复归于婴儿:古典童心思想在阿尔茨海默病照护中的伦理意蕴OA
Returning to infancy:the ethical implications of classical childlike thought in Alzheimer's disease care
西方消极的"第二童年"论引发了将阿尔茨海默病老年患者幼稚化的医学伦理问题.与之相反,中国古典童心思想是一种积极朴素的整体生命历程思想,蕴含着看似柔弱、实则刚毅;返璞归真、天赋自然;纯一无伪、感真情挚;乐嬉游而惮拘检四大核心内涵.汲取中国古典童心思想精华,以古鉴今,充分挖掘其在当代阿尔茨海默病照护中的伦理意蕴,有助于克服病耻感,在全社会树立积极的生命伦理价值观;有助于照护者调整心态,优化护理伦理;有助于构建回归自然的照护方式,提升患者的身心健康水平;有助于创建以游戏为导向的康复环境,帮助患者重拾快乐;有助于推进医患情感交流,探索情感疗愈的新方法.古典童心思想为建设中国阿尔茨海默病友好社会提供一条崭新的思路,也为全球阿尔茨海默病的护理和治疗工作提供中国智慧和中国方案.
The negative"second childhood"theory in the West has raised the medical ethical issues of infantilizing elderly patients with Alzheimer's disease.In contrast,Chinese classical childlike thought represents a positive and simple idea of the overall life course,which contains four core connotations,including seemingly weak yet resilient,returning to simplicity and being gifted with nature,purity without hypocrisy and sincere feelings,and enjoying playfulness while hating restraint.Drawing on the essence of Chinese classical childlike thought,learning from the past to guide the present,and fully exploring its ethical implications in contemporary Alzheimer's disease care,can help overcome the stigma of the disease and establish a positive bioethics value in the whole society;help caregivers adjust their mindsets and optimize nursing ethics;help build a care approach that returns to nature and enhance patients'physical and mental health;help create a game-oriented rehabilitation environment to help patients regain their happiness;and help promote emotional communication between doctors and patients and explore new methods of emotional healing.The classical childlike thought provides a novel approach to building a friendly society for Alzheimer's disease in China and offers Chinese wisdom and solutions for the global care and treatment of Alzheimer's disease.
吴静;杨洁
青岛科技大学传媒学院,山东 青岛 266061西蒙菲莎大学人文与社会学院,温哥华 V5A1S6
医药卫生
阿尔茨海默病古典童心思想生命伦理护理伦理
Alzheimer's diseaseclassical childlike thoughtbioethicsnursing ethics
《中国医学伦理学》 2026 (3)
328-335,8
中国国家留学基金委中加学者项目"技术、记忆与疾病—加拿大阿尔茨海默病数字包容路径研究"(202308370327)加拿大国家人文社科项目"Learning from Chinese classics:Indigenous psychology and psychological care for China and the World"(2022-2025)教育部人文社科规划基金项目"基于人工智能的老年媒介契约失灵信息成因及检测研究"(20YJAZH103)
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