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.
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