Penerapan Mobilisasi Dini Pada

Ibu Post Operasi Sectio Caesarea

Dengan Gangguan Mobilitas Fisik
Anggota 01 Ina Thursina
Kelompok
02 Della Putri Azhari

03 Utia Khaira

04 Khumairah Putri

05 Hayatun Nufus
 POST PARTUM

• Masa nifas (Post Partum) adalah masa di mulai setelah kelahiran

plasenta dan berakhir ketika alat kandungan kembali semula
seperti sebelum hamilyang berlangsung selama 6 minggu atau 42
hari. Selama masa pemulihan tersebut berlangsung, ibu akan
mengalami banyak perubahan fisik yang bersifat fisiologis dan
banyak memberikan ketidak nyamanan pada awal
postpartumyang tidak menutup kemungkinan untuk menjadi
patologis bila tidak diikuti dengan perawatan yang baik (Yuliana &
Hakim2020).
LAPORAN ASUHAN
KEPERAWATAN PENERAPAN
MOBILISASI DINI PADA IBU POST
OPERASI SECTIO CAESAREA
DENGAN GANGGUAN
MOBILITAS FISIK
 Pengkajian
Tanggal Pengkajian : 12 oktober 2023
IDENTITAS PASIEN
a. Nama : Ny. S
b. Umur : 28 thn
c. Alamat : Aceh Barat
d. Pendidikan : Diploma 3
e. Pekerjaan : IRT
f. Tanggal Masuk : 12/10/2023
g. Diagnosa Medis : Sectio Caesarea

IDENTITAS PENANGGUNG JAWAB

h. Nama : Tn. F
i. Umur : 35 tahun
j. Alamat : Aceh Barat
k. Pendidikan : Diploma 3
l. Pekerjaan : Swasta
m. Hubungan dengan Klien: Suami
RIWAYAT KEPERAWATAN

• Keluhan Utama Saat di kaji

Pasien mengatakan nyeri di bagian perut setelah operasi dan
ektermitas bawah mengalami kelumpuhan sejak usia kehamilan
16 minggu.
• Riwayat Kesehatan Keluarga
Pasien mengatakan bahwa tidak ada anggota keluarganya yang
mengalami penyakit yang sama dengan dirinya. Anggota keluarga
pasien tidak memiliki riwayat penyakit kronis lainnya

• Riwayat Kesehatan Sebelumnya

Pasien mengatakan tidak pernah menderita penyakit seperti ini
dan tidak memiliki riwayat alergi terhadap makanan, minuman dan
obat-obatan, tidak pernah mempunyai riwayat operasi
sebelumnya.
LANJUTAN

ANALISA DATA
1. NYERI AKUT
DS:
Pasien mengatakan nyeri di bagian perut setelah operasi
DO:
Pasien terlihat meringis, dan mengeluh kesakitan
Post Sectio Cesaria (G1P1A0)
Terdapat jahitan post operasi
Pasien terpasang infus Rl 20 tpm
Skala nyeri : 6 NRS
TD: 110/70mmHg,
N: 84x/mnt,
RR: 22x/mnt
T: 36,9ºC
LANJUTAN

ANALISA DATA
2. Gangguan Mobilitas Fisik

DS:

Pasien mengatakan anggota gerak ekstermitas bawah tidak

dapat digerakkan

DO:

- Pasien terlihat lemah

- Pasien terpasang infus RL
Kelemahan anggota gerak esktermitas bawah dengan nilai 1
 TOPIK
BAB III Desain inovasi berdasarkan Evidence Based Practice
pada pasien Post Sectio Caesarea
SUB TOPIK
Penerapan Evidence Based Nursing Practice pada pasien
Post Sectio Caesarea
KELOMPOK
Kelompok yang akan diberikan tindakan mobilisasi yaitu
pasien dengan hambatan mobilitas fisik Post Sectio
Caesarea
TUJUAN UMUM
Untuk mengetahui pengaruh tindakan mobilisasi pada
pasien Post Sectio Caesarea
TUJUAN KHUSUS
Memperlancar sirkulasi darah
Mempercepat penyembuhan luka
Membantu pernafasan menjadi lebih baik
Meningkatkan kekuatan tonus otot
BAB III
WAKTU (Tanggal dan Jam Pelaksanaan)
Waktu dilaksanakan tindakan yaitu pada tanggal 15
oktober 2023, pukul 10.00 WIB di Arafah 2 RSUD Zainoel
Abidin Banda Aceh pada pasien post sectio caesarea
selama 15-20 menit
TEMPAT
Dilakukan di ruang poli kebidanan RSUD Zainoel Abidin
Banda Aceh pada pasien post sectio caesarea
SETTING
Pasien berada di bed dengan posisi telentang menghadap
kepada pendemontrasi tindakan dengan tetap menjaga
privasi pasien.
 BAB IV
A. Pelaksanaan kegiatan
Pelaksanaan kegiataan dilakukan pada pasien post partum yang berada di ruang Arafah 2 RSUD Zainoel
Abidin Banda Aceh 15 oktober 2023. Pukul 17.00 wib . waktu pelaksanaan kegiatan mobilisasi dini selama 5-
10 menit.
B. Faktor pendukung
Faktor pendukung dalam pemberian tlatihan mobilisasi dini pada pasien dengan post partum section caesarea
diantaranya sebagai berikut :
Mobilisasi dini mempunyai pengaruh pada ibu pasca post operasi seksio caesarea baik secara fisik, pada
sistem cardiovaskuler, dapat meningkatkan curah jantung, kelancaran pada peredaran darah, memperbaiki
pengaturan metabolisme tubuh, mengembalikan fungsi kerja fisik,TTV dalam batas normal serta mencegah
kekakuan pada sendi otot-otot.
Mempercepat fungsi Asi
Pasien kooperatif dalam melakukan Latihan mobilisasi dini
C. Fakto penghambat
Keterbatasan dalam Gerakan fisik dari satu atau lebih ekstermitas secara mandiri.
 BAB V
Kesimpulan
Salah satu manfaat mobilisasi pada ibu dengan post sectio caesarea adalah mempercepat organ tubuh bekerja seperti
semula dan dapat membantu memperbaiki sirkulasi darah ke seluruh tubuh, sehingga tubuh mampu menghasilkan zat
pembakar dan pembangun yang membantu proses penyembuhan luka, dimana proses penyembuhan luka terdiri dari
fase inflamasi, fase proliferasi, dan fase maturasi. Pada fase inflamasi dan proliferasi membutuhkan sirkulasi darah yang
baik yang akan membantu kesembuhan luka. Sirkulasi darah yang baik akan membantu memenuhi nutrisi sel dalam
darah sehingga membantu mempercepat pertumbuhan jaringan. Mobilisasi dini dapat dilakukan 6 jam pasca sectio
caesarea dengan menggerakkan lengan, tangan, memutar pergelangan kaki, mengangkat tumit, menekuk dan
menggeser otot kaki. Setelah 6-10 jam ibu diharuskan miring kiri dan ke kanan, setelah 24 jam ibu dianjurkan untuk dapat
belajar duduk, setelah ibu dapat duduk dianjurkan ibu belajar berjalan.
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