目的 探讨中青年宫颈癌患者及其配偶在感知压力、感知伴侣回应和家庭韧性之间的交互影响关系。方法 采用便利抽样法，选取2022年1月至2023年12月在漳州市某三级甲等医院确诊的中青年宫颈癌患者及其配偶共209对，采用一般资料问卷、知觉压力量表、感知伴侣回应量表和家庭韧性量表进行调查研究。结果 患者的感知压力和感知伴侣回应均高于配偶，而家庭韧性则低于配偶，差异均具有统计学意义（均P＜0.05）。双方的感知压力对家庭韧性有负向预测作用，而感知伴侣回应则具有正向预测作用（均P＜0.05）。此外，患者的感知压力会影响配偶的家庭韧性，配偶的回应亦影响患者的家庭韧性（均P＜0.05）。感知伴侣回应在感知压力与家庭韧性间起到部分中介作用。结论 中青年宫颈癌患者及其配偶的家庭韧性与其自身及对方感知压力、感知伴侣回应密切相关。因此，从夫妻二元视角出发制订干预措施，将更有助于提升患者及其配偶的家庭韧性。

Objective To analyze the interactive effects of perceived stress,perceived partner responsiveness,and family resilience among middle-aged and young cervical cancer patients and their spouses.Methods A survey was conducted among 209 middle-aged and young cervical cancer patients and their spouses using a general information questionnaire,the Perceived Stress Scale,the Perceived Partner Responsiveness Scale,and the Family Resilience Scale.Results Patients reported higher levels of perceived stress and perceived partner responsiveness compared to their spouses,while their family resilience was lower than that of their spouses.These differences were statistically significant (all P＜0.05).The actor Effects showed perceived stress in both patients and spouses negatively predicted their own family resilience,while perceived partner responsiveness positively predicted their own family resilience (all P＜0.05).The partner Effects showed patients’ perceived stress negatively predicted their spouses’ family resilience,and spouses’ perceived partner responsiveness positively predicted patients’ family resilience (all P＜0.05).The mediation effect showed Perceived partner responsiveness between patients and spouses partially mediated the relationship between perceived stress and family resilience.Conclusions The family resilience of middle-aged and young cervical cancer patients and their spouses is closely related to their own and their partners’ perceived stress and perceived partner responsiveness.Therefore,intervention measures designed from a dyadic perspective can better enhance the family resilience of both patients and spouses.

R473.71