Pengaruh Early Mobilization Terhadap Peningkatan SpO2 dan RR Pasien Post Operasi General Anestesi di Recovery Room
DOI:
https://doi.org/10.31004/joecy.v6i2.14562Abstract
Early mobilization merupakan intervensi keperawatan untuk mempercepat pemulihan pasien pasca operasi dengan anestesi umum, terutama dalam meningkatkan fungsi respirasi. Pasien berisiko mengalami penurunan saturasi oksigen dan perubahan frekuensi napas. Pedoman Enhanced Recovery After Surgery (ERAS) merekomendasikan mobilisasi dalam 24 jam pertama setelah operasi. Tujuan penelitian adalah untuk mengetahui pengaruh early mobilization terhadap saturasi oksigen dan frekuensi napas pada pasien pasca operasi dengan anestesi umum. Metode: Desain pre-eksperimental one group pretest-posttest design. Sampel sebanyak 33 pasien melalui purposive sampling. Data dikumpulkan melalui observasi dan pengukuran SpO2 menggunakan pulse oximeter dan RR sebelum dan sesudah intervensi. Analisis menggunakan uji Paired T-Test. Hasil penelitian menunjukan sebelum intervensi, seluruh responden memiliki SpO2 <95% dan sebanyak 57,6% mengalami takipnea. Setelah early mobilization, seluruh responden mencapai SpO2 ≥95% dan RR dalama batas normal. Uji Wilcoxon menunjukkan nilai p=0,000 (p<0,05). Early mobilization efektif meningkatkan saturasi oksigen dan memperbaiki frekuensi napas, sehingga direkomendasikan sebagai intervensi keperawatan untuk mempercepat pemulihan fungsi respirasi.
References
Alsuwaylihi, A., O'Connor, D., Joshi, G. P., Kehlet, H., & Lobo, D. N. (2026). Importance of early postoperative mobilization: comprehensive review. BJS Open, 10(2), 1-6. doi:10.1093/bjsopen/zrag016
Batchelor, T. J., Rasburn, N. J., Abdelnour-Berchtold, E., Brunelli, A., Cerfolio, R. J., Gonzalez, M., . . . Naidu, B. (2019). Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-Thoracic Surgery, 55(1), 91-115. doi:10.1093/ejcts/ezy301
Bustamante, A. F., Frendl, G., Sprung, J., Kor, D. J., Subramaniam, B., Ruiz, R. M., . . . Melo, M. F. (2021). Postoperative Pulmonary Complications, Early Mortality, and Hospital Stay Following Noncardiothoracic Surgery: A Multicenter Study by the Perioperative Research Network Investigators. Jama Surgery, 152(2), 157-166. doi:10.1001/jamasurg.2016.4065.
Chen, L., Glatt, E., Kerr, P., Weng, Y., & Lough, M. E. (2024). Stir-up Regimen After General Anesthesia in the Postanesthesia Care Unit: A Nurse Led Stepped Wedge Cluster Randomized Control Trial. Journal of PeriAnesthesia Nursing, 39(2), 207-217. doi:10.1016/j.jopan.2023.07.014
Esmealy, L., Allahbakhshian, A., Gholizadeh, L., Khalili, A. F., & Sarbakhsh, P. (2023). Effects of early mobilization on pulmonary parameters and complications post coronary artery bypass graft surgery. Applied Nursing Research (APR), 69, 151-163. doi:10.1016/j.apnr.2022.151653
Katran, H. B., Kandemir, E., & Sezer, Ü. (2025). Early Mobilization in Surgical Intensive Care Unit: A Review. Hemşirelik Bilimi Dergisi, 8(1), 110-120. doi:10.54189/hbd.1516710
Ramachandran, S. K., Thompson, A., Pandit, J. J., Devine, S., & Shanks, A. M. (2021). Retrospective observational evaluation of postoperative oxygen saturation levels and associated postoperative respiratory complications and hospital resource utilization. Plos One, 12(5), 175-185. doi:10.1371/journal.pone.0175408
Schandl, A., Siesage, K., Kroksmark, A.-K., Sousa, E. G.-D., Lilliecrona, J., & Olsén, M. F. (2026). Early mobilisation after abdominal surgery: a concept analysis. BMJ Open, 16(4). doi:10.1136/bmjopen-2025-107830
Sumarno , A. S., Suryani, R. L., & Suandika, M. (2023). Status Perokok dan Nilai Saturasi Oksigen Pasca Anestesi Umum. Bali Medika Jurnal, 10(1), 191-200. doi:10.36376/bmj.v10i2
Suzuki, S. (2020). Oxygen administration for postoperative surgical patients: a narrative review. Journal of Intensive Care, 8(79), 1-6. doi:10.1186/s40560-020-00498-5
Svensson-Raskh , A., Schandl, A. R., Ståhle, A., Nygren-Bonnier, M., & Olsén, M. F. (2021). Mobilization Started Within 2 Hours After Abdominal Surgery Improves Peripheral and Arterial Oxygenation: A Single-Center Randomized Controlled Trial. PTJ: Physical Therapy & Rehabilitation Journal, 101(5), 1-11. doi:10.1093/ptj/pzab094
Taenzer, A. H., Perreard, I. M., MacKenzie, T., & McGrath, S. P. (2019). Characteristics of Desaturation and Respiratory Rate in Postoperative Patients Breathing Room Air Versus Supplemental Oxygen. Anetshesia and Analgesi, 126(3), 826-832. doi:10.1213/ANE.0000000000002765
Thörn, R.-M. W., Forsberg, A., Stepniewski, J., Hjelmqvist, H., Magnuson, A., Ahlstrand, R., & Ljungqvist, O. (2024). Immediate mobilization in post-anesthesia care unit does not increase overall postoperative physical activity after elective colorectal surgery: A randomized, double-blinded controlled trial within an enhanced recovery protocol. World Journal of Surgery, 48(8), 956-966. doi:10.1002/wjs.12102
Tsuchikawa, Y., Tokuda, Y., Ito, H., Shimizu, M., Tanaka, S., Nishida, K., . . . Mutsuga, M. (2023). Impact of Early Ambulation on the Prognosis of Coronary Artery Bypass Grafting Patients. Circulation Journal (CJ), 87(2), 306-311. doi:10.1253/circj.CJ-22-0416
Willner, A., Teske, C., Hackert, T., & Welsch, T. (2023). Effects of early postoperative mobilization following gastrointestinal surgery: systematic review and meta-analysis. Applied Nursing Research, 7(5). doi:10.1093/bjsopen/zrad102
Zeng, C., Lagier, D., Lee, J.-W., & Melo, M. F. (2022). Perioperative Pulmonary Atelectasis – Part I: Biology and Mechanisms. Anesthesiology, 136(1), 181–205. doi: 10.1097/ALN.0000000000003943
Zuriati, Suriya, M., & Ananda, Y. (2026). Buku Ajar Asuhan Keperawatan Medikal Bedah Gangguan Sistem Respirasi. Padang: Sinar Utama Indah.
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