Study of Knowledge, Attitude, Anxiety, and Perception of Mental Health Needs Among Nursing Students in Indonesia During COVID-19 Pandemic

Mundakir Mundakir, Ferry Efendi, Ika Adelia Susanti

Abstract views = 2126 times | views = 415 times


Introduction: College students are a vulnerable population who are more likely to experience anxiety and depressive symptoms during pandemic COVID-19. This study aimed to evaluate the knowledge, attitudes, anxiety, and perceptions of mental health needs among nursing students in Indonesia during the COVID-19 pandemic.

Methods: The study used a cross-sectional design, and the population was nursing students in Indonesia in various levels of education and age ≥ 18 years old. The sampling technique used purposive sampling with a total of 619 respondents. An online survey was conducted using questionnaire. The data analysis used descriptive statistics, Mann-Whitney, and Kruskal-Wallis test.

Results: The results showed that only a few respondents had an adequate level of knowledge regarding the signs and symptoms (0.2%) and transmission of COVID-19 (13.6%). However, students had moderate knowledge about protecting against COVID-19 (60.3%). As many as 22.8% of students had a positive attitude toward COVID-19 and 94% of respondents did not experience anxiety. The majority of students had a perception that COVID-19 has an impact on their lives. The results also showed that there were significant differences in several demographic variables (gender, education, place of residence, institution) with the knowledge, attitudes, anxiety, and perceptions of students.

Conclusion: The level of knowledge, attitudes, and perceptions among nursing students regarding COVID-19 were less or negative tendencies. At the same time, the nursing students did not experience clinically significant fear and anxiety. This requires government support in providing policies to educational institutions for improving students' knowledge, attitudes, and perceptions of COVID-19.


COVID-19; mental status; nursing students; psychological status

Full Text:



Alzoubi, H. M. et al. (2020) 'COVID-19 - Knowledge , Attitude and Practice among Medical and Non-Medical University Students in', Journal of Pure and Applied Microbiology, 14(1), pp. 17–24. doi: 10.22207/JPAM.14.1.04.

American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Pub.

Brooks, S. K. et al. (2020) 'The psychological impact of quarantine and how to reduce it: rapid review of the evidence', The Lancet. Elsevier.

Chen, N. et al. (2020) 'Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study', The Lancet. Elsevier, 395(10223), pp. 507–513.

Ebrahim, S. H. et al. (2020) 'Covid-19 and community mitigation strategies in a pandemic'. British Medical Journal Publishing Group.

Erfani, A., Shahriarirad, R. and Ranjbar, K. (2020) 'Title : Knowledge , Attitude and Practice toward the Novel Coronavirus ( COVID-19 ) Outbreak : A Population-Based Survey in Iran', The Bulletin of the World Health Organization, (March).

Graham Carlos, W. et al. (2020)' Novel Wuhan (2019-NCoV) coronavirus', American Journal of Respiratory and Critical Care Medicine, 201(4), pp. P7–P8. doi: 10.1164/rccm.2014P7.

Hager, E. et al. (2020) 'Knowledge , attitude , and perceptions towards the 2019 Coronavirus Pandemic : A bi-national survey in Africa', PLoS One, pp. 1–13. doi: 10.1371/journal.pone.0236918.

Hawryluck, L. et al. (2004) 'SARS control and psychological effects of quarantine, Toronto, Canada', Emerging Infectious Diseases. Centers for Disease Control and Prevention, 10(7), p. 1206.

Holshue, M. L. et al. (2020) 'First case of 2019 novel coronavirus in the United States', New England Journal of Medicine. Mass Medical Soc.

Huang, C. et al. (2020) 'Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China', The Lancet. Elsevier, 395(10223), pp. 497–506.

Huang, L. et al. (2020) 'Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak : A comparative study', PLoS One, pp. 1–12. doi: 10.1371/journal.pone.0237303.

Huang, Y. and Zhao, N. (2020) 'Mental health burden for the public affected by the COVID-19 outbreak in China: Who will be the high-risk group?', Psychology, health & medicine. Taylor & Francis, 00(00), pp. 1–12. doi: 10.1080/13548506.2020.1754438.

Jena, P. K. (2020) 'Impact of Pandemic COVID-19 on Education in India', Purakala. SocArXiv, 31(46), p. :142-149.

Kemenkes RI (2020a) Apa itu Social Distancing. Available at: kes covid 19/Apa itu Social Distancing.jpeg.

Kemenkes RI (2020b) 'Pedoman Pencegahan dan Pengendalian Coronavirus Disease (COVID-19)', pp. 0–115.

Kemenkes RI (2020c) 'Pedoman Pencegahan Dan Pengendalian Coronavirus Disease 2019 (Covid-19)'.

Kemenkes RI (2020d) 'Penetapan Pembatasan Sosial Berskala Besar di Wilayah Provinsi DKI Jakarta dalam Rangka Percepatan Penanganan Corona Virus Disease 2019 (Covid-19)'.

Kemenkes RI (2020e) Situasi Terkini Perkembangan Novel Coronavirus (Covid-19): data dilaporkan sampai 23 april 2020.

Lee, J. (2020) 'Mental health effects of school closures during COVID-19.', The Lancet. Child & adolescent health. Elsevier Ltd, 2019(20), p. 30109. doi: 10.1016/S2352-4642(20)30109-7.

Lee, S. A. (2020) 'Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety', Death studies. Taylor & Francis, pp. 1–9.

Maheshwari, S. et al. (2020) 'Knowledge , attitude , and practice towards coronavirus disease 2019 ( COVID-19 ) among medical students : A cross-sectional study', Journal of Acute Disease, 9(May), pp. 100–104. doi: 10.4103/2221-6189.283886.

Modi, P. D. et al. (2020) 'COVID-19 awareness among healthcare students and professionals in Mumbai metropolitan region: a questionnaire-based survey', Cureus. Cureus Inc., 12(4).

Mulder, K. F. (2017) 'Strategic competences for concrete action towards sustainability: An oxymoron? Engineering education for a sustainable future', Renewable and Sustainable Energy Reviews. Elsevier, 68, pp. 1106–1111.

Nasimi, M. H. et al. (2013) 'Knowledge management and competitive advantage for organizations', Kuwait Chapter of the Arabian Journal of Business and Management Review. Sohar University, Oman and American University of Kuwait, 2(5), p. 56.

Nemati, M., Ebrahimi, B. and Nemati, F. (2020) 'Assessment of Iranian Nurses' Knowledge and Anxiety Toward COVID-19 During the Current Outbreak in Iran', Archives of Clinical Infectious Diseases, (March). doi: 10.5812/archcid.102848.

Nursalam, N. et al. (2020) 'Risk Factors For Psychological Impact And Social Stigma Among People Facing Covid-19: A Systematic Review', Systematic Reviews in Pharmacy. Medknow Publications, 11(6), pp. 1022–1028.

Patidar, K. et al. (2020) 'COVID-19 Knowledge and Perception among Budding Nurses: A Questionnaire-Based Survey', International Journal of Nursing Research (IJNR), 6(2), pp. 1–7. doi: 10.31690/ijnr/61.

Roy, D. et al. (2020) 'Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic', Asian Journal of Psychiatry. Elsevier, p. 102083.

Saefi, M. et al. (2020) 'Survey data of COVID-19-related knowledge , attitude , and practices among indonesian undergraduate students', Data in Brief. Elsevier Inc., 31, p. 105855. doi: 10.1016/j.dib.2020.105855.

Savitsky, B. et al. (2020) 'Anxiety and coping strategies among nursing students during the covid-19 pandemic Nurse Education in Practice Anxiety and coping strategies among nursing students during the covid-19 pandemic', Nurse Education in Practice. Elsevier, 46(July), p. 102809. doi: 10.1016/j.nepr.2020.102809.

Sheroun, D. et al. (2020) 'A Study to Assess the Perceived Stress and Coping Strategies among B . Sc . Nursing Students of Selected Colleges in Pune during COVID-19 Pandemic Lockdown', International Journal of Science and Healthcare Research, 5(2), pp. 280–288.

Du Toit, A. (2020) 'Outbreak of a novel coronavirus', Nature Reviews Microbiology. Nature Publishing Group, 18(3), p. 123.

Wadood, M. A. et al. (2020) 'Knowledge, attitude, practice and perception regarding COVID-19 among students in Bangladesh: Survey in Rajshahi University', BMJ.

Wang, Chen et al. (2020) 'A novel coronavirus outbreak of global health concern', The Lancet. Elsevier, 395(10223), pp. 470–473.

Wang, Cuiyan et al. (2020) 'Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China', International Journal of Environmental Research and Public Health, 17(5). doi: 10.3390/ijerph17051729.

WHO (2020a) Coronavirus. Available at: file:///D:/ASISTEN PENELITI/Riset/Hibah AINEC/Covid/Coronavirus.html#tab=tab_1.

WHO (2020b) ‘Coronavirus disease 2019 (COVID-19) situation report—56’.

WHO (2020c) 'Coronavirus disease 2019 (COVID-19) Situation Report – 94', World Health Organization, 2019(March), p. 2633. doi: 10.1001/jama.2020.2633.

Zhong, B.-L. et al. (2020) 'Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey', International journal of biological sciences. Ivyspring International Publisher, 16(10), p. 1745.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats