Based on the actor-partner inter-dependence model(APIM), this paper aims to analyze the family resilience and coping styles on the early-stage non-small cell lung cancer(NSCLC) and their caregivers. Using purposive sampling, 243 pairs of early-stage NSCLC postoperative patients and their caregivers treated in the Thoracic Surgery Department of a tertiary hospital in Xi'an from August 2024 to February 2025 were selected. A general information questionnaire, the Chinese version of the Family Resilience Assessment Scale (C-FRAS), and the Simplified Coping Style Questionnaire (SCSQ) were used for the survey. The APIM was constructed to analyze the relationship between coping styles and family resilience. Family resilience scores of early-stage NSCLC postoperative patients (138.90 ± 11.54) were significantly higher than those of caregivers (136.23 ± 13.14). Coping style scores showed statistically significant differences (P< 0.05), with both groups at a moderate level. Positive coping in patients was significantly positively correlated with their own family resilience and caregivers' positive coping and family resilience (P< 0.001). Caregivers' positive coping was significantly positively correlated with their own family resilience and patients' positive coping (P< 0.001). Regarding the actors’ effects, both patients' and caregivers' positive coping styles positively predicted their own family resilience (P < 0.05). Regarding the partners’ effects, the coping styles of both parties had a significant impact on the family resilience (P< 0.05).  Family resilience of patients with early-stage non-small cell lung cancer post-surgery and their caregivers interacts with their coping styles. Clinical practitioners should implement family-centered resilience interventions, strengthen dyadic support through joint training, and promote positive coping styles to enhance overall family resilience.

Zhang Yanhong, Deng Haixia, Zhu Mengyao, Guo Xiaolan. Analysis of Actor-Partner Interdependence Model for Family Resilience and Coping Styles in Patients with Early-Stage Non-Small Cell Lung Cancer Post-Surgery and Their Caregivers. Academic Journal of Medicine & Health Sciences (2025), Vol. 6, Issue 7: 30-36. https://doi.org/10.25236/AJMHS.2025.060705.

[1] Ji Y T, Liu S W, Zhang Y M, et al. [Comparison of the latest cancer statistics, cancer epidemic trends and determinants between China and the United States][J]. Zhonghua Zhong Liu Za Zhi, 2024, 46(7): 646-656.

[2] General Office of National Health Commission of the People's Republic of China. Clinical Practice Guideline for Primary Lung Cancer(2022 Version)[J]. Medical Journal of Peking Union Medical College Hospital, 2022,13(04):549-570.

[3] Li Shunshun, Chen Yang, Wang Lili. Analysis of fear of cancer recurrence and social status support in patients with non-small cell lung cancer [J]. China Medical Herald, 2021,18(08):106-109.

[4] Pan Feng, Zhang Haochen. Adjuvant Therapy Offers Increased Clinical Benefit for Patients with Early to Mid-Stage Lung Cancer: Release of the *Guidelines for Adjuvant Therapy After Complete Resection of Stage I–IIIB Non-Small Cell Lung Cancer (2021 Edition) [J]. China Medical Herald, 2021, 18(16):1-3.

[5] Guo J, Zhu J, Li X, et al. Exploring barriers to resilience among preoperative non-small cell lung cancer patients: a qualitative study in China[J]. BMC Nurs, 2025,24(1):575.

[6] Papero D V. Family Systems Theory and Therapy[M]//WOLMAN B B, STRICKER G, FRAMO J, et al. Handbook of Family and Marital Therapy. Boston, MA: Springer US, 1983:137-158.

[7] Walsh F. Family resilience: a framework for clinical practice[J]. Fam Process, 2003,42(1):1-18.

[8] Zhang Yifan, Li Zhenying, Liu Lamei, et al. Family resilience and its influencing factors among postoperative breast cancer patients: a longitudinal study[J]. Journal of Nursing Science, 2023, 38(21): 54-58.

[9] Northouse L L, Mood D, Kershaw T, et al. Quality of life of women with recurrent breast cancer and their family members[J]. J Clin Oncol, 2002,20(19):4050-4064.

[10] Shin J Y, Steger M F, Shin D W, et al. Patient-family communication mediates the relation between family hardiness and caregiver positivity: Exploring the moderating role of caregiver depression and anxiety[J]. J Psychosoc Oncol, 2019,37(5):557-572.

[11] Nestler S. Chapter 36 - Dyadic data analysis[M]//RAUTHMANN J F. The Handbook of Personality Dynamics and Processes. Academic Press, 2021:935-948.

[12] Wang Zhongzhao, Tang Hao. Interpretation of key updates in the Chinese Medical Association guidelines for clinical diagnosis and treatment of lung cancer (2024 edition)[J]. Journal of Naval Medical University, 2025,46(01):17-23.

[13] Fan Yingwei, Mi Xue, Zhang Lili. Reliability and Validity of the Chinese Version of the Family Resilience Assessment Scale among Families with a Cancer Patient[J]. Chinese General Practice, 2017,20(23):2894-2899.

[14] SIXBEY M T. Development of the family assessment scale to identify family resilience controucts[D]. Gainesville: University of florida, 2005.

[15] Jie Yaning. Psychometric Evaluation of the Brief Coping Orientation Scale[J]. Chinese Journal of Clinical Psychology, 1998(02):53-54.

[16] Cui P, Shi J, Li S, et al. Family resilience and its influencing factors among advanced cancer patients and their family caregivers: a multilevel modeling analysis[J]. BMC Cancer, 2023,23(1):623.

[17] Ke J, Lin J, Lin X, et al. Dyadic effects of family resilience on quality of life in patients with lung  cancer and spousal caregivers: The mediating role of dyadic coping[J]. Eur J Oncol Nurs, 2023, 66: 102400.

[18] Chan A, Ke Y, Tanay M, et al. Financial Toxicity in Cancer Supportive Care: An International Survey[J]. JCO Glob Oncol, 2024,10:e2400043.

[19] Salehi M, Ghasemian A, Najar A V, et al. From compassion to burnout: emotional labor in oncology nursing - a qualitative study[J]. BMC Nurs, 2025,24(1):272.

[20] G S, Tan W A, Lee A R Y B, et al. Behavioral Interventions for the Patient-Caregiver Unit in Patients with Chronic Heart Failure: A Systematic Review of Caregiver Outcomes[J]. J Multidiscip Healthc, 2022,15:921-939.

[21] Zhang Q, Liu Q, Zhang L, et al. The mediating effect of family resilience between coping styles and caregiver burden in maintenance hemodialysis patients: a cross-sectional study[J]. BMC Nephrol, 2024,25(1):83.

[22] Huang Y, Pan Y, Chen M, et al. The resilient process of the family after diagnosis of childhood chronic illness:  a qualitative meta-synthesis[J]. J Pediatr Nurs, 2022,67: e180-e190.