【摘要】 目的 探讨社会支持在社区老年骨质疏松症患者焦虑、抑郁与睡眠质量间的中介效应。方法 2组在婚姻状况、焦虑、抑郁及社会支持比较，差异具有统计学意义(P<0.05)。焦虑、抑郁得分与社会支持得分呈负相关(r=-0.229、-0.228,均P<0.01),与睡眠质量得分呈正相关(r=0.357、0.269,均P<0.01);社会支持得分与睡眠质量得分呈负相关(r=-0.335,P<0.01)。本研究共纳入老人244例，采用一般资料调查表，简版老年抑郁量表(GDS-15),广泛性焦虑症筛查量表(GAD-7),匹兹堡睡眠质量量表(PSQI),社会支持评定量表(SSRS)进行问卷调查。244例研究对象中，男98例，女146例。根据(PSQI)得分，分为睡眠障碍组125例和非睡眠障碍组119例。结果 2组在婚姻状况、焦虑、抑郁及社会支持比较，差异具有统计学意义(P<0.05)。焦虑、抑郁得分与社会支持得分呈负相关(r=-0.229、-0.228,均P<0.01),与睡眠质量得分呈正相关(r=0.357、0.269,均P<0.01);社会支持得分与睡眠质量得分呈负相关(r=-0.335,P<0.01)。焦虑、抑郁在老年骨质疏松症患者社会支持与睡眠质量关系间中介效应占总效应比分别为22.33%、15.43%。结论 焦虑、抑郁是社区老年骨质疏松症患者社会支持与睡眠质量之间的中介变量，改善老年人焦虑、抑郁情况是保障老年骨质疏松症患者睡眠质量的重要途径。更多还原

【Abstract】 Objective To investigate the mediating effect of social support on anxiety, depression and sleep quality in elderly community patients with osteoporosis.Methods General information questionnaire, Geriatric Depression Scale-15(GDS-15), Generalized Anxiety Disorder Screening Scale-7(GAD-7), Pittsburgh Sleep Quality Index(PSQI) and Social Support Rating Scale(SSRS) were used to conduct questionnaire survey in 244 elderly community patients. In the cohort, there were 98 males and 146 females. According to the PSQI, they were divided into sleep disorder group(n=125) and non-sleep disorder group(n=119).Results There were significant differences in marital status, anxiety, depression and social support between the two groups(P<0.05). The scores of anxiety and depression were negatively correlated with the scores of social suppor1t(r=-0.229,-0.228, both P<0.01), and positively correlated with the scores of sleep quality(r=0.357, 0.269, both P<0.01). Social support score was negatively correlated with sleep quality score(r=-0.335, P<0.01).The mediating effects of anxiety and depression on the causal relationship between social support and sleep quality were 22.33% and 15.43%, respectively.Conclusion Anxiety and depression are the mediating variables between social support and sleep quality in elderly patients with osteoporosis. Improving anxiety and depression is an important way to alleviate sleep disorder in elderly patients with osteoporosis.更多还原