OPTIMALISASI MOBILISASI DINI SEBAGAI PERCEPATAN PEMULIHAN PASIEN PASCA OPERASI: EDUKASI DI RUANG RAWAT INAP

Reni Prima Gusty; Dewi Murni; Marsi Sekar Ningrum; Verra Oktavia

doi:10.31764/jmm.v9i5.33721

OPTIMALISASI MOBILISASI DINI SEBAGAI PERCEPATAN PEMULIHAN PASIEN PASCA OPERASI: EDUKASI DI RUANG RAWAT INAP

Reni Prima Gusty, Dewi Murni, Marsi Sekar Ningrum, Verra Oktavia

Abstract

Abstrak: Mobilisasi dini merupakan intervensi bergerak sedini mungkin untuk mempercepat pemulihan dan mencegah komplikasi setelah paska operasi yang dimulai dari rumh sakit sampai ke rumah. Pengabdian masyarakat bertujuan memberikan pengetahuan, meningkatkan kemampuan pasien untuk melakukan mobilisasi sedini mungkin. Kegiatan ini melibatkan 10 orang pasien paska operasi dan keluarganya di Ruang Rawat Bedah di sebuah Rumah Sakit. Untuk menilai peningkatan keterampilan (skill) mitra, dapat digunakan kombinasi beberapa metode evaluasi yaitu pre-test dan post-test untuk menilai pengetahuan mitra sebelum dan sesudah diberikan edukasi, observasi langsung untuk menilai keterampilan mitra dalam mempraktikkan mobilisasi dini dan Checklist keterampilan digunakan sebagai instrumen standar untuk menilai langkah-langkah prosedur mobilisasi dini. Hasil didapatkan peningkatan pengetahuan baik dari 57 % menjadi 100% serta pasien mampu melakukan mobilisasi dini secara mandiri dengan sedikit bantuan. Hasil edukasi kesehatan terbukti meningkatkan pengetahuan dan keterampilan mobilisasi dini pasien paska operasi. Melalui kegiatan ini penting untuk menyediakan modul yang bisa dijadikan panduan bagi pasien dan keluarga di rumah. keterlibatan keluarga menjadi poin penting untuk mempercepat pemulihan.

Abstract: Early mobilization is an intervention that involves moving as early as possible to accelerate recovery and prevent post-operative complications, starting from the hospital and continuing at home. Community service aims to provide knowledge and improve patients' ability to mobilize as early as possible. This activity involves 10 post-operative patients and their families in the Surgical Ward of a hospital. The method used was to provide information through education, demonstrations, and redemonstrations of early mobilization actions for post-operative patients, targeting both 10 patients and their families. The results showed an increase in knowledge from 57% to 100%, and patients were able to perform early mobilization independently with minimal assistance. The outcomes of health education demonstrate a noteworthy influence on enhancing patients' understanding and proficiency concerning the need of prompt mobilisation following surgery. Through this activity, it is important to provide modules that can serve as a guide for patients and families at home. Family involvement is a crucial point for accelerating recovery.

Keywords

Early Mobilization; Postoperative Recovery; Health Education; Postoperative Patients.

Full Text:

DOWNLOAD [PDF]

References

Adogwa, O., Elsamadicy, A. A., Fialkoff, J., Cheng, J., Karikari, I. O., & Bagley, C. (2017). Early Ambulation Decreases Length of Hospital Stay, Perioperative Complications and Improves Functional Outcomes in Elderly Patients Undergoing Surgery for Correction of Adult Degenerative Scoliosis. Spine, 42(18), 1420–1425. https://doi.org/10.1097/BRS.0000000000002189

Ali S. Alsuwailem, & Alessa, R.A. (2023). Comparing the impact of early versus delayed mobilization on recovery outcomes in post-surgical patients: A quantitative analysis. Zenodo. https://doi.org/10.5281/ZENODO.13253497

Daiyana, I., Hermansyah, H., Raharjo, S. B., & Hanum, L. (2024). Mobilisasi dini dan proses penyembuhan luka post operasi abdominal pada fase inflamasi. Journal Keperawatan, 3(1), 44–52. https://doi.org/10.58774/jourkep.v3i1.63

Desy Rahayu, Susanto, A., & Wirakhmi, I. N. (2024). Early mobilization training education for sectio caesarea patients. Java Nursing Journal, 2(3), 313–323. https://doi.org/10.61716/jnj.v2i3.69

Dewiyanti, D., Wirda, W., Suardi, S., Oktaviana, D., & Alwi, A. (2022). Pengaruh penyuluhan mobilisasi dini terhadap pengetahuan pelaksanaan mobilisasi dini pada pasien post operasi di BLUD RSUD H. Padjonga Daeng Ngalle, Kabupaten Takalar. Jurnal Kesehatan Medika Udayana, 8(1), 10–21. https://doi.org/10.47859/jmu.v8i01.200

Gusty, R. P. (2023). Peningkatan pengetahuan dan kemampuan keluarga dalam melatih anggota gerak pasien pasca stroke melalui pendampingan perawat. JMM (Jurnal Masyarakat Mandiri), 7(5), 4336–4344. https://doi.org/10.31764/jmm.v7i5.16961

Henry, M., Poyser, T., & Bampoe, S. (2017). The surgical epidemic. British Journal of Hospital Medicine, 78(11), 612–615. https://doi.org/10.12968/hmed.2017.78.11.612

Hu, Y., McArthur, A., & Yu, Z. (2019). Early postoperative mobilization in patients undergoing abdominal surgery: A best practice implementation project. JBI Database of Systematic Reviews and Implementation Reports, 17(12), 2591–2611. https://doi.org/10.11124/JBISRIR-D-19-00063

Kirtil, İ., & Kanan, N. (2023). Early and targeted mobilization after surgical interventions. Balıkesir Medical Journal, 7(2), 41–55. https://doi.org/10.33716/bmedj.1381699

Khomsan, A., Rifayanto, R. P., Firdausi, A., Syaffa, A., Adha, A. S. A., Herdiana, E., Wibowo, Y., Nuranti, A., Afrilda, Y., & Hasanah, N. (2024). Supplemental feeding and nutrition education to reduce stunting in Indonesian toddlers – The DASHAT programme. Progress in Nutrition, 26(1), Article e2024013. https://doi.org/10.23751/pn.v26i1.15270

Rhamelani, P., Mahdhiya, N., Yoviana, I., Jessica, J., & Komariah, M. (2025). Early mobilization in post-orthopedic surgery patients: A scoping review. Journal of Multidisciplinary Healthcare, 18, 305–317. https://doi.org/10.2147/JMDH.S483232

Rodi, P., Maoate, K., Tangi, V. T., & Chu, K. M. (2023). Essentials of global surgery. In M. C. B. Raviglione, F. Tediosi, S. Villa, N. Casamitjana, & A. Plasència (Eds.), Global health essentials (pp. 333–340). Springer International Publishing. https://doi.org/10.1007/978-3-031-33851-9_51

Simsek Yaban, Z., Bulbuloglu, S., Kapikiran, G., Gunes, H., Kula Sahin, S., & Saritas, S. (2024). The effect of bed exercises following major abdominal surgery on early ambulation, mobilization, pain and anxiety: A randomized‐controlled trial. International Wound Journal, 21(2), e14406. https://doi.org/10.1111/iwj.14406

Svensson-Raskh, A., Schandl, A., Holdar, U., Fagevik Olsén, M., & Nygren-Bonnier, M. (2020). “I have everything to win and nothing to lose”: Patient experiences of mobilization out of bed immediately after abdominal surgery. Physical Therapy, 100(12), 2079–2089. https://doi.org/10.1093/ptj/pzaa168

Tazreean, R., Nelson, G., & Twomey, R. (2022). Early mobilization in enhanced recovery after surgery pathways: Current evidence and recent advancements. Journal of Comparative Effectiveness Research, 11(2), 121–129. https://doi.org/10.2217/cer-2021-0258

Twomey, R., Matthews, T. W., Nakoneshny, S. C., Schrag, C., Chandarana, S. P., Matthews, J., McKenzie, D., Hart, R. D., Li, N., Dort, J. C., & Sauro, K. M. (2021). From pathways to practice: Impact of implementing mobilization recommendations in head and neck cancer surgery with free flap reconstruction. Cancers, 13(12), Article 2890. https://doi.org/10.3390/cancers13122890

WHO. (2020). World health statistics 2023: Monitoring health for the SDGs, sustainable development goals; health for all. World Health Organization. https://www.who.int/publications/i/item/9789240074323

Widiastuti, A., Rahmasari, I., Budiati, D., Ulkhasanah, E., & Kartikasari, A. Y. (2023). The effect of early mobilization exercise on the level of independence on patients after post-operative femur fracture. In Proceedings of the International Conference on Science, Health, and Technology (pp. 309–315). https://doi.org/10.47701/icohetech.v4i1.3408

Yayla, A., & Özer, N. (2019). Effects of early mobilization protocol performed after cardiac surgery on patient care outcomes. International Journal of Nursing Practice, 25(6), e12784. https://doi.org/10.1111/ijn.12784

DOI: https://doi.org/10.31764/jmm.v9i5.33721