en رابطه سلامت معنوی با وضعیت سلامت روان و کیفیت زندگی در زنان نابارور: یک مرور سیستماتیک Pregnancy Health Review article Review Article <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> معنویت در حال حاضر یکی از محورهای اصلی مراقبت‌های سلامت محسوب می‌شود. با توجه به فقدان مرورهای سیستماتیک در مورد چگونگی ارتباط سلامت معنوی با وضعیت سلامت روان و کیفیت زندگی در بین زنان نابارور، این مطالعه مرور سیستماتیک انجام شد</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">.</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> بررسی رابطه سلامت معنوی با وضعیت سلامت روان و کیفیت زندگی در زنان نابارور</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">.</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش‌ها:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> این مرور سیستماتیک مطابق با دستورالعمل‌های</span></span> <span dir="LTR" style="font-size:10.0pt">PRISMA</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">و</span></span> <span dir="LTR" style="font-size:10.0pt">MOOSE</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">انجام شد. پایگاه‌های اطلاعاتی آنلاین شامل </span></span><span dir="LTR" style="font-size:10.0pt">PubMed</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt">Cochrane Library</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">، </span></span><span dir="LTR" style="font-size:10.0pt">Web of Science (ISI)</span><span style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> و</span></span> <span dir="LTR" style="font-size:10.0pt">PsycInfo</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">به‌صورت سیستماتیک جستجو شدند و موتور جستجوی</span></span> <span dir="LTR" style="font-size:10.0pt">Google Scholar</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نیز به‌صورت دستی بررسی گردید. جستجو توسط دو بازنگر مستقل و بدون محدودیت زمانی تا تیر 1404 به‌طور همزمان به زبان‌های فارسی و انگلیسی انجام شد. کیفیت مطالعات مقطعی وارد شده با استفاده از مقیاس نیوکاسل</span></span><span lang="FA" style="font-size:11.0pt">-</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">اتاوا</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">(</span></span><span dir="LTR" style="font-size:10.0pt">NOS</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">)</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">با حداکثر امتیاز 7 ارزیابی شد. مطالعات واجد شرایط بررسی شدند و داده‌های استخراج‌شده به صورت روایتی ترکیب شدند</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">.</span></span><span lang="FA" style="font-size:11.0pt"><span style="font-family:"B Mitra""></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> از میان 275 مقاله شناسایی‌شده، 19 مقاله از نظر واجد‌الشرایط بودن بررسی شدند و در نهایت 10 مطالعه مقطعی با مجموع 1852 شرکت‌کننده معیارهای ورود به این مرور سیستماتیک را داشتند. اکثر مطالعات شامل امتیاز کمتر از ۵ بودند که نشان&shy;دهنده کیفیت روش‌شناختی پایین است. نتایج نشان داد که سلامت معنوی بالاتر با سطوح پایین‌تر استرس، اضطراب و افسردگی مرتبط است. با این حال، در مورد کیفیت زندگی، نتایج متناقض بود</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">.</span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه‌گیری:</span></span></b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> سلامت معنوی با کاهش پریشانی روانی در زنان نابارور مرتبط است. با این حال، با توجه به تعداد محدود و کیفیت پایین مطالعات موجود، یافته‌ها باید با احتیاط تفسیر شوند و بر نیاز به تحقیقات بیشتر با طرح‌های قوی‌تر تأکید شود.</span></span> <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:normal"><span style="unicode-bidi:embed"><b>Background:</b> Spirituality is currently a major focus of health care provision. Given the lack of systematic reviews on how spiritual health interrelates with mental health status and quality of life among infertile women, this review was conducted.</span></span><br> <span style="line-height:normal"><span style="unicode-bidi:embed"><b>Objective:</b> To investigate the association of spiritual health <span lang="EN-GB">with</span> mental health status and quality of life among women with infertility.</span></span><br> <span style="line-height:normal"><span style="unicode-bidi:embed"><b>Materials and Methods: </b>The current systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses as well as meta-analysis of observational studies in epidemiology guidelines. Online databases, including PubMed, Cochrane Library, Web of Science, and PsycInfo, were systematically searched, along with the manual search of Google Scholar search engine. The search was conducted in both Farsi and English language by 2 independent reviewers, without a time limit, until July 2025. The quality of included cross-sectional studies were assessed using a modified version of the Newcastle-Ottawa Scale with a maximum score of 7.<span lang="EN-GB"> The eligible studies were reviewed, and extracted data were narratively synthesized.</span></span></span><br> <span style="line-height:normal"><span style="unicode-bidi:embed"><b>Results:</b> Of the 275 identified articles, 19 were reviewed in terms of eligibility, and 10 cross-sectional studies (involving 1852 infertile women) were included. <span lang="EN-GB">The majority </span>of studies scored below 5, indicating low methodological quality. The results showed that higher spiritual health was associated with lower levels of stress, anxiety, and depression. However, regarding quality of life, the results were contradictory.</span></span><br> <b><span style="line-height:107%">Conclusion:</span></b><span style="line-height:107%"> Spiritual health is associated with reduced psychological distress in women with infertility. However, given the limited number and generally low quality of available studies,<i> <em>the findings should be interpreted with </em></i></span><em><span lang="EN-GB"><span style="line-height:107%">caution, underscoring the need for </span></span></em><span style="line-height:107%">further research with more robust designs.</span></span></span></div> معنویت, سلامت روان, کیفیت زندگی, ناباروری. Spirituality, Mental health, Quality of life, Infertility. 369 382 http://ijrm.ir/browse.php?a_code=A-10-3249-1&slc_lang=en&sid=1 Narges Sadat Soltani Soltanin891@yahoo.com 0000-0002-9963-4083 No Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran. Farahnaz Heshmat heshmatf4011@mums.ac.ir 0000-0001-6591-8363 No Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Mohadese Bakhshi Ghalibaf bakhshigm4011@mums.ac.ir 0000-0002-4721-4191 No Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran. Malihe Mahmoudinia mahmoudiniam@mums.ac.ir 0000-0002-9746-3313 No Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Robab Latifnejad Roudsari rlatifnejad@yahoo.com; latifnejadr@mums.ac.ir 0000-0002-1438-8822 Yes Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.