Sengul Tuba, Sarıkose Seda, Uncu Betül, Kaya Nurten
Koç University School of Nursing, Department of Nursing, Istanbul, Türkiye.
Istanbul University-Cerrahpasa, Faculty of Health Science, Department of Midwifery, Istanbul, Türkiye.
Nurse Educ Today. 2025 Nov;154:106831. doi: 10.1016/j.nedt.2025.106831. Epub 2025 Jul 21.
This study aims to determine nursing and midwifery students' climate change awareness and protective behaviors against health problems caused by climate change and to evaluate the predictive role of these factors on health-related quality of life.
Climate change is a pressing global challenge impacting human health and well-being. Nurses and midwives, as future healthcare professionals, are at the forefront of addressing these challenges.
This descriptive cross-sectional study was conducted with 675 nursing and midwifery students from three universities between October 20 and December 10, 2024. Data were collected using validated scales, including the Climate Change Awareness Scale (CCAS), Climate Change Health Protective Behaviors Self-Efficacy Scale (CCHPBS), and EuroQol 5D-3L for assessing quality of life.
The mean age of the students was (20.74 ± 2.29) years, with 92.4 % being female. Most students (69.5 %) identified waterborne diseases as one of climate change's most significant health impacts, and 56.1 % stated that climate change topics should be emphasized more in educational curricula. The mean scores were 93.22(SD = 17.04) for the CCHPBS, 212.53(SD = 25.50) for the CCAS, (0.804 ± 0.217) for the EQ-5D-3L descriptive system, and 73.31(SD = 17.53) for the EQ-5D-3L visual analog scale. The CCAS was found to have a significant positive effect on quality of life (β = 0.21,p = 0.003). However, no significant relationship was observed between CCHPBS and quality of life(β = 0.13,p = 0.123).
Climate change awareness significantly predicted quality of life among nursing and midwifery students. However, protective behaviors against health problems associated with climate change did not support this effect. The study highlights the importance of increasing awareness of the health impacts of climate change and transforming this awareness into behavioral changes. Educational programs should be developed to prepare future healthcare professionals to tackle this global health issue, equipping them with the knowledge and skills required to adapt and respond to the impacts of climate change on health.
本研究旨在确定护理和助产专业学生对气候变化的认识以及针对气候变化导致的健康问题的保护行为，并评估这些因素对健康相关生活质量的预测作用。
气候变化是影响人类健康和福祉的紧迫全球挑战。护士和助产士作为未来的医疗保健专业人员，处于应对这些挑战的前沿。
本描述性横断面研究于2024年10月20日至12月10日对三所大学的675名护理和助产专业学生进行。使用经过验证的量表收集数据，包括气候变化意识量表（CCAS）、气候变化健康保护行为自我效能量表（CCHPBS）以及用于评估生活质量的欧洲五维健康量表5D-3L。
学生的平均年龄为（20.74 ± 2.29）岁，其中92.4%为女性。大多数学生（69.5%）将水传播疾病视为气候变化对健康的最重大影响之一，56.1%的学生表示气候变化主题应在教育课程中得到更多强调。CCHPBS的平均得分为93.22（标准差 = 17.04），CCAS的平均得分为212.53（标准差 = 25.50），EQ-5D-3L描述系统的平均得分为（0.804 ± 0.217），EQ-5D-3L视觉模拟量表的平均得分为73.31（标准差 = 17.53）。发现CCAS对生活质量有显著的正向影响（β = 0.21，p = 0.003）。然而，未观察到CCHPBS与生活质量之间存在显著关系（β = 0.13，p = 0.123）。
气候变化意识显著预测了护理和助产专业学生的生活质量。然而，针对与气候变化相关的健康问题的保护行为并未支持这一影响。该研究强调了提高对气候变化健康影响的认识并将这种认识转化为行为改变的重要性。应制定教育计划，使未来的医疗保健专业人员做好应对这一全球健康问题的准备，为他们提供适应和应对气候变化对健康影响所需的知识和技能。
