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首页> 外文期刊>Sao Paulo Medical Journal >Is reiki or prayer effective in relieving pain during hospitalization for cesarean? A systematic review and meta-analysis of randomized controlled trials
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Is reiki or prayer effective in relieving pain during hospitalization for cesarean? A systematic review and meta-analysis of randomized controlled trials

机译：灵气或祈祷能有效减轻剖宫产住院期间的疼痛吗？随机对照试验的系统评价和荟萃分析

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CONTEXT AND OBJECTIVE: This systematic review compared reiki and prayer with drug use for relieving pain during hospitalization for cesarean, given that the popularity of integrative medicine and spiritual healing has been increasing. It had the aim of evaluating whether reiki or prayer is effective in relieving pain during cesarean section. DESIGN AND SETTING: Systematic review with meta-analysis conducted at Botucatu Medical School, UNESP, S?￡o Paulo, Brazil. METHODS: The following databases were searched up to March 2016: MEDLINE, Embase, LILACS and CENTRAL. Randomized controlled trials published in English or Portuguese were included in the review. Two reviewers independently screened eligible articles, extracted data and assessed the risk of bias. A GRADE table was produced to evaluate the risk of bias. RESULTS: There was evidence with a high risk of bias showing a statistically significant decrease in pain score through use of reiki and prayer, in relation to the protocol group: mean difference = -1.68; 95% confidence interval: -1.92 to -1.43; P < 0.00001; I 2 = 92%. Furthermore, there was no statistically significant difference in heart rate or systolic or diastolic blood pressure. CONCLUSION: Evidence with a high risk of bias suggested that reiki and prayer meditation might be associated with pain reduction.
机译：背景与目的：鉴于中西医结合治疗和灵性康复的普及，本系统评价比较了灵气疗法和祈祷术与药物治疗减轻剖宫产住院期间的疼痛。它的目的是评估灵气或祈祷是否能有效减轻剖宫产时的疼痛。设计与地点：在巴西圣保罗联合国环境规划署Botucatu医学院进行的带有荟萃分析的系统评价。方法：截至2016年3月，对以下数据库进行了搜索：MEDLINE，Embase，LILACS和CENTRAL。该评价包括以英语或葡萄牙语发布的随机对照试验。两名审稿人独立筛选了合格的文章，提取了数据并评估了偏见的风险。生成了GRADE表以评估偏差的风险。结果：相对于治疗方案组，有证据显示偏倚的风险较高，表明通过使用灵气和祈祷，疼痛评分有统计学上的显着降低：平均差异= -1.68; 95％置信区间：-1.92至-1.43; P <0.00001; I 2 = 92％。此外，心率或收缩压或舒张压无统计学差异。结论：偏见风险高的证据表明，灵气和祈祷冥想可能与减轻疼痛有关。

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