The Effect of Mandala Art Therapy on Comfort Level in Patients Receiving HD Treatment

NCT ID: NCT06727045

Last Updated: 2025-03-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 98 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-12-29
• Study Completion Date: 2024-04-15

Brief Summary

This study was conducted to evaluate the effect of mandala painting on the comfort level of patients receiving HD treatment.

Detailed Description

The number of patients diagnosed with end-stage renal disease (ESRD) is constantly increasing and the most common method used in the treatment of these patients is hemodialysis (HD). HD is the process of passing the blood taken from the patient through the HD device, regulating fluid and electrolytes, and cleaning waste products such as urea. The aim of this process is to prevent complications, strengthen self-care, and thus increase the patient's quality of life and ensure their comfort. However, patients who receive HD treatment have to deal with various problems. This situation negatively affects the comfort of the HD patient. In addition, many factors such as constantly going to a dialysis center for the HD procedure, restriction of movements during the HD session, and disruption of work harmony and social relationships reduce the comfort of the patients. Therefore, ensuring the comfort of the HD patient is very important. A number of integrative methods are recommended to increase comfort. One of these methods, mandala, is effectively used in the field of art therapy. Mandala, which has a long history and represents integrity, is a Sanskrit word that means "circle" or completion and increases the individual's personal awareness. According to art psychotherapists, mandala painting is one of the main tools of other art psychotherapy techniques that focus on healing. Mindfulness-based activities such as drawing or painting mandalas allow the person to keep their attention in the "moment", make sense of what they have MINIMIDAted, increase their well-being and feel more comfortable. Mandala, which is a concentration method, helps the person stay in the moment. Energy and emotions can also change with the effects of the colors used. It is also emphasized that mandala painting contributes to symptom management, can be used in all age groups and has a positive effect on the treatment process of different diseases and disorders. The natural calming effect of mandala on the mind and body not only strengthens the desire to heal, but also helps the person get rid of psychological fragmentation. In line with these data, it is thought that activities such as mandala can be effective in HD patients who are faced with a large number of stress factors. Therefore, the effect of mandala painting on the comfort level of patients receiving HD treatment was evaluated in this study.

Conditions

Art Therapy; Mandala Painting; Hemodialysis Patients

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: SINGLE

Study Groups

Intervention Group

Questionnaire and Hemodialysis Comfort Scale Version-II (HDKS-II) were applied to the patients. Patients were randomised to groups. A literature review was conducted for the frequency and number of mandalas to be applied to the patients in the intervention group, and mandalas were applied during eight hemodialysis sessions every other day. Mandala painting was done approximately 30 minutes after the start of HD treatment, considering the art therapist's suggestion and the symptoms that may develop during HD. Each mandala painting was performed with a structured and different mandala pattern. In the study, a booklet called the "Mandala Booklet" consisting of eight structured mandala patterns with round shapes and containing general information about mandalas was used. The patients in the intervention group were informed face to face about the content of the booklet. At the end of the 17th day, the Hemodialysis Comfort Scale-Version II was applied to the group again.

Group Type: EXPERIMENTAL

Mandala Coloring

Intervention Type: OTHER

A literature review was conducted to determine the frequency and number of mandalas to be applied to the patients in the intervention group, and the average of the number of mandala sessions applied to different patient groups was obtained, and mandala application was performed during a total of eight hemodialysis sessions, every other day. Mandala painting was performed approximately 30 minutes after the start of HD treatment, considering the art therapist's recommendation and the symptoms that may develop during HD. Each mandala painting was performed with a structured and different mandala pattern. Since it was stated that the use of round patterns instead of square patterns was effective in increasing the comfort level, the booklet called "Mandala Booklet", consisting of 8 structured mandala patterns with round shapes and containing general information about mandala, was used in the study. The group was informed about the content of the booklet face to face. Dry pencils were prefer

Control Group

Questionnaire and Hemodialysis Comfort Scale Version-II (HDKS-II) were applied to the patients. Randomization of the patients to the groups was done by a statistician other than the researcher with a computer program (www.randomizer.org) and was done by taking into account age, gender and comfort scale scores. No application was made to the patients in the control group. The booklet was given to the patients in the control group after the mandala coloring was completed. At the end of the 17th day, Hemodialysis Comfort Scale-Version II was applied to the group again.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Mandala Coloring

A literature review was conducted to determine the frequency and number of mandalas to be applied to the patients in the intervention group, and the average of the number of mandala sessions applied to different patient groups was obtained, and mandala application was performed during a total of eight hemodialysis sessions, every other day. Mandala painting was performed approximately 30 minutes after the start of HD treatment, considering the art therapist's recommendation and the symptoms that may develop during HD. Each mandala painting was performed with a structured and different mandala pattern. Since it was stated that the use of round patterns instead of square patterns was effective in increasing the comfort level, the booklet called "Mandala Booklet", consisting of 8 structured mandala patterns with round shapes and containing general information about mandala, was used in the study. The group was informed about the content of the booklet face to face. Dry pencils were prefer

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients aged between 18-65
• Those with no communication problems
• Those who can understand and speak Turkish
• Those who have been receiving HD treatment for at least three months
• Those who have been receiving HD three times a week
• Those who have no visual impairment
• Those who do not have any problems affecting fine motor function in the upper extremities (such as rheumatoid arthritis)
• Those who volunteered to participate in the study were included in the study

Exclusion Criteria

• Patients with arteriovenous fistula in the dominant arm
• Patients who had previously undergone mandala application were excluded from the study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sanko University

OTHER

Sponsor Role: lead

Responsible Party

Gül Kırıcı

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Nimet Ovayolu, Prof. Dr.

Role: STUDY_DIRECTOR

Sanko University

Locations

Private Damla dialysis center

Gaziantep, Şehitkamil, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

SU-DON-GK-01

Identifier Type: -

Identifier Source: org_study_id