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The objectives of this research are determine the difference in the effect of "Syntocinon" and "Syntocinon and Methergine" on postpartum blood loss as well as the side effects arising from administration of methergine.The number of subjects, under study was 108. The subjects were divided into two grups of 54. All subjects received an intramuscular injection of 10 units of Syntocinon after delivery of baby, while one group received, in addition, an intramuscular injection of 0.2 mg. of Methergine, after delivery of placenta. Then the amount of hemorrhage within 24 hours after delivery, determined by Higham's pictorial chart, the postpartum hemorrhage (P.P.H.) determined visually and experimentally, the difference of hemoglobin and hematocrit measured before and 24 hours after delivery, in two groups were compared. The statistical tests showd no significant difference between any of the particulars of the subjects in the two groups.As shown by the results, that the average hemorrhage in "Syntocinon" group was 145.56 ml. Meanwhile, there were three cases of postpartum hemorrhage (5.6%) in this group. The average hemorrhage in "Syntocinon and Methergine "group was 130 ml. wih two cases of postpartum hemorrhage (3.7%). The statistical tests showed no significant difference between average hemorrhage and cases of postpartum hemorrhage (p = 0.5, df=l) in both groups. These findings were objectively confirmed by the comparison between hemoglobin and hematocrit before and 24 hours after delivery in both groups, suggesting no significant difference between the two groups as regards, pre-and post delivery hemoglobin and hematocrit differences.The findings also suggest that there is no significant difference between the groups as regards the incidence of nausea, vomiting, chest pain, dyspnea, headache, mild and severe after-birth pains, backache, Systolic blood pressure of 140 (mmHg) and higher as well as diastolic blood pressure of 90 (mmHg) and higher. However, There have always been significant differences between the average systolic and diastolic blood pressures as measured 6,15,30 and 45 minutes as well 1, 2, 3 and 4 hours after delivery of placenta, as compared to pre delivery ones (p<0.05).

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This reasearch is a discriptive study. the purpose of this study was to assesspatients' knowledye , attitude and practice with coronary artery diseases and of their family . member about theraputic Regimen advises . In this study , 50 patients with Coronary artery diseases and 50 members of their family have been studied randomly . Two questionnaires were prepared, one for patients and another for their families, which both of them included 4 parts as follows : Demographic data, question related to knowledge, the kind of attitude and quality of practice .Then the Scores of patients > knowledge and also their family's were determined Separately and the relation ship between their variables together in patients with their family w&s measured.The results of investigation showed that, most percentage of patients and their family possesing high knowledge and positive attitude about theraputic regimen and most percentage of patients have had disireable practice and their families have had non - disireable practice.The results showed that there was a significant relation between patients >knowledge and their attitude , and between their familys > practice and their attitude.

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Introduction: Anually, 585000 women die from complications of pregnancy and childbirth in the world. Using postpartum contraceptive methods helps to prevent repeated pregnancies.

Materials and Methods: This research is a descriptive and analytic cross-sectional study that has been performed among women who refered to health centers of Kermanshah city in 2002 to evaluate contraceptive use during two years postpartum and attitude toward it. In this study, some of health centers of Kermanshah city had been selected with cluster sampling and then 260 married women in fertility ages attending these health centers who had delivered during previous two years were selected, using stratified random sampling. Data collecting was performed by interview using a questionnaire that was consisted of 5 parts the data were analyzed using 2 and Fisher exact test, student T-test, Pearson and Logistic regression. Standard deviation (Sd) was reported for mean values.

Results: The findings of this research indicated that 50.4% of women had a positive attitude toward using contraceptive methods during two years postpartum and 79.2% were using some contraceptive method. Husband education (p=0.036), having sexual activity (p=0.001), the time that has been elapsed from the last delivery (p=0.001), number of pregnancies (p=0.013), tendency to have more children (p=0.037), attitude toward contraceptive use (p=0.001), the type of breast feeding (exclusive or partial) (p=0.001), and quality of menstural cycles (p=0.001) were in relation to use of contraceptive methods during two years postpartum.

Conclusion: According to these findings, attitudes and believes, breast feeding status and quality of menstural cycles play an essential role in postpartum contraception. Therefore, key steps to better family planning services at this time include effective counseling and starting training programs.

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Introduction: Pregnancy is a natural phenomena and basis of birth but can induce various dangers to mother and fetus. Since mother is the central part of family, maternal mortality would be an irreparable damage to the community. On average 10100 live births and 12 maternal mortalities occur in Kurdestan province each year the maternal mortality rate is therefore 118/100000 live births which in comparison to similar figure in whole country (37/100000 live births) is three times higher.

Materials and Methods: This research is an analytic case-control study. Cases and controls were matched for place of residence and age at gestation. Cases (n=55) were chosen by census and controls (n=220) were chosen by random sampling. The tool used to collect data was questionnaire, validity and reliability of which was tested by content validity and test-retest method. The statistical testing used in this study were Chi square and odds ratio. Data were analyzed by SPSS .11 software.

Results: Most of maternal mortalities had occurred in women 18-35 years of age, illiterate and living in rural areas. Marivan had the highest maternal mortality compared to other surveyed cities (29.1%). Prenatal care (OR= 22.7), parturition agent (OR= 9.85), use of one of the method of family planning (OR= 2.5) and parturition method (OR= 2.3) had meaningful relationship with maternal mortality.

Conclusion: According to findings of this research, it is possible to decrease the maternal mortality by improving prenatal care and family planning and preventing parturition by uneducated midwives and avoiding unnecessary cesarian sections.

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Introduction: According to WHO, prolonged labour is one of the most important causes of maternal and newborn mortality. This study was carried out to assess the impact of education of partogramm on quality of midwifery’s care.

Materials and Methods: This survey was a quasi experimental study with one group pretest-posttest design which was carried out in some of governmental hospitals in Tehran in 2002. Subjects were 53 midwives who were working in different hospitals. The data was collected with an special questionnaire, WHO’s partogramm, and a check list to assess quality of midwifery care in labour. Result were analyzed with SPSS software.

Results: The findings showed that after education of partogramm a statistically significant improvement occurred in recording of twelve of fifteen variables including fetal heart rate, condition of amniotic fluid, vaginal bleeding, vital signs of mother, urine examination, drugs and fluid use, correct plotting of cervical dilatation, correct movement of dilatation graph to alert line, number of vaginal exams, recording time of rupture of membranes and time of amniotomy (p<0.0001).

Conclusion: The findings of this study indicate education of partogramm has a positive effect an quality of midwifery’s care and emphasis important of its education to midwifery’s students

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Introduction: Bed sore is an important complication of operation. Long immobility, hypotension and hypothermia in perioperative period predispose patients to bed sore. The prevention of bed sore is a priority in caring for immobilized patients and different methods have been used for this purpose. Hydrocolloid dressing is one of these methods.

Materials and Methods: This study is a quasi-experimental research. Subjects consisted of 60 patients aged 40-70 years who had eligibility criteria for this study. Subjects were selected with convenience sampling and randomly allocated to two 30-patient groups (experimental and control). In experimental group, hydrocolloid dressing was used before surgery. No procedure was performed for control group. After surgery sacral area was examined on three occasions to detect bed sore: immediately, 24 and 48 hours after surgery. The data were collected by demographic questionnaire and staging bed sore checklist and analyzed by SPSS statistic program and use of descriptive methods such as Chi square, Fisher exact test, t test, ANOVA and least significant difference (LSD).

Results: Incidence of bed sore was 13.3% in experimental group and %36.7 in control group. Chi square test showed significant difference between incidence of bed sore in two groups (p=0.03). Incidence of bed sore in two groups had no relationship with respect to gender and number of grafts. There was a significant relationship between bed sore and age, body mass index and duration of hypothermia, immobility and cardiopulmonary bypass (p<0.05).

Conclusion: Considering findings of this research, it seems that use of hydrocolloid dressing is effective in preventing perioperative bed sore after coronary artery bypass surgery.

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Pregnancy and delivery are special events in women’s and their family’s life. Although pregnancy is a natural phenomenon and not a disease, sometimes it can be associated with several dangers to the mother and her fetus. Maternal death is a global finding and its five most important causes are bleeding, infection, hypertension, prolonged labor and abortion in unsanitary condition. Early diagnosis of abnormal labor progression and prevention of prolonged labor can reduce the risk of postpartum bleeding and infection. The chart of labor called “Partograph” has been introduced and applied since 1970 to help diagnosis of the abnormal labor and cephalopelvic disproportion. Partograph is an early alerting system which can prevent probable difficulties in different stages of labor through recording of all of the observations and examinations on one chart, so that mother can be referred as soon as possible to higher levels of health services.

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Introduction: It is necessary to understand that psychological reactions after a natural disaster are as complex as disaster itself. Following a catastrophic earthquake like Bam’s, such reactions can be seen in nursing team members as well.

Materials and Methods: This study is a descriptive cross sectional analytic research, conducted with cooperation of Japanese Nursing Association to identify somatic and psychological problems of nursing team members of Bam. A total of 92 members of nursing team affiliated to healthcare centers of Bam were studied. Data collection tools were 2 questionnaires first for evaluating demographic characteristics and general health and second- questionnaire of Goldberg and Williams- for evaluation of four domains of psychosomatic problems, anxiety and insomnia, psychosocial functioning and severe depression. Each domain contained seven questions, each scored from 0 to 3 based on Likert score. Complete score of general health was 0-84. Scores were classified in four groups: 0-20 as optimal, 21-4 as approximately optimal, 41-6 as approximately suboptimal and 61 and higher as suboptimal.

Results: One year after the earthquake, evaluation of general health of nursing team members showed 30.3% of subjects had optimal psychosomatic status, 34.8% had moderate problems of anxiety and insomnia, 40.2% had approximately optimal psychosocial functioning and 44.2% of subjects were not severely depressed. Overall, 38.4% of nursing team members had approximately optimal general health.

Conclusion: This study showed that following a catastrophic earthquake, most of the victims suffer from several psychological and somatic reactions. In addition to on time rescue procedures, other important allaying factors are cultural and religious values and believing in God.

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Background & Aim: Decreasing mechanical ventilation and early extubation after cardiac surgery are the important scientific subjects that their clinical and financial benefits had been demonstrated. There are some variables that are associated with extubation time so, determination of them will help nurses to plan appropriate care aimed at doing an early and safe extubation.

Methods & Materials: The purpose of this descriptive-analytic study was to determine whether any preoperative variable had a significant effect on extubation time after CABG. The research was conducted in one of hospitals in Tehran city. In this retrospective study, data were collected by reviewing of files of eligible patients who were undergoing CABG from December 2003 to March 2005. 93 files reviewed by convenience sampling method. Collecting data tool was a checklist consists of three parts: 1) demographic characteristics 2) health and disease history 3) physiologic status. Samples divided into two groups: early and delayed extubation (>6h). Data analysis was performed by descriptive methods, chi square, fisher exact test and regression analysis.

Results: Mean and standard deviation of duration time of intubation was 7.19±3.00 with range of 3-18.25 hours in all samples. Totally 43% of subjects extubated in ≤6h and 57% of them in >6h. Age was the only preoperative variable that was found to be statistically significant to extubation time (p=0.01).

Conclusion: According to our findings age is associated with postoperative intubation time after CABG. It means older patients need to be under long mechanical ventilation. So, nurses should make a decision on extubation in older patients, carefully.

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Background & Aim: Improving the quality of life is generally one of the main goals in caring of the patients with congestive heart failure, so identifying factors affecting it is significantly important. This study was conducted to determining the quality of life of these patients.

Methods & Materials: 184 of patients congestive heart failure who referred to clinics of Tehran University of Medical Sciences were chosen by goal-based sampling method. Data collection was done by questionnaire, which was consisted of 4 parts: individual factors, factors related to disease, patient knowledge and quality of life. Data analysis was done by SPSS computerized software.

Results: Most of the researching samples in fallowing dimensions had undesirable quality of life: physical activity dimension (44.6%), Psychological dimension (47.3%), Economical/Social dimension (49.5%), total Quality of life (46.7%) and had fairly desirable quality of life in general health dimension (42.4%). There is a significant statistical relationship between quality of life and these variables: job, Education level, care giver, the intensity of illness, duration of illness period, number of refers to physician and hospitalization, duration of combination of hypertension with CHF, presence of edema, high cholesterol, characteristics of disease, the intensity of fatigue at the time of research and in last 1 month ago (p=0.000) and the kinds of using drugs (p=0.039), but there is not a significant statistical relationship between quality of life and these variable: age, gender, Marriage status, Number of people living together, Having therapeutic insurance, Smoking, Body Mass Index: BMI presence of Myocardial Infarction or other diseases and patient knowledge.

Conclusion: Congestive heart failure has a negative affect on quality of life. So assessing the quality of life and promoting it is viewed as one of the duties of nurses and also as one of the major caring goals.

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Background & Aim: Postpartum depression is mood disorder that affected 10-15% of women during 6 months after delivery. This study was designed to investigate preventive effect of supportive activities during prenatal on postpartum depression.

Methods & Materials: This research is clinical trial study and the samples were 440 pregnant women in Lahijan and Astanea in eastern of Gilan .The sampling was simple randomization for 2 groups. One group presented in education classes and others received current prenatal care. Between 4 to 8 weeks after delivery their Beck depression inventory (BDI) score was evaluated among two groups. Data analysis has been done by SPSS statistical software.

Results: Prevalence depression (cases who have Beck score more than 16) in study group was 6.5% versus 18.6% in control group. Mean BDI score in study group was 7.08 versus 8.69.

Conclusion: Participated to education classes during pregnancy decrease the postpartum depression.

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Background & Aim: Postpartum depression is a severe and pervasive sadness with labile mood that affect 8-15% women after delivery. It can negatively impress mother-infant bonding. There are a lot of factors which make women vulnerable to postpartum depression so that controlling them can prevent from the postpartum depression incidence. Several researches have shown an association between serum cholesterol reduction and depression. The aim of present study is to determine relation between postpartum depression with total serum cholesterol changes before and after child birth in Lahijanian women in years 2006-2007.

Methods & Materials: This research sought a descriptive-analytical design. Samples consisted of healthy Primigravidia women (101 persons) with normal labor, normal delivery at term, married, and a medium to high socio-educational level, without history of a depressive disorder, and metabolic disorders or hyperlipidemia. The excluded were the women with maternal or fetal complication before delivery, having problem with accepting infant gender, fetal death and being depressed during pregnancy. All women were visited in two stages: 3 weeks before the expected delivery and also 6 weeks after delivery. On both visits the Beck depression inventory and serum cholesterol registration questionnaire were completed. Data were collected using a questionnaire which had three sections: demographic characteristics, the Beck depression inventory and laboratory tests. Data were analysed using descriptive and inferential statistics (Spearman correlation coefficient and t-test) by SPSS computer software.

Results: Findings indicated that serum cholesterol declined considerably in the postpartum period, also it was shown that there was a significant correlation between reduced serum cholesterol and postpartum depression (r=-0.331, P<0.001).

Conclusion: Serum cholesterol reduction has a relation with postpartum depression.

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Background & Aim: Family-centered care, which has become the cornerstone for pediatric nursing practice, supports the integrity of child and family health. It brings families a unique care and improves child and family health. Families are recognized as an essential part of a specialized child care during illness. They are expected to be skilful in child care both in and out of health care facilities. This study was carried out to determine health caregivers&apos attitude toward parent participation in the care of their hospitalized children at Madani pediatric hospital- Khoramabad in 2004.

Methods & Materials: This is a descriptive-analytical study. One hundred and sixty nine caregivers were selected through convenient sampling method. Data were gathered using a questionnaire including demographic and parents&apos attitude questions. The questionnaire had 36-item. The data were analyzed via SPSS computer software and using descriptive and analytical methods.

Results: Results indicated that the average of participants&apos attitude score was 92.28±12.55. Most of subjects had neutral attitudes toward parents&apos participation in their children&aposs care. Positive attitude were significantly related with marital status (P<0.04), having children (P<0.04) and being a nursing student (in comparison with medical students) (P=0.04).

Conclusion: The caregivers&apos attitudes toward parents&apos participation in the care of their hospitalized children were neutral. The students&apos and staffs&apos attitudes should be modified by taking part in continuous training programs.

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Background & Aim: Today, quality of life measurement is important in health care systems especially for patients with chronic diseases. Heart failure has several complications that affect patients&apos lives. The aim of this study was to investigate the quality of life and its dimensions in patients with heart failure.

Methods & Materials: It is a cross-sectional study. Two hundred and fifty patients with heart failure referred to Tehran medical centers were selected using convenience random sampling method. Data were collected using "Ferrans and Powers quality of life Index". Data were analyzed using descriptive statistics, chi-square, and Pearson correlation coefficients.

Results: The study findings showed that 76/4% of the participants possessed undesirable and less desirable levels of quality of life. There was significant statistical relationship between quality of life with age, gender, education, marriage status, ejection fraction, length of heart disease, co-morbidity, and readmission.

Conclusion: Cardiac heart failure has negative effects on quality of life. So, it seems that if assessing the QOL of these patients becomes one of the nurses&apos duties, it will promote the major caring goals.

 

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Background & Aim: The Clinical Teaching Partner model (CTP) integrates theoretical knowledge with professional skills and brings the reality to workplaces. Closing educational and practical aspects in nursing discipline has been a challenging goal for nursing which requires cooperation between faculty instructors with nurse practitioners such collaboration will led to development and promotion of nursing discipline. Therefore selecting an effective and efficient approach in order to integrate theoretical knowledge with practical experiences would be crucial for nursing profession. This study was conducted in order to investigate the effect of CTP on nursing students&apos clinical skills outcome.

Methods & Materials: A quasi experimental, only post test design was applied. Study sample consisted of 1) three faculty instructors, 2) seven registered nurse practitioners who were staff nurses in three pediatric wards and voluntarily participated in the study and 3) fifty two nursing students which were in the 5th semester of nursing BSc. program and had eligible criteria to enter the study. Students were allocated randomly to the intervention (n=28) and control (n=24) groups. Participants in the control group, initially started their internship period in 3 pediatric wards and were evaluated by faculty instructors regarding their clinical skills at the end students in the intervention group, then started their clinical training course in the same ward as control group, but their clinical education was conducted by the nurse practitioners who voluntarily participated in the study and trained initially in the nursing faculties&apos skill lab. Students&apos clinical skills were evaluated by nursing mentors via some instruments at the end of the educational period in addition, clinical education outcomes and nursing students&apos satisfaction of achievement to apprenticeship goals were assessed at the end of the training period. Data were analyzed using the statistical tests including Chi square, Fisher exact test, Mann-Whiney U, and t-test in SPSS.

Results: Considering students demographic characteristics, both groups were homogenous. There was a significant difference in the students&apos clinical skills between two groups (P<0.001). A significant difference was shown in the nursing mentors and faculty instructors&apos satisfaction of application of cooperative education method between both groups (P=0.004). No significant differences were found between students&apos satisfaction of reaching to educational outcomes between both groups (P=0.058). There were also no statistical differences between nursing mentors and faculty instructors&apos satisfaction of achieving to clinical education outcomes (P=0.109).

Conclusion: According to this study, CTP is an effective approach in clinical education and development of clinical skills for nursing students therefore,

application of this method is recommended in clinical nursing education.

 

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Background & Aim: Self-care activity is a key factor in managing Rheumatoid Arthritis (RA) in order to reduce disability caused by the disease. Predisposing factors including knowledge, attitude, and self-efficacy are introduced as determinants of self-care behaviors in the forth phase of PRECEDE model, i.e., ecological and educational assessment. This study aimed to assess the relationship between the predisposing factors and self-care behaviors in patients with RA in Yazd, Iran.

Methods & Materials: In this cross-sectional study, a convenience sampling was used to recruit 181 outpatients with RA referred to a rheumatology clinic in Yazd, Iran. Data were collected by conducting interviews with the participants using a survey questionnaire included knowledge, attitude, and self-efficacy, as predisposing factors and self-care behaviors items. Reliability and validity of the instruments were examined and approved. The statistical tests included bivariate correlations, Mann-Whitney U test, and linear regression.

Results: Knowledge, attitude, and self-efficacy scores were 71.7%, 66.9%, and 47.5%, respectively. The total predisposing factors score was 62.3%. There was a significant positive correlation between the self-care behaviors with attitude and self-efficacy. However, there was no significant correlation between the patients&apos knowledge and self-care behaviors. Totally, the measures explained 39.3% of total self-care behaviors variance within which the self-efficacy was the strongest predictor (β=0.41).

Conclusion: Regarding the high power of predisposing factors, especially self-efficacy, in predicting self-care behaviors and the low scores of self-efficacy, health promotion planners should pay more attention to predisposing factors of self-care behaviors especially the self-efficacy in designing health promotion programs.

 

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Background & Aim: Pregnancy and post-partum period are accompanied by important changes in women&aposs quality of life. Patient counseling is an effective way to improve quality of life. This study aimed to assess the effect of telephone counseling on the quality of life among women with a normal vaginal delivery in Razi hospital in Marand.
Methods & Materials: In this randomized clinical trial, 260 women were recruited to the study. The participants who had met the inclusion criteria were randomly allocated in two intervention and control groups. The intervention group (n=130) received telephone counseling twice at the first week for 20 minutes and then once a week from the 2^nd week to the 6^th week. Moreover, we had provided a 24-hour hotline for women. The control group (n=130) received the routine care. Data were gathered using a demographic sheet, a postpartum problem&aposs checklist, and the SF-36 quality of life questionnaire. Data were analyzed using SPSS-13.
Results: The results showed no significant differences in physical and mental quality of life in the first day of post-partum between two groups. The women&aposs quality of life in both physical and mental dimension were significantly higher in the intervention group in the 42^nd day after childbirth (P<0.001).
Conclusion: Telephone counseling by midwives could help to improve women&aposs quality of life in post-partum period. More studies are recommended.

 

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Background & Aim: Despite the advancement of medical science, readmission of the heart failure patient remains a serous problem. The aim of this study was to assess the effect of continuous care and educational intervention on the rate of readmissions, refers to physician, and health costs in patients discharged from hospital.
Methods & Materials: This study was a randomized clinical trial in which 110 patients were studied. The participants were allocated in two experimental and control groups. Data were gathered using questionnaires. Home visits were carried out in the experimental group during six months. At the end of the intervention, the rate of readmissions, referrals, and health care costs were compared in the two groups. Data were analyzed using independent t-test, Fisher&aposs exact test, and Chi-square test.
Results: Results indicated that the rate of readmissions (1.65±1.01 vs. 2.74±1.07, respectively), and refers to physicians (2.73±1.24 vs. 3.32±0.94, respectively) were lower in the experiment group than the control group (P<0.05) after the intervention. The average health care cost in the intervention group (2494000±172150 Rials) did not differ significantly with the control group (2736800±167360 Rials) (P>0.05).
Conclusion: The results of this study indicated that the nursing interventions such as home visits are effective in lowering readmissions and refers to physicians in patients with heart failure. It seems that home visits are necessary in promoting the patients health. 

 

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In the many definitions that are accompanied with nursing, in addition to the scientific aspect, art has always been mentioned. Since Florence Nightingale introduced nursing as an art, several theorists have emphasized the aesthetic aspect of nursing in their literature. However, many experts believe that the word "art" has been accepted in nursing without deep thought and criticism.To judge the statement: "Nursing is an art", it seems that it is necessary to review the similarities and differences of "art" concept in nursing and other fields literature. Art has a complex and multidimensional meaning that is the backbone of many theories presented however, they each have their own strengths and weaknesses. Nursing has artistic properties but this characteristic is referred to as folk art and not to specific features of art. In comparing these theories with the concept of art used in nursing, it is essential to note that art in nursing refers to skills of nursing. In other words, nursing is not a kind of fine art.From the aesthetic perspective, nursing can be easily defined as a form of art however, we must put great importance in the inseparable words of "aesthetic" and "art of nursing". With such a connection, we are able to introduce and capture the true spirit of both art and nursing. In this article, we have reviewed the most important definitions and theories of art as a "specific term", and as "skill", where they have linked nursing to art. Moreover, we have discussed their similarities and differences.

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Background & Aim: Childbearing is a potentially traumatic event in the lives of women and can lead to post traumatic stress disorder in some women. This study aimed to determine the prevalence and predisposing factors of post traumatic stress disorder after childbearing in women in Bushehr.

Methods & Materials: In this cross-sectional study, 400 women who attended the medical centers 6-8 weeks after delivery were recruited to the study. Participants with traumatic delivery were included in the study. They completed the posttraumatic symptoms scale-I (PSS-I), and predisposing factors questionnaire. Data were analyzed in two groups of women with the PTSD and without PTSD using Chi-square and Fisher&aposs exact test with P=0.05.

Results: The results of this study showed that 54.4% of women had experienced a traumatic delivery and one-third of the women were affected to PTSD after childbearing. There were significant differences between obstetrical factors including complications of pregnancy, wanted pregnancy, post-partum complications, interval of the last two pregnancies less than two years neonatal factors including type of feeding, issues of child care, birth weight and psychological factors including stressful life events, and maternity social support with the PTSD (P<0.05). Income had statistically significant association with the PTSD (P<0.05).

Conclusion: Some of obstetrical, neonatal and psychological factors are associated with occurrence of the PTSD after delivery