痴呆患者抗拒护理评估工具的研究进展

Resistiveness to careRTCis a common abnormal behavioral symptom in dementia patients during the care processwhich seriously negatively impacts the patients and their caregivers. The research on assessment tools for RTC started earlier in foreign countriesand has explored relevant aspects more deeply and comprehensively. Since the Resistiveness to Care Scale for Dementia of the Alzheimer's TypeRTC-DATcame out in 1999overseas researchers have made several revisions to its content and methodsand have expanded it to include different scales for assessing RTC in different care settings. In this paperwe present a review of the tools developed overseas to assess RTC in patients with dementiafocusing on the differences in contents and methods of the toolsand the characteristicsstrengths and weaknesses of each toolwhich may offer insights into China's development of such a tool or introduction of a foreign tool applicable to China. The evaluation method of the assessment tools currently used in foreign research on RTC in patients with dementia is mostly based on the researcher-observed method used in the initial RTC-DATwhich faces many limitations in its practical application. The Refusal of Care Informant ScaleRoCISdeveloped in 2022 attempts to use the method of evaluation by consulting caregiverswhich is commonly used in other fieldsproviding a new way for China's introduction or development of a RTC assessment tool applicable to Chinese dementia patients. Considering various types of these toolswe recommend that the tool should be selected according to its applicability assessed comprehensively.