TÌNH TRẠNG LO ÂU VÀ CĂNG THẲNG CỦA SINH VIÊN ĐIỀU DƯỠNG TRƯỜNG ĐẠI HỌC THĂNG LONG KHI THỰC HÀNH LÂM SÀNG TẠI BỆNH VIỆN TRONG ĐẠI DỊCH COVID-19

Abstract

Objectives: (1) To investigate the anxiety and stress levels of Thang Long University nursing students in their hospital-based clinical practice during the COVID-19 pandemic; (2) To analyze factors related to the anxiety and stress levels of these students.  Method: An analytical cross-sectional study was conducted on 106 nursing students of Thang Long University in their hospital-based clinical practice during the COVID-19 pandemic.  Results: The rate of students with anxiety attacks was 50.9% and the degree of anxiety among them was 6.6%, 9.4%, 22.6%, and 12.3% for extremely severe, severe, moderate, and mild cases respectively. The number of students suffering stress was 44.3% and the degree of stress among them was 2.8%, 10.3%, 14.2%, and 17.0% for extremely severe, severe, moderate, and mild cases accordingly. The volume of female students showing stress signs was higher than their male counterparts (OR: 95%); Fourth-year students suffered from a higher level of anxiety than third-year students (OR:5,92; 95% CI: 2,55-13,7 for anxiety OR:3,77; 95% CI: 1,68-8,47 for stress); The group of students who felt under pressure when taking face-to-face clinical trial courses and exams showed higher level of anxiety and stress (OR: 4,62, 95% CI: 1,42-15,04) than the group of students without pressure (OR: 3,38, 95% CI: 1,17-9,74). Students coming from families with unstable income indicated higher stress level than those coming from families with stable income (OR:2,61; 95% CI: 1,13-11,93); The stress level among students who were not satisfied with the relationship with their family members was higher than that  among those who felt satisfied (OR:2,92; 95% CI:1,30-6,59); Students who were not satisfied with the medical staff they were in contact with showed a higher rate of anxiety (OR:3,26; 95% CI: 1,22-8,72) and a higher rate of stress (OR:3,99; 95% CI: 1,36-11,70) than those feeling satisfied. Conclusions: In the context of the COVID-19 pandemic, nearly half of the surveyed nursing students experienced certain levels of anxiety and stress during their hospital-based clinical practice period. Also, there was a strong association between their anxiety/ stress levels and factors namely gender, academic status at school, academic performance pressure, face-to-face clinical trial exams, family income, and relationship with family members and medical staff.