摘要
目的 通过系统化地采用叙事医学工具以提升居家失能老人的健康素养。方法 采用定性访谈和问卷调查相结合的方式对居家失能老人健康素养及健康管理现状进行深入了解,分析现有的干预手段在满足老人个性化需求、情感支持和长期依从性方面存在的不足。结果 整合社区正式照护资源以及非正式照护资源,拟构建一种全新的叙事医学应用模型——S-P-C-H模型,S-P-C-H模型通过故事采集、个性分析、个性化照护设计和动态反馈等方式,将失能老人的日常生活与叙事医学工具相结合,形成动态的健康素养干预机制。结论 该模型的提出为失能老人的健康管理提供了新的思路,在提升老年人的健康素养、改善照护效果等方面具有一定的发展潜力。
Objective:To improve the health literacy of homebound elderly with disabilities by systematically using narrative medicine tools.Methods:A combination of qualitative interviews and questionnaire surveys was employed to gain an in-depth understanding of the health literacy and health management status of homebound elderly with disabilities,and to analyze the shortcomings of existing interventions in meeting the elderly’s personalized needs,emotional support,and long-term adherence.Results:This paper integrated formal and informal care resources in the community to construct a new application model of narrative medicine,namely the S-P-C-H(story-person-care-health)model.The S-P-C-H model combined the daily life of the elderly with disabilities with narrative medicine tools through story collection,personality analysis,personalized care design,dynamic feedback,and other methods,forming a dynamic health literacy intervention mechanism.Conclusion:The introduction of this model provides a new idea for the health management of the elderly with disabilities and has certain development potential in enhancing the health literacy of the elderly and improving care effectiveness.
作者
王润莹
张艺耀
张佳荧
彭迎春
WANG Runying;ZHANG Yiyao;ZHANG Jiaying;PENG Yingchun(School of Medical Humanities,Capital Medical University,Beijing 100069,China)
出处
《中国医学伦理学》
北大核心
2025年第8期1075-1086,共12页
Chinese Medical Ethics
基金
国家自然科学基金项目“内在能力—虚弱双轨迹监测下的老年健康风险评估及梯次应对研究”(72474141)
首都卫生管理与政策研究基地开放性课题资助“老年友好视域下首都失能老人居家社区医养结合服务模式研究”(2024JD05)。
关键词
居家失能老人
叙事医学
健康素养
个性化照护
homebound elderly with disabilities
narrative medicine
health literacy
personalized care
