Effects of Art Therapy on Symptoms and Spiritual Well-Being in Hemodialysis

NCT07398196 | Completed

• 1 other identifier: 887076
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Hemodialysis patients are confronted with a wide range of symptoms that adversely affect their daily functioning. Nurses hold a pivotal role in assessing these symptoms and their consequences, and in implementing evidence-based interventions aimed at enhancing patient well-being. This study designed to examine the effect of art therapy administered during hemodialysis on dialysis-related symptoms and spiritual well-being. This study aims to reduce hemodialysis symptoms and enhance spiritual well-being in patients undergoing hemodialysis by diverting their attention through non-invasive, non-pharmacological interventions such as art therapy. Art therapy is a type of therapy designed to connect patients to life, facilitate their integration into society, and increase their self-respect and self-confidence by developing their skills. Art therapy practices increase a person's mental well-being by reducing anxiety and stress. Studies using art therapy have found that both patients and their caregivers experience an increase in quality of life. However, there are no studies in the literature examining the symptoms experienced by patients during hemodialysis and their effect on spiritual well-being. The research will be conducted on patients undergoing hemodialysis treatment, and patients in the experimental group will receive at least 30 minutes of art therapy during each dialysis session. Data obtained before the start of the study, after 4 weeks of application, and 4 weeks after the end of the application will be compared with the control group data. In addition to its scientific contribution, it is thought that effective symptom management may contribute to the well-being of patients.

Conditions

Art Therapy

Keywords

hemodialysis; dialysis symptoms; spirituality; nursing

Outcome Measures

Primary Outcomes (2)

• Dialysis Syptoms

  The Dialysis Symptom Inventory (DSI) was used, validated and tested for reliability in Turkish by Önsöz and Usta Yeşilbalkan (2013) based on Weisbord et al. (2004). Test scores ranged from 30 to 150, with higher scores indicating more prevalent and stronger symptoms.

  The scale was administered at baseline, 4 weeks post-intervention, and 8 weeks post-intervention.

• Spiritual Well-Being

  The Spiritual Well-Being (SWB) Scale, developed by Breedle and colleagues (2011) and validated and reliability tested in Turkish by Ekşi and Kardaş (2017), was used. It is a five-point Likert-type scale consisting of 12 items. The score obtained from the spiritual well-being scale ranges from 0 to 48. A higher score indicates that patients have a high level of spiritual well-being.

  The scale was administered at baseline, 4 weeks post-intervention, and 8 weeks post-intervention.

Secondary Outcomes (1)

• Patient Satisfaction

  The form was administered 4 weeks post-intervention.

Study Arms (2)

Art Therapy

EXPERIMENTAL

Patients undergoing hemodialysis treatment participated in art therapy sessions three times a week for four weeks during their hemodialysis treatment.

Other: art therapy

Control Group

NO INTERVENTION

Patients in this group did not undergo any intervention and received standard treatment and care during hemodialysis.

Interventions

art therapy OTHER

Art Therapy

Art Therapy

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• undergoing hemodialysis treatment
• volunteering to participate in the study
• fluency in Turkish
• mental competence
• the ability to use their hands effectively

You may not qualify if:

• Five non-Turkish-speaking foreign patients
• patients were excluded due to lack of voluntary participation

Sponsors & Collaborators

• Uludag University: lead

Study Sites (1)

Kütahya Health Sciences University Evliya Çelebi Training and Research Hospital

Kütahya, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Art Therapy

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Seda Pehlivan, Associate Professor

  Bursa Uludağ Üniversitesi

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: February 2, 2026
• First Posted: February 9, 2026
• Study Start: November 1, 2022
• Primary Completion: April 1, 2023
• Study Completion: June 1, 2023
• Last Updated: February 12, 2026

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)