Mobilisasi Dini Pascaoperasi pada Pasien Fraktur Ekstremitas Bawah di Rumah Sakit Umum Pusat H Adam Malik Medan

Abstract

Mobilization is the ability to move freely using coordination between the nervous system and the muscles of the body. Early mobilization after lower limb fracture surgery has been shown to reduce the risk of immobilization complications and accelerate the return of limb function. Globally, by 2022, only about 30-40% of patients will receive optimal early mobilization within 48 hours of stabilization. This shows that the implementation of early mobilization is still uneven. In Indonesia, the results of observational studies conducted in several teaching hospitals show that only about 25-35% of postoperative patients perform early mobilization in the first 24 hours after surgery. The purpose of this paper is to describe early mobilization in patients with lower extremity fracture disease in the RB 3 Room of the H. Adam Malik Central General Hospital Medan. The results of the assessment obtained the main complaint is impaired mobilization since being hospitalized. Nursing diagnoses are impaired physical mobility, acute pain, impaired skin integrity, risk of bleeding, and risk of infection. The nursing action plan that has been prepared has been implemented and the nursing evaluation of the problem is partially resolved. Nurses are expected to further improve nursing care services by monitoring early mobilization in postoperative patients with lower limb fractures to improve service quality and patient health status