Title The prevalence of fatigue among Chinese nursing students in post-COVID-19 era
Authors Liu, Shou
Xi, Hai-Tao
Zhu, Qian-Qian
Ji, Mengmeng
Zhang, Hongyan
Yang, Bing-Xiang
Bai, Wei
Cai, Hong
Zhao, Yan-Jie
Chen, Li
Ge, Zong-Mei
Wang, Zhiwen
Han, Lin
Chen, Pan
Liu, Shuo
Cheung, Teris
Hall, Brian J.
An, Feng-Rong
Xiang, Yu-Tao
Affiliation Qinghai Univ, Med Coll, Dept Publ Hlth, Xining, Qinghai, Peoples R China
Univ Macau, Ctr Cognit & Brain Sci, Macau, Peoples R China
Univ Macau, Inst Adv Studies Humanities & Social Sci, Macau, Peoples R China
Jilin Univ, Nursing Coll, Changchun, Jilin, Peoples R China
Capital Med Univ, Sch Nursing, Beijing, Peoples R China
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Sch Mental Hlth, Beijing, Peoples R China
Capital Med Univ, Beijing Anding Hosp, Sch Mental Hlth, Beijing Key Lab Mental Disorders, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Sch Mental Hlth, Beijing, Peoples R China
Peking Univ, Sch Nursing, Beijing, Peoples R China
Lanzhou Univ, Sch Nursing, Lanzhou, Gansu, Peoples R China
Wuhan Univ, Sch Hlth Sci, Wuhan, Hubei, Peoples R China
Hong Kong Polytech Univ, Sch Nursing, Hong Kong, Peoples R China
NYU, Sch Global Publ Hlth, New York, NY USA
Keywords QUALITY-OF-LIFE
PAIN
DEPRESSION
SEVERITY
ANXIETY
ADOLESCENT
SLEEPINESS
CHILDREN
SCALES
Issue Date 13-Apr-2021
Publisher PEERJ
Abstract Background: Due to the COVID-19 outbreak, all teaching activities in nursing schools were suspended in China, and many nursing students were summoned to work in hospitals to compensate for the shortage of manpower. This study examined the prevalence of fatigue and its association with quality of life (QOL) among nursing students during the post-COVID-19 era in China. Methods: This was a multicenter, cross-sectional study. Nursing students in five Chinese universities were invited to participate. Fatigue, depressive and anxiety symptoms, pain and QOL were measured using standardized instruments. Results: A total of 1,070 nursing students participated. The prevalence of fatigue was 67.3% (95% CI [64.4-70.0]). Multiple logistic regression analysis revealed that male gender (P = 0.003, OR = 1.73, 95% CI [1.20-2.49]), and being a senior nursing student (second year: OR = 2.20, 95% CI [1.46-3.33], P < 0.001; third year: OR = 3.53, 95% CI [2.31-5.41], P < 0.001; and fourth year OR = 3.59, 95% CI [2.39-5.40], P < 0.001) were significantly associated with more severe fatigue. In addition, moderate economic loss during the COVID-19 pandemic (OR = 1.48, 95% CI [1.08-3.33], P < 0.015; compared to low loss), participants with more severe depressive (OR = 1.48, 95% CI [1.22-1.78], P < 0.001) and anxiety symptoms (OR = 1.12, 95% CI [1.05-1.20], P = 0.001), and more severe pain (OR = 1.67, 95%CI [1.46-1.91], P < 0.001) were significantly associated with reported more severe fatigue. After controlling for covariates, nursing students with fatigue had a lower overall QOL score compared to those without (F-(1,F- 1070) = 31.4, P < 0.001). Conclusion: Fatigue was common among nursing students in the post-COVID-19 era. Considering the negative impact of fatigue on QOL and daily functioning, routine physical and mental health screening should be conducted for nursing students. Effective stress-reduction measures should be enforced to assist this subpopulation to combat fatigue and restore optimal health.
URI http://hdl.handle.net/20.500.11897/612961
ISSN 2167-8359
DOI 10.7717/peerj.11154
Indexed SCI(E)
Appears in Collections: 护理学院

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