目的 了解南昌医学院学生的中医药文化自信程度及其影响因素,为学校的教学改革提供依据。方法 采用分层抽样法,选取该学院2017级至2020级中医学、针灸推拿学等7个专业的800名学生作为研究对象。采用问卷调查方法,了解其文化自信程度。采用logistic回归分析,了解影响学生中医药文化自信程度的主要因素,探讨提高学生中医药文化自信的对策。结果 不同级次和专业的学生在中医药文化认知、对待中医药文化的情感、对待西医药的态度和中医药文化相关行为4项评分中展示的中医药文化自信程度不同。评分最高的级次为2017级学生,4项评分依次为(3.68±0.35)分、(4.34±0.31)分、(4.56±0.28)分、(4.35±0.36)分;评分最低的级次为2020级学生,4项评分依次为(2.20±0.33)分、(3.17±0.35)分、(3.05±0.32)分、(3.02±0.28)分;两者评分差异均具有统计学意义(均P＜0.05)。评分最高的专业为中医学专业,4项评分依次为(4.50±0.34)分、(4.41±0.36)分、(4.50±0.38)分、(4.43±0.33)分;评分最低的专业为市场营销专业,4项评分依次为(3.05±0.36)分、(2.96±0.31)分、(2.95±0.33)分、(2.80±0.31)分,两者评分差异均具有统计学意义(均P＜0.05)。经过logistic回归分析,发现级次和专业是学生中医药文化自信程度的影响因素。结论 不同级次和专业学生的中医药文化自信程度不同。影响学生中医药文化自信程度的主要因素是级次和专业。学校应当增加与中医药文化教育相关课程的教学时数,加大中医药文化的传播力度。

Objective To understand the self-confidence in traditional Chinese medicine culture and related influencing factors of students in Nanchang Medical College, so to provide a basis for the education remodeling in this school. Methods Using stratified sampling method, eight hundred undergraduates from grade 2017 to 2020 in Nanchang Medical College were enrolled and their majors included Chinese medicine, acupuncture and massage, etc. The questionnaires were distributed to investigate their self-confidence in traditional Chinese medicine culture. Using logistic regression analysis to identify the main factors that affect students' self-confidence and to explore the countermeasures to improve students' self-confidence in traditional Chinese medicine culture. Results Students of different grades and majors show different degrees of self-confidence in traditional Chinese medicine culture in four dimensional scores: cognition of traditional Chinese medicine culture, emotion towards traditional Chinese medicine culture, attitude towards western medicine and behavior related to traditional Chinese medicine culture. The grade with the highest score is 2017, and the four scores are (3.68±0.35), (4.34±0.31), (4.56±0.28) and (4.35±0.36) respectively; the grade with the lowest score is 2020, and the four scores are (2.20±0.33), (3.17±0.35), (3.05±0.32) and (3.02±0.28) respectively; the difference was statistically significant (all P<0.05).The major with the highest score was traditional Chinese medicine, and the four scores were (4.50±0.34), (4.41±0.36), (4.50±0.38) and (4.43±0.33); the lowest scoring major is from the students majoring marketing and commercial business, the four scores are (3.05±0.36), (2.96±0.31), (2.95±0.33) and (2.80±0.31) respectively; the difference was statistically significant (all P<0.05). Through logistic regression analysis, it is found that grade and major were the main factors affecting students' confidence in traditional Chinese medicine culture. Conclusions Students of different grades and majors have different levels of self-confidence in Chinese medicine culture. The main factors affecting students' self-confidence in traditional Chinese medicine culture are grade and major. It is suggested that the school authority needs to increase the teaching hours related to traditional Chinese medicine culture and strengthen the dissemination of traditional Chinese medicine culture.