Contemporary Nursing

Objective To construct a subject-object mediation model of psychological resilience in the dyadic relationship between patients with missed abortion (MA) and their spouses, examining the interactive mechanisms between mutual evaluation, coping strategies, and adjustment processes. Methods The patients diagnosed with MA in the hospital from January 2024 to December 2024, as well as their spouses, were selected as the research subjects. Data on mutual evaluation, coping strategies, adjustment processes, and psychological resilience were collected through questionnaires. The model fit and mediating effects of psychological resilience were analyzed using the Parent-Subject Interaction Model (APIM) and structural equation modeling. Results Psychological resilience demonstrated significant mediating effects in the evaluation, coping, and adjustment processes: Spousal mutual evaluation influenced both the patient's self-adjustment (subject effect) and the partner's adjustment (object effect) through psychological resilience; similar interaction patterns were observed in coping and adjustment processes. Background The Coping Model has shown good applicability in MA dyads. Conclusion The dynamic interactions in MA patients' dyadic relationships highlight psychological resilience as a critical mediator in disease management. This model provides a novel perspective for understanding collaborative MA coping mechanisms, guiding clinical interventions tailored to couples and supporting the development of reproductive health systems.

Missed abortion; Binary relationship; Subject-object interdependence model; Psychological resilience; Spouse