Effects of Reiki Applied to Patients Undergoing Colorectal Cancer Surgery on Postoperative Pain, Anxiety, Physiological Parameters and Recovery

Istanbul University - Cerrahpasa64 enrolled

Overview

Reiki touch therapy has been used for many years, especially on pain, anxiety and physiological parameters, and studies have been found to show that it is effective. In a systematic review conducted with Sectio patients, it was determined that reiki reduces pain. In a study conducted by Zare et al. with patients undergoing coronary bypass surgery, it was reported that reiki regulates the respiratory rate. It was determined that reiki applied to the incision area in patients undergoing abdominal surgery reduces pain. In a different study, it was emphasized that reiki applied to 90 women who gave birth by cesarean section in the experimental group on the 1st and 2nd days after surgery decreased pain and anxiety levels, analgesic requirement and respiratory rate after surgery compared to the control group, while there was no change in blood pressure and pulse. In a meta-analysis study including four studies consisting of 104 patients in the Reiki group and 108 patients in the control group, a statistically significant decrease in the pain score of the Reiki group was found. In a study conducted by Bremner and colleagues, it was determined that stress, anxiety and depression decreased in the Reiki group. In a study measuring the effect of Reiki use on pain, stress and anxiety levels in patients undergoing total knee replacement surgery, significant decreases were found in pain, blood pressure, respiratory rate and anxiety levels in the Reiki group out of three groups that received Reiki, sham Reiki and standard care. In line with these studies, evidence-based data on the effectiveness of Reiki is thought to help nurses reduce patients' postoperative pain and anxiety, reduce the incidence of respiratory complications and help them evaluate and manage physiological parameters more accurately.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Interventions

ReikiOTHER

The patient will be explained about reiki (life energy recovery) and the application environment will be kept quiet. Metal objects on the patient and the researcher will be removed. The researcher will wash and warm their hands. The patient's privacy will be ensured. The patient will be given a flat lying position with their arms and legs on both sides and comfortable. The patient will be asked to close their eyes. The researcher's fingers will be straight, side by side and closed, and energy will be provided to the application areas; crown chakra (top of the head), forehead chakra (top of the forehead), throat chakra (top of the throat), heart chakra (middle of the chest), solar plexus (under the chest, above the navel), sacral chakra (below the navel) and root chakra (upper back). Reiki application will be applied to the points on the 7 chakra regions for 4 minutes each, for a total of 28 minutes. The patient will be asked to open their eyes at the end of the application.

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who volunteer to participate and continue in the study, * Have no communication problems that would prevent the interview, * Have pain levels of 5 and above according to the GKO, * Have no history of psychiatric disorders and therefore do not use medication will be included in the study. Exclusion Criteria: * If a different surgical procedure is performed other than colorectal surgery, * If the score determined in the Visual Comparison Scale in the pre-operative evaluation of the patient is 7 and above, * If there is cancer pain, * If there are complex cancer metastases, * If there are secondary metastases from colorectal cancer, * If there is persistent severe nausea and vomiting during the procedure and post-operative period, * If the patient is illiterate, * If the patient is over 50 points from the Trait Anxiety Scale, * If the patient has had abdominal surgery before, * If the patient has had reiki or energy therapies before, * If the patient is using medications other than the routine treatment after the surgery, the patients will be excluded from the study.

Outcomes

Primary Outcomes

Pain NRS Scale: Time 1

The pain experienced should be numbered on a linear line and rated as "none, mild, moderate, or severe." A rating of 0 indicates no pain, 1-3 indicates mild pain, 4-6 indicates moderate pain, and 7-10 indicates severe pain.

Time frame: Before surgery

Pain NRS Scale: Time 2

Time frame: 4th hour after surgery

Pain NRS Scale: Time 3

Time frame: 1st day after surgery

Pain NRS Scale: Time 4

Time frame: 2nd day after surgery

State-Trait Anxiety Inventory: Time 1

Developed by Spielberger, Gorsuch, and Lushene in 1970, the scale consists of two subscales with 20 items each measuring state and trait anxiety. The STAI used in this study is answered using a 4-point Likert scale. The emotions and behaviors expressed in the STAI items are indicated by selecting one of the following options: (1) Not at all, (2) A little, (3) A lot, and (4) Completely, according to the severity of such experiences. High scores on the scale indicate high levels of anxiety The highest score is 80, and the lowest is 20. The higher the total anxiety score, the higher the person's anxiety level is interpreted. . The adaptation, validity, and reliability study of the scale was conducted into Turkish by Öner and Le Compte in 1983. Cronbach's α internal consistency rate for the scale's current sample was found to be 0.90 for the State Anxiety Scale.

Time frame: Before surgery

State-Trait Anxiety Inventory: Time 2

Developed by Spielberger, Gorsuch, and Lushene in 1970, the scale consists of two subscales with 20 items each measuring state and trait anxiety. The STAI used in this study is answered using a 4-point Likert scale. The emotions and behaviors expressed in the STAI items are indicated by selecting one of the following options: (1) Not at all, (2) A little, (3) A lot, and (4) Completely, according to the severity of such experiences. High scores on the scale indicate high levels of anxiety The highest score is 80, and the lowest is 20. The higher the total anxiety score, the higher the person's anxiety level is interpreted. The adaptation, validity, and reliability study of the scale was conducted into Turkish by Öner and Le Compte in 1983. Cronbach's α internal consistency rate for the scale's current sample was found to be 0.90 for the State Anxiety Scale.

Time frame: 2nd day after surgery

Postoperative Recovery Index

The postoperative recovery index, the validity and reliability of which was conducted by Butler et al. (2012), consists of 25 items. The ASII has five subdimensions: psychological symptoms, physical activities, general symptoms, bowel symptoms, and desire symptoms. In scoring the questionnaire, the scores of the items in the subdimensions are summed, their arithmetic means are taken, and the subdimension score is determined. To obtain the total score of the ASII survey, all 25 items are summed and their arithmetic mean is taken. High scores on the index reflect more difficulties in postoperative recovery, while low scores indicate that postoperative recovery was easier. In this study, the ASII, the validity and reliability of which was conducted for Turkish by Hande Cengiz in 2018, was used.

Time frame: 15th day after surgery