FACTORS AFFECTING ANXIETY IN EARLY MOBILIZATION AMONG POST-CAESAREAN SECTION MOTHERS AT AEK KANOPAN REGIONAL GENERAL HOSPITAL IN 2024

Abstract

Caesarean section (CS) is a surgical procedure involving incisions in the abdominal wall and uterus to deliver a baby. The trend of caesarean deliveries has increased globally and nationally, often exceeding the ideal rate recommended by the World Health Organization (WHO). Childbirth is a natural process eagerly awaited by every mother. However, under certain medical conditions, a Caesarean section (CS) becomes the primary option for the safety of both mother and fetus. Globally, the trend of Caesarean section deliveries continues to increase significantly in various parts of the world. The World Health Organization (WHO) notes that the ideal Caesarean section rate should be between 10% and 15%, but in reality, this rate continues to exceed this recommendation. This study aims to determine the factors influencing anxiety in performing early mobilization among post-caesarean section mothers at RSUD Aek Kanopan in 2024. This research utilized a quantitative design with a cross-sectional approach. The sample consisted of 40 post-caesarean section mothers selected using purposive sampling. Data were collected using knowledge questionnaires, the Numeric Rating Scale (NRS) for pain, and the Visual Analog Scale for Anxiety. Data analysis was conducted using univariate and bivariate methods with the Chi-Square test. The analysis revealed that most respondents were aged 20-35 years (73.1%), had a secondary education (78.8%), were employed (55.8%), and were multigravida (35.5%). The majority of respondents lacked family support (73.1%), experienced moderate pain post-operation (57.6%), and had moderate anxiety levels (57.6%). Bivariate analysis showed a significant relationship between family support and pain level with anxiety in performing early mobilization (p = 0.02). Mothers who received family support and experienced mild pain tended to have mild anxiety, while those lacking family support and experiencing severe pain tended to have severe anxiety. These findings highlight the importance of family support and pain management in reducing anxiety and accelerating early mobilization in post-caesarean section mothers.