Document Type : Original Article
Authors
- . Reza Heidari‑Soureshjani
- . Tayeb Mohammadi 1
- . Ali Hashemi‑Shahraki 1
- . Roya Khorrami Estakhri 2
- . Arezoo Rasti 3
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
Abstract
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.
Keywords
- Xu X, Chen P, Wang J, Feng J, Zhou H, Li X, et al. Evolution of
the novel coronavirus from the ongoing Wuhan outbreak and
modeling of its spike protein for risk of human transmission. Sci
China Life Sci 2020;63:457‑60.
2. Ganji A, Mosayebi G, Khaki M, Ghazavi A. Review on
immunopathogenesis, molecular biology and clinical aspects
of the 2019 novel coronavirus (COVID‑19). Arak Univ Med Sci
2020;23:8‑21.
3. World Health Organization (WHO). Dashboard, WHO
Coronavirus Disease (COVID‑19). Available from: https://
covid19.who.int/. [Last accessed on 2021 Jan 10].
4. JiaoWY, Wang LN, Liu J, Fang SF, Jiao FY, Pettoello‑Mantovani M,
et al. Behavioral and emotional disorders in children during the
COVID‑19 epidemic. J Pediatr 2020;221:264‑6.e1.
5. Adil MT, Rahman R, Whitelaw D, Jain V, Al-Taan O, Rashid F,
et al. SARS-CoV-2 and the pandemic of COVID-19. Postgraduate
Medical Journal 2021;97:110-6.
6. Rosário R. COVID‑19 and schools closure: Implications for school
nurses. J Sch Nurs 2020;36:241‑2.
7. Pfefferbaum B, North CS. Mental Health and the COVID‑19
Pandemic. N Engl J Med 2020;383:510‑2.
8. Heidari‑Soureshjani R, Abdolahi G, Journal FT‑GM, 2020
Undefined. Nursing Students’ Education during COVID‑19
Pandemic. Available from: https://gmj.ir/index.php/gmj/
article/view/2033. [Last accessed on 2021 Jan 10].
9. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The
psychological impact of the COVID‑19 epidemic on college
students in China. Psychiatry Res 2020;287:112934.
10. Odriozola‑González P, Planchuelo‑Gómez Á, Irurtia MJ,
de Luis‑García R. Psychological effects of the COVID‑19 outbreak
and lockdown among students and workers of a Spanish
university. Psychiatry Res 2020;290:113108.
11. Sahu P. Closure of universities due to coronavirus disease
2019 (COVID‑19): Impact on education and mental health of
students and academic staff. Cureus 2020;12:e7541.
12. Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MA,
Bandari DK. Knowledge and perceptions of COVID‑19 among
health care workers: Cross‑sectional study. JMIR Public Health
Surveill 2020;6:e19160. - 13. Taghrir MH, Borazjani R, Shiraly R. COVID‑19 and Iranian
medical students; a survey on their related‑knowledge, preventive
behaviors and risk perception. Arch Iran Med 2020;23:249‑54.
14. Geldsetzer P. Knowledge and Perceptions of COVID‑19 among
the general public in the United States and the united kingdom:
A cross‑sectional online survey. Ann Intern Med 2020;173:157‑60.
15. Khasawneh AI, Humeidan AA, Alsulaiman JW, Bloukh S,
Ramadan M, Al‑Shatanawi TN, et al. Medical students and
COVID‑19: Knowledge, attitudes, and precautionary measures.
A descriptive study from Jordan. Front Public Health 2020;8:253.
16. Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al.
Knowledge, attitudes, and practices towards COVID‑19 among
Chinese residents during the rapid rise period of the COVID‑19
outbreak: A quick online cross‑sectional survey. Int J Biol Sci
2020;16:1745‑52.
17. Ministry of Health and Medical Education of Iran. COVID‑19
Epidemiological Committee. Available from: http://corona.
behdasht.gov.ir/. [Last accessed on 2020 Aug 16].
18. Taber KS. The use of Cronbach’s alpha when developing and
reporting research instruments in science education. Res Sci Educ
2018;48:1273‑96.
19. Ware JE, Kosinski MA, Keller SD. SF‑36 Physical and Mental
Health Summary Scales. Boston, MA: The Health Institute, New
England Medical Center. Health Assessment Lab.; 1994.
20. Ware JE Jr., Sherbourne CD. The MOS 36‑item short‑form health
survey (SF‑36): I. Conceptual framework and item selection. Med
Care 1992;30:473‑83.
21. Peng Y, Pei C, Zheng Y, Wang J, Zhang K, Zheng Z, et al.
A cross‑sectional survey of knowledge, attitude and practice
associated with COVID‑19 among undergraduate students in
China. BMC Public Health 2020;20:1292.
22. Qi M, Li P, Moyle W, Weeks B, Jones C. Physical activity,
health‑related quality of life, and stress among the chinese adult
population during the COVID‑19 pandemic. Int J Environ Res
Public Health 2020;17:1‑10.
23. Chi X, Becker B, Yu Q, Willeit P, Jiao C, Huang L, et al.
Prevalence and psychosocial correlates of mental health
outcomes among chinese college students during the coronavirus
disease (COVID‑19) pandemic. Front Psychiatry 2020;11:1.
24. Wu S, Li Z, Li Z, Xiang W, Yuan Y, Liu Y, et al. The mental state
and risk factors of Chinese medical staff and medical students
in early stages of the COVID‑19 epidemic. Compr Psychiatry
2020;102:152202.
25. Shaukat N, Ali DM, Razzak J. Physical and mental health impacts
of COVID‑19 on healthcare workers: A scoping review. Int J
Emerg Med 2020;13:1‑8.
26. Guo J, Fu M, Liu D, Zhang B, Wang X, van IJzendoorn MH. Is
the psychological impact of exposure to COVID‑19 stronger in
adolescents with pre‑pandemic maltreatment experiences? A survey
of rural Chinese adolescents. Child Abus Negl 2020;110:104667.