The Effect of Origami Activities on Comfort Level and Quality of Life

The Effect of Origami Activities on Comfort Level and Quality of Life in Patients Undergoing Hemodialysis Treatment

This study was conducted to evaluate the effect of origami activity on the comfort levels and quality of life of patients undergoing HD treatment.

Study Overview

• Status: Enrolling by invitation
• Conditions: Hemodialysis Complication
• Intervention / Treatment: Other: origami

Detailed Description

Patients undergoing HD treatment must undergo dialysis 2-3 days a week, spend approximately 4 hours per day at the dialysis center, remain dependent on a center and caregiver throughout the treatment, experience mobility limitations, and experience disruptions in their social relationships. Patients can receive adequate treatment only if their physical, mental, and biochemical well-being are maintained.

Activities implemented by dialysis nurses during hemodialysis can be beneficial for HD patients. Art therapy, which is frequently of interest to individuals (painting, drawing, coloring, mandala painting, mural painting, clay modeling, collage, sculpture, ceramics, and model making), is a therapeutic activity that reduces anxiety, increases awareness, facilitates recovery from trauma, and improves social skills and self-esteem. Its benefits have been proven in various patient groups. Origami art is an art therapy known to provide behavioral, social, emotional, and psychomotor developmental benefits, and its therapeutic effects in HD patients have not been previously studied. In this context, this study aims to make a new scientific contribution to the literature of non-pharmacological nursing interventions by examining the effect of a 12-session origami activity on the comfort level and quality of life of patients undergoing hemodialysis treatment.

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Van, Turkey (Türkiye), 65030
    • Van Özel Diyaliz Merkezi

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• 18 years of age or older,
• Literate,
• Undergoing continuous hemodialysis treatment for at least six months,
• Receiving hemodialysis treatment three days a week,
• No visual impairment,
• No communication or perception problems and able to communicate in Turkish,
• No issues (wounds, arthritis, orthopedic impairments, etc.) in the upper extremities that would prevent paper folding,
• No arteriovenous fistula in the dominant arm used for folding,
• Has not received a psychiatric diagnosis and is not taking psychiatric medication,
• Voluntarily agrees to participate in the study,
• Has not previously participated in an activity such as origami.

Exclusion Criteria:

• Receiving dialysis treatment as an outpatient,
• Wishing to withdraw from the study at any stage

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: intervention; group doing origami activities	Other: origami; origami activity during a hemodialysis session
No Intervention: Control grup; The group that did not undergo any intervention during hemodialysis and received routine care from nurses

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hemodialysis Comfort Scale-Version II	Due to the insufficient number of items in the previously developed Hemodialysis Comfort Scale Koşar and colleagues developed the Hemodialysis Comfort Scale -Version II (HDCS-II) scale was developed by Koşar and colleagues, and the same authors conducted validity and reliability studies. The scale consists of 26 items, and the responses to the items are prepared on a five-point Likert scale: never, very rarely, sometimes, very often, always.The scale has six subscales: physical relief, physical relaxation, psychospiritual relaxation, psychospiritual empowerment, environmental empowerment, and sociocultural relaxation. While the scale includes both reverse-scored and forward-scored items, the number of reverse-scored items is predominant. As the score on the scale increases, the patient's comfort also increases.	Change in comfort at the beginning of the intervention and at the end of the second week and at the end of the fourth week
Kidney Disease Quality of Life Short Form (KDQOLTM-SF 36.1.3)	The Turkish reliability and validity of the scale developed by Hayy et al. (1994) was established by Yıldırım et al. (2007). The scale consists of 36 items divided into 5 dimensions. These subdimensions are symptom/problem list (12 items), impact of kidney disease (8 items), and burden of kidney disease (4 items). The Likert method is used for scoring each item. Scores range from 0 to 100 in each dimension.	Change in comfort at the beginning of the intervention and at the end of the fourth week

Collaborators and Investigators

• Sponsor: Kafkas University
• Investigators: Study Director: Ayşe Gül Parlak, PhD, Kafkas University Health Science Faculty

Study record dates

Study Major Dates

• Study Start (Actual): December 8, 2025
• Primary Completion (Estimated): January 8, 2026
• Study Completion (Estimated): January 10, 2026

Study Registration Dates

• First Submitted: November 24, 2025
• First Submitted That Met QC Criteria: December 8, 2025
• First Posted (Actual): December 22, 2025

Study Record Updates

• Last Update Posted (Actual): December 22, 2025
• Last Update Submitted That Met QC Criteria: December 8, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: Quality of life; Hemodialysis; Comfort; Origami
• Other Study ID Numbers: KAU-SBF-HA-01

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No