In the previous study (Sugiyama et al, 2001), we investigated the changes of personal distances between nursing students and patients in the 3 days course of the first clinical practice and its contributing factors. In this line, the purpose of the present study was to examine the changes of personal distances as a function of 4 days of practice and elapsed time after their first practice and to make clear its contributing factors. The main results were as follows : 1) both of ideal and real personal distances in the second practice were larger than those in the first practice session. However, 2) The decrements of personal distance in the course of practice in the second practice were almost identical with that of the first practice, except the increment at the final day in the second practice. 3) the change of differences between the ideal and real distance as a function of elapsed days were also very similar in two practice sessions. 4) state anxiety scores decreased gradually in the course of days and the decrement were most remarkable at the final 4 day, but the personal distance tended to be longer at the same final day. 5) although the significant correlation between the trait anxiety scores and personal distances was obtained in the first practice, no difference was found in the present experiment.