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Gambaran Kejadian dan Tingkat Kecemasan pada Lanjut Usia Rindayati Rindayati; Abdul Nasir; Yuni Astriani
Jurnal Kesehatan Vokasional Vol 5, No 2 (2020): Mei
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (619.158 KB) | DOI: 10.22146/jkesvo.53948

Abstract

Latar Belakang: Lanjut usia merupakan tahap terakhir dari proses pertumbuhan seorang manusia. Pada lanjut usia terjadi perubahan baik secara biologis, emosional maupun psikososial yang berpotensi memunculkan masalah kesehatan, dimana salah satunya adalah terjadinya kecemasan.Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui gambaran kejadian dan tingkat kecemasan pada lanjut usia.Metode: Desain pada penelitian ini adalah deskriptif, dengan populasi lanjut usia sesuai dengan kriteria inklusi dan kegiatan Posyandu dilakukan di Desa Wedani Cerme Gresik, pada 23 Juni 2018 dimana lanjut usia turut mengunjungi. Teknik pengambilan sampel menggunakan total sampling dengan sampel sebanyak 41 responden. Pengumpulan data menggunakan kuesioner Hamilton Anxiety Rating Scale. Etical Approvel oleh Fakultas Keperawatan Universitas Airlangga nomor 771-KEPK, 23 April 2018.Hasil: Hasil penelitian ini 56% tidak terjadi kecemasan dan 44% terjadi kecemasan, dimana seluruhnya dengan tingkat kecemasan ringan.Kesimpulan: Kemunduran yang terjadi pada lanjut usia dapat mengakibatkan kecemasan pada sebagian orang, dan tidak pada sebagian yang lain. Perhatian, rasa aman dan penyediaan fasilitas kesehatan sangat penting diberikan kepada lanjut usia untuk mencegah terjadinya kecemasan dan solusi bagi yang mengalami kecemasan.
Depression, Anxiety, Coping Strategies and Quality of Life of the Elderly During the Covid-19 Pandemic Iswatun Iswatun; Ah. Yusuf; Joko Susanto; Makhfudli Makhfudli; Abd. Nasir; Amellia Mardhika
International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i4.21768

Abstract

Background and aims. Covid-19 is currently a global health problem, with the spread and transmission to the population almost all over the world. This has a psychological impact on the elderly which will affect mental health and quality of life. This study aims to identify the relationship of depression, anxiety, coping strategies with the quality of life of the elderly during the covid-19 pandemic in Lamongan. Method and materials. This study uses a cross sectional design, the population is all the elderly in the Lamongan area. The sampling technique used cluster sampling technique, with a total sample of 232 respondents. The independent variables are depression, anxiety and coping strategies, while the dependent variable is the quality of life of the elderly. Instruments for depression used the Geriatric Depression Scale (GDS 15), anxiety using the Geriatric Anxiety Inventory (GAI) and quality of life using the WHOQOOL-BRIEF questionnaire. Data were analyzed using the Multiple linear regression test.Result. The results showed that there was a relationship between depression and quality of life (ρ=0.001), there was a relationship between anxiety and quality of life (ρ=0.000) and there was also a relationship between coping strategies and quality of life (ρ=0.027). Conclusion. The study provides important information about the psychological impact of developing appropriate psychological interventions to improve mental health and quality of life, especially for at-risk groups, especially the elderly.
HUBUNGAN PENGETAHUAN DAN KECEMASAN IBU DALAM MENDAMPINGI ANAK BERKEBUTUHAN KHUSUS DI SLB CERME GRESIK Abd Nasir
Journals of Ners Community Vol 9 No 2 (2018): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (636.265 KB) | DOI: 10.5281/j ners community.v9i2.651

Abstract

ABSTRAKLatar Belakang Kelainan yang dimiliki oleh anak berkebutuhan khusus menimbulkan berbagai reaksi dari ibu yang memicu terjadinya kecemasan akibat tuntutan yang tinggi agar anaknya bisa hidup normal seperti anak-anak lain pada umumnya. Rentang respon yang dimiliki ibu mulai dari sangat mencemaskan akan keberadaan di lingkungan sekitar akibat kekurangan yang dimiliki hingga bersikap realistis dan objektif dalam menerima kondisi anaknya.Tujuan. Penelitian ini untuk mengetahui hubungan antara pengetahuan dengan tingkat kecemasan ibu dalam mendampingi anak berkebutuhan khusus di SLB Cerme Kabupaten GresikMetoda. Penelitian Desain penelitian ini menggunakan desain deskriptif analitik observasional dengan pendekata Cross Sectional. Responden pada penelitian ini adalah 42 ibu dari anak berkebutuhan khusus yang sekolah di SLB Cerme. Tehnik pengambilan sampel dengan menggunakan purposive sampling.Hasil. Berdasarkan uji statistic dengan menggunakan Korelasi Sperman Rank diketahui ada hubungan antara pengetahuan (p=0.000) dengan tingkat kecemasan (p=0.000) ibu dalam mendampingi anak berkebutuhan khususKesimpulan. Hasil ini menunjukkan bahwa pemahaman tentang anak berkebutuhan khusus harus dimiliki oleh ibu dalam mendampingi anak berkebutuhan khusus agar tidak mudah mengalami kecemasan.Kata Kunci : Pengetahuan, Kecemasan, anak Berkebutuhan Khusus,. Ibu ABSTRACTBackground. Abnormalities possessed by children with special needs cause various reactions from mothers that trigger anxiety due to high demands for children to live normal like other children in general. Response ranges of mother from the very worried about the existence in the environment due to lack of owned to be realistic and objective in accepting the condition of his son.Aim. This research is to know the relationship between knowledge with mother's anxiety level in assisting children with special needs in SLB Cerme Kabupaten GresikMethod. Research The design of this study used descriptive analytic observational design with Cross Sectional. Respondents in this study were 42 mothers of children with special needs who school at SLB Cerme. Sampling technique using purposive sampling.Results. Based on statistical test using Rank Sperman correlation, there is known relationship between knowledge (p = 0.000) and anxiety level (p = 0.000) of mothers in assisting children with special needsConclusion. These results indicate that understanding of children with special needs should be owned by the mother in assisting children with special needs so as not easy to experience anxiety.Keywords: Knowledge, Anxiety, Children with Special Needs ,. MotherDOI: 10.5281/zenodo.2632042
THE EXPERIENCE OF SHADOW TEACHERS IN HELPING CHILDREN WTH SPECIAL NEEDS IN TELOGO PATUT ELEMENTARY SCHOOL I GRESIK Abd Nasir; Indah Winarni; Retno Lestari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2900.009 KB) | DOI: 10.21776/ub.jik.2018.006.01.1

Abstract

Shadow teacher in their profession are always dealing with special needs children who have intellectual impairment, behavioral and emotional disorders and learning disorders. This is an exhausting job because shadow teachers should be able to ensure that the child is always adaptive during the lesson. Shadow teacher also must know how to adapt to the child’s character, and this task also spends a lot of time. However, the existence of children in the class is not supported by good learning guidelines. The purpose of this study was to explore the experience of shadow teachers with the child with special needed. This qualitative research used Interpretative phenomenology research design and data analysis used interpretative phenomenology analysis approach. Data collection process used in-depth interviews and observations, and this research involved six participants. This research produced 9 themes: (1) believe that this work is a blessing from Allah, (2) feel that there is a wisdom from helping each others (3) exhausting for mind and emotions, (4) feel not confident at the beginning of his profession, (5) havea feeling that this job is a meaningful job, (6) believe that the children can be disciplined with strict rules, (7) believe that visualization is the way to make children’s focus increased, (8) feel that togetherness must be build together with the children, and (9) feel that government and society’s concern to these children with special needs is still lacking. Guiding and leading children with special needs is hard to do, but if this job is done with a wholehearted feeling it can make an incredible effort and can make the children with special needs can live peacefully in the middle of society.Shadow teacher in their profession are always dealing with special needs children who have intellectualimpairment, behavioral and emotional disorders and learning disorders. This is an exhausting jobbecause shadow teachers should be able to ensure that the child is always adaptive during the lesson.Shadow teacher also must know how to adapt to the child’s character, and this task also spends a lotof time. However, the existence of children in the class is not supported by good learning guidelines.The purpose of this study was to explore the experience of shadow teachers with the child with specialneeded. This qualitative research used Interpretative phenomenology research design and data analysisused interpretative phenomenology analysis approach. Data collection process used in-depth interviewsand observations, and this research involved six participants. This research produced 9 themes: (1)believe that this work is a blessing from Allah, (2) feel that there is a wisdom from helping each others(3) exhausting for mind and emotions, (4) feel not confident at the beginning of his profession, (5) havea feeling that this job is a meaningful job, (6) believe that the children can be disciplined with strictrules, (7) believe that visualization is the way to make children’s focus increased, (8) feel thattogetherness must be build together with the children, and (9) feel that government and society’sconcern to these children with special needs is still lacking. Guiding and leading children with specialneeds is hard to do, but if this job is done with a wholehearted feeling it can make an incredible effortand can make the children with special needs can live peacefully in the middle of society.
Pelatihan pengelolaan hipertensi dan Hydrotherapy sebagai upaya Peningkatan Pengetahuan dan Penurunan Tekanan Darah Ilkafah Ilkafah; Joko Susanto; Joni Haryanto; Anestasia Pangestu Mei Tyas; Khotibul Umam; Abd Nasir; Amellia Mardhika; Makhfudli Makhfudli
Lumbung Inovasi: Jurnal Pengabdian kepada Masyarakat Vol. 8 No. 3 (2023): September
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/linov.v8i3.1414

Abstract

Hipertensi masih menjadi masalah utama gangguan kesehatan teruatama pada lansia. Prevalensi penderita hipertensi di Indonesia dan Jawa Timur semakin meningkat setiap tahunnya. Tekanan darah yang tidak terkontrol banyak diakibatkan karena tingginya konsumsi garam dan kurangnya pengetahuan. Penatalaksanaan hipertensi bisa dilakukan dengan terapi nonfarmakologi salah dengan hydrotherapy. Tujuan kegiatan pengabdian ini adalah untuk memberikan pelatihan berupa pengelolaan hipertensi, pengaturan menu rendah garam, serta terapi rendam kaki dengan air hangat. Sasaran pengabdian ini adalah lansia penderita hipertensi di Desa Dlanggu dengan 2 mitra yaitu Desa Dlanggu yang dikoordinatori oleh bidan desa dan Puskesmas Deket Kabupaten Lamongan. Metode pengabdian ini dilakukan dengan memberikan penyuluhan serta pelatihan, kemudian melakukan demonstrasi pengaturan menu rendah garam dan rendam kaki air hangat (hydrotherapy) dan evaluasi terhadap kegiatan yang sudah dilakukan. Hasil pengabdian ini adalah terjadi peningkatan pengetahuan lansia (p=0,026) dan terjadi penurunan tekanan darah baik systole (p=0,019), maupun tekanan darah diastole (p=0,032) sebelum dan setelah pelatihan selama 2 sesi. Kegiatan pengabdian ini bermanfaat bagi lansia penderita hipertensi berupa pengetahuan yang meningkat, peningkatan ketrampilan dalam pengelolaan hipertensi terutama pengaturan menu rendah garam, serta ketrampilan dalam pelaksanaan terapi rendam kaki air hangat. Hypertension management and hydrotherapy Training to increase knowledge and reduce blood pressure Hypertension is still a major health problem, especially in the elderly. The prevalence of hypertension sufferers in Indonesia and East Java is increasing every year. Uncontrolled blood pressure is mostly caused by high salt consumption and lack of knowledge. Management of hypertension can be done with non-pharmacological therapy, which is hydrotherapy. The purpose of this activity is to provide training for managing hypertension, setting a low-salt menu, and doing hydrotherapy. The target of this service is the elderly with hypertension in Dlanggu Village with 2 mitra, namely Dlanggu Village which is coordinated by the midwife and the Deket Public Health Center, Lamongan Regency. The method in this activity is to provide counseling and training, then demonstrate a low-salt menu and warm foot soaks (hydrotherapy) and evaluate the activities that have been carried out. The results of this activity were an increase in the knowledge of the elderly (p=0.026) and a decrease in both systolic blood pressure (p=0.019) and diastolic blood pressure (p=0.032) before and after training for two sessions. This activity is beneficial for elderly people with hypertension. the elderly has increased knowledge and skills in managing hypertension, especially setting a low-salt menu, as well as skills in implementing warm water foot soak therapy (hydrotherapy).
Pemberdayaan Guru dan Siswa dalam Pelaksanaan SPAB untuk Meningkatkan Kemampuan Mitigasi Bencana Pergeseran Tanah di SMAN 1 Kembangbahu Lamongan Okviasanti, Fanni; Mardhika, Amellia; Qona’ah, Arina; Pangestu Mei Tyas, Anestasia; Rahmadi Purwanto, Cucuk; Harianto, Susilo; Ilmy Muhalla, Hafna; Nasir, Abd.
J-Dinamika : Jurnal Pengabdian Masyarakat Vol 9 No 2 (2024): Agustus
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Situasi bencana alam secara langsung maupun tidak langsung memberikan dampak yang signifikan pada berbagai sektor masyarakat, salah satunya sektor pendidikan. SMAN 1 Kembangbahu Lamongan menjadi salah satu sekolah yang terdampak bencana pergeseran tanah. Bencana ini menyebabkan banyak retakan pada bangunan sekolah, baik di dinding maupun lantai ruang kelas dan sepanjang koridor luar kelas. Permasalahan yang dihadapi mitra antara lain belum terdapat tim satuan tugas bencana di tempat mitra, pengetahuan dan keterampilan guru serta siswa tentang kebencanaan masih minim (kurang), aktivitas pembelajaran terganggu karena merasa tidak nyaman dan khawatir jika sewaktu-waktu bangunan sekolah roboh, dan mitra belum pernah terpapar pendidikan tentang kebencanaan sebelumnya. Upaya yang dilakukan untuk mengatasi permasalahan tersebut melalui 4 tahap, yaitu: 1) Pembentukan tim satuan tugas bencana di tingkat sekolah, 2) Pelatihan guru dan siswa tentang SPAB, 3) Pendampingan kepada guru dan siswa dalam melaksanakan SPAB di tingkat satuan pendidikan, dan 4) Evaluasi dan perumusan rencana tindak lanjut pada guru dan siswa tentang pelaksanaan program SPAB di tingkat satuan pendidikan. Luaran yang telah dihasilkan dari kegiatan ini adalah terbentuknya tim satuan tugas bencana di tingkat sekolah serta seluruh guru dan siswa yang tergabung dalam tim satuan tugas bencana memiliki pengetahuan dan keterampilan yang memadai untuk melakukan mitigasi bencana.
Pengalaman Spiritual dan Kecerdasan Emosional dalam Menghadapi Stres dan Beban Caregiver Skizofrenia Rindayati, Rindayati; Nasir, Abd; Illahiati, Nisa Kurnia
Jurnal Kesehatan Vokasional Vol 9, No 3 (2024): August
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.98928

Abstract

Latar   Belakang:    Perawatan penderita skizofrenia merupakan tugas yang menantang dan seringkali membebani secara fisik, emosional, dan mental bagi para caregiver. Pengalaman spiritual dapat memberikan rasa tenang dan meringankan tekanan emosional yang dirasakan. Adapun kecerdasan emosional bermanfaat untuk mengelola emosi dalam menghadapi stres dan bebanTujuan:     Penelitian bertujuan untuk mengeksplorasi pengalaman spiritual dan kecerdasan emosionaldalam menghadapi stres dan beban pada caregiver yang merawat penderita skizofrenia.Metode:  Desain penelitian ini adalah kualitatif dengan pendekatan fenomenologis. Teknik pengambilan data menggunakan purposive sampling untuk pemilihan caregiver yang merawat penderita skizofrenia di kabupaten Gresik dengan jumlah sebanyak dua puluh lima partisipan. Wawancara secara semi terstruktur dengan melakukan indhept interview menggunakan hand phone, observasi dicatat dengan file note, dan analisis data menggunakan interpretative phenomenology analysis.Hasil:  Tema yang ditemukan mewakili spiritual dan kecerdasan emosional dalam menghadapi stres dan beban yang dilakukan caregiver adalah 1) perilaku penderita skizofrenia menyebabkan beban dan stres, 2) spiritual memberikan ketenangan dan motivasi, 3) kecerdasan emosional membantu mengelola stres dan beban.Kesimpulan:     Hasil penelitian ini menekankan pentingnya intervensi spiritual dan edukasi kecerdasan emosional bagi caregiver dalam meningkatkan kesejahteraan dan kualitas perawatan pada penderita skizofrenia.
OPTIMIZING ELDERLY HEALTH THROUGH NUTRITIONAL COUNSELING EFFORTS AND EARLY DETECTION: OPTIMALISASI KESEHATAN LANSIA MELALUI UPAYA PENYULUHAN ZAT GIZI DAN DETEKSI DINI Rindayati; Abd Nasir; Susilo Harianto; Emuliana Sulpat; Hafna Ilmy Muhalla; Sofiatun
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 6 No. 2 (2024): DECEMBER 2024
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V6.I2.2024.148-153

Abstract

Background: Elderly are susceptible to various health problems, where one aspect that greatly influences the health of the elderly is the fulfillment of proper nutritional needs. Objective: This activity aims to increase knowledge about optimizing the health of the elderly through nutritional counseling and early detection status. Method: The method used is to provide counseling through lectures and then discussion sessions. The evaluation of this activity using a pre-test and post-test were carried out 10 questions with a score of 10 for each question. The total score was averaged to obtain the mean score. Early detection through measuring body weight, cholesterol levels, blood sugar and uric acid to determine the health problems of the elderly. Results: The results of the activity were that the elderly who attended 76 people experienced an increase in knowledge about nutrients, from the answers to questions given to 15 counseling participants. Health checks found values above normal, namely 7 people's weight, 9 people's blood pressure, 6 people's blood sugar, 8 people's cholesterol, and 5 people's uric acid, while values below normal were 4 people's weight. This activity also increased participants' knowledge from an average pretest score of 56 to a post-test of 85. Conclusion: Nutrition counseling and health checks have the potential to have a positive impact on the health and quality of life of the elderly. The importance of nutritional education and early detection of elderly health problems so that the quality of life of the elderly is maintained.
HUBUNGAN PENGETAHUAN DAN KECEMASAN IBU DALAM MENDAMPINGI ANAK BERKEBUTUHAN KHUSUS DI SLB CERME GRESIK Nasir, Abd
Journals of Ners Community Vol 9 No 2 (2018): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v9i2.651

Abstract

ABSTRAKLatar Belakang Kelainan yang dimiliki oleh anak berkebutuhan khusus menimbulkan berbagai reaksi dari ibu yang memicu terjadinya kecemasan akibat tuntutan yang tinggi agar anaknya bisa hidup normal seperti anak-anak lain pada umumnya. Rentang respon yang dimiliki ibu mulai dari sangat mencemaskan akan keberadaan di lingkungan sekitar akibat kekurangan yang dimiliki hingga bersikap realistis dan objektif dalam menerima kondisi anaknya.Tujuan. Penelitian ini untuk mengetahui hubungan antara pengetahuan dengan tingkat kecemasan ibu dalam mendampingi anak berkebutuhan khusus di SLB Cerme Kabupaten GresikMetoda. Penelitian Desain penelitian ini menggunakan desain deskriptif analitik observasional dengan pendekata Cross Sectional. Responden pada penelitian ini adalah 42 ibu dari anak berkebutuhan khusus yang sekolah di SLB Cerme. Tehnik pengambilan sampel dengan menggunakan purposive sampling.Hasil. Berdasarkan uji statistic dengan menggunakan Korelasi Sperman Rank diketahui ada hubungan antara pengetahuan (p=0.000) dengan tingkat kecemasan (p=0.000) ibu dalam mendampingi anak berkebutuhan khususKesimpulan. Hasil ini menunjukkan bahwa pemahaman tentang anak berkebutuhan khusus harus dimiliki oleh ibu dalam mendampingi anak berkebutuhan khusus agar tidak mudah mengalami kecemasan.Kata Kunci : Pengetahuan, Kecemasan, anak Berkebutuhan Khusus,. Ibu ABSTRACTBackground. Abnormalities possessed by children with special needs cause various reactions from mothers that trigger anxiety due to high demands for children to live normal like other children in general. Response ranges of mother from the very worried about the existence in the environment due to lack of owned to be realistic and objective in accepting the condition of his son.Aim. This research is to know the relationship between knowledge with mother's anxiety level in assisting children with special needs in SLB Cerme Kabupaten GresikMethod. Research The design of this study used descriptive analytic observational design with Cross Sectional. Respondents in this study were 42 mothers of children with special needs who school at SLB Cerme. Sampling technique using purposive sampling.Results. Based on statistical test using Rank Sperman correlation, there is known relationship between knowledge (p = 0.000) and anxiety level (p = 0.000) of mothers in assisting children with special needsConclusion. These results indicate that understanding of children with special needs should be owned by the mother in assisting children with special needs so as not easy to experience anxiety.Keywords: Knowledge, Anxiety, Children with Special Needs ,. MotherDOI: 10.5281/zenodo.2632042
Coping Strategies of Women with Breast Cancer Undergoing Chemotherapy During the COVID-19 Pandemic: A Qualitative Study Harianto, Susilo; Nursalam, Nursalam; Maryam, Dewi; Nasir, Abd; Purwanto, Cucuk Rahmadi; Muhalla, Hafna Ilmy; Sulpat, Emuliana; Mardhika, Amellia; Soares, Domingos
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.56922

Abstract

Background: Chemotherapy is the primary treatment for breast cancer to prevent cancer progression, but health protocols, such as social distancing during the COVID-19 pandemic, hinder timely treatment. Although many qualitative studies have investigated the experiences of breast cancer patients during the COVID-19 pandemic, few have explored the coping strategies of women undergoing chemotherapy during this time.Purpose: This study explored the coping strategies of women with breast cancer undergoing chemotherapy during the COVID-19 pandemic.Methods: A qualitative phenomenological design was employed to explore the experiences of women living with breast cancer and their coping mechanisms. Purposive sampling was used to recruit participants who met the following criteria: (1) women diagnosed with breast cancer who had chosen to undergo chemotherapy and (2) women attending chemotherapy sessions at the treatment center. Patients with a history of severe chemotherapy side effects were excluded from the study. Data were collected through in-depth, semi-structured interviews with 25 participants, and transcripts were analyzed using thematic analysis.Results: Four key themes emerged from the data analysis, including (1) feeling the uncertainty of life, (2) emotional turbulence, (3) surviving under pressure, and (4) accepting the situation. Participants demonstrated positive adaptive coping strategies to manage the challenges of breast cancer and chemotherapy during the COVID-19 pandemic.Conclusion: Surviving and accepting conditions were identified as vital coping mechanisms that help women with breast cancer maintain their quality of life during the COVID-19 pandemic. These strategies play a crucial role in maintaining mental well-being amid uncertain and stressful circumstances.