Implemetasi Evidence Based Nursing: Efek Mobilsasi Dini pada Peningkatan Fungsi Fisik pada Pasien Paska Bedah Jantung (CABG)
Abstract
This study aims to apply the effect of early mobilization on improving physical function in patients after CABG cardiac surgery based on the latest research results (Evidence-Based Nursing Practice). The method used was an experiment through the application of intervention for five days and continued with measurements on day 6 in the intervention group before the patient was sent home with the target being able to run (6'WMT). The research results show that the application of EBPN obtains a p-value of 0.005. In conclusion, there is a relationship between giving early mobilization interventions and functional ability with the 6 MWT test.
Keywords: Evidence-Based Nursing, Physical Ability (6'WMT), Early Mobilization, Post Cardiac Surgery (CABG)
References
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Santos, P. M. R. D., Ricci, N. R., Suster, E. A. B., Paisani, D. M., & Chiavegato, D. L. (2017). Effects of Early Mobilisation in Patients After Cardiac Surgery: A Systematic Review. Physiotherapy, 103(1), 1–12. https://doi.org/10.1016/j.physio.2016.08.003
Tiksnadi, B. B., Ambari, A. M., & Adriana, M. (2019). Uji Jalan 6 Menit (UJ6M) pada Pasien Pasca Sindrom Koroner Akut. Indonesian Journal of Cardiology, 40(1), 222–231. https://doi.org/10.30701/ijc.v40i1.913
Zang, K., Chen, B., Wang, M., Chen, D., Hui, L., Guo, S., Ji, T., & Sang, F. (2019). The Effect of Early Mobilization in Critically Ill Patients, A Meta. Nursing in Critical Care, 25(6), 360-367. https://doi.org/10.1111/nicc.12455
Cassan, S., Rata, 2., Vallenet, C., Fromage P., Champly, F., Broin, P., Peribois, G., Sierra, V., Lutz, C., Mangin, L., Savary, D., Ageron, F., & Belle, L. (2019). Early Inter-Hospital Transfer of Patients with Myocardial Infarction without a Doctor, Paramedic or Nurse on Board: Results From A French Regional Emergency Care Network. BMC Emergency Medicine, 19(1), 1–10. https://doi.org/10.1186/s12873-019-0280-z
Dyer, S. M., Crotty, M., Fairhall, N., Magaziner, J., Beaupre, L. A., Cameron, I. D., & Sherrington, C. (2016). A Critical Review of the Long-Term Disability Outcomes Following Hip Fracture. BMC Geriatrics, 16, 1-18. https://doi.org/10.1186/s12877-016-0332-0
Firdaus, F. (2020). Penyakit Jantung Koroner Didominasi Masyarakat Kota. https://sehatnegeriku.kemkes.go.id/baca/umum/20210927/5638626/penyakit-jantung-koroner-didominasi-masyarakat-kota/
Hayta, E., & Korkmaz, Ö. (2017). Cardiac Rehabilitation Increases the Reliability of the 6-Minute Walk Test in Patients After Coronary Artery Bypass Graft Surgery. Heart Surgery Forum, 20(6), 247–251. https://doi.org/10.1532/hsf.1737
Højskov , I. E., Moons, P., Egerod, I., Olsen P. S., Thygesen, L. C., Hansen, N. V., Cour, S. A., Bech, K. H., Borrehard, B., Gluud, C., Winkel, P., Lindschou, J., & Berg, S. K. (2019). Early Physical and Psycho-Educational Rehabilitation in Patients with Coronary Artery Bypass Grafting: A Randomized Controlled Trial. Journal of Rehabilitation Medicine, 51(2), 136–143. https://doi.org/10.2340/16501977-2499
Indrasutanto, T. F., & Boom, C. E. (2017). Prinsip Proteksi Sel Otot Jantung dalam Mesin Pintas Jantung Paru pada Prosedur Pembedahan Jantung Terbuka. JAI (Jurnal Anestesiologi Indonesia), 9(2), 87-109. https://doi.org/10.14710/jai.v9i2.19827
Kanejima Y., Shimogai, T., Kitamura, M., Ishihara, K., & Izawa, K. P (2020). Effect of Early Mobilization on Physical Function in Patients after Cardiac Surgery: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 17(19), 1–11. https://doi.org/10.3390/ijerph17197091
Nusdwinuringtyas, N., Alwi, I., & Yunus, F. (2018). Kesahihan dan Keandalan Uji Jalan 6-Menit pada Lintasan 15 Meter. Media Litbangkes, 28(2), 131–136. https://doi.org/10.22435/mpk.v28i2.178
Pavasini, R., Matteo, S., Celis-Morales2, C. A., Gray, S. R, Izawa, K. P., Watanabe, S4, Colin-RamirezE., Castillo-MartÃnez, L., Izumiya, Y., Hanatani, S., Onoue, Y., Tsujita, K., Macdonald, P. S., Jha, S. R., Roger, V. L., Manemann, S. M., Sanchis, J., Ruiz, V., Bugani, G., Tonet, E., Ferrari1, R., Volpato, S., & Campo, G. (2019). Grip Strength Predicts Cardiac Adverse Events in Patients with Cardiac Disorders: an Individual Patient Pooled Meta-Analysis. Heart, 105(11), 834–841. https://doi.org/10.1136/heartjnl-2018-313816
Safaie, N., Montazerghaem, H., Jodati, A., & Maghamipour, N. (2015). In-Hospital Complications of Coronary Artery Bypass Graft Surgery in Patients Older Than 70 Years. Journal of Cardiovascular and Thoracic Research, 7(2), 60–62. https://doi.org/10.15171/jcvtr.2015.13
Santos, P. M. R. D., Ricci, N. R., Suster, E. A. B., Paisani, D. M., & Chiavegato, D. L. (2017). Effects of Early Mobilisation in Patients After Cardiac Surgery: A Systematic Review. Physiotherapy, 103(1), 1–12. https://doi.org/10.1016/j.physio.2016.08.003
Tiksnadi, B. B., Ambari, A. M., & Adriana, M. (2019). Uji Jalan 6 Menit (UJ6M) pada Pasien Pasca Sindrom Koroner Akut. Indonesian Journal of Cardiology, 40(1), 222–231. https://doi.org/10.30701/ijc.v40i1.913
Zang, K., Chen, B., Wang, M., Chen, D., Hui, L., Guo, S., Ji, T., & Sang, F. (2019). The Effect of Early Mobilization in Critically Ill Patients, A Meta. Nursing in Critical Care, 25(6), 360-367. https://doi.org/10.1111/nicc.12455
