医学生学习沉浸体验与影响因素分析

Immersion experience of medical students and related influencing factors

目的探寻医学生的学习沉浸体验现状及其特点,分析医学生学习沉浸体验的影响因素。方法采用分层随机抽样的方法,应用医学生学习沉浸体验问卷对某高校全日制在校732名医学生进行问卷调查。采用Epidata 3.1软件对数据进行双次录入和管理,SPSS 19.0统计软件进行数据处理和统计分析。应用内部一致性信度检验检验问卷有效性、logistic回归分析测量医学生学习沉浸体验的影响因素。结果医学生学习沉浸体验处于中等水平(3.13±0.64)。成绩水平(OR=1.177,95%CI=0.988~1.402)、学习满意度(OR=1.674,95%CI=1.341~2.089)和专业兴趣度(OR=2.153,95%CI=1.776~2.610)是学习沉浸的正向影响因素(P<0.05),与学习沉浸体验呈正相关。年级、生源地、职务、学习压力、学校满意度、生活满意度对学习沉浸体验无影响(P>0.05)。结论医学生沉浸体验处于中等水平。提高医学生成绩水平、学习满意度和专业兴趣度有利于提高医学生沉浸体验;加强医学生工作沉浸的关注、增强医学生学习沉浸体验有利于医学生教育,有利于培养合格医学人才。

Objective To investigate the current status and characteristics of the immersion experience of medical students and related influencing factors. Methods The stratified random sampling method was used to conduct a survey using an immersion experience questionnaire among 732 medical students in a full-time university. Epidata 3.1 software was used for data double entry and management, and SPSS 19.0 statistical software was used for data processing and statistical analysis. The questionnaire internal consistency reliability test was used to assess the validity of the questionnaire and a logistic regression analysis was used to identify the influencing factors for the immersion experience of medical students. Results Learning immersion experience was at a moderate level among the medical students (3.13±0.64). Level of performance (OR=1.177, 95%CI=0.988-1.402), degree of satisfaction with learning (OR=1.674, 95% CI=1.341-2.089), and professional interest (OR=2.153, 95%CI=1.776-2.610) were the positive influencing factors for learning immersion (P<0.05) and were positively correlated with learning immersion experience. Grade, source of origin, duty, learning stress, school satisfaction, and life satisfaction had no influence on learning immersion experience (P>0.05). Conclusion Learning immersion experience is at a moderate level among medical students. Improvement of medical students' performance, learning satisfaction, and professional interest helps to improve their immersion experience. Strengthening the attention to work immersion and enhancing learning immersion experience among medical students are beneficial to medical student education and cultivation of qualified medical talents.