目的 探讨影响社区老年人利用中医药老年健康服务的相关因素，为推动中医药老年健康服务的发展提供依据。方法 采用描述性质性研究，于2024年2—4月选取20名老年人进行半结构化深度访谈。基于整合式健康服务领域研究成果应用行动促进框架(promoting action on research implementation in health services integrated framework,i-PARIHS)，运用定向内容分析法进行资料分析。结果 共提炼出4个主题及11个亚主题，包括变革（疗效、安全）、接受者（老年人中医药健康素养、老年人家庭支持、从业人员专业技能）、环境（社区现场环境、监管环境、政策环境）、促进（信任关系建立、标准化指导、外部资源链接）。结论 社区老年人中医药健康养老服务受到多重因素的影响，应基于i-PARIHS的4个核心要素进行深入优化。

Objective To explore the factors influencing the utilization of Traditional Chinese Medicine(TCM) health services for older adults among community-dwelling older adults,so as to provide a basis for promoting the development of these services.Methods A descriptive qualitative study was conducted from February to April 2024.20 older adults were recruited and participated in semi-structured,in-depth interviews.Data analysis was performed using directed content analysis guided by the Integrated Promoting Action on Research Implementation in Health Services framework(i-PARIHS).Results 4 main themes and 11 subthemes were identified,including innovation(efficiency,safety),recipient(older adults’ health literacy,family support,professional competency of practitioners),context(community marital resource,social dissemination,service price,commercialization boundaries),and facilitation((establishing trust,standardized guidance,external resource linkage).Conclusions Multiple factors influence the utilization of TCM health services for community-dwelling older adults.Optimization strategies should be developed based on the four core elements of the i-PARIHS framework.

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国家自然科学基金项目（82405604）；江苏省社会发展面上项目（BE2022802）；江苏省研究生实践创新计划（SJCX24_0819）