目的：探讨基于健康信念的护理干预对结核性脑膜炎患者治疗积极性及病情控制的影响。方 法：选择2020年10月—2021年10月收治的143例结核性脑膜炎患者为研究对象，随机数字表法分为 对照组71例与观察组72例，对照组采用常规护理，观察组在对照组的基础上增加基于健康信念的 护理干预，对两组治疗积极性与病情控制进行比较。结果：观察组干预后积极用药、合理饮食、 积极情绪、积极配合等积极性评分均较对照组高（P ＜0.05）；观察组患者病情控制率为94.44%，明 显较对照组的83.10%高（P ＜0.05）。结论：基于健康信念的护理干预可提高结核性脑膜炎患者治疗 积极性及病情控制率，值得临床推广应用。

Objective To provide some references for developing new nurse training scheme observing nursing behaviors of new recruited nurses after short-term training.Methods Four new recruited nurses trained 3 months were selected as observation objects.Their hospital infection operation,routine nursing care,basic nursing care,and nursing records,including 31 items,were observed for 3 months.The non-standard nursing behaviors were recorded and analyzed.Results These 4 nurses had 41,30,32,and 22 non-standard nursing behaviors (totally 125) during these 3 months,respectively,with an average of 1 person-time every three days.The orders of non-standard nursing behaviors from high to low frequency were routine nursing care (37 cases),nursing records(37 cases),basic nursing care(29 cases),and hospital infection operation(22 cases).In the first,second,and third month,non-standard routine nursing care occurred 10,15,and 12 times,non-standard nursing records 10,12,and 15,non-standard basic nursing care 8,11,and 10,non-standard hospital infection operation 10,9,and 3.Conclusions The non-standard nursing behaviors of new recruited nurses after short-term training are serious and have uncertain characteristics.The training and management for these new recruited nurses must be systematic,classified,specific,and individual.

Objective To investigate the nursing strategy in patients with severe tuberculosis meningitis. Methods Retrospective analysis of the cause of death and nursing procedure in forty-one patients with tuberculosis meningitis. Results In forty-one patients, twenty cases died of cerebral hernia (48.78%), fourteen cases of infection (34.15%), six cases of upper gastrointestinal hemorrhage (14.63%), one case of cardiac arrest (2.44%). Conclusion Prompt the foundation, diet, psychological and medication nursing, eliminate the predisposing factors of cerebral hernia, control the intracranial pressure, prevent the hospital infection and gastrointestinal hemorrhage, which can reduce the mortality of tuberculosis meningitis.

Objective To improve safe pathway of nursing care so as to reduce the risk factors of nursing care to prevent the incidence of inpatients to fall down. Methods Since January 2010,the safe pathway of nursing care,which consisted of fall risk assessment,predictive nursing care of preventing inpatients to fall down,application of the informed consent in hospitalization safety and establishment of the reporting system in non-punitive errors in accident,were fully implemented in the inpatients. Results The fall risk factors assessment for the patients could timely find potential risk factors so as to implement timely predictive nursing care and to give prevention and treatment as necessary,which could effectively prevent the occurrence of patients' fall. Conclusions They are basal to prevent the incidence of inpatients to fall down and to improve the safe pathway of nursing care and it is key to increase awareness of nursing staff for risk precaution and assessment of risk factors,and it is assuring to facilitate understanding and cooperation of patients and their families.