Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT06063616 |
| Other study ID # |
Reiki |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
June 6, 2022 |
| Est. completion date |
September 8, 2022 |
Study information
| Verified date |
September 2023 |
| Source |
Mersin University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Purpose The purpose of this study is to determine the effect of Reiki on pain intensity and
quality of life in patients receiving hemodialysis treatment.
Materials and methods The research was conducted as a qualitative study using
pretest-posttest, double-blind, randomized controlled study and semi-structured in-depth
interview. In this study, patients receiving HD treatment in three separate private dialysis
centers in Turkey were randomized to Reiki and sham Reiki groups. In the first three hours of
the HD session, in the first three hours of the HD session, three sessions a week for a total
of 12 sessions for 30 minutes (min), the first level is applied to 9 main points (crown,
forehead, throat, heart, solar plexus, sacral and root chakras, knees, ankles and feet).
While applying Reiki, the sham Reiki group was touched at the same points for the same period
of time by the uninitiated practitioner. At the beginning and end of the study, Kidney
Disease Quality of Life (KDQOLTM-36) scores, Visual Analogue Scale (VAS-Pain) before and
after the application, and psychodynamic reactions experienced during the Reiki application
after the application were evaluated. At the end of the research, the Reiki group's opinions
about the Reiki experience were collected using a form consisting of semi-structured
questions.
Description:
The fifth stage of chronic kidney disease is called end-stage renal disease (ESRD) and
hemodialysis (HD) is offered to patients as a renal replacement treatment option unless a
successful kidney transplantation occurs at this stage. Although HD treatment is a treatment
option that aims to reduce mortality and morbidity rates and improve the quality of life, it
is actually a form of treatment that brings with it different problems. Patients receiving HD
treatment experience many physical and psychological symptoms such as pain, fatigue, dyspnea,
sleep problems, restless leg syndrome, itching, muscle cramps, nausea-vomiting, loss of
appetite, constipation, dry skin, sexual dysfunction, anxiety, depression, and delirium.
In addition, these symptoms bring about social and economic problems and negatively affect
the patient's quality of life. In patients with ESRD and receiving HD treatment; The most
common symptom is pain due to reasons such as accumulation of fluid and metabolic wastes,
comorbid causes such as diabetes, cardiovascular and pulmonary diseases, infections, changes
in the musculoskeletal system, HD procedure, carpal tunnel syndrome, and anxiety.
Pharmacological and/or complementary and integrative treatment (TIT) methods are used in the
management of pain in patients receiving hemodialysis treatment are used. In pharmacological
treatment, analgesics with better metabolic clearance such as fentanyl and hydromorphone are
preferred. However, patients' inability to fully express their pain, their unwillingness to
increase the already existing medication burden, fear of addiction or side effects of the
medications to be used, ethnic or cultural factors, healthcare professionals' inability to
evaluate pain adequately and lack of training in pain management are among the reasons for HD
patients. There are difficulties in pain management due to reasons such as the lack of a
guide on pain management. For this reason, patients prefer TIT methods such as yoga,
reflexology, music therapy, relaxation exercises, aromatherapy, acupressure, and Reiki
instead of drug treatment.
Reiki, one of the energy-based treatments that has attracted great attention from nurses
among TIT methods in recent years; It provides physical, mental and emotional healing by
balancing the disrupted energy flow. According to the results of studies conducted on
different patient groups; Reiki's vital signs, hemoglobin and hematocrit levels, wound
healing, digestive problems, acute and chronic pain, sleep, fatigue, anxiety, fear,
depression, stress, relaxation, analgesic use, self-esteem, patient satisfaction, hospital
stay, communication, life It has been determined that its quality has positive effects on the
side effects of chemotherapy and radiotherapy. However, the results of these studies require
careful interpretation due to the limited number of randomized controlled studies, lack of
sham and control groups, insufficient sample sizes, differences in population characteristics
and protocol, frequency and duration.
While only two studies examining the effect of Reiki on pain in patients receiving HD
treatment have been found in the literature, no studies investigating its effect on quality
of life have been found. Reiki is a method that can be easily learned, is non-invasive, does
not require special equipment, is cost-free, easy to apply, reduces the use of analgesics and
has no side effects. In addition, since it increases the quality of life by reducing the
severity of pain when applied together with standard treatment, it stands out as one of the
different approaches that nurses, especially those who have been with the patient for a long
time, can offer to the patient in providing pain management. Based on this point, this study
aimed to determine the effect of first-level Reiki, which is applied for a total of 12
sessions for 30 minutes three times a week, in the first three hours of HD, on pain intensity
and quality of life in individuals receiving HD treatment.
