This report first analyzes the characteristics of Shanghai’s aging population and aging population at different stages of development，as well as the relationship between aging population and the implementation of long-term care insurance in terms of time fit，quantity supply and demand，and puts forward a preliminary judgment of “window period，release period，high pressure period and urgent shortage period”.Secondly，it summarizes the research process and the pilot process of the long-term care insurance system in the past 30 years，and focuses on the analysis of the “blowout” phenomenon and the accompanying new problems in the construction of nursing staff in recent years.Finally，in view of the coming high-pressure period of long-term care insurance from 2025 to 2040，that is，the urgent period of shortage of nursing staff，five operable countermeasures to strengthen the construction of long-term care insurance nursing staff were put forward from the multidimensional perspectives of eliminating vicious competition，expanding order based training，strengthening professional ethics education and professional skills construction，implementing process supervision and cross regional exchange supervision，and giving full play to the advantages of integrated mutual assistance in the Yangtze River Delta.