The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
권호 표지
DOI QR코드

DOI QR Code

Nursing students' knowledge, health beliefs, anxiety, and preventive health behaviors on COVID-19: A cross-sectional study

간호대학생의 COVID-19에 관한 지식, 건강신념 및 불안이 예방적 건강행위에 미치는 영향: 횡단적 연구

  • Sa, Hyeweon (Department of Urology, Chungbuk National University Hospital) ;
  • Kim, Youngji (Department of Nursing, College of Nursing and Health, Kongju National University)
  • 사혜원 (충북대학교병원 비뇨의학과) ;
  • 김영지 (공주대학교 간호보건대학 간호학과)
  • Received : 2022.02.22
  • Accepted : 2022.05.19
  • Published : 2022.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to describe Coronavirus disease 2019 (COVID-19)-related knowledge, health beliefs, anxiety levels, and preventive behaviors among nursing students and to identify factors that influence their preventive behaviors. Methods: A descriptive survey was conducted, targeting a total of 192 nursing students from March 4, 2021 to March 25, 2021. A structured questionnaire was used to identify nursing students' knowledge, health beliefs, anxiety, and preventive health behavior regarding COVID-19. Data were analyzed using descriptive statistics, a t-test, analysis of variance, Pearson's correlation coefficients, and multiple regression. Results: The nursing students' knowledge level was 15.08±1.70 out of 5, and their health belief level was 3.72±0.32 out of 5. These scores were considered high. Their anxiety score was 3.29±3.84 and considered very low. COVID-19 preventive behaviors had a positive correlation with benefits (r=.29, p<.001) and cues to action (r=.28, p<.001). Factors influencing COVID-19 preventive behaviors by multiple regression were identified as health beliefs and living arrangements (F=8.95, p<.001, Adjusted R2=14.3%). Conclusion: The findings suggest that health beliefs and living arrangements could be important factors affecting preventive health behavior in nursing college students during the COVID-19 pandemic. This study highlights the need for appropriate education and widespread awareness campaigns aimed at potential health care professionals about the prevention of new emerging diseases.

Keywords

References

  1. Lee GC, Ahn JH. College nursing students' experiences of COVID-19 pandemic. Journal of the Korea Academia-Industrial Cooperation Society. 2020;21(12):142-152. https://doi.org/10.5762/KAIS.2020.21.12.142
  2. Yoo EY. Analysis of nursing students' educational needs about Corona 19 infection control. Journal of Digital Convergence. 2020;18(12):335-341. https://doi.org/10.14400/JDC.2020.18.12.335
  3. Kang JY. Simulated nursing practice education in the ontact age: A mixed methods case study. Journal of Learner-Centered Curriculum and Instruction. 2020;20(18):937-957. http://doi.org/10.22251/jlcci.2020.20.18.937
  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. Kasl SV, Cobb S. Health behavior, illness behavior and sick role behavior. Archives of Environmental Health: An International Journal. 1966;12(2):246-266. https://doi.org/10.1080/00039896.1966.10664365
  6. Park JH, Chang SJ, Kim KS. Correlation between the preventive behaviors on Middle East Respiratory Syndrome and the knowledge, attitude, and compliance of medically inclined college students. Journal of Dental Hygiene Science. 2017;17(4):341-351. https://doi.org/10.17135/jdhs.2017.17.4.341
  7. Yun SR. Correlations between nurses' knowledge of COVID-19 and infection control compliance, resilience, and psychosocial well-being [master's thesis]. Seoul; Chung-Ang University: 2020. p. 1-73.
  8. 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
  9. Kim KJ, Hwang TY, Lee KS. Knowledge, health belief, and vaccination behavior on hepatitis A among university students. Journal of Agricultural Medicine and Community Health. 2016;.41(3):119-128. https://doi.org/10.5393/JAMCH.2016.41.3.119
  10. Kim MY, Kim MJ, Kim JW, Maeng JS, Park SM, Son JA. Perception and inner struggle experienced by nursing students in relation with infection management through observation and performance of infection control activities. Perspectives in Nursing Science. 2017;14(1):1-9. https://doi.org/10.16952/pns.2017.14.1.1
  11. Hwang SJ, Lee MI. Perceived knowledge, anxiety and compliance with preventive behavior performance on COVID-19 by nursing college students. Journal of Digital Convergence. 2020;18(12):459-468. https://doi.org/10.14400/JDC.2020.18.12.459
  12. Kim HJ, Cheon EY, Yoo JH. A study on the relationship between knowledge, risk perception, preventive health behavior from Coronavirus disease-2019 in nursing students. Journal of the Korea Academia-Industrial Cooperation Society. 2021;.22(4):246-254. https://doi.org/10.5762/KAIS.2021.22.4.246
  13. Park SH, Byun EK, Seo YS. Knowledge and preventive health behavior of Coronavirus disease 19 (COVID-19) among nursing students. The Journal of the Convergence on Culture Technology. 2021;7(2):281-289. https://doi.org/10.17703/JCCT.2021.7.2.281
  14. Park JH, Kim JH, Lee HJ, Kang PR. The relationship of anxiety, risk perception, literacy, and compliance of preventive behaviors during COVID-19 pandemic in nursing students. Journal of the Korean Applied Science and Technology. 2021;38(1):48-59. https://doi.org/10.12925/JKOCS.2021.38.1.48
  15. Lee SJ, Jin XL, Lee SJ. Factors influencing COVID-19 preventive behaviors in nursing students: Knowledge, risk perception, anxiety, and depression. Journal of Korean Biological Nursing Science. 2021;23(2):110-118. https://doi.org/10.7586/jkbns.2021.23.2.110
  16. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  17. Lee KH. Knowledge, health belief and preventive health behavior of nursing students on Middle East Respiratory Syndrome (MERS). [Master's thesis]. Seoul: Kyung Hee University: 2017. p. 1-48.
  18. Centers for Disease Control and Prevention. Guidelines for response to COVID-19 (6th Edition) (for local governments) [Internet]. Seoul: Central Quarantine Countermeasures Headquarters of Korea Centers for Disease Control and Prevention; 2020 [cited 2020 December 22]. Available from: https://www.cdc.go.kr/board/board.es?mid=a20507020000&bid=0019
  19. Centers for Disease Control and Prevention. Guidelines for response to COVID-19 (for local governments) (7-3 edition) [Internet]. Seoul: Central Quarantine Countermeasures Headquarters of Korea Centers for Disease Control and Prevention; 2020 [cited 2020 December 22]. Available from: https://www.cdc.go.kr/board/board.es?mid=a20507020000&bid=0019
  20. Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of Internal Medicine. 2006;166(10):1092-1097. http://doi.org/10.1001/archinte.166.10.1092
  21. 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
  22. Centers for Disease Control and Prevention. Guidelines for response to COVID-19 (for local governments) (9-3 edition) [Internet]. Seoul: Central Quarantine Countermeasures Headquarters of Korea Centers for Disease Control and Prevention; 2020 [cited 2020 December 22]. Available from: http://www.kdca.go.kr/board/board.es?mid=a20507020000&bid=0019
  23. Jeon JH, Choi EH, Kim JH. Factors influencing on handwashing performance among nursing students. Journal of Muscle and Joint Health. 2020;27(2):132-141. https://doi.org/10.5953/JMJH.2020.27.2.132
  24. Song YS, Byun SH, Kang SY, Jeong DM, Choi YJ, Jang, JW, et al. The effect of health belief, safety motivation, and safety-climate on the performance of taking standard precautions on nursing college students. Journal of Health Informatics and Statistics. 2021;46(1):36-43. https://doi.org/10.21032/jhis.2021.46.1.36
  25. Ismael OY, Li Y, Sha Z, Wu Q, Wei L, Jiao M, et al. Assessing knowledge and self-report intention from COVID-19 symptoms based on the health belief model among international students in Heilongjiang, China: A cross-sectional study. British Medical Journal Open. 2022;12:e050867. http://doi.org/10.1136/bmjopen-2021-050867
  26. Han MR. Park SY, Kim YM. Factors associated with COVID-19 vaccination intention among nursing students: Applying the health belief model. The Journal of the Convergence on Culture Technology. 2021;7(3):343-351. https://doi.org/10.17703/JCCT.2021.7.3.343
  27. Kwak SJ, Kim NY. Media dependence of nursing students on COVID-19-related infection prevention behavior: Mediating effect of risk perception. Korean Journal of Adult Nursing. 2021;33(6):630-638. https://doi.org/10.7475/kjan.2021.33.6.630
  28. Wardani EM, Bistara DN, Setiyowati E. The influence of social media about COVID-19 on handwashing behavior, mask wearing and physical distancing of Indonesian students. STRADA Journal Ilmiah Kesehatan. 2020;9(2):1338-1345. https://doi.org/10.30994/sjik.v9i2.459
  29. Yi HN, Jeon HN, Kim JS. Correlations among knowledge, attitude, and compliance with preventive behaviors of COVID-19 among college students: A three-group (nursing, other health sciences, and non-health sciences) comparative study. Nursing and Health Issues. 2021;26(1):39-52. https://doi.org/10.33527/nhi2021.26.1.39