目的 了解助产士创伤后成长现状及影响因素，为制订针对性的干预措施提供参考。方法 2023年4-7月，采用多阶段抽样法选取四川省24所三级甲等医院的320名助产士为研究对象，采用一般资料调查表、简体中文版创伤后成长评定量表、中文版心理弹性量表、中文版压力知觉量表、简易应对方式问卷对其进行调查。结果 助产士创伤后成长得分为(76.09±9.42)分。多元线性回归分析结果显示，职称、平均月收入水平、心理弹性、压力知觉、积极应对方式是助产士创伤后成长的主要影响因素（均P＜0.05），可解释总变异的42.7%。 结论 四川省助产士创伤后成长处于较高水平，护理管理者应重视培养和发展助产士乐观、坚韧的心理素质，改变助产士的不良认知图式，并激发其有效应对，以进一步提高其创伤后成长水平。

Objective To investigate the current status of the posttraumatic growth among midwives and its influencing factors,and to provide reference for developing targeted interventions.Methods The multi-stage sampling method was used to select 320 midwives from 24 tertiary A hospitals in Sichuan Province.The General Information Questionnaire,Chinese-Posttraumatic Growth Inventory,Chinese Version of the Connor Davidson Resilience Scale,Chinese Version Perceived Stress Scale and Simplified Coping Style Questionnaire were employed to conduct the survey.Results The total score of posttraumatic growth was（76.09±9.42).Multiple linear regression analysis showed that professional title,average monthly income,psychological resilience,perceived stress and positive coping style were the main influencing factors of posttraumatic growth of midwives(all P＜0.05),explaining 42.7% of the total variance.Conclusions Midwives have a higher level of posttraumatic growth in Sichuan Province.Nursing administrators should pay attention to training and developing midwives’ optimistic and resilient psychological qualities,changing their bad cognitive schema,stimulating their effective coping strategies to further improve their posttraumatic growth level.

R471

成都市医学科研课题（2023112）；成都中医药大学2024年度教育教学改革项目（JGJD202407）