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Tarigan, Imarina
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Effectiveness of Lemongrass (Cymbopogon citratus) Decoction as a Non-Hormonal Therapy for Preventing Early Menopause Among Women Aged 40–45 Years in Indonesia: A Randomized Controlled Trial Sembiring, Mediana Beru; Simamora, Lasria; Hutabarat, Dewi Sartika; Panjaitan, Polma Ria Metawati; Tarigan, Imarina; Nisa, Rika Khairatun; Arjuna, Ratu Putri
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.434

Abstract

Background: Early menopause (before age 45) increases risks of osteoporosis, cardiovascular disease, and reduced quality of life. Although hormonal therapy is effective, its adverse effects have driven interest in safer alternatives. However, evidence on community-based herbal interventions for preventing early menopause is scarce in Indonesia. This study examined the effectiveness of Cymbopogon citratus (lemongrass) decoction as a low-cost, non-hormonal preventive therapy for early menopause. Methods: This parallel two-arm randomized controlled trial, conducted in Perbulan Village, Karo Regency, involved 30 women aged 40–45 years, randomly assigned to an intervention group receiving lemongrass decoction and a control group. Participants consumed 250 ml of decoction daily for 30 days. Menopausal symptoms were measured using the Menopause Rating Scale (MRS) and menstrual cycle regularity was recorded. Data were analyzed with the Mann–Whitney U test following the CONSORT 2010 guidelines, with statistical significance set at p < 0.05 and 95% confidence intervals (CI) reported. Ethical approval was obtained from the institutional review board. Results: Mean MRS scores in the intervention group decreased significantly from 20.5 ± 2.0 to 13.4 ± 1.6 (p < 0.001, 95% CI [5.7, 8.4], d = 1.45, large effect), while the control group showed no significant change. Menstrual cycle regularity improved in 73.3% of intervention participants compared with 13.3% in controls (p < 0.001). Compliance was high (86.7%) and no adverse events were reported. Conclusion: Lemongrass decoction effectively reduced menopausal symptoms and regulated menstrual cycles, supporting its use as a safe, acceptable, and affordable non-hormonal option for community-based women’s health promotion. The findings suggest potential integration of herbal therapy education into midwifery and public health programs to strengthen preventive reproductive care.
Effectiveness of Mind–Body–Based Psychoeducation in Strengthening Midwives’ Role and Enhancing Breastfeeding Self-Efficacy Among Postpartum Mothers: A Quasi-Experimental Study Manullang, Rasmi; Tarigan, Imarina; Nainggolan, Anna Waris; Aruan, Lasria Yolivia; Sianipar, Yesica Geovany; Damanik, Lira Agnes Monica; Siahaan, Sastra Amelia
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.423

Abstract

Background: Breast milk is the best nutrition for babies and has long-term benefits for both mother and child health. A critical factor in successful breastfeeding is breastfeeding self-efficacy (BSE), a mother's confidence in her ability to breastfeed. Methods: This quasi-experimental study employed a pre-test and post-test design with a control group and purposive sampling. The sample comprised 60 postpartum mothers: 30 in the intervention group and 30 in the control group. The intervention involved using the PIANA application for four weeks. Statistical tests were performed using SPSS 26 for univariate and bivariate data analysis. Outcomes were measured using the Wilcoxon and Mann-Whitney U tests to assess whether psychoeducation could increase postpartum mothers' confidence in breastfeeding. Results: Bivariate analyses of the variables were conducted using statistical tests after the application, namely the Midwife's Role variable (p = 0.023), the Psychoeducation variable (p = 0.032), and the BSE variable (p = 0.012). The results of the bivariate analysis of the three variables showed that the Midwife's Role with BSE psychoeducation positively affected postpartum mothers' confidence in breastfeeding. Conclusion: Psychoeducational applications using a mind-body approach have been shown to improve breastfeeding self-efficacy in postpartum mothers. Optimizing the role of midwives through this medium can serve as an effective, flexible educational tool to support postpartum mothers in achieving breastfeeding success.
Family Empowerment Based on Mambosuri Cultural Values to Support Exclusive Breastfeeding in the Gunung Tinggi Primary Health Care Area: Pemberdayaan Keluarga Berbasis Budaya Mambosuri dalam Mendukung ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi Nainggolan, Anna Waris; Tarigan, Imarina; Riezky, Muhammad; Sinaga, Siti Nurmawan; Sinaga, Esra E; Simanullang, Cesy Marlianata
Room of Civil Society Development Vol. 5 No. 1 (2026): Room of Civil Society Development
Publisher : Lembaga Riset dan Inovasi Masyarakat Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59110/rcsd.892

Abstract

Low exclusive breastfeeding coverage remains closely linked to limited family support and sociocultural influences in infant feeding decisions. In Batak communities, strong kinship structures position the extended family as a key decision-making unit during pregnancy and early childcare. This community engagement program employed a participatory family-based intervention using a one-group pretest–posttest design to empower families to support exclusive breastfeeding through a culturally grounded Mambosuri approach in the Gunung Tinggi Primary Health Care area. The program involved 32 third-trimester pregnant women and their families over a three-month period. The intervention integrated cultural reflection sessions, interactive family discussions, written commitment development, and pre–post evaluation of family knowledge. Findings showed a significant increase in mean knowledge scores from 62.4 to 84.7 (p < 0.001), as well as an increase in the proportion of the good comprehension category from 37.5% to 81.2%. The most notable improvement was observed in fathers’ perceived roles in breastfeeding support. However, the short duration of assistance and the absence of a control group limit broader generalization of the findings. These results suggest that integrating local cultural values into family-centered education may strengthen collective readiness for exclusive breastfeeding in similar community contexts.
Family Empowerment Based on Mambosuri Cultural Values to Support Exclusive Breastfeeding in the Gunung Tinggi Primary Health Care Area: Pemberdayaan Keluarga Berbasis Budaya Mambosuri dalam Mendukung ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi Nainggolan, Anna Waris; Tarigan, Imarina; Riezky, Muhammad; Sinaga, Siti Nurmawan; Sinaga, Esra E; Simanullang, Cesy Marlianata
Room of Civil Society Development Vol. 5 No. 1 (2026): Room of Civil Society Development
Publisher : Lembaga Riset dan Inovasi Masyarakat Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59110/rcsd.892

Abstract

Low exclusive breastfeeding coverage remains closely linked to limited family support and sociocultural influences in infant feeding decisions. In Batak communities, strong kinship structures position the extended family as a key decision-making unit during pregnancy and early childcare. This community engagement program employed a participatory family-based intervention using a one-group pretest–posttest design to empower families to support exclusive breastfeeding through a culturally grounded Mambosuri approach in the Gunung Tinggi Primary Health Care area. The program involved 32 third-trimester pregnant women and their families over a three-month period. The intervention integrated cultural reflection sessions, interactive family discussions, written commitment development, and pre–post evaluation of family knowledge. Findings showed a significant increase in mean knowledge scores from 62.4 to 84.7 (p < 0.001), as well as an increase in the proportion of the good comprehension category from 37.5% to 81.2%. The most notable improvement was observed in fathers’ perceived roles in breastfeeding support. However, the short duration of assistance and the absence of a control group limit broader generalization of the findings. These results suggest that integrating local cultural values into family-centered education may strengthen collective readiness for exclusive breastfeeding in similar community contexts.
Co-Authors Anna Waris Nainggolan Arjuna, Ratu Putri Aruan, Lasria Yolivia Damanik, Lira Agnes Monica Hutabarat, Dewi Sartika Manullang, Rasmi Nisa, Rika Khairatun Panjaitan, Polma Ria Metawati Riezky, Muhammad Sembiring, Mediana Siahaan, Sastra Amelia Simamora, Lasria Simanullang, Cesy Marlianata Sinaga, Esra E Sinaga, Siti Nurmawan Yesica Geovany Sianipar