A systematic review of the therapeutic effects of Reiki. 一個靈氣治療效果的系統性評價 Abstract
INTRODUCTION:
Reiki is an ancient form of Japanese healing. While this healing method is widely used for a variety of
psychologic and physical symptoms, evidence of its effectiveness is scarce and conflicting. The purpose
of this systematic review was to try to evaluate whether Reiki produces a significant treatment effect. METHODS:
Studies were identified using an electronic search of Medline, EMBASE, Cochrane Library, and Google
Scholar. Quality of reporting was evaluated using a modified CONSORT Criteria for Herbal Interventions,
while methodological quality was assessed using the Jadad Quality score.
DATA EXTRACTION:
Two (2) researchers selected articles based on the following features: placebo or other adequate control,
clinical investigation on humans, intervention using a Reiki practitioner, and published in English. They
independently extracted data on study design, inclusion criteria, type of control, sample size, result, and
nature of outcome measures. RESULTS:
The modified CONSORT Criteria indicated that all 12 trials meeting the inclusion criteria were lacking in
at least one of the three key areas of randomization, blinding, and accountability of all patients, indicating
a low quality of reporting. Nine (9) of the 12 trials detected a significant therapeutic effect of the Reiki
intervention; however, using the Jadad Quality score, 11 of the 12 studies ranked "poor." CONCLUSIONS:
The serious methodological and reporting limitations of limited existing Reiki studies preclude a
definitive conclusion on its effectiveness. High-quality randomized controlled trials are needed to address
the effectiveness of Reiki over placebo. 摘要:
介紹:
靈氣是從日本傳來的一種古老的治療。當這個治療方法逛梵蒂被使用在各種精神上、生理狀態上,
證明其有效性是缺少和矛盾的。這個系統性評價的目的在於試著評估靈氣產生重大的生產影響。 研究方法:
使用文獻檢索來搜尋,包含 Medline、EMBASE、Cochrane Library 資料庫和 Google Scholar 引擎。
報告的質量是評估修改 CONSORT 草藥干預標準,採質性研究方法評估使用 Jadad 品質分數。
(Jadad 量表獨立評估了判斷致盲有效性的臨床試驗的方法學質量) 數據分析:
兩名研究人員根據以下特徵選取文章:安慰劑或其他適當的控制、臨床調查、靈氣施的干預,並用
英文發表。他們獨自分析數據還有設計研究,設立標準、控制類型、樣本數,結果和其性質測量。 研究結果:
修改 CONSORT 標準顯示,所有 12 個試驗中至少缺少一個隨機化、盲測和責任,說明報告的質量
不高。在 12 個試驗中有 9 個發現了靈氣介入治療的顯著效果;然而在使用 Jadad 量表的評分上,
12 巷試驗有 11 巷顯示效果不好。
結論:
在現有的靈氣研究與報告中,限制與排除了其有效性的結論。需要高質量的隨機對照與試驗來解決
靈氣相對於安慰劑的效果。 張睿元譯 |