目的 了解第二受害者在经历产科护理不良事件后的心理体验，为制订针对性支持体系做参考。 方法 采取半结构深入访谈法，对12名在某院产科护理单元发生过护理不良事件的护士进行访谈，用现象学研究法对所搜集的资料进行分析。 结果 提炼出3个主题：认知体验改变、应对体验改变、支持需求。 结论 护理不良事件对第二受害者的心理状态产生较大影响，管理者应对当事者提供支持，营造安全文化氛围，保障第二受害者及患者的安全。

Objective To explore the psychological experience of the second victims after the adverse events in obstetric care ,and to provide reference for the further development of a targeted support system. Methods The semi-structured in-depth interview method was adopted to interview 12 nurses who experienced nursing adverse events in obstetric nursing unit in a hospital.The data was analyzed by phenomenological methodology. Results Three themes were extracted,namely,changes in cognitive experience,changes in coping experience,and support needs. Conclusions Nursing adverse events have a great impact on the psychological state of the second victim,so administrators should provide support to the parties involved,create a safe cultural atmosphere,and ensure the safety of the second victim and patients.

R47