The Effect of Reiki and EFT on Symptom Burden, Disease Adaptation, Vital Signs and Catheter-Related Pain in HD Patients

Not Applicable

Completed

• Conditions: Hemodialysis Patient

• Registration Number: NCT06772467
• Lead Sponsor: Inonu University

Brief Summary

Objective: This study was conducted to evaluate the effect of reiki and emotional release technique (EFT) on symptom burden, disease adaptation, vital signs and catheter-related pain in haemodialysis patients.

Method: The study was conducted as a pretest-posttest randomised controlled experimental research model. The study was conducted in two haemodialysis units in Bingöl province between September 2023 and December 2024. The population of the study consisted of all patients receiving treatment in haemodialysis units, and the sample consisted of 96 patients (Reiki group =32, EFT group =32 and control group =32 people) determined by power analysis. "Dialysis symptom index", " Tee end-stage renal failure adjustment scale", "Vital signs follow-up form" and "Visual analogue scale" were used for data collection.

Detailed Description

During the research process, 8 sessions of reiki and EFT were applied to the patients in the experimental groups, while the patients in the control group continued to receive routine care practices.

Study Timeline

• Study Start: 2023-09-25
• Primary Completion: 2024-12-20
• Study Completion: 2024-12-30
• Study First Submitted: 2024-12-31
• Status Verified: 2025-01
• Study First Submitted QC: 2025-01-08
• Last Update Submitted: 2025-01-08
• Study First Posted: 2025-01-13
• Last Update Posted: 2025-01-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 96

Inclusion Criteria

• To be over 18 years old,
• To agree to participate in the research,
• To be literate,
• To be able to communicate verbally,
• Receiving three sessions of outpatient haemodialysis (HD) treatment per week in the same institution,
• Active use of the fistula,
• No impairment in mental and cognitive functions,
• Receiving HD therapy for at least three months (to be considered a chronic HD programme)

Exclusion Criteria

• Refusal to participate in research,
• Receiving peritoneal dialysis,
• To have a central venous catheter,
• A psychiatric disorder diagnosed by a psychiatrist,
• To withdraw from the investigation,
• Losing your life in the process of work,
• Change of institution or city,

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Primary Outcome Measures

Name	Time	Method
The effect of Reiki on dialysis symptoms	2 month	Reiki was applied to this group twice a week for 4 weeks by a researcher who had a Reiki application certificate. Reiki sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes. Pre and post data were obtained 'Dialysis Symptom Index'.; This index aims to measure the physical and emotional symptoms and their severity experienced by haemodialysis patients in the last seven days. The index consists of 30 items in total and each item describes a different physical or emotional symptom. The symptoms experienced are answered as yes or no, and if the answer is yes, how much this symptom affects the individual is evaluated on a 5-point Likert scale (0: not at all, 4: very much). The score that can be obtained from the index ranges from 0 to 150, and an increase in the score indicates an increase in the severity of the symptom.
The effect of Reiki on compliance to illness	2 month	Reiki was applied to this group twice a week for 4 weeks by a researcher who had a Reiki application certificate. Reiki sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes. Pre and post data were obtained 'End Stage Renal Failure Compliance Scale'.; This scale consists of four dimensions to assess patients' participation in haemodialysis treatment, medication use, fluid restriction and compliance with dietary recommendations. Each domain has its own scoring system. Scores ranging from 0 to 1200 can be obtained from the scale. An increase in the score indicates an increase in compliance with the disease.
The effect of Reiki on vital sings	2 month	Reiki was applied to this group twice a week for 4 weeks by a researcher who had a Reiki application certificate. Reiki sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes. Pre and post data were obtained "Vital Signs Monitoring Form". The vital signs of the patients were measured and recorded 3 times: before each Reiki session, after the Reiki session, just before the patient entered haemodialysis and after the haemodialysis session.
The effect of Reiki on catheter-related pain	2 month	Reiki was applied to this group twice a week for 4 weeks by a researcher who had a Reiki application certificate. Reiki sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes. Pre and post data were obtained 'Pain Intensity Measurement-Visual Analogue Scale (VAS)' to measure catheter intervention pain. After each session, patients with fistula were asked to mark the level of pain felt during catheter insertion on a visual analogue scale.

Secondary Outcome Measures

Name	Time	Method
The effect of EFT on dialysis symptoms	2 months	EFT was applied to this group twice a week for 4 weeks by a researcher who had a EFT application certificate. EFT sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes. Pre and post data were obtained 'Dialysis Symptom Index'.; This index aims to measure the physical and emotional symptoms and their severity experienced by haemodialysis patients in the last seven days. The index consists of 30 items in total and each item describes a different physical or emotional symptom. The symptoms experienced are answered as yes or no, and if the answer is yes, how much this symptom affects the individual is evaluated on a 5-point Likert scale (0: not at all, 4: very much). The score that can be obtained from the index ranges from 0 to 150, and an increase in the score indicates an increase in the severity of the symptom.
The effect of EFT on compliance to illness	2 months	EFT was applied to this group twice a week for 4 weeks by a researcher who had a EFT application certificate. EFT sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes.Pre and post data were obtained 'End Stage Renal Failure Compliance Scale'.; This scale consists of four dimensions to assess patients' participation in haemodialysis treatment, medication use, fluid restriction and compliance with dietary recommendations. Each domain has its own scoring system. Scores ranging from 0 to 1200 can be obtained from the scale. An increase in the score indicates an increase in compliance with the disease.
The effect of EFT on vital sings	2 months	EFT was applied to this group twice a week for 4 weeks by a researcher who had a EFT application certificate. EFT sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes. Pre and post data were obtained "Vital Signs Monitoring Form". The vital signs of the patients were measured and recorded 3 times: before each EFT session, after the EFT session, just before the patient entered haemodialysis and after the haemodialysis session.
The effect of EFT on catheter-related pain	2 months	EFT was applied to this group twice a week for 4 weeks by a researcher who had a EFT application certificate. EFT sessions were applied to the patients before haemodialysis and the session duration was approximately 35-40 minutes. Pre and post data were obtained 'Pain Intensity Measurement-Visual Analogue Scale (VAS)' to measure catheter intervention pain. After each session, patients with fistula were asked to mark the level of pain felt during catheter insertion on a visual analogue scale.

Trial Locations

Locations (1)

Inonu University; 🇹🇷 Malatya, Turkey