The Effect Of Complementary Guide Imagery Therapy In Reducing Pain Levels And Increasing Self-Efficacy Of Patients After Joint Arthroplasty Replacement Surgery
DOI:
https://doi.org/10.35568/healthcare.v8i1.7144Keywords:
Guide Imagery , Joint Arthroplasty Replacement, Pain, Self EficacyAbstract
The number of patients undergoing joint replacement arthroplasty surgery worldwide is increasing by approximately 71-85% per year, with unpleasant side effects such as pain and a feared decrease in self-efficacy. Currently, treatment still focuses on pharmacological therapy, with variations in non-pharmacological therapy, guided imagery. This study aimed to determine the effect of complementary guided imagery therapy on pain levels and self-efficacy in patients after joint replacement arthroplasty surgery at Pelamonia Class II Hospital, Makassar. This study was a quasi-experimental study with a pre-experimental design, a one-group pretest-posttest only design. The sample consisted of 30 patients after joint replacement arthroplasty surgery. The study instruments used standard operating procedures for guided imagery therapy, a numerical rating scale, and a general self-efficacy scale. Analysis included univariate analysis using frequency distribution calculations and bivariate analysis using the Wilcoxon signed-rank test. The results of the study proved that there was an effect (p-value 0,000) of complementary guided imagery therapy on reducing pain levels and increasing self-efficacy in patients after joint replacement arthroplasty surgery. It is recommended that guided imagery therapy as a non-pharmacological therapy can be used to reduce pain and increase self-efficacy in patients after joint replacement arthroplasty surgery.
Downloads
References
Acar, K. (2019). Efficacy of Guided Imagery for Postoperative Symptoms, Sleep Quality, Anxiety, and Satisfaction Regarding Nursing Care: A Randomized Controlled Study. Journal of Peri Anesthesia Nursing, 1(1), 1–10.
Alves, A. M. S., Filho, C. G., Santos, N. D. M., & Souki, G. S. (2020). Factors Influencing Occupational Accidents : A Multidimensional Analysis In The Electricity Sector. Gestão & Produçã, 27(2), 1–17.
Ariawan, I. G. N., Raya, N. A. J., & Swedarma, K. E. (2022). Application of Complementary and Alternative Medicine Therapy on Patient with Postoperative Pain After Cardiac Surgery: a Literature Review. NurseLine Journal, 7(1), 48–58.
Arli, S. K. (2023). Nonpharmacological Pain Management Methods Used By Post-Operative Patients: A Cross-Sectional Study. Journal of Perioperative Nursing, 36(4), 34–41.
Bertram, W., Howells, N., White, S. P., Sanderson, E., Wylde, V., Lenguerrand, E., & Bruce, J. (2024). Prevalence and patterns of neuropathic pain in people with chronic post-surgical pain after total knee arthroplasty. Bone and Joint Journal, 106(6), 582–588.
Bilo, P. A. (2023). The Effects of an Imagery Intervention on Self-Efficacy during Athletic Injury Rehabilitation Athletic Injury Rehabilitation (1st ed., Vol. 1). WWU Graduate School Collectio.
Bleb, H. H., & Kip, M. (2018). White Paper on Joint Replacement: Status of Hip and Knee Arthroplasty Care in Germany. In White Paper on Joint Replacement . Berlin (Germany) Springe, 1(1), 1–10.
Chen, Y., Li, X., Chen, T., Liu, T., & Lei, Q. (2024). Postoperative Rehabilitation Management Self-Efficacy And Its Relationship With Symptoms In The Patients With Lung Cancer: A Latent Profile Analysis. Journal of Oncology Nursing, 11(9), 1–10.
Constantinescu, D. S., Lizardi, J. J., Weinerman, J. R., & Vandenberge, D. (2022). The Most Influential Publications in Outpatient Total Joint Arthroplasty. Orthopedic Reviews. PMID:36168397, 14(3), 1–12.
Croke, L. (2021). Complementary Interventions To Reduce Postoperative Pain. AORN Journal, 113(1), 34–46.
Darmadi, M. N. F., Hafid, A., Patima, & Risnah. (2020). Efektivitas Imajinasi Terbimbing (Guided Imagery) Terhadap Penurunan Nyeri Pasien Post Operasi : A Literatur Review. Alauddin Scientific Journal of Nursing, 1(1), 42–54.
Deng, B. , Chen, Meng, Zhang, & Tan. (2022). A Self-Efficacy-Enhancing Intervention For Chinese Patients After Total Hip Arthroplasty: Study Protocol For A Randomized Controlled Trial With 6-Month Follow-Up. Journal of Orthopaedic Surgery and Research, 17(1), 1–9.
Djaafar, N., Masnun, Wahyuningsih, Pesak, & Normawati. (2023). Transcultural Nursing: Concepts, Theories, Research and Practice . Journal of Transcultural Nursing , 13(3), 1–11.
Fan, M., & Chen. (2020). A Systematic Review Of Non Pharmacological Interventions Used For Pain Relief After Orthopedic Surgical Procedures. Experimental and Therapeutic Medicine, 20(5), 1–10.
Felix, M. M., Dos, Cruz, Ferreira, & Oliveira. (2021). Guided Imagery And Metabolic Response To Surgical Trauma: A Preliminary Study. Perioperative Care And Operating Room Management. ANZ Journal of Surgery, 25(1), 1–10.
Forward, J. B., Greuter, N. E., Crisall, S. J., & Lester, H. F. (2015). Effect Of Structured Touch And Guided Imagery For Pain And Anxiety In Elective Joint Replacement Patients: A Randomized Controlled Trial : M-TIJRP. Permanente Journal, 19(4), 18–28.
García, C. Á., & Yaban, Z. Ş. (2020). The effects of preoperative guided imagery interventions on preoperative anxiety and postoperative pain: A meta-analysis. Complementary Therapies in Clinical Practice. International Journal of Nursing Studies, 38(1), 100–107.
Gungor, Fields, Aiyer, Valle, & Della. (2019). Incidence And Risk Factors For Development Of Persistent Postsurgical Pain Following Total Knee Arthroplasty: A Retrospective Cohort Study. Medicine United States, 92(28), 1–10.
Khasanah, A. N., & Syahruramdhani. (2023). Pemberian Terapi Guided Imagery terhadap Pasien dengan Nyeri dan Ansietas Post Operasi Fraktur Collum Humerus. Jurnal Medika Nusantara, 1(2), 123–137.
Li, Ma, Shuo, Xiao, & Kun. (2019). Postoperative Pain Management in Total Knee Arthroplasty. Orthopaedic Surgery, 11(5), 755–761.
Lolo, L. L., & Novianty, N. (2018). The Effect Of Guided Imagery On The Scale Of Pain In Postoperative Patient Appendicitis First Day At Rsud Sawerigading Palopo City In 2017. Jurnal Fenomena Kesehatan, 1(1), 20–25.
Lorna, L., & Novianti, N. (2018). Pengaruh Pemberian Guided Imagery terhadap Skala Nyeri Pada Pasien Post Operasi Appendisitis Hari Pertama Di RSUD Sawerigading Kota Palopo . Jurnal Fenomena KesJurnal Fenomena Kesehatanehatan, 1(1), 1–10.
Meng, Deng, Liang, Li, & Ou. (2022). Effectiveness Of Self-Efficacy-Enhancing Interventions On Rehabilitation Following Total Hip Replacement: A Randomized Controlled Trial With Six-Month Follow-Up. Journal of Orthopaedic Surgery and Research, 17(1), 1–11.
Moon, Baek, & Kim. (2021). Effects Of Nurse-Led Pain Management Interventions For Patients With Total Knee/Hip Replacement. Pain Management Nursing, 22(2), 111–120.
Ndama, M., & Ismunandar, I. (2023). Pengaruh Guide Imagery Relaxation terhadap Tingkat Nyeri pada Pasien Fraktur yang dilakukan Tindakan Pembedahan di Ruang Paviliun Teratai RSUD Undata Palu. Lentora Nursing Journal, 3(2), 63–70.
Nur Rofi’ah, S., Hakam, M., Murtaqib, & Mustakim. (2023). Guided Imagery Relaxation for Acute Pain in Pre-Operative Paralitic Ileus Patient: A Case Study. Jurnal Kegawatdaruratan Medis Indonesia, 2(1), 74–89.
Peleg, Liberman, Press, & Shvartzman. (2019). Patients Visiting The Complementary Medicine Clinic For Pain: A Cross Sectional Study. BMC Complementary and Alternative Medicine, 11(1), 11–36.
Raman, & Sharma. (2022). Self-Efficacy As A Mediator Of The Relationship Between Pain And Disability In Chronic Pain Patients: A Narrative Review. Bulletin of Faculty of Physical Therapy, 27(1), 1–14.
Situmorang, R., & Nurmansyah, A. (2023). Scientific Research Journal of Clinical and Medical Sciences Worker Supervision Function with Compliance Implementing Occupational Safety Health Management System in the Industrial Companies West Java Region. IAR Journal of Forensic Medicine and Anatomy (IARJFMA), 3(1), 1–6.
Situmorang, R., Pritama, J., & Darajat, A. M. (2025). Caring Behavior in Nursing at Majalaya Regional General Hospital. Healthcare Nursing Journal, 7(1), 65–71.
Sriwahyuni, Sulasri, Erika, Ningrat, & Syahru. (2023). The Effectiveness of Imagery Therapy Guide on Pain and Anxiety in URS Perioperative Patients in Lontara Room 2 Lower Front of Urological Surgery, RSUP Dr. Wahidin Sudirohusodo Makassar. International Journal Of Health Science, 3(3), 51–61.
Sugiyono. (2019). Statistika Untuk Penelitian. Alfabeta.
Syahfitri, R. D., & Saraswati, A. (2022). Penerapan Terapi Guided Imagery Terhadap Penurunan Nyeri Pada Pasien Post Operasi Appendisitis. Jurnal Kesehatan Akper Kesdam II Sriwijaya Palembang, 11(4), 1–11.
Vernanda, Wuri, Sari, & Pratiwi. (2024). Penerapan Intervensi Kombinasi Aromaterapi Lemon dan Guided Imagery dalam Asuhan Keperawatan pada Klien dengan Diagnosa Medis Post Operasi Open Reduction Internal Fixation Fraktur Ekstremitas di Bangsal Bedah RSUD Sleman. Healthy Behavior Journal, 2(1), 1–7.
Warsini, & Mardihusodo. (2023). Guided Imagery untuk Mengatasi Nyeri Kronis. Jurnal Keperawatan Notokusumo, 11(1), 25–31.
Widiastuti, & Suhartini. (2018). Persepsi pasien terhadap kualitas caring perawat yang islami di intensive care unit, studi fenomenologi. Sujianto, UJurnal Kebidanan Dan Keperawatan Aisyiyah, 14(2), 147–152.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 The Author(s)
This work is licensed under a Creative Commons Attribution 4.0 International License.
