目的 探讨社会支持度对帕金森病(Parkinson's Disease,PD)患者抑郁风险及抑郁程度的影响.方法 选取本院2021年12月～2023年10月收治的50例PD合并抑郁患者为合并组,另选同期32例单纯PD患者为未合并组.评估比较两组社会支持评定量表(Social Support Rating Scale,SSRS),同时比较不同抑郁程度PD患者的基线资料(性别、年龄、病程、受教育年限)及SSRS各因子评分、总分,通过Spearman秩相关分析SSRS各因子评分及总分与PD患者抑郁程度的相关性.结果 合并组主观支持、客观支持、支持利用度评分及总分低于未合并组,差异有统计学意义(P＜0.05);三组性别、年龄、病程、受教育年限比较差异无统计学意义(P＞0.05);主观支持、客观支持、支持利用度评分及总分比较:轻度组＞中度组＞重度组,差异有统计学意义(P＜0.05);SSRS各因子评分及总分与PD患者抑郁程度呈负相关,且P＜0.05.结论 社会支持度与PD患者抑郁程度呈负相关,临床应密切监测.
Effect of social support on depression risk and severity in Parkinson's disease
Objective To explore the impact of social support on the risk and severity of depression in Parkin-son's Disease(PD)patients.Methods Fifty patients with PD and depression admitted to our hospital from January 2020 to October 2023 were selected as the comorbid group,and another 32 patients with simple PD during the same period were selected as the non comorbid group.Evaluate and compare two sets of Social Support Rating Scale(SSRS),as well as baseline data(gender,age,course of disease,years of education)and SSRS factor scores and total scores of PD patients with different levels of depression.Use Spearman rank correlation analysis to examine the correlation between SSRS factor scores and total scores and the degree of depression in PD patients.Results The subjective sup-port,objective support,support utilization score,and total score of the merged group were lower than those of the non merged group,and the difference was statistically significant(P＜0.05);There was no statistically significant differ-ence in gender,age,disease duration,and years of education among the three groups(P＞0.05).Comparison of subjective support,objective support,support utilization score and total score:mild grou P＞moderate grou P＞severe group,with statistically significant differences(P＜0.05).The scores and total scores of various factors in SSRS are negatively correlated with the degree of depression in PD patients,and P＜0.05.Conclusion There is a negative cor-relation between social support and the degree of depression in PD patients,and close clinical monitoring is necessary.
Social supportParkinson's diseaseDepression riskDepression level
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