Awaludin Sidik, Novitasari Dwi
School of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman, Karangwangkal, Purwokerto, Indonesia.
Faculty of Health, Universitas Harapan Bangsa, Purwokerto, Indonesia.
Curr Probl Cardiol. 2024 Jan;49(1 Pt B):102110. doi: 10.1016/j.cpcardiol.2023.102110. Epub 2023 Sep 26.
Coronary Heart Disease is the number 1 cause of death in the world, one of which is surgical intervention. Surgery can cause immobilization which has a risk of complications, reduces comfort, wellbeing and affects the patient's quality of life. Early mobilization of postcardiac surgery patients is influenced by various factors. The purpose of this study was to identify factors that influence the early mobilization of postcardiac surgery patients. Cross-sectional study design with a sample size of 86 postcardiac surgery patients. The instruments used were observation sheets, Visual Analoque Scale, State-Trait Anxiety Inventory compiled by Spilberger, observation sheets referring to the Malaysia Society of Intensive Care and Thompson. The multivariate analysis used in this study used Structural Equation Modeling. There is a significant effect between anxiety and early mobilization p value 0.041 with a regression coefficient of 0.308. There is a significant effect between energy levels and early mobilization p value 0.044 with a regression coefficient of 0.191. There is a significant indirect effect of exercise therapy intervention on early mobilization mediated by anxiety with a p value of 0.048 and a regression coefficient of 0.230. Other exogenous variables have no significant effect on early mobilization variables, pain and anxiety. Management of pain, anxiety, giving exercise therapy and fulfilling energy levels need to be done to increase early mobilization of patients after cardiac surgery.
冠心病是全球头号死因，其中一种治疗方式是手术干预。手术会导致患者活动受限，存在并发症风险，降低舒适度、幸福感，并影响患者的生活质量。心脏手术后患者的早期活动受多种因素影响。本研究的目的是确定影响心脏手术后患者早期活动的因素。采用横断面研究设计，样本为86例心脏手术后患者。所使用的工具包括观察表、视觉模拟量表、斯皮尔伯格编制的状态-特质焦虑量表、参照马来西亚重症监护学会和汤普森编制的观察表。本研究中使用的多变量分析采用结构方程模型。焦虑与早期活动之间存在显著效应，p值为0.041，回归系数为0.308。能量水平与早期活动之间存在显著效应，p值为0.044，回归系数为0.191。运动疗法干预通过焦虑介导对早期活动有显著间接效应，p值为0.048，回归系数为0.230。其他外生变量对早期活动变量、疼痛和焦虑无显著影响。需要进行疼痛管理、焦虑管理、给予运动疗法并满足能量水平，以增加心脏手术后患者的早期活动。
