Abstract This pilot study examined the use of Reiki prior to colonoscopy to reduce anxiety and minimize intraprocedure medications compared with usual care. A prospective, nonblinded, partially randomized patient preference design was employed using 21 subjects undergoing colonoscopy for the first time. Symptoms of anxiety and pain were assessed using a Likert-type scale. Between-group differences were assessed using chi-square analyses and analysis of variance. There were no differences between the control (n = 10) and experimental (n = 11) groups on age (mean = 58 years, SD = 8.5) and gender (53% women). The experimental group had higher anxiety (4.5 vs. 2.6, p = .03) and pain (0.8 vs. 0.2, p = .42) scores prior to colonoscopy. The Reiki intervention reduced mean heart rate (-9 beats/minute), systolic blood pressure (-10 mmHg), diastolic blood pressure (-4 mmHg), and respirations (-3 breaths/minute). There were no between-group differences on intraprocedure medication use or postprocedure physiologic measures. Although the experimental group patients had more symptoms, they did not require additional pain medication during the procedure, suggesting that (1) anxious people may benefit from an adjunctive therapy; (2) anxiety and pain are decreased by Reiki therapy for patients undergoing colonoscopy, and (3) additional intraprocedure pain medication may not be needed for colonoscopy patients receiving Reiki therapy. This pilot study provided important insights in preparation for a rigorous, randomized, controlled clinical trial. 

採用內視鏡程序改良靈氣干預：先導性研究 摘要： 這個先導性研究檢視使用靈氣與結腸鏡檢查在減少焦慮與減少內部程序藥物的影響。一個前瞻的、 非盲測的、部分隨機的研究設計，使用 21 名首次使用結腸鏡的受試者。焦慮和疼痛的症狀採用李 克特是量表評估。在使用卡方分析和方差分析評估組間差異。在年齡（平均 58 歲，SD = 8.5）和 性別（女性 53％）的對照組（n = 10）和實驗組（n = 11）之間。實驗組在結腸鏡檢查前焦慮程度 較高（4.5 vs. 2.6，p = .03），疼痛程度（0.8 vs. 0.2，p = .42）。靈氣乾預降低平均心率（-9 次/分鐘）， 收縮壓（-10 毫米汞柱），舒張壓（-4 mmHg），和呼吸（-3 次/分鐘）。在術中用藥或術後生理措施 之間沒有達顯著組間差異。雖然實驗組患者症狀較多，但他們在手術過程中不需要額外的止痛藥， 這表明（1）焦慮的人可能受益於輔助治療；（2）靈氣療法對結腸鏡檢查患者的焦慮和疼痛減輕；（3） 接受靈氣療法的結腸鏡檢查患者可能不需要額外的內過程止痛藥物。可見該先導性研究為準備