人口老龄化不断加剧，有关老年人群体的话题不仅受到全社会的关注，也在学术界引起重视。在对老年群体的研究中，独居老人和住院老人的身心状况均有所涉及，但是对机构照护下的老年人群体却鲜有研究。老年人的健康问题和焦虑情绪都有相应的医学、心理学等领域的量化和质性研究，但是关于健康的焦虑情绪却被忽略。随着全社会老年人照护压力的加重，选择机构照护的老年人数量逐年攀升，机构养老的品质关乎着养老的整体水平。其中，老年人的健康焦虑对老年人的身心健康发展产生影响，甚至不利于我国养老事业的高质量发展。因此，探讨机构照护下老年人健康焦虑缓解的社会工作实务成效，具有现实和理论意义。本文基于笔者在专业实习三个月的时间内发现的老年人健康焦虑问题，以及设计、开展并总结的小组工作实务，以北京 R 养老机构老年人为研究对象，聚焦健康焦虑情绪的缓解问题，运用参与式观察法、半结构访谈法收集资料，设计缓解健康焦虑的小组介入方案，开展了 7 次小组活动进行实务干预。小组结束 后展开评估，并针对研究过程进行反思。本文重点探究以下三个问题：机构照护下老年人健康焦虑的表现；分析机构照护下老年人健康焦虑的成因；呈现小组工作介入机构照护老年人健康焦虑缓解的实务过程及探究其是否有效。R 养老机构老年人健康焦虑表现及原因在四个方面：生理上，慢性疾病带来恐惧；心理上，过度关注健康引发紧张情绪；环境上，角色转变引发心理不适；交往上，社会支持网络薄弱。通过小组工作过程分析和测量证明，小组工作的实务介入在缓解机构照护下老年人的健康焦虑情绪上是有效的。研究也发现小组活动开展结束后，实习社工的角色对老人的跟踪有限，难以达到效果的持续性。重视机构照护下的老年人群体，了解他们的现实需求，开展合理有效的老年社会工作实务，不仅有助于提升机构照护下老年人的生活满意度和幸福感，还能有效助力我国积极老龄化，为我国养老事业的高质量发展贡献力量。

With the in-depth development of the ageing of the population, the relevant topics related to the elderly group have attracted the attention of the whole society and have also attracted widespread attention in the academic community. In the study of the elderly group, the physical and mental conditions of the elderly living alone and the hospitalised elderly are involved, but few studies have been studied on the elderly under institutional care. The health problems and anxiety of the elderly have corresponding quantitative and qualitative research in medicine, psychology and other fields, but the anxiety about health is ignored. In fact, with the increasing pressure on elderly care in the whole society, the number of elderly people choosing institutional care is increasing year by year, and the quality of institutional care directly affects the quality of old-age care. Among them, the health anxiety of the elderly has an impact on the physical and mental health development of the elderly, and is even not conducive to the high-quality development of China's elderly care. Therefore, it is of practical and theoretical significance to deeply discuss the practical results of social work to relieve the health and anxiety of the elderly under institutional care. This article is based on the group work practice designed, carried out and summarised by the author within three months of professional internship. Taking the elderly in Beijing R pension institutions as the research object, focussing on the relief of health anxiety, using the participatory observation method and semi-structured interview method to collect data, and designing a group intervention plan to relieve health anxiety, carry out 7 group activities for practical intervention, carry out evaluation after the group, and reflect on the research process.This study focusses on the following three issues: first, the performance of health anxiety of the elderly under institutional care; second, analysis of the causes of health anxiety of the elderly under institutional care; third, the practical process and effectiveness of group work intervention institutions to care for the elderly health anxiety. The performance and causes of health anxiety of the elderly in R pension institutions are in four aspects: physiologically, chronic diseases bring fear; psychologically, excessive attention to health leads to tension; in the environment, role change leads to psychological discomfort; in terms of communication, the social support network is weak. Through the analysis and measurement of the group work process, it is proved that the practical intervention of the group work is effective in alleviating the health and anxiety of the elderly under institutional care. The study also found that after the group activities were carried out, the role of internship social workers had limited tracking of the elderly, and it was difficult to achieve the sustainability of the effect. Paying attention to the elderly groups under institutional care, deeply understanding their actual needs, and carrying out reasonable and effective social work practice for the elderly, can not only help to improve the life satisfaction and happiness of the elderly under institutional care, but also effectively promote the positive role of social work in helping China's active ageing process, for China The high-quality development of the cause of old-age care contributes.