The objective of this study is to verify the effects of diversional therapy targeting the patients who underwent orthopedic operations on the patients' anxiety and vital signs. The experimental group watched the video that a patient selected wearing screen glasses during an operation under local anesthesia. The control group received midazolam 0.5mg/kg (usual handling) through operation surgeon's prescription, and intravenous infusion was conducted during an operation. The State Trait Anxiety Inventory, visual analog scale of anxiety, and vital signs were measured before and after the operation. The state anxiety score of the experimental group decreased, and there was no significant difference. And the anxiety (VAS) score, the experimental group's score decreased. The control group's score decreased, and there was no significant difference. No significant difference in vital signs was found between two groups. This means that the non-pharmacological therapy wearing screen glasses is not inferior to the pharmacological therapy using midazolam in terms of the effects of intervening in anxiety. The diversional therapy using screen glasses is safe, costeffective, and is a pleasant alternative therapy for patients, and is expected to be an independent nursing intervention.

The purpose of study was to reconstruct Belsky's (1984) parenting behavior determination model on basis of Josselson's (1998)