The COVID-19 pandemic is a global disaster, and recent studies have shown its association with increasing mental health problems such as post-traumatic stress disorder (PTSD), depression, anxiety, and stress. Nursing students especially nursing interns may be shunned, harassed, even blamed as potential COVID-19 spreaders, though they were important reserve force against COVID-19 and other diseases. Of note, the psychological influences of COVID-19 on nursing students remained unclear. The aim of this study was to evaluate the mental health of nursing students during the COVID-19 pandemic. A cross-sectional online survey was conducted on nursing students in a vocational college from 12 April 2020 until 23 April 2020. The Impact of Event Scale–Revised, 21-item Depression, Anxiety and Stress Scale, and Pittsburgh Sleep Quality Index were used to assess the degree of symptoms of PTSD, depression, anxiety, stress, and insomnia, respectively. Multivariable logistic regression analysis was performed to determine potential risk factors for psychological symptoms. 1780 college nursing students were asked to participate in this online survey, with 1532 complete responses. In total, 682 (44.5%) college nursing students reported having PTSD, 358 (22.8%) students reported insomnia, but few students reported depression (n=45, 2.9%), anxiety (n=44, 2.9%), and stress (n=17, 1.1%) symptoms. As compared with junior, female, and rural nursing students, respectively, the senior, male, and urban nursing students had higher rates of PTSD, depression, anxiety, stress, while male nursing students had a higher insomnia rate. Multivariable analysis showed that senior nursing students had higher risks of PTSD, depression, anxiety; being male was associated with higher risks of PTSD, depression, anxiety, stress, and insomnia; and urban nursing students had higher risks of PTSD, depression, anxiety, and stress. In summary, a considerable number of nursing students reported mental symptoms of PTSD and insomnia, though few reported mental symptoms of depression, anxiety, and stress. Furthermore, senior, male, and urban nursing students are at risk for developing mental symptoms. Appropriate psychological interventions should be implemented to assure the mental health of nursing students.

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COVID-19 大流行期间护生的心理健康

COVID-19 大流行是一场全球性灾难，最近的研究表明，它与日益严重的心理健康问题有关，例如创伤后应激障碍 (PTSD)、抑郁、焦虑和压力。护生尤其是护理实习生可能会被回避、骚扰，甚至被指责为潜在的 COVID-19 传播者，尽管他们是对抗 COVID-19 和其他疾病的重要后备力量。值得注意的是，COVID-19 对护生的心理影响仍不清楚。本研究的目的是评估 COVID-19 大流行期间护生的心理健康状况。2020年4月12日至23日，对一所职业学院的护理专业学生进行了一项横断面在线调查。使用事件影响量表修订版、21项抑郁、焦虑和压力量表以及匹兹堡睡眠质量指数分别评估 PTSD、抑郁、焦虑、压力和失眠症状的程度。进行多变量逻辑回归分析以确定心理症状的潜在危险因素。1780名护理学院学生参与了此次在线调查，共收到1532份完整回复。总共有 682 名（44.5%）大学护理专业学生报告患有 PTSD，358 名（22.8%）学生报告失眠，但很少有学生报告抑郁（n=45，2.9%）、焦虑（n=44，2.9%）和压力(n=17, 1.1%) 症状。与初中护生、女护生和农村护生相比，高年级护生、男护生和城市护生的PTSD、抑郁、焦虑、压力发生率较高，男护生失眠发生率较高。多变量分析显示，高年级护生患PTSD、抑郁、焦虑的风险较高；男性患创伤后应激障碍（PTSD）、抑郁、焦虑、压力和失眠的风险较高；城市护生患创伤后应激障碍（PTSD）、抑郁、焦虑和压力的风险较高。综上所述，相当一部分护生报告有PTSD和失眠等精神症状，但很少有护生报告有抑郁、焦虑和压力等精神症状。此外，高年级、男性和城市护生有出现精神症状的风险。应实施适当的心理干预，以保证护生的心理健康。