The effectiveness of early mobilization program to improve pain level, intestinal peristaltic and physiologic paramaters on post-surgery patients

Introduction: Surgery is an invasive medical procedure which performed to diagnose or treat illness, injury, or disability. The decrease of intestinal peristaltic and incidence of pain may occur as a result of these actions; moreover, it affects blood pressure and other physiologic parameters; thus, will make prolong the healing period because it will interfere with the patient activity and become one of the reasons for the patient unwilling to perform early mobilization. Objective: The purpose of this study was to determine the effectiveness of early mobilization program to improve pain level, intestinal peristaltic and physiologic parameters on Post Surgery Patients. Method: This study used quasi experimental design with One – Group Pretest-Posttest, and there were 33 patients which chosen using total sampling technique. Pain level, intestinal peristaltic, blood pressure, heart rate and body temperature were measured at before and after 3 days intervention of early mobilization program. Result: Wilcoxon statistical analysis revealed significant difference in decreasing levels on pain, increasing intestinal peristaltic, decreasing systolic blood pressure and decreasing heart rate (p<0.05) at before compared to after intervention of early mobilization on post-surgery patients. Multivariate analysis showed that intervention of early mobilization, age and type of surgery simultaneously affect dependent variables ((p<0.05; moreover, the r-squared is 0.727 which indicates that early mobilization intervention contributed 72.7% to changes in pain level, intestinal peristaltic and physiologic parameters. Conclusion: It is suggested that nurses should perform and apply early mobilization program to post surgery patients, because of its positive impact to patient will faster patient’s recovery process.