Date of Award

11-29-2020

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Ms. Yasmin Nadeem Parpio

Second Advisor

Dr. Saima Hirani

Third Advisor

Ms. Salima Farooq

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Nursing education is highly demanding and stressful as compared to other disciplines. Anxiety and depressive symptoms among university students are significant health concerns. The university level is the transition stage for adult-learners, in which they start to become accountable for their life-choices and their health-related activities. Therefore, multiple challenges related to university study and lifestyle may cause anxiety and depressive symptoms among undergraduate students.
Purpose:The study aimed to determine the prevalence and factors associated with anxiety and depressive symptoms among undergraduate nursing students of public and private nursing colleges in Khyber Pakhtunkhwa, Pakistan.|
Methodology :An analytical cross-sectional research design was employed for the study. The data was collected from both public and private nursing institutes, from August 2019 to September 2020 by applying consecutive sampling. The Open Epi v.6 was used to calculate the sample size for prevalence and associated factors, which was 400. “The Aga Khan University Anxiety Depression Scale” tool was used, with a cut-off of ≥19 for individuals considered as screened positive. Descriptive and inferential statistics were used, by using SPSS v.21 for data analysis.
Results: The response rate of the study was 82.5%, around 72.1% female and 27.9%, male participants reported 60.3% prevalence of anxiety and depressive symptoms. In Univariate v logistic regression analysis, a statistically significant association was found among age, marital status (p-value˂0.001), satisfaction from the study (p-value˂0.001), living arrangements (pvalue=0.002), and family history of psychiatric illness (p-value˂0.001). Finally, the multivariate model revealed that the married participants were 3.8 times more prone to anxiety and depressive symptoms, as compared to singles (95% CI: 1.597-9.455). Similarly, with one unit increase in the year of the study the risk was found to be significantly higher (OR=6.843, 95% CI: 2.253– 20.781)
Conclusion:The alarming magnitude of anxiety and depressive symptoms has implications for health promotion and mental health issues prevention among undergraduate nursing students. It is essential to enhance the mental health status of the undergraduate nursing students, with the help of appropriate interventions (providing counseling services), and to develop strategies by considering the relevant associated factors to overcome the mental health problems.

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