痴呆患者抗拒护理的研究进展

doi:10.12114/j.issn.1007-9572.2022.0570

摘要/Abstract

摘要： 抗拒护理（RTC）是痴呆患者行为和精神症状中较常见的一种异常行为表现，其与激越或攻击行为之间存在着紧密联系，但RTC是痴呆患者针对护理活动、人员的特定行为反应，通常会直接对护理人员产生负面影响，并最终可能导致负性反馈机制的形成。当前，由于国内研究者易将RTC行为与其他行为相混淆，国内少有针对痴呆患者RTC的研究，也少有研究者使用相关测量工具对痴呆患者RTC水平进行测评。国外研究者较早提出了RTC这一概念，并围绕痴呆患者RTC进行了较为系统的探索与研究。结合国内外已有研究成果，本文重点阐述了RTC的概念、影响、评估工具及干预措施，以期为我国痴呆患者RTC研究的开展提供思路与借鉴。

关键词: 痴呆, 抗拒护理, 行为和精神症状, 综述, 护理

Abstract:

Resistance to care (RTC) is a common abnormal behavioral manifestation of behavioral and psychological symptoms of dementia. Although RTC is strongly associated with agitation or aggressive behavior, it is a specific behavioral response of dementia patients to caregivers, and may result in a negative feedback mechanism as it often directly, negatively impacts caregivers. Currently, there are rare studies on RTC in dementia patients or measuring RTC in these patients using relevant tools in China, which may be because domestic researchers easily confuse RTC with other behavioral concepts. While the concept of RTC was introduced earlier in foreign studies, and has been systematically explored and studied. In this paper, we reviewed available relevant studies, and gave a detailed description of the concept, impact, assessment tools, and interventions regarding RTC, with a view to providing ideas and strategies for the study of RTC in patients with dementia in China.

Key words: Dementia, Resistance to care, Behavioral and psychological symptoms, Review, Nursing

王鑫源,刘艳丽,周丽君,等. 痴呆患者抗拒护理的研究进展[J]. 中国全科医学, 2023, 26(22): 2809-2815. DOI: 10.12114/j.issn.1007-9572.2022.0570.
WANG Xinyuan,LIU Yanli,ZHOU Lijun, et al. Advances in Resistance to Care in Patients with Dementia[J]. Chinese General Practice, 2023, 26(22): 2809-2815. DOI: 10.12114/j.issn.1007-9572.2022.0570.

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