新型冠状病毒肺炎疫情下兰州市中学生学医意向及相关因素

目的 了解兰州市新型冠状病毒肺炎(COVID-19)疫情局部暴发后中学生学医意向及其相关因素,以期为中学生早期职业生涯规划教育提供参考。方法 采用方便抽样的方法,于2022年7月21日-31日对兰州市5所中学的1 795名中学生进行线上问卷调查。采用自编问卷收集中学生一般资料、是否存在学医意向及原因,采用青少年心理韧性量表评定中学生心理弹性水平,行多因素Logistic回归分析探索疫情局部暴发后中学生学医意向的相关因素。结果 兰州市COVID-19疫情局部暴发后,有835名(46.52%)中学生有学医意向,有学医意向的原因排名前三位的分别为:被疫情期间医务人员感动(75.69%)、对医学专业有兴趣(67.31%)、疫情后国家更重视医学发展(43.23%)。Logistic回归分析显示,女性(OR=1.438,P<0.01)、有家人从事医疗卫生行业(OR=1.574,P<0.01)、青少年心理韧性量表评分越高(OR=1.011,P<0.01)与中学生较高的学医意向相关;高中生(OR=0.473,P<0.01)、所接收到疫情相关信息中负面信息占比≥50%(OR=0.797,P<0.05)与中学生较低的学医意向相关。结论 兰州市COVID-19疫情局部暴发后,中学生中有学医意向者占比较高。女性、有家人从事医疗卫生行业、心理弹性水平高的中学生学医意向较高;高中生、接收到疫情相关信息中负面信息占比高的中学生学医意向较低。

COVID-19疫情背景下公众对医疗职业的认知及其子女学医意向的调查分析

目的了解COVID-19疫情背景下公众对医疗职业的认知及其子女学医意向,旨在为改善医疗服务环境和提升医学专业报考率提供参考。方法于2020年2月17~18日,采用自行设计的调查问卷,通过网络邀请有子女的成人参与问卷调查,分析被调查者的一般信息、对医疗行业认知程度、对COVID-19疫情的认知及其影响、其子女学医意愿情况。结果本次调查问卷有效应答率为99.39%,调查对象平均年龄41.5岁,地区排名前3位的是四川(89.32%),广东(4.15%)和重庆(2.15%);50.77%的被调查者对目前暴力伤医事件有所了解;95%以上的被调查者对COVID-19疫情情况、传播途径、传染性及防护措施认知度良好;72.89%被调查者的子女表示有兴趣报考医学专业,报考医学专业的主要原因是个人兴趣,另外不报考医学专业的前3位原因是其他、担心成绩不好,考不上和没兴趣;55.38%被调查者对于子女从事医学行业表示非常支持,3.92%的被调查者对此表示反对;77.50%的被调查者表示疫情发生后对医务人员印象好转;191名被调查者表示其子女在COVID-19疫情发生后,由无报考医学意愿转变为有报考医学意愿,而有86名被调查者表示其子女由有报考医学意愿转变为无报考医学意愿。结论普通大众对医疗职业的认知不足,但对COVID-19疫情情况及相关知识的认知度高,加强宣传可能会提高公众对医疗职业的认知程度,从而改善医患关系。另外,被调查者表示其子女报考医学专业最大的原因是兴趣爱好,而COVID-19疫情对其子女是否报考医学专业的影响是双向的,但以正向为主。

Current situation on the reporting quality of randomized controlled trials in 5 leading Chinese medical journals

Objective:The Consolidated Standards for Reporting of Trials(CONSORT) statement has already proved to be an efficient standard for reporting quality of randomized controlled trials(RCTs).However,most of the Chinese medical journals have not endorsed the CONSORT statement.The current situation about the reporting quality of RCTs in Chinese medical journals is still unclear.The purpose of the study was to evaluate the reporting quality of RCTs on papers published in 5 leading Chinese medical journals.Methods:We evaluated 232 original RCT papers using a reporting quality scale based on CONSORT statement from 2001 to 2006 in 5 Chinese medical journals(Journal type 1) without adoption of CONSORT and Chinese Journal of Evidence-based Medicine(Journal type 2) which adopted CONSORT in 2004.We measured the inclusion of 26 items for the reporting quality scale and 6 core items of each RCT report,gave score to each item and calculated the total score obtained in each report and the proportion of reports including individual items.The reporting quality of RCT trials from 2001 to 2003(pre-adoption period) was compared with that from 2004 to 2006(post-adoption period).Results:The average reporting quality of RCTs was moderate(mean score,15.18),and the mean score of the 6 core items was low(mean score,1.09) in 5 leading journals.The difference in the total score and the score of the 6 core items between pre-adoption period(2001-2003) and post-adoption period(2004-2006) was statistically significant(P=0.003;P=0.000).Interaction between journal type and period was not significant(F=0.76;P=0.383).We concluded that the change tendency of reporting quality between Journal type 1 and 2 was not different.But as to the core items of sequence concealment and intention-to-treat analysis,the increases were greater for Journal type 2 when evaluated against Journal type 1(P=0.038;P=0.016).Conclusion:The reporting quality of RCT trials in 5 leading Chinese medical journals is improving.However,the lack of important items in RCT trials remains a serious problem.We recommend the endorsement of the Consolidated Standards for Reporting of Trials statement in Chinese medical journals and the continuing education on evidence-based medicine in China.