| Objective To understand prevention and treatment knowledge, recognitive attitude and behavior changes of influenza A(H1N1) at the beginning period of this epidemic flu among university students to help develop health education of university students, facilitate prevention and control of influenza A(H1N1) spreading on campus and maintain the safety and stability of the university.Method By a cluster random sampling method, Grade 1-4 undergraduate medical students from specialties of clinical medicine, traditional Chinese medicine, prevention medicine and public administration, etc, of Wenzhou Medical College were randomly enrolled, and investigated by trained investigators using a unified self-made questionnaire.Results The mean score of the prevention and treatment knowledge of influenza A(H1N1) among college students at the beginning of the epidemic flu was 17.35±3.47(full scores was 25). Detailed scores were shown as follows. Male students(16.90±3.82),female students(17.68±3.16);Han ethnic group(17.37±3.48),ethnic minority group(16.36±2.59);clinical medicine specialty(17.11±3.57),prevention medicine specialty(18.11±2.72),traditional Chinese medicine specialty(16.95±3.77),public administration specialty(17.81±3.35);grade 1(17.62±3.16),grade 2(16.58±4.30),grade 3(17.68±3.06)分,grade 4(15.49±4.42);students from rural area(17.46±3.26),from city(16.99±3.91),from town(17.43±3.53);students with strong constitution(17.33±3.44),with medium constitution(17.47±3.39),with weak constitution(16.56±4.04);students with somatic diseases(17.37±3.98),with psychological diseases(13.61±5.09),healthy students(17.47±3.31).Female students' scores were higher than male students'(P<0.001); students of prevention medicine specialty had a higher score than students of other specialties(P<0.005); students with psychological diseases had a lower score than healthy students or students with somatic diseases (P<0.001). About 40.2% of the students paid attention to the progress of the epidemic everyday, 58.4% didn't feel panic, 16.3% of students thought that influenza A(H1N1) was more severe than SARS, 44.6% thought it was more severe than bird flu, 53.2% thought it could be controlled rapidly, 14.9% thought it would become pandemic in China, 69.1% didn't think the influenza would become pandemic, and more than 70% worried about being infected and felt panic.More than 90% of students agreed with all kinds of methods applied by the government to deal with the flu and 42.9% thought current preventive and controlling methods applied by the government were effective. From 14.3% to 20.7% students had increased beneficial healthy behaviors.Conclusions University students have limited knowledge of influenza A(H1N1) and can not accurately predict the epidemic trend. Some of the students feel panic psychologically. Due to insufficient prevention knowledge, only a small percentage of students adopt beneficial healthy behaviors to prevent influenza A(H1N1). Health education should reinforced,prevention and control knowledge should be pervaded to reduce psychological stress. Students should be suggested to make more exercise, wash hands frequently, and make more ventilation in their dormitories by keeping the windows open frequently. Influenza A(H1N1) vaccine should be injected if there is possibility. Objectives To understand the emotional changes during influenza A(H1N1) epidemic among university students according to different genders, specialties, grades, student resources and ethnic groups. To understand the relationship between prevention and treatment knowledge of influenza A(H1N1) and students'emotional changes. Methods By a cluster random sampling method, Grade 1-4 undergraduate medical students from specialties of clinical medicine, traditional Chinese medicine, prevention medicine and public administration, etc, of Wenzhou Medical College were randomly enrolled, and investigated by trained investigators using a unified self-made psychological questionnaire of emergent events of public health to find the influence of the flu on the students'emotion during different stages of the flu. Another self-made investigation questionnaire was used to find the relationship between prevention and treatment knowledge of the flu and students'emotional changes.Results The mean score of prevention and treatment knowledge of influenza A(H1N1) among college students at the beginning of the epidemic flu was 17.35±3.47. The first time investigation of the reaction factors showed: depression factor 0.00±0.50, neurasthenia factor 1.20±0.40,fear factor 0.67±0.50,obsessive-anxiety factor 0.67±0.17,hypochondriacal factor 0.67±0.33. Scores of all the factors in students from grade 4 were higher than those from any other grades. The second time investigation of all the reaction factors showed: depression factor0.00±0.33, neurasthenia factor0.00±0.40, fear factor0.33±0.50, obsessive-anxiety factor 0.00±0.17, hypochondriacal factor 0.00±0.33. Comparison between two investigations showed the scores from the second investigation were lower than those from the first one, P<0.01, which meant the difference was statistically significant. The scores of depression factor, neurasthenia factor, obsessive-anxiety factor and hypochondriacal factor were negatively correlated with flu scores, P<0.05, which meant the difference was statistically significant.Conclusions Influenza A(H1N1) can cause emotional disorder among college students, which is more obvious in students from higher grades. The severity of emotional disorder is closely related to the severity of the flu and emotional disorder will subside following relief of the flu. Obtaining knowledge of influenza A(H1N1) will benefit the relief of emotional disorder, which suggests publicity and education of contagious diseases'knowledge should be reinforced during the outbreak of these diseases.
|
PDF Full Text Request