Effect of the Novel Coronavirus Pneumonia Pandemic on Medical Students' Psychological Stress and Its Influencing Factors.

Wan Ye, Xinxin Ye, Yuanyuan Liu, Qixi Liu, Somayeh Vafaei, Yuzhen Gao, Huiqin Yu, Yanxia Zhong, Chenju Zhan
Author Information
  1. Wan Ye: Department of Nursing, Xiamen Medical College, Xiamen, China.
  2. Xinxin Ye: School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
  3. Yuanyuan Liu: Department of Nursing, Nanjing Hospital of Chinese Medicine Affiliated to Nangjing University of Chinese Medicine, Nanjing, China.
  4. Qixi Liu: Department of Nursing, Mindong Hospital of Fujian Medical University, Fuan, China.
  5. Somayeh Vafaei: Department of Molecular Medicine, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
  6. Yuzhen Gao: Department of Clinical Laboratory, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
  7. Huiqin Yu: Department of Nursing, Xiamen Medical College, Xiamen, China.
  8. Yanxia Zhong: Department of Nursing, Shijiazhuang Medical College, Shijiazhuang, China.
  9. Chenju Zhan: Department of Nursing, Mindong Hospital of Fujian Medical University, Fuan, China.

Abstract

In December 2019, an outbreak of the novel coronavirus pneumonia infection occurred in Wuhan City, Hubei Province, China, and it has received substantial attention globally. Few studies have investigated the psychological stress of students in Health University during the COVID-19 outbreak, and almost no work has attended to the influencing factors that may cause their psychological stress risk. This cross-sectional, survey-based, region-stratified study collected demographic data and mental measurement from 2,498 medical students and 1,177 non-medical students in 31 provinces from March 5, 2020, to March 10, 2020, in China. The psychological stress was measured using the Chinese Perceived Stress Scales (CPSS) under a self-design questionnaire. Sociodemographic, major characteristics, and knowledge of the novel coronavirus pneumonia were also identified as potential influencing factors of stress. The study revealed that medical students are suffering from more stress than non-medical students almost in all provinces of China. Four influencing factors including level of familiarity with the novel coronavirus, family income, major of students, and status of the intern student can be significantly related to students' stress in the medical group by using the univariate and multivariate analysis. Further analysis showed that students with low stress had a greater number of positive psychological emotions and a lower number of negative psychological emotions than with medical students with high stress. In addition, high stress caused low enthusiasm for learning in these medical students and lead to little/no willingness to do professional medical work in the future. In conclusion, we need to increase the level of our knowledge related to the novel coronavirus pneumonia to reduce stress and strongly focus on the special populations in medical students with certain features, such as intern students, clinical nursing students, and low-income families, to improve their learning attitudes and establish positive professional mental outlooks.

Keywords

References

  1. Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Sep;24(9):760-4 [PMID: 14521764]
  2. Cureus. 2015 Nov 29;7(11):e390 [PMID: 26719833]
  3. J Health Soc Behav. 1983 Dec;24(4):385-96 [PMID: 6668417]
  4. Acad Med. 2006 Apr;81(4):374-84 [PMID: 16565189]
  5. Med Teach. 2011;33(10):834-9 [PMID: 21942482]
  6. Cureus. 2020 Jan 12;12(1):e6633 [PMID: 31966946]
  7. Cureus. 2019 Mar 16;11(3):e4257 [PMID: 31139516]
  8. Brain Behav Immun. 2020 Aug;88:916-919 [PMID: 32169498]
  9. Psychiatry Res. 2020 May;287:112934 [PMID: 32229390]
  10. Acad Med. 2011 Jul;86(7):801-3 [PMID: 21715992]
  11. Epidemiol Infect. 2020 May 20;148:e98 [PMID: 32430088]
  12. J Med Virol. 2020 Apr;92(4):448-454 [PMID: 31997390]
  13. Mayo Clin Proc. 2005 Dec;80(12):1613-22 [PMID: 16342655]
  14. N Engl J Med. 2020 Mar 5;382(10):970-971 [PMID: 32003551]
  15. J Genet Psychol. 2014 Jan-Apr;175(1-2):76-90 [PMID: 24796156]
  16. J Infect Public Health. 2020 May;13(5):687-691 [PMID: 32001194]
  17. Int J Clin Pharm. 2013 Oct;35(5):821-8 [PMID: 23807142]
  18. N Engl J Med. 2012 Nov 8;367(19):1814-20 [PMID: 23075143]
  19. J Affect Disord. 2019 May 15;251:31-38 [PMID: 30901599]
  20. N Engl J Med. 2003 May 15;348(20):1967-76 [PMID: 12690091]
  21. Ind Psychiatry J. 2016 Jul-Dec;25(2):179-183 [PMID: 28659697]
  22. Nurse Educ Today. 2018 Sep;68:128-133 [PMID: 29906771]
  23. Med Teach. 2012;34(10):840-7 [PMID: 22917267]
  24. Shinrigaku Kenkyu. 2010 Dec;81(5):501-9 [PMID: 21226289]
  25. Int J Environ Res Public Health. 2020 Jun 02;17(11): [PMID: 32498267]
  26. Front Psychol. 2019 Nov 26;10:2552 [PMID: 31849736]
  27. J Med Educ. 1966 May;41(5):424-45 [PMID: 5328333]
  28. Educ Health (Abingdon). 2004 Nov;17(3):346-53 [PMID: 15848822]
  29. Nan Fang Yi Ke Da Xue Xue Bao. 2020 Feb 29;40(2):171-176 [PMID: 32376528]