目的 了解公共卫生与预防医学研究生教育期望、培养满意度和忠诚度现况,探究培养满意度在教育期望与忠诚度之间的中介效应。方法 2021年6月至7月,采用问卷调查方法对全国34所院校的466名公共卫生与预防医学应届毕业研究生的教育期望、培养满意度和忠诚度进行横断面调查,利用熵权法计算指标权重,构建综合评分;采用t检验或方差分析比较不同人群特征之间的差异,利用Pearson相关分析探究三者相关性,最后利用分层回归分析培养满意度的中介效应。结果 研究生教育期望、培养满意度、忠诚度评分分别为(4.27±0.71)分、(3.78±0.80)分、(3.96±0.90)分。教育期望与培养满意度呈正相关关系(r=0.44,P＜0.001),与忠诚度呈正相关关系(r=0.44,P＜0.001),培养满意度与忠诚度呈正相关关系(r=0.57,P＜0.001),培养满意度在教育期望和忠诚度之间发挥部分中介作用(β=0.532,P＜0.001)。结论 公共卫生与预防医学研究生的教育期望、培养满意度和忠诚度水平较高;教育期望对培养满意度和忠诚度有正向促进作用;培养满意度在教育期望与忠诚度之间发挥部分中介效应。医学院校可以通过改进课程教学、建设完善的科研平台等举措提高研究生培养满意度,进而提升其忠诚度。

Objective To understand the current status of public health and preventive medicine graduate students' educational expectations, training satisfaction and loyalty, and to investigate the mediating effect of training satisfaction between educational expectations and loyalty. Methods The subject group conducted a cross-sectional survey on the educational expectation, training satisfaction and loyalty of 466 fresh graduate students of public health and preventive medicine from 34 colleges and universities in China from June to July 2021 by using questionnaire survey method, and utilized entropy weighting method to calculate the weights of the indicators and construct the composite scores. Student t-test or ANOVA was used to compare the differences between the characteristics of different populations, and Pearson correlation analysis was used to explore the correlation of the three, and finally split correlation analysis was utilized to explore the mediating effect between education expectation and loyalty. Results Graduate students' educational expectation, training satisfaction, and loyalty scores were (4.27±0.71), (3.78±0.80), and (3.96±0.90), respectively. Educational expectation was positively correlated with cultivation satisfaction (r=0.44, P<0.001), positively correlated with loyalty (r=0.44, P<0.001), cultivation satisfaction was positively correlated with loyalty (r=0.57, P<0.001), and cultivation satisfaction played a partially mediating role between educational expectation and loyalty (β=0.532, P<0.001) . Conclusions Public health and preventive medicine graduate students have high levels of educational expectation, training satisfaction and loyalty; educational expectation has a positive contribution to training satisfaction and loyalty; training satisfaction plays a partial mediating effect between educational expectation and loyalty. Medical schools can improve postgraduate students' satisfaction with training and loyalty by improving the curriculum and teaching and building a sound research platform.