نﺎﯿﻣرد ﯽﺴﺒﻃ ﻢﯿﺣﺮﻟاﺪﺒﻋ - 1
نﺎﺑرﺎﺿ جﺮﯾا
2
- *
يدﻮﻌﺴﻣ ﺎﺿﺮﻣﻼﻏ - 3
رﻮﭘ ﯽﮐﺮﻬﺷ زﺎﻨﻬﻣ 4
1 - ا ﯽﺳﺎﻨﺷرﺎﮐ يﻮﺠﺸﻧاد ﺖﺷاﺪﻬﺑ هﺪﮑﺸﻧاد ،ﺖﻣﻼﺳ ءﺎﻘﺗرا و ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﺪﺷر
ناﺪﻫاز ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ، .
2 - ،ﺖﻣﻼﺳ ءﺎﻘﺗرا و ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﯽﺼﺼﺨﺗ ياﺮﺘﮐد يﺎﻘﺗرا تﺎﻘﯿﻘﺤﺗ ﺰﮐﺮﻣ ،ﺖﺷاﺪﻬﺑ شزﻮﻣآ هوﺮﮔ ﯽﻤﻠﻋ تﺄﯿﻫ ﻮﻀﻋ
ﺖﻣﻼﺳ اد ، ناﺪﻫاز ،ناﺪﻫاز ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧ ناﺮﯾا ،
3 - ﺄﯿﻫ ﻮﻀﻋ ﺖﺷاﺪﻬﺑ هﺪﮑﺸﻧاد ﯽﻤﻠﻋ ت
4 - ﺖﺷاﺪﻬﺑ هﺪﮑﺷاد ﯽﻤﻠﻋ تﺄﯿﻫ ﻮﻀﻋ ،ﯽﺘﺴﯾز رﺎﻣآ ﯽﺼﺼﺨﺗ ياﺮﺘﮐد ناﺪﻫاز ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،
.
ﺴﻣ هﺪﻨﺴﯾﻮﻧ- ﻮﺌ
ل : ،ﺖﻣﻼﺳ ءﺎﻘﺗرا و ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﯽﺼﺼﺨﺗ ياﺮﺘﮐد ﺰﮐﺮﻣ ،ﺖﺷاﺪﻬﺑ شزﻮﻣآ هوﺮﮔ ﯽﻤﻠﻋ تﺄﯿﻫ ﻮﻀﻋ
ﺖﻣﻼﺳ يﺎﻘﺗرا تﺎﻘﯿﻘﺤﺗ اد ،
ﻫاز ،ناﺪﻫاز ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧ ناﺪ
ناﺮﯾا ،
ﻦﻔﻠﺗ : 09155411692
ﯽﮑﯿﻧوﺮﺘﮑﻟا ﺖﺴﭘ :
هﺪﯿﮑﭼ فﺪﻫ و ﻪﻨﯿﻣز لﺎـﺳ ﻪـﮐ ﯽﺗرﻮـﺼﺑ هدﻮﺑ حﺮﻄﻣ نﺎﻬﺟ رد ﺎﻬﯾرﺎﻤﯿﺑ ﻦﯾﺮﺗ هﺪﻨﺸﮐ زا ﯽﮑﯾ ناﻮﻨﻌﺑ زﻮﻨﻫ زﺪﯾا دﻮﺟﻮﻣ يﺎﻫ رﺎﻣآ سﺎﺳا ﺮﺑ:
2010 رد داﺪﻌﺗ نﺎﻬﺟ ﺮﺳاﺮﺳ 8/
1 ﺮﻔﻧ نﻮﯿﻠﯿﻣ ﺖﺳا هﺪﯿﺸﮐ گﺮﻣ مﺎﮐ ﻪﺑ ار
ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﯾا . ﯽـﺷزﻮﻣآ ﻪـﻣﺎﻧﺮﺑ ﺮﯿﺛﺄـﺗ ﯽﺑﺎـﯾزرا فﺪﻫ
ﺮـﺑ
ﯽﻫﺎﮔآ رد ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫ رﺎﺘﻓر و شﺮﮕﻧ ، ﻼﺘﺒﻣ
ﺖﺳا ﻪﺘﻓﺮﮔ مﺎﺠﻧا زﺪﯾا ﻪﺑ نﺎﯾ .
شور لﺎﺳ رد ﻪﮐ ﺖﺳا ﯽﺑﺮﺠﺗ ﻪﻤﯿﻧ ﻪﻌﻟﺎﻄﻣ ﮏﯾ ﺶﻫوﮋﭘ ﻦﯾا: 1391
يور ﺮـﺑ 92 ﻪـﺑ ﻼﺘـﺒﻣ رﺎـﻤﯿﺑ AIDS/HIV
نﺎﺘـﺳﺮﻬﺷ رد
ﺪﺷ مﺎﺠﻧا زﺎﺑﺮﺳ و ناواﺮﺳ يﺎﻫ .
ﺖـﻓﺮﮔ مﺎـﺠﻧا يرﺎﻤﺷﺮﺳ شور ﻪﺑ يﺮﯿﮔ ﻪﻧﻮﻤﻧ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ ﻢﮐ داﺪﻌﺗ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .
يروآدﺮـﮔ راﺰـﺑا
ﻪﻣﺎﻨﺸﺳﺮﭘ تﺎﻋﻼﻃا ﻪﺘﺧﺎﺳ ﻖﻘﺤﻣ
ﻃا ﻞﻣﺎﺷ ﯽﺘﻤﺴﻗ رﺎﻬﭼ
،ﮏﯿﻓاﺮﮔﻮﻣد تﺎﻋﻼ دﺮـﮑﻠﻤﻋ و شﺮـﮕﻧ ،ﯽﻫﺎﮔآ تﻻاﺆﺳ
رد رﺎـﺑ ﮏـﯾ ﻪـﮐ
ا نﻮﻣزآ ﻪﯾﻮﻧﺎﺛ نﻮﻣزآ رد ﺮﮕﯾد رﺎﺑ و ﻪﯿﻟو )
ﺷزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ياﺮﺟا زا ﺲﭘ ﯽ
( ﺖـﻓﺮﮔ ﺪﻫاﻮﺧ راﺮﻗ هدﺎﻔﺘﺳا درﻮﻣ .
ﺮـﻈﻧ ﺎـﺑ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﯽـﯾاور
خﺎﺒﻧوﺮﮐ يﺎﻔﻟآ ﺐﯾﺮﺿ ﺎﺑ نآ ﯽﯾﺎﯾﺎﭘ و ﻦﯿﺼﺼﺨﺘﻣ 72
/0 ﺪﺷ ﺪﯿﺋﺎﺗ . ﺖـﻬﺟ ـﺷ زا ﺎـﻫ هداد ﻒﯿـﺻﻮﺗ يﺰـﮐﺮﻣ يﺎـﻫ ﺺﺧﺎ
) ﻦﯿﮕﻧﺎـﯿﻣ ( و
ﯽﮔﺪﻨﮐاﺮﭘ ) رﺎﯿﻌﻣ فاﺮﺤﻧا (
زا ﺎﻬﻧآ ﻞﯿﻠﺤﺗ و ﻪﯾﺰﺠﺗ ﺖﻬﺟ و ﻞﻘﺘـﺴﻣ ﯽﺗ يﺎﻬﻧﻮﻣزآ
و ﯽـﺟوز ، و ود يﺎـﮐ
هدﺎﻔﺘـﺳا نﻮـﺳﺮﯿﭘ ﯽﮕﺘـﺴﺒﻤﻫ
ﺪﯾدﺮﮔ . ﺎﻫ ﻪﺘﻓﺎﯾ ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ:
ﺖﺷاﺪﻧ يراد ﯽﻨﻌﻣ توﺎﻔﺗ هوﺮﮔ ود رد رﺎﺘﻓر و شﺮﮕﻧ ،ﯽﻫﺎﮔآ تاﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ، .
ﯽﺗ نﻮﻣزآ ﺞﯾﺎﺘﻧ ﯽﺟوز
ﺲـﭘ
شزﻮﻣآ زا ﻪﮐ داد نﺎﺸﻧ
دﺮﮐ اﺪﯿﭘ ﺶﯾاﺰﻓا يراد ﯽﻨﻌﻣ رﻮﻃ ﻪﺑ ﻪﻠﺧاﺪﻣ هوﺮﮔ رد ﺎﻫﺮﯿﻐﺘﻣ مﺎﻤﺗ تاﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ﺖﺳا ه
) 001 /0 P<
(.
ﻦﯿﺑ
ﺖﺷاد دﻮﺟو يراد ﯽﻨﻌﻣ ﯽﮕﺘﺴﺒﻤﻫ شﺮﮕﻧ و ﯽﻫﺎﮔآ ﺎﺑ رﺎﺘﻓر ﺮﯿﻐﺘﻣ .
يﺮﯿﮔ ﻪﺠﯿﺘﻧ :
ﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ ﺞﯾﺎﺘﻧ ﯽﻫﺎﮔآ ﺮﺑ ﯽﺷزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ﻪﮐ داد ن
ﺎﺘﻓر يﺎﻘﺗرا و شﺮﮕﻧ ، ﺖـﺳا ﺮﺛﺆـﻣ ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫر
؛ ﻖـﯾﺮﻃ زا و
ﺢﻄﺳ ﺶﯾاﺰﻓا ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫ رﺎﺘﻓر ناﻮﺗ ﯽﻣ شﺮﮕﻧ و ﯽﻫﺎﮔآ
داد ءﺎﻘﺗرا ار يرﺎﻤﯿﺑ لﺎﻘﺘﻧا زا .
ﺎﻫ هژاوﺪﯿﻠﮐ :
،شﺮﮕﻧ ،ﯽﻫﺎﮔآ زﺪﯾا
ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫ رﺎﺘﻓر ، شزﻮﻣآ ،
ﻪﻣﺎﻨﻠﺼﻓ
ﯽﻤﻠﻋ هﺎﮕﺸﻧاد مﻮﻠﻋ ﯽﮑﺷﺰﭘ ﺖﺑﺮﺗ
،ﻪﯾرﺪﯿﺣ ي هرود
،لوا هرﺎﻤﺷ 4،
نﺎﺘﺴﻣز 1392
ﻪﻣﺪﻘﻣ يزوﺮﯿﭘ ﻦﯾﺮﺘﮔرﺰﺑ ﯽﮑﺷﺰﭘ هزﻮﺣ رد يﺮﺸﺑ ﻪﻌﻣﺎﺟ ﻪﺘﺷﺬﮔ نﺮﻗ
ار دﻮﺧ ﺖﺴﮑﺷ ﻦﯾﺮﺗ ﺰﯿﻣآ ﻪﻌﺟﺎﻓ و ﻪﻠﺑآ يرﺎﻤﯿﺑ ﯽﻨﮐ ﻪﺸﯾر ار دﻮﺧ ﺪﻧاد ﯽﻣ زﺪﯾا يرﺎﻤﯿﺑ زوﺮﺑ 1،)
2 .( ﻪﮐ ﻪﮑﯿﻧﺎﻣز ﯽﻤـﺳر شراﺰﮔ ﻦﯿﻟوا
دوﺪﺣ زﺪﯾا 30
ﻪـﮐ دﺮﮐ ﯽﻣ ﺮﮑﻓ ﯽﺴﮐ ﺮﺘﻤﮐ ﺪﺷ ﺮﺸﺘﻨﻣ ﻞﺒﻗ لﺎﺳ
ﻪﺘـﺷاﺬﮔ رﻮـﻬﻇ ﻪﺻﺮﻋ ﻪﺑ ﺎﭘ ﺖﯾﺮﺸﺑ ﺦﯾرﺎﺗ رد ﯽﻣﺪﯿﭘا ﻦﯾﺮﺗ ﺮﮕﻧاﺮﯾو ﺖﺳا 3) . ( ﻣﺎﺟ ﺪﯿﻣا ﻪﻌﻗاو ﻦﯾا يﺎـﻬﯾرﺎﻤﯿﺑ ﯽﻨﮐ ﻪﺸﯾر ﻪﺑ ﯽﮑﺷﺰﭘ ﻪﻌ
ﻋ دﻮﻤﻧ سﺄﯾ ﻪﺑ ﻞﯾﺪﺒﺗ ار ﯽﻧﻮﻔ 4)
. ( زا ﺮـﺘﻤﮐ ضﺮـﻋ رد ﻪـﮑﯾرﻮﻃ ﻪﺑ
20 لﺎﺳ 70 ﻮﯿﻠﯿﻣ دﻮﻤﻧ ﻼﺘﺒﻣ ار ﺮﻔﻧ ن 5)
. (
هدﻮـﻟآ ترﺪـﻗ ﻪـﮐ هدﻮـﺑ هﺪﻨـﺸﮐ ﯽـﺳوﺮﯾو يرﺎـﻤﯿﺑ ﮏﯾ زﺪﯾا ﺮﯾﺬﭘ ﺖﯾاﺮﺳ و ﯽﮔﺪﻨﻨﮐ ﻢﺘـﺴﯿﺳ ﻒﻌـﺿ ﺐـﺟﻮﻣ و ﻪﺘﺷاد ﯽﯾﻻﺎﺑ ي
دﻮﺷ ﯽﻣ نﺎﺴﻧا نﺪﺑ ﯽﻨﻤﯾا 6)
. ( زﺪﯾا يرﺎﻤﯿﺑ ﺶﯾاﺪﯿﭘ زﺎﻏآ زا ﺶﯿﺑ ،
زا 60 دوﺪـﺣ و هﺪﺷ هدﻮﻟآ ﺮﯿﮔ ﻪﻤﻫ يرﺎﻤﯿﺑ ﻦﯾا ﻪﺑ ﺮﻔﻧ نﻮﯿﻠﯿﻣ 30
ـﺛا ﺮﺑ ﺮﻔﻧ نﻮﯿﻠﯿﻣ ﺪـﻧا ﻪﺘـﺷﺬﮔ رد يرﺎـﻤﯿﺑ ﻦـﯾا ﺮ
. لﺎـﺳ رد 2010
دوﺪﺣ ﻪﮐ ﺪﺷ هدز ﻦﯿﻤﺨﺗ 34
ﯽﮔﺪـﻧز يرﺎـﻤﯿﺑ ﻦـﯾا ﺎﺑ ﺮﻔﻧ نﻮﯿﻠﯿﻣ
ﻪﻧﻻﺎـﺳ ﺎﺘﺳار ﻦﯿﻤﻫ رد و ؛ﺪﻨﻨﮐ ﯽﻣ 7/
2 ،ﺪـﯾﺪﺟ ﺖـﻧﻮﻔﻋ نﻮـﯿﻠﯿﻣ
8/
1 ﺖـﺒﺛ ﻪـﺑ يرﺎـﻤﯿﺑ ﻦـﯾا ﺎـﺑ ﻂﺒﺗﺮـﻣ ﺮـﯿﻣ و گﺮﻣ نﻮﯿﻠﯿﻣ ﯽـﻣ
ﺪﺳر 7) . ( هﺎﮕـﺸﻧاد زا هﺪـﺷ يروآ ﻊـﻤﺟ رﺎﻣآ سﺎﺳاﺮﺑ ﺰﯿﻧ ناﺮﯾا رد
ﺦﯾرﺎــﺗ ﺎــﺗ ،ﯽﻧﺎــﻣرد ﯽﺘــﺷاﺪﻬﺑ تﺎﻣﺪــﺧ و ﯽﮑــﺷﺰﭘ مﻮــﻠﻋ يﺎــﻫ 1/
7/
1391 ًﺎﻋﻮﻤﺠﻣ 25041 ﻪـﺑ ﻼﺘﺒﻣ داﺮﻓا ﺮﻔﻧ HIV/AIDS
رد
ﻪﮐ ﺪﻧا هﺪﺷ ﯽﯾﺎﺳﺎﻨﺷ رﻮﺸﮐ 90.6
% نادﺮـﻣ ار نﺎﻧآ و
9.4 % نﺎـﻧز ار
ﺪﻨﻫد ﯽﻣ ﻞﯿﮑﺸﺗ .
نﻮﻨﮐ ﺎﺗ 3746 هﺪﺷ ﯽﯾﺎﺳﺎﻨﺷ زﺪﯾا ﻪﺑ ﻼﺘﺒﻣ ﺮﻔﻧ
و 4855 ﺪﻧا هدﺮﮐ تﻮﻓ ﻼﺘﺒﻣ داﺮﻓا ﺮﻔﻧ .
46.2 ﻪﺑ نﺎﯾﻼﺘﺒﻣ زا ﺪﺻرد
ﯽﻨﺳ هوﺮﮔ رد ﻼﺘﺑا نﺎﻣز ردHIV 34
- 25 ﺪـﻧا ﻪﺘـﺷاد راﺮـﻗ لﺎﺳ
صﺎـﺼﺘﺧا دﻮـﺧ ﻪـﺑ ار ﯽﻨـﺳ يﺎﻬﻫوﺮﮔ ﻦﯿﺑ رد ﺖﺒﺴﻧ ﻦﯾﺮﺗﻻﺎﺑ ﻪﮐ ﺪﻨﻫد ﯽﻣ 8)
. ( ﮕﭼ زﺪﯾا سوﺮﯾو رﺎﺸﺘﻧا ﯽﮕﻧﻮ )
(HIV ﻢـﻫ ﻪـﮐ يداﺮـﻓا داﺪـﻌﺗ ،
ﻫ هدﻮﻟآ نﻮﻨﮐا ﺪﻨﺘﺴ
ﺮﻫﺎـﻇ و ﺖـﻧﻮﻔﻋ عوﺮـﺷ ﻦﯿـﺑ ﯽﻧﻻﻮـﻃ نﺎﻣز ،
ﺳد مﺪﻋ و يرﺎﻤﯿﺑ ﻢﯾﻼﻋ نﺪﺷ جﻼـﻋ ﺎـﯾ ﺮﺛﺆـﻣ ﻦـﺴﮐاو ﻪـﺑ ﯽﺳﺮﺘ
ﯽﻌﻄﻗ و ﻪﻤﻫ ، ﮏـﯾ ناﻮـﻨﻌﺑ ار زﺪـﯾا ﻪـﮐ ﺪﻨﺘـﺴﻫ ﯽﻠﻣاﻮـﻋ زا ﻪـﻤﻫ
حﺮﻄﻣ هﺪﻨﻨﮐ ناﺮﮕﻧ و ﻢﻬﻣ ﯽﺘﺷاﺪﻬﺑ ﻞﮑﺸﻣ ﺪﻧزﺎﺳ ﯽﻣ
9) . (
ا ﺮـﮕﯾد ﯽﻓﺮﻃ ز
، ﻦﯾﺮﺗرﺎـﺑﺮﭘ رد مدﺮـﻣ ﻦﺘﺧﺎـﺳ ﻼﺘـﺒﻣ ﺎـﺑ زﺪـﯾا
ﺮﻤﻋ يﺎﻬﻟﺎﺳ نﺎﺷ
) دوﺪﺣ 3/
2 ﺮـﯾز نﺎـﯾﻼﺘﺒﻣ 25
ﺪـﻧراد ﻦـﺳ لﺎـﺳ (
موﺮـﺤﻣ يﻮـﻗ و ﻪﯿﻨﺑ شﻮﺧ نﺎﻧاﻮﺟ زا ار ﺎﻬﺘﻠﻣ ﻞﮐ رد و ﺎﻫ هداﻮﻧﺎﺧ دﺎﻬﻧ ﺪﻫاﻮﺧ ﺎﻬﻧآ شود ﺮﺑ ار ﯽﺘﻔﮕﻨﻫ يدﺎﺼﺘﻗا رﺎﺑ و هدﺮﮐ 10)
، 11 . (
ﻨﯾا يﺎﺠﺑ زﺪﯾا ﻪﺑ نﺎﯾﻼﺘﺒﻣ ﻪﺠﯿﺘﻧ رد رد ﻪﮑ
ﺖﮐﺮـﺷ هداﻮﻧﺎﺧ دﺎﺼﺘﻗا
ﺪﻨﺷﺎﺑ ﻪﺘﺷاد ﺖـﻤﯿﻗ ناﺮـﮔ ﯽﻧﺎـﻣرد تﺎﻣﺪـﺧ ﻪـﺑ زﺎـﯿﻧ ﺖﻠﻌﺑ ،
، رﺎـﺑ
ﻪـﻠﺑﺎﻘﻣ ياﺮﺑ ﺪﯾﺎﺑ ًﺎﻘﺣ ﻪﮐ نﺎﺷرﻮﺸﮐ ﯽﻧﺎﻣرد تﺎﻧﺎﮑﻣا ﻪﺑ ار ﯽﻨﯿﮕﻨﺳ ﺪـﻨﻨﮐ ﯽـﻣ ﻞـﯿﻤﺤﺗ دور رﺎـﮑﺑ ﯽﺘـﺷاﺪﻬﺑ تﻼﮑـﺸﻣ ﺮﯾﺎـﺳ ﺎﺑ
10) . (
زﺪـﯾا ﻪﺑ ﻼﺘﺒﻣ رﺎﻤﯿﺑ ﺮﻫ ياواﺪﻣ ،نﺎﺳﺎﻨﺷرﺎﮐ ﺮﻈﻧ ﺎﺑ ﻖﺑﺎﻄﻣ ﻪﮑﯾرﻮﻄﺑ رد لﺎﺳ 80 ﻦﯿﺑ 60 ﺎﺗ 250 ﻦـﯾا ﻪـﮐ ﻪﺘـﺷاد ﻪـﻨﯾﺰﻫ لﺎﯾر نﻮﯿﻠﯿﻣ
لﺎﺳ رد ﻢﻗر 81
ﺖـﺳا هﺪﺷ دروآﺮﺑ ﻪﻨﯾﺰﻫ رﻻد راﺰﻫ هد ﺎﺑ ﺮﺑاﺮﺑ .
ﺎـﺑ
ﺶﯾاﺰـﻓا ﯽﮐﺪﻧا نﺎﯾﻼﺘﺒﻣ ﺮﻤﻋ لﻮﻃ ﺎﻬﻨﺗ ﺮﺛﺆﻣ نﺎﻣرد مﺪﻋ ﻪﺑ ﻪﺟﻮﺗ ﺪﺑﺎﯾ ﯽﻣ 9) . ( ﺎﺑ ﺮﺛﺆـﻣ ﯽﻨﺴﮐاو نﺪﻣآ دﻮﺟو ﻪﺑ نﺎﮑﻣا ﻪﮑﻨﯾا ﻪﺑ ﻪﺟﻮﺗ
ﯿﻌﺿ رﺎﯿﺴﺑ ﮏﯾدﺰﻧ هﺪﻨﯾآ رد ﻦﯾا ياﺮﺑ ﯽﻧﺎﻣرد نﻮﻨﮐﺎﺗ ﺰﯿﻧ و ﺖﺳا ﻒ
زا صﻮـﺼﺨﺑ يﺮﯿﮕـﺸﯿﭘ ﻪﺑ ﺪﯿﻣا ﻦﯾﺮﺘﻬﺑ ﺖﺳا هﺪﺸﻧ ﻒﺸﮐ يرﺎﻤﯿﺑ ﺖﺳا ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﻖﯾﺮﻃ 11)
. (
ور ﻦﯾا زا ار زﺪـﯾا ﻪـﯿﻠﻋ ﺮﺛﺆـﻣ هار ﺎﻬﻨﺗ ﺖﺷاﺪﻬﺑ ﯽﻧﺎﻬﺟ نﺎﻣزﺎﺳ
شزﻮﻣآ و هدﺮﮐ مﻼﻋا ﺖﺷاﺪﻬﺑ ﻪـﮐ ﺖﺳا ﺪﻘﺘﻌﻣ
ﺐﯿـﺳآ يﺎـﻬﻫوﺮﮔ
يﺎـﻫ ﻪﻣﺎﻧﺮﺑ ﺖﯾﻮﻟوا رد ﯽﺘﺴﯾﺎﺑ ﺮﯾﺬﭘ ﺪـﻧﺮﯿﮔ راﺮـﻗ ﯽﺘـﺷاﺪﻬﺑ
12) . (
ﺖﻧﻮﻔﻋ ﻪﺑ ﻼﺘﺑا زا يﺮﯿﮕﺸﯿﭘ نﻮﭼ ،HIV
28 ﻪﻓﺮـﺻ ﻪـﺑ نوﺮﻘﻣ رﺎﺑ
زا ﺪـﻧاﻮﺗ ﯽﻣ ﯽﺷزﻮﻣآ ﻊﻣﺎﺟ ﻪﻣﺎﻧﺮﺑ ﮏﯾ و هدﻮﺑ نارﺎﻤﯿﺑ نﺎﻣرد زا ﺮﺗ ﺪﯾﺎﻤﻧ يﺮﯿﮕﺸﯿﭘ ﺎﯿﻧد رد ﺪﯾﺪﺟ درﻮﻣ ﺎﻫ نﻮﯿﻠﯿﻣ يﻼﺘﺑا 13)
. (
لﺎـﺣ ﻪـﺑ ﺎﺗ ﻪﮑﻨﯾا ﻢﻏﺮﯿﻠﻋ زﺪـﯾا ﻪـﺑ ﻼﺘـﺑا زا يﺮﯿﮔﻮـﻠﺟ ياﺮـﺑ
و شزﻮﻣآ هﺪﯾدﺮﮔ مﺎﺠﻧا ﯽﻧاواﺮﻓ يﺎﻫ رﺎﮑﻫار
زور ﺮـﻫ نﺎﻨﭽﻤﻫ ﯽﻟو ،
ﺎﺷ ﺮﺑﺎـﻨﺑ ،ﻢﯿﺘﺴﻫ نﺎﯾﻼﺘﺒﻣ ﺶﯾاﺰﻓا ﺪﻫ ﺪـﺳر ﯽـﻣ ﺮـﻈﻧ ﻪـﺑ ﻦﯾا
ﻪـﮐ
ﺎـﻫ رﺎـﺘﻓر رد ،فﺮﺻ نداد ﯽﻫﺎﮔآ يﺎﺟ ﻪﺑ ﯽﺘﺴﯾﺎﺑ ﯽـﺳﺎﺳا ﺮـﯿﯿﻐﺗ ،
ددﺮﮔ دﺎﺠﯾا 12)
، 14 . ( ﻮﯿـﺷ ﺖﺧﺎﻨـﺷ ياﺮﺑ داﺮﻓا اﺮﯾز ﻢﻟﺎـﺳ يﺎـﻫ ه
ﺎﻬﻧآ ﻖﺒﻃ ﻞﻤﻋ و ﯽﮔﺪﻧز ﺳ ءﺎﻘﺗرا و ﻆﻔﺣ ،
ﺖﻣﻼ يﻼﺘـﺑا زا ﺰﯿﻫﺮﭘ و
ﺎﻬﯾرﺎﻤﯿﺑ ﻪﺑ ﻓر شزﻮﻣآ ﺪﻨﻣزﺎﯿﻧ ،
رﺎﺘ ﺪﻨـﺷﺎﺑ ﯽـﻣ ﯽﺘـﺷاﺪﻬﺑ ﻢﻟﺎﺳ يﺎﻫ
) 15 .(
ﺖﺷاﺪﻬﺑ شزﻮﻣآ يﺎﻫ ﻪﻣﺎﻧﺮﺑ فﺪﻫ
، ا نداد ﺮـﺑ ﺮﯿﺛﺄﺗ ،تﺎﻋﻼﻃ
ﺎﻫروﺎﺑ و ﺎﻫ شﺮﮕﻧ ﺪـﻨﻤﻧاﻮﺗ و يﺮـﯿﮔ ﻢﯿﻤـﺼﺗ يﺎﻫ ترﺎﻬﻣ يﺎﻘﺗرا ،
ﺖﺳا نﺎﺷ ﻪﻌﻣﺎﺟ و دﻮﺧ ﺮﯿﯿﻐﺗ ﻪﺑ داﺮﻓا يزﺎﺳ 3،)
16
، 17 (.
ﺮﯾﺎﺳ و ناﺮﯾا رد رﻮﺸﮐ
فﺪـﻫ ﺎـﺑ يدﺪﻌﺘﻣ تﺎﻌﻟﺎﻄﻣ نﺎﻬﺟ يﺎﻫ
زا ﻪﻧاﺮﯿﮕـﺸﯿﭘ يﺎـﻫ رﺎـﺘﻓر دﺎﺠﯾا رد ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﺶﻘﻧ ﯽﺳرﺮﺑ ﺛﺄـﺗ زا ﯽﮐﺎـﺣ ﺎـﻬﻧآ ﺞﯾﺎـﺘﻧ و هﺪـﺷ مﺎـﺠﻧا زﺪـﯾا يرﺎﻤﯿﺑ شزﻮـﻣآ ﺮﯿ
ﯽﻫﺎﮔآ ﺶﯾاﺰﻓا رد ﺖﺷاﺪﻬﺑ
، ﻪـﻣﺎﻧﺮﺑ ياﺮﺟا زا ﺪﻌﺑ دﺮﮑﻠﻤﻋ و شﺮﮕﻧ
ﺪﺷﺎﺑ ﯽﻣ ﯽﺷزﻮﻣآ 3،)
12
، 18
، 19 . ( ﺪـﻧا ﻪﺘﻓﺎﯾرد ﺮﯿﺧا تﺎﻌﻟﺎﻄﻣ ﻪـﮐ
اﺪﻌﺗ د نارﺎﻤﯿﺑ زا ﯽﻬﺟﻮﺗ ﻞﺑﺎﻗ ﺎـﻧ ﯽﺴﻨﺟ ﻂﺑاور ﺮﯿﮔرد ﺖﺒﺜﻣHIV
ﺪﻨﺘﺴﻫ ﻦﻤﯾا 20)
. ( رد ﻪﻌﻟﺎﻄﻣ Jean B ﻪﮐ داد نﺎﺸﻧ ﺶﻧارﺎﮑﻤﻫ و
38 % دﻮـﺧ ﺖﯿﻌﺿو نارﺎﻤﯿﺑ زا مﻼـﻋا دﻮـﺧ ﯽـﺴﻨﺟ ﮏﯾﺮـﺷ ﻪـﺑ ار
ﺪﻧدﻮﺑ هدﺮﮑﻧ .
59
% ﻖـﯾﺮﻃ زا يرﺎـﻤﯿﺑ ﻪـﮐ ﺪﻨﺘﺷاد نﺎﻋذا نارﺎﻤﯿﺑ زا
دﻮﺷ ﯽﻣ ﻞﻘﺘﻨﻣ ﻢﻫ ﻪﺸﭘ ﺶﯿﻧ .
ﻦﯿﻨﭽﻤﻫ 62
% ﮏﯾﺮﺷ ﮏﯾ نارﺎﻤﯿﺑ
،ﯽــﺴﻨﺟ 14 % و ﯽــﺴﻨﺟ ﮏﯾﺮــﺷ ود 9
% ــﻫ ﮏﯾﺮــﺷ ود زا ﺶﯿــﺑ ﻢ
ﺪــﻧا ﻪﺘــﺷاد ﯽــﺴﻨﺟ 21)
( . ﻪــﻌﻟﺎﻄﻣ Suneil.R رد ﺶﻧارﺎــﮑﻤﻫ و
ﻪﮐ داد نﺎﺸﻧ نﺎﺘﺳوﺪﻨﻫ 41
% وﺮﺗر ﺪﺿ نﺎﻣرد ﻪﻨﯿﻣز رد نارﺎﻤﯿﺑ زا
ﺪــﻧا ﻪﺘــﺷاﺪﻧ ﯽﻫﺎــﮔآ ﯽــﺳوﺮﯾو 22)
. ( ﻪــﻌﻟﺎﻄﻣ ﻪــﺠﯿﺘﻧ Marks
و
ﺲﻠﺠﻧآ ﺲﻟ رد ﺶﻧارﺎﮑﻤﻫ ﺎﺸﻧ
ﻪـﮐ داد ن 48
% ﺲﻨـﺠﻤﻫ نارﺎـﻤﯿﺑ
و اﺮﮔ 39 % نارﺎﻤﯿﺑ ﺪﻨﺘﺷاد ﺶﯾاﺮﮔ ﺲﻨﺟ ود ﺮﻫ ﻪﺑ 23)
. ( تﺎﻌﻟﺎﻄﻣ
هدﻮﺑ ﺖﯿﻌﻗاو ﻦﯾا يﺎﯾﻮﮔ ﺰﯿﻧ ناﺮﯾا رد هﺪﺷ مﺎﺠﻧا
، ﻪـﻌﻟﺎﻄﻣ ﻪﮑﯾرﻮﻄﺑ
يور ﺮـﺑ ﺶﻧارﺎـﮑﻤﻫ و يﺪﺒﻋ ﯽﮕﺘﺴﺒﻤﻫ 50
رﺎـﻤﯿﺑ ﺖـﺒﺜﻣHIV
ﻪﮐ داد نﺎﺸﻧ 98
% ﺑﺮﺠﺗ نارﺎﻤﯿﺑ ﺪﻨﺘـﺷاد ار رﺪﺨﻣ داﻮﻣ ﻪﺑ دﺎﯿﺘﻋا ﻪ
.
25 % ﻪـﮐ ﻪﺘـﺷاد ﯽـﺴﻨﺟ ﻪﻄﺑار ﻪﺑﺮﺠﺗ نارﺎﻤﯿﺑ 96
% ﺎـﻤﯿﺑ ﻦـﯾا نار
ﺎﻧ ﯽﺴﻨﺟ ﻂﺑاور ﺪﻧا ﻪﺘﺷاد ﻦﻤﯾا
24) . ( ﺶﻧارﺎـﮑﻤﻫ و ﺎـﺷﻮﮐ ﻪﻌﻟﺎﻄﻣ
يور ﺮﺑ 64 ﻪﮐ داد نﺎﺸﻧ زﺪﯾا ﻪﺑ ﻼﺘﺒﻣ رﺎﻤﯿﺑ 75
% ﻪﻘﺑﺎـﺳ نارﺎـﻤﯿﺑ
رﺎـﺒﮑﯾ ﮓﻧﺮـﺳ ﻪـﺑ ﯽـﺳﺮﺘﺳد مﺪﻋ ﻞﯿﻟﺪﺑ كﺮﺘﺸﻣ ﮓﻧﺮﺳ ﺎﺑ ﻖﯾرﺰﺗ ﺪﻧا ﻪﺘﺷاد ار فﺮﺼﻣ .
6/
56 % نارﺎﻤﯿﺑ زا ﻞﯿﻟﺪـﺑ ﻪﮐ ﺪﻧا ﻪﺘﺷاد رﺎﻬﻇا
ﺎـﻧ ﯽـﺴﻨﺟ سﺎﻤﺗ ،موﺪﻧﺎﮐ ﻂﺳﻮﺗ ﯽﺴﻨﺟ ﻪﻄﺑار تﺬﻟ ﺶﻫﺎﮐ ﻦـﻤﯾا
ﺪﻧا ﻪﺘﺷاد . 22 % ﺪـﻧا ﻪﺘـﺷاد ﯽـﻌﻤﺟ ﻪﺘﺳد ﯽﺑﻮﮑﻟﺎﺧ ﻪﻘﺑﺎﺳ نارﺎﻤﯿﺑ
ﻦﯿﻨﭽﻤﻫ 6/
90 % ﻦـﯾا زا ﻪـﮐ ﻪﺘﺷاد ناﺪﻧز رد ﺲﺒﺣ ﻪﻘﺑﺎﺳ نارﺎﻤﯿﺑ
نارﺎﻤﯿﺑ 8/
8 % ﻦﯿﯾﺎـﭘ ﯽﻫﺎﮔآ ﻞﯿﻟﺪﺑ كﺮﺘﺸﻣ ﮓﻧﺮﺳ ﺎﺑ ﻖﯾرﺰﺗ ﻪﻘﺑﺎﺳ
زا لﺎﻘﺘﻧا كﺮﺘﺸﻣ ﮓﻧﺮﺳ ﻪﻠﯿﺳو ﻪﺑ زﺪﯾا ﺪﻧا هدﺮﮐ ناﻮﻨﻋ ار
25) .(
زﺮﻣ ﻢﻫ و ناواﺮﺳ نﺎﺘﺳﺮﻬﺷ ﮏﯾﮋﺗاﺮﺘﺳا ﺖﯿﻌﺿو ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ اﺬﻟ ﻪـﺑ نﺎﺘـﺳﺮﻬﺷ ﻦـﯾا ﯽﻟﺎﻫا ددﺮﺗ ﯽﻓﺮﻃ زا و نﺎﺘﺴﮐﺎﭘ رﻮﺸﮐ ﺎﺑ ندﻮﺑ
نﺎﺘﺴﮐﺎﭘ رﻮﺸﮐ ﻪﺑ رﺎﮐ رﻮﻈﻨﻣ و سرﺎـﻓ ﺞﯿـﻠﺧ هزﻮـﺣ يﺎﻫرﻮﺸﮐ و
ﻟآ ًﺎﻀﻌﺑ ﺎﻫرﻮـﺸﮐ ﻦـﯾا رد داﺮﻓا ﻦﯾا نﺪﺷ هدﻮ
، رد زﺪـﯾا يﻻﺎـﺑ رﺎـﻣآ
هار زا لﺎـﻘﺘﻧا ﻪﮐ نﺎﺘﺳﺮﻬﺷ ﻦﯾا رد لﺎﻘﺘﻧا ﺐﻟﺎﻏ يﻮﮕﻟا و نﺎﺘﺳﺮﻬﺷ داﺪﻌﺗ و هدﻮﺑ ﻪﺘﺧﺎﻨﺷﺎﻧ و ﯽﺴﻨﺟ 16
ﻢﻟﺎـﺳ ناﺮﺴﻤﻫ ﻪﮐ ﻼﺘﺒﻣ دﺮﻣ
،ﺪﻧراد ﯽﻫﺎﮔآ ﺮﺑ ﯽﺷزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ﺮﯿﺛﺄﺗ ﯽﺑﺎﯾزرا فﺪﻫ ﺎﺑ ﺶﻫوﮋﭘ ﻦﯾا ،
رد ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫ رﺎﺘﻓر و شﺮﮕﻧ زﺪـﯾا ﻪﺑ نﺎﯾﻼﺘﺒﻣ
رد نﺎﺘـﺳﺮﻬﺷ
ﺪﺷ مﺎﺠﻧا زﺎﺑﺮﺳ و ناواﺮﺳ .
شور ﻪﻌﻟﺎﻄﻣ
ﯽـﺷزﻮﻣآ ﻪـﻣﺎﻧﺮﺑ ﺮﯿﺛﺄﺗ ﻦﯿﯿﻌﺗ فﺪﻫ ﺎﺑ ﯽﺑﺮﺠﺗ ﻪﻤﯿﻧ ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﻪﻧاﺮﯿﮕـﺸﯿﭘ يﺎـﻫ رﺎﺘﻓر و شﺮﮕﻧ ،ﯽﻫﺎﮔآ ﺮﺑ رد
زﺪـﯾا ﻪـﺑ نﺎـﯾﻼﺘﺒﻣ
ﺖﻓﺮﮔ مﺎﺠﻧا .
يور ﺮﺑ ﻪﮐ 92
ﺘـﺒﻣ رﺎـﻤﯿﺑ ﺮـﻔﻧ لﺎـﺳ رد زﺪـﯾا ﻪـﺑ ﻼ
1391 ﺪﺷ مﺎﺠﻧا . داﺪﻌﺗ 46 ﺮﺳ نﺎﺘﺳﺮﻬﺷ زا رﺎﻤﯿﺑ ﺮﻔﻧ ناوا
ناﻮـﻨﻌﺑ
داﺪﻌﺗ و ﻪﻠﺧاﺪﻣ هوﺮﮔ 46
هوﺮـﮔ ناﻮـﻨﻌﺑ زﺎﺑﺮـﺳ نﺎﺘـﺳﺮﻬﺷ زا ﺮـﻔﻧ
لﺮــﺘﻨﮐ يرﺎﻤــﺷﺮﺳ شور ﺎــﺑ ﺪﻧﺪــﺷ ﻪــﻌﻟﺎﻄﻣ دراو
. هوﺮــﮔ بﺎــﺨﺘﻧا
ﺪﯾدﺮﮔ مﺎﺠﻧا ﯽﻓدﺎﺼﺗ ترﻮﺼﺑ ﻪﻠﺧاﺪﻣ .
هداد يروآدﺮـﮔ شور و راﺰﺑا
ﻪﻣﺎﻨــﺸﺳﺮﭘ ﺎــﻫ ﻪﺘﺧﺎــﺳ ﻖــﻘﺤﻣ
تﺎــﻋﻼﻃا ﻞﻣﺎــﺷ ﯽﺘﻤــﺴﻗ رﺎــﻬﭼ
،ﮏﯿﻓاﺮﮔﻮﻣد
،ﯽﻫﺎﮔآ تﻻاﺆﺳ شﺮﮕﻧ تﻻاﺆﺳ
دﺮﮑﻠﻤﻋ تﻻاﺆﺳ و ﻪﮐ
ﻪــﯿﻟوا نﻮــﻣزآ رد رﺎــﺑ ﮏــﯾ )
pre test (
نﻮــﻣزآ رد ﺮــﮕﯾد رﺎــﺑ و
ﻪﯾﻮﻧﺎﺛ ) post test (
يﺮﮕﺸﺳﺮﭘ ﻖﯾﺮﻃ زا ﺪـﯾدﺮﮔ ﻞـﯿﻤﮑﺗ
. ﺶـﺳﺮﭘ
اﺪﺘﺑا رد ﻪﻣﺎﻧ ﻪﺑ
10 رد نﺎﮔﺪـﻨﻨﮐ ﺖﮐﺮـﺷ ءﺰـﺟ ﻪﮐ ﯽﻧارﺎﻤﯿﺑ زا ﺮﻔﻧ يﺎﻫ ﻪﺒﻨﺟ ﯽﺳرﺮﺑ رﻮﻈﻨﻣ ﻪﺑ ﺎﻬﻧآ تاﺮﻈﻧ و ﺪﺷ هداد ،ﺪﻧدﻮﺒﻧ ﻪﻌﻟﺎﻄﻣ
تﻻاﻮﺌﺳ ﻢﻬﺒﻣ ﺪـﯾدﺮﮔ لﺎـﻤﻋا مزﻻ تاﺮـﯿﯿﻐﺗ و يروآ ﻊﻤﺟ
. ياﺮـﺑ
ﯽﯾاور ﻦﯿﯿﻌﺗ )
Validity (
ﻪﺑ اﺪﺘﺑا ﻪﻣﺎﻨﺸﺳﺮﭘ 9
نﺎـﺼﺼﺨﺘﻣ زا ﺮﻔﻧ
نﺎـﻧآ ﺮﻈﻧ و ﺪﯾدﺮﮔ لﺎﺳرا ﯽﻧﻮﻔﻋ ﺺﺼﺨﺘﻣ ﮏﯾ و ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﻪﺘـﺳاﻮﺧ تﻻاﺆـﺳ عﻮﺿﻮﻣ و رﺎﺘﺧﺎﺳ درﻮﻣ رد ﯽﺘﺳﻮﯿﭘ مﺮﻓ ﺎﺑ هاﺮﻤﻫ ا تادﺎﻬﻨـﺸﯿﭘ و تﻻاﻮﺌـﺳ ﺖﻬﺟ ﯽﻫﺎﮕﯾﺎﺟ ﻦﯿﻨﭽﻤﻫ و ﺪﺷ ﯽﺣﻼـﺻ
رد داﺮﻓا ﻦﯾا ﺮﻈﻧﺪﻣ داﺪـﻌﺗ ﻪـﮐ ،ﺪـﺷ ﻪـﺘﻓﺮﮔ ﺮـﻈﻧ
5 ﺺـﺼﺨﺘﻣ )
4
و ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﺺﺼﺨﺘﻣ 1
ﯽﻧﻮـﻔﻋ ﺺـﺼﺨﺘﻣ (
ﺪـﻧداد ﺦـﺳﺎﭘ .
ﺲﭙﺳ تﺎﺣﻼﺻا و يروآ ﻊﻤﺟ ﺎﻫ ﻪﻣﺎﻨﺸﺳﺮﭘ و ﺖﻓﺮﮔ مﺎﺠﻧا
ﺖﺒـﺴﻧ
ﯽﯾاﻮـﺘﺤﻣ ﯽﯾاور (CVR)
و ﯽﯾاﻮـﺘﺤﻣ ﯽـﯾاور ﺺﺧﺎـﺷ )
( CVI ﺮـﺑ
ﺪﯾدﺮﮔ ﻪﺒﺳﺎﺤﻣ لﻮﻣﺮﻓ سﺎﺳا .
ﻪﮐ ﺳCVI ﻮ ﻦﯿـﺑ تﻻا 97
/0 ﺎـﺗ 1
ﻪﮐ يرﻮﻄﺑ ؛دﻮﺑ ﺳCVI
ﯽﻫﺎﮔآ تﻻاﻮ 97
/0 شﺮـﮕﻧ ، 98
/0 رﺎـﺘﻓر ،
1 ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﮐ و 983
/0 دﻮﺑ .
ﻪﻣﺎﻨﺸﺳﺮﭘCVR 1
ﺪﺷ ﻪﺒﺳﺎﺤﻣ .
ﻪﮑﯾرﻮﻃ ﻪﺑ تﻻاﻮـﺳCVR
و شﺮﮕﻧ ،ﯽﻫﺎﮔآ رﺎﺘﻓر
1 ﺪﻣآ ﺖﺳﺪﺑ .
ﺳ يرﻮﺻ ﯽﯾاور ﻦﯿـﺑ تﻻاﻮ
8/
4 ﺎـﺗ 9/
4 ﺪـﺷ ﻪﺒـﺳﺎﺤﻣ .
ﯽـﯾاور
ﺳ يرﻮﺻ ﯽﻫﺎﮔآ تﻻاﻮ 9/
4 شﺮﮕﻧ ، 8/
4 رﺎﺘﻓر ، 9/
4 و يرﻮـﺻ ﯽﯾاور
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﮐ 86
/4 ﺪﻣآ ﺖﺳﺪﺑ .
يﺮﯿﮔ هزاﺪﻧا ياﺮﺑ )
ﯽﯾﺎﯾﺎﭘ ( Reliability ياﺮـﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ،
15
ﻪـﺑ ﻼﺘـﺒﻣ نارﺎـﻤﯿﺑ زا ﺮﻔﻧ AIDS/HIV
ﺖﮐﺮـﺷ ﻪـﻌﻟﺎﻄﻣ رد ﻪـﮐ
ﺪﻧا ﻪﺘﺷاﺪﻧ و ﺪـﯾدﺮﮔ ﻞـﯿﻤﮑﺗ ،
Reliability ﻖـﯾﺮﻃ زا ﻪﻣﺎﻨـﺸﺳﺮﭘ
ﺪﯾدﺮﮔ ﻪﺒﺳﺎﺤﻣ خﺎﺒﻧوﺮﮐ يﺎﻔﻟآ .
ﻪـﮐ يرﻮـﻄﺑ ﮐα
تﻻاﻮـﺳ خﺎـﺒﻧوﺮ
ﯽﻫﺎﮔآ 712 /0 شﺮﮕﻧ تﻻاﻮﺳ ، 722
/0 رﺎﺘﻓر ، 721 /0 و خﺎـﺒﻧوﺮﮐα
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﮐ 718
/0 ﺪﻣآ ﺖﺳﺪﺑ .
ﻌﺗ ﺳ ﻞﮐ داﺪ ﻮ
ﻪﻣﺎﻨﺸﺳﺮﭘ تﻻا 45
ﺳ ﻮ دﻮﺑ لا . 13 ﺳ ﻮ طﻮﺑﺮﻣ لا
ﮔﻮﻣد تﺎـﻋﻼﻃا ﻪـﺑ داﺪـﻌﺗ و نﺎﮔﺪـﻨﻨﮐ ﺖﮐﺮــﺷ ﮏـﯿﻓاﺮ
13 ــﺳ ﻮ لا
ﻪﺘﺴﺑ عﻮﻧ زا ﯽﻫﺎﮔآ ﺶﺠﻨﺳ ﻪﺑ طﻮﺑﺮﻣ )
ﺮـﯿﺧ ،ﯽـﻠﺑ ﺦـﺳﺎﭘ ﺎﺑ
، ﯽـﻤﻧ
ﻢﻧاد (،
8 ﺳ ﻮ و شﺮﮕﻧ ﻪﺑ طﻮﺑﺮﻣ لا 11
ـﺳ ﻮ ﺶﺠﻨـﺳ ﻪـﺑ طﻮـﺑﺮﻣ لا
رﺎﺘﻓر . ﺳ ﻮ تﺮﮑﯿﻟ ﻒﯿﻃ ﺎﺑ شﺮﮕﻧ تﻻا 3
ﯽﯾﺎﺗ )ﻣ ﻮ ﻘﻓا ،مراﺪﻧ يﺮﻈﻧ ،ﻢ
ﻢﻔﻟﺎﺨﻣ ( ﺳ و ﻮ تﻻا طﻮﺑﺮﻣ ﻪـﺑ ﺦـﺳﺎﭘ ﺎـﺑ ﻪﺘـﺴﺑ ترﻮـﺼﺑ دﺮـﮑﻠﻤﻋ )
ﺰـﮔﺮﻫ و تﺎـﻗوا ﯽﻫﺎﮔ ، ﻪﺸﯿﻤﻫ (
ﺪـﺷ ﻪـﺘﻓﺮﮔ ﺮـﻈﻧ رد .
ﻪـﻨﯾﺰﮔ ﻪـﺑ
ﺳ ﺢﯿﺤﺻ ﻮ هﺮﻤﻧ ﯽﻫﺎﮔآ تﻻا 2
ﻂـﻠﻏ ﻪـﻨﯾﺰﮔ ﻪـﺑ ، ﻪـﺑ و ﺮﻔـﺻ هﺮـﻤﻧ
هﺮﻤﻧ ﻢﻧاد ﯽﻤﻧ ﻪﻨﯾﺰﮔ ﺖﻓﺮﮔ ﻖﻠﻌﺗ ﮏﯾ
.) تازﺎـﯿﺘﻣا عﻮﻤﺠﻣ طﻮـﺑﺮﻣ
ﺳ ﻪﺑ ﻮ ﻦﯿﺑ ﯽﻫﺎﮔآ تﻻا 0
و 26 دﻮـﺑ ﺮـﯿﯿﻐﺘﻣ .(
بﻮـﻠﻄﻣ ﺖـﻟﺎﺣ ﻪـﺑ
هﺮﻤﻧ شﺮﮕﻧ ﻪﺑ طﻮﺑﺮﻣ تﻻاﻮﺳ 3
هﺮﻤﻧ بﻮﻠﻄﻣﺎﻧ ﺖﻟﺎﺣ ﻪﺑ و 1
ﻪﺑ و
هﺮـﻤﻧ مراﺪﻧ يﺮﻈﻧ ﻪﻨﯾﺰﮔ 2
ﺖـﻓﺎﯾ صﺎـﺼﺘﺧا . )
تازﺎـﯿﺘﻣا عﻮـﻤﺠﻣ
ﺳ ﻮ ﻦﯿﺑ شﺮﮕﻧ تﻻا 8
و 24 .(
هﺮـﻤﻧ بﻮـﻠﻄﻣ دﺮـﮑﻠﻤﻋ ﻪـﺑ 2
ﻪـﺑ و
ﮏـﯾ هﺮـﻤﻧ تﺎﻗوا ﯽﻫﺎﮔ ي ﻪﻨﯾﺰﮔ ﻪﺑ و ﺮﻔﺻ هﺮﻤﻧ بﻮﻠﻄﻣﺎﻧ دﺮﮑﻠﻤﻋ
ﻠﻌﺗ ﺖﻓﺮﮔ ﻖ ).
ﺳ تازﺎﯿﺘﻣا عﻮﻤﺠﻣ ﻮ
رﺎﺘﻓر تﻻا ﻦﯿﺑ
0 و 22 ﺮـﯿﯿﻐﺘﻣ
دﻮﺑ .(
ﺖـﻓﺮﮔ مﺎـﺠﻧا لﺮﺘﻨﮐ و ﻪﻠﺧاﺪﻣ هوﺮﮔ رد نﻮﻣزآ ﺶﯿﭘ .
زا ﺲـﭘ
رد ﺎﻫ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﯿﻤﮑﺗ ﺶﯿـﭘ ﻪـﻠﺣﺮﻣ
ﺎـﻫ هداد ،نﻮـﻣزآ دراو
مﺮـﻧ
راﺰــﻓا 15 ،ﺖــﻓﺮﮔ راﺮــﻗ ﻞــﯿﻠﺤﺗ و ﻪــﯾﺰﺠﺗ درﻮــﻣ و ﺪــﯾدﺮﮔSPSS
سﺎـﺳا ﺮـﺑ و ﺮﺒﺘﻌﻣ ﻊﺑﺎﻨﻣ سﺎﺳا ﺮﺑ نارﺎﻤﯿﺑ ياﺮﺑ ﯽﺷزﻮﻣآ ياﻮﺘﺤﻣ ﺪﯾدﺮﮔ ﻪﯿﻬﺗ نﻮﻣزآ ﺶﯿﭘ زا ﻞﺻﺎﺣ ﺞﯾﺎﺘﻧ .
يراﺰـﮔﺮﺑ ﺎـﺑ ﻪﻠﺧاﺪﻣ هوﺮﮔ رد ﻂﻘﻓ ﯽﺷزﻮﻣآ ﻪﻠﺧاﺪﻣ 4
ﻪـﺴﻠﺟ
ﯽﺷزﻮﻣآ نﺎﻣز تﺪﻣ ﺎﺑ 45
ﻪﻘﯿﻗد ﯽﻃ 4 ﻪﺘﻔﻫ ﺖﻓﺮﮔ مﺎﺠﻧا .
هوﺮﮔ و
ﺖـﻓﺎﯾ رد ار هروﺎـﺸﻣ ﺰـﮐﺮﻣ ﻦﯿـﺗور يﺎﻫ ﺖﺒﻗاﺮﻣ نﺎﻤﻫ ﻢﻫ لﺮﺘﻨﮐ ﺪﻨﺘﺷاد . و ﺪﻧﺪـﺷ ﻢﯿـﺴﻘﺗ نﺎـﻧز و نادﺮﻣ هوﺮﮔ ود ﻪﺑ ﻪﻠﺧاﺪﻣ هوﺮﮔ
ﯽﻧاﺮﻨﺨﺳ شور زا هدﺎﻔﺘﺳا ﺎﺑ شزﻮﻣآ ﺎـﺠﻧا ﯽﻫوﺮﮔ ﺚﺤﺑ ،
،ﺖـﻓﺮﮔ م
ﯽﺷزﻮﻣآ ﺐﻟﺎﻄﻣ راﺮﮑﺗ ياﺮﺑ و ﻪـﯿﻬﺗ زﺪﯾا يرﺎﻤﯿﺑ عﻮﺿﻮﻣ ﺎﺑ ﺖﻠﻔﻤﭘ
ﺮﻗ ﻪﻠﺧاﺪﻣ هوﺮﮔ نارﺎﻤﯿﺑ رﺎﯿﺘﺧا رد ﺖﻓﺮﮔ را
. ﻞﻣﺎـﺷ دورو يﺎﻫرﺎﯿﻌﻣ
يﻻﺎـﺑ ﻦـﺳ ،زﺪـﯾا يرﺎـﻤﯿﺑ ﻪـﺑ ندﻮﺑ ﻼﺘﺒﻣ 18
لﺎـﺳ رد ﺖﻧﻮﮑـﺳ ،
زﺎﺑﺮـﺳ و ناواﺮـﺳ نﺎﺘـﺳﺮﻬﺷ هﺪـﻧوﺮﭘ ﻦﺘــﺷاد و
هروﺎــﺸﻣ ﺰـﮐﺮﻣ رد
يرﺎﺘﻓر يﺎﻬﯾرﺎﻤﯿﺑ و
جوﺮﺧ يﺎﻫ رﺎﯿﻌﻣ ﻞﻣﺎـﺷ ﺰﯿﻧ
ﻗ يرﺎـﮑﻤﻫ ﻊـﻄ
،هروﺎﺸﻣ ﺰﮐﺮﻣ ﺎﺑ رﺎﻤﯿﺑ رﺎﻤﯿﺑ تﻮﻓ
و رﺎﻤﯿﺑ تﺮﺟﺎﻬﻣ دﻮﺑ
. ود ﺖــﺷﺬﮔ زا ﺪــﻌﺑ
هﺎــﻣ نﺎــﻤﻫ ًادﺪــﺠﻣ ﯽــﺷزﻮﻣآ ﻪــﻠﺧاﺪﻣ زا
ﺪﺷ ﻞﯿﻤﮑﺗ لﺮﺘﻨﮐ و ﻪﻠﺧاﺪﻣ هوﺮﮔ رد ﻪﻣﺎﻨﺸﺳﺮﭘ .
ادﺪﺠﻣ ﺎﻫ هداد و
راﺰـﻓا مﺮﻧ دراو 15
راﺮـﻗ ﻞـﯿﻠﺤﺗ و ﻪـﯾﺰﺠﺗ درﻮـﻣ و ﺪـﯾدﺮﮔSPSS
ﺖﻓﺮﮔ . ﺖﻬﺟ يﺰـﮐﺮﻣ يﺎـﻫ ﺺﺧﺎـﺷ زا ﺎﻫ هداد ﻒﯿﺻﻮﺗ )
ﻦﯿﮕﻧﺎـﯿﻣ ( و
ﯽﮔﺪﻨﮐاﺮﭘ )
رﺎﯿﻌﻣ فاﺮﺤﻧا (
و ﻪﯾﺰﺠﺗ ﺖﻬﺟ و ﻬﻧﻮﻣزآ زا ﺎﻬﻧآ ﻞﯿﻠﺤﺗ
يﺎ
و ود يﺎــﮐ و ﯽـﺟوز ،ﻞﻘﺘــﺴﻣ ﯽـﺗ هدﺎﻔﺘــﺳا نﻮــﺳﺮﯿﭘ ﯽﮕﺘـﺴﺒﻤﻫ
ﺪﯾدﺮﮔ . ﯽـﻗﻼﺧا يﺎـﻫ ﺪـﮐ ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد 1،3
، 5 و 8 ﺐـﯿﺗﺮﺗ ﻪـﺑ ﻪـﮐ
ـﺴﮐ،ﯽﺒﺘﮐ ترﻮـﺻ ﻪﺑ ﻪﻧﺎﻫﺎﮔآ ﺖﯾﺎﺿر ﺐﺴﮐ ﻪﺑ طﻮﺑﺮﻣ ﺖﯾﺎـﺿر ﺐ
ﻪﻧﺎﺒﻠﻃواد ترﻮﺼﺑ ﻪﻧﺎﻫﺎﮔآ
، ياﺮـﺑ ﻪﻌﻟﺎﻄﻣ فاﺪﻫاو اﺮﺟا شور ﺢﯾﺮﺸﺗ
ﺎﻗ و ﻪﻌﻟﺎﻄﻣ درﻮﻣ داﺮﻓا ﺋ
فاﺮﺼﻧا ﻖﺣ نﺪﺷ ﻞ ﻪـﻌﻟﺎﻄﻣ رد ﺖﮐﺮـﺷ زا
ﻫ رد ﻪﻌﻟﺎﻄﻣ درﻮﻣ دﺮﻓ ﺺﯿﺨﺸﺗ ﻪﺑ ﺎﻨﺑ حﺮـﻃ ياﺮﺟا زا نﺎﻣز ﺮ
ﻪـﮐ ،
ﻼﺧا يرﻮﺸﮐ ﻪﺘﯿﻤﮐ بﻮﺼﻣ ﺖﺳا ﯽﮑﺷﺰﭘ مﻮﻠﻋ يﺎﻫ ﺶﻫوﮋﭘ رد ق
،
ﺖﺳا هﺪﯾدﺮﮔ ﺖﯾﺎﻋر .
ﺎﻫ ﻪﺘﻓﺎﯾ نﺎﮔﺪﻨﻨﮐ ﺖﮐﺮﺷ 92
ﺎـﯾ زﺪﯾا ﻪﺑ ﻼﺘﺒﻣ رﺎﻤﯿﺑ HIV+
ﺪـﻧدﻮﺑ ﻪـﮐ
لوﺪﺟ رد ﺎﻬﻧآ ﯽﺘﺧﺎﻨﺷ ﺖﯿﻌﻤﺟ تﺎﺼﺨﺸﻣ 1
ـﻣآ ﻞـﻣﺎﮐ رﻮﻃ ﻪﺑ هﺪ
.ﺖﺳا
لوﺪﺟ 1 : ﺣ ﺮﺑ نارﺎﻤﯿﺑ ﺪﺻرد و ﯽﻧاواﺮﻓ ﻊﯾزﻮﺗ ﺐﺴ
،ﺖﯿﺴﻨﺟ ،ﻦﺳ و ﻪﻠﺧاﺪﻣ هوﺮﮔرد داﻮﺳ و ﻞﻫﺄﺗ ﺖﯿﻌﺿو
لﺮﺘﻨﮐ
ﺮﯿﻐﺘﻣ ﻪﻠﺧاﺪﻣ
لﺮﺘﻨﮐ
داﺪﻌﺗ ﺪﺻرد داﺪﻌﺗ ﺪﺻرد
ﯽﻨﺳ هوﺮﮔ 35
- 20 لﺎﺳ 16
34.8 19
41.3
50 - 36 لﺎﺳ 21
45.7 21
45.7
65 - 51 لﺎﺳ 7
15.2 5
10.9
زا ﺮﺘﺸﯿﺑ 65 لﺎﺳ 2
4.3 1 2.2
ﺖﯿﺴﻨﺟ نز
15
32.6 5
10.9
دﺮﻣ 31
67.4 41
89.1
ﻞﻫﺎﺗ ﺖﯿﻌﺿو
هدﺮﮑﻧ جاودزا ﺰﮔﺮﻫ
10 21.7 10
21.7
ﻞﻫﺄﺘﻣ 20
43.5 22
47.8
ﺮﺴﻤﻫ زا هﺪﺷاﺪﺟ
9 19.6 8
17.4
هدﺮﻣﺮﺴﻤﻫ 7
15.2 6
13
داﻮﺳ ﺢﻄﺳ داﻮﺴﯿﺑ
22
47.8 23
50
ﯽﯾﺎﻤﻨﻫار و ﯽﯾاﺪﺘﺑا
18 39.1 18
39.1
ﺮﺗﻻﺎﺑ و نﺎﺘﺳﺮﯿﺑد
6 13 5 10.9
زا لﺮـﺘﻨﮐ و ﻪـﻠﺧاﺪﻣ هوﺮﮔ رد ود يﺎﮐ روﺬﺠﻣ نﻮﻣزآ سﺎﺳا ﺮﺑ ﺟ ﺮﻈﻧ دراد دﻮـﺟو يراد ﯽـﻨﻌﻣ فﻼﺘﺧا ﺖﯿﺴﻨ )
021 /0 ( .p=
ﺖـﻠﻋ
ﺎﻬﻨﺗ دﻮﺟو ﻞﯿﻟﺪﺑ فﻼﺘﺧا 5
رد نز رﺎﻤﯿﺑ ﻪـﮐ هدﻮـﺑ لﺮـﺘﻨﮐ هوﺮـﮔ
ﺪﻧا هﺪﺷ ﻪﻌﻟﺎﻄﻣ دراو ﺎﻬﻧآ ﯽﻣﺎﻤﺗ ﻪـﻠﺧاﺪﻣ هوﺮـﮔ رد ﻪﮑﯿﻟﺎﺣ رد ،
15
ـﻤﯿﺑ ﻦﯿﯾﺎـﭘ ﺖـﯿﻌﻤﺟ ﻞﯿﻟﺪـﺑ و ﺪﻧا هﺪﺷ ﻪﻌﻟﺎﻄﻣ دراو نز رﺎﻤﯿﺑ نارﺎ
دﻮﺒﻧ ﺮﯾﺬﭙﻧﺎﮑﻣا ﺖﯿﺴﻨﺟ ﺮﻈﻧ زا يزﺎﺳ نﺎﺴﻤﻫ .
نﻮﻣزآ ﺠﻣ يﺎـﮐ روﺬ
هوﺮـﮔ ﻦﯿـﺑ ﻪـﮐ داد نﺎﺸﻧ ود لﺮـﺘﻨﮐ و ﻪـﻠﺧاﺪﻣ
ﺖﯿﻌـﺿو ﺮـﻈﻧ زا
ﻞﻫﺎﺗ ) 972 / (p=
داﻮـﺳ ﺖﯿﻌـﺿو ، )
945 /0 ( p=
ﻦـﺳ و ) 820 /0 (p=
ﺪﺸﻧ هﺪﻫﺎﺸﻣ يراد ﯽﻨﻌﻣ فﻼﺘﺧا .
هﺮـﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ﻪﮐ داد نﺎﺸﻧ ﻪﻠﺧاﺪﻣ هوﺮﮔ رد ﯽﺟوز ﯽﺗ نﻮﻣزآ ﯽﻫﺎﮔآ ﯽـﺷزﻮﻣآ ﻪـﻠﺧاﺪﻣ زا ﺪـﻌﺑ ﻪﻧاﺮﯿﮕـﺸﯿﭘ يﺎـﻫ رﺎﺘﻓر و شﺮﮕﻧ ،
زا ﻞﺒﻗ ﻪﺑ ﺖﺒﺴﻧ ﯽﻨﻌﻣ رﻮﻃ ﻪﺑ ﯽﺷزﻮﻣآ ﻪﻠﺧاﺪﻣ
اﺪـﯿﭘ ﺶﯾاﺰﻓا يراد
ﺖﺳا هدﺮﮐ )
001 /0
<
.(P هﺮـﻤﻧ ﻦﯿﮕﻧﺎـﯿﻣ ﻦﯿﺑ لﺮﺘﻨﮐ هوﺮﮔ رد ﯽﻟو ﯽﻫﺎﮔآ
رﺎﺘﻓر و شﺮﮕﻧ ، فﻼﺘـﺧا ﯽـﺷزﻮﻣآ ﻪـﻠﺧاﺪﻣ زا ﺪـﻌﺑ و ﻞـﺒﻗ
هﺪﻫﺎــﺸﻣ يراد ﯽــﻨﻌﻣ ﺪــﺸﻧ
) 160 /0 ،=P 486 /0
، p=
096 /0
)(p=
لوﺪﺟ 2 (.
لوﺪﺟ 2 : ﯽﻫﺎﮔآ هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ﻪﺴﯾﺎﻘﻣ رﺎﺘﻓر و شﺮﮕﻧ ،
رد ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ و ﻞﺒﻗ زا ﮏﯾ ﺮﻫ
ﻫوﺮﮔ يﺎﻬ لﺮﺘﻨﮐ و ﻪﻠﺧاﺪﻣ
ﺮﯿﻐﺘﻣ هوﺮﮔ
ﻪﻠﺧاﺪﻣزﻼﺒﻗ
ﻪﻠﺧاﺪﻣزاﺪﻌﺑ
p-value ﯽﺟوز ﯽﺗ نﻮﻣزآ
Mean±SD Mean±SD
ﯽﻫﺎﮔآ ﻪﻠﺧاﺪﻣ
44
/3 41± / 21 83
/0 5/± 25 P <0/001
لﺮﺘﻨﮐ 49
/2 35± / 21 47
/2 43± / 21 P =0.160
شﺮﮕﻧ ﻪﻠﺧاﺪﻣ
45
/2 59± / 19 930
/0 39± / 23 P <0/001
لﺮﺘﻨﮐ 26
/2 63± / 19 23
/2 67± / 19 P =0.486
رﺎﺘﻓر ﻪﻠﺧاﺪﻣ
84
/1 04± / 15 98
/0 80± / 17 P <0/001
لﺮﺘﻨﮐ 88
/1 87± / 14 89
/1 98± / 14 P =0/096
هﺮـﻤﻧ ﻦﯿﮕﻧﺎـﯿﻣ ﻦﯿﺑ ﻪﮐ داد نﺎﺸﻧ ﻞﻘﺘﺴﻣ ﯽﺗ نﻮﻣزآ ﯽﻫﺎـﮔآ ،
،
شﺮﮕﻧ ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫ رﺎﺘﻓر و ﺮﮔ ود رد
زا ﻞﺒﻗ لﺮﺘﻨﮐ و ﻪﻠﺧاﺪﻣ هو
ﺪﺸﻧ هﺪﻫﺎﺸﻣ يراد ﯽﻨﻌﻣ فﻼﺘﺧا ﻪﻠﺧاﺪﻣ )
ﺐﯿﺗﺮﺗ ﻪﺑ 917
/0 ، P=
930 /0 ،P=
656 /0 .(P=
ﻦﯿــﺑ ﯽــﺷزﻮﻣآ ﻪــﻠﺧاﺪﻣ زا ﺪــﻌﺑ ﯽــﻟو هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ
ﯽﻫﺎﮔآ ، شﺮﮕﻧ ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫ رﺎﺘﻓر و هوﺮـﮔ ود رد
يراد ﯽـــﻨﻌﻣ فﻼﺘـــﺧا لﺮـــﺘﻨﮐ و ﻪـــﻠﺧاﺪﻣ ﺪـــﺷ هﺪﻫﺎـــﺸﻣ
) 001 /0
<
()P هرﺎﻤﺷ لوﺪﺟ 3
(.
لوﺪﺟ 3 : ﺎﯿﻣ ﻪﺴﯾﺎﻘﻣ رﺎﺘﻓر و شﺮﮕﻧ ، ﯽﻫﺎﮔآ هﺮﻤﻧ ﻦﯿﮕﻧ
ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ و ﻞﺒﻗ هوﺮﮔ ﻦﯿﺑ
لﺮﺘﻨﮐ و ﻪﻠﺧاﺪﻣ
ﺮﯿﻐﺘﻣ ﯽﻫﺎﮔآ
شﺮﮕﻧ رﺎﺘﻓر
ﻞﺒﻗ ﻪﻠﺧاﺪﻣزا ﻪﻠﺧاﺪﻣزاﺪﻌﺑ
ﻞﺒﻗ ﻪﻠﺧاﺪﻣزا ﻪﻠﺧاﺪﻣزاﺪﻌﺑ
ﻞﺒﻗ ﻪﻠﺧاﺪﻣزا ﻪﻠﺧاﺪﻣزاﺪﻌﺑ
Mean±SD Mean±SD
Mean±SD Mean±SD
Mean±SD Mean±SD
هوﺮﮔ ﻪﻠﺧاﺪﻣ
44 /3 41± / 21 83 /0 5/± 25 45 /2 59± / 19 930 /0 39± / 23 84 /1 04± / 15 98 /0 80± / 17
لﺮﺘﻨﮐ 49
/2 35± / 21 47 /2 43± / 21 26 /2 63± / 19 23 /2 67± / 19 88 /1 87± / 14 89 /1 98± / 14
p-value ﻞﻘﺘﺴﻣ ﯽﺗ نﻮﻣزآ 917
/ 0 p=
P <0/001 p=0/930
P <0/001 p=0/656
p<0/001
ﻦﯿﻨﭽﻤﻫ ﻪـﻠﺧاﺪﻣ هوﺮﮔ رد
ﻦﯿـﺑ ﺮـﯿﻐﺘﻣ رﺎﺘﻓر ﻪﻧاﺮﯿﮕـﺸﯿﭘ يﺎـﻫ ﺎـﺑ
ﯽﻫﺎﮔآ و ﺢﻄـﺳ رد يراد ﯽـﻨﻌﻣ ﯽﮕﺘـﺴﺒﻤﻫ يرﺎـﻣآ ﺮﻈﻧ زا شﺮﮕﻧ
01 /0 ﺖﺷاد دﻮﺟو )
لوﺪﺟ 4 (.
لوﺪﺟ 4 : ﻫ ﺐﯾﺮﺿ ﺲﯾﺮﺗﺎﻣ شﺮﮕﻧ ،ﯽﻫﺎﮔآ تاﺮﯿﯿﻐﺗ ﻦﯿﺑ ﯽﮕﺘﺴﺒﻤ
رﺎﺘﻓر ، ﻪﻠﺧاﺪﻣ هوﺮﮔ رد
نﻮﺳﺮﯿﭘ ﯽﮕﺘﺴﺒﻤﻫ ﯽﻫﺎﮔآ
شﺮﮕﻧ
ﯽﻫﺎﮔآ r
1
p
شﺮﮕﻧ r
379 /
0 **
1
0/009 p
رﺎﺘﻓر r
384**
/ 0 514**
/ 0
008 p / 0 001
/0 <
ﺚﺤﺑ ﻪـﻠﺧاﺪﻣ ﻪـﮐ ﺖﺳا نآ زا ﯽﮐﺎﺣ ﻪﻌﻟﺎﻄﻣ يﺎﻫ ﻪﺘﻓﺎﯾ هﺎﮕﻧ ﮏﯾ رد رد زﺪﯾا لﺎﻘﺘﻧا زا ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫرﺎﺘﻓر و شﺮﮕﻧ ،ﯽﻫﺎﮔآ ﺮﺑ ﯽﺷزﻮﻣآ
ﺖﺳا ﺮﺛﺆﻣ زﺪﯾا ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ .
ﻪـﮐ ﺪـﻫد ﯽـﻣ نﺎـﺸﻧ ﺎـﻫ ﻪـﺘﻓﺎﯾ ﺪـﻌﺑ لﺮـﺘﻨﮐ هوﺮﮔ ﻪﺑ ﺖﺒﺴﻧ ﻪﻠﺧاﺪﻣ هوﺮﮔ رد ﯽﻫﺎﮔآ هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ
ﻪﺘﻓﺎﯾ ﺶﯾاﺰﻓا ﯽﺷزﻮﻣآ ﻪﻠﺧاﺪﻣ زا ﻪـﻣﺎﻧﺮﺑ ﺮﯿﺛﺄـﺗ زا نﺎـﺸﻧ ﻪﮐ ؛ﺖﺳا
دراد نارﺎــﻤﯿﺑ ﯽﻫﺎــﮔآ ﺶﯾاﺰــﻓا ﺮــﺑ ﯽــﺷزﻮﻣآ )
001 /0 P<
.(
ﺞﯾﺎــﺘﻧ
ﯽﻧاﻮـﺨﻤﻫ ﻪـﻌﻟﺎﻄﻣ ﻦﯾا ﺞﯾﺎﺘﻧ ﺎﺑ ﻪﻨﯿﻣز ﻦﯾا رد هﺪﺷ مﺎﺠﻧا تﺎﻌﻟﺎﻄﻣ
دراد . ﺮـﺘﺧد نازﻮـﻣآ ﺶـﻧاد رد هدازﺮـﯿﭘ ﻂـﺳﻮﺗ ﻪـﮐ ﯽﺗﺎـﻌﻟﺎﻄﻣ رد
نﺎﻬﻔــﺻا ﯽﻧﺎﺘــﺳﺮﯿﺑد 26)
نﺎــﻬﺒﻬﺑ رادرﺎــﺑ نﺎــﻧز رد ﯽــﺴﯾﺪﻘﺗ ،(
27)
،( ﯾﺮﮐ ﻪـﯾﺪﻧرز راد ﺮﻫﻮـﺷ نﺎـﻧز رد ﯽـﻤ 28)
،( Peltzer K رد
ﯽﺑﻮـﻨﺟ يﺎـﻘﯾﺮﻓآ زﺪـﯾا ﻪـﺑ ﻼﺘـﺒﻣ نارﺎـﻤﯿﺑ 29)
،( Mini KV رد
زﺪـﯾا ﻪـﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ 30)
و( Jacquelyn H رد ﻢـﮐ نﺎـﻧز رد
ﺲﻠﺠﻧآ ﺲﻟ ﺪﻣآ 31)
ﺪﺷ مﺎﺠﻧا( ﺪـﻣآ ﺖـﺳد ﻪـﯾ ﯽﻬﺑﺎـﺸﻣ ﺞﯾﺎﺘﻧ ،
ﯽﻫﺎـﮔآ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ياﺮﺟا ﯽﻨﻌﯾ داﺮـﻓا
ﺪﯾدﺮﮔ ﻪﻌﻟﺎﻄﻣ ﺖﺤﺗ .
ﺖﺒﺴﻧ ﻪﻠﺧاﺪﻣ هوﺮﮔ رد شﺮﮕﻧ هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ راد ﯽﻨﻌﻣ ﺶﯾاﺰﻓا ﻪـﻣﺎﻧﺮﺑ ﺖـﺒﺜﻣ ﺮﯿﺛﺄـﺗ زا ﯽـﺷزﻮﻣآ ﻪـﻠﺧاﺪﻣ زا ﺪـﻌﺑ لﺮﺘﻨﮐ هوﺮﮔ ﻪﺑ درﻮﻣ رد نارﺎﻤﯿﺑ شﺮﮕﻧ ﺮﺑ ﯽﺘﺷاﺪﻬﺑ دﺎﻘﺘﻋا لﺪﻣ ﺮﺑ ﯽﻨﺘﺒﻣ ﯽﺷزﻮﻣا دراد ﺖــﯾﺎﮑﺣ زﺪــﯾا زا ﻪﻧاﺮﯿﮕــﺸﯿﭘ يﺎــﻫرﺎﺘﻓر .
تﺎــﻌﻟﺎﻄﻣ ﺞﯾﺎــﺘﻧ
Santana RT ﻦﯿــــــﭙﯿﻠﯿﻓ ﯽﺘــــــﺷاﺪﻬﺑ نﺎـــــﻨﮐرﺎﮐ رد
32)
،( EmanTaher يرﺎﺘـــــــﺳﺮﭘ نﺎﯾﻮﺠـــــــﺸﻧاد رد
هﺮﻫﺎﻗ 33) (،
Rickert Vi ﯽـﺴﻨﺟ ﺮـﻈﻧ زا لﺎـﻌﻓ نﺎـﻧز رد
34) ،(
ﯿﺑاﻮﻧ ناﺪـﻫاز ناﺮـﯿﺑد رد ﯽﮕﯾﺮ 35)
،( ﻪـﻌﻟﺎﻄﻣ ﻦـﯾا يﺎـﻫ ﻪـﺘﻓﺎﯾ ﺎـﺑ
دراد ﯽﻧاﻮﺨﻤﻫ .
ﻦﯿﮕﻧﺎـﯿﻣ ﻪـﮐ ﺖﺳا نآ زا ﯽﮐﺎﺣ ﯽﺟوز ﯽﺗ يرﺎﻣآ نﻮﻣزآ ﺞﯾﺎﺘﻧ رد رﺎﺘﻓر هﺮﻤﻧ ﻞـﺒﻗ ﻪﺑ ﺖﺒﺴﻧ ﯽﺷزﻮﻣآ ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ ﻪﻠﺧاﺪﻣ هوﺮﮔ
دراد يراد ﯽـﻨﻌﻣ ﺶﯾاﺰـﻓا ﯽﺷزﻮﻣآ ﻪﻠﺧاﺪﻣ زا .
هﺪـﻨﻫد نﺎـﺸﻧ ﻪـﮐ
ﺮـﺑ ﯽﺘـﺷاﺪﻬﺑ دﺎﻘﺘﻋا لﺪﻣ ﺮﺑ ﯽﻨﺘﺒﻣ ﯽﺷزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ندﻮﺑ ﺶﺨﺑﺮﺛا دراد نارﺎﻤﯿﺑ ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫرﺎﺘﻓر .
ﻦـﯾا رد هﺪـﺷ مﺎـﺠﻧا تﺎـﻌﻟﺎﻄﻣ
ﺪﻨﻘﻓاﻮﻣ ﺞﯾﺎﺘﻧ ﻦﯾا ﺎﺑ ﻪﻨﯿﻣز .
تﺎـﻌﻟﺎﻄﻣ Rose CD
ﻪـﺑ ﻼﺘـﺒﻣ نارﺎـﻤﯿﺑ يور ﺮـﺑ ردHIV
ﺎـــﯿﻧﺮﻔﯿﻟﺎﮐ 36)
، ( Raul D د
زﺪـــﯾا ﻪـــﺑ ﻼﺘـــﺒﻣ نارﺎـــﻤﯿﺑ ر
كرﻮﯾﻮﯿﻧ 37)
،( Seth C Kalichman ﻼﺘـﺒﻣ نارﺎـﻤﯿﺑ رد
38)
، (
Wong Fl هﺪــﺤﺘﻣ تﻻﺎــﯾا ﺮﻬــﺷ رﺎــﻬﭼ رد ﻼﺘــﺒﻣ نارﺎــﻤﯿﺑ رد
39)
،( Mini Kv ﺪـﻨﻫ رد ﻼﺘـﺒﻣ نارﺎـﻤﯿﺑ رد
40)
،( Ergene T
د ﻪﯿﮐﺮﺗ نﺎﯾﻮﺠﺸﻧاد ر 41)
، ( ﻪﯾﺪﻧرز راد ﺮﻫﻮﺷ نﺎﻧز رد ﯽﻤﯾﺮﮐ 29)
( رد دار ﯽﻔﯾﺮﺷ و هﺎـﺸﻧﺎﻣﺮﮐ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ
42) ﻪـﺑ ﻪـﻤﻫ(
ﺪﻨﺘﻓﺎﯾ ﺖﺳد ﻪﻨﯿﻣز ﻦﯾا رد ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺞﯾﺎﺘﻧ ﻪﺑﺎﺸﻣ ﺞﯾﺎﺘﻧ .
ﺪﻫد ﯽﻣ نﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ يﺎﻫ ﻪﺘﻓﺎﯾ ﺎـﺑ ﯽﻫﺎـﮔآ تاﺮﯿﯿﻐﺗ ﻦﯿﺑ ﻪﮐ
رﺎﺘﻓر تاﺮﯿﯿﻐﺗ دراد دﻮـﺟو يراد ﯽـﻨﻌﻣ ﯽﮕﺘـﺴﺒﻤﻫ يرﺎﻣآ ﺮﻈﻧ زا
.
نﺎﯾﻮﺠﺸﻧاد رد ﯽﺋﻼﮐرﺎﺠﻧ ﯽﺘﻤﺣر 43)
ﺶﻧاد رد غﻼﺑ ﻦﯾﺎﻣ ﯽﻔﻄﻟ ،(
ناﺪﻫاز ﯽﯾاﺪﺘﺑا نازﻮﻣآ 44)
ﻪـﻨﯿﻣز ﻦـﯾا رد ﯽﻬﺑﺎﺸﻣ يﺎﻫ ﺞﯾﺎﺘﻧ ﻪﺑ(
ﺪﻨﺘﻓﺎﯾ ﺖﺳد .
يﺮﯿﮔ ﻪﺠﯿﺘﻧ
ﯽﺷزﻮﻣآ ﻪﻣﺎﻧﺮﺑ داد نﺎﺸﻧ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﯽﻫﺎﮔآ ﺮﺑ
رﺎـﺘﻓر و شﺮـﮕﻧ ،
ا ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫ ﺒﻣ نارﺎﻤﯿﺑ رد زﺪﯾا ز
زﺪـﯾا ﻪـﺑ ﻼﺘ ا و ﺖـﺳا ﺮﺛﻮـﻣ
ز
ﺶﯾاﺰــﻓا ﻖــﯾﺮﻃ ﺢﻄــﺳ
شﺮــﮕﻧ و ﯽﻫﺎــﮔآ ناﻮــﺗ ﯽــﻣ
يﺎــﻫ رﺎــﺘﻓر
لﺎﻘﺘﻧا زا ﻪﻧاﺮﯿﮕﺸﯿﭘ داد ءﺎـﻘﺗرا ار يرﺎـﻤﯿﺑ
. ﯾﺎـﺘﻧ رد ﻪـﻌﻟﺎﻄﻣ ﻦـﯾا ﺞ
ﻪﺑ نﺎﯾﻼﺘﺒﻣ ي ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫرﺎﺘﻓر دﻮﺒﻬﺑ ﺖﻬﺟ يﺮـﺳ ﮏـﯾ زﺪـﯾا
هﺎﮕﺸﻧاد ﻞﺜﻣ ﯽﺗﺎﺴﺳﺆﻣ و ﺪﻫد ﯽﻣ ﻪﺋارا ﯽﺗادﺎﻬﻨﺸﯿﭘ ﯽﮑـﺷﺰﭘ مﻮﻠﻋ
و هروﺎﺸﻣ ﺰﮐاﺮﻣ ، ﯽﮑﺷﺰﭘ مﻮﻠﻋ يﺎﻬﻫﺎﮕﺸﻧاد نﺎﯾﻮﺠﺸﻧاد
ﺪﻨﻧاﻮﺗ ﯽﻣ
ﺪـﻧﺮﺒﺑ هﺮـﻬﺑ ﻪـﻌﻟﺎﻄﻣ ﻦﯾا ﺞﯾﺎﺘﻧ زا .
تﻼﺧاﺪـﻣ دﻮـﺷ ﯽـﻣ دﺎﻬﻨـﺸﯿﭘ
ﻣ ﻪـﺑ شﺮـﮕﻧ و ﯽﻫﺎـﮔآ ﺶﯾاﺰﻓا يﺎﺘﺳار رد ﯽﺷزﻮﻣآ يﺎـﻘﺗرا رﻮـﻈﻨ
ﻪﻧاﺮﯿﮕﺸﯿﭘ يﺎﻫرﺎﺘﻓر ﻄﺳ رد زﺪﯾا ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ
ﺎـﺑ و ﺮﺘﻌﯿـﺳو ﺢ
ﺮﺘﺸﯿﺑ ﻪﻧﻮﻤﻧ داﺪﻌﺗ ـﺳﺮﻬﺷ ﺮﯾﺎﺳ رد
يﺎـﻫ توﺎـﻔﺗ ﺎـﺑ رﻮـﺸﮐ يﺎﻬﻧﺎﺘ
ﯽﻣﻮﻗ ،ﯽﮕﻨﻫﺮﻓ دﺮﯾﺬﭘ ترﻮﺻ يدﺎﺼﺘﻗا و ﯽﻋﺎﻤﺘﺟا ،
.
ﺮﮑﺸﺗ ﯽﻧادرﺪﻗ و
ﻦــﻓ و تﺎــﻘﯿﻘﺤﺗ ﺖــﻧوﺎﻌﻣ يرﺎــﮑﻤﻫ زا مﻮــﻠﻋ هﺎﮕــﺸﻧاد يروآ
ناﺪﻫاز ﯽﮑﺷﺰﭘ نارﺎـﻤﯿﺑ زا و ﺖـﺷاﺪﻬﺑ هﺪﮑﺸﻧاد ﯽﺸﻫوﮋﭘ ﺖﻧوﺎﻌﻣ ،
ﻣ ﻦﯾا رد هﺪﻨﻨﮐ ﺖﮐﺮﺷ ﻪﻌﻟﺎﻄ
ﻢﯾراﺰﮕـﺳﺎﭙﺳ ﻪﻧﺎﻤﯿﻤـﺻ .
ﻪـﻟﺎﻘﻣ ﻦـﯾا
ﺪـﺷرا ﯽـﺳﺎﻨﺷرﺎﮐ ﻪـﺟرد ﻪﻣﺎﻧ نﺎﯾﺎﭘ ﺞﯾﺎﺘﻧ زا ﯽﺸﺨﺑ لوا هﺪﻨـﺴﯾﻮﻧ
هرﺎﻤﺷ ﯽﺸﻫوﮋﭘ حﺮﻃ ﺐﻟﺎﻗ رد ﻪﻟﺎﻘﻣ 5693
مﻮـﻠﻋ هﺎﮕـﺸﻧاد بﻮﺼﻣ
ناﻮـﻨﻋ ﺖـﺤﺗ ناﺪـﻫاز ﯽﻧﺎﻣرد ﯽﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﯽﮑﺷﺰﭘ
"
ﺮﯿﺛﺄـﺗ
ﻣآ ﻪﻣﺎﻧﺮﺑ دﺎـﻘﺘﻋا لﺪـﻣ ﺮﺑ ﯽﻨﺘﺒﻣ ﯽﺷزﻮ ﯽﺘـﺷاﺪﻬﺑ
يﺎـﻫ رﺎـﺘﻓر ﺮـﺑ
ﻪﻧاﺮﯿﮕﺸﯿﭘ نﺎﯾﻼﺘﺒﻣ رد يرﺎﻤﯿﺑ لﺎﻘﺘﻧا زا
زﺪﯾا ﻪﺑ
"
ﺪﺷﺎﺑ ﯽﻣ . References:
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The Effect of Educational Program on Knowledge, Attitudes and Preventive Behaviors of Disease Transmission in Patients with AIDS
Tabasi Darmiyan A1, Zareban I2*, Masuodi GH 3, SHahrakipoor M4
1-Scholar of Health Educationand Health Promotion, faculty of Public Health, Zahedan University of Medical Sciences.
2- Ph.D is Health Educationand Health Promotion, Faculty Member faculty of Public Health, Zahedan University of Medical Sciences.
3- Faculty Member faculty of Public Health, Zahedan University of Medical Sciences.
4-Ph.D is Biostatistics, Faculty Member faculty of Public Health, Zahedan University of Medical Sciences
*Corresponding Author: Ph.D is Health Educationand Health Promotion, Faculty Member faculty of Public Health, Zahedan University of Medical Sciences.
Email: [email protected]
Abstract
Background and Aim: According to available statistics, AIDS is still one of the most deadly diseases in the world which killed 1.8 million people in 2010. This study aimed to assess the effect of educational program on knowledge, attitude and behaviors of disease transmission in patients with AIDS.
Material and Methods: This research is a quasi experimental study which involved 92 patients with AIDS / HIV Saravan and Sarbaz in 2012. Due to the low number of patients with the sampling, the method was census. Researcher-developed questionnaire included demographic information, knowledge questions, questions of attitude and performance in a preliminary test and again in the second test(after implementing the curriculum) were used. Experts confirmed the validity of the questionnaire and its reliability coefficient alpha 0.72 was confirmed. To describe data, the parameters of the central (mean) and dispersion (standard deviation) for the analysis of independent t-tests, paired t-test, Chi-square and Pearson correlation were used.
Results: Before the intervention, the mean score of knowledge, attitude and behavior was not significantly different between the two groups. T-test results showed that the mean scores of all variables after training in the experimental group has significantly increased (p<0/001). There was a significant correlation between knowledge, attitudes and behavior.
Conclusion: Survey results indicate that the training program on knowledge, attitudes and behaviors to promote effective prevention of HIV transmission and to increase the knowledge and attitudes can promote the preventive behaviors.
Keywords: Knowledge, Attitudes, AIDS, Preventive Behavior, Education
