The Effect of Acupressure at the SP6 and LI4 Points on the Reduction of Menstrual Pain (Dysmenorrhea) Among Adolescent Girls in the Anak Tuha Health Center Service Area, Central Lampung Regency
Keywords:
Acupressure, SP6 and LI4 Points, Dysmenorrhea (Menstrual Pain), Female Adolescents.Abstract
Menstrual pain (dysmenorrhea) is a common reproductive disorder among female adolescents that can disrupt daily activities and diminish academic concentration. Management of dysmenorrhea involves both pharmacological and non-pharmacological approaches, including acupressure therapy at the SP6 (Sanyinjiao) and LI4 (Hegu) points, which are believed to enhance blood circulation and stimulate endorphin production to alleviate pain. This study aimed to determine the effect of acupressure at the SP6 and LI4 points on reducing menstrual pain among female adolescents at Islamic Junior High Schools (MTs) within the Anak Tuha Health Center service area, Central Lampung Regency, in 2025. A pre-experimental design with a one-group pretest-posttest approach was utilized, involving 25 respondents experiencing dysmenorrhea selected through total sampling. Data analysis using the Wilcoxon test revealed that the average menstrual pain scale decreased significantly from 4.48 (moderate pain) before the intervention to 1.32 (mild pain) after the intervention, with a p-value of 0.000 ($p < 0.05$). These findings indicate a significant effect of acupressure at the SP6 and LI4 points on reducing menstrual pain intensity. In conclusion, acupressure at the SP6 and LI4 points is effective in decreasing dysmenorrhea in female adolescents; therefore, it is recommended that students practice this technique independently as a non-pharmacological alternative, and that schools and healthcare providers offer education on safe, natural pain management.
References
Can, A. A., Buldum, A., Abiç, A., & Yilmaz, D. V. (2025). The effect of acupressure on pain, menstrual symptoms, and comfort in adolescents with primary dysmenorrhea: A single-blind randomized controlled trial. BMC Complementary Medicine and Therapies, 25(221), 1–13.
Guimarães, I., & Póvoa, A. M. (2020). Primary dysmenorrhea: Assessment and treatment. Thieme Revinter Publicações.
Khasanah, A. N. N. (2023). Pengaruh akupresur titik LI4 dan SP6 terhadap penurunan dismenore pada remaja. Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran, 1(4), 261–270. https://doi.org/10.59680/anestesi.v1i4.536
Liu, L. (2023). Clinical observation on auricular acupressure for primary dysmenorrhea: A study protocol for a randomized clinical trial. Journal of Pain Research, 3217–3225.
Marlinda, Muliani, N., Christiani, A. M., & Septiasari, Y. (2022). Akupresur tiga titik tubuh mengurangi nyeri haid. Jurnal Ilmiah Keperawatan Imelda, 8(2), 113–119.
Soleha, M., & Zelharsandy, V. T. (2025). Efektivitas terapi akupresur pada titik SP6 dan LI4 terhadap dismenore pada remaja putri. Nuansa Fajar Cemerlang.
Soleha, M., Tri Zelharsandy, V., Sepiwiryanti, W., & Ciselia, D. (2025). Efektivitas terapi akupresur pada titik SP6 dan LI4 terhadap dismenore pada remaja putri di perguruan tinggi. Lentera Perawat, 6(2), 288–295.
Sumiatik, & Handayani, P. (2025). Pengaruh terapi akupresur menggunakan titik LI4 terhadap dismenore pada santriwati di Pondok Pesantren Al-Uswah Sumatera. Jurnal Media Informatika, 6(2), 1142–1147.
Swandari, A., Putri, F., Abdullah, K., Romadhona, N. F., & Gerhanawati, I. (2022). Buku ajar intervensi fisioterapi pada kasus dismenore. Universitas Muhammadiyah Publishing.
Winengsih, E., & Yuliani, M. (2024). Pengaruh akupresur SP6 terhadap tingkat dismenore pada remaja putri SMK Pasundan Jatinangor. Jurnal Keperawatan dan Kebidanan, 70–77.
Zhai, S., Wang, C., Ruan, Y., Liu, Y., & Ma, R. (2024). Wrist-ankle acupuncture for primary dysmenorrhea: A randomized controlled trial evaluating the efficacy of an analgesic strap. Frontiers in Neurology, 1–9. https://doi.org/10.3389/fneur.2024.1362586













