تﺎﺤﻔﺻ : 13 ﺎﺗ 18
لﻮﺌﺴﻣ هﺪﻨﺴﻳﻮﻧ :
يزوﺮﻓ هدازﺰﻳﺰﻋ هرﻮﺼﻨﻣ .
ﺖﺳاﻮﺧرد مﺎﻤﺗ ﻲﻧﺎﺸﻧ ﻪﺑ ﺪﻳﺎﺑ ﺎﻫ
[email protected] ﺪﻧﻮﺷ هدﺎﺘﺳﺮﻓ
.
ﺑ ﺮﻴﺛﺎﺗ ﻪ ﺖﺒﻗﺍﺮﻣ ﻝﺪﻣ ﻱﺮﻴﮔﺭﺎﮐ ﺮﺑ ﺮﻴﮕﻴﭘ
ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ ﯼ
ﺮﺟﺎﻫ ﻲﻗﺩﺎﺻ BSc۱ ، ﻩﺭﻮﺼﻨﻣ ﻱﺯﻭﺮﻓ ﻩﺩﺍﺯﺰﻳﺰﻋ MSc*
، ﻲﻠﻋ ﺮﺒﮐﺍ ﻖﺣ ۲ﺖﺳﻭﺩ ،MD ﻩﺩﺍﺰﻴﻠﻋﺪﻤﺤﻣ ﻪﻨﻴﮑﺳ MSc۳
"
* ﻱﺭﺎﺘﺳﺮﭘ ﻩﺪﮑﺸﻧﺍﺩ ﻭﺎﻣﺎﻣ ﻳ ﻲ
"
ﻭ "
ﺕﺎﻘﻴﻘﺤﺗ ﺰﮐﺮﻣ ﺏﺎﺼﻋﺍ ﻡﻮﻠﻋ
"
ﻲﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ، ﻥﺎﻣﺮﮐ
، ﻥﺎﻣﺮﮐ ﻥﺍﺮﻳﺍ ،
ﻱﺭﺎﺘﺳﺮﭘ ﻩﺪﮑﺸﻧﺍﺩ۱ ﻲﻳﺎﻣﺎﻣ ﻭ
، ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻲﮑﺷﺰﭘ
ﻥﺎﻣﺮﮐ ﻥﺎﻣﺮﮐ،
ﻥﺍﺮﻳﺍ ،
"
۲ ﻩﻭﺮﮔ ﺭﺎﻣﺁ ﻱﮊﻮﻟﻮﻴﻣﺪﻴﭘﺍ ﻭ، ﺖﺷﺍﺪﻬﺑ ﻩﺪﮑﺸﻧﺍﺩ
"
ﻭ "
ﺰﮐﺮﻣ ﻱﮊﻮﻟﻮﻳﺰﻴﻓ ﺕﺎﻘﻴﻘﺤﺗ
"
ﻲﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ، ﻥﺎﻣﺮﮐ
، ﻥﺎﻣﺮﮐ
، ﻥﺍﺮﻳﺍ
ﺰﮐﺮﻣ۳ ﻱﮊﻮﻟﻮﻳﺰﻴﻓ ﺕﺎﻘﻴﻘﺤﺗ ﻲﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،
ﻥﺎﻣﺮﮐ ، ﻥﺎﻣﺮﮐ
، ﻥﺍﺮﻳﺍ
ﻩﺪﻴﮑﭼ
ﻑﺍﺪﻫﺍ : ﻝﻼﺘﺧﺍ ﺖﺳﺍ ﻩﺍﺮﻤﻫ ﻲﻧﺍﻭﺭ ﻭ ﻱﺭﺎﺘﻓﺭ ،ﻲﻤﺴﺟ ﺕﻼﮑﺸﻣ ﺎﺑ ﺏﺍﻮﺧ .
ﺩﻮﺟﻭ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ ﺶﻫﺎﮐ ﺮﺑ ﻲﻨﺒﻣ ﻱﺪﻫﺍﻮﺷ
ﺩﺭﺍﺩ . ﺑ ﺮﻴﺛﺎﺗ ﻲﺳﺭﺮﺑ ﻑﺪﻫ ﺎﺑ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻪ
ﺮﻴﮕﻴﭘ ﺖﺒﻗﺍﺮﻣ ﻝﺪﻣ ﻱﺮﻴﮔﺭﺎﮐ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ ﺮﺑ
ﯼ ﺪﺷ ﻡﺎﺠﻧﺍ .
ﺵﻭﺭ ﺎﻫ : ﻦﻳﺍ ﻪﻤﻴﻧ ﺶﻫﻭﮋﭘ ﻱﻭﺭ ﻲﺑﺮﺠﺗ
ﻦﻴﻫﺎﺷ ﺲﻳﺪﻠﮔ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﯼﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﻝﺎﺳ ﯽﻃ ﺮﻬﺷ
ﯼﺎﻫ ۸۸ - ۱۳۸۷ ﺪﺷ ﻡﺎﺠﻧﺍ . ۴۳ ﺭﺎﻤﻴﺑ ﺎﺑ
ﻪﻧﻮﻤﻧ ﺵﻭﺭ ﯼﺮﻴﮔ ﯼﺭﺎﻤﺷﺮﺳ ﻪﺑ ﺶﻫﻭﮋﭘ ﻪﻧﻮﻤﻧ ﻥﺍﻮﻨﻋ ﺪﻧﺪﺷ ﺏﺎﺨﺘﻧﺍ
. ﻊﻤﺟ ﻱﺍﺮﺑ ﻩﺩﺍﺩ ﻱﺭﻭﺁ ﺶﺳﺮﭘ ﺯﺍ ﺎﻫ ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ ﻪﻣﺎﻧ
ﺲﺘﻴﭘ ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﮒﺭﻮﺑ
.
ﻞﻣﺎﺷ ﻪﻛ ﻝﺪﻣ ﻱﺍﺮﺟﺍ ﯼﺍﺮﺑ ﻪﻠﺣﺮﻣ ﺭﺎﻬﭼ
) ﺱﺎﺴﺣ ،ﻱﺯﺎﺳﺎﻨﺷﺁ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻭ ﻝﺮﺘﻨﮐ ،ﻱﺯﺎﺳ
( ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ،ﺩﻮﺑ ۵
ﻩﻭﺮﮔ ﺮﻫ ﻱﺍﺮﺑ ﻭ ﻢﻴﺴﻘﺗ ﻩﻭﺮﮔ ۴
ﺎﺗ ۶
ﻲﺷﺯﻮﻣﺁ ﻪﺴﻠﺟ ﻲﻃ ،
۳ ﺪﺷ ﺭﺍﺰﮔﺮﺑ ﻪﺘﻔﻫ .
ﻲﻃ ۹ ﺪﻌﺑ ﻪﺘﻔﻫ
،ﻥﺁ ﺯﺍ ﻩﺭﻭﺎﺸﻣ ﻭ ﻝﺮﺘﻨﮐ ،ﺮﻴﮕﻴﭘ ﺖﺒﻗﺍﺮﻣ ﻱﺎﻫ ﺪﺷ ﻡﺎﺠﻧﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ
. ﺯﺍ ﺲﭘ ﻪﻠﺻﺎﻓﻼﺑ ﻡﺎﻤﺗﺍ
ﺪﻌﺑ ﻩﺎﻣ ﻚﻳ ﻭ ﻪﻠﺧﺍﺪﻣ
،ﻥﺁ ﺯﺍ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺎﻫ ﺍﺩﺪﺠﻣ ﺪﺷ ﻞﻴﻤﻜﺗ . ﻩﺩﺍﺩ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﺎﻫ ﻡﺮﻧ
ﺭﺍﺰﻓﺍ
SPSS 15ﻭ ﻲﻔﻴﺻﻮﺗ ﺭﺎﻣﺁ ،
ﻥﻮﻣﺯﺁ ﺭﺎﻣﺁ ﯼﺎﻫ ﻲﻃﺎﺒﻨﺘﺳﺍ
ﺪﺷ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ .
ﻪﺘﻓﺎﻳ ﺎﻫ ﺶﺳﺮﭘ ﺭﺩ ﻪﮑﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ : ﻪﻣﺎﻧ
ﺲﺘﻴﭘ ﻩﺮﻤﻧ ، ﮒﺭﻮﺑ ﻦﻴﻳﺎﭘ ﯽﻣ ﻥﺎﺸﻧ ﺍﺭ ﺮﺘﻬﺑ ﺖﻴﻌﺿﻭ ﺮﺗ ،ﺪﻫﺩ
ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ ﻩﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﻪﻠﺧﺍﺪﻣ ﺯﺍ ﻞﺒﻗ
) ۶۴ /
± ۳ ۳۹ / ۱۰ ( ﻪﺑ ﺖﺒﺴﻧ ﺪﻌﺑ ﻪﻠﺧﺍﺪﻣ ﺯﺍ ) ۸۷ /
± ۲ ۵۴ / ۵ ( ﻪﺑ ﻲﻨﻌﻣ ﺭﻮﻃ ﻱﺭﺍﺩ ﺩﻮﺑ ﺮﺘﺸﻴﺑ ) ۰۰۰۱ / ۰
p<.(
ﻦﻴﻨﭽﻤﻫ
، ﺭﺩ ﻪﻠﺧﺍﺪﻣ ﺯﺍ ﻞﺒﻗ ﻲﻓﺎﮐ ﺏﺍﻮﺧ
۴ / ۱۷
% ﻪﻠﺧﺍﺪﻣ ﺯﺍ ﺪﻌﺑ ﻪﮐ ﺖﺷﺍﺩ ﺩﻮﺟﻭ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ
۵۵
% ﺪﻫﺎﺸﻣ ﻥﺍﺭﺎﻤﻴﺑ ﺪﺷ ﻩ
ﻦﻳﺍ ؛ ﺕﻭﺎﻔﺗ ﺰﻴﻧ ﻲﻨﻌﻣ ﺭﺍﺩ ﻮﺑ ﺩ ) ۰۰۰۱ / ۰
= .(
pﻪﺠﻴﺘﻧ ﻱﺮﻴﮔ : ﻥﺍﺭﺎﻤﻴﺑ ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ ﺮﺑ ﺮﻴﮕﻴﭘ ﺖﺒﻗﺍﺮﻣ ﻝﺪﻣ ﻱﺍﺮﺟﺍ ﯼﺰﻴﻟﺎﻳﺩﻮﻤﻫ
ﺩﺭﺍﺩ ﺖﺒﺜﻣ ﺮﺛﺍ .
ﺵﺯﻮﻣﺁ ﻦﻳﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺹﻮﺼﺧ ﺭﺩ ﻥﺍﺭﺎﺘﺳﺮﭘ
ﻝﺪﻣ
، ﻲﻣ ﺪﻧﺍﻮﺗ ﺪﺷﺎﺑ ﺭﺍﺬﮔﺮﻴﺛﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ ﺩﻮﺒﻬﺑ ﺮﺑ .
ﻩﮊﺍﻭﺪﻴﻠﮐ ﺎﻫ ﻝﺪﻣ: ﺖﺒﻗﺍﺮﻣ
،ﺮﻴﮕﻴﭘ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ،ﺏﺍﻮﺧ ﺖﻴﻔﻴﮐ
Effect of implementing continuous care model on sleep quality of hemodialysis patients
Sadeghi H.1BSc, Azizzadeh Forouzi M.* MSc, Haghdust A. A.2MD, Mohammad Alizadeh S. 3MSc
٭"Neuroscience Research Center" & "Faculty of Nursing & Midwifery", Kerman University of Medical Sciences, Kerman, Iran
1Faculty of Nursing & Midwifery, Kerman University of Medical Sciences, Kerman, Iran
2"Department of Epidemiology & Biostatistics, Faculty of Public Health" & "Physiology Research Center", Kerman University of Medical Sciences, Kerman, Iran
3Physiology Research Center, Kerman University of Medical Sciences, Kerman, Iran Abstract
Aims: Sleep disorder is associated with several physical, behavioral and psychological problems. There are some evidences on disturbance of sleep quality in hemodialysis patients. For this, the present study was to evaluate the effect of applying continuous care model on sleep quality of hemodialysis patients.
Methods: This semi-experimental study was performed on hemodialysis patients of Goldis hospital of Shahin Shahr during 2008 and 2009. 43 patients selected by census sampling method as study samples.
Data gathering was done by Pittsburg sleep quality questionnaire. The applied model contained four steps (orientation, sensitization, control and evaluation). Patients were divided into five groups and 4-6 training sessions during three weeks were held for each group. During the next 9 weeks, consultations for continuous sleep monitoring, control and evaluation were performed. Immediately after the intervention and one month later, questionnaires were filled out again. Data were analyzed through SPSS 15 and by using descriptive and analytic statistics.
Results: According to that in Pittsburg questionnaire the less score shows the better situation, the mean score of sleep quality before the intervention (10.39±3.64) was significantly (p<0.0001) more than that before the intervention (5.54±2.87). Also, sufficient sleep was seen in 17.4% of patients before the intervention that was increased significantly (p=0.0001) to 55% after the intervention.
Conclusion: Performing the continuous care model has positive effect on sleep quality of hemodialysis patients. Training nurses in using this model can affect the improvement of sleep quality of hemodialysis patients.
Keywords: Continuous Care Model, Sleep Quality, Hemodialysis
ﻪﻣﺪﻘﻣ
ﻱﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻦﻣﺰﻣ ﻪﻴﻠﮐ ﺯﺍ ﺕﻼﮑﺸﻣ ﻩﺪﻤﻋ ﺖﻣﻼﺳ ﻲﻣﻮﻤﻋ ﺭﺩ ﺮﺳﺍﺮﺳ
ﺎﻴﻧﺩ ﺏﻮﺴﺤﻣ ﻲﻣ ﺪﻧﻮﺷ ] ۱ [.
ﺭﺩ ﻥﺍﺮﻳﺍ ﻭ ﻱﺭﺎﻴﺴﺑ ﺯﺍ ﺎﻫﺭﻮﺸﮐ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ
ﺞﻳﺍﺭ ﻦﻳﺮﺗ ﺵﻭﺭ ﻥﺎﻣﺭﺩ ﻦﻳﺍ ﻱﺭﺎﻤﻴﺑ ﺖﺳﺍ ] ۲ .[
ﺱﺎﺳﺍﺮﺑ ﺭﺎﻣﺁ ﺩﻮﺟﻮﻣ ﺭﺩ
ﺰﮐﺮﻣ ﺖﻳﺮﻳﺪﻣ ﻱﺭﺎﻤﻴﺑ ﻱﺎﻫ
،ﺹﺎﺧ ﺯﺍ ۱۶۴۶۷ ﺭﺎﻤﻴﺑ ﻼﺘﺒﻣ ﻪﺑ ﻲﻳﺎﺳﺭﺎﻧ
ﻪﺘﻓﺮﺸﻴﭘ ﻪﻴﻠﮐ ) ﺎﺗ ﻥﺎﻳﺎﭘ ﻝﺎﺳ ۱۳۸۰ (،
۵۲
% ﺖﺤﺗ ﻥﺎﻣﺭﺩ ﺎﺑ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ
،
۴۷
% ﺪﻧﻮﻴﭘ ﻪﻴﻠﮐ ﻭ ۱
% ﺰﻴﻟﺎﻳﺩ ﻲﻗﺎﻔﺻ ﻩﺩﻮﺑ ﺪﻧﺍ ] ۳ .[
ﺖﻳﺎﮑﺷ ﻱﺎﻫ ﻁﻮﺑﺮﻣ ﻪﺑ
ﺏﺍﻮﺧ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻼﺘﺒﻣ ﻪﺑ ﻲﻳﺎﺳﺭﺎﻧ ﻦﻣﺰﻣ ﻪﻴﻠﮐ ﺶﻴﺑ ﺯﺍ ۸۰
% ﺵﺭﺍﺰﮔ
ﻩﺪﺷ ﺖﺳﺍ . ﺕﺎﻌﻟﺎﻄﻣ ﻥﻮﮔﺎﻧﻮﮔ ﻥﺎﺸﻧ ﻲﻣ ﺪﻫﺩ ﻪﮐ ﻪﻨﭘﺁ
،ﺏﺍﻮﺧ ﺭﺪﻨﺳ ﻭ ﻡ
ﻱﺎﻫﺎﭘ ﻲﺑ
،ﺭﺍﺮﻗ ﻝﻼﺘﺧﺍ ﺖﮐﺮﺣ ﻩﺭﻭﺩ ﻱﺍ ﻡﺍﺪﻧﺍ ﻭ ﺏﺍﻮﺧ ﻲﮔﺩﻮﻟﺁ ﻪﻧﺍﺯﻭﺭ ﺯﺍ
ﻝﻭﺍﺪﺘﻣ ﻦﻳﺮﺗ ﺕﻼﮑﺸﻣ ﺏﺍﻮﺧ ﺭﺩ ﻦﻳﺍ ﻥﺍﺭﺎﻤﻴﺑ ﺪﻨﺘﺴﻫ ] ۴ .[
ﺎﺑ ﺩﻮﺟﻭ ﺖﻓﺮﺸﻴﭘ ﻱﺎﻫ ﻩﺪﺷﺩﺎﺠﻳﺍ ﺭﺩ ﻥﺎﻣﺭﺩ ﻦﻳﺍ
،ﻥﺍﺭﺎﻤﻴﺑ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ
ﺎﻬﻧﺁ ﺖﺤﺗ ﺮﻴﺛﺎﺗ ﻞﻳﺎﺴﻣ ﻱﺩﺎﻳﺯ ﺭﺍﺮﻗ ﺩﺭﺍﺩ ] ۵ .[
ﻪﺑ ﻩﺪﻴﻘﻋ
، ﺮﻤﻳﺭ ﺖﻴﻔﻴﮐ
ﺏﺍﻮﺧ ﻪﺑ ﺭﻮﻃ ﻲﺗﺍﺫ ﺎﺑ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ ﻂﺒﺗﺮﻣ ﺖﺳﺍ ] ۶ [ ﻭ ﻮﺘﻳﺍﺮﻓ
، ﺏﺍﻮﺧ ﺍﺭ
ﻱﺍﺮﺑ ﻲﺘﻣﻼﺳ ﻭ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ ﺮﺘﻬﺑ ﻱﺭﻭﺮﺿ ﯽﻣ ﺪﻧﺍﺩ ] ۷ .[
ﺏﺍﻮﺧ ﺱﺎﺳﺍ
ﻱﺎﻫﺪﻨﻳﺁﺮﻓ ﮏﻳﮊﻮﻟﻮﻳﺰﻴﻓ
ﺖﺳﺍ . ﻩﺮﻤﺛ ﺏﺍﻮﺧ
،ﻲﻌﻴﺒﻃ ﺶﻫﺎﮐ ﺖﻴﻟﺎﻌﻓ
،ﮏﻴﺗﺎﭙﻤﺳ ﺭﺎﺸﻓ
ﻥﻮﺧ ﻭ ﻥﺎﺑﺮﺿ ﺐﻠﻗ ﺖﺳﺍ ] ۸ .[
ﻥﻮﺴﻓﺎﺘﺳﻮﮔ
، ﻤﮐ ﺖﻴ ﻭ
ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺍﺭ ﺮﺑ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ ﺩﺍﺮﻓﺍ ﺭﺍﺬﮔﺮﻴﺛﺎﺗ ﯽﻣ ﺪﻧﺍﺩ ] ۹ .[
ﻝﻼﺘﺧﺍ ﺭﺩ
ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺎﺑ ﺕﻼﮑﺸﻣ
،ﻲﻤﺴﺟ ﻱﺭﺎﺘﻓﺭ ﻭ ﻲﻧﺍﻭﺭ ﻩﺍﺮﻤﻫ ﺖﺳﺍ ﻭ ﺚﻋﺎﺑ
ﻝﻼﺘﺧﺍ ﺭﺩ ﺩﺮﮑﻠﻤﻋ
،ﻲﻧﺍﻭﺭ ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﺕﻼﻣﺎﻌﺗ ﻦﻴﺑ ﻱﺩﺮﻓ ﻲﻣ ﺩﻮﺷ ] ۱۰ .[
ﻥﺍﺪﻘﻓ ﺏﺍﻮﺧ ﺎﻳ ﺕﻻﻼﺘﺧﺍ ﺏﺍﻮﺧ
ﻦﮑﻤﻣ ﺖﺳﺍ ﺚﻋﺎﺑ ﻝﻼﺘﺧﺍ ﺭﺩ ﺩﺮﮑﻠﻤﻋ
ﺰﻐﻣ ﻭ ﺶﻫﺎﮐ ﻲﻳﺎﻧﺍﻮﺗ ﻱﺮﻴﮔﺩﺎﻳ ﺩﻮﺷ ] ۱۱ .[
۷۵
% ﻥﺍﺭﺎﻤﻴﺑ ﺖﺤﺗ ﻥﺎﻣﺭﺩ ﺎﺑ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ
، ﻝﻼﺘﺧﺍ ﺏﺍﻮﺧ ﺍﺭ ﺵﺭﺍﺰﮔ
ﯽﻣ ﻤﻧ ﻳﺎ ﺪﻨ ﻭ ۱۴
%
، ﺶﻫﺎﮐ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺭﺩ ﻝﺎﺳ ﻝﻭﺍ ﻥﺎﻣﺭﺩ ﺎﺑ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ
ﺍﺭ ﻥﺎﺸﻧ ﯽﻣ ﺩ ﻫ ﺪﻨ ] ۱۲ .[
ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﯼﺍ ﻱﻭﺭ ۸۹ ﺭﺎﻤﻴﺑ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ
، ۷۱
%
ﺭﺎﭼﺩ ﻢﮐ ﻲﺑﺍﻮﺧ ﺪﻧﺩﻮﺑ ] ۱۳ .[
ﻦﻳﺍﺮﺑﺎﻨﺑ
، ﻡﻭﺰﻟ ﺕﺎﻬﺟﻮﺗ
،ﻲﺘﺷﺍﺪﻬﺑ
،ﻲﻧﺎﻣﺭﺩ
ﻱﺮﻴﮕﺸﻴﭘ ﻭ
ﻪﺑ ﻱﺮﻴﮔﺭﺎﮐ ﻝﺪﻣ ﻲﺘﺒﻗﺍﺮﻣ ﺐﺳﺎﻨﺘﻣ ﺎﺑ ﺖﻴﻌﺿﻭ ﻦﻳﺍ ﻥﺍﺭﺎﻤﻴﺑ
ﻼﻣﺎﮐ ﻱﺭﻭﺮﺿ ﻪﺑ ﺮﻈﻧ ﻲﻣ ﺪﺳﺭ ] ۱۴ .[
ﺭﺩ ﻥﺍﺮﻳﺍ
، ﻲﻟﺪﻣ ﺎﺑ ﻥﺍﻮﻨﻋ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﻂﺳﻮﺗ ﻱﺪﻤﺣﺍ ﺭﺩ ﻪﻄﺑﺍﺭ ﺎﺑ
ﻥﺍﺭﺎﻤﻴﺑ ﻦﻣﺰﻣ ﻱﺮﻧﻭﺮﮐ ﻲﺣﺍﺮﻃ ﻭ ﯽﺳﺭﺮﺑ ﻩﺪﺷ ﺖﺳﺍ ﻪﮐ ﻞﻣﺎﺷ ﺭﺎﻬﭼ
ﻪﻠﺣﺮﻣ
،ﻱﺯﺎﺳﺎﻨﺷﺁ ﺱﺎﺴﺣ
،ﻱﺯﺎﺳ ﻝﺮﺘﻨﮐ ﻭ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺖﺳﺍ . ﺭﺩ ﻦﻳﺍ ﻝﺪﻣ
،
ﻮﺟﺩﺪﻣ ﻪﺑ ﻥﺍﻮﻨﻋ ﻞﻣﺎﻋ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﻭ ﺭﺍﺬﮔﺮﻴﺛﺎﺗ ﺭﺩ ﺪﻧﻭﺭ ﻲﺘﻣﻼﺳ ﺩﻮﺧ
ﻲﻓﺮﻌﻣ ﯽﻣ ﺷ ﻮ ﺩ.
ﺖﺒﻗﺍﺮﻣ ﺮﻤﺘﺴﻣ ﺎﻳ ﺮﻴﮕﻴﭘ ﻱﺪﻨﻳﺁﺮﻓ ﻢﻈﻨﻣ ﯼﺍﺮﺑ ﻱﺭﺍﺮﻗﺮﺑ
ﻁﺎﺒﺗﺭﺍ ﺮﺛﻮﻣ ﻭ ﻞﻣﺎﻌﺗ ﻦﻴﺑ ﻮﺟﺩﺪﻣ ﻭ ﺭﺎﺘﺳﺮﭘ ﻪﺑ ﻥﺍﻮﻨﻋ ﻪﻳﺍﺭﺍ ﻩﺪﻨﻫﺩ ﺕﺎﻣﺪﺧ
ﻲﺘﺷﺍﺪﻬﺑ ﻭ ﻲﺘﺒﻗﺍﺮﻣ ﻪﺑ ﺭﻮﻈﻨﻣ ﺖﺧﺎﻨﺷ
،ﺎﻫﺯﺎﻴﻧ ﺕﻼﮑﺸﻣ ﻭ ﺱﺎﺴﺣ ﻱﺯﺎﺳ
ﻥﺍﺭﺎﻤﻴﺑ ﺖﺒﺴﻧ ﻪﺑ ﻝﻮﺒﻗ ﻱﺎﻫﺭﺎﺘﻓﺭ ﻡﻭﺍﺪﻣ ﻲﺘﺷﺍﺪﻬﺑ ﻭ ﮏﻤﮐ ﻪﺑ
،ﻆﻔﺣ
ﺩﻮﺒﻬﺑ ﻭ ﺎﻘﺗﺭﺍ ﯼ ﻲﺘﻣﻼﺳ ﺖﺳﺎﻬﻧﺁ ] ۱۵ .[
ﻱﺪﻤﺣﺍ ﻭ ﻥﺍﺭﺎﮑﻤﻫ ﺎﺑ ﻩﺩﺎﻔﺘﺳﺍ ﺯﺍ
ﻦﻳﺍ ﻝﺪﻣ ﻦﻴﻨﭽﻤﻫ ﻪﺑ ﻲﺳﺭﺮﺑ ﻱﺮﺘﺴﺑ ﺩﺪﺠﻣ ﻭ ﺩﺭﺩ ﻪﺴﻔﻗ ﻪﻨﻴﺳ ﻥﺎﻳﻼﺘﺒﻣ
ﻪﺑ ﻝﻼﺘﺧﺍ ﻕﻭﺮﻋ ﺮﻧﻭﺮﮐ ﺪﻨﺘﺧﺍﺩﺮﭘ
؛ ﺞﻳﺎﺘﻧ ﻥﺎﺸﻧ ﯽﻣ ﺩ ﻫ ﺪ ﻪﮐ ﻦﻴﮕﻧﺎﻴﻣ
ﺕﺎﻌﻓﺩ ﻱﺮﺘﺴﺑ ﻞﺒﻗ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﺭﺩ ﻩﻭﺮﮔ ﺪﻫﺎﺷ ۵۷
% ﻭ ﺭﺩ ﻩﻭﺮﮔ
ﻥﻮﻣﺯﺁ ۵۱
% ﺖﺳﺍ ﻭ ﺲﭘ ﺯﺍ ﻪﻠﺧﺍﺪﻣ ﺭﺩ ﻩﻭﺮﮔ ﺪﻫﺎﺷ ﻪﺑ ۳۴
% ﻭ ﺭﺩ ﻩﻭﺮﮔ
ﻥﻮﻣﺯﺁ ﻪﺑ ۱۱
% ﺶﻫﺎﮐ ﯽﻣ ﺎﻳ ﺪﺑ ﻪﮐ ﻓﻼﺘﺧﺍ ﯽ ﻲﻨﻌﻣ ﺭﺍﺩ ﺖﺳﺍ ] ۱۶ .[
ﻲﻣﺍﻮﻗ ﺮﻴﺛﺎﺗ
ﯼﺍﺮﺟﺍ ﻝﺪﻣ ﺭﻮﮐﺬﻣ ﺮﺑ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ ﻥﺍﺭﺎﻤﻴﺑ ﻲﺘﺑﺎﻳﺩ ﺍﺭ ﺪﻴﺠﻨﺳ
] ۱۵ .[
ﻦﻴﻨﭽﻤﻫ ﻥﺎﻴﻨﻤﺠﻧﺍ ﺮﻴﺛﺎﺗ ﻦﻳﺍ ﻝﺪﻣ ﺍﺭ ﺮﺑ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ ﻥﺍﺭﺎﻤﻴﺑ
ﻲﻧﺮﻓﻭﺰﻴﮑﺳﺍ ﻲﺳﺭﺮﺑ
ﺩﻮﻤﻧ ] ۱۷ .[
ﻩﻭﻼﻋ ﺮﺑ ﻦﻳﺍ
، ﻲﻤﻴﺣﺭ ﻪﺑ ﻲﺳﺭﺮﺑ ﺮﻴﺛﺎﺗ
ﻝﺪﻣ ﺭﻮﮐﺬﻣ ﺮﺑ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ ﻥﺍﺭﺎﻤﻴﺑ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﯼ ﺖﺧﺍﺩﺮﭘ ] ۱۸ [.
ﺭﺩ
ﻡﺎﻤﺗ ﻦﻳﺍ ﺶﻫﻭﮋﭘ ﺎﻫ
، ﺮﻴﺛﺎﺗ ﺖﺒﺜﻣ ﻪﺑ ﻱﺮﻴﮔﺭﺎﮐ ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﺵﺭﺍﺰﮔ
ﻩﺪﺷ ﺖﺳﺍ .
ﺲﭘ ﺯﺍ ﺖﺴﺟ ﻭ ﻮﺟ ﺭﺩ ﻱﺭﺎﻴﺴﺑ ﺯﺍ ﻊﺑﺎﻨﻣ ﺭﺩ ﻪﻨﻴﻣﺯ ﺖﺒﻗﺍﺮﻣ ﺯﺍ ﻥﺍﺭﺎﻤﻴﺑ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺺﺨﺸﻣ
ﺪﺷ ﻪﮐ ﺎﺗ ﻥﻮﻨﮐ ﻪﻌﻟﺎﻄﻣ ﻱﺍ ﺭﺩ ﺹﻮﺼﺧ ﻪﺑ ﻱﺮﻴﮔﺭﺎﮐ
ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ ﻲﭘ ﺮﻴﮔ ﺮﺑ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻭ ﺏﺍﻮﺧ ﻲﮔﺩﻮﻟﺁ ﻦﻳﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻡﺎﺠﻧﺍ
ﻪﺘﻓﺮﮕﻧ ﺖﺳﺍ .
،ﺍﺬﻟ ﺭﺩ ﻦﻳﺍ ﺶﻫﻭﮋﭘ ﻡﺍﺪﻗﺍ ﻪﺑ ﻲﺣﺍﺮﻃ ﺐﺳﺎﻨﻣ ﻪﻣﺎﻧﺮﺑ
ﻲﺘﺒﻗﺍﺮﻣ ﺮﻤﺘﺴﻣ ﺎﺑ ﻪﺟﻮﺗ ﻪﺑ ﻱﺎﻫﺯﺎﻴﻧ ﻥﺎﻳﻮﺟﺩﺪﻣ ﻱﺍﺮﺑ
ﺶﻳﺍﺰﻓﺍ ﮎﺭﺩ ﻭ
ﺶﻨﻴﺑ ﺖﺒﺴﻧ ﻪﺑ ﻱﺭﺎﻤﻴﺑ ﻭ ﻝﺮﺘﻨﮐ ﻥﺁ ﻭ ﺩﺎﺠﻳﺍ ﻪﻄﺑﺍﺭ ﻲﺘﺒﻗﺍﺮﻣ ﻡﻭﺍﺪﻣ ﻦﻴﺑ
،ﺭﺎﺘﺳﺮﭘ
،ﮏﺷﺰﭘ ﺭﺎﻤﻴﺑ ﻭ ﻩﺩﺍﻮﻧﺎﺧ ﺱﺎﺳﺍﺮﺑ ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﺪﺷ . ﺞﻳﺎﺘﻧ
ﻦﻳﺍ ﺶﻫﻭﮋﭘ ﻲﻣ ﺪﻧﺍﻮﺗ ﻱﺍﺮﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻭ ﻥﺎﮑﺷﺰﭘ ﻭ ﺭﺩ ﻉﻮﻤﺠﻣ ﺒﻗﺍﺮﻣ ﺎ ﻥ
ﻲﺘﺷﺍﺪﻬﺑ ﻩﺪﻧﺭﺍﺩﺮﺑﺭﺩ ﺕﺎﮑﻧ
ﻱﺩﺮﺑﺭﺎﮐ ﻭ ﻢﻬﻣ ﺭﺩ ﺮﻣﺍ ﺖﺒﻗﺍﺮﻣ ﻭ ﻥﺎﻣﺭﺩ
ﻥﺍﺭﺎﻤﻴﺑ ﻼﺘﺒﻣ ﻪﺑ ﻲﻳﺎﺳﺭﺎﻧ ﻦﻣﺰﻣ ﻪﻴﻠﮐ ﺪﺷﺎﺑ . ﻥﺎﻣﺭﺩ ﯼﺎﻫ
،ﻲﺒﻃ ﻲﺣﺍﺮﺟ ﻭ
ﻲﻳﻭﺭﺍﺩ
، ﻪﺑ ﻲﻳﺎﻬﻨﺗ ﺭﺩﺎﻗ ﻪﺑ ﺩﻮﺒﻬﺑ ﻡﺎﻤﺗ ﺩﺎﻌﺑﺍ ﻲﻔﻴﮐ ﻲﮔﺪﻧﺯ ﻦﻳﺍ ﻪﺘﺳﺩ ﺯﺍ
ﻥﺍﺭﺎﻤﻴﺑ ﻴﻧ ﺘﺴ ﺪﻨ . ﻑﺪﻫ ﻦﻳﺍ
،ﻪﻌﻟﺎﻄﻣ ﯽﺳﺭﺮﺑ ﺮﻴﺛﺎﺗ ﯼﺍﺮﺟﺍ ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ
ﺮﻴﮕﻴﭘ ﺮﺑ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻥﺍﺭﺎﻤﻴﺑ ﯼﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺩﻮﺑ
.
ﺵﻭﺭ ﺎﻫ
ﻦﻳﺍ ﺶﻫﻭﮋﭘ ﻪﻤﻴﻧ ﻲﺑﺮﺠﺗ ﻱﻭﺭ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺰﮐﺮﻣ
ﺰﻴﻟﺎﻳﺩﻮﻤﻫ
ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻳﺪﻠﮔ
ﻦﻴﻫﺎﺷ ﺮﻬﺷ ﻥﺎﻬﻔﺻﺍ ﺭﺩ ﻝﺎﺳ ۸۸ - ۱۳۸۷ ﻡﺎﺠﻧﺍ ﺪﺷ .
۴۳ ﺭﺎﻤﻴﺑ ﻼﺘﺒﻣ ﻪﺑ ﻪﻠﺣﺮﻣ ﻲﻳﺎﻬﺘﻧﺍ ﻲﻳﺎﺳﺭﺎﻧ ﻪﻴﻠﮐ ﻪﺑ ﺵﻭﺭ ﻪﻧﻮﻤﻧ ﯼﺮﻴﮔ
ﯼﺭﺎﻤﺷﺮﺳ ﺏﺎﺨﺘﻧﺍ
ﺪﻧﺪﺷ ﻭ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺖﮐﺮﺷ ﺪﻧﺩﻮﻤﻧ . ﻥﺍﺭﺎﻤﻴﺑ ﻭ ﻩﺩﺍﻮﻧﺎﺧ
ﺎﻬﻧﺁ ﺲﭘ ﺯﺍ ﻱﺯﺎﺳﺎﻨﺷﺁ ) ﺎﺑ ﻑﺪﻫ ﺐﻴﻏﺮﺗ ﻪﺑ ﻱﺭﺎﮑﻤﻫ ﺎﺗ ﻥﺎﻳﺎﭘ ﻪﻠﺧﺍﺪﻣ ( ﻭ
ﻪﻴﺟﻮﺗ ﻑﺍﺪﻫﺍ ﺶﻫﻭﮋﭘ ﺭﺩ ﻪﺴﻠﺟ ﯼﺍ ۱۵ ﻪﻘﻴﻗﺩ
،ﻱﺍ ﯼﺍﺮﺑ ﺖﮐﺮﺷ ﺭﺩ ﻪﻌﻟﺎﻄﻣ
ﻪﻧﺎﻫﺎﮔﺁ ﻭ ﻪﺑ ﺭﻮﻃ ﯽﺒﺘﮐ ﻡﻼﻋﺍ ﻲﮔﺩﺎﻣﺁ ﺪﻧﺩﻮﻤﻧ .
ﺭﺍﺰﺑﺍ ﻱﺭﻭﺁﺩﺮﮔ ﻩﺩﺍﺩ ﺎﻫ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﻱﺍ ﻞﻣﺎﺷ ﻭﺩ ﺶﺨﺑ ﺩﻮﺑ . ﺶﺨﺑ ﻝﻭﺍ
ﺕﺎﺼﺨﺸﻣ ﺖﻴﻌﻤﺟ
ﯽﺘﺧﺎﻨﺷ ﻭ ﺕﺎﻋﻼﻃﺍ ﻁﻮﺑﺮﻣ ﻪﺑ ﻱﺭﺎﻤﻴﺑ ﺩﺮﻓ ﺍﺭ ﻞﻣﺎﺷ
ﺪﺷ . ﺶﺨﺑ
،ﻡﻭﺩ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺲﺘﻴﭘ ﺩﻮﺑ ﮒﺭﻮﺑ ﻪﮐ ﻪﺑ
ﻲﺳﺭﺮﺑ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺭﺩ ۴ ﻪﺘﻔﻫ ﯽﻬﺘﻨﻣ ﻪﺑ ﺶﻫﻭﮋﭘ ﻲﻣ ﺖﺧﺍﺩﺮﭘ .
ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﻱﻭﺎﺣ ۹ ﻝﺍﻮﺌﺳ ﻲﻠﺻﺍ ﻭ ﻲﮑﻳ ﺯﺍ ﻥﺁ ﺎﻫ ﺩﻮﺧ ﻞﻣﺎﺷ ۵ ﻝﺍﻮﺌﺳ
ﺩﻮﺑ . ﻪﺑ ﺮﻫ ﻝﺍﻮﺌﺳ ﻱﺯﺎﻴﺘﻣﺍ ﻦﻴﺑ ﺮﻔﺻ ﺎﺗ ۳ ﺹﺎﺼﺘﺧﺍ ﺎﻳ
ﺖﻓ . ﺯﺍ ﺐﻴﮐﺮﺗ
ﻻﺍﻮﺌﺳ ﺕ ﻦﻳﺍ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ۷ ﺀﺰﺟ ﻞﺻﺎﺣ ﺪﺷ ﻪﮐ ﺯﺎﻴﺘﻣﺍ ﻲﻳﺎﻬﻧ ﺮﻫ ﺰﺟ ﺀ ﺰﻴﻧ
۳ ﺩﻮﺑ . ﻉﻮﻤﺠﻣ ﺕﺍﺯﺎﻴﺘﻣﺍ ۷ ﺰﺟ ﺀ ﺶﺳﺮﭘ
،ﻪﻣﺎﻧ ﻩﺮﻤﻧ ﻞﮐ ﺭﺍﺰﺑﺍ ﺍﺭ ﻞﻴﮑﺸﺗ ﺩﺍﺩ
ﻪﮐ ﻪﻨﻣﺍﺩ ﻥﺁ ﺯﺍ ﺮﻔﺻ ﺎﺗ ۲۱ ﺩﻮﺑ . ﺮﻫ ﻪﭼ ﻩﺮﻤﻧ ﯼﺮﺗﻻﺎﺑ ﻪﺑ ﺖﺳﺩ ﯽﻣ
،ﺪﻣﺁ
ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻦﻴﻳﺎﭘ ﺮﺗ
؛ﺩﻮﺑ ﻩﺮﻤﻧ ﺮﺗﻻﺎﺑ ﺯﺍ ۴ ﻪﺑ ﻥﺍﻮﻨﻋ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ
ﺏﻮﻠﻄﻣﺎﻧ ﻲﻘﻠﺗ ﺷ ﺪ ] ۱۹ .[
ﺭﺎﺒﺘﻋﺍ ﻦﻳﺍ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﻱﺍﺮﺑ ﺖﻴﻌﻤﺟ
،ﻲﻧﺍﺮﻳﺍ
ﻪﺑ ﻭﺍ ﻄﺳ ﻪ ﻪﻌﻟﺎﻄﻣ ﯼﺩﺎﻫﺮﻓ ﻭ ﺐﺴﻧ
ﯽﻤﻴﻈﻋ ﺩﺭﻮﻣ ﺪﻴﻳﺎﺗ ﺭﺍﺮﻗ ﻪﺘﻓﺮﮔ ﺖﺳﺍ
] ۲۰ .[
ﺯﺍ ﻦﻳﺍ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺭﺩ ﺕﺎﻌﻟﺎﻄﻣ ﻱﺩﺪﻌﺘﻣ ﻩﺩﺎﻔﺘﺳﺍ ﻩﺪﺷ ﻭ ﺖﻴﻠﺑﺎﻗ
ﺩﺎﻤﺘﻋﺍ ﻭ ﺭﺎﺒﺘﻋﺍ ﻲﻳﻻﺎﺑ ﺍﺭ ﻥﺎﺸﻧ ﻩﺩﺍﺩ ﺖﺳﺍ ] ۱۲
، ۱۳
، ۲۱
، ۲۲
، ۲۳ .[
ﻲﻌﺨﻧ
ﻭ ﻥﺍﺭﺎﮑﻤﻫ ﺰﻴﻧ ﻪﺑ ﺭﻮﻈﻨﻣ ﻲﺳﺭﺮﺑ ﻲﮔﮋﻳﻭ ﻱﺎﻫ ﻥﺍﻭﺭ ﻲﺠﻨﺳ ﻦﻳﺍ ﺶﺳﺮﭘ ﻪﻣﺎﻧ
ﻪﻌﻟﺎﻄﻣ ﻱﺍ ﻱﻭﺭ ۸۵ ﺭﺎﻤﻴﺑ ﯼﺍﺭﺍﺩ ﻝﻼﺘﺧﺍ ﺱﺮﺘﺳﺍ ﺲﭘ ﺯﺍ ﻪﺤﻧﺎﺳ ﻲﺷﺎﻧ ﺯﺍ
ﻪﻟﺰﻟﺯ ﻭ ۱۳۳ ﺩﺮﻓ ﻢﻟﺎﺳ ﻡﺎﺠﻧﺍ ﺪﻧﺩﺍﺩ ﻪﮐ ﺭﺩ
،ﻪﺠﻴﺘﻧ ﺖﻴﺳﺎﺴﺣ ۱۰۰
%
،
ﻲﮔﮋﻳﻭ ۹۳
% ﻭ ﺎﻔﻟﺁ ﯼ ﺥﺎﺒﻧﻭﺮﮐ ۸۹ / ۰ ﺍﺭ ﻱﺍﺮﺑ ﻪﺨﺴﻧ ﻲﺳﺭﺎﻓ ﻦﻳﺍ
ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺑ ﻪ ﺖﺳﺩ ﺪﻧﺩﺭﻭﺁ . ﺖﻴﺳﺎﺴﺣ ﻭ
ﻲﮔﮋﻳﻭ ﻥﺁ ﺑ ﻪ ﻭﺍ ﺳ ﻄ ﻪ ﻪﺴﻳﺎﻘﻣ
ﻩﺮﻤﻧ ﺱﺎﻴﻘﻣ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻭ DSMIV-IR ﻲﺳﺭﺮﺑ
ﺪﺷ ﻥﺎﺸﻧ ﺞﻳﺎﺘﻧ ﻭ
ﺖﻴﺳﺎﺴﺣ ﺯﺍ ﻪﮐ ﺩﺍﺩ ۷
/ ۹۸ ﯽﮔﮋﻳﻭ ﻭ ۴ / ۸۴ % ﺭﺍﺩﺭﻮﺧﺮﺑ ﺖﺳﺍ ] ۲۴ .[
ﺍﺪﺘﺑﺍ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺲﺘﻴﭘ ﻂﺳﻮﺗ ﮒﺭﻮﺑ
ﻥﺍﺭﺎﻤﻴﺑ ﻞﻴﻤﮑﺗ ﺪﺷ .
ﺲﭙﺳ ﻪﺑ ﺕﺪﻣ ﮏﻳ ﻩﺎﻣ ﭻﻴﻫ ﻪﻧﻮﮔ ﻪﻠﺧﺍﺪﻣ ﺍ ﻱ ﻡﺎﺠﻧﺍ ﺪﺸﻧ ﻭ ﺕﺎﺸﻳﺎﻣﺯﺁ
ﻩﺭﻭﺩ
،ﻱﺍ ﺯﻭﺮﺑ ﺕﻼﮑﺸﻣ
،ﺪﻳﺪﺟ ﺕﻼﮑﺸﻣ ﻦﻴﺣ
،ﺰﻴﻟﺎﻳﺩ ﺕﻼﮑﺸﻣ
،ﺏﺍﻮﺧ
ﻥﺯﻭ ﻭ ﻥﻮﺧﺭﺎﺸﻓ ﻞﺒﻗ
ﻭ ﺪﻌﺑ ﺯﺍ ﺰﻴﻟﺎﻳﺩ ﻝﺮﺘﻨﮐ ﺪﺷ . ﺭﺩ ﻱﺎﻬﺘﻧﺍ ﻩﺎﻣ ﻝﻭﺍ
،
ﺪﺠﻣ ﺍﺩ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﻞﻴﻤﮑﺗ ﺪﺷ . ﺯﺍ ﻥﺎﻴﻣ ۴۳ ﺭﺎﻤﻴﺑ ﺏﺎﺨﺘﻧﺍ ﻩﺪﺷ ﺭﺩ ﻩﺭﻭﺩ
ﮏﻳ ﻪﻫﺎﻣ ﻞﺒﻗ ﺯﺍ ﻱﺍﺮﺟﺍ
،ﻝﺪﻣ ﮏﻳ ﺮﻔﻧ ﺑ ﻪ ﻞﻴﻟﺩ ﻞﻤﻋ ﺪﻧﻮﻴﭘ ﻭ ﻭﺩ ﺮﻔﻧ
ﺑ ﻪ ﻞﻴﻟﺩ ﺕﻮﻓ ﻑﺬﺣ ﺪﻧﺪﺷ ﻭ ﻪﻣﺍﺩﺍ ﻪﻌﻟﺎﻄﻣ ﺎﺑ ۴۰ ﺭﺎﻤﻴﺑ ﻡﺎﺠﻧﺍ ﺪﺷ . ﺩﺍﺮﻓﺍ ﺭﺩ
ﻦﻳﺍ ﻪﻠﺣﺮﻣ ﻪﺑ ۵ ﻩﻭﺮﮔ ﮏﭼﻮﮐ ۸ ﻩﺮﻔﻧ ) ﻪﺑ ﻞﻴﻟﺩ ﺖﻟﻮﻬﺳ ﺭﺩ ﻲﺳﺮﺘﺳﺩ ﻭ
ﻲﮕﻨﻫﺎﻤﻫ ﺭﺩ
ﻱﺭﺍﺰﮔﺮﺑ ﺱﻼﮐ ﻱﺎﻫ
،ﻲﻫﻭﺮﮔ ﻡﺪﻋ ﺩﺎﺠﻳﺍ ﻞﻠﺧ ﺭﺩ ﻪﻣﺎﻧﺮﺑ
ﺰﻴﻟﺎﻳﺩ ﻲﮕﺘﻔﻫ ﻭ ﺰﻴﻧ ﺱﺎﺳﺍﺮﺑ ﻪﺑﺎﺸﺗ ﺭﺩ ﺎﻫﺯﺎﻴﻧ ﻭ ﺕﻼﮑﺸﻣ ( ﻢﻴﺴﻘﺗ ﻱﺪﻨﺑ
ﺪﻧﺪﺷ ﻭ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﺯﺎﻏﺁ ﺪﺷ .
ﻱﺯﺎﺳﺎﻨﺷﺁ : ﻪﺑ ﺭﻮﻈﻨﻣ ﺩﺎﺠﻳﺍ ﺖﻴﺳﺎﺴﺣ ﻱﺎﻫ ﻡﺯﻻ ﺭﺩ ﺹﻮﺼﺧ ﻱﺭﺎﻤﻴﺑ ﻭ
ﻑﺪﻫ ﻦﻳﺍ ﻪﻠﺣﺮﻣ
، ﺖﺧﺎﻨﺷ ﺢﻴﺤﺻ
،ﻞﻜﺸﻣ ﺩﺎﺠﻳﺍ ﻩﺰﻴﮕﻧﺍ
، ﺱﺎﺴﺣﺍ ﺯﺎﻴﻧ ﻭ
ﺕﺭﻭﺮﺿ ﺪﻨﻳﺁﺮﻓ ﻱﺮﻴﮕﻴﭘ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺩﻮﺑ . ﺭﺩ ﻦﻳﺍ ﺖﻤﺴﻗ
، ﺮﮕﺸﻫﻭﮋﭘ
ﻪﺴﻠﺟ ﯼﺍ ۱۵ - ۱۰ ﻪﻘﻴﻗﺩ ﻱﺍ ﺎﺑ ﺭﻮﻀﺣ ﺭﺎﻤﻴﺑ ﻭ ﻩﺩﺍﻮﻧﺎﺧ ﻱﻭ ) ﯽﮕﻨﻫﺎﻤﻫ ﺯﺍ
ﻖﻳﺮﻃ ﻦﻔﻠﺗ ﺎﻳ ﻝﺎﺳﺭﺍ ﺕﻮﻋﺩ ﻪﻣﺎﻧ ﺯﺍ ﻞﺒﻗ ﺕﺭﻮﺻ ﻪﺘﻓﺮﮔ ﺩﻮﺑ ( ﻞﻴﮑﺸﺗ ﺩﺍﺩ .
ﻥﺍﺭﺎﻤﻴﺑ ﻭ ﺮﮕﺸﻫﻭﮋﭘ ﺕﺍﺭﺎﻈﺘﻧﺍ ﺩﻮﺧ ﺍﺭ ﻥﺎﻴﺑ ﺩﺮﮐ ﺪﻧ ﻭ ﺮﺑ ﻡﺪﻋ ﻊﻄﻗ ﻪﻄﺑﺍﺭ
ﻲﺘﺒﻗﺍﺮﻣ - ﻲﻧﺎﻣﺭﺩ ﺪﻴﮐﺎﺗ ﺪﺷ .
ﺱﺎﺴﺣ ﻱﺯﺎﺳ : ﻪﺑ ﺭﻮﻈﻨﻣ ﺖﮐﺭﺎﺸﻣ ﺭﺎﻤﻴﺑ
ﻭ ﻩﺩﺍﻮﻧﺎﺧ ﻱﻭ ﺭﺩ ﻱﺍﺮﺟﺍ
ﺖﺒﻗﺍﺮﻣ ﺎﻫ ﻡﺎﺠﻧﺍ ﺪﺷ . ﺕﺎﻣﺍﺪﻗﺍ ﻦﻳﺍ ﻪﻠﺣﺮﻣ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﺭﺩ ﺐﻟﺎﻗ
ﺗﺎﺴﻠﺟ ﻲ ﺑ ﻪ ﺕﺭﻮﺻ
،ﻩﺭﻭﺎﺸﻣ ﺚﺤﺑ
،ﻲﻫﻭﺮﮔ ﻲﻧﺍﺮﻨﺨﺳ ﻭ ﺶﺳﺮﭘ ﻭ ﺦﺳﺎﭘ
) ﺭﺩ ﺮﻫ ۵ ﻩﻭﺮﮔ ﺎﺑ ﻪﺟﻮﺗ ﻪﺑ ﺖﻴﻫﺎﻣ ﻭ ﻉﻮﻧ ﺎﻫﺯﺎﻴﻧ ﻭ ﺕﻼﮑﺸﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻭ
ﻩﺩﺍﻮﻧﺎﺧ ﺎﻬﻧﺁ ﻱﺍﺮﺑ ﻒﺸﮐ ﺕﻼﮑﺸﻣ ﺪﻳﺪﺟ
ﻭ ﺪﻴﮐﺎﺗ ﺮﺑ ﻡﻭﺰﻟ ﻱﺮﻴﮕﻴﭘ
ﺕﻼﮑﺸﻣ ( ﺭﺍﺰﮔﺮﺑ ﺪﺷ . ﺲﭙﺳ ﻩﺭﻭﺎﺸﻣ ﺑ ﻪ ﺕﺭﻮﺻ ﻱﺩﺮﻓ
،ﻞﺒﻗ ﻦﻴﺣ ﻭ ﺲﭘ
ﺯﺍ ﻡﺎﻤﺗﺍ ﻪﺴﻠﺟ ﺰﻴﻟﺎﻳﺩ ﺭﺩ ﻂﻴﺤﻣ ﺶﻫﻭﮋﭘ ﺎﺑ ﺭﻮﻀﺣ ﺎﻀﻋﺍ ﻱ ﻩﺩﺍﻮﻧﺎﺧ ﺕﺭﻮﺻ
ﺖﻓﺮﻳﺬﭘ ﻭ ﺮﻫ ﻩﻭﺮﮔ ﺮﺠﺗ ﺕﺎﻴﺑ ﻭ ﻻﺍﻮﺌﺳ ﺕ ﺩﻮﺧ ﺭﺩ ﻪﻨﻴﻣﺯ ﺮﻈﻧﺩﺭﻮﻣ ﺍﺭ ﻥﺎﻴﺑ
ﺩﻮﻤﻧ ﺪﻧ . ﺩﺭﺍﻮﻣ ﺚﺤﺑ ﻩﺪﺷ ﻂﺳﻮﺗ ﺮﮕﺸﻫﻭﮋﭘ ﻊﻤﺟ ﻱﺪﻨﺑ ﻭ ﻪﺠﻴﺘﻧ ﻱﺮﻴﮔ ﺪﺷ .
ﻞﺣﺍﺮﻣ ﻱﺯﺎﺳﺎﻨﺷﺁ ﻭ
ﺱﺎﺴﺣ ﻱﺯﺎﺳ ﺭﺩ ﻪﺳ ﻪﺘﻔﻫ ﻝﻭﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﻪﮐ ﺭﺩ
ﻉﻮﻤﺠﻣ ﻪﺳ ﻩﺎﻣ
،ﺩﻮﺑ ﻡﺎﺠﻧﺍ ﺖﻓﺮﮔ ] ۱۸ .[
ﺎﺑ ﻪﺟﻮﺗ ﻪﺑ ﻪﮑﻨﻳﺍ ﺮﻴﺛﺎﺗ ﻝﺪﻣ ﺮﺑ
ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺩﺭﻮﻣ ﺮﻈﻧ ﺩﻮﺑ ﻱﺩﺭﺍﻮﻣ
،ﺪﻨﻧﺎﻣ ﺢﻴﺿﻮﺗ ﺭﺩ ﺩﺭﻮﻣ ﺕﺎﻴﺻﻮﺼﺧ
ﻱﺭﺎﻤﻴﺑ ﻪﻴﻠﻛ ﺭﺩ ﺪﺣ ﻙﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻭ ﻩﺩﺍﻮﻧﺎﺧ ﺁ ﻧ ﺎﻬ
؛ ﺖﻴﻤﻫﺍ ﻪﺟﻮﺗ ﻪﺑ ﻢﻳﮊﺭ
ﻲﻳﺍﺬﻏ ﻭ ﺖﻳﺩﻭﺪﺤﻣ ﻱﺎﻫ ﻥﺁ
؛ ﺖﻴﻟﺎﻌﻓ ﻲﻜﻳﺰﻴﻓ
؛ ﻭ ﺖﻳﺰﻳ ﻢﻈﻨﻣ ﻂﺳﻮﺗ
ﻚﺷﺰﭘ ﻭ ﺕﺎﻋﺍﺮﻣ ﻱﺎﻫﺭﻮﺘﺳﺩ ﻩﺩﺍﺩ
ﻩﺪﺷ
؛ ﻡﻭﺰﻟ ﻪﺟﻮﺗ ﻪﺑ ﻲﺘﻣﻼﺳ ﻭ ﻡﺪﻋ
ﻡﻭﺍﺪﺗ ﺭﺩ ﻦﺘﺧﺍﺩﺮﭘ ﻪﺑ ﺕﺍﺩﺎﻋ ﺐﺳﺎﻨﻣﺎﻧ
؛ ﺖﻴﻤﻫﺍ ﻲﻳﺎﻫﺭﺎﺘﻓﺭ ﻪﻛ
ﺮﺠﻨﻣ ﻪﺑ
ﻡﻭﺍﺪﺗ
،ﺖﺒﻗﺍﺮﻣ ﻆﻔﺣ ﻲﺘﻣﻼﺳ ﻭ ﻝﺮﺘﻨﻛ ﺽﺭﺍﻮﻋ ﻱﺭﺎﻤﻴﺑ ﻲﻣ ﺪﻧﻮﺷ
؛ ﺵﺯﻮﻣﺁ ﻩﻮﺤﻧ ﺩﺎﺠﻳﺍ ﺕﺍﺩﺎﻋ ﺐﺳﺎﻨﻣ ﻞﺒﻗ ﺯﺍ
؛ﺏﺍﻮﺧ ﻩﻮﺤﻧ ﺵﻼﺗ ﻱﺍﺮﺑ
ﺶﻳﺍﺰﻓﺍ ﺕﺎﻋﺎﺳ ﺏﺍﻮﺧ ﺪﻴﻔﻣ ﻭ ﻞﻣﺍﻮﻋ ﺮﺛﻮﻣ ﺮﺑ ﺏﺍﻮﺧ )
،ﻪﻳﺬﻐﺗ
،ﺵﺯﺭﻭ
ﻑﺮﺼﻣ
،ﺎﻫﻭﺭﺍﺩ ﺭﺎﮕﻴﺳ ﻭ ﻩﺮﻴﻏ (،
ﻝﻮﺻﺍ ﺖﺷﺍﺪﻬﺑ ﺏﺍﻮﺧ ) ﺕﺎﻋﺎﺳ ﺏﺍﻮﺧ ﻭ
،ﻱﺭﺍﺪﻴﺑ ﮎﺮﺤﻣ
،ﺎﻫ
،ﻪﻳﺬﻐﺗ ﻑﺮﺼﻣ
،ﺎﻫﻭﺭﺍﺩ ﺖﻴﻟﺎﻌﻓ
،ﻲﻧﺪﺑ ﻂﻴﺤﻣ ﻥﺪﻴﺑﺍﻮﺧ
ﻭ ﻩﺮﻴﻏ (،
ﻉﺍﻮﻧﺍ ﺕﻻﻼﺘﺧﺍ ﺏﺍﻮﺧ
) ﻲﺑ
،ﻲﺑﺍﻮﺧ ﻲﺑﺍﻮﺧﺮﭘ ﻭ ﺮﻳﺎﺳ ﺕﻻﻼﺘﺧﺍ
ﺏﺍﻮﺧ ( ﻦﺘﺧﺍﺩﺮﭘ ﻪﺑ ﺶﺳﺮﭘ ﻭ ﺦﺳﺎﭘ ﻫ ﻱﺎ ﺡﺮﻄﻣ ﻩﺪﺷ ﻂﺳﻮﺗ ﺭﺎﻤﻴﺑ ﻭ
ﻩﺩﺍﻮﻧﺎﺧ ﺎﺑ ﺗ ﺎ ﺪﻴﻛ ﺮﺑ ﻞﻣﺍﻮﻋ ﺯﺎﺳﺮﻄﺧ
؛ ﺩﺭﻮﻣ ﻪﺟﻮﺗ ﺭﺍﺮﻗ ﺖﻓﺮﮔ . ﺭﺩ ﻦﻳﺍ
ﻪﻠﺣﺮﻣ ﻲﺗﺎﺴﻠﺟ ﻪﺑ ﺭﻮﻈﻨﻣ ﻱﺍﺮﺟﺍ ﻩﺭﻭﺎﺸﻣ ﻭ ﺚﺤﺑ ﻲﻫﻭﺮﮔ ﺎﺑ ﺕﻮﻋﺩ ﺯﺍ
ﻥﺍﺭﺎﻤﻴﺑ ﻭ ﻩﺩﺍﻮﻧﺎﺧ ﻱﺎﻫ ﻥﺎﻧﺁ ﺭﺩ ﻦﻟﺎﺳ ﺶﺨﺑ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻞﻴﮑﺸﺗ ﺪﺷ . ﺩﺍﺪﻌﺗ
ﺕﺎﺴﻠﺟ ﻪﺑ ﻥﺍﺰﻴﻣ
،ﻲﻫﺎﮔﺁ ﺶﻧﺍﺩ ﻭ ﺕﻼﮑﺸﻣ ﻪﺑﺎﺸﻣ
ﻱﺍﺮﺑ ﺮﻫ ﮏﻳ ﺯﺍ
ﻪﻧﻮﻤﻧ ﺎﻫ ﻲﮕﺘﺴﺑ ﺖﺷﺍﺩ ﻭ ﺑ ﻪ ﺭﻮﻃ ﻂﺳﻮﺘﻣ ۴ ﺎﺗ ۶ ﻪﺴﻠﺟ ۱ ﺎﺗ ۲ ﻪﺘﻋﺎﺳ ﺎﺑ
ﻪﺟﻮﺗ ﻪﺑ ﺢﻄﺳ ﻞﻤﺤﺗ ﻭ ﺵﺮﻳﺬﭘ ﻥﺍﺭﺎﻤﻴﺑ ﻭ ﻩﺩﺍﻮﻧﺎﺧ ﻱﺎﻫ ﻥﺎﻧﺁ ﺭﺍﺰﮔﺮﺑ ﺪﺷ .
ﺕﺎﺴﻠﺟ ﻱﺩﺮﻓ ﻱﺍﺮﺑ ﻞﻴﻤﮑﺗ ﺚﺣﺎﺒﻣ ﻭ ﺰﻴﻧ ﯼﺍﺮﺑ ﮏﻤﮐ ﻪﺑ ﻲﻧﺍﺭﺎﻤﻴﺑ ﻪﮐ ﺭﺩ
ﺕﺎﺴﻠﺟ ﺭﻮﻀﺣ ﺪﻨﺘﺷﺍﺪﻧ
، ﺭﺩ ﻦﻴﺣ ﺎﻳ ﻥﺎﻳﺎﭘ ﺰﻴﻟﺎﻳﺩ ﺭﺩ ﺰﮐﺮﻣ ﻞﻴﮑﺸﺗ ﺷ ﺪ . ﺭﺩ
ﻦﻳﺍ ﻪﻠﺣﺮﻣ ﺮﮕﺸﻫﻭﮋﭘ ﻱﺍﺮﺑ ﻲﺗﻼﮑﺸﻣ ﻪﮐ
ﺝﺭﺎﺧ ﺯﺍ ﺡﺮﺷ ﻒﻳﺎﻇﻭ ﻱﻭ ﺩﻮﺑ
ﺯﺍ ﺎﺟﺭﺍ ﻉ ﻪﺑ ﺺﺼﺨﺘﻣ ﻭ ﻕﻮﻓ ﺺﺼﺨﺗ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺮﮐ .
ﻝﺮﺘﻨﮐ : ﻪﺑ ﺭﻮﻈﻨﻣ ﻲﺳﺭﺮﺑ ﻭ ﻪﺟﻮﺗ ﻪﺑ ﺕﻼﻜﺸﻣ ﺪﻳﺪﺟ
ﻲﺘﺒﻗﺍﺮﻣ
) ﻱﺮﺘﺴﺑ ﻥﺪﺷ ﻭ ﻩﻮﺤﻧ ﻡﻭﺍﺪﺗ ﻱﺎﻫﺭﺎﺘﻓﺭ ﻪﺘﺧﻮﻣﺁ
ﻩﺪﺷ ( ﻭ ﻆﻔﺣ ﻁﺎﺒﺗﺭﺍ
ﻞﻣﺎﻌﺘﻣ ﻭ ﻞﺑﺎﻘﺘﻣ ) ﺯﺍ ﻖﻳﺮﻃ ﻦﻔﻠﺗ ﺎﻳ ﻱﺭﻮﻀﺣ ( ﻡﺎﺠﻧﺍ ﺪﺷ ﻭ ﻩﺭﻭﺎﺸﻣ ﺎﻫ
ﻪﻣﺍﺩﺍ ﺖﻓﺎﻳ . ﺭﺩ ﻦﻳﺍ ﺶﻫﻭﮋﭘ ﺪﻧﻭﺭ ﻱﺮﻴﮕﻴﭘ ﺎﺴﻣ ﻳ ﻞ ﻲﻃ ﺮﻫ ﻪﻌﺟﺍﺮﻣ ﺭﺎﻤﻴﺑ
ﻪﺑ ﺰﮐﺮﻣ ﻭ ﺕﺎﺴﻠﺟ ﻲﻫﻭﺮﮔ ﺕﺭﻮﺻ ﻓﺮﮔ ﺖ ﻭ ﺭﺩ ﺩﺭﻮﻣ ﺪﻧﻭﺭ ﻞﺣ ﻞﮑﺸﻣ
ﻢﻴﻤﺼﺗ ﻱﺮﻴﮔ ﺪﺷ .
ﻲﺑﺎﻴﺷﺯﺭﺍ : ﻞﻣﺎﺷ ﻲﺳﺭﺮﺑ ﺖﻴﻔﻴﻛ ﺏﺍﻮﺧ ﺍﺭﺎﻤﻴﺑ ﻥ
، ﺩﺍﺪﻌﺗ ﺕﺎﺴﻠﺟ ﺰﻴﻟﺎﻳﺩ
ﺘﻔﻫ ﻲﮕ
، ﻲﺳﺭﺮﺑ ﺽﺭﺍﻮﻋ ﻭ ﺕﻼﮑﺸﻣ ﺩﺎﺠﻳﺍ
ﻩﺪﺷ ﺭﺩ ﻪﻄﺑﺍﺭ ﺎﺑ ﺖﻴﻔﻴﮐ
ﺏﺍﻮﺧ
،ﻞﺒﻗ ﻦﻴﺣ ﻭ ﺪﻌﺑ ﺯﺍ
،ﺰﻴﻟﺎﻳﺩ ﻼﻋ ﻳ ﻢ ﻲﺗﺎﻴﺣ ﺯﺍ ﻞﻴﺒﻗ ﻥﻮﺧﺭﺎﺸﻓ )
،ﻞﺒﻗ
ﻦﻴﺣ ﻭ ﺪﻌﺑ ﺯﺍ ﺰﻴﻟﺎﻳﺩ (،
ﻥﺯﻭ ﮏﺸﺧ ﻭ ﻪﻓﺎﺿﺍ ﻥﺯﻭ ﻦﻴﺑ ﻭﺩ ﻪﺴﻠﺟ
،ﺰﻴﻟﺎﻳﺩ
ﺕﺎﻌﻓﺩ ﺖﻳﺰﻳﻭ ﻚﺷﺰﭘ ﻭ ﻩﺮﻴﻏ ﺩﻮﺑ . ﻪﻠﺻﺎﻓﻼﺑ ﺪﻌﺑ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﻭ ﮏﻳ
ﻩﺎﻣ ﺲﭘ ﺯﺍ ﻥﺁ
، ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺲﺘﻴﭘ ﮒﺭﻮﺑ ﺍﺩﺪﺠﻣ ﻞﻴﻤﮑﺗ ﺷ ﺪ .
ﺲﭘ ﺯﺍ ﺩﻭﺭﻭ ﻩﺩﺍﺩ ﺎﻫ ﻪﺑ ﻡﺮﻧ ﺭﺍﺰﻓﺍ SPSS 15
، ﺯﺍ ﺭﺎﻣﺁ ﻲﻔﻴﺻﻮﺗ ﻞﻣﺎﺷ
ﻝﻭﺍﺪﺟ ﻊﻳﺯﻮﺗ
،ﻲﻧﺍﻭﺍﺮﻓ ﺺﺧﺎﺷ ﻱﺎﻫ ﻱﺰﻛﺮﻣ ﻭ ﻲﮔﺪﻨﻛﺍﺮﭘ ﻭ
ﺭﺎﻣﺁ
ﻲﻃﺎﺒﻨﺘﺳﺍ ) ﻥﻮﻣﺯﺁ ﯼﺎﻫ ﺟﻭﺯ T ﯽ
، ﺰﻴﻟﺎﻧﺁ ﺲﻧﺎﻳﺭﺍﻭ ﮏﻳ
،ﻪﻓﺮﻃ ﻲﻛﻮﺗ
، ﺭﻭﺬﺠﻣ
،ﻱﺎﮐ ﻥﻮﻴﺳﺮﮔﺭ ﮏﻴﺘﺴﺠﻟ ﻭ ﺐﻳﺮﺿ ﻲﮕﺘﺴﺒﻤﻫ ﻥﻮﺳﺮﻴﭘ
( ﯼﺍﺮﺑ ﻪﻳﺰﺠﺗ ﻭ
ﻞﻴﻠﺤﺗ ﻩﺩﺍﺩ ﺎﻫ ﻩﺩﺎﻔﺘﺳﺍ ﺪﺷ .
ﺞﻳﺎﺘﻧ
۱ / ۵۶
% ﻥﺍﺭﺎﻤﻴﺑ ﻪﻌﻟﺎﻄﻣﺩﺭﻮﻣ ﺩﺮﻣ
ﺪﻧﺩﻮﺑ . ﻦﻴﮕﻧﺎﻴﻣ ﻦﺳ ﻥﺍﺭﺎﻤﻴﺑ
۷ / ۱۶ ۰۹ ± / ۵۵ ﺎﺑ ﻞﻗﺍﺪﺣ ۲۰ ﻭ ﺮﺜﮐﺍﺪﺣ ۷۷ ﻝﺎﺳ ﺩﻮﺑ . ﻪﺑ ﺐﻴﺗﺮﺗ
، ۸ / ۴۸
%
ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ﻩﻭﺮﮔ ۶۰
،ﻝﺎﺳ ≥ ۶ / ۳۲
% ﺭﺩ ﻩﻭﺮﮔ ۵۹ - ۴۰ ﻝﺎﺳ ﻭ ۶ / ۱۸
% ﺭﺩ
ﻩﻭﺮﮔ ۳۹ - ۲۰ ﻝﺎﺳ ﺭﺍﺮﻗ ﺪﻨﺘﺷﺍﺩ . ۱ / ۷۲
% ﺩﺍﺮﻓﺍ
،ﻞﻫﺎﺘﻣ ۶ / ۱۸
% ﺩﺮﺠﻣ ﻭ
۳ / ۹
% ﺮﺴﻤﻫ ﺕﻮﻓ ﻩﺪﺷ ﺪﻧﺩﻮﺑ . ۸ / ۵۵
% ﻥﺍﺭﺎﻤﻴﺑ ﺢﻄﺳ ﺪﻣﺁﺭﺩ ﺩﻮﺧ ﺍﺭ
،ﻒﻴﻌﺿ ۵ / ۳۹
% ﻂﺳﻮﺘﻣ ﻭ ﺎﻬﻨﺗ ۷ / ۴
% ﺏﻮﺧ ﺵﺭﺍﺰﮔ ﺪﻧﺩﺮﮐ . ۹ / ۴۸
%
ﻥﺍﺭﺎﻤﻴﺑ ﻲﻫﺎﮔﺁ ﺩﻮﺧ ﺯﺍ ﻱﺭﺎﻤﻴﺑ ﺍﺭ "
ﻢﮐ
"
ﻲﺑﺎﻴﺷﺯﺭﺍ ﺪﻧﺩﻮﻤﻧ ) ﻝﻭﺪﺟ ۱ .(
ﻝﻭﺪﺟ ۱ ( ﻊﻳﺯﻮﺗ ﻲﻧﺍﻭﺍﺮﻓ ﻲﺧﺮﺑ ﺯﺍ ﻲﮔﮋﻳﻭ ﻱﺎﻫ ﻁﻮﺑﺮﻣ ﻪﺑ ﻱﺭﺎﻤﻴﺑ
ﺮﻴﻐﺘﻣ ﻥﺍﺰﻴﻣ
ﺩﺍﺪﻌﺗ (%)
ﻲﻫﺎﮔﺁ
ﺯﺍ ﻱﺭﺎﻤﻴﺑ ﺩﺎﻳﺯ
۶
) ۱۴ (
ﻂﺳﻮﺘﻣ ١٦ ) ۱ / ۳۷ (
ﻢﮐ ٢١
) ٩ / ٤٨ (
ﻪﻗﻼﻋ ﻪﺑ ﺐﺴﮐ
ﺕﺎﻋﻼﻃﺍ ﻲﻠﺑ
٤١ ) ٣ / ٩٥ (
ﺮﻴﺧ ٢
) ٧ / ٤ (
ﻞﻤﺤﺗ ﺖﻳﺩﻭﺪﺤﻣ ﻱﺎﻫ
ﻱﺭﺎﻤﻴﺑ ﻼﻣﺎﮐ
٨ ) ٦ / ١٨ (
ﻱﺪﺣﺎﺗ ١٣ ) ٢ / ٣٠ (
ﻼﺻﺍ ٢٢ ) ٢ / ٥١ (
ﺖﻳﺎﻤﺣ ﻲﮔﺩﺍﻮﻧﺎﺧ ﺩﺎﻳﺯ
٢٨ ) ٢ / ٦٥ (
ﻂﺳﻮﺘﻣ ٩ ) ٩ / ٢٠ (
ﻢﮐ ٤
) ٣ / ٩ (
ﻼﺻﺍ ۲
) ۷ / ۴ (
ﻦﻴﮕﻧﺎﻴﻣ ﻩﺮﻤﻧ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺭﺩ ﺭﺎﻬﭼ ﺖﺑﻮﻧ ﻩﺯﺍﺪﻧﺍ ﻱﺮﻴﮔ ) ﻭﺩ ﺖﺑﻮﻧ ﻞﺒﻗ ﺯﺍ
ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﻭ ﻭﺩ ﺖﺑﻮﻧ ﺪﻌﺑ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ( ﺕﻭﺎﻔﺗ ﻲﻨﻌﻣ ﻱﺭﺍﺩ ﺍﺭ ﻥﺎﺸﻧ
ﺩﺍﺩ ) ۰۰۰۱ / ۰
= .( p ﻪﺠﻴﺘﻧ ﻥﻮﻣﺯﺁ ﻲﺒﻴﻘﻌﺗ ﻲﮐﻮﺗ ﻲﮐﺎﺣ ﺯﺍ ﻡﺪﻋ ﺕﻭﺎﻔﺗ
ﻦﻴﮕﻧﺎﻴﻣ ﺕﺍﺮﻤﻧ ﺭﺩ ﻭﺩ ﺖﺑﻮﻧ ﻞﺒﻗ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﻭ ﻦﻴﻨﭽﻤﻫ ﻭﺩ ﺖﺑﻮﻧ ﺪﻌﺑ
ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ
،ﺩﻮﺑ ﺎﻣﺍ ﻦﻴﮕﻧﺎﻴﻣ ﺕﺍﺮﻤﻧ ﺮﻫ ﮏﻳ ﺯﺍ ﻞﺣﺍﺮﻣ ﻞﺒﻗ ﺯﺍ ﻱﺍﺮﺟﺍ
ﻝﺪﻣ ﺎﺑ ﻦﻴﮕﻧﺎﻴﻣ ﺕﺍﺮﻤﻧ ﺮﻫ ﮏﻳ ﺯﺍ ﻭﺩ ﺖﺑﻮﻧ ﺪﻌﺑ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﺕﻭﺎﻔﺗ
ﻲﻨﻌﻣ ﻱﺭﺍﺩ ﺍﺭ ﻥﺎﺸﻧ ﺩﺍﺩ ) ﺭﺩ ﻪﻤﻫ ﺩﺭﺍﻮﻣ ۰۰۰۱ / ۰
= ( p ) ﻝﻭﺪﺟ ۲ .(
ﻝﻭﺪﺟ ۲ ( ﻦﻴﮕﻧﺎﻴﻣ ﺕﺍﺯﺎﻴﺘﻣﺍ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻥﺍﺭﺎﻤﻴﺑ ﻞﺒﻗ ﻭ ﺪﻌﺑ ﺯﺍ ﻪﻠﺧﺍﺪﻣ
ﺮﻴﻐﺘﻣ ﻪﻠﺣﺮﻣ ﻦﻴﮕﻧﺎﻴﻣ ﻑﺍﺮﺤﻧﺍ ﺭﺎﻴﻌﻣ ﺭﺍﺪﻘﻣ p
ﺖﻴﻔﻴﮐ
ﺏﺍﻮﺧ
ﻞﺒﻗ ﻝﻭﺍ
ﻡﻭﺩ ۴۱ / ۱۰ ۵۴ / ۳ ۰۰۰۱ / ۰
۳/۷۸ ۱۰/۳۷
ﺪﻌﺑ ﻝﻭﺍ
ﻡﻭﺩ ۱ / ۵ ۷
/ ۲
۹۷ / ۵ ۹ / ۲
ﻩﻭﻼﻋ ﺮﺑ ﻦﻳﺍ
، ﻂﺳﻮﺘﻣ ﺕﺍﺮﻤﻧ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻭﺩ ﺖﺑﻮﻧ ﻞﺒﻗ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ
ﻭ ﺪﻌﺑ ﺯﺍ ﻱﺍﺮﺟﺍ
،ﻝﺪﻣ ﻪﺒﺳﺎﺤﻣ ﻭ ﺎﺑ ﺮﮕﻳﺪﮑﻳ ﻪﺴﻳﺎﻘﻣ ﺪﺷ ﻪﮐ ﺭﺩ ﻦﻳﺍ ﺩﺭﻮﻣ
ﺰﻴﻧ ﺕﻭﺎﻔﺗ ﻲﻨﻌﻣ ﻱﺭﺍﺩ ﺩﻮﺟﻭ ﺖﺷﺍﺩ ) ۰۰۰۱ / ۰
= (؛ p ﻪﺑ ﻱﺭﻮﻃ ﻪﮐ ﻦﻴﮕﻧﺎﻴﻣ
) ﻑﺍﺮﺤﻧﺍ ﺭﺎﻴﻌﻣ
± ( ﻉﻮﻤﺠﻣ ﺕﺍﺮﻤﻧ ﻞﺒﻗ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ۳۹ / ۱۰ ) ۶۴ / ۳
± ( ﻭ
ﻦﻴﮕﻧﺎﻴﻣ ﻉﻮﻤﺠﻣ ﺕﺍﺮﻤﻧ ﺪﻌﺑ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ۵۴ / ۵ ) ۸۷ / ۲
± ( ﺩﻮﺑ . ﺪﻌﺑ ﺯﺍ
ﻪﻘﺒﻃ ﻱﺪﻨﺑ ﻩﺮﻤﻧ ﻞﮐ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻪﺑ ﺏﺍﻮﺧ ﺏﻮﻠﻄﻣ ) ۴ ≥ ( ﻭ ﺏﺍﻮﺧ
ﻲﻓﺎﮐﺎﻧ ) ۴
>
(،
ﻖﺒﻃ ﺞﻳﺎﺘﻧ ﺰﻴﻟﺎﻧﺁ ﻥﻮﻴﺳﺮﮔﺭ ﮏﻴﺘﺴﺠﻟ
، ﺲﻧﺎﺷ ﺏﺍﻮﺧ
ﺏﻮﻠﻄﻣ ﺪﻌﺑ ﺯﺍ ﻱﺍﺮﺟﺍ ﻝﺪﻣ ﺖﺒﺴﻧ ﻪﺑ ﻞﺒﻗ ﺯﺍ ﻥﺁ ۸ / ۵ ﺮﺑﺍﺮﺑ ) ۸ / ۱۱ - ۸ / ۲ (
ﺪﺷ ) ﻝﻭﺪﺟ ۳ .(
ﻝﻭﺪﺟ ۳ ( ﺖﻴﻌﺿﻭ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻗ ﻞﺒ ﻭ ﺪﻌﺑ ﺯﺍ ﻪﻠﺧﺍﺪﻣ
PSQI ﺩﺍﺪﻌﺗ
ﻞﺒﻗ ﺩﺍﺪﻌﺗ ﺪﻌﺑ ﺢﻄﺳ ﻲﻨﻌﻣ ﻱﺭﺍﺩ
ﺏﻮﻠﻄﻣ )
≤۴ (
ﺏﻮﻠﻄﻣﺎﻧ ) ۴ (>
۱۵ ) ۴ / ۱۷
% (
۴۴ ) ۵۵
% ( ۷۱ ) ۶ / ۸۲
% (
۳۶ ) ۴۵
% ( ۰۰۰۱ / ۰
= p
ﺚﺤﺑ
ﻉﻮﻴﺷ ﺕﻻﻼﺘﺧﺍ ﺏﺍﻮﺧ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺎﺑ ﻲﻣﺭﻭﺍ ﻦﻣﺰﻣ ﺭﺩ ﻪﺴﻳﺎﻘﻣ ﺎﺑ ﺖﻴﻌﻤﺟ ﻲﻣﻮﻤﻋ
ﺳﻻﺎﺑ ﺖ ] ۲۵ [ ﻭ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻦﮑﻤﻣ
ﺖﺳﺍ ﺑ ﻪ ﻝﺎﺒﻧﺩ
ﻞﺘﺨﻣ ﻥﺪﺷ ﻱﺎﻫﺩﺮﮑﻠﻤﻋ ﻲﺘﺧﺎﻨﺷ
ﻥﺎﻧﺁ ﺩﺎﺠﻳﺍ ﻮﺷ ﺩ ] ۲۶ .[
ﺱﺎﺳﺍﺮﺑ ﺞﻳﺎﺘﻧ
ﻦﻳﺍ ﺶﻫﻭﮋﭘ
، ۷ / ۸۳
% ﻥﺍﺭﺎﻤﻴﺑ ﺩﺭﻮﻣ ﻲﺳﺭﺮﺑ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻦﻴﻳﺎﭘ ﺪﻨﺘﺷﺍﺩ
ﻪﮐ ﺎﺑ ﺞﻳﺎﺘﻧ ﻌﻟﺎﻄﻣ ﻪ ﻲﻨﻴﺴﺣﻼﻣ ﻭ
ﻥﺍﺭﺎﮑﻤﻫ ﻪﮐ ﻝﻼﺘﺧﺍ ﺏﺍﻮﺧ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺍﺭ
۴ / ۹۹
% ﺵﺭﺍﺰﮔ ﯽﻣ ﻤﻧ ﻳﺎ ﺪﻨ ﯽﻧﺍﻮﺨﻤﻫ ﺩﺭﺍﺩ ] ۲۷ .[
ﻲﻨﻴﺗﺎﺑﺎﺳ
ﻭ ﻥﺍﺭﺎﮑﻤﻫ ﻉﻮﻴﺷ ﺏﺍﻮﺧ ﻒﻴﻌﺿ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺰﻴﻟﺎﻳﺩ ﺍﺭ ۴۵ ﺎﺗ ۸۰
%
ﺵﺭﺍﺰﮔ ﯽﻣ ﮐ ﻨ ﺪﻨ ] ۲۸ .[
ﻖﺒﻃ ﺞﻳﺎﺘﻧ ﻪﻌﻟﺎﻄﻣ ﺕﺎﮑﺳﺍ ﻭ ﻥﺍﺭﺎﮑﻤﻫ
، ۲ / ۵۵
%
ﻥﺍﺭﺎﻤﻴﺑ ﻼﺘﺒﻣ ﻪﺑ ﻲﻳﺎﺳﺭﺎﻧ ﻪﻠﺣﺮﻣ ﻲﻳﺎﻬﺘﻧﺍ ﻴﻠﮐ ﯼﻮ ﻝﻼﺘﺧﺍ ﺏﺍﻮﺧ ﺍﺩ ﻧﺭ ﺪ
] ۲۹ .[
ﻱﺩ ﻭ ﺖﻴﻧ ﻥﺍﺭﺎﮑﻤﻫ ] ۳۰ [ ۶۶
%
، ﻭﺪﻴﮐﺎﺘﺴﻴﻣ ﻭ
ﻥﺍﺭﺎﮑﻤﻫ ] ۳۱ [
۵ / ۷۳
% ﻭ ﻭ ﺯﺍﺮﺑ ﻥﺍﺭﺎﮑﻤﻫ ] ۳۲ [ ۷۴
% ﻥﺍﺭﺎﻤﻴﺑ ﺍﺭ ﻱﺍﺭﺍﺩ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ
ﺏﻮﻠﻄﻣﺎﻧ ﺵﺭﺍﺰﮔ ﯽﻣ ﺪﻨﻨﮐ .
ﺞﻳﺎﺘﻧ ﺶﻫﻭﮋﭘ ﺮﺿﺎﺣ ﻥﺎﺸﻧ ﺩﺍﺩ ﻪﮐ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻦﻴﻳﺎﭘ ﻪﻧﻮﻤﻧ ﻱﺎﻫ
ﺶﻫﻭﮋﭘ ﻞﺒﻗ ﻭ ﺪﻌﺑ ﺯﺍ ﻪﻠﺧﺍﺪﻣ ﺯﺍ ۷ / ۸۳
% ﻪﺑ ۴۵
% ﺶﻫﺎﮐ ﺖﻓﺎﻳ . ﻲﻤﻴﺣﺭ ﻭ
ﻥﺍﺭﺎﮑﻤﻫ ﺭﺩ ﻲﺳﺭﺮﺑ ﺮﻴﺛﺎﺗ ﺑ ﻪ ﻱﺮﻴﮔﺭﺎﮐ ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﺮﺑ ﺖﻴﻔﻴﮐ
ﻲﮔﺪﻧﺯ ﻥﺍﺭﺎﻤﻴﺑ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﯼ ﻥﺎﺸﻧ ﯽﻣ ﺩ ﻫ ﺪﻨ ﻪﮐ ﺭﺩ ﻲﺑﺎﻳﺯﺭﺍ ﺏﺍﻮﺧ
ﻪﺑ ﻥﺍﻮﻨﻋ ﻲﺘﻤﺴﻗ ﺯﺍ ﺶﺳﺮﭘ ﻪﻣﺎﻧ SF-36
، ۹ / ۶۳
% ﻥﺍﺭﺎﻤﻴﺑ ﺯﺍ ﻝﻼﺘﺧﺍ
ﺏﺍﻮﺧ ﻪﺑ ﺕﺭﻮﺻ ﻢﮐ ﻲﺑﺍﻮﺧ ﻭ ﻲﺑ ﻲﺑﺍﻮﺧ ﺞﻧﺭ ﻲﻣ ﺪﻧﺩﺮﺑ ] ۳۳ .[
ﻱﺍﺮﺟﺍ ﻝﺪﻣ
ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻦﻳﺍ ﻪﻌﻟﺎﻄﻣ ﺚﻋﺎﺑ ﺶﻳﺍﺰﻓﺍ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﺪﺷ
ﻪﺑ ﻱﺭﻮﻃ ﻪﮐ ﻦﻴﺑ ﻦﻴﮕﻧﺎﻴﻣ ﺕﺍﺯﺎﻴﺘﻣﺍ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻥﺍﺭﺎﻤﻴﺑ ﻞﺒﻗ ﻭ ﺪﻌﺑ ﺯﺍ
ﻪﻠﺧﺍﺪﻣ ﺕﻭﺎﻔﺗ ﻱﺭﺎﻣﺁ ﻲﻨﻌﻣ ﻱﺭﺍﺩ ﺩﻮﺟﻭ ﺖﺷﺍﺩ . ﻲﻤﻴﺣﺭ ﻭ ﻥﺍﺭﺎﮑﻤﻫ ﺰﻴﻧ
ﻥﺎﺸﻧ ﯽﻣ ﺩ ﻨﻫ ﺪ ﻪﮐ ﺎﺑ ﺑ ﻪ ﻱﺮﻴﮔﺭﺎﮐ ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ
، ﺕﻭﺎﻔﺗ ﻲﻨﻌﻣ ﻱﺭﺍﺩ
ﺭﺩ ﺡﻮﻄﺳ ﻦﻴﮕﻧﺎﻴﻣ ﻱﺎﻫ ﻥﻮﺧﺭﺎﺸﻓ ﻥﺍﺭﺎﻤﻴﺑ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺩﺎﺠﻳﺍ
ﻲﻣ ﺩﻮﺷ
] ۱۸ .[
ﺪﻧﻮﻤﻳﺍﺭ ﻭ ﻥﺍﺭﺎﮑﻤﻫ ﺭﺩ ﻲﺳﺭﺮﺑ ﺮﻴﺛﺎﺗ ﻝﺪﻣ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﺮﺑ ﻥﺍﺰﻴﻣ
،ﺱﺮﺘﺳﺍ ﺏﺍﺮﻄﺿﺍ ﻭ ﻲﮔﺩﺮﺴﻓﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻥﺎﺸﻧ
ﯽﻣ ﺩ ﻫ ﺪﻨ ﻪﮐ
ﻦﻴﮕﻧﺎﻴﻣ ﺕﺍﺯﺎﻴﺘﻣﺍ
،ﺱﺮﺘﺳﺍ ﺏﺍﺮﻄﺿﺍ ﻭ ﻲﮔﺩﺮﺴﻓﺍ ﻞﺒﻗ ﻭ ﺪﻌﺑ ﺯﺍ ﻪﻠﺧﺍﺪﻣ
ﺕﻭﺎﻔﺗ ﻲﻨﻌﻣ ﻱﺭﺍﺩ ﺩﺭﺍﺩ ] ۲۱ [.
ﻲﻣﺍﻮﻗ ﺭﺩ ﻲﺳﺭﺮﺑ ﺮﻴﺛﺎﺗ ﻝﺪﻣ ﺭﻮﮐﺬﻣ ﺮﺑ
ﻦﻴﮕﻧﺎﻴﻣ ﺖﻴﻔﻴﮐ ﻲﮔﺪﻧﺯ ﻲﺻﺎﺼﺘﺧﺍ ﻥﺍﺭﺎﻤﻴﺑ
،ﻲﺘﺑﺎﻳﺩ ﺮﻴﺛﺎﺗ ﺖﺒﺜﻣ ﯽﻨﻌﻣ ﺭﺍﺩ
ﻥﺁ ﺍﺭ ﻥﺎﺸﻧ ﯽﻣ ﺩ ﺪﻫ ] ۱۵ .[
ﻲﻣ ﻥﺍﻮﺗ ﺭﺍﻭﺪﻴﻣﺍ ﺩﻮﺑ ﻪﮐ ﺎﺑ ﻱﺍﺮﺟﺍ ﻦﻳﺍ ﻝﺪﻣ
، ﺞﻳﺎﺘﻧ ﻱﺪﻨﻤﺷﺯﺭﺍ ﺭﺩ
ﻪﻨﻴﻣﺯ
ﺩﻮﺒﻬﺑ ﻭ ﺎﻘﺗﺭﺍ ﯼ ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻪﺑ
ﺖﺳﺩ ﺪﻳﺁ ﻭ ﺪﻳﺎﺑ ﺯﺍ
ﻦﻳﺍ ﻝﺪﻣ ﺭﺩ ﻪﺻﺮﻋ ﺵﺯﻮﻣﺁ
،ﻱﺭﺎﺘﺳﺮﭘ ﺖﻳﺮﻳﺪﻣ
ﻭ ﺶﻳﺍﺰﻓﺍ ﺖﻴﻔﻴﮐ
ﺕﺎﻣﺪﺧ ﻲﻨﻴﻟﺎﺑ ﻩﺮﻬﺑ ﻪﺘﻓﺮﮔ ﺩﻮﺷ . ﻥﺍﺮﻳﺪﻣ ﻱﺭﺎﺘﺳﺮﭘ ﺰﻴﻧ ﺪﻳﺎﺑ ﺪﻨﺷﻮﮑﺑ ﺎﺗ ﺭﺩ
ﻥﺎﻣﺯﺎﺳ ﺩﻮﺧ ﻲﻄﻳﺍﺮﺷ ﺍﺭ ﻢﻫﺍﺮﻓ ﺪﻨﻨﮐ ﻪﮐ ﺩﻮﺧ ﻱﺭﻭﺎﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺶﻳﺍﺰﻓﺍ
ﻪﺘﻓﺎﻳ ﻭ ﺎﺑ ﺱﺎﺴﺣﺍ ﻱﺭﺍﺩﺭﻮﺧﺮﺑ ﺯﺍ
ﺕﺭﺪﻗ ﻭ
،ﺭﺎﻴﺘﺧﺍ ﺶﻧﺍﺩ ﻭ ﺭﺎﻴﺘﺧﺍ ﺩﻮﺧ ﺍﺭ
ﺭﺩ ﻪﻳﺍﺭﺍ ﺖﺒﻗﺍﺮﻣ ﻪﻓﺮﺣ ﻱﺍ ﺑ ﻪ ﺭﺎﮐ ﺪﻧﺮﻴﮔ . ﻪﺑ ﻦﻳﺍ ﺐﻴﺗﺮﺗ ﮓﻨﻫﺮﻓ ﻭ ﺭﺎﺘﺧﺎﺳ
ﻥﺎﻣﺯﺎﺳ ﺭﺩ ﻱﺎﺘﺳﺍﺭ ﻪﻌﺳﻮﺗ ﻭ ﺫﻮﻔﻧ ﺕﺭﺪﻗ ﻪﻓﺮﺣ ﻱﺍ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺮﻴﻴﻐﺗ ﺪﻫﺍﻮﺧ
ﺖﻓﺎﻳ ] ۳۰ .[
ﻪﺠﻴﺘﻧ ﻱﺮﻴﮔ
ﯼﺍﺮﺟﺍ ﯼﻮﮕﻟﺍ ﺖﺒﻗﺍﺮﻣ ﺮﻴﮕﻴﭘ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﯼﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺮﻴﺛﺎﺗ
ﯽﺑﻮﻠﻄﻣ ﺮﺑ
ﺖﻴﻔﻴﮐ ﺏﺍﻮﺧ ﻥﺎﻧﺁ ﺩﺭﺍﺩ ﻭ ﺚﻋﺎﺑ ﺩﻮﺒﻬﺑ ﻥﺁ ﯽﻣ ﺩﻮﺷ . ﻮﮕﻟﺍ ﻱﺎﻫ ﻱﺭﺎﺘﺳﺮﭘ
ﻱﺎﻫﻮﻠﺑﺎﺗ ﺎﻤﻨﻫﺍﺭ ﻱﺍﺮﺑ ﻡﺎﺠﻧﺍ ﺖﺒﻗﺍﺮﻣ ﻱﺎﻫ ﻱﺭﺎﺘﺳﺮﭘ
؛ﺪﻨﺘﺴﻫ
ﻩﺩﺎﻔﺘﺳﺍ
ﺯﺍ
ﻝﺪﻣ ﻱﺎﻫ ﻱﺭﺎﺘﺳﺮﭘ
، ﺑ ﻪ ﺹﻮﺼﺧ ﻝﺪﻣ ﻲﻳﺎﻫ ﻪﮐ ﺎﺑ ﮓﻨﻫﺮﻓ ﻪﻌﻣﺎﺟ ﺖﻴﺨﻨﺳ
ﻪﺘﺷﺍﺩ ﺪﻨﺷﺎﺑ ﻲﻣ ﺪﻧﺍﻮﺗ ﺭﺩ ﻡﺎﺠﻧﺍ ﺖﺒﻗﺍﺮﻣ ﻱﺎﻫ ﻱﺭﺎﺘﺳﺮﭘ ﻭ ﺯﺍ ﻲﻓﺮﻃ ﻡﻭﺍﺪﺗ
ﺭﺩ ﺖﺒﻗﺍﺮﻣ ﺎﻫ ﺮﺛﻮﻣ ﻮﺑ ﻩﺩ ﻭ ﻦﻴﻨﭽﻤﻫ ﻱﺎﻫﺩﺎﻀﺗ ﻲﻟﺎﻤﺘﺣﺍ
ﺭﺩ ﻡﺎﺠﻧﺍ ﺖﺒﻗﺍﺮﻣ
ﺍﺭ ﻝﺮﺘﻨﮐ ﺪﻨﻳﺎﻤﻧ . ﺯﺍ ﻲﻓﺮﻃ ﺩﺎﺠﻳﺍ ﻭ ﺩﺮﺑﺭﺎﮐ ﻝﺪﻣ ﻱﺎﻫ ﻮﺟﺩﺪﻣ ﺭﺍﺪﻣ ﻲﻣ ﺪﻧﺍﻮﺗ
ﺚﻋﺎﺑ ﮎﺭﺩ ﺮﺘﺸﻴﺑ ﻥﺍﺭﺎﺘﺳﺮﭘ ﺯﺍ ﻡﺩﺮﻣ ﻭ ﻱﺎﻫﺯﺎﻴﻧ ﻂﺒﺗﺮﻣ ﺎﺑ ﻲﺘﻣﻼﺳ ﻥﺎﻧﺁ
ﻮﺷ ﺩ .
ﺮﮑﺸﺗ ﻭ ﻲﻧﺍﺩﺭﺪﻗ ﺯﺍ :
ﻱﺭﺎﮑﻤﻫ ﻪﻧﺎﻗﺩﺎﺻ
ﻭ ﻪﻧﺍﺪﺠﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻭ
ﻩﺩﺍﻮﻧﺎﺧ ﻱﺎﻫ ﻡﺮﺘﺤﻣ
،ﻥﺎﺷ ﮏﺷﺰﭘ ﻭ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻲﻋﺎﺳ ﺰﮐﺮﻣ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ
ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻳﺪﻠﮔ
ﻭ ﻥﻻﻮﺌﺴﻣ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻢﻳﺭﺍﺰﮕﺳﺎﭙﺳ
.
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