Analisis Faktor-Faktor yang mempengaruhi Ambulasi Dini Post ORIF pada Pasien Fraktur Femur Study Retrospektif

Abstract

Femur fracture is a loss of continuity of the femur, which can be caused by direct trauma to the thigh or pathological factors. The main treatment for fractures is ORIF. Implementation of early ambulation is important to prevent post ORIF complications. Objective: This study aims to analyze the factors that influence early ambulation post ORIF in femoral fracture patients. Methods: The study design was a cross-sectional retrospective approach with 82 respondents and data collection using medical record data. The independent variables are education, sex, age, hemoglobin, temperature, blood pressure, pain, fracture location, and time span of operation while the dependent variable is early ambulation. The test used in multivariate is logistic regression test. Results and discussion: Research shows education (p = 0,000), gender (p = 0.028), age (p = 0,000), Hb (p = 0.029), pain (p = 0.001), and location of the fracture (p = 0.007) , is an influential factor. The multivariate model found the fracture location to be the most influencing factor in post ORIF early ambulation in femur fracture patients with p = 0.023 and an OR value of 2.140. Conclusion: This study recommends that nurses first examine the factors that influence early ambulation, especially fracture location factors before providing post ORIF early ambulation interventions in femur fracture patients

Range of Motion (Rom) Exercises in Post-Operational Patient Post Open Reduction Internal Fixation (Orif) Management

“…At the time of the fracture, there will be a change in the structure of the bone due to damage, which can result in impaired function of the limbs and cause pain in the area that has a fracture, because of this a person can experience barriers to physical mobility (Wantoro et al, 2020). This is consistent with the results of research conducted by Purba, et al (2021) which showed that the level of pain before ROM exercises was moderate pain (Purba1 et al, 2021).…”

Efektifitas Terapi Murottal Al-Qur’an terhadap Intensitas Nyeri pada Pasien Pascaoperasi Ortopedi

“…Menurut Wantoro et al, (2020) jenis kelamin laki-laki memiliki sifat lwbih naïf dibandingkan perempuan dimana kecelakaan lalulintas lebih banyak terjadi pada lakilaki dibandingkan perempuan, sehingga laki-laki sering terjadi patah tulang, belum lagi resiko kerja yang berat dan berhubungan dengan keadaan ekstrim. Berdasarkan usia, seorang anak akan berbeda tingkat kemampuan menahan rasa nyerinya dibandingkan dengan seorang remaja.…”

Pengaruh Pemberian Edukasi Mobilisasi Dini terhadap Tingkat Pengetahuan pada Pasien Pasca Spinal Anestesi

“…Komponen pertanyaan yang cukup banyak mengalami peningkatan yaitu tentang cara mobilisasi dini pasca operasi, sesudah diberikan edukasi pasien menjadi tahu bagaimana cara melakukan mobilisasi dini pasca operasi. mobilisasi dini merupakan faktor penting yang dilakukan untuk memperbaiki sirkulasi, mencegah terjadinya masalah serta komplikasi setelah operasi dan dapat mempercepat proses pemulihan, pasien biasanya tidak melakukan mobilisasi dini disebabkan pasien tidak tahu mengenai mobilisasi dini pasca operasi dikarenakan sebelumnya pasien tidak pernah atau kurang mendapatkan informasi dan edukasi mengenai mobilisasi dini (Wantoro et al, 2020) .…”