{"paper_id":"2bf55667-f999-4e94-993e-10b3e789feab","body_text":"ABSTRACT\nIntroduction\nWomen diagnosed with endometriosis often experience heightened anxiety, depression, and a diminished quality of life (QoL). To address these issues, mindful breathing exercises have been introduced aimed at reducing anxiety and depression and enhancing overall QoL. This study aims to evaluate the levels and differences in anxiety, depression, and QoL among women with endometriosis before and after a mindful breathing exercise, between the intervention and control groups.\nMethods\nThis quasi-experimental study involved 108 women with endometriosis, selected through convenience sampling. Participants were divided into two groups: an intervention group (n = 54) and a control group (n = 54).\nResults\nThe mean total anxiety score of the intervention group significantly decreased from 13.22 ± 2.84 at baseline to 6.70 ± 3.11 at T3 (p < 0.01). Similarly, the mean total depression score was reduced from 12.56 ± 3.95 at baseline to 4.31 ± 3.56 at T3 (p < 0.01). Additionally, the mean total QoL score improved from 70.48 ± 19.04 at baseline to 21.28 ± 14.53 at T3 (p < 0.01). These results indicate that the mindful breathing exercises led to statistically significant improvements in anxiety, depression, and QoL.\nConclusion\nThis finding recommended that nursing practices in clinical, educational, and management settings adopt and implement mindful breathing exercises to better support women with endometriosis.\nDisclosure statement\nNo potential conflict of interest was reported by the author(s).\nEthical approval\nThis study received approval from the University Malaya Medical Centre (MRECID.NO: 2,020,525-8672). Participants provided written consent voluntarily, indicating their agreement to participate in the study. There was no coercion or harm involved in obtaining their participation.\nCompliance with ethical standards\nThe study was conducted in compliance with ethical standards.\nConsent for publication\nThe participants gave informed written consent that their anonymised data could be\npublished.","source_license":"CC0","license_restricted":false}