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Laparotomi is a surgical procedure in which the abdominal wall layer is operated on to remove the part that is experiencing problems. One of the problems that can occur in post laparotomy patients is pain. Pain is a person's emotional experience due to tissue damage that occurs after surgery. Laparotomy postoperative pain management must include all aspects, both in pharmacological and non-pharmacological aspects because pain is not only influenced by surgical wounds but also influenced by emotions. One of the non-pharmacological treatments that can be given to laparotomy postoperative patients is early mobilization. The purpose of this study was to determine the effect of early mobilization on reducing pain intensity in postoperative laparotomy patients at Cengkareng Hospital, Belimbing Room in 2024. This research design is a quantitative study with a quasi experimental method using a one group pre-post test design approach, the sample technique uses total sampling, the samples in this study were 20 intervention group samples, the results of statistical tests with the Wilcoxon Signed Ranks Test obtained the results of the p value = 0.001 or <0.05 there is a difference between the pain scale before and after early mobilization. So it can be concluded that there is an effect of early mobilization on reducing pain intensity in patients post laparotomy surgery  

Maternal mortality in Indonesia is still dominated by three main causes of death:bleeding, hypertension in pregnancy, and infection. One high MMR may be due to complications in labor, including SC. Complications that can occur after caesarean section surgery are infections, called postoperative morbidities. The purpose of this study to determine the Factors Associated With Healing Post SC Injury At Efarina Berastagi Hospital. This research type is analytic survey research with cross sectional. The data used is using chis-quare test. The population are 36 peoples and the total sample of 36 peoples. From result of research indicate that from result of Chi-square statistic test at 95% confidence level with α = 0,05, obtained by Asymp. Sig age (0. 001), nutrition (0.041), and early mobilization (0.035) <α (0.05). The conclusion of the study is the relationship of age, nutrition and early mobilization with SC with Post Injury Healing at Efarina Berastagi Hospital in 2023. It is suggested to the hospital to further improve the quality of health service and the managerial of the house more emphasize the implementation of early mobilization for SC mother to avoid infection and to accelerate the recovery of cesarean section injection, and to nurses and midwives to provide and monitoring of the implementation of early mobilization more intensively and to observe nutritional status of post SC mother to accelerate wound healing.

Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.

Mobilization is a basic human need required by individuals to carry out daily activities in the form of joint movement, posture and gait in order to meet activity needs and maintain health. The World Health Organization (WHO) says that births by caesarean section are around 10-16% of all births in developing countries, in the last 30 years the incidence of caesarean sections has increased very rapidly, for many reasons but some also don't have the right reasons, just because the patient wants the operation or the doctor wants an easy way, in Australia around 16% to 20% of the reason for the high number of caesareans in the United States is because most obstetricians. The aim of the research was to analyze the relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The type of research used is qualitative analytic with a cross sectional approach design. The sampling technique uses accidental sampling. The number of samples used was 61 people. There is a relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The paired sample t-test showed a value of p = 0.002, meaning p<0.05. Recommendations for hospitals need to have a policy for early mobilization of patients after caesarean section. Early mobilization accelerates wound healing and shortens the period of hospital treatment, so that it is a promotion for the hospital, namely: establishing independent hospitals as the main choice with quality services.  

Fractures can lead to disabilities in individuals, which may result from trauma due to accident (Ramadhan & Pristianto, 2022)s. The purpose of this paper is to develop and apply nursing care for Mrs. M, who underwent post-operative hemiarthroplasty for a femoral neck fracture, in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. This paper utilizes a descriptive method with a focus on the nursing process approach. The results of the nursing care show that the patient reports pain at the surgical site on the upper right leg, post-operative hemiarthroplasty, with pain described as a pulling sensation in the upper right leg, at a pain scale of 6, and continuous. The client states that she can only lie in bed, with all post-operative activities being assisted by family members. She also reports that she has not received health education on early mobilization and has limited understanding of early immobilization. The nursing diagnoses identified are acute pain, impaired physical mobility, and knowledge deficit. Interventions were based on the SIKI (Nursing Care Standards) and implementation followed the planned interventions. Upon evaluation, one diagnosis—knowledge deficit—was resolved, acute pain was partially resolved, and impaired physical mobility remained unresolved. The results of the nursing care are consistent with the theory. This paper aims to improve skills in providing nursing care.  

Background: One of the effects that occurs after Sectio Caesarea surgery is complaints of pain. Data from the World Health Organization (WHO) SC prevalence is 46% in China and 25% in Asia, Europe and Latin America. Based on 2021 RISKESDAS data, the number of deliveries using the Sectio Caesarea method in Indonesia is 17.6%. The data obtained at PKU Muhammadiyah Hospital included 1045 mothers giving birth by Sectio Caesarea. Post SC pain data is mostly on the moderate pain scale with 66.0%, mild pain with 25.7%, and severe pain with 7.7%. One non-pharmacological intervention is providing early mobilization measures. Objective: To determine the results of implementing early mobilization measures to reduce the intensity of Post Sectio Caesarea pain. Method: Descriptive observational research using a case study method carried out by 2 respondents from Post SC mothers who underwent early mobilization in the first 6 hours after caesarean section until the third day. Results: The pain scale in respondents after early mobilization was on the mild pain scale. Conclusion: There is a reduction in pain for Post Sectio Caesarea mothers by early mobilization.    

Background: Sectio Caesarea (SC) is a surgical procedure to deliver a fetus by making an incision to open the abdominal wall and uterine wall or a hysterotomy to remove the fetus in the mother's womb. In recent years, normal delivery has been considered a difficult way of giving birth and tends to be dangerous for the mother and her baby. The use of Caesarean section is increasing globally, and now accounts for > 1 in 5 (21%) of all births. This number is predicted to continue to increase, almost a third (29%) of all births are estimated to be carried out via sectio in 2030. Method: This type of research is quantitative with a quasi-experimental approach. The research was conducted at the Lake Paris Health Center, Aceh Singkil Regency in 2024. The research population was all post partum mothers with cesarean sections at the Lake Paris Health Center, Aceh Singkil Regency, namely 30 people. The sampling technique used was simple random sampling. The data analysis used was univariate analysis and bivariate analysis, the analysis used was the Non-Parametric Test (Man-Whitney) with α = 0.05. Results: The results of the study showed that before the intervention was carried out, there were 3 respondents experiencing mild pain (10.0%), 14 respondents experienced Moderate pain (46.7%), and 13 respondents experienced severe pain (43.3%). After the intervention, 2 experienced no pain (6.7%), 13 experienced mild pain (43.3%), 2 experienced moderate pain (6.7%), 13 experienced severe pain (43.3%). Conclusion: The results of statistical tests obtained P value = 0.000 < 0.05, meaning that there was a significant difference before and after giving early mobilization treatment to mothers post cesarean section at the Lake Paris Health Center, Aceh Singkil Regency in 2024

Childbirth often results in perineal tears, particularly in first-time deliveries, and can also occur in subsequent births. Improper perineal care can create a moist environment due to lochia, promoting bacterial growth and increasing the risk of infection, which may delay wound healing. Complications of perineal tears include bleeding, infection, and dyspareunia. This study aimed to analyze the relationship between early mobilization and perineal wound healing in postpartum mothers in 2020. The research used an analytical survey with a cross-sectional approach, involving 30 postpartum patients at PMB Bidan Ai Duriah through total sampling. Data collection was conducted using observation sheets, and analysis was performed with the chi-square test at a 95% significance level (p < 0.05). Results indicated that most postpartum mothers (20 respondents) experienced good perineal wound healing with early mobilization. The study concludes that early mobilization plays a significant role in promoting perineal wound healing in postpartum mothers.

Background: Surgery is an invasive medical procedure to diagnose or treat a disease, which causes pain. Postoperative pain is a common and frequent problem. Early mobilization is very important as a gradual return to the previous mobilization stage. Early mobilization is carried out in stages to reduce the intensity of pain felt by the patient by carrying out early ambulation in stages from the first 8 hours. Objective: To determine the results of implementing early mobilization to reduce pain intensity in post-operative patients at the Cempaka HCU, Regional General Hospital (RSUD) Dr. Moewardi Surakarta. Method: This type of research is descriptive research in the form of a case study. Involving 2 post-operative patients. The research instrument used the Numeric Rating Scale (NRS) questionnaire. Results: research shows that before implementing early mobilization on Mr. S, an NRS score of 8 (severe pain) was obtained, while for Mrs. S obtained an NRS score of 4, likewise for Mrs. Conclusion: After applying early mobilization for 3 consecutive days to Mr.S and Mrs.N, it can be concluded that there was a decrease in the level of pain in both patients.    

Background: Pain is the reason most frequently complained by patients to seek help from a health facility and this condition almost always indicates a disease condition or pathological process. Surgery as one of the causes of pain is an invasive medical procedure used to diagnose or treat disease, injury or body deformity. Objectives: To determine the effect of early mobilization on reducing the pain scale in post-operative patients at K.R.M.T Wongsonegoro Hospital Semarang. Methods: This type of research is descriptive research in the form of a case study in November 2023 at K.R.M.T Wongsonegoro Hospital Semarang. The sample was 2 post-operative patients. Data analysis by changing the data obtained in narrative form and interpreting the results. Findings: In the first respondent, after early mobilization for 3 days, the pain scale decreased from scale 6 (moderate pain) to scale 2 (mild pain), in the second respondent, before early mobilization for 3 days, the pain scale decreased from scale 7 (severe pain) to scale 3 (mild pain). Implications: provide information for nurses and future researchers regarding early mobilization as a development of nursing interventions to reduce postoperative pain

Background: In clients post Sectio Caesaria (SC), many problems arise, including anxiety. The reason for anxiety in mothers post Sectio Caesaria (SC) is because they don't know how to care for post partum including post Sectio Caesaria (SC) wound care, breast care, exclusive breastfeeding, giving nutrition to babies, caring for newborns and anxiety because they are afraid of the stitches coming out. , afraid of infection in the wound. From this problem, activity intolerance nursing problems will arise where the client is unable to carry out daily activities independently and abnormal vital signs are found during or after activities. Early mobilization exercises are useful for improving blood circulation, preventing thromboembolism, surgical muscle stiffness, stimulates gastrointestinal function and reduces pain. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The aim is to explore nursing care for clients with acute pain problems in post SC clients. The data collection method used in this case study is descriptive, namely interviews, observation and physical examination, documentation studies and collecting results from diagnostic examinations. The results of this nursing care show that after implementing ambulation support for 3 days, the patient began to improve from being previously still lying in bed to now being able to move and be active again, the ease of carrying out daily activities increased. Walking distance increases, lower body strength increases, dyspnea during activity decreases, dyspnea after activity decreases, oxygen saturation improves, respiratory frequency improves. It was concluded that from the results of this case study over 3 visits, the problem could be resolved by teaching clients to carry out physical mobilization techniques aimed at increasing their ability to do activities. Advice for clients is that clients can maintain their physical condition.    

With a scar from a caesarean section operation sectio caesarea cause pain to the patient so the patient tends to just lie down, therefore postpartum mothers with a history sectio caesarea early mobilization care is needed. On mother sectio caesarea allowed to get out of bed no later than 24-48 hours after giving birth. one way to reduce pain in mothers after surgery sectio caesarea is by doing reflexology massage therapy. The purpose of this case study is to find out adaptation of pain levels in post-mothers sectio caesarea after reflexology massage therapy. The method used in this case study case study design with a nursing care process approach. The subjects in this case study were 2 patients, obtained from inclusion and exclusion criteria, data collection using Numerik rating scale (NRS). The case study results show that on average pain level of the two patients after being given therapeutic intervention reflexology massage for 2x8 hours, namely experiencing changes from severe pain to moderate pain and the patient looks more comfortable and relaxed. The conclusion of this case study shows that there are changes that occur after it is given reflexology therapy intervention for the two patients and experienced a decrease in the pain scale so that both patients are able to adapt to the pain what they feel.

Electronic Based on several studies, the number of caesarean sections continues to increase and with widespread news regarding the use of the ERACS method in the caesarean section process, which is believed to optimize the mother's health and comfort both before, during and after undergoing caesarean surgery, so that mobility and the birth recovery process can be improved. fast. Early mobilization is one of a series of methods and according to theory there are several things that influence the implementation of early mobilization after surgery, one of which is the impact of support from family members. This study aims to determine the relationship between family support and the ability to mobilize early in post-SC surgery patients with the ERACS method at Azra Hospital Bogor in 2023. This type of research is observational with a cross sectional design. The research sample was 45 post-caesarean section mothers at Azra Bogor Hospital. The research results showed that the majority of 35 respondents (77.8%) had good family support, there were 37 respondents (82.2%) who had early mobilization abilities, of which 10 respondents (22.25%) had poor family support There were 8 people (17.7%) who still assisted with early mobilization. With the Chi Square analysis test, the p-value = 0.001 was obtained, so there is a significant relationship between family support and early mobilization for post-SC mothers using the ERACS method at Azra Bogor Hospital in 2023. Conclusion, the better family support, the more the patient tends to mobilize, and conversely, if the family support is not good, the ability to early mobilize tend to improve

Nephrolithiasis is the formation of hard material resembling stones originating from minerals and salts in the kidneys. Risk factors for kidney stones are frequent holding in urine, obesity, lack of drinking, urinary tract infections, and heredity. The prevalence of kidney stones in Indonesia is 6 per 1000 population or 1,499,400 people suffer from kidney stones. Various medical procedures can be performed to treat kidney stone cases, one of which is surgery. Post-operative kidney stone patients generally complain of pain and experience physical immobility problems related to the presence of surgical wounds. Nurses play a role in providing nursing care by carrying out pain management and carrying out early mobilization to train the muscle system and nervous system after surgery. The aim of writing this scientific paper is to be able to apply the theory and concept of applying early mobilization to reduce pain intensity in patients with Kidney Stones Post Surgery Extended Left Pyelolithotomy and Replace DJ Stent in Anggrek C Room, Tangerang General Hospital. The writing method used is a case study with a nursing care approach. Based on the results of the study and data analysis, 3 nursing diagnoses were found, namely: pain, physical immobility disorders, and risk of infection. After intervention and evaluation for 3 x 24 hours, data was obtained that the problem of pain and physical immobility disorders was partially resolved, this was indicated by a decrease in pain intensity and increased movement of the patient's extremities, while the problem of risk of infection had not been resolved so the intervention was continued. Nurses are expected to be able to carry out comprehensive assessments, make appropriate diagnoses, plan interventions, carry out evaluations and follow-up

Background: Major surgery is a method of treatment that is most often performed to treat a medical condition or disease. World Health Organization (WHO) in 2020 the worlds laparratomy patients increase every year until 10%. In Indonesia, laparotomy cases are ranked 5th, it is recorded that the total number of operationsthere are1.2 milion peoplesand an estimated 42% of them are laparotomy surgeries. Nausea and vomiting are the two most common postoperative side effects. Early mobilization exercises can have an effect on reducing postoperative nausea and vomiting in anesthetized patients. Objective: to determine the effect of early mobilization on the frequency of nausea and vomiting due to anesthesia in post-laparotomy patients at Dharmais Cancer Hospital, Jakarta. Research Method: pre-experimental design with one group pretest posttest design. The sample size of this study was 56 post-laparotomy patients using a purposive sampling technique. Data analysis using Wilcoxon test. Results: nausea, vomiting before early mobilization in large post-laparotomy patients, mild nausea (50.0%) and after early mobilization, most of them were not nauseous (53.6%). Bivariate analysis with the Wilcoxon test obtained p-value: 0.000 (α: <0.05). Conclusion: There is an effect of early mobilization on the frequency of nausea and vomiting due to anesthesia in post-laparotomy patients at Dharmais Cancer Hospital, Jakarta.

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

Sectio Caesarea is considered very risky to be carried out by mothers who are about to give birth, due to the method that requires opening the wall or in medical terms Trans Abdominal Uterine Incision with pain that will be felt by a mother, which is a stressor that will be felt by the mother biologically which is felt physically. psychological and physical. The non-pharmacological techniques that can be used to reduce postoperative pain is early mobilization techniques. Early mobilization techniques are effective in reducing pain through several mechanisms, including eliminating the patient's concentration at the location of the pain in the operating area, reducing the activity of chemical mediators in the inflammatory process which increases the pain response. and minimize pain nerve transmission to the central nervous system. This research aims to know the results of implementationEarly Mobilization of Reducing Pain Intensity in Post Sectio Caesarea Mothers. This study used a quasi-experimental design with the pretest-posttest Nonequivalent Control Group design methodwithcase study descriptive method to 2 respondentsPost Sectio Caesarea. Based on the results of the implementation that has been done there is a decrease in pain intensity in patientspost sectio caesarea after being given the application of early mobilization.

The process of healing a good cesarean section wound is the return of the former abdominal wall incision and the general recovery of the mother's condition as before. At RSHB in 2022 the number of cesarean section deliveries is 80% per 55 deliveries, a poor healing process will cause infection in the wound area so that mothers will be delayed in caring for their children. This study aims to determine the relationship between early mobilization and wound healing process by cesarean section at RSHB.This study uses analytic observation, data collection techniques using observation sheets. The population in this study were post-cesarean section mothers at RSHB, when the researcher was in April 2022. The sampling technique was accidental sampling which was carried out by meeting or visiting as many as 30 people. Data processing is done through the process of editing, coding, tabulating, scoring and analysis.The results of the study found that there were 5 people (16.65%) who did not mobilize and 20 people (66.7%) did mobilization and 5 (16.65%) people did not experience a good healing process. The result of the chi-square test has a result of 0.00, which means that Ho is rejected, Ha is accepted, so there is a significant relationship between early mobilization and the wound healing process for cesarean section surgery.The results of the study can be concluded that there is a relationship between early mobilization and the process of wound healing by cesarean section at RSHB. It is hoped that health workers will apply more early mobilization.

               The postpartum period (puerperium) is the period after the release of the placenta until the reproductive organs recover as before pregnancy and normally the postpartum period lasts for 6 weeks or 40 days. . This study aims to determine the relationship between early mobilization and decreased uterine fundal height for postpartum women at BPM Susiyanti in 2022. This type of research is an analytic survey with a cross sectional approach. The number of samples used was 32 people. The data analysis technique uses the Chi Square test. the results obtained from 32 respondents, there is a relationship between early mobilization and acceleration of fundal height reduction in post partum mothers on the first and second days at the Independent Practice Midwife (BPM) Susiyanti.

The post partum period is a sensitive period for mothers which will affect newborn care. Mother's anxiety and fear because she is afraid of stitches that arise causes her not to mobilize early. The most important thing at this time is that midwives provide support on an ongoing basis according to the mother's needs to reduce physical and psychological tension during the postpartum period. This study aims to prove the anxiety level of perineal suture pain in post partum mothers regarding mobilization. This study used an analytic survey with a cross-sectional research design. The data collection technique was carried out by observation, namely data collection on anxiety levels was taken using the Hamilton Rating Scale for Axsiety (HRS-A) while data for perineal suture pain was obtained from a pain level questionnaire. The population was taken with a total of 37 post partum mothers and a total sample of 22 post partum mothers.