EFFECT OF EARLY MOBILIZATION TO URINE RETENTION EVENT POST HERNIOTOMY OPERATION IN RSUD PROF DR SOEKANDAR MOJOSARI

Abstract

A Hernia is a problem that can be found in the case of surgery and became the most cases of surgery after appendicitis. Emergency cases can occur if a hernia is sedentary where there has been a blockage in the food channel which eventually the blood vessels caught should be surgery called herniotomy. Mobilization is an independent action for a nurse in performing nursing care in post-surgical patients to prevent the occurrence of urinary retention that does not cost. Most of the patients still have concerns that the body is moved to a certain postoperative position will affect the still-unhealed surgical wound that has just been done. Though not entirely this problem needs to be feared, even just about any type of surgery requires mobilization or movement of the body as early as possible provided that pain can be retained and the balance of the body is no longer a nuisance This study aims to identify the incidence of urinary retention in postoperative herniotomy patients after early mobile- station. The design used in this study was pre-experimental with a one-shot case study design. In this study, given the early mobilization intervention in patients post herniotomy and then observed whether there is urinary retention or not. The population in this study were all patients who had undergone herniotomy surgery at RSUD Soekandar Mojosari in February of 2017 as many as 30 respondents. Samples were taken by consecutive sampling technique. The independent variable is early mobilization. While the dependent variable is the incidence of urinary retention. The instrument uses an observation sheet containing special data and the presence or absence of a urinary retention event. The result of the research showed that in stage 1 of 30 respondents can be seen that the decrease in the number of respondents who have urinary retention at stage 1 (first 6 hours post operation) there are 24 respondents (96%) who experience urine retention, at stage 2 (6-12 hours post operation) to 9 respondents (30%) further in phase 3 (12-18 hours post operation) decreased to 2 respondents (6,6%) and at stage 4 (18-24 hours post operation) no respondent had urinary retention. There is an effect of early mobilization on the incidence of urinary retention with different responses in each respondent. Early mobilization is influenced by physical factors, emotions and age, and developmental status.