Organ or Tissue Transplant; Complications, Reiki
Conditions
Keywords
reiki, organ transplant, nursing, pain, Hopelessness
Brief summary
The treatment and care of chronic kidney failure is a long-term process, and patients are significantly affected by this condition. The fact that patients spend much of their daily lives attending hemodialysis sessions two or three times a week considerably limits their life activities. dition to medical treatment, a non-pharmacological Therefore, individuals may become partially or completely dependent. Coping with various symptoms brought on by this chronic disease, adapting to the restrictions required by treatment, preventing complications, and improving quality of life also bring about physical, cognitive, and psychological challenges. Patients are aware that they can only regain their previous health through organ transplantation; however, since it is uncertain when a suitable donor will be found, they may experience intense feelings of hopelessness. The chronic illness itself and the hemodialysis sessions frequently lead to symptoms such as pain and fatigue. In admethod such as distant Reiki may be supportive in coping with symptoms like hopelessness, fatigue, and pain. Numerous evidence-based studies in the literature have demonstrated that distant Reiki practices support symptom management in many chronic diseases through their effects on the parasympathetic nervous system. However, the effects of distant Reiki on hopelessness, fatigue, and pain in individuals awaiting organ donation have not yet been investigated.
Detailed description
Therefore, this study is planned to be conducted as a randomized controlled trial with two groups. Fifty patients awaiting organ donation who meet the inclusion criteria will be included in the study. Data will be collected using the "Personal Information Form," "Beck Hopelessness Scale," "Fatigue Severity Scale," and "Brief Pain Inventory." Analyses will be performed using an appropriate statistical software package. We believe that distant Reiki practices may have positive effects on hopelessness, fatigue, and pain among hemodialysis patients awaiting organ donation. It is known that the majority of nurses worldwide hold Reiki practice certifications and use this method in chronic diseases. The main aim of this study is to support symptom management and strengthen coping mechanisms in individuals through distant Reiki practices.
Interventions
BEHAVIORALremote reiki
Patients in the intervention group will be contacted by telephone. They will be provided with a suitable environment. A certified assistant researcher will initiate the remote Reiki application. Each application is expected to last an average of 35-40 minutes. The first remote Reiki session will be conducted on the evening of the patient's haemodialysis day. The sessions will take place three times a week for a total of four weeks. After the application is completed, vital signs will be taken again from the intervention group patients, and the Beck Hopelessness Scale, Fatigue Severity Scale, and Brief Pain Inventory will be completed. The data collection tool will be completed a second time the day after the last application and a third time one month later. The effects of Reiki therapy on hopelessness, fatigue, and pain will be evaluated using the Personal Information Form, Beck Hopelessness Scale, Fatigue Severity Scale, and Brief Pain Inventory.
Sponsors
Bozok University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This study is planned to be conducted as a randomized controlled trial with two groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients who have been undergoing haemodialysis for ≥ 6 months, * Aged 18 years or older, * Patients with chronic kidney disease, * Can speak and understand Turkish and, * Have a mobile phone and can use it will be included in the study.
Exclusion criteria
* Patients using psychotropic medication will not be included in the study. * Patients who are unable to attend regular sessions will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hopelessness Level | From enrollment to the end of treatment at 8 weeks | Hopelessness level will be assessed using the Beck Hopelessness Scale (BHS). The scale consists of 20 items and measures negative expectations about the future. Higher total scores indicate greater levels of hopelessness. Total scale score (0-20) Unit of Measure: Scale total score (0-20) |
| Pain Intensity and Pain Interference | From enrollment to the end of treatment at 8 weeks | Pain intensity and pain-related interference with daily activities will be assessed using the numeric raito scale (NRS). The instrument evaluates pain severity and its impact on functioning. Pain severity score and pain interference score Unit of Measure: Scale total score (0-10) |
| Fatigue Severity | Baseline (first dialysis day), at 4 weeks (end of intervention), and 1 month after the final intervention session | Fatigue severity will be measured using the Fatigue Severity Scale (FSS), a 9-item self-report questionnaire evaluating the impact of fatigue on daily functioning. Higher scores indicate greater fatigue severity. Unit of Measure: Total scale score (1-7) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Systolic Blood Pressure | Baseline to 8 weeks | Description: Systolic blood pressure measured under standardized resting conditions using an automated monitor. Unit of Measure: mmHg |
| Diastolic Blood Pressure | Baseline to 8 weeks | Description: Diastolic blood pressure measured under standardized resting conditions using an automated monitor. Unit of Measure: mmHg |
| Heart Rate | Baseline to 8 weeks | Description: Resting heart rate measured using an automated vital signs monitor. Unit of Measure: beats per minute (bpm) |
| Body Temperature | Baseline to 8 weeks | Description: Body temperature measured using a digital thermometer under standardized conditions. Unit of Measure: °C |
Countries
Turkey (Türkiye)
Outcome results
None listed