目的 分析医学生人文关怀水平现状及其影响因素,为促进医学人文教育提供参考。方法 采用问卷调查方法。2021年7月,采用方便抽样方法,选取西安交通大学医学部、西安医学院、延安大学医学院和陕西中医药大学的239名医学生为研究对象,通过一般资料问卷、杰弗逊共情量表学生版和关怀能力量表调查,采用多元线性回归方法分析数据。结果 医学生的人文关怀水平评分为(193.02±18.87)分,其中女生评分高于男生[(196.86±17.92)分比(187.68±18.95)分,P<0.001]。共情反应水平(b=0.547,P<0.001)评分越高的医学生人文关怀水平越好;与对自己人际关系评价较低和本专业满意程度较低的医学生相比,对自己人际关系的评价较高(b=0.185,P=0.001)、对本专业满意程度较高(b=0.145,P=0.008)的医学生,人文关怀水平越好,上述3个变量可以共同解释医学生人文关怀水平变异的40.0%。结论 医学生的人文关怀水平仍有待提高,女生的人文关怀水平高于男生。共情反应水平、对自己人际关系的评价和对本专业的满意程度会对人文关怀水平产生正向影响。高校应考虑采取针对性措施,不断提升医学生人文关怀水平。

Objective To analyze the current situation of medical students' humanistic care and its influencing factors, so as to inform future improvement of medical humanities education. Methods A questionnaire survey was adopted. In July 2021, 239 medical students from the Medical Department of Xi'an Jiaotong University, Xi'an Medical College, Yan'an University Medical College and Shaanxi University of Traditional Chinese Medicine were selected as the research subjects by convenient sampling method. Multiple linear regression methods were used to analyze the data through the general information questionnaire, Jefferson Empathy Scale Student Edition and Care Ability Scale survey. The data were analyzed by the multiple linear regression method. Results The overall humanistic care level of medical students was (193.02±18.87), among which the score of female students (196.86±17.92) was higher than that of male students (187.68±18.95), and the difference was statistically significant (P<0.001). The higher the level of empathy response (b=0.547, P<0.001), the better the level of humanistic care of medical students. Compared with medical students with lower evaluation of their interpersonal relationships and lower satisfaction with their majors, the higher the evaluation of their interpersonal relationships (b=0.185, P=0.001) and the higher the satisfaction with their majors (b=0.145, P=0.008), the better the level of humanistic care, and the above three variables can jointly explain 40.0% of the variation in the level of humanistic care of medical students. Conclusions The humanistic care level of medical students needs to be improved, and the humanistic care level of female students is higher than that of male students. Medical students' level of empathy response, evaluation of their interpersonal relationships and satisfaction with the profession can positively influence the level of humanistic care. Universities should consider taking targeted measures to improve the humanistic care level of medical students.