فعالية التدخلات الروحية والدينية على الصحة العقلية ونوعية الحياة لدى مرضى السرطان: التحليل التلوي للبحوث الإیرانیة أنموذجاً
مجلة البحث في الدين و الصحّة,
مجلد 10 عدد 4 (1403),
18 نيسان 2025
,
الصفحة 128-142
https://doi.org/10.22037/jrrh.v10i4.43780
الملخص
خلفية البحث وأهدافه: انّ العلم بالإصابة بالسرطان ینال من الإنسان ویثیر قلقه ویؤدي إلی تغییرات سلبیة في حیاته الفردیة والإجتماعیة. فتحسین مستوی حیاة مرضی السرطان کانت في العقدین الأخرین من القضایا الهامة في مجال الطب. ولهذا بات العلاج الروحي من أهم العلاجات النفسیة المساعدة علی تحسین مستوی حیاة المرضی ومساعدهم علی الشفاء والغلبة علی الداء الوبیل. ورغم هذه الأهمیة، إلّا أنّ الإختلاف حول تأثیر الأنواع المختلفة للعلاجات الروحیة والدینیة لایزال قائماً. وبناء علی ما سلف ذکره، تسعی هذه الرسالة من خلال الدراسة المنتظمة والتحلیل التلوي أن تلقي الضوء علی آثار المداخلات الروحیة والدینیة علی السلامة النفسیة والروحیة ومستوی حیاة مرضی السرطان في إیران.
منهجية البحث: اعتمدت الدراسة علی منهج المراجعة المنتظمة والتحلیل التلوي. اما المواقع الإلکترونیة التي اعتمدت علیها في الدراسة فهي ، Scopus، Web of Science، Magiran، SID من أولی أیام السنة حتی الشهر السادس من عام2023. وبعد ذلك قام الباحثون باستخراج المداخلات والمعطیات للتحلیل التلوي. اما نوعیة الدراسات فقد کانت تعتمد علی آلیة تحاشي التحیّز المسمّی Cochrane Collaboration. اما تأثیر اختلاف معدل المعاییر فقد تم تحدیده من خلال نموذج العشوائي وبنسبة مئویة بلغت 95%. وأخیراً تم تحلیل المعطیات بناء علی تطبیق RewMan5 وإخراج آخر نتائج البحث.
المعطیات: استخرج الباحثون في المرحلة الأولی 713 مقالة ولم تکن تحظ مهنا بالمعاییر المحددة سوی 19 مقالة. بعد ذلك قام الباحثون بمقارنة المؤثرات الروحیة بالمؤثرات النفسیة الإجتماعیة الأخری وتأثیرها علی المجموعة الضابطة. اظهرت النتائج أنّ مقارنة المجموعة الضابطة واختلاف معدل المعیار بعد الإختبار کان مؤثراً علی المؤثرات أو المداخلات الروحیة والدینیة علی السلامة النفسیة علی النحو التالي: 60/1 (مع هامش ثقة 95%: 54%-2/67) ومعدل مستوی الحیاة 93/1 (مع هامش ثقة 95%: 83/2- 03/1). اما نسبة عدم التناسق بین نتائج الدراسات في السلامة النفسیة فکانت 95% ، ومستوی الحیاة 93% وهي نسبة مئویة عالیة.
الاستنتاج: اظهرت نتائج التحلیل التلوي أن المداخلات الروحیة-الدینیة لها تأثیر إیجابي و ذو دلالة کبیرة علی السلامة النفسیة ومستوی حیاة مرضی السرطان. کما أظهرت النتائج أنّ الممرضین في قسم علم الأورام، وعلم النفس، والإرشاد الأسري، والعاملین في الإسعاف المدني یدرکون ضرورة الإهتمام بالمجال الروحي أکثر من غیرهم. أثبتت هذه الدراسة أنّ تسهیل الوعي وتوعیة الأفراد بالحاجة الروحیة یمکن أن تکون عاملاً حاسماً في تحسین أداء مرضی السرطان. لهذا فإنّ اللجوء إلی الجانب الروحي والعوامل الدینیة یمکن أن تقدم حلولاً ناجعة لرفع مستوی حیاة المصابین بالسرطان من الناحیة النفسیة والروحیة.
- الجانب الروحي-الدیني
- السرطان
- السلامة النفسیة
- مستوی الحیاة
كيفية الاقتباس
المراجع
Marashi SA, sharifi Rigi A, Hamid N. Marashi SA, Hamid N. The Efficacy of Spiritual/Religious Psychotherapy–Emphasizing the Importance of 15th and 23th Prayers of Sahifeh Sajjadiyeh-on Quality of Life and Attitude Toward Disease in Cancer Patients in Ahvaz City. Iranian Journal of Psychiatric Nursing. 2018;6(5):34-41. 2018;6(5):34-41.(Full Text in Persian)
Carlson LE, Waller A, Mitchell AJJJoCO. Screening for distress and unmet needs in patients with cancer: review and recommendations. 2012;30(11):1160-77.
Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez AJB. Depression and anxiety in women with early breast cancer: five year observational cohort study. 2005;330(7493):702.
Khodaveirdyzadeh R, Rahimi R, Rahmani A, Ghahramanian A, Kodayari N, Eivazi J. Spiritual/religious coping strategies and their relationship with illness adjustment among Iranian breast cancer patients. Asian Pacific Journal of Cancer Prevention. 2016 Aug 1;17(8):4095-9.(Full Text in Persian)
Distefano M, Riccardi S, Capelli G, Costantini B, Petrillo M, Ricci C, Scambia G, Ferrandina G. Quality of life and psychological distress in locally advanced cervical cancer patients administered pre-operative chemoradiotherapy. Gynecologic oncology. 2008;111(1):144-50.
Liao M-N, Chen S-C, Lin Y-C, Chen M-F, Wang C-H, Jane S-WJIjons. Education and psychological support meet the supportive care needs of Taiwanese women three months after surgery for newly diagnosed breast cancer: A non-randomised quasi-experimental study. 2014;51(3):390-9.
Smith AW, Reeve BB, Bellizzi KM, Harlan LC, Klabunde CN, Amsellem M, et al. Cancer, comorbidities, and health-related quality of life of older adults. 2008;29(4):41.
Bahreinian A, Radmehr H, Mohammadi H, Bavadi B, Mousavi M. The Effectiveness of the Spiritual Treatment Groupon Improving the Quality of Life and Mental Health in Women with Breast Cancer. Pizhūhish dar dīn va salāmat. 2017; 3 (1): 64- 78. Full Text in Persian)
Scott CM. Health Promotion Planning: An Educational and Ecological Approach (3rd ed): L.W. Green, M.W. Kreuter (Eds.) Mountain View, CA: Mayfield Publishing Company, 1999; 621 pp: Can J Public Health. Sep;92(5):384. Epub 200; 2001.
Bahrami M. Do nurses provide holistic care to cancer patients?. Iranian journal of nursing and midwifery research. 2010;15(4):245.
EntesarFoumany GH, Danshdost M. The relationship of spiritual intelligence with mental health and organizational commitment among nurses in Mashhad hospitals. Journal of Educational and Management Studies. 2014;3(4):36-9.(Full Text in Persian)
Usset TJ, Butler M, Harris JI. Building spiritual strength: A group treatment for posttraumatic stress disorder, moral injury, and spiritual distress. Addressing moral injury in clinical practice. Washington, DC, US: American Psychological Association; 2021. p. 223-41.
Newton AT, McIntosh DNJIJftPoR. Specific religious beliefs in a cognitive appraisal model of stress and coping. 2010;20(1):39-58.
Zamaniyan S, Bolhari J, Naziri G, Akrami M, Hosseini S. Effectiveness of Spiritual Group Therapy on Quality of Life and Spiritual Well-Being among Patients with Breast Cancer. Iranian journal of medical sciences. 2016;41(2):140-4.
Dezutter J, Luyckx K, Büssing A, Hutsebaut DJTIJoPiM. Exploring the link between religious attitudes and subjective well-being in chronic pain patients. 2009;39(4):393-404.
Nasiri F, Keshavarz Z, Davazdahemami MH, Karimkhani Zandi S, Nasiri M. The effectiveness of religious-spiritual psychotherapy on the quality of life of women with breast cancer. Journal of Babol University of Medical Sciences. 2019;21(1):67-73.(Full Text in Persian)
Zargani A, Nasiri M, Hekmat K, Abbaspour Z, Vahabi S. A survey on the relationship between religiosity and quality of life in patients with breast cancer: a study in Iranian Muslims. Asia-Pacific journal of oncology nursing. 2018;5(2):217-22. (Full Text in Persian)
Mehraban S, Khalilzadeh N, Sharifi M, Asmari-Bardezard Y. The effectiveness of group Spiritual therapy on facilitating the post-traumatic growth process in women with breast cancer. Journal of Pizhūhish dar dīn va salāmat. 2020 Jan 1;6(3):7-17. (Full Text in Persian)
Mehraban S, Khalilzadeh N, Ahmadbookani S, Bardezard YA. Positive group psychotherapy Based on Religious teachings on Rumination in Infertile Women. Middle Eastern Journal of Disability Studies. 2019;9(1):2.(Full Text in Persian)
Hoseinian S, Qasemzadeh S, Taziki T. The Effectiveness of Group Logotherapy on the Mental Health and Quality of Life of Women Suffering from Breast Cancer. The Women and Families Cultural-Educational Journal. 2014;8(25):7. (Full Text in Persian)
Fallah, Raheleh., Golzari, Mahmoud., Dastani, Mahboubeh., et al., "Effectiveness of Spiritual Intervention on Increasing Hope and Mental Health of Women Suffering from Breast Cancer," Thought and Behavior in Clinical Psychology.2011;5. (Full Text in
Persian)
Kiani J, Jahanpour F, Abbasi F, Darvishi SH, Gholizadeh B. Evaluation of effectiveness of spiritual therapy in mental health of cancer patients. Nurs J Vulnerable. 2016;2(5):40-51. (Full Text in Persian)
Hosseini Rafsanjani T, Arab M, Ravari A, Miri S, Safarpour H. A study on the effects of spiritual group therapy on hope and the mental and spiritual health of patients with colorectal cancer. Progress in Palliative Care. 2017 Jul 4;25(4):171-6. (Full Text in Persian)
Bahrami M, Balouchestani E, Amini A, Eghbali M. Assessing the effect of two praying methods on the life quality of patients suffering from cancer hospitalized at Seyedo Shohada medical center of Isfahan University of Medical Sciences. Iranian Journal of Nursing and Midwifery Research. 2010 ;15(Suppl1):296.
Hamid N, Ahmadian A, Akbari Shaye Y. Effectiveness of cognitive behavior therapy based on religious believes on hope and quality of life in the patients suffering breast cancer. Bimonthly Journal of Hormozgan University of Medical Sciences. 2012;16(3):213. (Full Text in Persian)
Eilami O, Moslemirad M, Naimi E, Babuei A, Rezaei KJJor, health. The effect of religious psychotherapy emphasizing the importance of prayers on mental health and pain in cancer patients. 2019;58:444-51.
Higgins JP, Green S. Cochrane handbook for systematic reviews of interventions (version 5.1): Retrieved from http://www.cochrane.org/handbook; 2011.
Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1. 0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www. cochrane-handbook. org. Accessed August. 2011;29.
Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ (Clinical research ed). 2003;327(7414):557-60.
Ghahari S, Fallah R, Bolhari J, Mousavi M, Akbari ME. Effect of cognitive-behavioral therapy and spiritual-religious intervention on improving coping responses and quality of life among women surviving from breast cancer. European Psychiatry. 2017;41:S775.
Mohamad-Karimi M, Shariatnia K.Effective of Spiritual on the Life Quality of the Woman with Breast Cancer in Tehran. Nursing and Midwifery Journal.2017. (Full Text in Persian)
Mohammadizadeh S, Khalatbari J, Ahadi H, Hatami HR. Comparison of the effectiveness of acceptance and commitment-based therapy, cognitive-behavioral therapy and spiritual therapy on perceived stress, body image and the quality of life of women with breast cancer. Thoughts and Behavior in Clinical Psychology. 2020;15(55):7-16. (Full Text in Persian)
Hamid N, Talebian L, Mehrabizadeh Honarmand M, Yavari A. The effects of logotherapy on depression, anxiety and quality of life of cancer patients in ahvaz big oil haspital. Psychological Achievements. 2011;18(2):199-224. (Full Text in Persian)
Marashi SA, sharifi Rigi A, Hamid N. The Efficacy of Spiritual/Religious Psychotherapy–Emphasizing the Importance of 15th and 23th Prayers of Sahifeh Sajjadiyeh-on Quality of Life and Attitude Toward Disease in Cancer Patients in Ahvaz City. IJPN 2018; 6 (5) :34-41. (Full Text in Persian)
Jafari N, Zamani A, Farajzadegan Z, Bahrami F, Emami H, Loghmani A. The effect of spiritual therapy for improving the quality of life of women with breast cancer: a randomized controlled trial. Psychology, health & medicine. 2013;18(1):56-69.
Nasiri F, Keshavarz Z, Davazdahemami MH, Karimkhani Zandi S, Nasiri M. The Effectiveness of Religious-Spiritual Psychotherapy on the Quality of Life of Women with Breast Cancer. Babol-Jbums. 2019;21(1):67-73.
Abedi HA, Alavi M, Musarezaie A, Mazroie SA. The effect of logotherapy on cancer patient’s quality of life. 2015. (Full Text in Persian)
Pirkhaefi A, Salehi F. The effectiveness of group meaning therapy on improving the mental health of women with breast cancer. Health Psychology. 2014;2(4):61-9. (Full Text in Persian)
Safara M, Balali-Dehkordi N, Sadidpour SS. A Meta-analysis of the Effect of Religiosity and Spirituality on Treatment of Psychotic-clinical Disorders (2003-2013). Journal of Pizhūhish dar dīn va Salāmat (ie, Research on Religion & Health). 2019;5(3):124-36. (Full Text in Persian)
Holt CL, Clark EM, Kreuter MW, Rubio DMJHP. Spiritual health locus of control and breast cancer beliefs among urban African American women. 2003;22(3):294.
Sherman AC, Merluzzi TV, Pustejovsky JE, Park CL, George L, Fitchett G, et al. A meta‐analytic review of religious or spiritual involvement and social health among cancer patients. 2015;121(21):3779-88.
Kruizinga R, Hartog ID, Jacobs M, Daams JG, Scherer‐Rath M, Schilderman JB, et al. The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta‐analysis. 2016;25(3):253-65.
Zeilani R, Seymour JEJI, Nursing CC. Muslim women's experiences of suffering in Jordanian intensive care units: a narrative study. 2010;26(3):175-84.
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