Li Dandan, Zou Li, Zhang Zeyu, Zhang Pu, Zhang Jun, Fu Wenning, Mao Jing, Cao Shiyi
School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, China.
Front Psychiatry. 2021 Mar 26;12:652296. doi: 10.3389/fpsyt.2021.652296. eCollection 2021.
Coronavirus disease 2019 (COVID-19) has significantly caused socioeconomic impacts. However, little is known about the psychological effect of COVID-19 on home-quarantined nursing students. The present study aimed to identify the prevalence and major determinants of anxiety, depression and post-traumatic stress symptoms (PTSS) in Chinese nursing students during the COVID-19 pandemic quarantine period. An online survey was conducted on a sample of 6,348 home-quarantined nursing students. Mental health status was assessed by the Generalized Anxiety Disorder 7-Item Scale (GAD-7), the Patient Health Questionnaire 9-Item Scale (PHQ-9) and the Post Traumatic Stress Disorder Check List-Civilian version (PCL-C), respectively. Logistic regression analyses were performed to identify risk factors of anxiety, depression and PTSS. The overall prevalence of anxiety was 34.97%, and the rates of "mild," "moderate," and "severe" anxiety were 26.24, 7.04, and 1.69%, respectively. Depression was detected in 40.22% of the nursing students, and the prevalence of "mild," "moderate," "moderately severe," and "severe" depression was 27.87, 7.18, 4.08, and 1.09%, respectively. The overall prevalence of PTSS was 14.97%, with the prevalence of "mild" and "moderate-to-severe" PTSS reported at 7.04 and 7.93%, respectively. Male gender and insufficient social support were common risk factors for anxiety, depression and PTSS. In conclusion, about one-third, two-fifths, and one-seventh of Chinese nursing students had anxiety, depression and PTSS during the period of home quarantine, respectively. Timely and appropriate psychological interventions for nursing students should be implemented to reduce the psychological harm caused by COVID-19 pandemic.
2019冠状病毒病（COVID-19）已显著造成社会经济影响。然而，关于COVID-19对居家隔离护理专业学生的心理影响却知之甚少。本研究旨在确定中国护理专业学生在COVID-19大流行隔离期间焦虑、抑郁和创伤后应激症状（PTSS）的患病率及主要决定因素。对6348名居家隔离的护理专业学生进行了在线调查。分别采用广泛性焦虑障碍7项量表（GAD-7）、患者健康问卷9项量表（PHQ-9）和创伤后应激障碍检查表平民版（PCL-C）评估心理健康状况。进行逻辑回归分析以确定焦虑、抑郁和PTSS的危险因素。焦虑的总体患病率为34.97%，“轻度”、“中度”和“重度”焦虑的发生率分别为26.24%、7.04%和1.69%。40.22%的护理专业学生检测出抑郁，“轻度”、“中度”、“中度严重”和“重度”抑郁的患病率分别为27.87%、7.18%、4.08%和1.09%。PTSS的总体患病率为14.97%，“轻度”和“中度至重度”PTSS的患病率分别为7.04%和7.93%。男性性别和社会支持不足是焦虑、抑郁和PTSS的常见危险因素。总之，在居家隔离期间，分别约有三分之一、五分之二和七分之一的中国护理专业学生患有焦虑、抑郁和PTSS。应及时对护理专业学生实施适当的心理干预，以减少COVID-19大流行造成的心理伤害。
