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Pengaruh Pendampingan Suami Terhadap Kecemasan Ibu Pada Proses Persalinan Kala I (Fase Laten-Fase Aktif) mukhoirotin, mukhoirotin
Prosiding Seminas Competitive Advantage Vol 1, No 1 (2011): Seminas Competitive Advantage I
Publisher : Unipdu Jombang

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ABSTRAK Kecemasan yang dialami oleh ibu bersalin semakin lama akan semakin meningkat seiring dengan semakin seringnya kontraksi muncul sehingga keadaan ini akan membuat ibu semakin tidak kooperatif yang berakibat persalinan berlangsung lama dan terjadi fetal distres. Kehadiran suami atau pasangan sangat dianjurkan untuk mendampingi ibu selama persalinan karena pendekatan langsung dapat mendorong komunikasi diantara keduanya sehingga dapat mengatasi semua kekhawatiran. Tujuan dari peneitian ini untuk mengetahui adanya pengaruh pendampingan suami terhadap kecemasan ibu pada proses persalinan kala I. Desain penelitian yang digunakan adalah Pra-Experiment dengan pendekatan Pre-Post Test Design yang menggunakan teknik Consecutive Sampling dengan jumlah sampel 10 responden. Pengambilan data diperoleh dengan menggunakan kuesioner, kemudian dianalisis menggunakan Wilcoxon Sign Rank Test. Hasil penelitian menunjukkan adanya pengaruh pendampingan suami terhadap penurunan tingkat kecemasan dengan nilai ρ = 0,02. Pendampingan suami sangat dibutuhkan ibu pada proses persalinan karena dengan pendampingan suami yang maksimal dapat meurunkan kecemasan.   Kata kunci: tingkat kecemasan ibu, proses persalinan kala i , pendampingan suami. ABSTRACT   The longer anxiety that is prolonged by pregnant mothers will be increased alongside the frequency of contractions that appears in such circumstances and it would make the mother less cooperative resulting in prolonged labor and fetal distress occured. The presence of husbands or lover partners is suggested to accompany his wife during labor process, it is because the direct approach can support a pleasant communication between them so they can overcome all fears that matters. The purpose of this research is to investigate the influence of husband´s assistance to maternal anxiety at the first stage of labor process in connecticut .This design of the research used The Pre-Experiment method with approach in Pre-Post Test design that exerted Consecutive Sampling technique with the samples 10 respondents. The data collection was examined through a questionnaire which was then analyzed by using the Wilcoxon Sign Rank Test.The result showed that influence of husband’sasistence to decreased the level of mother’s anxiety with significant value ρ = 0.02. The husband assistance is needed by pregnant mother in the delivery process because the husband is the maximum assistance can reduce anxiety. Keywords :anxiety levels mother, delivery process period ,husband accompaniment.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP KECEMASAN PRIMIGRAVIDA DALAM MENGHADAPI PERSALINAN Mukhoirotin, Mukhoirotin; Rahmat, Ibrahim; Siswosudarmo, Risanto
JURNAL KESEHATAN REPRODUKSI Vol 1, No 3 (2014)
Publisher : IPAKESPRO

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PENGARUH PENDIDIKAN KESEHATAN TERHADAP KECEMASAN PRIMIGRAVIDA DALAM MENGHADAPI PERSALINANMukhoirotin1, Ibrahim Rahmat2, Risanto Siswosudarmo3ABSTRACTBackground: During a process of labor and delivery a primigravida mother tends to have increased fear and anxiety, because of pain and discomfort. She is worry about her safety and her baby. Unless it is well managed it might cause same complication such us premature labor, prolonged labor, and fetal death. Health education is one effort that can be done by health workers to decrease anxiety and prepare mother in facing the process of labor and delivery.Objective: To find out the influence of health education to primigravida anxiety in facing the process of labor and delivery.Method: The study was a quasy experiment by pretest-postest control group design. Subjects were all primigravidas at Peterongan Public Health Centre (Puskesmas) area of Jombang Regency. A total of sixty six respondents meeting the inclusion and exclusion criteria were recruited. They were devided into two groups, the treated group received health education and booklet (n=33) and the control group received health education only (n=33). The sampling tehnique were using consecutive sampling and cluster randomized trial. The instrument used to measure anxiety was Zung Self-Rating Anxiety Scale. Data were processed using computer program. Paired and independent sample t-tests were used for statistical analysis .Results and Discussion: The anxiety scores before treatment was comparable between the two groups (p>0.05). This scores decreased significantly after treatment from 36.79 to 29.79 in the treated group, and from 36.85 to 32.03 in the control group (p<0.05). The post treatment score was significanly different between the treated and the control groups (29.79±4.14 vs. 32.03±4.01; p<0.05).Conclution: Health education with booklet was more effective to decrease anxiety in the primigravida in facing labor compared to health education only.Keywords: health education, booklet, anxiety, primigravida. ABSTRAKLatar Belakang: Selama proses persalinan dan melahirkan seorang ibu primigravida cenderung mengalami peningkatan ketakutan dan kecemasan, karena rasa sakit dan ketidaknyamanan. Ibu khawatir tentang keselamatan dirinya dan bayinya. Apabila hal ini tidak dikelola dengan baik dapat menyebabkan beberapa komplikasi seperti persalinan prematur, partus lama, dan kematian janin. Pendidikan kesehatan merupakan salah satu upaya yang dapat dilakukan oleh tenaga kesehatan untuk menurunkan kecemasan dan mempersiapkan ibu dalam menghadapi proses persalinan dan melahirkan.Tujuan: Untuk mengetahui pengaruh pendidikan kesehatan terhadap kecemasan primigravida dalam menghadapi persalinan.Metode: Penelitian ini adalah quasi experiment dengan pendekatan pretest-postest control group design. Subyek penelitian adalah semua primigravida di wilayah Puskesmas Peterongan kabupaten Jombang. Sebanyak 66 responden yang memenuhi kriteria inklusi dan eksklusi direkrut.Subyek penelitian dibagi menjadi dua kelompok, kelompok perlakuan yang mendapatkan pendidikan kesehatan dan booklet (n=33) dan kelompok kontrol yang mendapatkan pendidikan kesehatan (n=33). Tehnik sampling menggunakan consecutive sampling dan cluster randomized trial. Instrumen yang digunakan untuk mengukur kecemasan adalah Zung Self-Rating Anxiety Scale. Data diolah dengan menggunakan program komputer. Paired sample t-test dan independent sample t-test digunakan untuk analisis statistik.Hasil dan Pembahasan: Skor kecemasan sebelum perlakuan adalah sebanding antara kedua kelompok (p>0,05). Skor ini menurun secara signifikan setelah perlakuan dari 36,79-29,79 pada kelompok perlakuan, dan dari 36,85-32,03 pada kelompok kontrol (p<0,05). Skor setelah perlakuan terdapat perbedaan yang signifikan antara kelompok perlakuan dan kontrol (29,79±4,14 vs. 32,03±4,01, p<0,05).Kesimpulan: Pendidikan kesehatan dengan booklet lebih efektif untuk menurunkan kecemasan primigravida dalam menghadapi persalinan dibandingkan dengan pendidikan kesehatan saja.Kata Kunci: pendidikan kesehatan, booklet, kecemasan, primigravida. 1,2 Program Studi Magister Keperawatan, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta 
HUBUNGAN PENGETAHUAN DAN DUKUNGAN KELUARGA DENGAN KECEMASAN MENARCHE PADA REMAJA PUTRI Mukhoirotin, Mukhoirotin; Taufik, Milda Laila
Journal Of Holistic Nursing Science Vol 3 No 2 (2016)
Publisher : Universitas Muhammadiyah Magelang

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Abstract Menarche is an important time for a woman when puberty. Symptoms often occur during puberty is that anxiety and fear. Knowledge and family support are high is one of the forms to reduce the anxiety. The purpose of this study was to determine the relationship ofknowledge and family support with anxiety menarche in young women. The design used in this research is descriptive analytic with cross-sectional. The sample consisted of 30 respondents, the independent variable is the knowledge and family support, the dependent variable is the menarche anxiety. Sampling by using purposive sampling. Measuring devices using questionnaires, the data were analyzed using the Spearman rho test with significance level of 5% (α ≤0,05).The research concludes that there is a relationship of knowledge with anxiety menarche in adolescents (P = 0.002; r = - 0.544), family support relationships with anxiety menarche in adolescents (P = 0.002; r = - 0.536) with a negative correlation with the direction of considerable strength.Knowledge and family support the relationship with anxiety menarche. The higher the knowledge and family support of anxiety menarche decreased, and conversely the less than the knowledge and family support of anxiety menarche increased.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP MOTIVASI MELAKUKAN VAKSINASI HPV DI MAN 1 JOMBANG Mukhoirotin, Mukhoirotin; Effendi, Dian Tri Wulandari
Journal Of Holistic Nursing Science Vol 5 No 1 (2018)
Publisher : Universitas Muhammadiyah Magelang

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Abstract

HPV vaccine is an early preventive measure to prevent cervical cancer in adolescents. But inits implementation it faces barriers from the cost of vaccine, acceptance, lack of awarenessand knowledge. The purpose of this study was to determine the effect of health education onmotivation to HPV vaccination in MAN 1 Jombang. This research uses experimental quasydesign with pretest posttest control group design. The population of this study were 244respondents. Sampling using random sampling technique was 30 respondents (15 treatmentgroups and 15 control groups) that fulfilled inclusion and exclusion criteria. Treatmentgroups were given health education and leaflets, control groups were given leaflets. Theinstruments used to measure motivation using questionnaires. Data were analyzed usingWilcoxon and Mann Whitney test with significance level . The results showed thatthere was an effect of health education on the motivation of HPV vaccination with p-value0,004 (p<α), there was significant difference in treatment group and control group afterhealth education with p-value 0,030 (p<α). Health education with leaflets is more effectiveto increase students motivation to HPV vaccination compared with leaflets only.   Vaksin HPV merupakan cara pencegahan awal untuk mencegah kanker servik pada remaja.Namun dalam implementasinya menghadapi banyak halangan, dari biaya vaksin,penerimaan, kurangnya kesadaran dan pengetahuan. Tujuan dari penelitian ini untukmenentukan efek dari pendidikan kesehatan dalam motivasinya terhadap vaksinasi HPV diMAN 1 Jombang. Penelitian ini menggunakan desain penelitian quasy dengan desainpengelompokan grup pre test dan post test. Populasi dari penelitian ini ada 244 responden.Sampling menggunakan teknik random sampling 30 responden (15 kelompok perawatan dan15 kelompok kontrol) yang memenuhi kriteria inklusi dan ekslusi. Kelompok perawatandiberikan pendidikan kesehatan dan leaflet, kontrol grup diberikan leaflet. Instrumen yangdigunakan untuk mengukur motivasi menggunakan kuisioner. Data dianalisa menggunakanWilcoxon dan Mann Whitney test dengan level . Hasil penelitian menunjukkanbahwa ada efek pendidikan kesehatan terhadap motivasi vaksinasi HPV dengan p-value0,004 (p<α), ada perbedaan yang signifikan antara grup perawatan dan grup kontrol setelahpendidikan kesehatan dengan p-value 0,030 (p<α). Kesimpulan: pendidikan kesehatandengan leaflet lebih efektif untuk meningkatkan motivasi siswa terhadap vaksinasi HPVdibandingkan dengan leaflet saja.
PENGARUH GAJASIH (Gambir, Jambe dan Sirih) TERHADAP PENYEMBUHAN LUKA GANGGREN Zakaria, Achmad; ., Mukhoirotin; Khusniyah, Zulfa
Prosiding Seminas Vol 1, No 2 (2012): Seminas Competitive Advantage II
Publisher : Unipdu Jombang

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Abstrak Penelitian ini bertujuan untuk mengetahui pengaruh  Gajasih terhadap penyembuhan luka ganggren. Penelitian ini menggunakan rancangan penelitian Quasy Eksperimen, desain penelitian Pre-Test Post-Test – Control Group Desain. Populasi dalam penelitian ini adalah pasien yang mengalami luka ganggren dengan jumlah sampel 14 responden, menggunakan teknik Consecutive Sampling, data dianalisis menggunakan uji Wilcoxon  dan Mann – Whitney dengan P ≤ 0.05. Hasil uji Wilcoxon pada kelompok perlakuan menunjukkan nilai P = 0.011, berarti ada pengaruh yang signifikan kompres gajasih terhadap penyembuhan luka ganggren. Pada kelompok kontrol menunjukkan nilai P = 0.020, yang berarti juga terdapat pengaruh yang signifikan kompres NaCL 09%, Savlon 2%, Perhidrol 3% dengan penyembuhan luka ganggren. Hasil uji Mann-Whitney didapatkan nilai P = 0.114, berarti tidak ada perbedaan pengaruh  yang  signifikan antara penggunaan kompres Gajasih dengan kompres NaCL 09%, Savlon 2%, Perhidrol 3% terhadap penyembuhan luka ganggren. Meskipun secara statistik tidak ada perbedaan pengaruh tetapi secara visual terlihat adanya perbedaan pengaruh penyembuhan luka. Kata kunci : gangren, kompres NaCL 0,9%, savlon 2%, perhidrol 3 %, kompres gajasih.   Abstract The purpose of this research is to know the influence Gajasih to healing of  hurt ganggren. This research used the device of research of Quasy Experiment, desain of research Pre-Test Post-Test - Control Group Desain. Population in this research is natural patient of hurt ganggren with the amount samples 14 respondents, using technique of Consecutive Sampling, data analysed to use the test of Wilcoxon and Mann - Whitney with P ≤ 0.05. Result of test Wilcoxon of at treatment group show the value P = 0.011, meaning there is  influence which significance of compress gajasih to healing of hurt ganggren. At group control to show the value P = 0.020, meaning there are influence which significance of compress Nacl 09% , Savlon 2%, Perhidrol 3%, with the healing of hurt ganggren. Result of test Mann-Whitney got by value P = 0.114, meaning there no influence difference which significance of between use of compress Gajasih with the compress Nacl 09%, Savlon 2%, Perhidrol 3% to healing of hurt ganggren. Though statistically thereno influence difference of but visually is seen by the existence of difference of influence of hurt healing. Keyword : gangren, compress Nacl 0,9%, savlon 2%, perhidrol 3 %, compress gajasih.
HUBUNGAN POLA ASUH ORANG TUA DENGAN PERKEMBANGAN KOGNITIF DAN PSIKOSOSIAL ANAK USIA PRASEKOLAH DI TK PLUS MUTIARA ILMU PANDAAN PASURUAN ., Mukhoirotin; Nurul Istiqomah, Siti
Eduhealth Vol 2, No 1 (2012): Jurnal Eduhealth
Publisher : Eduhealth

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ABSTRAKUsia 5 tahun pertama merupakan usia terpenting untuk mengasah dan menstimulasi berbagai perkembangan anak, karena akan mempengaruhi kehidupan dan kepribadian individu dimasa berikutnya. Perbedaan kecepatan berkembang anak selain dipengaruhi oleh faktor genetik, juga dipengaruhi faktor lingkungan yang meliputi stimulasi, kelompok sebaya dan cinta dan kasih dari orang tua atau pola asuh. Tujuan dari penelitian ini untuk mengetahui hubungan pola asuh orang tua terhadap perkembangan kognitif dan perkembangan psikososial anak usia prasekolah di TK Plus Mutiara Ilmu Pandaan Pasuruan. Desain penelitian ini adalah analitik dengan pendekatan cross sectional. Teknik sampling yang digunakan adalah simple random sampling yang terdiri dari 34 responden. Instrument penelitian ini menggunakan wawancara dan observasi skunder. Data dianalisis dengan menggunakan uji spearman rho dengan tingkat kemaknaan α=0,05. Hasil uji spearman rho pada variabel pola asuh dan perkembangan kognitif didapatkan nilai ρ = 0,119 berarti H0 diterima yang artinya tidak ada hubungan antara pola asuh dengan perkembangan kognitif dan pada variabel pola asuh dan perkembangan psikososial diperoleh nilai ρ = 0,002 berarti H0 ditolak yang artinya ada hubungan antara pola asuh dengan perkembangan psikososial. Pola asuh sangat penting dan berpengaruh terhadap perkembangan psikososial anak. Semakin baik pola asuh orang tua maka semakin baik pula perkembangan psikososial anak, oleh karena itu dianjurkan pada orang tua untuk dapat berperan aktif dalam menstimulasi perkembangan psikososial anak dengan cara melatih dan memberi kesempatan anak untuk berkomunikasi baik dengan orang tua serta teman sebayanya.Kata kunci : pola asuh, perkembangan koginitif, perkembangan psikososial ABSTRACTThe First 5 years of age is the most important age to sharpen and stimulate a variety of child development, because it will affect their life and the days in the future. The difference of development rate besides influenced by genetic factors, is also influenced by environmental factors, including stimulation, peer group and parents’ love and care or parenting. The purpose of this study is to determine the relationship between the pattern of parental care and preschoolers’ cognitive and psychosocial development children in TK Plus Mutiara Ilmu Pandaa Pasuruan. The design of this study is analytic with cross sectional approach that exerted simple random sampling technique with the sample 34 respondents. The instrument of the study was interviews, and scunder observation. The data were analyzed using Spearman rho test with significance level of α = 0.05. The Spearman rho test on the parenting variables and the cognitive development obtained the value of ρ = 0.119 which means H0 was accepted. This implies that there is no relationship between parenting and cognitive development. Where as the test on parenting variables and psychosocial development obtained the value of ρ = 0.002 which means H0 is rejected. This shows us that there is a relationship between the patterns of parental care and psychosocial development. Parental care pattern is very important and influential on the children’s psychosocial development. The better the patterns of parental care, the better the children’s psychosocial development. There fore, it is suggested that parents play the active role in stimulating their children’s psychosocial development by training and allowing them to communicate both with their parents and peers.Keywords: koginitif development , parenting, psychosocial development
HUBUNGAN PENGETAHUAN DAN DUKUNGAN KELUARGA DENGAN KECEMASAN MENARCHE PADA REMAJA PUTRI Mukhoirotin, Mukhoirotin; Taufik, Milda Laila
Journal of Holistic Nursing Science Vol 3 No 2 (2016)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (548.152 KB)

Abstract

Abstract Menarche is an important time for a woman when puberty. Symptoms often occur during puberty is that anxiety and fear. Knowledge and family support are high is one of the forms to reduce the anxiety. The purpose of this study was to determine the relationship ofknowledge and family support with anxiety menarche in young women. The design used in this research is descriptive analytic with cross-sectional. The sample consisted of 30 respondents, the independent variable is the knowledge and family support, the dependent variable is the menarche anxiety. Sampling by using purposive sampling. Measuring devices using questionnaires, the data were analyzed using the Spearman rho test with significance level of 5% (α ≤0,05).The research concludes that there is a relationship of knowledge with anxiety menarche in adolescents (P = 0.002; r = - 0.544), family support relationships with anxiety menarche in adolescents (P = 0.002; r = - 0.536) with a negative correlation with the direction of considerable strength.Knowledge and family support the relationship with anxiety menarche. The higher the knowledge and family support of anxiety menarche decreased, and conversely the less than the knowledge and family support of anxiety menarche increased.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN MENARCHE DINI Mukhoirotin, Mukhoirotin; Sulayfiyah, Tri Nili
Journal of Bionursing Vol 2, No 1 (2020)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (23.432 KB) | DOI: 10.20884/bion.v2i1.37

Abstract

Background: The development task of the age, menarche of age commonly occured at the average of under 12 years old to 14 years old. The purpose of the present study was to analized the factors related with the early menarche.Research Methodology: The research design in this study used analytical descriptive with case control approach. The population in this study was 303 respondents, and 68 respondent was selected by simple random sampling (both in early menarche and normal menarche). The independent variable including social economy (income), adult mass media exposure, and lifestyle, the dependent variable was the incidence of early menarche. The data were collected by using questionnaire and the data were analized by using Chi Square statistical test with 5% significant level (? ? 0.05) and logistic regression.Results: The results of this study showed that 76.5% of participant who have unhealthy lifestyle were experienced early menarche, and 67.6% of the participant who exposed of adult mass media were experienced early menarche. Moreover, 85.3% of the participant who have high income of their parent said that they got early menarche. Based on Chi Square test found that there were relationship between lifestyle (p = 0.003), mass media exposure (p = 0.029), high parent income (P = 0.000) and the prevalence of early menarche. The dominant factors associated with early menarche events in adolescents were income (OR = 24.433, 95% CI: 2.148-277.885).Conclusion: Early menarche was associated with the unhealthy lifestyle, adult mass media exposure, and has a high income of their parent. The female adolecent who got early menarche should have an efforts to prevent the impact of early menarche (risk of breast cancer, uterine myoma) by controlling ideal body weight, a low-fat diet, consuming fruits, vegetables and doing exercise.
PENGARUH TERAPI AKUPRESUR DAN PIJAT OKSITOSIN TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POSTPARTUM DI RSUD JOMBANG Khabibah, Lailatul; Mukhoirotin, Mukhoirotin
Jurnal EDUNursing Vol 3, No 2 (2019): September - Maret
Publisher : Universitas Pesantren Tinggi Darul Ulum

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ABSTRACTLittle milk production in the first days of childbirth is an obstacle in breastfeeding. Efforts can be made to increase breast milk production with acupressure therapy and oxytocin massage. The purpose of this study is to prove the comparison between acupressure therapy and oxytocin massage in increasing breast milk production in postpartum mothers. The study design used quasy experiments with the Pre-Post Test Control Group Design approach. The study sample was 24 postpartum mothers who were divided into 3 groups. The sampling technique uses purposive sampling Measurement of breast milk production was measured using a Weighing Test. Data were analyzed by one way anova test and paired t-test with ? ?0.05. The result of this study showed that there was an effect of acupressure therapy and oxytocin massage on Breast Milk production in postpartum mothers p<0.05 and there was no different in effect of acupressure therapy and oxytocin massage on Breast Milk production in postpartum mother?s p>0.05. Acupressure therapy and oxytocin massage can increase the expenditure of milk production in postpartum mothers, because both of these actions stimulate the hypothalamus and continue to the anterior pituitary to release the hormone prolactin and posterior pituitary to release the hormone oxytocin, there by increasing the production and expenditure of milk.Keywords: oxytocin massage, breast milk production, post partum, acupressure therapi
PENGARUH AKUPRESUR PADA TITIK TAI CHONG DAN GUANYUAN TERHADAP PENURUNAN INTENSITAS NYERI HAID (DISMENORHEA) PADA REMAJA PUTRI Pangastuti, Dian; Mukhoirotin, Mukhoirotin
Jurnal EDUNursing Vol 2, No 2 (2018): September-Maret
Publisher : Universitas Pesantren Tinggi Darul Ulum

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Menstrual pain (dysmenorrhea) is often experienced by women who is getting menstruation period and it can bother the daily activities. Non pharmacological treatments of dysmenorrhea are using acupressure in Tai Chong and Guanyuan Point. The purpose of this research was to know the difference between the effect of Tai Chong and Guanyuan Point to reduce the pain of dysmenorrhea intensity. The research design used Quasy Experiment with Pretest-Postest Design approach and the sampling used Purposive Sampling technique. The samples were consisted of 60 respondents of female teenagers in the Islamic Boarding School Dormitory of As?Adiyah Darul 'Ulum Jombang which fulfilled the inclusion and exclusion criteria. The instrument of measuring pain was using NRS, the data were analyzed by using Wilcoxon and Mann Whitney with ? ? 0.05. The research results showed that there was an effect on the Tai Chong Point towards menstrual pain with a significant value of 0,000 (p < ?) and there was an effect of acupressure on Guanyuan Point towards menstrual pain with a significant value of 0.000 (p < ?). There was no difference between acupressure group of Tai Chong and Guanyuan Point with significant value 0.637 (p > ?). Acupressure at Tai Chong and Guanyuan Points were effective to reduce dysmenorrhea intensity, clinically the reduction of dysmenorrhea intensity was higher with the acupressure of Tai Chong Point. Key words: acupressure, dysmenorrhea, adolescent girl