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目的:了解海南省医学生的疏离感水平,并探讨其与家庭功能和自尊的关系。方法:采用青少年学生疏离感量表、家庭功能评定量表以及Rosenberg自尊量表,通过方便取样对海南医学院268名本科生进行问卷调查。采用相关分析和回归分析探讨疏离感与家庭功能和自尊的关系。结果:海南省医学生疏离感总均分为2.84分,社会疏离感均分最高,为3.28分,其次是环境疏离感,得分为3.25分,人际疏离感得分最低,为2.75分。在人际疏离感维度方面,独生子女医学生得分低于非独生子女医学生得分(t=-2.075,P<0.05);女生在家庭功能的问题解决(t=2.040,P<0.05)、角色(t=2.769,P<0.01)和情感反应(t=2.961,P<0.01)维度均显著低于男生;独生子女医学生的自尊得分高于非独生子女医学生(t=2.714,P<0.01)。相关分析显示,总的疏离感与家庭功能总的功能得分呈正相关(r=0.378,P<0.01),总的疏离感与自尊得分呈负相关(r=-0.534,P<0.01),家庭功能总的功能与自尊得分呈负相关(r=-0.301,P<0.01)。回归分析表明,家庭功能与自尊可以共同解释疏离感32.7%的变异。结论:海南省医学生的总体疏离感水平不明显,自尊水平相对较高,医学生疏离感与家庭功能和自尊两两相关显著,家庭功能和自尊对疏离感有预测作用。
Objective: To understand the level of alienation of medical students in Hainan Province and to explore its relationship with family function and self-esteem. Methods: A total of 268 undergraduates from Hainan Medical College were surveyed by means of convenient sampling using the Alienation Scale for Adolescent Students, Family Function Rating Scale and Rosenberg Self-esteem Scale. Using correlation analysis and regression analysis to explore the relationship between alienation and family function and self-esteem. Results: The average alienation of medical students in Hainan Province was 2.84 points, the highest social alienation score was 3.28 points, followed by environmental alienation, the score was 3.25 points, the lowest score of interpersonal alienation was 2.75 points. In terms of the dimension of interpersonal alienation, the only child medical student score was lower than that of the non-only child medical student (t = -2.075, P <0.05); the female students’ family function problems (t = 2.040, 2.769, P <0.01) and emotional response (t = 2.961, P <0.01). The score of self-esteem of single-child medical students was higher than that of non-only medical students (t = 2.714, P <0.01). Correlation analysis showed that there was a positive correlation between total sense of alienation and family function total score (r = 0.378, P <0.01). Total alienation was negatively correlated with self-esteem score (r = -0.534, P <0.01) The total function was negatively correlated with self-esteem scores (r = -0.301, P <0.01). Regression analysis showed that family function and self-esteem can jointly explain 32.7% of the variance of alienation. CONCLUSION: The level of general alienation of medical students in Hainan Province is not obvious, and the level of self-esteem is relatively high. Alienation of medical students has significant correlation with family function and self-esteem, and family function and self-esteem can predict alienation.