中国康复理论与实践2026，Vol.32Issue(1)：90-100,11.DOI:10.3969/j.issn.1006-9771.2026.01.010
基于老年人整合照护框架构建老年人轻度认知功能障碍社区-家庭管理模式
Construction of a community-family management model for older adults with mild cognitive impairment
摘要
Abstract
Objective To develop a community-family management model for older adults with mild cognitive impairment(MCI)and to formulate detailed application specifications,and to fully leverage the initiative of communities and fami-lies under limited resource conditions,for achieving community-based early detection and early intervention for older adults with MCI. Methods A systematic literature review was conducted to identify pertinent publications.Corpus-based research method-ologies were employed to extract,refine,integrate and synthesize management elements,thereby establishing the specific content and service processes for each stage of the management model.Utilizing the 5W2H analytical framework,essential elements such as management stakeholders,target populations,content and methods for each stage were delineated.The model and its application guidelines were finalized through expert consultation and demonstration. Results An expert evaluation of the management model yielded mean scores of 4.84,4.32 and 4.84 for acceptability,fea-sibility and systematicity,respectively.By integrating the identified core elements with expert ratings and feed-back,the final iteration of the community-family management model for older adults with MCI was formulated.This model comprised of five stages:screening and identification,comprehensive assessment,intervention plan-ning,monitoring and referral pathways to ensure implementation,and enhanced support for communities,family members and caregivers.Additionally,it included 18 specific application guidelines. Conclusion The proposed management model may theoretically help delay cognitive decline,improve cognitive func-tion and potentially promote reversal from MCI to normal cognition.It may also enhance the awareness and cop-ing capacity of older adults and their families,strengthen community healthcare professionals'ability to early identify and manage MCI.关键词
轻度认知障碍/社区康复/老年人整合照护理念/管理模式/老年人Key words
mild cognitive impairment/community-based rehabilitation/integrated care for older people/management model/older adults分类
医药卫生引用本文复制引用
陈俊利,董志伟,井淇,张晗,张叶凡,张艳秋,高润国,高倩倩,蔡伟芹,李海燕,嵇丽红..基于老年人整合照护框架构建老年人轻度认知功能障碍社区-家庭管理模式[J].中国康复理论与实践,2026,32(1):90-100,11.基金项目
1.国家自然科学基金青年科学基金项目(No.72004165) （No.72004165）
2.山东省高等学校"青创团队计划"团队研究课题(No.2022RW075) Supported by National Natural Science Foundation of China(Youth)(No.72004165)and Shandong Province Higher Education Institutions"Youth Creative Team Program"Team Research Project(No.2022RW075) （No.2022RW075）
