The Effect Of Mandala Activity On Postoperative Pain And Anxiety Levels In Gynecological Oncology Patients

Istanbul University - Cerrahpasa (IUC)

Status: Completed

Conditions: Cancer Pain; Cancer, Treatment-Related; Cancer

Treatments: Other: mandala activity

Study type: Interventional

Funder types: Other

Identifiers

NCT06590389

SAkyol-001

Details and patient eligibility

About

This study was designed as a randomised controlled, 2-group, pre-test post-test comparative, experimental study to examine the effect of mandala activity on postoperative pain, anxiety levels and analgesia use of gynaecological oncology patients.

Full description

This study was designed as a randomised controlled, 2-group, pre-test post-test comparative, experimental study to examine the effect of mandala activity on postoperative pain, anxiety levels and analgesia use of gynaecological oncology patients.

The study was conducted with 42 patients who underwent open abdominal hysterectomy surgery in the Gynecological Oncology Surgery Clinic of a training and research hospital in Istanbul between 1 February 2023 and 1 August 2023. Patients in the intervention group (n=21) received mandala activity at least once a day during their postoperative hospitalisation (days 0-2). Patients in the control group (n=21) did not receive any intervention. Introductory Information Form, Visual Analogue Scale (VAS), State-Trait Anxiety Inventory (STAI-I), Postoperative Patient Evaluation Form and Mandala Activity Booklet were used in the study.

Enrollment: 42 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having a gynecological oncology disease diagnosis,
• Having had open abdominal hysterectomy surgery,
• Being over 18 years of age,
• Ability to communicate in Turkish,
• Having a gynecological oncology operation for the first time,
• There is no physical disability related to the upper extremities.

Exclusion criteria

• Readmission due to any complications that develop after discharge,
• Having visual, hearing and speech disabilities

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Intervention group (Mandala activity)

Experimental group

Description:

Mandala activity is painting with different pictures or shapes by creating a harmony of figures in different or the same colors. The entire intervention group was given a booklet consisting of 10 simple mandala drawings prepared by the researchers. Mandala activity: During the hospital stay on the zeroth, first and second postoperative days, the patient was asked to color the mandala drawing of his choice from the booklet as many times as he wanted. However, they were asked to practice at least one mandala activity every day. For painting in the mandala activity, a set of 12 colored crayons was given to the patients by the researcher and no color guidance was given for painting. The research was continued by following up within 3 days, namely the zeroth, first and second postoperative days. VAS and STAI-I forms were applied before and after the mandala activity.

Treatment:

Other: mandala activity

Control group

No Intervention group

Description:

After the patient was mobilized on the zero postoperative day, STAI-I and VAS were applied 1 hour apart. VAS was repeated every 4 hours until the patient was discharged. * On the first day after surgery, VAS with STAI-I was applied to the patient every 1 hour after breakfast, and VAS was repeated every 4 hours during the day. * On the second day after the surgery, STAI-I and VAS were applied to the patient 1 hour apart after breakfast. * On the second postoperative day, the Postoperative Period Patient Evaluation form was applied to the patient before discharge.