Morales-Alonso Ana, Iglesias-de-la-Iglesia Ángela, Alonso-Maza Miriam
Dr. Rodríguez Lafora Hospital (Hospital Dr. Rodríguez Lafora), Madrid, Spain.
Department of Nursing and Stomatology, University Rey Juan Carlos, Alcorcón, Madrid, Spain.
Int J Nurs Sci. 2024 Mar 11;11(2):205-213. doi: 10.1016/j.ijnss.2024.03.004. eCollection 2024 Apr.
The application of the Zentangle® Method in relation to relaxation and well-being has not been tested in patients with borderline personality disorder (BPD). This study was to analyze the practising Zentangle® experience in patients with BPD.
With a phenomenological interpretative approach, this qualitative study conducted semi-structured interviews with patients who participated in a 6-session Zentangle® program accomplished monthly over six months in a Personality Disorders Unit. A total of 15 patients were interviewed for this study. Smith, Flowers & Larkin method was applied for evaluation in the data analysis.
Based on our findings, three categories were extracted: As you sow, so shall you reap (participants reported improvements in concentration, relaxation, interpersonal relationships, and interaction with their environment as well as positive experiences toward acceptance and change); Many hands make light work (patients admitted feeling better in a group and developed group membership. They described how a group environment influences individual behavior); Drawing your own path (this method provides a medium for self-expression and self-knowledge through drawing, improving well-being through emotional expression, enhancing creativity, and increasing self-confidence).
By practicing Zentangle®, patients achieve behavioral responses such as flexibility and adaptability, reaching greater emotional well-being through anxiety management, impulse control, learning to cope with problems, or improving self-esteem or concentration. Mental health nursing plays a critical active role in the comprehensive treatment of BPD, as well as the mobilization and coordination of complementary and diverse interventions.
尚未在边缘型人格障碍（BPD）患者中测试过禅绕画方法与放松和幸福感的关系。本研究旨在分析BPD患者练习禅绕画的体验。
采用现象学解释方法，这项定性研究对参与了一个为期6个月、每月一次、共6节课程的禅绕画项目的患者进行了半结构化访谈，该项目在一个人格障碍治疗单元开展。本研究共访谈了15名患者。数据分析采用史密斯、弗劳尔斯和拉金方法进行评估。
根据我们的研究结果，提取出三个类别：种瓜得瓜，种豆得豆（参与者报告在注意力、放松、人际关系、与周围环境的互动方面有所改善，以及在接受和改变方面有积极体验）；众人拾柴火焰高（患者承认在群体中感觉更好，并形成了群体归属感。他们描述了群体环境如何影响个体行为）；绘制自己的道路（这种方法通过绘画提供了一种自我表达和自我认知的媒介，通过情感表达改善幸福感，增强创造力，并增强自信心）。
通过练习禅绕画，患者实现了诸如灵活性和适应性等行为反应，通过管理焦虑、控制冲动、学习应对问题或提高自尊或注意力来达到更高的情绪幸福感。心理健康护理在BPD的综合治疗以及动员和协调补充性和多样化干预措施方面发挥着关键的积极作用。
