医学生学习激情的测量与影响因素的Logistic回归分析

The measurement of medical students＇ learning passion and the logistic regression analysis of influence factors

目的：测量医学生学习激情现状并检验其影响因素。方法以医学生为研究对象，按照专业和年级分层抽取879人进行问卷调查，调查表包含学习激情量表和一般情况调查表两部分，收回有效问卷609份。应用SPSS 22.0和AMOS 21.0软件对数据进行统计分析，采用内部一致性信度系数和验证性因子分析法验证量表的信效度，采用Logistic回归分析医学生学习激情的影响因素。结果医学生学习激情量表包含和谐式激情和强迫式激情2个维度共12项测量条目；量表具有良好的信度（Cronbach＇s Alpha =0.916）和效度（χ2/df=3.401，RMSEA=0.073，GFI=0.958）；测量对象的学习激情现处于中等偏上水平（4.39±0.93）；学习成绩（OR=1.691，95%CI=1.415～2.021）、学校满意度（OR=0.586，95%CI=0.402～0.854）和专业规划（短期规划OR=2.121，95%CI=1.310～3.434；长期规划OR=3.822，95%CI=1.972～7.405）对医学生学习激情现状的影响差异有统计学意义。结论医学生学习激情量表信效度良好；学习成绩、学校满意度和专业规划是影响医学生学习激情的因素。

Objective To measure the learning passion of medical students and evaluating its in-fluencing factors. Methods Taking 879 medical students as research subjects to conduct a questionnaire survey according to specialty and grade stratified sampling. The questionnaire contained two parts, includ-ing learning passion scale and general situation questionnaire. The effective recovery rate was 69.28%, 609 valid questionnaires were recovered. SPSS 22.0 and AMOS 21.0 software were used for statistical analysis of data, analyzing the reliability and validity of the questionnaire with internal consistency reliability coeffi-cient and confirmatory factor analysis. The factors of learning passion of medical students were analyzed by logistic regression analysis. Results The questionnaire of learning passion of medical students contained 12 measurement items, including 2 dimensions： harmonious passion and obsessive passion. The questionnaire was of fine reliability （Cronbach＇s Alpha=0.916） and validity （χ2/df=3.401,RMSEA=0.073,GFI=0.958）. The learning passion of medical students was at upper middle level （4.390±0.934）. The influence of achievement level （OR=1.691, 95%CI=1.415 to 2.021）, school satisfaction （OR=0.586, 95%CI=0.402 to 0.854） and profession plan （short-term plan OR=2.121, 95%CI=1.310 to 3.434;long-term plan OR=3.822,95%CI=1.972 to 7.405） on learning passion were statistically significant. Conclusion The questionnaire of learning pas-sion of medical students has fine reliability and validity. Achievement level, school satisfaction and profes-sion plan are factors affecting the learning passion of medical students.