Zhang Xinlong, Lang Shaolei, Liu Fei
Department of Outpatient, Sanmenxia Central Hospital, Sanmenxia, Henan, China.
Iran J Public Health. 2024 Jan;53(1):126-135. doi: 10.18502/ijph.v53i1.14689.
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.
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 (=80) received routine health education, while the observation group (=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).
After intervention, both groups showed an improvement in Morisky's medication compliance score, HHI scale score, and SF-36 scale score (all <0.05). Additionally, the observation group exhibited greater improvement than the control group (<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 <0.05), with the observation group showing a more significant decrease compared to the control group (<0.05).
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.
胃癌患者常感到身体疲惫、虚弱,对相关治疗缺乏信心和热情。我们旨在探讨基于保护动机理论的健康教育对胃癌患者情绪状态、癌因性疲乏及希望水平的影响。
选取2019年5月至2022年3月在中国河南省三门峡市中心医院收治的160例胃癌患者作为研究对象。对照组(n = 80)接受常规健康教育,观察组(n = 80)接受基于保护动机理论的健康教育。干预评估包括Morisky用药依从性评分、简明心境状态量表(POMS)、癌症疲乏量表(CFS)、Herth希望量表(HHI)和简易健康调查量表(SF - 36)。
干预后,两组Morisky用药依从性评分、HHI量表评分及SF - 36量表评分均有所改善(均P < 0.05)。此外,观察组改善程度大于对照组(P < 0.05)。两组干预前后POMS量表评分和CFS量表评分差异无统计学意义。然而,干预后两组POMS量表评分和CFS量表评分均降低(均P < 0.05),且观察组较对照组降低更显著(P < 0.05)。
基于保护动机理论的健康教育能有效改善胃癌患者的情绪状态,减轻癌因性疲乏,提高希望水平,从而提高其用药依从性和总体生活质量。