Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Inndalsveien 28, 5063, Kronstad, Bergen, Norway.
Department of Public Health and Nursing, Norwegian University of Science and Technology, NTNU, 7491, Trondheim, Norway.
Health Qual Life Outcomes. 2021 Aug 19;19(1):198. doi: 10.1186/s12955-021-01837-2.
BACKGROUND: The COVID-19 pandemic has caused significant disruptions in the implementation of programs across educational institutions. Nursing students, being both young adults and by practical training, part of the health care system, may be particularly vulnerable during the COVID-19 pandemic. The purpose of this study was to explore the associations between self-reported fear of COVID-19, general health, psychological distress and overall quality of life (QoL) in a sample of Norwegian baccalaureate nursing students compared to reference data. METHODS: The survey targeted baccalaureate nursing students from five universities in February 2021. An electronic questionnaire consisted of the Fear of COVID-19 Scale (FCV-19S), the Hopkins Symptom Checklist 5 (SCL-5), one general health and one overall QoL question. The respondents' mean scores were compared to reference data. Hierarchical regression analyses were conducted, and effect sizes (Cohen's d) were evaluated. RESULTS: In total, 2605 out of 6088 (43%) students responded. Their FCV-19S scores (mean 2.45, CI 2.42, 2.48) were significantly higher than those of the reference population (mean 1.8, P < 0.001). Nursing students scores showed significantly lower general health (mean 3.50 ± 0.93 SD, population mean = 3.57, Cohen's d = 0.07), higher levels of psychological distress (mean 2.68 ± 1.03 SD, population mean = 2.12, Cohen's d = 0.55) and lower overall QoL (mean 5.50 ± 2.16 SD, population mean = 8.00, Cohen's d = 1.16) compared to pre-pandemic reference data. FCV-19S scores were significantly associated with levels of general health (Cohen's d = 0.26), psychological distress (Cohen's d = 0.76) and overall QoL (Cohen's d = 0.18). CONCLUSIONS: Baccalaureate nursing students reported worse outcomes during the Covid-19 pandemic on general health, psychological distress and overall QoL compared to the reference population. Level of fear of Covid-19, however, accounted for few of these differences. Other factors related to the pandemic may have reduced nursing students' overall QoL.
背景：COVID-19 大流行导致教育机构各项计划的实施受到严重干扰。护理专业的学生作为年轻成年人和医疗保健系统的实际培训人员，在 COVID-19 大流行期间可能特别脆弱。本研究的目的是探讨与 COVID-19 恐惧自我报告、一般健康、心理困扰和整体生活质量 (QoL) 相关联的挪威护理专业学士学位学生样本与参考数据的关联。
方法：该调查于 2021 年 2 月针对五所大学的护理专业学士学位学生进行。电子问卷包括 COVID-19 恐惧量表 (FCV-19S)、霍普金斯症状清单 5 (SCL-5)、一个一般健康问题和一个整体 QoL 问题。将受访者的平均分数与参考数据进行比较。进行了分层回归分析，并评估了效应大小 (Cohen's d)。
结果：共有 6088 名学生中的 2605 名(43%)学生做出了回应。他们的 FCV-19S 评分(平均值 2.45，CI 2.42，2.48)明显高于参考人群(平均值 1.8，P<0.001)。护理学生的总体健康评分显著较低(平均值 3.50±0.93 SD，人群平均值为 3.57，Cohen's d=0.07)，心理困扰水平较高(平均值 2.68±1.03 SD，人群平均值为 2.12，Cohen's d=0.55)和整体 QoL 较低(平均值 5.50±2.16 SD，人群平均值为 8.00，Cohen's d=1.16)与大流行前的参考数据相比。FCV-19S 评分与一般健康水平显著相关(Cohen's d=0.26)、心理困扰(Cohen's d=0.76)和整体 QoL(Cohen's d=0.18)。
结论：与参考人群相比，护理专业学士学位学生在 COVID-19 大流行期间的一般健康、心理困扰和整体 QoL 方面报告的结果较差。然而，对 COVID-19 的恐惧程度仅解释了这些差异的一小部分。与大流行相关的其他因素可能降低了护理学生的整体 QoL。
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