Azami-Aghdash Saber, Nouri Mohsen, Rahimi Fatemeh, Amuzadeh-Araei Sahar, Abass Kasim Sakran, Aghababaeian Hamidreza, Koupaei Saeid Yaghoubi, Karami Shahin, Rostampour Mehdi
Spiritual Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Psychol. 2025 Aug 19;13(1):938. doi: 10.1186/s40359-025-03275-x.
Spiritual health interventions have increasingly been recognized for their potential to improve general health outcomes. This study undertakes a systematic review and meta-analysis to evaluate their effectiveness on patient health in Iran. Data were gathered from PubMed, Scopus, Web of Science, and other relevant sources without time restriction. A random-effects meta-analysis was conducted using Stata version 16. Analysis of 53 studies, comprising both quasi-experimental and clinical trial designs, revealed 94 reported outcomes. Significant enhancements were observed in anxiety (SMD: -1.32), hope (SMD: 2.56), quality of life (SMD: 3.48), stress (SMD: -1.57), depression (SMD: -1.57), spiritual health (SMD: 3.27), and sleep quality (SMD: -1.71), while pain control showed no significant effect (SMD: -0.64). The findings of the current study demonstrate that, despite certain limitations, interventions grounded in spiritual health can effectively enhance both physical and psychological health indicators in patients; however, due to inherent study limitations, cautious interpretation is advised. Future research should leverage advanced tools, particularly artificial intelligence, to assess outcomes objectively, reducing reliance on self-reported data. Studies should also adhere to internationally recognized guidelines to minimize bias and employ larger sample sizes to improve the robustness and generalizability of findings.
精神健康干预因其改善总体健康结果的潜力而日益受到认可。本研究进行了系统评价和荟萃分析，以评估其对伊朗患者健康的有效性。数据从PubMed、Scopus、科学网和其他相关来源收集，无时间限制。使用Stata 16版本进行随机效应荟萃分析。对53项研究（包括准实验和临床试验设计）的分析揭示了94个报告的结果。在焦虑（标准化均数差：-1.32）、希望（标准化均数差：2.56）、生活质量（标准化均数差：3.48）、压力（标准化均数差：-1.57）、抑郁（标准化均数差：-1.57）、精神健康（标准化均数差：3.27）和睡眠质量（标准化均数差：-1.71）方面观察到显著改善，而疼痛控制未显示显著效果（标准化均数差：-0.64）。本研究结果表明，尽管存在某些局限性，但基于精神健康的干预措施可以有效提高患者的身心健康指标；然而，由于研究存在固有局限性，建议谨慎解读。未来的研究应利用先进工具，特别是人工智能，来客观评估结果，减少对自我报告数据的依赖。研究还应遵循国际认可的指南，以尽量减少偏差，并采用更大的样本量来提高研究结果的稳健性和普遍性。
