农村订单定向医学生专业承诺、学习自我效能感与学习倦怠的关系研究

The relationship among professional commitment,academic self-efficacy and learning burnout in rural order-targeted medical students

目的:了解农村订单定向医学生(定向医学生)学习倦怠现状,分析专业承诺、学习自我效能感和学习倦怠的关系。方法:采用大学生专业承诺量表、学习自我效能感量表和大学生学习倦怠调查量表,对蚌埠医学院大一至大五年级共287名定向医学生进行问卷调查。结果:男性倦怠得分高于女性(P<0.01);农村生源的得分高于城镇(P<0.01);大一、大二、大三的学习倦怠得分高于大四和大五(P<0.05~P<0.01);因家庭经济困难、父母的决定、就业有保障和因为高考分数原因的学生得分均高于自己有志于从事基层医疗卫生工作得分(P<0.01);专业承诺总分、学习自我效能感总分及各维度与学习倦怠均呈负相关关系(P<0.01);性别、年级、生源地、专业选择原因、情感承诺、理想承诺、规范承诺是定向医学生学习倦怠的影响因素。结论:定向医学生的专业承诺越强,学习倦怠水平越低,学习自我效能感越高,学习倦怠表现越低,定向医学生培养单位应采取干预措施提高其专业承诺,增强自我效能感,从而降低学习倦怠,提高人才培养质量。

Objective ：To understand the current situation of learning burnout of the rural order-targeted medical students, and analyze the relationships among protessional commitment, learning self-efficacy and learning burnout. Methods ： A total of 287 order-targeted medical students in the 1st to 5th grades from Bengbu Medical College were surveyed using the College Student Protessional Commit-ment Scale, Learning Self-efficacy Scale and College Student Learning Burnout Survey Scale. Results：The burnout score in males was higher than that in temales（ P 〈 0.01 ） ,which in rural students was higher than that in urban areas（P 〈 0.01 ）. The scores of learning burnout in freshmen, sophomores and juniors were higher than those in seniors and fifth-juniors（P 〈 0.05 to P 〈 0.01 ）. The scores in students with family financial difficulties, parental decisions, employment security and entrance examination were higher than those in students with interested in primary health care work （P 〈 0.01 ）. The total score of protessional commitment, total score of learning self-efficacy and each dimension score were negatively related to the learning burnout score （P 〈 0.01 ）. The gender, grade, student origin, protessional choice reason, emotional commitment, ideal commitment and nonnative commitment were the influencing factors of learning burnout in order-targeted medical students. Conclusions：Among the order-targeted medical students,the higher the protessional com-mitment, the lower the level of learning burnout is, the higher self-efficacy is, and the lower the performance of learning burnout is. The training units of the order-targeted medical students should take some measures to improve their protessional commitment, and enhance their self-efficacy, so as to reduce learning burnout and improve the quality of talent training.