Relationship Between Social Isolation, Loneliness and Psychological Well-Being in Inflammatory Bowel Disease Patients: The Mediating Role of Disease Activity Social Isolation in Inflammatory Bowel Disease.

IF 3.2 3区 医学 Q1 NURSING
Yasemin Yildirim, Yağmur Artan, Nalan Gülşen Unal
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Abstract

Aim: To evaluate the relationship between social isolation, loneliness and psychological well-being in patients with inflammatory bowel disease (IBD). Additionally, we examined the mediating effect of disease activity on the relationships between social isolation, loneliness and psychological well-being.

Design: Cross-sectional descriptive study.

Methods: A total of 218 participants were recruited from outpatient clinic at a university hospital in Turkey and from the community membership of the patient support group. Participants provided their socio-demographic and disease-related information and completed (online and paper based) the Turkish Lubben Social Network Scale-6, the Turkish UCLA Loneliness Scale Short Form and the Turkish Psychological Well-being Scale. The data were analysed using univariate linear regression analysis. This study adhered to the STROBE checklist for reporting.

Results: The majority of the participants (72%) were socially isolated, and over half (54.1%) reported moderate to high levels of loneliness. Participants also had low psychological well-being. Linear regression analysis revealed that high loneliness level and social isolation were negative predictors of psychological well-being. The results revealed that the effect of social isolation and loneliness on psychological well-being was mediated by disease activity.

Conclusion: In line with the findings, it can be recommended to enhance social support and networks, along with regular psychological evaluation, should be integrated into the holistic care approach for IBD patients.

Relevance to clinical practice: The findings of this study hold significant implications for the management and support of patients with IBD, particularly within clinical settings in Turkey.

Patient or public contribution: Patients were invited to complete questionnaires. The investigators explained the study's content and purpose, and addressed any concerns during the data collection process.

炎症性肠病患者的社会隔离、孤独感与心理健康之间的关系:疾病活动的中介作用 炎症性肠病患者的社会隔离。
目的:评估炎症性肠病(IBD)患者的社会隔离、孤独感和心理健康之间的关系。此外,我们还研究了疾病活动对社会隔离、孤独感和心理健康之间关系的中介作用:设计:横断面描述性研究:方法:我们从土耳其一所大学医院的门诊和患者支持小组的社区成员中招募了 218 名参与者。参与者提供了社会人口学和疾病相关信息,并填写了土耳其卢本社会网络量表-6、土耳其 UCLA 孤独量表简表和土耳其心理健康量表(在线和纸质)。数据采用单变量线性回归分析法进行分析。本研究采用 STROBE 检查表进行报告:大多数参与者(72%)被社会孤立,超过一半的参与者(54.1%)报告了中度到高度的孤独感。参与者的心理健康水平也较低。线性回归分析表明,高度孤独感和社会隔离是心理健康的负面预测因素。结果显示,社会隔离和孤独感对心理健康的影响受疾病活动的影响:与临床实践的相关性:本研究结果对IBD患者的管理和支持具有重要意义,尤其是在土耳其的临床环境中:研究人员邀请患者填写调查问卷。研究人员解释了研究的内容和目的,并解决了数据收集过程中的任何疑虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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