压力应对视角下认知症患者的家庭照护研究:理论框架、概念辨析与未来展望

Research on Family Care for Cognitive Disorder Patients from the Perspective of Stress Coping:Theoretical Framework,Conceptual Discernment,and Future Prospects

“十四五”时期,随着人口老龄化进程加快,我国认知症患者数量持续增加。认知症严重威胁患者及其家庭的生活质量,积极应对认知症患者的家庭照护问题迫在眉睫。家庭照护作为我国认知症患者的主要照护模式,其照护者在长期照护中面临多重压力,但学术研究在该问题的解释力度和概念辨析方面仍有待深化。通过对压力应对理论脉络的系统梳理和相关概念的辨析,可以提出认知症家庭照护者压力应对研究的未来发展方向,包括构建本土化理论框架、提高对压力后果的测量精准度以及动态捕捉压力应对策略的变化等。同时,完善对认知症患者及其家庭照护者的社会支持和保障体系具有重要的现实意义,社会各界应当积极在公共政策、社会服务和公众教育等方面进行创新探索。

During the 14th Five-Year Plan period,the issue of family care for cognitive disorders has become increasingly urgent due to the accelerated process of the aging population and the rising number of cognitive disorder patients.This poses a significant threat to the quality of life of older adults with cognitive disorder and their families.Family care,as the primary caregiving model in China,brings about various challenges for caregivers during long-term care.However,academic research on this issue still has room for improvement in terms of the explanatory power and conceptual clarification.By integrating the theoretical context of stress coping paradigm and clarifying similar concepts,this paper puts forward the future research directions for stress coping in family care of older adults with cognitive disorder,which include developing a localized theoretical framework,enhancing the accuracy of measuring stressrelated outcomes,and dynamically capturing changes in stress coping strategies.Additionally,this paper highlights the significance of social support and security systems for cognitive disorder patients and their family caregivers,and emphasizes the need for exploration in areas such as public policy,social services,and public education.