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Objective To explore the impact of the three-level assistance model based on the narrative nursing theory on the mental health status of medical staff. Methods 140 medical staff working in a third class hospital in Xiangyang City were selected as the research object. The three-level assistance model based on narrative nursing theory was used to intervene them from September 2021 to July 2022. The symptom self-assessment scales before and after the intervention were compared. Results Before the intervention, the total score of SCL90 (156.37±32.56) points and the scores of various symptom factors of medical staff were higher; After the intervention, the total score of SCL-90 (133.35±43.48) points and the scores of various symptom factors were lower than those before the intervention and the difference was statistically significant (P < 0.05). Conclusion The threelevel assistance model based on narrative nursing theory can reduce the total score of SCL-90 and the scores of various symptom factors, improve the mental health status and mental health level. [ABSTRACT FROM AUTHOR]