The effects of mandala colouring on fatigue, coping with stress and psychological well-being

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 through this creation. Objectives: This study was conducted to examine the effects of mandala colouring on fatigue, coping with stress and psychological well-being in patients receiving haemodialysis treatment. Methods: This is a randomized controlled study. The study was conducted in the dialysis unit of a university hospital in the east of Turkey with a total of 60 patients, 30 in the intervention and 30 in the control group, between April 4 and October 31, 2022. Intervention group patients coloured mandala for 2 hours once a week for a total of 8 weeks. The data were collected with Patient Information Form, Fatigue Severity Scale (FSS), Coping with Stress Scale and Psychological Well-being Scale (PWS) through face-to-face interview. Results: Lower FSS and Desperate Approach and Submissive Approach mean scores and higher PWS, Self-confident Approach and Social Support Seeking Approach mean scores of the intervention group when compared with the control group after mandala colouring intervention were found to be statistically significant (p=0.001). Conclusion/Application to practice: It was found that mandala colouring had a large effect on decreasing the fatigue severity and ineffective coping styles with stress and increasing psychological resilience and effective coping styles with stress.