服务-学习型医德教育模式对医学毕业生医德行为选择倾向的影响  

Influence of service-learning model on medical graduates＆#39; ethical behavioral tendency

作　　者：林振华[1] 罗益镇[1] 郁丽娜[1] 连兴基 梁仟 李丽萍[1] 

机构地区：[1]515041,汕头大学医学院

出　　处：《中华医学教育探索杂志》2013年第12期1192-1195,共4页Chinese Journal of Medical Education Research

基　　金：2013年广东省大学生创新训练计划（1056013106）;2012--2013年度广东高校共青团工作研究课题（2012C023）

摘　　要：目的：了解服务-学习型医德教育模式对医学毕业生医德行为选择倾向的影响。方法采取随机抽样的方法，利用自行设计的问卷，于2012年对汕头大学医学院近5年毕业的302名医学生进行调查，了解毕业生基本情况、医德行为及服务-学习参与情况。采用SPSS 19.0行卡方检验（α=0.05）及非条件logistic多元回归分析。结果68.2%（206/302）的医学毕业生在校期间参与了服务-学习；“有参加”服务-学习的毕业生对于“处置伤口时，患者将呕吐物溅在自己脸上”处理方式的选择上比“没有参加”的毕业生更符合医德规范要求（P=0.037）。在“是否收取患者红包”问题上，两个群体的选择差异存在统计学意义（P=0.031）；非条件logistic多元回归分析显示，“是否参与服务-学习”为影响医生是否收取红包的主要因素之一。结论服务-学习模式下培养的医学生，在走上岗位后其医德行为选择更符合医德规范要求，这是一种值得推广的医德教育新模式。Objective To investigate the influence of service-learning model on medical graduates＆#39; ethical behavioral tendency. Methods A self-designed questionnaire was conducted among 302 medical students who have graduated in the last five years including the basic information, ethical behavioral tendency and participation of service-learning. The acquired data was analyzed and com-pared using chi-square test and unconditional logistic multiple regression. Results 68.2%（206/302） undergraduates participated in service-learning. Undergraduates participated in service-learning be-haved more ethical than those did not participated when facing the situation of patient＆#39; vomits （P=0.037）. There were statistical differences in taking bribes from patients between those participated in service-learning and those did not （P=0.031）. According to the results of unconditional logistic multiple regression analysis, whether participating in the service-learning is one of significant factors influenc-ing undergraduates＆#39; attitude towards bride-taking. Conclusions Medical students educated by service-learning model will exhibited more ethically accepted medical behaviors after becoming doctors. Ser-vice-learning model, a new medical education model, is worth promoting.

关 键 词：服务-学习 医德教育 医德行为 医学毕业生 

分 类 号：R-05[医药卫生]