中国医学伦理学2026，Vol.39Issue(6)：834-841,8.DOI:10.12026/j.issn.1001-8565.2026.06.19
医学人文教育中亲社会行为倾向的培养路径:基于反思性写作的整合研究
Cultivation paths of prosocial behavioral tendency in medical humanities education:an integrated study based on reflective writing
摘要
Abstract
In response to the dilemma of professional burnout caused by the"altruism paradox"in traditional medical humanities education,this paper explored cultivation paths of prosocial behavioral tendency among medical students based on reflective writing.Adopting a mixed-methods research approach,this study verified the intervention effect of structured reflective writing on prosocial behavioral tendency through randomized controlled trials and qualitative textual analysis.The results demonstrated that the score of prosocial behavioral tendency in the experimental group(0.590±0.498)was significantly higher than that in the control group(0.357±0.485,χ²=4.393,P=0.036).Qualitative analysis extracted five core themes such as"prosocial cognition"and"empathy deepening"and"dilemma coping."It revealed that reflective writing,through three mechanisms of narrative reconstruction,situational deconstruction,and empathy mapping,activated the needs for autonomy,competence,and belongingness in self-determination theory,thereby driving medical students to shift from a technical operation-oriented model to a"patient-centered"model.This study preliminarily confirmed that reflective writing was a feasible attempt to alleviate the dilemma of"separation of knowledge and practice"in medical humanities,providing theoretical and practical references for the practice of medical humanities education.关键词
亲社会行为倾向/反思性写作/医学人文教育Key words
prosocial behavioral tendency/reflective writing/medical humanities education分类
医药卫生引用本文复制引用
金琳雅,刘烨燃,尹梅..医学人文教育中亲社会行为倾向的培养路径:基于反思性写作的整合研究[J].中国医学伦理学,2026,39(6):834-841,8.基金项目
黑龙江省哲学社会科学研究规划项目"医学人才亲社会能力的影响因素及作用机理研究"(24JYC004) （24JYC004）
