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SA survey by the Indonesian Ministry of Health found that 25% of fracture sufferers died, 45% experienced physical disabilities, 15% experienced psychological stress due to anxiety and even depression and 10% recovered well. Both open and closed fractures will affect nerve fibers which can cause pain and discomfort. Efforts that can be made to reduce pain in fracture patients are with one of the non-pharmacological techniques, namely guided imagination. The aim of this research is to determine the effect of guided imagination on reducing pain intensity in fracture patients at Bumiayu Hospital 2024. The type of research is Quasi Experiment research with a One Group Pre-test Post-test design. The population in this study were all fracture patients at Bumiayu Regional Hospital in the period 4 March - 2 April 2024, totaling 52 people and the sample was taken using a purposive sampling method, namely 35 people. Data collection used a numerical scale research instrument sheet or The Pain Numerical Rating Scale (PNRS). The data analysis used is univariate and bivariate analysis. The results of this study show that statistical analysis showed that the difference in average pain intensity in fracture patients before guided imagination was 6.83 and after guided imagination was 3.46 with a probability value of (p=0.000), so Ho was rejected and Ha was accepted, meaning that guided imagination had an effect on reducing the intensity. pain in fracture patients. In conclusion, there is an effect of providing guided imagery on pain intensity in fracture patients at Bumiayu Regional Hospital in 2024.

This systematic literature review explores the role of psychoneuroimmunology (PNI)-based mind-body interventions in improving wound healing within nursing practice. Wound healing is a complex, multifactorial process influenced not only by cellular and molecular factors but also by psychological and immune responses. Despite the growing body of evidence supporting the efficacy of mind-body practices such as guided imagery, hypnotherapy, and meditation in managing stress and modulating immune responses, there is limited integration of these interventions into clinical nursing practices. This review aims to bridge this gap by synthesizing studies published between 2020 and 2024 that examine the impact of these interventions on wound healing outcomes. The review follows the PRISMA protocol, analyzing data from 50 primary studies focusing on RCTs, systematic reviews, and quasi-experimental designs. The results show significant improvements in wound closure rates, pain reduction, and immune modulation (e.g., reduction in cortisol and pro-inflammatory cytokines) in patients who received mind-body interventions. The findings support the hypothesis that mind-body interventions, by addressing both psychological stress and immune function, enhance wound healing. The proposed framework for integrating PNI-based interventions into nursing practice could improve patient outcomes in chronic wound management. Future research should focus on long-term studies with larger sample sizes and standardized intervention protocols to further validate these findings.

Pandemi Covid-19 memberikan tantangan dalam lembaga pendidikan Indonesia. Pemerintah menerapkan kebijakan pembatasan berskala besar. Masyarakat diharuskan beraktivitas dirumah. Peraturan membuat siswa stres dikarenakan keterbatasan jaringan, kuota dan banyak tugas. Tujuan dari penelitian untuk mengetahui pengaruh guided imagery terhadap tingkat stres siswa kelas 8 dalam pembelajaran daring di SMP Katolik Laikit. Desain penelitian menggunakan quasy experiment pre-post test. Sampel penelitian ini berjumlah 10 responden. Data diolah menggunakan SPSS 16 dan di analisa menggunakan uji Wilcoxon. Hasil didapatkan usia terbanyak ada 4 responden yaitu 13 tahun dan jenis kelamin terbanyak ada 8 responden yaitu laki-laki. Didapatkan P Value = 0.023 (0.05), maka Ha diterima dan Ho ditolak. Kesimpulan diambil adalah terdapat pengaruh dalam pemberian teknik guided imagery terhadap tingkat stres siswa kelas 8 dalam pembelajaran daring di SMP Katolik Laikit. Diharapkan dapat meningkatkan tingkat pengetahuan dalam melakukan teknik relaksasi untuk menurunkan stres.