The Effect of Reiki Applied to Cancer Patients on Pain, Anxiety, and Stress Levels: A Randomized Controlled Study

OBJECTIVES

The aim of this study is to investigate the effect of Reiki applied to cancer patients on their pain, anxiety, and stress levels.

METHODS

This three-armed, double-blinded, and randomized follow-up trial, which involves experimental, placebo and control groups, enrolled 58 cancer patients at a medical center in Türkiye. The data for the research was collected a total of four times, including pre-test, 4th day follow-up, 21st day follow-up and 3rd month follow-up periods, using the Visual Analog Scale, State-Trait Anxiety Inventory and Perceived Stress Scale. The experimental group received Reiki, the placebo group received Sham Reiki and the control group received Progressive Relaxation Exercise for 4 days.

RESULTS

In the within-group time comparison of Reiki and Progressive Relaxation Exercise groups, a significant decrease in pain and anxiety levels over time between the pre-test and other measurement times was found, and the most significant decrease occurred in the Reiki group. There was no significant difference in cortisol levels between groups. There was a significant interaction in Perceived Stress Scale median scores between groups. In the 3rd month follow-up, it was found that the lowest stress levels were in the Reiki group. It was concluded that Reiki is effective in the long term for pain and anxiety, and it is more effective in reducing stress levels compared to Progressive Relaxation Exercise. Reiki was found to be effective on pain and anxiety in the long term and more effective than Progressive Relaxation Exercise in reducing stress levels.

CONCLUSIONS

Reiki is more effective in reducing the pain, anxiety, and stress levels of cancer patients compared to Sham Reiki and Progressive Relaxation Exercise.

IMPLICATIONS FOR NURSING PRACTICE

The use of Reiki, a complementary and integrative therapy method, as a nursing intervention can be recommended for improving pain, anxiety, and stress levels in cancer patients.

Evaluation of a Reiki Volunteer Program within Two Cancer Infusion Centers

CONTEXT

Reiki is a biofield therapy from Japan currently used in many US hospitals. Evidence supports Reiki's effectiveness for addressing cancer and treatment-related symptoms such as pain and anxiety. However, no study to date has assessed changes in nausea following Reiki received during infusion treatments or assessed patients from multiple healthcare locations.

OBJECTIVES

To evaluate a Reiki program for outpatients with cancer and other chronic illnesses receiving infusion treatments (e.g., chemotherapy) at two University Hospitals infusion centers.

METHODS

Participants in the outpatient infusion clinics completed Edmonton Symptom Assessment System measures of pain, fatigue, anxiety, nausea, and well-being before and after receiving a 15-20-minute Reiki session during their infusion. Data analysis included means and 95% confidence intervals (CI) of single-session effects on measures where the pre-session score was ≥1 and analysis of post-session comments.

RESULTS

Between March 2022 and February 2024, 392 Reiki sessions were provided to 268 unique patients (mean age 63.3 ± 13.9, 57.5% female, 71.6% White, 26.5% Black/African American). Participants reported clinically significant mean [95% CI] improvements (≥1 unit) in pain (-1.78 [-2.38, -1.18]), fatigue (-1.33 [-1.85, -0.82]), anxiety (-2.09 [-2.68, -1.50]), nausea (-2.30 [-2.95. -1.62), and wellbeing (1.37 [0.95, 1.79]). Participants also commented that the Reiki session was a positive experience helpful for promoting relaxation and symptom reduction.

CONCLUSIONS

Outpatients receiving Reiki during infusion reported clinically significant improvements in all symptoms, high levels of satisfaction, and a qualitatively positive healing experience. More research is needed to assess long term changes following Reiki, including with an expanded program at additional healthcare locations.

The effects of Reiki application on sleep and quality of life in patients with epilepsy

BACKGROUND

Patients with epilepsy face sleep problems due to disease-related effects and antiepileptic drugs and as a result, their quality of life decreases. Reiki is an energy therapy and a non-invasive, low-cost treatment that has gained a place in complementary-integrative medicine practices.

AIM

The present study aimed to find out the effects of Reiki Application on sleep and quality of life in patients with epilepsy.

METHOD

A total of 60 patients with epilepsy, 30 in the intervention group and 30 in the control group, who met the research criteria and volunteered to participate were included in this randomized experimental study with a pre-test-post-test control group. "Patient Information Form", "Pittsburgh Sleep Quality Index (PSQI)" and "Quality of Life in Epilepsy (QOLIE-31) Scale" were used to collect the research data. Frequencies, percentages, arithmetic mean, standard deviations, Chi-Square Test, Independent Groups t-Test, Dependent Groups t-Test, and regression analysis were used in the evaluation of the study data.

RESULTS

After the Reiki Application, when compared with the patients in the control group, the patients in the intervention group had significantly reduced PSQI total (t = -5.636, p = 0.001), subjective sleep quality (t = -2.868, p = 0.006), sleep latency (t = -4.261, p = 0.001), sleep duration (t = -3.073, p = 0.003), habitual sleep efficiency (t = -2.669, p = 0.010), sleep disturbances (t = -3.664, p = 0.001), sleeping medications (t = -4.368, p = 0.001), daytime dysfunction (t = -3.472, p = 0.001) scores. It was also found that the patients in the intervention group had significantly higher QOILE-31 total (t = 3.750, p = 0.001), concerns about seizure (t = 3.212, p = 0.002), overall quality of life (t = 3.050, p = 0.003), emotional well-being (t = 2.557, p = 0.013), energy/fatigue (t = 2.835, p = 0.006), cognitive functioning (t = 2.308, p = 0.025), medication effects (t = 2.524, p = 0.014), and social functioning (t = 2.126, p = 0.038) mean scores.

CONCLUSION

Reiki Application was found to improve sleep quality and increase quality of life in patients with epilepsy. The results suggest that the use of Reiki Application should be generalized in addition to basic nursing care practices during the care and treatment of patients with epilepsy.

The Effect of Reiki on the Self-Efficacy, Death Anxiety, and Sleep Quality of Patients Diagnosed With Chronic Obstructive Pulmonary Disease: A Randomized-Controlled Study

Reiki has been used for various medical problems. The present study aims to determine the effects of Reiki therapy on the self-efficacy, death anxiety, and sleep quality of patients diagnosed with COPD. The present used a quasi-experimental model with a pretest-posttest control group. The subjects (n = 75) were recruited from a hospital in Turkey, between February and June 2019. Subjects were then assigned to Reiki (n = 39) and placebo (n = 36) groups. In this study, it was determined that there was a statistically significant difference in the mean scores of self-efficacy, death anxiety, and sleep quality between the Reiki and placebo groups (P < .05).These results suggest that Reiki exercise increased the self-efficacy and sleep quality levels and decreased the death anxiety.

Exploring client's experiences of a new energy healing modality: Magdalena energy session(s)

CONTEXT

Anecdotal experience of Magdalena energy session(s) offers some indication of its health benefits, yet the literature on this new energy healing modality is scarce.

OBJECTIVE

To explore the personal experience of recipients of the Magdalena energy session(s).

METHOD

In-depth interviews were conducted with 25 generally healthy volunteer adults from around the world who had received at least one Magdalena energy healing session with a certified Magdalena practitioner. Thematic analysis was used to discern patterns in the experience.

RESULTS

Participants had different motives for attending the Magdalena energy session(s). Clients reported experiencing movement and release of energy, changes in sensation and feeling, and transcendental experience during the Magdalena energy session(s). After the session(s), there were reports of a sustained feeling of lightness, increased positive emotions, increased self-awareness, and deeper spiritual connection. Participants noted the uniqueness of the Magdalena energy session(s) compared to other energy healing practices.

CONCLUSION

The findings from this qualitative study suggest that Magdalena energy session(s) can elicit a relaxation response, alter emotions, and increase spiritual connections to facilitate a subjective healing experience. Therefore, the present study recommends further investigations to elucidate variables for a larger-scale intervention study of the effects of Magdalena energy session(s) on health outcomes and the underlying mechanisms of action.

The effect of acupressure or reiki interventions on the levels of pain and fatigue of cancer patients receiving palliative care: A randomized controlled study

OBJECTIVE

Taking pain under control is important to calm the individual and reduce complications. This research was conducted with the aim of determining the effect of Acupressure or Reiki interventions on the levels of pain and fatigue of stage III and IV cancer patients receiving palliative care.

METHOD

The research was a single-blind, repeated measures, randomized controlled study. Research data were collected between February and November 2022. The research sample consisted of Acupressure and Reiki intervention groups and a control group with 52 patients in each group for a total of 156 patients. Acupressure or Reiki was applied to their intervention groups for a total of eight sessions of 20 min each over four weeks, once a day on two days a week. Data were collected by means of a patient description form, an analgesic follow-up form, the Numeric Pain Rating Scale, and the Brief Fatigue Inventory.

RESULTS

In comparison with the control group, a significant reduction was seen over time in the levels of pain (p < 0.001), analgesic use (p < 0.001), and fatigue (p < 0.001) in the Acupressure or Reiki intervention groups.

CONCLUSION

Acupressure or Reiki interventions were found to effective in reducing levels of pain, analgesic use, and fatigue. It was seen that in addition to their use in routine nursing care, both treatments can be accepted as effective nursing interventions that reduce pain and fatigue in stage III and IV cancer patients receiving palliative care.

Perception of Subtle Energy "Prana", and Its Effects During Biofield Practices: A Qualitative Meta-Synthesis

Background

The idea of "life force" or "subtle pranic energy," sometimes referred to as prana, ki, qi, vital force, and scientifically accepted as biofield, is prevalent across many cultures.

Objectives

This review's objective is to synthesize data from studies that looked at a range of physical, psychological, and biofield sensations while experiencing prana and receiving biofield therapies.

Method

We looked for qualitative, exploratory, and mixed-method studies on subtle pranic energy perceptions, as well as the physical and emotional experiences connected to biofield therapeutic procedures, through searches in 3 electronic databases, including PubMed, Web of Science, and Scopus. Based on inclusion and exclusion criteria, ninteen studies were appropriate for this review. The results were synthesized using the 6 steps of the thematic analysis approach.

Results

The first concept, "energy experiences," comprises 4 themes that describe participants' sensations of prana (awareness of temperature variation; presence of energy; physical sensation of energy; and magnetic sensation). The second concept, "positive experiences," consists of 3 themes that describe the benefits of undergoing biofield therapy on the physical and emotional conditions of the participants (positive affective experiences; positive physical sensations; and positive valued experiences). The third concept, "experience of awareness," describes how participants become aware of their mental activities (awareness of mental activities).

Conclusion

Our knowledge of perceptions and experiences related to biofield therapy is enhanced by this meta-synthesis. It gave a comprehensive picture of the enormous sensations and advantages that were felt when engaging in biofield practices.

An Evaluation of the Subjective Experience of Receiving Reiki: Qualitative Results from a Pragmatic Effectiveness Study

Objectives: The main purpose of this study was to evaluate the subjective experience of Reiki in a large sample. Design: The study design was a single-arm pragmatic effectiveness trial with qualitative questions completed post-Reiki session. Setting: The study took place at private Reiki practices across the United States. Subjects: A total of 99 Reiki practitioners met the inclusion criteria and participated in the study. Reiki practitioners invited each of their Reiki clients to complete a survey before and after the Reiki session. Of the N = 1575 Reiki sessions recorded, N = 1284 qualitative responses were completed (82% of total) and included in the analysis. Interventions: Trained and experienced Reiki masters conducted Reiki sessions in person, with each session lasting between 45 and 90 min. Outcome measures: Participants were asked to describe their experience during the Reiki session. Results: Qualitative analysis revealed eight major themes: (1) deep relaxation and calm (68%), (2) body sensations/somatic experiences (53%), (3) emotions (29%), (4) spiritual or symbolic significance (18%), (5) changes in symptoms (17%), (6) changes in perception (11%), (7) sleep and drowsiness (10%), and (8) changes to breathing (4%). Significantly more males reported feeling relaxed and experiencing time perception changes, whereas more females reported body sensations, emotions, visual perceptions, and spiritual significance. Conclusions: The findings from this study suggest that Reiki can elicit the relaxation response and alter emotions and perception in such a way as to facilitate a transformative subjective healing experience. Future work will analyze these themes as they relate to changes in symptoms and compare the experience of Reiki with other biofield therapies.

Feasibility and Effect of Reiki on the Physiology and Self-perceived Stress of Nurses in a Large US Hospital

Nurses experience stress in the workplace. We evaluated the feasibility and effect of Reiki to relieve stress of staff nurses during a work shift. All Reiki treatments were completed without interruption and lasted 30 minutes. Stress scores, respiratory rate, and heart rate were significantly decreased immediately following the Reiki treatment.

Reiki practitioners' perceptions of the impact of the COVID-19 pandemic on the experience, practice and future of Reiki

OBJECTIVES

This study examined the impact of the COVID-19 pandemic on the experience, practice and future of Reiki in the UK, including the personal impact of the pandemic on practitioners and their work, practitioner perceptions of the future of the profession and Reiki delivery, and practitioner experiences and views of distant Reiki in comparison to hands on or near the body treatments.

METHOD

A qualitative study using semi-structured interviews was carried out with 10 Reiki practitioners. Interviews were recorded, transcribed verbatim and analysed using thematic analysis.

RESULTS

Three themes were identified: adapting and growing with the challenges of COVID-19, Reiki for individual and community resilience, and moving from the mainstream hands on to lesser known distant Reiki.

CONCLUSION

While the COVID-19 pandemic personally impacted Reiki practitioners, they focused on turning adversity into opportunity, to overcome a sense of disconnectedness and social isolation, by providing social support and promoting individual and community resilience. Practitioners focused on self-care, personal development and reaching out to the community. Personal Protective Equipment was perceived as necessary for infection control but a potential barrier to the client's experience of Reiki. They saw value in adapting their practice as part of the future of the profession by utilising new technology and distant Reiki healing, but were clear this could not replace in person contact.

"Is the Pain a Sign of Healing?": Cancer Patients' Experiences of Energy Healing in a Pragmatic Trial

The use of complementary and alternative medicine has increased, most markedly among cancer patients. Previous research on energy healing is inconclusive, but qualitative studies have mainly reported positive healing experiences, whereas positive results from trials are scarce. Considering the apparent discrepancy between qualitative and quantitative studies, we aimed to describe the interpretation processes of the patients receiving energy healing. We followed the interpretation processes of a subsection of cancer patients who participated in a pragmatic trial on energy healing, including patients in the control groups. No significant differences between the groups were found in the quantitative part of the trial, but the majority of patients in both the intervention and control groups reported subjective improvements. A subset of 32 patients from the trial was selected for this qualitative sub-study to gain insight into their interpretation processes. These 32 patients recruited from the trial were followed with qualitative interviews before, during, and after the treatment period, using a cultural-phenomenological approach. Most patients who received energy healing changed their perception of bodily experiences, and they perceived a wider variety of signs as indicative of healing than the patients in the control groups. After receiving energy healing, the patients also perceived signs that from a medical perspective are regarded as symptoms, as signs of healing. The changes in perception of illness and healing affected decision-making dynamics and should be considered when producing information and communication strategies for health promotion.

Effect of Reiki Therapy on Quality of Life and Fatigue Levels of Breast Cancer Patients Receiving Chemotherapy

BACKGROUND

The quality of life of patients receiving chemotherapy decreases, and fatigue is one of the most common symptoms. Reiki is used for cancer patients as an energy-based complementary and alternative method.

OBJECTIVE

The aim of this study was to determine the effect of Reiki therapy on the quality of life and fatigue levels in breast cancer patients receiving chemotherapy.

METHODS

This was a pretest-posttest, quasi-experimental study with a control group: 70 patients enrolled with 35 participants in the experimental group and 35 in the control group. The experimental group received 6 sessions of Reiki therapy. The data were collected using a Patient Information Form, the Piper Fatigue Scale, and the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire.

RESULTS

The mean scores on the general well-being subscale in the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire increased in the experimental group and decreased in the control group, whereas the mean scores on the general function and general symptom subscales decreased in the experimental group and increased in the control group. The differences between the groups were statistically significant (P < .001). The mean Piper Fatigue Scale scores of the experimental group decreased, whereas that of the control group increased; the group differences were statistically significant (P < .001).

CONCLUSION

Reiki can reduce fatigue and increase the quality of life of breast cancer patients receiving chemotherapy.

IMPLICATIONS FOR PRACTICE

Reiki therapy can be used as a nursing intervention to increase the quality of life and reduce fatigue in breast cancer patients receiving chemotherapy.

Pain Management Experiences Among Hospitalized Postcraniotomy Brain Tumor Patients

BACKGROUND

Brain tumors account for the majority of central nervous system tumors, and most are removed by craniotomies. Many postcraniotomy patients experience moderate or severe pain after surgery, but patient perspectives on their experiences with pain management in the hospital have not been well described.

OBJECTIVE

The aim of this study was to describe how patients who have undergone a craniotomy for brain tumor removal experience pain management while hospitalized.

METHODS

Qualitative descriptive methods using semistructured interviews were conducted with patients on a neurological step-down unit in an urban teaching hospital in the Midwest United States. Interviews focused on how patients experienced postcraniotomy pain and how it was managed. Narratives were analyzed with standard content analytic procedures.

RESULTS

Twenty-seven participants (median age, 58.5 years; interquartile range, 26-41 years; range, 21-83 years) were interviewed. The majority were white (n = 25) and female (n = 15) and had an anterior craniotomy (n = 25) with sedation (n = 17). Their pain experiences varied on 2 dimensions: salience of pain during recovery and complexity of pain management. Based on these dimensions, 3 distinct types of pain management experiences were identified: (1) pain-as-nonsalient, routine pain management experience; (2) pain-as-salient, routine pain management experience; and (3) pain-as-salient, complex pain management experience.

CONCLUSIONS

Many postcraniotomy patients experience their pain as tolerable and/or pain management as satisfying and effective; others experience pain and pain management as challenging.

IMPLICATIONS FOR PRACTICE

Clinicians should be attuned to needs of patients with complex pain management experiences and should incorporate good patient/clinician communication.

Mental Health Wellness and Biofield Therapies: An Integrative Review

Biofield therapies such as Healing Touch and Reiki increase relaxation, decrease anxiety and stress, and improve mood. Understanding the efficacy of these therapies in terms of mental health wellness is important for nurses interested in complementary and integrative care. The goal of the present integrative review was to investigate the state of knowledge regarding biofield therapies and the impact on anxiety, mood, and mental health wellness. Electronic databases were searched for articles available in English and published from 2014 to 2016. Biofield therapies show safety and promise in reducing anxiety, improving mood, and cultivating mental health and wellness.