同理心在赣州市高年级医学生批判性思维和坚毅之间的中介作用  

Mediation Effect of Empathy Between Critical Thinking and Grit of Senior Medical Students in Ganzhou

作　　者：郑亚楠[1,2,3] 黎小瑜 龚茜 刘地秀 刘民[3] ZHENG Yanan(Department of Psychology,Gannan Medical University,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣南医学院心理学系,江西赣州341000 [2]赣南医学院第一附属医院心理咨询门诊,江西赣州341000 [3]赣南医学院农村医学教育研究中心,江西赣州341000

出　　处：《医学与社会》2021年第2期99-103,共5页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为31960183;2019年江西省学位与研究生教育教学改革研究项目,编号为JXYJG-2019-183;2019年江西省高校人文项目,编号为JY19205;2018年江西省教育规划项目,编号为18YB214。

摘　　要：目的:了解高年级医学生批判性思维、同理心和坚毅之间的关系,为医学教育改革提供参考。方法:于2020年4月,通过问卷星系统,采用加利福尼亚批判性思维倾向调查量表、杰弗逊同理心量表医学生版、12项坚毅量表对504名大四医学生进行问卷调查。结果:医学生加利福尼亚批判性思维倾向调查量表分数为(272.72±29.03),男生在加利福尼亚批判性思维倾向调查量表量表总分(Z=-2.978,P=0.003)及开放思想(Z=-3.920,P<0.001)、认知成熟度(Z=-3.683,P<0.001)两个维度上低于女生,在自信心(Z=-2.517,P=0.012)维度上高于女生,差异具有统计学意义。高年级医学生批判性思维及各维度与同理心和坚毅呈负相关;坚毅可以直接对高年级医学生批判性思维产生正向预测作用,也可以通过同理心间接影响批判性思维。结论:高年级医学生同理心在批判性思维和坚毅之间起中介效应。医学院校应有针对性的开展教育。Objective: To explore the relationship among critical thinking, empathy and grit in senior medical students, and to provide reference for medical education reform. Methods:504 senior medical students were selected, and they were investigated with Chinese version of critical thinking disposition inventory(CTDI-CV), Jefferson Empathy Scale for medical students(JSPE-S) and 12-Item Grit Scale though Wenjuanxing in April 2020. Results: The results showed that the scores of CTDI-CV for senior medical students was(272.72±29.03),the scores of CTDI-CV(Z=-2.978, P=0.003) and open mind(Z=-3.920, P<0.001), cognitive maturity(Z=-3.683, P<0.001) with senior male medical students were significantly lower than senior female medical students, but self-confidence(Z=-2.517, P=0.012) male students significantly higher than female. The difference was statistically significant. The critical thinking and various dimensions of senior medical students were negatively related to empathy and perseverance. Perseverance could directly predict the critical thinking of senior medical students, and it could also indirectly affect the critical thinking of senior medical students. Conclusion: Empathy plays a mediating role between critical thinking and grit among senior medical students and medical universities should carry out proper education.

关 键 词：医学生 高年级 批判性思维 同理心 坚毅 

分 类 号：R195.4[医药卫生—卫生统计学]