Primary function of health record is that as tool of communication between the health professionals with the mutual goal, the promotion of health care standard Studies have been carried out world over on the sabject, among those, Weed's Problem-Oriented Health Record is considered a paramount achievement. This study was designed to assess the possibility of implementing the problem-oriented health record system through an experiment in order to provide data for nurse administrators initiating reformation of recording system and format. Records of 29 patients admitted at Korea University Hospital, Seoul, from March thorugh June, 1976 for 4 to 14 days were sampled. Nursing notes were recorded by research assistants;senior nursing student trained extensively by the researcher on Problem-Oriented Records, on Problem Oriented Nursing Record format (experimental group) and analysis were carried out comparatively with that of traditional nursing records noted by other nursing personnel ( control group) on the same patient. Attitude towards Problem Oriented Nursing Record system and format were attained through questionaires responded by the 51 research assistants. Results are as follows: Comparative analysis revealed that: 1 . Assessment of patients' health problems recorded significantly more in traditional records. 2. Focus of health problem differed; traditional records showed significantly higher frequency in medical and procedure as focus while problem oriented records on nursing focus problems. 3. Problem-Oriented records were better organized, Mean value scores of attitude towards Problem-Oriented Records revealed that: Positive value scores on all 4 categories: 1) Assessment of nursing needs, 2) Nursing care planning 3) Patient progress assessment and 4) Tool of teaching and learning revealed that the Problem-Oriented Nursing Record is positively accepted by the respondents. Recommendations Further experiments on implementation of Problem-Oriented Health Record are recommended: experiment involving all health professionals, in larger scope and longitudinal.

Through the examination of hospitalized patient's records, this study purports to determine-the extent to which nursing record behaviors meet general expectations held for nursing records and the differences in nursing record behavior in relation to different nursing categories, period of recording and hospitals with different management patterns. Nursing record behaviors of 802 patient's records in four hospitals in Seoul were examined by use of a check list, which was prepared by the author as an instrument for the study. Data obtained from this examination were processed into percentage values for percentage test and chi-square test in order to determine their significance. Results are as follows; 1. Records pertaining to treatment ranked highest among all care categories in their extent of coverage, averaging 65.6 percent. 2. Of the treatment category records, records of medication led others at 94.3 percent, followed by records of test and collection of specimens at 59.9 percent, diet at 58.8 percent and treatment at 41.0 percent. 3. Records in the category of physical assessment and care averaged 44.1 percent, the second highest next to treatment category records. 4. Of the records in the category of physical assessment and care, records in vital signs placed first at 98.9 percent, followed by sleep at 76.2 percent, body weight at 74.7 percent, symptoms and signs at 69.3 percent, rest at 44.5 percent, hygiene at 39.7 percent, activities and partcipation at 16.9 percent, positions at 10.3 percent, level of consciousness at 9.8 percent and physiological dysfunction at 1.1 percent in that order. 5. Records in the category of psychosocial assessment and care averaged 3.2 percent, the lowest of the-three major categories. 6. Of the records in the category of psychosocial assessment and care, records on emotional responses ranked top at 10. 5 percent, followed by self-concern at 2.1 percent, adjustment at 2.0 percent, family, occupational and social relations at 0.7 percent and preferences, and interests at 0.5 percent in that order. 7. Records in relation to the category of specific conditions were found in 9.1 percent of the total records. 8. Of the records in the category of specific conditions, consuitation and transfer records, stood first at 25.0 percent, followed by precautionary measurements at 1.4 percent and isolation at 0.9 percent 9. A great difference in nursing record behavior was observed between the first week of hos-pitalization and the last week, with the first week's recordings much higher than the last week in the categories of treatment and specific conditions (p<0.01), and of physical assessment and care (p<0.05). 10. A big difference was also observed among the hospitals (p<0.01). 11. A big difference was also observed between the government-run hospitals and the private hospitals in the categories of physical assessment and care and specific conditions in the first week of hospitalization (P<0.05), and in the category of psychosocial assessment and care in the last week (P<0.05). 12. Between the hospitals established with foreign aid and the other hospitals, the difference in nursing record behavior was significant only in the category of physical assessment and care both in the first week and the last week (P<0.01). 13. The average nursing record behavior in all care categories stood at 45.1 percent in the extent of its coverage in relation to the general expectations.

The purpose of this study is to observe the administering of analgesice and sedatives to cases of surgery, the influence of the patients' situavional variables on the use of these drugs. and the required number of recovery days in relation to the patients' situational variables and general conditions. Fifty patients in the age range of 15 through 65 who had undergone general surgery at Seoul National University Hopital, Woo Sok University Hospital and Koryo Hospital between May and August of 1971 were chosen for this study. They were observed with regard to the frequency of pestoperative rses of analgesics and sedatives and the requied period of recovery in comparison with the situational vaiables of patients such as sex, age, marjtal status, the type and duration of anesthesia, experience of previous operation, history of cther diseases, preopcrative period of hospitalizaton; and the general conditions of patients such as sleep, stomach condition, bowel condition, urination, interest in surroundings, strength and energy, self-assistance and appetite. The study results were reviewed in a statistical method to obtain the following findings: 1. There was a significant decrease in the crequency of analgesic uses according to the number of days passed after operation. 2. The mean postoperative recovery days were 5.31 days and more than half of the patients have never used analgesics until recovery. 3. There was a significant decrease in the frequency of sedative uses according to the number of days passed after operation. 4. The rank-order correlation between the frequency of analgesic use and that of sedative use following surgery observed in relation to the number of postoperative days was a low and negative one. 5. All of the patients except one have used sedatives only once a day for the whole recovery period. 6. The longer they stayed in the hospital before surgery, the less have they used analgesics after surgery. 7. There were significant differences in use of analgesics after surgery by agegroups; the 24--44 age group used more analgesics than the 15-24 and 45-65 age groups. 8. There were no significant differences in use of analgesics after surgery by all situational variables except the number of days of hospitalization and age. 9. The longer they stayed in the hospital before surgery, the earlier have they recovered from the surgery. 10. There were no significant differences in the number of required recovery days by all situational variables except the length of preoperative hospitalization. 11. There were no significant differences in the number of required postoperative recorvery days by the general conditions of patients.