• 한국식품영양과학회지
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• 제33권1호
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• pp.47-51
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• 2004

본 연구는 녹차의 혈중 콜레스테롤 저하 효과 및 녹차 추출물인 catechin과 EGCG가 hypocholesterolemic 효과에 미치는 정도를 식이로 고콜레스테롤혈증을 유도한 흰쥐에서 평가하고자 수행하였다. 4주령의 수컷 SD계 흰쥐를 난괴법에 따라 각 군당 5마리씩 무녹차섭취군(대조군), 4% 녹차분말군(GTP), 1% 녹차 catechin군(Catechin),0.5% 녹차 EGCG군(EGCG)의 4군으로 7주간 사육을 하였다. 녹차 첨가군은 모두 0.5% EGCG를 함유하도록 녹차 첨가량을 결정하였으며 모든 식이는 고콜레스테롤혈증을 유도하기 위하여 1% cholesterol과 0.5% cholic acid를 첨가하였다. 식이섭취량은 각 군간에 유의적인 차이를 나타내지 않았다. 혈청 총 및 LDL-콜레스테롤 수준은 Catechin군이 189.2 mg/dL, 166 mg/dL, EGCG군에서는 161.4 mg/dL, 138 mg/dL로 나타나 대조군(245 mg/dL, 222 mg/dL)에 비하여 유의적으로 감소되었고 (p<0.05), EGCG군에서 그 효과는 더욱 크게 나타났다. 혈청의 중성지방농도는 녹차섭취군이 대조군보다 낮았으며 EGCG군에서 가장 낮게 나타났다. HDL-콜레스테롤 수준은 유의적이지는 않았지만 녹차섭취군이 대조군보다 높은 경향을 보였고, HDL/LDL-콜레스테롤 비율은 대조군에 비하여 녹차섭취군에서 증가하여 EGCG군에서 가장 높았다. 이와 같은 결과는 녹차의 섭취가 혈중 콜레스테롤 및 중성지방을 감소하고, HDL-콜레스테롤은 증가시킴으로써 동맥경화 위험을 줄일 수 있는 가능성을 반영하고 있다. 간에서의 CYP7Al활성과 유전자 발현정도는 Catechin군, EGCG군이 대조군에 비하여 높게 나타났으며, EGCG군에서 가장 많이 증가하여 혈청에서의 지질수준 감소 경향과 일치하였다. 이상의 본 연구 결과들은 녹차 섭취군에서의 혈중 콜레스테롤 저하작용 특히 EGCG군에서의 현저한 hypocholesterolemic 효과는 CYP7Al 유전자 발현 및 효소의 활성증가에 따른 콜레스테롤의 담즙산으로의 배설 증가에 기인하는 것으로 추측된다.

• 한국식품영양과학회지
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• 제33권4호
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• pp.762-768
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• 2004

인슐린 작용을 강화시키는 LMWCr의 발견과 크롬 결핍과 관련 있는 포도당 불내성(glucose intolerance)이 크롬 투여 시 반응을 보여준 임상적 증명 이후, 크롬은 확실한 필수 영양소로 인식되고 보조제로 사용되고 있다. 시험관 실험에서 고농도의 3가 크롬을 배양 세포에 노출 시, 일부 연구 결과에서 염색체이상 유발과 변이원성 효과가 발견되긴 하였으나 이는 비타민 A, D, 니코틴산, 셀레늄 등과 같은 많은 다른 영양소의 과잉 섭취 시 독성 효과를 나타내는 정도로 해석되며, 시험관 실험 결과들이 발암성의 증거로 해석되지는 않는다. 3가 크롬을 경구 보조제로 투여된 임상 치료에서 환자들은 독성효과를 보이지 않았으며, 혈장 내 크롬 수치가 비 투여된 사람들에 비하여 조금 높았다. 크롬을 TPN 형태로 투여받은 환자들에게서도 우려했던 신체ㆍ정신적 효과와의 상관 관계가 없었으며 신기능부전을 나타낸 경우는 신장 독성을 주는 약들을 함께 복용한 경우로서, 우려되는 부작용은 없는 것으로 인정된다. 임상학적, 실험적으로 사용된 3가 크롬의 용량은 ESADDI 규정된 범위 50∼200 $\mu$g/day에서 전혀 독성을 나타내지 않았으며, 일반적인 사용에 기준이 될 것이다. EPA는 모든 관련 자료들을 검토한 후에 크롬의 참고용량 (RfD) 수치를 70 mg/day로 결론지었으며, 다른 영양소들의 용량과 비교했을 때 대단히 넓은 수치이다. 3가 크롬은 당뇨병, 임신성 당뇨병, 인슐린 내성, 비정상적 지방대사를 개선시키기 위한 영양소로서 가능성을 가진다. 또한 크롬의 보충은 제II형 당뇨병과 다양한 심혈관계 질환을 예방하거나 치료하는데 가장 유용한 것으로 밝혀졌다. 앞으로는 크롬 보조제 사용 시, 일부 연구자들이 3가 크롬 1000 $\mu$g/day의 안전성을 입증한 것과 같이 용량을 늘려 임상실험을 시도한 후 안전과 효능을 증명하는 것이 필요하다.

• 한국식품영양과학회지
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• 제33권4호
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• pp.687-693
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• 2004

본 연구는 즉석 햄버거 스테이크에 감마선 조사와 항산화제 및 항균제로 알려진 로즈마리의 추출분말의 병용처리 효과를 평가하였다. 이를 위해 로즈마리 추출분말을 0, 200, 500 ppm의 농도로 첨가한 즉석 햄버거 스테이크를 0, 5, 10 및 20 k㏉로 조사한 후 4개월 간 냉장(5$^{\circ}C$)저장하면서 미생물의 생육을 평가하였다. 또한 감마선 조사와 로즈마리 추출분말의 병용처리가 즉석 햄버거 스테이크의 저장성에 미치는 영향을 단기간 내에 파악하기 위해 가속저장(3$0^{\circ}C$) 시험을 병행하였다. 즉석 햄버거 스테이크의 초기 호기성 총균수는 약 5 log CFU/g이었으나, 감마선 조사에 의해 햄버거 스테이크의 저장 중 호기성 총균과 대장균군 수를 효과적으로 감소시켰다. 특히, 20 k㏉로 조사한 햄버거 스테이크에서는 저장 4개월까지 어떠한 미생물도 검출되지 않았다. 총균수가 $10^{6}$∼$10^{7}$ log CFU/g에 이르렀을 때를 저장한계로 보았을 때, 냉장 저장시 비조사구는 14일인 반면, 5 및 10 k㏉ 조사구는 각각 28∼42, 98∼112일이었다. 5 및 10 k㏉ 조사구에서 로즈마리 추출분말을 500 ppm의 농도로 첨가하였을 때 비첨가구에 비해 저장기간이 14일 연장되었다. 결과적으로, 가속저장 시험 시 감마선 조사에 의해 즉석 햄버거 스테이크의 저장성이 향상되었으나 로즈마리 추출분말 첨가에 의한 효과는 관찰되지 않았다. 그러나 냉장 저장 시에는 감마선 조사구(5 및 10 k㏉)에서 무첨가구에 비해 로즈마리 추출분말의 첨가 농도가 증가할수록 저장성이 증가하는 것으로 나타났다.

• 한국식품영양과학회지
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• 제25권6호
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• pp.893-898
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• 1996

어린이 김치 표준화의 일환으로 어린이 김치의 기호에 큰 영향을 미치는 고추가루의 적합한 선정을 위해 경상도 일대에서 생산되어 시판되고 있는 4종류(A, B, C, D)의 고추가루에 대해 고추가루의 일반성분 및 색도, capsaicinoid류 및 당 함량 등을 분석하였고 이들 고추가루로 담근 김치에 대한 관능검사를 행하였다. 4종류의 시판되고 있는 고추가루의 일반 성분은 수분이 11.59~13.48%, 조지질이 7.59~8.39%, 조회분이 4.34~7.45% 로 나타났다. 고추가루의 색깔에 있어서 Hunter 색차계로서 측정된 적색도 a값, 황색도 b값은 A고추가루가 가장 우수했으며, 밝기를 나타내는 ASTA color값은 A(178.20)>C(142.80)>B(114.28)>D(98.06) 고추가루 순으로서 역시 A고추가루가 가장 우수하였다. 고추가루의 매운맛을 나타내는 capsaicinoids에 있어서 capsaicin 함량은 D고추가루가, dihydrocapsaicin은 C고추가루가 가장 높았다. 또한 capsaicin dihydrocapsaicin에 각각 1 : 0.6의 가중치를 주어 산출된 capsaicin equivalent 는 D>C>A>B고추가루 순이었다. 고추가루의 유리당 함량은 주된 성분인 과당, 포도당 모두 B>A>D>C고추가루 순이었고 서당은 A>D>C>B 고추가루 순이었다. 총 당 함량 역시 B고추가루가 16.81%로서 다른 제품에 비해 가장 높았다. 한편 4종의 고추가루를 달리하여 담근 김치에 대한 관능검사 결과 색깔 면에서 발효기간 전반에 걸쳐 A고추가루가 가장 우수하였고 종합적인 맛에 있어서도 가장 좋은 값을 나타내었다. 또한 A고추가루로 담은 김치는 초등학생들의 관능검사 결과 현재의 초등학교 급식김치 보다 색깔을 비롯한 5개 전항목에서 높은 점수를 얻었다(p<0.01). 그리고 이때 사용된 A고추가루의 일반특성은 capsaicin equivalent 24.lsmg%, 총 당 함량 15.79% 그리고 ASTA color값 178.2였다.

• 한국식품영양과학회지
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• 제36권4호
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• pp.389-394
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• 2007

한방생약자원으로 사용되는 가죽나무(A. altissima)의 생리학적 활성을 조사하고자 뿌리와 줄기, 잎을 에탄올을 용매로 추출하여 농도에 따라 전자공여능, SOD유사활성, 아질산염 소거능을 측정하였으며, xanthine oxidase와 tyrosinase 저해 활성을 측정하였다. 전자공여능은 $1,000{\mu}g/mL$의 농도에서 뿌리와 줄기 추출물이 64.04%와 63.27%이었으며, 잎 추출물은 17.47%를 나타내었다. SOD 유사활성능은 $7.66%{\sim}50.00%$로 잎 추출물이 뿌리와 줄기에 비해 약 5배 이상 높았고, 아질산염 소거능에 있어서도 가죽나무 잎 추출물이 $1,000{\mu}g/mL$의 농도에서 pH 1.2와 3.0에서 98%이상의 높은 소거효과를 나타내었으며 $500{\mu}g/mL$의 농도에서도 90% 이상의 소거효과를 나타내었다. Xanthine oxidase저해 활성은 $1,000{\mu}g/mL$ 농도에서 뿌리와 줄기, 잎 추출물 모두에서 90% 이상의 저해율을 보였고, tyrosinase저해는 $2,000{\mu}g/mL$의 농도에서 뿌리 추출물이 62.01%로 가장 높은 저해효과를 나타내었으며, $100{\mu}g/mL$의 농도에서도 57.70%의 저해 활성을 나타내었다. 그러므로 가죽나무는 한방생약자원으로 이용되는 뿌리(저근백피) 이외에도 잎은 높은 SOD 유사활성능과 아질산염 소거능을 나타내며 줄기에서도 뿌리보다 높은 전자공여능과 아질산염 소거능 및 유사한 xanthine oxidase 저해 활성을 나타내므로 유용한 한방생약자원인 것으로 판단된다.

• 대한간호학회지
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• 제5권1호
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• pp.93-111
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• 1975

As the hospitalized patients will be facing new stress situation due to change of his environment from home to hospital it will be very important to understand the psychological stress experienced by hospital patients not only for helping patients in the process of recovery from illness but also fulfil1ing the objective of comprehensive nursing care by understanding the needs of the patients. There is no doubt that it would be very helpful for treatment of patients as well as for improvement of nursing care if we know more about psychological needs of patients and give them adequate support to meet these needs. The study to find out the causes and degree of stress events experienced by hospitalized patients, with the objective of instituting improvement of nursing care program based on the needs of patients, was conducted during the month of September 1974 with 60 patients randomly selected from those admitted to medical and surgical wards at Yonsei Medical Center in that period The questionnaire form included 36 questions which are considered to be stress events for hospital patients, and was devide into five areas namely, such events related to 1) disease itself, 2) hospital environment, 3) nursing care and treatment, 4) communication and human relations, and 5) family and economic problems. The results of the study were as follows: 1. It was confirmed that hospitalization considered to be a stress producing factor and most patients perceived the admission to hospital as a stress factor. 2. According to the rating scale, it was found that degree of perceived stress shows a variation according to the source of stress producing event. 3. No significant differences in the mean values were observed statistically with the perceived stress levels according to demographic and other variables of patients related to hospitalization. 4. Among the questions related to disease itself, "Admission for surgery" was perceived most frequently as a stress event (97.14%) by patients. 5. With regard to the questions related to hospital environment, "death of the patient room-mate" was the most serious stress event perceived by patients (90%) and "living with hospital regulations"was considered to be less serious stress event (23.33%). 6. As for the questions related to nursing care and treatment, "limitation of freedom" was perceived as a stress factor most frequently (70.91%) by the patients and "worry for wrong treatment" turned out to be less frequent stress event (50.0%). 7. As for the questions related to communication and human relations, "difficulty to meet doctors when wanted"appeared to be the most frequent stress event by the respondents (75.86%) , followed by "no explanation about treatment or examination"(75.0%) and "no explanation about nursing care procedures"(71.66%). 8. With regard 111 tile questions related to family and economic problems, "inadequate finances for family living due to hospitalization"and "high cost of hospitalization" were the most frequent cause of stress mentioned by the patients. (80.0%). 9. As a result of application of the stepwise regression analysis, it was found that about 89% was explained by those events associated with disease itself, hospital environment and family and economic problems. By adding those events related to "nursing care and treatment" and "communication and human relation", 100% of stress associated with hospitalization was explained.

• 대한간호학회지
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• 제4권1호
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• pp.95-106
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• 1974

The Purpose of this study was to observe the body temperature changes of newborn infants in general crib and electric heat crib after birth for the period required to reach the optimum body temperature. Forty-seven newborn infants who were delivered at Seoul National University Hospital during the period from June 12 to September 13, 1973 were chosen as Subjects for this study. The criteria for the choice of subjects were the babies with normal spontaneous delivery; body weight 2.5kg and over at birth; Apgar so ore seven and over and gestation period over thirty-six weeks. Of these subjects, by random sampling thirty-one newborn infants were placed in the general crib and sixteen in the electric-heat crib. The rectal body temperature of these newborn infants were taken and recorded at fifteen-minute interval for the first one hour period after birth, at thirty minute interval for the next two hours and at one hour interval for the remaining period up to eight hours. The results of the study were as follows: 1. The mean body temperature of the newborn infants on admission to nursery ranged from 98.7℉. to 99℉. irrespective of the body weight and the room temperature. 2. There was a significant difference in the body temperature changes of the newborn infants as a total between the general crib and the electric-heat crib from three to eight hours after birth. It was found that the body temperature of the newborn infants in the electric-heat crib was significantly higher than that of the newborn infants in the general crib. 3. In comparison with the body temperature changes of the newborn infants in the general crib, the newborn infants in the electric- heat crib exhibited significantly higher body temperatures in all three body weight groups; from four to eight hours after birth in the 2.5-2.9kg body weight group; from three to seven hours after birth in the 3.0-3.4kg body weight group; from two and half to six hours after birth in the group with body weight over 3.5kg. 4. Time required to reach 98℉. of body temperature was four hours in the 3.5-2.9kg body weight group, three hours in the 3.0-3.4kg. body weight group and two and half hours in the group with body weight over 3.5kg in the electric- heat crib. In the general crib, it took over eight hours in the 2.5-2.9kg body weight group and five hors in both the 3.0-3.4kg and over 3.5kg body weight group to reach 98℉ of body temperature. 5. The lowest mean body temperature of newborn infants in both general and electric- heat crib appeared in forty-five minute after birth and the temperature ranged from 96.4℉ to 96.5℉. 6. The mean body temperature of the newborn infants in the general crib was increased as the room temperature. 7. The body weight, the room temperature and the time elapsed after birth fore proved to be significant factors influencing the body temperature changes of newborn infants. From tile above results, the three hypotheses were positively accepted.

• 대한간호학회지
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• 제5권1호
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• pp.17-30
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• 1975

The concept and definition of nursing and her role have been changing in accordance with the socio-cultural factors of the initial society. At present, nursing is conceptualized as a health care profession assisting man to restore, maintain and promote health by providing knowledge, wilt strength and resources through various processes of interaction. Man′s behavior, of individual and group activities for health inclusive, is driven by the initial man′s value orientation. The purpose of this study is to investigate the value orientation regarding health of rural health center milieu in order to give data for; 1. the planning for the delivery of community nursing service, 2. the health education plan at all level of nursing care activities, and 3. the planning of curriculum for nursing education. A hundred opinion leaders among the labor population residing in rural areas (P-group), hundred and six professional nurses at rural health centers (N-group) were indirectly interviewed through questionaries. And ninety five of N-group were interviewed likewise of their perceptions of P-group (NP-group) from July 15, to October 15, 1974. The result is as follows: 1. Maintenance of health is revealed to be the most valued component for man′s happiness in all the three groups. (P-group: 7.30 S. D.=1.31), (N-group :7.84 S. D. =49), and (NP-group : 5.93 S. D. =2.28) 2. The average value score of the maintenance of health revealed significant difference by P〈.001 level between each of the three groups. (Between N-group and P-group : T= -4.07 P and NP ; T=-6.93, N and NP: T=-9.35) 3. Basic health maintenance activities necessary for maintenance and promotion of personal health were moderately valued by all the three groups, P-group ; 3.74 (S. D. =.43) , N-group: 3.52 (S. D. =.34), NP-group: 3.07 (S. D. :.55) Among the 8 categories of basic health maintenance activities, "food intake" was highly valued by P-group (mean value score; 4.00 S. D=.51) , "exercise and rest" and "personal cleanliness" was highly valued by both P-group (4.02, 4.08) and N-group (4.08, 4.22). 4. The mean value score of basic health maintenance activities revealed significant difference by P〈.001 level between each of the three groups (between P-group and N-group: T=-4, 07, N-and NP: T=-6.93, P and NP T=-9.35) 5. Among the 30 questionaries, dynamic activities for health maintenance were more valued in comparison to passive activities in an tile three groups. 6. In N-group, correlation between the value of basic health maintenance activities and the personal health status personal revealed moderate significance. Correlation between the value of basic health maintenance activities and the age revealed low significance. 7. In group, correlation between the value of basic health maintenance activities and; perception of personal health status revealed non significance, between the age and sex revealed low sign affiance, and between the educational status revealed moderate significance. Recommendations are as follows ; 1. The efforts towards alteration of value orientation concerning health in general in community nursing practice de focussed be that of family Planning. 2. In order to prepare professional nurses competent in understanding individual and group, social science and behavioral science be strength ended in planning nursing curriculum. 3. Milieu of nursing experience during nursing education be Planned to begin at simple nursing problem and move towards complex, f. e. home care towards health crisis situation in order to achieve dynamic role mastery.

• 대한간호학회지
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• 제2권1호
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• pp.73-85
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• 1971

A epidemiological study was conducted by author on 925 official reported patients with the first grade legal communicable disease during the period from January 1969 to December 1970 in all area of Kangwon province. As the results of this study, tile following conclusion were obtained. A) Typhoid fever 1. Of all 925 patients surveyed, typhoid fever showed the highest rate as 50.7 percent. 2. Age group from 10 to 14 years old showed the highest rates 3. High epidemic period was from June to September. 4. As for the occupational distribution, unemployed showed the highest rate as 63.2 percent, followed by-21.1 percent in farmer and 9.4 percent in student. 5. Most of all patients(93.7%) were isolated in their own house 6. The morbidity rate was 16.0 per 100, 000 population and case fatality rate was 1.76 percent 7. The mean of the duration from onset to diagnosis and carnation were 11.7$\pm$7.1 days and 25.1$\pm$13, 8 days respectively. 8. Main diagnostic method was almost the clinical examination B) Dysentery 1, Of all 925 patients surveyed, dysentery showed 44.4 percent 2. Age group from 0 to 9 years old showed the highest rate 3. High epidemic period of this disease was from April to August 4. As for the occupational distribution, unemployed showed the highest rate as 73.9 percent, followed by 17.7 person in farmers and 7.0 percent in student 5. the attack rate of agricultural area was higher than of fishing area 6. The mean of the duration from onset to diagnosis and crating duration were 10.4$\pm$4.3 days and 15.7$\pm$8.8 days respectively. 7. The morbidity rate and case fatality rate were 21.8 per 100.000 population and 1.46 percent, respectively. 8. Most of all patients were isolated in own house 9. Most of all patients (97.6%) were diagnosed by the clinical examination C) Diphtheria 1. As for the age distribution, 0-4 years old group showed the highest rate as 44.4 percent followed by 27.7 percent in 5-9 years old group and 22.2 percent in 10-14 years old group 3. Epidemic season was almost in autumn, winter and spring 3. The morbidity rate was 0.96 per 100.000 population and case fatality rate was high as 26.6 percent 4. 66.6 percent of this disease was isolated in their own house and the others were admitted in hospital D) Paratyphoid fever 1. Most of all patients were attacked below 20 years old 2. Epidemic season was almost was almost in late summer 3. The morbidity rate was 0.53 per 100.000 population 4. The mean of the duration from onset to diagnosis and crating duration were 18.3$\pm$1.3 day and 13.7$\pm$0.2 day. respectively.

• 대한간호학회지
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• 제2권1호
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• pp.97-113
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• 1971

The purpose of this study was to investigate the preoperative anxiety of surgical patients and to observe the effects of an experimental nursing process on the incidence of vomiting, the number of analgesics used and the voiding ability of surgical patients within a 48 hour postoperative period and also the number of postoperative days in the hospital. This study me based on a sample of 51 patients who were scheduled for abdominal surgery. They were assigned alternately to experimental and control groups. Patients assigned to the experimental group were given nursing care by the writer, using an experimental nursing process. This is a process directed toward helping the patient obtain a suitable psychological state for surgery. This process was performed by use of the following steps: 1. The nurse approached the patient with interest and concern, and observed the patient's behavior to determine the presence of anxiety. 2. The nurse explored further to find out what was causing the anxiety and what was needed too relieve it. 3. The nurse listened carefully lo the patient. 4. The nurse gave an opportunity for expression of individuality. 5. The nurse showed friendliness and reassured the patient 6. The nurse gave instruction about deep berating, turing and coughing and gave an explanation of routine preoperative preparation which decreased the unknown and so decreased the patient's anxiety- The findings of this study are as follows: 7. The investigation of preoperative anxiety through observing and interviewing revealed patients were concerned about the following: a. Length of stay in the hospital 69.7% (31 cases) b. Condition unimproved o. worse 48.,8% (30 cases) c. Postoperative pain and discomfort .56.8% (29 cases) 2. The results of the study regarding the four hypothesis were as follows: a. Preoperative psychological care not reduce the number of analysis needed during the 48 hour period following surgery. b. Preoperative psychological care did not reduce the Postoperative incidence of vomiting c. Preoperative psychological care had no influence on voiding ability following surgery. d. Preoperative psychological care significantly reduced the number of postoperative days in tile hospital. The experimental nursing process proved to be successful in decreasing the length of postoperative hospitalization (improving rate of healing). This study has demonstrated further that the relief of anxiety (emotional distress) is part of the nurse's professional role. In order to be sure psychological care is given it is important to make a nursing care plan which .includes a plan for the psychological care needed by the patient. As this care is given it can be charted off by each nurse just as medication and treatments are checked after they are given.