Objective To design a special protective shield for tracheostoma after total laryngostomy with the function of volume-controlled humidification，heating and filtration，and to evaluate its application effect in patients with laryngostomy after laryngeal cancer surgery. Methods The protective shield consists of 4 parts：a laryngostomy protection module fitting the neck curve，ventilation filter module，ear-hook continuous humidification module and humidification liquid constant temperature system. A total of 110 laryngeal cancer patients who underwent total laryngectomy in the otolaryngology department of a tertiary A hospital in Hangzhou from January 2020 to December 2021 were selected as the research subjects. The patients were divided into an experimental group and a control group by random number table，with 55 cases in each group. The experimental group was given airway care with the self-designed special protective shields for laryngostomy，while the control group was given routine airway care. The volume，color，and crusting degree of sputum，airway comfort，daily airway humidification，sleep quality，and whether return to society were compared between the 2 groups a month after discharge. Results The amount of phlegm in the airway of the experimental group was less than that of the control group；the degree of phlegm scab was less than that of the control group；the situation of social reintegration was better than that of the control group；the difference between the 2 groups was statistically significant（P<0.05）. Conclusion The new type of laryngeal shields can effectively protect the patient’s airway in manual airway care，avoid foreign body invasion，reduce water loss of airway and sputum volume，prevent from sputum crusting，and it plays a role in continuing nursing after the patient is discharged conveniently and efficiently.

Objective To translate the English version of Perioperative Thirst Discomfort Scale （PTDS） into Chinese,and to test the reliability and validity of the Chinese version of PTDS. Methods The English version of PTDS was translated into Chinese and back translated and modified for cultural adaptation according to the guidelines. A convenience sample of 316 perioperative patients at 4 tertiary hospitals in Fujian was investigated by the Chinese version of PTDS,in order to test its reliability and validity. Results The Cronbach’s α of the Chinese PTDS was 0.813; both the scale-level content validity index and the item-level content validity index were 1.Factor analysis showed 2 factors explaining 64.312% of the total variance. The score of PTDS was significantly associated with the thirst intensity score（r=0.681,P<0.001）. Conclusion The Chinese version of PTDS has been proved to be reliable and valid.It can be used for measuring thirst discomfort in perioperative patients.

To summarize the nursing care of fecal microbiota transplantation in a patient complicated with pulmonary infection and pseudomembranous colitis after radical resection of rectal cancer. The main contents of nursing are as follows. The first stage is to prevent the aggravation of infection,including the observation and management of ileostomy and ostomy fluid,respiratory function exercise,early functional exercise,nutritional support,and disease observation. The second stage is the care of fecal microbiota transplantation,including preparation for transplantation,the key points of nursing during transplantation,and nursing after transplantation. After careful nursing,the patient has recovered and discharged from the hospital. After 6-month follow-up,the ileostomy fluid was controlled at a normal level of 560-1 050 ml/d,with the enhanced self-care ability and the improved symptoms of anxiety and depression,and the quality of life was improved.

Objective To investigate the knowledge and attitude of ICU physicians and nurses on physical environment in ICU setting and to explore the influencing factors.Methods A self-made questionnaire was used to survey 487 physicians and nurses from 8 tertiary hospitals and 14 secondary hospitals in Fujian Province.Results The ICU physicians and nurses’ knowledge and attitude scores were （33.25±7.14） and （42.17±3.26）. Multiple regre-ssion analysis showed that educational background and level of hospitals were influencing factors for knowledge scores for physical environment in ICU medical staffs（P<0.01）. Job title,position and level of hospitals were influencing factors for attitude score for physical environment in ICU medical staffs（P<0.01）.Conclusion ICU physicians and nurses took a positive attitude about physical environment,while the level of knowledge should be improved.