营养膳食联合认知行为疗法对老年糖尿病肾病患者的焦虑抑郁情绪、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

目的探讨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的营养状况及认知功能、焦虑抑郁的变化。方法将我院83例老年糖尿病肾病患者随机分组,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,比较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。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可以有效改善老年糖尿病肾病患者营养状况和焦虑抑郁情绪,促进认知功能恢复,提升患者生活质量,改善患者预后。

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(n=41)was combined with cognitive behavioral therapy,and the observation group(n=42)was treated with increased nutritional diet. The anxiety,depression,cognitive function,quality of life,nutritional status,blood glucose,blood urea,serum creatinine level were compared. 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,while the glycated hemoglobin(HbA1 c),and blood urea nitrogen(UN).,serum creatinine(Cr),SDS,SAS scores were lower than those in 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.