社区养老下老年人健康素养的提升路径研究
A Study on the Pathways to Enhancing Elderly Health Literacy in Community-Based Elderly Care Services
DOI: 10.12677/ns.2026.158266, PDF,    科研立项经费支持
作者: 张苏予:广西科技大学人文艺术与设计学院,广西 柳州;林金玉*:广西科技大学体育学院,广西 柳州
关键词: 社区养老老年健康素养健康促进提升路径Community-Based Elderly Care Health Literacy among the Elderly Health Promotion Improvement Pathways
摘要: 随着人口老龄化加剧,社区养老成为主要养老方式。本文研究社区养老背景下老年人健康素养的提高途径。通过文献梳理法,归纳评述国内近年相关研究。研究发现,老年人健康素养提升存在个人、服务、机制三方面困难:个人层面,健康信息获取少、辨别能力差、知识难以转化;服务层面,健康教育形式雷同、内容缺乏针对性;机制层面,部门协调不足、资源整合不够。提高途径需系统工程,包括开展精准易懂的健康教育,打造友好便利的健康支持环境,在政策上推动部门合力构建长效机制。社区养老框架下,需个人、社区、制度共同创新努力。
Abstract: With the intensification of population aging, community-based elderly care has become the primary approach for senior care. This study examines strategies to enhance health literacy among older adults within this context. Through a literature review, relevant domestic research in recent years was summarized and analyzed. The findings identify three main challenges in improving elderly health literacy: at the individual level, limited access to health information, poor discernment skills, and difficulty in applying acquired knowledge; at the service level, repetitive health education formats and content lacking relevance; and at the institutional level, insufficient interdepartmental coordination and inadequate resource integration. Addressing these issues requires a systematic approach, including delivering targeted and accessible health education, creating user-friendly support environments, and fostering policy collaboration among stakeholders to establish sustainable mechanisms. Under the community-based care framework, coordinated innovation efforts are essential from individual, community, and institutional perspectives.
文章引用:张苏予, 林金玉. 社区养老下老年人健康素养的提升路径研究[J]. 护理学, 2026, 15(8): 234-245. https://doi.org/10.12677/ns.2026.158266

参考文献

[1] 张苗苗. 关于健康老龄化研究: 现状, 演进与趋势——基于CNKI核心期刊的文献计量分析[J]. 运筹与模糊学, 2025, 15(1): 527-540.
[2] 侯锐, 隗瑛琦, 方凯, 等. 老年人群健康素养促进策略研究进展[J]. 预防医学, 2025, 37(2): 154-157.
[3] 盛涵. 健康老龄化视域下老年人数字健康的现实困境与破解策略[J]. 老龄化研究, 2026, 13(3): 853-864.
[4] 顾译丹, 李玲, 杨芳, 等. 社区老年高血压患者电子健康素养现状及影响因素分析[J]. 护理学, 2024, 13(6): 739-750.
[5] 曹智玥, 杨先梅, 彭旭梅, 等. 老年人心理健康素养与焦虑症状的关系: 失眠的作用路径[J]. 四川精神卫生, 2026, 39(2): 158-165.
[6] Ong-Artborirak, P., Seangpraw, K., Boonyathee, S., Auttama, N. and Winaiprasert, P. (2023) Health Literacy, Self-Efficacy, Self-Care Behaviors, and Glycemic Control among Older Adults with Type 2 Diabetes Mellitus: A Cross-Sectional Study in Thai Communities. BMC Geriatrics, 23, Article No. 297.
https://doi.org/10.1186/s12877-023-04010-0
[7] 李燕冰, 周树彤, 李莹莹, 等. 农村中老年慢性病患者自我效能感在家庭健康与健康素养间的中介效应分析[J]. 预防医学, 2026, 38(1): 75-78, 84.
[8] 王欣欣, 栾伟. 老年人数字健康素养研究进展[J]. 中华全科医学, 2023, 21(10): 1741-1744.
[9] 周燊萍, 蒋昀洁, 周辰宇. 积极老龄化视角下老年人群健康管理服务利用的影响因素研究[J]. 南京医科大学学报(社会科学版), 2026, 26(1): 32-40.
[10] 安芷薇, 汪天怡, 黄雅莲, 等. 四川省老年人心理健康素养的现状及影响因素调查分析[J]. 老龄化研究, 2023, 10(4): 742-752.
[11] 徐雪晴, 宋奎勐, 王浩, 等. 山东省老年人数字健康素养水平及其影响因素分析[J]. 医学信息学杂志, 2026, 47(2): 44-49.
[12] 陈楠, 孙锋. 健康老龄化背景下数智赋能社区老年人体育服务困境及治理路径[J]. 老龄化研究, 2026, 13(4): 915-926.
[13] 彭骏, 丁静林, 郝辰业, 等. 线上与线下培训对老年人数字健康素养提升效果的随机对照研究[J]. 中国全科医学, 2026, 29(10): 1348-1355.
[14] 杜金玲, 侯建荣, 朱国栋, 等. 机构养老和社区养老两种养老模式下电子健康素养量表的信效度研究[J]. 中国疗养医学, 2025, 34(9): 7-10.
[15] 彭晶, 傅文婷, 杨秀琳. 甘南藏族自治州老年人群健康素养调查[J]. 预防医学, 2023, 35(6): 546-550.
[16] 张依琳, 高正瀚. 智能传播时代老年群体新媒介素养的现状及提升策略研究[J]. 新闻传播科学, 2024, 12(4): 1462-1472.
[17] 刘美娴, 王亚东, 唐可, 等. 健康素养与自我效能在失能老年人赋能水平与生活质量的并行中介效应分析[J]. 实用医学杂志, 2026, 42(7): 1235-1242.
[18] 陈宇轩, 曾庆, 钱金山. 健康素养作为社会经济因素和健康状况之间的中介因素——以重庆市老年人为例[J]. 统计学与应用, 2025, 14(1): 34-45.
[19] Hyvert, S., Yailian, A., Haesebaert, J., Vignot, E., Chapurlat, R., Dussart, C., et al. (2022) Association between Health Literacy and Medication Adherence in Chronic Diseases: A Recent Systematic Review. International Journal of Clinical Pharmacy, 45, 38-51.
https://doi.org/10.1007/s11096-022-01470-z
[20] 韦力. 数字素养对退休老年群体人力资本再利用质量的影响研究[J]. 亚太科研论坛, 2025, 1(10): 27-31.
[21] 张小兰, 李泽美, 沈小华. 国内外老年人群健康促进政策与实践[J]. 预防医学, 2025, 37(6): 632-636.
[22] Shi, Y., Ma, D., Zhang, J. and Chen, B. (2021) In the Digital Age: A Systematic Literature Review of the E-Health Literacy and Influencing Factors among Chinese Older Adults. Journal of Public Health, 31, 679-687.
https://doi.org/10.1007/s10389-021-01604-z
[23] 袁程, 魏晓敏, 武晓宇, 等. 中老年居民网络健康信息使用习惯与其电子健康素养的关系研究[J]. 中国全科医学, 2023, 26(16): 1989.
[24] 王玉. 积极老龄化背景下老年群体新媒介素养提升研究[J]. 老龄化研究, 2024, 11(5): 1964-1970.
[25] 薛玉婷, 陈慧敏, 耿桂灵, 等. 养老机构老年人健康素养研究进展[J]. 中国疗养医学, 2026, 35(4): 68-71.
[26] 蔡佳丽, 温晓红, 徐菊玲, 等. 农村老年人口腔健康管理研究进展[J]. 护理学, 2024, 13(7): 1018-1024.
[27] Guo, A., Jin, H., Mao, J., Zhu, W., Zhou, Y., Ge, X., et al. (2023) Impact of Health Literacy and Social Support on Medication Adherence in Patients with Hypertension: A Cross-Sectional Community-Based Study. BMC Cardiovascular Disorders, 23, Article No. 93.
https://doi.org/10.1186/s12872-023-03117-x
[28] 王婕. 数字时代老年群体精神文化需求的适配路径研究[J]. 老龄化研究, 2026, 13(3): 271-276.
[29] Yeo, G., Reich, S.M., Liaw, N.A. and Chia, E.Y.M. (2024) The Effect of Digital Mental Health Literacy Interventions on Mental Health: Systematic Review and Meta-Analysis. Journal of Medical Internet Research, 26, e51268.
https://doi.org/10.2196/51268
[30] Estrela, M., Semedo, G., Roque, F., Ferreira, P.L. and Herdeiro, M.T. (2023) Sociodemographic Determinants of Digital Health Literacy: A Systematic Review and Meta-Analysis. International Journal of Medical Informatics, 177, Article ID: 105124.
https://doi.org/10.1016/j.ijmedinf.2023.105124
[31] 安璐, 贾竹敏, 王蒙蒙, 等. 老年人电子健康素养干预的研究进展[J]. 职业与健康, 2025, 41(6): 850.
[32] Ayoubi-Mahani, S., Eghbali-Babadi, M., Farajzadegan, Z., Keshvari, M. and Farokhzadian, J. (2023) Active Aging Needs from the Perspectives of Older Adults and Geriatric Experts: A Qualitative Study. Frontiers in Public Health, 11, Article ID: 1121761.
https://doi.org/10.3389/fpubh.2023.1121761
[33] 王林枝, 王涛. 基于Web of Science数据库的老年健康素养研究文献计量分析[J]. 中国疗养医学, 2024, 33(6): 1-6.
[34] Poudel, P., Paudel, G., Acharya, R., George, A., Borgnakke, W.S. and Rawal, L.B. (2024) Oral Health and Healthy Ageing: A Scoping Review. BMC Geriatrics, 24, Article No. 33.
https://doi.org/10.1186/s12877-023-04613-7
[35] 吴兰心, 张艳, 孟李雪, 等. 老年共病患者自我管理现状及影响因素分析[J]. 中国全科医学, 2024, 27(21): 2565-2566.
[36] 马俊杰, 姚峥嵘, 杨春. 老龄化背景下中医药参与主动健康管理的政策研究[J]. 南京中医药大学学报社会科学版, 2025, 26(3): 143-150.
[37] Arias López, M.d.P., Ong, B.A., Borrat Frigola, X., Fernández, A.L., Hicklent, R.S., Obeles, A.J.T., et al. (2023) Digital Literacy as a New Determinant of Health: A Scoping Review. PLOS Digital Health, 2, e0000279.
https://doi.org/10.1371/journal.pdig.0000279
[38] Ma, K.K.Y., Anderson, J.K. and Burn, A. (2022) Review: School‐Based Interventions to Improve Mental Health Literacy and Reduce Mental Health Stigma—A Systematic Review. Child and Adolescent Mental Health, 28, 230-240.
https://doi.org/10.1111/camh.12543
[39] Schroeder, T., Dodds, L., Georgiou, A., Gewald, H. and Siette, J. (2023) Older Adults and New Technology: Mapping Review of the Factors Associated with Older Adults’ Intention to Adopt Digital Technologies. JMIR Aging, 6, e44564.
https://doi.org/10.2196/44564
[40] Mustafa, W.M.W., Islam, M.A., Asyraf, M., Hassan, M.S., Royhan, P. and Rahman, S. (2023) The Effects of Financial Attitudes, Financial Literacy and Health Literacy on Sustainable Financial Retirement Planning: The Moderating Role of the Financial Advisor. Sustainability, 15, Article No. 2677.
https://doi.org/10.3390/su15032677