目的 调查产妇产后创伤后成长的现状及其影响因素，为制订提高产妇产后创伤后成长的措施提供参考。方法 便利抽样法选取十堰市3所三级医院的201例产妇，使用一般资料调查表、创伤后成长评定量表、事件中心性量表、母婴依恋量表进行调查。结果 产妇产后创伤后成长总分为（64.39±13.64）分；母亲身份核心及母婴依恋与产后创伤后成长呈正相关（r=0.357、0.245，均P＜0.01）；母婴依恋、母亲身份核心、居住地（县城或城镇）、家庭月总收入、分娩后主要长期由谁照顾（父亲或母亲）、对分娩知识的了解程度是产后创伤后成长的影响因素（均P＜0.05）。结论 产妇产后创伤后成长处于较高水平，母亲身份核心及母婴依恋与产妇产后创伤后成长水平密切相关；管理者可通过对分娩经历的评估促使产妇形成身份核心，采取增强母婴依恋的做法，以提高产妇产后创伤后成长水平。

Objective To investigate the status quo of the postpartum post-traumatic growth(PTG) and its influencing factors,and to provide a reference for the formulation measures to improve maternal postpartum PTG.Methods By the convenience sampling method,201 mothers from 3 tertiary hospitals in Shiyan City were selected and a survey was conducted with the general information questionnaire,the Chinese Post-traumatic Growth Inventory Scale,the Centrality of Event Scale and the Maternal Postnatal Attachment Scale.Results The total score of PTG inventory was (64.39±13.64).The maternal identity core and the mother-infant attachment were positively correlated with the postpartum PTG (r=0.357,0.245,all P＜0.01).The mother-infant attachment,the maternal identity core,residence (county or town),monthly family income,long-term care (mother or father) and knowledge of childbirth were the main influencing factors of postpartum PTG (all P＜0.05).Conclusions Maternal postpartum PTG is at a high level.The maternal identity core and the mother-infant attachment are closely related to postpartum PTG.Administrators can promote the formation of maternal identity core through the assessment of delivery experience,and take measures to enhance mother-infant attachment,so as to improve the level of postpartum PTG.

R473.71

2022年度湖北省教育厅哲学社会科学研究项目（22G073）；湖北医药学院2022年大学生创新创业训练计划项目（X202210929064）