摘要
目的探讨医学生生命意义感的现状与潜在剖面,以及其与死亡态度的关系。方法2023年3月至6月,选取天津医科大学、天津中医药大学、天津医学高等专科学校和唐山工业职业技术大学的390名医学生作为调查对象。研究工具包括一般资料调查表、中文版生命意义感量表和中文版死亡态度描绘量表。采用Mplus 8.3软件对医学生的生命意义感进行潜在剖面分析。使用SPSS 26.0软件分析一般资料及不同潜在剖面与死亡态度之间的关系。结果医学生生命意义感整体处于中等偏高水平,可分为消极不确定型(28.46%)和积极倾向型(71.54%)两个潜在类别。logistic回归分析显示,认为生命教育的重要性、开展生命教育最合适的时间及对安宁疗护、缓和医疗、姑息治疗、临终关怀等事物的了解情况是医学生生命意义感的潜在剖面的影响因素。生命意义感积极水平型的医学生的死亡态度更趋向于自然接受。结论医学生的生命意义感存在异质性。教育者可在学生成长的各个阶段设置恰当的生命教育相关课程,以协助学生成为合格的医药卫生人才。
Objective To explore the status quo and latent profiles of medical students'sense of meaning in life and the relationships of these profiles with attitudes toward death.Methods From March to June 2023,390 medical students from Tianjin Medical University,Tianjin University of Traditional Chinese Medicine,Tianjin Medical College,and Tangshan Polytechnic University were selected as the subjects.The research tools included the General Information Questionnaire,the Chinese version of the Meaning in Life Questionnaire,and the Chinese version of the Death Attitude Profile-Revised.The latent profiles of the sense of meaning in life among medical students were analyzed using Mplus 8.3 software.SPSS 26.0 software was used to analyze the general data and the relationships between different latent profiles and attitudes toward death.Results Medical students generally demonstrated a moderately high level of meaning in life,which could be divided into two latent profiles:the negative-uncertain type(28.46%)and the positive-oriented type(71.54%).Logistic regression analysis showed that perceptions of the importance of life education,the most appropriate timing for its implementation,and familiarity with concepts such as hospice care,palliative care and end of life care were identified as factors influencing the latent profiles of meaning in life among medical students.Students in the positive-oriented profile were more likely to exhibit a natural acceptance attitude toward death.Conclusion There is heterogeneity in medical students'sense of meaning in life.Educators can set up appropriate life education curricula at various stages of student development to support their growth into competent healthcare professionals.
作者
杨凯月
谭罗岚
王国豪
胡燕
Yang Kaiyue;Tan Luolan;Wang Guohao;Hu Yan(Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;School of Nursing,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;School of Management Engineering,Tangshan Polytechnic University,Tangshan 063300,China)
出处
《中华医学教育探索杂志》
2025年第10期1435-1440,共6页
Chinese Journal of Medical Education Research
基金
天津市高等学校本科教学质量与教学改革研究计划重点项目(A231006303)。
关键词
医学生
生命意义感
死亡态度
潜在剖面分析
生命教育
Medical student
Sense of meaning in life
Attitudes toward death
Latent profile analysis
Life education
