Objective? To investigate the psychological resilience of patients with aneurysmal subarachnoid hemorrhage (aSAH) and analyze the influencing factors. Methods? From July to December of 2018,160 inpatients with aSAH from Neurosurgery Department of a ClassⅢ Grade A hospital in Shanxi Province were selected as the study subjects. Cornor-Davidson Resilience Scale(CD-RISC), General Self-efficacy Scale,Self-rating Anxiety(SAS) and Self-rating Depression Scale(SDS) and Self-designed General Information Questionnaire were used to investigate them and analyzed the influencing factors of the psychological resilience score in the inpatients with aSAH. Results? A total of 154 valid questionnaires were collected, with an effective recovery rate of 96.25%. The total score of resilience of aSAH patients was (56.50±16.637), which was lower than that of the domestic norm (65.4±13.9), with statistical significance (P＜ 0.05); the general self-efficacy score was (2.20±0.557), the anxiety score was (49.09±6.526), and the depression score was (49.69±6.660). Psychological resilience and each dimensions of aSAH patients were positively correlated with general self-efficacy (P＜0.05) and negatively correlated with anxiety (P＜0.05). Multivariate analysis showed that educational level, type of nursing care, general self-efficacy and anxiety were the influencing factors of psychological resilience of aSAH patients (P＜ 0.05), explaining 63.9% variation of their psychological resilience. Conclusions? The psychological resilience level of aSAH patients is generally low, and their educational level, type of nursing care, general self-efficacy and anxiety are important factors affecting their resilience level.