【摘要】 目的 分析医学生志愿服务养老机构的现状，探讨养老机构志愿服务与医学生人文关怀能力的关系。方法 2019年10—12月采用便利抽样法选择四川省9所高职院校，以医学专业在校生作为调查对象，使用自行编制的养老机构志愿服务情况问卷和人文关怀能力量表开展调查，采用线性回归，分析调查对象参与养老志愿服务的情况与人文关怀水平之间的关系及影响因素。结果 在5 789名调查对象中，有73.00%的调查对象表示学校或社团组织去过养老机构提供志愿服务，2 179人(37.64%)参加过养老机构志愿服务，学校对去养老机构志愿服务的激励机制有计算学分(60.76%)和颁发证书(8.63%),没有激励机制(30.61%)。64.66%的学生表示在志愿服务后有评价反馈。医学生人文关怀能力(186.92±22.54)分。学校或社团是否组织去养老机构志愿服务、是否参加养老机构志愿服务、学校对志愿服务的激励机制、在服务过程中是否遇到意外或危机事件、志愿服务是否有评价对医学生的人文关怀能力评价量表(CAI)总分及各维度对学生人文关怀能力有影响(P<0.05)。线性回归分析显示，学校对志愿服务的激励机制、志愿服务是否有评价为人文关怀能力的有利因素(95%CI分别为-3.053～-0.971,-1.896～-0.575),在服务过程中遇到意外或危急事件为人文关怀能力的危险因素(95%CI为12.187～20.582)。结论 四川省高职院校医学生人文关怀能力量表得分不高，养老志愿服务有助于学生人文关怀能力的培养，但人文关怀能力受多种因素的影响，高职院校需进一步提升养老志愿服务的管理质量。更多还原

【Abstract】 Objective To analyze the current situation of medical students’ voluntary service in pension institutions and explore the relationship between voluntary service in pension institutions and medical students’ humanistic care ability.Methods Nine vocational colleges in Sichuan Province were selected by convenience sampling method from October to December in 2019.The medical students were selected as the survey objects.The self-made questionnaire on voluntary service in nursing homes and humanistic care ability scale were used to carry out the survey.Linear regression analysis was used to analyze the relationship between the subjects’ participation in voluntary service for the aged and the level of humanistic care, as well as the specific influencing factors.Results 73.00% of the respondents said that schools or social organizations had provided voluntary service in pension institutions, and 2 179(37.64%)had participated in voluntary service in pension institutions.The incentive mechanisms of schools for voluntary ser-vice in pension institutions were: calculating credits(60.76%),issuing certificates(8.63%),and no incentive mechanism(30.61%).64.66% of the students said that they had feedback after volunteer service.The total score of humanistic care ability of medical students was(186.92 ± 22.54).Linear regression analysis showed that whether the school or community organized to volunteer in nursing homes, whether they participated in the voluntary service in nursing homes, the school’s incentive mechanism for voluntary service, whether they encountered accidents or crisis events in the process of service, and whether the voluntary service was evaluated had an impact on the total score of CAI(caring ability inventory, CAI)and each dimension of medical students(P<0.05).Regression analysis showed that the incentive mechanism of voluntary service and whether voluntary service was evaluated as the protective factors of humanistic care ability(95%CI:-3.053 ～-0.971,-1.896 ～-0.575),and the risk factors of humanistic care ability(95%CI:12.187 ～ 20.582)were accidents or critical events in the process of service.Conclusion The score of humanistic care ability scale of medical students in higher vocational colleges in Sichuan Province is not high.Voluntary service for the aged is helpful to the cultivation of humanistic care ability, but the humanistic care ability is affected by many factors.Higher vocational colleges need to further improve the management quality of vo-luntary service for the aged.更多还原