Journal presentation in Nursing Research, Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic Covid-19 Abstract Introduction Methodology samples Analysis

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Presented by :
Mrs. Dhara Vyas
Assistant Professor
Dinsha Patel College of
Nursing

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Journal title
Study of knowledge, attitude, anxiety & perceived
mental healthcare need in Indian population
during COVID-19 pandemic
Journal name: Asian Journal of Psychiatry Volume 51 Issue , June 2020. ISSN
18762018
Deblina Roy
aKing George’s Medical University, Lucknow, Uttar Pradesh, India

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MIDWIFENovel Corona Virus Disease (COVID-19) originating
from China has rapidly crossed borders, infecting
people throughout the whole world. This
phenomenon has led to a massive public reaction;
the media has been reporting continuously across
borders to keep all informed about the pandemic
situation. All these things are creating a lot of
concern for people leading to heightened levels of
anxiety. Pandemics can lead to heightened levels of
stress; Anxiety is a common response to any
stressful situation.
Abstract

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MIDWIFEThis study attempted to assess the knowledge,
attitude, anxiety experience, and perceived
mental healthcare need among adult Indian
population during the COVID-19 pandemic. An
online survey was conducted using a semi-
structured questionnaire using a non-probability
snowball sampling technique. A total of 662
responses were received.
Abstract

5. CORE ROLE OF
MIDWIFEThe responders had a moderate level of knowledge
about the COVID-19 infection and adequate
knowledge about its preventive aspects. The
attitude towards COVID-19 showed peoples'
willingness to follow government guidelines on
quarantine and social distancing. The anxiety
levels identified in the study were high. More than
80 % of the people were preoccupied with the
thoughts of COVID-19 and 72 % reported the need
to use gloves, and sanitizers.
Abstract

6. CORE ROLE OF
MIDWIFEIn this study, sleep difficulties, paranoia about
acquiring COVID-19 infection and distress related
social media were reported in 12.5 %, 37.8 %, and
36.4 % participants respectively. The perceived
mental healthcare need was seen in more than 80
% of participants. There is a need to intensify the
awareness and address the mental health issues of
people during this COVID-19 pandemic.
Abstract

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INTRODUCTION
COVID-19 started in December 2019 at Wuhan city China
A cluster of about 40 cases of pneumonia of unknown
etiology was reported
WHO was soon established to be a new virus and was named
Novel Corona Virus (2019-nCoV)
11th January China announced its first COVID-19 related death
of a 61-year-old man
11th February, WHO announced a name for the new
coronavirus disease: COVID-19 (WHO, 2020c).
11th of March, WHO declared COVID-19 - a pandemic as by then
about 114 countries were affected (WHO, 2020c).

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STATEMENT OF PROBLEM

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OBJECTIVES OF THE STUDY

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METHADOLOGY

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Research Design
Cross-sectional,
Observational
Study
Research
Approach
Quantitative
approach
Research Variable
Knowledge,
Attitude, Anxiety,
Perceived Mental
Healthcare
Sample Size
662
Sampling
Technique
Non-probability
Snowball sampling
technique
Research Setting
Various States of
India
Sample
Participants with
age more than 18
years

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TOOL FOR DATA COLLECTION
Self Reported Semi-structured Questionnaire
Section -1 Demographic
Variable
Age,
Gender,
Occupation,
Education,
Domicile,
Area Of Residence And
Religion
Section -2 Self Structured
questionnaire
 Knowledge – 6 M.C.Q
Attitude – 5-point Likert
scale ,7 Items
 Anxiety-– 5-point Likert
scale ,18 Items
 Perceived mental
healthcare needs- 3-point
Likert scale, 4 Items

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Data Collection Method
It was an online study. Participants with
access to the internet could participate in the
study. Participants with age more than 18
years, able to understand English and willing
to give informed consent were included. The
data collection was initiated on 22nd March
2020 at 4 PM IST and closed on 24th March
2020 at 4 PM IST. We were able to collect
data from across various states of India.

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Result:
A
• Moderate level of knowledge about the COVID-
19 infection
B
• More than 96 % of the participants agreed to
quarantine/ isolate themselves
C
• More than 80 % of the people were preoccupied with
the thoughts of COVID-19 over the past week.
D
• 80 % of participants felt the need for the professional
help from mental health experts to deal with emotional
issues and other psychological issues

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Result:
Demographic
Data
Mean age -- 29.09 ± 8.83 years
Females -51.2 %and Males--48.6 %
Graduation -90 %
Urban areas- 80 %
25 states
Hindus -87 %
Knowledge
Transmission-29.5%
No Pet Transmission-
56%
Highly contageous-43%
Fever 18.2

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Result:
Attitude
Agree for
Isolation -
96%
Social
Distancing-
98%
Anxiety
80% higher
level stress
1/3 participant
with
inappropriate
behaviour
Perceived Mental
Health Care Needs
75% agreed to
have mental
health care
needs
80% needs
help for social
and
psychological
issues

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DISCUSSION
Moderate level Knowledge
Positive attitude
Disturbed daily life
Social isolation
Financial crisis
Same environment at home
Stress of Grocery shortage
Stress of getting infected from any where and
many more

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RECENT EVIDENCE
Similar Study
Analysis of the Stress, Anxiety and Healthy Habits in the Spanish COVID-19
Confinement
Author : Angel Vicario-Merino and Noemi Muñoz-Agustin
Reference:
https://www.hsj.gr/abstract/analysis-of-the-stress-anxiety-and-healthy-habits-
in-the-spanish-covid19-confinement-26874.html

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Population/
patients
Intervention Comparison Result
Population –
above 14 years of
age selected by
snowball sampling
technique with the
use of WhatsApp,
LinkedIn and
Tweeter.
Questionnaire sent
via de social
networks, the
participants were
requested to
answer two
standardized and
validated tests (one
on anxiety and
one on stress
levels) and the daily
adherence to a
series of habits.
----
health promotion
messages that
would change every
7-10 days,
promoting different
aspects: a)Healthy
sleep (sleep more
than 7 hours and
avoid use of screens
2 hours before
going to bed).
b) Healthy eating. c)
Exercise
recommendations
to be done at
home.
d) Positive thinking.
The Stress and
anxiety levels
increase according
to the age and the
responsibilities and
the number of the
day in confinement.
The adherence to
healthy habits
decreases as the
days in
confinement
increase. However
higher the age
range the more
adherence to
healthy habits.

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RECENT EVIDENCE
Mental health problems and social media
exposure during COVID-19 outbreak
Author :
Junling Gao, School of Public Health, Fudan University, Fudan Institute of
Health communication, Shanghai, China
Reference:
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0231924

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Population/
patients
Intervention Comparison Result
Assess the
prevalence of
mental health
problems and
examine their
association with
social media
exposure.
Chinese citizens
aged≥18 years old
4872 participants
from 31 regions
Cross-sectional
study was
conducted during
Jan 31 to Feb 2,
2020.
Assess Depression,
with WHO-Five
Well-Being Index
(WHO-5) and
Anxiety,
With generalized
anxiety disorder
scale (GAD-7)
---- 82.0% of participants
frequently expose them
to social media.
Prevalence of depression
was 48.3%
Prevalence of anxiety was
22.6%.
Prevalence of
combination of
depression and anxiety
was 19.4%.
High prevalence of
mental health problems,
which positively
associated with
frequently SME during
the COVID-19 outbreak.

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RECENT EVIDENCE
A study on the psychological needs of nurses caring for
patients with coronavirus disease 2019 from the
perspective of the existence, relatedness, and growth
theory.
Author :
Yin X, Department of Neurology, Union Hospital, Tongji Medical College of
Huazhong University of Science and Technology, Wuhan, China.
Reference:
https://europepmc.org/article/pmc/pmc7128423

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Population/
patients
Intervention Comparison Result
10 nurses who
cared for patients
with COVID-19 in
tertiary general
hospital in Wuhan.
Registered nurses
at the front-line;
having been caring
for COVID-19
patients for more
than one week;
Voluntary
participation in the
study.
The sample size
was based on the
saturation of
information.
In-depth interviews
were conducted
with nurses.
A purposive
sampling method
Interview data
were analyzed by
category analysis
from the
perspective of the
existence,
relatedness, and
growth theory
(ERG).
-- Existence needs -
health and security
needs.
Relatedness needs -
interpersonal
needs, humanistic
concern needs, and
family needs;
Growth needs -
strong need for
knowledge.

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CONCLUSION
People have higher perceived needs to deal
with their mental health difficulties.
There is a need to intensify the awareness
program and address the mental health
issues of people during this COVID-19
pandemic.

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CRITIQUE
•All age group people have different level of
understandings, needs and attitude, there is a
chance of bias .
•A study can not be generalized to all states all
economical class people.
•There will be a bias for rural people and illitrate
people.
•The anxiety level will be different according to
awareness
•Effect of Mass media must be mention

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