International Journal of Science and Healthcare Research Vol.5; Issue: 4; Oct.-Dec. 2020 Website: ijshr.com Original Research Article ISSN: 2455-7587 International Journal of Science and Healthcare Research (www.ijshr.com) 463 Vol.5; Issue: 4; October-December 2020 Effect of Guided Imagery Technique on Decreased Pain Intensity in Post Sectio Caesarea Patients at Permata Bunda Hospital Rosanti Muchsin 1 , Yulis Hati 2 , Muslimah Pase 3 1,2,3 Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Rumah Sakit Haji Medan Corresponding Author: Yulis Hati ABSTRACT Pain is the most dominating problem in post- caesarean sectio surgery. Guided imagery therapy can cause relaxation with the release of endorphins to reduce pain. Guided imagery is a self-contained act of a nurse who combines imagination guidance. The purpose of the study was to determine the effect of guided imagery techniques on the decrease in pain intensity in post sectio caesarea patients at Permata Bunda Medan Hospital in 2016. The design of this research is quasi experimental with pre test and post test control group design research design. The research population is 14 people. Samples used in this study with Accidental Sampling techniques were divided into control groups and intervention groups. The results of this study of pain levels before guided imagery techniques were obtained by 5 respondents on the medium pain scale namely (71.4%), and after intervention 5 respondents were on the light pain scale that is (71.4%). In the control group, the first measurement obtained pain intensity in 6 respondents were on the moderate pain scale namely (85.8%), and the 2nd measurement of pain intensity of respondents increased by 5 respondents on the severe pain scale (71.4%). There was a difference in the intensity of pain in the decreased intervention group reaching 2 scales and the control group experienced a mean 1 increase in scale. After t test dependent test obtained p value 0.001 (p < 0.05). This suggests guided imagery techniques have a significant effect on the pain levels of post-operative patients of sectio caesarea. The conclusion of this research is an effective guided imagery technique to reduce pain in post sectio caesarea patients at Permata Bunda Hospital Medan. The advice from guided imagery technique researchers is recommended as a nurse's self- intervention to reduce post sectio caesarean wound pain. Keywords: [Guided Imagery, Pain Intensity In Post Sectio Caesarea Patients] INTRODUCTION Sectio caesarea is a surgery to give birth to a child through incision in the abdominal and uterine walls. Sectio caesarea can be indicated absolute or relative. These include severe pelvic narrowness and neoplasms clogging the birth path. Vaginal birth can be carried out in relative circumstances (Oxorn, 2010). According to the World Health Organization (WHO), the average standard of Sectio caesareans in a country is about 5- 15% per 1000 births in the world, in government hospitals an average of 11%, while in private hospitals it can be more than 30%. In Southeast Asia the number of Sectio caesarea actions was 9550 cases per 100,000 cases in 2005 (NCBI, 2005 in Bernatzky, 2011). Sectio caesarean incidence in Indonesia increased in 2000, 47.22% of childbirth until 2006 increased to 53.68%. According to national survey data in 2007 is 921,000 or about 22.8% of childbirth with Sectio caesarea from 4,039,000 childbirths (Fitriana, 2008 in Ratilasari, 2014). At dr. Pirngadi Hospital Medan the number of maternity mothers with sectio caesarea in 2008 reached 335 people and in 2009 increased to 400 people. (RM RSU dr.