Association between Holistic Nursing Intervention Combined with Self-Administered Reiki and Changes in Mean Arterial Blood Pressure among Pregnant Women Diagnosed with Mild Hypertensive Disorder

Authors

  • Preeya Keawpimon Faculty of Nursing, Prince of Songkla University, Pattani Campus 94000, Thailand https://orcid.org/0000-0003-2879-3287
  • Wilaiporn Samankasikorn Faculty of Nursing, Prince of Songkla University, Hatyai Campus 90110, Thailand

DOI:

https://doi.org/10.31674/mjn.2022.v14i01.010

Abstract

Background: Hypertensive disorder leads to maternal dead and mortality in Thailand. Objective: This quasi-experimental study aimed to test the effect of a holistic nursing program applying Reiki to the mean arterial pressure (MAP) of pregnant women. Methods: Purposive sampling method was used to recruit pregnant women diagnosed with hypertensive disorders. A total of thirty-four pregnant women were assigned to either the control or intervention groups. Blood pressure was measured as the baseline prior beginning of the program, then after completion of eight-week program intervention. Descriptive statistics were used to demonstrate the characteristics of demographic data and the MAP in each group. Wilcoxon test was used to examine the MAP pre- and post-intervention in each group. Mann-Whitney U test was used to compare the significant difference in the MAP between groups. Results: From this study it was seen that there was a significant difference in MAP between pre- and post-intervention in the intervention group (p< 0.020), while there was no difference in the control group. After the eight-week program, there was no statistically significant difference in the MAP between two groups. Conclusion: The program can potentially be an alternative therapy to calm the sympathetic nervous system resulting in better blood pressure control of pregnant women with the hypertensive disorder.

Keywords:

Holistic Nursing Program, Reiki, Pregnant Women, Hypertensive Disorder

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References

Alvarenga, P., & Frizzo, G.B. (2017). Stressful Life Events and Women's Mental Health During Pregnancy and Postpartum Period. Paidéia (Ribeirão Preto), 27(66), 51-59. https://doi.org/10.1590/1982-43272766201707

Baldwin, A.L., Vitale, A., Brownell, E., & Kryak, E. (2017). Effects of Reiki on pain, anxiety, and blood pressure in patients undergoing knee replacement. Holistic Nursing Practice, 31(2), 80-89. https://doi.org/10.1097/HNP.0000000000000195

Barakat, R., Pelaez, M., Cordero, Y., Perales, M., Lopez, C., Coteron, J., & Mottola, M.F. (2016). Exercise during pregnancy protects against hypertension and macrosomia: randomized clinical trial. American Journal of Obstetrics & Gynecology, 214(5), 649.e1-e8. https://doi.org/10.1016/j.ajog.2015.11.039

Beddoe, A.E., & Lee, K.A. (2008). Mind-body interventions during pregnancy. Journal of Obstetrics, Gynecologic, & Neonatal Nursing, 37(2), 165-175. https://doi.org/10.1111/j.1552-6909.2008.00218.x.

Cormack, C.M. (2019). A multifaceted integrative approach to heart, weight, and blood pressure normalization. https://www.risingtao.ca

Crosson, J.B. (2012). Psychoneuroimmunology: stress and pregnancy. International Journal of Childbirth Education, 27(2), 76-79. https://doi.org/10.1177/0963721412453720

Diaz, K. M., & Shimbo, D. (2013). Physical activity and the prevention of hypertension. Current Hypertension Report, 15(6), 659-668. https://doi.org/10.1007/s11906-013-0386-8

Felton, M., Hundley, V.A., Grigsby, S., & McConnell, A.K. (2021). Effects of slow and deep breathing on reducing obstetric intervention in women with pregnancy-induced hypertension: a feasibility study protocol. Hypertension in Pregnancy, 40(1), 81-87. https://doi.org/10.1080/10641955.2020.1869250

Friedman, R.S.C., Burg, M.M., Miles, P., Lee, F., & Lambert, R. (2010). Effects of Reiki on autonomic activity early acute coronary syndrome. Journal of American College of Cardiology, 56, 995-996. https://doi.org/10.1016/j.jacc.2010.03.082

Haney, A., Busse, D.J., & Okun, M. (2013). Sleep and pregnancy-induced hypertension: A possible target for intervention. Journal of Clinical Sleep Medicine, 9(12),1349–1356.https://doi.org/10.5664/jcsm.3290

Kaeoseng, R., Chuntharapat, S., Keawpimon, P., & Chongchareon, W. (2018). Effects of a nursing program to promote self-Reiki healing on stress and blood pressure of pregnant women with the hypertensive disorder. Academic Service Journal of Prince of Songkla University, 29(1), 133-147. https://doi.org/10.5664/jcsm.3290

Keawpimon, P., Samankasikorn W, Lawantrakul J, Boonsin K, & Nayai U. (2015). The development of the Reiki therapeutic nursing model for promoting the holistic health in pregnant women with hypertension: the pilot study. Songklanagarind Journal of Nursing, 35(3), 73-90. https://he02.tci-thaijo.org/index.php/nur-psu/article/view/44345

Lataro, R.M., & Sagado, H.C. (2018). Vagal-immune interactions in the control of hypertension. Journal Neurology Neuromedicine, 3(6), 8-12. https://doi.org/10.29245/2572.942X/2018/6.1226

Leeners, B., Neumaier-Wagner, P., Kuse, S., Stiller, R., & Rath, W. (2007). Emotional stress and the risk to develop hypertensive diseases in pregnancy. Hypertensive in Pregnancy, 26(2), 211-226. https://doi.org/10.1080/10641950701274870

Mackay, N., Hansen, S., & McFarlane, O. (2004). Autonomic nervous system changes during Reiki treatment: a preliminary study. Journal of Alternative and Complementary Medicine, 10(6), 1077-1081. https://doi.org/10.1089/acm.2004.10.1077

Magro‐Malosso, E. R., Saccone, G., Di Tommaso, M., Roman, A., & Berghella, V. (2017). Exercise during pregnancy and risk of gestational hypertensive disorders: a systematic review and meta‐analysis. Acta Obstetricia et Gynecologica Scandinavica, 96(8), 921-931. https://doi.org/10.1111/aogs.13151

McManus, D.E. (2017). Reiki Is Better Than Placebo and Has Broad Potential as a Complementary Health Therapy. Journal of Evidenced Based Complementary & Alternative Medicine, 22(4), 1051–1057. https://doi.org/10.1177/2156587217728644

Moore, C. G., Carter, R. E., Nietert, P.J., & Stewart, P.W. (2011). Recommendations for planning pilot studies in clinical and translational research. Clinical Translational Science, 4(5), 332-337. https://doi.org/10.1111/j.1752-8062.2011.00347.x

Morgan, N., Christensen, K., Skedros, G., Kim, S., & Schliep, K. (2020). Life stressors, hypertensive disorders of pregnancy, and preterm birth. Journal Psychosomatic, Obstetrics & Gynecology, 22, 1-9. https://doi.org/10.1080/0167482X.2020.1778666

Motawea, H. K., Chotani, M. A., Ali, M., Ackerman, W., Zhao, G., Ahmed, A. A., ... & Buhimschi, I. A. (2018). Human placenta expresses α2-adrenergic receptors and may be implicated in pathogenesis of preeclampsia and fetal growth restriction. The American Journal of Pathology, 188(12), 2774-2785. https://doi.org/10.1016/j.ajpath.2018.08.011

Oxford learner’s dictionaries. Oxford University Press; © 2021. Reiki. https://www.oxfordlearnersdictionaries.com/definition/american_english/reiki

Povlsen, L., & Borup, I.K., (2011). Holism in nursing and health promotion: distinct or related perspective?: A systematic review. Scandinavian Journal of Caring Science, 25(4), 798-805. https://doi.org/10.1111/j.1471-6712.2011.00885.x.

Rakhshani, A., Nagarathna, R., Mhaskar, R., Mhaskar, A., Thomas, A., & Gunasheela, S. (2012). The effects of yoga in prevention of pregnancy complications in high-risk pregnancies: A randomized controlled trial. Preventive Medicine, 55(4), 333-340. https://doi.org/10.1016/j.ypmed.2012.07.020

Rasouli, M., Pourheidari, M., & Gardesh, Z.H. (2019). Effects of self-care before and during pregnancy to prevention and control preeclampsia in high risk women. International Journal of Preventive Medicine, 10, 21. https://doi.org/10.4103/ijpvm.IJPVM_300_17

Salles, L.F., Vannucci, L., Salles, A., & da Silva, M.J.P. (2014). The effect of Reiki on blood hypertension. Acta Paulista de Enfermagem, 27(5), 479-484. https://doi.org/10.1590/1982-0194201400078

Shao, Y., Qiu, J., Huang, H., Mao, B., Dai, W., He, X., ... & Zhang, Y. (2017). Pre-pregnancy BMI, gestational weight gain and risk of preeclampsia: a birth cohort study in Lanzhou, China. BMC Pregnancy and Childbirth, 17(1), 1-8. https://doi.org/doi.org/10.1186/s12884-017-1567-2

Soliman, G.H., Elalem, S.M.A., & Elhomosy, S.M. (2017). The effect of relaxation techniques on blood pressure and stress among pregnant women with mild pregnancy induced hypertension. Journal of Nursing Education and Research, 7(3), 321-329. https://doi.org/10.5958/2349-2996.2017.00065.9

Steel, A., Adams, J., Sibbritt, D., Broom, A., Gallois, C., & Frawley, J. (2012). Utilisation of complementary and alternative medicine (CAM) practitioners within maternity care provision: results from a nationally representative cohort study of 1,835 pregnant women. BMC Pregnancy and Childbirth, 12(1), 1-8. https://doi.org/10.1186/1471-2393-12-146

Thai Hypertension Society. (2016). https://www.thaihypertension.org/files/GL%20HT%202015.pdf

Vandervaart, S., Berger, H., Tam, C., Goh, Y. I., Gijsen, V. M., de Wildt, S. N., Taddio, A., & Koren, G. (2011). The effect of distant reiki on pain in women after elective Caesarean section: a double-blinded randomised controlled trial. BMJ Open, 1(1), e000021. https://doi.org/10.1136/bmjopen-2010-000021

Wade, D.T. (2009). Holistic health care, what is it and how can we achieve it? Holistic health care. November 25th. https://pdfs.semanticscholar.org/80af/edfca2ffe3c96054aac6a85cf940a9c63a56pdf

Wongcharoenrut, K., & Yamasmit, W. (2014). Outcomes of pregnancy with chronic hypertension. Thai Journal of Obstetrics and Gynaecology, 8-14. https://he02.tci-thaijo.org/index.php/tjog/article/view/11682

Published

01-07-2022

How to Cite

Keawpimon, P. ., & Samankasikorn, W. . (2022). Association between Holistic Nursing Intervention Combined with Self-Administered Reiki and Changes in Mean Arterial Blood Pressure among Pregnant Women Diagnosed with Mild Hypertensive Disorder. The Malaysian Journal of Nursing (MJN), 14(1), 66-73. https://doi.org/10.31674/mjn.2022.v14i01.010

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