蔡霞，张金梅，王慧，光永辉

引用本文： 蔡霞，张金梅，王慧，光永辉.医学生学业自我效能感与社区志愿服务经历的关系及社会支持的中介作用[J].护理研究,2020,34(1):73-78

摘要： [目的]探讨医学生学业自我效能感与社区慢性病健康促进志愿服务经历的关系，以及社会支持在两者之间的中介作用，为合理引导医学生参与“一助一”社区志愿服务提供依据。[方法]采用便利抽样的方法抽取山西医科大学汾阳学院全日制在校三年级医学相关专业学生153人，其中志愿者86人、非志愿者67人，采用学业自我效能感量表、社会支持评定量表（SSRS）进行调查。[结果]医学生志愿者学业自我效能感及各维度得分高于非志愿者，学业自我效能感总分和学习行为维度得分差异有统计学意义（<0.05）；医学生志愿者社会支持及主观支持、支持利用度维度得分高于非志愿者，而医学生志愿者客观支持维度得分低于非志愿者，其中社会支持总分及主观支持维度得分差异有统计学意义（<0.05）；医学生的社区慢性病健康促进志愿服务次数、社会支持得分与学业自我效能感得分呈正相关；Bootstrap检验结果显示，社会支持在社区慢性病健康促进志愿服务次数与学业自我效能感的关系间起部分中介作用，中介效应为0.125 9。[结论]社区慢性病健康促进志愿服务经历对医学生学业自我效能感有正向影响，社会支持在社区慢性病健康促进志愿服务次数与学业自我效能的关系中起部分中介作用。建议倡导医学生参与社区慢性病健康促进志愿服务，合理规划服务次数并提供多方位的支持。

关键词： 医学生;志愿服务;学业自我效能感;社会支持;中介作用;社区护理

课题： 山西医科大学汾阳学院科研项目(1421)

CAI Xia，ZHANG Jinmei，WANG Hui，GUANG Yonghui

Abstract [Objective]To explore the relationship between the academic self⁃efficacy of medical students and the experience of community chronic disease health promotion volunteer service,analyze the mediating role of social support, and provide a basis for rationally guiding medical students to participate in community chronic disease health promotion volunteer service of "one help one".[Methods]Using convenient sampling to extract 153 full⁃time third⁃year medical related students in Fengyang College of Shanxi Medical University,including 86 volunteers and 67 non-volunteers.The Academic Self⁃Efficacy Scale and Social Support Rating Scale(SSRS) were used to conduct this investigation.[Results]The academic self⁃efficacy and its all dimensions of medical students of volunteers were higher than those of non⁃volunteers.And there was a statistically significant difference in the scores of academic self⁃efficacy and learning behavior dimension(<0.05).The scores of social support,subjective support dimension and support utilization dimension of medical student volunteers were higher than those of non⁃volunteers,but the score of objective support dimension of medical student volunteers were lower than that of non-volunteers,and there were statistically significant differences in the scores of social support and objective support dimension(<0.05).The number of community chronic disease health promotion volunteer services and the scores of social support were positively correlated with academic self⁃efficacy.The results of Bootstrap test showed that social support played a partial intermediary role in the relationship between the number of community chronic disease health promotion volunteer services and academic self⁃efficacy,and the mediating effect was 0.125 9.[Conclusion]The experience of community chronic disease health promotion volunteer service had a positive impact on the academic self⁃efficacy of medical students.Social support played a partial intermediary role in the relationship between the number of community chronic disease health promotion volunteer services and the academic self⁃efficacy.It is recommended to advocate medical students to participate in the community chronic disease health promotion volunteer service, rationally plan the number of services and provide multi⁃faceted support.

Keywords medical students;volunteer service;academic self-efficacy;social support;mediating role;community nursing

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