A study on the current situation and influencing factors of health education abilities amongclinical medicine undergraduates

doi:10.3760/cma.j.cn115259-20230426-00434

Abstract

Abstract: Objective To understand the current status of health education abilities of clinical medicine undergraduates and analyze its influencing factors, in order to inform future improvement of their health education abilities. Methods In 2019 and 2020, 388 undergraduates of 2017 and 2018 clinical medicine majors from a medical university in Harbin were investigated with regards to their health education abilities, to build a structural equation model of the influencing factors of health education ability, and conduct a mediate effect test. Results The overall health education abilities of clinical medicine undergraduates are normal, with a score of (28.95±5.30); The general self-efficacy score is (27.81±5.58). Among the 388 students, 108(29.3%) were concerned about health knowledge and events, and 78(21.1%) were concerned about the health behavior of those around them; The number of people who agree that ″doctors who cannot do well in health education are not good doctors″ ″basic skills in health education can promote various abilities of doctors″ and ″health education skills are the basic skills that clinical doctors should possess″ are 253(68.5%), 283(76.7%) and 290(78.6%), respectively. The most influential factors on health education ability were general self-efficacy, the others were family conditions, the awareness of the importance of health education and the awareness of health care (the standardized total effect were 0.36, 0.21, 0.15 and 0.06, all P<0.05). General self-efficacy and awareness of the importance of health education are important mediating factors. Conclusions The health education abilities of clinical medicine undergraduates need to be further enhanced by improving the general self-efficacy and awareness of the importance of health education.

Key words: Clinical medicine, Undergraduates, Health education ability, Current situation, Structural equation modeling, Influencing factors

CLC Number:

Yin Hui, Li Wenxuan, Li Zehui, Tao Yuchun, Zhang Ying, Liu Wei, Dong Junhong, Zhang Zuoming, Wang Limin. A study on the current situation and influencing factors of health education abilities amongclinical medicine undergraduates[J]. Chinese Journal of Medical Education, 2024, 44(3): 161-165.

References

[1] 傅华. 健康教育学[M].3版. 北京:人民卫生出版社,2017:288.
[2] 孙宝志,李建国,王启明.中国临床医生岗位胜任力模型构建与应用[M].北京:人民卫生出版社,2015:120-137.
[3] 张力争, 高永海, 酒伟, 等. 沧州市221名医护人员健康教育服务能力及服务状况的调查分析[J].中国健康教育,2015(9):884-886. DOI: 10.16168/j.cnki.issn.1002-9982.2015.09.019.
[4] 徐燕, 侯晓辉, 杨越, 等. 柳州市公立医院医护人员健康教育能力自评调查与分析[J].中国健康教育,2022,38(2):187-191. DOI: 10.16168/j.cnki.issn.1002-9982.2022.02.019.
[5] 李锦, 朱文莉. 三甲医院护士健康教育调查及影响因素分析[J].安徽医学,2023,44(6):726-730. DOI: 10.3969/j.issn.1000-0399.2023.06.024.
[6] 王丝瑶, 魏丽丽, 单信芝, 等. 护士健康教育能力量表的汉化及信效度检验[J].中华护理教育,2022,19(7):646-651. DOI: 10.3761/j.issn.1672-9234.2022.07.013.
[7] 陆韦, 陆超. 培训全科医学实习生健康教育能力的成效研究[J].现代医药卫生,2021,37(3):498-501. DOI: 10.3969/j.issn.1009-5519.2021.03.043.
[8] 陈文峰, 李宁, 韩莉, 等. 临床一线护士岗位胜任力、自我效能感与工作绩效的相关性[J].中国卫生标准管理,2022,13(1):18-22. DOI: 10.3969/j.issn.1674-9316.2022.01.006.
[9] 周海涛, 景安磊, 李曙光. 大学生能力水平及其影响因素分析——基于18所大学的实证研究[J].苏州大学学报(教育科学版),2013(1):53-59.
[10] 叶芳, 邹金梅, 王丹, 等. 高职实习护生健康教育胜任力现状及影响因素分析[J].全科护理,2022,20(17):2435-2438. DOI: 10.12104/j.issn.1674-4748.2022.17.035.
[11] 安洪庆, 范应元, 元金宝, 等. 公共卫生专业大学生胜任力现状及影响因素研究[J].中国高等医学教育,2022(10):40-41. DOI: 10.3969/j.issn.1002-1701.2022.10.019.
[12] 陈燕, 温红. 从胜任力视角谈高校学生干部角色定位及作用发挥[J].教育教学论坛,2016(18):218-219. DOI: 10.3969/j.issn.1674-9324.2016.18.098.
[13] 彭青渝.军医大学临床医学五年制本科健康教育课程设置的研究[D].重庆:第三军医大学,2009.
[14] 谢国秀. 医学实习生岗位胜任力现状特点及影响因素研究[J].创新创业理论研究与实践,2022,5(16):1-4.
[15] 袁言云, 吴妙霞, 王志航, 等. 家庭社会经济地位与儿童一般自我效能感的关系:父母关爱与应对方式的链式中介作用[J].中国临床心理学杂志,2020,28(5):1009-1012. DOI: 10.16128/j.cnki.1005-3611.2020.05.030.
[16] 曹扬波. 大学生一般自我效能感、外语学习焦虑感与学业成绩[J].中国健康心理学杂志,2014(7):1095-1098. DOI: 10.13342/j.cnki.cjhp.2014.07.053.
[17] Wittkowski A, Dowling H, Smith DM. Does engaging in a group-based intervention increase parental self-efficacy in parents of preschool children? a systematic review of the current literature[J]. J Child Fam Stud, 2016,25(11):3173-3191. DOI: 10.1007/s10826-016-0464-z.
[18] Geng Z, Ogbolu Y, Wang J, et al. Gauging the effects of self-efficacy, social support, and coping style on self-management behaviors in Chinese cancer survivors[J]. Cancer Nurs., 2018,41(5):E1-E10. DOI: 10.1097/NCC.0000000000000571.
[19] 陈猛. 青少年社会期望与自我评价的关系及其对教育的启示[J].西华大学学报(哲学社会科学版),2008,27(3):98-100. DOI: 10.3969/j.issn.1672-8505.2008.03.025.
[20] 刘晗. 基层医院内科护理健康教育存在的问题及对策[J].临床医药文献电子杂志,2019,6(63):66.