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Wisnu Guntur Prakoso
Universitas Airlangga

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Effectiveness Of Early Mobilization In Restoring Physical Function And Preventing Immobilization In Postoperative Coronary Artery Bypass Graft (Cabg) Wisnu Guntur Prakoso; Tadi Tadi; Navy Sealsi Adinda Prisca Marina; Abu Bakar
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47264

Abstract

The Coronary Artery Bypass Graft (CABG) procedure involves surgical trauma that triggers an inflammatory response, pain, and muscle weakness, so the patient tends to restrict movement. Physiologically, immobilization also reduces blood circulation, increases the risk of thrombosis, and worsens lung function due to lack of early mobilization. This study aims to systematically expose the effect of early mobilization on the recovery of physical function and prevention of immobilization in postoperative coronary artery bypass graft (CABG). The method uses search through 4 main databases, namely PubMed, Scopus, Sciencedirect and ProQuest with a span of 5 years from 2020 to 2025. The literature search used keywords, namely "early mobilization exercises", "immobilization prevention", "physical function", "post-operation CABG". The critical appraisal guidelines of the Joanna Briggs Institute are used for article quality assessment reviews. Results of this study is a total of nine articles were extracted related to early mobilization in the restoration of physical function as well as immobilization prevention in postoperative coronary artery bypass graft (CABG). Overall, the article produced several findings related to the existence of physical recovery and immobilization prevention points that support patients with several types of mobilization interventions ranging from basic to the use of tools implemented using various durations, frequencies and intensities. Early mobilization has a positive impact on the physical and psychological aspects and independence of patients. These findings support the need to implement early mobilization protocols as a standard part of CABG postoperative management, based on patient conditions, to optimize clinical outcomes and prevent immobilization-related complications.
The Effectiveness of Early Interventions in Post-Ischemic Stroke Patients on Neurological Recovery And Quality of Life: A Systematic Review Wisnu Guntur Prakoso; Sriyono Sriyono; Erna Dwi Wahyuni
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52684

Abstract

Abstract Introduction: Individuals recovering from ischemic stroke often endure significant neurological impairments, including motor deficits, cognitive challenges, and emotional disturbances. These complications substantially reduce their quality of life and impose a heavy burden on both the healthcare system and caregivers. Objective: This systematic review aims to evaluate the effectiveness of early interventions in improving neurological recovery and quality of life in post-ischemic stroke patients. Method: A structured literature review was conducted following the PRISMA guidelines. Five major databases (Scopus, PubMed, Science Direct, Web of Science, and ProQuest) were systematically searched using defined keywords. Articles were screened and selected based on pre-established eligibility criteria, and quality appraisal was carried out using Joanna Briggs Institute (JBI) tools. Results: A total of 11 studies met the inclusion criteria. Most early interventions were initiated within 24 to 72 hours after stroke onset. The results consistently showed that early rehabilitation, nursing care, occupational therapy, and other multidisciplinary approaches contributed to significant improvements in neurological function, daily living activities, and health-related quality of life. Conclusion: Early interventions administered during the acute phase of ischemic stroke are effective in enhancing recovery and improving quality of life. These findings highlight the importance of timely, structured, and multidisciplinary stroke rehabilitation programs as a standard part of stroke management. Keywords: Early intervention, ischemic stroke, neurological recovery, quality of life, stroke rehabilitation