Nursing. 2016 Feb;46(2):17-23. doi: 10.1097/01.NURSE.0000476246.16717.65. Reiki's effect on patients with total knee arthroplasty: A pilot study. Notte BB1 , Fazzini C, Mooney RA. Author information 1 At Bryn Mawr Hospital in Bryn Mawr, Pa., Barbara Notte is a clinical nurse in preadmission testing and practices and teaches Reiki, and Carol Fazzini was a cardiovascular clinical nurse and has since retired. She is now a Reiki practitioner at Bryn Mawr Hospital. Ruth A. Mooney is the nursing research facilitator at Christiana Care Health System in Newark, Del. Abstract 

BACKGROUND: In the immediate postoperative period, managing postsurgical pain with pain medication can contribute to complications. A more effective approach might include a combination of pharmacologic and nonpharmacologic measures, such as Reiki therapy. 

PURPOSE: The purpose of this pilot study was to determine the impact of Reiki therapy on the pain perception of patients undergoing total knee arthroplasty (TKA) following Reiki sessions, satisfaction with Reiki therapy, satisfaction with the hospital experience overall, and pain medication use following surgery. WHAT IS REIKI?: Reiki is a technique for relaxation and stress reduction that also promotes healing. 

LITERATURE REVIEW: Reiki has been studied in women undergoing abdominal hysterectomies and in patients with cancer who were receiving chemotherapy. A review of 66 biofield therapy studies, including Reiki, suggested, "strong evidence for the effects of biofield therapy in the reduction of pain intensity in pain populations and moderate evidence for decreased pain in hospitalized patients." 

THEORETICAL FRAMEWORK: Martha Rogers's Theory of Unitary Human Beings formed the framework for this study. 

METHODS: The sample included 43 patients undergoing TKA, who were randomized into Reiki (N = 23) and non-Reiki (N = 20) groups. All subjects in this pilot study had unilateral TKA at the same hospital. Pain was assessed before and after Reiki therapy using the numeric rating scale in the preoperative area, postanesthesia care unit (PACU), and on each of 3 postoperative days. A questionnaire was distributed the day of discharge to measure satisfaction with Reiki and the hospital experience. 

RESULTS: All Reiki therapy sessions resulted in statistically significant reductions in pain, except those sessions in the PACU. Subjects receiving Reiki responded positively to questionnaires completed on the day of discharge. No statistically significant differences were found in pain medication use. DISCUSSION: Reiki may be an effective component in the management of surgical patients' postoperative pain. 

LIMITATIONS AND IMPLICATIONS: Subject numbers were limited due to the difficulty of meeting with the patients and obtaining informed consent. Due to the nature of Reiki therapy, the study was not blinded. Music played during Reiki therapy could have contributed to the effect experienced by the patients. Not all questionnaires were collected before patient discharge. 

RECOMMENDATIONS FOR FURTHER STUDIES: Future studies should include more subjects, control for music use during the Reiki session, and measure the length of time pain is decreased following Reiki treatments. 

UNANTICIPATED OUTCOMES: As a result of positive feedback and decreased pain ratings following Reiki sessions, a Reiki program has been established at the hospital. Ten nurses became trained and certified in Reiki. 

靈氣對全膝關節置換術患者的影響：一項初步研究。 Notte BB 1，Fazzini C，Mooney RA。 在賓夕法尼亞州 Bryn Mawr 的 Bryn Mawr 醫院，Barbara Notte 是一名臨床護士，進行了預先測試和實踐， 並教授了靈氣，而 Carol Fazzini 是一位心血管臨床護士，從此退休。她現在是 Bryn Mawr 醫院的靈氣執業者。 Ruth A. Mooney 是位於德克薩斯州紐瓦克克里斯蒂安娜護理健康系統的護理研究促進者。 

摘要 

背景： 在術後即刻，用止痛藥治療手術後疼痛可能導致並發症。更有效的方法可能包括藥物和非藥物措施的組合，如靈 氣療法。 

目的： 這個初步研究的目的是確定靈氣療法對接受靈氣療法後進行全膝關節置換術（TKA）患者的疼痛感覺，對靈氣療 法的滿意度，對整個醫院經驗的滿意度以及手術後疼痛藥物的使用的影響。

什麼是 REIKI？：靈氣是一種放鬆和減輕壓力的技術，也促進了癒合。 文獻評論： 靈氣已經在接受腹部子宮切除術的婦女和接受化療的癌症患者中進行研究。包括 Reiki 在內的 66 個生物場療法 研究的綜述表明，“有力的證據表明生物場療法在減少疼痛人群疼痛強度方面的效果，以及住院患者疼痛減輕的 中等證據”。 

理論框架： 瑪莎·羅傑斯的酉人理論構成了這一研究的框架。 方法： 樣本包括 43 名接受 TKA 的患者，隨機分為靈氣組（23 例）和非靈氣組（20 例）。這項試點研究中的所有受試 者都在同一家醫院有單側 TKA。在術前區域，麻醉後恢復室（PACU）和術後 3 天每一天，使用數字評分量表對 疼痛進行評估。為了衡量靈氣的滿意度和醫院的經驗，在出院當天分發問卷。 

結果： 除了 PACU 的會議之外，所有的靈氣療法都會導致疼痛的統計學顯著降低。接受靈氣的受試者對在出院當天完 成的問卷做出了積極回應。在疼痛藥物使用中沒有統計學顯著差異。 討論： 靈氣可能是手術患者術後疼痛管理的有效組成部分。 

限制和影響： 由於遇到病人和獲得知情同意的困難，受試者數量有限。由於靈氣療法的性質，研究並不是盲目的。在靈氣療法 期間播放的音樂可能有助於患者所經歷的效果。並不是所有的問卷都是在病人出院前收集的。 

進一步研究的建議： 未來的研究應該包括更多的主題，在靈氣會議期間控制音樂的使用，以及測量在靈氣療法之後疼痛減少的時間長 度。 未預料到的結果： 由於積極的反饋和減少疼痛評級後靈氣會議，靈氣計劃已在醫院建立。十名護士在靈氣中接受了培訓和認證。