摘要目的:调查产后女性及其配偶性功能及婚姻调适现状，分析两者性功能和婚姻调适的主客体效应。方法:本研究为横断面研究。采用便利抽样法，选取2022年10月—2023年2月在火箭军特色医学中心住院分娩的240名产后女性及其配偶为研究对象，采用一般资料调查表、女性性功能指数、男性性功能指数和Locke-Wallace婚姻调适量表对其进行调查，通过Pearson相关分析和主客体互倚模型探讨产后女性及其配偶性功能和婚姻调适相互影响的路径关系。结果:本研究共向240对夫妻发放480份问卷，回收有效问卷450份，问卷有效回收率为93.75%（450/480）。225名产后女性性功能指数得分为（24.89±4.97）分，其配偶性功能指数得分为（49.64±7.99）分；产后女性婚姻调适得分为（96.42±22.64）分，其配偶婚姻调适得分为（103.38±23.93）分。主客体互倚模型分析结果显示，主体效应方面，产后女性及其配偶的性功能可预测自身的婚姻调适（β值为0.765、0.176， P<0.01）；客体效应方面，产后女性的性功能可预测配偶的婚姻调适（β=0.632， P<0.01），配偶的性功能未能预测产后女性的婚姻调适（ P>0.05）。 结论:产后女性及其配偶存在性功能障碍及婚姻失调问题，自身的性功能与婚姻调适密切相关，且女性的性功能还可正向影响其配偶的婚姻调适。医护人员应将产后女性及其配偶作为一个整体制订干预措施，促进产后女性性功能恢复，平衡家庭关系，提升夫妻间性生活满意度，提高婚姻调适水平。

abstractsObjective:To investigate the status quo of sexual function and marital adjustment of postpartum women and their spouses, so as to analyze the subject-object effects of sexual function and marital adjustment.Methods:This was a cross-sectional study. A total of 240 postpartum women and their spouses who gave birth in PLA Rocket Force Characteristic Medical Center from October 2022 to February 2023 were selected as the research objects by the convenient sampling method. The general data questionnaire, Female Sexual Function Index (FSFI), Male Sexual Function Index (MSFI) and Locke-Wallace Marital Adjustment Test were used to investigate them. Pearson correlation analysis and actor-partner interdependence model (APIM) were used to explore the relationship between sexual function and marital adjustment of postpartum women and their spouses.Results:In this study, 480 questionnaires were distributed to 240 couples, and 450 valid questionnaires were collected, with an effective recovery rate of 93.75% (450/480). The sexual function index score of 225 postpartum women was (24.89±4.97), and that of their spouses was (49.64±7.99). The marital adjustment scores of postpartum women was (96.42±22.64) and that of their spouses was (103.38±23.93). The results of APIM showed that the sexual function of postpartum women and their spouses could predict their own marital adjustment (β-values of 0.765 and 0.176, P<0.01). In terms of object effect, the sexual function of postpartum women could predict the marital adjustment of their spouses (β=0.632, P<0.01), but the sexual function of their spouses could not predict the marital adjustment of postpartum women ( P>0.05) . Conclusions:Postpartum women and their spouses have sexual dysfunction and marital disorder, their own sexual function is closely related to marital adjustment, and women's sexual function can also positively affect their spouses' marital adjustment. Medical staff should take postpartum women and their spouses as a whole to formulate intervention measures to promote the recovery of postpartum women's sexual function, balance family relations, enhance the satisfaction of sexual life between husband and wife and improve the level of marital adjustment.