Mohammadi Fateme, Masoumi Zahra, Oshvandi Khodayar, Khazaei Salman, Bijani Mostafa
Chronic Diseases (Home Care) Research Center and Autism Spectrum Disorders Research Center, Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Nursing, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC Nurs. 2022 Jun 13;21(1):150. doi: 10.1186/s12912-022-00931-0.
Being on the frontline of the battle against COVID-19, nurses and nursing students have been under considerable psychological stress and pressure. The present study is done to explore death anxiety, moral courage, and resilience in nursing students caring for COVID-19 patients in the south of Iran.
The present study is cross-sectional research conducted between September and December 2021. A total of 420 senior nursing students (nursing interns) who were undergoing their clinical training courses were invited to participate in the study by convenience sampling method from three hospitals affiliated with the University of Medical Sciences of Southern Iran. Data were collected using a demographics survey, Nurses' Moral Courage Questionnaire, Connor-Davidson Resilience Scale, and Templer's Death Anxiety Scale. RESULTS: The nursing students participating in this study had a death anxiety mean score of 12.78 ± 1.17. The results showed that there was a significant and indirect correlation between death anxiety on the one hand and moral courage (r = -0.91, p < 0.001) and resilience (r = -0.89, p < 0.001) on the other in nursing students caring for patients with COVID-19. Also, it was found that there was a significant and direct correlation between the students' resilience and moral courage scores (r = 0.91, p < 0.001).
The nursing students caring for COVID-19 patients had experienced high levels of death anxiety in the past few months. Considering the persistence of the COVID-19 crisis in Iran and other countries, there is an urgent need for measures to preserve and improve the physical, mental, and spiritual health of nursing students, enhance their moral courage and resilience and reduce their death anxiety.
护士和护生身处抗击新冠疫情的前线，承受着巨大的心理压力。本研究旨在探讨伊朗南部护理新冠患者的护生的死亡焦虑、道德勇气和心理韧性。
本研究为横断面研究，于2021年9月至12月进行。采用便利抽样法，从伊朗南部医科大学附属的三家医院邀请了420名正在接受临床培训课程的高年级护生（实习护士）参与研究。使用人口统计学调查问卷、护士道德勇气问卷、康纳-戴维森心理韧性量表和坦普勒死亡焦虑量表收集数据。
参与本研究的护生死亡焦虑平均得分为12.78±1.17。结果表明，在护理新冠患者的护生中，死亡焦虑一方面与道德勇气（r=-0.91，p<0.001）和心理韧性（r=-0.89，p<0.001）之间存在显著的间接相关性。此外，还发现学生的心理韧性得分与道德勇气得分之间存在显著的直接相关性（r=0.91，p<0.001）。
在过去几个月里，护理新冠患者的护生经历了高水平的死亡焦虑。鉴于伊朗和其他国家新冠危机的持续存在，迫切需要采取措施维护和改善护生的身心健康和精神健康，增强他们的道德勇气和心理韧性，降低他们的死亡焦虑。
