Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong 042-12, Vietnam.
International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei 110-31, Taiwan.
Int J Environ Res Public Health. 2022 Mar 22;19(7):3766. doi: 10.3390/ijerph19073766.
Background: The infodemic has been co-existing with the COVID-19 pandemic with an influx of misinformation and conspiracy theories. These affect people’s psychological health and adherence to preventive measures. eHealth literacy (eHEALS) may help with alleviating the negative effects of the infodemic. As nursing students are future healthcare professionals, having adequate eHEALS skills is critically important in their clinical practice, safety, and health. This study aimed to (1) explore the eHEALS level and its associated factors, and (2) examine the associations of eHEALS with preventive behaviors, fear of COVID-19 (FCV-19S), anxiety, and depression among nursing students. Methods: We surveyed 1851 nursing students from 7 April to 31 May 2020 from eight universities across Vietnam. Data were collected, including demographic characteristics, eHEALS, adherence to preventive behaviors (handwashing, mask-wearing, physical distancing), FCV-19S, anxiety, and depression. Linear and logistic regression analyses were performed appropriately to examine associations. Results: The mean score of eHEALS was 31.4 ± 4.4. The eHEALS score was significantly higher in males (unstandardized regression coefficient, B, 0.94; 95% confidence interval, 95% CI, 0.15 to 1.73; p = 0.019), and students with a better ability to pay for medication (B, 0.79; 95% CI, 0.39 to 1.19; p < 0.001), as compared to their counterparts. Nursing students with a higher eHEALS score had a higher likelihood of adhering to hand-washing (odds ratio, OR, 1.18; 95% CI, 1.15 to 1.22; p < 0.001), mask-wearing (OR, 1.15; 95% CI, 1.12 to 1.19; p < 0.001), keeping a safe physical distance (OR, 1.20; 95% CI, 1.15 to 1.25; p < 0.001), and had a lower anxiety likelihood (OR, 0.95; 95% CI, 0.92 to 0.99; p = 0.011). Conclusions: Nursing students who were men and with better ability to pay for medication had higher eHEALS scores. Those with higher eHEALS scores had better adherence to preventive measures, and better psychological health. The development of strategies to improve eHEALS of nursing students may contribute to COVID-19 containment and improve their psychological health.
背景：信息疫情与 COVID-19 大流行同时存在，充斥着大量错误信息和阴谋论。这些信息疫情会影响人们的心理健康和预防措施的遵守情况。电子健康素养（eHEALS）可能有助于减轻信息疫情的负面影响。由于护理专业学生是未来的医疗保健专业人员，因此具备足够的 eHEALS 技能对于他们的临床实践、安全和健康至关重要。本研究旨在：（1）探讨护理专业学生的 eHEALS 水平及其相关因素，以及（2）检验 eHEALS 与预防行为、对 COVID-19 的恐惧（FCV-19S）、焦虑和抑郁之间的相关性。方法：我们于 2020 年 4 月 7 日至 5 月 31 日期间，从越南 8 所大学共调查了 1851 名护理专业学生。收集的数据包括人口统计学特征、eHEALS、预防行为（洗手、戴口罩、保持身体距离）、FCV-19S、焦虑和抑郁。采用适当的线性和逻辑回归分析检验相关性。结果：eHEALS 的平均得分为 31.4±4.4。男性的 eHEALS 得分显著更高（未标准化回归系数 B，0.94；95%置信区间 95%CI，0.15 至 1.73；p=0.019），并且支付药物费用能力较好的学生（B，0.79；95%CI，0.39 至 1.19；p<0.001）的 eHEALS 得分也更高。eHEALS 得分较高的护理专业学生更有可能坚持洗手（优势比 OR，1.18；95%CI，1.15 至 1.22；p<0.001）、戴口罩（OR，1.15；95%CI，1.12 至 1.19；p<0.001）、保持安全的身体距离（OR，1.20；95%CI，1.15 至 1.25；p<0.001），并且焦虑的可能性较低（OR，0.95；95%CI，0.92 至 0.99；p=0.011）。结论：男性和支付药物费用能力较好的护理专业学生的 eHEALS 得分更高。eHEALS 得分较高的学生更遵守预防措施，并且心理健康状况更好。制定提高护理专业学生 eHEALS 的策略可能有助于控制 COVID-19 并改善他们的心理健康。
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