Analysis of Factors Affecting Early Mobilization in Postoperative Patients After Lymphophymy Surgery in the Operating Room of Prof.Dr.H. Aloei Saboe Gorontalo City
Keywords:
Nursing care, Early mobilization, Postoperative patients
Abstract
Background: Early mobilization is an important nursing intervention that plays a role in accelerating the patient's postoperative recovery. Lack of physical activity after surgery can increase the risk of complications, such as impaired circulation, decreased gastrointestinal function, as well as delayed wound healing. Therefore, early mobilization is an integral part of nursing care to maintain physiological function, improve comfort, and support the patient's rehabilitation process. This study aims to analyze the effect of early mobilization on postoperative patient recovery. Methods: The research method used was quantitative design with an observational analytical approach and using a cross sectional research design. A sample of 30 respondents was selected using the purposive sampling technique. Data was collected through an early mobilization observation sheet. Data analysis was conducted using the Chi-Square test to identify the effect of early mobilization on the patient's postoperative recovery. Results: The results of the study showed the effect of early mobilization on the recovery of postoperative patients with a significance value of p < 0.05. Patients who received early mobilization showed improvement in clinical conditions compared to before the intervention. Discussion: Early mobilization contributes to improving blood circulation, improving organ function, and preventing postoperative complications. Gradual physical activity helps speed up healing and increase patient independence. These findings confirm the importance of the role of nurses in encouraging early mobilization as an effective strategy to improve patient clinical outcomes.
References
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Alodhialah, A. M., Almutairi, A. A., & Almutairi, M. (2024). Assessing the association of pain intensity scales on quality of life in elderly patients with chronic pain: A nursing approach.
Arianti. (2021). Application of nursing care based on medical diagnosis (Volume 2). EGC.
Arif, M., Suryati, I., & Fitri, H. (2020). Knowledge and attitudes towards the implementation of early mobilization in postoperative patients. Proceedings of the Pioneer Health Seminar, 3(1), 52.
Arif, M., Yuhelmi, Y., & Demur, D. R. D. N. (2021). The implementation of early mobilization affects the wound healing process of post-lymphophymy patients. Proceedings of the Pioneer Health Seminar, 4(2), 24–29.
Arif, T. (2022). The effect of early mobilization on postoperative nausea and vomiting in postoperative patients under general anesthesia at Ngudi Waluyo Wlingi Hospital. Scientific Journal of Health Husada, 11(1), 26–33.
Brunner, L. S., & Suddarth, D. S. (2002). Surgical medical nursing textbook. EGC.
Bushnell, M. C., ?eko, M., & Low, L. A. (2025). Cognitive and emotional control of pain and its disruption in chronic pain. Nature Reviews Neuroscience, 14(7), 502–511.
Cristiyaningsih, V., & Purwanti, O. S. (2023). Literature study: Early mobilization of pain scale reduction in post-lymphophymy patients. Journal of Health, 11(2), 1–7.
Cunningham, D. (2006). Williams Obstetrics (Vol. 1, 21st ed.). EGC.
Ervina, F., Sudarta, I. W., Pratama, A. Y., & Melati, N. (2025). The Influence of Family Roles with the Implementation of Mobilization in Post Lymphomamy Patients in the Orchid Room of Mardi Waluyo Metro Hospital in 2022 (Doctoral dissertation, STIKES Bethesda Yakkum Yogyakarta).
Esmaeili, V., Tamura, K., Muscinelli, S. P., Crochet, S., Gerstner, W., Petersen, C. C. H., Modirshanechi, A., Boscaglia, M., & Lee, A. B. (2021). Rapid suppression and sustained activation of distinct cortical regions for a delayed sensory-triggered motor response. Neuron, 109(13), 2183–2201.e9. https://doi.org/10.1016/j.neuron.2021.05.005
Fadlilah, S., Sucipto, A., Sumarni, S., & Dwiyanto, Y. (2021). Family social support increases mobilization in post-lymphoma patients at Dr. Soeradji Tirtonegoro Hospital. Journal of Muhammadiyah Nursing, 6(3).
Ferrucci, L., Fabbri, E., Branch, G., & Sciences, S. (2023). Inflammation. HHS Public Access, 15(9), 505–522.
Fibriansari, R. D., & Mulyantoro, A. (2023). The role of nurse educators in lowering anxiety in pre-operative patients. Journal of Health Sciences Research (Pikes Journal), 4(2), 20–27.
Fibriansari, R. D., Astuti, A., Mulyantoro, A., & Mustikawati, A. (2024). Relationship between self-efficacy and activity of daily living (ADL) in post-operative patients. Binawan Student Journal, 6(1), 1–7.
Franz, A., Wolf, K. F., Behrens, J., Koos, B., Adamzik, M., & Ehrentraut, S. F. (2025). Effects of passive blood-flow-restriction and electromyostimulation on ICU-acquired weakness: A randomized-controlled trial protocol. Trials. https://doi.org/10.1186/s13063-025-08874-y
Garland, E. L., & Hanley, A. W. (2021). Reply to Riddle. Pain, 162, 2145.
Hexendr, N. A., Prajayanti, E. D., & Wulandari, I. (2024). The application of early mobilization to pain intensity in postoperative patients in the HCU Cempaka room of Dr. Moewardi Hospital Surakarta. Indonesian Journal of Public Health, 2(3), 610–619.
Hidayat, A. A. A. (2012). Introduction to basic human needs. Medical Salon.
Jitowiyono, S., & Kristiyanasari, W. (2012). Postoperative nursing care with the NANDA NIC-NOC approach. Medical Nun.
Kautzky-Willer, A., & Pacini, G. (2021). Complications of type 2 diabetes mellitus. Endocrine Reviews, 37, 278–316.
Landvatter, J. D., Uchino, B. N., Smith, T. W., & Bosch, J. A. (2022). Partner's perceived social support influences spouse inflammation: An actor–partner analysis. International Journal of Environmental Research and Public Health, 19(2), 799.
Machali, I. (2021). Quantitative research methods. Faculty of Tarbiyah and Teacher Training UIN.
Mauvais-Jarvis, F. (2024). Gender differences in glucose homeostasis and diabetes. Physiology & Behavior, 187, 20–23.
Meissner, W., Coluzzi, F., Fletcher, D., Huygen, F., Morlion, B., Neugebauer, E., & Pergolizzi, J. (2025). Improving the management of post-operative acute pain: Priorities for change. https://doi.org/10.1185/03007995.2015.1092122
Mufida, N. (2019). The effect of knowledge with family support in the implementation of ROM in post-stroke clients. Journal of Biology Education, 7, 127–135.
Mundy, C. (2005). Post-cesarean section recovery. Erlangga.
Muntiningrum, I. (2022). The effectiveness of "Semangat Ceria" education on the ability of early mobilization of postoperative patients (Doctoral dissertation, Sultan Agung Islamic University Semarang).
Mutaqin, A., & Sari. (2011). Perioperative nursing care: Concepts, processes and applications. Medical Salon.
Notoatmodjo, S. (2018). Health research methodology (3rd ed.). Rineka Cipta.
Nutbeam, D., & Lloyd, J. E. (2021). Understanding health literacy as a social determinant of health.
Oh, S. H., Lee, S. Y., & Han, C. (2021). Effects of social media use on preventive behaviors during infectious disease outbreaks. Health Communication, 36(8), 972–981.
Organization, W. H. (2025). Noncommunicable diseases progress monitor 2025. World Health Organization.
Potter, P. A., & Perry, A. G. (2017). Fundamentals of nursing: Concepts, processes and practices (4th ed.). EGC.
Pramitasari, N. A., & Musharyanti, L. (2023). Effect of early mobilization on the reduction of pain scale in patients postoperative lymphoma: Case report. Medical Health Scientific Journal, 5(1).
Priyanto. (2020). Efforts to improve physical mobility in post-lymphophysy patients at Dr. Soeharso Hospital Surakarta. University of Muhammadiyah Surakarta.
Putra, K., & Widodo, D. (2025). The effect of early mobilization on pain levels in post-laparatomy surgery patients.
King, S. N., Carr, D. B., Cohen, M., Finnerup, N. B., Flor, H., Gibson, S., & Ringkamp, M. (2021). The revised IASP definition of pain. Pain, 161(9), 1976–1982.
Rajaretnam, N., Okoye, E., & Burns, B. (2023). Laparotomy. National Library of Medicine.
Ratnasari, Y. P., Setiyawan, & Wulaningrum, D. N. (2024). The effect of early mobilization on pain intensity in postoperative patients (Doctoral dissertation, Kusuma Husada University, Surakarta).
Rizqiani, S. (2023). Factors that affect early mobilization in postoperative patients (Doctoral dissertation, Polytechnic of the Ministry of Health, Tanjungkarang).
Rustianawati. (2021). Textbook of musculoskeletal disorders. EGC.
Smeltzer, S. C. (2021). Digestive and trauma nursing (2nd Edition). EGC.
Sørensen, K., Broucke, S. V. D., Fullam, J., Doyle, G., & Pelican, J. (2023). Health literacy and public health: A systematic review. BMC Public Health, 12(1), 80.
Sugeng Jitowiyono, S. (2010). Post-operative nursing care. Juha Medika.
Sulistyawati, H., Hanum, Z., Meikawati, P. R. N., Rosdiato, O., Muayah, & Aprianti, E. (2023). Textbook of Obstetrics and Gynecology (Volume 1). The Masterpiece of the Main Image.
Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., & Mbanya, J. C. (2022). IDF diabetes atlas prevalence estimates. Diabetes Research and Clinical Practice, 183, 109119.
Tamsuri. (2021). Clinical physician lecture notes (6th ed.). Erlangga.
Thoits, P. A. (2024). Social support and psychological well-being. Springer.
Walker, T. C., & Kudchadkar, S. R. (2018). Early mobilization in the pediatric intensive care unit. Translational Pediatrics, 7(4), 308.
Wantoro, G., Muniroh, M., & Kusuma, H. (2020). Analysis of factors influencing early ambulation post ORIF of femur fracture patients. Baiturrahim Jambi Academic Journal, 9(2), 283–292.
Wijaya, A. S., & Putri, Y. M. (2013). Surgical medical nursing (Adult nursing). Medical Nun.
Xie, J., Luo, X., Zhou, Y., Zhang, C., Li, L., Xiao, P., Duan, Y., Cheng, Q., Liu, X., & Cheng, A. S. K. (2023). Relationships between depression, self-efficacy, and professional values among oncology nurses. BMC Nursing, 22(1), 140.
Published
2026-05-25
How to Cite
Ade Anas Saputra, Fadly Syamsuddin, & Asni Ayuba. (2026). Analysis of Factors Affecting Early Mobilization in Postoperative Patients After Lymphophymy Surgery in the Operating Room of Prof.Dr.H. Aloei Saboe Gorontalo City. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(3), 1784~1797. https://doi.org/10.56338/ijhess.v8i3.11200
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Copyright (c) 2026 Ade Anas Saputra, Fadly Syamsuddin, Asni Ayuba
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