Construction and application of a health education program for patients with chronic gastritis complicated with gastric ulcer based on the protection motivation theory

GUO Wenjie; XUN Jingwen; JIA Meishuo

doi:10.3969/j.issn.1002-7386.2026.02.031

Abstract：Objective To establish a health education program for patients with chronic gastritis complicated with gastric ulcer based on the protection motivation theory(PMT),and to explore its application effect.Methods A total of 96 patients with chronic gastritis complicated with gastric ulcer admitted from May 2023 to May 2024 were selected.They were assigned into the conventional group(n=42)and PMT group(n=54)based on different interventions.Through literature review,group discussion and Delphi expert inquiry,a PMT-based health education program for patients with chronic gastritis complicated with gastric ulcer was constructed.Patients in both groups received the conventional intervention method,and those in the PMT group were additionally intervened with the PMT-based health education program.Health knowledge,negative emotions,compliance behavior,health behavior,disease cognition,self-care ability,quality of life and intervention satisfaction were compared between the two groups.Results During the construction of the PMT-based health education program,the authority of experts,importance of expert coordination degree,and feasibility in the first round were 0.838,0.505,and 0.412,respectively.In the second round,they were 0.836,0.568 and 0.429,respectively.After the intervention,the scores for health knowledge acquisition,compliance behavior,healthy behavior,disease cognition,self-care ability,and quality of life in both groups increased,and the scores in the PMT group were higher than those in the conventional group(P<0.05).The score for negative emotions decreased,and the PMT group was lower than the conventional group(P<0.05).Conclusion PMT-based health education program for patients with chronic gastritis complicated with gastric ulcer is reliable and scientific.It can strengthen patients'compliance behavior and self-care ability,and improve health behaviors,emotional states,and quality of life.