THE EFFECT OF EARLY MOBILIZATION ON THE ACCELERATION OF POSTOPERATIVE WOUND HEALING IN THE SURGICAL INPATIENT WARD OF ACEH BESAR REGIONAL HOSPITAL

Authors

  • Yennizar Yennizar Universita Bina Bangsa Getsempena
  • Nurul Ibrahim Universita Bina Bangsa Getsempena
  • Mela Hayani Universita Bina Bangsa Getsempena
  • Andri Juanda Universita Bina Bangsa Getsempena
  • Maulida Maulida Universitas Bina Bangsa Getsempena
  • Nuri Nazari Universita Bina Bangsa Getsempena

Abstract

Post-operative wound healing and length of stay are common problems, due to physiological, psychological, and health care system factors, including pain, physical weakness, fear and anxiety, lack of motivation, and inadequate pre- and post-operative education. Early mobilization is an important non-pharmacological intervention in the patient's recovery process after surgery. This study aimed to determine the effect of early mobilization on the acceleration of postoperative wound healing in the Surgical Inpatient Room of RSUD Aceh Besar. This research used a quantitative method with a quasi-experimental design, applying a one-group pre- test and post-test approach without a control group. The sample consisted of 36 respondents, selected using accidental sampling technique. Data were collected from June 13 to July 18, 2025, using the REEDA observation sheet, which includes five indicators: redness, edema, ecchymosis, discharge, and approximation. The results showed that before the intervention, most respondents were in the slow healing category (94.4%). After the early mobilization intervention, there was a significant decrease in REEDA scores, with 86.1% of respondents falling into the fast healing category. The Wilcoxon Signed-Rank Test showed a Z value of –5.114 and a p-value of 0.000 (p < 0.05), indicating a significant effect of early mobilization on the acceleration of postoperative wound healing.

👁 Abstract Views: 0📥 PDF Downloads: 0

References

Ananda, A. R., Inayati, A., & Ludiana, L. (2021). Penerapan mobilisasi dini terhadap proses penyembuhan luka pada pasien dengan post operasi appendiktomi di kota metro. Jurnal Cendikia Muda, 1(4), 436-443.

Arif, M., Yuhelmi, Y., & Demur, D. R. D. N. (2021). Pelaksanaan mobilisasi dini berpengaruh terhadap proses penyembuhan luka pasien post laparatomi. In Prosiding Seminar Kesehatan Perintis 4(2), 24-29.

Behairy, A. S., Mahmoud, M. A. M., & Deep, S. H. (2024). Evidence-Based Practice of Early Post-Operative Mobilization for Whipple Surgery Patients' Selected Outcomes. Tanta Scientific Nursing Journal, 33(2), 152-168.

Castelino, T., Fiore Jr, J. F., Niculiseanu, P., Landry, T., Augustin, B., & Feldman, L. S. (2016). The effect of early mobilization protocols on postoperative outcomes following abdominal and thoracic surgery: a systematic review. Surgery, 159(4), 991-1003. https://doi.org/10.1016/j.surg.2015.11.029

Klein, K., Mulkey, M., Bena, J. F., & Albert, N. M. (2015). Clinical and psychological effects of early mobilization in patients treated in a neurologic ICU: a comparative study. Critical care medicine, 43(4), 865-873. ttps://doi.org/10.1097/CCM.0000000000000787

Lemone(2019)Lemone,Priscilla.2019.Buku Ajar Keperawatan Medikal Bedah.Jakarta: EGC

Mazda, Y., Jadin, S., & Khan, J. S. (2021). Postoperative pain management. Canadian Journal of General Internal Medicine, 16(S1), 5-17. https://doi.org/10.22374/cjgim.v16iSP1.529

Potter, P. A., & Perry, A. G. 2017. Fundamentals of Nursing (9th ed.). St. Louis : Elsevier

Ramadhan, D., Faizal, K. M., & Fitri, N. (2023). Pengaruh konseling dengan pendekatan, thinking, feeling dan acting (tfa) terhadap tekanan darah pada pasien pre operasi. Jurnal Penelitian Perawat Profesional, 5(2), 637-644.

Rangkuti, N. A., Zein, Y., Batubara, N. S., Harahap, M. A., & Sodikin, M. A. (2023). Hubungan mobilisasi dini post sectio caesarea dengan proses penyembuhan luka operasi di RSUD Pandan. Jurnal Education and Development, 11(1), 570-575. https://doi.org/10.37081/ed.v11i1.4563

Rottie, Julia & Saragih, Rianti Erlita. 2019. Pengaruh Mobilisasi Dini Terhadap Penyembuhan Luka Post Sectio Caesarea di Irina D Bawah RSUP Prof Dr.R. D. Kandou Manado. Journal Of Community and Emergency

Sirait, Y., Komariyah, N., Darmawan, A., & Sumiati, S. (2024). Pengaruh Penerapan Mobilisasi Dini Terhadap Proses Penyembuhan Luka Pada Pasien Post Operasi Apendiktomi Di Ruang Bougenville RSUD Dr Abdul Rivai Kabupaten Berau. Jurnal Keperawatan Wiyata, 5(1), 57-67. https://doi.org/10.35728/jkw.v5i1.1345

Tazreean, R., Nelson, G., & Twomey, R. (2021). Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. Journal of comparative effectiveness research, 11(2), 121-129. https://doi.org/10.2217/cer-2021-0258

Turan, A., Khanna, A. K., Brooker, J., Saha, A. K., Clark, C. J., Samant, A., ... & Sessler, D. I. (2023). Association between mobilization and composite postoperative complications following major elective surgery. JAMA surgery, 158(8), 825-830. https://doi:10.1001/jamasurg.2023.1122

Vermişli, S., Çakmak, Ö., Müezzinoğlu, T., Aslan, G., & Baydur, H. (2022). The Effect of Postoperative Early Mobilization on the Healing Process and Quality of Life Following Radical Cystectomy and Ileal Conduit: A Randomized Prospective Controlled Trial. Journal of Urological Surgery, 9(1), 9-19. https://doi.org/10.4274/jus.galenos.2021.2021.0065

World Health Organization (WHO). 2020. Why Safe Surgery Is Important. Diakses pada tanggal 13 Januari 2025 dari https://www.who.int

Xavier, B., Vaithilingan, S., Avudaiappan, S., & Periasamy, P. (2024). The impact of an early mobility protocol on recovery outcomes in patients undergoing abdominal surgeries. Cureus, 16(12), e75980. https://doi.org/10.7759/cureus.75980

Yuliana, Y., Johan, A., & Rochana, N. (2021). Pengaruh mobilisasi dini terhadap penyembuhan luka dan peningkatan aktivitas pasien postoperasi laparatomi. Jurnal Akademika Baiturrahim Jambi, 10(1), 238-249. https://doi.org/10.36565/jab.v10i1.355

Downloads

Published

2026-07-30

How to Cite

Yennizar, Y., Ibrahim, N., Hayani, M., Juanda, A., Maulida, M., & Nazari, N. (2026). THE EFFECT OF EARLY MOBILIZATION ON THE ACCELERATION OF POSTOPERATIVE WOUND HEALING IN THE SURGICAL INPATIENT WARD OF ACEH BESAR REGIONAL HOSPITAL. Getsempena Health Science Journal, 5(2), 105–116. Retrieved from https://ejournal.bbg.ac.id/index.php/ghsj/article/view/3717

Issue

Vol. 5 No. 2 (2026)

Section

Articles

License

Copyright (c) 2026 Yennizar Yennizar, Nurul Ibrahim, Mela Hayani, Andri Juanda, Maulida Maulida, Nuri Nazari

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal. 
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).