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All Journal Jurnal Ners MAHESA : Malahayati Health Student Journal
Tadi Tadi
Universitas Airlangga
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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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.
Effectiveness of Intradialytic Stretching Exercises In Preventing Muscle Cramps in Individuals Undergoing Hemodialysis : A Systematic Review Tadi Tadi; Ika Yuni Widyawati; Ira Suarilah
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54719

Abstract

Introduction: Individuals with Chronic Kidney Disease (CKD) may experience symptoms of uremic syndrome. Intradialytic stretching exercises have been proposed as a method to increase activity levels while reducing uremic symptoms. Muscle cramps are a common complication of hemodialysis treatment and often lead to early termination of sessions, therefore, timely intervention to address muscle cramps in hemodialysis patients is a critical priority. Objective: To systematically analyse the effectiveness of intradialytic stretching exercises on muscle cramps among individuals undergoing hemodialysis Methods: A systematic review was conducted through five major databases: Scopus, PubMed, Science Direct, ProQuest, and Wiley, for the last five years publication (2020 to 2025). Eligible studies included those that implemented intradialytic stretching exercises interventions focused on muscle cramps for individuals undergoing hemodialysis. Data extracted included study characteristics, sample demographics, design, and measured outcomes. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool, and findings were synthesized through narrative analysis. Result: Eleven studies (n=11) that obtained JBI quality assessment scores ranging from 77% to 92% were included in the final analysis, involving 809 participants from 7 countries, with intervention durations ranging from 4 to 24 weeks. The reviewed intradialytic stretching exercise interventions addressed aspects of muscle cramps, urea levels, and fatigue. Conclusion: Intradialytic stretching exercises demonstrate significant potential in preventing muscle cramps of individuals undergoing hemodialysis. Further research is needed to evaluate long-term outcomes and optimise intervention designs.
Effect of Strength Training on Pain Reduction and Physical Function Improvement in Postoperative Prostate Cancer Patients Wisnu Guntur Prakoso; Tadi Tadi; Achmad Fauzi; Navy Sealsi Adinda Prisca Marina; Tintin Sukartini
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20410

Abstract

ABSTRACT Nursing has an important role in improving the health and prevention of complications of post-surgical patients. One of the nursing interventions that can be provided is Pelvic Floor Muscle Exercise (Kegel) which aims to strengthen the muscles that support the bladder and intestines, which are often affected after prostate surgery. To systematically explore the effect of strength training on reducing pain and improving physical function in postoperative prostate cancer patients. The method uses a search through 4 major databases namely PubMed, Scopus, Sciencedirect and ProQuest with a range of 5 years from 2020 to 2025. The literature search used keywords namely "strength training", "pain intensity", "physical function", "postoperative prostate cancer". The critical appraisal guidelines of the Joanna Briggs Institute were used for the appraisal review of the journal. Twelve articles were extracted regarding the effect of strength training on reducing pain and improving physical function in postoperative prostate cancer patients. Overall, the articles yielded several findings regarding differences in pain and physical functional ability with different types of strength training implemented using varying duration, frequency and intensity. Strength training has significant benefits in helping postoperative prostate cancer patients. It is effective in reducing pain, especially pelvic pain and pain related to urinary incontinence, as well as improving the physical function of patients Keywords: Pain Intensity, Physical Therapy, Prostate Cancer, Strength Training.
Co-Authors Abu Bakar Achmad Fauzi Ika Yuni Widyawati Navy Sealsi Adinda Prisca Marina Suarilah, Ira Tintin Sukartini Sukartini, Tintin Sukartini Wisnu Guntur Prakoso