The effect of guided imagery on pain levels in post-caesarean section patients

R. H. Setyaningrum, Arif Setyobudi, Debree Setiawan, Damar Upahita, Anisa Nindiasari
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Abstract

Background: Cesarean section is one form of surgical procedure involving incision of the abdominal and uterine walls, which poses a risk of postoperative pain. Pain is a common issue experienced by women after cesarean section, particularly within the first 48 hours. Uncontrolled pain can lead to physical and psychological complications such as postpartum depression and difficulties in infant care. Pain management may involve pharmacological therapy, but non-pharmacological alternatives such as relaxation therapy like guided imagery need to be explored, which can help reduce post-cesarean section pain. Methods: This study is experimental, utilizing a randomized controlled trial pre-test and post-test control group double-blind design. The research was conducted from July to September 2022. A simple randomized sampling technique was employed, with a sample size of 32 post-cesarean section patients divided into two groups: the treatment group (guided imagery and standard therapy) consisting of 16 patients, and the control group (standard therapy) consisting of 16 patients. Results: The study revealed a decrease in visual analogue score (VAS) scores by -2.875±0.619 with an effect size of 0.641 in the treatment group. The study had a significant impact with a p value of 0.000 (p<0.05). Conclusions: Guided imagery is effective in reducing the pain level of post-cesarean section patients.
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引导想象对剖腹产后患者疼痛程度的影响
背景:剖腹产是外科手术的一种,需要切开腹壁和子宫壁,因此存在术后疼痛的风险。疼痛是剖宫产术后妇女经常遇到的问题,尤其是在最初的 48 小时内。疼痛得不到控制会导致生理和心理并发症,如产后抑郁和婴儿护理困难。疼痛治疗可能涉及药物疗法,但也需要探索非药物疗法,如引导想象等放松疗法,这有助于减轻剖腹产后疼痛:本研究为实验性研究,采用随机对照试验的前测和后测对照组双盲设计。研究时间为 2022 年 7 月至 9 月。采用简单随机抽样技术,样本量为 32 例剖宫产术后患者,分为两组:治疗组(引导想象和标准疗法)16 例,对照组(标准疗法)16 例:研究显示,治疗组的视觉模拟评分(VAS)减少了-2.875±0.619,效应大小为0.641。该研究具有重大影响,P 值为 0.000(P<0.05):引导想象能有效减轻剖宫产术后患者的疼痛程度。
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