Yea-Jyh Chen, Amy Petrinec, Pamela S Stephenson, Rosanne M Radziewicz, Denice Sheehan
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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. 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引用次数: 3
摘要
本初步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治疗在减少癌症症状和提高健康相关结果方面是否可行。使用灵气前/后问卷调查和灵气后访谈,采用解释性顺序混合方法研究设计。来自美国东北部门诊诊所和癌症支持机构的六名患者护理人员在家中进行了为期三周的每日灵气治疗。对症状、心理健康、健康相关生活质量和家庭灵气满意度的差异以及定性内容分析进行评估。在家练习灵气后,报告了积极的反馈。在改善疲劳、记忆、情绪、恶心和情绪健康方面发现了较大的统计效应(P < 0.10, r = 0.51-0.59)。所有参与者都很满意,83.3%的人会推荐自己练习家庭灵气。高介入和对干预方案的遵守说明了干预的保真度。定性数据揭示了2个主要类别,感知到的好处和障碍。总的来说,灵气的好处超过了时间承诺和地点干扰/定位方面的障碍。我们的初步研究结果支持家庭灵气治疗方案在促进癌症相关预后方面具有潜在的益处,并且对社区居住患者及其家庭护理人员都是可行和可接受的。进一步的研究需要更大的样本来检验家庭灵气对以病人为中心的癌症治疗模式的有效性。
Home-Based Reiki by Informal Caregivers: A Mixed-Methods Pilot Study.
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.
期刊介绍:
Holistic Nursing Practice (HNP), The Science of Health and Healing, is a peer-reviewed bimonthly journal that explores holistic models of nursing practice. Content emphasizes complementary traditional and holistic nursing and healthcare practices. Articles include theory-based interventions and their outcomes, including: innovations in holistic nursing practice; research related to holistic nursing practice, health care, and policy; and values and ethical-legal issues related to holistic nursing practices. The holistic approach is a worldview that emphasizes the potential for health and healing in human systems rather than on disease process and deficit.