社会工作与管理 ›› 2026, Vol. 26 ›› Issue (5): 48-59.

• 社会工作 • 上一篇    下一篇

智慧居家训练对城市空巢老人认知能力促进的干预研究

黄东楷, 朱媛媛   

  1. 广东工业大学法学院,广东 广州,510520
  • 收稿日期:2025-11-01 出版日期:2026-09-15 发布日期:2026-09-15
  • 通讯作者: 朱媛媛(1983— ),女,汉族,副教授,博士;主要研究方向:基层治理,数字社会工作等;Email:52363003@qq.com。
  • 作者简介:黄东楷(2000— ),男,汉族,助理社工师,硕士;主要研究方向:老年社会工作等。
  • 基金资助:
    国家社会科学基金一般项目“社会工作介入城市社区智能居家照护的循证实践研究”(22BSH159)。

An Intervention Study on Smart Home-Based Training for Enhancing Cognitive Abilities Among Urban Empty-Nest Seniors

HUANG Dongkai, ZHU Yuanyuan   

  1. School of Law, Guangdong University of Technology, Guangzhou, Guangdong, 510520, China
  • Received:2025-11-01 Online:2026-09-15 Published:2026-09-15

摘要: 城市空巢老人是构建老年友好型社会进程中值得高度关注的群体,其生命质量直接影响社会和谐与民众福祉。研究表明,数字鸿沟、认知退化等因素使该群体在享受智慧居家设备带来便利的同时,也面临诸多挑战。为此,文章构建并实施了一项以智慧居家训练为核心、整合了社会工作专业支持与小组工作的综合干预方案。通过准试验设计评估该方案对提升城市空巢老人认知能力的具体成效。结果显示,干预组老年人的认知功能得到显著改善。后续维持阶段的评估进一步表明,小组工作有助于巩固干预效果,且表现出持续的协同作用。因此,融合科技赋能与人文关怀的服务模式对改善空巢老人认知状况具有可行性。

关键词: 空巢老人, 认知干预, 智慧居家训练, 小组工作

Abstract: Urban empty-nest older adults constitute a high-priority demographic in the development of an age-friendly society, as their quality of life directly affects social harmony and public well-being. Existing studies have indicated that, although these individuals have benefited from the convenience brought by smart home devices, they face persistent practical challenges resulting from the digital divide and cognitive decline. Accordingly, this study has developed and implemented an integrated intervention program centered on smart home-based training, supplemented by social work support and group work. A quasi-experimental design is adopted to evaluate the specific effectiveness of this program in enhancing the cognitive abilities of urban empty-nest seniors. The results show that older adults in the intervention group have exhibited statistically significant improvements in cognitive function; follow-up assessments during the maintenance phase further demonstrate that group work can help consolidate intervention outcomes and exert sustained synergistic effects. These findings confirm that the service model integrating technological empowerment and humanistic care is feasible for improving the cognitive status of empty-nest seniors, thereby providing an evidence-based practical foundation for establishing a community-level cognitive health support system.

Key words: empty-nest seniors, cognitive intervention, smart home-based training, group work

中图分类号: 

  • C916
[1] 国家统计局: 60岁及以上人口比重达18.7% 老龄化进程明显加快[EB/OL]. (2021-05-11). http://m.people.cn/n4/2021/0511/c125-14986306.html.
[2] 国家统计局.第六次全国人口普查主要数据发布[EB/OL].[2011-04-28]. https://www.stats.gov.cn/sj/zxfb/202303/t20230301_1919256.html.
[3] 数据看我国人口结构变化 人口质量改善速度加快[EB/OL]. (2024-09-11). https://news.cctv.com/2024/09/11/ARTI0oafwSj1N0WrSIE5HG0q240911.shtml.
[4] 人民来论: “空巢老人”怎么办?[EB/OL]. (2022-03-16). http://opinion.people.com.cn/n1/2022/0316/c431649-32375974.html.
[5] 中国老龄协会. 第五次中国城乡老年人生活状况抽样调查基本数据公报 [EB/OL]. (2024-10-17). https://www.cncaprc.gov.cn/u/cms/www/202410/171437578sfk.pdf.
[6] 国务院发展研究中心. 王伟进: 加快发展智慧养老 掘金银发经济新赛道[EB/OL]. [2025-03-17]. https://www.drc.gov.cn/DocView.aspx?chnid=379&leafid=1338&docid=2908318.
[7] 中国红十字会. “窗”含夕阳 “帘”动服务[EB/OL]. (2025-05-10). https://www.redcross.org.cn/html/2025-05/107008.html.
[8] 上海市民政局. 江苏路街道“一网统管”助力为老服务, 大力推进智慧养老[EB/OL]. (2020-06-28). https://mzj.sh.gov.cn/2020bsmz/20200628/1523b326b7f0410198e53cfe5d44e052.html.
[9] 机器狗帮忙送餐、智能门磁监测异常情况——科技助力智慧养老[EB/OL]. (2025-03-21). https://www.workercn.cn/c/2025-03-21/8483990.shtml.
[10] 国家卫生健康委办公厅关于开展老年痴呆防治促进行动(2023—2025年)的通知[EB/OL]. [2026-05-26] https://www.gov.cn/zhengce/zhengceku/202306/content_6886277.htm.
[11] 李曼璐, 郝淑梦. 国内空巢老人健康状况研究进展[J]. 中国老年保健医学, 2023(5): 103-106
[12] Salzman T, Sarquis-Adamson Y, Son S, et al. Associations of multidomain interventions with improvements in cognition in mild cognitive impairment: a systematic review and meta-analysis[J]. The journal of the American medical association network open, 2022, 5(5): e226744
[13] Kamnardsiri T, Phirom K, Boripuntakul S, et al. An interactive physical-cognitive game-based training system using kinect for older adults: development and usability study[J]. Journal of medical internet research serious games, 2021, 9(4): e27848
[14] 杨斌, 金栋昌. 老年数字鸿沟: 表现形式、动因探寻及弥合路径[J]. 中州学刊, 2021(12): 74-80
[15] 黄婷, 于恩洋. 从“老适技术”到“技术适老”: 适老化视域下代际数字鸿沟的纾解之道[J]. 图书馆, 2024(10): 43-51
[16] 胡艳群, 李斌, 王蛟颜, 等. 短期虚拟现实康复训练联合认知干预对老年脑卒中偏瘫患者运动功能、Lovett肌力分级及生存质量的影响分析[J]. 中国医学前沿杂志(电子版), 2018(8): 97-101
[17] Karim M, Venkatachalam J. A randomized pilot study of a cognitive intervention for the elderly with mild cognitive impairment[J]. The electrochemical society transactions, 2022, 107(1): 8383-8393
[18] Park J H, Liao Y, Kim D R, et al. Feasibility and tolerability of a culture-based virtual reality (VR) training program in patients with mild cognitive impairment: a randomized controlled pilot study[J]. International journal of environmental research and public health, 2020, 17(9): 3030
[19] Zhong D, Chen L, Feng Y, et al. Effects of virtual reality cognitive training in individuals with mild cognitive impairment: a systematic review and meta-analysis[J]. International journal of geriatric psychiatry, 2021, 36(12): 1829-1847
[20] Zhang L, Guo J, Zhang J, et al. Interactive cognitive motor training: a promising approach for sustainable improvement of balance in older adults[J]. Sustainability, 2023, 15(18): 13407
[21] Chan P T, Chang W C, Chiu H L, et al. Effect of interactive cognitive-motor training on eye-hand coordination and cognitive function in older adults[J]. BioMed Central geriatrics, 2019, 19(1): 27.
[22] 孟九菊, 徐小丹, 张华, 等. 虚拟情景互动训练对老年人跌倒风险的干预效果研究[J]. 中国康复, 2020(1): 43-46
[23] Yow W Q, Ang C S, Li X. Effectiveness of dual-language cognitive intervention in cognitive healthy and dementia bilingual older adults[J]. Innovation in aging, 2024, 8(Supplement_1): 1123-1124
[24] Riasmini N M, Sabri R, Khatimah H, et al. Improving cognitive function of the elderly through Tai Chi exercise program and cognitive stimulation[J]. Jurnal keperawatan, 2024, 9(1): 116-129.
[25] Gallou-guyot M, Mandigout S, Prado S A, et al. Exergame and cognitive-motor dual-task training in the healthy elderly (INCOME): a study protocol[J]. European rehabilitation journal, 2022, 2(1): 1-10
[26] Ro D, Lee J, Lee G, Shin S, et al. Effect of interactive multitouch game-based cognitive intervention on cognitive function in older adults: a randomized controlled trial[J]. Digital health, 2023, 9: 20552076231176648. DOI: 10.1177/20552076231176648.
[27] Zhao R, Li Z. Research on social work service intervention in the social communication needs of urban empty nest elderly: a case study of community a in kunming[J]. Yixin publisher, 2023, 1(1): 223-233
[28] Zhang C, Xue Y, Cai Y, Lu J, et al. Efficacy of the self-mutual-group model targeting quality of life improvement among empty-nest elderly: an intervention study[J]. BioMed Central geriatrics, 2021, 21(1): 209
[29] Zhang C, Zhao H, Zhu R, Lu J, et al. Improvement of social support in empty-nest elderly: results from an intervention study based on the self-mutual-group model[J]. Journal of public health, 2018, 41(4): 830-839
[30] 苏珂, 李付星, 李月恩. 农村空巢老人的情感诉求及抚慰策略[J]. 西北农林科技大学学报(社会科学版), 2018(5): 79-85
[31] 殷文, 耿慧. 人生回顾结合音乐疗法对机构失能老年人抑郁症状的影响[J]. 中国老年学杂志, 2017(23): 5939-5940
[32] 周爱华, 廖绪. 叙事疗法在老年社会工作的应用——以香港慢性病患老年人为例[J]. 社会工作, 2019(3): 41-52,110
[33] 孙丽, 包先康. 随迁老人城市适应状况及社会工作介入研究——以“城市性”兴起为背景[J]. 广西社会科学, 2019(7): 67-72
[34] 何芸, 卫小将. 着力强化农村五保老人社会支持网络——基于社会工作的分析视角[J]. 理论探索, 2012(4): 86-90
[35] 孙唐水, 潘金洪, 周长青. 农村留守老人困境的社会工作干预实验——基于安徽省X县G乡S自然村的实证研究[J]. 南京人口管理干部学院学报, 2011(3): 10-14,47
[36] Guo J H, Yang Y, Lin L X, et al. Prevalence and factors influencing disability and cognitive impairment among empty nesters and non-empty nesters in Guangdong, China: a cross-sectional study[J]. Frontiers in Public Health, 2025, 13: 1545497. DOI:10.3389/fpubh.2025.1545497
[37] 胡月琴, 王兰爽. 北京地区社区空巢老人社会交往与认知能力的关系[J]. 中国老年学杂志, 2020(4): 884-887
[38] 姜兆权, 周诗雪, 黄米娜, 等. 农村空巢老人居家不出、抑郁情绪与认知功能之间的关系研究[J]. 护士进修杂志, 2024(3): 313-316
[39] 李湘君, 王中华. 社会关系类型与空巢老人认知功能的关系研究[J]. 现代预防医学, 2023(5): 848-853
[40] 鲁丰华, 曾慧, 姬书瑶. 空巢老年人的孤独感与认知功能的研究进展[J]. 解放军护理杂志, 2015(13): 36-38
[41] Kim D R, Lai T F, Sung M J, et al. Effect of information and communication technology-based smart care services for physical and cognitive functions in older adults living alone: a quasi-experimental study[J]. J Nutr health aging, 2024, 28(8): 100318. DOI:10.1016/j.jnha.2024.100318.
[42] 贺美玲, 隆春玲, 郭志华, 等. 小组心理干预对空巢老年人焦虑抑郁情绪的影响[J]. 中华护理杂志, 2013, 48(5): 450-452
[43] Khalilzadeh J, Tasci A D A. Large sample size, significance level, and the effect size: solutions to perils of using big data for academic research[J]. Tourism management, 2017, 62: 89-96
[44] Lantz B. The large sample size fallacy[J]. Scandinavian journal of caring sciences, 2012, 27(2): 487-492
[45] Volovici V, Brody D L. Sample size, replicability, and pre-test likelihoods: essential, overlooked, and critical components of statistical inference: a journal of neurotrauma guide to statistical methods and study design[J]. Journal of neurotrauma, 2023, 40(19-20): 1990-1994
[46] Garg M, Dhull H, Kalluri N, et al. Understanding sample size determination in research: a practical guide[J]. Educational administration: theory and practice, 2024, 30(5): 13800-13810
[47] Lapanowski A F, Gaynanova I. Compressing large sample data for discriminant analysis[C]//2021 IEEE international conference on big data (big data). Piscataway: IEEE, 2021: 1068-1076.
[48] Krasny-Pacini A, Evans J. Single-case experimental designs to assess intervention effectiveness in rehabilitation: a practical guide[J]. Annals of physical and rehabilitation medicine, 2018, 61(3): 164-179
[49] Wiley R W, Rapp B. Statistical analysis in small-n designs: using linear mixed-effects modeling for evaluating intervention effectiveness[J]. Aphasiology, 2018, 33(1): 1-30
[50] Gao Y, Zhong Z H, Lu M Y, et al. Statistical design and application of clinical trials with small sample sizes for rare diseases[J]. Chinese journal of epidemiology, 2024, 45(12): 1700-1704
[51] Nasreddine Z S, Phillips N A, Bédirian V, et al. The montreal cognitive assessment, moca: a brief screening tool for mild cognitive impairment[J]. Journal of the American geriatrics society, 2005, 53(4): 695-699
[52] 李晓松. 卫生统计学. 8版[M]. 北京: 人民卫生出版社, 2017: 148-151, 205, 214.
[53] Bandura A. Social foundations of thought and action: a social cognitive theory[M]. Englewood Cliffs: Prentice-Hall, 1986: 25-30.
[54] Jung J, Ryu H C, Lee S. Enhancing cognitive and physical performance in older adults through wearable sensor-based interactive cognitive-motor training: a randomized clinical trial[J]. Scientific reports, 2025, 15(1): 18604. DOI: 10.1038/s41598-025-03725-x
[55] Lee L P, Har A W Y, Ngai C H, et al. Audiovisual integrative training for augmenting cognitive-motor functions in older adults with mild cognitive impairment[J]. BioMed Central geriatrics, 2020, 20(1): 64. DOI: 10.1186/s12877-020-1465-8
[56] Yahya Q N Q, Purwaningsih P, Makhfudli M. Influence of cognitive stimulation group activity memory game therapy on elderly cognitive function: quasi-experimental[J]. Jurnal ners, 2020, 14(3): 242-246
[57] Hall C B, Lipton R B, Sliwinski M, et al. Cognitive activities delay onset of memory decline in persons who develop dementia[J]. Neurology, 2009, 73(5): 356-361
[58] Tesky V A, Thiel C, Banzer W, et al. Effects of a group program to increase cognitive performance through cognitively stimulating leisure activities in healthy older subjects[J]. GeroPsych, 2011, 24(2): 83-92
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