正念在医学生职业认同感与正性情绪间的中介作用  

The mediating role of mindfulness between professional identity and positive emotions among medical students

作　　者：杜涛 许瑞雪 牛杏蒙 翟景花[4] 刘宁宁 Du Tao;Xu Ruixue;Niu Xingmeng;Zhai Jinghua;Liu Ningning(College of Clinical Medicine,Jining Medical University,Jining 272067,China;School of Public Health and Management,Binzhou Medical University,Yantai 264003,China;School of Public Health,Shandong Second Medical University,Weifang 261053,China;College of Public Health,Jining Medical University,Jining 272067,China;College of Basic Medicine,Jining Medical University,Jining 272067,China)

机构地区：[1]济宁医学院临床医学院,济宁272067 [2]滨州医学院公共卫生与管理学院,烟台264003 [3]山东第二医科大学公共卫生学院,潍坊261053 [4]济宁医学院公共卫生学院,济宁272067 [5]济宁医学院基础医学院,济宁272067

出　　处：《中华行为医学与脑科学杂志》2024年第10期938-942,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：山东省人文社会科学课题(15-ZC-TY-02);山东省艺术科学重点课题(L2023Z04190693);济宁医学院思想政治教育研究课题(JYSZY2022014)。

摘　　要：目的探讨正念在医学生职业认同感与正性情绪间的中介作用。方法 2022年2—4月, 采用整群抽样法抽取山东省某医学院校的878名本科生为研究对象, 使用医学生职业认同感量表、正性负性情绪量表和正念注意觉知量表进行横断面调查。采用SPSS 22.0进行统计描述和相关分析, 采用AMOS 25.0进行中介效应检验。结果 (1)医学生职业认同感、正性情绪、正念得分分别为140.00(125.00, 150.00)分、30.00(28.00, 35.00)分和52.00(44.00, 63.00)分。职业认同感中职业认知、职业情感、职业承诺、职业行为、职业期望、职业价值感维度评分分别为23.00(20.00, 25.00)分、19.00(16.00, 20.00)分、19.00(16.00, 21.00)分、16.00(13.00, 16.00)分、32.00(28.00, 36.00)分和31.00(29.00, 34.00)分。(2)职业认同感及各维度评分、正性情绪和正念均呈正相关(r=0.125~0.390, 均P<0.001)。(3)正念在职业认同感与正性情绪之间起部分中介作用(效应值=0.02, 95%CI=0.01~0.04), 且中介效应占总效应的4.76%(0.02/0.42)。结论职业认同感可以直接影响医学生的正性情绪, 也可以通过正念对正性情绪产生间接影响。Objective:To explore the mediating role of mindfulness between professional identity and positive emotions among medical students.Methods:From February to April 2022,a total of 878 undergraduates from a medical school in Shandong Province were selected by cluster sampling method.The medical professional identity questionnaire,positive and negative affective scale,and mindful attention awareness scale were utilized for cross-sectional investigation.SPSS 22.0 software was used for descriptive and correlation analysis,and AMOS 25.0 software was used to test the mediating effect.Results:(1)The scores for medical students'professional identity,positive emotions,and mindfulness were 140.00(125.00,150.00),30.00(28.00,35.00),and 52.00(44.00,63.00),respectively.The dimension scores of occupational cognition,occupational emotion,occupational commitment,occupational behavior,occupational expectation and occupational sense of value in the medical professional identity questionnaire were 23.00(20.00,25.00),19.00(16.00,20.00),19.00(16.00,21.00),16.00(13.00,16.00),32.00(28.00,36.00),and 31.00(29.00,34.00),respectively.(2)The total and dimension scores of professional identity,positive emotions,and mindfulness were significantly and positively correlated with each other(r=0.125-0.390,all P<0.001).(3)Mindfulness partially mediated the relationship between professional identity and positive emotions(effect size=0.02,95%CI=0.01-0.04),and the mediating effect accounted for 4.76%(0.02/0.42)of the total effect.Conclusion:Professional identity can directly affect the positive emotions of medical students,and indirectly affect the positive emotions through the mediating role of mindfulness.

关 键 词：正念 正性情绪 职业认同感 中介作用 医学生 

分 类 号：G444[哲学宗教—心理学] R-4[哲学宗教—发展与教育心理学]