关键词: 心肌梗死, 精神卫生, 影响因素分析

Abstract: Objective To determine the impacts of self-efficacy，social support and coping style on resilience in acute myocardial infarction（AMI） patients and to analyze the influence path. Methods A total of 296 patients with AMI in a tertiary hospital in Harbin were recruited by cross-sectional survey method. Patients were investigated using the Connor-Davidson resilience scale，the Self-Efficacy Questionnaire，Social Support Rating Scale and Medical Coping Modes Questionnaire. SPSS 17.0 software package and AMOS 21 were used for statistical analysis. Results The resilience score for patients with AMI was 57.79±12.39；self-efficacy，subjective support，confront and resignation coping style in AMI patients entered the multiple regression equation； self-efficacy and subjective support directly and indirectly influenced resilience of AMI patients，and confront coping style and resignation coping style influenced resilience directly. Conclusion AMI patients have poor resilience，and patients‘ self-efficacy，subjective support， confront and resignation coping style play an important role in enhancing resilience of AMI patients.

Key words: Myocardial Infarction, Mental Health, Root Cause Analysis