EFEKTIVITAS EDUKASI MANDIPAgI (Mobilisasi Dini Mandiri Pasca Operasi) TERHADAP KEPATUHAN PASIEN DALAM MELAKUKAN MOBILISASI DINI DI RUMAH SAKIT PRIMA MEDIKA PEMALANG

Abstrak

Sectio caesarea (SC) merupakan prosedur persalinan melalui pembedahan dengan angka kejadian yang terus meningkat. Mobilisasi dini berperan penting dalam mempercepat pemulihan, mencegah komplikasi, serta meningkatkan kemandirian ibu post SC. Namun, tingkat kepatuhan pasien dalam melakukan mobilisasi dini masih rendah akibat kurangnya edukasi yang terstruktur. Penelitian ini bertujuan menganalisis efektivitas edukasi MANDIPAgI (Mobilisasi Dini Mandiri Pasca Operasi) terhadap kepatuhan mobilisasi dini di Rumah Sakit Prima Medika Pemalang.Penelitian menggunakan desain quasi experiment dengan pendekatan pretest–posttest with control group. Sampel berjumlah 42 responden yang dibagi menjadi kelompok intervensi dan kontrol. Instrumen berupa kuesioner kepatuhan mobilisasi dini (25 item) yang telah diuji validitas dan reliabilitasnya. Data dianalisis menggunakan uji Wilcoxon karena distribusi tidak normal. Hasil menunjukkan peningkatan kepatuhan pada kelompok intervensi dari 9,5% menjadi 100%, sedangkan kelompok kontrol tidak mengalami perubahan. Uji statistik menunjukkan p = 0,000 (p < 0,05), sehingga terdapat perbedaan signifikan sebelum dan sesudah intervensi. Edukasi MANDIPAgI efektif meningkatkan kepatuhan mobilisasi dini dan direkomendasikan sebagai intervensi keperawatan berbasis edukasi untuk mempercepat pemulihan pasca operasi.

Caesarean section (CS) is a surgical delivery procedure with a steadily increasing incidence. Early mobilization plays a crucial role in accelerating recovery, preventing complications, and increasing maternal independence after a CS. However, patient compliance with early mobilization remains low due to a lack of structured education. This study aims to analyze the effectiveness of MANDIPAgI (Postoperative Independent Early Mobilization) education on early mobilization compliance at Prima Medika Hospital, Pemalang. The study used a quasi-experimental design with a pretest-posttest with a control group approach. The sample consisted of 42 respondents divided into intervention and control groups. The instrument was an early mobilization compliance questionnaire (25 items) that had been tested for validity and reliability. Data were analyzed using the Wilcoxon test due to non-normal distribution. The results showed an increase in compliance in the intervention group from 9.5% to 100%, while the control group experienced no change. Statistical testing showed p = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. MANDIPAgI education effectively increased early mobilization compliance and is recommended as an educational-based nursing intervention to accelerate postoperative recovery. This study is expected to serve as a first step for Prima Medika Hospital Pemalang in its efforts to improve early mobilization compliance after CS surgery through MANDIPAgI educational media.