ผลของโปรแกรมการพยาบาลที่ผสมผสานพลังบำบัดเรกิต่อความวิตกกังวลและการเปลี่ยนแปลงด้านสรีรวิทยาของผู้ป่วยเด็กโรคมะเร็งที่ได้รับยาเคมีบำบัด

Abstract

This quasi-experimental, two group, pre-post test study aimed to determine the effects of the integration of nursing care and Reiki energy healing program on anxiety and physiological changes in children with cancer receiving chemotherapy. The sample consisted of children aged 7-17 years with cancer receiving chemotherapy. Data collection was first conducted in the control group and then in experimental group. Purposive sampling was used to select sample into a control group (n = 20), who received the usual nursing care, and an experimental group (n = 20), who received the usual nursing care and the integration of nursing care and Reiki energy healing program. The study instruments consisted of 2 parts. Part 1 was the intervention program and the record form of the integration of nursing care and Reiki energy healing program. Part 2 was a questionnaire for demographic data, visual analogue anxiety scale, and physiological changes record form. The content validity of the program and all instruments was validated by three expert. Reliability of the tool was tested by test-retest, yielding Pearson correlation coefficients of visual analogue anxiety scale, pulse pressure record form, systolic blood pressure record form, and diastolic blood pressure record form of .95, .91, .90, and .87, respectively. Data were analyzed using descriptive statistics, chi-square and t-test. The results revealed that: 1. The mean score of anxiety in the experimental group after participating in the integration of nursing care and Reiki energy healing program was significantly lower than that of before participating in the integration of nursing care and Reiki energy healing program (t = 9.88, p = .000). 2. The mean score of anxiety in the experimental group after participating in the integration of nursing care and Reiki energy healing program was significantly lower than that of the control group receiving the usual nursing care (t = 6.32, p = .000). 3. The means of physiological changes in the experimental group after participating in the integration of nursing care and Reiki energy healing program were significantly lower within normal ranges than those of before participating in the integration of nursing care and Reiki energy healing program, such as pulse pressure (t = 8.93, p = .000), systolic blood pressure (t = 8.13, p = .000), and diastolic blood pressure (t = 6.77, p = .000). 4. The means of physiological changes in the experimental group after participating in the integration of nursing care and Reiki energy healing program were significantly lower within normal ranges than those in the control group, such as pulse pressure (t = 3.31, p = .001), systolic blood pressure (t = 2.61, p = .0065), and diastolic blood pressure (t = 3.03, p = .002). 5. The mean score of anxiety (t=-0.88, p = .386) and the means of physiological changes such as pulse pressure (t = 1.23, p = .228), systolic blood pressure (t = 0.15, p = .883), and diastolic blood pressure (t = -0.09, p = .929) in the control group and experimental group before the experiment were not significantly different. 6. The mean score of anxiety (t = -1.00, p = .330) and the means of physiological changes such as pulse pressure (t = 0.76, p = .456), systolic blood pressure (t = 0.43, p = .675), and diastolic blood pressure (t = -1.24, p = .230) in the control group before and after receiving the usual nursing care were not significantly different. The results revealed that the integration of nursing care and Reiki energy healing program can reduce anxiety and physiological changes such as pulse and blood pressure in children with cancer. Therefore, nurse team should support the use of the integration of nursing care and Reiki energy healing program in the pediatric ward as an alternative way in promoting physical and psychological dimensions of children with cancer receiving chemotherapy.