医学生自主学习能力现状及其与主观幸福感的关联研究

职业与健康 ›› 2025, Vol. 41 ›› Issue (22): 3120-3125.

医学生自主学习能力现状及其与主观幸福感的关联研究

史凌云^1a,2, 刘媛媛^1b, 史黎^1c, 韩春霞^1d, 张红^1a,2, 王婷婷³

1.新疆医科大学第一附属医院 a 护理部, b 消毒配送中心次供一室, c 骨肿瘤外科,d血液病一科,新疆乌鲁木齐 830000;
2.新疆医科大学护理学院,新疆乌鲁木齐 830000;
3.上海健康医学院护理与健康管理学院健康服务与管理教研室,上海 201318

收稿日期:2025-03-22 修回日期:2025-04-14 发布日期:2025-12-15
通信作者: 张红,主任护师,E-mail：3133756396@qq.com
作者简介:史凌云,女,主任护师,主要从事医学生心理教育工作。
基金资助:
新疆医科大学第二期课程思政教育教学改革项目（YGS2023008）

Research on the current status of self-directed learning abilities among medical students and its correlation with subjective well-being

SHI Lingyun^1a,2, LIU Yuanyuan^1b, SHI Li^1c, HAN Chunxi^1d, ZHANG Hong^1a,2, WANG Tingting³

1. a Department of Nursing,b Subsupply I,Sterilisation and Distribution Centre,c Surgical Department of Orthopaedic Oncology,d Department of Haematology I,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang 830000,China;
2. School of Nursing,Xinjiang Medical University,Urumqi,Xinjiang 830000,China;
3. Health Service and Management Teaching and Research Department,School of Nursing and Health Management,Shanghai University of Medicine & Health Sciences,Shanghai 201318,China

Received:2025-03-22 Revised:2025-04-14 Published:2025-12-15
Contact: ZHANG Hong,Chief nurse,E-mail：3133756396@qq.com

摘要/Abstract

摘要： 目的探索医学生自主学习能力现状及其与主观幸福感之间的关联,为医学生自主学习能力的提升提供理论依据。方法 2023年10—12月选取中国东沿海的上海市和西内陆的乌鲁木齐市2所医学院校,采用简单随机抽样法,问卷调查了1 809名大一至大五的在读本科生。使用自主学习量表调查医学生自主学习能力情况,使用青少年学生生活满意度量表及快乐感量表评估医学生主观幸福感;使用多元线性回归分析医学生自主学习能力与主观幸福感的关联。结果参与调查的学生中,男生555人,占30.7%,女生1 254人,占69.3%;大一学生1 114人,占61.6%,大二学生395人,占21.8%,大三学生123人,占6.8%,大四及以上学生177人,占9.8%。女生的自主学习能力评分[（75.02±15.90）分]高于男生[（70.33±18.82）分],城市户籍学生的自主学习能力评分[（74.80±17.29）分]高于农村户籍学生[（71.33±16.16）分],乌鲁木齐市学生自我调节评分[（10.85±2.98）分]高于上海市学生[（10.39±3.27）分]（均P<0.05）。多元线性回归分析显示,青少年学生生活满意度量表中的学校（β=0.363,95%CI：0.243~0.482）和环境（β=0.353,95%CI：0.090~0.621）评分与医学生自主学习能力呈正相关,快乐感量表中正向情绪评分（β=0.242,95%CI：0.132~0.360）与医学生自主学习能力呈正相关,负向情绪评分（β=-0.404,95%CI：-0.471~-0.323）与医学生自主学习能力呈负相关。结论自主学习能力与医学生的主观幸福感密切相关，这些发现有助于理解和改善医学教育，特别是在促进学生的整体幸福感和学术成就方面具有主要意义。

关键词: 医学生, 自主学习能力, 主观幸福感

Abstract: Objective To explore the current status of self-directed learning abilities among medical students and its correlation with subjective well-being,in order to provide a theoretical basis for enhancing self-directed learning abilities in medical students. Method From October to December 2023,a questionnaire survey was conducted among 1 809 undergraduate students from the first to fifth year in two medical colleges located in Shanghai on the east coast of China and Urumqi on the west inland using a simple random sampling method. The self-directed learning scale was used to assess the students' self-directed learning abilities,while the adolescent student life satisfaction scale and the happiness scale were utilized to evaluate their subjective well-being.A multiple linear regression analysis was conducted to analyze the correlation between medical students' self-directed learning abilities and their subjective well-being. Results Among the students who participated in the survey,555 were male,accounting for 30.7%,and 1254 were female,accounting for 69.3%. There were 1114 freshmen,accounting for 61.6%,395 sophomores,accounting for 21.8%,123 juniors,accounting for 6.8%,and 177 seniors and above,accounting for 9.8%.Female students had higher self-directed learning abilitiesscores[(75.02±15.90)points] than male students[(70.33±18.82)points], urban household students had higher self-directed learning abilities scores[(74.80±17.29)points] than rural household students[(71.33±16.16)points], the self -directed learning abilities scores of Urumqi students[(10.85±2.98)points] were higher than those of Shanghai students [(10.39±3.27)points](all P<0.05). Multiple linear regression analysis showed that the school(β=0.363,95%CI：0.243-0.482)and environment(β=0.335,95%CI：0.090-0.621) scores in the adolescent student life satisfaction scale were positively correlated with the self-directed learning abilities of medical students,and the positive emotion score in the happiness scale(β=0.242,95%CI：0.132-0.360)was positively correlated with the self-directed learning abilities of medical students,while the negative emotion score(β=-0.404,95%CI：-0.471--0.323) was negatively correlated with the self-directed learning abilities of medical students. Conclusion The self-directed learning abilities is closely related to the subjective well-being of medical students,and these findings are of great significance for understanding and improving medical education,especially in promoting students' overall well-being and academic achievement.

Key words: Medical students, Self-directed learning abilities, Subjective well-being

中图分类号:

R181.3

史凌云, 刘媛媛, 史黎, 韩春霞, 张红, 王婷婷. 医学生自主学习能力现状及其与主观幸福感的关联研究. [J]职业与健康, 2025, 41(22): 3120-3125.

SHI Lingyun, LIU Yuanyuan, SHI Li, HAN Chunxi, ZHANG Hong, WANG Tingting. Research on the current status of self-directed learning abilities among medical students and its correlation with subjective well-being. [J]OCCUPATION AND HEALTH, 2025, 41(22): 3120-3125.

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