DEVELOPMENT OF KOLCABA-BASED ISLAMIC SPIRITUAL NURSING CARE FOR PATIENTS WITH CHRONIC ILLNESSES

Aris Citra Wisuda; Citra Suraya; Isrizal; Dian Emiliasari

doi:10.35328/zf4gnw97

Authors

Aris Citra Wisuda Nursing Profession Study Program, Sekolah Tinggi Ilmu Kesehatan Bina Husada, Palembang 30131, Indonesia
Citra Suraya Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Bina Husada, Palembang 30131, Indonesia
Isrizal Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Bina Husada, Palembang 30131, Indonesia
Dian Emiliasari Nursing Study Program, Sekolah Tinggi Ilmu Kesehatan Bina Husada, Palembang 30131, Indonesia

DOI:

https://doi.org/10.35328/zf4gnw97

Keywords:

Comprehensive Islamic Spiritual Nursing Care, Kolcaba’s Theory, Chronic Disease, Psychological Disorders, Patient Comfort

Abstract

Chronic illnesses account for approximately 74% of global deaths, with cardiovascular disease, diabetes mellitus, chronic kidney disease, and cancer contributing substantially to morbidity and mortality. More than one-third of patients with chronic illnesses experience psychological disorders, including anxiety, depression, and spiritual distress, which negatively affect quality of life, treatment adherence, and recovery outcomes. Despite the importance of spiritual care in holistic nursing, psychospiritual needs often remain inadequately addressed. This study aimed to develop and evaluate the effectiveness of a Kolcaba-Based Islamic Spiritual Nursing Care (KISNC) model for patients with chronic illnesses experiencing psychological distress. A Research and Development (R&D) study with a mixed-methods approach was conducted at Siti Khadijah Islamic Hospital from April to August 2025. Model development involved needs assessment, literature synthesis, integration of Kolcaba’s Comfort Theory with Islamic spiritual principles, expert validation, model refinement, and pilot implementation. Effectiveness testing employed a quasi-experimental one-group pretest–posttest design involving 33 patients with chronic illnesses. Outcome measures included comfort, anxiety, depression, and spiritual distress. The developed model demonstrated excellent content validity (S-CVI = 0.92). Following implementation, comfort scores increased significantly, while anxiety, depression, and spiritual distress decreased significantly (all p < 0.001). Large intervention effects were observed, with effect sizes ranging from 1.03 to 1.21. The greatest improvement occurred in the psychospiritual comfort domain. The KISNC model was valid, feasible, acceptable, and effective in improving holistic comfort while reducing psychological distress and spiritual suffering among hospitalized patients with chronic illnesses. The model offers an evidence-based, culturally sensitive, and spiritually integrated nursing intervention for comprehensive nursing practice.

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