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Muhammad Nawawi; Muhammad Sayuti; Adi Rizka

Jurnal Kesehatan dan Kedokteran 2026 Lembaga Pengembangan Kinerja Dosen

Cholelithiasis is the formation of hardened bile deposits within the gallbladder due to an imbalance in the chemical composition of bile, which can cause symptoms ranging from abdominal pain to serious complications such as cholecystitis, biliary obstruction, and gallbladder infection. This study aimed to determine the relationship between patient characteristics and the length of hospital stay in cholelithiasis patients at Cut Meutia General Hospital. This study used an analytical observational design with a cross-sectional approach and a retrospective study, employing a total sampling technique with 50 patients. The results showed that most patients were female (52.0%), with the largest age group being late elderly (28.0%). The most common surgical technique was laparoscopic cholecystectomy (42.0%), and the majority of patients received surgical management (60.0%). Bivariate analysis using the Chi-Square test showed significant relationships between age (p=0.000), gender (p=0.044), surgical technique (p=0.029), and management (p=0.045) with the length of hospital stay in cholelithiasis patients. The conclusion of this study is that there is a relationship between patient characteristics and the length of hospital stay in cholelithiasis patients.

Arnof Arlandy; Lintang Luqman; Feline Ananta; Faradila Izzaty Yuyen; Intan Mutiara Putri

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

Postoperative pain is a prevalent condition encountered by patients after surgical interventions and may negatively influence physical recovery as well as psychological well-being when inadequately managed. Conventional pain management strategies that primarily depend on pharmacological agents may lead to undesirable side effects, thereby emphasizing the importance of complementary non-pharmacological approaches. One intervention increasingly applied in nursing care is guided imagery. This review aimed to systematically evaluate the effectiveness of guided imagery in alleviating pain intensity among postoperative patients. A scoping review methodology was employed, with article identification guided by the PICO framework across national and international academic databases. Eligible studies included full-text research articles published within the past five years, written in either Indonesian or English, and specifically examining the use of guided imagery in postoperative settings. A total of ten studies met the inclusion criteria and were subjected to in-depth analysis. The results consistently demonstrated a significant reduction in pain intensity following the implementation of guided imagery across various surgical procedures, including cesarean delivery, appendectomy, fracture surgery, cholelithiasis, and abdominal operations. The intervention, delivered for 10–20 minutes per session, effectively reduced pain levels from moderate to severe to mild, with statistically significant outcomes (p < 0.05). Moreover, guided imagery was found to enhance patient relaxation, comfort, and psychological stability. These findings indicate that guided imagery represents a safe and effective non-pharmacological nursing intervention that can be integrated into evidence-based postoperative pain management.