【摘要】 目的 了解急性心肌梗死患者创伤后成长(Post-traumatic growth,PTG)现状，并对其影响因素进行分析。方法 采用一般资料调查表、创伤后成长量表、心理弹性量表、焦虑自评量表、抑郁自评量表对2023年8月至2024年4月在河南科技大学第一附属医院心内科的200例急性心肌梗死患者进行问卷调查。结果 急性心肌梗死患者PTG总分为(59.44±7.65)分；心理弹性总分为(55.02±7.85)分；焦虑总分为(54.58±3.73)分；抑郁总分为(54.35±3.55)分。急性心肌梗死患者PTG总分与心理弹性总分及各维度得分呈正相关(P<0.01),与焦虑、抑郁总分呈负相关(P<0.01)。多元线性回归分析结果显示，性别、医疗费用支付方式、心理弹性、焦虑及抑郁是急性心肌梗死患者创伤后成长的主要影响因素(P<0.05)。结论 急性心肌梗死患者PTG处于中等水平，其PTG与心理弹性呈正相关，与焦虑、抑郁呈负相关。提示医护人员在治疗与护理过程中，可采用积极心理干预方法，提高患者PTG水平。更多还原

【Abstract】 Objective To understand the status of post-traumatic growth(PTG) in patients with acute myocardial infarction and analyze the influencing factors.Methods A survey was conducted on 200 patients with acute myocardial infarction from August 2023 to April 2024 using the general information questionnaire, Post-Traumatic Growth Inventory(PTGI),Conor-Davidson Resilience Scale(CD-RISC),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS).Results Total score of PTGI,CD-RISC,SAS,and SDS in patient with acute myocardial infarction were 59.44±7.65,55.02±7.85,54.58±3.73,and 54.35±3.55,respectively.The total score of post-traumatic growth in patients with acute myocardial infarction was positively correlated with the total score of psychological resilience and all dimensions(P<0.01)and negatively correlated with the total score of anxiety and depression(P<0.01).The results of multiple linear regression analysis showed that gender, medical payment method, psychological resilience, anxiety and depression were the main influencing factors of PTG(P<0.05).Conclusion PTG in patients with acute myocardial infarction is at a moderate level, positively associated with psychological resilience and negatively associated with anxiety and depression.It is suggested that medical staff should adopt active psychological interventions in the process of treatment and nursing to improve PTG level.更多还原