Health and Technology Journal (HTECHJ)
Vol. 4 No. 1 (2026): February 2026

The Effect of Preoperative Health Education with Educational Video Media on Anxiety, Pain, and Early Mobilization Behavior in Patients with Postoperative Lower Extremity Fracture – ORIF (Open Reduction Internal Fixation)

Haris Listyawan (Master's of Nursing, University of Strada Indonesia)
Yuly Peristiowati (Master's of Nursing, University of Strada Indonesia)
Rahmania Ambarika (University of Strada Indonesia)



Article Info

Publish Date
14 Feb 2026

Abstract

Surgical interventions experience various challenges during the recovery process, including levels of anxiety, pain, and difficulty in early mobilization. The provision of education as a health education method needs to be emphasized in this phase. The sophistication of technology in presenting health education through video media is one alternative for education delivery. This study aims to explain the effect of preoperative health education with educational video media on anxiety, pain, and early mobilization behavior in patients with post-ORIF (Open Reduction Internal Fixation) lower extremity fractures. This study uses an Experimental Design (posttest-only with a control group). Two groups were randomly selected; the experimental group received a health education intervention using educational videos, while the control group received a health education intervention in accordance with the hospital's Standard Operating Procedures (SOPs). Analysis with an Independent sample t-test showed a significant value of intervention in providing preoperative health education with educational video media on anxiety (p < α = 0.040), on pain (p < α = 0.025), and on early mobilization (p < α = 0.001) in patients with post-ORIF (Open Reduction Internal Fixation) lower extremity fractures. Preoperative health education using an educational video on early mobilization behavior variables showed a difference or average change value that was more positive than those for the anxiety and pain variables. Preoperative health education intervention with educational video media affects anxiety, pain, and early mobilization of patients with lower limb fractures after ORIF. The delivery of education with video media is more effective and more focused on achieving the goal of providing education. The intervention group showed a decrease in the average level of anxiety and pain, as well as a better average early mobilization behavior than the control group. Health education in the form of educational videos attracts more attention by delivering clearer information supported by the detailed process of moving illustrations and presenting objects in detail, which can help understand difficult material and provide an emotional and motivational impact, to help respondents reduce anxiety levels, pain, and improve early mobilization behaviors in the rehabilitation phase after surgery.

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Journal Info

Abbrev

htechj

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Health and Technology Journal (HTECHJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case reports ...