医学影像学专业本科生医学伦理认知与隐私保护态度现状及影响因素分析

doi:10.3760/cma.j.cn115259-20251110-01438

摘要/Abstract

摘要： 目的分析医学影像学专业本科生医学伦理认知与隐私保护态度的现状及其影响因素,为分阶段优化伦理教育内容和开展影像数据隐私保护场景化教学提供依据。方法 2023年11月,采用多阶段分层抽样方法选取全国7大地理分区医学影像学专业269名本科生为研究对象,通过自行设计的调查问卷收集一般资料、伦理认知、隐私保护态度和教育培训情况等数据。采用χ²检验进行组间比较,采用多元线性回归分析相关影响因素。结果 269名医学生中,医学伦理认知高分组183人(68.0%),隐私保护态度高分组213人(79.2%);229人(85.1%)学习过医学伦理学课程或接受过伦理培训,其中72人(31.4%)能够列举与医学影像学伦理有关的实际情景;192人(71.4%)接受过医学伦理学教育或隐私保护培训。在隐私保护措施支持度方面,220人(81.8%)支持严格限制数据访问,236人(87.7%)支持加强数据加密,224人(83.3%)支持开展隐私保护教育。医学生的伦理认知评分等级分布在不同年级、是否接受过医学伦理学教育或隐私保护培训方面的差异均具有统计学意义(均P<0.001);医学生的隐私保护态度评分等级分布仅在是否接受过医学伦理学教育或隐私保护培训方面差异具有统计学意义(P=0.039)。多元线性回归分析显示,医学生的年级、医学伦理学教育或隐私保护培训评分、伦理重要性认可度评分是伦理认知总分的正向影响因素(β=0.417、0.398、1.153,均P<0.001);培训对专业成长的帮助度评分、隐私保护重要性认可度评分、数据处理优先选择评分是医学生隐私保护态度总分的正向影响因素(β=0.250、1.313、1.094,均P<0.05)。结论医学影像学专业本科生伦理认知与隐私保护态度总体较好,但医学伦理学教育或隐私保护培训与实践转化之间仍然存在差距。医学院校应当根据医学生学习阶段分层推进医学伦理学教育,围绕“限制数据访问、加强数据加密、开展隐私保护教育”等内容开展场景化实践教学,以提升医学生医学伦理认知和隐私保护的实践能力。

关键词: 伦理学, 医学, 医学影像学, 隐私权, 认知, 现状, 影响因素

Abstract: Objective To analyze the current status and influencing factors of medical ethics cognition and privacy protection attitudes among undergraduate students majoring in medical imaging, and to provide evidence for the staged optimization of ethics education content and scenario-based teaching of imaging data privacy protection. Methods In November 2023, a total of 269 undergraduate students majoring in medical imaging were selected from seven geographical regions in China using a multistage stratified sampling method. A self-designed questionnaire was used to collect data on general information, medical ethics cognition, privacy protection attitudes, and education and training experiences. According to the type of data, the chi-square test was used for intergroup comparisons, and multiple linear regression analysis was performed to identify related influencing factors. Results Among the 269 undergraduates, 183 students (68.0%) were in the high-score group for medical ethics cognition, and 213 students (79.2%) were in the high-score group for privacy protection attitudes. A total of 229 students (85.1%) had studied medical ethics courses or received ethics-related training, among them, 72 students (31.4%) were able to list practical scenarios related to medical imaging ethics; and 192 students (71.4%) had received medical ethics education or privacy protection training. Regarding support for privacy protection measures, 220 students (81.8%) supported strict restriction of data access, 236 students (87.7%) supported strengthening data encryption, and 224 students (83.3%) supported privacy protection education. The distribution of medical ethics cognition score levels differed significantly by grade and by whether students had received medical ethics education or privacy protection training (all P<0.001). The distribution of privacy protection attitude levels differed significantly only by whether students had received medical ethics education or privacy protection training (P=0.039). Multiple linear regression analysis showed that grade, medical ethics education or privacy protection training score, and ethics importance recognition score were positive influencing factors for the total medical ethics cognition score (β=0.417, 0.398, and 1.153, all P<0.001). Training helpfulness for professional development score, privacy protection importance recognition score, and data processing priority score were positive influencing factors for the total privacy protection attitude score (β=0.250, 1.313, and 1.094, all P<0.05). Conclusions Undergraduate students majoring in medical imaging generally showed good medical ethics cognition and privacy protection attitudes, but a gap remained between medical ethics education or privacy protection training and its translation into practice. Medical colleges and universities should provide staged medical ethics education according to students′ learning stages and carry out scenario-based practical teaching focused on restricting data access, strengthening data encryption, and privacy protection education, so as to improve students′ medical ethics cognition and practical ability in privacy protection.

Key words: Ethics, medical, Medical imaging, Privacy, Cognition, Current status, Influencing factors

中图分类号:

杜君, 陈嘉怡, 郝梓言, 林丽云, 刘佳慧, 江昆龙, 李坤. 医学影像学专业本科生医学伦理认知与隐私保护态度现状及影响因素分析[J]. 中华医学教育杂志, 2026, 46(9): 658-664, DOI: 10.3760/cma.j.cn115259-20251110-01438.

Du Jun, Chen Jiayi, Hao Ziyan, Lin Liyun, Liu Jiahui, Jiang Kunlong, Li Kun. Analysis of the current status and influencing factors of medical ethics cognition and privacy protection attitudes among medical imaging undergraduates[J]. Chinese Journal of Medical Education, 2026, 46(9): 658-664, DOI: 10.3760/cma.j.cn115259-20251110-01438.

参考文献

[1] 张瑜, 何晓静, 郭大静. “课程思政”融入《医学影像学》的实践和探索[J].中国继续医学教育,2023,15(12):33-36.DOI: 10.3969/j.issn.1674-9308.2023.12.008.
[2] 殷志杰, 李祥林, 王文, 等. 基于教育数字化的五年制医学影像学专业医学影像技术类课程整合探索与实践[J].中华医学教育探索杂志,2025,24(2):209-214. DOI: 10.3760/cma.j.cn116021-20231211-01966.
[3] 秦言红.人工智能在医疗档案隐私保护中的应用与挑战[J].山西档案,2026(4):74-76. DOI: 10.3969/j.issn.1005-9652.2026.04.015.
[4] 刘蓉, 侯金鹏, 张伟, 等. 课程思政教育在医学影像学本科教学中的应用[J].中国继续医学教育,2023,15(12):194-198. DOI: 10.3969/j.issn.1674-9308.2023.12.043.
[5] 葛岩松, 董春桐, 孙林娜, 等. 医学影像诊断工作中的哲学思维[J].中华医学教育探索杂志,2023,22(12):1835-1838. DOI: 10.3760/cma.j.cn116021-20220111-01532.
[6] 陈佳. 人工智能背景下《医学影像学》本科课程融入思政教育的研究[J].才智,2025(6):37-40.
[7] 王萌, 杨丽华, 刘媛媛, 等. 高职医学影像诊断学课程思政建设研究与实践[J].现代职业教育,2023(32):45-47.
[8] 马丽娜, 彭锐, 许荆棘, 等. 基于裸眼3D技术的AR教学辅助系统在本科医学影像学课程教学中的应用[J].中华医学教育杂志,2024,44(7):527-531. DOI: 10.3760/cma.j.cn115259-20230607-00575.
[9] 叶梦梦, 董鹏, 周秀秀, 等. 思想政治教育在“医学影像学”教学中的现状及思考[J].教育教学论坛,2026(3):141-144. DOI:10.20263/j.cnki.jyjxlt.2026.03.036.
[10] Krejcie RV,Morgan DW.Determining sample size for research activities[J].Educational and Psychological Measurement,1970(30):607-610. DOI: 10.1177/001316447003000308.
[11] 葛欢欢, 李烨, 翟继. 放射专业规培学员的医学伦理决策能力分析与探索[J].河南医学高等专科学校学报,2022,34(5):620-623. DOI: 10.3969/j.issn.1008-9276.2022.05.025.
[12] 陈菲, 王亮, 王志杰. 影像医学生临床伦理实践教育的困境与对策探讨[J].中国医学伦理学,2018,31(2):248-251. DOI: 10.12026/j.issn.1001-8565.2018.02.21.
[13] Jebb AT, Ng V, Tay L. A review of key likert scale development advances: 1995-2019[J]. Front Psychol, 2021,12:637547. DOI: 10.3389/fpsyg.2021.637547.
[14] Haskell SL. Medical ethics in radiography[J]. Radiol Technol, 2019,90(3):237-254.
[15] 胡艳超, 王洪涛, 王怡雯, 等. 医学人文教育在心血管内科混合式教学中的应用[J].医学教育研究与实践,2022,30(5):648-652. DOI: 10.13555/j.cnki.c.m.e.2022.05.025.
[16] 范万峰, 王山山, 毛锡金, 等. 案例式教学法在临床医学专业医学影像学教学中的应用体会[J].西北医学教育,2011,19(6):1314-1316. DOI: 10.3969/j.issn.1006-2769.2011.06.078.
[17] 艾心, 付倩倩, 刘滢滢, 等. 医学影像学推免生准研究生阶段的教育教学探讨[J].医学教育研究与实践,2021,29(5):722-724,742. DOI: 10.13555/j.cnki.c.m.e.2021.05.018.