目的：了解本國職能治療實習生在醫院實習面臨的壓力與他們的壓力因應方式，期盼做為職能治療學生、實習生、學校及臨床實習單位的參考。研究方法：本研究收案對象以全台職能治療大四實習生為收案對象，共計66 人，男生18 人，女生48 人。藉由「曾氏心理健康量表」（包含焦慮量表與憂鬱量表）與「壓力策略因應量表」兩種問卷方式進行研究，探討實習生之心理憂鬱指數及焦慮指數，以及壓力因應策略。結果：研究結果指出認為實習前的準備對實習有幫助的受測者，在面對壓力時的焦慮指數相較認為實習前的準備對實習沒有幫助的受測者低(p < .05)。女性在面臨壓力時相較於男性所採用的因應策略方式較常以「自我責備」(p < .05)、「逃避」(p < .05)、「責備他人」(p < .05) 的方式去面對這些壓力。在班上排名中間三分之一的人，較常使用「逃避因應」(p < .05) 及「責備他人因應」(p < .05) 的壓力排解策略。結論：結果顯示認為實習前準備有幫助的受試者相較於認為沒有幫助者，實習時的焦慮程度較低。此外，性別、在校成績及家庭經濟狀況都可能是影響實習生對於壓力因應方式及壓力程度的相關因素。

Background and Purpose: The purpose of this study was to investigate the perceived stressors and coping strategies of occupational therapy (OT) students engaged in level II fieldwork, with the goal of providing useful information on their methods of coping with stress. Methods: Sixty-six OT students, including 18 males and 48 females, from 6 universities were recruited during their level II fieldwork. Zung’s Self-Administered Anxiety Scale (SAS), Zung’s Self-Administered Depression Scale, and Revised Ways of Coping Checklist were applied to investigate the status of anxiety and depression, and coping strategies of participants. Results: The present study demonstrated that students who did pre-fieldwork preparation had a significantly lower level of anxiety as measured by the SAS (p = 0.038). Compared to male students, female students tended to more often use coping strategies of self-blame (p < 005), avoidance (p < 0.05), and blaming others (p = 0.050). Students with moderate academic performance (ranked in the middle one-third of the class) tended to more frequently use strategies of avoidance (p < 0.05) and blaming others (p < 0.05). Students from high income families (100,000~120,000 NTD/month;) tended to more often use avoidance (p < 0.05) and blaming others (p < 0.01). Conclusions: Pre-fieldwork preparation can be beneficial in reducing the anxiety level of OT interns. Factors of gender, academic performance, and family income may influence students’ choice of stress-coping strategies.