Reiki is an energy-based healing therapy using light touch. Manual therapy is a technique using light effleurage. These complimentary healing services are utilized to promote relaxation, sleep, improve emotions, and decrease pain; however, more research is required since sample sizes in the literature were small, subjects were generally healthy (not hospitalized), and subjects had multiple medical backgrounds. Only 1 study focused on cardiac surgery patients. We aim to learn if Reiki and manual therapy enhances postoperative clinical outcomes for patients after first time coronary artery bypass graft (CABG) and/or cardiac valve surgery. A randomized, controlled non-blinded study will enroll a sample of a minimum of 272 patient (136 per group), based on a power analysis using the primary outcome. The intervention group will receive usual care plus Reiki and manual therapy, with Reiki delivered first. Total therapies time is 20 minutes. Reiki and manual therapy will be delivered for 3 consecutive days beginning on the day after endotracheal tube removal. The usual care group will receive 20 minutes of uninterrupted rest, which is part of usual postoperative care. Outcomes are depression, anxiety, pain, night time sleep, new onset atrial fibrillation, hospital length of stay, all-cause 30-day hospital readmissions, narcotic drug burden and post-operative complications.
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Depression
Timeframe: Pre-operative (baseline)
Depression
Timeframe: Post-operative (day 3)
Anxiety
Timeframe: Pre-operative (baseline)
Anxiety
Timeframe: Post-operative (day 3)
Sleep
Timeframe: Paper surveys distributed pre-operative (baseline)
Sleep
Timeframe: Paper surveys distributed post-operative (day 3) after final reiki and manual therapies intervention or quiet time sessions were completed.
Pain Level, Mean Score
Timeframe: Post-operative thru day 3 after the 1st intervention/usual care was administered
Pain Level, Median Score
Timeframe: Post-operative thru day 3 after the 1st intervention/usual care was administered
Hospital Length of Stay, Days - Mean (Standard Deviation)
Timeframe: Days of hospital stay
New-onset Postoperative Atrial Fibrillation Complication
Timeframe: Post-operation (from day of surgery until hospital discharge)
All-cause 30-day Hospital Readmission
Timeframe: 30 days after discharge
Total Opioid IV Narcotic Burden (Mean) in mg
Timeframe: Total opioid IV narcotic medication dose (in milligrams), using morphine equivalent data, during the length of stay, an average 6.4 days
Total Oral Narcotic Burden (Mean) in Milligarms
Timeframe: Total oral narcotic medication dose in milligrams, using morphine equivalent data, during the length of stay, an average 6.4 days