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

摘要： 目的 探讨急性心肌梗死患者的自我效能、社会支持、应对方式对心理弹性的影响，并分析其影响路径。 方法 采用横断面调查方法，应用心理弹性量表、一般自我效能感量表、社会支持评定量表以及医学应对问卷对2014年5月至2015年3月在哈尔滨某三级甲等医院心内科住院的296例急性心肌梗死患者进行问卷调查。 结果 急性心肌梗死患者的心理弹性总分为（57.79±12.39）分；急性心肌梗死患者的自我效能、主观支持、面对应对及屈服应对进入心理弹性的多元回归方程，其自我效能、主观支持对心理弹性既有直接影响也有间接影响，面对应对及屈服应对对心理弹性水平具有直接影响。 结论 急性心肌梗死患者的心理弹性较差，个体的自我效能、主观支持、面对应对及屈服应对是影响心理弹性的重要因素。

关键词: 心肌梗死, 精神卫生, 影响因素分析