• Tidak ada hasil yang ditemukan

½Y€Æe €Æ‹ Ê»Zœ¿€Ì£ Á Ê»

N/A
N/A
Protected

Academic year: 2024

Membagikan "½Y€Æe €Æ‹ Ê»Zœ¿€Ì£ Á Ê»"

Copied!
9
0
0

Teks penuh

(1)

‡€]

Ê iZe

€Ì

Zb‡½Á€]

É

~¤e|uYÁ{€°¸¼Ÿ€]

ÄË

\zfÀ»ÉZÆ¿Zf‡Z¼Ì]ĈËZ¬»

½Y€Æe€Æ‹Ê»Zœ¿€Ì£ÁÊ»Zœ¿

ʸ̸y|̻Y|̇

€§

, ʬ¿ÊeZn¿¹Y€ËZ]

{Z]MʸŸÉZÌfz]|¼v»,

Ê¿Zy|·ÁÄÀ»M,

d§ZË{xËZe

‰€Ë~axËZe

ÂnŒ¿Y{Á®‹‚a É

Y€f¯{

É

dË€Ë {€^ÅY

|»Ã|°Œ¿Y{

,dˀË

·ZŸÃZ´Œ¿Y{

Ê 6¸»Z§{

Y,½Y€Æe

½Y€Ë

|»|‹Y…ZÀ‹Z¯

dË€Ë f‹Y|Æ]cZ»|y Ê

¿Z»{Á

°‹‚a¹Â¸ŸÃZ´Œ¿Y{

Ê Y,½Y€Æe,ŠeY

½Y€Ë

‡ZÀ‹Z¯ÉÂnŒ¿Y{

Ê

|»|‹Y dË€Ë f‹Y|Æ]cZ»|y Ê

¿Z»{

|»ÃÁ€³ dË€Ë a¹Â¸ŸÃZ´Œ¿Y{,d‹Y|Æ]Ã|°Œ¿Y{,d‹Y|Æ]{Zf«YÁ

°‹‚

Ê ,½Y€Æe

Y,½Y€Æe

½Y€Ë ¿

Ã|ÀˆË µÂXˆ»

ÃZ¼‹

…Z¼e

[email protected]

ÂnŒ¿Y{

É

‡ZÀ‹Z¯

Ê

°‹‚a‰Â»M|‹Y

°‹‚a‰Â»MÃ|°Œ¿Y{

°‹‚a¹Â¸ŸÃZ´Œ¿Y{

Ê Æ‹

fή]

Y,½Y€Æe

½Y€Ë

¥|ÅÁÄÀÌ»

ʰËÁÁ€»Y

Y

‰Á

,cZ»|yÄËYY€i»ÉZÅ kZ/yZ]{Y{Y€«|¬Ÿ

Á€]Á½Z»Z/‡Y ÉZb/ˆ¿

d‡Y Ä/ ·Z˜»{»ÉZŽZf‡Z¼Ì]{ÄË~¤e|uYÁ{€°¸¼Ÿ€]ÉZb‡½Á€]€iYʇ€],€“ZuÄ ·Z˜»¥|Å

d‡Y

Z¯‰Á

ʨ̏ÂeÄ ·Z˜»

µZ/‡{€“Zuʸ̸ve

½Zf/‡Z¼Ì]Á{ÁÊ»Z/œ¿€/Ì£½Zf/‡Z¼Ì]Á{{,

d§€³¹Zn¿YÊ»Zœ¿

ÁZ¼Ì]

eɀ̳Ŀ¼¿Ä¸Ì‡Â]¶À‡€a

|¿|/‹[Zzf¿YÃ{Z‡Ê§{Z

ÉÁM{€/³

Ä¿Zy‚b‹Md‹Y|Æ]dÌ “ÁdˆÌ·®q,ÄË~¤edÌ “ÁY¶À‡€aÁZ¼Ì]dËZ“Ä»ZÀŒ‡€aĸ̇Â]ZÅÃ{Y{

|‹¹Zn¿YÄË~¤e|uYÁÉY€]½Zf‡Z¼Ì]€Ë|»–‡ÂeÃ|‹¥€½Z»Ê‡€]dˆÌ·®qÁ

‚̿ʸÀ‡€aÄÀ˂Å

|¿|‹ÉÁMž¼mÉY|]ZˆuªË€—Y

Ã{Y{¶Ì¸ve

Y‚§Y¹€¿Ä¸Ì‡Â]ZÅ

SPSS/19

|‹¹Zn¿Y

lËZf¿

½Zf/‡Z¼Ì]YŠÌ/]Ê»Z/œ¿€/Ì£Ê/ze½Zf/‡Z¼Ì]Ä/Ë~¤ecZ»|/yY¶À‡€aÁ½YZ¼Ì]dËZ“

Ê»Zœ¿Êze

Y{ÊÀ »¥ÔfyY

,½YZ¼Ì]ÉY€]

¶À‡€aÉY€]

€/Ì£µY€/Àm½Zf/‡Z¼Ì]{Á

{Â]Ê»Zœ¿µY€Àm½Zf‡Z¼Ì]YŠÌ]Ê»Zœ¿

Y{ÊÀ »¥ÔfyY

,½YZ¼Ì]ÉY€]

¶À/‡€aÉY€]

Ã|/‹¥€/½Z/»,Ê»Z/œ¿ÉZ/ŽZf‡Z¼Ì]Y€fÆ]Ê»Zœ¿€Ì£ÉZŽZf‡Z¼Ì]Ä¿Zy‚b‹MÊf‹Y|Æ]dÌ “Á Ê»Zœ¿Êze½Zf‡Z¼Ì]ÄË~¤e»YÉY€]dˀË|»–‡Âe

{ÁÊ»Z/œ¿€Ì£Ê/ze½Zf‡Z¼Ì]€]Y€]

Ê»Z/œ¿µY€Àm½Zf‡Z¼Ì]

{Â/]Ê»Z/œ¿€Ì£µY€/Àm½Zf/‡Z¼Ì]€/]Y€]

Ä/Ë~¤e|/uYÁ{ʸÀ/‡€aÄ/À˂Å

Ê»Zœ¿ÉZÆ¿Zf‡Z¼Ì]

{Â]Ê»Zœ¿€Ì£ÉZÆ¿Zf‡Z¼Ì]YŠÌ]€]Y€]

ɀ̳ÄnÌf¿

{{€³Ê»{ZÆÀŒÌa,ZŽZf‡Z¼Ì]{ÄË~¤e|uYÁ{€°¸¼Ÿ€]ÉZb‡½Á€]d^j»€ÌiZeÄ]ÄmÂeZ]

ÄË~¤e|uYÁ{{€^ÅY¾ËYį

{‹Äf§€³Z°]Ê»Zœ¿ÉZŽZf‡Z¼Ì]

É|̸¯cZ¼¸¯

ÄË~¤e|uYÁ,½Zf‡Z¼Ì],ÉZbˆ¿Á€]

°q

°q

°q

°q ÌÌÌÌ Ã|

Ã|

Ã|

Ã|

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(2)

Ä»|¬»

ʗ

|Àq ÄÅ{

€ÌyY ʰË

Y

‰Á

ÉZÅ

Z°]

Äf§

Ä/¼Å{



,Z/ŠɄeY€f/‡Y

¾Ì»P/e

ž]Z/À»

Y kZ/y

½Z»Z/‡Y Á

ɁZ‡{YM Ê»

|‹Z]

į

ºˆÌ¿Z°»

É|Ë|m

ŠÅZ/¯Y

Â/”u

d·Á{

Á

ŠËY‚§Y

”u

¹{€»

{

ÉZŠʟZ¼fmY ÃY€¼Å

Z]

ŠËY‚§Y d]Z«

Á Ã|¿€]ÄnÌf¿{

½|‹

Z°fŒa Á d/Ì«Ôy

d‡Y

Z/‡Y½Á€Ì]Z]{Y{Y€«|¬Ÿ

½Z»

ÉZb/‡½Á€/]

d»|/y®/˽MĸÌ/‡ÁÄ/]Ä/¯d‡Y|ˀyºˆÌ¿Z°»®Ë d/¼Ì«{Â/»{Á¦Ë€ e½Md̨̯ÁY|¬»,¾Ì »Zy Ê¿Z/»ÃÁ{®/ËÉY€/]†b/‡,{‹ʻ¶Zuª§YÂe½M ÉY|/ˀyŽz/Œ»Ê/¿Á€Ì]Ã|ÀÀ¯­Y|e®ËYŽzŒ»

{‹ʻ

Ì·Âe¶»YŸİ¸],ZÅdÌ·Z §–¬§Ä¿ÉZb‡½Á€]{

Á|

•Â/]€»ÉZÅÊËYY{

,cY‚/ÌÆne,cÔÌÆ/ˆe,{Y€/§Y¶»Z/‹

ZÅÊËYY{€´Ë{ÁÉÁZÀ§

Y~³YÁ‚̿ɀ̳ºÌ¼eªuÁ

{‹ʻ

œÀ»ž«YÁ{

Y

½Á€]

cZ»|yµZ¬f¿Y,ÉZb‡

ZË ZÅ{€¯Z¯

į -

—Ä]

ÊfÀ‡

–‡Âe

½Z»Z/‡

¹Z/n¿Y Ê/»

|¿Â‹

-

Ä]

®Ë Ã|ÀÀ¯¾Ì»Ze ÊmZy

Ê»

,|‹Z]

Ä/¯

µ€/fÀ¯

ZƿM

Y ªË€—

{Y{Y€/«

Á dˀË|/»Z/Ë Êf¯Z/Œ»

¹Z/n¿Y Ê/»

{€Ì³

½Z»Z/‡Ä ‡ÂeÉZÅY‚]YYʰ˽YÂÀŸÄ]ÉZb‡½Á€]

ÉZŵZ‡{,ɁZ‡®q¯\·Z«{ÉÁÀÆ]ÉZ¬eYÁZÅ Ä]ÁÄf§€³Y€«½Z»Z‡½ÓÂXˆ»Á½Y€Ë|»ÄmÂe{»€ÌyY d‡YÃ|»M{Y€mYÄ]¦¸fz»ÉZÅc

½Z¼ÌaÁÁ€»Y dˀË|»

Z]

‰Á

|¬Ÿ

{Y{Y€/«

¶/]Z«ZÌ/ˆ]

ÄmÂe d‡Y Ê/ÂyÉZ/Åd¯€‹€eŠÌ]

ÁÊ/f·Á{Á

¾ËYÉZb‡½Á€]{ZˁÉZËY‚»¶Ì·{Ä]Ê¿Z»{ÉZŽZ»Z‡

|¿YÄf§€³ŠÌa{Y{€^ÅY

Ä]½YÂeʻɀ³É|eŠÅZ¯ÉZËY‚»Y

½|‹®q¯

Ä¿|]

½Z»Z/‡

Á

ŠËY‚/§Y ÊËZ/¿YÂe Ë|/»

€

{

µZ/¼ŸY dˀË|/»

tÌv

dÆm {Â^Æ]

,{€°¸¼Ÿ

ŠËY‚§Y

½YÂe Á dˀË|»d€§

ÉY€]

‚¯€¼e

€fŒÌ]

ÉÁ

ÉZÆfÌ·Z § ,½Z»Z/‡ÊeZÌu

ħ€/

ÊËÂm

{

ÄÀ˂Å

¹Zn¿Y,ZÅ dÌ·Z § ÉZÅ º/£Ê/¸Ÿ½Z»Z/‡

ÉÁ€Ì¿¹|Ÿ

Z¯

€ÅZ»

Á ZË

¹|Ÿ

cZÆ»

ʧZ/¯

½M{

,Ä/ÀÌ»

ŠËY‚§Y d]Z«

ÉZÅ|uYÁ Ê¿Á{

½Z»Z‡

Y€]

ÄWYYÉ cZ»|/y

,€fÆ]

½Z°»Y

ۮ]

ɀ̳Ã

Y

½Zzf»

kZy

½Z»Z‡Y ÉY€]

¹Zn¿Y ,ZÅdÌ·Z §

½Z°»Y

ۮ]

ɀ̳Ã

Y cY‚ÌÆne ÊÀ§

kZy

Y

½Z»Z‡

ÉY€]

¹Zn¿Y {€¯ÃZ‹YZÆfÌ·Z §

Ä/]¾ËY€/]ZÀ]

Z/ŽZ»Z/‡YÉZ̈],€fŒÌ]ÉZËY‚»Ä]Ê]ZÌf‡{œÀ»

ÉZ/ÅdÌ·Z §ÉZb‡½Á€]Ä]

{Â/^Æ]ÁÃ{Â/¼¿¹Y|/«Y{Â/y

|/¿YÃ{Y{Y€/«€œ¿|»Y{ÂycZ»|yÁcӐv»d̨̯

¾ËYÁ¾ËYY {€/°ËÁ

{

ÉZÌ/ˆ]

cZuÔ/YY

YZ/]

Âv»

ÉZÆf^«Y€»

d»Ô‡

‚Ì¿

µÂ¼ » Ã{Â]

d‡Y É—Ä]

į

Ä]

—

Á

½Á‚§Y

{

Šz]

Êf·Á{

ÉZÅŒ¯

{

Ä ‡ÂeµZu

ÉY€/]

|/ˀy cZ»|/y Ê/Zy

Y

Š/z]

Ê/Ây Ä/»Y{Y

{Y{

|¬Ÿ¾ÌÀr¼Å

½Z¼Ìa ÉY€]

|/ˀy d/^«Y€»

ÉZ/Å

Êf‹Y|Æ]

Ê¿Z»{

ÉZÅŒ¯{

Ä ‡Âe Äf§ZË

|À¿Z»

,Z/°Ë€»M

,|¿ÔÀ§

|À¸Å ɀ»Y½Zfˆ¸´¿YÁ lËY

d‡Y

{

½Y€ËY

‚Ì¿

{

µZ‡

ÉZÅ

€ÌyY Z]

¥|/Å

ŠËY‚/§Y d/̨̯

cZ»|y Êf‹Y|Æ]

,Ê¿Z»{

ŠËY‚§Y dËZ“

½YZ¼Ì]

Á

ŠÅZ/¯

‚Å ÄÀË ,ZŠʌz]

Y d^«Y€»

ZÅ Ä]

Š/z]

Ê/Ây

Y~/³YÁ

d‡YÃ|‹

YÊ/°Ë½Zf/‡Z¼Ì]ÄË~¤eŠz]ʧ€—Y

d‡YʏyŠz]Ä]ÉY~³YÁdÆm\‡ZÀ»ÉZŊz]

Š/z],½YZ/¼Ì]Ä/]Y~/£Ä/WYYÁd/zad/̨̯

YÊ/¼Æ»

½Zf‡Z¼Ì]²À̸fÅcZ»|y

Ê»¶Ì°ŒeYZÅ

Ä/q€ÅÁ|/Å{

d̨̯Z]cZ»|y¾ËY

€e Z]

,ÄnÌf¿{Á½YZ¼Ì]dËZ“,|À‹

€f/ŒÌ]½Zf/‡Z¼Ì]½MÄ/]½Z/¿M{|/n»Ä/ mY€»µZ/¼fuY Ê»

{‹

Ä/¯Ã{Y{½ZŒ¿‚Ì¿Äf§€³cÉZÅʇ€]

Ä/Ë~¤eLÂ/‡Zq{½Zf‡Z¼Ì]{‰€Ë~a½Z»{,½YZ¼Ì]

{Ä//¯|Àf//ˆÅ

{ɀf//ˆ]c|//»Ê//—Z//Æ¿M

‹Ê»€e{Zu¶°Œ»¾ËY½Zf‡Z¼Ì]

¶/ËÓ{YʰË|ËZ‹{Â

ÉÂ/v¿Ä]į|À‹Z]\‡ZÀ»ÊËY~£{Y»d§ZË{{Â^¼¯½M Ê/»½Zf/‡Z¼Ì]ÁŠ/z]{Y~£cZ ËZ“ŠËY‚§YhŸZ]į

{‹

µ€fÀ¯µZ¼ŸYZŽZf‡Z¼Ì]ÄË~¤eŠz]ÉZÅʇ€]{

YÉZÌ/ˆ]¾f§|ÅÁd‡Y\‡ZÀ»Z¿Z̈]Y~£žËÂe€]

¬§¾ÌÀr¼ÅÁÃ|‹ÄÌÆeÉZÅY~£

Ê/ «YÁÁʧZ/¯Z/»M½Y|

d/̨̯Z/]ÉY~/£ž/ˁÂe¹|ŸÁZÅÄÀ˂ŊËY‚§Y,ž]ZÀ»

|À¯Ê»€fŒÌ]YÊfËZ“Z¿½ZÀ¯Z¯Á½YZ¼Ì]¾Ì]\‡ZÀ»

{Â/»{cÔ°/Œ»{ÂmÁÁÃ|‹€¯}{Y»d̼ÅY¶Ì·|]

Ä/]Z/Ì¿¾ÌÀr¼ÅÁÓZ]ÉZÅÄÀ˂ÅÁÄË~¤ecZ»|yÄËYY

¾ËYʌz]€iYÁÊËYZ¯ŠËY‚§Y

½Zf/‡Z¼Ì]{º/Æ»|uYÁ

{ÉZb//‡½Á€//]Š//¬¿{Â//»{Ê//ŒÅÁ„aºË|//‹½M€//]

ºÌÅ{¹Zn¿YÊ¿Zf‡Z¼Ì]ÉYÄË~¤ecZ»|y

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(3)

Y€mY‰Á

ʨ̏ÂeÄ ·Z˜»

Á{{Ê ˜¬»cÄ]€“Zuʸ̸ve

€Æ/‹{Ê»Z/œ¿€/Ì£½Zf/‡Z¼Ì]Á{ÁÊ»Z/œ¿½Zf‡Z¼Ì]

µZ‡{½Y€Æe

d§€³¹Zn¿Y

f/‡Z¼Ì][Zzf¿Y Z/ŽZ

Ê·Z/¼fuY€/̣ɀ/̳Ä/¿Â¼¿Ä¸Ì‡ÁÄ]

ÊeÁZ/”«

cÂ/

d§€Ë~a Ä]Äfˆ]YÁ½Zf‡Z¼Ì]Á{ÁÊ»Zœ¿½Zf‡Z¼Ì]Á{Á

|¿|/‹[Z/zf¿Y½Y€Æeʰ‹‚a¹Â¸ŸÃZ´Œ¿Y{

d/ze{Y|/ e

\/Ìe€eÄ/]Ê»Zœ¿µY€ÀmÁʐzeÉZŽZf‡Z¼Ì]µZ § Á

\/Ìe€eÄ/]‚Ì¿ZÆ¿M¶À‡€a{Y| e,dze

Á

ÁÊ/zeÉZ/ŽZf/‡Z¼Ì]µZ §dze{Y| eÁ€¨¿

\Ìe€eÄ]Ê»Zœ¿€Ì£µY€Àm

Á

¾Ì/Àr¼ÅÁd/ze

\Ìe€eÄ]‚Ì¿ZÆ¿M¶À‡€a{Y| e

Á {Â]€¨¿

Ä»ZÀ//Œ‡€a®//˶»Z//‹cZ//ŸÔ—YÉÁM{€//³ÉZ//ÅY‚//]Y Z]Y~£dÌ “ÁY½YZ¼Ì]dËZ“

įµY‡

½MµY‡

€³Â»{cZŸÔ—YÄ]•Â]€»

dÌ “Á,d̈Àm,¾‡¶j»®Ì§Y

ÁʸÌ/ve­|»Á¶ÅZe

ŠnÀ/‡Ä/]•Â/]€»µYÂ/‡

Ád//‡Y½Zf//‡Z¼Ì]ÉY~//£Y½YZ//¼Ì]dËZ//“½Y‚//Ì»

ÉY~//£Y¶À/‡€adËZ/“ŠnÀ//‡ÉY€/]ÉYÄ»ZÀ/Œ‡€a Z]½Zf‡Z¼Ì]

įµY‡

cZ/ŸÔ—YÄ]•Â]€»½MµY‡

­|»Á¶ÅZedÌ “Á,d̈Àm,¾‡½Âr¼Å®Ì§Y€³Â»{

//ve ÁÊ»Y|zf//‡YdÌ //“ÁÁʸÌ

Ä//]•Â//]€»µYÂ//‡

{Â]½Zf‡Z¼Ì]ÉY~£Y¶À‡€adËZ“½Y‚Ì»ŠnÀ‡

½Y€¯Â¯µÂ»€§YÃ{Z¨f‡YZ]¶uY€»¹Z¼e{ɀ̳Ŀ¼¿

d§€³c

Ä/¯d/¨³|/ËZ]½YZ/¼Ì]{Â/»{Á€/ÀËYY

Ê/zeÉZ/ŽZf/‡Z¼Ì]Y®/ˀ/Å{ŠÅÁ„aÄ »Zm {Á|uÄ ·Z˜»

Á€¨¿

€/¨¿Ä/¿Â¼¿{Y|/ e

€/Å{Á

Ä/ ·Z˜»µY€ÀmÉZŽZf‡Z¼Ì]Y¹Y|¯

{Y|/ eÁ€/¨¿

Ŀ¼¿

|¿|‹[Zzf¿Y€¨¿

Ã|/‹[Z/zf¿Y¶À‡€a{Y| e

Ê/zeÉZ/ŽZf/‡Z¼Ì]Y¹Y|/¯€Å{‚̿Ŀ¼¿ÉY€]

µY€/ÀmÉZ/ŽZf‡Z¼Ì]{Á€¨¿

[Z/zf¿Y€/¨¿

|¿|‹

½Zf‡Z¼Ì]¶À‡€a¶¯{Y| e

€/¯}Ô^«Ä ·Z˜»ÉZÅ

|¿YÃ|‹

Â¼n»{{

ÁZ/¼Ì]dËZ/“ŠnÀ‡Ä»ZÀŒ‡€a

ÉZŽZf‡Z¼Ì]{¶À‡€adËZ“ŠnÀ‡Ä»ZÀŒ‡€a

|‹žËÂeÄ ·Z˜»{»

ÉY€/]d/ˆÌ·®/q®/˾ÌÀr¼Å

Z/]Ä¿Zy‚b/‹M{Z/¯d/‹Y|Æ]dÌ “Áʇ€]

µYÂ/‡

Zœ¿,Ä¿Zy{€//‡ÁZ//^¿Yd//§Zœ¿Š//z]Z//Æq¶»Z//‹

d//§

dÌ //“ÁÁÄ¿Zy‚b//‹MÊ//°Ë‚̧ÉZ//”§d//§Zœ¿,cY‚//ÌÆne ÊËY~£{Y»d‹Y|Æ]

d§€³Y€«Ã{Z¨f‡Y{»

dˀË|//»–//‡ÂeÃ|//‹¥€//½Z//»½Y‚//Ì»Ê//‡€]

ª/ˀ—Y‚/Ì¿Ä/Ë~¤e|/uYÁÂ/»YZ/]Ä/˜]Y{½Zf‡Z¼Ì]

©Â/¬uÄ/]•Â]€»cZŸÔ—YÁd§€³¹Zn¿Y€Ë|»Z]Ä^uZ»

Y‚/̿ĿZy‚b/‹M|uYÁ½ZÀ¯Z¯

ž/¼mÉY|]Z/ˆuª/ˀ—

|‹ÉÁM …Z/̬»YÃ{Z¨f/‡YZ/]Z/ÅÄ»ZÀ/Œ‡€aÊ/Å{À¼¿ÉY€]

cY€¼¿c€°Ì·

Ze

ZÌ/ˆ]ÉZ/ÅÄ/À˂³ÉY€/]\/Ìe€eÄ]

€/œ¿\/‡ZÀ»Z̈],\‡ZÀ»,ʷ¼ »,\‡ZÀ»Z¿,\‡ZÀ»Z¿

|‹Äf§€³

d/‹Y|Æ]dÌ /“ÁdˆÌ·®qÊÅ{À¼¿ÉY€]

cY€¼¿c€°Ì·…Z̬»YÃ{Z¨f‡YZ]‚Ì¿

Ze Ä/À˂³ÉY€]

ÉZÅ , , , Á

|‹Äf§€³€œ¿{

Y€¨¿|ÀqcY€œ¿YÃ{Z¨f‡YZ]ZÅÄ»ZÀŒ‡€aÄ̸¯ÊËYÁ

d§€³¹Zn¿YÄË~¤e¾Ì·ÂXˆ»Á½Y{Zf‡Y

‚/Ì¿Z/ÅY‚]YÊËZËZa

d§€³Y€«Ä^‡Zv»{»wZ^¿Á€¯ÉZ¨·MYÃ{Z¨f‡YZ]

Ϧϳ΍ϭ

ѧѧѧϤϴΑΖϳΎѧѧѧοέϪϣΎϨѧѧѧθγή̵̡΍ήѧѧѧΑϥ΍ΰѧѧѧϴϣ έΎ

́˺

˹/

̵΍ήѧѧѧΑϭ

ϞϨѧѧγή̡ΖϳΎѧѧοέϪϣΎϨѧѧθγή̡

̀̊

˹/

|//»Md//‡|]

Y¶//^«

¹Z/´ÀÅ{Ád/§ZË{¹ÓÉZ/ÅÄ»Z¿Ê§€ »ŠÅÁ„a¹Zn¿Y dˀË|//»Z//]Ä// ·Z˜»{Â//»ÉZ//ŽZf//‡Z¼Ì]Ä//]Ä// mY€»

|»M¶¼ŸÄ]Ê´ÀÅZ¼Å

Ã|/ÀÀ¯d¯€‹{Y€§YÄ̸¯¾ÌÀr¼Å

½Z/»Z/Æ¿MÄ/]Á|¿|/‹Ä/ ·Z˜»{YÁdËZ“Z]Ä ·Z˜»{

|/‹Ã{Y{Ä»ZÀŒ‡€a¶Ì¼°edÆmʧ

¶/̸veÁÄ/˂ne

,|/{,Ê/¿YÁY€§ÉZ/ÅÃZ»MYÃ{Z¨f‡YZ]Ä ·Z˜»cZŸÔ—Y

½Â/»M,Z/Ì »¥Y€v¿YÁ¾Ì´¿ZÌ»,ʨ̏Âe

Independent

T- test

Y‚//§Y¹€//¿®//¼¯Ä//]Á SPSS

ŠËY€//ËÁ

¹Z//n¿Y

d§€³

Y€f¼¯‚Ì¿ÉY{ÊÀ »t˜‡

Ä/f§€³€œ¿{

§ZË ZÅÄf

Â¼n»Y

cZ»|/yY½YZ/¼Ì]dËZ/“Ä»ZÀ/Œ‡€a

,|/‹žËÂeį½Zf‡Z¼Ì]ÄË~¤e

Á¶/̼°e{|/Ÿ

|‹Ã{Y{dŒ³€]x‡Za½Á|]{|Ÿ

€/¨¿

Y

,½Ã|ÀÀ¯d¯€‹½YZ¼Ì]

۬
¾Ì]

,µZ‡

۬
|/¿{Â]º¸bË{ʸ̐ve­|»ÉYY{

¾ÌÀr¼Å

Â¼n»Y

dËZ/“Ã|/‹ž/ˁÂeÄ»ZÀ/Œ‡€a

½Zf/‡Z¼Ì]Ä/Ë~¤ecZ»|yY¶À‡€a

Á¶/̼°e{|/Ÿ

|/‹Ã{Y{d/Œ³€]x/‡Za½Á|/]{|Ÿ

Ä/¯

€/¨¿

,½Ã|/ÀÀ¯d¯€‹¶À‡€aY

€/¨¿

¾Ì]

,µZ‡

۬
Á†¿ZˆÌ·­|»ÉYY{

۬
|¿{Â]ʼ‡¶À‡€a

µÁ|m

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(4)

µÁ|m ʧY€³Â»{ÉZÅʳ„ËÁ€œ¿YÄ ·Z˜»{»{»ÉZŽZf‡Z¼Ì]¶À‡€aÁ½YZ¼Ì]dÌ “Á

½YZ¼Ì]

¶À‡€a

€Ì¤f»

ª¸˜»Ê¿YÁY€§

Ê^ˆ¿Ê¿YÁY€§

ª˜»Ê¿YÁY€§

Ê^ˆ¿Ê¿YÁY€§

¾‡

µZ‡

µZ‡

ÉÓZ]

µZ‡

d̈Àm

{€»

½

ʸ̐ve­|»

º¸bË{€Ë

º¸bË{

º¸bË{©Â§

†¿ZˆÌ·

†¿ZˆÌ·©Â§

Ê»Y|zf‡YdÌ “Á

Êu€—

{Y{Y€«

Ê¿Z¼Ìa

ʼ‡

¶¯

µÁ|m

Ä ·Z˜»{»ÉZŽZf‡Z¼Ì]{ÄË~¤ecZ»|yY½YZ¼Ì]dËZ“ĈËZ¬»

½YZ¼Ì]É|À¼fËZ“

µY€Àm½Zf‡Z¼Ì]

Ê»Zœ¿

µY€Àm½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£

½Zf‡Z¼Ì]

ʐze Ê»Zœ¿

ʐze½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£

ʸYÉY~£d̨̯

ÊËY~£Ä»Z¿€]ÂÀe

{d̨̯

Y~£¾ÌqÁ

Z¼Ì]ºËƒZ]ÊËY~£Ä»Z¿€]\‡ZÀe

Y~£Á€‡½Z»

Y~£Ã|ÀÀ¯žËÂe¶À‡€aɀÅZ›ž“Á

Y~£Ã|ÀÀ¯žËÂe¶À‡€a{Ây€]ÃÂv¿

±

±

±

±

±

±

± ±

±

±

±

±

±

± ±

±

±

±

±

±

± ±

±

±

±

±

±

±

ʸ¯É|À¼fËZ“

±

± ± ±

f»Y cYZÌ

Y

» Ê

|‹Z]

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(5)

dËZ“¾Ì´¿ZÌ»

~£dÌ “ÁY½YZ¼Ì]

½Zf/‡Z¼Ì]¾Ì/]{Y

Ê»Z/œ¿€/Ì£µY€/ÀmÉZÅ

±

½Zf/‡Z¼Ì]YŠÌ/]

Ê»Z///œ¿µY€///Àm

±

Y{Z///À »Ê///§ÔfyYÁ{Â///]

P

|Àf//‹Y{€´Ë|//°ËZ//]

{½Y‚//Ì»¾//ËY¾Ì//Àr¼Å

Ê»Z//œ¿€//Ì£Ê//ze½Zf//‡Z¼Ì]

±

YŠÌ//]

Ê»Zœ¿Êze½Zf‡Z¼Ì]

±  »¥ÔfyYÁ{Â]

Z/À

Y{

P

|Àf‹Y{€´Ë|°ËZ]

Ê»Z/œ¿µY€Àm½Zf‡Z¼Ì]{

Y~/£Y½YZ/¼Ì]dËZ/“Z/Ì »¥Y€/v¿YÁ¾Ì´¿Z/Ì»¾Ë€fŒÌ]

{,Y~/£Ã|/ÀÀ¯ž/ˁÂe¶À/‡€a{Â/y€]ÃÂv¿Ä¨·Â»Ä]•Â]€»

¶À/‡€aɀÅZ/›ž“ÁÄ]•Â]€»Ê»Zœ¿€Ì£µY€Àm½Zf‡Z¼Ì]

»Z/œ¿Ê/ze½Zf‡Z¼Ì]{,Y~£Ã|ÀÀ¯žËÂe Ä/]•Â/]€»Ê

½Zf/‡Z¼Ì]{ÁY~/£Ã|ÀÀ¯žËÂe¶À‡€a{Ây€]ÃÂv¿Ä¨·Â»

ž/ˁÂe¶À/‡€aɀÅZ/›ž/“ÁÄ/]•Â]€»Ê»Zœ¿€Ì£Êze {Â]Y~£Ã|ÀÀ¯

µÁ|m

µÁ|m

Ä ·Z˜»{»ÉZŽZf‡Z¼Ì]{ÄË~¤ecZ»|yY¶À‡€adËZ“ĈËZ¬»

¶À‡€aÉ|À¼fËZ“

µY€Àm½Zf‡Z¼Ì]

Ê»Zœ¿

¼Ì]

µY€Àm½Zf‡Z Ê»Zœ¿€Ì£

½Zf‡Z¼Ì]

ʐze Ê»Zœ¿

ʐze½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£

Y~£d̨̯

ÊËY~£Ä»Z¿€]ÂÀe

Y~£Á€‡½Z»

Y~£Ã|ÀÀ¯žËÂe½ZÀ¯Z¯d‹Y|Æ]

Y~£Ã|ÀÀ¯žËÂe½ZÀ¯Z¯{Ây€]ÃÂv¿

±

±

±

±

± ±

±

±

±

± ±

±

±

±

±

±

±

±

±

±

ʸ¯É|À¼fËZ“

± ± ±

±

f»Y cYZÌ

Y

» Ê

|‹Z]

½Zf‡Z¼Ì]¾Ì]{Y~£dÌ “ÁY¶À‡€adËZ“¾Ì´¿ZÌ»

Ê»Z/œ¿€Ì£µY€ÀmÉZÅ

±

½Zf/‡Z¼Ì]YŠÌ/]

Ê»Z//œ¿µY€//Àm

±

Y{Z//À »Ê//§ÔfyYÁ{Â//]

P

|Àf//‹Y{€´Ë|//°ËZ//]

{½Y‚//Ì»¾//ËY¾Ì//Àr¼Å

Ê»Z//œ¿€//Ì£Ê//ze½Zf//‡Z¼Ì]

±

YŠÌ//]

Ê»Z/œ¿Êze½Zf‡Z¼Ì]

± Ê/§ÔfyYÁ{Â/]

Y{Z//À » P

|Àf//‹Y{€´Ë|//°ËZ//]

½Zf//‡Z¼Ì]{

dËZ/“Z/Ì »¥Y€/v¿YÁ¾Ì´¿Z/Ì»¾Ë€f/ŒÌ]Ê»Zœ¿µY€Àm

{,Y~//£Á€//‡½Z//»Ä//¨·Â»Ä//]•Â//]€»Y~//£Y½YZ//¼Ì]

ÁÊ»Z/œ¿Ê/ze,Ê»Z/œ¿€/Ì£µY€/ÀmÉZ/ŽZf‡Z¼Ì]

ž/ˁÂe½ZÀ¯Z¯{Ây€]ÃÂv¿Ä]•Â]€»Ê»Zœ¿€Ì£Êze {Â]Y~£Ã|ÀÀ¯

µÁ|m

µÁ|m

Ä ·Z˜»{»ÉZŽZf‡Z¼Ì]{Ä¿Zy‚b‹Md‹Y|Æ]dÌ “ÁĈËZ¬»

Ä¿Zy‚b‹Md‹Y|Æ]dÌ “Á

½Zf‡Z¼Ì]

µY€Àm Ê»Zœ¿

µY€Àm½Zf‡Z¼Ì]

€Ì£

Ê»Zœ¿

½Zf‡Z¼Ì]

ʐze Ê»Zœ¿

½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£Êze

Ä¿Zy{€‡ÁZ^¿Yd§Zœ¿

cY‚ÌÆned§Zœ¿

Ä¿Zy‚b‹Mʰ˂̧ÉZ”§d§Zœ¿

Y»d‹Y|Æ]

ÊËY~£{

Ä¿Zy‚b‹M{Z¯d‹Y|Æ]ʸ¯dÌ “Á

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(6)

Ä/¯d/¨³|/ËZ]ZÅÄ¿Zy‚b‹Md‹Y|Æ]dËZŸ½Y‚Ì»{»{

Ê»Z/œ¿€Ì£µY€Àm½Zf‡Z¼Ì]dÌ “Á

¾Ì´¿Z/Ì»Z/]

Ê»Z/œ¿µY€Àm½Zf‡Z¼Ì]Y€fÆ]

¾Ì´¿Z/Ì»Z/]

{Â/]

Ê»Z/œ¿€/Ì£Ê/ze½Zf‡Z¼Ì]{½Y‚Ì»¾ËY¾ÌÀr¼Å

Z/]

¾Ì´¿Z//Ì»

Ê»Z//œ¿Ê//ze½Zf//‡Z¼Ì]Y€//fÆ]

Z//]

¾Ì´¿ZÌ»

{Â]

µY€ÀmÉZŽZf‡Z¼Ì]{½ZÌ»¾ËY{

],Ê»Z//œ¿€//Ì£µY€//ÀmÁÊ»Z//œ¿

{ÁÊËY~//£{YÂ//»d//‹Y|Æ

\/Ìe€eÄ/]Ê»Z/œ¿€/Ì£ÁÊ»Z/œ¿Ê/zeÉZ/ŽZf‡Z¼Ì]

ɀ/fÆ]dÌ “ÁÄ¿Zy{€‡ÁZ^¿Yd§Zœ¿ÁÊËY~£{Y»d‹Y|Æ]

|Àf‹Y{ZÅĨ·Â»€ËZ‡Ä]d^ˆ¿

µÁ|m

µÁ|m

˜»{»ÉZŽZf‡Z¼Ì]{ÄË~¤e|uYÁ»YZ]Ę]Y{dˀË|»–‡ÂeÃ|‹¥€½Z»ÄˆËZ¬»

Ä ·Z

€Ë|»dÌ·Z §

Ä¿Zy‚b‹M|uYÁZ]Ę]Y{

ÄË~¤e Ã|‹¥€½Z»

ÃZ»{Ĭ̫{

½Zf‡Z¼Ì]

Ê»Zœ¿µY€Àm µY€Àm½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£

½Zf‡Z¼Ì]

Ê»Zœ¿Êze

½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£Êze

ɂËÄ»Z¿€]

ÄË~¤e|uYÁYʇZ]

ÄË~¤e|uYÁZ]–^e€»cZˆ¸mÉY‚³€]

f̼¯ÉY‚³€]

ÄË~¤e|uYÁZ]–^e€»ÉZÅÄ

ÄË~¤e|uYÁYÄf§€³ccZËZ°‹Ä]ʳ|̇

ÄË~¤e|uYÁZ]–^e€»Ê·Z»{ZÀ‡YÄ]ʳ|̇

ÄË~¤e|uYÁʸÀ‡€a»YÄ]ʳ|̇

ÄË~¤e|uYÁYÃ|‹µZ‡YÉZÅZ»Mʇ€]

ÄË~¤e|uYÁcZ»Á‚¸»­Y|eÁÄÌÆeÄ]•Â]€»¶ËZˆ»

{ÂmÂ]ÉZŊ·ZqZ]–^e€»¶ËZˆ»

ÄË~¤e|uYÁÉY€]Ã|»M

ÄË~¤e|uYÁ{»{ZŊz]¾Ì·ÂXˆ»cY€œ¿Ê‡€]

Ã|‹¥€½Z»¶¯

Ê»Z/œ¿µY€/Àm½Zf/‡Z¼Ì]{,Ã{€/¯¥€/Ä¿Zy‚b/‹M|/uYÁZ]Ę]Y{€Ë|»Ä¯ÃZ»{Ĭ̫{\ˆu€]Ã|‹¥€½Z»½Y‚Ì»

Ĭ̫{

Ê»Zœ¿€Ì£µY€Àm½Zf‡Z¼Ì]YŠÌ]

Ĭ̫{

{Â]

Ê»Z/œ¿Êze½Zf‡Z¼Ì]{½Y‚Ì»¾ËY¾ÌÀr¼Å

Ĭ̫{

€Ì£Êze½Zf‡Z¼Ì]YŠÌ]

Ê»Zœ¿

Ĭ̫{

{Â]

•Â/]€»Ê»Zœ¿µY€Àm½Zf‡Z¼Ì]{½Z»¾ËY€fŒÌ]½ZÌ»¾ËY{

YÄ/f§€³cÂ/cZËZ°/‹Ä/]ʳ|Ì/‡Ä]•Â]€»Ê»Zœ¿€Ì£ÊzeÁÊ»Zœ¿€Ì£µY€Àm½Zf‡Z¼Ì]{,ÄË~¤e|uYÁYʇZ]Ä]

qZ]–^e€»¶ËZˆ»Ä]•Â]€»Ê»Zœ¿Êze½Zf‡Z¼Ì]{,ÄË~¤e|uYÁ {Â]ÄË~¤e|uYÁÉY€]Ã|»M{ÂmÂ]ÉZŊ·Z

µÁ|m

µÁ|m

Ä ·Z˜»{»ÉZŽZf‡Z¼Ì]{ɂb‹MºÌe½ZÀ¯Z¯©Â¬uÄÀ˂ÅĈËZ¬»

µY€Àm½Zf‡Z¼Ì]

Ê»Zœ¿

µY€Àm½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£

ʐze½Zf‡Z¼Ì]

Ê»Zœ¿

ʐze½Zf‡Z¼Ì]

Ê»Zœ¿€Ì£

ºÌe©Â¬uÄÀ˂Šɂb‹M Ä¿ZÌÅZ»

½Z»Âe½Â̸̻

½Z»Âe½Â̸̻

½Z»Âe½Â̸̻

½Z»Âe½Â̸̻

µY€/Àm½Zf/‡Z¼Ì]ÉY€/]ÃZ/»{ɂb/‹MºÌe©Â¬uÄÀ˂ŠʻZ//œ¿

Ê»Z//œ¿€//Ì£µY€//Àm½Zf//‡Z¼Ì],

{Á,

Ê»Zœ¿Êze½Zf‡Z¼Ì]

€/Ì£Ê/ze½Zf‡Z¼Ì]Á Ê»Zœ¿

Ê»½ZŒ¿Ä¯{Â]½Z»Âe½Â̸̻

ÉZ/ÅÄÀ˂Å|Å{

ÉZ/ÅÄ/À˂Ŧ/¿Ä/]®/Ë{‚¿Ê»Z/œ¿€/Ì£ÉZ/ŽZf‡Z¼Ì]

d‡YÊ»Zœ¿ÉZŽZf‡Z¼Ì]

µÁ|m

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(7)

hv]

ɀ̳ÄnÌf¿Á

½Zf‡Z¼Ì]Á{{ZÅʇ€]Y¶ZulËZf¿Á{Ä]Á{ĈËZ¬»

Z]Ã|Œ¿ÉZbˆ¿Á€]ZÆ¿MÄË~¤e|uYÁįŠÅÁ„a\zfÀ»Ê»Zœ¿

YÁÄ/¯ŠÅÁ„/aÊ»Z/œ¿€Ì£½Zf‡Z¼Ì]Á{

Y{Â/yÄ/Ë~¤e|/u

|/¿YÃ{€¯ÉZbˆ¿Á€]

Y¶À/‡€aÁ½YZ/¼Ì]dËZ/“{Y{½Z/Œ¿

Y€f/ŒÌ]Ê»Z/œ¿€/Ì£ÉZ/ŽZf/‡Z¼Ì]{ÄË~¤e{cZ»|y d‡YÊ»Zœ¿ÉZŽZf‡Z¼Ì]

Ä/¯|/Å{Ê/»½Z/Œ¿lËZ/f¿¾ËY

{€iÂ/»ÉY‚/]Y½YÂ/ÀŸÄ]|¿YÂeÊ»ÉZbˆ¿Á€]

{Â/^Æ]d/Æm

|À¯¶¼Ÿd»|yÄËYYd̨̯

Z ·Z˜»

{cZ»|/yÉZb/ˆ¿Á€]d/^j»€ÌiZ/e€´¿ZÌ]É{Zˁc ÉZ//Ŋ//z]{½Z// ¨ÀË}Â//˜À̼ÅÁ½YZ//¼Ì]É|À¼fËZ//“

|ÀfˆÅ½Z»{Ád‹Y|Æ]¦¸fz»

½YZ°¼ÅÁÊ^Ì^—µZj»ÉY€]

cZ»|/yÉ|/eŠÅZ/¯{€/^ÅYÊ]ZÌ/‹YÄ]įʌÅÁ„a{

,{Â/]Ä/fyY{€ad‹Y|Æ]cYÁÄ ]ZeÉZŽZf‡Z¼Ì]Ê¿Z^ÌfŒa Ã|ÅZŒ»

Ä/]|¿YÂeÊ»½Zf‡Z¼Ì]{cZ»|yÉY~³YÁį|¿{€¯

½Z/À¯Z¯Á½YZ¼Ì]dËZ“ŠËY‚§YÁ½Zf‡Z¼Ì]ÊËYZ¯ÉZ¬eY {{€³Ê»ÊÆfÀ»

cZ»|yÄËYYÉY€]ZŽZf‡Z¼Ì]ž«YÁ{

Ä/]|/À»ZÌ¿{Â/y½Zˀf/Œ»É|À¼fËZ/“ŠËY‚§YÁd̨̯Z]

½Âr¼Åʌz]€iYÁYZ¯ÉZÅ{€^ÅYYÃ{Z¨f‡Y d»|/y|/ˀy

|À‹Z]ʻʏyŠz]Y

{ÊËYµZ¤f‹YÁÉZb‡½Á€]ʇ€]{½YZ°¼ÅÁɀˁÁ

Y¶À/‡€adËZ“½Y‚̻į|¿{€¯Ã|ÅZŒ»½Y€Æe©€]d¯€‹

Ê¿Z/»{Êf/‹Y|Æ]Ã|/‹Y~/³YÁcZ»|y

cÔÌÆ/ˆe,|/{

ʋÁ

Z/¯Ê/°Ë‚̧–Ì/v»Á|{

ŠËY‚/§Y|/{

Zb‡½Á€]Ád‡YÄf§ZË

½Z/ ¨ÀË}dËZ/“ŠËY‚/§YÄ/]€nÀ»É

d‡YÃ|‹

½YÂÀŸdveÉYÄ·Z¬»{‚Ì¿†ËÂr‡Z»

"

{ÉZb/‡½Á€]

ʻ¼ŸÉZŽZf‡Z¼Ì]

"

{ÊËÂ/mħ€/Ä/¯|/À¯Ê»½ZÌ]

Y~/³€ÌiZeÉZ/ÅÂf¯Z/§¾Ë€eºÆ»É€fŒ»dËZ“ÁZÅÄÀ˂Å

|À‹Z]Ê»ÉZb‡½Á€]Ä]ºÌ¼eÉY€]

Ê/»ÄnÌf¿˜À̼ÅÁ

{€Ì³

{€Ì´¼Œq{Â^Æ]Ä]€nÀ»{Y{Y€«¥€—Z]ÉZ°¼Åį

ʓYd¯€‹{€°¸¼ŸY½ZˀfŒ»\¸£YÁÃ|‹cZ»|yd̨̯

|ÀfˆÅ

ŠÅÁ„/a{½YZ/°¼ÅÁ€§Y€Ëƒ€´Ë{ÊËZm{Z»Y

½YÂÀŸdve{Ây

"

É|À¼fËZ/“ÁdˀË|/»½Z/¼Ìa¾Ì/]Ę]Y

½Y€/Æeʰ/‹‚a¹Â/¸ŸÃZ´/Œ¿Y{ÉZ/ŽZf‡Z¼Ì]{½ZÀ¯Z¯

"

ÉY€/mYY|/ ]½ZÀ¯Z¯É|À¼fËZ“½Y‚̻į|¿{€¯Ã|ÅZŒ»

Ä//°Ë—Ä//]{Â//]Ä//f§ZˊÅZ//¯dˀË|//»½Z//¼ÌaÉZ//ʼnÁ

½Z/¼ÌaÉZʼnÁÉY€mYY¶^«½ZÀ¯Z¯É|À¼fËZ“¾Ì´¿ZÌ»

dˀË|»

Y Y€mYY| ]Á

Y {Â/]

Ä/f^·Y

Á€]€iYʇ€]ÉY€]įd¨³|ËZ]{»¾ËY{

ÄËYY€]ÉZb‡½

¾ËYYÃ{Z¨f‡Yįd‡Y¾°¼»Á|‹Z]Ê»½Z»Ä]ZÌ¿cZ»|y Ã{Z¨f/‡YdËZ/“ŠÅZ¯hŸZ]Y|f]Y{cZ»|yÄËYY{{€°ËÁ

d/‹~³Z/]ÁÁ€/»Ä]Ê·Á{‹½Z ¨ÀË}Ád»|yY½Z³|ÀÀ¯

|]ZËÊ»ŠËY‚§YÉ|À¼fËZ“½Z»

ËYY{į{‹ʻÄ̏ÂeÄf^·Y€“ZuÄ ·Z˜»{

ÊeZ»|/yÄ

{€/°ËÁ¾/ËYY{{€/³Ê/»Z/]½Z»Z/‡Ê¸YdË»Z»Ä]į

ʸ/Y½Z»Z/‡–/‡ÂecZ»|yYÂ¿¾ËYÄËYYÁ{Œ¿Ã{Z¨f‡Y {€Ì³¹Zn¿Y

d/ËZŸ½Y‚̻į{Y{½ZŒ¿€“Zuʇ€]¾ÌÀr¼Å

Ä/Ë~¤ecZ»|/yįÊËZŽZf‡Z¼Ì]Ä¿Zy‚b‹M{Z¯d‹Y|Æ]

Z¼Ì]Y|¿YÃ{€¯ÉZbˆ¿Á€]Y½Z‹

¯~»|uYÁįÊËZŽZf‡

|/‹Z]Ê/»€fÆ]\eY€»Ä]|¿YÃ{€°¿ÉZbˆ¿Á€]Y

{Ê/§€—Y

ÉZ/ŽZf/‡Z¼Ì]{ÉZb/‡½Á€]į|‹Ã|ÅZŒ»Ä ·Z˜»¾ËY Á½Zf/‡Z¼Ì]dˀË|»d«Á{ÊËÂmħ€hŸZ]Ä ·Z˜»{»

Ã|/‹Ä/Ë~¤e|/uYÁʸÀ/‡€aÉZÅÄÀ˂Ž{Â]€f¼¯¾ÌÀr¼Å d‡Y ZÅʇ€]ž«YÁ{

½Zf‡Z¼Ì]{dˀË|»Ä¯|¿{Y{½ZŒ¿

dˀË|/»YŠÌ/]€/]Y€]Š/‹YŠÌ/]Ä/ ·Z˜»Ê»Zœ¿µY€Àm Ä/Ë~¤e|uYÁÄ]•Â]€»»YÉY€]Ê»Zœ¿€Ì£µY€Àm½Zf‡Z¼Ì]

Ê»Zœ¿Êze½Zf‡Z¼Ì]{Y|¬»¾ËYÁ|À¯Ê»¥€½Z»

Ê»Z/œ¿€Ì£Êze½Zf‡Z¼Ì]YŠÌ]€]Y€]Á{Ä]®Ë{‚¿‚Ì¿

‹ÄˆËZ¬»

|‹Z]Ê»½MZ]Ã|

{ʸÀ/‡€aÉZ/ÅÄ/À˂ÅÄ/¯|Àf/ˆÅ½M€´¿ZÌ]€´Ë{lËZf¿

Y{Á|/uÊ»Z/œ¿ÉZ/ŽZf‡Z¼Ì]YʰËÄË~¤e|uYÁ

{Á

ɀ´Ë{

{Â/»Ê»Z/œ¿€/Ì£ÉZ/ŽZf/‡Z¼Ì]YŠÌ]€]Y€]

d‡Y½Z‹ÄˆËZ¬»

¾Ë€/el/ËYYʰËįd¨³|ËZ]Á¾ËYY

ħ€/cZ»|/yÉZbˆ¿Á€]¶ËÓ{

Ád/‡ZÅÄ/À˂Å{ÊËÂ/m

{ÊËÂ/mħ€/YÊ/‹Z¿€/e¾ÌËZ/aÉZ/ÅÄÀ˂ÅÄ]Ê]ZÌf‡{

d//‡ZÅd//Ì·Z §¹Z//n¿Y{…Z//̬»

Z//]Z//ŽZ»Z//‡¾Ì//Àr¼Å

{Â/yd/«Á{½YZ/°¿Z¼ÌaÄ/]ʸY€Ì£ÉZÅdÌ·Z §ÉY~³YÁ

½Z/‹Ê¸/Yd/Ì·Z §Ä/]Y{Â/y‚/¯€¼eÁÃ{€/¯ÊËÂmħ€

|ÀÀ¯Ê»¥Â˜ »

Z]‚Ì¿½YZ°¿Z¼Ìa

Ä/À˂ŊÅZ¯hŸZ]ZÅdÌ·Z §ÉYZ¯¹Zn¿Y

|¿Â‹Ê»ZÅ

¶Y{

ÉZb/‡½Á€]

{

cÂ/

YÉY{Â/y€]

–ËY€‹

¹Ó ÉY‚]Y

|̨»

dÆm ÊËÂmħ€

{

½Z»

Á Ä/À˂ŠÁ

ÉZ¬eY¾ÌÀr¼Å d̨̯

Á ɁZ‡{YM

ž]ZÀ»

[ˆv»

{Â/‹Ê/»

.

ÉÄ/¿ZyÁY{Ê/Œz]€iYÁÊËYZ¯ÄˆËZ¬»{½YZ°¼ÅÁÊ¿YÂe Z¼Ì]

Ã|ÅZ/Œ»ÉZb/‡½Á€/]Y†/aÁŠÌ/a€/³Á€Ì§½Zf‡

Ä/À˂Å{ÉZ̈]¢·Z^»Ä¿ZÌÅZ»Ä¿ZyÁY{ÉY~³YÁZ]į|¿{€¯

ħ€/Ä/¿ZyÁY{½Z/°»ÃZmY,ÁY{|ˀyÄÀ˂Å,ʸÀ‡€aÉZÅ {‹ʻÊËÂm

YÄ/¿ZyÁY{¶À‡€a{Y| e¾ÌÀr¼Å

Ä/]€/¨¿

/e¶/]Z«½Y‚/Ì»Ä/]‚/Ì¿Z/Æ¿McÔ̐vet˜‡Á€¨¿

ÊÆmÂ

d‡YÄf§ZˊÅZ¯€Ë|»–‡ÂeÄ¿YÁÃ|‹¥€½Z»,ŠËY‚§Y

ŠËY‚/§Yº/ŽZf/‡Z¼Ì]Ã|/ÌrÌaÉZ/ÅÄzˆ¿{Y| e¾ÌÀr¼Å d‡YÄf§ZË

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(8)

ʿY·Y

ž§ZÀ»

¶Zu Y



½Á€]

ÉZb‡

½ZÌ]¾ÌÀrÀËYY

Ê»

-{Y{

½Á€]YÃ{Z¨f‡Y ÉZb‡

\^‡

ŠÅZ¯

,ZÅÄÀ˂Å

ŠËY‚§Y

‚/¯€¼e

d¯€‹

ÉÁ

ʸYdÌ·Z § ,{Ây

ÊËÂmħ€

{

¹Zn¿YÉY€]d«Á

ÉZÅ|ÀËM€§

ʸyY{

,½Z»Z‡

ŠÅZ¯

Y®ˆË

®Ë€‹ªË€—

½|‹

Z]

®Ë

|uYÁ

€´Ë{

{

–Ìv»

ÉZne {Â/^Æ],¾X¼˜»Z/¿

cZ»|/y

,ɀfŒ»

ŠÅZ¯

½ZÀ¯Z¯

,d¯€‹

†u{ZnËY d]Z«

{

d¼/ˆ«

ÉZÅ

¦¸fz»

d¯€‹

…Â/ˆv»É|»MZ¯Z¿Ä¯

{Â/mÁ ,{Y{

Ê/»

{{€³ .

Z]ZŽZ»Z‡

Z/]€e|/Ë|m¦ËZ/›Á¹Zn¿YÄ]{Z«ÉZb‡½Á€]

ÁÉÁÀ/Æ]ŠËY‚§Yį|¿Â‹Ê»€f¼¯®ˆËÁ€fŒÌ]dŸ€‡

Z/fËZÆ¿ÁÊ¿Zˆ¿Yž]ZÀ»ÃY{YÁ¾Ì»ZeÉZÅÄÀ˂ŊÅZ¯,d̨̯

{Y{µZ^¿{Ä]Y½Z»Z‡ÊËYZ¯Á{€°¸¼Ÿ{Â^Æ]

Á²/¿Ze¾Ìq

Z/eÉZ/ŽZf/‡Z¼Ì]{ÉZb/‡½Á€]ʇ€]{½YZ°¼Å

½YÂË

ÉZ/ŽZf‡Z¼Ì]ÂyÄ],ZŽZf‡Z¼Ì]į|¿{€¯Ã|ÅZŒ»

,¶À/‡€a{Y|/ eŠÅZ¯½Âr¼ÅÉ{Zˁ|ËY§|À¿YÂeÊ»Êf·Á{

ÁÉÁÀÆ]¾f§ÓZ],ÊfˀË|»¶À‡€aÉÁ€Ì¿{ÊËÂmħ€

cY‚/ÌÆneY½Zf/‡Z¼Ì]Ã{Z¨f/‡Y¾Ì/Àr¼ÅÁ½ZÀ¯Z¯ÄÌuÁ

ÉZb//‡½Á€//]ª//ˀ—YZ//Åd¯€//‹ÉÄf§€//ŒÌa

Z//Åd//Ì·Z §

|¿€^]

€ÌiZ/e€/]Ä/¼ÅÁÄ/¼Å€´Ë{Z̈]cZ ·Z˜»ÁcZ ·Z˜»¾ËY

€»Y¾ËYį|¿Y{|̯ZeZÅÄÀ˂ŊÅZ¯€]ÉZb‡½Á€]{€°ËÁ

{ÉZb/‡½Á€/]Y½Á‚/§YÁÃ{Z¨f/‡Y€/]É|/ÌËZe€Æ»{Ây Ä/]ɀf/ŒÌ]ÉZ/ŽZ»Z/‡¶/ËZ¼eh/ŸZ]ÁÃ|/‹ZÌ¿{€‡Y€‡

{‹ʻ½MYÃ{Z¨f‡Y

Z/]|/À¿YÂeÊ/»ZŽZf‡Z¼Ì]Á¾ËYY

Ä/ËYY{Ã|/‹€/¯}ÉZ/ËY‚»Yº/Æ»{€°ËÁ¾ËYYɀ̳ÀÆ]

|ÀÀ¯Ã{Z¨f‡YcZ»|y

{Ã|‹ÄËYYcZ»|y€]ÉZbˆ¿Á€]d^j»cY€ÌiZeÄ]ÄmÂeZ]

,Z/ÅÄÀ˂ŊÅZ¯,cZ»|yd̨̯ŠËY‚§Y¶j»,ZŽZf‡Z¼Ì]

Ád«Á{ÊËÂmħ€

Ä ·Z˜»{į

YÉZÌ/ˆ]{Á€/“Zu

½Zf/‡Z¼Ì]½Y€Ë|/»Ä/],|/‹ÃZ‹Y½MÄ]Ã|‹¹Zn¿YcZ ·Z˜»

€/ÅÃ{Z¨f‡YÉY€]Y–ËY€‹Ä¯{‹ʻÄ̏Âe‚̿ʻZœ¿ÉZÅ

|¿ÁMºÅY€§cZ»|yÄËYY{{€°ËÁ¾ËYY€fŒÌ]Äq

References:

1. Zhirafar M Vatankhah S Seyedein H. Relationship Between Contract Management And Staff Satisfaction In Hospitals Affiliated To Tehran University Of Medical Sciences. payavard salamat 2013: 6( 4): 311-318.

2.Tourani S, Maleki M, Ghodousi-Moghadam S, Gohari M.

Efficiency and Effectiveness of the Firoozgar Teaching Hospital's Pharmacy after Outsourcing, Tehran, Iran. JHA. 2010;

12 (38):59-70

3. Greaver II, M.F. (1999). Strategic Outsourcing: A Structured Approach to Outsourcing Decisions and Initiatives, New York:

AMACOM.

4. Roberts, V., Managing strategic outsourcing in the healthcare industry. Journal of Healthcare Management 2001. July-Augus.

5. Mohammad karimi Y Behran G Dasht yunes R survey of affective Factors on outsourcing’s strategic decisions. IMJ 2012: 7(19).

6. Mirza Sadeghi A. Contract management and performance- based paysystem in place. Tehran: Ministry of Health and Medical Education; 2004: 37-53[Book in Persian].

7. Schniederjans M.; Preface focused issue on operations research and outsourcing; Computer & Operations Research, 34, 2007.

8. Tanhaie A. [Outsourcing]. Tadbir 2002; 124: 37-40. [Persia].

9. Kianmehr M. Survey of outsourcing effect or using from external resources on productivity of Tolypers Corporation: MA Thesis]. Tehran: Tarbiat Modares University; 2001.

10. Sameen, S., Tayyeb, IM., Belgacem, S. , Contracting but not without caution: experience with outsourcing of health services in countries of the Eastern Mediterranean Region. Bulletin of the

World Health Organization 2006. 84(11): p. 867-75.

11- Maghsudi M. cost effectiveness analyze of food service in emam reza hospital of urmia and comparision with private section. Eighth Congress of Nutrition: 2008.

12.Rafati H. , Tavakoli H. R. , Amerion A. , Hoseinpoor M. J. , Nasiri T. . Comparison of HACCP implementation requirements in nutrition department of two military and non-military health- treatment centers. Journal of Military Medicine. 2010; 11 (4):191-196.

13- Tabibi S, Kakhani M, Ehsani Chimeh E. An evaluation of the outsourcing strategy in supportive services in the hospitals affiliated to the Ministry of Health andMedical Education.

Journal of Health Administration 2008; 10(30):59-66.

14- Vaziri H, Arabi B. Tehran's electric's outsourcing and its economic effectiveness. Fifth International Conference on Quality and Productivity in the electric industry; Tehran2008.

15- Maschuris SJ, Kondylis MN. Outsourcing in public hospitals: A Greek perspective. Journal of Health Organization and Management 2006; 20 (1): 4-14.

16- Zhirafar M Vatankhah S Seyedein H. Relationship Between Contract Management And Staff Satisfaction In Hospitals Affiliated To Tehran University Of Medical Sciences.

payavard salamat 2013: 6( 4): 311-318.

17- Alvani M, Ashrafzade F. Outsourcing guidance for manager's decision making in service outsourcers. Tehran:

Ghaside-Sara; 2004.

18- Chih-Tung H, Jar-Yuan P, Hero C. The study on the outsourcing of Taiwan's hospitals: a questionnaire survey research. BMC Health Services Research 2009; 9.

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

(9)

6XUYH\LQJWKH5ROHRI2XWVRXUFLQJRQ1XWULWLRQ8QLW

3HUIRUPDQFH$&RPSDULVRQEHWZHHQ7HKUDQV6HOHFWHG0LOLWDU\

DQG1RQ0LOLWDU\+RVSLWDOV˭

.KDOLOLIDU621HMDWL=DUQDTL%%DNKWLDUL0

0DUND]L0RJKDGGDP19DODGNKDQL$

6XEPLWWHG$FFHSWHG

Abstract

Background: Today, one of the effective ways of providing services is contracting out of the organization`s processes to a third-party. This study is aimed to investigate the effect of outsourcing on the performance of nutrition unit in selected hospitals.

Materials and Methods: This descriptive and analytical was conducted at two military and two non- military hospitals and two military hospitals in 2013.A total of 602 patients and 930 personnel were selected by simple random sampling. The data were collected through a questionnaire of “patient and personnel satisfaction” and checklists of “kitchen’s hygiene condition” and “amount of time spent by hospital manager on nutrition unit”. The data on personnel expenses were provided by accounting unit.

The data were analyzed by SPSS 19.

Results: Patient and personnel of non-military specialized hospitals were more satisfied with nutrition unit service compare to military ones (p= 0/03 for patients & p= 0/021 for personnel of non- military specialized hospitals and p= 0/039 for patients & p= 0/028 for personnel of military hospitals .Non-military hospitals` kitchen was in better hygienic condition compare to military hospitals. The time spent by managers of military specialized hospitals on nutrition unit was 1.5 times more than non- military specialized hospitals and it is 6.5 times more in military general hospital compare to non- military ones. Personnel expenses in nutrition unit of military hospitals were 1.5 times more than non- military hospitals.

Conclusion: It is certainly a strategy worth developing in military hospitals regarding its valuable effects on the performance of nutrition unit.

Keywords: Outsourcing – Hospital – Nutrition Unit

1. MD. PhD Student of Strategic Management, Faculty of Management, Supreme National Defence University, Tehran, Iran.

2. MSc Student of Health Care Management , Army University of Medical Sciences, Tehran, Iran.

3. MSc Student of Health Care Management, Department of Management and Health Economic, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran (*Corresponding Author);

E-mail: [email protected]

4.MD. PhD of Health Care Management .Treatment Manager. Army University of Medical Sciences, Tehran, Iran.

5. MSc Student of Faculty of Medical Education, Faculty of Medical Education, Shahid Beheshri University of Medical Sciences, Tehran, Iran.

Downloaded from http://journals.tums.ac.ir/ at 10:43 IRDT on Sunday June 26th 2016

Referensi

Dokumen terkait

CASE REPORT Corresponding Author:Saeed Shoar Department of Clinical Studies, Student Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran Tel: +98 361

ORIGINAL REPORT Corresponding Author:Sanaz Tavasoli Department of Nutrition, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran Tel: +98 21 88779118, Fax: +98

Negisa Seyyedi * Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran *Corresponding Author: Negisa Seyyedi Email: [email protected] Received: 26

of Occupational Health Engineering, Student Research Committee, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran *Corresponding Address: School of Health,

Genetic resources of forage crops in national plant Genebank of Iran., In: Proceeding of First National Forage Crops Congress of Iran, Karaj.. Fertilizers, inorganic,

D.12 1Department of Medical Oncology, Tehran University of Medical Sciences, Tehran, Iran 2Department of Hematology and Oncology, Iran University of Medical Sciences, Tehran, Iran

Analysis of Power Distance and Its Consequences in Affiliated Hospitals of Tehran University of Medical Sciences Rafeiyee.S1 , Pour reza.A*2, Rahimi.A3 Submitted: 13.2.2013

4 The Needed Skills of Medical Record Staffs in Tabriz Medical University Hospitals; 2006 Introduction: The recent advances in medical sciences and information technology IT, health