目的 分析师生交流情况与留学生的中医药“知信行”状况(即对中医药认知、认同与信念、应用及传播状况)之间的关系,为增强留学生对中医药文化的认同与传播提供参考。方法 2021年6月,以山东中医药大学中医学、中药学、针灸推拿学等专业304名留学生为研究对象,调查其师生交流情况、对中医药的“知信行”状况,使用结构方程模型分析师生交流与留学生的中医药“知信行”之间的关系。结果 留学生对师生交流的评分为(14.69±3.17)分(总分20分),对中医药认知、认同与信念、应用及传播状况的评分分别为(13.40±4.78)分(总分20分),(11.88±2.08)分(总分15分),(15.70±3.63)分(总分20分)。师生交流可通过留学生的中医药认知、认同与信念间接影响留学生对中医药的日常应用与传播状况(b=0.349,P=0.008),也可仅通过中医药认同与信念间接影响留学生对中医药的日常应用与传播状况(b=0.918,P=0.001)。结论 师生交流、留学生的中医药“知信行”状况有待改善。师生交流能影响留学生的中医药“知信行”状况,应切实改善中医药专业留学生的师生交流质量,优化中医药国际教育方案,不断提高留学生对中医药的认知程度与认同感,促进中医药文化传播。

Objective To explore the relationship between teacher-student communication (TSC) and cognition (knowledge), identification (faith), daily application and propaganda (behavior) of Traditional Chinese Medicine (TCM) of international students, and provide suggestions for enhancing identification and dissemination of TCM. Methods In June 2021, 304 international students majoring in TCM, acupuncture and massage in Shandong University of Traditional Chinese Medicine were selected as the research participants. The TSC, the cognition, faith, behavior of TCM were investigated. Using structural equation model to analyze the relationship between TSC and knowledge, faith and behavior of TCM. Results Foreign students scored (14.69 ± 3.17) on TSC (20 points in total), (13.40 ± 4.78) on Chinese medicine cognition (20 points in total), (11.88 ± 2.08) on Chinese medicine identity and belief (15 points in total), and (15.70 ± 3.63) on Chinese medicine application and transmission (20 points in total). The TSC indirectly affected the daily application and communication of foreign students through their recognition, identification and belief in Chinese medicine (b=0.349, P=0.008), or only through their recognition and belief in Chinese medicine (b=0.918, P=0.001). Conclusions The communication between teachers and students and the knowledge, belief and practice of TCM of international students need to be improved. The communication between teachers and students can affect the knowledge, belief and practice of TCM of international students. The quality of communication between teachers and students of international students majoring in TCM should be effectively improved, the international education program of TCM should be optimized, and the awareness and identity of these students should be constantly improved, so as to promote the spread of TCM culture.