Abstract

Introduction: The burden of cancer in women has a physical and emotional impact on health. It needed an intervention that responded to the situation. The purpose of this study was to look into how spiritual interventions affected the spiritual well-being, quality of life, sleep, anxiety, distress, and suffering of women with cancer. Method: A systematic review and meta-analysis were conducted in this study. The articles were searched from six databases including Elicit, Europe PMC, PubMed, Sage Knowledge, and Wiley between 2018 and 2023. The Jadad scale was employed for article quality assessment. Report writing follows the PRISMA 2020 checklist. Results: Thirteen higher-quality articles were included in the review. Spiritual intervention relative to control was associated with an improvement in spiritual well-being, SMD = 2.00 (95% CI: 0,93-3.07), p < 0,0003, I2 = 97%, p <0.00001, quality of life functional scale, SMD = 0.69 (-0.01-1.39), p = 0.05, I2 = 94%, p <0.00001, quality of life six single-item scales, WMD = -5.69 (-9.32 to -2.05), p = 0.002, I2 = 0%, p = 0.84, and anxiety, distress, and suffering, SMD = -0.82 (-1.37 to -0.27), p = 0.003, I2 = 83%, p < 0,0001. It was not associated with an improvement in quality of life symptoms scales, sleep quality (PSQI), and sleep quality (actigraphy). Conclusions: Spiritual intervention was effective in improving spiritual well-being, anxiety, distress and suffering, and the quality of life functional scale. It had no impact on raising the quality of life symptoms ratings and had no discernible influence on sleep quality.

Keywords

  • Anxiety
  • cancer
  • quality of life
  • sleep quality
  • spiritual intervention
  • spiritual well-being

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