Contenuto dell'articolo principale

Abstract

Introduzione: I pazienti oncologici spesso riportano sintomi correlati al trattamento terapeutico, la cui gestione è affidata alla medicina tradizionale. Negli ultimi anni, però, si è osservato un crescente interesse verso forme di medicina complementare, e fra queste, per il Reiki. L'obiettivo di questo studio è infatti, quello di valutare come tale disciplina possa contribuire alla gestione dei sintomi correlati alla radioterapia nei pazienti con neoplasia testa-collo.

Metodo: Lo studio è stato svolto presso la UOC (Unití  Operativa Complessa) di Radioterapia dell'IRCCS Regina Elena di Roma. Per la valutazione della QoL è stato utilizzato il questionario FACT-H&N, mentre per la mucosite, la tossicití  cutanea e la salivazione, è stata utilizzata la Scala CTCAE.

Risultati: Alla quinta settimana, è emerso che il 10.5% dei pazienti ha riferito di provare dolore "forte", rispetto al 21.1% della settimana precedente; è stato riscontrato inoltre un grado di mucosite pari a G3 nel 15.5% dei casi secondo la valutazione clinica, e nel 10.5% secondo quella funzionale. La tossicití  cutanea è stata registrata, con grado 3, solo in un caso (5.3%).

Conclusioni: Dallo studio emerge come il trattamento Reiki produca beneficio nella maggior parte dei casi, sia sull'aiuto psicologico nell'affrontare l'iter terapeu- tico, sia come supporto integrativo alla terapia del dolore.

Parole chiave: Tumore testa collo, radioterapia, reiki, medicina complementare.

The impact of Reiki on side effects in patients with head-neck neoplasia undergoing radiotherapy: a pilot study

Background: Cancer patients often report symptoms related to therapeutic treatment, whose management is based on traditional medicine. In recent years, however, there has been growing interest towards adopting some form of complementary medicine, among these, Reiki. The aim of this study is to evaluate how this type of discipline can contribute to managing radiotherapy-related symptoms in patients with head and neck cancer.

Methods: The study was performed in the Radiotherapy Department at the Regina Elena National Cancer Institute in Rome. To assess QoL, the FACT-H & N questionnaire was used, while the CTCAE Scale was adopted to evaluate mucositis, cutaneous toxicity and salivation.

Results: 10.5% of patients were reported to experience "strong" pain in the fifth week, compared to 21.1% of patients in the previous week; a degree of mucositis equal to G3 was also found in 15.5% of cases according to the clinical evaluation, as well as in 10.5% of patients according to the functional one. Only one case (5.3%) of grade 3 cutaneous toxicity was registered.

Conclusion: The study shows how the Reiki treatment benefits patients in most cases, with both psychological support to help deal with the therapeutic process together with integrated support towards pain therapy. keywords: Head and neck cancer, radiotherapy, reiki, complementary medicine.

Dettagli dell'articolo

Come citare
Iacorossi, L., Di Ridolfi, P., Bigiarini, L., Giannarelli, D., & Sanguineti, G. (2018). L’impatto del Reiki sugli effetti collaterali nei pazienti con neoplasia testa-collo in trattamento radioterapico: uno studio pilota. PROFESSIONI INFERMIERISTICHE, 70(4). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/448

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