This study explores therapeutic communication carried out by Islamic spiritual nurses in supporting hemodialysis patients at the UPT Dr. Soekarjo Regional General Hospital, Tasikmalaya. Hemodialysis that requires long-term treatment often affects the physical and psychological condition of the patient. Therapeutic communication is an effective approach in building trusting relationships, supporting patients emotionally, and strengthening their spirituality. This study uses qualitative methods with in-depth interviews and participatory observation to understand how therapeutic communication is applied. The findings show that Islamic spiritual nurses use an empathetic approach, spiritual assistance through prayer and tausyiah, and build patient trust with effective communication skills. Spiritual support from nurses is proven to be able to reduce anxiety and improve the quality of life of patients. The results of the study also highlight the importance of factors such as patient religiosity, health conditions, and family support in determining the effectiveness of therapeutic communication. This research makes an important contribution in enriching the literature on spiritual-based health communication, offering practical guidance for health institutions to improve the quality of care for hemodialysis patients through supportive and holistic communication.
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