Reiki in Symptom Management of Hemodialysis Patients
Is Reiki Effective In Coping With the Symptoms Experienced by Patients Undergoing Hemodialysis?: Single-Blind Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Osmaniye, Turkey, 80000
- Osmaniye Korkut Ata University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- To be over 18 years of age,
- To have received hemodialysis treatment for at least 15 days,
- To volunteer to participate in the study,
- To be able to answer the given forms and questionnaires
Exclusion Criteria:
- To be a Reiki practitioner or trainer,
- To have attended any energy therapy session before,
- Using other complementary and integrative medicine practices at the time of the application.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Reiki
The participants in the Reiki group (n=32) were given Reiki remotely for 60 minutes by two certified practitioners who completed the second level Reiki training with a Master degree Reiki instructor according to the Usui method.
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Reiki, one of integrative practices, is an energy therapy involving the use of energy that flows naturally from the hands of the practitioner to strengthen the body's ability to heal itself in order to increase well-being.
Reiki improves well-being in many areas, ensures that blood and lymph circulation is maintained properly, regulates blood pressure and pulse rate by stimulating the autonomic nervous system, increases comfort, reduces depression and anxiety levels.
In this way, Reiki facilitates physical and mental relaxation and promotes health
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No Intervention: Control
No intervention was made in the control group (n=32).
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from baseline Dialysis Symptom Index at a week
Time Frame: Within 1 hour of first admission. -A week later
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The Dialysis Symptom Index was used to investigate the therapeutic effect of Reiki on hemodialysis-related symptoms.
The index consists of 30 items to evaluate physical and emotional symptoms and the severity of these symptoms.
Participants are asked to define the presence of each symptom they experienced in the last week as Yes or No, and they are also report how much symptoms they experience affect them on a five-point Likert type scale (1 = not at all bothersome, 5 = very much bothersome).
The lowest score to be obtained from the index is 0, the highest score is 150, and higher scores indicate more dialysis symptoms.
In order to reach the Primary Outcome Measure, it was aimed that the Dialysis Symptom Index total scores of the individuals in the intervention group were lower in the final measurement than in the first measurement.
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Within 1 hour of first admission. -A week later
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from Sodium values at a week
Time Frame: Within one week of first application
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In this section there is Sodium value required for eliminating fluid-electrolyte imbalances.
The observed sodium is expected to be 136 -144 mmol/L.
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Within one week of first application
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Change from Potassium values at a week
Time Frame: Within one week of first application
|
In this section there is Potassium value required for eliminating fluid-electrolyte imbalances.
The observed sodium is expected to be 3.7 - 5.1 mmol/L
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Within one week of first application
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Change from Calcium values at a week
Time Frame: Within one week of first application
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In this section there is Calcium value required for eliminating fluid-electrolyte imbalances.
The observed Calcium is expected to be 8.5 -10.2 mg/dL
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Within one week of first application
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Change from Chloride values at a week
Time Frame: Within one week of first application
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In this section there is Chloride value required for eliminating fluid-electrolyte imbalances.
The observed Chloride is expected to be 97 - 105 mmol/L
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Within one week of first application
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Change from Magnesium values at a week
Time Frame: Within one week of first application
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In this section there is Magnesium value required for eliminating fluid-electrolyte imbalances.
The observed Magnesium is expected to be 1.7- 2.2 mg/dL
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Within one week of first application
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Change from Phosphate values at a week
Time Frame: Within one week of first application
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In this section there is Phosphate value required for eliminating fluid-electrolyte imbalances.
The observed Phosphate is expected to be 2.5- 4.8 mg/dL
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Within one week of first application
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Change from urea values at a week
Time Frame: Within one week of first application
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In this section there is urea value required for eliminating fluid-electrolyte imbalances.
The observed urea is expected to be 1.8 to 7.1 mmol
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Within one week of first application
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Change from Hemoglobin values at a week
Time Frame: Within one week of first application
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In this section there is Hemoglobin value required for preventing anemia.
The observed Hemoglobin is expected to be Male (ages 15+): 13.0 - 17.0 g/dL; Female (ages 15+): 11.5 - 15.5 g/dL
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Within one week of first application
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Change from Hematocrit values at a week
Time Frame: Within one week of first application
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This section contains the Hematocrit value, which should be in the appropriate range to prevent fluid imbalance and anemia.
The observed Hematocrit is expected to be Male: 40 - 55%; Female: 36 - 48%
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Within one week of first application
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Komenda P, Ferguson TW, Macdonald K, Rigatto C, Koolage C, Sood MM, Tangri N. Cost-effectiveness of primary screening for CKD: a systematic review. Am J Kidney Dis. 2014 May;63(5):789-97. doi: 10.1053/j.ajkd.2013.12.012. Epub 2014 Feb 12.
- Duranton F, Cohen G, De Smet R, Rodriguez M, Jankowski J, Vanholder R, Argiles A; European Uremic Toxin Work Group. Normal and pathologic concentrations of uremic toxins. J Am Soc Nephrol. 2012 Jul;23(7):1258-70. doi: 10.1681/ASN.2011121175. Epub 2012 May 24. Erratum In: J Am Soc Nephrol. 2013 Dec;24(12):2127-9.
- Lu PH, Yu MC, Wei MJ, Kuo KL. The Therapeutic Strategies for Uremic Toxins Control in Chronic Kidney Disease. Toxins (Basel). 2021 Aug 17;13(8):573. doi: 10.3390/toxins13080573.
- Yu IC, Fang JT, Tsai YF. Exploring demands of hemodialysis patients in Taiwan: A two-step cluster analysis. PLoS One. 2020 Feb 7;15(2):e0228259. doi: 10.1371/journal.pone.0228259. eCollection 2020.
- Zarantonello D, Rhee CM, Kalantar-Zadeh K, Brunori G. Novel conservative management of chronic kidney disease via dialysis-free interventions. Curr Opin Nephrol Hypertens. 2021 Jan;30(1):97-107. doi: 10.1097/MNH.0000000000000670.
- Kalantar-Zadeh K, Jafar TH, Nitsch D, Neuen BL, Perkovic V. Chronic kidney disease. Lancet. 2021 Aug 28;398(10302):786-802. doi: 10.1016/S0140-6736(21)00519-5. Epub 2021 Jun 24.
- Vanholder RC, Eloot S, Glorieux GL. Future Avenues to Decrease Uremic Toxin Concentration. Am J Kidney Dis. 2016 Apr;67(4):664-76. doi: 10.1053/j.ajkd.2015.08.029. Epub 2015 Oct 21.
- Li PK, Garcia-Garcia G, Lui SF, Andreoli S, Fung WW, Hradsky A, Kumaraswami L, Liakopoulos V, Rakhimova Z, Saadi G, Strani L, Ulasi I, Kalantar-Zadeh K. Kidney health for everyone everywhere - from prevention to detection and equitable access to care. Clin Nephrol. 2020 Mar;93(3):111-122. doi: 10.5414/CNWKDEditorial.
- Weisbord SD, Fried LF, Arnold RM, Rotondi AJ, Fine MJ, Levenson DJ, Switzer GE. Development of a symptom assessment instrument for chronic hemodialysis patients: the Dialysis Symptom Index. J Pain Symptom Manage. 2004 Mar;27(3):226-40. doi: 10.1016/j.jpainsymman.2003.07.004.
- Daniel P. Wirth, R. J. Chang, W. S. Eidelman & J. B. Paxton, Hematological Indicators of Complementary Healing Intervention, Complementary Therapies in Medicine 4 (996), pp. 4-20.
- Önsöz HB, Usta Yeşilbalkan Ö. Reliability and validity of the Turkish version of the dialysis symptom index in chronic hemodialysis patients. Turkish Nephrology, Dialysis and Transplantation Journal 2013; 22(1): 60-67
- Dyer NL, Baldwin AL, Rand WL. A Large-Scale Effectiveness Trial of Reiki for Physical and Psychological Health. J Altern Complement Med. 2019 Dec;25(12):1156-1162. doi: 10.1089/acm.2019.0022. Epub 2019 Oct 22.
- Zins S, Hooke MC, Gross CR. Reiki for Pain During Hemodialysis: A Feasibility and Instrument Evaluation Study. J Holist Nurs. 2019 Jun;37(2):148-162. doi: 10.1177/0898010118797195. Epub 2018 Aug 31.
- Muhith A, Hidayaah N, Faizah I, Sari, RY, Hartadi H. The Effect of Reiki Therapy on Posttraumatic Growth (Ptg) Among Chronic Renal Failure Patients Through Hemodialysis. Nurse and Health: Journal Keperawatan. 2021, 10(2): 190-200. http://ejournal-kertacendekia.id/index.php/nhjk/index
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- 2022/02/12-E.54558
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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