痴呆患者抗拒护理的研究进展  

Advances in Resistance to Care in Patients with Dementia

作　　者：王鑫源 刘艳丽[1] 周丽君 张奇 魏齐斐 燕杏钰 罗姣 刘小菲 WANG Xinyuan;LIU Yanli;ZHOU Lijun;ZHANG Qi;WEI Qifei;YAN Xingyu;LUO Jiao;LIU Xiaofei(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学护理学院,山东省济南市250355

出　　处：《中国全科医学》2023年第22期2809-2815,共7页Chinese General Practice

基　　金：2020年度山东省重点研发计划(软科学)项目(2020RKB14087)。

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。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.

关 键 词：痴呆 抗拒护理 行为和精神症状 综述 护理 

分 类 号：R749.16[医药卫生—神经病学与精神病学]