The Effectiveness of Early Mobilization Education Using Video Media on Post-Laparotomy Patient Recovery

Mita Amalia Karunia Akbar; Sri Mugianti; Wiwin Martiningsih; Maria Dyah Ciptaning Tyas

doi:10.31290/haj.v3i3.6937

Penulis

Mita Amalia Karunia Akbar Politeknik Kesehatan Malang
Sri Mugianti
Wiwin Martiningsih
Maria Dyah Ciptaning Tyas

DOI:

https://doi.org/10.31290/haj.v3i3.6937

Kata Kunci:

Early mobilization, video media, recovery, laparotomy, patient education

Abstrak

Post-laparotomy patients generally experience pain, decreased mobility, impaired intestinal peristalsis, and an increased risk of complications. Therefore, early mobilization is an important step to accelerate recovery. However, its implementation is often suboptimal due to limited patient education. Video media can provide clear and easy-to-understand explanations. This study aimed to determine the effectiveness of early mobilization education using video media on the recovery of post-laparotomy patients. The study used a quasi-experimental approach with a posttest-only control group design. The population consisted of 79 patients, with 40 respondents selected through simple random sampling. The sample included 20 respondents in the control group and 20 in the intervention group. Bivariate analysis was performed using the Mann-Whitney test. The results showed that recovery in the control group was slower than in the intervention group. The intervention group demonstrated better mobilization ability (p = 0.000) and faster reduction in pain intensity, particularly at 12 hours (p = 0.009) and 24 hours postoperatively (p = 0.021). However, intestinal peristalsis recovery was not significantly different between groups (p = 0.127). Thus, early mobilization education using video media was effective in accelerating recovery among post-laparotomy patients. Further research with longer observation periods and more comprehensive implementation is recommended.

Referensi

KP Komala and FN Rosyid, “Effectiveness Of Finger Grasp Relaxation To Reduce Post-Laparatomy Pain: Literature Review,” vol. 9, pp. 414–421, 2025, doi: https://doi.org/10.31004/jn.v9i1.32726.

ME Katuuk and H. Bidjuni, "The Effect of Early Mobilization on Intestinal Peristalsis in Post-Laparatomy Patients at GMIM Pancaran Kasih Manado Hospital,"e-journal of Nursing (e-Kp), vol. 6, no. 1, pp. 1–7, 2020, [Online]. Available: https://doi.org/10.35790/jkp.v6i1.25179

RA Sugara, A. Aprina, and P. Purwati, "The Effect of Early Mobilization on the Wound Healing Process in Post-Laparotomy Patients at the General Ahmad Yani Regional Hospital, Metro City, Lampung Province."Malahayati Nurs. J., vol. 5, no. 4, pp. 1177–1187, 2023, doi: 10.33024/mnj.v5i4.9550.

HR Octaviana, AY Pramatirta, and S. Irianti, "Use of Online Media YouTube and Print Media Booklets during the Covid-19 Pandemic Increases Knowledge of Cervical Cancer Screening in Women of Childbearing Age,"J. Health. Metro Sai Wawai, vol. 15, no. 2, pp. 89–98, 2023, doi: 10.26630/jkmsaw.v15i2.3348.

R. Setiawan, I. Iryanti, and M. Muryati, “The Effectiveness of Audio-visual Educational Media and Booklets on Premenopausal Knowledge, Self-Efficacy and Stress in Premenopausal Women in Bandung City,”Health Behavior and Promotion. Indones. J. Heal. Promot. Behav., vol. 2, no. 1, p. 1, 2020, doi: 10.47034/ppk.v2i1.3876.

Arianti, "The Effectiveness of Early Mobilization Animated Video Education on the Speed of Recovery of Walking Ability in Post-Surgical Patients,"J. Nursing Respati Yogyakarta, vol. 5, no. 1, pp. 14–18, 2018, doi: https://doi.org/10.36419/jki.v15i2.1096.

G. Pratitdya, NM Rehatta, and D. Susila, “Comparison Of Pain Scale Interpretation Between Nrs-Vas-Wbfs By Patients After Election Orthopedic Surgery At Dr. Soetomo Hospital,”Care J. Ilm. Ilmu Kesejahteraan., vol. 8, no. 3, p. 447, 2020, doi: 10.33366/jc.v8i3.1802.

IA Nurani, MH Huda, and D. Argarini, “Analysis of the Effectiveness of Implementing Enhanced Recovery After Cesarean Section (ERACS) on Pain and Early Mobilization in Post-SC Patients at Hermina Jatinegara Hospital,”J. Nursing and Midwifery Nas., vol. 1, no. 2, pp. 23–30, 2024, doi: 10.47313/jkkn.v1i2.3158.

S. Aisah, S. Ismail, and A. Margawati, “Health Education with Animated Video Media: Scoping Review,”J. Indonesian Nurses., vol. 5, no. 1, pp. 641–655, 2021, doi: 10.32584/jpi.v5i1.926.

RE Mayer, "The Past, Present, and Future of the Cognitive Theory of Multimedia Learning,"Educ. Psychol. Rev., vol. 36, no. 1, pp. 1–25, 2024, doi: 10.1007/s10648-023-09842-1.

ML Mcpherson, P. Faahpm, BC Cestone, B. Andy, and FTD T, “Effect of Medication Information Delivery Format on Cognitive Load and Knowledge Retention of Informal Caregivers (RP209),” vol. 67, no. 5, pp. 776–777, 2024, doi: 10.1016/j.jpainsymman.2024.02.443.

RD Kusuma and NY Trian, “Implementation Of Early Mobilization Education On Muscle Strength In Children With Physical Mobility Disorders,”Br. Med. J., vol. 2, no. 5474, pp. 1333–1336, 2024, doi: https://doi.org/10.37287/jppp.v6i2.2188.

B. Mahetaet al., “The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach : Systematic Review of Randomized Controlled Trials Corresponding Author :,” JMIR Perioper. Med., vol. 7, pp. 1–21, 2024, doi: 10.2196/51573.

A. Willner, C. Teske, and T. Hackert, "Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis,"BJS Open, vol. 7, no. 5, pp. 1–10, 2023, doi: 10.1093/bjsopen/zrad102.