海南医学生人际关系影响因素的通径分析  

Path analysis of influencing factors of interpersonal relationship among medical students in Hainan Province

作　　者：杨丽浇 周武红 刘小燕 王选 王小丹 YANG Lijiao;ZHOU Wuhong;LIU Xiaoyan;WANG Xuan;WANG Xiaodan(Department of Health Statistics,College of Public Health,Hainan Medical University,Haikou 571199;Department of Outpatient,the 984th Hospital of the Joint Logistics Support Force,Beijing 100094)

机构地区：[1]海南医科大学公共卫生学院卫生统计学教研室,海口571199 [2]联勤保障部队第九八四医院门诊部,北京100094

出　　处：《郑州大学学报(医学版)》2025年第1期94-98,共5页Journal of Zhengzhou University(Medical Sciences)

基　　金：海南省研究生创新科研课题(Qhys2023-445)。

摘　　要：目的:了解海南医学生人际关系的影响因素。方法:采用分层整群随机抽样的方法抽取海南医科大学本科生1 326人,使用艾森克人格问卷简式量表中国版、手机社交媒介依赖问卷、中国大学生心理健康筛查量表中的学习压力分量表、人际关系综合诊断量表进行问卷调查,运用通径分析探讨其人际关系影响因素。结果:海南医学生人际关系困扰检出率为53.8%(714/1 326)。通径分析结果显示,精神质、内外向、与父母关系、与亲朋好友倾诉情况对人际关系困扰有直接影响;神经质和学习压力不仅有直接影响,还可通过手机社交媒介依赖起间接作用。低年级组直接效应和间接效应最大的均是神经质,β(95%CI)分别为0.542(0.480~0.602)和0.033(0.012~0.098),总效应前3位依次是神经质、内外向、手机社交媒介依赖。高年级组直接效应最大的是神经质,β(95%CI)为0.539(0.460~0.613);间接效应最大的是学习压力,β(95%CI)为0.018(-0.002~0.089);总效应前3位依次是神经质、精神质、学习压力。结论:海南医学生人际关系困扰检出率偏高,低年级医学生人际关系主要影响因素为神经质、内外向、手机社交媒介依赖,高年级医学生主要是神经质、精神质、学习压力。Aim:To explore the influencing factors of interpersonal relationship among medical students in Hainan Province.Methods:A stratified cluster random sampling method was employed and 1326 undergraduate students from Hainan Medical University were selected.Chinese version of the Eysenck Personality Questionnaire Short Scale,the Mobile Social Media Dependency Questionnaire,the Academic Stress Subscale of the Chinese College Student Mental Health Screening Scale,and the Interpersonal Relationship Comprehensive Diagnostic Scale were used.Path analysis was conducted to investigate the influencing factors of interpersonal relationship.Results:The detection rate of interpersonal relationship distress among medical students in Hainan was 53.8%(714/1326).The results of path analysis showed that psychoticism,introversion-extroversion,relationships with parents,and the situation of confiding in relatives and friends had direct effects on interpersonal relationship.Neuroticism and study pressure not only have direct effects,but also had indirect effects through dependence on mobile social media.In the junior group,the factor with the largest direct effect and largest indirect effect was neuroticism,β(95%CI)was 0.542(0.480-0.602)and 0.033(0.012-0.098),respectively.The top three factors in terms of total effect are neuroticism,introversion-extroversion,and dependence on mobile social media.In the senior group,the factor with the largest direct effect was neuroticism,β(95%CI)was 0.539(0.460-0.613),and the factor with the largest indirect effect was study pressure,β(95%CI)was 0.018(-0.002-0.089).The top three factors in terms of total effect values were neuroticism,psychoticism,and study pressure.Conclusion:The detection rate of interpersonal relationship distress among medical students in Hainan is relatively high.The main influencing factors are neuroticism,introversion-extroversion,and dependence on mobile social media for junior medical students,and neuroticism,psychoticism,and study pressure for senior medical students.

关 键 词：人际关系 人格特征 通径分析 医学生 

分 类 号：R179[医药卫生—妇幼卫生保健]