n
se b a g a i c a ra
y a n g
e fe k tif u n tu k
m e n g o n t r o l
g e j a l a m u a l m u n t a h ( K i a e t a l , 2 0 1 4 ) . M e n u r u t Y o u n g ( 2 0 1 1 ) , m i n y a k a r o m a t e r a p i l e m o n m u d a h d i d a p a t k a n d a n
m e m p u n y a i
k a n d u n g a n
lim o n e n e
6 6 -8 0 % ,
g e r a n ila s e ta t,
lin a lila s e ta t, á p in e n e 0 ,4 - 1 5 % , á p in e n e 1 - 4 % , te rp in e n e 6 - 1 4 % L im o n e n e m e ru p a k a n m e n g h a m b a t (C h e ra g i &
k e r ja
k o m p o n e n
p r o s ta g la n d in
u ta m a
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k im i a
je r u k
d a p a t
m e n g u ra n g i ra s a
n y e r i
V a l a d i , 2 0 1 0 ) . S e l a i n i t u l i m o n e n e m e n g o n t r o l s i k l o o k s i g e n a s e I
d a n I I , m e n c e g a h a k t i v i t a s p r o s t a g l a n d i n d a n m e n g u r a n g i r a s a s a k i t t e r m a s u k m u a l m u n ta h a ro m a te ra p i
( N a m a z i e t a l , 2 0 1 4 ) . L i n a l i l a s e t a t y a n g le m o n
m e ru p a k a n
s e n y a w a
e ste r
y a n g
t e r d a p a t d a l a m
te r b e n tu k
m e l a l u i
6
p e n g g a b u n g a n
a s a m
o r g a n ik
d a n
a l k o h o l.
E s te r
sa n g a t
b e rg u n a
u n t u k
m e n o r m a l k a n k e a d a a n e m o s i s e r t a k e a d a a n t u b u h y a n g t i d a k s e i m b a n g , d a n j u g a s is te m
m e m i l i k i k h a s ia t s e b a g a i p e n e n a n g s y a r a f ( W ir y o d id a g d o , 2 0 0 8 d a la m K e tik a m in y a k
d a n
m e ra n g sa n g
se rta
t o n ik u m , k h u s u s n y a
T a r s i k a h , e t a l , 2 0 1 2 ) .
e s s e n sia l d ih ir u p , m o le k u l m a s u k
s is te m
lim b ik
p a d a
d i o ta k . S is te m
lim b ic
k e r o n g g a h i d u n g a d a la h d a e r a h
y a n g
m e m e n g a r u h i e m o s i d a n m e m o r i s e r t a s e c a r a l a n g s u n g t e r k a i t d e n g a n a d r e n a l , k e le n ja r h i p o f is is , h ip o t a la m u s , b a g i a n - b a g i a n t u b u h j a n t u n g ,
te k a n a n
d a ra h ,
s tre s s ,
b a n y a k
je n is
p e r n a f a s a n . B e g i t u e ss e n s ia l y a n g
b ia s a
d ig u n a k a n
m e m o r i, m in y a k a d a la h
y a n g
m e n g a t u r d e n y u t
k e s e im b a n g a n
e s s e n s ia l y a n g
h o rm o n ,
d a n
a d a . J e n i s m i n y a k
p e p p e r m in t , s p e a r m in t ( tig a
t e t e s ) ,
l e m o n , d a n ja h e ( d u a t e t e s ) ( S a n t i , 2 0 1 3 ) . M u a l
m u n ta h
ju g a
d a p a t
d io b a ti
m e n u n ju k k a n b a h w a v it a m i n B 6 d a l a m j a m
(7 5 m g
p e r h a r i) le b ih
d e n g a n
B 6 .
S a tu
d o s is 2 5 m g d im in u m
stu d i
k e c il
s e t i a p d e l a p a n
e f e k t i f d a r i p a d a p l a s e b o u n t u k m e n g u r a g i m u a l
d a n m u n t a h p a d a w a n it a h a m i l ( N i e b y l , 2 0 1 0 ) . B e r d a s a r k a n p e n e l i t i a n y a n g d i l a k u k a n o l e h A s t r i a n a , d k k ( 2 0 1 5 ) , a d a p e n g a r u h
le m o n
m e n g u ra n g i
i n h a la s i
p e n g g u n a a n
a ro m a te ra p i o b a t
te rh a d a p
fa r m a k o lo g i
y a n g
m u a l, a d a
e fe k
s e h in g g a
b i s a
s a m p in g n y a .
P e n e l i t i a n y a n g d i l a k u k a n o l e h M a t e r n i t y , d k k ( 2 0 1 6 ) m e n u n ju k k a n b a h w a a d a p e n g a ru h
p e m b e ria n
in h a la sia ro m a te r a p i le m o n
a t a u m o r n i n g s i c k n e s s p a d a i b u h a m i l .
t e r h a d a p m u a l m u n t a h
7
B e rd a s a r k a n h a s il s t u d i p e n d a h u lu a n y a n g p e n e lit i la k u k a n
d i B P M
I s t i a n a t u l d a r i t a n g g a l 2 7 F e b r u a r i - 6 A p r i l 2 0 1 7 , d i d a p a t k a n i b u h a m i l y a n g m e l a k u k a n p e m e r i k s a a n k e h a m i l a n s e b a n y a k 5 8 i b u h a m i l . S e b a n y a k 1 6 i b u h a m i l t r i m e s t e r I , 2 1 i b u h a m i l t r i m e s t e r I I , d a n 2 1 i b u h a m i l t r i m e s t e r I I I . I b u h a m il
trim e s te r
I
y a n g
m e n g a la m i
m u a l
m u n ta h
s e b a n y a k
1 3
o r a n g .
P r o s e n t a s e i b u h a m i l t r i m e s t e r I y a n g m e n g a l a m i m u a l m u n t a h l e b ih t i n g g i d a r i p a d a i b u h a m i l t r i m e s t e r I y a n g t i d a k m e n g a l a m i m u a l m u n t a h . D i B P M I s t i a n a t u l , a p a b i l a t e r d a p a t p a s i e n d e n g a n k o n d i s i m u a l m u n t a h h a n y a d i b e r i a n t i e m e s i s y a i t u B 6 . K a r e n a b i a s a n y a h a n y a m u a l m u n t a h k a r e n a h a m i l m u d a d a n i t u w a j a r t e r j a d i . B e rd a s a rk a n p e n e l i t i a n
y a n g
u r a ia n
d i
b e r t u ju a n
u n tu k
a ta s,
p e n e liti
m e n g e ta h u i
a r o m a te r a p i u n tu k m e n g u ra n g i m u a l m u n ta h B P M
B .
te r ta r ik
u n tu k
e f e k t iv i t a s
m e la k u k a n
le m o n
i n h a l a s i
p a d a k e h a m i l a n t r i m e s t e r I d i
I s t i a n a t u l .
T U J J U A N N P E N N E L I T I A N
1 . T u ju a n U m u m M e n g e ta h u i
e f e k tiv ita s
p e m b e r ia n
le m o n
in h a la s i
a ro m a te ra p i
m e n g u ra n g i m u a l m u n ta h p a d a k e h a m ila n tr im e s te r 1 d i B P M
u n t u k
I s t i a n a t u l .
2 . T u ju a n K h u s u s a . M e n g id e n tif ik a s i
fre k u e n s i m u a l
m u n ta h
s e b e lu m
in h a la s i a ro m a te ra p i p a d a ib u h a m il tr im e s te r I d i B P M
d ib e r ik a n
l e m o n
I s t u a n a t u l .
8
b . M e n g i d e n t i f i k a s i
fre k u e n s i
m u a l
m u n ta h
s e s u d a h
in h a la s i a ro m a te ra p i p a d a ib u h a m il tr im e s te r I d i B P M
C . .
M
d i b e r ik a n
l e m o n
I s t u a n a t u l .
A N F A A T
1 . M a n f a a t T e o r i t i s a . B a g i P e n e l i t i 1 ) M e n g e m b a n g k a n
p e n g e ta h u a n
p e n e liti
d a la m
m e n g a p l i k a s i k a n
p e n g e t a h u a n t e n t a n g m e t o d e p e n e l i t i a n b e r d a s a r k a n f e n o m e n a y a n g a d a d a la m
m a s y a r a k a t .
2 ) M e n g e ta h u i e fe k tiv ita s le m o n
in h a la s i a ro m a te ra p i p a d a ib u
h a m i l
t r i m e s t e r I . b . B a g i I n s t i t u s i S e b a g a i b a h a n t a m b a h a n u n t u k p e n g e t a h u a n d a n i n f o r m a s i a g a r d a p a t m e n g e m b a n g k a n p e n e l i t i a n s e l a n j u t n y a . 2 . M a n f a a t P r a k t i s a . B a g i T e m p a t P e n e l i t i a n D a p a t
d ig u n a k a n
p e l a y a n a n
a s u h a n
u n tu k
re fe re n si
k e b id a n a n
d a la m
k h u s u s n y a
m e n in g k a t k a n
b a g i ib u
p r o g r a m
h a m i l T r i m e s t e r I
t e n t a n g m u a l m u n t a h s e la m a k e h a m i l a n . b . B a g i R e s p o n d e n D a p a t m e n i n g k a t k a n p e n g e t a h u a n p a d a i b u h a m i l k h u s u s n y a T r i m e s t e r I t e n t a n g p e n t i n g n y a m e n c e g a h m u a l m u n t a h s e la m a k e h a m i l a n .
D A F T A R P U S T A K
A
A l l e n , G . ( 2 0 0 7 ) . A r o m a t h e r a p y ’ s e ff e c t o n p o s t o p e r a t i v e n a u s e a , i n t r a v e n o u s l i d o c a i n e ; i g n i t i o n o f d r a p e m a t e r i a l ; r o f e c o x i b . A s s o c i a t i o n o f O p e r a t i n g R o o m N u r s e J o u r n a l . d i p e r o l e h d a r i w w w . p r o q u e s t . c o m . A n o n i m . ( 2 0 1 5 ) . P e n y e b a b U t a m a M u a l D a n M u n t a h S e l a m a K e h a m i l a n . h t t p : / / w w w . p r o g r a m - h a m i l . c o m / 2 0 1 5 / 0 4 / p e n y e b a b - i b u - h a m i l - m u a l - d a n - m u n t a h . h t m l . D i a k s e s t a n g g a l 2 3 M a r e t 2 0 1 7 . A r i k u n t o . ( 2 0 1 0 ) . P r o s e d u r P e n e l i t i a n S u a t u P e n d e k a t a n P r a k t i k . J a k a r t a : R i n e k a C i p t a . A s tr ia n T B J
a , P u tr e r h a d a a tu p u r u rn a l K
i R p M u K e b id
D , A p r ilia u a l P a d a e c a m a ta n a n a n V o l
H . ( 2 0 1 5 ) . P e n g a r u h L e m o n I n h a l a s i A r o m a t h e r a p y K e h a m i l a n D i B P S V a r i a M e g a L e s t a r i S .S T , M . K e s N a t a r K a b u p a t e n L a m p u n g S e l a t a n T a h u n 2 0 1 5 . 1 N o 3 .
B u c k l e , J . ( 2 0 0 7 ) . L i t e r a t u r e r e v i e w : S h o u l d n u r s i n g t a k e a r o m a t h e r a p y m o r e s e r i o u s l y ? . B r i t i s h J o u r n a l o f N u r s i n g . d i p e r o l e h d a r i w w w . p r o q u e s t . c o m . C a r s t e n s , J . ( 2 0 1 3 ) . c l i n i c i a n i n fo r 1 -5 d ip 9 2 1 7 4 5 6 1 6 ? a c
C o m p l e m e n t a r y t h e r a p i e s ( a r o m a t h e a p y a n d h e r b a l m e d i c i n e ) : m a t i o n , E v i d e n c e S u m m a r i e s - J o a n n a B r i g g s I n s t i t u t e , 1 1 ( 1 ) , e r o le h d a ri h t tp :/s e a c h .P r o Q u e s t .c o m /d o c v ie w / c o u n t i d = 1 7 2 4 2 .
C h e r a g i , J . & V a l a d i , A . ( 2 0 1 0 ) . E f f e c t s o f A n t i - N o n e c e p t i v e a n d A n t i I n f l a m a t o r y C o m p o n e n t o f L e m o n e n e i n H e r b a l D r u g . I r a n i a n J o u r n a l o f M e d i c i n a l a n d A r o m a t i c P l a n t . V o l 2 6 . C o n w a y , B . ( 2 0 0 9 ) . P r e v e n t i o n a n d m a n a g e m e n t o f p o s t o p e r a t i v e n a u s e a a n d v o m i t i n g i n a d u l t s , A O R N J o u r n a l . D i p e r o l e h d a r i w w w . p r o q u e s t . c o m . E in a r s o a w F
n A n d w w e b r
, M a lte p V o m itin g .n c b i.n lm u a ri 2 0 1 7
e C , B o s c o v i c R , a n d K o r e n G . ( 2 0 0 7 ) . T r e a t m e n t o f N a u s e a i n P r e g n a n c y . C a n F a m P h y s i c i a n . 5 3 : 2 1 0 9 - 2 0 1 . h t t p s : / / . n i h . g o v / p m c / a r t i c l e s / P M C 2 2 3 1 5 4 3 / . D i a k s e s t a n g g a l 1 0 .
F a u z i y a h . ( 2 0 1 2 ) . O b s t e t r i P a t o l o g i . Y o g y a k a r t a : N u h a M e d i k a . F a r a s . ( 2 0 1 4 ) . C a r a M e n g a t a s i M u a l M u n t a h . h t t p : / / w w w . n e w s f a r r a s . c o m / 2 0 1 4 / 1 1 / . D i a k s e s t a n g g a l 2 3 M a r e t 2 0 1 7 . G u n d z ik , K . ( 2 0 0 8 ) . N a u s e a s e t t i n g . O r t h o p a e d i c .
a n d
v o m itin g
in
th e
a m b u la to r y
s u r g i c a l
H i d a y a t , A A A . ( 2 0 0 9 ) . M e t o d e P e n e l i t i a n K e b i d a n a n D a n T e k n i k A n a l i s a D a t a . J a k a r t a : S a l e m b a M e d i k a . I d r u s M . ( 2 0 0 9 ) . M e t o d e P e n e l i t i a n I l m u S o s i a l . Y o g y a k a r t a : E r l a n g g a . I r a , P . ( 2 0 1 2 ) . P e n g o b a t a n M a n d i r i D i R u m a h A n d a A - Z G a n g g u a n K e s e h a t a n U m u m , C a r a M e n c e g a h D a n C a r a M e n g a t s a i n y a . Y o g y a k a r t a : B a n g k i t . K ia P Y , S a I n h a l a B l i n d e 1 0 .5 8 1 K im , J . T A ., a n e u n d J o u
f a jo s i A d , R 2 /Ir
u F , s h a h n r o m a th e r a a n d o m iz e d c m j. 1 4 3 6 0
., R e n , C & B e k k s th e s ia c e rg o in g r n a , d i p e
. J ., e r. (2 a r e u la p a r o le h
a z i M , d a n N a z e m y e h H . ( 2 0 1 4 ) . T h e E f f e c t o f L e m o n p y O n N u s e a a n d V o m i t i n g o f P r e g n a n c y : A D o u b l e - , C o n t r o l C l i n i c a l T r i a l . I r a n R e d C r e s c e n t M e d J . D o i : .
F ie ld in g , 0 0 7 ) . T r n it r e d u c r o s k o pic d a r i w w
G . e a tm e s o a d w .p
A ., e n p io ju s ro q
P itti, t w ith id re q ta b le u e s t.c
A ., K a s u m la v e n d e r u ir e m e n ts g a s tr ic b o m
i , T . , W a jd a , M a r o m a th e ra p y o f m o r b id ly o b a n d in g , O b e s
., L e in th e se p ity S
b o v i t s , e p o s t - a t i e n t s u r g e r y
K o e n s o e m a r d i y a h . ( 2 0 0 9 ) . A - Z A r o m a t e r a p i U n t u k K e s e h a t a n , K e b u g a r a n , D a n K e c a n t i k a n . Y o g y a k a r t a : L i l y P u b l i s h e r . K u r n i a . ( 2 0 0 9 ) . M e n g h i n d a r i G a n g g u a n S a a t M e l a h i r k a n d a n P a n d u a n L e n g k a p M e n g u r u t B a y i . Y o g y a k a r t a : P a n j i P u s t a k a . K u s m i y a t i Y u n i , H e n i , d a n S u ji y a t i n i . ( 2 0 0 9 ) . P a n d u a n K e h a m i l a n . Y o g y a k a r t a : F i t r a m a y a .
L e n g k a p
P e r a w a t a n
L le w e ly n D d a n J o n e s . ( 2 0 0 6 ) . P a n d u a n T e r l e n g k a p K e b i d a n a n d a n K a n d u n g a n . J a k a r t a : D e l a p r a s t a .
T e n ta n g
K e s e h a t a n ,
M a n u a b a . ( 2 0 1 0 ) . P e n g a n t a r K u l i a h O b s t e t r i . J a k a r t a : E G C . M a te rn A W K D
ity D r o m a ila y a a b u p ia k s e
, S a ri D Y te r a p i L e m o h K e r ja P u a te n T u la n g s ta n g g a l 2 0
, d a n T e sk e sm B a w M a re
n rh a s a n t 2
M a n jo a d a p T u la g T a h 0 1 7 .
ra n M o n g u n
g rn B a 2 0
M
U . (2 0 1 6 in g S ic k n e s s w a n g I K e c a 1 6 . J u r n a l K
) . P e n g a r u h P a d a Ib u H m a t a n B a n ja e b id a n a n v o l
In h a la a m il D r A g u n 2 n o
s i i g 3 .
M u r n i , W . ( 2 0 0 9 ) . K i a t M e n g a t a s i M a s a k a h K e h a m i l a n d a n J a n i n . Y o g y a k a r t a : A l m a t e r a P u b l i s h i n g . N a m a z i , M . , A k b a r i , A . S . , M o j a b , F . , T a l e b i , A . , M a j d , H . A . & J a n n e s a r i , S . ( 2 0 1 4 ) . E ffe c t o f C i t r u s A u r a n t i u m ( B i t t e r O r a n g e ) o n t h e S e v e r i t y o f F i r s t - S t a g e L a b o u r P a i n . I r a n i a n J o u r n a l o f P h a r m a c e u t i c a l R e s e a r c h .
N i e b y l , J . R . ( 2 0 1 0 ) . N a u s e a a n d V o m i t i n g i n P r e g n a n c y . T h e N e w E n g l a n d J o u rn a l o f M e d i c i n e . h t t p : / / w w w . n e j m . o r g / d o i / p d f / 1 0 . 1 0 5 6 / N E J M c p 1 0 0 3 8 9 6 . D i a k s e s t a n g g a l 1 2 F e b r u a r i 2 0 1 7 . N o t o a t m o d j o . ( 2 0 1 0 ) . M e t o d o l o g i P e n e l i t i a n C i p t a .
K e s e h a t a n . J a k a r t a
: P T
R i n e k a
N o t o a t m o d j o . ( 2 0 1 2 ) . M e t o d o l o g i P e n e l i t i a n C i p t a .
K e s e h a t a n . J a k a r t a
: P T
R i n e k a
P a n t i k a w a t i , S . ( 2 0 1 0 ) . A s u h a n M e d i k a .
K e b id a n a n
I ( K e h a m i l a n ). Y o g y a k a r t a : N u h a
P o e r w a d i . ( 2 0 0 6 ) . A r o m a t e r a p i S a h a b a t C a l o n I b u . J a k a r t a : D i a n R a k y a t . P o t t s , J . ( 2 0 0 9 ) . A r o m a t h e r a p y i n N u r s i n g P r a c t i c e . A u s t r a l i a n N u r s i n g J o u r n a l 1 6 , 1 1 ; P r o Q u e s t R e s e a r c h L i b r a r y p g . 5 5 . P r a w i r o h a r d j o . ( 2 0 0 9 ) . B u k u A c u a n P e l a y a n a n K e s e h a t a n M a t e r n a l d a n N e o n a t a l . J a k a r t a : Y a y a s a n B i n a P u s t a k a . P r ic e
S h i r l e y d a n P r i c e L e n . ( 2 0 0 7 ) . A r o m a t e r a p i B a g i P r o fe s i D i t e r je m a h k a n o l e h A n d r i H a r t o n o . J a k a r t a : E G C .
P r i m a d i a t i . ( 2 0 0 2 ) . A r o m a t e r a p i P e r a w a t a n J a k a r t a : G r a m e d i a P u s t a k a U t a m a .
A l a m i U n tu k
K e s h a t a n .
S e h a t D a n
R i w i d i k d o . ( 2 0 1 3 ) . S t a t i s t i k a K e s e h a t a n ( B e l a ja r M u d a h T e k n i k P e n e l i t i a n K e s e h a t a n ) . Y o g y a k a r t a : M i t r a C e n d e k i a P r e s s . R u n i a r i . ( 2 0 1 0 ) . A s u h a n K e p e r a w a ta n P a d a G r a v i d a r u m . J a k a r t a : S a l e m b a M e d i k a .
K lie n
D e n g a n
C a n t i k .
A n a li s i s
H p e r e m e s i s
S a n t i , D w i R u k m a n a . ( 2 0 1 3 ) . P e n g a r u h A r o m a t h e r a p y t e r h a d a p M u a l a n M u n t a h p a d a K e h a m i l a n . h t t p : / w w w . k o p e r t i s 7 . g o . i d / u p l o a d j u r n a l / D w i R u k m a n a S a n t i s t i k e s n u t u b a n . p d f . D i a k s e s 1 2 M a r e t 2 0 1 7 . S a i f u d d i n . ( 2 0 0 8 ) . B u k u A c u a n N a s i o n a l P e l a y a n a n N e o n a t a l . J a k a r t a : Y a y a s a n B i n a P u s t a k a .
K e s e h a ta n
M a t e r n a l D a n
S n y d e r , M . & L i n d q u i s t , R . ( 2 0 1 0 ) . C o m p l e m e n t a r y & a l t e r n a t i v e t h e r a p i e s i n N u r s i n g , 6 t h e d . , S p r i n g e r P u b l i s h i n g C o m p a n y , N e w Y o r k . S o e g i y o n o . ( 2 0 0 9 ) . M e t o d e P e n e l i t i a n K u a n t i t a t i f K u a l i t a t i f d a n R & D . B a n d u n g : A l f a b e t a .
S o e g i y o n o . ( 2 0 0 9 ) . S t a t i s t i k a U n t u k P e n e l i t i a n . B a n d u n g : A l f a b e t a . S u l i s t y a w a t i A . ( 2 0 0 9 ) . A s u h a n K e b i d a n a n P a d a M a s a K e h a m i l a n . Y o g y a k a r t a : C V A n d i O f f s e t . T a r s ik a P L w F
h , e r a v w e b
s e w r
S u s a n to , a lin a n P r im n d e r d i .d ig ilib .u n u a r i 2 0 1 7 .
H . ig r a R u m p a d .a
&
S a s t r a m i h a r d ja , H . S . ( 2 0 v id a K a la I F a s e A k tif P a s c a P a h B e r s a lin K a s ih Ib u c . i d / f i l e = p d f / a b t r a k - 1 2 4 6 8 4 . p
1 2 e n T u d f
) . P e n u g h ir u p a n b a n . D . D ia k s e
r u n a n N y e r i A r o m a t e r a p i i a m b i l d a r i : s t a n g g a l 2 1
W
a tt G
&
J a n c a A . ( 2 0 0 8 ) . A r o m a t h e r a p y i n N u r s i n g a n d M e n t a l H e a l t h C a r e . J o u r n a l o f C o n t e m p o r a r y N u r s e , 3 0 ( 1 ) .
W
i k n j o s a s t r o . ( 2 0 1 0 ) . I l m u K e b i d a n a n . J a k a r t a : Y a y a s a n B i n a P u s t a k a . Y o u n g , G . ( 2 0 1 1 ) . E s s e n c i a l O i l P o c k e t R e f e r e n c e 5 t h e d . A m a z o n : L i f e S c i e n c e P u b h l i s i n g .
L A M
P I R A N 1
J a d w a l P e n e l i t i a n
J A D W A L P E N E L I T I A N P E M B E R IA N L E M O N
N o 1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3
L K U K U R A P K U R A P
I N H A L A S I A R O MM A T E R A P I U N T U K M E N G U R A N G I M U A L M U N T A H P A D A K E H A M I L A N T R I M E S T E R I D I B P M I S TT II A N A T U L K A B U P A T E N K E B U M E N
K e t e r a n g a n n J a n u a r i F e r u a r i M a r e t A p r 1 2 3 4 1 2 3 4 1 2 3 4 1 2 i t e r a t u r r e v i e w X X X X o n ss u l t a s i p r o p o s a l K T I X X X X X j i a n p r o p o s a l K T I X o n s u ll t a s i P r o p o s a l U l a n g X X X j i a n p r o p o s a l U l a n gg e v i s i p oo s t u jj i a n KK T I c c p r o p o sa l K T I e n e r a p a n o n s u l t a s i h a s i l j ia n h a s il e v i ss i p o s t u j i a n h a s i l c c K T I e n g u m p u l a n K T I
i l M e i J u n i J u l l i A g u s t u s 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
X X X X X X X X X X X X X X X X X X
L A M
P I R A N 2
L e m b a r P e r n y a t a a n K e s e d i a a n P a r t i s i p a n
I n f o r m e d C o n s e n t
L A M
P I R A N 3
S t a n d a r O p r a s i o n a l P r r o s e d d u r ( S O P ) L e m o n I n h a l a s i A r o m a t e r a p i
S T A N D A R
P E M B E R IA N M U A L
L E M O N M U N T A H
O P R A S I O N A L
IN H A L A S I A R O M P A D A
IS T IA N A T U L
P ro s e d u r
P R O S E D U R
A T E R A P I U N T U K
K E H A M IL A N K A B U P A T E N
M E N G U R A N G I
T R IM E S T E R K E B U M
1 D I B P M
E N
N o
L a n g k a h P e m b e r ia n I n h a la s i A r o m a te r a p i L e m o n
A
P r a T in d a k a n
P e n a t a la k s a n a a n
1 .
M e n y a m b u t
p a s ie n ,
m e m b e ri
s a la m ,
d a n
m e m p e rk e n a lk a n d iri 2 .
M e n je l a s k a n
m a k s u d
d a n
t u ju a n
d a r i p r o s e d u r
t i n d a k a n 3 . B
M e n a n y a k a n k e s ia p a n k e p a d a p a s ie n
T in d a k a n 1 .
M e n c u c i ta n g a n
2 .
M e n ja g a p r i v a s i p a s ie n
3 .
M e n g a t u r p a s ie n p a d a p o s is i d u d u k
4 .
M e n e te s k a n 2 - 3 t e te s a ro m a te r a p i k e tis u / s a p u ta n g a n / b o la k a p a s
5 .
P a s ie n
m e n g ir u p
ta n g a n
/ b o la k a p a s s e b a n y a k
d a n d iu la n g i la g i 5
a ro m a te ra p i p a d a 3
m e n it jik a i b u
m u a l m u n ta h . 6 .
M e ra p ik a n p a s ie n
7 .
M e n c u c i ta n g a n
8 .
M e n ja g a p r i v a s i p a s ie n
9 .
M e n g a t u r p a s ie n p a d a p o s is i d u d u k
t is u
/ s a p u
k a li p e r n a fa s a n m a s ih m e r a s a
P r o s e d u r
N o
L a n g k a h P e m b e r ia n I n h a la s i A r o m a te r a p i L e m o n
P e n a t a la k s a n a a n 1 .
M e n e te s k a n 2 - 3 t e t e s a r o m a te r a p i k e tis u / s a p u ta n g a n / b o la k a p a s
2 .
P a s ie n
m e n g ir u p
ta n g a n
/ b o la k a p a s s e b a n y a k
d a n d iu la n g i la g i 5
a ro m a te ra p i p a d a 3
m e n it ji k a i b u
t is u
k a li p e rn a fa s a n m a s ih m e r a s a
m u a l m u n ta h . 3 . C
M e r a p i k a n p a s ie n
T e rm in a s i 1 .
M e n c u c i ta n g a n
2 .
M e n g e v a lu a s i k e a d a a n p a s ie n
3 .
M e m b e r i k e s e m p a t a n p a s ie n u n t u k b e r t a n y a
4 .
M e r a p ik a n a la t
5 .
M e n c a t a t k e g ia ta n p a d a le m b a r o b s e r v a s i
S u m b e r : M a te rn ity , d k k (2 0 1 6 )
/ s a p u
L A M
P I R A N 4
L e m b a r O b s e r v a s i P e e n u r u n a n K o n d i s i M
u a l M u n t a h
L A M
P I R A N 5
D o k u m e n t a s i P e e n e e r a p a n A s u h a n
P a r t is ip a n I
I n f o r m
C o n s e n t
M e n g a ja r i m e n g h i r u p l e m o n i n h a l a s i a r o m a t e r a p i
H a ri p e rta m a
H a ri k e d u a
H a r i k e t ig a
H a ri k e e m p a t
H a r i k e tig a
H a ri k e e m p a t
P a r tis ip a n I I
I n f o r m
C o n s e n t
M e n g a ja r i m e n g h i r u p l e m o n i n h a l a s i a r o m a t e r a p i
H a ri p e rta m a
H a ri k e d u a
H a r i k e tig a
H a ri k e e m p a t
\
P a r tis ip a n I I I
I n f o r m
C o n s e n
M e n g a ja r i m e n g h i r u p l e m o o n i n h a l a s i a r o m a t e r a p i
H a ri p e rta m a
H a ri k e d u a
H a ri k e tig a
H a ri k e e m p a t
L A M
P I R A N 6
L e m b a r K o n s u l t a s i B i m b i n g a n K T I
