目的 了解医学生竞争态度现状,并探讨竞争态度与学习成绩之间的关系。方法 采用方便抽样法,选取武汉大学252名医学生作为研究对象,采用《竞争态度量表》中国版(competitive attitude scale-Chinese version, CAS-C)调查其竞争态度,分析不同性别、学历医学生竞争态度的差异,探索竞争态度与学习成绩之间的相关。结果 医学生良性竞争态度得分52.00(47.00, 56.00)分,过度竞争态度得分32.00(29.00, 37.00)分。不同性别医学生在良性竞争态度得分[男生54.00(48.00, 58.00)分,女生51.00(46.00, 55.00)分,Z=2.18,P=0.03]和过度竞争态度得分[男生34.00(30.00, 38.00)分,女生30.00(28.00, 36.00)分,Z=4.10,P<0.01]的差异均具有统计学意义。不同学历医学生在良性竞争态度得分[本科生52.00(47.00, 56.00)分,硕士研究生52.00(46.50, 56.00)分,Z=-0.01,P=0.10]和过度竞争态度得分[本科生31.00(28.00, 37.00)分,硕士研究生33.00(30.00, 37.50)分,Z=-1.93,P=0.05]的差异均无统计学意义。良性竞争态度与学习成绩存在正相关(r=0.38, P<0.01),而过度竞争态度与学习成绩之间存在负相关(r=-0.19, P<0.01)。结论 目前医学生在良性与过度竞争态度方面现状尚可,但未来仍需进一步引导医学生树立良好的竞争态度,帮助他们正确认识并处理竞争与自我实现之间的关系。

Objective To acquire the situation quo of medical students' competitive attitude and explore the relationship between competitive attitudes and academic performance. Methods Totally 252 medical students in Wuhan University were selected by the convenient sampling method. The competitive attitude scale-Chinese version was used to investigate the competitive attitude of them,the differences of competitive attitudes among medical students of different genders and educational levels were analyzed, and the correlation between competitive attitudes and academic achievements was explored. Results The score of personal development competitive attitude was 52.00(47.00, 56.00), the score of hypercompetitive attitude was 32.00(29.00, 37.00). There were statistically significant differences in scores of personal development competitive attitude [54.00(48.00, 58.00)for males,51.00(46.00, 55.00) for females, Z=2.18, P=0.03] and hypercompetitive attitude [34.00(30.00, 38.00) for males,30.00(28.00, 36.00) for females, Z=4.10, P<0.01] among medical students with different genders. No differences were observed in scores of personal development competitive attitude [52.00(47.00, 56.00) for undergraduates, 52.00(46.50, 56.00) for postgraduates, Z=-0.01, P=0.10] and hypercompetitive attitude [31.00(28.00, 37.00) for undergraduates, 33.00(30.00, 37.50) for postgraduates, Z=-1.93, P=0.05) among students with different educational levels. There was a positive correlation between personal development competitive attitude and academic performance (r=0.38, P<0.01), while there was a negative correlation between hypercompetitive attitude and academic performance (r=-0.19, P<0.01). Conclusions The situation quo of medical students in terms of personal development competitive attitude and hypercompetitive attitude are acceptable. However, in the future, it is still necessary to further guide medical students to establish a good competitive attitude and help them correctly understand and deal with the relationship between competition and self-realization.