Effects of Systematic Psychological Intervention Based on S-ABC Framework on Perioperative Psychological Distress and Immune Function in Patients with Primary Liver Cancer

Ying ZHANG; Fengxia YANG; Jing GUO; Qingling ZHANG

doi:10.12259/j.issn.2095-610X.S20231126

Volume 44 Issue 11

Nov. 2023

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Ying ZHANG, Fengxia YANG, Jing GUO, Qingling ZHANG. Effects of Systematic Psychological Intervention Based on S-ABC Framework on Perioperative Psychological Distress and Immune Function in Patients with Primary Liver Cancer[J]. Journal of Kunming Medical University, 2023, 44(11): 170-174. doi: 10.12259/j.issn.2095-610X.S20231126

Citation:

Ying ZHANG, Fengxia YANG, Jing GUO, Qingling ZHANG. Effects of Systematic Psychological Intervention Based on S-ABC Framework on Perioperative Psychological Distress and Immune Function in Patients with Primary Liver Cancer[J]. Journal of Kunming Medical University, 2023, 44(11): 170-174. doi: 10.12259/j.issn.2095-610X.S20231126

Citation:

Ying ZHANG, Fengxia YANG, Jing GUO, Qingling ZHANG. Effects of Systematic Psychological Intervention Based on S-ABC Framework on Perioperative Psychological Distress and Immune Function in Patients with Primary Liver Cancer[J]. Journal of Kunming Medical University, 2023, 44(11): 170-174. doi: 10.12259/j.issn.2095-610X.S20231126

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Effects of Systematic Psychological Intervention Based on S-ABC Framework on Perioperative Psychological Distress and Immune Function in Patients with Primary Liver Cancer

doi: 10.12259/j.issn.2095-610X.S20231126

1.
Dept. of Hepatobiliary Surgery
2.
Dept. of Medical Psychology，The 2nd Affiliated Hospital of Army Medical University，Chongqing 400037，China

Received Date: 2023-06-13
Available Online: 2023-11-04
Publish Date: 2023-11-30

Abstract

Abstract

Objective To establish a systematic psychological intervention based on S-ABC framework, and to explore its effects on perioperative psychological distress and immune function in patients with primary liver cancer. Methods A medical management team was established to construct systematic psychological intervention measures based on S-ABC framework. A total of 76 patients with primary liver cancer admitted from January 2021 to May 2022 were selected and divided into control group and experimental group by random number method according to different perioperative treatment methods（26 cases of hepatic arterial chemoembolization, 30 cases of laparoscopic hepatectomy, 20 cases of open hepatectomy）, with 38 cases in each group. On the basis of finishing nursing, the control group was given routine psychological guidance, and the experimental group was given systematic psychological intervention measures based on the S-ABC framework. The degree of psychological distress and immune function were compared between the two groups at admission, 1, 3, and 6 months after intervention. Results The psychological pain scores of two groups of patients at admission and 1, 3, and 6 months after intervention were [experimental group: （6.53 ± 1.54） points, （3.66 ± 1.12） points, （2.13 ± 0.94） points, and （0.87 ± 0.70） points; control group: （6.16 ± 1.46） points, （4.45 ± 1.11） points, （3.95 ± 1.09） points, and （2.26 ± 0.86） points], and showed no statistically significant difference in admission time （P > 0.05）; After intervention, the psychological pain score of the experimental group decreased significantly, and the difference was statistically significant （P < 0.05）. The immune function indicators of CD3⁺, CD4⁺, CD8⁺, CD4⁺/CD8⁺ at admission and 1, 3, and 6 months after intervention had no statistically significant differences （P > 0.05） between the two groups of patients. After implementing intervention measures, the experimental group of patients had significantly better indicators than the control group, with a statistically significant difference （P < 0.05）. Conclusion The systematic psychological intervention measures based on S-ABC framework can effectively reduce the psychological pain of patients, improve body immunity, and promote the rehabilitation of patients, which is worthy of clinical promotion and reference.
- Primary liver cancer,
- Follow S-ABC framework,
- Systematic psychological intervention,
- Psychological pain,
- Immune functionlikedislike

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