Original Article

Impact of Health Education Based on Protective Motivation Theory on the Mood State, Cancer-Related Fatigue, and Hope Level of Gastric Cancer Patients

Abstract

Background: Gastric cancer patients often feel physically tired and weak, lacking confidence and enthusiasm for relevant treatments. We aimed to explore the impacts of health education based on the theory of protective motivation on the emotional state, cancer-related fatigue, and hope levels of gastric cancer patients.

Methods: A total of 160 gastric cancer patients admitted to the Sanmenxia Central Hospital, Henan, China, from May 2019 to March 2022 were selected as subjects. The control group (n=80) received routine health education, while the observation group (n=80) received health education based on the theory of protective motivation. Intervention evaluations included the Morisky medication compliance score, Plain Mood State Scale (POMS), Cancer Fatigue Scale (CFS), Herth Hope Scale (HHI), and Simple Health Survey Scale (SF-36).

Results: After intervention, both groups showed an improvement in Morisky’s medication compliance score, HHI scale score, and SF-36 scale score (all P<0.05). Additionally, the observation group exhibited greater improvement than the control group (P<0.05). There were no significant differences in POMS scale score and CFS scale score between the two groups before and after intervention. However, after intervention, both groups experienced a decrease in POMS scale score and CFS scale score (both P<0.05), with the observation group showing a more significant decrease compared to the control group (P<0.05).

Conclusion: Health education based on the theory of protective motivation effectively enhances the mood state, reduces cancer-related fatigue, and increases hope levels among gastric cancer patients, thereby improving their medication compliance and overall quality of life.

1. Kovaleva OV, Podlesnaya PA, Gratchev AN, Chang VL, Ognerubov NA, Kush-linskii NE (2021). Stomach cancer. Clin-ical significance of the expression of key components of PD-1/PD-L1 im-mune checkpoint. J Clin Oncol, 23(1): 122-27.
2. Chen WQ, Li H, Sun KX, et al (2018). Re-port of cancer incidence and mortality in China, 2014. Chin J Oncol, 40(1): 5-13.
3. Yang Y, Sun H, Luo X, et al (2022). Network connectivity between fear of cancer re-currence, anxiety, and depression in breast cancer patients. J Affect Disord, 309: 358-67.
4. Civilotti C, Acquadro Maran D, Santagata F, Varetto A, Stanizzo MR (2020). The use of the Distress Thermometer and the Hospital Anxiety and Depression Scale for screening of anxiety and depression in Italian women newly diagnosed with breast cancer. Support Care Cancer, 28: 4997-5004.
5. Qian Z, Wang J (2021). Application of computed tomography imaging in diag-nosis of endocrine nerve of gastric can-cer and nursing intervention effect. World Neurosurg, 149: 341-51.
6. Rui A, Xu Q, Yang X (2021). Effect of mul-tidisciplinary cooperative continuous nursing on the depression, anxiety and quality of life in gastric cancer patients. Am J Transl Res, 13(4): 3316-22.
7. Peng XQ, Yang N, Zhang C, et al (2022). Cognitive factors of weight management during pregnancy among Chinese wom-en: A study applying protective motiva-tion theory. Am J Health Promot, 36(4): 612-22.
8. Mou J, Cohen JF, Bhattacherjee A, Kim J (2022). A test of protection motivation theory in the information security litera-ture: A meta-analytic structural equation modeling approach. J Assoc Inf Syst, 23(1): 196-236.
9. Morgan-Lowes KL, Clarke PJ, Hoiles KJ, et al (2019). The relationships between per-fectionism, anxiety and depression across time in paediatric eating disor-ders. Eat Behav, 34: 101305.
10. Pei DC, Fu GH, Yin Y, et al (2021). Effect of health education based on protective motivation theory on self-efficacy, men-tal state and quality of life of patients with cerebral infarction. Chin J Health Psych, 29(11): 1636-41.
11. Martinez-Perez P, Orozco-Beltrán D, Pomares-Gomez F, et al (2021). Valida-tion and psychometric properties of the 8-item Morisky Medication Adherence Scale (MMAS-8) in type 2 diabetes pa-tients in Spain. Aten Primaria, 53(2): 101942.
12. Arlt Mutch VK, Evans S, Wyka K (2021). The role of acceptance in mood im-provement during Mindfulness‐Based Stress Reduction. J Clin Psychol, 77(1): 7-19.
13. Kogure E, Hara T (2020). Factors associated with fatigue one month after surgery in patients with gastrointestinal cancer. Phys Ther Res, 23(1): 53-8.
14. Sánchez-Teruel D, Robles-Bello MA, Camacho-Conde JA (2020). Validity of the Spanish version of the Herth Hope Index and The Beck Hopelessness Scale in people who have attempted suicide. Actas Esp Psiquiatr, 48(4): 163-8.
15. Taft C, Karlsson J, Sullivan M (2004). Per-formance of the Swedish SF-36 version 2.0. Qual Life Res, 13: 251-6.
16. Zhang X, Yang L, Hou L, Liu J, Zhu H, Zhang J (2020). Effect of a psychologi-cal nursing intervention on quality of life and cognitive function in patients with gastric carcinoma: A randomised controlled trial. Eur J Cancer Care, 29(6): e13292.
17. Tian ML, Deng J, Yao KB, Yao WX (2018). Effects of Phased Nursing Intervention on Rehabilitation Effectiveness and Nu-tritional Level in Patients with Gastric Carcinoma. J Kunming Med Univ, 39(12):136-9.
18. Xu CH, Liu H, Han XP, Deng MF (2021). Application of nursing intervention in elderly patients with cardiovascular dis-ease based on the theory of protective motivation. Nurs Pract Res, 18(23):3549-52.
19. Yang L, Ling D, Ye L, Zeng M (2020). Psy-chological nursing intervention on anxi-ety and depression in patients with uri-nary incontinence after radical prosta-tectomy: a randomized controlled study protocol. Medicine, 99(48): e23127.
20. Wei LH, Wang N, Xue N, Jai YN (2022). Influence of health education based on protection motivation theory on medi-cation behavior: Negative psychological reaction and disease perception of pa-tients with advanced gastric cancer. Chin J Health Psych, 30(3):372-7.
21. Pei DC, Fu GH, Yin Y, Fan CG (2021). Ef-fects of protective motivation Theory on self-efficacy, mental state and quality of life in patients with cerebral infarc-tion. Chin J Health Psych, 29(11):1636-41.
22. Wang AJ, Cui GL, Zhao P (2021). Effects of multimodal exercise on cancer induced fatigue in elderly patients with lung can-cer chemotherapy based on protective motivation theory. J Hebei Med, 43(21):3250-3.
23. Nyrop KA, Deal AM, Choi SK, et al (2018). Measuring and understanding adherence in a home-based exercise intervention during chemotherapy for early breast cancer. Breast Cancer Res Treat, 168: 43-55.
24. Atta A, Khan HH (2021). Battling the threat of workplace harassment: An appraisal based on protection motivation theory. J Asian Financ Econ, 8(6): 491-504.
25. Lei Y, Xie JS (2022). Effects of psychologi-cal phased transformation intervention combined with kinship care on hope level and self-efficacy of patients with gastric cancer after radical surgery. J Clin Med Res, 7(15):139-41.
26. Baudry AS, Gehenne L, Grynberg D, et al (2021). Is the postsurgical quality of life of patients with esophageal or gastric cancer influenced by emotional compe-tence and neoadjuvant treatments?. Can-cer Nurs, 44(6): 600-8.
27. Weng YQ, Yang Y, Yu T, Zhu XZ (2022). Effects of Social support combined with health education on psychological dis-tress, hope level and self-efficacy in pa-tients with non-Hodgkin's lymphoma. Guizhou Med J, 6(08):1318-20.
28. Hu Y, Zaydfudim VM (2020). Quality of life after curative resection for gastric can-cer: survey metrics and implications of surgical technique. J Surg Res, 251: 168-79.
Files
IssueVol 53 No 1 (2024) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v53i1.14689
Keywords
Protective motivation Health education Gastric cancer

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Zhang X, Lang S, Liu F. Impact of Health Education Based on Protective Motivation Theory on the Mood State, Cancer-Related Fatigue, and Hope Level of Gastric Cancer Patients. Iran J Public Health. 2024;53(1):126-135.