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Pengaruh Mobilisasi Dini Terhadap Intensitas Nyeri Dan Waktu Pemulihan Fungsional (Studi Pada Pasien Post Sectio Caesarea) Dwiharini Puspitaningsih; Anndy Prastya; Eka Diah Kartiningrum; Novitasari
MEDICA MAJAPAHIT Vol. 18 No. 1 (2026): Maret
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v18i1.1232

Abstract

Cesarean section was a surgical procedure that was commonly associated with postoperative pain, which could limit physical movement and delay functional recovery in mothers. Pain experienced after surgery often led to fear of mobilization, resulting in prolonged bed rest and delayed return to daily activities. One non-pharmacological intervention that could be applied to manage postoperative pain and enhance recovery was early mobilization. Early mobilization was believed to reduce pain intensity and accelerate functional recovery by improving blood circulation, reducing inflammation, and stimulating physical activity. This study aimed to analyze the effect of early mobilization on pain intensity and functional recovery time in post-cesarean section patients. A quasi-experimental design with a time-series approach was used. The sample consisted of 34 respondents selected using simple random sampling, divided into an intervention group (n=17) and a control group (n=17). Data were collected using the Numeric Rating Scale (NRS) to assess pain intensity and an observation sheet to measure functional recovery time. Data were analyzed using the Friedman test and Mann-Whitney test. The results showed that before the intervention, all respondents in both groups experienced severe pain. After early mobilization, all respondents in the intervention group reported mild pain, while most respondents in the control group (82.4%) still experienced moderate pain. In terms of functional recovery, all respondents in the intervention group recovered within 24 hours, whereas the majority of the control group (52.9%) required 48 hours. Statistical analysis showed significant results (p=0.000 for pain intensity and p=0.001 for functional recovery time). In conclusion, early mobilization had a significant effect on reducing pain intensity and accelerating functional recovery in post-cesarean section patients.
Effect of Diabetes Self-Management Education on Self-Care Management Among Patients with Type 2 Diabetes Mellitus in Gedangan Endah Palupi; Eka Diah Kartiningrum; Arief fardiansyah; Revi Ekasetya Pratiwi
Promotif : Jurnal Kesehatan Masyarakat Vol. 15 No. 2: DECEMBER 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/promotif.v15i2.9085

Abstract

Introduction: Patients with diabetes mellitus continue to face difficulties in performing self-care management based on the information they receive. Diabetes Self-Management Education (DSME) can serve as a reference for health education programs to improve patients’ knowledge and self-care management skills. This study aimed to analyze the effect of DSME on self-care management among patients with type 2 diabetes mellitus. Methods: This study employed a quasi-experimental two-group pre–posttest control design. The sample was 102 patients with type 2 diabetes mellitus selected using simple random sampling. The instrument utilized was the Diabetes Management Self-Efficacy Scale (DMSES). Data were analyzed using Wilcoxon test and multivariate ANOVA. Results: The results of the multivariate analysis showed a p-value < 0.001, indicating that Diabetes Self-Management Education (DSME) had a significant effect on self-care management, including dietary patterns (R² = 0.313), physical activity (R² = 0.737), blood glucose monitoring (R² = 0.430), foot care (R² = 0.427), and medication adherence (R² = 0.349) among patients with type 2 diabetes mellitus. Physical activity demonstrated the most significant effect attributable to DSME. Conclusion: Diabetes Self-Management Education (DSME) effectively improves self-care management in patients with type 2 diabetes mellitus, with the greatest impact on physical activity. These findings support DSME as an evidence-based strategy to promote independent self-care and as a standard operating protocol in Gedangan Community Health Center.
Co-Authors Achmad Choiruddin Ajeng Fitria Alamudi, Mohammad Yusuf Anis Sukowati Anjar Istianto Anjar Istianto, Anjar Anndy Prastya Arief Fardiansyah Arief Fardiansyah Arief Fardiansyah ARIF HIDAYAT Asih Media Yuniarti Atikah Rahadiani Basar Auli Ningtyas Baehaqi Baitun Nur Rochma Andhini Bakti Tunjung Pranoto Bambang Widjanarko Otok Bella Febriyanti Fitriana Budi Cahyono Devita Anggraini Dhonna Anggreni Dwi Helynarti Syurandhari Elyana Mafticha Endah Palupi Fardiansyah, Arief Fardiansyah, Arief Fefi Aryani Kuswandi Ginka, Mochammad Ivan Abdillah Putra Hari Basuki Notobroto Henry Sudiyanto I Putu Aprilia Pratama Ika Suhartanti Ika Suhartanti, Ika Ike Prafita Sari Ikrimah, Umi Habibatul Inike Kusuma Dewi Jerry Dwi Trijoyo Purnomo Jorge Mateu Karina Fahmi Amilia Kusuma, Yudha Laga Hadi Lestari, Irma Dhian Linda Wahyudi M. Aris Munandar Mohammad Yusuf Alamudi Monika Julian Nurwidia Arum Muhammad Yusuf Alamudi Ni Ketut Dian Erlyawati Nike Wardani NOVITASARI Nurhayati, Risa Nursaidah Nursaidah Nursaidah Nursaidah, Nursaidah Nurul Mawaddah Nurul Mawaddah Nurwidia Arum, Monika Julian Nurwidji Nurwidji, Nurwidji Patty, Siti Hajar Prasetyo, Sudigdo Dwi Purhadi Raudhatul Jannah Revi Ekasetya Pratiwi Revi Ekasetya Pratiwi Ridha Rahayu Rifaatul laila Mahmudah Rifaatul laila Mahmudah Santi Wulan Purnami Santoso, Mohamad Arif Budi Santy Wahyu Nuraini Shofi Andari Silfiyah Siti Rachmah Siti Rachmah Sri Wardini Puji Lestari Sri Wardini, Sri Sulis Diana SUTIKNO Umar Faruk USWATUNIKMA Venny Riska Wulan Cahyani Vettaria Sulita Utama Wahyuni Wijayati Widy Setyowati Widya Puspitasari Yudha Laga Hadi Kusuma Yudha Laga Hadi Kusuma, M.Kep Yudha Laga Hadikusuma