住院医师规范化培训学员自我能力否定倾向与焦虑的关系研究  

Correlation analysis of imposter phenomenon and anxiety among residents in standardized training

作　　者：王杰艳 姜红艳 朱泽东 吾米尔·吾斯曼江 黄兰香 刘超 彭娟 Wang Jieyan;Jiang Hongyan;Zhu Zedong;Wumier Wusimanjiang;Huang Lanxiang;Liu Chao;Peng Juan(Department of Urology,Longhua District People's Hospital in Guangdong Province,Shenzhen 518109,China;Department of Science and Education,Yongzhou Central Hospital,Yongzhou 425000,China;Department of Student,The Third Affiliated Hospital of Southern Medical University,Guangzhou 510630,China;Department of Urology,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Spinal Surgery,the Second Affiliated Hospital of the University of South China,Hengyang 421001,China;Department of Intensive Care Unit,Hunan Provincial People's Hospital,Changsha 410000,China;Department of Rehabilitation,Yongzhou Central Hospital,Yongzhou 425000,China)

机构地区：[1]深圳市龙华区人民医院泌尿外科,深圳518109 [2]永州市中心医院科教部,永州425000 [3]南方医科大学第三附属医院学生科,广州510630 [4]中山大学附属第一医院泌尿外科,广州510630 [5]南华大学附属第二医院脊柱外科,衡阳421001 [6]湖南省人民医院重症监护室,长沙410000 [7]永州市中心医院康复科,永州425000

出　　处：《中华医学教育杂志》2025年第4期304-309,共6页Chinese Journal of Medical Education

摘　　要：目的了解住院医师规范化培训(简称住培)学员自我能力否定倾向与焦虑之间的关系,为住培学员的培养提供参考。方法采用问卷调查方法。2023年11月至2024年5月,以湖南省和广东省3所住院医师规范化培训基地的381名住培学员为研究对象,采用自我能力否定倾向量表和焦虑自评量表进行调查。采用t检验、非参数检验、Spearman相关分析进行数据分析,采用多元线性回归方法分析自我能力否定倾向中自我怀疑维度、被动伪装维度和外界归因维度对焦虑的影响。结果共有338名住培学员参与本研究。住培学员自我能力否定倾向评分为75.0(31.0)分;焦虑评分为(47.9±10.0)分;自我能力否定倾向评分与焦虑评分呈正相关(ρ=0.44,P<0.001);焦虑评分与自我怀疑维度评分、被动伪装维度评分、外界归因维度评分均呈正相关(ρ=0.37,ρ=0.34,ρ=0.44,均P<0.001),多元线性回归分析显示,被动伪装维度(B=-0.56,P=0.034)和外界归因维度(B=1.02,P<0.001)均对住培学员的焦虑有所影响。结论住培学员自我能力否定倾向与焦虑呈正相关,建议住培管理者重视过程管理,优化全程导师管理机制和沟通反馈机制,以减少学员出现自我能力否定倾向的情况,从而降低学员的焦虑水平。Objective To understand the relationship between imposter phenomenon and anxiety among residents in standardized training.Methods The study used a questionnaire survey method.From November 2023 to May 2024,381 residents participating in the residency training program at three training bases in Hunan and Guangdong provinces were surveyed using the Impostor Phenomenon Scale and Anxiety Scale.The data were processed by t test,ANOVA and Spearman correlation analysis.Multivariate linear regression analysis explores the impact of the self-doubt dimension,passive disguise dimension,and external attribution dimension of self-ability negativity on anxiety.Results A total of 338 resident trainees participated in this study.The scores of imposter phenomenon and anxiety were 75.0(31.0);(47.9±10.0),respectively.The score of imposter phenomenon was positively correlated with the score of anxiety(ρ=0.44,P<0.001).Anxiety scores were positively correlated with self-doubt dimension,passive camouflage dimension and external attribution dimension(ρ=0.37,ρ=0.34,ρ=0.44,all P<0.001).Multiple linear regression analysis showed that passive camouflage dimension(β=-0.56,P=0.034)and external attribution dimension(β=1.02,P<0.001)had an impact on anxiety.Conclusions There is a positive correlation between imposter phenomenon and anxiety of residential training students.It is suggested that residential training managers should pay attention to process management,optimize the whole-process tutor management mechanism and communication feedback mechanism,so as to reduce the imposter phenomenon of residential training students and reduce their anxiety level.

关 键 词：焦虑 住院医师规范化培训 学员 自我能力否定倾向 关系 

分 类 号：R-4[医药卫生]