Siddiqui Aesha Farheen
Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia.
J Clin Med. 2023 Aug 20;12(16):5406. doi: 10.3390/jcm12165406.
Chronic skin diseases have been recognised as having a detrimental effect on patients' social functions.
To assess the perceived social support in patients with chronic skin disease and its associated factors.
A cross-sectional study was conducted between January and April 2019 on patients with skin diseases taking treatment at Asir Central Hospital, Abha, Saudi Arabia. Patients of both sexes aged above 18 years undergoing treatment for a skin disease in ACH for more than 3 months (chronic skin disease) were recruited by simple random sampling, and a total of 249 patients returned completed questionnaires. A self-administered questionnaire was used to collect relevant information about the background and disease characteristics of the patients and the Multidimensional Scale of Perceived Social Support (MSPSS). The software package IBM SPSS Statistics for Windows, Version 23.0. Armonk, NY, USA: IBM Corp., was used for data entry and analysis. Descriptive statistics were used for patient characteristics, and perceived social support was analysed according to specific scoring criteria. The Kruskal-Wallis test and Mann-Whitney U test were used to find out the association of background and disease variables with the perceived social support. Correlation analysis was used to find the relationship of social support with the age of the patient. All associations were considered significant at < 0.05.
The mean age of the study group was 36.52 ± 14.22 years. The majority of the patients were females (71.1%). Atopic dermatitis was the most common skin disease reported, with 22.1% of all patients suffering from it. Mean scores of perceived social support score were low globally (24.97 ± 12.31), as well as in the three dimensions of significant other (7.75 ± 4.14), friends (7.90 ± 4.59), and family support (9.40 ± 5.48). A significant difference in social support was perceived by patients with a disease duration of 3 months to 1 year and those with papulo-squamous skin disease as compared to acne. The presence of skin disease in a second-degree relative indicated a higher level of social support perception and had a significant positive correlation (r = 0.194, = 0.002) with the age of the patient.
Saudi patients with chronic skin disease have low social support. Some important insights into the functioning of social support were suggested by the study finding, which pointed to the significant effect of disease duration, type of disease, and presence of disease in second-degree relatives on the perception of social support in patients with a variety of chronic skin diseases. Qualitative exploratory and prospective research could help in understanding this aspect of psychosocial health in a better way and help to provide solutions.
慢性皮肤病已被认为会对患者的社会功能产生不利影响。
评估慢性皮肤病患者感知到的社会支持及其相关因素。
2019年1月至4月，在沙特阿拉伯阿卜哈的阿西尔中心医院对正在接受治疗的皮肤病患者进行了一项横断面研究。通过简单随机抽样招募了年龄在18岁以上、在阿西尔中心医院接受皮肤病治疗超过3个月（慢性皮肤病）的男女患者，共有249名患者返回了完整的问卷。使用自填式问卷收集有关患者背景和疾病特征以及多维感知社会支持量表（MSPSS）的相关信息。使用美国纽约州阿蒙克市IBM公司的IBM SPSS Statistics for Windows 23.0软件包进行数据录入和分析。描述性统计用于患者特征分析，根据特定评分标准分析感知到的社会支持。使用Kruskal-Wallis检验和Mann-Whitney U检验来找出背景和疾病变量与感知到的社会支持之间的关联。相关性分析用于找出社会支持与患者年龄之间的关系。所有关联在P<0.05时被认为具有统计学意义。
研究组的平均年龄为36.52±14.22岁。大多数患者为女性（71.1%）。特应性皮炎是报告中最常见的皮肤病，所有患者中有22.1%患有该病。总体上，感知社会支持得分的平均分数较低（24.97±12.31），在重要他人（7.75±4.14）、朋友（7.90±4.59）和家庭支持（9.40±5.48）这三个维度上也是如此。与痤疮患者相比，病程为3个月至1年的患者以及丘疹鳞屑性皮肤病患者感知到的社会支持存在显著差异。二级亲属中有皮肤病表明社会支持感知水平较高，并且与患者年龄呈显著正相关（r = 0.194，P = 0.002）。
沙特慢性皮肤病患者的社会支持较低。该研究结果为社会支持的运作提供了一些重要见解，指出了病程、疾病类型以及二级亲属中是否患有疾病对各种慢性皮肤病患者社会支持感知的显著影响。定性探索性研究和前瞻性研究有助于更好地理解心理社会健康的这一方面，并有助于提供解决方案。
