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

Authors

  • Giat Wantoro stikba jambi
  • Muflihatul Muniroh
  • Henni Kusuma

DOI:

https://doi.org/10.36565/jab.v9i2.273

Keywords:

early ambulation, femoral fracture, post ORIF

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

Author Biography

Giat Wantoro, stikba jambi

dosen S1 Keperawatan STIKBA Jambi

References

Mue DD., Salihu MN., Awonusi FO., Yongu WT, Kortor JN., Elachi IC. (2013). Outcame of treatment of fracture neck of femur using hemiarthroplasty versus dynamic hip screw. Journal of The West African College Of Surgeons. Volume 3 Number 2.

Obaidurrahman,et,all. 2013. Patern of Femoral Fractures . Journal of Rawalpindi Medical College (JRMC). Vol 17. no 1

Wu CL, Et,All. 2013. Unstable Pelvic Fractures: a Retropective analysis. Biomed J. Vol 36. No 1

Departemen Kesehatan Republik Indonesia. (2013). Riskesdas 2013 dalam Angka. Kementerian Kesehatan Republik Indonesia: Jakarta.

Brunner & Sudarth, B.A.R. (2010). Buku Ajar Keperawatan Medical Bedah, Edisi ke 12. Jakarta :EGC

Price & Wilson, 2012. Patofisiologi: konsep klinis proses-proses penyakit.Jakarta: EGC

Smeltzer, SC & Bare BG. (2013). Buku ajar keperawatan medikal bedah. Jakarta: EGC

Carpintero, P., Caeiro, J., Morales, A., Carpintero, R., Mesa, M., Silva, S. (2014). Complications of Hip Fractures: A Review. World Journal of Orthopedics. Vol. 5 (4), 402 – 411.

Widuri, H. (2010). Kebutuhan dasar manusia. Yogyakarta: Gosyen Publishing.

Keehan, R., Kendrick, E., Flavell, E., Deglurkar, M. 2014. Enhanced recovery for fractured neck of femur: a report of 3 cases. Geriatric orthopaedic surgery & rehabilitation. Vol. 5 (2), 37 – 42.

Diah. 2014. Efektifitas Mobilisasi Dini Terhadap Kekuatan Otot Pada Pasien Stroke Di Ruang Teratai Rsud Dr. H. Koesnadi Bondowoso

Cici. 2018. Pengaruh ambulasi dini terhadap intensitas nyeri post sectio caesaria di ruang melati RSUD Jombang

Ni Made dkk.2017. Pengaruh Ambulasi Dini Terhadap Peningkatan Pemenuhan Activity Of Daily Living (Adl) Pada Pasien Post Operasi Fraktur Ekstremitas Di Rsud Ambarawa. Jurnal Ilmu Keperawatan dan Kebidanan (JIKK), Vol. III No. 1

Lestari, Y. E. D. 2014. Pengaruh ROM Exercise Dini pada Pasien Post Operasi Fraktur Ekstremitas Bawah (fraktur femur dan fraktur cruris) terhadap Lama Hari Rawat di Ruang Bedah RSUD Gambiran Kota Kediri. Jurnal ilmiah kesehatan. Vol. 3 No. 1.

Smeltzer, SC & Bare BG. (2013). Buku ajar keperawatan medikal bedah. Jakarta: EGC

Tita. 2013. Gambaran implementasi mobilisasi dini oleh perawat pada klien post operasi fraktur ekstremitas bawah di RSUP Fatmawati

Satia. 2011. Faktor-Faktor Yang Mempengaruhi Pelaksanaan Ambulasi Dini Pada Pasien Pasca Operasi Fraktur Ekstremitas Bawah

Potter, P.A. & Perry, AG. 2010. Fundamental keperawatan, Edisi 7,Buku 2 Jakarta: EGC.

Kozier, B., dkk. 2010. Buku Ajar Fundamental Keperawatan: Konsep, proses, & praktik (7th ed, 2nd vol.). Jakarta: Buku Kedokteran EGC.

Orosz, G.M. 2004. The Timing Of Surgery For Hip Fracture And Its Effects On Outcomes. JAMA, 291(14):1738-1743

Parker M.J. & Pryor G.A. (1992). The Timing of Surgery for Proximal Femoral Fractures. The Journal of Bone and Joint Surgery, 74-B(2): 203-205.

Notoatmodjo, S. (2010). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.

Brunner & Suddarth. 2002. Buku ajar keperawatan medikal bedah volume 3. Jakarta: EGC.

Tuti, dkk. (2013). Analisis factor-faktor yang berhubungan dengan motivasi mobilisasi dini pada pasien pasca bedah digestif di RSUD Serang

Mubarak, W.I Indrawati, Lilis Susanto, J. 2015. Buku Ajar Ilmu Keperawatan Dasar. Jakarta: Salemba Medika.

LeMone, P, & Burke.(2008). Medical surgical nursing : Critical thinking in client care.( 4th ed). Pearson Prentice Hall : New Jersey

Yanti, N. M (2009). Analisis Faktor-Faktor Yang Mempengaruhi Pelaksanaan Ambulasi Dini Pasien Paska Operasi Fraktur Ekstremitas Bawah di rindu B3 RSUP. H Adam Malik Medan

Nagra, N. S, van Popta, D, Whiteside, S, & Holt, E. M. (2016). An analysis of postoperative hemoglobin levels in patients with a fractured neck of femur. Acta Orthopaedica et Traumatologica Turcica, 50(5), 507–513

Berger & Williams. 1992. Fundamental of Nursing; Collaborating for Optimal Health. USA: Apleton & Lange.

Hernawily. (2012). Faktor Yang Berkontribusi Pada Pelaksanaan Ambulasi Dini Pasien Fraktur Ekstremitas Bawah. Jurnal Keperawatan, Volume VIII, No. 2, Oktober 2012. ISSN 1907 - 0357

Hoeman, S.P. 2001. Rehabilitation nursing (process application & out comes). (3th edition). United States of America: Mosby Inc.

Martinah.(2009). Pelaksanaan Ambulasi dini pada pasien post operasi, Palembang

Yunilda, dkk. (2017). Faktor-Faktor Yang Berhubungan Dengan Pelaksanaan Ambulasi Dini Pada Pasien Post Operasi Diruang Rawat Inap Rsi Siti Khadijah Palembang

Sjamsuhidayat, dkk. 2010. Buku Ajar Ilmu Bedah. Jakarta. EGC.

Baharudin, dkk. (2011). Morphology Study of the Proximal Femur in Malay Population. Int.J.Morpho;. 29 (4): 1321-1325

Tanaka, S. dkk. Overweight / obesity and underweight are both risk factors for osteoporotic fractures at different sites in Japanese postmenopausal women. 2013;25(2):69–76

Canale T, Beaty JH. (2008). Campbell’s Operative Orthopaedic: Fracture of the Hip (11th Ed). Philadelphia: Mosby Elsevier.

Zuckerman J.D. (1995). Postoperative Complications and Mortality Associated with Operative Delay in Older Patients Who Have a Fracture of the Hip. The Journal of Bone and Joint Surgery, 77- A(10): 1551-1556.

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Published

2020-09-07

Issue

Vol. 9 No. 2 (2020): September

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Articles

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