Social alienation in patients with inflammatory bowel diseases: A latent profile analysis.
Qingyu Wang, Junyi Gu, Zheng Lin and 6 others
PMID 40786861WHAT IT FOUND
IBD patients fell into three social alienation groups: low, moderate, and high.
The high group had more anxiety, depression, financial stress, and malnutrition risk. This survey did not test whether nursing interventions reduce alienation.
Key findings
01Three social alienation profiles were identified among 302 patients with IBD: integrated-low (n=61), accommodative-moderate (n=195), and maladaptive-high (n=46).
02The maladaptive-high group had the highest mean social alienation score (37.39 ± 3.04) and showed negative illness perception, anxiety, depression, and maladaptive coping.
03Compared with lower alienation groups, higher alienation was associated with financial stress, malnutrition risk, anxiety, depression, and acceptance-resignation coping in this cross-sectional study.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single tertiary hospital in China, so it may not apply to other settings or countries. Purposive, non-random sampling may have introduced selection bias. Voluntary recruitment may have missed patients with the most severe social alienation. Cross-sectional design cannot show that any factor caused social alienation. Data were self-reported, so answers may be influenced by mood or social desirability. The high alienation group had only 46 patients, so findings about that group are less stable. Patients with mental or cognitive disability were excluded, so results may not apply to those groups. No nursing intervention was tested, so the paper cannot support claims that specific care reduces alienation.
Declared interests
The authors declared no conflict of interest. The work was supported by the 333 High-Level Talents Training Project of Jiangsu province.
The easy way to misread this
Do not conclude that targeted nursing interventions reduce social alienation. This was a cross-sectional survey of patients; it found associations, not tested treatments, and cannot show cause.