Determination of the Relationship between Nurses' Anxiety of Getting Caught Coronavirus and Their Healthy Nutrition Attitudes during the Pandemic Process


  • Buğse BÖLEÇ
  • Fatma BİRGİLİ Muğla Sıtkı Koçman University Health Sciences Faculty Nursing Department



Anxiety, Covid-19, Healthy Eating , Attitude, Nurse


This study was conducted as a cross-sectional and descriptive study in order to determine nurses' attitudes towards healthy eating and their concerns about catching coronavirus and the relationship between them in the pandemic. The research was carried out with 203 nurses working in a training and research hospital located in the west of our country. The data were collected between June-July 2021 with a questionnaire consisting of nurses' personal characteristics, Attitudes towards Healthy Eating Scale, and New Types of Coronavirus Anxiety Scale. The mean age of the nurses was 33, 61.6% were female, 56.73% were married, 51.7% had a bachelor's degree, 56.2% were normal weight, 52.7% were childless, 37.4% used alcohol, 46.3% smoked. It was determined that 30% of them had chronic diseases. 55.7% of the nurses work in the clinic, 88.2% as clinical nurses, and the average working year is 10.93. A statistically significant difference was found between the age, gender, number of children, alcohol and smoking status of the nurses and the total mean scores of the Attitudes towards Healthy Eating Scale (p<0.05). A statistically significant difference was found between nurses with thalassemia and the total mean scores of the Nurses Anxiety of Conceiving New Type Coronavirus (p< 0.05). A positive and statistically significant relationship was found between the total score averages of the Nurses' Attitudes towards Healthy Eating Scale and the Nurses' Anxiety of Conceiving New Type Coronavirus (p<0.01, p<0.05). It can be said that nurses' healthy eating attitudes and anxiety about catching coronavirus are high.


Abawi, O., Welling, M.S., Van den Eynde, E., Van Rossum, E.F, Halberstadt J, Van Ven Akker, E.L., & Van der Voorn, B. (2020). Covid-19 related anxiety in children and adolescents with severe obesity: A mixed-methods study. Clinical Obesity, 10(6), e12412. Doi:10.1111/cob.12412.

Al Maskari, Z., Al Blushi, A., Khamis, F., Al Tai, A., Al Salmi, I., Al Harthi, H., … & Al Blushi, Z. (2021). Characteristics of healthcare workers infected with Covid--19: A cross-sectional observational study. International Journal of Infectious Diseases, 102, 32-36.

Alhusseini, N., & Alqahtani, A. (2020). COVID-19 pandemic’s impact on eating habits in Saudi Arabia. Journal of public health research, 9(3), 1868. Doi: 10.4081/jphr.2020.1868

Ali, S., Noreen, S., Farooq, I., Bugshan, A., & Vohra, F. (2020). Risk assessment of healthcare workers at the frontline against Covid-19. Pakistan journal of medical sciences, 36(Covid-19-S4), 99-103. Doi: 10.12669/pjms.36.COVID19-S4.2790.

Alwani, S.S., Majeed, M.M., Hirwani, M.Z., Rauf, S., Saad, S.M., Shah, S.H., & Hamirani, F.M. (2020). Evaluation of knowledge, practices, attitude and anxiety of Pakistans nurses towards COVID-19 during the current outbreak in Pakistan. MedRxiv, 1-26.

Aman, F., & Masood, S. (2020). How Nutrition can help to fight against COVID-19 Pandemic. Pakistan Journal of Medical Sciences, 36(COVID19-S4), 121. Doi: 10.12669/pjms.36.COVID19-S4.2776.

Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., …& Hoekelmann, A. (2020). Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients, 12(6), 1583.

Ashby, N.J. (2020). Impact of the COVID-19 pandemic on unhealthy eating in populations with obesity. Obesity, 28(10), 1802-1805.

Avery, A.R., Tsang, S., Seto, E.Y., & Duncan, G.E. (2020). Stress, anxiety, and change in alcohol use during the Covid-19 pandemic: findings among adult twin pairs. Frontiers in psychiatry, 11, 571084. Doi: 10.3389/fpsyt.2020.571084.

Bailey, K.L., Samuelson, D.R, & Wyatt, T.A. (2021). Alcohol use disorder: A pre-existing condition for Covid-19. Alcohol, 90, 11-17.

Batar, N., Ceren, P., Tüfekçi, R.N., Koçak, B., Özçalkap, R., Pelin, P., & Arıca, S.G. (2021). Evaluation of the nutritional status changes of resident physicians before and during the Covid-19 Pandemic. Archives of Clinical and Experimental Medicine, 6(2), 66-71. Doi:10.25000/acem.911218.

Bayülgen, M.Y., Bayülgen, A., Yeşil, F.H., & Türksever, H.A. (2021). COVID-19 Pandemisi Sürecinde Çalışan Hemşirelerin Anksiyete ve Umutsuzluk Düzeylerinin Belirlenmesi. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 3(1), 1-6. Doi: 10.48071/sbuhemsirelik.839229.

Belingheri, M., Paladino, M.E., & Riva, M.A. (2021). Working schedule, sleep quality, and susceptibility to Coronavirus disease 2019 in healthcare workers. Clinical Infectious Diseases, 72(9), 1676.

Benham, G. (2021). Stress and sleep in college students prior to and during the Covid-19 pandemic. Stress and health, 37(3), 504-515.

Canatan, D., & De Sanctis, V. (2020). The medical concerns of patients with thalassemias at the time of COVID-19 outbreak: The personal experience and the international recommendations. Acta Bio Medica: Atenei Parmensis, 91(2), 218. Doi: 10.23750/abmv91i2.9533.

Chopra, S., Ranjan, P., Malhotra, A., Sahu, A., Dwivedi, S.N., Baitha, U., … & Kumar, A. (2021). Development and validation of a questionnaire to evaluate the impact of Covid-19 on lifestyle-related behaviours: eating habits, activity and sleep behaviour. Public health nutrition, 24(6), 1275-1290. Doi:10.1017/S1368980020004656.

De Pinho, L.G., Sampaio, F., Sequeira, C., Teixeira, L., Fonseca, C., & Lopes, M.J. (2021). Portuguese nurses’ stress, anxiety, and depression reduction strategies during the covid-19 outbreak. International Journal of Environmental Research and Public Health, 18(7), 3490. Doi: https://

Deng, X., Liu, X., & Fang, R. (2020). Evaluation of the correlation between job stress and sleep quality in community nurses. Medicine, 99(4), 18822. Doi: 10.1097/MD.0000000000018822.

Edmealem, A., & Olis, C.S. (2020). Factors associated with anxiety and depression among diabetes, hypertension, and heart failure patients at Dessie Referral Hospital, Northeast Ethiopia. Behavioural Neurology, 10.

Ferini-Strambi, L., Zucconi, M., Casoni, F., & Salsone, M. (2020). Covid-19 and sleep in medical staff: reflections, clinical evidences, and perspectives. Current Treatment Options in Neurology, 22(10), 1-6. Doi: 10.1007/s11940-020-00642-4.

Gan, X., Shi, Z., Chair, S.Y., Cao, X., & Wang, Q. (2020). Willingness of Chinese nurses to practice in Hubei combating the coronavirus disease 2019 epidemic: A cross-sectional study. Journal of advanced nursing, 76(8), 2137-2150.

Górska, P., Górna, I., Miechowicz, I., & Przysławski, J. (2021). Changes in Eating Behaviour during SARS-CoV-2 Pandemic among the Inhabitants of Five European Countries. Foods, 10(7), 1624.

Grant, F., Scalvedi, M.L., Scognamiglio, U., Turrini, A., & Rossi, L. (2021). Eating habits during the Covid-19 lockdown in Italy: The nutritional and lifestyle side effects of the pandemic. Nutrients, 13(7), 2279.

Güler, S. (2021). Pandemi Günlerinde Geride Kalanlar Sendromu: Sağlık Çalışanları Üzerinde Bir İnceleme. OPUS Uluslararası Toplum Araştırmaları Dergisi, 17(Pandemi Özel Sayısı), 3392-3407.

Ha, S.K., Lee, H.S., & Park, H.Y. (2021). Twelve Smartphone Applications for Health Management of Older Adults during the Covid-19 Pandemic. International Journal of Environmental Research and Public Health, 18(19), 10235.

Hajure, M., Tariku, M., Mohammedhussein, M., & Dule, A. (2020). Depression, anxiety and associated factors among chronic medical patients amid Covid-19 pandemic in Mettu Karl Referral Hospital, Mettu, Ethiopia, 2020. Neuropsychiatric disease and treatment, 16, 2511. Doi: 10.2147/NDT.S281995.

Halpin, D.M., Vogelmeier, C.F., & Agusti, A.A. (2021). Copd & Covid-19. Archivos de bronconeumologia, 57(3), 162-164. Doi: 10.1016/j.arbr.2021.01.004.

Hamulka, J., Jeruszka-Bielak, M., Górnicka, M., Drywień, M.E., & Zielinska-Pukos, M.A. (2021). Dietary Supplements during Covid-19 outbreak. Results of Google Trends analysis supported by PLifeCOVID-19 online studies. Nutrients, 13(1), 54.

Huang, L., Xu, F., & Liu, H. (2020a). Emotional responses and coping strategies of nurses and nursing college students during Covid-19 outbreak. MedRxiv.

Huang, L., Lei, W., Liu, H., Hang, R., Tao, X., & Zhan, Y. (2020b). Nurses’ Sleep Quality of “Fangcang” Hospital in China during the Covid-19 Pandemic. International Journal of Mental Health and Addiction, 1-11.

Ingram, J., Maciejewski, G., & Hand, C.J. (2020). Changes in diet, sleep, and physical activity are associated with differences in negative mood during Covid-19 lockdown. Frontiers in psychology, 11, 2328.

Jahrami, H., Bahammam, A.S., Algahtani, H., Ebrahim, A., Faris, M., Aleid, K., …& Hasan, Z. (2021). The examination of sleep quality for frontline healthcare workers during the outbreak of Covid-19. Sleep and Breathing, 25(1), 503-511.

Kayri, M. (2009). The multiple comparison (post-hoc) techniques to determine the difference between groups in researches. Fırat University Journal of Social Science, 19(1), 51-64. Erişim adresi:

Kim-Godwin, Y.S., Lee, M.H., Logan, J.G., & Liu, X. (2021). Factors influencing sleep quality among female staff nurses during the early Covid-19 pandemic in the United States. International Journal of Environmental Research and Public Health, 18(9), 4827.

Küçükcankurtaran, S., & Özdoğan, Y. (2021). Koronavirüs Hastalığı’nın Yetişkinlerin Beslenme ve Fiziksel Aktivite Durumuna Etkisi; Covid-19 ve Beslenme. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(3), 318-324.

Labrague, L.J., & De Los Santos, J.A.A. (2020). Covid-19 anxiety among front-line nurses: Predictive role of organisational support, personal resilience and social support. Journal of nursing management, 28(7), 1653-1661.

Lee, S.C., Son, K.J., Han, C.H., Park, S.C., & Jung, J.Y. (2021). Impact of COPD on Covid-19 prognosis: A nationwide population-based study in South Korea. Scientific reports, 11(1), 1-8.

Li, R., Chen, Y., Lv, J., Liu, L., Zong, S., Li, H., & Li, H. (2020). Anxiety and related factors in frontline clinical nurses fighting Covid-19 in Wuhan. Medicine, 99(30), 21413. Doi: 10.1097/MD.0000000000021413.

Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., ... & Liu, W. (2020). Prevalence and predictors of PTSS during Covid-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry research, 287, 112921.

Louvardi, M., Pelekasis, P., Chrousos, G.P., & Darviri, C. (2020). Mental health in chronic disease patients during the Covid-19 quarantine in Greece. Palliative & Supportive Care, 18(4), 394-399.

Luo, M., Guo, L., Yu, M., & Wang, H. (2020). The Psychological and Mental Impact of Coronavirus Disease 2019 (COVID-19) on medical staff and general public–A systematic review and meta-analysis. Psychiatry Research, 291, 113190, 1-9.

Mahmoud, A.B., Hack-Polay, D., Fuxman, L., & Nicoletti, M. (2021). The Janus-faced effects of Covid-19 perceptions on family healthy eating behavior: Parent’s negative experience as a mediator and gender as a moderator. Scandinavian Journal of Psychology, 62(4), 586-595.

Mehta, V. (2020). The impack of Covid-19 on the dietary habits of middle-class population in Mulund, Mumbai, India. AIJR Preprints, 82(1), 1-6.

Naja, F., & Hamadeh, R. (2020). Nutrition amid the Covid-19 pandemic: a multi-level framework for action. European journal of clinical nutrition, 74(8), 1117-1121.

Nalbandian, A., Sehgal, K., Gupta, A., Madhavan, M.V., McGroder, C., Stevens, J.S., & Wan, E.Y. (2021). Post-acute Covid-19 syndrome. Nature medicine, 27(4), 601-615.

Neill, E., Meyer, D., Toh, W.L., Van Rheenen, T.E., Phillipou, A., Tan, E.J., & Rossell, S.L. (2020). Alcohol use in Australia during the early days of the Covid‐19 pandemic: initial results from the collate project. Psychiatry and Clinical Neurosciences, 74(10), 542-549.

Nemati, M., Ebrahimi, B., & Nemati, F. (2020). Assessment of Iranian nurses’ knowledge and anxiety toward Covid-19 during the current outbreak in Iran. Archives of Clinical Infectious Disease, 15(Covid-19), 102848. Doi: 10.5812/archcid.102848.

Nucci, D., Santangelo, O.E., Nardi, M., Provenzano, S., & Gianfredi, V. (2021). Wikipedia, Google Trends and Diet: Assessment of Temporal Trends in the Internet Users’ Searches in Italy before and during Covid-19 Pandemic. Nutrients, 13(11), 3683.

Pang, Y., Fang, H., Li, L., Chen, M., Chen, Y., & Chen, M. (2021). Predictive factors of anxiety and depression among nurses fighting coronavirus disease 2019 in China. International Journal of Mental Health Nursing, 30(2), 524-532.

Pellegrini, M., Ponzo, V., Rosato, R., Scumaci, E., Goitre, I., Benso, A., …& Bo, S. (2020). Changes in weight and nutritional habits in adults with obesity during the “lockdown” period caused by the Covid-19 virus emergency. Nutrients, 12(7), 2016.

Pourrazi, H., Modaberi, S., & Kabiri, R. (2021). Disordered Eating Attitudes During the Covid-19 Pandemic: The Predictive Role of Physical Activity, Body Mass Index, and Gender. Archives of Hygiene Sciences, 10(2), 133-142.

Reed, D. (2014). Healthy eating for healthy nurses: nutrition basics to promote health for nurses and patients. Online Joürnal of Issues in Nursing, (Internet), 29(3). Doi: 10.3912/OJIN.Vol19No03Man07.

Richardson, D.P., & Lovegrove, J.A. (2021). Nutritional status of micronutrients as a possible and modifiable risk factor for Covid-19: a UK perspective. British journal of nutrition, 125(6), 678-684.

Rodriguez-Besteiro, S., Tornero-Aguilera, J.F., Fernández-Lucas, J., & Clemente-Suárez, V.J. (2021). Gender differences in the covid-19 pandemic risk perception, psychology and behaviors of spanish university students. International Journal of Environmental Research and Public Health, 18(8), 3908.

Sakaoğlu, H.H., Orbatu, D., Emiroglu, M., & Çakır, Ö. (2020). Covid-19 Salgını Sırasında Sağlık Çalışanlarında Spielberger Durumluk ve Sürekli Kaygı Düzeyi: Tepecik Hastanesi Örneği. Tepecik Eğitim ve Araştırma Hastanesi Dergisi, 30(Ek sayı), 1-9. Doi:10.5222/terh.2020.56873.

Salari, M., Zali, A., Ashrafi, F., Etemadifar, M., Sharma, S., Hajizadeh, N., & Ashourizadeh, H. (2020). Incidence of anxiety in Parkinson's disease during the coronavirus disease (Covid-19) pandemic. Movement Disorders, 35(7), 1095-1096.

Sarıçam, M. (2020). Covid-19-Related anxiety in nurses working on front lines in Turkey. Nursing and Midwifery Studies, 9(3), 178-181. Doi:

Satre, D.D., Hirschtritt, M.E., Silverberg, M.J., & Sterling, S.A. (2020). Addressing problems with alcohol and other substances among older adults during the Covid-19 pandemic. The American Journal of Geriatric Psychiatry, 28(7), 780-783.

Simonetti, V., Durante, A., Ambrosca, R., Arcadi, P., Graziano, G., Pucciarelli, G., …& Cicolini, G. (2021). Anxiety, sleep disorders and self-efficacy among nurses during COVID-19 pandemic: A large cross-sectional study. Journal of clinical nursing, 30(9-10), 1360-1371.

Stanton, R., To, Q.G., Khalesi, S., Williams, S.L., Alley, S.J., Thwaite, T.L., …& Vandelanotte, C. (2020). Depression, anxiety and stress during Covid-19: associations with changes in physical activity, sleep, tobacco and alcohol use in Australian adults. International journal of environmental research and public health, 17(11), 4065.

Tabachnick, B.G., & Fidell, L.S. (2013). Using multivariate statistics (6th ed.). Boston, MA: Pearson.

Taeymans, J., Luijckx, E., Rogan, S., Haas, K., & Baur, H. (2021). Physical Actabactivity, Nutritional Habits, and Sleeping Behavior in Students and Employees of a Swiss University During the Covid-19 Lockdown Period: Qu

estionnaire Survey Study. JMIR public health and surveillance, 7(4), 26330. Doi: 10.2196/26330.

Tebar, W.R., Christofaro, D.G., Diniz, T.A., Lofrano-Prado, M.C., Botero, J.P., Correia, M.D.A., …& Prado, W.L.D. (2021). Increased Screen Time Is Associated With Alcohol Desire and Sweetened Foods Consumption During the Covid-19 Pandemic. Frontiers in Nutrition, 8, 78.

Tekkurşun Demir, G., & Cicioğlu, H.İ. (2019). Sağlıklı Beslenmeye İlişkin Tutum Ölçeği (SBİTÖ): Geçerlik ve Güvenirlik Çalışması. Gaziantep Üniversitesi Spor Bilimleri Dergisi, 4(2), 256-274.

Tekkurşun Demir, G., Cicioğlu, H.İ. & İlhan, E.L. (2020). Sporcuların Yeni Tip Koronavirüse (Covid-19) Yakalanma Kaygısı Ölçeği (SYTKYKÖ): Geçerlik ve güvenirlik çalışması. Journal of Human Sciences, 17(2), 458-468. Doi:10.14687/jhsv17i2.5988.

Temsah, M.H., Al-Sohime, F., Alamro, N., Al-Eyadhy, A., Al-Hasan, K., Jamal, A., …& Somily, A.M. (2020). The psychological impact of Covid-19 pandemic on health care workers in a MERS-CoV endemic country. Journal of infection and public health, 13(6), 877-882.

Vanderbruggen, N., Matthys, F., Van Laere, S., Zeeuws, D., Santermans, L., Van den Ameele, S., & Crunelle, C.L. (2020). Self-reported alcohol, tobacco, and cannabis use during Covid-19 lockdown measures: results from a web-based survey. European addiction research, 26(6), 309-315.

Venuleo, C., Marinaci, T., Gennaro, A., & Palmieri, A. (2020). The meaning of living in the time of Covid-19. A large sample narrative inquiry. Frontiers in Psychology, 11, 2282.

Vidal, L., Brunet, G., Curutchet, M.R., Girona, A., Pardiñas, V., Guerra, D., ... & Ares, G. (2021). Is COVID-19 a threat or an opportunity for healthy eating? An exploration of the factors that moderate the impact of the pandemic on eating habits in Uruguay. Appetite, 167, 105651. Doi:10.1016/j.appet.2021.105651.

Xu, Y., Li, Z., Yu, W., He, X., Ma, Y., Cai, F., … & Chen, J. (2020). The association between subjective impact and the willingness to adopt healthy dietary habits after experiencing the outbreak of the 2019 novel coronavirus disease (Covid-19): a cross-sectional study in China. Aging (Albany NY), 12(21), 20968. Doi: 10.18632/aging.103929.

Yurtseven, Ş., & Arslan, S. (2021). Anxiety levels of university hospital nurses during the Covid-19 pandemic. Perspectives in psychiatric care, 57, 1558-1565.

Zhan, Y., Ma, S., Jian, X., Cao, Y., & Zhan, X. (2020). The current situation and influencing factors of job stress among frontline nurses assisting in Wuhan in fighting Covid-19. Frontiers in Public Health, 8, 1-6. Doi: 10.3389/fpubh.2020.579866



How to Cite

BÖLEÇ , B. ., & BİRGİLİ, F. (2023). Determination of the Relationship between Nurses’ Anxiety of Getting Caught Coronavirus and Their Healthy Nutrition Attitudes during the Pandemic Process. WORLD WOMEN STUDIES JOURNAL, 8(2), 386–405.