目的：探討學生面對實證醫學所要求之文獻搜尋技能時會否產生焦慮，進而探究其焦慮程度會否影響其學習成效。方法：研究對象為中部某醫學大學醫學研究所學生48人，以「文獻搜尋焦慮量表」施測，進行描述性統計、獨立樣本t檢定、相關及迴歸分析，並選得分高於平均值加一個標準差以上者進行訪談。結果：1.學生接受實證醫學教育時，確實有焦慮情況；2.文獻搜尋焦慮在不同人口學變項上皆無顯著性差異；3.迴歸分析結果發現，焦慮程度經校正後與作業總成績之關係不大；4.學生在文獻搜尋的焦慮問題可歸納為： 搜尋策略、資料庫選擇、文獻篩選、尋求協助、電腦使用、全文取得、外文能力、資料庫使用頻率及教育訓練課程等。結論：學生在接受實證醫學教育時會有焦慮狀況產生，教學者應正視學生之學習狀態，幫助學生克服障礙、降低焦慮，以提升學生之學習成效。

Introduction: Evidence-Based Medicine (EBM) is hurtling towards a cornerstone in lifelong learning for healthcare personnel worldwide. This study aims to evaluate the literature searching anxiety in graduate students in practicing EBM. Method: The study participants were 48 graduate students who enrolled the EBM course at a Medical University in central Taiwan. Student’s t-test, Pearson correlation and multivariate regression, interviewing are used to evaluate the students’ literature searching anxiety of EBM course. The questionnaire is Literature Searching Anxiety Rating Scale, LSARS. Results: The sources of anxiety are uncertainty of database selection, literatures evaluation and selection, technical assistance request, computer programs use, English and EBM education programs were disclosed. The class performance is negatively related to LSARS score, however, the correlation is statistically insignificant with the adjustment of gender, degree program, age category and experience of publication. Conclusion: This study helps in understanding the causes and the extent of anxiety in order to work on a better teaching program planning to improve user’s searching skills and the capability of utilization the information; At the same time, provide friendly-user facilities of evidence searching. In short, we need to upgrade the learner’s searching skills and reduce the anxiety. We also need to stress on the auxiliary teaching program for those with the prevalent and profound anxiety during literature searching.

實證醫學，文獻搜尋焦慮

Evidence-based medicine; Literature searching anxiety