• Suhendra Agung Wibowo Faculty of Nursing, Universitas Airlangga
  • Muhammad Amin Airlangga University Hospital
  • Laily Hidayati Faculty of Nursing, Universitas Airlangga
Keywords: Tuberculosis, psychospiritual, stress, coping strategy


Background: Tuberculosis can cause psychological disorders in a person. Spiritual approaches can be used to improve coping strategies to suppress stress symptoms that arise. Objective: The purpose of this study is to describe the psychospiritual conditions, stress and coping strategies that occur in patients with tuberculosis. Design: The research design uses systematic review based on PRISMA checklist. Data Sources: Using three databases; Scopus, Science Direct and EBSCO. The search was conducted from January to March 2021. The keyword “tuberculosis” OR “pulmonary TB’ OR “psychology” OR “spiritual” OR “stress” OR “coping strategy” was used in this systematic review with journal articles, 2016-2021 publication years and English as searching limitation. Review Methods: JBI Critical Appraisal Tool used to assess the quality of the articles and PRISMA checklist used as a guideline to filter articles. Results: 10 articles were obtained according to the inclusion criteria. The results of the analysis showed 7 articles using a cross sectional design, 2 quasi-experimental, and 1 qualitative study. The number of samples with a cross-sectional design ranged from 45 to 1,342, while articles with a quasi-experimental, qualitative and comparative study design had 32, 15 and 78 patients with pulmonary TB as respondents. Almost all of the psychological conditions in pulmonary TB patients experience stress and coping disorders. The results of the analysis show that spirituality can be used to improve the coping strategies used so as to suppress the stress symptoms that arise. Conclusion: Psychospiritual strategies can be used as a way to improve the coping of TB sufferers and reduce the stress they experience.


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Aizid, R. (2015). Melawan Stres Dan Depresi. Yogyakarta: Saufa.

Ayana, T. M., Roba, K. T., & Mabalhin, M. O. (2019). Prevalence of psychological distress and associated factors among adult tuberculosis patients attending public health institutions in Dire Dawa and Harar cities, Eastern Ethiopia. BMC Public Health, 19(1), 1–9. DOI:

Cho, D., Kim, S., Durrani, S., Liao, Z., & Milbury, K. (2020). Associations Between Spirituality, Mindfulness, and Psychological Symptoms Among Advanced Lung Cancer Patients and Their Spousal Caregivers. Journal of Pain and Symptom Management. DOI:

Gudenkauf, L. M., Clark, M. M., Novotny, P. J., Piderman, K. M., Ehlers, S. L., Patten, C. A., … Yang, P. (2019). Spirituality and Emotional Distress Among Lung Cancer Survivors. Clinical Lung Cancer, 20(6), e661–e666. DOI:

Guyton, & Hall. (2016). Buku Ajar Fisiologi Kedokteran. Singapore: Elsevier.

Herlina, & Agrina. (2019). Spirituality and health status among elderly people in nursing home in Riau, Indonesia. Enfermeria Clinica, 29(xx), 13–15. DOI:

Juliasih, N. N., Mertaniasih, N. M., Hadi, C., Soedarsono, Sari, R. M., & Alfian, I. N. (2020). Factors affecting tuberculosis patients’ quality of life in Surabaya, Indonesia. Journal of Multidisciplinary Healthcare, 13, 1475–1480. DOI:

Loa, R. F. (2018). Facilitators and Barriers to Self-Management of Tuberculosis Patients: A Qualitative Study. International Journal of Integrated Care, 18(s2), 285. DOI:

Mohammedhussein, M., Hajure, M., Shifa, J. E., & Hassen, T. A. (2020). Perceived stigma among patient with pulmonary tuberculosis at public health facilities in southwest Ethiopia: A cross-sectional study. PLoS ONE, 15(12 December), 1–11. DOI:

Nihayati, H. E., Arganata, H., Dian, T. R. R., & Yunita, F. C. (2019). An effect of breath dzikir on the stress level of patients with pulmonary tuberculosis. Indian Journal of Public Health Research and Development, 10(8), 2648–2653. DOI:

Putu, N., Purnama, W., Kurnia, A., & Sari, E. (2020). Comparison of stress level and coping strategy between therapeutic phases in newly diagnosed tuberculosis. 9(2). DOI:

Qiu, L., Tong, Y., Lu, Z., Gong, Y., & Yin, X. (2019). Depressive Symptoms Mediate the Associations of Stigma with Medication Adherence and Quality of Life in Tuberculosis Patients in China. American Journal of Tropical Medicine and Hygiene, 100(1), 31–36. DOI:

Streltsov, V. V., & Zolotova, N. V. (2019). Psychological support for the patient with pulmonary tuberculosis: A case report. Counseling Psychology and Psychotherapy, 27(1), 102–118. DOI:

Sumarsih, T., Wahyuningsih, T., & Sawiji. (2019). Pengaruh Relaksasi Spiritual terhadap Perubahan Tingkat Ansietas dan Stres Pasien Tuberkulosis Paru di RS PKU Muhammadiyah Sruweng. Sekolah Tinggi Ilmu Kesehatan Muhammadiyah Gombong, 645–653. Retrieved from Di akses 13 April 2020

Suryani, Widianti, E., Hernawati, T., & Sriati, A. (2016). Psycho education Decrease the Level of Depression, Anxiety and Stress Among Patient with Pulmonary Tuberculosis. Jurnal Ners, 11(April), 128–133. DOI:

Tiggemann, M., & Hage, K. (2019). Religion and spirituality: Pathways to positive body image. Body Image, 28, 135–141. DOI:

Trinidad-Carrillo, K., Santana-Cercado, R., Castillo-Ñañez, K., Matta-Solis, H., & Meneses-Claudio, B. (2020). Level of depression in tuberculosis patients of Los Olivos health centers. International Journal of Advanced Computer Science and Applications, 11(7), 284–288. DOI:

Venkatraju, B., & Prasad, S. (2013). Psychosocial trauma of diagnosis: A qualitative study on rural TB patients’ experiences in Nalgonda District, Andhra Pradesh. Indian Journal of Tuberculosis, 60(3), 162–167.

Visser, A., de Jager Meezenbroek, E. C., & Garssen, B. (2018). Does spirituality reduce the impact of somatic symptoms on distress in cancer patients? Cross-sectional and longitudinal findings. Social Science and Medicine, 214(August), 57–66. DOI:

Weathers, E., Coffey, A., McSherry, W., & McCarthy, G. (2020). Development and validation of the Spirituality Instrument-27© (SpI-27©) in individuals with chronic illness. Applied Nursing Research, (July), 151331. DOI:

WHO. (2019). Global Tuberculosis Report. Geneva: WHO.

Xu, M., & Markström, U. (2017). Survey on Tuberculosis Patients in Rural Areas in China : Tracing the Role of Stigma in Psychological Distress. International Journal of Environtmental Research and Public Health, 14, 1171. DOI:

Yusuf, A., Nihayati, H. E., Iswari, M. F., & Okviasanti, F. (2016). Kebutuhan spiritual : Konsep dan Aplikasi Dalam Asuhan Keperawatan. Jakarta: Mitra Wacana Media.

How to Cite
Suhendra Agung Wibowo, Amin, M., & Hidayati, L. (2021). PSYCHOSPIRITUAL, STRESS, AND COPING STRATEGY OF PULMONARY TUBERCULOSIS PATIENT: A LITERATURE REVIEW. Nurse and Health: Jurnal Keperawatan, 10(2), 358-369.
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