Dr. Bahrul Ilmi, S.Pd., M.Kes Dosen Pembimbing 1 Evi Risa Mariana, S.Pd., M.Pd Dosen Pembimbing 2 M. Reza Rieswandhi Pengarang

KEMENTRIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK KESEHATAN BANJARMASIN PROGRAM STUDI KEPERAWATAN PROGRAM DIPLOMA TIGA TAHUN 2025 ABSTRAK Karya Tulis Ilmiah M. REZA RIESWANDHI IMPLEMENTASI GUIDED IMAGERY DALAM ASUHAN KEPERAWATAN TERHADAP SKALA NYERI DENGAN PASIEN GOUT ARTRITIS PADA LANSIA DI PPRSLU BUDI SEJAHTERA KALIMANTAN SELATAN (Dr. Bahrul Ilmi & Evi Risa Mariana) xvii + 101 halaman ; 17 tabel ; 1 gambar + 11 lampiran Gout arthritis adalah jenis radang sendi inflamasi yang umum pada lansia, yang menyebabkan nyeri sendi akut, bengkak, kemerahan, dan keterbatasan gerak. Secara global, prevalensinya mencapai 1–4% pada orang dewasa. Di Indonesia, belum ada data nasional pasti, namun studi lokal menunjukkan hiperurisemia sebagai faktor risiko cukup tinggi pada lansia, termasuk di Kalimantan Selatan yang mencatat banyak kasus pada usia di atas 50 tahun di layanan primer. Gout dapat menyebabkan nyeri hebat, gangguan tidur, keterbatasan aktivitas, stres psikologis, dan kerusakan sendi kronis bila tidak ditangani. Terapi farmakologis sering digunakan, namun pada lansia dengan penyakit penyerta berisiko menimbulkan efek samping. Karena itu, dibutuhkan alternatif yang lebih aman, seperti Guided Imagery (GI) yang mengandalkan relaksasi dan visualisasi untuk mengurangi persepsi nyeri. Penelitian ini menggunakan pendekatan studi kasus deskriptif dengan tahapan proses keperawatan (pengkajian, diagnosa, intervensi, implementasi, dan evaluasi). Subjek adalah dua lansia di PPRSLU Budi Sejahtera Kalimantan Selatan yang mengalami nyeri akibat gout arthritis dan memenuhi kriteria inklusi seperti sadar, tidak depresi, fungsi kognitif utuh, dan mandiri dalam aktivitas dasar. Intervensi Guided Imagery dilakukan selama 20–30 menit per sesi, dengan hasil menunjukkan penurunan skala nyeri dari skor awal 7 menjadi 6 dan dari 6 menjadi 5 berdasarkan Numeric Rating Scale (NRS). Respon pasien menunjukkan peningkatan kenyamanan dan relaksasi. Kesimpulan menunjukkan bahwa Guided Imagery efektif sebagai intervensi non-farmakologis dalam mengurangi nyeri pada lansia dengan gout arthritis dan dapat direkomendasikan dalam praktik keperawatan gerontik. Kata Kunci : Gout arthritis, Guided Imagery, intervensi non-farmakologis, keperawatan gerontik, nyeri lansia. Kepustakaan : 43 (2018-2025) xiii MINISTRY OF HEALTH OF THE REPUBLIC OF INDONESIA POLYTECHNIC OF HEALTH BANJARMASIN NURSING STUDY PROGRAM DIPLOMA THREE PROGRAM YEAR 2025 ABSTRACT Karya Tulis Ilmiah M. REZA RIESWANDHI IMPLEMENTATION OF GUIDED IMAGERY IN NURSING CARE TO REDUCE PAIN SCALE IN ELDERLY PATIENTS WITH GOUT ARTHRITIS AT PPRSLU BUDI SEJAHTERA, SOUTH KALIMANTAN (Dr. Bahrul Ilmi & Evi Risa Mariana) xvii + 101 pages; 17 tables; 1 figure; 11 appendices Gout arthritis is a common type of inflammatory joint disease in the elderly, causing acute joint pain, swelling, redness, and limited mobility. Globally, its prevalence reaches 1–4% in adults. In Indonesia, although no definitive national data is available, local studies indicate that hyperuricemia—a major risk factor— is relatively high among the elderly, including in South Kalimantan, where many cases are reported in primary care settings among individuals over 50 years old. Gout can lead to severe pain, sleep disturbances, reduced physical activity, psychological stress, and chronic joint damage if left untreated. Pharmacological therapy is often used but may pose side effects in elderly patients with comorbidities. Therefore, safer alternatives are needed, such as Guided Imagery (GI), which focuses on relaxation and visualization to help reduce pain perception. This study used a descriptive case study approach following the nursing process stages (assessment, diagnosis, intervention, implementation, and evaluation). The subjects were two older adults at PPRSLU Budi Sejahtera in South Kalimantan who experienced pain due to gout arthritis and met inclusion criteria such as being conscious, not depressed, having intact cognitive function, and being independent in basic activities. The Guided Imagery intervention was conducted for 20–30 minutes per session, with results showing a reduction in pain scale scores from an initial 7 to 6 and from 6 to 5 based on the Numeric Rating Scale (NRS). Patient responses indicated increased comfort and relaxation. he conclusion indicates that Guided Imagery is effective as a nonpharmacological intervention in reducing pain among older adults with gout arthritis and can be recommended in gerontological nursing practice. Keywords : Elderly pain, Geriatric nursing, Gout arthritis, Guided Imagery, Non-pharmacological intervention. Bibliography : 43 (2018-2025)