Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey.
Department of Nursing, Faculty of Health Sciences, Fırat University, Elazığ, Turkey.
Hemodial Int. 2024 Jul;28(3):367-376. doi: 10.1111/hdi.13163. Epub 2024 Jun 19.
Hemodialysis is an important health problem that negatively affects psychosocial status and support systems. Through practices such as mandala coloring, individuals transfer the unknowns they experience to the outside and make them visible. This study was conducted to examine the effects of mandala coloring on fatigue, psychological well-being, and factors associate with coping with stress in patients receiving hemodialysis treatment.
The design was a prospective, parallel-group controlled trial. The study was conducted in the dialysis unit of a university hospital in eastern Turkey between April 4 and October 31, 2022, with a total of 60 patients, 30 in the intervention group, and 30 in the control group. The patients in the intervention group colored mandala once a week for 2 h, for a total of 8 weeks. The data were collected face-to-face using a patient information form, a Fatigue Severity Scale, a Psychological Well-Being Scale, and a Ways of Coping Questionnaire.
There were improvements in fatigue severity and psychological well-being over the 8-week study period in both the intervention and control groups. Scores were similar at baseline in the control and intervention groups, but better in the intervention groups compared to controls at 4 and 8 weeks for both metrics (p < 0001). Five factors from the Ways of Coping Questionnaire (self-confident approach, optimistic approach, seeking social support, helpless approach, and submissive approach) each improved during the 8-week period in the intervention group (p < 0.001). Three of these five factors improved in the control group as well. Scores for each of the five coping factors were better in the intervention group compared to controls at 4 and 8 weeks (p < 0.001).
Mandala coloring improved fatigue and psychological well-being and was associated with improved patient coping strategies.
血液透析是一个重要的健康问题，会对患者的社会心理状态和支持系统产生负面影响。通过曼陀罗彩绘等实践，个体将自己所经历的未知事物转移到外部，使其变得可见。本研究旨在探讨曼陀罗彩绘对接受血液透析治疗的患者的疲劳、心理幸福感以及与应对压力相关因素的影响。
这是一项前瞻性、平行组对照试验。研究于 2022 年 4 月 4 日至 10 月 31 日在土耳其东部一所大学医院的透析单元进行，共有 60 名患者，其中 30 名患者被纳入干预组，30 名患者被纳入对照组。干预组患者每周彩绘曼陀罗一次，每次 2 小时，共 8 周。通过面对面访谈的方式，使用患者信息表、疲劳严重程度量表、心理幸福感量表和应对方式问卷收集数据。
干预组和对照组在 8 周的研究期间，疲劳严重程度和心理幸福感均有所改善。对照组和干预组在基线时的评分相似，但干预组在 4 周和 8 周时的评分均优于对照组（均 P<0.0001）。在干预组中，应对方式问卷的 5 个因子（自信应对、乐观应对、寻求社会支持、无助应对和顺从应对）在 8 周的研究期间均有所改善（P<0.001）。对照组中也有 3 个因子得到改善。与对照组相比，干预组在 4 周和 8 周时的 5 个应对因子评分均更好（均 P<0.001）。
曼陀罗彩绘可改善疲劳和心理幸福感，并与改善患者应对策略相关。
