Journal of Korean Biological Nursing Science

  • 제23권2호
  • /
  • Pages.110-118
  • /
  • 2021
  • /
  • 2383-6415(pISSN)
  • /
  • 2383-6423(eISSN)
한국기초간호학회 (Korean society of Biological Nursing Science)
권호 표지
DOI QR코드

DOI QR Code

간호대학생의 코로나19 관련 예방행위 영향요인: 지식, 감염위험지각, 우울, 불안을 중심으로

Factors Influencing COVID-19 Preventive Behaviors in Nursing Students: Knowledge, Risk Perception, Anxiety, and Depression

  • 이수진 (한국방송통신대학교 간호학과) ;
  • 김향란 (경복대학교 간호학과) ;
  • 이수진 (서울대학교 간호대학)
  • Lee, Soo Jin (Department of Nursing, Korea National Open University) ;
  • Jin, Xianglan (Department of Nursing, Kyungbok University) ;
  • Lee, Sujin (College of Nursing, Seoul National University)
  • 투고 : 2021.01.21
  • 심사 : 2021.05.20
  • 발행 : 2021.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to survey the Coronavirus Disease 2019 (COVID-19) related knowledge, risk perception, preventive behaviors, depression, and anxiety levels among nursing students, and to identify factors that influence preventive behaviors. Methods: An online survey was conducted among nursing students from October 7, 2020 to October 12, 2020. The data were analyzed using independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression. Results: A total of 222 nursing students participated in this study. The correct answer rate for COVID-19 knowledge was 90.0%, risk perception was 5.51±1.26, and the rate for preventive behaviors was 92.5%. The depression score was 6.28±4.63; 59.9% of nursing students had depression, and the anxiety score was 5.56±3.98; 59.9% of nursing students had anxiety. COVID-19 preventive behaviors had a positive correlation with COVID-19 knowledge (r= .30, p< .001), COVID-19 risk perception (r= .18, p= .009), and anxiety (r= .21, p= .001). Factors influencing COVID-19 preventive behaviors by multiple regression were identified as COVID-19 knowledge, anxiety, physical health status before and after COVID-19, grade, practical experience after COVID-19, and COVID-19 risk perception (F = 12.46, p< .001, R2= 25.8%). Conclusion: The results of this research on factors influencing COVID-19 prevention behaviors can be used in the future to develop appropriate health policies for individual and community infectious disease prevention behaviors.

키워드

참고문헌

  1. Ministry of Health and Welfare. Coronavirus Disease-19(COVID-19) [Internet]. Sejong: Korea Centers for Disease Control and Prevention; 2020 [cited 2020 November 27]. Available from: http://ncov.mohw.go.kr/en/
  2. Choi S, Ki M. KOSTAT statistics plus summer: management of COVID-19 infectious disease epidemic using mathematical modeling (SEIHR)[Internet]. Daejeon: Statistics Korea; 2020 [cited 2020 November 27]. Available from: http://sri.kostat.go.kr
  3. Kim NS, Song ES, Park EJ, Jeon JA, Byeon JH, Moon JH. Comparison and analysis of the impact of European national health systems on COVID-19. Research report. Sejong: Korea Institute for Health and Social Affairs; 2020 July. Report No.: 978-89-6827-695-8 93510.
  4. Kim JS, Choi JS. Middle East respiratory syndrome-related knowledge, preventive behaviours and risk perception among nursing students during outbreak. Journal of Clinical Nursing. 2016;25(17-18):2542-2549. https://doi.org/10.1111/jocn.13295
  5. Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Archives of Iranian Medicine. 2020;23(4):249-254. https://doi.org/10.34172/aim.2020.06
  6. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. Journal of American Medicine Association. 2020;323(11):1061-1069. https://doi.org/10.1001/jama.2020.1585
  7. Liu X, Luo WT, Li Y, Li CN, Hong ZS, Chen HL, et al. Psychological status and behavior changes of the public during the COVID-19 epidemic in China. Infectious Diseases of Poverty. 2020;9(1):1-11. https://doi.org/10.1186/s40249-020-00678-3
  8. Jung AR, Hong EJ. A study on anxiety, knowledge, infection possibility, preventive possibility and preventive behavior level of COVID-19 in general public. Journal of Convergence for Information Technology. 2020;10(8):87-98. https://doi.org/10.22156/CS4SMB.2020.10.08.087
  9. Wise T, Zbozinek T, Michelini G, Hagan C, Mobbs D. Changes in risk perception and self-reported protective behaviour during the first week of the COVID-19 pandemic in the United States. Royal Society Open Science. 2020;7(9):1-13. https://doi.org/10.1098/rsos.200742
  10. Kim OS, Oh JH, Lee KH. The convergence study on anxiety, knowledge, infection possibility, preventive possibility and preventive behavior level of MERS in nursing students. Journal of the Korea Convergence Society. 2016;7(3):59-69. https://doi.org/10.15207/JKCS.2016.7.3.059
  11. Choi EPH, Hui BPH, Wan EYF. Depression and anxiety in Hong Kong during COVID-19. International Journal of Environmental Research and Public Health. 2020;17(10):1-11. https://doi.org/10.3390/ijerph17103740
  12. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in china: a web-based cross-sectional survey. Psychiatry Research. 2020;288:1-11. https://doi.org/10.1016/j.psychres.2020.112954
  13. Lee EH. COVID-19 generation, are their mental health good! Issue & Diagnosis. 2020:1-25.
  14. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain, Behavior, and Immunity. 2020;88:901-907. https://doi.org/10.1016/j.bbi.2020.05.026
  15. Park CY, Hwang JM, Jo SM, Bae SJ, Sakong J. COVID-19 outbreak and its association with healthcare workers' emotional stress: a cross-sectional study. Journal of Korean Medical Science. 2020;35(41):1-10. https://doi.org/10.3346/jkms.2020.35.e372
  16. Jeong MH. Survey of exposure to blood and body fluids, knowledge, awareness and performance on standard precautions of infection control in nursing students. Journal of the Korea Contents Association. 2015;15(4):316-329. https://doi.org/10.5392/JKCA.2015.15.04.316
  17. Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the korean version of the patient health questionnaire-9 (PHQ-9). Anxiety and Mood. 2010;6(2):119-124.
  18. Seo JG, Park SP. Validation of the Generalized Anxiety Disorder-7 (GAD-7) and GAD-2 in patients with migraine. The Journal of Headache and Pain. 2015;16(97):1-7. https://doi.org/10.1186/s10194-015-0583-8
  19. Nour MO, Babilghith AO, Natto HA, Al-Amin FO, Alawneh SM. Knowledge, attitude and practices of healthcare providers towards MERS-CoV infection at makkah hospitals, KSA. International Research Journal of Medicine Medical Science. 2015;3(4):103-112.
  20. Kim MJ. The convergence study of nursing students' knowledge, attitudes and preventive behaviors against MERS in South Korea. Journal of the Korea Convergence Society. 2017;8(4):149-157. https://doi.org/10.15207/JKCS.2017.8.4.149
  21. Park SH. Knowledge, attitude, and preventive behaviors related to Middle East Respiratory Syndrome (MERS) in adults. Journal of Korean Public Health Nursing. 2019;33(1):33-46. https://doi.org/10.5932/JKPHN.2019.33.1.33
  22. Maltezou HC, Tsiodras S. Middle east respiratory syndrome coronavirus: implications for health care facilities. American Journal of Infection Control. 2014;42(12):1261-1265. https://doi.org/10.1016/j.ajic.2014.06.019
  23. Kim YJ, Cho JH. Correlation between preventive health behaviors and psychosocial health based on the leisure activities of south koreans in the COVID-19 crisis. International Journal of Environmental Research and Public Health. 2020;17(11):1-10. https://doi.org/10.3390/ijerph17114066
  24. Ahorsu DK, Lin CY, Pakpour AH. The association between health status and insomnia, mental health, and preventive behaviors: the mediating role of fear of COVID-19. Gerontology & Geriatric Medicine. 2020;6:1-9. https://doi.org/10.1177/2333721420966081
  25. Leigh Hunt N, Bagguley D, Bash K, Turner V, Turnbull S, Valtorta N, et al. An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health. 2017;152:157-171. https://doi.org/10.1016/j.puhe.2017.07.035
  26. Yoo MS. COVID-19 talk: anxiety and anger, COVID-Blue, disaster psychology and social risk perception [Internet]. Seoul: COVID-19 social research team of Seoul National University strategy committee; 2020[cited 2020 November 27]. Available from: https://www.youtube.com/watch?v=FluyEPiIRTA.
  27. Li S, Feng B, Liao W, Pan W. Internet Use, risk Awareness, and demographic characteristics associated with engagement in preventive behaviors and testing: cross-sectional survey on COVID-19 in the United States. Journal of Medical Internet research. 2020;22(6):1-12. https://doi.org/10.2196/19782
  28. Korea Centers for Disease Control & Prevention. Updates on COVID-19 in Republic of Korea [Internet]. Cheongju: The Korea Disease Control and Prevention Agency; 2020 [cited 2020 November 27]. Available from: http://ncov.mohw.go.kr/.
  29. Kissler SM, Tedijanto C, Goldstein E, Grad YH, Lipsitch M. Projecting the transmission dynamics of SARS-CoV-2 through the postpandemic period. Science. 2020;368(6493):860-868. https://doi.org.10.1126/science.abb5793
  30. World Health Organization. World government summit [Internet] Geneva: World Health Organization; 2020[cited 2020 November 27]. Available from: https://www.who.int/director-general/speeches/detail/world-government-summit.
  31. Scudellari M. How the pandemic might play out in 2021and beyond. Nature. 2020;584(7819):22-25. https://doi.org/10.1038/d41586-020-02278-5
  32. Liao Q, Cowling BJ, Lam WW, Ng DM, Fielding R. Anxiety, worry and cognitive risk estimate in relation to protective behaviors during the 2009 influenza A/H1N1 pandemic in Hong Kong: ten cross-sectional surveys. BMC Infectious Diseases. 2014;14(169):1-11. https://doi.org/10.1186/1471-2334-14-169
  33. Leung GM, Ho LM, Chan SK, Ho SY, Bacon-Shone J, Choy RY, et al. Longitudinal assessment of community psychobehavioral responses during and after the 2003 outbreak of severe acute respiratory syndrome in Hong Kong. Clinical Infectious Diseases: an Official Publication of the Infectious Diseases Society of America. 2005;40(12):1713-1720. https://doi.org/10.1086/429923
  34. Yun JS, Kim JH, Im SR. Knowledge, anxiety, and compliance with preventive behavior of Middle East Respiratory Syndrome (MERS) in liver transplant patients. Korean Journal of Transplantation. 2017;31(3):117-125. https://doi.org/10.4285/jkstn.2017.31.3.117
  35. Strine TW, Chapman DP, Kobau R, Balluz L. Associations of self-reported anxiety symptoms with health-related quality of life and health behaviors. Social Psychiatry and Psychiatric Epidemiology. 2005;40(6):432-438. https://doi.org/10.1007/s00127-005-0914-1

피인용 문헌

  1. Media Dependence of Nursing Students on COVID-19-Related Infection Prevention Behavior: Mediating Effect of Risk Perception vol.33, pp.6, 2021, https://doi.org/10.7475/kjan.2021.33.6.630