Mobilization Intervention for Post-operative Appendectomy Recovery Process in Appendicitis Patients

Iif Taufiq El Haque, Ade Fitriani, Elis Roslianti, Shofia Siti Adawiah
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Abstract

Objective: This case study aims to describe the effect of early mobilization on the post-appendectomy recovery process in appendicitis patients. Method: The research design used was a case study with a nursing care approach covering assessments, formulating diagnoses, interventions, implementation, and evaluation, which were carried out for 4 days from Mar 30 to Apr 3, 2023, in the Orchid Room of the Banjar City BLUD. The enforcement of nursing diagnoses refers to the IDHS, SIKI, and SLKI, and nursing evaluations are documented using the SOAPIER method. This case study uses a descriptive method with one respondent involved, with data collection techniques including observation, interviews, documentation, and physical examination.Result: Nursing diagnosis of decreased physical mobility (D.0054) associated with postoperative physical weakness. 4 days of mobilization interventions were carried out with a duration of 30 minutes per day. After intervention, nursing problems related to patient mobility disabilities were resolved by increasing muscle strength, which was initially muscle strength in the upper extremities, namely 4 and 3 in the lower extremities, to 5 in the muscle strength of the upper extremities and 4 in the lower extremities, as well as an increase in the patient's independent activity patterns.Conclusion: The provision of mobilization interventions is useful in improving the recovery process after appendectomy, and the benefits of therapy will be maximized if it is carried out regularly and gradually.
活动干预对阑尾炎患者阑尾切除术后恢复过程的影响
目的:本病例研究旨在描述早期活动对阑尾炎患者阑尾切除术后恢复过程的影响。方法:研究设计采用个案研究,采用涵盖评估、制定诊断、干预、实施和评价的护理方法,于2023年3月30日至4月3日在班加尔市医院兰室进行为期4天的研究。护理诊断的实施参考IDHS、SIKI和SLKI,护理评估使用SOAPIER方法记录。本案例研究采用一名受访者参与的描述性方法,数据收集技术包括观察、访谈、记录和身体检查。结果:术后肢体无力伴肢体活动能力下降的护理诊断(D.0054)。进行为期4天的动员干预,每天持续30分钟。干预后,通过增加肌力来解决与患者行动障碍相关的护理问题,从最初的上肢肌力,即下肢肌力4和3,到上肢肌力5和下肢肌力4,以及患者独立活动模式的增加。结论:提供活动干预有助于改善阑尾切除术后的康复过程,定期、渐进地进行活动干预可使治疗效果最大化。
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