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The Effect of Mandala Colouring On Anxiety in Hospitalized Covid-19 Patients: A Randomized Controlled Clinical Trial Publisher Pubmed



Khademi F1 ; Rassouli M2 ; Rafiei F3 ; Moayedi S4 ; Torres M4 ; Marzban N5 ; Haji E6 ; Golitaleb M1
Authors
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Authors Affiliations
  1. 1. Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran
  2. 2. Pediatric Nursing Department, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Department of Biostatistics and Epidemiology, Scientific Research Center, School of Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
  5. 5. Ayatollah Khansari Hospital, Arak University of Medical Sciences, Arak, Iran
  6. 6. Amir-al-Momenin Hospital, Arak University of Medical Sciences, Arak, Iran

Source: International Journal of Mental Health Nursing Published:2021


Abstract

COVID-19 significantly affects patients' mental health, triggering a wide range of psychological disorders, including anxiety. The aim of this study was to investigate the effect of mandala colouring on the anxiety of hospitalized COVID-19 patients. In this randomized controlled clinical trial, 70 hospitalized patients with COVID-19 were randomly divided between the intervention and control groups. Standard care was provided for both groups. The intervention group spent 30 min/day for six consecutive days performing mandala colouring. Patient anxiety was measured prior and subsequent to the intervention in both groups using the Spielberger State-Trait Anxiety Inventory. Data were analysed using SPSS software version 25. The mean anxiety score was not significantly different between the two groups before the intervention (P = 0.08). Subsequent to the intervention, the mean anxiety score in the intervention and control groups was 44.05 ± 4.67 and 67.85 ± 6.25, respectively, indicating a statistically significant (P = 0.0001) decrease in the anxiety measured among the intervention group as compared with that of the control group. The results of this study show that 30 min of mandala colouring daily is an effective strategy for reducing anxiety in hospitalized COVID-19 patients. Mandala colouring can complement routine treatment and provides a non-pharmaceutical option for decreasing patient anxiety. © 2021 John Wiley & Sons Australia, Ltd