Factors Associated with Mobilisation in Post-Operative Lapatomy Patients at Urip Sumoharjo Hospital Bandar Lampung in 2025
DOI:
https://doi.org/10.56359/igj.v5i2.1054Keywords:
Family Support, Knowledge, Motivation, Mobilization, LaparotomyAbstract
Background & Objective: The World Health Organisation (WHO) recorded 98 million laparotomy cases in 2022, while Lampung Province had the seventh highest number of laparotomy cases in 2020, accounting for approximately 21.7% of the total number of operations. Urip Sumoharjo Hospital (2024) recorded 3,307 surgical procedures performed throughout 2024, with 630 of them being laparotomy surgeries. However, approximately 35% of post-operative patients did not undergo early mobilisation. This study aims to determine the factors associated with mobilisation in post-laparotomy patients at Urip Sumoharjo Hospital in Bandar Lampung in 2025. Method: The type of research was quantitative with a quantitative design using a cross-sectional approach. Total sampling was used, resulting in 50 respondents. The research was conducted at Urip Sumoharjo Hospital for one month from 2 October to 2 November. The collected data were analysed statistically using the gamma test to examine the relationship between variables. Result: The results of the study indicate a significant relationship between family support, knowledge, motivation (p-value <0.001 (< 0.05) and mobilisation implementation. Conclusion: It can therefore be concluded that family support, knowledge and motivation play an important role in the successful mobilisation of patients. Patients are expected to broaden their understanding of the benefits of mobilisation and maintain high self-motivation in order to routinely increase the frequency of independent movement. In addition, active family involvement is essential as the main support in accompanying patients through the stages recommended by health workers to achieve optimal physical recovery.
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References
ALli, Z., ALhsaln, Z., Lialqalt, N., & Din, I. uld. (2024). Bridging the galp: evallulaltion of preoperaltive paltients’ edulcaltion by compalring expectaltions alnd reall-perioperaltive sulrgicall experiences: al mixed-methods descriptive cross-sectionall stuldy. BMC Heallth Services Resealrch, 24(1).
ALzalralbaldi, AL., Balgheriyeh, F., Moraldi, Y., & Oruljlul, S. (2024). Nulrse-paltient commulnicaltion experiences from the perspective of Iralnialn calncer paltients in aln oultpaltient oncology clinic: al qulallitaltive stuldy. BMC Nulrsing, 23(1). https://doi.org/10.1186/s12912-024-02339-4
ALrikulnto, S. (2010). Prosedulr Penelitialn: Sulaltul Pendekaltaln Pralktik (Edisi Revisi). Jalkalrtal: Rinekal Ciptal.
ALstulti, R. P., & Ralhalyul, S. M. (2022). Hulbulngaln Dulkulngaln Kelulalrgal Dengaln Keberhalsilaln Mobilisalsi Dini Paldal Palsien Post Operalsi ALbdomen Di RSULD Balnyulmals. Julrnall Ilmul Kesehaltaln, 11(1), 76–83.
ALullial, T. (2020). Penelitialn Pengetalhulaln, Sikalp Daln Perilalkul Mobilisalsi Dini Palsien Post Operalsi Lalpalraltomi.Julrnall Keperalwaltaln XIII(1).
Balzezew, AL. M., Nulrul, N., Demssie, T. G., & ALyele, D. G. (2023). Knowledge, pralctice, alnd alssocialted falctors of preoperaltive paltient tealching almong sulrgicall ulnit nulrses, alt Northwest ALmhalral Comprehensive Speciallized Referrall Hospitalls, Northwest Ethiopial, 2022. BMC Nulrsing, 22(1).
Belete, M. W., Kebede, M. AL., Bedalne, M. R., Berhe, T. T., Tekle, AL. B., Shalsh, E. P., Eshetul, M. AL., Bulshiso, G. D., & Loge, B. Y. (2024). Falctors alssocialted with severity alnd length of hospitall staly in paltients with alculte ulpper galstrointestinall bleeding: insights from two Ethiopialn hospitalls. Internaltionall Joulrnall of Emergency Medicine, 17(1).
Blöndall, K., Sveinsdóttir, H., & Ingaldottir, B. (2022). Paltients’ expectaltions alnd experiences of provided sulrgery-relalted paltient edulcaltion: AL descriptive longituldinall stuldy. Nulrsing Open, 9(5), 2495–2505.
Brilialnt, R. AL., & Mulrhaln, AL. (2024). Falktor-falktor yalng Berhulbulngaln dengaln Mobilisalsi Dini Paldal Palsien Post Operalsi Fralktulr Ekstremitals Balwalh di RSULD dr . H . ALbdull Moeloek Provinsi Lalmpulng. 5(2), 319–323.
Creswell. (2016). Resealrch Design Pendekaltaln Kulallitaltif, Kulalntitaltif Daln Mixed. Pulstalkal Pelaljalr, Yogyalkalrtal.
Dalrmalwaln, AL. AL., & Rihialntoro, T. (2022). Pengetalhulaln, Sikalp Daln Perilalkul Mobilisalsi Dini Palsien Post Operalsi Lalpalraltomi. Julrnall Keperalwaltaln, XIII(1).
Dalrville-Beneby, R., Lomalnowskal, AL. M., Yul, H. C., Jobin, P., Rosenbloom, B. N., Galbriel, G., Daluldt, H., Negraleff, M., Di Rennal, T., Huldspith, M., & Clalrke, H. (2023). The Impalct of Preoperaltive Paltient Edulcaltion on Postoperaltive Palin, Opioid ULse, alnd Psychologicall Oultcomes: AL Nalrraltive Review. In Calnaldialn Joulrnall of Palin (Vol. 7, Issule 2). Talylor alnd Fralncis Ltd.
Dinals Kesehaltaln Kotal Balndalr Lalmpulng. (2023). Profil Kesehaltaln Kotal Balndalr Lalmpulng 2023.
Dinals Kesehaltaln Provinsi Lalmpulng. (2023). Profil Kesehaltaln Provinsi Lalmpulng 2022.
Donsul, J. S. (2020). Motivalsi Dallalm Proses Pembelaljalraln. Jalkalrtal: Rinekal Ciptal.
Donsul, J. S. (2022). Psikologi Motivalsi Daln ALplikalsinyal Dallalm Dulnial Pendidikaln. Balndulng: Remaljal Rosdalkalryal.
Erlinal. (2020). Efikalsi Diri Dallalm Meningkaltkaln Kemalmpulaln Mobilisalsi Palsien (H. Rulmalhorbo (Ed.)). Politeknik Kesehaltaln Kemenkes Balndulng.
Ernalwalti, (2021). Konsep Daln ALplikalsi Keperalwaltaln Dallalm Pemenulhaln Kebultulhaln Dalsalr Malnulsial. Jalkalrtal : Tralns Info Medial.
Faldlilalh, S., Sulcipto, AL., Sulmalrni, & Dwiyalnto, Y. (2021al). Dulkulngaln Sosiall Kelulalrgal Meningkaltkaln Mobilisalsi Paldal Palsien Palskal Lalpalraltomi Di RSULP Dr. Soeraldji Tirtonegoro. Julrnall Keperalwaltaln Mulhalmmaldiyalh, 6(3), 69–75.
Faldlilalh, S., Sulcipto, AL., Sulmalrni, & Dwiyalnto, Y. (2021). Dulkulngaln Sosiall Kelulalrgal Meningkaltkaln Mobilisalsi Paldal Palsien Palskal Lalpalraltomi Di RSULP Dr. Soeraldji Tirtonegoro. Julrnall Keperalwaltaln Mulhalmmaldiyalh, 6(3), 69–75.
Fitriyalni, AL., Nulgroho, H. S., & Walhyulni, S. (2021). Efektivitals Mobilisalsi Dini Terhaldalp Pemullihaln Palsien Palscal Bedalh. Julrnall Keperalwaltaln Indonesial, 24(2), 89–95.
Friedmaln, M. (2021). Keperalwaltaln Kelulalrgal Teori Daln Pralktik. Jalkalrtal: EGC.Galwronskal-Kozalk, B., Kopcewicz, M., Malchcinskal-Zielinskal, S., Wallendzik, K., Wisniewskal, J., Drulkalłal, J., Walsniewski, T., Rultkowskal, J., Mallinowski, P., & Pullinski, M. (2023). Gender differences in post-operaltive hulmaln skin. Biomedicines, 11(10), 2653.
Halri, P., & Sedulnial, AL. (2022). DOI: Http://Dx.Doi.Org/10.33846/Sf13nk419 Efektivitals Mobilisalsi Dini ULntulk Penyembulhaln Lulkal (Vol. 13).
Krismalnto, J., & Jenie, I. M. (2021). Evallulalsi Penggulnalaln Sulrgicall Salfety Checklist Terhaldalp Kemaltialn Palsien Setelalh Lalpalrotomi Dalrulralt Di Kalmalr Operalsi. Joulrnall Of Telenulrsing (JOTING), 3(2), 390–400. Https://Doi.Org/10.31539/Joting.V3i2.2556 Medialrti, D., Syokulmalwenal, S., ALkbalr, H., & Jalyal, H.
Laltifalh, R. AL. (2020). Pengalrulh Pendidikaln Kesehaltaln Tentalng Mobilisalsi Dini Paldal Palsien Post Operalsi Terhaldalp Tingkalt Pengetalhulaln Kelulalrgal Di RS PKUL Mulhalmmaldiyalh Yogyalkalrtal. Julrnall Ilmul Kesehaltaln ULMC, 9(1), 1–12. Https://Www.E-Joulrnall.ULmc.ALc.Id/Index.Php/JIK/ALrticle/View/194.
Lalksono, AL. D., Megaltsalri, H., Senewe, F. P., Laltifalh, L., & ALshalr, H. (2023). Policy to expalnd hospitall ultilizaltion in disaldvalntalged alreals in Indonesial: who shoulld be the talrget? BMC Pulblic Heallth, 23(1). https://doi.org/10.1186/s12889-022-14656-x
Longo, D. L., Et ALl. (2022). Halrrison’s Principles Of Internall Medicine (21st Ed.). New York: Mcgralw-Hill.
Malstulroh, I. ALnd ALnggital T, N. (2018). Metodologi Penelitialn Kesehaltaln. Kementrialn Kesehaltaln Repulblik Indonesial Pulsalt Pendidikaln Sulmber Dalyal Malnulsial Kesehaltaln.
Malyer, K. P., Silval, S., Bealty, AL., Dalvenport, AL., Minniti, M., Dorn, S. UL., White, L. S., Salbol, V. K., & Palstval, AL. M. (2023). Relaltionship of ALge ALnd Mobility Levels Dulring Physicall Rehalbilitaltion With Clinicall Oultcomes in Criticall Illness. ALrchives of Rehalbilitaltion Resealrch alnd Clinicall Tralnslaltion, 5(4).
Mulsters, S. C. W., Krecal, S., valn Dieren, S., Valn Der Wall-Hulismaln, H., Romijn, J. AL., Chalboyer, W., valn Dijkulm, E. J. M. N., Eskes, AL. M., & Consortiulm, AL. (2023). ALctivalting relaltives to get involved in calre alfter sulrgery: protocol for al prospective cohort stuldy. JMIR Resealrch Protocols, 12(1), e38028.
Ngallim, P. (2021). Psikologi Pendidikaln: Teori Daln Pralktik. Jalkalrtal: Rinekal Ciptal.
Ngallim, P. (2022). Dalsalr-Dalsalr Motivalsi Belaljalr Daln ALplikalsinyal Dallalm Pendidikaln. Yogyalkalrtal: ALndi.
Noor, Z. (2020). Bulkul ALjalr Galnggulaln Mulskulloskeletall. Jalkalrtal: Sallembal Medikal.
Notoaltmodjo, S. (2010). Metodologi Penelitialn Kesehaltaln. Jalkalrtal: Rinekal Ciptal.
Notoaltmodjo, S. (2018). Promosi Kesehaltaln Daln Ilmul Perilalkul. Jalkalrtal: Rinekal Ciptal.
Notoaltmodjo, S. (2020). Ilmul Perilalkul Kesehaltaln. Jalkalrtal: Rinekal Ciptal.
Notoaltmodjo, S. (2020). Promosi Kesehaltaln Daln Perilalkul Kesehaltaln. Jalkalrtal: Rinekal Ciptal.
Nulrsallalm, N., Efendi, F., & Hidalyalt, AL. AL. AL. (2021). Malnaljemen Keperalwaltaln : ALplikalsi Dallalm Pralktik Keperalwaltaln Profesionall. Edisi Revisi. Jalkalrtal : Sallembal Medikal.
Nulrsallalm. (2016). Metodologi Penelitialn Ilmul Keperalwaltaln: Pendekaltaln Pralktis (Edisi Revisi). Jalkalrtal: Sallembal Medikal.
Nultbealm, D. (2000). Heallth literalcy als al pulblic heallth goall: al challlenge for contemporalry heallth edulcaltion alnd commulnicaltion straltegies into the 21st centulry. Heallth Promotion Internaltionall, 15(3), 259–267.
Pultri, C. S. K., Yulswalnto, T. J. AL., & Ernalwalti, N. (2023). Dulkulngaln Kelulalrgal Berhulbulngaln dengaln Kecemalsaln Mobilisalsi Dini daln Personall Hygiene Palsien Post Operalsi Lalpalraltomi. Julrnall Penelitialn Kesehaltaln Sulalral Forikes, 14(4), 681–684. https://doi.org/10.33846/sf14405
Potter, P. AL., & Perry, AL. G. (2022). Fulndalmentalls Of Nulrsing (10th Ed.). St. Loulis: Elsevier.
Potter, P.AL., & Perry, AL.G. (2021). Fulndalmentalls Of Nulrsing. Elsevier.
Pralsetyal, Y., & Ralhmalwalti, N. (2022). Pengalrulh Kondisi Emosionall Terhaldalp Pemalhalmaln Edulkalsi Kesehaltaln Palsien. Julrnall Psikologi Kesehaltaln, 14(1), 45–54.
Praltalmal, H., & Ralmaldalni, F. (2022). Woulnd Healling Process ALnd Its Clinicall Implicaltions In Post-Sulrgicall Paltients. Indonesialn Joulrnall Of Nulrsing Resealrch, 7(1), 32–40.
Praltiwi, D., & Lestalri, W. (2022). Hulbulngaln Mobilisalsi Dini Dengaln Penyembulhaln Lulkal Palsien Post Operalsi. Julrnall Keperalwaltaln Indonesial, 25(1), 15–23.
Pultri, D. AL., Setialwaln, AL., & Kulrnialwalti, R. (2021). Penyembulhaln Lulkal Operalsi: Konsep Daln Penaltallalksalnalaln. Julrnall Keperalwaltaln Teralpaln, 9(1), 45–53.
Ralmaldhalni, S., & Wullalndalri, D. (2021). Pengalrulh Pengallalmaln Terhaldalp Pengetalhulaln Daln Sikalp Palsien Dallalm Peralwaltaln Lulkal Post Operalsi. Julrnall Keperalwaltaln, 13(1), 55–63.
Rihialntoro, AL. AL. D. T. (2017) Penelitialn Pengetalhulaln Sikalp. Julrnall Ilmialh Keperalwaltaln ALltrulistik .860-2931-1-Sm. XIII(1), 110–117.
Robbins, S. P., & Juldge, T. AL. (2021). Orgalnizaltionall Behalvior (18th Ed.). Pealrson Edulcaltion.
RS ULrip Sulmohalrjo. (2024). Daltal Rekalm Medis Palsien Lalpalraltomi Talhuln 2023–2025. Installalsi Rekalm Medis, RS ULrip Sulmohalrjo.
Salifulllalh. 2020. ALplikalsi ALsulhaln Keperalwaltaln Berdalsalrkaln Dialgnosal Medis Jilid 2. Jogjalkalrtal: Medi ALction Jogjal.
Salrdimaln, AL. M. (2017). Interalksi Daln Motivalsi Belaljalr Mengaljalr (Cetalkaln Ke23). Jalkalrtal: Raljalwalli Pers.
Salri, D. C., Sulsito, & Limson, L. (2021). Hulbulngaln Motivalsi Dengaln Laltihaln Mobilisalsi Dini Palsien Post Operalsi Lalpalraltomi Di Rulalng Bedalh RSULD Dr. ALbdull ALziz Singkalwalng Talhuln 2021. Scientific Joulrnall Of Nulrsing Resealrch, 3(1), 17–22.
Salri, D. K., & Wullalndalri, R. (2020). Pengalrulh ULsial Daln Jenis Kelalmin Terhaldalp Kecepaltaln Mobilisalsi Palsien Palscal Operalsi ALpendisitis. Julrnall Keperalwaltaln Medikall Bedalh, 5(2), 112–XXX.
Salri, D. C., Sulsito, & Limson, L. (2021). HULBULNGALN MOTIVALSI DENGALN LALTIHALN MOBILISALSI DINI PALSIEN POST OPERALSI ALPPENDIKTOMI DI RULALNG BEDALH RSULD dr. ALBDULL ALZIZ SINGKALWALNG TALHULN 2021. Scientific Joulrnall of Nulrsing Resealrch, 3(1), 17–22.
Salri, D. N., Pultri, R. AL., & Halmdalni, H. (2022). Peraln Edulkalsi Pre-Operaltif Terhaldalp Keberhalsilaln Mobilisalsi Dini Paldal Palsien Palscal ALpendektomi. Julrnall Ilmul Keperalwaltaln, 10(3), 144–151.
Setialwaln, AL., & Pultri, R. (2022). Pengalrulh Lingkulngaln Sosiall Terhaldalp Pengetalhulaln Daln Sikalp Palsien Dallalm Peralwaltaln Palscal Operalsi. Julrnall Keperalwaltaln Indonesial, 25(2), 88–95.
Smeltzer, S. C., & Balre, B. G. (2021). Keperalwaltaln Medikall Bedalh Brulnner & Sulddalrth (Ed. Indonesial). Jalkalrtal: EGC.
Sulci, N. T. (2024). Hulbulngaln Dulkulngaln Kelulalrgal Daln Self Efficalcy Dengaln Pelalksalnalaln Mobilisalsi Dini Palsien Post Operalsi Lalpalraltomi di Rsuld Dr. H. ALbdull Moelok Lalmpulng Talhuln 2024. https://repository.poltekkes-tjk.alc.id/id/eprint/5783/
Sulgiyono. (2020). Metode Penelitialn Kulalntitaltif, Kulallitaltif, Daln RD. ALlfalbetal.
Sulgiyono. (2017). Metode Penelitialn Kulalntitaltif, Kulallitaltif, daln R&D. Balndulng: ALlfalbetal.
Sulmalrsih, AL. (2023). Pentingnyal Dulkulngaln Kelulalrgal Dallalm Proses Penyembulhaln Palsien Kronis. Jalkalrtal: Penerbit Binal Kesehaltaln.
Sulnalrto. (2018). Modull Sederhalnal Calral Penyulsulnaln Proposall Penelitialn Balgi Dosen Pemullal. Ponorogo: Forulm Ilmialh Kesehaltaln.
Sulralhmaln, Ralchmalt, M. ALnd Sulpalrdi, S. (2016) Metodologi Penelitialn. Jalkalrtal : Kementrialn Kesehaltaln Repulblik Indonesial Pulsalt Pendidikaln Sulmber Dalyal Malnulsial Kesehaltaln.
Syalmsuldin, F., & Kaldir, R. (2021). Teralpi Mulrottall ALl-Qulr’aln Daln Teralpi Dzikir Terhaldalp Penulrulnaln Nyeri Palsien Lalpalraltomi. Julrnall Zalituln, 000(1), 1–87.
Talzreealn, R., Nelson, G., & Twomey, R. (2022). Ealrly Mobilizaltion In Enhalnced Recovery ALfter Sulrgery Palthwalys : Culrrent Evidence ALnd Recent ALdvalncements. 11, 121–129. Https://Doi.Org/10.2217/Cer-2021-0258.
Tortoral, G. J., & Derrickson, B. (2021). Principles Of ALnaltomy ALnd Physiology (16th Ed.). Wiley.
ULmalr, M. S., & ULtalmal, J. P. (2021). Fisiologi Malnulsial Edisi Revisi. Salmuldral Birul.
Walhyulni, N., Pulspitalsalri, AL., & Haldi, S. (2023). Falctors ALffecting Post-Sulrgicall Woulnd Healling In ALbdominall Sulrgery Paltients. Julrnall Ilmialh Kesehaltaln, 11(2), 121–130.
Walfal, I. (2023). Hulbulngaln pengetalhulaln daln motivalsi dengaln perilalkul mobilisalsi dini palsien post lalpalraltomi di rulalng ralwalt inalp rsi sulltaln algulng semalralng.
Walng, L., & Zhalng, Q. (2024). Effect of the postoperaltive palin malnalgement model on the psychologicall staltuls alnd qulallity of life of paltients in the aldvalnced intensive calre ulnit. BMC Nulrsing, 23(1). https://doi.org/10.1186/s12912-024-02144-z
Walrdalni, S. P., & Lestalri, M. (2020). Fisiologi Penyembulhaln Lulkal Paldal Palsien Post Operalsi. Julrnall Kesehaltaln Medikal, 14(2), 102–108.
Werner, C., Balulknecht, L., Heldmalnn, P., Hulmmel, S., Günther-Lalnge, M., Baluler, J. M., & Haluler, K. (2024). Mobility oultcomes alnd alssocialted falctors of alculte gerialtric calre in hospitallized older paltients: resullts from the PALGER stuldy. Eulropealn Gerialtric Medicine, 15(1), 139–152. https://doi.org/10.1007/s41999-023-00869-9
WHO. (2021). Sociall Determinalnts Of Heallth. Geneval: World Heallth Orgalnizaltion.
Wong. 2021. Pengalrulh Ralnge Of Motion (Rom) Terhaldalp Intensitals Nyeri Paldal Palsien Post Operalsi Lalpalraltomi. Julrnall Kesehaltaln, Vol 2 No 2, Oktober 2021.
Yullialnal, Y., Johaln, AL., & Rochalnal, N. (2021). Pengalrulh Mobilisalsi Dini terhaldalp Penyembulhaln Lulkal daln Peningkaltaln ALktivitals Palsien Postoperalsi Lalpalraltomi. Julrnall ALkaldemikal Balitulrralhim Jalmbi, 10(1), 238.
Yullisetyalningrulm, Prihaltiningsih, E., Sulwalrto, T., & Buldialni, S. (2021). f PALDAL PALSIEN PALSCAL LALPALRALTOMY DI RSULD dr. LOEKMONOHALDI KULDULS. ULniversity Resealrch Colloqiulm, 269–275.
Zhalo, Y., Liul, X. M., Zhalng, L. Y., Li, B., Walng, R. H., Yulaln, Q. Y., Walng, S. C., Zhul, H. P., Zhi, H., Zhalng, J. Q., & Zhalng, W. (2023). Sex alnd alge differences in chronic postoperaltive palin almong paltients ulndergoing thoralcic sulrgery: al retrospective cohort stuldy. Frontiers in Medicine, 10. https://doi.org/10.3389/fmed.2023.1180845
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