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社会支持在老年人抑郁症状与肌少症间的中介效应

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目的 探讨老年人抑郁症状、社会支持与肌少症的关系,检验社会支持在抑郁症状与肌少症间的中介效应.方法 采用一般资料调查表、老年抑郁量表、社会支持评定量表、肌少症简易五项评分问卷对1 040名老年人进行问卷调查,采用Pearson相关系数分析抑郁症状、社会支持与肌少症的关系,肌少症的影响因素分析采用多因素logistic回归分析,采用多元逐步回归分析和AMOS26.0软件构建结构方程模型并验证社会支持在抑郁症状与肌少症间的中介效应.结果 老年人社会支持得分(39.65±6.73)分,其中客观支持为(9.94±2.76)分,主观支持为(21.55±3.96)分,支持利用度为(8.17±1.97)分,社会支持处于中等水平.老年人存在抑郁症状占26.35%,肌少症占16.25%.社会支持在老年人抑郁症状与肌少症间起部分中介作用,中介效应量为0.068(95%CI:0.047~0.209),中介效应占总效应的25.37%.结论 老年人抑郁症状是肌少症的重要影响因素,社会支持在抑郁症状与肌少症间起部分中介作用,提高老年人社会支持是降低肌少症的有效途径.
Mediating effect of social support between depressive symptoms and sarcopenia in the elderly
Objective To explore the relationship between depressive symptoms,social support and sarcopenia in the elder-ly,and to test the mediating effect of social support between depressive symptoms and sarcopenia.Methods A total of 1 040 elderly people were investigated with the general information questionnaire,geriatric depression scale-5,social support rating scale and strength,assistance with walking,rise from a chair,climb stairs and falls.Pearson correlation analysis was used to analyze the rela-tionship between depressive symptoms,social support and sarcopenia.Multiple stepwise regression analysis and AMOS26.0 were used to construct a structural equation model and verify the mediating effect of social support between depressive symptoms and sarcopenia.Results The elderly's social support score was(39.65±6.73)scores,including objective support was(9.94±2.76)scores,sub-jective support(21.55±3.96)scores,and support utilization was(8.17±1.97)scores;26.35%of the elderly had depressive symptoms and 16.25%had sarcopenia.The mediating effect of social support was 0.068(95%CI:0.047-0.209),accounting for 25.37%of the total effect.Conclusion Depressive symptoms in the elderly are an important influencing factor of sarcopenia.Social support plays a partial mediator role between depression and sarcopenia.Improving social support in the elderly is an effective way to re-duce sarcopenia.

SarcopeniaDepressive symptomsSocial supportMediating effect

梅佳、孙秀娜、秦殿菊、徐静、徐萌泽、段莉、贾兰芳

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承德医学院护理学院,承德 067000

承德医学院附属医院肾脏内科,承德 067000

肌少症 抑郁症状 社会支持 中介效应

2025

国际老年医学杂志
吉林大学

国际老年医学杂志

影响因子:0.435
ISSN:1674-7593
年,卷(期):2025.46(1)