文章摘要
秦艺尹,葛莉,林巧丽,余礼超,易佳美,于红虹.代际互助养老模式的范围综述[J].济宁医学院学报,2026,49(1):68-76
代际互助养老模式的范围综述
Intergenerational mutual-aid elderly care models: a scoping review
投稿时间:2025-12-01  
DOI:10.3969/j.issn.1000-9760.2026.01.012
中文关键词: 代际互助;养老模式;老年人;积极老龄化;范围综述
英文关键词: Intergenerational mutual-aid;Elderly care model;Older adults;Active aging;Scoping review
基金项目:老年长期照护教育部重点实验室(海军军医大学)开放课题基金(LNYBPY-2023-10);2024年国家级大学生创新创业训练计划项目(202410393003)
作者单位E-mail
秦艺尹 福建中医药大学护理学院, 福州 350122  
葛莉 福建中医药大学护理学院, 福州 350122 2000005@fjtcm.edu.cn 
林巧丽 福建中医药大学护理学院, 福州 350122  
余礼超 福建中医药大学护理学院, 福州 350122  
易佳美 福建中医药大学护理学院, 福州 350122  
于红虹 福建中医药大学护理学院, 福州 350122  
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中文摘要:
      目的 采用范围综述方法, 系统梳理代际互助养老模式的核心要素、实践形式及实施效果, 进而构建该模式的理论框架, 为实现积极老龄化和构建老年友好型社会提供参考。方法 检索中外9个数据库中建库至2025年7月30日发表的代际互助养老相关文献, 由2名研究者独立筛选文献、提取资料并进行分析。结果 共纳入38篇文献。涵盖中国、澳大利亚、美国等12个国家; 研究类型涉及量性12篇、质性12篇及混合研究14篇。代际互助养老模式以老年人、青年/儿童以及专业辅助人员为参与主体, “老-幼”之间通过技艺传承、健康促进、情感陪伴和日常支持的方式实现双向赋能, 并依托“高校-社区-机构”跨机构协作运行。其实践形式呈现场景化与组织化的特征。该模式有效改善老年人心理健康、社会交往及认知功能, 并增强青年/儿童群体对老龄化的积极态度、社会责任感与职业认同、技能与情感发展。结论 本研究构建的“参与主体-互助内容-运行模式”系统性理论框架, 揭示了代际互助从微观资源互惠到宏观生态重构的运行逻辑。基于此, 建议实施向制度嵌入、循证评估与长效激励转型的系统化发展路径, 通过强化顶层设计、标准化管理与机制创新, 推动该模式从碎片化项目向老年友好型社会生态升级。
英文摘要:
      Objective This study employs a scoping review to systematically analyze the core elements, implementation forms, and outcomes of intergenerational mutual aid models.It establishes a theoretical framework to inform strategies for active aging and an age-friendly society. Methods Relevant literature on intergenerational mutual-aid elderly care was retrieved from nine Chinese and international databases published up to July 30, 2025.Two researchers independently screened the literature, extracted data, and conducted the analysis. Results A total of 38 articles were included, spanning 12 countries such as China, Australia, and the USA.The review comprises 12 quantitative, 12 qualitative, and 14 mixed-methods studies.Key participants in the intergenerational mutual aid model include older adults, youth/children, and professionals.The model fosters reciprocal empowerment through skills transmission, health promotion, companionship, and daily support, facilitated by 'university-community-institution'collaboration.Implementation is characterized by modularity, scenario-based adaptability, and collaborative networking.Crucially, the model effectively improves older adults' mental health, social engagement, and vitality, while enhancing younger participants' positive attitudes toward aging, social responsibility, and professional identity. Conclusion This study constructs a systematic theoretical framework featuring'Participants-Content-Operation', revealing the operational logic of intergenerational mutual aid from micro-level resource reciprocity to macro-level ecological reconstruction.Accordingly, we propose a systematic transition toward institutional embedding, evidence-based evaluation, and long-term incentives.By strengthening top-level design, standardized management, and mechanism innovation, this strategy aims to evolve the model from fragmented projects into an age-friendly social ecosystem.
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