数字化地方文化赋能医学生心理资本干预的实证研究

An Empirical Study on Digital Local Culture Empowering Psychological Capital Intervention among Medical Students

摘要: 心理资本反映个体在成长过程中逐步积累的积极心理资源，直接影响医学生职业韧性的形成与职业认同的稳固。本研究以桂西某医学院校为实证场域，采用PCQ-24量表对168名受助医学本科生实施前后测，并辅以638份师生问卷与22份深度访谈。结果显示，受助医学生的心理资本基线明显低于非受助同学(t = 4.37, p < 0.001, d = 0.73)，“希望”维度的落差最为突出。经过8周“本土历史故事 + 微信伴学 + 辅导员谈心”的轻量化干预，实验班86人总分由4.08上升至4.46 (t = 5.12, p < 0.001, d = 0.66)，其中希望(d = 0.72)与韧性(d = 0.58)的改善幅度最大。在实证结果的基础上，文章归纳出“资源开发–技术适配–学段贯通–心育联动–精准资助”五维赋能框架，可为医学院校推进发展型资助与思政一体化建设提供参考。

Abstract: Psychological capital refers to the positive psychological resources individuals progressively accumulate during their growth, and it directly shapes the formation of medical students’ professional resilience and the consolidation of their professional identity. Taking a medical college in western Guangxi as the empirical field, this study administered the PCQ-24 to 168 financially disadvantaged medical undergraduates in a pretest-post test design, supplemented by 638 questionnaires from teachers and students across school stages and 22 in-depth interviews. The results show that the psychological capital of financially disadvantaged medical students was significantly lower than that of their non-disadvantaged peers (t = 4.37, p < 0.001, d = 0.73), with the “hope” dimension showing the largest gap. After an 8-week lightweight intervention combining “local historical stories + WeChat-based companion learning + counselor conversations”, the total PCQ-24 score of the experimental class (n = 86) rose from 4.08 to 4.46 (t = 5.12, p < 0.001, d = 0.66), with the greatest gains in hope (d = 0.72) and resilience (d = 0.58). Based on the empirical findings, the study proposes a five-dimensional empowerment framework of “resource development - technology adaptation - cross-stage articulation - psychological education linkage - precision funding”, which offers a reference for medical colleges in advancing developmental funding and integrated ideological-political education.