乡村振兴背景下中医药非物质文化遗产融入社区护理的传承与创新研究

Inheritance and Innovation of Integrating Intangible Cultural Heritage of Traditional Chinese Medicine into Community Nursing in the Context of Rural Revitalization

摘要: 目的：梳理乡村振兴背景下中医药非物质文化遗产融入社区护理的理论依据、实践基础、现实障碍与创新路径。方法：采用叙述性综述方法，以国家政策法规、国际组织文件及中英文代表性研究为主要资料来源，围绕活态传承、知识转化、社区护理、循证评价、数字赋能和权益保护等主题进行归纳分析。结果：中医药非遗兼具文化传承、健康促进与基层服务价值，其融入社区护理可依托县域中医药服务网络，将传统养生、外治技术和健康教育转化为连续、可及的社区健康干预。现有实践已形成政策推动、技术推广和人才协同等基础，但仍存在概念边界不清、证据质量不足、操作标准缺失、传承主体权益保障不充分以及数字化适老性不足等问题。结论：中医药非遗社区护理不宜停留于文化展示或技术移植，而应构建“文化识别–技术筛选–循证验证–标准实施–效果评价–反馈改进”的闭环机制，并通过传承人、社区护士、基层医师与居民共同参与，实现文化保护、护理质量和乡村健康治理的协同增效。

Abstract: Objective: This paper aims to review the theoretical basis, practical foundation, existing barriers, and innovation pathways for integrating intangible cultural heritage of traditional Chinese medicine (TCM) into community nursing in the context of rural revitalization. Methods: A narrative review was conducted using national policies and regulations, documents issued by international organizations, and representative Chinese- and English-language studies. Evidence was synthesized around living transmission, knowledge translation, community nursing, evidence-based evaluation, digital empowerment, and rights protection. Results: TCM-related intangible cultural heritage has value for cultural transmission, health promotion, and primary health care. Its integration into community nursing may rely on county-level TCM service networks to translate traditional health-preserving practices, external therapies, and health education into continuous and accessible community health interventions. Existing practices have established foundations in policy support, technology dissemination, and workforce collaboration; however, challenges remain, including unclear conceptual boundaries, insufficient evidence quality, incomplete operational standards, inadequate protection of inheritors’ rights and interests, and limited age-friendliness of digital applications. Conclusion: The integration of TCM-related intangible cultural heritage into community nursing should not be limited to cultural display or simple technology transfer. A closed-loop mechanism comprising cultural identification, technology screening, evidence verification, standardized implementation, outcome evaluation, and feedback-based improvement should be established. Joint participation by inheritors, community nurses, primary care physicians, and residents is needed to achieve synergy among cultural safeguarding, nursing quality, and rural health governance.