Objective: To explore the impact of active cycle breathing techniques training based on IKAP theory on dyspnea belief, peak expiratory flow rate, and exercise self-efficacy in patients with undergoing high-flow nasal oxygen therapy during ICU transition period. Methods: Patients with high-flow nasal oxygen therapy during ICU transition period were selected from a Class A tertiary hospital in Tianjin. The control group comprised 46 patients admitted from October 2021 to February 2022, who received active cycle breathing techniques training under conventional health education guidance. The observation group included 46 patients admitted from March to September 2022, who received active cycle breathing techniques training guided by the IKAP theory. The scores for dyspnea belief, peak expiratory flow rate, and exercise self-efficacy were compared between the two groups before and after the intervention. Results: The observation group had significantly lower scores for dyspnea belief, and higher scores for peak expiratory flow rate and exercise self-efficacy compared to the control group ( P<0.05). Conclusion: Active cycle breathing techniques training based on the IKAP theory can reduce patients′ exercise-related fear of dyspnea, enhance their ability to cough and expectorate, and improve their confidence in physical activity.

Objective: To construct a sensitive, scientific, and targeted evaluation system for the quality of nursing care in otolaryngology head and neck surgery, in order to provide a standardized and quantitative basis for evaluating and monitoring the quality of otolaryngology head and neck surgery specialized nursing care. Methods: Based on Donabedian′s "structure process results" theoretical framework, literature analysis, expert groups discussion were performed to access the preliminary screening of indicators, prepared a consultation questionnaire and two rounds of Delphi expert consultation, and then sensitive indicators of nursing quality in otolaryngology head and neck surgery were revised and determined. The weight of each indicators was calculated using analytic hierarchy process. Results: The positivity coefficients of the two rounds of consultation experts were both 100%, the authority coefficients were 0.919 and 0.934 respectively. The Kendall harmony coefficients of the first round of expert consultation were 0.218~0.294, and the second round were 0.269~0.335 (both P<0.05). The constructed otolaryngology head and neck surgery nursing quality sensitive indicator system included 3 first level indicators, 10 second level indicators and 31 third level indicators. The weight results of the first level indicators were 0.112, 0.444, and 0.444 respectively, the weight results of the second level indicators were 0.028~0.207, and the weight results of the third level indicators were 0.005~0.111. Conclusion: The constructed sensitive indicators for the nursing quality of otolaryngology head and neck surgery highlight the characteristics of specialized departments, and are scientific and practical, and can provide reference for the evaluation of nursing quality in otolaryngology head and neck surgery.

Objective： To investigate the knowledge, attitude, belief and practice of self-prevention of venous thromboembolism in stroke patients. Methods： Objective sampling method was used and 121 stroke patients were included from a tertiary Class A general hospital. The self-designed questionnaire on knowledge, attitude, belief and practice of self-prevention of venous thromboembolism in stroke patients was used in the survey. Results： The total score of knowledge, attitude, belief and practice of self-prevention of venous thromboembolism in stroke patients was 164.18±15.73, and the scores of knowledge, attitude, belief and practice were 29.12±4.74, 99.16±10.71, 35.90±5.60, respectively. Conclusion: The overall level of knowledge, attitude, belief and practice of self-prevention of venous thromboembolism in stroke patients is at low level. The knowledge of prevention stays low, and the belief and behavior are at a medium level. Clinical medical staffs should strengthen the guidance on the knowledge of self-prevention of venous thromboembolism in stroke patients and improve the belief of prevention, so as to enhance stroke patients’ behaviors of preventing from thromboembolism, then reduce the occurrence of venous thromboembolism in stroke patients finally.