第40卷第4期2023年8月徐婷婷等5E模式对老年胆总管结石ERCP术后心理及治疗依从性的影响·111·5E模式对老年胆总管结石ERCP术后心理及治疗依从性的影响徐婷婷时小红刘晨晨（阜阳市人民医院消化内科，安徽阜阳236000）摘要目的：探究5E模式对老年胆总管结石ERCP术患者心理状态及治疗依从性的影响。方法：回顾性分析阜阳市人民医院2020年3月-2021年3月收治的90例行胆总管结石ERCP术的老年患者资料，依据干预方案分为对照组（n=45）和观察组（n=45）。对照组实施常规干预，观察组在对照组的基础上实施5E模式。对比两组干预效果差异。结果：观察组的治疗依从性、干预三个月后的CD-RISC评分和SF-36评分均高于对照组（P＜0.05），并发症发生率低于对照组（P＜0.05）。结论：5E模式可改善老年胆总管结石ERCP术患者心理状态，提高生活质量及治疗依从性以及减少并发症的发生。关键词5E模式；老年；胆总管结石；ERCP；治疗依从性Theeffectofthe5EmodelonpsychologicalandtreatmentcomplianceafterERCPforcommonbileductstonesintheelderlyXuTingting;ShiXiaohong;LiuChenchen（DepartmentofGastroenterology,FuyangPeople'sHospital,Fuyang,Anhui,236000,China）AbstractObjective:Toinvestigatetheeffectof5EInterventionmodelonthepsychologicalstateandtreatmentcomplianceofelderlypatientsundergoingERCPforcholedocholithiasis.Methods:Aretrospectiveanalysiswasconductedonthedataof90elderlypatientswhounderwentERCPforcommonbileductstonesadmittedtoFuyangPeople'sHospitalfromMarch2020toMarch2021.Theyweredividedintoacontrolgroup(n=45)andanobservationgroup(n=45)accordingtotheInterventionplan.Thecontrolgroupreceivedroutinecare,whiletheobservationgroupreceived5Emodeonthebasisofthecontrolgroup.ComparethedifferencesinInterventionoutcomesbetweenthetwogroups.Result:Thetreatmentcompliance,CD-RISCscore,andSF-36scoreoftheobservationgroupafterthreemonthsofinterventionwerehigherthanthoseofthecontrolgroup(P<0.05),andtheincidenceofcomplicationswaslowerthanthatofthecontrolgroup(P<0.05).Conclusion:The5EcaremodelimprovesthepsychologicalstatusofelderlypatientsundergoingERCPforcommonbileductstones,improvesqualityoflifeandtreatmentcomplianceaswellasreducestheoccurrenceofcomplications.Keywords5Emodel...
