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http://dx.doi.org/10.5977/jkasne.2022.28.3.284

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

Sa, Hyeweon (Department of Urology, Chungbuk National University Hospital)
Kim, Youngji (Department of Nursing, College of Nursing and Health, Kongju National University)
Publication Information
The Journal of Korean Academic Society of Nursing Education / v.28, no.3, 2022 , pp. 284-295 More about this Journal
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
COVID-19; Knowledge; Health behavior; Anxiety; Health belief model;
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Times Cited By KSCI : 11  (Citation Analysis)
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1 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   DOI
2 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   DOI
3 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   DOI
4 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   DOI
5 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
6 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   DOI
7 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   DOI
8 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   DOI
9 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   DOI
10 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   DOI
11 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   DOI
12 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.
13 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
14 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   DOI
15 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   DOI
16 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   DOI
17 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
18 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   DOI
19 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   DOI
20 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   DOI
21 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   DOI
22 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   DOI
23 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   DOI
24 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.
25 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   DOI
26 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   DOI
27 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   DOI
28 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   DOI
29 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   DOI