目的 综述老年痴呆患者异常性行为的概念、类型和表现形式、影响因素、应对策略,为后续相关研究提供参考。 方法 计算机检索PubMed、OVID、Embase、EBSCO、CINAHL、Web of Science核心合集、PsyINFOP、Proquest、Scopus、CNKI、万方、中国生物医学数据库中有关老年痴呆患者异常性行为的文献,进行文献筛选、数据提取、归纳总结。结果 共纳入23篇文献。不同研究者界定的老年痴呆患者异常性行为概念不同,老年痴呆患者异常性行为通常分为异常性言语、异常性动作、潜在性行为、虚假指控或虐待4类,或不与他人接触的异常性行为、与他人接触的异常性行为、言语性行为3类。影响因素包括疾病因素、心理因素、社会因素及药物因素。对老年痴呆患者异常性行为的应对策略包括症状和风险评估、改善机构环境、针对异常性行为的表现给予相应干预、加强对护理人员的管理与培训。 结论 老年痴呆患者异常性行为的概念及分类尚未统一,需要开发中国文化下的老年痴呆患者异常性行为的定义。未来还需继续探讨痴呆患者异常性行为的应对策略,明确其效果。

Objective To systematically review the concept,types and manifestations,influencing factors,and coping strategies of inappropriate sexual behaviors in older patients with dementia. Methods According to the research method of scope review,a comprehensive search was conducted in PubMed,OVID,Embase,EBSCO,CINAHL,Web of Science Core Collection,PsyINFOP,Proquest and Scopus,CNKI,Wanfang,and CBM databases for studies on inappropriate sexual behaviors in older patients with dementia. Literature screening,data extraction,and summarization were performed. Results A total of 23 articles were included. The concept of inappropriate sexual behaviors in older patients with dementia defined by different researchers was diverse. The inappropriate sexual behaviors in older patients with dementia was usually divided into four categories：inappropriate sexual talk,inappropriate sexual behavior,latent sexual behavior,false accusation or abuse. It could also be divided into three categories：inappropriate sexual behavior with non-contact with others,inappropriate sexual behavior in contact with others,and verbal sexual behavior. Influencing factors included disease,psychological factors,social factors and medication. Coping strategies for inappropriate sexual behavior in older patients with dementia included assessing symptom and risk factors,improving institutional environment,providing corresponding interventions for inappropriate sexual behaviors,and strengthening the management and training of nursing staff. Conclusion The concept and classification of inappropriate sexual behavior in older patients with dementia has not been unified,and the definition of inappropriate sexual behavior in dementia patients in Chinese culture needs to be developed. In the future,it is necessary to continue to explore the coping strategies of inappropriate sexual behavior in older patients with dementia.