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Determinants of Early Mobilization in Postcardiac Surgery Patients

Awaludin S, Novitasari D

Curr Probl Cardiol, 2024 Jan;49(1 Pt B):102110.
PMID: 37769754 DOI: 10.1016/j.cpcardiol.2023.102110

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.
Social support among older adults in Malaysia

Mahmud MA, Hazrin M, Muhammad EN, Mohd Hisyam MF, Awaludin SM, Abdul Razak MA, et al.

Geriatr Gerontol Int, 2020 Dec;20 Suppl 2:63-67.
PMID: 33370852 DOI: 10.1111/ggi.14033

AIM: This study aimed to determine the factors that influence perceived social support among older adults in Malaysia.
METHODS: We used the 11-item Duke Social Support Index to assess perceived social support through a face-to-face interview. Higher scores indicate better social support. Linear regression analysis was carried out to determine the factors that influence perceived social support by adapting the conceptual model of social support determinants and its impact on health.
RESULTS: A total of 3959 respondents aged ≥60 years completed the Duke Social Support Index. The estimated mean Duke Social Support Index score was 27.65 (95% CI 27.36-27.95). Adjusted for confounders, the factors found to be significantly associated with social support among older adults were monthly income below RM1000 (-0.8502, 95% CI -1.3523, -0.3481), being single (-0.5360, 95% CI -0.8430, -0.2290), no depression/normal (2.2801, 95% CI 1.6666-2.8937), absence of activities of daily living (0.9854, 95% CI 0.5599-1.4109) and dependency in instrumental activities of daily living (-0.3655, 95% CI -0.9811, -0.3259).
CONCLUSION: This study found that low income, being single, no depression, absence of activities of daily living and dependency in instrumental activities of daily living were important factors related to perceived social support among Malaysian older adults. Geriatr Gerontol Int 2020; 20: 63-67.

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