THE RELATIONSHIP BETWEEN PAIN INTENSITY AND EARLY MOBILIZATION IN POST LAPAROTOMY PATIENTS

Niken Anggraini Sri Saputri; Devi Praptita Sari

doi:10.31983/jahmt.v8i1.14725

Authors

Niken Anggraini Sri Saputri UNIVERSITAS 'AISYIYAH YOGYAKARTA
Devi Praptita Sari

DOI:

https://doi.org/10.31983/jahmt.v8i1.14725

Keywords:

pain intensity; early mobilization; post laparotomy

Abstract

Post operative pain is a common physiological response in post-laparotomy patients and can affect their ability to perform early mobilization. Early mobilization plays a crucial role in accelerating recovery and preventing post-surgical complications, but is often delayed due to the intensity of pain experienced by patients. This study aimed to determine the relationship between pain intensity and early mobilization in post-laparotomy patients. This study used a quantitative design with an observational approach. A sample of 20 respondents was drawn using a total sampling technique. Pain intensity was measured using the Numeric Rating Scale (NRS), while early mobilization was assessed through an observation sheet. Data analysis used the Spearman Rank test with a significance level of 0.05. The results showed a significant relationship between pain intensity and early mobilization (p = 0.002) with a correlation coefficient of r = -0.644, indicating a strong and negative relationship. This indicates that the higher the pain intensity experienced by the patient, the longer the early mobilization will take. Thus, optimal pain control is an important factor in supporting the success of early mobilization in post-laparotomy patients.

References

1.Gan TJ. Poorly controlled postoperative pain: prevalence, consequences, and prevention. J Pain Res. 2017;10:2287–98.

2.Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey. Anesth Analg. 2003;97(2):534–40.

3.Haines KJ, Skinner EH, Berney S. Association of postoperative pain with delayed mobilization. Physiother Theory Pract. 2013;29(6):445–53.

4.Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292–8.

5.Kehlet H, Dahl JB. Anaesthesia, surgery, and challenges in postoperative recovery. Lancet. 2003;362(9399):1921–8.

6.Feldheiser A, et al. Enhanced Recovery After Surgery (ERAS) guidelines for elective abdominal surgery. World J Surg. 2016;40(5):1096–110.

7.Werner MU, Kongsgaard UE. Defining persistent post-surgical pain: is an update required? Br J Anaesth. 2014;113(1):1–4.

8.Smith TO, et al. The effect of early mobilization after surgery on pain and physical function: A systematic review and meta-analysis. Clin Rehabil. 2021;35(6):801–14.

9.Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations: 2018. World J Surg. 2019;43(3):659–95.

10.McEvoy MD, et al. Early ambulation and postoperative outcomes after major abdominal surgery: analysis of a national surgical registry. Anesth Analg. 2020;130(5):1209–17.

11.Vlaeyen JWS, Crombez G, Linton SJ. The fear-avoidance model of pain. Pain. 2016;157(8):1588–9.