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

Authors

  • Rohmaningtyas H. Setyaningrum Department of Psychiatric Medicine, University of Sebelas Maret, Surakarta, Indonesia
  • Arif Setyobudi Department of Psychiatric Medicine, University of Sebelas Maret, Surakarta, Indonesia
  • Debree Setiawan Department of Psychiatric Medicine, University of Sebelas Maret, Surakarta, Indonesia
  • Damar Upahita Department of Psychiatric Medicine, University of Sebelas Maret, Surakarta, Indonesia
  • Anisa Nindiasari Department of Psychiatric Medicine, University of Sebelas Maret, Surakarta, Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241980

Keywords:

Guided imagery, Pain, Post-cesarean section

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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References

Prawirohardjo S. Pelayanan Kesehatan Maternal dan Neonatal. Edisi 5. Jakarta: PT Bina Pustaka Sarwono Prawirohardjo.2019.

Sandall J, Tribe RM, Avery L, Mola G, Visser GH, Homer CS, et al. Short-Term and Long-Term Effects of Caesarean Section on the Health of Women and Children. Lancet. 2018;392(10155):1349-75.

Tahapary W, Nursanti I, Widagdo G. Efek Pemberian Paket Kasih terhadap Keberlanjutan Bounding Attachment pada Ibu Post Sectio Caesarea. J Telenurs. 2022;4(1):78-83.

Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S. The Revised IASP Definition of Pain: Concepts, Challenges and Compromises. Pain. 2020;161(9):1967-82.

ACOG. Committee Opinion No. 742: Postpartum Pain Management. Obstet Gynecol. 2018;132(1):e35-e43.

Jasim HH, Sulaiman, SA, Khan AH, Dawood OT, Abdulameer AH, Usha R. Incidence and Risk Factors of Surgical Site Infection Among Patients Undergoing Cesarean Section. Clin Med Insight Therap. 2017;9:1-7.

Yanti D, Kristiana E. Efektifitas Relaksasi Teknik Benson Terhadap Penurunan Intensitas Nyeri Ibu Post Seksio Sesarea. Conference Innov Appl Sci Technol. 2019;2(1):177-84.

Marta OF, Nurhaliza S, Aini N, Setyowati L, Mashfufa W, Ariani TA. Pain Experience After Caesarean Section: A Qualitative Study. Int Conference Med Health. 2022;719-29.

Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. Prescribing Opioids for Pain – The New CDC Clinical Practice Guideline. N Engl J Med. 2022;387:2011-3.

Febtrina R, Febriana W. Guided Imagery Relaxation Techniques Reduce Patient’s Pain Post Attack Heart. Nurs Curr. 2019;5(2):41.

Cruz JJ, Kather A, Nicolaus K, Rengsberger M, Mothes AR, Schleussner E, et al. Acute Postoperative Pain In 23 Procedures of Gynaecological Surgery Analysed in A Prospective Open Registry Study On Risk Factors And Consequences For The Patient. Scientif Rep. 2021;11(1):1-10.

Demelash G, Berhe YW, Gebregzi AH, Chekol WB. Prevalence and Factors Associated with Postoperative Pain After Caserean Section at a Comprehensive Specialized Hospital in Northwest Ethiopia: Prospective Observational Study. Open Access Surg. 2022;15:1-8.

Yang G, Bao X, Peng J, Li J, Yan G, Jing S, et al. Repeated Caserean Delivery Predicted a Higher Risk of Inadequate Analgesia Than Primary Cesarean Delivery: A Retrospective Study with Propensity Score Match Analysis. J Pain Res. 2022;13:555-63.

Zeinab H. Relationship between demographic characteristics, stress and anxiety before and after cesarean section in pregnant women. J Med Dent Sci Res. 2021;8(4):43-8.

Shirzard M, Shakibazadeh E, Hajimiri K, Betran A, Jahanfar S, Bohren MA, et al. Prevalence of and Reasons for Women’s, Family member’s and Health Professional’s Preference for Cesarean Section in Iran: A Mixed-Methods Systematic Review. Reprod Health. 2021;18:3.

Begum, Tahmina. Indications and determinants of caesarean section delivery: Evidence from a population-based study in Matlab, Bangladesh. PloS One. 2017;12(11):e0188074.

Nurhayati N, Songwathana P, Vachprasit R. Surgical patients' experiences of readiness for hospital discharge and perceived quality of discharge teaching in acute care hospitals. J Clin Nurs. 2019;28(9-10):1728-36.

Beevi Z, Low WY, Hassan J. The Effectiveness of Hypnosis Intervention in Alleviating Postpartum Psychological Symptoms. Am J Clin Hypnosis. 2019;61(4):409-25.

Nazarinasab M, Motamedfar A, Najafian M, Tabibi H. Investigating the effects of relaxation therapy on decreasing anxiety in patients with elective caesarean section in Imam Khomeini Hospital, Ahvaz, Iran during 2016. Med Stud. 2018;34(2):107-11.

Dabas S, Joshi P, Agarwal R, Yadav RK, Kachhawa G. Impact of audio assisted relaxation technique on stress, anxiety and milk output among postpartum mothers of hospitalized neonates: A randomized controlled trial. J Neonat Nurs. 2019;25(4):200-4.

Kendrick T, El-Gohary, Stuart B, Gilbody S, Churchill R, Aiken L, et al. Routine use of patient reported outcome measures (PROMs) for improving treatment of common mental health disorders in adults. Cochrane Database Syst Rev. 2016;7(7):CD011119.

Vambheim SM, Kyllo TM, Hegland S, Bystad M. Relaxation Techniques as an Intervention for Chronic Pain: A Systematic Review of Randomized Controlled Trials. Heliyon. 2021;e07837.

Sanders T, Foster NE, Bishop A, Ong BN. Biopsychosocial care and the physiotherapy encounter: physiotherapists' accounts of back pain consultations. BMC Musculoskeletal Disord. 2014;4:65.

Schaffer V, Cogan J. Patient therapeutic education: placing the patient at the centre of the WHO analgesic ladder. Canad Fam Physician. 2014;60(3):235-41.

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Published

2024-07-22

How to Cite

Setyaningrum, R. H., Setyobudi, A., Setiawan, D., Upahita, D., & Nindiasari , A. (2024). The effect of guided imagery on pain levels in post-caesarean section patients. International Journal of Research in Medical Sciences, 12(8), 2730–2734. https://doi.org/10.18203/2320-6012.ijrms20241980

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Original Research Articles