Effectiveness of implementing the reiki method to reduce the weaning failure. A clinical trial [實施靈氣方法以減少中斷機械通氣失敗的有效性。 臨床試驗] Abstract 理論 INTRODUCTION: 引言 Admission to intensive care unit (ICU) is a difficult and stressful time for the patient, with the application of different techniques, such as intubation and ventilation support withdrawal or "weaning", which may fail due to anxiety. 入住重症加護病房（ICU）對患者來說是一個困難和緊張的時刻，應用不同的技術，如插管和通氣 支架退出或“中斷機械通氣”可能因焦慮而失敗。 OBJECTIVES: 目的 To determine whether Reiki is useful in reducing weaning failure, as well as reducing the number of days of mechanical ventilation (MV), length of stay in ICU, amount of sedatives, amines, and antipsychotics. 確定靈氣是否有助於減少¨中斷機械通氣”失敗，以及減少機械通氣的天數（MV），停留在 ICU 的 時間長短，鎮靜劑，胺和抗精神病藥物的劑量。 METHOD: 方法 Randomized clinical trial. 隨機臨床試驗 SCOPE: 區域 ICU of a Level III University Hospital. 三級大學醫院 ICU（有限護理的創傷中心）的重症監護病房。 POPULATION: 對象 ICU patients connected to Mechanical Ventilation for more than 48hours, with a signed informed consent. Patients in a terminal condition or potential organ donors were excluded. 重症監護病房 ICU 病人與機械通氣連接超過 48 小時，並簽署知情同意書。 末期患者或潛在的器官捐獻者被排除在外。 SAMPLE: 樣本 256 patients divided into two groups: intervention group (GI) and placebo (GP). The intervention involves the application of Reiki, and a simulated technique within the placebo group. An analysis was made of the absolute and relative frequencies, with a significance level of P<.05, 95% CI RESULTS: The percentage of failures at weaning was 9% in GI and 9.5% in GP (P=.42). The mean number of days on MV was 8.85 days for GI and 9.66 for the GP (P=.53). The mean dose of sedatives: GI 1078mg and 1491mg GP. The dose of Haloperidol was lower in the GI (5.30mg vs 16.81mg GP) (P=.03, 95% CI; -21.9 to -1.13). 256 例患者分為兩組：干預組（GI）和安慰劑（GP）。 干預包括應用靈氣和安慰劑組內的模擬技 術。 用絕對和相對頻率進行分析，顯著性水平為 P（概率值） <0.05,95％，95％CI（置信區間）。 結果：中斷機械通氣失敗率在干預組（GI）為 9％，安慰劑組 GP 為 9.5％（P 概率值= 0.42）。干預 組（GI）機械通氣的天數（MV）平均為 8.85 天，安慰劑組（GP）為 9.66 天（P 概率值 = .53）。 鎮靜劑的平均劑量：干預組（GI）1078mg 和 1491mg 安慰劑組（GP）。氟哌啶醇的劑量在胃腸道 較低（5.30mg vs 16.81mg GP）（P 概率值= 0.03,95％CI; -21.9 至-1.13）。 CONCLUSIONS: 結論 Reiki reduces the agitation of patients. A decrease was objectively observed in the number of days of Mechanical Ventilation, length of stay, lower doses of sedatives, and a slight decrease in the weaning failure in the GI. No statistically significant difference was found in the main variable. 靈氣減少了患者的焦慮。 客觀觀察到機械換氣天數，停留時間，鎮靜劑用量較少以及干預組中斷 機械通氣略有減少的情況下，客觀觀察到胃腸道斷奶失敗率略有下降。 主要變量在統計學沒有顯 著差異。 KEYWORDS: 關鍵詞 Critical care 重症監護; Cuidados intensivos 加護病房; Destete ventilatorio 通風病; Energy therapy 能量療法; Enfermería; Nursing 護理; Reiki 靈氣; Therapeutic touch 治療性觸摸; Weaning 斷奶 劉惠蘭譯 |
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