diff --git a/apps/web/src/App.tsx b/apps/web/src/App.tsx
index 7367c6f..7262bba 100644
--- a/apps/web/src/App.tsx
+++ b/apps/web/src/App.tsx
@@ -55,6 +55,8 @@ const ActionInbox = lazy(() => import('./pages/health/ActionInbox'));
 const FollowUpTemplateList = lazy(() => import('./pages/health/FollowUpTemplateList'));
 const CarePlanList = lazy(() => import('./pages/health/CarePlanList'));
 const CarePlanDetail = lazy(() => import('./pages/health/CarePlanDetail'));
+const ShiftList = lazy(() => import('./pages/health/ShiftList'));
+const ShiftDetail = lazy(() => import('./pages/health/ShiftDetail'));
 
 // 内容管理
 const ArticleManageList = lazy(() => import('./pages/health/ArticleManageList'));
@@ -275,6 +277,8 @@ export default function App() {
                       <Route path="/health/follow-up-templates" element={<FollowUpTemplateList />} />
                       <Route path="/health/care-plans" element={<CarePlanList />} />
                       <Route path="/health/care-plans/:id" element={<CarePlanDetail />} />
+                      <Route path="/health/shifts" element={<ShiftList />} />
+                      <Route path="/health/shifts/:id" element={<ShiftDetail />} />
                       {/* 内容管理 */}
                       <Route path="/health/articles" element={<ArticleManageList />} />
                       <Route path="/health/articles/new" element={<ArticleEditor />} />
diff --git a/apps/web/src/api/health/shifts.ts b/apps/web/src/api/health/shifts.ts
new file mode 100644
index 0000000..05f2fbe
--- /dev/null
+++ b/apps/web/src/api/health/shifts.ts
@@ -0,0 +1,247 @@
+import client from '../client';
+import type { PaginatedResponse } from '../types';
+
+// --- Types ---
+
+export interface Shift {
+  id: string;
+  tenant_id: string;
+  shift_date: string;
+  period: string;
+  nurse_id?: string;
+  status: string;
+  notes?: string;
+  created_at: string;
+  updated_at: string;
+  version: number;
+  patient_count?: number;
+  critical_count?: number;
+  attention_count?: number;
+}
+
+export interface PatientAssignment {
+  id: string;
+  tenant_id: string;
+  shift_id: string;
+  patient_id: string;
+  care_level: string;
+  notes?: string;
+  created_at: string;
+  updated_at: string;
+  version: number;
+  patient_name?: string;
+}
+
+export interface HandoffLog {
+  id: string;
+  tenant_id: string;
+  from_shift_id: string;
+  to_shift_id: string;
+  patient_id: string;
+  notes?: string;
+  pending_items?: Record<string, unknown>;
+  created_at: string;
+  updated_at: string;
+  version: number;
+  patient_name?: string;
+}
+
+export interface CreateShiftReq {
+  shift_date: string;
+  period: string;
+  nurse_id?: string;
+  notes?: string;
+}
+
+export interface UpdateShiftReq {
+  shift_date?: string;
+  period?: string;
+  nurse_id?: string;
+  status?: string;
+  notes?: string;
+}
+
+export interface ListShiftsParams {
+  page?: number;
+  page_size?: number;
+  shift_date?: string;
+  period?: string;
+  nurse_id?: string;
+  status?: string;
+}
+
+export interface CreatePatientAssignmentReq {
+  patient_id: string;
+  care_level?: string;
+  notes?: string;
+}
+
+export interface BatchAssignReq {
+  patient_ids: string[];
+  care_level?: string;
+}
+
+export interface UpdatePatientAssignmentReq {
+  care_level?: string;
+  notes?: string;
+}
+
+export interface CreateHandoffReq {
+  from_shift_id: string;
+  to_shift_id: string;
+  patient_id: string;
+  notes?: string;
+  pending_items?: Record<string, unknown>;
+}
+
+export interface ListHandoffParams {
+  page?: number;
+  page_size?: number;
+  from_shift_id?: string;
+  to_shift_id?: string;
+}
+
+// --- Constants ---
+
+export const PERIOD_OPTIONS = [
+  { label: '上午班', value: 'morning' },
+  { label: '下午班', value: 'afternoon' },
+  { label: '晚班', value: 'evening' },
+  { label: '夜班', value: 'night' },
+];
+
+export const SHIFT_STATUS_OPTIONS = [
+  { label: '待开始', value: 'scheduled' },
+  { label: '进行中', value: 'in_progress' },
+  { label: '已完成', value: 'completed' },
+  { label: '已取消', value: 'cancelled' },
+];
+
+export const CARE_LEVEL_OPTIONS = [
+  { label: '稳定', value: 'stable' },
+  { label: '需关注', value: 'attention' },
+  { label: '危重', value: 'critical' },
+];
+
+export const PERIOD_LABEL: Record<string, string> = Object.fromEntries(
+  PERIOD_OPTIONS.map((o) => [o.value, o.label]),
+);
+
+export const SHIFT_STATUS_LABEL: Record<string, string> = Object.fromEntries(
+  SHIFT_STATUS_OPTIONS.map((o) => [o.value, o.label]),
+);
+
+export const SHIFT_STATUS_COLOR: Record<string, string> = {
+  scheduled: 'default',
+  in_progress: 'processing',
+  completed: 'success',
+  cancelled: 'error',
+};
+
+export const CARE_LEVEL_LABEL: Record<string, string> = Object.fromEntries(
+  CARE_LEVEL_OPTIONS.map((o) => [o.value, o.label]),
+);
+
+export const CARE_LEVEL_COLOR: Record<string, string> = {
+  stable: 'green',
+  attention: 'orange',
+  critical: 'red',
+};
+
+// --- API ---
+
+export const shiftApi = {
+  // --- Shifts ---
+
+  list: async (params: ListShiftsParams) => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: PaginatedResponse<Shift>;
+    }>('/health/shifts', { params });
+    return data.data;
+  },
+
+  get: async (shiftId: string) => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: Shift;
+    }>(`/health/shifts/${shiftId}`);
+    return data.data;
+  },
+
+  create: async (req: CreateShiftReq) => {
+    const { data } = await client.post<{
+      success: boolean;
+      data: Shift;
+    }>('/health/shifts', req);
+    return data.data;
+  },
+
+  update: async (shiftId: string, req: UpdateShiftReq & { version: number }) => {
+    const { data } = await client.put<{
+      success: boolean;
+      data: Shift;
+    }>(`/health/shifts/${shiftId}`, req);
+    return data.data;
+  },
+
+  delete: async (shiftId: string, version: number) => {
+    await client.delete(`/health/shifts/${shiftId}`, { data: { version } });
+  },
+
+  // --- Assignments ---
+
+  listAssignments: async (shiftId: string, params?: { page?: number; page_size?: number }) => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: PaginatedResponse<PatientAssignment>;
+    }>(`/health/shifts/${shiftId}/assignments`, { params });
+    return data.data;
+  },
+
+  createAssignment: async (shiftId: string, req: CreatePatientAssignmentReq) => {
+    const { data } = await client.post<{
+      success: boolean;
+      data: PatientAssignment;
+    }>(`/health/shifts/${shiftId}/assignments`, req);
+    return data.data;
+  },
+
+  batchAssign: async (shiftId: string, req: BatchAssignReq) => {
+    const { data } = await client.post<{
+      success: boolean;
+      data: PatientAssignment[];
+    }>(`/health/shifts/${shiftId}/assignments/batch`, req);
+    return data.data;
+  },
+
+  updateAssignment: async (shiftId: string, assignmentId: string, req: UpdatePatientAssignmentReq & { version: number }) => {
+    const { data } = await client.put<{
+      success: boolean;
+      data: PatientAssignment;
+    }>(`/health/shifts/${shiftId}/assignments/${assignmentId}`, req);
+    return data.data;
+  },
+
+  deleteAssignment: async (shiftId: string, assignmentId: string, version: number) => {
+    await client.delete(`/health/shifts/${shiftId}/assignments/${assignmentId}`, { data: { version } });
+  },
+
+  // --- Handoff Logs ---
+
+  listHandoffs: async (params?: ListHandoffParams) => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: PaginatedResponse<HandoffLog>;
+    }>('/health/handoff-logs', { params });
+    return data.data;
+  },
+
+  createHandoff: async (req: CreateHandoffReq) => {
+    const { data } = await client.post<{
+      success: boolean;
+      data: HandoffLog;
+    }>('/health/handoff-logs', req);
+    return data.data;
+  },
+};
diff --git a/apps/web/src/layouts/MainLayout.tsx b/apps/web/src/layouts/MainLayout.tsx
index cca3029..e51ef04 100644
--- a/apps/web/src/layouts/MainLayout.tsx
+++ b/apps/web/src/layouts/MainLayout.tsx
@@ -113,6 +113,8 @@ const routeTitleFallback: Record<string, string> = {
   '/health/follow-up-templates': '随访模板管理',
   '/health/care-plans': '护理计划',
   '/health/care-plans/:id': '护理计划详情',
+  '/health/shifts': '班次管理',
+  '/health/shifts/:id': '班次详情',
 };
 
 function getTitleFromMenus(path: string, menus: MenuInfo[]): string | undefined {
diff --git a/apps/web/src/pages/health/ShiftDetail.tsx b/apps/web/src/pages/health/ShiftDetail.tsx
new file mode 100644
index 0000000..d0dda5e
--- /dev/null
+++ b/apps/web/src/pages/health/ShiftDetail.tsx
@@ -0,0 +1,306 @@
+import { useState, useCallback, useEffect } from 'react';
+import {
+  Button, Descriptions, Form, Input, message, Modal, Popconfirm,
+  Result, Select, Space, Spin, Table, Tabs, Tag,
+} from 'antd';
+import type { ColumnsType } from 'antd/es/table';
+import dayjs from 'dayjs';
+import { useParams, useNavigate } from 'react-router-dom';
+
+import {
+  shiftApi,
+  type Shift,
+  type PatientAssignment,
+  type HandoffLog,
+  type CreatePatientAssignmentReq,
+  type CreateHandoffReq,
+  PERIOD_LABEL,
+  SHIFT_STATUS_LABEL,
+  SHIFT_STATUS_COLOR,
+  CARE_LEVEL_OPTIONS,
+  CARE_LEVEL_LABEL,
+  CARE_LEVEL_COLOR,
+} from '../../api/health/shifts';
+import { PageContainer } from '../../components/PageContainer';
+import { usePermission } from '../../hooks/usePermission';
+
+export default function ShiftDetail() {
+  const { id } = useParams<{ id: string }>();
+  const navigate = useNavigate();
+  const { hasPermission } = usePermission('health.shifts.manage');
+
+  const [shift, setShift] = useState<Shift | null>(null);
+  const [loading, setLoading] = useState(true);
+
+  // Assignments
+  const [assignments, setAssignments] = useState<PatientAssignment[]>([]);
+  const [assignLoading, setAssignLoading] = useState(false);
+  const [assignModalOpen, setAssignModalOpen] = useState(false);
+  const [editAssignment, setEditAssignment] = useState<PatientAssignment | null>(null);
+  const [assignForm] = Form.useForm();
+
+  // Handoff logs
+  const [handoffs, setHandoffs] = useState<HandoffLog[]>([]);
+  const [handoffLoading, setHandoffLoading] = useState(false);
+  const [handoffModalOpen, setHandoffModalOpen] = useState(false);
+  const [handoffForm] = Form.useForm();
+
+  const shiftId = id!;
+
+  const fetchShift = useCallback(async () => {
+    setLoading(true);
+    try {
+      const data = await shiftApi.get(shiftId);
+      setShift(data);
+    } catch {
+      message.error('加载班次详情失败');
+    } finally {
+      setLoading(false);
+    }
+  }, [shiftId]);
+
+  const fetchAssignments = useCallback(async () => {
+    setAssignLoading(true);
+    try {
+      const resp = await shiftApi.listAssignments(shiftId, { page: 1, page_size: 200 });
+      setAssignments(resp.data);
+    } catch {
+      message.error('加载患者分配失败');
+    } finally {
+      setAssignLoading(false);
+    }
+  }, [shiftId]);
+
+  const fetchHandoffs = useCallback(async () => {
+    setHandoffLoading(true);
+    try {
+      const resp = await shiftApi.listHandoffs({ from_shift_id: shiftId });
+      setHandoffs(resp.data);
+    } catch {
+      message.error('加载交接记录失败');
+    } finally {
+      setHandoffLoading(false);
+    }
+  }, [shiftId]);
+
+  useEffect(() => {
+    fetchShift();
+    fetchAssignments();
+    fetchHandoffs();
+  }, [fetchShift, fetchAssignments, fetchHandoffs]);
+
+  // --- Assignment CRUD ---
+
+  const handleAddAssignment = () => {
+    setEditAssignment(null);
+    assignForm.resetFields();
+    setAssignModalOpen(true);
+  };
+
+  const handleEditAssignment = (record: PatientAssignment) => {
+    setEditAssignment(record);
+    assignForm.setFieldsValue({
+      patient_id: record.patient_id,
+      care_level: record.care_level,
+      notes: record.notes,
+    });
+    setAssignModalOpen(true);
+  };
+
+  const handleSubmitAssignment = async () => {
+    try {
+      const values = await assignForm.validateFields();
+      if (editAssignment) {
+        await shiftApi.updateAssignment(shiftId, editAssignment.id, {
+          care_level: values.care_level,
+          notes: values.notes,
+          version: editAssignment.version,
+        });
+        message.success('分配已更新');
+      } else {
+        await shiftApi.createAssignment(shiftId, values as CreatePatientAssignmentReq);
+        message.success('患者已分配');
+      }
+      setAssignModalOpen(false);
+      fetchAssignments();
+      fetchShift();
+    } catch {
+      // validation
+    }
+  };
+
+  const handleRemoveAssignment = async (record: PatientAssignment) => {
+    try {
+      await shiftApi.deleteAssignment(shiftId, record.id, record.version);
+      message.success('已移除分配');
+      fetchAssignments();
+      fetchShift();
+    } catch {
+      message.error('移除失败');
+    }
+  };
+
+  // --- Handoff ---
+
+  const handleCreateHandoff = () => {
+    handoffForm.resetFields();
+    handoffForm.setFieldsValue({ from_shift_id: shiftId });
+    setHandoffModalOpen(true);
+  };
+
+  const handleSubmitHandoff = async () => {
+    try {
+      const values = await handoffForm.validateFields();
+      await shiftApi.createHandoff(values as CreateHandoffReq);
+      message.success('交接记录已创建');
+      setHandoffModalOpen(false);
+      fetchHandoffs();
+    } catch {
+      // validation
+    }
+  };
+
+  // --- Columns ---
+
+  const assignColumns: ColumnsType<PatientAssignment> = [
+    { title: '患者 ID', dataIndex: 'patient_id', width: 280, ellipsis: true },
+    {
+      title: '护理等级',
+      dataIndex: 'care_level',
+      width: 120,
+      render: (v: string) => <Tag color={CARE_LEVEL_COLOR[v] ?? 'default'}>{CARE_LEVEL_LABEL[v] ?? v}</Tag>,
+    },
+    { title: '备注', dataIndex: 'notes', width: 200, ellipsis: true, render: (v: string) => v ?? '-' },
+    {
+      title: '操作', width: 140, render: (_, record) => hasPermission ? (
+        <Space>
+          <Button size="small" onClick={() => handleEditAssignment(record)}>编辑</Button>
+          <Popconfirm title="确定移除此患者？" onConfirm={() => handleRemoveAssignment(record)}>
+            <Button size="small" danger>移除</Button>
+          </Popconfirm>
+        </Space>
+      ) : null,
+    },
+  ];
+
+  const handoffColumns: ColumnsType<HandoffLog> = [
+    { title: '患者 ID', dataIndex: 'patient_id', width: 280, ellipsis: true },
+    { title: '目标班次', dataIndex: 'to_shift_id', width: 280, ellipsis: true },
+    { title: '交接备注', dataIndex: 'notes', width: 200, ellipsis: true, render: (v: string) => v ?? '-' },
+    {
+      title: '交接时间',
+      dataIndex: 'created_at',
+      width: 170,
+      render: (v: string) => dayjs(v).format('YYYY-MM-DD HH:mm'),
+    },
+  ];
+
+  if (loading) return <Spin size="large" style={{ display: 'block', margin: '80px auto' }} />;
+  if (!shift) return <Result status="404" title="班次不存在" />;
+  if (!hasPermission) return <Result status="403" title="权限不足" />;
+
+  return (
+    <PageContainer
+      title={`${dayjs(shift.shift_date).format('YYYY-MM-DD')} ${PERIOD_LABEL[shift.period] ?? shift.period}`}
+      onBack={() => navigate('/health/shifts')}
+    >
+      <Descriptions bordered size="small" column={3} style={{ marginBottom: 24 }}>
+        <Descriptions.Item label="状态">
+          <Tag color={SHIFT_STATUS_COLOR[shift.status] ?? 'default'}>{SHIFT_STATUS_LABEL[shift.status] ?? shift.status}</Tag>
+        </Descriptions.Item>
+        <Descriptions.Item label="患者数">{shift.patient_count ?? assignments.length}</Descriptions.Item>
+        <Descriptions.Item label="责任护士">{shift.nurse_id ?? '-'}</Descriptions.Item>
+        {shift.notes && <Descriptions.Item label="备注" span={3}>{shift.notes}</Descriptions.Item>}
+      </Descriptions>
+
+      <Tabs
+        defaultActiveKey="assignments"
+        items={[
+          {
+            key: 'assignments',
+            label: `患者分配 (${assignments.length})`,
+            children: (
+              <>
+                <Space style={{ marginBottom: 12 }}>
+                  <Button type="primary" size="small" onClick={handleAddAssignment}>分配患者</Button>
+                </Space>
+                <Table<PatientAssignment>
+                  rowKey="id"
+                  columns={assignColumns}
+                  dataSource={assignments}
+                  loading={assignLoading}
+                  pagination={false}
+                  size="small"
+                />
+              </>
+            ),
+          },
+          {
+            key: 'handoffs',
+            label: `交接记录 (${handoffs.length})`,
+            children: (
+              <>
+                <Button type="primary" size="small" style={{ marginBottom: 12 }} onClick={handleCreateHandoff}>
+                  新建交接
+                </Button>
+                <Table<HandoffLog>
+                  rowKey="id"
+                  columns={handoffColumns}
+                  dataSource={handoffs}
+                  loading={handoffLoading}
+                  pagination={false}
+                  size="small"
+                />
+              </>
+            ),
+          },
+        ]}
+      />
+
+      {/* Assignment Modal */}
+      <Modal
+        title={editAssignment ? '编辑分配' : '分配患者'}
+        open={assignModalOpen}
+        onOk={handleSubmitAssignment}
+        onCancel={() => setAssignModalOpen(false)}
+        width={480}
+      >
+        <Form form={assignForm} layout="vertical">
+          <Form.Item name="patient_id" label="患者 ID" rules={[{ required: true, message: '请输入患者 ID' }]}>
+            <Input placeholder="患者 UUID" disabled={!!editAssignment} />
+          </Form.Item>
+          <Form.Item name="care_level" label="护理等级">
+            <Select options={CARE_LEVEL_OPTIONS} placeholder="选择等级" allowClear />
+          </Form.Item>
+          <Form.Item name="notes" label="备注">
+            <Input.TextArea rows={2} />
+          </Form.Item>
+        </Form>
+      </Modal>
+
+      {/* Handoff Modal */}
+      <Modal
+        title="新建交接记录"
+        open={handoffModalOpen}
+        onOk={handleSubmitHandoff}
+        onCancel={() => setHandoffModalOpen(false)}
+        width={520}
+      >
+        <Form form={handoffForm} layout="vertical">
+          <Form.Item name="from_shift_id" label="来源班次" rules={[{ required: true }]}>
+            <Input disabled />
+          </Form.Item>
+          <Form.Item name="to_shift_id" label="目标班次 ID" rules={[{ required: true, message: '请输入目标班次 ID' }]}>
+            <Input placeholder="目标班次 UUID" />
+          </Form.Item>
+          <Form.Item name="patient_id" label="患者 ID" rules={[{ required: true, message: '请输入患者 ID' }]}>
+            <Input placeholder="患者 UUID" />
+          </Form.Item>
+          <Form.Item name="notes" label="交接备注">
+            <Input.TextArea rows={3} placeholder="需要交代的特殊事项" />
+          </Form.Item>
+        </Form>
+      </Modal>
+    </PageContainer>
+  );
+}
diff --git a/apps/web/src/pages/health/ShiftList.tsx b/apps/web/src/pages/health/ShiftList.tsx
new file mode 100644
index 0000000..d3e9766
--- /dev/null
+++ b/apps/web/src/pages/health/ShiftList.tsx
@@ -0,0 +1,275 @@
+import { useState, useCallback, useEffect, useMemo } from 'react';
+import {
+  Badge, Button, DatePicker, Form, Input, message, Modal, Popconfirm,
+  Result, Select, Space, Table, Tag,
+} from 'antd';
+import type { ColumnsType } from 'antd/es/table';
+import dayjs from 'dayjs';
+import { useNavigate } from 'react-router-dom';
+
+import {
+  shiftApi,
+  type Shift,
+  type CreateShiftReq,
+  type UpdateShiftReq,
+  PERIOD_OPTIONS,
+  SHIFT_STATUS_OPTIONS,
+  PERIOD_LABEL,
+  SHIFT_STATUS_LABEL,
+  SHIFT_STATUS_COLOR,
+} from '../../api/health/shifts';
+import { PageContainer } from '../../components/PageContainer';
+import { usePermission } from '../../hooks/usePermission';
+
+interface FilterValues {
+  shift_date?: string;
+  period?: string;
+  status?: string;
+}
+
+export default function ShiftList() {
+  const { hasPermission } = usePermission('health.shifts.manage');
+  const navigate = useNavigate();
+
+  const [data, setData] = useState<Shift[]>([]);
+  const [total, setTotal] = useState(0);
+  const [page, setPage] = useState(1);
+  const [loading, setLoading] = useState(false);
+  const [filters, setFilters] = useState<FilterValues>({});
+
+  const [modalOpen, setModalOpen] = useState(false);
+  const [editRecord, setEditRecord] = useState<Shift | null>(null);
+  const [submitting, setSubmitting] = useState(false);
+  const [form] = Form.useForm();
+
+  const pageSize = 20;
+
+  const fetchData = useCallback(async (p: number, f: FilterValues) => {
+    setLoading(true);
+    try {
+      const resp = await shiftApi.list({
+        page: p,
+        page_size: pageSize,
+        shift_date: f.shift_date || undefined,
+        period: f.period || undefined,
+        status: f.status || undefined,
+      });
+      setData(resp.data);
+      setTotal(resp.total);
+      setPage(p);
+    } catch {
+      message.error('加载班次列表失败');
+    } finally {
+      setLoading(false);
+    }
+  }, []);
+
+  useEffect(() => {
+    fetchData(1, filters);
+  }, [fetchData, filters]);
+
+  const handleFilterChange = (key: string, value: string | undefined) => {
+    setFilters((prev) => ({ ...prev, [key]: value }));
+  };
+
+  const handleResetFilters = () => {
+    setFilters({});
+  };
+
+  const handleCreate = () => {
+    setEditRecord(null);
+    form.resetFields();
+    setModalOpen(true);
+  };
+
+  const handleEdit = (record: Shift) => {
+    setEditRecord(record);
+    form.setFieldsValue({
+      shift_date: record.shift_date ? dayjs(record.shift_date) : undefined,
+      period: record.period,
+      nurse_id: record.nurse_id,
+      notes: record.notes,
+    });
+    setModalOpen(true);
+  };
+
+  const handleSubmit = async () => {
+    try {
+      const values = await form.validateFields();
+      const req = {
+        shift_date: values.shift_date?.format('YYYY-MM-DD'),
+        period: values.period,
+        nurse_id: values.nurse_id || undefined,
+        notes: values.notes,
+        ...(editRecord ? { version: editRecord.version } : {}),
+      };
+
+      setSubmitting(true);
+      if (editRecord) {
+        await shiftApi.update(editRecord.id, req as UpdateShiftReq & { version: number });
+        message.success('班次已更新');
+      } else {
+        await shiftApi.create(req as CreateShiftReq);
+        message.success('班次已创建');
+      }
+      setModalOpen(false);
+      fetchData(page, filters);
+    } catch {
+      // validation
+    } finally {
+      setSubmitting(false);
+    }
+  };
+
+  const handleDelete = async (record: Shift) => {
+    try {
+      await shiftApi.delete(record.id, record.version);
+      message.success('班次已删除');
+      fetchData(page, filters);
+    } catch {
+      message.error('删除失败');
+    }
+  };
+
+  const columns: ColumnsType<Shift> = useMemo(() => [
+    {
+      title: '日期',
+      dataIndex: 'shift_date',
+      width: 120,
+      render: (v: string) => dayjs(v).format('YYYY-MM-DD'),
+    },
+    {
+      title: '班次',
+      dataIndex: 'period',
+      width: 100,
+      render: (v: string) => <Tag>{PERIOD_LABEL[v] ?? v}</Tag>,
+    },
+    {
+      title: '状态',
+      dataIndex: 'status',
+      width: 100,
+      render: (v: string) => (
+        <Tag color={SHIFT_STATUS_COLOR[v] ?? 'default'}>{SHIFT_STATUS_LABEL[v] ?? v}</Tag>
+      ),
+    },
+    {
+      title: '患者数',
+      dataIndex: 'patient_count',
+      width: 80,
+      render: (v: number) => v ?? 0,
+    },
+    {
+      title: '危重',
+      dataIndex: 'critical_count',
+      width: 70,
+      render: (v: number) => v ? <Tag color="red">{v}</Tag> : 0,
+    },
+    {
+      title: '需关注',
+      dataIndex: 'attention_count',
+      width: 70,
+      render: (v: number) => v ? <Tag color="orange">{v}</Tag> : 0,
+    },
+    {
+      title: '备注',
+      dataIndex: 'notes',
+      width: 160,
+      ellipsis: true,
+      render: (v: string) => v ?? '-',
+    },
+    {
+      title: '更新时间',
+      dataIndex: 'updated_at',
+      width: 170,
+      render: (v: string) => dayjs(v).format('YYYY-MM-DD HH:mm'),
+    },
+    {
+      title: '操作',
+      width: 200,
+      render: (_, record) => (
+        <Space>
+          <Button size="small" type="link" onClick={() => navigate(`/health/shifts/${record.id}`)}>详情</Button>
+          <Button size="small" onClick={() => handleEdit(record)}>编辑</Button>
+          <Popconfirm title="确定删除此班次？" onConfirm={() => handleDelete(record)}>
+            <Button size="small" danger>删除</Button>
+          </Popconfirm>
+        </Space>
+      ),
+    },
+  ], [navigate, page, filters]);
+
+  if (!hasPermission) {
+    return <Result status="403" title="权限不足" subTitle="您没有管理班次的权限" />;
+  }
+
+  return (
+    <PageContainer
+      title="班次管理"
+      actions={<Button type="primary" onClick={handleCreate}>新建班次</Button>}
+    >
+      <Space style={{ marginBottom: 16 }} wrap>
+        <DatePicker
+          placeholder="选择日期"
+          value={filters.shift_date ? dayjs(filters.shift_date) : undefined}
+          onChange={(_, ds) => handleFilterChange('shift_date', ds as string || undefined)}
+          style={{ width: 150 }}
+        />
+        <Select
+          allowClear
+          placeholder="班次"
+          options={PERIOD_OPTIONS}
+          value={filters.period}
+          onChange={(v) => handleFilterChange('period', v)}
+          style={{ width: 120 }}
+        />
+        <Select
+          allowClear
+          placeholder="状态"
+          options={SHIFT_STATUS_OPTIONS}
+          value={filters.status}
+          onChange={(v) => handleFilterChange('status', v)}
+          style={{ width: 120 }}
+        />
+        <Button onClick={handleResetFilters}>重置</Button>
+      </Space>
+
+      <Table<Shift>
+        rowKey="id"
+        columns={columns}
+        dataSource={data}
+        loading={loading}
+        pagination={{
+          current: page,
+          pageSize,
+          total,
+          showTotal: (t) => `共 ${t} 条`,
+          onChange: (p) => fetchData(p, filters),
+        }}
+      />
+
+      <Modal
+        title={editRecord ? '编辑班次' : '新建班次'}
+        open={modalOpen}
+        onOk={handleSubmit}
+        onCancel={() => setModalOpen(false)}
+        confirmLoading={submitting}
+        width={480}
+      >
+        <Form form={form} layout="vertical">
+          <Form.Item name="shift_date" label="日期" rules={[{ required: true, message: '请选择日期' }]}>
+            <DatePicker style={{ width: '100%' }} />
+          </Form.Item>
+          <Form.Item name="period" label="班次" rules={[{ required: true, message: '请选择班次' }]}>
+            <Select options={PERIOD_OPTIONS} placeholder="选择班次" />
+          </Form.Item>
+          <Form.Item name="nurse_id" label="责任护士 ID">
+            <Input placeholder="护士 UUID（可选）" />
+          </Form.Item>
+          <Form.Item name="notes" label="备注">
+            <Input.TextArea rows={2} />
+          </Form.Item>
+        </Form>
+      </Modal>
+    </PageContainer>
+  );
+}