1 Section of Palliative Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
2 Geisel School of Medicine , Lebanon, New Hampshire.
J Altern Complement Med. 2018 Aug;24(8):801-808. doi: 10.1089/acm.2017.0409. Epub 2018 Apr 5.
There is an increasing demand for and use of alternative and complementary therapies, such as reiki and massage therapy, in hospital-based settings. Most controlled studies and practice-based reports include oncology and surgical patient populations; thus the effect in a more heterogeneous hospitalized patient population is hard to estimate. We examined the immediate symptom relief from a single reiki or massage session in a hospitalized population at a rural academic medical center.
Retrospective analysis of prospectively collected data on demographic, clinical, process, and quality of life for hospitalized patients receiving massage therapy or reiki.
SETTINGS/LOCATION: A 396-bed rural academic and tertiary medical center in the United States.
Hospitalized patients requesting or referred to the healing arts team who received either a massage or reiki session and completed both a pre- and post-therapy symptom questionnaire.
First session of routine reiki or massage therapy during a hospital stay.
Differences between pre- and postsession patient-reported scores in pain, nausea, fatigue, anxiety, depression, and overall well-being using an 11-point Likert scale.
Patients reported symptom relief with both reiki and massage therapy. Analysis of the reported data showed reiki improved fatigue (-2.06 vs. -1.55 p < 0.0001) and anxiety (-2.21 vs. -1.84 p < 0.001) statistically more than massage. Pain, nausea, depression, and well being changes were not statistically different between reiki and massage encounters. Immediate symptom relief was similar for cancer and noncancer patients for both reiki and massage therapy and did not vary based on age, gender, length of session, and baseline symptoms.
Reiki and massage clinically provide similar improvements in pain, nausea, fatigue, anxiety, depression, and overall well-being while reiki improved fatigue and anxiety more than massage therapy in a heterogeneous hospitalized patient population. Controlled trials should be considered to validate the data.
在医院环境中，人们对替代和补充疗法（如灵气疗法和按摩疗法）的需求和使用日益增加。大多数对照研究和基于实践的报告都包括肿瘤学和外科患者群体；因此，在更异质的住院患者群体中，其效果难以估计。我们研究了在农村学术医疗中心住院人群中单次灵气或按摩治疗的即时症状缓解效果。
对接受按摩疗法或灵气疗法的住院患者的人口统计学、临床、治疗过程和生活质量的前瞻性收集数据进行回顾性分析。
地点/位置：美国一家拥有 396 张床位的农村学术性和三级医疗中心。
要求或转至治疗艺术团队接受按摩或灵气治疗的住院患者，且在治疗前后均完成了症状问卷。
住院期间进行常规灵气或按摩治疗的第一疗程。
患者报告在接受灵气和按摩治疗后症状得到缓解。使用 11 分 Likert 量表分析报告数据显示，灵气治疗在改善疲劳（-2.06 与 -1.55，p<0.0001）和焦虑（-2.21 与 -1.84，p<0.001）方面的效果明显优于按摩。在疼痛、恶心、抑郁和整体健康方面，灵气和按摩的变化无统计学差异。灵气和按摩治疗对癌症和非癌症患者的即时症状缓解效果相似，且不受年龄、性别、疗程长短和基线症状的影响。
灵气和按摩在改善疼痛、恶心、疲劳、焦虑、抑郁和整体健康方面提供了相似的临床效果，而在异质住院患者群体中，灵气疗法在改善疲劳和焦虑方面优于按摩疗法。应考虑进行对照试验以验证这些数据。
