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The Effect of a Mandala Coloring-Based Nursing Intervention on Perceived Nursing Image and Anxiety in Children Hospitalized in a Pediatric Clinic: A Randomized Controlled Trial

The Effect of a Mandala Coloring-Based Nursing Intervention on Perceived Nursing Image and Anxiety in Children Hospitalized in a Pediatric Clinic: A Randomized Controlled Trial

Recruiting
8-11 years
All
Phase N/A

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Overview

The purpose of this study is to evaluate the effect of a mandala coloring-based nursing intervention on perceived nursing image and state anxiety levels in children aged 8-11 years hospitalized in a pediatric clinic.

Description

The study will be conducted as a randomized controlled trial at the Pediatric Clinic of Kilis Alaeddin Yavaşça State Hospital. A total of 64 children meeting the inclusion criteria will be randomly assigned to the intervention (n=32) and control (n=32) groups. Children in the intervention group will receive a mandala coloring-based nursing intervention for 20 minutes once a day for three consecutive days, while the control group will receive routine clinical care. Data will be collected using a Descriptive Information Form, the Children's Perceived Nursing Image Scale, and the State Anxiety Inventory for Children. State anxiety will be evaluated at baseline, on the third day, and before discharge, while perceived nursing image will be evaluated at baseline and before discharge.

Eligibility

Inclusion Criteria:

  • Aged between 8 and 11 years
  • Hospitalized in the Pediatric Clinic of Kilis Alaeddin Yavaşça State Hospital
  • Expected hospitalization for at least three more days based on clinical evaluation and having no clinical impediment to completing the 3-day intervention protocol
  • Able to read and write in Turkish with adequate cognitive ability to understand questions
  • Willingness of both child and parent to participate, with written informed consent provided by the parent
  • Being able to communicate at an adequate level

Exclusion Criteria:

  • Inability to complete the 3-day intervention protocol due to early discharge or other reasons
  • Deterioration of the child's clinical condition preventing continuation of the application
  • Inability to complete data collection or outcome measurement procedures
  • Request by the child or parent to withdraw from the study at any stage

Study details
    Attitude to Health

NCT07845123

Artvin Coruh University

20 October 2026

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