PURPOSE
This study was done to identify the relationship of trait anger, health state, physical symptoms. and general characteristics to physical symptoms and to identify factors affecting physical symptoms of elderly in urban areas.
METHODS
The research design for this study was a descriptive survey design using a convenience sampling. Elders (n=276), who agreed to participate in this study completed a self-reporting questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression.
RESULTS
Study participants reported low trait anger (M=18.61), physical symptoms (M=7.15), and moderate health state (M=3.30). The 45.4% of variance in physical symptoms was significantly explained by emotional function health state (beta=-.284, p=.013), which is one of the sub-domain of the elderly health state, and trait anger (beta=3.841, p<.001).
CONCLUSION
Findings of this study provide that the most important factors in explaining physical symptoms for the elders in Korea were emotional function health state and trait anger. Based on the findings of this study, further nursing practice and nursing research for the elders with physical symptoms should be focused on emotional support.

PURPOSE
The purpose of this study was to develop a program for anger management based on self-efficacy.
METHODS
In this study, four types of approaches to enhance anger control were developed; 1) a role play for vicarious experiences; 2) an assertive training for anger expression; 3) a 30-minute long education program & a 20-minute long telephone call coaching for verbal persuasion; and 4) a booklet for anger management and self care behaviors. One group pretest-posttest design was used for evaluating the program. Study subjects were 6 cancer patients undergoing chemotherapy. The group were received a 4-week intervention, 60 ~ 90 minutes a day weekly, and measured the variables at baseline, 4 weeks later. Anger-in, anger-out, and anger-control were measured by STAXI-K. Data was analysed by Wilcoxon using SPSS/WIN 12.0 program. Anger situation was analysed according to primary anger-thoughts and secondary anger-thoughts based on cognitive theories of anger.
RESULTS
The program for anger management consisted of a role play, assertive training, education, telephone call coaching and a booklet. The program revealed significantly less Anger-in (Z = -1.997, p = .046), anger-out (Z = -2.207, p = .027). No difference, however, was found in anger control (Z=-1.826, p=.068).
CONCLUSION
This evaluation suggested that more assertive training and longer intervention may be needed to maximize anger control.

PURPOSE
This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families.
METHODS
Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant- observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied.
RESULTS
The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism.
CONCLUSION
The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.

PURPOSE
The purpose of this study was to identify the effect of dynamic imagery therapy on "anger-in" and immune function in patients with breast cancer. METHOD: Dynamic imagery therapy was given for 10 sessions with 2 times informative education. Data collection was from June, 24th to August, 12th 2002. The participants were experimental group 15, control group 15. This study was designed using a quasi-experimental approach with non-equivalent Pre test-Post test Design. The instruments used in this study include the anger scale developed by Spielberger(1972) and modified by Chon, Kyum Koo (1996), The data was analysed with chi(2)-test, t-test, ANOVA and ANCOVA. RESULT: 1) That the level of "Anger-in" in patients will be significantly lower than that of the control group was supported (p<.001). 2) That the level of T3 lymphocyte and NK Cells, IgG. Cortisol in patients will be significantly lower than that of the control group was supported (T3, IgG: p<.05, Cortisol p<.001). CONCLUSION: The dynamic imagery therapy is suggested as an effective nursing intervention to reduce anger level and increase immune function for patients with breast cancer.