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灵气疗法用于姑息治疗中儿童症状管理的一项初步研究

Reiki Therapy for Symptom Management in Children Receiving Palliative Care: A Pilot Study.

作者信息

Thrane Susan E, Maurer Scott H, Ren Dianxu, Danford Cynthia A, Cohen Susan M

机构信息

1 College of Nursing, The Ohio State University, Columbus, OH, USA.

2 Palliative Care, Hematology/Oncology, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

出版信息

Am J Hosp Palliat Care. 2017 May;34(4):373-379. doi: 10.1177/1049909116630973. Epub 2016 Feb 7.

Abstract

BACKGROUND

Pain may be reported in one-half to three-fourths of children with cancer and other terminal conditions and anxiety in about one-third of them. Pharmacologic methods do not always give satisfactory symptom relief. Complementary therapies such as Reiki may help children manage symptoms.

OBJECTIVE

This pre-post mixed-methods single group pilot study examined feasibility, acceptability, and the outcomes of pain, anxiety, and relaxation using Reiki therapy with children receiving palliative care.

METHODS

A convenience sample of children ages 7 to 16 and their parents were recruited from a palliative care service. Two 24-minute Reiki sessions were completed at the children's home. Paired t tests or Wilcoxon signed-rank tests were calculated to compare change from pre to post for outcome variables. Significance was set at P < .10. Cohen d effect sizes were calculated.

RESULTS

The final sample included 8 verbal and 8 nonverbal children, 16 mothers, and 1 nurse. All mean scores for outcome variables decreased from pre- to posttreatment for both sessions. Significant decreases for pain for treatment 1 in nonverbal children ( P = .063) and for respiratory rate for treatment 2 in verbal children ( P = .009). Cohen d effect sizes were medium to large for most outcome measures.

DISCUSSION

Decreased mean scores for outcome measures indicate that Reiki therapy did decrease pain, anxiety, heart, and respiratory rates, but small sample size deterred statistical significance. This preliminary work suggests that complementary methods of treatment such as Reiki may be beneficial to support traditional methods to manage pain and anxiety in children receiving palliative care.

摘要

背景

在患有癌症和其他终末期疾病的儿童中,约有二分之一至四分之三的儿童会报告疼痛,约三分之一的儿童会出现焦虑。药物治疗方法并不总能令人满意地缓解症状。诸如灵气疗法等补充疗法可能有助于儿童控制症状。

目的

这项前后混合方法的单组试点研究探讨了灵气疗法对接受姑息治疗的儿童的可行性、可接受性以及疼痛、焦虑和放松的效果。

方法

从姑息治疗服务机构招募了7至16岁的儿童及其父母作为便利样本。在儿童家中完成了两次24分钟的灵气治疗疗程。计算配对t检验或Wilcoxon符号秩检验,以比较结果变量从治疗前到治疗后的变化。显著性设定为P <.10。计算科恩d效应量。

结果

最终样本包括8名能言语儿童和8名不能言语儿童、16名母亲和1名护士。两个疗程中,结果变量的所有平均得分从治疗前到治疗后均有所下降。不能言语儿童治疗1的疼痛显著下降(P = 0.063),能言语儿童治疗2的呼吸频率显著下降(P = 0.009)。大多数结果测量的科恩d效应量为中等至较大。

讨论

结果测量的平均得分下降表明,灵气疗法确实降低了疼痛、焦虑、心率和呼吸频率,但样本量小阻碍了统计学显著性。这项初步工作表明,诸如灵气疗法等补充治疗方法可能有助于支持传统方法来控制接受姑息治疗儿童的疼痛和焦虑。

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