靈氣幫助接受膝關節置換手術的患者 @ 靈氣醫療心視界

 退化性關節炎，常見於50歲以上的患者，主要表現症狀為膝蓋腫脹、疼痛，嚴重者甚至不良於行，難以下床走路，如果藥物治療效果不彰，通常醫師都會建議個案手術治療，也就是全膝關節置換術(TKR)
 患者術後第一天，通常是最難受的，除了要適應麻醉過後的不適，如頭暈想吐等，更要忍受開刀帶來的極度疼痛，夜不成眠，疼痛指數甚至會給到破表(11分)，疼痛控制及傷口評估成為TKR個案照護的重點。
 因此，為降低疼痛，增進睡眠品質，有些患者通常會在恢復室時就為自己自費加裝一台自控式止痛劑，但因金額頗高(5000-8000)，且健保不給付，多數的人還是會選擇吃止痛藥或是每八個小時接受止痛針劑注射來緩解不適。
 2017年3月在美國整體護理雜誌中，有研究人員選擇使用靈氣來緩解患者的不適，該研究名稱為"靈氣對經歷膝關節置換的患者疼痛，焦慮和血壓的影響"(Effects of reiki on pain, anxiety, and blood pressure in patients undergoing knee replacement: a pilot study)，將個案分為實驗組及對照組，針對TKR的個案做深入的探討及分析。
 
結果為
 
1.膝蓋置換手術的患者在接受三到四次30分鐘的靈氣後，其益處包括減輕疼痛和血壓降低，減少使用止痛藥物和縮短住院時間。

2.靈氣組患者在疼痛，血壓，呼吸頻率和情緒焦慮方面均顯著改善。此外，靈氣結合藥理學疼痛管理方案，更加改善了手術後的疼痛，並減少了麻醉藥物的使用。

 該研究的作者還發現，靈氣組患者中在48小時的醫院出院率是最高的，而不是72小時，降低個案留院率。

顯見靈氣(Reiki)緩解傷口疼痛、增進住院品質，降低個案緊張與焦慮，確實有顯著功效。
 

REIKI HELPS PATIENTS UNDERGOING KNEE REPLACEMENT

靈氣幫助接受膝關節置換手術的患者

Patients undergoing knee replacement surgery who received three or four 30-minute sessions of reiki experienced benefits ranging from less pain and lower blood pressure to reduced use of pain medication and a shorter hospital stay, according to recent research.

根據最近的研究，接受膝蓋置換手術的患者在接受三到四次30分鐘的靈氣後，其益處包括減輕疼痛和血壓降低，減少使用止痛藥物和縮短住院時間。

The study, “Effects of reiki on pain, anxiety, and blood pressure in patients undergoing knee replacement: a pilot study,” involved 46 patients undergoing knee replacement surgery with an age range of 50 to 85 years.

該研究“靈氣對經歷膝關節置換的患者的疼痛，焦慮和血壓的影響：一項前導研究”涉及46名接受過膝關節置換手術的患者，年齡範圍為50至85歲。

Participants were randomly assigned to either the reiki group, the sham reiki group or a control group that received only standard care. Those in both the reiki and sham reiki group received standard care along with the intervention protocol.

參與者被隨機分配到靈氣組，假靈氣組或只接受標準護理的對照組。靈氣組和假靈氣組均接受了干預方案的標準護理。

Subjects in the reiki group received three or four 30-minute sessions of reiki during their hospital stay. Those in the sham reiki group received three or four 30-minute sessions of sham reiki during their hospital stay.

Participants assigned to the control group received standard care for patients undergoing knee replacement surgery and also participated in three or four 30-minute session of quiet time during their hospital stay.

靈氣小組的成員在住院期間接受三到四次30分鐘的靈氣。假靈氣組也在住院期間接受三到四次30分鐘的假靈氣，而對照組的參與者接受了膝關節置換手術患者的標準護理，並且在住院期間也參加三到四次30分鐘的安靜時間。

The 30-minute sessions of reiki, sham reiki and quiet time took place one hour before surgery and then 24, 48 and 72 hours after surgery—the latter happening only if the patient was still in the hospital.

30分鐘的靈氣與假靈氣療程，安靜的時間在手術前一小時及手術後24,48和72小時進行 – 術後靈氣僅在患者仍在醫院時施作。

According to the study’s authors, the reiki sessions were provided by one of three master-level reiki practitioners, and the sham reiki sessions were provided by one of two people not trained in reiki or any form of touch therapy. Both the master reiki practitioners and the sham reiki providers followed the same routine as far as which hand positions were to be used when and where.

據研究的作者介紹，靈氣療程是由三位主要的靈氣執行師之一提供的，而假靈氣執行師是由沒有接受靈氣訓練或任何形式的觸摸療法的兩個人之一提供的。無論真或假的靈氣執行師都遵循相同的程序及手位。

The main outcome measures in this study were pain, blood pressure and respiration rate. Assessments of all three outcomes took place before and after each intervention session. Subjects also completed the State Trait Anxiety Inventory before the first intervention session and again after the last intervention session.

本研究的主要療效指標為疼痛，血壓和呼吸頻率。所有這三個結果的評估會在每次療程之前和之後。受試者還會在第一次療程之前及最後一次療程之後完成情境-特質焦慮量表

In addition, researchers gathered data on each patient’s length of stay in the hospital following surgery and use of narcotics or analgesics after surgery while still in the hospital.

另外，研究人員還收集了每位病人住院時間及手術後使用麻醉劑或止痛劑時的資料。

Results of the research revealed patients in the reiki group alone showed a significant decrease in pain, blood pressure, respiration rate and state anxiety. In addition, reiki coupled with a pharmacologic pain-management protocol resulted in improved postoperative pain management and reduced use of narcotic pain medication as compared to sham reiki or standard care alone. The study’s authors also found the highest percentage of hospital discharges at 48 hours rather than 72 hours among patients in the reiki group.

研究結果顯示，靈氣組患者在疼痛，血壓，呼吸頻率和情緒焦慮方面均顯著改善。此外，靈氣結合藥理學疼痛管理方案，與假靈氣組或標準護理組相比，更加改善了手術後的疼痛，並減少了麻醉藥物的使用。該研究的作者還發現，靈氣組患者中在48小時的醫院出院率是最高的，而不是72小時。

“Positioning reiki as an adjunct to [standard care] should promote a more generalized adoption and acceptance,” state the study’s authors. “Reiki is additive and may increase patient compliance while allowing on-time discharge and fewer complications.”

該研究的作者說：“將靈氣定位為[標準護理]的輔助應該能夠使大家更普遍的採納和接受。 “靈氣是輔助療法，可以使患者更加溫和，同時能夠減少併發症並準時出院。”

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根據國民健康署統計，國內有高達150萬人為關節炎所苦，且退化性關節炎已躍居國人門診常見疾病的第3位，僅次於呼吸道及腸胃道疾病。