El-Sayed Mona Metwally, Ghazi Ghada Ahmed, Kamal Manar Ahmed, Khedr Mahmoud Abdelwahab
Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Faculty of Nursing, Psychiatric Nursing and Mental Health, Alexandria University, Alexandria, Egypt.
BMC Nurs. 2024 Jul 8;23(1):461. doi: 10.1186/s12912-024-02104-7.
BACKGROUND: Amidst the ongoing COVID-19 pandemic, nursing students' contribution to combating this global health crisis is becoming more significant. However, we need a more comprehensive understanding of the psychological impact of this crisis on these students. Therefore, this study holds immense importance as it offers valuable insights into the connection between COVID-19 pandemic fear, coping strategies, and depressive symptoms among nursing students. METHODS: A cross-sectional survey was conducted to collect and analyze data from 319 undergraduate nursing students. They participated in the study by responding to an online questionnaire. The questionnaire consisted of the Fear of the Coronavirus Questionnaire, Brief Coping Orientation to Problems Experienced, and the Beck Depression Inventory-II. RESULTS: The study revealed that 45.5% of the participants had a severe fear of COVID-19, 21.9% showed severe depressive symptoms, and 64.6% used moderate coping mechanisms. A positive correlation (r = 0.160, p = 0.01) was found between the fear of COVID-19 and depressive symptoms. Interestingly, this correlation turned negative (r = -0.074, p = 0.01) when adaptive coping strategies such as religion, acceptance, planning, positive reframing, instrumental support, emotional support, active coping, and humor were used. However, when participants resorted to maladaptive coping strategies like venting, self-distraction, self-blame, behavioral disengagement, denial, and substance abuse, the correlation between high fear levels and depressive symptoms became positive (r = 0.352, p = 0.01). CONCLUSION: The study demonstrated that the fear of COVID-19 and depressive symptoms among nursing students are significantly correlated. However, the nature of this correlation is influenced by the type of coping strategies employed. Adaptive coping mechanisms can mitigate the impact of fear on depressive symptoms. In contrast, maladaptive coping can exacerbate the relationship between fear and depressive symptoms. Therefore, promoting adaptive coping strategies could be a crucial approach to managing the psychological impact of the COVID-19 pandemic.
背景：在持续的新冠疫情期间，护理专业学生对抗击这一全球健康危机的贡献愈发显著。然而，我们需要更全面地了解这场危机对这些学生的心理影响。因此，本研究具有重大意义，因为它为新冠疫情恐惧、应对策略与护理专业学生抑郁症状之间的联系提供了宝贵见解。 方法：进行了一项横断面调查，以收集和分析319名本科护理专业学生的数据。他们通过回复一份在线问卷参与了该研究。问卷包括冠状病毒恐惧问卷、对经历问题的简短应对取向问卷以及贝克抑郁量表第二版。 结果：研究显示，45.5%的参与者对新冠病毒有严重恐惧，21.9%表现出严重抑郁症状，64.6%采用中度应对机制。在对新冠病毒的恐惧与抑郁症状之间发现了正相关（r = 0.160，p = 0.01）。有趣的是，当使用宗教、接受、计划、积极重新构建、工具性支持、情感支持、积极应对和幽默等适应性应对策略时，这种相关性变为负相关（r = -0.074，p = 0.01）。然而，当参与者采用诸如发泄、自我分心、自责、行为脱离、否认和药物滥用等适应不良的应对策略时，高恐惧水平与抑郁症状之间的相关性变为正相关（r = 0.352，p = 0.01）。 结论：该研究表明，护理专业学生对新冠病毒的恐惧与抑郁症状显著相关。然而，这种相关性的性质受所采用应对策略类型的影响。适应性应对机制可以减轻恐惧对抑郁症状的影响。相比之下，适应不良的应对会加剧恐惧与抑郁症状之间的关系。因此，推广适应性应对策略可能是管理新冠疫情心理影响的关键方法。
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