Effectiveness of Peppermint Aromatherapy in Reducing the Incidence of PONV in Post-Anesthesia Bone Patients
Abstract
Post Operative Nausea and Vomiting (PONV) is a common complication after surgery with spinal anesthesia, with an incidence reaching 20–30%. PONV can prolong hospitalization, increase treatment costs, and reduce patient comfort. Peppermint aromatherapy is an effective, easy, and patient-accepted alternative to reduce PONV symptoms. Peppermint contains menthol which is carminative and antispasmodic, and can provide a relaxing effect through stimulation of the central nervous system. Objective to determine the effect of peppermint aromatherapy on the incidence of PONV in patients after spinal anesthesia. Method: This study was a quasi-experiment with a pre and post test design without control. Thirty post-spinal anesthesia patients were given peppermint aromatherapy, then PONV incidence was measured before and after the intervention using the Gordon scale. Data analysis used the Wilcoxon test. Results: Peppermint aromatherapy has been proven to be effective in reducing the incidence of PONV in patients after spinal anesthesia. Of the 30 respondents, the majority experienced nausea (73.3%) and vomiting (26.7%) before the intervention. After aromatherapy, 36.7% did not experience symptoms, and only 6.7% still vomited. The Wilcoxon test showed a significant difference (p = 0.000), indicating that peppermint aromatherapy was statistically effective in reducing PONV. Conclusions: Peppermint aromatherapy is effective in reducing the incidence of PONV in post-spinal anesthesia patients, as indicated by a decrease in nausea and vomiting symptoms after the intervention.
References
Amirshahi, M., Behnamfar, N., Badakhsh, M., Rafiemanesh, H., Keikhaie, K., Sheyback, M., & Sari, M. (2020). Prevalence of postoperative nausea and vomiting: A systematic review and meta-analysis. Saudi Journal of Anaesthesia, 14(1), 48–56. https://doi.org/10.4103/sja.SJA_401_19
Arif, T., Ciptaningtyas, M. D., Mudviyanti, N. N., & Solikhah, F. K. (2024). Reduction of Postoperative Nausea and Vomiting Induced by Spinal Anesthesia: Peppermint and Lavender Aromatherapies as Complementary Therapies. Folia Medica Indonesiana, 60(4), 281–287. https://doi.org/10.20473/fmi.v60i4.58836
Apfel, C. C., Heidrich, F. M., Jukar-Rao, S., Jalota, L., Hornuss, C., Whelan, R. P., Zhang, K., & Cakmakkaya, O. S. (2012). Evidence-based analysis of risk factors for postoperative nausea and vomiting. British Journal of Anaesthesia, 109(5), 742–753. https://doi.org/10.1093/bja/aes276
Ayubbana, S., & Hasanah, U. (2021). Efektifitas aromaterapi peppermint terhadap mual muntah pada pasien kanker payudara yang menjalani kemoterapi. Holistik Jurnal Kesehatan, 15(1), 1–7. https://doi.org/10.33024/hjk.v15i1.3313
Farhat, K., Waheed, A., Pasha, A. K., Iqbal, J., & Mansoor, Q. (n.d.). Effect Of Smoking On Nausea , Vomiting And Pain. 28(3), 277–281.
Gan, T. J., Diemunsch, P., Habib, E. S., Kovac, A., Kranke, P., Meyer, T. A., ... & Watcha, M. (2014). Consensus guidelines for the management of postoperative nausea and vomiting. Anesthesia & Analgesia, 118(1), 85-113.
Hayati, F. K. (2019). Pengaruh Pemberian Aromaterapi Peppermint Terhadap Nausea Pada Pasien Post Operasi Sectio Caesarea Dengan Anestesi Spinal Oleh : Fitri Kurnia Hayati Abstrak. Journal of Chemical Information and Modeling, 53(9), 1689–1699.
Klase, S., Pinzon, R. T., & Meliala, A. (2016). Penerapan Surgical Safety Checklist Who Di Rsud Jaraga Sasameh Kabupaten Barito Selatan. Berkala Ilmiah Kedokteran Duta Wacana, 1(3), 173. https://doi.org/10.21460/bikdw.v1i3.25
Lestishiyami, L., & Lintang, R. (2024). Faktor-Faktor Yang Berhubungan Dengan Kejadian Ponv Pada Pasien Pasca Anestesi Umum Di Rumah Sakit Islam Banjarnegara Lesy. 10(April), 689–695.
Macdougall, M. R., & Sharma, S. (2019). Physiology , Chemoreceptor Trigger Zone.
Mardhiah, A. (2021). Faktor Yang Meningkatkan Kejadian Post-Operative Nausea And Vomiting ( Ponv ) Pada Pasien Laparatomi. 4(2), 58–69.
Millizia, A., Sayuti, M., & , Triana Puti Nendes, M. B. R. (2021). Faktor-Faktor Yang Berhubungan Dengan Kejadian Postoperative Nausea And Vomiting Pada Pasien Anestesi Umum Di Rumah Sakit Umum Cut Meutia Aceh Utara. 7(2), 13–23.
Millizia, A., Yudhi Iqbal, T., & Futtaqi, P. (2022). Perbedaan Sensitivitas Spesifisitas Skor Apfel Dan Skor Koivuranta Sebagai Prediktor Kejadian PONV Dengan Anestesi Umum. COMSERVA Indonesian Jurnal of Community Services and Development, 2(6), 874–883. https://doi.org/10.59141/comserva.v2i6.417
Mulyasih, A. A. R., & Ching Cing, M. T. G. (2024). Hubungan Usia dan Lama Pembedahan dengan Kejadian Ponv Pada Pasien dengan Anestesi Spinal di RSUD 45 Kuningan. MAHESA : Malahayati Health Student Journal, 4(1), 155–167. https://doi.org/10.33024/mahesa.v4i1.12388
Oroh, A., Yudono, D. T., & Siwi, A. S. (2022). Pengaruh Elevasi Kaki Terhadap Tekanan Darah Pada Pasien Sectio Caesaria Dengan Spinal Anestesi Di Instalasi Kamar Bedah Rumah Sakit Tk.Ii Robert Wolter Mongisidi Manado. Jurnal Inovasi Penelitian, Vol.3 No.7(7), 6857–6864.
Rustanti, M. (2019). Pengaruh Pemberian Aromaterapi Peppermint Terhadap Mual Muntah Pasca Operasi Spinal Anestesi Di Rsud Kota Yogyakarta. Skripsi: Poltekkes Kemenkes Yogyakarta
Stea, S., Beraudi, A., & De Pasquale, D. (2014). Essential oils for complementary treatment of surgical patients: State of the art. Evidence-Based Complementary and Alternative Medicine, 2014. https://doi.org/10.1155/2014/726341
Sudjito, M. H., & Setyawati, T. (2018). Continuing Professional Development Akreditasi PP IAI-2 SKP Kejadian Mual Muntah Pasca-Laparatomi (PONV) setelah Pemberian Granisetron Dibandingkan setelah Pemberian Kombinasi Ondansetron-Deksametason. 45(3), 172–175.
Widyanti, I. N., Keperawatan, J., Kesehatan, P., & Yogyakarta, K. (2024). Faktor risiko ponv menurut assesment koivuranta pada pasien bedah saraf. 18(3), 115–122. https://doi.org/10.36082/qjk.v18i2.
Copyright (c) 2025 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



