营养膳食治疗联合认知行为疗法对老年糖尿病肾病焦虑抑郁情绪、营养状况与认知功能的影响

Effect of nutritional diet therapy combined with cognitive behavioral therapy on anxiety, depression, nutritional status and cognitive function in elderly diabetic nephropathy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(2)
作者
作者单位

开封市中医院医政科 ;

摘要
分析老年糖尿病肾病患者应用营养膳食治疗联合认知行为疗法治疗后营养状况及认知功能、焦虑抑郁情绪变化。方法 将我院83例老年糖尿病肾病患者采用随机数字表法分组,两组患者均给予常规对症支持治疗,对照组41例联合认知行为疗法,观察组42例增加营养膳食治疗,对比两组患者治疗后焦虑抑郁情绪、认知功能、生活质量、营养状况、血糖、血尿素、血肌酐水平及临床疗效。结果 治疗后,观察组血清白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TRF)、血红蛋白(Hb)、MMSE评分高于对照组,糖化血红蛋白(HbA1c)、血尿素氮(UN)、血肌酐(Cr)、SDS、SAS评分低于对照组(P<0.05)。结论 营养膳食治疗联合认知行为疗法有效改善老年糖尿病肾病患者营养状况,消除焦虑抑郁情绪,促进认知功能恢复,提升患者生活质量,改善患者预后
Abstract
Objective To analyze the nutritional status, cognitive function, anxiety and depression of elderly patients with diabetic nephropathy treated with nutritional diet and cognitive behavioral therapy. Methods Eighty-three elderly patients with diabetic nephropathy were randomly divided into two groups. The patients in both groups were given routine symptomatic supportive therapy. The control group was combined with cognitive behavioral therapy in 41 cases, and the observation group was treated with increased nutritional diet. Post-treatment anxiety, depression, cognitive function, quality of life, nutritional status, blood glucose, blood urea, serum creatinine level and clinical efficacy. Results After treatment, serum albumin (ALB), prealbumin (PA), transferrin (TRF), hemoglobin (Hb), and MMSE scores in the observation group were higher than those in the control group, glycated hemoglobin (HbA1c), and blood urea nitrogen (UN). ), serum creatinine (Cr), SDS, SAS scores were lower than the control group (P <0.05). Conclusion Nutritional diet therapy combined with cognitive behavioral therapy can effectively improve the nutritional status of elderly patients with diabetic nephropathy, eliminate anxiety and depression, promote cognitive function recovery, improve patients quality of life and improve patient prognosis.
关键词
营养膳食治疗;认知行为疗法;老年;糖尿病肾病;焦虑抑郁;营养状况;认知功能
KeyWord
nutritional diet therapy; cognitive behavioral therapy; old age; diabetic nephropathy; anxiety and depression; nutritional status; cognitive function
基金项目
页码 373-375
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胡雪丽*. 营养膳食治疗联合认知行为疗法对老年糖尿病肾病焦虑抑郁情绪、营养状况与认知功能的影响 [J]. 国际精神病学杂志. 2020; 47; (2). 373 - 375.

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