关键词: 中医院校, 隐性逃课, 发生率, 学习意愿, 影响因素

Abstract: Objective To know the situation,characteristics and influencing factors of recessive truancy among undergraduates major in preventive medicine in traditional Chinese medicine（TCM） universities from the perspective of individual cognition and behavior,provide reference for improving classroom efficiency. Methods The students in ten classes specializing in preventive medicine from six TCM universities were selected as research objects using cluster sampling method from December 2022 to June 2023,the questionnaire covering the basic situation,recessive truancy and reasons was prepared,then the data were collected and analyzed statistically. Results The incidence of recessive truancy was 78.26%,and that was higher among male students,senior students,urban students,course importance students and students with general intention to learn,and there was a statistically significant difference among different grades（χ²=11.296,P<0.05）. The scores[M（P₂₅,P₇₅）] of academic cognition,learning habits,self-adjustment,classroom cognition and learning environment factors were 8.50（6.00,21.00）,18.00（16.00,20.00）,23.00（21.00, 26.00）,12.00（10.00,15.00） and 14.00（12.00,16.00）points,respectively. The scores of academic cognition,learning habit,self-adjustment and classroom cognition had statistical differences in course importance（all P<0.05）. The scores of learning habit and self-adjustment had statistical differences in learning willingness（all P<0.05）. There was no statistically significant difference in learning environment scores among different individual factors（P>0.05）. The time of recessive truancy in 5-<15 minutes was the most（58.70%）,mainly occurred in 3-4 periods（32.13%） and 7-8 periods（26.81%）,and there was no statistically significant difference in the incidence of recessive truancy among different time periods（χ²=7.010,P>0.05）. The top three teaching stages with recessive truancy were theory teaching（50.48%）,playing teaching video（35.02%） and free discussion（29.47%）,and the main forms of recessive truancy were daze（64.01%） and playing with mobile phones（59.18%）. The main reasons of recessive truancy were students could not concentrate because of sleepiness or mood（75.85%）,low course interest（30.68%）,teacher's lecture was boring（65.22%）,and teaching methods were not flexible（43.24%）. Logistic regression analysis found that grade was risk factors for recessive truancy（OR=2.863,95%CI：1.486-5.513）. Conclusion The recessive truancy is widespread undergraduates major in preventive medicine in TCM universities,especially among senior students,so it is necessary to strengthen professional ideological education to improve students' awareness of course importance and enhance learning willingness.

Key words: Traditional Chinese medicine university, Recessive truancy, Incidence, Learning willingness, Influencing factors