居家失能老人健康素养干预的叙事医学路径研析

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[中图分类号]R-05 [文献标志码]A [文章编号]1001-8565（2025）08-1075-12

DOI：10.12026/j.issn.1001-8565.2025.08.17

Analysisof thenarrativemedicinepathwaytohealthliteracy intervention forhomebound elderlywithdisabilities

WANGRunying，ZHANGYiyao，ZHANGJiaying，PENGYingchun （School ofMedical Humanities，Capital Medical Uniuersity，BeijinglOoo69，China）

Abstract：Objective：To improve the health literacy of homebound elderly with disabilities by systematically using narative medicine tools.Methods：A combination ofqualitative 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 inthe 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 collction，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.

Keywords： homebound elderly with disabilities； narrative medicine; health literacy; personalized care

0 引言

目前中国失能、半失能老人累计已超过4400万人，近年来仍呈现不断攀升之势。（剩余17334字）