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Providing passive ROM to the extremities can help improve blood circulation, improve respiratory function, and support the recovery of consciousness as assessed using the Aldrete Score. The purpose of this study was to determine the effect of providing early passive ROM mobilization of the extremities on changes in the Aldrete score in patients after general anesthesia. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 57 respondents. The intervention provided was early passive ROM mobilization. The Aldrete score was measured before and after the intervention. Data analysis used the Wilcoxon signed rank test with a significance level of α = 0.05. The results showed that the average Aldrete score before the intervention was 5.89 and after the intervention increased to 9.26. The results of the statistical test showed a p value = 0.0001 (p <0.05), which means that there is a significant effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia. From this study, it can be concluded that there is an effect of providing early passive ROM mobilization of the extremities on increasing the Aldrete score after general anesthesia.

A decrease in the height of the uterine fundus is an important indicator of a normal uterine involution process after childbirth. Delayed reduction of fundal height may lead to uterine subinvolution, which increases the risk of postpartum hemorrhage, particularly in post–cesarean section mothers. Early breastfeeding and early mobilization are recommended interventions to support uterine contraction, prevent vaginal bleeding, and accelerate uterine involution. This study aimed to examine the effect of early breastfeeding and early mobilization on reducing the height of the uterine fundus in post–sectio caesarea mothers treated in the Amaryllis SMC Room at Telogorejo Hospital. The study employed a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of 523 post–cesarean section mothers hospitalized at SMC Telogorejo Hospital between January and November 2023. Data were collected using structured observation sheets to measure fundal height before and after the interventions. The results showed that the average uterine fundal height before early breastfeeding and early mobilization was 19.74 cm above the symphysis, while after the interventions it decreased to an average of 12.49 cm above the symphysis. Statistical analysis indicated a significant effect of early breastfeeding and early mobilization on the reduction of uterine fundal height (p = 0.000). These findings highlight the importance of implementing early breastfeeding and mobilization as part of postpartum nursing care to support uterine involution and reduce the risk of complications in post–cesarean section mothers.

Postoperative pain is a common clinical condition experienced by patients after surgical procedures and may hinder the recovery process if not properly managed. In addition to pharmacological therapy, safe and effective non-pharmacological interventions are needed, one of which is early mobilization. This study aimed to analyze the effect of early mobilization on pain reduction in postoperative surgical patients. A scoping review method was conducted based on the Arksey and O’Malley framework. Literature searches were performed using ScienceDirect, PubMed, and Google Scholar databases with a PICO strategy, including articles published within the last five years. From a total of 167,948 identified articles, 10 studies met the inclusion criteria and were included in the analysis. The results showed that early mobilization performed gradually and according to patients’ clinical conditions had a significant effect on reducing postoperative pain intensity. In addition, early mobilization was associated with improved comfort, enhanced functional recovery, and faster postoperative rehabilitation without increasing the risk of complications. Although variations were found in the timing and type of mobilization across studies, overall evidence supports that early mobilization is safe and effective. In conclusion, early mobilization can be recommended as an evidence-based nursing intervention for postoperative pain management.

Pasien CHF sering mengalami intoleransi aktivitas akibat kelelahan dan sesak napas. Salah satu intervensi untuk mengatasi masalah tersebut adalah mobilisasi dini. Tujuan penerapan mobilisasi dini ini adalah untuk menganalisis efektifitas mobilisasi dini terhadap tekanan darah, denyut nadi dan saturasi oksigen. Metode penelitian ini menggunakan Studi Kasus. Jumlah responden penerapan ini berjumlah 2 pasien terbagi menjadi pasien intervensi dan pasien kontrol. Hasil penerapan menunjukkan setelah dilakukan mobilisasi dini kepada pasien intervensi didapatkan peningkatan tekanan sistolik sebesar 10 mmHg dan diastolik sebesar 10 mmHg. Sedangkan pasien kontrol terjadi peningkatan tekanan sistolik sebesar 10 mmHg, namun tekanan diastolik tetap. Denyut nadi pada pasien intervensi mengalami peningkatan 18x/menit. Sedangkan pasien kontrol terjadi peningkatan 23x/menit. Saturasi oksigen pada pasien intervensi mengalami kenaikan 5% dan pasien kontrol tidak mengalami kenaikan pada saturasi oksigen. Jadi dapat disimpulkan dari penerapan ini bahwa ada pengaruh mobilisasi dini terhadap tekanan darah, denyut nadi dan saturasi oksigen di ruangan krisan RSUD Arifin Achmad. Disarankan kepada perawat dan pihak rumah sakit agar tetap dapat mengembangkan penerapan mobilisasi dini menjadikan intervensi ini sebagai rujukan asuhan keperawatan dalam mengendalikan status hemodinamik.  

Sectio caesarean (SC) is a major surgical procedure performed to save the mother and baby when normal delivery is not possible. However, this procedure may cause postoperative complications such as impaired physical mobility due to pain, muscle weakness, and anesthesia effects. These limitations can delay the healing process, increase the risk of infection, and reduce the mother's self-care ability. One effective non-pharmacological intervention to accelerate recovery is early mobilization through Range of Motion (ROM) exercises. This case study aims to analyze the effectiveness of early mobilization (ROM) intervention on improving mobility and reducing pain in post-sectio caesarean mothers. The study was conducted in June 2025 at RSUD Kajen with three respondents who underwent SC for different obstetric indications (postterm, CPD, and severe preeclampsia). The research design used a descriptive case study with pre–post intervention approach. The results showed that after performing ROM exercises gradually from six hours post SC, pain intensity decreased from a scale of 7–8 to 1–3 within three days. Mobility ability improved from only being able to turn sideways to sitting and walking with assistance. Respondents also showed increased motivation and independence in self-care activities. In conclusion, early mobilization (ROM) intervention is effective in accelerating recovery for post-sectio caesarean mothers. This intervention helps reduce pain, improve circulation, strengthen muscles, and enhance psychological adaptation. Early mobilization should be applied as part of routine nursing interventions in the postpartum ward.

Sectio Saesarea is a way of delivering a fetus by making an incision in the uterine wall through the front wall of the abdomen or vagina or SC is a hysterotomy to deliver a fetus in the uterus (Batara, 2022, p.1). SC is known as one of the procedures that can save both mother and baby. SC can effectively prevent death and disability in mothers and newborns. SC is performed on 3 indication factors, namely maternal, fetal and obstetric factors themselves. The problem that usually arises after SC is pain. Patients after sectio caesarea surgery will feel pain when the effects of anesthetic drugs have disappeared (Solehati & Kosasih, 2015). Postoperative pain after anesthesia is a common complication and will appear 1-3 hours (Saputra, at, al.2023). Pain appears due to the release of pain receptors due to the disconnection of tissue continuity due to the incision process during surgery. Post SC patients usually complain of pain in the abdominal incision area (Wahyuningsih et al., 2022). Pain in patients must be treated immediately so as not to interfere with the mother's activities. There are 2 pain management, namely pharmacological and non-pharmacological. Pharmacological therapy is carried out by administering drug therapy to reduce pain. Non-pharmacological therapy that can be done to reduce pain is one of them early mobilization. Early mobilization after cesarean section is a movement, position or activity carried out by the mother several hours after giving birth by cesarean section (Mawarni, 2018). Early mobilization techniques are very effective in relieving pain. Early mobilization is recommended for post-SC mothers, because it can increase the independence of post-SC patients, as well as support the wound healing process, and reduce pain (Dirgahayu, 2019). Early mobilization interventions can help patients reduce the pain scale felt postoperatively. Case studies using descriptive methods with a nursing process approach were carried out on 3 respondents of post op pregnant women using the One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed a decrease in the pain scale in respondents after being given early mobilization interventions. 

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  

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

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: 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.

Nyeri merupakan pengalaman pribadi yang diekspresikan secara berbeda. Tindakan medis yang sering menimbulkan nyeri adalah pembedahan. Pasien pasca operasi memerlukan perawatan yang maksimal untuk mempercepat pengembalian fungsi tubuh, dengan pemberian intervensi mobilisasi dini. Latihan mobilisasi dini ini dilakukan mulai 8 jam – 24 jam pasca oprasi. Penelitian ini bertujuan untuk menggambarkan penerapan pemberian latihan mobilisasi dini untuk penurunan tingkat nyeri pada pasien pasca operasi. Penelitian ini merupakan penelitian deskriptif dengan metode pendekatan pada satu kasus. Pengukuran skala nyeri post operasi ini menggunakan skala Numeric Rating Scale. Metode pegumpulan data yang digunakan yaitu menggunakan lembar observasi dan sop mobilisasi dini dengan kriteria inklusi pasien 8 jam post operasi. Jumlah sampel yang digunakan adalah 2 orang, Tingkat nyeri numeric rating scale 7-9 (nyeri berat), Berdasarkan analisa data didapatkan hasil bahwa tingkat nyeri responden I dari skala 7 (nyeri berat) menurun menjadi skala 4 (nyeri ringan), responden II dari skala 7 (nyeri berat) menurun menjadi 5 (nyeri sedang). Hasil diatas menunjukan bahwa kedua subjek penelitian mengalami penurunan skala nyeri yang signifikan dari skala berat menjadi skala sedang. Penerapan mobilisasi dini terhadap penurunan skala nyeri pada pasien pasca operasi direkomendasika sebagai penerapan terapi yang efektif dalam menurunkan skala nyeri.

Lip balm merupakan sediaan yang diaplikasikan pada bibir yang berfungsi sebagai pelembab dan pencerah bibir. Tanaman Mentimun dan jeruk nipis dapat dimanfaatkan untuk mencerahkan kulit, khususnya kulit yang kering dan juga kulit yang menghitam akibat penggunaan kosmetik yang salah. Tujuan penelitian untuk mengetahui kombinasi perasan buah mentimun dan jeruk nipis sebagai pencerah bibir dan mengetahui formulasi dari kombinasi perasan buah mentimun dan jeruk nipis yang memiliki sifat yang baik. Metode penelitian ini adalah metode penelitian kuantitatif. Jenis penelitian ini adalah penelitian eksperimen meliputi formulasi sediaan lip balm dengan konsentrasi perasaan buah mentimun (Cucumis sativus L.) dan buah jeruk nipis (Citrus aurantifolia) konsentrasi 5%, 6% dan 7%. Dengan bahan dasar oleum cacao dan cera flava. Pemeriksaan mutu fisik sediaan meliputi pemeriksaan organoleptis, homogenitas, pH, daya sebar, stabilitas, suhu lebur, dan iritasi. Hasil penelitian menunjukan bahwa perasan buah mentimun dan buah jeruk nipis dapat diformulasikan kedalam bentuk sediaan lip balm dengan konsentrasi 5% (F1), 6% (F2), 7% (F3) dan telah memenuhi persyaratan uji homogenitas, titik lebur sediaan dan tidak mengiritasi kulit. Karakteristik buah mentimun dan buah jeruk nipis yang dapat membentuk sediaan lip balm yang baik yaitu sediaan ketiga karena dilihat dari hasilnya warna pada bibir lebih banyak menunjukan kecerahan dan juga kelembaban.

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.