اثربخشی مداخلات معنوی-مذهبی بر سلامت روان و کیفیت زندگی بیماران مبتلا به سرطان: متاآنالیز مطالعات انجامشده در ایران
پژوهش در دین و سلامت ,
دوره 10 شماره 4 (1403),
15 دی 2025
,
صفحه 128-142
https://doi.org/10.22037/jrrh.v10i4.43780
چکیده
سابقه و هدف: اطلاع از سرطان برای هر کسی نگران کننده است و باعث تغییراتی در کیفیت زندگی فرد مبتلا میشود. بهبود کیفیت زندگی در بیماران مبتلا به بیماری های مزمن مانند سرطان به ویژه در دو دهه اخیر یکی از نکات مهم بوده است. معنویت درمانی یک مراقبت ارزشمند برای بهبود کیفیت زندگی و سلامت روان بیماران مبتلا به سرطان است. با این حال، هنوز در مورد تأثیر انواع مختلف درمان های مبتنی بر معنویت و مذهب در نتایج مطالعات تفاوت وجود دارد. مطالعه حاضر با هدف بررسی سیستماتیک و متاآنالیز اثربخشی مداخلات معنوی و مذهبی بر سلامت روان و کیفیت زندگی بیماران مبتلا به سرطان در ایران انجام شد.
روش کار: این مطالعه به روش مرور سیستماتیک و متاآنالیز انجام شد. جستجوی الکترونیکی در PubMed، Scopus، Web of Science، Magiran، SID از ابتدا تا شهریور ماه سال 1402 انجام شد. مشخصات مداخلات وارد شده و دادهها برای متاآنالیز استخراج شد. کیفیت مطالعات با استفاده از ابزار خطر سوگیری Cochrane Collaboration ارزیابی شد. اثر تفاوت میانگین استاندارد شده با استفاده از مدل اثرات تصادفی و با اطمینان 95% محاسبه شد. دادهها با استفاده از نرمافزار RewMan5 تحلیل شدند.
یافتهها: در مرحله اول جستوجو 713 مقاله شناسایی شد. 19 مطالعه معیارهای واجد شرایط بودن را داشتند. مداخلات معنوی با یک گروه کنترل مراقبت معمول یا سایر مداخلات روانی اجتماعی مقایسه شد. در مقایسه با گروه کنترل، اختلاف میانگین استاندارد در پس آزمون به ترتیب برای تأثیر مداخلات معنوی و مذهبی بر سلامت روان
60/1 (با فاصله اطمینان 95% : 67/2- 54/.) و کیفیت زندگی 93/1 (با فاصله اطمینان 95% : 83/2- 03/1) به دست آمد. درصد ناهمگنی بین نتایج مطالعات در سلامت روان (95 درصد) و کیفیت زندگی (93 درصد) بالا بود.
نتیجهگیری: نتایج متاآنالیز نشان داد که مداخلات معنوی- مذهبی تأثیر مثبت معناداری بر سلامت روان و کیفیت زندگی بیماران مبتلا به سرطان دارد. پرستاران انکولوژی، روانشناسان، مشاوران و مددکاران به طور فزایندهای اهمیت حوزه معنوی مراقبت را تشخیص میدهند. مطالعه حاضر نشان میدهد که تسهیل آگاهی و نیازهای معنوی ممکن است یک مداخله ارزشمند برای بیماران مبتلا به سرطان باشد. از این رو، استفاده از مداخلات معنوی و مذهبی به عنوان راهکاری مناسب برای ارتقای سلامت روحی و روانی در بیماران مبتلا به سرطان پیشنهاد میشود.
- سرطان
- سلامت روان
- کیفیت زندگی
- معنوی- مذهبی
ارجاع به مقاله
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