Hasanpour Maryam, Maroufizadeh Saman, Mousavi Hossein, Noughani Fatemeh, Afshari Mojgan
Department of Psychiatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Biostatistics, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Int J Afr Nurs Sci. 2021;15:100360. doi: 10.1016/j.ijans.2021.100360. Epub 2021 Sep 1.
The Coronavirus disease 2019 (COVID-19) is a public health emergency that poses anxiety symptoms to nursing students (P. Li et al., 2020). Therefore, this study aimed to examine the prevalence of anxiety and its associated factors in nursing students in Iran during the COVID-19 pandemic.
We performed this web-based cross-sectional study on 174 nursing students in Iran, between 4 and 24 April 2020. Data were collected through an online questionnaire using social media like Telegram and WhatsApp. Anxiety was measured via the Generalized Anxiety Disorder-7 (GAD-7). Simple and multiple logistic regression analyses were undertaken to examine independent predictors of anxiety. Statistical analysis was performed using SPSS for Windows, version 16.0.
The mean GAD-7 total score was 6.05 ± 4.77, and the prevalence of GAD using a cut-off value of 10 for the GAD-7 was 20.7%. According to the adjusted analysis, GAD was significantly associated with having chronic diseases (OR = 5.74, 95% CI: 1.39-23.72), long time thinking about COVID-19 (OR = 14.09, 95% CI: 4.36-45.54), and death of family members, relatives or friends due to COVID-19 (OR = 4.53, 95% CI: 1.08-18.93).
The prevalence of GAD is considerably high in nursing students during the COVID-19 pandemic in Iran. Thus, a holistic approach, including management policies, psychosocial interventions, and training, is critical to reducing anxiety symptoms during the COVID-19 pandemic as well as during any outbreaks of other infectious diseases in the future.
2019年冠状病毒病（COVID-19）是一场公共卫生突发事件，给护理专业学生带来了焦虑症状（P. Li等人，2020年）。因此，本研究旨在调查伊朗COVID-19大流行期间护理专业学生焦虑症的患病率及其相关因素。
2020年4月4日至24日，我们对伊朗的174名护理专业学生进行了这项基于网络的横断面研究。通过使用Telegram和WhatsApp等社交媒体的在线问卷收集数据。采用广泛性焦虑障碍量表-7（GAD-7）测量焦虑程度。进行单因素和多因素逻辑回归分析以检验焦虑的独立预测因素。使用SPSS for Windows 16.0版进行统计分析。
GAD-7总分的平均值为6.05±4.77，以GAD-7的临界值10来判断，GAD的患病率为20.7%。根据校正分析，GAD与患有慢性病（比值比[OR]=5.74，95%置信区间[CI]：1.39-23.72）、长时间思考COVID-19（OR=14.09，95%CI：4.36-45.54）以及家庭成员、亲属或朋友因COVID-19死亡（OR=4.53，95%CI：1.08-18.93）显著相关。
在伊朗COVID-19大流行期间，护理专业学生中GAD的患病率相当高。因此，一种包括管理政策、心理社会干预和培训的整体方法对于在COVID-19大流行期间以及未来任何其他传染病爆发期间减轻焦虑症状至关重要。
