The Effect of Mandala on Anxiety and Fear Levels in Children With Leukemia Before Intrathecal Chemotherapy Treatment
Ege University
60 participants
Sep 29, 2025
INTERVENTIONAL
Conditions
Summary
This study aims to examine the effect of mandala coloring activity, administered before intrathecal chemotherapy treatment in children with leukemia, on pre-procedure anxiety and fear in children. The main question this study aims to answer is: Does mandala coloring administered before intrathecal chemotherapy treatment reduce pre-procedure anxiety and fear in children with leukemia? Descriptive demographic data will be collected from the children who will be given mandalas. Data will be collected using an Anxiety Scale and a Fear Scale.
Eligibility
Inclusion Criteria10
- The patient must be between 4 and 12 years of age.
- The patient must be hospitalized and followed up at the Pediatric Hematology Clinic.
- The patient must only be receiving leukemia treatment.
- The patient must not have any other chronic diseases.
- The patient must not have any systemic infections.
- The patient has received at least two courses of intrathecal chemotherapy treatment
- The patient does not have a diagnosis of psychological/mental symptoms as a side effect of chemotherapy treatment
- Intrathecal treatment will be administered to the patient in accordance with the chemotherapy protocol
- The patient and the caregiver parent are volunteers
- The caregiver parent speaks Turkish and is open to communication.
Interventions
After the child and parent agree to participate in the study and the child indicates that they wish to do the mandala exercise, the child will be seated in a comfortable position to paint. Thirty minutes before the start of the intrathecal chemotherapy procedure (children who will receive intrathecal chemotherapy at the clinic are identified and scheduled the day before), the child, their parent, and a nurse independent of the study will be assessed using the "Child Anxiety Scale-State (ÇAS-D)" and the "Child Fear Scale." The mandala coloring activity will then continue until the child wishes to stop (the activity will be ensured to last at least 30 minutes). When the child is called to the procedure room for intrathecal chemotherapy, the scale assessments will be repeated. Thirty minutes after the intrathecal chemotherapy procedure is completed and the child has emerged from the effects of general anesthesia, the scales will be reassessed and recorded by the same i
Locations(1)
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NCT07203742