积极老龄化背景下实施叙事遗嘱的SWOT分析及伦理考量  

Strengths,weaknesses,opportunities,and threats analysis and ethical considerations of implementing narrative wills in the context of active aging

作　　者：程丽楠 姚水洪[2] 李惠玲[3] 陈茜[4] 张凤英[4] CHENG Li’nan;YAO Shuihong;LI Huiling;CHEN Qian;ZHANG Fengying(School of Nursing,Wenzhou Medical University,Wenzhou 325000,China;Quzhou College of Technology,Quzhou 324000,China;School of Nursing,Soochow University,Suzhou 215006,China;West China Hospital of School of Nursing/West China Hospital,Sichuan University,Chengdu 610000,China)

机构地区：[1]温州医科大学护理学院,浙江温州325000 [2]衢州职业技术学院,浙江衢州324000 [3]苏州大学护理学院,江苏苏州215006 [4]四川大学华西医院/华西护理学院,四川成都610000

出　　处：《中国医学伦理学》2024年第11期1308-1315,共8页Chinese Medical Ethics

基　　金：四川省科普培训项目(科技培训类)“‘智慧康养’背景下基于健康决策管理云平台的老年人生命教育科普培训”(24KJPX0155)。

摘　　要：目的探讨积极老龄化背景下实施叙事遗嘱的必要性,为中国积极应对老龄化战略提供参考。方法运用SWOT分析法,剖析中国在积极老龄化背景下实施叙事遗嘱的内部优势、劣势、外部机会及威胁。结果积极老龄化背景下中国实施叙事遗嘱的优势:丰富的叙事资源、多样化的叙事方式、人文关怀的回归。劣势:相关概念界定不明、叙事遗嘱实施程序未标准化、叙事遗嘱实施团队尚未建立。机遇:需求支持、战略导向、数字时代。威胁:个人隐私保护、医疗资源匮乏、叙事研究不足。结论积极老龄化背景下实施叙事遗嘱优劣势共存,只有加强叙事遗嘱教育和宣传,增加组织保障和支持力度,加强叙事遗嘱相关研究,强化隐私保护机制,才能实现人文关怀的真正落地。Objective:To explore the necessity of implementing narrative wills in the context of active aging,and to provide a reference for China’s active response to aging strategies.Methods:Employing strengths,weaknesses,opportunities,and threats(SWOT)analysis,this paper analyzes the internal strengths and weaknesses,and external opportunities and threats of implementing narrative wills in the context of active aging in China.Results:The advantages of implementing narrative wills in the context of active aging in China include abundant narrative resources,diverse narrative methods,and a return to humanistic care.The disadvantages include unclear conceptual definitions of relevant concepts,non-standardized implementation procedures for narrative wills,and the absence of an established implementation team for narrative wills.Opportunities include demand support,strategic orientation,digital age.Threats include personal privacy protection,lack of medical resources,and insufficient narrative research.Conclusion:In the context of active aging,the implementation of narrative wills has both advantages and disadvantages.The humanistic care can be truly achieved,only by strengthening the education and publicity of narrative wills,increasing organizational guarantees and intensity of support,strengthening relevant research on narrative wills,and enhancing privacy protection mechanisms.

关 键 词：积极老龄化 叙事遗嘱 老年人 SWOT分析 

分 类 号：R-05[医药卫生]