(41) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ
(1387 ؛ﺪﻬﺸﻣ ﻢﺋﺎﻗ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ)
3ﻲﺴﻴﻔﻧ ﻞﻀﻔﻟﺍﻮﺑﺍ / 2ﻱﺮﻫﻮﮔ ﺎﺿﺭﺩﻮﻤﺤﻣ / 1ﺭﻮﭘ ﻱﺮﻴﺼﻧ ﻥﺎﻜﺷﺍ ﺮﻴﻣﺍ
ﻩﺪﻴﻜﭼ ﺭﺩ ﮓﻨﻳﺪﻧﺮﺑ .ﺪﻨﻧﺍﺩ ﻲﻣ ﺏﺎﺨﺘﻧﺍ ﻡﺎﮕﻨﻫ ﺭﺩ ﻱﺮﺘﺸﻣ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﺭﺩﺮﻴﻐﺘﻣ ﻦﻳﺮﺘﻜﻳﺩﺰﻧ ﻭ ﻱﺰﻛﺮﻣ ﻱ ﻪﺘﺴﻫ ﺍﺭ ﺪﻧﺮﺑ ﺖﻴﺼﺨﺷ :ﻪﻣﺪﻘﻣ ﻢﺋﺎﻗ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺩﺮﻜﻠﻤﻋ ﺎﺑ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﻪﻄﺑﺍﺭ ﻦﻴﻴﻌﺗ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻑﺪﻫ .ﺖــﺳﺍ ﺭﻮﻬﻇﻮﻧ ﻱﺍ ﻩﺪﻳﺪﭘ ،ﻲﻧﺎﻣﺭﺩ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ .ﺩﻮﺑ ﺪﻬﺸﻣ ﻱ ﻪﻨﻴﻣﺯ ﺭﺩ ﺎﻫ ﻩﺩﺍﺩ .ﺖﺳﺍ ﻩﺪﺷ ﻡﺎﺠﻧﺍ 87 ﻝﺎــﺳ ﻡﻭﺩ ﻱ ﻪﻫﺎﻣ ﺶﺷ ﺭﺩ ؛ﻲﻌﻄﻘﻣ - ﻲﮕﺘــﺴﺒﻤﻫ ﻉﻮﻧ ﺯﺍ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ :ﻲـﺳﺭﺮﺑ ﺵﻭﺭ ﻭ ؛ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻥﺎﻜﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻩﺪﻫﺎــﺸﻣ ،ﻦﻴﻟﻮﺌــﺴﻣ ﺎﺑ ﻪﺒﺣﺎﺼﻣ ،ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻪﺑ ﻪﻌﺟﺍﺮﻣ ﺎﺑ ﻩﺪــﺷ ﺩﺎﺠﻳﺍ ﮓﻨﻴﻠﺘﻫ ﻱﺎﻫﺪﻧﺮﺑ ﻩﺪﺷ ﻱﺭﻭﺁ ﻊﻤﺟ ﺩﻮﺟﻮﻣ ﻙﺭﺍﺪﻣ ﻭ ﺩﺎﻨﺳﺍ ﻪﻌﻟﺎﻄﻣ ﺎﺑ ﻭ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺎﻣﺁ ﺰﻛﺮﻣ ﻱﺭﺎﻜﻤﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ .ﺪﻧﺍ ﻪﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻞﻴﻠﺤﺗ ﺩﺭﻮﻣ ﺝﻭﺯ t ﻥﻮﻣﺯﺁ ﻭ SPSS12 ﻱﺭﺎﻣﺁ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﺎﻫ ﻩﺩﺍﺩ .ﺖﺳﺍ ﻦﻴﺑ .(p=0.453) ﺪــﺸﻧ ﻩﺪﻫﺎــﺸﻣ ﻱﺭﺎﻣﺁ ﺭﺍﺩﺎﻨﻌﻣ ﻁﺎﺒﺗﺭﺍ ﻥﺎﮔﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ ﺩﺍﺪﻌﺗ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ ﻭ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﻦﻴﺑ :ﺎﻫ ﻪﺘﻓﺎﻳ ﺖﺒﺴﻧ (p=0.016) ﺖﺨﺗ ﺵﺩﺮﮔ ،(p=0.000) ﺖﺨﺗ ﻝﺎﻐﺷﺍ ﺪﺻﺭﺩ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻭ ﮓﻨﻴﻠﺘﻫ ﻪﻨﻴﻣﺯ ﺭﺩ ﻩﺩﺎﺘﻓﺍ ﻕﺎﻔﺗﺍ ﻱﺯﺎﺳﺪﻧﺮﺑ .ﺖﺷﺍﺩ ﺩﻮﺟﻭ ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻪﻄﺑﺍﺭ (p=0.012) ﻥﺪﻧﺎﻣ ﻲﻟﺎﺧ ﺮﺛﺆﻣ ،ﺪﻨﺷﺎﺑ ﻲﻣ ﻲﺑﺎﺨﺘﻧﺍ ﻥﺍﺭﺎﻤﻴﺑ ﺏﺬﺟ ﻝﺎﺒﻧﺩ ﻪﺑ ﻪﻛ ﻲﺘﺑﺎﻗﺭ ﻱﺎﻫ ﻂﻴﺤﻣ ﺭﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺩﺮﻜﻠﻤﻋ ﺩﻮﺒﻬﺑ ﺭﺩ ﻱﺯﺎﺳﺪﻧﺮﺑ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ .ﺖﺳﺍ ﺩﺮﻜﻠﻤﻋ ﺺﺧﺎﺷ ،ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ،ﻱﺯﺎﺳﺪﻧﺮﺑ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ
89/2/14 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ • 88/12/19 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 88/2/23 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ • ﺪﺷﺭﺍ ﻲﺳﺎﻨﺷﺭﺎﻛ ﻲﻳﻮﺠﺸﻧﺍﺩ ﻪﻣﺎﻧ ﻥﺎﻳﺎﭘ :ﺯﺍ ﻪﺘﻓﺮﮔﺮﺑ •
Downloaded from jha.iums.ac.ir at 9:20 IRDT on Sunday September 3rd 2017
(41) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ
ﻪﻣﺪﻘﻣ ﻦﻴﻣﺯ ﻭ ﻪﻳﺎﻣﺮﺳ ،ﺭﺎﻛ ﻱﻭﺮﻴﻧ ،ﺩﺎﺼﺘﻗﺍ ﻚﻴــﺳﻼﻛ ﺕﺎﻴﺑﺩﺍ ﺭﺩ ﺕﻭﺮﺛ ﻲﻠﺻﺍ ﻱﺎﻫ ﻪﻤــﺸﭼﺮﺳ ﻭ ﺪﻴﻟﻮﺗ ﻲﻠﺻﺍ ﺮﺼﻨﻋ ﻪــﺳ ﺢﻴﺿﻮﺗ ﻪﻛ ﺖــﺴﻴﻧ ﺭﺩﺎﻗ ﻮﮕﻟﺍ ﻦﻳﺍ ﻲﻟﻭ .ﺪﻨﻳﺁ ﻲﻣ ﺭﺎﻤــﺷ ﻪﺑ ﻲﺋﺎﺒﻳﺯ ﻭ ﺖﻴﻔﻴﻛ ،ﻲــﻳﺁﺭﺎﻛ ﺎﺑ ﻻﺎﻛ ﻚــﻳ ﻪﻧﻮﮕﭼ ﻪﻛ ﺪــﻫﺩ .ﺪﺳﺭ ﻲﻣ ﺵﻭﺮﻓ ﻪﺑ ﺮﮕﻳﺩ ﻲﻳﻻﺎﻛ ﺖﻤﻴﻗ ﺮﺑﺍﺮﺑ ﻪﺳ ﻪﺑ ﻪﺑﺎﺸﻣ ﻪﻛ ﻲﺘﻳﻮﻫ ﺎﺑ ﺍﺭ ﻩﺪﻳﺪﭘ ﻦــﻳﺍ ﻲﺑﺎﻳﺭﺍﺯﺎﺑ ﻦﻳﻮﻧ ﻱﺎــﻫﺩﺮﻜﻳﻭﺭ [1].ﺪﻨﻫﺩ ﻲﻣ ﺢﻴﺿﻮﺗ ﺩﺭﺍﺩ ﻱﺮﺘﺸﻣ ﻱﺍﺮﺑ ﺪﻧﺮﺑ ﻚﻳ ﺏﺎــﺨﺘﻧﺍ ﺭﺩ ﻱﺮﺘــﺸﻣ ﻱﺎــﻫ ﺖﻴﺑﻮﻠﻄﻣ ﺯﺍ ﻲــﻜﻳ ﺪﻧﺮﺑ ،ﺎﻫﺭﺍﺯﺎﺑ ﺯﺍ ﻱﺭﺎﻴﺴﺑ ﺭﺩ .ﺖــﺳﺍ ﺮﺒﺘﻌﻣ ﺪﻧﺮﺑ ،ﻝﻮﺼﺤﻣ ﻪﺑ ﺍﺭ ﺎﻫ ﻥﺁ ﻭ ﺪﻨﻳﺮﻓﺁ ﻲﻣ ﻝﻮﺼﺤﻣ ﻚﻳ ﻱﺍﺮﺑ ﻱﺍ ﻩﮋﻳﻭ ﺖﻳﻮﻫ ﻲﺳﺎﻨﺸﻧﺍﻭﺭ ﺮﻈﻧ ﺯﺍ .ﺪﻫﺩ ﻲﻣ ﺪﻧﻮﻴﭘ ﻪﻌﻣﺎﺟ ﺯﺍ ﻲﺻﺎﺧ ﻩﻭﺮﮔ ﻱﺮﺘــﺸﻣ ﻱﺍﺮﺑ ،ﻱﺮﻫﺎﻇ ﺩﺮﺑﺭﺎﻛ ﺮﺑ ﻩﻭﻼﻋ ﺎﻫﻻﺎﻛ ﻪﻧﻮﮔ ﻦﻳﺍ ﻱﺮﺘــﺸﻣ ﻭﺮﻨﻳﺍ ﺯﺍ ،ﺪﻨﻳﺮﻓﺁ ﻲﻣ ﺲﻔﻧ ﻪﺑ ﺩﺎﻤﺘﻋﺍ ﻭ ﺺﺨــﺸﺗ ﺮﺑ ﻩﻭﻼﻋ .ﺩﺯﺍﺩﺮــﭙﺑ ﻥﺁ ﻱﺍﺮﺑ ﻲﺗﻭﺎﻔﺘﻣ ﻱﺎــﻬﺑ ﺖــﺳﺍ ﻩﺩﺎﻣﺁ ﻱﺮﺘــﺸﻣ ﻱﺍﺮﺑ ﻩﺎﮔﺁﺩﻮﺧﺎﻧ ﺭﻮﻃ ﻪﺑ ﺮﺗﺮﺑ ﻱﺭﺎــﺠﺗ ﻡﺎﻧ ،ﻦﻳﺍ ﺪﻳﺮﺧ ﺎﺑ ﻱﺮﺘــﺸﻣ .ﺖــﺳﺍ ﻝﻮﺼﺤﻣ ﺮﺘﻬﺑ ﺖﻴﻔﻴﻛ ﻡﻮﻬﻔﻣ ﻪﺑ ﺰﻴﭼ ﺩﻮﺧ ﻝﻮﭘ ﻞﺑﺎﻘﻣ ﺭﺩ ﻪﻛ ﺩﺭﺍﺩ ﺭﻭﺎﺑ ﺪﻧﺮﺑ ﻝﻮﺼﺤﻣ ﻚــﻳ ﻡﺎﻧ ﻪﻛ ﺖﺳﺍ ﻦﻳﺍ ﺖﻴﻌﻗﺍﻭ .ﺖﺳﺍ ﻩﺩﺮﻛ ﺖﻓﺎﻳﺭﺩ ﻲــﺷﺯﺭﺍ ﺎﺑ ﺩﺎﺠﻳﺍ ﺭﺩ ﻪﻴﻟﻭﺍ ﺩﺍﻮﻣ ﻭ ﻱﺭﻭﺎﻨﻓ ﺎﻳ ﻪﻳﺎﻣﺮــﺳ ﺪﻨﻧﺎﻤﻫ ،ﻱﺭﺎﺠﺗ [1].ﺩﺭﺍﺩ ﺶﻘﻧ ﻥﺎﻣﺯﺎﺳ ﻚﻳ ﻱﺍﺮﺑ ﻩﺩﻭﺰﻓﺍ ﺵﺯﺭﺍ .ﺪﻧﺮﺑ ﻲﻣ ﻩﺮﻬﺑ ﺪﻧﺮﺑ ﻱﺎﻳﺍﺰﻣ ﺯﺍ ﻭﺩ ﺮﻫ ﻥﺎﻣﺯﺎﺳ ﻭ ﻱﺮﺘﺸﻣ ﺪﻧﺮﺑ ﻚﻳ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺭﺎﺑ ﻚﻳ ﻪﺑﺮﺠﺗ ﻩﺪﻨﻨﻛ ﻑﺮﺼﻣ ﻪﻛ ﻲﻧﺎﻣﺯ ،ﻪﺘﺷﺍﺩ ﻱﺮﺘﺸﻴﺑ ﻲﺘﺣﺍﺭ ﺱﺎــﺴﺣﺍ ﻥﺁ ﺎﺑ ،ﺪــﺷﺎﺑ ﻪﺘــﺷﺍﺩ ﺍﺭ ﻱﺎﻫ ﻡﺎﻧ .ﺩﻭﺭ ﻲــﻣ ﻻﺎﺑ ﻝﻮﺼﺤﻣ ﻥﺁ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﻪﺑ ﻞــﻳﺎﻤﺗ ﺮﻳﺎــﺳ ﻭ ﺩﺮﻜﻠﻤﻋ ،ﻻﺎﻛ ﺖﻴﻔﻴﻛ ﺩﺭﻮﻣ ﺭﺩ ﻲﺗﺎﻋﻼﻃﺍ ﻱﺭﺎﺠﺗ ﻚﺴﻳﺭ ﻱﺮﺘﺸﻣ ﺪﻧﻮﺷ ﻲﻣ ﺚﻋﺎﺑ ﻭ ﺪﻨﺷﺎﺑ ﻲﻣ ﻻﺎﻛ ﻱﺎﻫ ﻪﺒﻨﺟ ﺎﻫ ﻥﺁ ﻥﺎﺒﺣﺎﺻ ﻪــﺑ ﻱﺭﺎﺠﺗ ﻡﺎﻧ .ﺩﻮــﺷ ﻞﻤﺤﺘﻣ ﺍﺭ ﻱﺮــﺘﻤﻛ ﺏﻮــﺴﺤﻣ ﺎﻫ ﻥﺁ ﺕﻭﺮﺛ ءﺰﺟ ﻦﻴﻨﭽﻤﻫ ﻭ ﺪــﺸﺨﺑ ﻲﻣ ﺎﻨﻌﻣ [2].ﺩﻮﺷ ﻲﻣ ﻡﻮﻬﻔﻣ ﺪﻧﺮﺑ ﺖﻴﺼﺨــﺷ ﺯﻭﺮﻣﺍ ﻲــﺑﺎﻳﺭﺍﺯﺎﺑ ﻱﺎــﻴﻧﺩ ﺭﺩ ﻖﻳﺮﻃ ﺯﺍ ﺪــﻧﺍﻮﺗ ﻲﻣ ﺪﻧﺮﺑ ﻢﻬــﺳ .ﺩﺭﺍﺩ ﻲﻳﺍﺮﻴﮔ ﻭ ﺏﺍﺬــﺟ ﻭ ﻭﺍ ﻪﺑ ﻥﺩﺎﻬﻧ ﺝﺭﺍ ﻭ ﻱﺮﺘــﺸﻣ ﺎﺑ ﻁﺎﺒﺗﺭﺍ ﺏﻮﺧ ﺖــﻳﺮﻳﺪﻣ .ﺪﺑﺎﻳ ﻪﻌﺳﻮﺗ ﻱﺰﻴﻣﺁ ﺖﻴﻘﻓﻮﻣ ﺭﻮﻃ ﻪﺑ ،ﻱﻭ ﻱﺎﻫﺯﺎﻴﻧ ﻪﺑ ﻪﺟﻮﺗ [3]
ﺖﺒﺜﻣ ﻪــﻄﺑﺍﺭ ﻚﻳ ﺖﻛﺮــﺷ ﺭﺎﺒﺘﻋﺍ ﻭ ﺩﺮــﻜﻠﻤﻋ ﻦــﻴﺑ ﺖﻛﺮــﺷ ﺭﺎﺒﺘﻋﺍ ﺶﻳﺍﺰﻓﺍ ﻪﻛ ﺕﺭﻮﺻ ﻦــﻳﺍ ﻪﺑ ﺩﺭﺍﺩ ﺩﻮــﺟﻭ ﺚﻋﺎﺑ ﺭﺍﺯﺎﺑ ﻢﻬــﺳ ﺶﻳﺍﺰﻓﺍ ﻭ ﺭﺍﺯﺎﺑ ﻢﻬــﺳ ﺶﻳﺍﺰﻓﺍ ﺚــﻋﺎﺑ ﺯﺍ ﺖﻛﺮﺷ ﺭﺎﺒﺘﻋﺍ ﻪﺘﺒﻟﺍ .ﺩﻮــﺷ ﻲﻣ ﺖﻛﺮــﺷ ﺵﺯﺭﺍ ﺶﻳﺍﺰﻓﺍ ﺰﻴﻧ ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﻲﻟﺎﻣ ﺩﺎﻌﺑﺍ ﺭﺩ ﺖﻛﺮــﺷ ﻪﺘــﺷﺬﮔ ﺩﺮﻜﻠﻤﻋ ﺖﻛﺮﺷ ﺭﺎﺒﺘﻋﺍ ،ﻲﻗﻼﺧﺍ ﻥﺎــﺸﻧ ﻭ ﻡﺎﻧ ﻚﻳ .ﺩﻮﺷ ﻲﻣ ﻲــﺷﺎﻧ ﺚﻋﺎﺑ ﻪﻘﻠﺣ ﻚﻳ ﺪﻨﻧﺎﻣ ﺭﺎــﺒﺘﻋﺍ ﻦﻳﺍ ﻭ ﺪﻫﺩ ﻲﻣ ﺶــﻳﺍﺰﻓﺍ ﺍﺭ [4].ﺩﻮﺷ ﻲﻣ ﻥﺎﺸﻧ ﻭ ﻡﺎﻧ ﺖﻳﻮﻘﺗ ﺖﻓﺮــﺸﻴﭘ ،ﻚﻴﻓﺍﺮﮔﻮﻣﺩ ﺭﺬﮔ ،ﻥﺪــﺷ ﻲﻧﺎﻬﺟ ﺪــﻨﻳﺍﺮﻓ ﻞﺜﻣ ﻲﺳﺎﻴﺳ ﺽﺍﺮﻏﺍ ﺎﺑ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ،ﻲﻜــﺷﺰﭘ ﺭﺩ ﻲﻜﻴﻨﻜﺗ ﻭ ﻲﺘــﺷﺍﺪﻬﺑ ﻱﺭﺍﺬﮔ ﻪﻳﺎﻣﺮــﺳ ﻭ ﻲﻟﺎﻣ ﻦﻴﻣﺄﺗ ،ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﺖﺧﺍﺩﺮﭘ ﺪــﻨﻧﺎﻣ ﺖﺧﺍﺩﺮﭘ ﻒﻠﺘﺨﻣ ﻱﺎﻫ ﻢﺘــﺴﻴﺳ ﻱﺍﺮــﺟﺍ ﻥﺩﺮﻛ ﻦﻴﺸﻧﺎﺟ ،ﻂﺒﺗﺮﻣ ﻲﺼﻴﺨــﺸﺗ ﻱﺎﻫ ﻩﻭﺮﮔ ﺱﺎــﺳﺍ ﺮﺑ ،ﻪﺘﻓﺎﻳ ﻡﺎﻏﺩﺍ ﻲﻳﺎﻫﺭﺎﺘﺧﺎﺳ ﺎﺑ ﻩﺪﻨﻛﺍﺮﭘ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺖﺑﺎﻗﺭ ﺖﻳﻮﻘﺗ ،ﺭﺍﺯﺎﺑ ﺖﻴﻓﺎﻔــﺷ ﺶﻳﺍﺰﻓﺍ ﻝﺎﺣ ﺭﺩ ﻱﺎﻫﺎﺿﺎﻘﺗ ،ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﻥﺎﮔﺪﻨﻫﺩ ﻪﺋﺍﺭﺍ ﻭ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺩﺍﺪﻌﺗ ﺶﻳﺍﺰﻓﺍ ،ﻱﺭﺍﺬﮔ ﻪﻳﺎﻣﺮﺳ ﻱﺍﺮﺑ ﺶﻳﺍﺰﻓﺍ ﻲﺧﺮﺑ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺩﻭﺪــﺤﻣ ﻱﺎــﻫ ﻪﺟﺩﻮﺑ ،ﻲــﺻﻮﺼﺧ ﻦﻴﻨﭼ ﺖﺤﺗ .ﺪﻨﺘــﺴﻫ ﺖﻣﻼــﺳ ﺭﺍﺯﺎﺑ ﺭﺩ ﻢﻬﻣ ﺕﺍﺮﻴﻴﻐﺗ ﺯﺍ ﺪﻳﺎﺑ ﻲﻧﺎﻣﺭﺩ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﻥﺎﮔﺪﻨﻨﻛ ﻪﺋﺍﺭﺍ ،ﻲﻄﺋﺍﺮــﺷ ﺖﻴﻌﻗﻮﻣ ﻭ ﺎــﻫ ﻥﻮﻧﺎﻗ ﻭ ﺭﺍﺯﺎــﺑ ﺭﺩ ﻊﻳﺎــﺷ ﻝﻮﺻﺍ ًﺎﻌﻳﺮــﺳ ﻥﺍﻮﻨﻋ ﻪﺑ ﻱﺩﺎﺼﺘﻗﺍ ﻭ ﻲﻜﺷﺰﭘ ﻪﻨﻴﻣﺯ ﻭﺩﺮﻫ ﺭﺩ ﺍﺭ ﻥﺎﺷﺩﻮﺧ ﺖﻳﺮﻳﺪﻣ ﻪﻠﻴﺳﻭ ﻪﺑ ﺏﻮﺧ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﻩﺪﻨﻨﻛ ﻪﺋﺍﺭﺍ ﻚﻳ [5].ﺪﻨﻨﻛ ﻝﻮﺒﻗ ﺭﻮﺤﻣ ﻱﺮﺘﺸﻣ ﻭ ﻲﻗﻼﺧﺍ ،ﻱﺍ ﻪﻓﺮﺣ ﻝﻮﺻﺍ ﻭ ﻦــﻴﻧﺍﻮﻗ ﻲﻣﺎﻤﺗ ﺯﺍ ﺪــﻳﺎﺑ ﻱﺍ ﻪﻓﺮﺣ ﻥﺍﺮــﻳﺪﻣ ﻩﺩﻮﺑ ﻩﺎﮔﺁ ﺕﺎﻣﺪﺧ ﻲﻧﺎﻬﺟ ﻭ ﻲــﻠﺧﺍﺩ ﻱﺎﻫﺭﺍﺯﺎﺑ ﺮﺑ ﻢــﻛﺎﺣ ﻦﻳﺍ ﺯﺍ ﻲﻜﻳ .ﺪﻧﺮﻴﮔ ﺭﺎﻛ ﻪــﺑ ﻲﺘﺑﺎﻗﺭ ﻱﺎــﻴﻧﺩ ﺭﺩ ﺍﺭ ﺎــﻫ ﻥﺁ ﻭ ﻝﻮﻤﻌﻣ ﺕﺭﺎﺠﺗ ﻭ ﺭﺎﻛ ﻭ ﺐﺴﻛ ﻱﺎﻴﻧﺩ ﺭﺩ ًﺍﺮﻴﺧﺍ ﻪﻛ ﻝﻮﺻﺍ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻥﺩﺮﻛ ﻱﺩﺎﺼﺘﻗﺍ .ﺖﺳﺍ ﮓﻨﻳﺪﻧﺮﺑ ،ﺖﺳﺍ ﻩﺪــﺷ ﻲﻓﺎﻛ ﺵﺮﻳﺬﭘ ﻭ ﺎﻫ ﺖﺨﺗ ﺵﺩﺮﮔ ،ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻧﺎﻣﺭﺩ ﻲﻄﻴﺤﻣ ﺩﺎﺠﻳﺍ ﺭﺎﻛ ﻦﻳﺍ ﻱﺍﺮــﺑ ﺩﺯﺎــﺳ ﻲﻣ ﻱﺭﻭﺮﺿ ﺍﺭ ﺭﺎﻤﻴﺑ ﻝﺎﺣ ﺭﺩ [6].ﺖﺳﺍ ﺮﻳﺬﭘﺎﻧ ﺏﺎﻨﺘﺟﺍ ﺵﺮﻳﺬﭘ ﻱﺍﺮﺑ ﺐــﺳﺎﻨﻣ ﺏﺎﺨﺘﻧﺍ ﺍﺭ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺩﻮﺧ ﻙﺭﺩ ﺱﺎﺳﺍﺮﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺮﺿﺎﺣ ﺖﺒﻗﺍﺮﻣ ﺖﻴﻔﻴﻛ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺮﻳﺎــﺳ ﻪﺑ ﺖﺒﺴﻧ ﻪﻛ ﺪﻨﻨﻛ ﻲﻣ ﻩﺪﻨﻨﻛ ﻑﺮﺼﻣ ﺏﺎﺨﺘﻧﺍ ﻦﻳﺍ ﻱﺭﻭﺁ ﻦﻓ ﺶﻳﺍﺰﻓﺍ .ﺩﺭﺍﺩ ﻱﺮﺘﻬﺑ
Downloaded from jha.iums.ac.ir at 9:20 IRDT on Sunday September 3rd 2017
(41) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ
ﻩﺩﺎﻔﺘﺳﺍ ﻪﺑ ﺭﺍﺩﺍﻭ ﺍﺭ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻭ ﺖﺳﺍ ﻩﺩﺮﻛ ﻚﻳﺮﺤﺗ ﺍﺭ ﻱﺎﻫ ﻂﻴﺤﻣ ﺭﺩ ﺖــﻴﻘﻓﻮﻣ ﻥﺩﺮﻛ ﻆﻔﺣ ﻱﺍﺮــﺑ ﮓﻨﻳﺪﻧﺮﺑ ﺯﺍ [7].ﺪﻨﻛ ﻲﻣ ﻲﺘﺑﺎﻗﺭ ﻼﻣﺎﻛ ﻱﺍ ﻩﺪﻳﺪﭘ ،ﻲــﻧﺎﻣﺭﺩ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﺭﺩ ﮓــﻨﻳﺪﻧﺮﺑ ﻲﺘــﺷﺍﺪﻬﺑ ﺖﺒﻗﺍﺮﻣ ﻱﺎﻫ ﻥﺎﻣﺯﺎــﺳ ﺮﺜﻛﺍ ﻭ ﺖــﺳﺍ ﺭﻮﻬﻇﻮﻧ ﮓﻨﻳﺪﻧﺮﺑ ﻱﺎﻫ ﻱﮋﺗﺍﺮﺘــﺳﺍ ﻦﺘﺧﺎــﺳ ﺭﺩ ﻱﺩﻭﺪﺤﻣ ﻪــﺑﺮﺠﺗ ﻥﺪــﺷ ﻩﺎﮔﺁ ﻝﺎﺣ ﺭﺩ ﺕﺪــﺷ ﻪﺑ ﻲﻟﻭ ﺪﻧﺭﺍﺩ ﻪﺘﻓﺎﻳ ﻪﻌــﺳﻮﺗ ﻱﺩﺎﺼﺘﻗﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺩﻭﺪﺤﻣ .ﺪﻨﺘــﺴﻫ ﻥﺁ ﻲﺘﺑﺎﻗﺭ ﻱﺎﻳﺍﺰﻣ ﻪﺑ ﻩﺩﺎﻔﺘــﺳﺍ ﻪﺑ ﻪﺟﻮﺗ ﻞﻴﻟﺩ ﻦﻳﺮﺘﻤﻬﻣ ،ﻥﺎﻣﺭﺩ ﻭ ﺖــﺷﺍﺪﻬﺑ ﺭﺩ ﻡﺎﻤﺗ ﺭﺩ ﺩﻮﺟﻮﻣ ﺕﺎﻧﺎﻜﻣﺍ ﺯﺍ ﺏﻮــﻠﻄﻣ ﻲﻫﺩﺯﺎﺑ ﺎﺑ ﻲﻀﺘﻘﻣ ﻦﻳﺍ ﺭﺩ .ﺖــﺳﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖــﺷﺍﺪﻬﺑ ﺖﻳﺮﻳﺪﻣ ﻱﺎــﻫ ﻩﺯﻮﺣ ﻢﺘﺴﻴﺳ ﺶﺨﺑ ﻦﻳﺮﺗ ﻪﻨﻳﺰﻫﺮﭘ ﻥﺍﻮﻨﻋ ﻪﺑ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻥﺎﻴﻣ ﺺﻟﺎﺧﺎﻧ ﺪﻴﻟﻮﺗ ﺯﺍ ﻱﺍ ﻩﺪﻤﻋ ﻢﻬــﺳ ﻪﻛ ﻥﺎﻣﺭﺩ ﻭ ﺖــﺷﺍﺪﻬﺑ ﻱﺍ ﻩﮋﻳﻭ ﻪﺟﻮﺗ ﺪﻨﻣﺯﺎﻴﻧ ﺪﻨﻫﺩ ﻲﻣ ﺹﺎﺼﺘﺧﺍ ﺩﻮﺧ ﻪﺑ ﺍﺭ ﻲﻠﻣ ﺎﺑ ﺭﺍﺰﺑﺍ ﮓﻨﻳﺪﻧﺮﺑ ﻲــﺑﺎﻳﺭﺍﺯﺎﺑ ﻚﻴﻨﻜﺗ ﻩﻭﻼﻋ ﻪﺑ .ﺪﻨــﺷﺎﺑ ﻲﻣ ﻥﺍﺭﺎﺘﺳﺮﭘ ﻱﺭﺍﺪﻬﮕﻧ ﻭ ﻡﺍﺪﺨﺘﺳﺍ ﺭﺩ ﻥﺍﺮﻳﺪﻣ ﻱﺍﺮﺑ ﻲــﺷﺯﺭﺍ [8 ،6].ﺖﺳﺍ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻪﻛ ﺩﺭﺍﺩ ﺮﻈﻧ ﺭﺩ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺺﺧﺎﺷ ﺎﺑ ﻥﺁ ﻪﻄﺑﺍﺭ ﻭ ﺪﻬﺸﻣ (ﺞﻋ) ﻢﺋﺎﻗ ﺚﺤﺑ ﻥﺩﺮﻛ ﺡﺮﻄﻣ ﻦﻤﺿ ﺎﺗ .ﺪــﻫﺩ ﺭﺍﺮﻗ ﻲــﺳﺭﺮﺑ ﺩﺭﻮﻣ ﺍﺭ ﻪﻨﻴﻣﺯ ،ﻥﺍﺮﻳﺍ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺭﺍﺯﺎﺑ ﺭﺩ "ﻱﺯﺎﺳﺪﻧﺮﺑ "
ﺕﺎﻣﺪﺧ ﻥﺍﺮﻳﺪﻣ ﻱﺍﺮﺑ ﺍﺭ ﺖﻳﺰﻣ ﻦﻳﺍ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺮﺘــﺴﺑ ﻭ ﺭﺩ ﻲﻣﺎﮔ ﻥﺁ ﺯﺍ ﻞــﺻﺎﺣ ﺞﻳﺎﺘﻧ ﻭ ﺩﺯﺎــﺳ ﺭﺍﻮﻤﻫ ﻲﺘــﺷﺍﺪﻬﺑ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﻥﺎﮔﺪﻨﻨﻛ ﻪﺋﺍﺭﺍ ﻦﻴﺑ ﺖﺑﺎﻗﺭ ﺖﻳﻮﻘﺗ ﺖﻬﺟ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻪﻄﺑﺍﺭ ﻦﻴﻴﻌﺗ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻑﺪﻫ .ﺪﺷﺎﺑ ﻲﻧﺎﻣﺭﺩ .ﺖﺳﺍ ﻪﻌﻟﺎﻄﻣﺩﺭﻮﻣ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺩﺮﻜﻠﻤﻋ ﺎﺑ ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﻭ ﻩﺩﻮﺑ ﻲﻌﻄﻘﻣ ﺕﺭﻮﺻ ﻪﺑ ﻭ ﻲﮕﺘﺴﺒﻤﻫ ﻉﻮﻧﺯﺍ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺪﻬﺸﻣ (ﺞﻋ)ﻢﺋﺎﻗ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ 87 ﻝﺎﺳ ﻡﻭﺩ ﻪﻫﺎﻣ ﺶــﺷ ﺭﺩ ﺕﺎﻣﺍﺪﻗﺍ ﻱﺮﺳ ﻚﻳ ﻪﺑ ﻪﻛ ﻦﻳﺍ ﻪﺟﻮﺗ ﺎﺑ .ﺖﺳﺍ ﻩﺪــﺷ ﻡﺎﺠﻧﺍ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻣﺪﺧ ﻱﺯﺎﺳ ﺰﻳﺎﻤﺘﻣ ﻭ ﻱﺯﺎﺳﺪﻧﺮﺑ ﺖﻬﺟ ﺭﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ،ﺩﻮﺑ ﻩﺪــﺷ ﻡﺎﺠﻧﺍ ﺪﻬــﺸﻣ ﻢﺋﺎﻗ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻦﻳﺍ ﺭﺩ .ﺪــﺷ ﺏﺎﺨﺘﻧﺍ ﻪﻌﻟﺎﻄﻣ ﻡﺎــﺠﻧﺍ ﺖﻬﺟ ﺪﻬــﺸﻣ ﻢﺋﺎﻗ ﻪﺳ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺕﺍﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ ﺶﻫﻭﮋﭘ ﻪﺴﻳﺎﻘﻣ ﻢﻫ ﺎﺑ ﻱﺯﺎﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ 1387 ﻭ 1386ﻱﺎﻫ ﻝﺎــﺳ
ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻪﻛ ﻦﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺖــﺳﺍ ﻩﺪــﺷ ﺪﻨﻛ ﻲﻣ ﺮﻴﻴﻐﺗ ﻥﺎﻣﺯ ﻝﻮﻃ ﺭﺩ ﻲــﺘﻳﺮﻳﺪﻣ ﺕﺎﻣﺍﺪﻗﺍ ﻪﺠﻴﺘﻧ ﺭﺩ ﻪﺑ ﺖــﺳﺍ ﻩﺪــﺷ ﺩﺎﺠﻳﺍ ﺪﻧﺮﺑ ﺮﻴﺛﺄﺗ ﺯﺍ ﻱﺍﺪﺟ ﺕﺍﺮﻴﻴﻐﺗ ﻦﻳﺍﻭ ،ﻞﻣﺍﻮﻋ ﺮﻳﺎــﺳ ﻑﺬﺣﻭ ﺪﻧﺮﺑ ﺹﺎــﺧ ﺮﺛﺍ ﺩﺭﻭﺁﺮــﺑ ﺭﻮﻈﻨﻣ ﻩﺪﻳﺩﺮﮔ ﻪﺴﻳﺎﻘﻣ ﻥﺁ ﺯﺍﺪﻌﺑ ﺎﺑ ﻱﺯﺎﺳﺪﻧﺮﺑ ﺯﺍ ﻞﺒﻗ ﺕﺍﺮﻴﻴﻐﺗﺪﻧﻭﺭ ﻱﺯﺎﺳﺪﻧﺮﺑﺯﺍ ﺪﻌﺑ ﻝﺎﺳﻭﺩﻭ ﻞﺒﻗ ﻝﺎﺳ ﻭﺩ ﻱﺎﻫ ﻩﺩﺍﺩ ﻭ ﺖــﺳﺍ .ﺩﻮﺑ ﮓﻨﻴﻠﺘﻫ ﻪﻨﻴﻣﺯ ﺭﺩ ﺩﻮﺟﻮﻣ ﻱﺎﻫﺪﻧﺮﺑ .ﺪــﺷ ﻱﺭﻭﺁﺩﺮﮔ ﻪﻌﺟﺍﺮﻣ ﺎﺑ ﻩﺪﺷ ﺩﺎﺠﻳﺍ ﻱﺎﻫﺪﻧﺮﺑ ﻪﻨﻴﻣﺯﺭﺩﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﺎﻫ ﻩﺩﺍﺩ ﻦﻴﻟﻮﺌﺴﻣ ﺎﺑ ﻪﺒﺣﺎﺼﻣ ﻭ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻥﺎﻣﺯﺎﺳ ﻪﺑ ﺮﮕﺸﻫﻭﮋﭘ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻭ ﻩﺪﺷﺩﺎﺠﻳﺍ ﺕﺍﺮﻴﻴﻐﺗ ﻩﺪﻫﺎﺸﻣ ﻭ ﻪﻌﻟﺎﻄﻣ ﺎﺑ ﻭ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺎﻣﺁ ﺰﻛﺮﻣ ﻱﺭﺎﻜﻤﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣﺩﺭﻮﻣ ﺕﺭﺎﻛ ﺶﻴﻓ ﺭﺩ ﻭ ﻱﺭﻭﺁ ﻊــﻤﺟ ﺩﻮﺟﻮﻣ ﻙﺭﺍﺪﻣ ﻭ ﺩﺎﻨــﺳﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻩﺪﺷ ﻱﺭﻭﺁ ﻊﻤﺟ ﻱﺎﻫ ﻩﺩﺍﺩ .ﺖــﺳﺍ ﻩﺪﺷ ﺖﺒﺛ ﻞﻴﻠﺤﺗ ﺩﺭﻮﻣ ،ﺝﻭﺯ t ﻥﻮــﻣﺯﺁ ﻭ SPSS12 ﺭﺎــﻣﺁ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺺﺧﺎــﺷ ﺭﺎﻬﭼ ﺕﺍﺮﻴﻴﻐﺗ ﺶﻫﻭﮋﭘ ﻦــﻳﺍ ﺭﺩ .ﺖــﻓﺮﮔﺭﺍﺮﻗ ﺵﺩﺮﮔ ﻦﻴﺑ ﻪﻠﺻﺎﻓ ،ﺖﺨﺗ ﺵﺩﺮﮔ ،ﺖﺨﺗ ﻝﺎﻐــﺷﺍ ﺐﻳﺮﺿ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻦﻴﻌﺟﺍﺮﻣ ﺩﺍﺪﻌﺗ ﻭ ﺖﺨﺗ ﺎﻫ ﻪﺘﻓﺎﻳ ﺯﺍ ﻞﺒﻗ ﺎﻫ ﺶﺨﺑ ﻪﻴﻠﻛ ﺭﺩ ﺖﺨﺗ ﻝﺎﻐﺷﺍ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ ﻲﻔﻨﻣ ،3 ﻲﻠﺧﺍﺩ ﻭ 2 ﻲﺣﺍﺮﺟ ﺶﺨﺑ ﻭﺩ ﺰﺟ ﻪﺑ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻥﺎﻧﺯ ﻲﺣﺍﺮﺟ ﺶﺨﺑ ﻪﺑ ﻁﻮﺑﺮﻣ ﺶﻫﺎﻛ ﻦﻳﺮﺘﺸﻴﺑ .ﺪــﺷﺎﺑ ﻲﻣ ﺎﻫ ﺶﺨﺑ ﻪﻴﻘﺑ ،3 ﻲــﻠﺧﺍﺩ ﺶﺨﺑ ﺰﺟ ﻪﺑ .ﺪــﺷﺎﺑ ﻲﻣ (-71) ﻪﺘﻓﺎﻳ ﺶﻳﺍﺰﻓﺍ ﻱﺯﺎﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ ﻥﺎﺷ ﺖﺨﺗ ﻝﺎﻐــﺷﺍ ﺪﺻﺭﺩ ﻭ (93) ﻲﺋﺎﻣﺎﻣ ﻭ ﻥﺎﻧﺯ ﺶﺨﺑ ﺭﺩ ﺶﻳﺍﺰﻓﺍ ﻦﻳﺮﺘﺸﻴﺑ .ﺖــﺳﺍ .ﺖﺳﺍ ﻩﺩﺍﺩ ﻱﻭﺭ 3 ﻲﻠﺧﺍﺩ ﺶﺨﺑ ﺭﺩ ﺰﻴﻧ ﻥﺍﺰﻴﻣ ﻦﻳﺮﺘﻤﻛ ﻝﺎﻐﺷﺍ ﺺﺧﺎــﺷ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻥﺍﺰﻴﻣ ﻪــﺴﻳﺎﻘﻣ ﻦﻴﺑ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﺖــﺨﺗ ﺖﺨﺗ ﻝﺎﻐﺷﺍ ﺺﺧﺎﺷ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻭ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﻪــﺴﻳﺎﻘﻣ (p<0.001) ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻱﺭﺎﻣﺁ ﺭﺍﺩ ﻲﻨﻌﻣ ﻪﻄﺑﺍﺭ ﻞﺒﻗ ﺖﺨﺗ ﺵﺩﺮﮔ ﺺﺧﺎــﺷ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻥﺍﺰــﻴﻣ ﻭ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻦﻴﺑ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ ﻭ ﻱﺭﺎﻣﺁ ﺭﺍﺩﺎﻨﻌﻣ ﺔﻄﺑﺍﺭ ﺖﺨﺗ ﺵﺩﺮﮔ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮــﻴﻴﻐﺗ .(p=0.016) ﺩﺭﺍﺩ ﺩﻮﺟﻭ
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(41) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ
ﺶﻳﺍﺰﻓﺍ ﻦﻳﺮﺘﻤﻛ ﻭ (21) ﻚﻴﺘﺳﻼﭘ ﻲﺣﺍﺮﺟ ﺶﺨﺑ ﺍﺭ ﺭﺍﺪﻘﻣ ﺯﺍ ﺪﻌﺑ .ﺖﺳﺍ ﻪﺘﺷﺍﺩ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﺯﺍ ﻞﺒﻗ 3 ﻲﻠﺧﺍﺩ ﺶﺨﺑ ﺍﺭ ﻲﻠﺧﺍﺩ ﻭ ﺲﻛﺍﺭﻮﺗ ﻲﺣﺍﺮﺟ ﻱﺎﻫ ﺶﺨﺑ ﺰﺟ ﻪﺑ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﻥﺎــﺷ ﺖﺨﺗ ﻥﺪﻧﺎﻣ ﻲﻟﺎﺧ ﺖﺒــﺴﻧ ﻦﻴﮕﻧﺎﻴﻣ ﺎﻫ ﺶﺨﺑ ﻪﻴﻘﺑ 3 ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻥﺍﺰﻴﻣ ﻪــﺴﻳﺎﻘﻣ .ﺖﺳﺍ ﻪﺘﺷﺍﺩ ﺶﻫﺎﻛ ﻥﺎﺸﻧ ﻱﺯﺎﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﺖﺨﺗ ﻥﺪﻧﺎﻣ ﻲﻟﺎﺧ ﺖﺒــﺴﻧ ﺶﻳﺍﺰﻓﺍ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻭ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻦﻴﺑ ﻪﻛ ﺪﻫﺩ ﻲﻣ .ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻱﺭﺎــﻣﺁ ﺭﺍﺩﺎﻨﻌﻣ ﻪــﻄﺑﺍﺭ ﺖﺨﺗ ﻥﺪﻧﺎﻣ ﻲــﻟﺎﺧ (p=0.012) ﺩﺍﺪﻌﺗ ﺶﻳﺍﺰﻓﺍ ﻦــﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻥﺍﺰــﻴﻣ ﻪــﺴﻳﺎﻘﻣ ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﻥﺎﮔﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ ﺩﺍﺪــﻌﺗ ﻦــﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮــﻴﻴﻐﺗ ﻭ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﻦــﻴﺑ ﻪــﻛ .ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﻱﺭﺎﻣﺁ ﺭﺍﺩﺎﻨﻌﻣ ﻪﻄﺑﺍﺭ ﻥﺎﮔﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻭ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﻦﻴﺑ ﻲــﺳﺭﺮﺑ ﻦﻳﺍ ﺭﺩ ﺖﺨﺗ ﺵﺩﺮﮔ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ،ﺖﺨﺗ ﻝﺎﻐﺷﺍ ﺺﺧﺎﺷ ﻪﻄﺑﺍﺭ ﺖﺨﺗ ﻥﺪﻧﺎﻣ ﻲﻟﺎﺧ ﺶﻳﺍﺰﻓﺍ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮــﻴﻴﻐﺗ ﻭ [9]ﺮﻨﮔﺍﻭ ﻪﻌﻟﺎﻄﻣ ﻪﺑﺎﺸﻣ ﻪﻛﺪﻳﺩﺮﮔ ﻩﺪﻫﺎﺸﻣ ﻱﺭﺎﻣﺁ ﺭﺍﺩﺎﻨﻌﻣ
ﻡﺯﻻ ﻱﺎﻫﺭﺍﺰﺑﺍ ،ﺩﺎﺠﻳﺍ ﻩﻮﺤﻧ ﻪﻛ ﺖﺳﺍ ﮓﻨﻳﺪﻧﺮﺑ ﺹﻮﺼﺧ ﺭﺩ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﻭ ﻱژﻮﻟﻮﻳﺩﺍﺭ ﺕﺎــﺴﺳﺆﻣ ﺭﺩ ﻥﺁ ﻱﺎﻳﺍﺰﻣ ﻭ ﻥﺍﺰﻴﻣ ﺶﻳﺍﺰﻓﺍ ﺭﺩ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﺕﺍﺮﻴﺛﺄﺗ ،ﺖــﺳﺍ ﻩﺩﺍﺩ ﻡﺎﺠﻧﺍ ﺮﭘﻮﻛ ﻲﭘ ﻭ ﺖﻳﺍﻭ ﺖﻧﺍﺮﺑ [9].ﺖﺳﺍ ﻩﺩﺍﺩ ﻥﺎﺸﻧﺍﺭ ﻲﻫﺩ ﺩﻮﺳ ﺭﺩ ﻪﻛ ﻲﻳﺎﻫ ﺹﺮﻗ ﻪﻛ ﺪﻧﺩﺍﺩ ﻥﺎــﺸﻧ ﺩﻮﺧ ﻲــﺳﺭﺮﺑ ﺭﺩ ﺰﻴﻧ ﻱﺮﺘﺸﻴﺑ ﺮﻴﺛﺄﺗ ﺩﻮﺑ ﻪﺘﻓﺮﮔ ﺕﺭﻮﺻ ﻱﺯﺎــﺳﺪﻧﺮﺑ ﺎﻫ ﻥﺁ ﺩﺭﻮﻣ [10].ﺪﻨﺘﺷﺍﺩ ﺎﻫ ﺹﺮﻗ ﺮﻳﺎﺳ ﻪﺑ ﺖﺒﺴﻧ ﺩﺭﺩﺮﺳ ﻦﻴﻜﺴﺗ ﺭﺩ ﻭ ﺭﻮﺘﻧﺎﻛ ،ﻲﻜــﺴﺒﻣﻮﮔ ﻪﻌﻟﺎﻄﻣ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺞــﻳﺎﺘﻧ ﺭﺩ ﻲﻧﻭﺰﻓﺍﺯﻭﺭ ﻪــﻗﻼﻋ ﻪﻛ ﺪﻨﻛ ﻲﻣ ﺪــﻴﻳﺄﺗ ﺍﺭ [11] ﻦــﻴﻠﻛ ﻢﺘﺴﻴﺳ ﺭﺩ ﻪﭼﺭﺎﭙﻜﻳ ﻲﻜــﺷﺰﭘ ﻱﺎﻫ ﻩﻭﺮﮔ ﻝﻮﺣ ﺪﻧﺮﺑ ﺩﺎﺠﻳﺍ ﻥﺎﮔﺪﻨﻨﻛ ﻑﺮﺼﻣ ﺮﺜﻛﺍ .ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻲﺘــﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻚﻳ ﺏﺎﺨﺘﻧﺍ ﻡﺎﮕﻨﻫ ًﺍﺮــﺜﻛﺍ ﺎﻫ ﻥﺁ ﻪﻛ ﺪﻨﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ ﺯﻮﻨﻫ ﺭﺍﺮﻗ ﻥﺎﻜﺷﺰﭘ ﺏﺎﺨﺘﻧﺍ ﺮﻴﺛﺄﺗ ﺖﺤﺗ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﻼﻴﻬــﺴﺗ ﺪﻧﺍﻮﺗ ﻲﻣ ﻲﻜﺷﺰﭘ ﻱﺎﻫ ﻩﻭﺮﮔ ﮓﻨﻳﺪﻧﺮﺑ ﻦﻳﺍ ﺮﺑﺎﻨﺑ .ﺪﻧﺮﻴﮔ ﻲﻣ ﻢﺘﺴﻴﺳ ﺯﺍ ﻢﺘﺴﻴﺳ ﻚﻳ ﻲﻤــﺳﺍ ﺰﻳﺎﻤﺗ ﻱﺍﺮﺑ ﻱﺮﺛﺆﻣ ﻩﺍﺭ ﻚﻳ ﻱﺎﻫ ﻩﻭﺮﮔ ،ﺖﺒﺜﻣ ﻭ ﻱﻮــﻗ ﺪﻧﺮﺑ ﺖﻳﻮﻫ ﺎﺑ .ﺪــﺷﺎﺑ ﻱﺮﮕﻳﺩ ،ﻩﺪﺷ ﺖﻳﺮﻳﺪﻣ ﻲﺘﺒﻗﺍﺮﻣ ﻢﺘــﺴﻴﺳ ﺫﻮﻔﻧ ﺪﻨﻧﺍﻮﺗ ﻲﻣ ﻲﻜــﺷﺰﭘ
1387 ؛ﻱﺯﺎﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﺪﻬﺸﻣ (ﺞﻋ)ﻢﺋﺎﻗ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺖﺨﺗ ﻝﺎﻐﺷﺍ ﺕﺍﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ :1 ﺭﺍﺩﻮﻤﻧ
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،ﺪﻨﻫﺩ ﺶﻳﺍﺰﻓﺍ ﺍﺭ ﺕﺎــﻋﺎﺟﺭﺍ ﺩﺍﺪــﻌﺗ ﻭ ﻦﻴﻌﺟﺍﺮﻣ ﺩﺍﺪــﻌﺗ ﺍﺭ ﻩﺩﺎﻔﺘــﺳﺍ ﺭﺍﺮﻜﺗ ،ﺪﻨﻨﻛ ﺩﺎﺠﻳﺍ ﻲﻠﺧﺍﺩ ﺵﻭﺮﻓ ﻱﺎﻫ ﺖﺻﺮﻓ ﺶﻳﺍﺰﻓﺍ ﺍﺭ ﻥﺎﻜﺷﺰﭘ ﻡﺍﺪﺨﺘﺳﺍ ﻭ ﺏﺬﺟ ﻭ ،ﺪﻨﻳﺎﻤﻧ ﻖﻳﻮــﺸﺗ [11].ﺪﻨﻫﺩ ﺞﻳﺎﺘﻧ ﻪﺑﺎﺸﺗﺰﻴﻧ [12] ﻥﺎﻴﺳﺎﺒﻋ ﻭ ﻲﻫﺎﺷﺮﻴﻣﺍ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﻪﻴﺻﻮﺗ ﺎﺑ ﻥﺎﮔﺪﻨﻨﻛ ﻑﺮﺼﻣ ﺵﺮﻳﺬﭘ ﻦﻴﺑ ﻪﻛﺩﻮﺷ ﻲﻣ ﻩﺪﻫﺎﺸﻣ
.ﺖــﺷﺍﺩ ﺩﻮﺟﻭ ﻁﺎﺒﺗﺭﺍ ﻪﻣﺎﻧ ﺖﻧﺎﻤﺿ ﻭ ﻥﺎﮔﺪــﻨﻨﻛ ﻑﺮﺼﻣ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ [13]ﺶﻧﺍﺭﺎﻜﻤﻫ ﻭ ﻢﻴﻛ ﻪﻌﻟﺎﻄﻣ [12]
ﺖﻳﺰﻣ ﺩﺎﺠﻳﺍ ﺭﺩ ﺪﻧﺮﺑ ﺖﻴﻓﻭﺮﻌﻣ ﺖﻴﻤﻫﺍ ﻩﺪﻨﻫﺩ ﻥﺎﺸﻧ ،ﻩﺮﻛ ﻱﺮﺘــﺸﻣ ﺎﺑ ﺕﺎﻃﺎﺒﺗﺭﺍ ﺖﻳﺮﻳﺪﻣ .ﺖــﺳﺍ ﺎﻫﺭﺍﺯﺎﺑ ﺭﺩ ﻲﺘﺑﺎﻗﺭ ﺶﻳﺍﺰﻓﺍ ﺎﺑ ﺎﻬﻨﺗ (Customer relationship management) ﻑﺮﺼﻣ ﺖﻳﺎﺿﺭ ،ﺩﺎﻤﺘﻋﺍ .ﺪﻨﻛ ﻲﻣ ﺍﺪﻴﭘ ﻡﻮﻬﻔﻣ ﺪﻧﺮﺑ ﺖﻴﻓﻭﺮﻌﻣ ،ﺪﻧﺮﺑ ﺯﺍ ﻲﻫﺎﮔﺁ ﻭ ﺪﻧﺮﺑ ﻱﺭﺍﺩﺎﻓﻭ ،ﺕﺎــﻃﺎﺒﺗﺭﺍ ﺪﻬﻌﺗ ،ﻩﺪﻨﻨﻛ ﺪﻴﺋﺎﺗ ﻲــﺳﺭﺮﺑ ﺎﺑ ﻞﻣﺍﻮﻋ ﻦﻳﺍ ﻦﻴﺑ ﺖﺒﺜﻣ ﺕﺎﻃﺎﺒﺗﺭﺍ ﻪــﻴﺿﺮﻓ ﺕﺭﺎﺠﺗ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲﺗﺎﻴﺣ ﻡﻮﻬﻔﻣ ﻚﻳ ﺪﻧﺮﺑ ﺖﻴﻓﻭﺮﻌﻣ .ﺪــﺷ [13].ﺪﻫﺩ ﻲﻣ ﺶﻳﺍﺰﻓﺍ ﺍﺭ ﺎﻫ ﺖﻛﺮﺷ ﺕﺎﻣﺪﺧ ﻭ
ﺪﻨﻛ ﻲﻣ ﻥﺎﻴﺑ [11] ﻦﻴﻠﻛ ﻭ ﺭﻮﺘﻧﺎﻛ ،ﻲﻜــﺴﺒﻣﻮﮔ ﻪﻌﻟﺎﻄﻣ ﻱﺮﺛﺆﻣ ﻩﺍﺭ ﻚﻳ ﺪﻧﺍﻮﺗ ﻲﻣ ﻲﻜﺷﺰﭘ ﻱﺎﻫ ﻩﻭﺮﮔ ﮓﻨﻳﺪﻧﺮﺑ : ﻪﻛ ﺎﺑ .ﺪﺷﺎﺑ ﻱﺮﮕﻳﺩ ﻢﺘﺴﻴﺳ ﺯﺍ ﻢﺘﺴﻴﺳ ﻚﻳ ﻲﻤﺳﺍ ﺰﻳﺎﻤﺗ ﻱﺍﺮﺑ ﺪﻨﻧﺍﻮﺗ ﻲﻣ ﻲﻜــﺷﺰﭘ ﻱﺎﻫ ﻩﻭﺮﮔ ،ﺖﺒﺜﻣ ﻭ ﻱﻮﻗ ﺪﻧﺮﺑ ﺖﻳﻮﻫ ﻭ ﻦﻴﻌﺟﺍﺮﻣ ﺩﺍﺪﻌﺗ ،ﻩﺪــﺷ ﺖﻳﺮﻳﺪﻣ ﻲﺘﺒﻗﺍﺮﻣ ﻢﺘــﺴﻴﺳ ﺫﻮﻔﻧ ﺵﻭﺮﻓ ﻱﺎﻫ ﺖﺻﺮﻓ ،ﺪــﻨﻫﺩ ﺶﻳﺍﺰﻓﺍ ﺍﺭ ﺕﺎﻋﺎﺟﺭﺍ ﺩﺍﺪــﻌﺗ .ﺪﻨﻳﺎﻤﻧ ﻖﻳﻮﺸﺗ ﺍﺭ ﻩﺩﺎﻔﺘﺳﺍ ﺭﺍﺮﻜﺗ ،ﺪﻨﻨﻛ ﺩﺎﺠﻳﺍ ﻲﻠﺧﺍﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻩﺩﺍﺩ ﺥﺭ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻦﻴﺑ ،ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﺩ ﺩﺍﺪﻌﺗ ﺶﻳﺍﺰﻓﺍ ﻦــﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮــﻴﻴﻐﺗ ﻭ ﺪﻬــﺸﻣ (ﺞــﻋ)ﻢﺋﺎﻗ ﻪﻛ .ﺪﻣﺎﻴﻧ ﺖــﺳﺩ ﻪﺑ ﻱﺭﺎﻣﺁ ﺭﺍﺩﺎﻨﻌﻣ ﻪﻄﺑﺍﺭ ﻥﺎﮔﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ [14] ﺶﻧﺍﺭﺎﻜﻤﻫ ﻭ ﻲﻠﻳﺍ ﻪــﻌﻟﺎﻄﻣ ﺯﺍ ﻞﺻﺎﺣ ﺞﻳﺎﺘﻧ ﻪﺑﺎــﺸﻣ ﮓﻨﻳﺪﻧﺮﺑ ﺪﻨﻣﺯﺎﻴﻧ ﻲﺣﺍﻮﻧ ﻱﻮﺠﺘــﺴﺟ ﺭﻮﻈﻨﻣ ﻪﺑ ﻪﻛ ﺖــﺳﺍ ﺭﺩ ﻱﺪﻫﺍﻮﺷ ﭻﻴﻫ ﺩﻮﺑ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻱﺯﺎــﺳﻭﺭﺍﺩ ﺖﻌﻨﺻ ﺭﺩ ﻲــﺷﺯﺭﺍ ﻞﺜﻣ ﻱﺯﺎــﺳﻭﺭﺍﺩ ﺭﺩ ﺪﻧﺮﺑ ﺵﺯﺭﺍ ﺶﻳﺍﺰﻓﺍ ﺩﺭﻮــﻣ
ﻱﺯﺎﺳﺪﻧﺮﺑ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻦﻴﮕﻧﺎﻴﻣ ﺕﺍﺮﻴﻴﻐﺗ :1 ﻝﻭﺪﺟ
ﺺﺧﺎﺷ
ﺶﺨﺑ ﺭﺩ ﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ
ﺖﺨﺗ ﻝﺎﻐﺷﺍ ﺭﺩ ﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ
ﺖﺨﺗ ﺵﺩﺮﮔ ﺕﺍﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ
ﺖﺨﺗ ﻥﺪﻧﺎﻣ ﻲﻟﺎﺧ ﻦﻴﻌﺟﺍﺮﻣ ﺕﺍﺮﻴﻴﻐﺗ ﻦﻴﮕﻧﺎﻴﻣ
ﻞﺒﻗ ﺪﻌﺑ
ﻞﺒﻗ ﺪﻌﺑ
ﻞﺒﻗ ﺪﻌﺑ
ﻞﺒﻗ ﺪﻌﺑ
2 ﻲﺣﺍﺮﺟ 10
43 -2
4 0,6
-4,7 -2
-4
ﻱژﻮﻟﻭﺭﻭﺍ ﻲﺣﺍﺮﺟ -14
20 2
1 0,3
-1,8 92
11
ﻚﻴﺘﺳﻼﭘ ﻲﺣﺍﺮﺟ -32
12 0
-1 21
-4,7 -4
-5
4ﻲﺣﺍﺮﺟ -8
41 -7
3 0
-1,7 -264
223
ﻥﺎﻧﺯ ﻲﺣﺍﺮﺟ -71
36 -3
3 5,1
-3,3 -132
-285
ﺏﺎﺼﻋﺍ ﻲﺣﺍﺮﺟ -31
6 -2
0 0,7
-1,5 -30
0
ﺯﺎﺑ ﺐﻠﻗ ﻲﺣﺍﺮﺟ -14
46 2
5 0,1
-2,1 46
103
ﺲﻛﺍﺭﻮﺗ ﻲﺣﺍﺮﺟ -11
5 -2
-2 1,3
1,2 -27
-14
ﺲﻛﺍﺭﻮﺗ ﻲﻠﺧﺍﺩ -4
8 0
-1 0,6
-1,2 -4
-4
1 ﻲﻠﺧﺍﺩ -15
25 1
3 -2
-5,2 4
38
ﺏﺎﺼﻋﺍ ﻲﻠﺧﺍﺩ -7
29 0
0 2
-5,4 -3
-14
2ﻲﻠﺧﺍﺩ -1
36 -2
0 1
-4,6 -45
-166
3ﻲﻠﺧﺍﺩ 1
-7 6
0 -1,2
0,3 116
33
ﻲﺋﺎﻣﺎﻣﻭ ﻥﺎﻧﺯ -27
93 -1
15 3,1
-4,2 -75
-13
ﺐﻠﻗ -13
15 -1
2 0
-0,7 -36
74
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(41) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ
ﺭﺩ ﻩﺪــﺷ ﻡﺎﺠﻧﺍ ﻪﻴﻟﻭﺍ ﺕﺎﻌﻟﺎﻄﻣ ،ﻪــﭼﺮﮔﺍ ﺖــﺷﺍﺪﻧ ﺩﻮﺟﻭ ﻲﻔﻃﺎﻋ ﺪﻧﺮﺑ ﻪﻛ ﺩﻮﺑ ﻩﺩﺍﺩ ﻥﺎﺸﻧ ﻚﭼ ﻥﺎﻜﺷﺰﭘ ﺯﺍ ﻱﺍ ﻪﻧﻮﻤﻧ ﻲﻫﺎﺷﺮﻴﻣﺍ ﻪﻌﻟﺎﻄﻣ [14].ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻱﺯﺎﺳﻭﺭﺍﺩ ﺖﻌﻨﺻ ﺭﺩ ﻲﻋﺎﻤﺘﺟﺍ ﺖﻳﻮﻫ ﻦﻴﺑ :ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ [12] ﻥﺎﻴــﺳﺎﺒﻋ ﻭ ﻪﻄﺑﺍﺭ ﺎﻫ ﻥﺁ ﻱﺭﺎﺠﺗ ﻡﺎﻧ ﻢﻴﻤﻌﺗ ﺵﺮﻳﺬﭘ ﻭ ﻥﺎﮔﺪﻨﻨﻛ ﻑﺮﺼﻣ .ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻲﻔﻨﻣ ﻱﺯﺎﺳﺪﻧﺮﺑ ﺶﻘﻧ ﻥﺍﻮﻨﻋ ﺎﺑ ﺩﻮﺧ ﻪﻟﺎﻘﻣ ﺭﺩ ﻦﻳﻮﻟ ﻲﭘ ﺮﺟﺍﺭ ﺯﻭﺭ ﺶﻘﻧ ﻭ ﺖﻴﻤﻫﺍ ﺮﺑ ﻲﻜــﺷﺰﭙﻧﺍﺪﻧﺩ ﺕﺎﻣﺪﺧ ﻲــﺑﺎﻳﺭﺍﺯﺎﺑ ﺪﻴﻛﺄﺗ ﻲﻜﺷﺰﭙﻧﺍﺪﻧﺩ ﺕﺎﻣﺪﺧ ﻲﺑﺎﻳﺭﺍﺯﺎﺑ ﺭﺩ ﮓﻨﻳﺪﻧﺮﺑ ﻥﻭﺰﻓﺍ [15].ﺖﺳﺍ ﻩﺩﻮﻤﻧ ﻱﺩﺎﻳﺯ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻩﺩﺍﺩ ﺥﺭ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻦﻴﺑ ﻪﻛ ﻦﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻝﺎﻐــﺷﺍ ﺺﺧﺎــﺷ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻭ ﺪﻬــﺸﻣ (ﺞﻋ)ﻢﺋﺎﻗ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻭ ﺖﺨﺗ ﺵﺩﺮﮔ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺩ ﺕﺍﺮــﻴﻴﻐﺗ ،ﺖﺨﺗ ﻱﺭﺎﻣﺁ ﺭﺍﺩﺎﻨﻌﻣ ﻪﻄﺑﺍﺭ ﺖــﺨﺗ ﻥﺪﻧﺎﻣ ﻲﻟﺎﺧ ﺖﺒــﺴﻧ ﻦﻴﮕﻧﺎﻴﻣ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ءﺎﻘﺗﺭﺍ ﻦﻳﺮﺘــﺸﻴﺑ ﻭ ﺖﺷﺍﺩ ﺩﻮﺟﻭ ﻥﺎﻧﺯ ﻭ ﻚﻴﺘــﺳﻼﭘ ﻲﺣﺍﺮﺟ ﺪﻨﻧﺎﻣ ﻲــﻳﺎﻫ ﺶﺨﺑ ﻪﺑ ﻁﻮــﺑﺮﻣ ﺖــﺳﺍ ﻲﺑﺎﺨﺘﻧﺍ ﻭ ﺲﻧﺍژﺭﻭﺍﺮﻴﻏ ﺎــﻫ ﻥﺁ ﻥﺍﺭﺎﻤﻴﺑ ﻪﻛ ﺖــﺳﺍ ﺍﺭ ﻲــﺴﻧﺍژﺭﻭﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻪــﻛ ﻲﻠﺧﺍﺩ ﺪــﻨﻧﺎﻣ ﻲــﻳﺎﻫ ﺶﺨﺑ ﻭ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺯﺍ .ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺍﺭ ﺪــﺷﺭ ﻦﻳﺮﺘﻤﻛ ﺪﻨﻨﻛ ﻲﻣ ﺵﺮﻳﺬﭘ ﺩﺮﻜﻠﻤﻋ ﺩﻮﺒﻬﺑ ﺭﺩ ﻱﺯﺎﺳﺪﻧﺮﺑ ﻪﻛ ﺩﺮﻛ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻥﺍﻮﺗ ﻲﻣ ﺮﻳﺎﺳ ﻪﺑ ﻢﻴﻤﻌﺗ ﻞﺑﺎﻗ ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ .ﺖﺳﺍ ﺮﺛﺆﻣ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻪﻛ ﻲﻳﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺹﻮﺼﺧ ﻪﺑ ﺖﺳﺍ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺩﻮﺟﻭ ﻱﺮﮕﻳﺩ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺎﻫ ﻥﺁ ﻲﻳﺎﻴﻓﺍﺮﻐﺟ ﻩﺩﻭﺪﺤﻣ ﺏﺬﺟ ﻝﺎﺒﻧﺩ ﻪﺑ ﻭ ﺪﻨﻨﻛ ﻲﻣ ﺖﻴﻟﺎﻌﻓ ﻲﺘﺑﺎﻗﺭ ﻲﻄﻴﺤﻣ ﺭﺩﻭ ﺩﺭﺍﺩ ﻪﻛ ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨــﺸﻴﭘ ﻦﻳﺍﺮﺑﺎﻨﺑ .ﺪﻨــﺷﺎﺑ ﻲﻣ ﻲﺑﺎﺨﺘﻧﺍ ﻥﺍﺭﺎﻤﻴﺑ ﮓﻨﻴﻠﺘﻫ ﺕﺎﻣﺪﺧ ﻪﻨﻴﻣﺯ ﺭﺩ ﻩﺪــﺷ ﺩﺎﺠﻳﺍ ﻱﺎﻫ ﺪﻧﺮﺑ ﺮﺑ ﻩﻭﻼﻋ ﻪﺟﻮﺗ ﺩﺭﻮﻣ ﻱﺯﺎﺳﺪﻧﺮﺑ ﺰﻴﻧ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺖﻤﺴﻗ ﺮﻳﺎﺳ ﺭﺩ ﻲﻨﻫﺫ ﺮﻳﻮﺼﺗ ﺩﺎﺠﻳﺍ ﻱﺍﺮﺑ ﻥﺎﻨﻛﺭﺎﻛ ﺵﺯﻮﻣﺁ .ﺩﺮﻴﮔ ﺭﺍﺮﻗ ﻩﮋﻳﻭ ﻱﺍﺮﺑ .ﺩﺮﻴﮔ ﺭﺍﺮﻗ ﻪﺟﻮﺗ ﺩﺭﻮﻣ ﻥﺎﮔﺪﻨﻨﻛ ﻑﺮﺼﻣ ﻦﻴﺑ ﺭﺩ ﺖﺒﺜﻣ ﺭﻮﻈﻨﻣ ﻪﺑ ﻲﺗﺎﻐﻴﻠﺒﺗ ﻭ ﻲﻧﺎــﺳﺭ ﻉﻼﻃﺍ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﺶــﻳﺍﺰﻓﺍ ﺕﺭﻮﺻ ﻱﺮﺘﺸﻴﺑ ﻱﺭﺍﺬﮔ ﻪﻳﺎﻣﺮﺳ ﺖﺒﺜﻣ ﻲﻣﻮﻤﻋ ﺮﻳﻮﺼﺗ ﺩﺎﺠﻳﺍ ﻲﻧﺎــﺳﺭ ﻉﻼﻃﺍ ﺭﺩ ﺮﻫﺎﻣ ﻭ ﻑﻭﺮﻌﻣ ﻥﺎﻜــﺷﺰﭘ ﻡﺎﻧ ﺯﺍ .ﺩﺮﻳﺬﭘ ﺕﻮﻗ ﺕﺎﻜﻧ ﻭ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺖﻴﻠﺑﺎﻗ ﻭ ﺩﻮﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺮﺘﺸﻴﺑ ﺩﻮﺷ ﻦﻴﻴﻌﺗ ﺎﺒﻗﺭ ﺯﺍ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻣﺪﺧ ﻩﺪﻨﻨﻛﺰﻳﺎﻤﺘﻣ ﻁﺎﻘﻧ ﻭ .ﺩﺮﻴﮔ ﺕﺭﻮﺻ ﻱﺮﺘﺸﻴﺑ ﺖﻴﻟﺎﻌﻓ ﺎﻫ ﻥﺁ ﻪﻨﻴﻣﺯ ﺭﺩ ﻭ
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Journal of Health Administration 2010; 13 (41) Nasiripour A.A1 / Gohari MR.2 / Nafisi A.3
Introduction: Branding for health care services is a new phenomenon. Most of health care organizations have a few experiences on developing branding strategy. The aim of this study was to determine the relation between branding and functional indices in Qhaem hospital.
Methods: It his cross-sectional correlational study carried on during September 2008 until March 2009 period Study population includes Hospital Authorities in different sectors and offices and documents. Data are gathered by: interviewing with hospital’s authorities, reviewing the documents, and investigating the statistics. The analyzed by SPSS software. We used T-test to compare the groups when necessary.
Results: We found significant difference between branding and average of changes on the hospital admission (P<0. 05), percentage of bed occupancy, average of Bed turnover rate and Bed turn Over Interval (P<0. 05).
Conclusion: Branding has a positive effect on hospital's hoteling performance.
Keywords: Branding, Hospital, Functional Index
Assistant Professor of Health Services Management Department, School of Management and Economics, Azad University, Sciences and 1.
Research Branch, Tehran, Iran. Corresponding Author: (Drnp20@yahoo. com)
Assistant Professor of Biostatistics Department, School of Management and Medical Information Science, Iran University of Medical 2.
Abstract
● Received: 13/May/2009 ● Modified: 10/March/2010 ● Accepted: 04/May/2010
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