COVID-19疫情下订单定向全科医学生参与情况及其对职业认同感的影响

目的：通过调查分析COVID-19疫情下订单定向全科医学生参与抗疫情况及疫情对其职业认同感的影响，为针对性开展提升订单定向全科医学生职业认同感的教育提供支持依据。方法：根据文献、指南制定调查问卷，内容包含受访者基本信息、获取COVID-19疫情信息情况、参与抗疫情况、疫情对自我职业认同感影响四个方面。对温州医科大学、吉林医药学院及云南中医药大学订单定向全科医学生进行问卷调查。采用多因素logistic回归分析探讨此次疫情对订单定向全科医学生职业认同感的影响。结果：共回收有效问卷3 321份。受访者中，男1 347人，占40.6%；女1 974人，占59.4%。共产党员198人，占6.0%；非共产党员3 123人，占94.0%。低年级2 129人，占64.1%；高年级1 192人，占35.9%。70.6%的学生关注COVID-19知识时间大于30 min/d；72.4%的学生主动学习COVID-19知识；92.4%的学生阅读过国家发布的COVID-19指南。59.0%的学生有意愿主动报名参与一线抗疫，23.6%的学生参与了本次抗疫。87.7%的学生认为此次疫情对自我职业认同感产生了积极的影响。通过多因素logistic回归分析，发现就读年级（OR=1.653，95%CI=1.314～2.080，P＜0.001）、COVID-19知识关注时间（OR=0.633，95%CI=0.500～0.803，P＜0.001）、COVID-19知识学习方式（OR=1.750，95%CI=1.380～2.220，P＜0.001）、阅读国家发布的COVID-19指南情况（OR=2.264，95%CI=1.630～3.144，P＜0.001）、参与一线抗疫意愿（OR=7.334，95%CI=5.529～9.729，P＜0.001）、此次抗疫参与情况（OR=1.543，95%CI=1.101～2.12，P=0.012）是影响疫情下自我职业认同感变化的独立因素。结论：在疫情下，多数订单定向全科医学生能积极学习COVID-19知识，参与防疫抗疫，职业认同感较强。增加重大事件关注时间、主动学习相关知识特别是学习权威专业知识、提高重大公卫事件参与意愿和实践，能促进订单定向全科医学生自我职业认同感，高年级学生更需要进行这方面的引导。

Survey of order-oriented general medical students’ participation in the prevention and control of COVID-19 epidemic and its impact on their professional self-identity

Objective: To investigate the order-oriented general medical students’ participation in the prevention and control of COVID-19 and its influence on their professional self-identity, which may serve as a support for the targeted development of professional identity in the education of future general medical practitioners. Methods: A questionnaire was developed according to the literature and guidelines, which included basic information of the respondents, acquisition of covid-19 epidemic information, participation in epidemic resistance, and the impact of the epidemic on professional self-identity. The questionnaire was conducted randomly students from Wenzhou Medical University, Jilin Medical University and Yunnan University of Chinese Medicine. Univariate analysis and multivariate analysis were used to analyze the factors in the COVID-19 epidemic that impact on their professional self-identity. Results: Totally 3 321 valid questionnaires were collected. Of all the respondents, 40.6% (1 347/3 321) were male and 59.4% (1 974/3 321) female; 6.0% (198/3 321) were CPC members and 94.0% (3 123/3 321) were not; 64.1% (2 129/3 321) were juniors and 35.9% (1 192/3 321) seniors; 70.6% learned about COVID-19 for over 30 minutes; 72.4% learned about COVID-19 voluntarily; 92.4% had read state-published COVID-19 guidelines; 59.0% showed willingness to sign up in first-line fight against the epidemic; 23.6% had participated in this epidemic prevention and control; the epidemic had a positive impact on 87.7% students’ professional self-identity. Univariate analysis and multivariate analysis showed that grade (OR=1.653, 95%CI=1.314-2.080, P<0.001), learning time (OR=0.633, 95%CI=0.500-0.803, P<0.001) and method (OR=1.750, 95%CI=1.380-2.220, P<0.001) about COVID-19, reading national guidelines for COVID-19 (OR=2.264, 95%CI=1.630-3.144, P<0.001), willingness to participate (OR=7.334, 95%CI=5.529-9.729, P<0.001), actual participation in this epidemic prevention (OR=1.543, 95%CI=1.101-2.12, P=0.012) were independent factors influencing their professional self-identity. Conclusion: In the COVID-19 epidemic, the majority of students can learn the information concerned voluntarily, participate in epidemic prevention and control to raise their sense of professional identity. It is suggested that the order-oriented general medical students, especially seniors, should be engaged themselves more in major public health events, take the initiative to learn relevant information from professional authorities, and promote their willingness and actual participation in the major public health events.