医学生临床思维能力现况及其与应急管理能力自主学习能力的关系

Research on the clinical thinking ability,emergency management ability and independent learning ability of medical students in Anhui Province

目的了解医学专业学生的临床思维能力现状,以及临床思维能力与应急管理能力和自主学习能力的关联,以期为后期指导医学教育的调整改革提供数据参考。方法使用问卷星对安徽省4所医学类高校的全日制在校学生进行线上问卷调研,采用多元线性回归分析医学生临床思维能力的影响因素,采用Pearson相关分析医学生临床思维能力与应急管理能力、自主学习能力的相关性。结果本次调查共收集有效答卷1190份,有效回收率92.46%。安徽4所医学类高校医学生的临床思维能力的平均得分为(77.57±13.84)分;不同参与应急课程经历(t=2.338,P=0.020)、参与义务诊疗活动(t=2.965,P=0.003)、学习成绩(t=5.745,P<0.001)、环境适应能力(t=16.713,P<0.001)、对新事物和知识的接受能力(t=24.178,P<0.001)、对待专业技术课程的态度(t=34.530,P<0.001)、理论课后复习(t=13.977,P<0.001)、未来从事医疗卫生事业态度(t=6.216,P=0.002)和生源地(t=6.261,P=0.002)的医学生临床思维能力得分比较,差异均具有统计学意义。多元线性回归分析结果显示,对新事物和知识的接受能力(β=-4.144,P<0.001)、对待专业技术课程的态度(β=-3.465,P<0.001)、理论课后是否按时复习(β=1.256,P=0.012)和生源地(β=-2.190,P<0.001)是影响安徽省医学生临床思维能力的主要因素。Pearson相关分析显示,医学生临床思维能力与应急管理能力、自主学习能力均呈中等程度正相关(r=0.480、0.405)。医学生临床思维能力与应急管理能力的相关系数为0.480(P<0.05),医学生临床思维能力与自主学习能力的相关系数为0.405(P<0.05)。结论安徽省医学生的临床思维能力水平尚可,且临床思维能力水平与学生的应急管理水平和自主学习能力水平呈中等程度正相关。

Objective To understand the current situation of clinical thinking ability of medical students,and to explore thecorrelation between clinical thinking ability,emergency management ability and independent learning ability,in order to provide data referencefor the adjustment and reform of medical education in the later stage.Methods An online questionnaire survey was conducted on full-timestudents in four medical universities in Anhui province.Multiple linear regression was used to analyze the influencing factors of medical students’clinical thinking ability,and Pearson correlation was used to analyze the correlation between medical students’clinical thinking ability,emergency management ability and independent learning ability.Results A total of 1190 valid answers were collected in this survey,with an effective recovery rate of 92.46%.The average score of clinical thinkingability of students in four medical universities was(77.57±13.84).The differences in the clinical thinking abilityof studentswere all statistically significant in whether they had experiences in emergency courses(t=2.338,P=0.020),whether they participated in the activities of compulsory diagnosis and treatment(t=2.965,P=0.003),academic performance(t=5.745,P<0.001),environmental adaptability(t=16.713,P<0.001),the ability to accept new things and knowledge level(t=24.178,P<0.001),attitude towards professional technical courses(t=34.530,P<0.001),whether they reviewed on timeafter theorycourses(t=13.977,P<0.001),attitude towardsfuturemedical and health undertakings(t=6.216,P=0.002)and place of originfor medical students(t=6.261,P=0.002).The results ofmultiple linear regressionshowed that the ability to accept new things and knowledge(β:-4.144,P<0.001),the attitude towards professional technical courses(β:-3.465,P<0.001),whether they had timely review after theory courses(β:1.256,P=0.012)and the origin of place(β:-2.190,P<0.001)were the main factors affecting the clinical thinking ability of medical students in Anhui province.The Pearson correlation analysis showed thattheclinical thinking abilityofmedical students was positively correlated with their emergency management ability and autonomous learning ability in a moderate degree(r=0.480 and 0.405).The correlation coefficient between clinical thinking ability and emergency management ability of medical students was 0.480(P<0.05),and that between clinical thinking ability and self-directed learning abilityof medical students was0.405(P<0.05).Conclusions The level of clinical thinking abilityof medical students inAnhui province is moderate,and the level of clinical thinking ability is positively correlated with the level of emergency management and independent learning ability.