The Effect of Mandala Coloring Applied to Caregivers Caring for Palliative Care Patients on Perceived Stress, Anxiety Level, and Quality of Life
Condition: Perceived Stress; Anxiety Level; Quality of Life
MeSH terms: Anxiety Disorders
Study type: Interventional

Summary: 
      The word palliative comes from the Latin word "pallium" meaning "cover". The aim of
      palliative care is not to eliminate the cause of the disease; to alleviate the negative
      effects of the disease.

      Mandala painting, which is one of the non-pharmacological applications, is an art therapy
      technique that can provide psychological support and healing. Mandala painting is a safe and
      accessible activity that requires no special skills and can be used as a complementary
      strategy to support mental health. In the literature, it is stated that coloring mandala
      improves psychological symptoms and relieves the person. The artistic view of nursing is to
      understand the needs of the individual, the sources of anxiety, anxiety and stress, and then
      to develop practices that will increase his/her self-confidence and resilience by increasing
      his/her ability and competence level. Therefore, this study was planned to examine the effect
      of mandala painting applied to caregivers caring for palliative care patients on perceived
      stress, anxiety level and quality of life.

      This research, which is planned as a randomized experimental study with pretest-posttest
      control group, will be a study for informal caregivers who have patients in the palliative
      service of fethi sekin city hospital between May 2023 and December 2023. The sample will
      consist of 80 (40 experimental, 40 control) caregivers who accepted the research that met the
      research criteria.

      Experimental group will be composed of caregivers who will paint mandalas. In addition to
      verbal and written information, the Patient Description Form, Perceived Stress Scale (PSÖ),
      State-Trait Anxiety Scale (WHO) and Short Form (SF-36) Quality of Life Scale have been
      applied to the 1st Stage. measurement will be obtained. The program will be implemented for 4
      weeks, 4 days a week. 16 pre-selected mandala drawings will be printed separately on A4
      papers and a new drawing will be given to caregivers every week. Mandala coloring papers and
      12 colored felt-tip crayons will be given to each participant by the researcher. After the
      end of the sessions, the second measurements will be obtained by applying the Perceived
      Stress Scale (PSS), State-Trait Anxiety Scale (DSQ) and Short Form-36 (SF-36) Quality of Life
      Scale.
    

Detailed description: 
      The palliative care approach first emerged in the 11th century as a religious-based volunteer
      movement for the treatment of people suffering from terminal illnesses during long journeys.
      Although the quality of patient care changes all over the world, there is definitely a
      section in care that includes the responsibilities of the family. It is stated in the
      literature that the anxiety levels of the patient and family members who receive the
      necessary information and support about the disease decrease. The caregiving process is a
      very stressful situation for the caregiver, which can lead to physical and psychological
      problems. Anxiety levels of caregivers also increase due to the caregiving process that
      creates excessive stress and anxiety. Studies in which caregivers have high levels of anxiety
      due to the burden of care come to the fore in the literature. Mandala provides calming and
      relaxation as your mind. It silences the negative and complex emotions that bother the person
      himself. With the relaxation it provides, it allows the individual to listen to himself and
      to rest spiritually. Mandala allows to see holistically. While increasing one's awareness, it
      reveals what is hidden in the unconscious. Art therapy helps individuals feel themselves at
      the center of their lives, express themselves and discover who they are in the group while
      drawing, painting or making mandalas.

      Jung stated that he created mandalas in times of distress when both he and his patients felt
      negative emotions. İn the previous studies; Mandala art therapy has been used to define
      psychiatric problems in children, to reduce stress and to calm down, to provide concentration
      and psychological relaxation, and positive results have been obtained.
    

Intervention name(s): Perceived Stress, Mandala application
Intervention type(s): Behavioral
Intervention description(s): Mandala
Other intervention name(s): Anxiety Level; Quality of Life
Allocation: Randomized
Intervention model: Sequential Assignment
Intervention model description: Mandala
Masking: Single (Participant)
Primary purpose: Supportive Care