医学生医学职业精神状况多元化评价研究  

Multiple evaluation research on medical students＇medical professionalism

作　　者：安洪庆[1] 马桂峰[1] 范应元[1] 孔雨佳[1] 

机构地区：[1]潍坊医学院公共卫生学院数学教研室,261053

出　　处：《中华医学教育探索杂志》2012年第4期429-432,共4页Chinese Journal of Medical Education Research

基　　金：中华医学会医学教育分会2010年度医学教育研究立项课题（20100403,20101437）;山东省自然科学基金（ZR2009CM069）

摘　　要：目的对医学生的医学职业精神状况进行评价。方法利用自拟的医学职业精神调查问卷，采用分层抽样的方法，对随机抽取的一年级至四年级1200名在校医学生进行问卷调查，并利用主成分分析法进行数据处理与分析。结果①共选取2个主成分，第一主成分包含亲身接触病人的态度、深入临床实践提高医患沟通能力的态度、尝试多角色接触病人的态度、对医患关系的理解程度等指标；第二主成分包含配合进行病史采集工作的态度、称赞“技术高”时的自豪感程度、对待疑难手术的态度等指标。②一年级至四年级学生医学职业精神综合主成分得分分别为：-4．4226、-0．0343、5．1397、-0．6827，即三年级医学生医学职业精神状况是最好的，二年级次之，一年级最差。结论医学生医学职业精神状况呈现不稳定的发展趋向，应予以重视。加强对医学生医学职业精神教育与培养应侧重于2方面：①侧重于主观方面，即与具有主观能动意识的病人进行积极交流、沟通的态度；②侧重于客观方面，即对客观的专业技术掌握程度的态度。Objective To evaluate the medical students＇ medical professionalism. Methods Totally 1200 medical college students from first grade to fourth were randomly selected to do the self-designed questionnaire of medical occupation spirit using the method of cluster samphng. Principal component analysis was applied to do data processing and analysis. Results ①Two principle components were extracted, the first principal component included the attitude on the personal contact with patient, attitude on the in-depth clinical practice aiming at improving the ability of doctor-patient communica- tion, attitude on playing multiple roles in contacting patient and the understanding of the physician-pa- tient relationship. The second principal component included the working attitude toward history collection, the sense of pride when be praised ＂proficiency＂ and the attitude towards difficult operations. ② The scores of medical occupation spirit for medical students of first grade to four grade were： -4. 4226, -0. 0343, -5. 1397, 0. 6827. The score was the highest in grade three medical students followed by grade two and grade one. Conclusion Unstable development trend was observed in medical occupation spirit among medical students and due attention should be paid. Strengthening the medical student occupation spirit education and training should focus on two aspects： the subjective aspect, namely active communication and exchange with patients who have subjective dynamic consciousness; the objective aspect, namely the attitude towards the grasp of professional skills.

关 键 词：医学生 医学职业精神 影响因素 主成分分析法 

分 类 号：R-052[医药卫生]