Concept analysis of care-resistant behavior in dementia patients
10.3761/j.issn.0254-1769.2025.15.004
- VernacularTitle:痴呆患者抗拒护理行为的概念分析
- Author:
Han LI
1
;
Yingqi HUANG
1
;
Fei DU
1
;
Qiushi ZHANG
1
;
Yongxia MEI
1
;
Hui XU
1
Author Information
1. 450007 郑州市 郑州大学护理与健康学院
- Publication Type:Journal Article
- Keywords:
Dementia;
Care-Resistant Behavior;
Concept Analysis;
Geriatric Nursing
- From:
Chinese Journal of Nursing
2025;60(15):1818-1823
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and clarify the concept and connotation of care-resistant behavior in dementia patients,so as to provide references for the evaluation and practice of care-resistant behavior in clinical dementia patients.Methods PubMed,Scopus,Web of Science,Cochrane Library,Embase,CINAHL,CNKI,VIP,Wanfang database and Chinese Biomedical Literature Database were systematically searched for the literature on care-resistant behavior in dementia patients.The search time limit was from the establishment of the database to December 2024.Walker and Avant's classical concept analysis method was used to analyze the literature.Results The care-resistant behav-ior in dementia patients included 5 conceptual attributes,including nursing background,perceived threat,unmet needs,lack of understanding and multi-dimensional performance.The antecedent factors include patient factors,care-giver factors,environmental factors and organizational factors.Post-impact includes the impact on patients and the impact on caregivers.Conclusion This study clarified the conceptual attributes,antecedents and post-effects of care-resistant behavior in dementia patients through concept analysis.In the future,researchers should combine the connotation of dementia patients' care-resistant behavior,develop localized assessment tools for dementia patients' care-resistant behavior,and construct targeted intervention programs,so as to improve the quality of nursing staff and enhance the care experience of dementia patients.