The mandala coloring method allows patients to focus their attention on a circle and use colors with repetitive movements. This state of focus and relaxation can have positive effects on anxiety and other negative moods. There are a limited number of studies in the literature on the use of mandala coloring in children. Therefore, the study was designed to investigate the effects of mandala coloring on pain, stress, and sleep quality in children hospitalized in the burn unit.
Both the parent and the child are willing to participate in the study.
Child is between 6 and 12 years of age.
Burn degree is 1st or 2nd degree.
The child does not have an acute psychiatric diagnosis (e.g., severe anxiety disorder, psychotic conditions).
Parent or child is not willing to participate in the study.
Burn degree is 3rd or 4th degree.
The child has any chronic illness.
The child has a developmental disorder.
Parallel
Mandala Coloring
BehavioralChildren hospitalized in the burn unit will participate in structured mandala coloring sessions. Each session will last approximately 30 minutes and will be conducted once daily for 7 consecutive days. Children will be provided with printed mandala patterns and coloring materials, and the sessions will be supervised by the research team. The purpose of the intervention is to reduce pain and stress levels and improve sleep quality in burn patients.
Control - Standard Care
Other interventionChildren in the control group will receive routine burn unit care without any additional interventions. No mandala coloring sessions will be provided.
Pain Level
Pain levels will be assessed using the Wong-Baker FACES Pain Rating Scale, which is validated for children. Scores range from 0 (no pain) to 10 (worst pain).
Stress Level
Stress levels will be measured using the Perceived Stress Scale for Children (ages 7-11). Higher scores indicate greater perceived stress.
Sleep Quality
Sleep quality will be evaluated using the Children's Sleep Habits Questionnaire. Higher scores indicate poorer sleep quality.
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