Liu Shou, Xi Hai-Tao, Zhu Qian-Qian, Ji Mengmeng, Zhang Hongyan, Yang Bing-Xiang, Bai Wei, Cai Hong, Zhao Yan-Jie, Chen Li, Ge Zong-Mei, Wang Zhiwen, Han Lin, Chen Pan, Liu Shuo, Cheung Teris, Hall Brian J, An Feng-Rong, Xiang Yu-Tao
Department of Public Health, Medical College, Qinghai University, Xining, Qinghai province, China.
Centre for Cognitive and Brain Sciences, University of Macau, Macao, China.
PeerJ. 2021 Apr 13;9:e11154. doi: 10.7717/peerj.11154. eCollection 2021.
Due to the COVID-19 outbreak, all teaching activities in nursing schools were suspended in China, and many nursing students were summoned to work in hospitals to compensate for the shortage of manpower. This study examined the prevalence of fatigue and its association with quality of life (QOL) among nursing students during the post-COVID-19 era in China.
This was a multicenter, cross-sectional study. Nursing students in five Chinese universities were invited to participate. Fatigue, depressive and anxiety symptoms, pain and QOL were measured using standardized instruments.
A total of 1,070 nursing students participated. The prevalence of fatigue was 67.3% (95% CI [64.4-70.0]). Multiple logistic regression analysis revealed that male gender ( = 0.003, OR = 1.73, 95% CI [1.20-2.49]), and being a senior nursing student (second year: OR = 2.20, 95% CI [1.46-3.33], < 0.001; third year: OR = 3.53, 95% CI [2.31-5.41], < 0.001; and fourth year OR = 3.59, 95% CI [2.39-5.40], < 0.001) were significantly associated with more severe fatigue. In addition, moderate economic loss during the COVID-19 pandemic (OR = 1.48, 95% CI [1.08-3.33], < 0.015; compared to low loss), participants with more severe depressive (OR = 1.48, 95% CI [1.22-1.78], < 0.001) and anxiety symptoms (OR = 1.12, 95% CI [1.05-1.20], = 0.001), and more severe pain (OR = 1.67, 95%CI [1.46-1.91], < 0.001) were significantly associated with reported more severe fatigue. After controlling for covariates, nursing students with fatigue had a lower overall QOL score compared to those without ( = 31.4, < 0.001).
Fatigue was common among nursing students in the post-COVID-19 era. Considering the negative impact of fatigue on QOL and daily functioning, routine physical and mental health screening should be conducted for nursing students. Effective stress-reduction measures should be enforced to assist this subpopulation to combat fatigue and restore optimal health.
由于新冠疫情爆发，中国护理院校的所有教学活动均暂停，许多护理专业学生被召集到医院工作以弥补人力短缺。本研究调查了中国新冠疫情后时代护理专业学生疲劳的患病率及其与生活质量（QOL）的关联。
这是一项多中心横断面研究。邀请了中国五所大学的护理专业学生参与。使用标准化工具测量疲劳、抑郁和焦虑症状、疼痛及生活质量。
共有1070名护理专业学生参与。疲劳的患病率为67.3%（95%CI[64.4 - 70.0]）。多因素logistic回归分析显示，男性（ = 0.003，OR = 1.73，95%CI[1.20 - 2.49]）以及高年级护理专业学生（二年级：OR = 2.20，95%CI[1.46 - 3.33]， < 0.001；三年级：OR = 3.53，95%CI[2.31 - 5.41]， < 0.001；四年级：OR = 3.59，95%CI[2.39 - 5.40]， < 0.001）与更严重的疲劳显著相关。此外，新冠疫情期间有中度经济损失（OR = 1.48，95%CI[1.08 - 3.33]， < 0.015；与低损失相比）、抑郁症状更严重（OR = 1.48，95%CI[1.22 - 1.78]， < 0.001）、焦虑症状更严重（OR = 1.12，95%CI[1.05 - 1.20]， = 0.001）以及疼痛更严重（OR = 1.67，95%CI[1.46 - 1.91]， < 0.001）的参与者与报告更严重的疲劳显著相关。在控制协变量后，有疲劳的护理专业学生的总体生活质量得分低于无疲劳的学生（ = 31.4， < 0.001）。
新冠疫情后时代护理专业学生中疲劳很常见。考虑到疲劳对生活质量和日常功能的负面影响，应对护理专业学生进行常规身心健康筛查。应实施有效的减压措施，以帮助这一亚群体对抗疲劳并恢复最佳健康状态。
