家庭的韧性:城镇化下的认知症照护负担及家庭应对策略  

Resilience of Family:Dementia Caregiving Burden and Families’Coping Strategies in the Context of Urbanization

作　　者：杨帆[1] Yang Fan

机构地区：[1]上海交通大学国际与公共事务学院,上海200030

出　　处：《浙江学刊》2025年第2期74-83,240,共11页Zhejiang Academic Journal

基　　金：国家自然科学基金面上项目“认知症老人非正式照护成本的评估及干预机制研究”(72174118)阶段性成果。

摘　　要：本文在城镇化背景下,分析认知症老人的家庭照护负担以及不同家庭应对策略的生成机制。作者借助三年间在四川省X区收集的访谈数据,试图基于家庭韧性理论去分析社会变迁环境中家庭的照护行为和照护能力边界。研究发现,城镇化下家庭价值观和家庭所经历的就业机会、居住安排、社会养老服务供给等方面的变化,会与他们所承担的认知症照护负担一起触发家庭的保护机制和脆弱因素,进而形塑家庭的适应能力,并最终影响家庭对认知症照护负担的应对策略。从韧性视角探索家庭应对长期照护压力时的策略有助于理解城镇化对家庭照护劳动分配和照护资源可持续性的影响,为构建以人为本的城镇化,以及在城镇化中形成良性互动的社会与家庭养老体系提供政策启示。In the context of urbanization,this study analyzes the dementia caregiving burden and different coping strategies adopted by families.Utilizing in-depth interview data collected in X District of Sichuan Province between 2019and 2021,the study explores family’s caregiving behaviors and capabilities in the context of social transformation from the perspective of family resilience.It is found that the changes in family values,occupation,residence,and access to social care services that happened in urbanization,would activate the family protective and vulnerable factors,together with the dementia caregiving burden.In turn,family adaptation would be reshaped,which finally leads to the variation of family’s coping strategies to dementia caregiving burden.Analyzing long-term care strain from the perspective of family resilience could help to understand the influences of urbanization on labor division and sustainability of care resources within family.This study could provide policy implications for building aperson-centered urbanization and shaping constructive interactions between family and social long-term care system.

关 键 词：城镇化 认知症 养老 家庭照护负担 家庭韧性 应对策略 

分 类 号：C913.6[经济管理]