College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan; School of Nursing, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
RSUP Prof. Dr. R.D. Kandou, Manado, Indonesia; Muhammadiyah School of Health Science, Manado, Indonesia.
Nurse Educ Pract. 2021 Nov;57:103228. doi: 10.1016/j.nepr.2021.103228. Epub 2021 Oct 7.
To identify the prevalence of mental health problems and sleep disturbances among nursing students during the COVID-19 pandemic.
As a future professional workforce, nursing students are expected to play a role in controlling the COVID-19 pandemic; however, physical and mental health problems may hinder their willingness to stay in the nursing profession. Evidence of the prevalence of the health problems among nursing students related to COVID-19 may allow educators to manage their students' health problems and make them feel more positive about their future careers.
Systematic review and meta-analysis. This study was prospectively registered with PROSPERO.
Databases, including CINAHL, Embase, PubMed and Web of Science, were searched for all related journal articles, from database inception to June 29, 2021, published between 2020 and 2021.
This review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using a PICOS search strategy. A DerSimonian-Laird random-effects model was used to estimate the prevalence and potential heterogeneity among the selected studies using the Cochran Q statistic and I-square test. Publication bias was assessed using the Egger intercept test.
Seventeen studies were included in the meta-analysis, representing 13,247 nursing students. During the COVID-19 pandemic, the prevalence of four health problems and sleep disturbances were identified. The health problem with the highest prevalence in nursing students was depression (52%). Other COVID-19-related health problems were fear (41%), anxiety (32%) and stress (30%) and sleep disturbances (27%).
The findings from this study showed that strategies are necessary to manage nursing students' teaching and learning during the COVID-19 pandemic or similar future situations. Our results suggest that preparing modified distance learning might reduce the prevalence of health problems related to the educational process. In addition, providing regular mental health assessments or online mental health services to students may improve their mental health and increase their well-being. Nursing education policies regarding clinical practice remain to be formulated to ensure the achievement of competencies to support future careers while considering the mental readiness and safety of students.
确定在 COVID-19 大流行期间护理学生心理健康问题和睡眠障碍的流行情况。
作为未来的专业劳动力，护理学生有望在控制 COVID-19 大流行中发挥作用；然而，身心健康问题可能会阻碍他们留在护理行业的意愿。与 COVID-19 相关的护理学生健康问题的流行证据可能使教育工作者能够管理学生的健康问题，并使他们对未来的职业生涯更加积极。
系统评价和荟萃分析。本研究前瞻性地在 PROSPERO 上注册。
从数据库开始到 2021 年 6 月 29 日，检索了包括 CINAHL、Embase、PubMed 和 Web of Science 在内的数据库中所有相关的期刊文章，这些文章发表于 2020 年至 2021 年期间。
本综述按照系统评价和荟萃分析的首选报告项目 (PRISMA) 指南进行，使用 PICOS 搜索策略。使用 DerSimonian-Laird 随机效应模型，使用 Cochran Q 统计量和 I 平方检验来估计所选研究的患病率和潜在异质性。使用 Egger 截距检验评估发表偏倚。
荟萃分析纳入了 17 项研究，代表了 13247 名护理学生。在 COVID-19 大流行期间，确定了四种健康问题和睡眠障碍。护理学生中患病率最高的健康问题是抑郁（52%）。其他与 COVID-19 相关的健康问题是恐惧（41%）、焦虑（32%）和压力（30%）以及睡眠障碍（27%）。
本研究结果表明，在 COVID-19 大流行或类似的未来情况下，有必要制定策略来管理护理学生的教学。我们的研究结果表明，准备修改后的远程学习可能会降低与教育过程相关的健康问题的患病率。此外，为学生提供定期的心理健康评估或在线心理健康服务可能会改善他们的心理健康状况并提高他们的幸福感。关于临床实践的护理教育政策仍有待制定，以确保在考虑到学生的精神准备和安全的情况下，实现支持未来职业的能力。
