<![CDATA[HIGHLIGHTS The combination of deep breathing relaxation therapy with guided imagery is an effective non-pharmacological therapy for post-caesarean section patients. The combined intervention of deep breathing relaxation with guided imagery based on the Comfort Theory approach has an impact on the pain intensity of post-caesarean section patients. ABSTRACT Objective: The aim of this study was to analyze the effect of a combination of deep breathing relaxation techniques with guided imagery on pain intensity and vital signs in patients after caesarean section surgery. Materials and Methods: A quasi-experimental study was conducted on mothers undergoing caesarean section surgery. A total of 40 respondents were divided into 20 intervention groups and 20 control groups, recruited using purposive sampling. The independent variable was breath relaxation in combination with guided imagery based on comfort theory and the dependent variable was pain intensity which was measured using a numerical rating scale and TTV which consists of blood pressure, pulse and respiratory frequency measured using an examination and observation sheet. Data analysis used paired t-test and independent t-test. Results: In the intervention group, there was a significant effect of the intervention on systolic blood pressure, diastolic blood pressure, pulse rate, and pain intensity (p<0.05). The largest change was observed in systolic blood pressure, with a delta value of Δ=15.75, followed by diastolic blood pressure (Δ=4.25), pulse rate (Δ=3.80), and pain intensity (Δ=2.40). The results of data testing between groups after the intervention showed significant changes in systolic blood pressure (p=0.000), pulse rate (p=0.009), respiratory frequency (p=0.004), and pain intensity (p=0.000), while diastolic blood pressure showed no significant difference between groups (p=0.126). Conclusion: Breath relaxation techniques in combination with guided imagery based on comfort theory can reduce the pain intensity of patients after caesarean section surgery. This is shown by the decrease in pain intensity from a scale of 5-7 to a scale of 1-3. Likewise with the patient's vital signs, there was a decrease in systolic, diastolic blood pressure and pulse.]]>
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