• Márcia Marques Dos Santos Felix, Maria Beatriz Guimarães Ferreira, Luciana Falcão da Cruz, and Maria Helena Barbosa.
• Stricto Sensu Graduate Program in Health Care, Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
• Pain Manag Nurs. 2019 Feb 1; 20 (1): 3-9.

ObjectiveTo identify the evidence in the literature about relaxation therapy with guided imagery for postoperative pain management.MethodIntegrative review.Data SourcePubMed, Lilacs, Cochrane, Embase, Web of Science, Scopus and Cinahl, between August 2006 and December 2016. Descriptors: Postoperative Pain, Imagery (Psychotherapy) and Guided Imagery.Study Selectionoriginal studies published in English, Spanish and Portuguese. 291 studies were identified and eight were selected. Descriptive data analysis, presented in detail, with a summary of the knowledge produced in each study.ResultsIn the primary studies included, the use of guided imagery associated with other complementary therapies was highlighted: hand and foot "M" technique, education on postoperative pain management with analgesic drugs, relaxation exercises, respiration exercises, meditation, soothing biorhythmic music combined with positive and encouraging assertions and music with nature sounds.ConclusionsThe knowledge synthesis resulting from this study indicates that evidence could be identified on the use of guided imagery associated with relaxation therapy as a complementary approach to drug analgesia in postoperative pain control strengthens its indication for nursing practice. This evidence, however, demonstrates that the quality of the use of this therapy is limited, and it is necessary to carry out new randomized clinical studies to fill the existing gaps in this topic.Copyright © 2017 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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