Objective To test the reliability and validity of the Chinese version of the Comprehensive Needs Assessment Tool (CNAT) in cancer patients.Methods We translated the scale following the translation-integrationback translation-expert review procedure,conducted a pilot study among 30 cancer patients.After modifying the scale to adapt to Chinese culture,the reliability and validity of the CNAT scale was tested in a large-scale sample of 300 patients.Results The Chinese version of CNAT had 59 items with a total of seven domains.Principal component analysis resulted in an 8-factor structure explaining 70.325％ of the total variance.The Cronbach's α coefficient for the total CNAT score was 0.952,and 0.824～0.948 for every domain.Test-retest reliability was 0.807 for the overall scale,and 0.790～0.902 for every domain.The split-half for the overall scale was 0.812,and for every domain were 0.732～0.835.Conclusion The Chinese version of CNAT appears to possess adequate validity,testretest reliability and internal consistency.The newly translated Chinese version of CNAT may be used to assess the comprehensive needs of cancer patients in China.

Objective To investigate the nursing needs of patients with depression before coronary artery bypass surgery(CABG), so as to provide the basis for such patients for psychological nursing. Methods The phenomenological research methods of qualitative research were used. Fourteen patients were interviewed with semi structural interview. Colaizzi analytical method was used to process and analyze the data. Results The nursing needs of patients with depression before CABG included six themes: the needs of security; the needs of love and belonging; self-realization demand; the needs of disease related information; the needs of economic support ;the needs of psychological treatment. With different levels of depression and different features, patients`nursing needs were different. Conclusions The patients with depression before CABG have complicated requirements, the medical workers should transform nursing mode and give specific guidance in order to meet the needs of the patients.

Objective To investigate the application effect of the collaborative noviciate teaching mode in the nursing undergraduates. Methods With the convenience sample method, 112 noviciate nursing students in the school of nursing of He'nan University of Science and Technology from September 2014 to September 2015 were included and divided into the observation group (56 students) and the control group (56 students) using the random number table. The students in the control group were taught with the conventional noviciate teaching mode. The students in the observation group were taught with the collaborative noviciate teaching mode. The noviciate nursing students in the two groups were evaluated with the comprehensive assessment questionnaire and the satisfaction questionnaire. The Professional Self-Concept of Nurses Instrument was used for the comparison of the internship nursing students in the two groups. Results The nursing skill operation score and the score of case studies of the noviciate nursing students in the observation group were significantly higher compared to the control group (t=3.15,6.07; P<0.01).The satisfaction of the noviciate mode and the noviciate effect of the noviciate nursing students in the observation group were both significantly higher compared to the control group (t=6.67,3.21; P< 0.01). The communication dimension, the skill dimension, the leadership dimension of the internship nursing students in the observation group were significantly higher compared to the control group(t=2.41,2.58,3.75;P<0.05). Conclusions The collaborative teaching noviciate mode not only promotes the noviciate effect of the noviciate nursing students effectively, and also promotes the improvement of the self-concept of the internship nursing students, which is profoundly valuable.

Objective To explore the application effects of CDIO mode (Conceive, Design, Implement, Operate) in obstetrics and gynecology nursing teaching in associate to bachelor degree students. Methods The CDIO mode was conducted in 2014 nursing associate to bachelor degree students in one college, and the 177 cases of six classes were chosen and divided into experimental group (class 1, 4 and 6;n=88) and control groups (class 2,3 and 5;n=89) by random number table. The students in control group used the traditional teaching model, and the students of experimental group used CDIO teaching mode. At the end of the course, the two groups were tested by theoretical knowledge questionnaire and clinical skills questionnaire, critical thinking aptitude test scale and satisfaction questionnaire.Results The theoretical and skill scores of experimental group were (86.7±4.5) and (90.3±5.8) higher than (79.1±7.3) and (84.6±6.4) in control group (t=8.326, 6.207;P<0.01). The difference of the two groups was statistically significant (P<0.05). Four dimension of critical thinking aptitude test scale including analysis ability, open mind, thirst for knowledge and finding truth in experimental group was higher than that of control group (P<0.05), but no differences between two groups in confidence, cognition mature degree, systematical ability (P>0.05); the satisfaction of experimental group was 94.45% higher than 77.53% of control group (x2=12.132,P<0.01).Conclusions The CDIO teaching model has good application effects in significantly improving students' scores of theory and skills, increasing students' ability of active thinking and innovativeness, as well as students' satisfaction.

Objective: To investigate and summarize the effect of narrative nursing on anxiety and depression in patients undergoing coronary artery bypass grafting, and to provide reference for the formulation of clinical nursing plan. Methods: A total of 61 patients underwent coronary artery bypass grafting were selected. 31 cases of narrative nursing were taken as the research group, and routine nursing was used in the other 30 cases as control group. Depression and anxiety were assessed by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) before, 7 days after and 14 days after surgery. Results: Totally 61 patients were successfully operated and no case died during hospitalization. There was no significant difference in SAS and SDS scores between the 2 groups before surgery. The SAS scores in the study group were 57.9±4.2, 50.8±4.9, 47.1±5.0 on the day of admission,7 days after operation and 14 days after operation, respectively, while those in the control group were 58.4±3.7, 57.9±5.2, 55.7±6.2. There were significant differences between the two groups after intervention (t=5.490, 5.973, P<0.01). The SAS score of the study group decreased 7 days after operation and 14 days after operation compared with that of the admission day (t= 6.125, 9.209, P < 0.01). The SDS scores in the study group were 54.3±4.6, 49.4±4.7, 42.7±4.8 on the day of admission,7days after operation and 14 days after operation, respectively, while those in the control group were 54.1±5.1, 52.3±5.6, 51.6±5.2. There were significant differences between the two groups after intervention (t=2.194, 6.949, P<0.01). SDS scores in the study group decreased 7 days after operation and 14 days after operation compared with the day of admission in this group, with significant differences (t=4.148, 9.715, P < 0.01). Conclusions Narrative nursing is helpful to relieve anxiety and depression in patients undergoing coronary artery bypass grafting.