Chen Yea-Jyh, Petrinec Amy, Stephenson Pamela S, Radziewicz Rosanne M, Sheehan Denice
School of Nursing, College of Health and Human Services, University of North Carolina Wilmington, Wilmington, North Carolina (Dr Chen); College of Nursing, Kent State University, Kent, Ohio (Drs Petrinec, Stephenson, and Sheehan); and MetroHealth Medical Center, Cleveland, Ohio (Ms Radziewicz).
Holist Nurs Pract. 2023;37(5):285-297. doi: 10.1097/HNP.0000000000000450. Epub 2021 May 20.
This pilot study explored whether Reiki delivered by family caregivers to cancer patients in a home setting was feasible in reducing cancer symptoms and enhancing health-related outcomes. An explanatory sequential mixed-methods study design was applied using pre-/post-Reiki questionnaires and post-Reiki interviews. Six patient-caregiver dyads from an outpatient clinic and cancer support facilities in northeast America performed daily Reiki at home for 3 weeks. Differences with symptoms, mental well-being, health-related quality of life, and satisfaction with at-home Reiki as well as qualitative content analyses were evaluated. Positive feedback was reported after at-home Reiki practice. Large statistical effects were identified for improving fatigue, memory, mood, nausea, and emotional well-being ( P < .10, r = 0.51-0.59). All participants were satisfied and 83.3% of them would recommend self-practice home Reiki. High involvement and adherence to the intervention protocol illustrated intervention fidelity. The qualitative data revealed 2 major categories, perceived benefits and barriers. Overall Reiki benefits outweighed barriers in relation to time commitment and place distractions/positioning. Our preliminary findings support that the at-home Reiki protocol had potential benefits and was feasible and acceptable by both community-dwelling patients and their family caregivers in promoting cancer-related outcomes. Further studies with larger samples are warranted to examine the effectiveness of home-based Reiki for a patient-centered cancer care modality.
这项试点研究探讨了家庭护理人员在家庭环境中为癌症患者提供灵气疗法是否可行，以减轻癌症症状并改善与健康相关的结果。采用了解释性序列混合方法研究设计，使用灵气疗法前后的问卷和灵气疗法后的访谈。来自美国东北部一家门诊诊所和癌症支持机构的六对患者-护理人员在家中每天进行3周的灵气疗法。评估了症状、心理健康、与健康相关的生活质量、对家庭灵气疗法的满意度以及定性内容分析方面的差异。家庭灵气疗法实践后收到了积极反馈。在改善疲劳、记忆力、情绪、恶心和情绪健康方面发现了显著的统计学效果（P <.10，r = 0.51 - 0.59）。所有参与者都很满意，其中83.3%的人会推荐自行在家进行灵气疗法。对干预方案的高度参与和坚持表明了干预的保真度。定性数据揭示了两个主要类别，即感知到的益处和障碍。总体而言，在时间投入以及场所干扰/姿势方面，灵气疗法的益处超过了障碍。我们的初步研究结果支持，家庭灵气疗法方案具有潜在益处，并且对于社区居住的患者及其家庭护理人员在促进与癌症相关的结果方面是可行且可接受的。有必要进行更大样本量的进一步研究，以检验家庭灵气疗法作为以患者为中心的癌症护理模式的有效性。
