Yuan Ting, Liu Huan, Li Xiang Dong, Liu Hai Rong
School of Nursing, Wannan Medical College, Wuhu, Anhui, China (mainland).
Department of Hemodialysis, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, China (mainland).
Med Sci Monit. 2020 Oct 11;26:e925877. doi: 10.12659/MSM.925877.
BACKGROUND The pandemic of coronavirus disease 2019 (COVID-19) has become a major public health challenge all over the world. People's knowledge, attitudes, and preventive behaviors about diseases affect the degree of adherence to control measures. This study aimed to survey the affecting factors of COVID-19 prevention behavior among nursing students in China. MATERIAL AND METHODS Six-hundred thirteen nursing students in Anhui, China participated in an online survey from March 30 to April 5, 2020. The survey collected demographic information, electronic health (eHealth) literacy, COVID-19-related knowledge, attitudes, and prevention behavior data using descriptive analysis and multinomial logistic regression to analyze the data. RESULTS The mean age of study participants was 20.88 years, of which 31.8% were male (n=613). Television (84.9%) and WeChat (79.6%) were the major sources of their information. Nursing students had good knowledge (14.68±2.83), had positive attitudes (4.03±0.59), had good practices (3.92±0.65), and had basic eHealth literacy (30.45±6.90). Nursing students with higher eHealth literacy (odds ratio [OR]=0.89, P<0.01), good knowledge (OR=0.89, P<0.01), and positive attitudes (OR=0.24, P<0.01) took more preventive behaviors. Students living in the countryside (OR=0.09, P<0.01) and of a young age (OR=1.51, P<0.05) seldom took preventive actions. Men, compared with women, were less likely to take preventive measures. (OR=1.44, P<0.05). CONCLUSIONS Good eHealth literacy, good knowledge, and a positive attitude were the most important variables that affected the prevention behavior against COVID-19. Targeted health education should be conducted for male students and students living in the countryside by providing reliable and effective online sources.
背景 2019 冠状病毒病（COVID - 19）大流行已成为全球重大的公共卫生挑战。人们对疾病的认知、态度和预防行为会影响对控制措施的遵守程度。本研究旨在调查中国护理专业学生中 COVID - 19 预防行为的影响因素。
材料与方法 2020 年 3 月 30 日至 4 月 5 日，中国安徽的 613 名护理专业学生参与了一项在线调查。该调查收集了人口统计学信息、电子健康（eHealth）素养、COVID - 19 相关知识、态度和预防行为数据，并使用描述性分析和多项逻辑回归进行数据分析。
结果 研究参与者的平均年龄为 20.88 岁，其中男性占 31.8%（n = 613）。电视（84.9%）和微信（79.6%）是他们信息的主要来源。护理专业学生具备良好的知识（14.68 ± 2.83）、积极的态度（4.03 ± 0.59）、良好的行为（3.92 ± 0.65），并具备基本的电子健康素养（30.45 ± 6.90）。电子健康素养较高（比值比[OR]=0.89，P<0.01）、知识良好（OR = 0.89，P<0.01）和态度积极（OR = 0.24，P<0.01）的护理专业学生采取了更多的预防行为。生活在农村的学生（OR = 0.09，P<0.01）和年龄较小的学生（OR = 1.51，P<0.05）很少采取预防行动。与女性相比，男性采取预防措施的可能性较小（OR = 1.44，P<0.05）。
结论 良好的电子健康素养、良好的知识和积极的态度是影响 COVID - 19 预防行为的最重要变量。应通过提供可靠有效的在线资源，针对男学生和生活在农村的学生开展有针对性的健康教育。
