The effect of guided imaging technique applied to patients undergoing laparoscopic cholecystectomy on pain, vital signs, and quality of recovery

This study was conducted to investigate the effect of guided imaging techniques on pain, vital signs, and quality of recovery in patients undergoing laparoscopic cholecystectomy (LC). The study was conducted as a randomized controlled trial between February 2025 and April 2026 at the Surgical Department of Turgut Özal University Malatya Training and Research Hospital. The sample consisted of a total of 196 patients, including 98 in the guided imagery group and 98 in the control group. Data were collected using the Patient Demographic Form, Visual Analog Scale, Vital Signs Chart, and Quality of Recovery Questionnaire. After administering a pre-test to all patients, patients in the guided imagery group were shown an 18-minute guided imagery video prepared by the researcher, performed the exercise under the researcher's guidance, and were then re-administered the Visual Analog Scale, Vital Signs Chart, and Quality of Recovery Questionnaire following the session. Data analysis utilized percentages, standard deviation, mean, chi-square test, paired t-test for withingroup comparisons of continuous variables, and independent t-test for between-group comparisons. A significance level of p<0.05 was accepted. A statistically significant difference was found between pre- and post-intervention Visual Analog Scale pain scores in the guided imagery group (p<0.05). While statistically significant changes were observed over time in measurements of temperature, pulse, and oxygen saturation (p < 0.05), no significant changes were found in systolic blood pressure, diastolic blood pressure, or respiratory rate (p > 0.05). A statistically significant difference was found in the total scores for recovery quality (p < 0.05). It was determined that the guided imagery technique applied to patients undergoing laparoscopic cholecystectomy is effective in reducing pain levels and improving recovery quality. Although statistically significant differences were found in temperature, pulse, and oxygen saturation, no significant differences were observed in systolic and diastolic blood pressure or respiratory rate. It is believed that integrating guided imagery into nursing care may contribute positively to patients' recovery process. KEYWORDS: Laparoscopic cholecystectomy, pain, vital signs, quality of recovery, guided imaging