Wu Wenzhi, Qi Qiqi, Cao Xin, Li Shujun, Guo Zhichao, Yu Lei, Ma Xiao, Liu Yilin, Liu Zijun, You Xu, Chen Yatang, Long Qing, Teng Zhaowei, Zeng Yong
The Sixth Affiliated Hospital of Kunming Medical University, Yuxi, China.
School of Maxism, Kunming Medical University, Kunming, China.
Front Psychol. 2021 Sep 27;12:708342. doi: 10.3389/fpsyg.2021.708342. eCollection 2021.
The occupation expectation of medical students can predict the possibility of their future employment in the medical industry, and empathy is the special ability of medical students in their study and career, which affects the development of their occupation expectation. To explore the relationship between resilience and subjective well-being between medical students' empathy and occupation expectation and their internal mechanisms. Data were collected from October 2020 to March 2021 using a paper questionnaire survey. 586 medical students at a key medical university in Yunnan Province were invited to complete the survey. The Basic Empathy Scale, Connor-Davidson Resilience Scale, Subjective Well-Being Questionnaire, and Occupation Expectation Scale. The empathy is intended to affect the occupation expectation of medical students through four paths. The direct path effect value is 0.073 (95% CI: 0.007∼0.217), the indirect path 1 effect value is 0.078 (95% CI: 0.022∼0.134), indirect path 2 effect value is 0.010 (95% CI: 0.005∼0.022), indirect path 3 effect value is 0.022 (95% CI: 0.0604∼0.039), all the confidence intervals do not contain 0, and the mediated effect ratio is 60.109%. Empathy has an impact on occupation expectation of medical students through the sequential mediating effects of resilience and subjective well-being. Medical colleges should fully consider the role of protective factors when cultivating and enhancing the occupation expectation of clinical medical students. Strengthening the intervention of emotional factors (empathy), self-regulating ability (psychological toughness) and cognitive factors (subjective well-being) is an important way to effectively establish professional values, improve occupation expectation of medical students and reduce the turnover rate of medical students.
医学生的职业期望能够预测他们未来在医疗行业就业的可能性，而同理心是医学生在学习和职业生涯中的特殊能力，它会影响其职业期望的发展。为探究医学生同理心与职业期望之间的心理韧性和主观幸福感及其内在机制的关系。于2020年10月至2021年3月采用纸质问卷调查收集数据。邀请云南省某重点医科大学的586名医学生完成调查。使用基本同理心量表、康纳-戴维森心理韧性量表、主观幸福感问卷和职业期望量表。同理心旨在通过四条路径影响医学生的职业期望。直接路径效应值为0.073（95%CI：0.007∼0.217），间接路径1效应值为0.078（95%CI：0.022∼0.134），间接路径2效应值为0.010（95%CI：0.005∼0.022），间接路径3效应值为0.022（95%CI：0.0604∼0.039），所有置信区间均不包含0，中介效应比例为60.109%。同理心通过心理韧性和主观幸福感的顺序中介效应影响医学生的职业期望。医学院校在培养和提升临床医学专业学生职业期望时应充分考虑保护因素的作用。加强情感因素（同理心）、自我调节能力（心理韧性）和认知因素（主观幸福感）的干预是有效树立职业价值观、提高医学生职业期望、降低医学生流失率的重要途径。
