某医科大学学生职业决策自我效能与心理社会因素关系

目的了解医科类本科生职业决策自我效能状况,探讨心理、成绩及家庭支持等因素与职业决策自我效能的关系。方法采取横断面调查方法,对某医科大学4类专业127个小班3 123名大学生进行职业决策自我效能的问卷调查。结果大学生职业决策自我效能比较困难、有一些困难、有一点困难和几乎没有困难所占的比例分别为32.5%,30.3%,26.6%和10.7%。男生职业决策自我效能评分为(135.05±29.39),女生为(134.08±26.67)。实习毕业阶段学生职业决策自我效能评分最低,为(129.45±28.31),一年级和二年级、二年级和三年级、实习阶段和一~三年级的学生职业决策自我效能差异均有统计学意义(P值均<0.01)。有抑郁或焦虑症状的学生职业决策自我效能比较困难所占比例高于无抑郁或焦虑症状的学生,差异有统计学意义(P<0.01)。非条件多元Logistic回归分析结果显示,不同学习阶段、学习成绩、家庭成员提供就业帮助程度以及有抑郁或焦虑症状是医科类本科生职业决策自我效能水平的影响因素(P值均<0.01)。结论医科类本科生职业决策自我效能整体水平偏低。应针对实习阶段学生的社会心理特征,强化职业规划技能,提高职业决策自我效能水平。

Self-efficacy of career decision-making among medical students and the relations to psycho-social factors

Objective To know the self-efficacy of career decision-making among medical students and to determine the psychosocial factors associated with self-efficacy of career decision-making.Methods The cross-sectional survey was conducted anonymously among 3 123 students of 127 classes in a Medical University.The contents of the survey included gender,grade,family support for career decision-making,symptoms of anxiety and depression as well as the self-efficacy of career decision-making.The SPSS was used to analyz...