Publication Search

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.