Anxiety and associated factors among medical students returned to school during COVID-19 epidemic situation

Abstract

Objective To investigate anxiety and associated factors among college students returned to school during COVID-19 epidemic, and to provide reference for anxiety relief and school life adaptation to help college students. Methods A cross-sectional study was conducted among 4 750 students selected from Nanjing Medical University, China Pharmaceutical University, Nanjing University of Chinese Medicine from 2 May to 9 May, 2020. Zung Anxiety Self-rating Scale (SAS) was used to measure anxiety status of students. The self-made questionnaire was used to investigate the related factors. Results During COVID-19 epidemic situation, 20.0% college students returned to school had mild anxiety, 6.5% had moderate or severe anxiety. College students unable to adapt to campus’ closed-off management with a higher anxiety detection rate of 52.9%.Students with heavy study burden whose offline study time per day ≥ 6 hours have a higher anxiety detection rate of 36.0%. Students never exercising had a higher anxiety detection rate of 43.5%. The detection rate of anxiety not participating in online sports and sports activites was 41.6%. 40.7% students were detected of anxiey because of loneliness caused by not being able to meet friends. Multiple logistic regression analysis revealed that the adaptation to the campus’ closed-off management, satisfaction with the campus’ disinfection, participation in group activities, the time of offline study per day, the time of online study per day, tension about the exams, regular routine, exercise, participation in online activities were the influencing factors related to anxiety. Conclusion During COVID - 19 epidemic some of college students exhibit anxiety when back to school life, which might be associated with campus management, study burden, exercise and regular routine, school activities and so on. Schools should take measures to relieve students’ anxiety while epidemic prevention. 【摘要】 目的 了解新型冠状病毒肺炎 (简称“新冠肺炎”) 疫情期间返校大学生的焦虑心理现状及其影响因素, 为疫情 防控期间缓解大学生焦虑情绪提供方法和依据。 方法 采用群体横断面调查, 2020年5月2—9日调查南京医科大学、中 国药科大学、南京中医药大学3所医药类高校共4 750名学生, 采用Zung焦虑自评测量表 (Self-rating Anxiety Scale, SAS) 对学生的心理焦虑情况进行测量, 采用自制问卷对焦虑心理的影响因素进行调查。 结果 新冠肺炎疫情期间, 医药类高校 返校大学生中20.0%有轻度焦虑情绪, 6.5%为中度或重度焦虑。不能适应学校封闭管理的大学生焦虑情绪检出率较高, 为 52.9%; 每天线下课程时间 ≥6 h焦虑情绪检出率较高, 为36.0% ;从不进行体育锻炼焦虑情绪检出率为43.5%;不参加线上 文体活动焦虑情绪检出率为41.6%;因无法与朋友见面而产生孤独感焦虑情绪检出率较高, 为40.7%。多因素Logistic回 归分析显示, 大学生对学校封闭管理的适应程度、对校园消杀工作的认可程度、是否参加聚集性活动、每天线下课程时间、 每天线上学习时间、对考试紧张程度、规律作息、体育锻炼频率、线上文体活动等是返校后产生焦虑心理的影响因素 ( P 值 均<0.05)。 结论 新冠肺炎疫情期间返校大学生有少部分存在焦虑情绪, 影响因素包括学校管理、学习负担、体育锻炼与 健康作息、校园文体活动等方面。学校应采取一定措施, 在防控疫情的同时, 缓解返校大学生的焦虑情绪。