摘要目的:分析医学院校非医学专业高年级学生就业自信心的影响因素，为医学院校就业指导中心的学生就业工作提供决策参考。方法:根据519名医学院校非医学专业高年级学生的有效问卷数据，运用SPSS 26.0进行结构效度分析、信度分析、相关分析与多元线性回归分析。结果:职业规划能力（ r=0.52）和学校就业支持（ r=0.47）均与就业自信心呈显著正相关（ P<0.001）。职业规划能力正向影响就业自信心（ β=0.38， P<0.001），学校就业支持正向影响就业自信心（ β=0.26， P<0.001），疫情负面情绪未对就业自信心产生影响作用（ β=0.07， P>0.05）。 结论:医学院校需要多关注非医学专业高年级学生的就业心理问题，加大对就业工作的支持，重视对非医学专业高年级学生职业规划能力的培养与就业指导，以此提高其就业自信心。

abstractsObjective:To investigate the influencing factors for employment self-confidence in non-medical senior students in medical colleges and universities, and to provide a reference for decision-making of student employment work in the employment guidance center of medical colleges and universities.Methods:Based on the valid questionnaire data of 519 non-medical senior students in medical colleges and universities, SPSS 26.0 was used to perform structural validity analysis, reliability analysis, correlation analysis, and multiple linear regression analysis.Results:Career orientation skills and college employment support were significantly and positively correlated with employment self-confidence ( r=0.52 and 0.47, both P<0.001). Career orientation skills had a positive influence on employment self-confidence ( β=0.38, P<0.001), and college employment support had a positive influence on employment self-confidence ( β=0.26, P<0.001), while negative emotions of the epidemic had no influence on employment self-confidence ( β=0.07, P>0.05). Conclusions:Medical colleges and universities need to pay more attention to the psychological aspects of employment in non-medical senior students, enhance their support for employment, and emphasize the development of career orientation skills for non-medical senior students, so as to improve their self-confidence in employment.