CAJ | 학술논문

目的：了解服务-学习型医德教育模式对医学毕业生医德行为选择倾向的影响。方法采取随机抽样的方法，利用自行设计的问卷，于2012年对汕头大学医学院近5年毕业的302名医学生进行调查，了解毕业生基本情况、医德行为及服务-学习参与情况。采用SPSS 19.0行卡方检验（α=0.05）及非条件logistic多元回归分析。结果68.2%（206/302）的医学毕业生在校期间参与了服务-学习；“有参加”服务-学习的毕业生对于“处置伤口时，患者将呕吐物溅在自己脸上”处理方式的选择上比“没有参加”的毕业生更符合医德规范要求（P=0.037）。在“是否收取患者红包”问题上，两个群体的选择差异存在统计学意义（P=0.031）；非条件logistic多元回归分析显示，“是否参与服务-学习”为影响医生是否收取红包的主要因素之一。结论服务-学习模式下培养的医学生，在走上岗位后其医德行为选择更符合医德规范要求，这是一种值得推广的医德教育新模式。
목적：료해복무-학습형의덕교육모식대의학필업생의덕행위선택경향적영향。방법채취수궤추양적방법，이용자행설계적문권，우2012년대산두대학의학원근5년필업적302명의학생진행조사，료해필업생기본정황、의덕행위급복무-학습삼여정황。채용SPSS 19.0행잡방검험（α=0.05）급비조건logistic다원회귀분석。결과68.2%（206/302）적의학필업생재교기간삼여료복무-학습；“유삼가”복무-학습적필업생대우“처치상구시，환자장구토물천재자기검상”처리방식적선택상비“몰유삼가”적필업생경부합의덕규범요구（P=0.037）。재“시부수취환자홍포”문제상，량개군체적선택차이존재통계학의의（P=0.031）；비조건logistic다원회귀분석현시，“시부삼여복무-학습”위영향의생시부수취홍포적주요인소지일。결론복무-학습모식하배양적의학생，재주상강위후기의덕행위선택경부합의덕규범요구，저시일충치득추엄적의덕교육신모식。
Objective To investigate the influence of service-learning model on medical graduates' ethical behavioral tendency. Methods A self-designed questionnaire was conducted among 302 medical students who have graduated in the last five years including the basic information, ethical behavioral tendency and participation of service-learning. The acquired data was analyzed and com-pared using chi-square test and unconditional logistic multiple regression. Results 68.2%(206/302) undergraduates participated in service-learning. Undergraduates participated in service-learning be-haved more ethical than those did not participated when facing the situation of patient' vomits (P=0.037). There were statistical differences in taking bribes from patients between those participated in service-learning and those did not (P=0.031). According to the results of unconditional logistic multiple regression analysis, whether participating in the service-learning is one of significant factors influenc-ing undergraduates' attitude towards bride-taking. Conclusions Medical students educated by service-learning model will exhibited more ethically accepted medical behaviors after becoming doctors. Ser-vice-learning model, a new medical education model, is worth promoting.