Fatigue and Sleep Quality in Multiple Sclerosis Patients

Study Overview
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Brief Summary
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This study was planned to examine the effect of reiki application on fatigue and sleep quality in patients with multiple sclerosis.

Detailed Description
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Fatigue and Sleep Quality in Multiple Sclerosis Patients: Does Reiki Application Affect?

Official Title
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Fatigue and Sleep Quality in Multiple Sclerosis Patients: Does Reiki Application Affect?

Conditions
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Multiple Sclerosis

Intervention / Treatment
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* Other: Reiki


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being over 18 years old Volunteering to participate in the research Having the ability to use technological tools Not using Reiki and similar integrative treatment methods Not having a verbal communication disability (hearing and speaking) Not having a diagnosed psychiatric disorder Patients who have been treated for MS for more than three months Having a scale score of >5 on the Piper Fatigue Scale A score of >5 on the Pittsburgh Sleep Quality Scale Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The research will be conducted as a randomized, experimental study with a pretest-posttest control group.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Reiki<br>The researcher, a second-degree Reiki therapist, performed the Reiki therapy. Patients were told to lie comfortably on their backs after they were informed about the therapy. Each of the 7 Reiki hand positions was applied sequentially. Each of the hand positions took 2-3 minutes, requiring 30-40 minutes in total. | Other: Reiki<br>* Reiki is applied touching the energy centers of the body (chakras). There are seven main and many small chakras on a body. Chakras are located on the front and back sides of the body in a vertical line that runs along the middle of the body in humans. A complete Reiki therapy includes all the chakras and organs.<br>|
| No Intervention: Control group<br>Routine maintenance will be applied | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Piper Fatigue Scale | It is a 22-item scale that measures four subscales: behavior (6 items), affect (5 items), sensory (5 items), and cognition/mood (6 items). Each item has 11 response categories on a 0-10 metric with verbal descriptors anchoring the endpoints. Each subscale is scored individually and then aggregated together for an overall score, with higher scores reflecting more fatigue. | At the end of Session 1(In the first week, the first session will be face-to-face and the other sessions will be online for 4 days. 1 online session will be given on the first day of the 2nd, 3rd and 4th week. A total of 7 sessions of Reiki will begiven) | 
| The Piper Fatigue Scale | It is a 22-item scale that measures four subscales: behavior (6 items), affect (5 items), sensory (5 items), and cognition/mood (6 items). Each item has 11 response categories on a 0-10 metric with verbal descriptors anchoring the endpoints. Each subscale is scored individually and then aggregated together for an overall score, with higher scores reflecting more fatigue. | At the end of Session 7(In the first week, the first session will be face-to-face and the other sessions will be online for 4 days. 1 online session will be given on the first day of the 2nd, 3rd and 4th week. A total of 7 sessions of Reiki will begiven) | 
| Pittsburgh Sleep Quality Index (PSQI) | The PSQI is a valid and consistent survey comprising of 19 questions to assess quality and amount of sleep and the existence of a sleep disorder and its level in the previous month. The scale was adapted into the Turkish language by Agargün et al. (1996). The scale consists of seven components that assess patients subjective sleep quality, sleep delay, use of sleeping medication and disfunction in daily activities. Each item scores in the range 0-3 points and the total score of the seven components gives the total PSQI score. The total score has a value between 0-21 and a high total score demonstrates a poor quality of sleep. A total PSQI score which is ≤5 indicates good sleep, and a score which is >5 indicates poor sleep | At the end of Session 1(In the first week, the first session will be face-to-face and the other sessions will be online for 4 days. 1 online session will be given on the first day of the 2nd, 3rd and 4th week. A total of 7 sessions of Reiki will begiven) | 
| Pittsburgh Sleep Quality Index (PSQI) | The PSQI is a valid and consistent survey comprising of 19 questions to assess quality and amount of sleep and the existence of a sleep disorder and its level in the previous month. The scale was adapted into the Turkish language by Agargün et al. (1996). The scale consists of seven components that assess patients subjective sleep quality, sleep delay, use of sleeping medication and disfunction in daily activities. Each item scores in the range 0-3 points and the total score of the seven components gives the total PSQI score. The total score has a value between 0-21 and a high total score demonstrates a poor quality of sleep. A total PSQI score which is ≤5 indicates good sleep, and a score which is >5 indicates poor sleep | At the end of Session 7(In the first week, the first session will be face-to-face and the other sessions will be online for 4 days. 1 online session will be given on the first day of the 2nd, 3rd and 4th week. A total of 7 sessions of Reiki will begiven) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Reiki, Fatigue, Sleep quality, Nursing