Pengaruh Early Mobilization Terhadap Kekuatan Otot Dan Tingkat Nyeri Pada Pasien Post Operasi Orif  Di RSUD Karsa Husada Batu

Tyo Herfindo Putra; Marsaid Marsaid; Erlina Suci Astuti; Roni Yuliwar

doi:10.30651/jkm.v11i1.27968

Penulis

Tyo Herfindo Putra Poltekkes Kemenkes Malang
Marsaid Marsaid Poltekkes Kemenkes Malang
Erlina Suci Astuti Poltekkes Kemenkes Malang
Roni Yuliwar Poltekkes Kemenkes Malang

DOI:

https://doi.org/10.30651/jkm.v11i1.27968

Kata Kunci:

Early mobilization, Muscle strength, Pain, ORIF

Abstrak

ABSTRACT

Objective: The number of patients undergoing fracture surgery with Open Reduction and Internal Fixation (ORIF) continues to increase each year, accompanied by postoperative complications such as pain, decreased muscle strength, and limited mobility. Early mobilization is considered an effective intervention to prevent these complications. This study aimed to determine the effect of early mobilization on muscle strength and pain reduction in postoperative ORIF patients.

Methods: This research employed a quasi-experimental design with a pre- and post-test approach. The sample consisted of 16 patients in each group, selected using the Federer formula. The intervention group received early mobilization and analgesics, while the control group received analgesics only. Muscle strength was measured using the Manual Muscle Testing (MMT) scale, and pain levels were assessed using the Numerical Rating Scale (NRS). Data were analyzed using the Wilcoxon test with a significance level of <0.05.

Results: The early mobilization group showed an improvement in muscle strength to level 3 in 68.8% of patients and a significant reduction in pain, with 87.5% of patients reporting mild pain. In contrast, the control group reached only level 2 muscle strength in 87.5% of patients, and only 31.3% experienced mild pain. The p-values were 0.002 for muscle strength and 0.001 for pain level

Conclusion: Early mobilization is more effective than standard care in improving muscle strength and reducing pain in postoperative ORIF patients. Failure to implement early mobilization may lead to complications such as joint stiffness, contractures, muscle weakness, and circulatory issues that increase the risk of thrombosis. It is recommended that ward nurses provide education and implement early mobilization interventions in accordance with standard operating procedures.

Referensi

Adhi, I. A. M., Zarkasyi, T. G., & Wijaya, A. (2020). Pengaruh Pemberian Teknik Relaksasi Guided Imagery Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Sectio Caesarea Di RSUD dr. R. Soedjono Selong. Prima, 6(2), 54–60.

Agung Prasetia, M., Puri, A., Murhan Poltekkes Kemenkes Tanjungkarang, A., & Korespondensi Penulis, I. (2023). Pengaruh pemberian edukasi pengetahuan operasi dengan kecemasan preoperasi pasien pada tindakan spinal anestesi. In JOURNAL OF Qualitative Health Research & Case Studies Reports (Vol. 3, Issue 1).

Akmal Fajar, M., Ade Susana, S., & Kemenkes Yogyakarta, P. (2023). Surah Ar-Rahman Murottal Therapy Reduce Anxiety Of Patients In Preoperative Sectio Caesarea With Spinal Anesthesia. In Politeknik Kesehatan Makassar (Vol. 14, Issue 2).

Apriyati, N., & Endarwati, T. (2021). Anaesthesia Nursing Journal The Effect of Giving Asmaul Husna Therapy to The Level of Anxiety of Pre Spinal Anesthesia Surgery Patient in PKU Muhammadiyah Hospital of Yogyakrta. Sari Candra Dewi Anaesthesia Nursing Journal, 78–85. https://doi.org/10.29238/anj.v1i1.1165

Atika Fadhilla, & Abrar Abrar. (2024). Spinal Anestesi Pada Tindakan Transuretral Resection Of Prostat (TURP). JURNAL RISET RUMPUN ILMU KEDOKTERAN, 3(1), 09–17. https://doi.org/10.55606/jurrike.v3i1.2612

Candra Susanto, P., Ulfah Arini, D., Yuntina, L., Panatap Soehaditama, J., & Nuraeni. (2024). Konsep Penelitian Kuantitatif: Populasi, Sampel, dan Analisis Data (Sebuah Tinjauan Pustaka). Jurnal Ilmu Multidisiplin, 1, 1–12. https://doi.org/10.38035/jim.v3i1

Dahlan, S. (2014). Statistik Untuk Kedokteran dan Kesehatan (W. Kurniawan, Ed.; 6th ed., Vol. 1). Epidemiologi Indonesia.

Eddy Sarwono, A., & Asih Handayani MSi, A. (2021). Metode Kuantitatif (1st ed.). UNISRI Press.

Fitri Khumaira, N., & Wahyuni, A. (2024). Ketidaktepatan Kode Diagnosis Kasus Bedah RSU ’Aisyiyah berdasarkan ICD-10. Jurnal Rekam Medik Dan Informasi Kesehatan, 5(4), 299–306. https://doi.org/10.25047/j-remi.v5i4.5080

Frida Yustika, F., Mardalena, I., & Endarwati, T. (2021). Differences in Deep Breathing Relaxation Techniques with Lavender Aromatherapy on the Intensity of Spinal Anesthesia Needle Puncture Pain. ANJ, 1(1), 2023. https://doi.org/10.29238/anj.v1i1.1156

Hamarno, R., Arif, T., Ayu Oktavia, D., & Supono. (2024). Manfaat Teknik Relaksasi Napas Dalam Untuk Menurunkan Kecemasan Pasien Pre Operasi General Anastesi. Jurnal Keperawatan Muhammadiyah, 9(3), 2024.

Kurnia Sari, Y., Husna, N., Nelli, S., & Handayani, M. (2024). Pengaruh Terapi Finger Hold Terhadap Tingkat Kecemasan Pasien Pre Operasi Sectio Caesarea di Instalasi Bedah Sentral. Menara Ilmu, 18(2), 58–64.

Kustiawan, R., & Hilmansyah, A. (2017). Kecemasan Pasien Pre Operasi Bedah Mayor.

Laily, F., Puspitasari Sugiyanto, E., & HeruP, W. (2022). Penerapan Guided Imagery Untuk Mengatasi Kecemasan Pada Pasien Stroke. Jurnal Manajemen Asuhan Keperawatan, 6(1), 47–52.

Liyana Octa Sari, N., Tri Yudono, D., & Novitasari, D. (2024). Pengaruh Pemberian Terapi Guided Imagery Terhadap Kecemasan Pada Pasien Pre Operasi Sectio Caesarea. Penelitian Perawat Profesional, 6(2), 675–682. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP

Mahmudi, F. A., Muhammad, Z., Fahrany, F., Tinggi, S., Kesehatan, I., & Malang, K. (2020). Terapi Musik Sebagai Metode Untuk Menurunkan Intensitas Nyeri Pasien Post Operasi : A Literature Review Music Therapy As A Method To Decrease Pain Intensity In Post Operating Patient : A Literature Review. Nursing Sciences Journal, 4(2).

Moonti, M. A. (2023). Efektivitas support system keluarga terhadap penurunan tingkat kecemasan pasien pre operatif di ruang bedah RSUD Gunung Jati Cirebon. Journal of Nursing Practice and Education, 3(2), 112–118. https://doi.org/10.34305/jnpe.v3i2.656

Mukhid, A. (2021). Metodologi Penelitian Pendekatan Kuantitatif (S. R. Wahyuningrum, Ed.; 1st ed.). CV. Jakad Media Publishing.

Mumtahanah, S., & Aliza, N. F. (2022). Terapi Doa Dalam Pelayanan Pembinaan Spiritual Islam Untuk Mengurangi Tingkat Kecemasan Pasien Persalinan di Rumah Sakit. Al-Ittizaan: Jurnal Bimbingan Konseling Islam, 5(2), 58. https://doi.org/10.24014/ittizaan.v5i2.15943

Mustakim, I., Wijayanti, C. A., & Azizah, N. (2023). Upaya menumbuhkan Kepercayaan Diri Pasien Pra Oprasi Melalui Terapi Sholat Dan Dzikir. Assertive: Islamic Counseling Journal, 02(1), 49–60.

Nasution, N. A., & Chalil, M. J. A. (2021). Literature Review Tingkat Kecemasan Pre Operatif Pada Pasien - Pasien Yang Diajarkan Doa Sebelum Dan Sesudah Menjalani Tindakan Anestesi Dan Operasi Elektif. Jurnal Ilmiah Maksitek, 6(2), 17–23.

Nawangsih, E., & Achmad, G. H. (2022). Analisis Metode Happy When Sick (HWS) dalam Bimbingan Rohani di Rumah Sakit. EDUKATIF : JURNAL ILMU PENDIDIKAN, 4(2), 3034–3044. https://doi.org/10.31004/edukatif.v4i2.2650

Oktarini, S., & Prima, R. (2021). Faktor-Faktor Yang Berhubungan Dengan Tingkat Kecemasan Pasien Fraktur Pre Operasi. Al-Asalmiya Nursing, 10(1), 54–62. https://jurnal.stikes-alinsyirah.ac.id/index.php/keperawatan/

Oktavika Maharani, A., & Maliya, A. (2024). Pengaruh Terapi Genggam Jari Dan Dzikir Dalam Menurunkan Kecemasan Pada Pasien Pre Operatif. Jurnal Kesehatan Tambusai, 5(3), 9159–9166.

Pratama, I., & Pratiwi, A. (2020). Pengaruh Efektivitas Tehnik Relaksasi Guidet Imagery Terhadap Tingkat Kecemasan Pasien Pre Operasi Di RSUD Pesanggrahan Jakarta Selatan Tahun 2020.

Rusding. (2022). Gambaran Tingkat Kecemasan Pre Operasi Dan Post Operasi Pada Pasien Dengan Anestesi Spinal Di Ruang Instalasi Bedah Sentral Rsud Sawerigading Palopo (P. Susanti, Trans.). In Pro (Skripsi).

Safitri, W., & Agustin, W. R. (2020). Terapi Guide Imagery Terhadap Penurunan Kecemasan Pasien Preoperasi Sectio Caesarea (Vol. 7, Issue 1).

Sanjaya, T. I., Hastuti, L., & Wahyuni, T. (2022). Pengaruh Bimbingan Spiritual Terhadap Tingkat Kecemasan Klien Preoperasi Laparatomi Di Instalasi. Keperawatan Dan Kesehatan, 13(1), 29–34. http://jurnal.stikmuh.ptk.ac.id

Santoso, H. E., Suandika, M., & Dewi, P. (2023). Perbandingan Skala Nyeri Penggunaan Spinal Needle Ukuran 25g Dengan 26G Pada Spinal Anestesi Di Rsud Bula Kabupaten Seram Bagian Timur. Jurnal Inovasi Penelitian, 3(8), 7281–7286.

Sari, A. P., & Fahrizal, Y. (2022). Application of Guided Imagery in Post Surgery Laparotomy with Anxiety Penerapan Terapi Guided Imagery pada Pasien Post Operasi Laparatomy dengan Kecemasan.

Sugiarti, A., Yudono, D. T., & Jerau, E. E. (2024). Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pre Operasi Pada Pasien Sectio Caesarea Dengan Tindakan Spinal Anestesi. Jurnal Mahasiswa Ilmu Kesehatan, 2(2), 176–187. https://doi.org/10.59841/jumkes.v2i4.1834

Sugiyono, P. (2020). Metode Penelitian Kuantitatid Kualitatif Dan R&D (Dr. I. Sutopo, Ed.; 2nd ed.). Alfabeta.

Sugiyono, Prof. D. (2019). Metode Penelitian Kuantitatid Kualitatif Dan R&D (Dr. I. Sutopo, Ed.; 1st ed.). Alfabeta.

Suyanto, Indri, & Farid Taufiqurrahman. (2023). Pengaruh Terapi Spiritual Bimbingan Do’a Terhadap Tingkat Kecemasan Pasien Pre Opersi Dengan Spinal Anestesi. Jurnal Ilmu Kesehatan Dan Gizi, 1(2), 245–256. https://doi.org/10.55606/jikg.v1i2.1998

Titi, L., Fakultas, H., Kesehatan, I., & Muhammadiyah Jember, U. (2018). Kajian Etik Penelitian Dalam Bidang Kesehatan Dengan Melibatkan Manusia Sebagai Subyek. 10(1), 2087–5053.

Yu, C., Gu, J., Liao, Z., & Feng, S. (2021). Prediction of spinal anesthesia-induced hypotension during elective cesarean section: a systematic review of prospective observational studies. In International Journal of Obstetric Anesthesia (Vol. 47). Churchill Livingstone. https://doi.org/10.1016/j.ijoa.2021.103175