An interventional study of Mandala coloring in Dialysis, Symptoms and Self Care, sponsored by Atlas University. Completed at 1 site in Turkey. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-06-04.
Sponsored by Atlas University · Not applicable, Interventional, and Supportive care
In kidney patients, especially the continuous dialysis treatment can cause symptoms which adversely affect patients' self-care abilities and quality of life. T Nonpharmacological methods can be used to reduce low and moderate symptoms. Mandala is one of the non-pharmacological approaches and is used in many areas with its therapeutic properties.
In the literature review on the effect of mandala application on dialysis patients symptoms and self care, no research was found. The aim of this study was to determine the effect of mandala coloring on dialysis symptoms and self-care of female patients receiving hemodialysis treatment.
Data were collected by using personal information form, Dialysis Symptom Index Scale, Self-Care Power Scale for Chronic Dialysis Patients.
As an intervention tool, a circular mandala and 12 felt paint were used in the study.
Study was designed as a randomized control study Intervention Group; voluntary consent form, personal information form, "Dialysis Symptom Index Scale", "Self-Care Power Scale for Chronic Dialysis Patients" were filled. One hour after the start of each dialysis session, the patients were given mandalas for 20-30 minutes and asked to paint. After the sixth dialysis session , the patients were asked to refill the scales with one-on-one interviews, and the verbal opinions and feedback of the patients about the application were taken.
Control Group; Female patients undergoing dialysis treatment in the dialysis unit were informed about the study. Volunteer consent form, personal information form, "Dialysis Symptom Index Scale", "Self-Care Power Scale for Chronic Dialysis Patients" were filled. After the sixth dialysis session, the women were asked to refill the scales.
Atlas University is the lead sponsor of 91 studies on the registry; 25 are open to participants now.
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Exclusion Criteria:
Female patients undergoing dialysis treatment in the dialysis unit were given mandalas for 20-30 minutes and asked to paint during 6 dialysis session, personal information form, "Dialysis Symptom Index Scale", "Self-Care Power Scale for Chronic Dialysis Patients" were filled before and after the sixth dialysis session, t
Behavioral: Mandala coloring
Female patients undergoing dialysis treatment in the dialysis unit were informed about the study. Volunteer consent form, personal information form, "Dialysis Symptom Index Scale", "Self-Care Power Scale for Chronic Dialysis Patients" were filled at the beginning and after the sixth dialysis session
Female patients undergoing dialysis treatment in the dialysis unit were informed about the study. After women are informed about the effects of mandala application on health and how to paint mandala; voluntary consent form, personal information form, "Dialysis Symptom Index Scale", "Self-Care Power Scale for Chronic Dialysis Patients" were filled. One hour after the start of each dialysis session, the patients were given mandalas for 20-30 minutes and asked to paint. The women's own paints and mandalas were preserved for the next session. After the sixth dialysis session , the patients were asked to refill the scales with one-on-one interviews, and the verbal opinions and feedback of the patients about the application were taken.
dialysis related symptom
Dialysis Symptom Index (DSI); The Dialysis Symptom Index (DSI) was developed by Weisbord et al. (2005) to determine the symptoms experienced by HD patients and the level of impact on patients. The Turkish reliability and validity of the scale was made by Önsöz and Yeşilbalkan (2013) and Cronbach's alpha value was reported as 0.84. DSI identifies 30 symptoms, either physical or emotional. In DSI, the symptoms experienced in the last week are answered as yes-no, and if the answer is yes, the extent to which the symptoms affected the patients who answered "yes" was evaluated as 0 = no, 1 = none, 2 = some, 3 = sometimes, 4 = very little, 5 = too much. The total scale score is obtained by adding the obtained scores. The score of the scale ranges from 0-150. The fact that the answers given to the scale increased towards 150 points indicates that the effect of the symptom in question increased. The internal consistency coefficient of the scale was determined as 0.84 (Usta, 2013).
Time frame: After voluntary consent is obtained, the scale filled in by interviewing the patients one-on-one before the mandala painting attempt begins. 4 weeks after the completion of the mandala colouring the scale replenished
Self-Care Agency Scale for Patients on Long-Term Dialysis
The scale was developed by Besey Ören in 2010 for HD and peritoneal dialysis patients. The Self-Care Agency Scale is an easily understandable, 22-item, 3-point Likert-type scale. The items are scored as follows: 0=I always apply, 1=I sometimes apply, and 2=I do not apply at all. It was created for people to express their status of applying selfcare habits in their daily lives. The patient is asked to choose the most appropriate option for him. The total score obtainable from the tool ranges between 0 and 44. Subscale scores are obtained by summing the item scores under each subscale. Accordingly, scores obtainable from the subscales are 0-12 for the use of medicine, 0-10 for diet, 0-8 for self-monitoring, 0-4 for hygienic care, and 0-6 for mental state. It shows that as the score obtained from the scale decreases, self-care ability decreases.16 The α coefficient of the scale was 0.67.
Time frame: After voluntary consent is obtained, the scale filled in by interviewing the patients one-on-one before the mandala painting attempt begins. 4 weeks after the completion of the mandala colouring the scale replenished
This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.
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