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目的分析恢复期结核性脑膜炎患者异常行为出现的原因及对策。方法分析我院自2011年1月~2014年1月收治的42例结核性脑膜炎恢复期患者,按照恢复期是否出现形为异常分为两组。对照组16例为没有出现行为异常的患者;治疗组26例为出现行为异常的患者。分析形成结核性脑膜炎患者恢复期行为异常的原因,同时分析出现异常行为的处理方法。结果恢复期出现行为异常的患者,与疾病知识掌握不足,心理恐惧、担心因素,长期卧床,护理措施不到位有关,两组比较在统计学上具有显著性意义(χ2=4.116,4.273,4.116,4.099;P<0.05)。与没有按医嘱服药无关,两组比较在统计学上不具有显著性意义(χ2=0.294;P>0.05)。结论患者疾病知识掌握不足,存在恐惧、担心等不良情绪,长期卧床,护理措施不到位,均能影响患者出现结核性脑膜炎恢复后的异常行为。因此关注患者的健康教育、改善患者的不良情绪,改善患者生活质量,加强护理,可以减少结核性脑膜炎恢复后的异常行为发病率。
Objective To analyze the causes and countermeasures of abnormal behavior in patients with convalescent tuberculous meningitis. Methods Forty-two patients with convalescent tuberculous meningitis admitted from January 2011 to January 2014 in our hospital were divided into two groups according to whether the convalescence occurred or not. The control group of 16 patients with no abnormal behavior; treatment group of 26 patients with abnormal behavior. To analyze the causes of abnormal behavior during the convalescent stage of patients with tuberculous meningitis and to analyze the treatment of abnormal behavior. Results Patients with abnormal behavior during the recovery phase were related to the lack of knowledge of the disease, psychological fear and anxiety, prolonged bed rest and inadequate nursing measures. The two groups were statistically significant (χ2 = 4.116, 4.273, 4.116, 4.099; P <0.05). There was no significant difference between the two groups in statistics (χ2 = 0.294; P> 0.05). Conclusion Patients with insufficient knowledge of the disease, fear, fear and other negative emotions, bedridden, nursing care is not in place, can affect patients with recurrent tuberculous meningitis abnormal behavior. Therefore, paying attention to patient’s health education, improving patient’s bad mood, improving patient’s quality of life and strengthening nursing can reduce the incidence of abnormal behavior after recovery of tuberculous meningitis.