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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Female patients undergoing hemodialysis often experience a high symptom burden, including fatigue, pain, pruritus, and sleep disturbances, which adversely affect self-care and quality of life. Non-pharmacological interventions such as art therapy have shown promise in alleviating these symptoms. Mandala coloring, a mindfulness-based creative activity, may promote emotional regulation and enhance self-care behaviors. This study aimed to evaluate the effect of mandala coloring on symptom burden and self-care in female hemodialysis patients.
A randomized controlled trial was conducted with 82 female patients from two dialysis centers in Istanbul between September 2024 and January 2025. Participants were randomly assigned to an intervention group (n=41) or a control group (n=41). The intervention group engaged in weekly mandala coloring sessions for 20–30 minutes during dialysis, over 8 consecutive weeks. Data were collected using the Dialysis Symptom Index (DSI) and the Self-Care Agency Scale for Chronic Dialysis Patients. Pre- and post-intervention measures were compared using t-tests and correlation analyses (p<.05).
At baseline, the intervention group reported higher DSI scores than controls (77.39±14.09 vs. 49.34±24.94, p<.05). Both groups showed significant reductions in symptom scores after 8 weeks, but the intervention group demonstrated a more pronounced decrease (p=0.000). Post-test self-care scores improved significantly in the intervention group compared to controls (28.34±3.40 vs. 26.44±3.30, p=0.012), with notable gains in diet, self-monitoring, hygienic care, and mental state subdomains. A low positive correlation was found between dialysis duration and both DSI and dietary self-care scores (r≈0.23, p<.05).
Mandala coloring reduced symptom burden and enhanced self-care abilities in female hemodialysis patients. Given its simplicity, affordability, and psychological benefits, mandala coloring may be integrated as a complementary therapy into routine dialysis sessions to promote holistic, patient-centered care.