Volume 33, Issue 126 (October 2020)                   IJN 2020, 33(126): 44-57 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ranjbar Roghani A, Nemati R, Fathi Y, Sheikhnavaz Jahed S, Ajri Khamsloo F, Ajri Khamslou M. Knowledge and Attitude for Medical Students towards COVID-19. IJN. 2020; 33 (126) :44-57
URL: http://ijn.iums.ac.ir/article-1-3307-en.html
1- Students Research Committee, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
2- Pediatrics Department, School of Medicine,, Ardabil University of Medical Sciences, Ardabil, Iran
3- Department of Intensive Care, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran (Corresponding Author) Tel: 09148396994 Email: ajri@arums.ac.ir
Abstract:   (2004 Views)
Background & Aim: COVID-19, as an emerging infectious disease, affects the whole world. The causative agent for the disease is coronavirus acute respiratory syndrome 2 (SARS-CoV-2) and typical symptoms of the disease include fever, cough, and shortness of breath. Also, muscle pain, sputum production, sore throat, lack of taste and red eyes are among the less common symptoms. In severe cases, the disease can cause severe respiratory failure and even death. COVID-19 is transmitted from sick people to healthy people through respiratory droplets. Disease spread can be prevented by washing hands and other hygiene measures.
The rate of transmission and prevalence for the disease is higher than other infectious diseases, however, the main point in controlling the disease is the knowledge and attitude of the community towards Corona disease, which can play a key role in controlling the disease and reduce the increasing trend. It is very important to pay attention to the attitude and awareness of people involved in patient care. According to the literature review, no study has been conducted on the knowledge and attitude for medical students towards COVID-19, therefore, the current research was conducted to determine the attitude and knowledge of medical students across the country about COVID-19.
Materail & Methods: The study was performed as descriptive cross-sectional. Data were collected through a virtual self-administered questionnaire. 420 medical students in the country participated in this study by voluntary sampling from April 20 to May 6, 2016. The final data was obtained by removing 10% of the questionnaires due to incomplete filling of 381 samples. A researcher-made questionnaire was used to collect information. The questionnaire included three sections: demographic characteristics, attitude and knowledge about COVID-19. The first part of the questionnaire contained questions related to demographic characteristics including age, gender, degree, field of study, semester, type of residence and university.
The second part, consisting of 16 phrases, was set to determine how students' attitudes toward COVID-19 disease’ is based on the Likert scale of five options "totally disagree, disagree, have no opinion, agree, strongly agree" and were considered for each phrase a score of 1 to 5. The awareness section consisted of 4 dimensions (nature of disease, disease transmission, care and prevention, diagnosis and treatment) in the form of three options "yes and no and I do not know" that 1 positive score was applied for each correct answer. Content and face validity were used to determine the validity of the questionnaire. The opinion of 7 faculty members in the university about the questionnaire was obtained and their corrective opinions were applied in the questionnaire. The reliability of the attitude questionnaire with Cronbach's alpha coefficient was 0.85 and the reliability of the knowledge questionnaire with Kuder Richardson coefficient was 0.86.
Data analysis was performed by one-way ANOVA, Pearson correlation coefficient and independent t-test with SPSS software version 16. Also, the significance level in the research was considered 0.05. Participants had full authority to complete the virtual questionnaire and data were collected anonymously.
Results: Out of 381 samples, 252 (66.1%) were female students. The age range of students was 16 to 37 years and 51.1% of them belonged to the age group of 21-25 years. 18 people (4.7%) in associate degree, 222 people (58.3%) in bachelor degree, 8 people (2.1%) in master degree and 133 people (34.9%) were studying in professional doctoral degree. 271 students (71.1%) were students of 1-4 semesters and 93 students (24.4%) of them were studying in 5-8 semesters. 112 students (29.4%) were studying in medicine, 129 (33.9%) were studying in nursing and 115 (30.2%) were studying in paramedical fields. Also, 57.5% of the students were natives and 96.9% of the students had no work experience in the corona sector and 83.5% of the students did not participate in the virtual courses of the Ministry of Health and the World Health Organization related to the corona virus. The mean and standard deviation for students' attitudes toward COVID-19 were generally 58.75± 5.56 and their knowledge was 41.61 ± 6.27. The results showed that there was no significant relationship between attitude and demographic characteristics. Besides, there was a significant relationship between students' knowledge score and age (p <0.001), gender (p = 0.002), degree (p <0.001), field of study (p <0.001) and semester under study (p <0.001). However, there was no significant relationship between students' knowledge score, type of student residence, work experience in the coronary department and history of participating in virtual courses related to coronavirus.
Conclusion: According to the results of the current study, students of medical universities have an acceptable knowledge and attitude towards the disease. Despite the favorable scores in students' knowledge and attitudes, our knowledge about COVID-19 is increasing every day. On the other hand, students should have a higher awareness and attitude rather than other students due to their presence in hospitals to minimize the possibility of transmitting the disease to themselves and other people in the community. Therefore, it is necessary for the educational authorities of medical universities to design and implement programs to increase awareness and improve students' attitudes toward COVID-19.
Full-Text [PDF 1122 kb]   (1996 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2020/07/11 | Accepted: 2020/10/10 | Published: 2020/10/10

References
1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, Zhang L, Fan G, Xu J, Gu X, Cheng Z. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet. 2020;395(10223):497-506. [DOI:10.1016/S0140-6736(20)30183-5]
2. World Health Organization. Novel Coronavirus (‎ 2019-nCoV)‎: situation report, 3. Geneva: WHO, 2020 2020-02-08.
3. Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, Sun C, Sylvia S, Rozelle S, Raat H, Zhou H. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infec Dis Pover. 2020;9(1):1-12. [DOI:10.1186/s40249-020-00646-x] [PMID] [PMCID]
4. Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, Liu S, Zhao P, Liu H, Zhu L, Tai Y. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020;8(4):420-2. [DOI:10.1016/S2213-2600(20)30076-X]
5. Chiyomaru K, Takemoto K. Global COVID-19 transmission rate is influenced by precipitation seasonality and the speed of climate temperature warming. medRxiv. 2020 Jan 1. [DOI:10.1101/2020.04.10.20060459] [PMID] [PMCID]
6. Yakar B, Kaygusuz TÖ, Pirincci E, Önalan E, Ertekin YH. Knowledge, attitude and anxiety of medical students about the current COVID-19 outbreak in Turkey. Fami Pract Palliat Care. 2020;5(2):36-44. [DOI:10.22391/fppc.737469]
7. Maheshwari S, Gupta PK, Sinha R, Rawat P. Knowledge, attitude, and practice towards coronavirus disease 2019 (COVID-19) among medical students: a cross-sectional study. J Acute Dis. 2020;9(3):100. [DOI:10.4103/2221-6189.283886]
8. Rahmanian M, Dorodchi A, Zarenezhad M, Hatami N, Javdani F, Kalani N. Knowledge, Attitude and Practice of Students of Jahrom University of medical sciences to the new coronavirus (Covid-19). Medical Journal of Mashhad University of Medical Sciences. 2020;63(3):2359-69.
9. Kamali Haghighi F, Kouhi P, Amini M, Mohammadkarimi V, Sepehrpoor M, Hosseini SA, Moosavi M, Sadeghi Boogar S. Knowledge, Attitude, and Practice Toward COVID-19 Among Healthcare Workers in Shiraz, Iran. Shiraz E-Medical Journal. 2020;21(12). [DOI:10.5812/semj.108872]
10. Abdollahi M, Ghahramanian A, Shahbazi S, Rezaei F, Naghili B, Asghari-Jafarabadi M. Developing a questionnaire to assess Iranian nurses' knowledge of and attitude to Middle East respiratory syndrome. East Mediterranean Health J. 2020;26(5). [DOI:10.26719/emhj.19.065] [PMID]
11. Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Arch Iranian Med. 2020;23(4):249-54. [DOI:10.34172/aim.2020.06] [PMID]
12. Moradzadeh R, Nazari J, Shamsi M, Amini S. Knowledge, Attitudes, and Practices Toward Coronavirus Disease 2019 in the Central Area of Iran: A Population-Based Study. Frontiers in public health. 2020;8:862. [DOI:10.3389/fpubh.2020.599007] [PMID] [PMCID]
13. Khasawneh AI, Humeidan AA, Alsulaiman JW, Bloukh S, Ramadan M, Al-Shatanawi TN, Awad HH, Hijazi WY, Al-Kammash KR, Obeidat N, Saleh T. Medical students and COVID-19: Knowledge, attitudes, and precautionary measures. A descriptive study from Jordan. Frontiers in public health. 2020;8. [DOI:10.3389/fpubh.2020.00253] [PMID] [PMCID]
14. Alberca RW, Oliveira LD, Branco AC, Pereira NZ, Sato MN. Obesity as a risk factor for COVID-19: an overview. Crit Rev Food Sci Nutrit. 2020;13:1-5. [DOI:10.1080/10408398.2020.1775546] [PMID]
15. Gao F, Zheng KI, Wang XB, Sun QF, Pan KH, Wang TY, Chen YP, Targher G, Byrne CD, George J, Zheng MH. Obesity is a risk factor for greater COVID-19 severity. Diabetes care. 2020;43(7):e72-4. [DOI:10.2337/dc20-0682] [PMID]
16. Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. 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 Biolog Sci. 2020;16(10):1745. [DOI:10.7150/ijbs.45221] [PMID] [PMCID]
17. Huynh G, Nguyen TN, Vo KN, Pham LA. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pacific J Trop Med. 2020;13(6):260. [DOI:10.4103/1995-7645.280396]
18. Abdelhafiz AS, Mohammed Z, Ibrahim ME, Ziady HH, Alorabi M, Ayyad M, Sultan EA. Knowledge, perceptions, and attitude of Egyptians towards the novel coronavirus disease (COVID-19). J Commun Health. 2020;45(5):881-90. [DOI:10.1007/s10900-020-00827-7] [PMID] [PMCID]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb