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All Journal Care : Jurnal Ilmiah Ilmu Kesehatan Afiasi : Jurnal Kesehatan Masyarakat Jurnal Ilmiah Keperawatan Imelda AJAD : Jurnal Pengabdian kepada Masyarakat Kolaborasi Jurnal Pengabdian Masyarakat Malahayati International Journal of Nursing and Health Science Journal for Research in Public Health KREATIF: Jurnal Pengabdian Masyarakat Nusantara
Reni Yuli Astutik
Universitas STRADA Indonesia
Humanities Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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Perubahan Kualitas Tidur, Nyeri dan Mobilisasi Dini Ibu Post Sesarea Setelah Senam Nifas Reni Yuli Astutik; Porca Porca; Stevani Basuki Putri; Asruria Sani Fajriyah; Putri Eka Sejati
Afiasi : Jurnal Kesehatan Masyarakat Vol. 11 No. 2 (2026): Afiasi
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/afiasi.v11i2.590

Abstract

Cesarean section (CS) is associated with various postpartum recovery problems, including sleep disturbances, postoperative pain, and limited mobility. These conditions may delay maternal recovery and adaptation to maternal roles. This study aimed to determine the effect of postpartum exercise on sleep quality, pain intensity, and early mobilization among mothers following CS. This study employed a pre-experimental one-group pretest–posttest design with repeated measures and was conducted at BLUD Konawe Selatan Regional Hospital from January to June 2026. Thirty-four primiparous post-CS mothers who met the inclusion criteria were recruited. Postpartum exercise was performed once daily for 30 minutes from day 1 to day 7 postpartum. Sleep quality was assessed using PSQS, pain intensity using NRS, and early mobilization using an observation checklist. Measurements were conducted on postpartum days 1, 3, and 7, analyzed using the Friedman test. The findings showed that the proportion of mothers with poor sleep quality decreased from 70.6% on day 1 to 5.9% on day 7, while the proportion with good sleep quality increased from 8.8% to 70.6%. Moderate-to-severe pain decreased substantially, and 79.4% of mothers reported only mild pain by day 7. Early mobilization improved, with the proportion of mothers achieving good mobilization increasing from 2.9% on day 1 to 76.5% on day 7. The Friedman test demonstrated significant differences in sleep quality, pain intensity, and early mobilization across all measurement periods (p < 0.001). Postpartum exercise significantly improved sleep quality and early mobilization while reducing pain intensity among post-cesarean mothers during the first postpartum week.
Co-Authors Agusta Dian Ellina Agustin Widowati Asruria Sani Fajriyah Astri Yunita Atik Setiawan Wahyuningsih Byba Melda Suhita Christina Ruminggih Claudino Ximenes Elfi Quyumi Fita Fitarusdian Francisco Borges Horacio Sarmento Da Costa João Cristovão Neto Mok Ornai Joko Prasetyo Lia Agustin Maria Faleria Yung Marina Islami Putri NINING ISTIGHOSAH Norkaya Norkaya Porca Porca Prima Dewi K Putri Eka Sejati Putri Serenggu Shanty Natalia Siti Komariyah Stevani Basuki Putri Suci Anggraeni Yenny Puspitasari