Background: Multidrug-resistant tuberculosis involves prolonged treatment, adverse effects, social stigma, and uncertainty that can generate substantial psychological distress. Purpose: To describe anxiety severity among patients with advanced multidrug-resistant pulmonary tuberculosis receiving palliative-oriented care.Methods: A descriptive cross-sectional study included 61 patients selected through purposive sampling. Anxiety was measured with the Indonesian Hospital Anxiety and Depression Scale-Anxiety subscale and summarized using established score categories.Results: Moderate anxiety was most frequent (25/61; 41.0%), followed by mild anxiety (18/61; 29.5%), severe anxiety (10/61; 16.4%), and normal scores (8/61; 13.1%). Thus, 57.4% had moderate-to-severe anxiety. Conclusion: Anxiety was common and often clinically meaningful. MDR-TB nursing should integrate psychological screening, therapeutic communication, symptom management, adherence support, and referral pathways within comprehensive care.
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