E-counseling development model: modified Psycho-Spiritual and Spiritual Emotional Freedom Technique (PS-SEFT) on anxiety levels and recovery motivation in pulmonary Tuberculosis patients

Pulmonary Tuberculosis (TB) is one of the leading causes of death globally, including in Indonesia. TB patients often experience anxiety, frustration, irritability, and guilt, influenced by their knowledge, attitudes, beliefs, work, and primarily psychospiritual factors. One form of support provided to these patients is the Psycho-Spiritual and Spiritual Emotional Freedom Technique (PS-SEFT). This research aimed to determine the effect of e-counseling combined with PS-SEFT on anxiety levels and motivation for recovery in TB patients. The study used an experimental, correlational analytical method, with a random sample of 14 respondents suffering from pulmonary tuberculosis. The independent variable was the provision of e-counseling combined with PS-SEFT, and the dependent variables were the levels of anxiety and motivation to recover from TB. Data collection instruments included questionnaires, the HARZ scale, and medical records. Data were processed using various analyses, including the paired t-test and Wilcoxon test. The results showed a significant decrease in anxiety levels after the PS-SEFT intervention, with anxiety reducing by 35.7% from a previously very severe level. Motivation to recover increased significantly, with all 14 patients (100%) showing improvement from moderate to high levels. The Wilcoxon test results indicated a significant difference in the anxiety levels of TB patients before and after the PS-SEFT intervention (p-value=0.005), with the HARZ score decreasing from 95.00 to 32.00. The paired t-test results also showed a significant difference in patient motivation to recover before and after the PS-SEFT intervention (p-value=0.000), with the motivation score increasing from 91.25 to 98.75. Routine PS-SEFT practice by TB patients enhances their ability to manage anxiety and motivates them to recover. The success of these patients must be supported and accompanied by their families.