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Impact Of Early Mobilization On Postoprative Pain And Recovery: A Scoping Review Wardani, Noor Ika; Ardiana, Anisah; Rondhianto, Rondhianto
Nursing Information Journal Vol. 5 No. 1 (2025): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i1.1167

Abstract

Early Postoperative pain remains a major clinical challenge that can delay recovery, increase healthcare costs, and diminish patients’ quality of life. Despite advancements in surgical techniques and analgesic protocols, many patients still experience moderate to severe pain in the immediate postoperative period. One key non-pharmacological intervention—early mobilization—has been shown to reduce pain intensity, enhance functional recovery, and minimize opioid use. However, the integration of early mobilization into routine postoperative care is frequently hindered by various systemic and patient-related barriers. These include anxiety about pain during movement, lack of staff training, and inconsistent implementation strategies across healthcare settings. As a result, the full benefits of early mobilization remain underutilized, particularly in vulnerable patient populations. This scoping review aimed to explore the clinical effectiveness, implementation challenges, and contextual factors affecting early mobilization in postoperative pain management. A systematic search of PubMed, Proquest, and ScienceDirect databases was conducted for peer-reviewed studies published between 2020 and 2025. Using the Joanna Briggs Institute (JBI) methodological framework, 35 studies out of 870 screened were included in the final analysis. The findings revealed that initiating mobilization within 48–72 hours after surgery significantly reduced pain and accelerated recovery, especially in orthopedic patients. However, patients undergoing abdominal or thoracic surgery experienced delayed mobilization due to incisional pain and mobility limitations. The review also identified key gaps in current research, particularly regarding the long-term effects of early mobilization on chronic pain, recovery sustainability, and its application in elderly or high-risk populations. Addressing these issues requires structured protocols, multidisciplinary involvement, and the adoption of digital health technologies to enhance implementation and accessibility.
The Effect of Family Caregiver Empowerment Model Intervention on Fear of Hypoglycemia in People with Type-2 Diabetes Mellitus Rondhianto, Rondhianto; Kushariyadi, Kushariyadi; Rahmatullah, M. Nauval
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.56893

Abstract

Background: The family plays a vital role in T2DM self-management, but many families need to understand their role and function as caregivers. This lack of understanding can increase the burden of disease management, contributing to the emergence of psychological problems in people with T2DM, such as fear of hypoglycemia, which in turn worsens blood glucose control. The Family Caregiver Empowerment Model (FCEM) intervention is one model that can be used to empower families as caregivers in T2DM self-management.Purpose: This study aimed to analyze the effect of the FCEM intervention on the fear of hypoglycemia in people with T2DM. Methods: The study design was quasi-experimental with a randomized control pretest-posttest design. The sample size consisted of 85 respondents (a pair of family caregivers and people with T2DM), who were randomly divided into two groups: the treatment group (41 respondents) and the control group (44 respondents). The FCEM intervention was conducted once per week for ten weeks for family caregivers, and fear of hypoglycemia was measured using the Indonesian version of the Fear of Hypoglycemia Scale questionnaire. The data were analyzed using the Wilcoxon signed rank test and independent t-test.Results: The results showed significant differences in fear of hypoglycemia between the pre-test and post-test in the treatment group (p=0.001) and the control group (p=0.001). However, there was a significant difference in the decrease of fear of hypoglycemia between the treatment and control groups (t=-7.087; p=0.001). This finding suggests that FCEM intervention can significantly reduce the fear of hypoglycemia in people with T2DM.Conclusions: The FCEM intervention can reduce the fear of hypoglycemia in people with T2DM by increasing the family caregiver’s ability and support in managing T2DM. Nurses can use the FCEM intervention in T2DM management to improve diabetes management outcomes.  
Nursing Care of Acute Pain in Rectal Cancer Patients Using Non-Pharmacological Approach with Benson Therapy: A Case Study Olifia Nafa Jelita; Hakam, Mulia; Rondhianto; Umayanah
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i1.63

Abstract

Pain is the main problem experienced by many postoperative patients. One of the therapies for patients with rectal cancer is surgery, so patients with rectal cancer also feel pain after getting surgery. > 80% of patients experience postoperative pain, but appropriate pain management only occurs in approximately 30-50%. Benson's relaxation therapy reduces pain intensity in postoperative patients without causing side effects. This study aims to analyze benson therapy to reduce pain in postoperative surgery for patients with rectum cancer. The method used in this research is a descriptive case study. The research was conducted for three days on one patient with postoperative surgery in the Seruni Room at RSD dr Soebandi Jember. Benson therapy is carried out twice a day for 10-15 minutes. This study found that Benson therapy can reduce the level of acute pain in postoperative patients from the NRS scale 6 to the NRS scale 3, respiration rate 20 x/minute, SpO2 98%, blood pressure 120/80mmHg, pulse 87x/ minute. The result of reducing the pain scale indicates that Benson therapy can be applied to treat acute pain in postoperative patients to make certain patients' conditions feel better.
The Impact of 30-Degree Head-Up Position on Cerebral Perfusion in Moderate Brain Injury Patients Basuki, Pinky Issabella Nanda; Siswoyo; Rondhianto; Mustakim
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.168

Abstract

Background: Nursing problems in brain injury patients include the risk of ineffective perfusion due to reduced oxygen flow to the brain, which, if not treated immediately, will increase intracranial pressure (ICP). One way to increase ICP is with 30-degree head-up position intervention. Objective: This study aimed to analyze the application of 30-degree Head Up Position on Cerebral Perfusion in Moderate Brain Injury Patients. Method: This research is an observational study with a case study design. Primary data was obtained through anamnesis and physical assessment with a sample of a patient being treated in the Hospital by assessing the effect of the 30-degree head-up position carried out for 30 minutes for 3 consecutive days. Results: In this study, the results showed an increase in cerebral perfusion as indicated by cerebral perfusion indicators, namely blood pressure, MAP, pulse, patient breathing improved, and the patient's level of consciousness increased until the final evaluation. Conclusion: From the results of the innovation analysis in this case, providing a 30-degree head-up position in patients with a risk of ineffective cerebral perfusion is one form of effectiveness in increasing the patient's cerebral perfusion so that it can prevent an increase in intracranial pressure.
Diabetic Foot Exercise to Reduce High Blood Sugar Levels in Diabetes Mellitus Patient: A Case Study Musarrofa, Faise Lailatul; Rondhianto; A’la, Muhammad Zulfatul; Sujarwanto
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 2: August 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i2.365

Abstract

Diabetes mellitus is a metabolic disorder in the pancreas organ so that sugar levels increase due to a decrease in the amount of insulin in the pancreas. Therapeutic management pharmacology, namely administering insulin and administering oral hypoglycemic drugs, while non-pharmacological includes health education, diet, and exercise or physical training such as diabetes foot exercises. This research uses a case study method using pre and post methods carried out before and after the intervention. The data collection location was in the Lavender room at dr. Soebandi Hospital starts on 30 October 2023. Based on these results, it shows a change in blood sugar levels before and after administering diabetic foot exercise therapy is carried out for three consecutive days once a day, carried out in the morning 1-2 hours after breakfast. Diabetic foot exercises that are done regularly are expected to prevent complications often occurs in patients such as infected wounds on the feet. The results of the nursing evaluation are related to the diagnosis of instability in blood glucose levels which indicates changes in the patient's blood sugar levels where the patient's blood sugar values decreased after the intervention.
Persepsi Pasien Geriatri tentang Kualitas Pelayanan Kesehatan di Rumah Sakit X di Kabupaten Rizki Fitriani, Atmim; Rondhianto, Rondhianto; Hamzah, Zahreni
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2187

Abstract

Background: The increasing number of elderly people in Indonesia demands improvements in health services. Elderly individuals, with their vulnerability to diseases, require quality services that meet their expectations. This study describes how elderly patients evaluate the quality of services they receive at Hospital X in Jember Regency. Method: This study uses a descriptive quantitative approach with a survey method to collect data. A total of 269 patients participated in this study, selected through a simple random sampling process. A modified SERVQUAL questionnaire was used to measure patient perceptions. The data obtained were analyzed using the SPSS application. Results: The perception of geriatric patients assessed the quality of service at Hospital X in Jember Regency in the high category (96.3%) which included the dimensions of physical evidence (97%), reliability (94.8%), responsiveness (94.4%), assurance dimension (98.5%), empathy (99.3%) and accessibility and affordability (91.8%). Conclusion: Positive perceptions of geriatric patients are an indicator of a hospital's success in providing quality healthcare services that meet the standards for elderly patients.
Stress Adaptation as an Improvement Effort Self- Management and Quality of Life in Patients with Chronic Kidney Disease: A Literature Review Maria, Kiki; Rondhianto, Rondhianto; Suhari, Suhari
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3088

Abstract

Chronic Kidney Disease (CKD) is a significant health issue closely associated with mortality. The prevalence of this disease has been increasing significantly worldwide each year. It is characterized by a permanent decline in kidney function that cannot be reversed within three months or even many years. Eventually, the kidneys may cease to function properly. Failure to adapt to stress impacts the mechanism of coping, self-awareness self-control, and self-efficacy decreasing that impact on self-management and quality of life. This research aims to illustrate the influence of adaptation to stress as effort enhancement self-management and quality of life in patients with chronic kidney disease. A systematic review using the PRISMA protocol and the JBI Critical Appraisal Tool was used to determine which articles met the three requirements of electronic databases (PubMed, Google Scholar, ScienceDirect ). Inclusion criteria include the quality of life of chronic kidney disease patients published in English within the last 5 years (2019-2024). This summarizes twenty - two articles. Discuss the influence of adaptation to stress, self-management, and quality of life for patients with chronic kidney disease. Self-management and quality of life in patients with chronic kidney disease are influenced by adaptive stress, including 1) Focal stimuli (level of severity, duration of hemodialysis, symptoms), 2) Contextual stimuli (distance to health facility, family support, power of health support, satisfaction with health service, employment, economic status, health insurance, marital status), 3) Residual stimuli (age, religion, level of education, sex of type). Positive coping strategies, self-awareness, self-control, and self-efficacy can improve the adaptation process to stress, thus having a positive impact on self-management and quality of life in patients with chronic kidney disease.
Transitional Care for Improving Health Care Quality in Hospital: A Literature Review Iriawandani, Debie Saktyana; Ardiana, Anisah; Rondhianto, Rondhianto
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4832

Abstract

The transition of care from hospital to home is a critical period for patients, especially those with chronic conditions such as heart failure. During the transition period, patients often experience difficulties managing their disease, which can lead to an increased risk of rehospitalization. This literature review aims to analyze scientific evidence about the effectiveness of transitional care interventions in improving the quality of health care in hospitals, especially for patients with chronic conditions. The method of this study is a literature review. This study used electronic databases such as PubMed, ScienceDirect and Google Scholar. The selected articles are quantitative research articles published within the last 5 years available in full text and not the result of a review. The results of the review show that transitional care interventions have a significant positive impact on the quality of health care. This intervention can increase self-management, treatment adherence and patient satisfaction with heart failure. Some components of effective interventions include patient education, care coordination, outpatient follow up and social support. Transitional care interventions are an effective strategy to improve the quality of health care, especially in patients with chronic conditions. The implementation of a comprehensive transitional care program in hospitals needs to continue to be improved to achieve optimal results.
The Impact of Permanent Pacemaker Implantation on the Quality of Life in Elderly Patients: A Scoping Review Artha, Artha; A'la, Muhamad Zulfatul; Rondhianto, Rondhianto
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5761

Abstract

The implantation of a permanent pacemaker has become a primary strategy for managing cardiac arrhythmias in elderly patients to enhance quality of life, reduce cardiovascular symptoms, and improve physiological function. While pacemakers have been proven effective in enhancing mobility, emotional well-being, and physical endurance, their impact varies among patients depending on health conditions, social support, and psychological readiness. Therefore, further exploration of the clinical and psychosocial implications of pacemaker implantation in elderly individuals is required. This scoping review aims to identify and analyze the impact of permanent pacemaker implantation on the quality of life of elderly patients, with a focus on patient safety, psychosocial adaptation, and implementation challenges.Methods: A systematic search was conducted in ScienceDirect, ProQuest, and PubMed to identify relevant articles published between January 2015 and December 2024. Out of 1,321 articles initially identified, 33 articles were selected for full-text review after applying inclusion and exclusion criteria. A critical appraisal using the Joanna Briggs Institute (JBI) framework determined that 9 articles met the final criteria for analysis. The studies included in this review involved elderly patients with pacemakers across various healthcare settings, including hospitals, outpatient clinics, and community healthcare services, to assess the impact of pacemakers on physical and mental well-being as well as patient satisfaction. Results: Pacemaker implantation generally improves the quality of life of elderly patients, particularly in terms of cardiovascular function, mobility, and independence. Additionally, pacemakers help reduce the risk of arrhythmia-related complications, enhance patient confidence, and improve adherence to medical therapy. However, several challenges persist, including post-implantation infection risks, psychosocial disturbances, and limited access to pacemaker technology in certain regions. The studies also identified research gaps, particularly in longitudinal evaluations of the impact of pacemakers on elderly patients with comorbidities and cognitive impairment.Conclusion: Pacemaker implantation is an effective intervention for improving the quality of life of elderly patients with cardiac arrhythmias. However, a more comprehensive patient-centered approach, including psychosocial support, pre-implantation education, and optimized post-procedural monitoring, is crucial. Further research is recommended to explore the long-term effects of pacemaker implantation and develop more adaptive care strategies for vulnerable elderly populations.
Determinant Analysis of Hand Hygiene Compliance and Its Relation to HAIs in Hospitals: Systematic Literature Review Fitriani, Fitriani; Rondhianto, Rondhianto; Ismara, Ketut Ima
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.2621

Abstract

Hand hygiene is one of the practical steps that healthcare providers can take to reduce the incidence of HAIs or nosocomial infections. The percentage of hand hygiene compliance is still low, between 35-55.3%. Several previous studies showed that many factors cause hand hygiene adherence. However, the results are still varied, so this study aimed to determine the factors of hand hygiene, determine the factors that most influence hand hygiene adherence, and the link between hand hygiene and the incidence of HAIs in hospitals. This systematic literature review follows the PRISMA protocol guidelines in three electronic databases (PubMed, Science Direct, and Google Scholar). Article quality was assessed using the JBI assessment tool and analyzed using meta-synthesis. The inclusion criteria are articles discussing hand hygiene compliance among hospital nurses and articles published in 2021-2023, so 15 selected papers. The determinants of hand hygiene compliance include knowledge, attitude, motivation, supervision from superiors or related parties, facilities, age, gender, years of service, and feedback. An electronic monitoring system also has significantly affected hand hygiene compliance. Several articles stated that the multimodal approach initiated by WHO positively impacted hand hygiene compliance. The most dominant factor is the knowledge variable. Hand hygiene compliance is closely related to the incidence of HAIs, when hand hygiene compliance is high, it can reduce the incidence of HAIs in health services.
Co-Authors Abdillah, Achlish Afandi, Alfid Agus Meriroja Agustin, Agil Ahdya Islaha Widyaputri Ahdya Islaha Widyaputri, Ahdya Ahmad Fathoni Ahmad Rifai Ahsan Ahsan Ajeng Dian Sandika Akhmad Zainur Ridla Al Alawi, Rafi Izuddin Alfid Tri Afandi Alwan Wijaya Alya 'Izzatur Rohmah Amadea Yollanda Ana Nistiandani Andani, Kadek Novi Anggun Afrix Rozana Anis Fitri Nurul Anggraeni Anisah Ardiana ARIF HIDAYATULLAH Artha Artha, Artha Ayu Kurnia Vidiany Baehaqi Baskoro Setioputro Baskoro Setioputro Basuki, Pinky Issabella Nanda Benjayamas Pilayon Candra, Eka Yufi Septriana Chanicha Chaitonthueng Chasanah, Nur Fitria Ulfa Devy Meylina Christy Dewi Amaliyah Wahidah Dicky Andriansyah Dina Helianti DINI KURNIAWATI Dodi Wijaya Dodi, Dodi Wijaya Dwi Ochta Pebriyanti Dwi Yuni Lestari Endrian Kurniawan, Dicky Enggal Hadi Kurniyawan Erna Hartatik Erti Ikhtiarini Dewi Esti Utarti Febrian Maulana Putra FITRI NURCAHYANI Fitriani Fitriani Fuad Hasim Wafi Gigih Permana Kusuma Putra Gunarto, Sugito Tri Hafan Sutawardana, Jon Handoko, Dhimas Rizky Hartatik, Erna Hasan, Hafifah Heri Siswanto Heri Siswanto Indriana Noor Istiqomah Intan Nur Annisa Iriawandani, Debie Saktyana Issabella Nanda Basuki, Pinky Iswatiningtyas, Nur Faiza Jannah, Latifah Nur Jon Haffan Sutawardana Juthaluck Saentho Ketut Ima Ismara Kiki Maria Kudlori, Ahmad Kurniawan Setia Budi, Fandi Ahmad Kushariyadi Kushariyadi Kushariyadi Kushariyadi Kusnanto Kusnanto Kusnul Kotimah Kustiarini, Ari Laili Nur Azizah Lantin Sulistiyorini, Lantin Latifah Nur Jannah Lianawati Lianawati Linda, Baiq Linda Agustina Lumprom, Orachorn Mahdi , Nabilla Novia Mardiati Mardiati Mashuri Mashuri Mei Syafriadi Mohammad Shodikin Muhamad Zulfatul A’la Muhammad Aldi Muhammad Fakhrur Rozsy Muhammad Nur, Kholid Rosyidi Mukarromah, Siti Murdiyati Mulia Hakam Murtaqib Murtaqib Musarrofa, Faise Lailatul Mustakim Mustakim Mustakim Mustakim Nailul Aizza Rizqiyyah Niruwan Turnbull Nisak, Efir Rifatun Nistiandani, Ana Noor Ika Wardani Novianty, Aluh Eka Novita Nurkamilah Nur Widayati Nurfika Asmaningrum Nurfika Asmaningrum Nursalam, Nursalam Olifia Nafa Jelita Olifia Nafa Jelita Pairin Yodsuban Pasanti, Jesicha Melni Peni Perdani Juliningrum, Peni Perdani Pradika Ghozi Syamsir Primasari Mahardhika Rahmawati Putri Zalsabila, Annisa Putri, Nicky Septiana R Endro Sulistyono RA. Arsyifa Nanda Fedora Rachmawati, Iis Rahma Yunita Rahman, Zaiful Rahmatullah, M. Nauval Rahmawati, Iis ramadhan, firman Ratna Sari Hardiani Rini Riyanti Ririn Halimatus Sa`diah Rismawan Adi Yunanto Rizki Fitriani, Atmim Rohananingsih, Rohananingsih Rohkmah, Dewi Rosalind Prihandini Rubiansyah, Getha Maharani Ruris Haristiani Ruris Haristiani Sinta Qur'aini SISWOYO Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siswoyo Siti Marina Wiastuti Soenarnatalina Melaniani Sri Wahyuni Sugih Utami, Wiwien Sugito Tri Gunarto Suhari Suhari Suhari SUHARSONO Suharsono Suharsono Sujarwanto SUJARWANTO Sutrisno Sutrisno Sutrisno, Sutrisno Syamsiar, Pradika Ghozi syamsidar syamsidar Tantut Susanto Tantut Susanto Ufaidah, Faiqoh Salsabillah Umardi , Adhelia Ananda Umayanah Umayanah umniyyah, zahratul Wahyuni, Ika Sri Wantiyah Wantiyah Wardani, Noor Ika Wardani, Novita Putri Eka Widya Maulina Cantika Putri Wijayanti, Sinta Wulandari, Winda Cindy Yonda, Nila Nabila Yulia, Yulia Misni Yuriasti, Eni Yuriasti, Nining Wahyuni Zahreni Hamzah Zaiful Rahman