Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review.

Introduction: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest can potentially increase the incidence of various complications that may increase patients' morbidity and mortality rate after hip and lower extremities surgery. This literature review aimed to identify the effects of early mobilization on hip and lower extremity postoperative. Methods: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online, and Scopus, using the Boolean operator tools with "AND" and "OR" words by combining several keywords according to the literature review topic, with inclusion criteria of those published in the last three years (2019-2021), using a quantitative design, written in English and full-text articles. A total of 435 articles were obtained, screened, and reviewed so that there were 16 (sixteen) eligible articles. Results: There were 11 (eleven) effects of early mobilization, that is, shorter the length of stay, lower postoperative complication, lower the pain, increase walking ability, increase quality of life, decrease the rate of readmission, decrease mortality rate, lower the total hospitalization cost, higher number of physical therapy sessions prior to discharge, increase in satisfaction, and no fracture displacement or implant failure. Conclusion: This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients can implement early mobilization and motivate patients to cooperate in undergoing early mobilization.

Effect of therapy hypothermia on hemodynamic status of post cardiac arrest in acute myocardial infarction

OBJECTIVE: This study aims to determine the effectiveness of Therapy Hypothermia on hemodynamic status in acute myocardial infarction post cardiac arrest. METHOD: This study used a quasi-experiment, with a one-group pre-post test. Accidental sampling used with 12 participants. The study was conducted on patients who had just entered the Intensive Cardiovascular Care Unit (ICVCU) with acute myocardial infarction. Therapy Hypothermia was started used blanketrol set at 32-34°C for 24h, then level of consciousness, systolic, dyastolic, Mean Arterial Pressure (MAP), Heart Rate (HR), Respiratory Rate (RR), Temperature taken before and after intervention. Analysis used dependent T-test. RESULT: Showed effectiveness of hypothermia therapy on the hemodynamic status of acute myocardial infarction post cardiac arrest, which level of consciousness, Systolic, Dyastolic, MAP, HR, RR and Temperature obtained p value<0.05. CONCLUSION: Therapy hypotermia is one standardized to stabilized hemodynamic status of acute myocardial infarction post cardiac arrest

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The effect of deep breathing relaxation to reduce post operative pain in lower limb fracture

OBJECTIVE: This study was performed to determine the effect of deep breathing relaxation to reduce post operative pain in lower limb fracture. METHOD: This a quasi experiment with a pretest-posttest intervention control group design. Accidental sampling used and consisted of 16 respondents who were divided into two groups (each n=8), intervention and control group. Measurement of pain intensity used Numerical Rating Scale (NRS), in intervention and control group after 4h of analgesic administration. RESULT: Demographic data showed most of respondent were male (43.75%) with age early adulthood (62.5%) and dominan tribe is from Sumatrans (43.75%). There was effect of deep breathing exercise to reduce post operative pain in lower limb fracture, obtained p value=0.000 (p < 0.05). CONCLUSION: Deep breathing relaxation is recommended and suggested intervention to reduce post operative pain in lower limb fracture

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