目的 了解我国医学生生命意义感的潜在类别,并分析其影响因素。方法 2022年11月至2023年1月,采用便利抽样法选取全国多所高校的14614名全日制医学生为研究对象,使用一般资料调查表、中文版生命意义感量表和职业使命感量表对其进行调查,采用潜在剖面分析探索生命意义感的潜在类别,并通过单因素分析和多元Logistic回归分析确定影响因素。结果 医学生生命意义感可分为4个潜在类别:低拥有-低寻求组(C1,10.72%);中等拥有-低寻求组(C2,41.82%);中等波动拥有-中等寻求组(C3,8.40%);高拥有-高寻求组(C4,39.06%)。其中,年龄、性别、民族、学历、专业、是否为学生干部和职业使命感是医学生生命意义感潜在剖面分类的预测因素(均P<0.05)。结论 医学生的生命意义感存在异质性亚组,教育者应根据其潜在分类特点给予个性化教育与指导,加强生命价值教育,为医疗卫生事业的稳定发展提供保障。

Objective To understand the latent classes of sense of meaning in life among medical students in China and to analyze the influencing factors.Methods From November 2022 to January 2023, convenience sampling was used to select 14,614 full-time medical students from multiple universities across the country. They were surveyed using a general information questionnaire, the Chinese version of the meaning in life questionnaire, and the calling scale. Latent profile analysis was used to explore the latent classes of sense of meaning in life, and influencing factors were identified through univariate analysis and multivariate logistic regression analysis.Results The sense of meaning in life among medical students could be divided into 4 latent classes: low presence-low search group (C1,10.72%); moderate presence-low search group (C2,41.82%); moderate fluctuating presence-moderate search group (C3,8.40%); high presence-high search group (C4,39.06%). Age, gender, ethnicity, educational level, major, status as a student leader, and sense of calling were predictive factors for the latent profile classification of sense of meaning in life among the population (all P<0.05).Conclusions There are heterogeneous subgroups in the sense of meaning in life among medical students. Educators should provide personalized education and guidance based on the characteristics of their latent classifications, strengthen life value education, and ensure the stable development of the medical and health care system.

R47-05

国家社科基金高校思政课研究专项(21VSZ084)；河南省社会科学界联合会调研课题(SKLG2025G288)