Pengaruh Latihan Miring Kanan Miring Kiri terhadap Peningkatan Peristaltik Usus pada Pasien Operasi Laparotomi: Scoping Review

Suriadi Haryanto; Rafita Ofti Sefilena

Authors

Suriadi Haryanto
Rafita Ofti Sefilena Program Studi Pascasarjana Keperawatan ITEKES Muhammadiyah Kalimantan Barat

Keywords:

Laparatomi, Miring Kanan Miring Kiri, Mobilisasi Dini, Peristaltik Usus

Abstract

Background: Postoperative paralytic ileus is a common complication after laparotomy surgery that can delay recovery and prolong hospital stays. Side-to-side turning exercises, as part of early mobilization, are frequently applied in nursing practice to stimulate intestinal motility, yet specific evidence mapping regarding this intervention remains limited. Objective: This study aims to map the scientific evidence concerning the effect of side-to-side turning exercises on increasing intestinal peristalsis in post-laparotomy patients. Methods: This scoping review follows the JBI methodological framework and PRISMA-ScR guidelines. A literature search was conducted on PubMed, ScienceDirect, and Google Scholar, with inclusion criteria for primary studies testing lateral positioning interventions in adult laparotomy patients and measuring intestinal peristalsis outcomes. Results: Five selected articles demonstrated that side-to-side turning exercises significantly (p < 0.05) accelerate the recovery of intestinal peristalsis. The most effective initiation of the exercise was found between 6 and 12 hours post-surgery, with an average duration of 30 minutes. While effective as an initial mechanical stimulation, this intervention is often combined with other mobilization activities, making it difficult to isolate its single effect. Conclusion: Side-to-side turning exercises are an effective and safe independent nursing intervention for improving intestinal peristalsis. Standardization of protocols regarding the optimal duration of lateral positioning is needed to strengthen clinical evidence in surgical nursing care.

References

Agustini, M & Pramono, Y. S. (2021). Pengaruh Mobilisasi Dini Terhadap Peristaltik Usus Pada Pasien Post Op Laparatomi. Journal Of Nursing Invention, 2(1), 40-46.

Ayamah, Romlah, S. N., Hakim, A. N., Asih, S. D., & Almaidah, S. F. (2023). Pengaruh Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Pada Pasien Operasi Laparatomi Di Rumah Sakit Umum Kabupaten Tangerang. Prosiding SENANTIAS: Seminar Nasional Hasil Penelitian Dan Pkm, 4(1), 995-1004.

Bidjuni, H & Katuuk, M. E. (2018). Pengaruh Mobilisasi Dini Terhadap Peristaltik Usus Pada Pasien Pasca Laparatomi Di RSU GMIM Pancaran Kasih Manado. E-Journal Keperawatan (E-Kp), 6(1), 1-7.

Blum, S. (2020). Postoperative Ileus In Abdominal Surgery. Surgical Clinics Of North America, 100(2), 319-332. https://doi.org/10.1016/j.suc.2019.12.003

Brown, L. (2022). Ambulation Versus Passive Movement: A Review Of Early Postoperative Physical Activity. Rehabilitation Nursing Journal, 47(3), 121-128. https://doi.org/10.1097/RNJ.0000000000000366

Chapman, A. S. (2019). The Economic Burden Of Postoperative Ileus. Journal Of Gastrointestinal Surgery, 23(1), 167-173. https://doi.org/10.1007/s11605-018-3868-y

Chen, T. (2020). The Impact Of Enhanced Recovery After Surgery (Eras) On Bowel Function Recovery In Patients Undergoing Gastrectomy. International Journal Of Surgery, 77, 18-24. https://doi.org/10.1016/j.ijsu.2020.03.013

Kim, H., Et Al. (2017). Predictors Of Prolonged Length Of Stay After Major Abdominal Surgery. World Journal Of Surgery, 41(7), 1679-1685. https://doi.org/10.1007/s00268-017-3914-y

Lai, C. M. (2018). Effect Of Enhanced Recovery After Surgery Protocol On Length Of Stay And Complications In Major Abdominal Surgery. Jama Surgery, 153(7), 675-683. https://doi.org/10.1001/jamasurg.2018.0039

Ljungqvist, O. (2017). Enhanced Recovery After Surgery (Eras): A Consensus Review Of The Key Elements And Their Implementation. Annals Of Surgery, 266(5), 901–915. https://doi.org/10.1097/SLA.0000000000002500

Nygren, J. (2015). Guidelines For Perioperative Care In Elective Colorectal Surgery: Enhanced Recovery After Surgery (Eras) Society Recommendations. Clinical Nutrition, 34(6), 1059–1071. https://doi.org/10.1016/j.clnu.2012.08.018

Rakhmawati, A., & Nu’manudin. (2025). Efektivitas Mengunyah Permen Karet Dan Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Pada Pasien Post Operasi Laparatomi (Apendisitis) Dengan General Anesthesi Di RSUD Karawang. MAHESA: Malahayati Health Student Journal, 5(11), 5161-5176. https://doi.org/10.33024/mahesa.v5i11.19719

Sitepu, S. D. E. U., Sitepu, A. L., Simarmata, P. C., Anggraeni, R. F., & Sipayung, S. T. (2021). Pengaruh Pemberian Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Pada Pasien Post Operasi Laparatomi Di Rumah Sakit Grandmed Lubuk Pakam. Jurnal Keperawatan Dan Fisioterapi (JKF), 4(1), 57-64. https://doi.org/10.35451/jkf.v4i1.827

Smith, J. R. (2021). The Failure To Isolate In-Bed Mobilization Techniques In International Randomized Controlled Trials. Journal Of Nursing Research And Practice, 4(1), 45-50.

WHO. (2018). Global Guidelines For The Prevention Of Surgical Site Infection. https://www.who.int/publications/i/item/9789241550475