Burn injuries constitute a major global health problem and frequently lead to severe pain, anxiety, functional limitations, and long-term physical and psychological complications. Inadequate pain control and anticipatory anxiety during repeated procedures often hinder rehabilitation participation and delay functional recovery. Guided imagery, a mindbody intervention, has demonstrated potential in reducing pain perception and promoting relaxation by influencing autonomic and neuroendocrine responses. This study examined the efficacy of guided imagery as an adjunct to occupational therapy (OT) in acute burns care. A quasi-experimental study was conducted with 40 patients with acute burns recruited through convenience sampling and randomly allocated into two groups (n 20 each). The control group received routine OT exercises, while the experimental group received guided imagery in addition to routine OT for 45 minutes, twice weekly, over four weeks. Pain was assessed using the Visual Analogue Scale (VAS), anxiety using the Hamilton Anxiety Rating Scale (HAM-A), and functional limitation using the Patient-Specific Functional Scale (PSFS). Pulse rate and respiratory rate were measured before and after intervention. Both groups demonstrated significant improvement in pain (VAS, p
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