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军队院校医学生坚韧性水平及其影响因素
张兵1,李学美1,张薇2*
0
(1. 海军军医大学(第二军医大学)护理学院慢病与老年护理学教研室, 上海 200433;
2. 海军军医大学(第二军医大学)护理学院临床护理学教研室, 上海 200433
*通信作者)
摘要:
目的 调查军队院校医学生坚韧性水平,探索医学生坚韧性的影响因素。方法 采用中国成年人坚韧人格量表、一般自我效能感量表、领悟社会支持量表对543名某军队院校医学生进行调查。采用多元线性回归模型探索军队院校医学生坚韧性的预测因素。结果 发放问卷543份,回收有效问卷504份,有效回收率为92.8%。军队院校医学生坚韧性总分为(72.91±13.03)分,条目均分为(2.70±0.48)分;其中韧性维度条目均分最高[(2.81±0.56)分],其次依次是控制[(2.70±0.51)分]、投入[(2.69±0.55)分]和挑战[(2.62±0.55)分]。参加课外活动频率(β=0.121,P=0.002)、自我效能(β=0.432,P<0.01)和朋友支持(β=0.170,P<0.01)是军队院校医学生坚韧性的预测因素,可解释军队院校医学生坚韧性27.5%的变异量。结论 军队院校医学生坚韧性水平有待提升。鼓励参加课外活动、提升自我效能、增加朋友支持等有助于提高军队院校医学生的坚韧性。
关键词:  坚韧性  自我效能  社会支持  医学生  军队院校
DOI:10.16781/j.0258-879x.2020.10.1148
投稿时间:2020-09-27修订日期:2020-10-12
基金项目:军事医学创新工程专项(18CXZ020),海军军医大学(第二军医大学)护理学高峰学科青年培育工程拔尖类项目(18QPBJ07).
Hardiness level of military medical students and its influencing factors
ZHANG Bing1,LI Xue-mei1,ZHANG Wei2*
(1. Department of Chronic Diseases and Geriatric Nursing, School of Nursing, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Clinical Nursing, School of Nursing, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To investigate the hardiness level of military medical students and to explore its influencing factors. Methods A total of 543 medical students from a military university were investigated with Chinese adult hardiness personality scale, general self-efficacy scale and perceived social support scale. Multiple linear regression model was performed to explore the predictive factors of hardiness of medical students. Results A total of 543 questionnaires were sent out, and 504 valid questionnaires were collected, with an effective recovery rate of 92.8%. The total score of hardiness was 72.91±13.03, and the average score of the items was 2.70±0.48. The average score of resilience items was the highest (2.81±0.56), followed by control (2.70±0.51), commitment (2.69±0.55) and challenge (2.62±0.55). Frequency of extracurricular activities (β=0.121, P=0.002), self-efficacy (β=0.432, P<0.01) and friend support (β=0.170, P<0.01) were predictive factors of hardiness, and they could explain 27.5% variances of hardiness in military medical students. Conclusion The hardiness of military medical students is relatively low and need to be improved. Encouraging the students to participate in extracurricular activities, promoting their self-efficacy and increasing their friend support may help to upgrade the hardiness of military medical students.
Key words:  hardiness  self-efficacy  social support  medical students  military university