Mental health of nursing students amid coronavirus disease 2019 pandemic.
Open accessAbstract
The coronavirus disease 2019 (COVID-19) pandemic is a global disaster, and recent studies have shown its association with increasing mental health problems such as post-traumatic stress disorder (PTSD), depression, anxiety, and stress. Nursing students, especially nursing interns, may be shunned, harassed, and even blamed as potential COVID-19 spreaders, though they were an important reserve force against COVID-19 and other diseases. Of note, the psychological influences of COVID-19 on nursing students remained unclear. The aim of this study was to evaluate the mental health of nursing students during the COVID-19 pandemic. A cross-sectional online survey was conducted on nursing students in a vocational college from April 12 to 23, 2020. The Impact of Event Scale–Revised, 21-item Depression, Anxiety and Stress Scale, and Pittsburgh Sleep Quality Index were used to assess the degree of symptoms of PTSD, depression, anxiety, stress, and insomnia, respectively. Multivariable logistic regression analysis was performed to determine the potential risk factors for the psychological symptoms. A total of 1,780 college nursing students were asked to participate in this online survey, with 1,532 complete responses. In total, 682 (44.5%) college nursing students reported having PTSD, 358 (22.8%) students reported insomnia, and few students reported depression ( n = 45, 2.9%), anxiety ( n = 44, 2.9%), and stress ( n = 17, 1.1%) symptoms. As compared with junior, female, and rural nursing students, the senior, male, and urban nursing students had higher rates of PTSD, depression, anxiety, stress, respectively, whereas male nursing students had a higher insomnia rate. Multivariable analysis showed that senior nursing students had higher risks of PTSD, depression, anxiety; being male was associated with higher risks of PTSD, depression, anxiety, stress, and insomnia; and urban nursing students had higher risks of PTSD, depression, anxiety, and stress. In summary, a considerable number of nursing students reported mental symptoms of PTSD and insomnia, though few reported mental symptoms of depression, anxiety, and stress. Furthermore, senior, male, and urban nursing students are at risk for developing mental symptoms. Appropriate psychological interventions should be implemented to assure the mental health of nursing students.
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The rates of depression, anxiety, and stress among undergraduates in this study were all higher than the results of cross-sectional studies conducted among vocational nursing students in Henan and Sichuan, China during and before the COVID-19 pandemic, respectively.
“In this study, the rates of depression, anxiety, and stress among undergraduates were 24.1, 23.1, and 11.1%, respectively, all higher than the results of cross-sectional studies conducted among vocational nursing students in Henan and Sichuan, China during and before COVID-19 pandemic, respectively (46, 47).”
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Dai, Z., Jing, S., Wang, H., Xiao, W., Huang, Y., Chen, X., Fu, J., Pan, C., Tang, Q., Wang, H., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.949477 · Cited by 44 · see citing works
- Authors
- Gao, J., Wang, F., Guo, S., & Hu, F.
- Affiliations
- First Affiliated Hospital of Zhengzhou University (CN)
- Corresponding author
- Hu, Fudong
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2021-08-12
- Volume
- 12
- Pages
- 699558-699558
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC8407077
- OpenAlex
- W3193323015
- Cited by
- 76
- References
- 47
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 16 · 2023: 25 · 2022: 23
- FWCI
- 10.91
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Health Commission of Henan Province
- Zhengzhou University (YNQN2017109)
- First Affiliated Hospital of Zhengzhou University
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Keywords
- nursing students, mental health, COVID-19 pandemic, post-traumatic stress disorder, depression, anxiety, stress, insomnia, risk factors, gender differences, urban-rural differences, academic year, psychological intervention
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