The Effectiveness of The “KMJ” Intervention and Menstrual Dysmenorrhea Education Based on Roy’s Adaptation Theory Iin Recognizing and Reducing Menstrual Pain Among 10th- and 11th-Grade Students at Sma N X In Semarang
Keywords:
adolescents, dysmenorrhea, ginger, health education, warm compressAbstract
Primary dysmenorrhea remains a significant reproductive health concern among adolescent girls because it can impair comfort, daily activities, and school participation. This study evaluated the effectiveness of the KMJ intervention, consisting of warm compress application and ginger drink consumption, combined with dysmenorrhea education based on Roy’s Adaptation Model among Grade 10 and 11 female students at SMA N X in Semarang. A quasi-experimental pretest–posttest control group design was used with 100 participants, equally allocated to intervention and control groups. Knowledge was measured using a dysmenorrhea questionnaire, while menstrual pain intensity was assessed using the Numeric Rating Scale. The intervention group showed an increase in mean knowledge score from 5.10 to 9.08 and a decrease in pain intensity from 7.00 to 2.48. Wilcoxon tests showed significant pretest–posttest changes, while Mann–Whitney tests confirmed significant post-intervention differences between groups (p < 0.001). These findings indicate that the integrated KMJ and education intervention effectively improves dysmenorrhea knowledge and reduces menstrual pain, supporting its potential use as a simple school-based non-pharmacological management strategy. The approach may also strengthen adolescents’ capacity for informed and independent self-management.
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Agustin, Y., Afrina, R., & Rukiah, N. (2022). Giving Warm Compresses with Progressive Muscle Relaxation Techniques Can Reduce Pain Intensity in Dysmenorrhea. Journal of Complementary Nursing, 1(3), 99–105. https://doi.org/10.53801/jcn.v1i3.51
Akin, M. D., Weingand, K. W., Hengehold, D. A., Goodale, M. B., Hinkle, R. T., & Smith, R. P. (2022). Continuous low-level topical heat in the treatment of dysmenorrhea. Obstetrics and Gynecology, 97(3), 343–349. https://doi.org/10.1016/S0029-7844(00)01163-7
Aouad, P., Bui, M., Sarraf, S., Donnelly, T., Chen, Y., Jaaniste, T., … Champion, G. D. (2022). Primary dysmenorrhoea in adolescents and young women: A twin family study of maternal transmission, genetic influence and associations. Australian and New Zealand Journal of Obstetrics and Gynaecology, 62(5), 725–731. https://doi.org/10.1111/ajo.13560
Armour, M., Parry, K., Manohar, N., Holmes, K., Ferfolja, T., Curry, C., … Smith, C. A. (2019). The Prevalence and Academic Impact of Dysmenorrhea in 21,573 Young Women: A Systematic Review and Meta-Analysis. Journal of Women’s Health, 28(8), 1161–1171. https://doi.org/10.1089/jwh.2018.7615
Bo, T., Nohara, H., Yamada, K. I., Miyata, S., & Fujii, J. (2024). Ascorbic Acid Protects Bone Marrow from Oxidative Stress and Transient Elevation of Corticosterone Caused by X-ray Exposure in Akr1a-Knockout Mice. Antioxidants, 13(2). https://doi.org/10.3390/antiox13020152
Chebotareva, Y. Y., & Petrov, Y. A. (2022). Pathogenic basis for the use of a combined analgesic for pain relief in primary dysmenorrhea. Russian Journal of Woman and Child Health, 5(2), 146–152. https://doi.org/10.32364/2618-8430-2022-5-2-146-152
Chen, C. X., Rogers, S. K., Li, R., Hinrichs, R. J., Fortenberry, J. D., & Carpenter, J. S. (2024). Social Determinants of Health and Dysmenorrhea: A Systematic Review. Journal of Pain, 25(9). https://doi.org/10.1016/j.jpain.2024.104574
Dewi Utari, A., & Trisetiyaningsih, Y. (2019). Pengaruh Pendidikan Kesehatan Tentang Dismenore Terhadap Sikap Remaja Putri Dalam Menangani Dismenore. Media Ilmu Kesehatan, 6(1), 63–70. https://doi.org/10.30989/mik.v6i1.180
Dunivan, G. C., Sussman, A. L., Jelovsek, J. E., Sung, V., Andy, U. U., Ballard, A., … Rogers, R. G. (2019). Gaining the Patient Perspective on Pelvic Floor Disorders’ Surgical Adverse Events. Obstetrical and Gynecological Survey, 74(6), 336–337. https://doi.org/10.1097/OGX.0000000000000689
Frey, R., Balmer, D., Robinson, J., Slark, J., McLeod, H., Gott, M., & Boyd, M. (2018). “To a better place”: The role of religious belief for staff in residential aged care in coping with resident deaths. European Journal of Integrative Medicine, 19, 89–99. https://doi.org/10.1016/j.eujim.2018.03.001
Haryani, W., & Setyobroto, I. (2022). Modul Etika Penelitian. In Jurusan Kesehatan Gigi Poltekkes Jakarta I.
Kinter, M., & Sherman, N. E. (n.d.). Perceived risk factors of dysmenorrhea among female undergraduates in University of Ilorin. https://doi.org/https://doi.org/10.4314/TJS.V47I1
Liu, J., Wang, Y., Wu, L., Wang, L., & Fang, H. (2024). Study on the influencing factors of primary dysmenorrhea in female college students: Systematic review and meta-analysis. Medicine (United States), 103(49), e40906. https://doi.org/10.1097/MD.0000000000040906
Martoni, C. J., Srivastava, S., & Leyer, G. J. (2020). Lactobacillus acidophilus DDS-1 and bifidobacterium lactis UABla-12 improve abdominal pain severity and symptomology in irritable bowel syndrome: Randomized controlled trial. Nutrients, 12(2). https://doi.org/10.3390/nu12020363
Melania Safitri, Ratna Dwi Jayanti, & Endyka Erye Frety. (2023). Comparison of the effectiveness of giving warm compresses and cold compresses in handling dysmenorrhea: Systematic review. World Journal of Advanced Research and Reviews, 18(3), 585–590. https://doi.org/10.30574/wjarr.2023.18.3.1096
Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150(3699), 971–979. https://doi.org/10.1126/science.150.3699.971
Moshfeghinia, R., Salmanpour, N., Ghoshouni, H., Gharedaghi, H., Zare, R., Cramer, H., … Pasalar, M. (2024). Ginger for Pain Management in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis. Journal of Integrative and Complementary Medicine, 30(11), 1016–1030. https://doi.org/10.1089/jicm.2023.0799
Navvabi Rigi, S., Kermansaravi, F., Navidian, A., Safabakhsh, L., Safarzadeh, A., Khazaeian, S., … Salehian, T. (2012). Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: a randomized controlled trial. BMC Women’s Health, 12. https://doi.org/10.1186/1472-6874-12-25
Navvabi Rigi, S., Kermansaravi, F., Navidian, A., Safabakhsh, L., Safarzadeh, A., Khazaeian, S., … Salehian, T. (2024). Comparing the analgesic effect of heat patch containing iron chip and ibuprofen for primary dysmenorrhea: a randomized controlled trial. BMC Women’s Health, 12. https://doi.org/10.1186/1472-6874-12-25
Nazarpour, S., & Simbar, M. (2024). Effect of oral and topical ginger on primary dysmenorrhoea: a systematic review. Journal of Herbal Medicine, 46. https://doi.org/10.1016/j.hermed.2024.100890
Negi, R., Sharma, D. S., Gaur, D. R., Bahadur, A., & Jelly, P. (2021). Efficacy of Ginger in the Treatment of Primary Dysmenorrhea: A Systematic Review and Meta-analysis. Cureus. https://doi.org/10.7759/cureus.13743
Ni Kadek Riska Kurnia Dewi. (2021). Metodelogi Penelitian Kesehatan. Yogyakarta. In Buku Metodelogi Kesehatan.
Nursalam. (2022). Metode penelitian Kuantitatif. Metodologi Penelitian PeSwarjana. (2022). Metode Penelitian Kuantitatif. Metodologi Penelitian Pendidikan Kualitatif, 1, 130.Ndidikan Kualitatif, 1, 130.
Nutbeam, D., & Muscat, D. M. (2021). Erratum: Health Promotion Glossary 2021 (Health promotion international (2021) 36 6 (1578-1598)). Health Promotion International, 36(6), 1811. https://doi.org/10.1093/heapro/daab067
Popławska, N. A., Śliz, J., Skorupska, M., Czeczotka, M. J., & Woźniak, K. (2024). Ginger (Zingiber officinale) - A Beneficial Effect on Health and Physical Activity. Quality in Sport, 16, 52218. https://doi.org/10.12775/qs.2024.16.52218
Rajput, V. (2021). An Overview on Dysmenorrhea. International Journal of Nursing Education and Research, 381–384. https://doi.org/10.52711/2454-2660.2021.00089
Salam, R. A., et al. (2020). Improving adolescent sexual and reproductive health: A systematic review. https://doi.org/10.1111/j.1365-3016.2012.01246.x
Saputra, Y. A., Kurnia, A. D., & Aini, N. (2021). Pengaruh Pendidikan Kesehatan terhadap Upaya Remaja untuk Menurunkan Nyeri Saat Menstruasi (Dismenore Primer). Jurnal Kesehatan Reproduksi, 7(3), 177. https://doi.org/10.22146/jkr.55433
Situmorang, H., Sutanto, R. L., Tjoa, K., Rivaldo, R., & Adrian, M. (2024). Prevalence and risk factors of primary dysmenorrhoea among medical students: a cross-sectional survey in Indonesia. BMJ Open, 14(10). https://doi.org/10.1136/bmjopen-2024-086052
Statistical Power Analysis for the Behavioral Sciences. (1977). Statistical Power Analysis for the Behavioral Sciences. https://doi.org/10.1016/c2013-0-10517-x
Sugary Food and Beverages Consumption, Family History, and Primary Dysmenorrhea in Undergraduate Students, Faculty of Public Health, Universitas Indonesia. (2023). Indonesian Journal of Public Health Nutrition, 4(1). https://doi.org/10.7454/ijphn.v4i1.7388
Sumarsan. (2021). Pengaruh Pajak Restoran Dan Pajak Hotel Terhadap Pendapatan Asli Daerah Kota Padangsidempuan Periode 2018-2020. Jurnal Akuntansi, 51(1), 1–15.
Tania Pratiwi, R., & Setiawan, I. (2018). Organizational Citizenship Behavior. 559–565. https://doi.org/10.5220/0006889505590565
Ulfameytalia Dewi, E., Primasari, N. A., Sugiarti, W., Widagdo, A. H., Keperawatan, P., Sarjana, P., … Yogyakarta, B. (2024). Uji Validitas Reliabilitas Instrumen Analisis Stunting Dengan Pendekatan Teori Leininger Dan Family Centeres Nursing. Ilmu Kesehatan Mandira Cendikia, Vol. 3 No., 384–394. Retrieved from https://journal-mandiracendikia.com/jikmc
Ullah, S., Fayyaz, M., Raza, S., & Khan, I. (2022). Prevalence of dysmenorrhea and determinants of pain severity among university student. https://doi.org/https://doi.org/10.53350/pjmhs211561523
Wang, L., Yan, Y., Qiu, H., Xu, D., Zhu, J., Liu, J., & Li, H. (2022). Prevalence and Risk Factors of Primary Dysmenorrhea in Students: A Meta-Analysis. Value in Health, 25(10), 1678–1684. https://doi.org/10.1016/j.jval.2022.03.023
WHO. (2024). Ageing and Health.
Widianti, W., Nurazizah, Y. S., Nurkania, V., Fauzi, A., Hidayat, A., Herdiawan, Y., … Roslianti, E. (2021). The Effect of Warm Compress on Lowering Dysmenorrhea Pain. Genius Journal, 2(2), 54–60. https://doi.org/10.56359/gj.v2i2.22
