社会支持与安全感在四川省高职院校医学生性心理健康与性健康态度中的多重中介作用

职业与健康 ›› 2023, Vol. 39 ›› Issue (1): 97-102.

社会支持与安全感在四川省高职院校医学生性心理健康与性健康态度中的多重中介作用

吴际军^1a, 荣娴², 刘帧帆^1b, 刘洁^1c, 张继权^1c

1.德阳市人民医院a心血管内科，b基本外科，c护理部，四川德阳 617000;
2.四川护理职业学院护理系，四川德阳 617000

收稿日期:2022-04-15 修回日期:2022-04-26 发布日期:2026-02-28
通信作者: 荣娴，助教，E-mail：1165254226@qq.com
作者简介:吴际军，男，主管护师，主要从事护理管理与艾滋病健康教育工作。
基金资助:
四川性社会学与性教育研究中心资助（SXJYB2014）

Multiple mediating effects of social support and sense of security on sexual mental health and sexual health attitude of medical students in higher vocational colleges of Sichuan Province

WU Ji-jun^1a, RONG Xian², LIU Zhen-fan^1b, LIU Jie^1c, ZHANG Ji-quan^1c

1. a Department of Cardiology, b Department of Basic Surgery, c Department of Nursing, Deyang People's Hospital, Deyang Sichuan 617000, China;
2. Department of Nursing, Sichuan Vocational College of Nursing, Deyang Sichuan 617000, China

Received:2022-04-15 Revised:2022-04-26 Published:2026-02-28
Contact: RONG Xian，Teaching assistant，E-mail：1165254226@qq.com

摘要/Abstract

摘要： 目的调查四川省高职院校医学生社会支持、安全感、性心理健康与性健康态度现状，分析社会支持、安全感在性心理健康与性健康态度中的中介作用。方法采用便利抽样方法，于2021年3—5月采用一般资料问卷、社会支持量表、安全感量表、性心理健康量表、性健康态度量表对四川省3所高职院校856名医学生进行调查。结果高职院校医学生性健康态度得分为（45.843±9.166）分，性心理健康得分为（69.158±9.746）分，安全感得分为（60.490±10.627）分，社会支持得分为（52.542±8.365）分。相关分析结果显示，高职院校医学生性心理健康与性健康态度呈正相关（r=0.287~0.571，均P<0.05）;安全感与性健康态度呈负相关（r=-0.274~-0.679，均P<0.05）;社会支持与性健康态度呈负相关（r=-0.246~-0.541，均P<0.05）。中介效应分析显示，高职院校医学生社会支持在性心理健康和性健康态度间起部分中介作用，中介效应为0.097，占总效应的15.67%;安全感在性心理健康和性健康态度间起部分中介作用，中介效应为0.169，占总效应的27.30%;社会支持、安全感在性心理健康和性健康态度间起到链式中介作用，中介效应为0.036，占总效应的5.82%。结论高职院校医学生性健康态度处于中等水平，有待进一步改善。护理教育中应根据学生群体的差异性制定针对性性教育培训活动，提升学生社会支持和安全感，提高其性心理健康水平。

关键词: 高职医学生, 社会支持, 安全感, 性心理健康, 性健康态度

Abstract: Objective To investigate the status of social support，sense of security，sexual mental health and sexual health attitude of medical students in higher vocational colleges of Sichuan Province，analyze the mediating role of social support and sense of security in sexual mental health and sexual health attitude. Methods Using the convenience sampling method，856 medical students from three higher vocational colleges in Sichuan Province were investigated by general information questionnaire，social support scale，security scale，sexual mental health scale and sexual health attitude scale from March to May 2021. Results The scores of sexual health attitude，sexual mental health，sense of security and social support of medical students in higher vocational colleges were （45.843±9.166），（69.158±9.746），（60.490±10.627） and （52.542±8.365）points，respectively. The results of correlation analysis showed that there was a positive correlation between the sexual mental health and sexual health attitude of medical students in higher vocational colleges（r=0.287-0.571，all P<0.05），a negative correlation between sense of security and sexual health attitude（r=-0.274--0.679，all P<0.05），and a negative correlation between social support and sexual health attitude（r= -0.246--0.541，all P<0.05）. The mediating effect analysis showed that the social support of medical students in higher vocational colleges played a partial mediating role between sexual mental health and sexual health attitude，and the mediating effect was 0.097，accounting for 15.67% of the total effect. The sense of security played a partial mediating role between sexual mental health and sexual health attitude，the mediating effect was 0.169，accounting for 27.30% of the total effect. The social support and security played a chain mediating role between sexual mental health and sexual health attitude，the mediating effect was 0.036，accounting for 5.82% of the total effect. Conclusions The sexual health attitude of medical students in higher vocational colleges is at a medium level，which needs to be further improved. The nursing education should formulate targeted sexual education and training activities according to the differences of student groups，improve students' social support and sense of security，and improve their sexual psychological health status.

Key words: Medical students in higher vocational colleges, Social support, Sense of security, Sexual mental health, Sexual health attitude

中图分类号:

R395.6

吴际军, 荣娴, 刘帧帆, 刘洁, 张继权. 社会支持与安全感在四川省高职院校医学生性心理健康与性健康态度中的多重中介作用. [J]职业与健康, 2023, 39(1): 97-102.

WU Ji-jun, RONG Xian, LIU Zhen-fan, LIU Jie, ZHANG Ji-quan. Multiple mediating effects of social support and sense of security on sexual mental health and sexual health attitude of medical students in higher vocational colleges of Sichuan Province. [J]OCCUPATION AND HEALTH, 2023, 39(1): 97-102.

参考文献

[1] 徐加伟,罗梦云,董媛媛,等.上海市大学生性与生殖健康相关知识、态度和行为及影响因素分析[J].中国性科学,2020,29(7):136-140.
[2] 隋学佳.关于加强高职院校学生性安全教育的探讨[J].求知导刊,2015,12(8):107-108.
[3] 张文静,马迎华,高迪思,等.中国部分省市大学生性教育现状与性行为影响因素分析[J].中国学校卫生,2018,39(6):814-817.
[4] 郑晓瑛,陈功.中国青少年生殖健康可及性调查基础数据报告[J].人口与发展,2010,16(3):2-16.
[5] 骆一.青春期性心理健康问卷的初步编制[D].重庆:西南师范大学,2005.
[6] 安民兵.青少年性心理问题的预防与治疗[J].中国初级卫生保健,2006,18(12):53-55.
[7] 贺斌,段蕾,詹玲利.护士心理资本、社会支持与工作倦怠关系研究[J].中国职业医学,2017,44(1):70-74.
[8] 沈学武,赵长银,顾克健,等.神经症不安全感心理特点初步研究[J].健康心理学杂志,1999,7(2):193-194.
[9] 何源,陈玉,薛海丽,等.大学生性健康素养研究综述[J].中国性科学,2018,27(2):150-153.
[10] KRIEGER J L,NEIL J M,STREKALOVA Y A,et al.Linguistic strategies for improving informed consent in clinical trials among low health literacy patients[J].J Natl Cancer Inst,2016,109(3):223-239.
[11] NUTBEAM D,MCGILL B,PREMKUMAR P.Improving health literacy in community populations:a review of Progress[J].Health Promot Int,2018,33(5):901-911.
[12] 黄丽,姜乾金,任蔚红.应对方式、社会支持与癌症病人心身症状的相关性研究[J].中国心理卫生杂志,1996,10(4):160-161.
[13] 杨润涛,温斌,张东枚,等.大学生性心理健康问卷的编制与测评[J].中国学校卫生,2010,31(6):706-708.
[14] 丛中,安莉娟.安全感量表的初步编制及信度、效度检验[J].中国心理卫生杂志,2004,15(2):97-99.
[15] HENDRICK C,HENDRICK S,REICH D.The brief sexual attitudes scale[J].J Sex Res,2006,43(1):76-86.
[16] 吴晓雪,孙建乐.温州市大学生性教育、性观念及性行为状况调查[J].医学与社会,2018,31(7):52-54.
[17] 赵芮,张磊,富晓星,等.中国11省市青少年性与生殖健康知识、态度及行为调查[J].中国公共卫生,2019,35(10):1330-1338.
[18] HERAT JOANNA.Correction to:the revised international technical guidance on sexuality education-a powerful tool at an important crossroads for sexuality education.[J].Reprod Health,2019,16(1):30-35.
[19] YU SONG.The sexuality education and attitudes of college students in China[J].Health Educ,2015,115(1):93-104.
[20] 刘轶,于茂河,芦文丽,等.天津市高校学生性教育和性态度及艾滋病知识知晓情况调查[J].中国慢性病预防与控制,2019,27(3):201-203.
[21] 肖水源,杨德森.社会支持对身心健康的影响[J].中国心理卫生杂志,1987,12(4):183-187.
[22] 黄煜文,罗芊懿,尚鹤睿.广州地区医学生社会支持与心理健康的关系:心理弹性的中介作用[J].中国健康心理学杂志,2021,29(3):398-403.
[23] 赵东喆.90后大学生社会交往方式的特征及社会支持网络建立的关系研究探讨[J].校园心理,2013,11(4):259-262.
[24] 王丽,傅金芝.国内父母教养方式与儿童发展研究[J].心理科学进展,2005(3):298-304.
[25] 尹子臣,张志炜,马保欣.职业院校大学生性心理健康状况及影响因素研究[J].心理月刊,2021,16(21):47-49.
[26] 杨作凯,方益荣,卢巧玲,等.大学生艾滋病相关知识和行为调查[J].预防医学,2018,30(9):961-963.
[27] 刘少锋,梁永锋.大学生心理安全感与生活满意度相关研究[J].牡丹江师范学院学报(哲学社会科学版),2016,7(2):120-122.
[28] 贾旖璠,白学军,张志杰,等.社会支持对大学生生活满意度的影响:安全感与积极心理资本的链式中介效应[J].中国健康心理学杂志,2021,29(11):1703-1707.
[29] 张夔,郑涌.大学生性知识获取途径及与性心理健康的关系[J].第三军医大学学报,2010,32(23):2482-2502.
[30] 罗冬梅,王姣,李境,等.本科护生性心理健康与社会支持的相关性研究[J].职业与健康,2016,32(9):1256-1259.
[31] 郭黎岩,卫丹.青少年性心理行为问题及应对[J].中国性科学,2013,22(3):73-77.
[32] 杨丽萍,谭钦月,肖英伦,等.大学生恋爱态度和性心理健康调查[J].中国公共卫生,2020,36(1):120-122.
[33] 戴汶珂.大学生原生家庭功能与认知偏差的关系:安全感和人际关系行为困扰的多重中介作用[J].中国健康心理学杂志,2021,29(9):1407-1411.
[34] 韩黎,袁纪玮,赵琴琴.农村留守儿童生活事件对心理健康的影响:同伴依恋心理韧性的中介作用及安全感的调节作用[J].中国特殊教育,2019(7):55-62.