Abstract: As the number of elderly parents bereaved of their only child is increasing，the integrated medical and nursing care for them has achieved growing concern of institutions or individuals involved in elderly care.We systematically reviewed the recent developments in the delivery of care for elderly bereaved parents，concluded that the current support services can not address their economic，mental，elderly care，healthcare，and social performance problems，and put forward the following suggestions：strengthen the government accountability；boost multidisciplinary involvement（including non-governmental organizations）；enrich the support services；increase public subsidies；intensify community-based services；establish psychological assessment and support system；improve the working style of relevant workers by referring to social work methods.Moreover，we found that most of the previous studies are theoretical studies with some limitations，and quantitative studies of the needs of such a population are rare，so we recommended qualitative combined with quantitative methods for further studies.In addition，development of a systematic，comprehensive and specific delivery pattern for integrated medical and nursing care with the theories of active aging and from a developmental perspective is a recommended theme by us for future researches.

Key words: Families bereaved of their only child, Integrated medical and nursing care, Social work, Aged, Research status

摘要： 近年来我国的失独家庭数量逐渐增加，失独家庭医养结合问题日益得到相关领域的关注。本文旨在对国内外相关研究进行系统综述，以明确其研究进展。失独家庭在经济、精神、养老、医疗、社交等方面存在困境，但现有帮扶措施尚不能满足其服务需求；针对失独家庭的养老问题，可以从强化政府责任、非政府组织（NGO）等多元主体参与、服务内容多元化、加大经济补偿、强化社区养老服务、建立精神慰藉和心理帮扶机制、借鉴社会工作方法等方面加以完善。但既往研究多集中在理论层面，且缺乏针对服务需求的定量研究，具有一定局限性。因此，进一步的研究应采用定性与定量相结合的方法，在积极老龄化和发展性养老的理念下，构建系统、全面、清晰的失独家庭医养结合运行模式。

关键词: 失独家庭, 医养结合, 社会工作, 老年人, 研究现状