Evaluation of the Effect of Reiki on Pain After Spinal Fusion

The Visual Analog Scale is a subjective measurement tool commonly used to assess the intensity of pain. It consists of a horizontal 10-centimeter line on which the patient marks a point that reflects their experience.

Minimum and maximum values:

0 = complete absence of the symptom

10 = the most severe imaginable intensity of the symptom

Score interpretation:

Higher scores indicate greater symptom intensity

Lower scores indicate lesser intensity

The SF-12 (Short-Form Health Survey) a validated questionnaire designed to assess health-related quality of life across physical and mental domains. It is a shortened version of the SF-36, containing 12 items that cover eight key health dimensions.

Scoring:

• Higher scores indicate better health status in each domain
• Each item uses Likert-type responses ("Excellent" to "Poor", or "All of the time" to "None of the time")

This daily diary was designed by the research team to record pain intensity using the Visual Analog Scale (VAS), from the day of discharge up to 30 days post-intervention.

The Visual Analog Scale is a subjective measurement tool commonly used to assess the intensity of pain. It consists of a horizontal 10-centimeter line on which the patient marks a point that reflects their experience.

• Minimum and maximum values:

0 = complete absence of the symptom 10 = the most severe imaginable intensity of the symptom

• Score interpretation:

Higher scores indicate greater symptom intensity Lower scores indicate lesser intensity

the Clinical Global Impression (CGI) is a clinician-rated scale used to assess the global change in a patient's condition following a medical or therapeutic intervention, compared to their state at baseline.

Evaluated on a 7-point scale :

• = Very much improved
• = Much improved
• = Minimally improved
• = No change
• = Minimally worse
• = Much worse
• = Very much worse

The International Visual Wound Color Scale (IVWCS) This scale is a visual assessment tool that helps clinicians evaluate wound healing by identifying and interpreting the dominant colors present in the wound bed.

Each color corresponds to a specific tissue type or healing stage.

Color Categories and Their Meanings:

• Red: Indicates healthy granulation tissue, which is essential for wound repair. Suggests active healing and good blood supply Requires protection and monitoring for infection
• Yellow: Often associated with slough or exudate, which may signal infection or delayed healing.

Requires cleaning and possibly debridement May indicate microbial presence or inflammation

• Black: Represents necrotic tissue (dead tissue), often due to poor blood supply.

Requires urgent medical attention Typically treated with debridement and moist dressings

This daily diary was designed by the research team and records the daily consumption of analgesics from the day of discharge to 30 days post-intervention.

Classification of Analgesics in the Daily Diary Analgesic consumption will be categorized according to the standard analgesic step classification:

• Step 1: Non-opioid analgesics (paracetamol, NSAIDs)
• Step 2: Weak opioids (codeine, tramadol)
• Step 3: Strong opioids (morphine, fentanyl)