Objectives: The waiting room for surgery is an area set up to improve the surgical turnover rate, but the waiting time for surgery is uncertain. Patients are prone to negative emotions that affect their physiological state during waiting time. This study aims to explore the effect of Mandala painting intervention based on Mandala-self theory on the emotion and physiological state of patients waiting before operation.
Methods: The patients in the control group (n=30) were given routine nursing before operation in the waiting room, and the patients in the intervention group (n=30) were given Mandala painting intervention on the basis of routine nursing. Repeated measurement analysis of variance was used to compare patients' mood, pressure, heart rate, and waiting time of perception after intervention via SPSS 21.0.
Results: Diastolic pressure, heart rate, and happiness and excitement showed no statistical significance in the time effect, intervention effect, and interaction between the 2 factors (all P>0.05). Systolic pressure, fidgety, and pain and sadness showed interaction between the time effect and intervention effect (P<0.05 or P<0.01). The waiting time of perception in the intervention group was significantly shorter than that in the control group (P<0.01).
Conclusions: The application of Mandala painting in the operation waiting room is feasible and can effectively regulate the patients' negative mood and systolic pressure, as well as shorten the waiting time of perception.
目的: 手术等候室是为提高手术周转率而设置的区域，但手术等待时间具有不确定性，在这段时间中患者易有消极情绪从而影响其生理状态。本研究探讨基于曼陀罗-自性理论的曼陀罗绘画干预对术前等候患者情绪及生理状态的影响。方法: 采用类实验研究方法，对照组(n=30)在手术等候室行术前常规护理，干预组(n=30)在常规护理的基础上予以曼陀罗绘画干预，即引导患者在放松后使用彩笔涂色曼陀罗绘画模板。采用重复测量方差分析等方法比较干预前后患者的情绪状态、血压、心率、知觉等待时间。结果: 两组患者的舒张压、心率、愉快与兴奋在时间主效应、干预主效应和两因素交互作用中差异均无统计学意义(均P>0.05)；收缩压、烦躁、痛苦与悲哀存在两因素交互作用(P<0.05或P<0.01)；干预组患者的知觉等待时间短于对照组(P<0.01)。结论: 曼陀罗绘画应用于手术等候室具有可行性，且可有效调节术前等候室患者的负性情绪及收缩压，缩短知觉等待时间。.
Keywords: Mandala painting; blood pressure; emotion; heart rate; waiting time of perception.