新型冠状病毒肺炎疫情下兰州市中学生 学医意向及相关因素
Intention to study medicine and its related factors in middle school students during COVID-19 epidemic
投稿时间:2022-11-07  修订日期:2023-02-13
DOI:
中文关键词:  中学生  学医意向  新冠肺炎  心理弹性
英文关键词:Middle school students  Intention to study medicine  COVID-19  Psychological resilience
基金项目:兰州大学医学教育创新发展项目
作者单位地址
张珊珊 兰州大学第二医院 心理卫生科 甘肃省兰州市城关区临夏路萃英门82号(兰州大学第二医院)
司夏樱 兰州大学第二医院 心理卫生科 
刘建斌* 兰州大学第二医院 心理卫生科 甘肃省兰州市城关区临夏路萃英门82号(兰州大学第二医院)
王昕 兰州大学第二医院 心理卫生科 
王燕 兰州大学第二医院 心理卫生科 
叶兰仙 兰州大学第二医院 心理卫生科 
阎立新 兰州大学第二医院 心理卫生科 
李玲 兰州大学第二医院 心理卫生科 
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中文摘要:
      【摘要】 目的 了解兰州市新型冠状病毒肺炎(COVID-19)疫情局部暴发后中学生学医意向及其相关因素,以期为中学生早期职业生涯规划教育提供参考。方法 采用方便抽样的方法,于2022年7月21日-31日对兰州市5所中学的1 795名中学生进行线上问卷调查。采用自编问卷收集中学生一般资料、是否存在学医意向及原因,采用青少年心理韧性量表评定中学生心理弹性水平,行多因素Logistic回归分析疫情局部暴发后中学生学医意向的相关因素。结果 兰州市COVID-19疫情局部暴发后,有835名(46.52%)中学生有学医意向,有学医意向的原因排名前三位的分别为:被疫情期间医务人员感动(75.69%)、对医学专业有兴趣(67.31%)、疫情后国家更重视医学发展(43.23%)。Logistic回归分析显示,女性(OR=1.438,P<0.01)、有家人从事医疗卫生行业(OR=1.574,P<0.01)、青少年心理韧性量表评分越高(OR=1.011,P<0.01)与中学生较高的学医意向相关;高中生(OR=0.473,P<0.01)、所接收到疫情相关信息中负面信息占比≥50%(OR=0.797,P<0.05)与中学生较低的学医意向相关。结论 兰州市COVID-19疫情局部暴发后,中学生中国有学医意向者占比较高。女性、有家人从事医疗卫生行业、心理弹性水平高的中学生学医意向较高;高中生、接收到疫情相关信息中负面信息占比越高的中学生学医意向较低。
英文摘要:
      【Abstract】 Objective To investigate the intention to study medicine and its related factors in middle school students during COVID-19 outbreak in Lanzhou City, Gansu Province, in order to provide references for the early career planning education of middle school students. Methods Using convenient sampling method, an online questionnaire survey was conducted among 1 795 middle school students from 5 middle schools in Lanzhou City from July 21, 2022 to July 31, 2022. The intention to study medicine and related factors were assessed by using self-designed questionnaire. The psychological resilience level of students was assessed by the Adolescent Psychological Resilience Scale. The related factors of middle school students' intention to study medicine after the local outbreak of the epidemic were analyzed by Multivariate Logistic regression analysis. Results After the local outbreak of COVID-19 in Lanzhou City, 835 (46.52%) middle school students had the intention to study medicine. The top three reasons for the intention to study medicine were: being affected by medical staff during the pandemic (75.69%), having interests in medical sciences (67.31%), and the potential increase of attention to medical development after the epidemic (43.23%). Logistical regression analysis showed that female gender (OR=1.438, P<0.01), family members engaged in the medical and health industry (OR=1.574, P<0.01) and having a higher resilience score (OR=1.011, P<0.01) were related to higher intention to study medicine, while studying in senior middle school (OR=0.473, P<0.01) and receiving excess (≥50%) negative information during the outbreak (OR=0.797, P<0.05) were related to lower intention to study medicine. Conclusion After the COVID-19 outbreak in Lanzhou City, there is a high proportion of local middle school students had the intention to study medicine. Middle school students who are female, having family members engaged in the medical and health industry and having higher level of psychological resilience are more likely to have the intention to study medicine. High school students and middle school students who received more negative information about the epidemic had lower intention to study medicine.
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