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.
Abstract
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 under-graduates from a medical school in Shandong Province were selected by cluster sampling method.The medi-cal 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 correla-tion 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 e-motions,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 emo-tions(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.
基金项目
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)