Title : Research progress of nonpharmacological management of resistiveness to care in patients with dementia
Abstract:
The World Health Organization estimates that there are about 10 million newly diagnosed dementia patients in the world every year, and the prevalence rate of dementia in China is about 7.20%, which is the country with the largest number of dementia patients. Resistiveness to care (RTC) is a common abnormal behavior in the mental and behavioral symptoms of dementia patients, which refers to all behaviors of dementia patients resisting or opposing nursing work caused by nursing activities. Although the concept of RTC is widely discussed in various disciplines such as nursing, clinical medicine, dentistry, and psychology, its definition and understanding differ between different fields, and this inconsistency has led to the failure to systematically integrate and present non-pharmacological interventions for RTC. RTC can cause serious adverse consequences for patients, such as psychological distress, malnutrition, skin damage, self-harm, and increased risk of abuse. In addition, RTC seriously interferes with the effective implementation of nursing work, making nursing work full of pressure and challenges. Given the negative impact of RTC on patient health and care, effective RTC management is particularly important. Measures to manage RTC include pharmacological and non-pharmacological interventions. Drug treatment has such problems as limited effect, high cost and many adverse reactions. Therefore, national policy initiatives prioritize the use of non-drug interventions. Non-pharmacological interventions focus on the interaction of patient, caregiver, and environment in treatment. It is often possible to provide more personalized care to patients, taking full account of their needs. Therefore, This article reviews the non-drug intervention methods such as improving the environment, sensory stimulation, care techniques and interventions based on digital technology, in order to provide reference and guidance for the care of the RTC behavior of the patients with dementia.
