Document Type : Original Article


1 Student Research Committee, Shahrekord University of Medical Sciences, Shahrekord, Iran

2 Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

3 Department of Basic Sciences, Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran


BACKGROUND: Present study attempts to investigate health‑related quality of life (HRQoL) and its 
relation with knowledge, attitudes, and practices (KAP) of students of Tehran University of Medical 
Sciences (TUMS) during this pandemic.
MATERIALS AND METHODS: In this cross‑sectional study which was conducted between 23 may 
to 21 June 2020, 470 students in different levels of TUMS were included to the study randomly. 
participants completed validate, designed online questionnaire which assessed KAP towards 
coronavirus disease 2019 (COVID‑19) and HRQoL. All statistical tests were applied, including 
Chi‑square and Fisher’s exact test, Partial correlation, analysis of variance, multiple linear regression, 
multiple binary and multinomial logistic regression models (P < 0.05) and were performed in SPSS 
16, R 4.0.2, and GraphPad Prism 6.0 softwares.
RESULTS: A total of 470 students were included in the study. The overall correct answer rate of the 
COVID‑19 knowledge questionnaire was 74.43% and total score of the HRQoL was 72.50 (14.85). 
61.7% of the students were agreed that COVID‑19 will finally be successfully controlled, 44.3% had 
confidence that Iran can win the battle against the COVID‑19, and 92.6% agreed that Quarantine will 
reduce the prevalence of COVID‑19. Most of them adhered to health protocols and about a relation 
between HRQoL and knowledge we have a weak positive and unsignificant correlation between 
them (r = 0.05, P = 0.27).
CONCLUSIONS: TUMS students showed expected levels of knowledge, proper attitudes, and 
preemptive practices regarding COVID‑19, whereas COVID‑19 outbreak substantially affected 
the physical and mental health but, the students were in a way better physical health rather than 
mental. Therefore, motivational planning and other related intervention to improve mental health 
can be noticeable.


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