| Objective To understand the current situation of nutrition literacy level and stress resistance ability of medical staff in tertiary hospitals under the background of normal prevention and control of the novel coronavirus epidemic,and to explore the relationship between nutrition literacy and stress resistance ability of medical staff,so as to provide scientific theoretical basis for carrying out nutrition-promoting health action and related decision-making and management.Methods In this study,the cluster sampling method is adopted,taking Bengbu City as an example,and the medical staff in 7 third-level medical institutions are investigated.Due to the impact of the epidemic,the survey was carried out by online questionnaire survey.A total of1185 people participated in the survey,25 of whom were excluded due to lack of data,and finally 1160 people were included in the analysis.The self-designed structured questionnaire was used to investigate the demographic characteristics of medical personnel,and the simplified nutritional literacy scale(NL-SF12)was used to evaluate the nutrition literacy level of medical personnel.The simple psychological status assessment scale(Kessler10,K10)and General Self-efficacy Scale(GSES)were used to evaluate the mental health status and self-efficacy,so as to comprehensively assess the ability to cope with stress.SPSS 25.0 was used for statistical analysis,comparison between groups was tested,and the correlation among nutrition literacy,mental health status and self-efficacy was analyzed by Logistic regression.Results The average age of 1160 medical workers in this survey was 36.37±8.79 years old,with 397 males(34.22%)and 763 females(65.78%).There were 476 doctors(41.03%),489nurses(42.16%),175 medical technicians(15.09%),and 20 administrative and logistics personnel(1.72%).There were 213 students with junior college degree or below,accounting for 18.36%;797 students with bachelor degree,accounting for 68.71%;150 students with master degree or above,accounting for 12.93%;There were 527 people with primary or lower titles,accounting for 45.43%,472 people with intermediate titles,accounting for 40.69%,and161 people with associate senior or higher titles,accounting for 13.88%.The scores of overall nutrition literacy of medical staff were 45.64±7.98,16.79±3.03 in cognitive field and 28.85±5.86 in skill field.In the comparison of the three aspects,the score of functional nutrition literacy was 30.72±5.45,the score of interactive nutrition literacy was 7.62±1.59,and the score of evaluative nutrition literacy was 7.30±1.68.The level of overall nutrition literacy,cognitive field,skill field and interactive nutrition literacy of female medical staff were higher.The medical staff with higher education level had higher nutrition literacy level in the overall nutrition literacy level and cognitive field.In this study,99 medical workers had grade 3mental health status(8.50%),which meant that they had a high risk of mental disorders.There are 978 medical staff with a mental health status of level 4(84.30%),meaning a high risk of mental health disorders,and 92.5% with a mental health status of level 3 and level 4.In this study,there are 626 people with a high level of self-efficacy,accounting for 53.97%,and 534 people with a low level of self-efficacy,accounting for 46.03%.Medical staff with higher education level and average monthly income had higher self-efficacy.Logistic regression analysis showed that nutrition literacy was negatively correlated with mental health status,and lower nutrition literacy level was correlated with higher mental health level(P<0.05).Nutritional literacy was negatively correlated with mental health status,lower nutritional literacy level was associated with higher mental health status(P < 0.001),and the OR of participants with lower nutritional literacy was 0.51(95%CI= 0.37-0.72,P <0.001).After adjusting for gender,marital status,children,occupation,professional and technical title,working years and average monthly income,the results showed that participants with low nutritional literacy had an OR of 0.51(95%CI= 0.36-0.71,P < 0.001).Nutritional literacy was positively correlated with self-efficacy,and higher nutritional literacy level was correlated with higher self-efficacy(P < 0.001).The OR of participants with higher self-efficacy was 3.22(95%CI= 2.52-4.10,P < 0.001).After adjusting for gender,marital status,children,occupation,professional and technical title,working years and average monthly income,the results were similar,with an OR value of 3.29(95%CI= 2.56-4.24,P <0.001).Conclusion 1.Under the background of COVID-19 prevention and control,the nutritional literacy of medical staff is different,and the scores in interactive nutrition literacy and evaluative nutrition literacy are low.Therefore,targeted education should be strengthened,and the ability to use and evaluate nutritional information should be enhanced,so that nutrition and health should be more comprehensively linked together,and medical staff should pay more attention to nutrition literacy.Strive to achieve the improvement of nutrition literacy level of the whole people..2.Gender,education level,occupation and working years are factors influencing the nutrition literacy level of medical staff.It is suggested that policy makers should emphasize the importance and necessity of having nutrition literacy in different education stages and work fields.3.Medical personnel have a high risk of psychological disorders during the period of COVID-19 prevention and control,so we should pay more attention to the psychological changes of medical personnel during this period,continue to increase the care and love for medical personnel,and promote more medical personnel to improve their stress resistance ability. |
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