The effects of mandala coloring on fatigue, psychological well-being, and coping with stress in patients receiving hemodialysis treatment

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2024-06-19 DOI:10.1111/hdi.13163

Zülfünaz Özer, Gülcan Bahçecioğlu Turan, Mine Uyman, Mukadder Mollaoğlu

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Abstract

Background

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.

Methods

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.

Results

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).

Conclusion

Mandala coloring improved fatigue and psychological well-being and was associated with improved patient coping strategies.

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曼陀罗涂色对血液透析患者疲劳、心理健康和应对压力的影响。

背景：血液透析是一个重要的健康问题，对社会心理状态和支持系统造成负面影响。通过曼陀罗涂色等实践，个人将其经历的未知转移到外部，并使其可见。本研究旨在探讨曼陀罗涂色对接受血液透析治疗的患者的疲劳、心理健康以及应对压力的相关因素的影响：设计为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室进行，共有 60 名患者参加，其中干预组和对照组各 30 人。干预组患者每周为曼陀罗上色一次，每次 2 小时，共持续 8 周。通过患者信息表、疲劳严重程度量表、心理健康量表和应对方式问卷面对面收集数据：结果：在为期 8 周的研究期间，干预组和对照组的疲劳严重程度和心理健康都有所改善。对照组和干预组的基线得分相似，但在 4 周和 8 周时，干预组的两项指标均优于对照组（p 结论：曼陀罗涂色改善了疲劳程度和心理健康：曼陀罗涂色改善了疲劳和心理健康，并与患者应对策略的改善有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.