Factors Associated with Perceived Stress, Anxiety, Depression, Insomnia during COVID-19 Outbreak among Nursing Students

COVID-19 is a new strain of SARS disease. It is showing the devastating effects globally. The disease not only affects physical health but has emerged many psychological and mental problems in general public as well as nursing students. The objective of this study was to assess the factors associated with perceived stress, anxiety, depression and insomnia during COVID 19 outbreak among nursing students. The research was conducted at Nobel college, Sinamangal, Kathmandu. The cross sectional descriptive study design was adopted by using digitalisation structured self administered questionnaire. In total, 184 nursing students had participated in the online survey by using total enumerative sampling technique. The survey questionnaire consist of 45 items. Structured standard tool, DASS (Depression, anxiety, stress scale) and ISI ( Insomnia Index Scale) was used. The obtained data were coded, entered and analyzed by using IBM SPSS (Statistical package for Social Science) 21 version for the descriptive and inferential statistics were used for data analysis. The findings of the study revealed that the majority of the respondents had normal level of depression 77.71 % and normal level of Anxiety 71.73 %. Similarly, 93.47 % had normal level of stress respectively. Likewise, 47.28 % had no clinically significant level of insomnia. This study also found that 58.7 % of respondents become stressed while reading and hearing news on increasing COVID -19 cases. Similarly, 44.4 % of respondents said that long duty hours makes them streeful. Other factors of stress in nursing students during COVID 19 pandemic were spending a lot of money on recharge for mobile data 36.4 % for the online classes. And fear of delay in graduation 29.9 %. There was a statistical difference between the score of depression with age (p=.016), marital status (p=.015) and residence (p=.005) and score of insomnia with age (p=.013), marital status (p =.009), residence (p=.015), score of anxiety with age (p=.047