The treatment and care of chronic kidney failure is a long-term process, and patients are significantly affected by this condition. The fact that patients spend much of their daily lives attending hemodialysis sessions two or three times a week considerably limits their life activities. dition to medical treatment, a non-pharmacological Therefore, individuals may become partially or completely dependent. Coping with various symptoms brought on by this chronic disease, adapting to the restrictions required by treatment, preventing complications, and improving quality of life also bring about physical, cognitive, and psychological challenges. Patients are aware that they can only regain their previous health through organ transplantation; however, since it is uncertain when a suitable donor will be found, they may experience intense feelings of hopelessness. The chronic illness itself and the hemodialysis sessions frequently lead to symptoms such as pain and fatigue. In admethod such as distant Reiki may be supportive in coping with symptoms like hopelessness, fatigue, and pain. Numerous evidence-based studies in the literature have demonstrated that distant Reiki practices support symptom management in many chronic diseases through their effects on the parasympathetic nervous system. However, the effects of distant Reiki on hopelessness, fatigue, and pain in individuals awaiting organ donation have not yet been investigated.

Therefore, this study is planned to be conducted as a randomized controlled trial with two groups. Fifty patients awaiting organ donation who meet the inclusion criteria will be included in the study. Data will be collected using the "Personal Information Form," "Beck Hopelessness Scale," "Fatigue Severity Scale," and "Brief Pain Inventory." Analyses will be performed using an appropriate statistical software package. We believe that distant Reiki practices may have positive effects on hopelessness, fatigue, and pain among hemodialysis patients awaiting organ donation. It is known that the majority of nurses worldwide hold Reiki practice certifications and use this method in chronic diseases. The main aim of this study is to support symptom management and strengthen coping mechanisms in individuals through distant Reiki practices.

Inclusion Criteria:

• Patients who have been undergoing haemodialysis for ≥ 6 months,
• Aged 18 years or older,
• Patients with chronic kidney disease,
• Can speak and understand Turkish and,
• Have a mobile phone and can use it will be included in the study.

Exclusion Criteria:

• Patients using psychotropic medication will not be included in the study.
• Patients who are unable to attend regular sessions will be excluded from the study.

De-identified individual participant data (IPD) underlying the results reported in publications (including outcome measure data, demographic variables, and relevant clinical variables) will be made available upon reasonable request to the corresponding author. All shared data will be fully anonymized to protect participant confidentiality and will exclude any personally identifiable information.

Beginning 6 months after publication of the primary study results and up to 5 years following publication of the primary study results

Researchers who provide a methodologically sound proposal and a reasonable scientific justification will be eligible to access the data. Requests should be submitted to the corresponding author via email. Data access may require approval by the principal investigator and the institutional ethics committee, where applicable. A data use agreement may be required prior to data sharing. Data will be available following publication of the primary study results and for a limited period thereafter.