ﻠﺠﻣ رﺎﺘﺳﺮﭘ ﻪ ي هﮋﻳو ﺖﺒﻗاﺮﻣ
هرود 3 هرﺎﻤﺷ ، 1 ، رﺎﻬﺑ 1389
تﺎﺤﻔﺻ : 19 ﺎﺗ 22
لﻮﺌﺴﻣ هﺪﻨﺴﻳﻮﻧ :
ﻲﺒﻴﻃ ﻲﻠﻋ . ﺖﺳاﻮﺧرد مﺎﻤﺗ ﺎﺑ ﺎﻫ
ﻳ ﻪﺑ ﺪ ﻧﺎﺸﻧ ﻲ [email protected] ﺪﻧﻮﺷ هدﺎﺘﺳﺮﻓ
.
ﻪﻟﺎﻘﻣ ﺖﻓﺎﻳرد :
18 / 7 / 1388 ﻪﻟﺎﻘﻣ شﺮﻳﺬﭘ :
19 / 11 / 1388
ﻪﺴﻳﺎﻘﻣ ﺰﻴﻟﺎﻳﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ
ﻱ ﻪﻴﻠﻛ ﺪﻧﻮﻴﭘ ﻭ
ﻲﺒﻴﻃ ﻲﻠﻋ MSc*
، ﻲﻤﻴﻠﺳ ﻦﻴﺴﺣﺪﻴﺳ PhD۱
، ﻱﺩﻮﻤﺤﻣ ﻦﻴﺴﺣ MSc۲
، ﺪﻴﺳ ﺴﻳﺭﺪﺗ ﺩﻭﺍﺩ ۲ﻲ
MSc
ﻪﻴﻘﺑ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻱﺭﺎﺘﺳﺮﭘ ﻩﺪﻜﺸﻧﺍﺩ* ﺍ
)...
ﺞﻋ
،(
ﻥﺍﺮﻳﺍ ،ﻥﺍﺮﻬﺗ
ﻱﮊﻮﻟﻮﻳﺰﻴﻓ ﺕﺎﻘﻴﻘﺤﺗ ﺰﻛﺮﻣ۱ ﺵﺯﺭﻭ
، ﻲﮑﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻪﻴﻘﺑ
ﺍ
)...
ﺞﻋ
ﻥﺍﺮﻬﺗ ،(
ﻥﺍﺮﻳﺍ ،
ﻱﺭﺎﺘﺳﺮﭘ ﻩﺪﻜﺸﻧﺍﺩ۲ ،
ﻪﻴﻘﺑ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﺍ
)...
ﺞﻋ
،(
ﻥﺍﺮﻳﺍ ،ﻥﺍﺮﻬﺗ
ﻩﺪﻴﮑﭼ
ﻑﺍﺪﻫﺍ : ﻥﺎﻣﺭﺩ ﺭﺩ ﻦﻳﺰﮕﻳﺎﺟ ﻱﺎﻫ ﻪﻴﻠﻛ
، ﻲﻧﻻﻮﻃ ﺎﻬﻨﺗ ﻑﺪﻫ ﺖﺴﻴﻧ ﻲﺘﻣﻼﺳ ﻆﻔﺣ ﻭ ﻲﮔﺪﻧﺯ ﻥﺩﺮﻛ
، ﺎﻘﺗﺭﺍ ﻭ ﻆﻔﺣ ﻪﻜﻠﺑ ﯼ
ﺰﻴﻧ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﺮﻈﻧﺪﻣ
ﺖﺳﺍ . ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﻑﺪﻫ ﺎﺑ
ﻦﻴﻴﻌﺗ ﻪﺴﻳﺎﻘﻣ ﻭ ﻥﺍﺰﻴﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ
ﻱ ﺪﺷ ﻡﺎﺠﻧﺍ ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ﻭ .
ﺵﻭﺭ ﺎﻫ : ﻪﺴﻳﺎﻘﻣ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺍ
ﻱ ﻌﻄﻘﻣ ﻲ ﻭﺭ ﻱ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﻱ
ﻪﻌﺟﺍﺮﻣ ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ﻭ ﮑﻳ ﻪﺑ ﻩﺪﻨﻨﮐ
ﻲ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺯﺍ ﺎﻫ
ﻱ ﻝﺎﺳ ﺭﺩ ﻥﺍﺮﻬﺗ ﺮﻬﺷ
۱۳۸۷ ﺪﺷ ﻡﺎﺠﻧﺍ . ۷۶ ﻪﻴﻠﻛ ﺪﻧﻮﻴﭘ ﻭ ﻱﺰﻴﻟﺎﻳﺩ ﺭﺎﻤﻴﺑ ﻪﻧﻮﻤﻧ ﺵﻭﺭ ﻪﺑ
ﺮﻴﮔ ﻱ ﻨﺘﺒﻣ ﻲ ﻑﺪﻫ ﺮﺑ ﺪﻧﺪﺷ ﺏﺎﺨﺘﻧﺍ .
ﺍﺮﺑ ﻱ ﻊﻤﺟ ﺭﻭﺁ ﻱ ﻩﺩﺍﺩ ﺯﺍ ﺎﻫ ﺶﺳﺮﭘ ﻪﻣﺎﻧ
ﺕﺎﻋﻼﻃﺍ ﺖﻴﻌﻤﺟ ﺶﺳﺮﭘ ﻭ ﻲﺘﺧﺎﻨﺷ ﻪﻣﺎﻧ
SF-36 ﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺪ . ﻩﺩﺍﺩ ﻡﺮﻧ ﺎﺑ ﺎﻫ ﺭﺍﺰﻓﺍ SPSS 15 ﻥﻮﻣﺯﺁ ﻭ
ﺎﻫ ﻱ ﺭﺎﻣﺁ ﻱ ﺗ ﻲ ﺟﻭﺯ ﻲ ﺗ ، ﻲ ﺰﻴﻟﺎﻧﺁ ﻭ ﻞﻘﺘﺴﻣ
ﻩﺯﺍﺪﻧﺍ ﺲﻧﺎﻳﺭﺍﻭ ﺮﻴﮔ
ﻱ ﺪﻧﺪﺷ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ ﺭﺮﮑﻣ .
ﻪﺘﻓﺎﻳ ﺎﻫ : ﻱﺩﺎﺼﺘﻗﺍ ﺖﻴﻌﺿﻭ ﺯﺍ ﺖﻳﺎﺿﺭ ﻞﻐﺷ ﻭ ﻩﺩﺍﻮﻧﺎﺧ ،
) ۱
= ﻲﻠﻴﺧ ﺎﺗ ﻲﺿﺍﺭ ۵
= ﻲﻠﻴﺧ ﻲﺿﺍﺭﺎﻧ ( ﻪﺑ ﻱﺰﻴﻟﺎﻳﺩ ﻩﻭﺮﮔ ﻱﺍﺮﺑ ﺐﻴﺗﺮﺗ ۲۰
/ ۳ ) ﻲﺒﺴﻧ ﺖﻳﺎﺿﺭ (،
۳۴ / ۲ ) ﻲﺿﺍﺭ ( ﻭ ۳۶ / ۱ ) ﻲﻠﻴﺧ ﻲﺿﺍﺭ ( ﺪﻧﻮﻴﭘ ﻩﻭﺮﮔ ﻱﺍﺮﺑ ﻭ ﻪﻴﻠﮐ
۷۵ / ۲ ) ﻲﺒﺴﻧ ﺖﻳﺎﺿﺭ (
، ۲ ) ﻲﺿﺍﺭ ( ﻭ ۱۰ / ۳ ) ﻲﺒﺴﻧ ﺖﻳﺎﺿﺭ (
ﺩﻮﺑ . ﺖﻴﻔﻴﻛ ﺩﺭﻮﻣ ﺭﺩ
ﻲﮔﺪﻧﺯ
، ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ ﻪﻄﻴﺣ ﺭﺩ ﻩﻭﺮﮔ ﻭﺩ )
۰۰۴ / ۰
= ( p ﻲﻤﺴﺟ ﺖﻣﻼﺳ ﻩﺮﻤﻧ ﻭ )
۰۱ / ۰
= (p ﻨﻌﻣ ﺕﻭﺎﻔﺗ ﺮﮕﻳﺪﻜﻳ ﺎﺑ ﻲ
ﺍﺩ ﺭﺍﺩ ﺘﺷ ﺪﻨ .
ﻪﺠﻴﺘﻧ ﻱﺮﻴﮔ : ﺮﺘﻬﺑ ﻩﺮﻤﻧ ﺐﺴﮐ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻨﻌﻣ ﻭ
ﻲ
،ﺭﺍﺩ ﻱﺪﻧﻮﻴﭘ ﻩﻭﺮﮔ ﺯﺍ
ﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻲ
ﺮﺘﻬﺑ ﻱ ﻪﻄﻴﺣ ﺭﺩ ﺎﻫ ﻱ ﻣﻮﻤﻋ ﺖﻣﻼﺳ ﻲ
ﻭ ﻠﮐ ﻩﺮﻤﻧ ﻲ ﺖﻣﻼﺳ
ﻤﺴﺟ ﻧﺎ ﻲ ﺰﻴﻟﺎﻳﺩ ﻩﻭﺮﮔ ﻪﺑ ﺖﺒﺴﻧ ﻱ
ﺪﻨﺘﺴﻫ ﺭﺍﺩﺭﻮﺧﺮﺑ .
ﻩﮊﺍﻭﺪﻴﻠﮐ ﺎﻫ : ﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻲ ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ،ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ،
Comparison of quality of life
in haemodialysis and renal transplantation pateints
Tayyebi A.* MSc, Salimi S. H.1PhD, Mahmoudi H.2MSc, Tadrisi S. D.2MSc
٭Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
1Exercise Physiology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
2Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
Abstract
Aims: In renal replacement therapies, increaseing the life expectancy and keeping health is not the only goal, rather it involves keeping and increasing quality of life. The aim of this study was to measure and compare the quality of life in renal transplantation and haemodialysis patients.
Methods: This descriptive-analytical study performed on renal transplantation and haemodialysis patients reffered to one of the Tehran city hospitals in 2008. 76 haemodialysis and renal transplantation patients were selected by purposeful sampling method. For data collection, demographic and SF-36 questionnaires were used. Data was analyzed by SPSS 15 software and paired T-test and ANOVA with repeated measures methods.
Results: Economic, family and job satisfaction (1=very satisfied; 5=very unsatisfied) for haemodialysis patients were 3.2 (relative satisfied), 2.34 (satisfied) and 1.36 (very satisfied) and for transplantation patients were 2.75 (relative satisfied), 2 (satisfied) and 3.10 (very satisfied), respectively. Two groups had significant differences in quality of life in general health (p=0.004) and physical health (p=0.01).
Conclusion: Transplantation patients with higher score in quality of life in general health and physical health have better life than haemodialysis patients.
Keywords: Quality of Life, Haemodialysis, Renal Transplantation
ﺒﻗاﺮﻣ يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ ﺖ
هﮋﻳو
هرود
3 هرﺎﻤﺷ ، 1 ، رﺎﻬﺑ 1389
20
ﻣ ﻪﻣﺪﻘ
ﻱﺭﺎﻤﻴﺑ ﻱﺭﺎﻤﻴﺑ ﻪﻠﻤﺟ ﺯﺍ ﻱﻮﻴﻠﻛ ﻦﻣﺰﻣ ﻱﺎﻫ ﻪﻧ ﻪﻛ ﺪﻨﺘﺴﻫ ﻲﻳﺎﻫ
ﺎﻬﻨﺗ
ﺩﺎﻌﺑﺍ ﻪﻜﻠﺑ ﻲﻤﺴﺟ ﺖﻣﻼﺳ ﺮﮕﻳﺩ
ﻩﺮﻃﺎﺨﻣ ﻪﺑ ﺰﻴﻧ ﺍﺭ ﻲﺘﻣﻼﺳ ﻣ
ﻲ ﺍﺪﻧﺍ
؛ﺪﻧﺯ ﺯﺍ
ﻦﻳﺍ
،ﻭﺭ ﻪﻣﺎﻧﺮﺑ ﻲﻧﺍﻮﺗﺯﺎﺑ ﻭ ﻊﻣﺎﺟ ﻱﺰﻳﺭ ﻦﻳﺍ
ﺏﺎﻨﺘﺟﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻲﻣ ﺮﻳﺬﭘﺎﻧ
ﺪﻳﺎﻤﻧ .
ﻴﻠﻛ ﻖﻓﻮﻣ ﺖﻓﺎﻳﺭﺩ ﻡﺪﻋ ﺕﺭﻮﺻ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻦﻳﺍ ﺮﺿﺎﺣ ﻝﺎﺣ ﺭﺩ ﻪ
ﺎﺑ ،
ﺵﻭﺭ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺩﻭﺯ ﮒﺮﻣ ﺯﺍ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻪﻠﻤﺟ ﺯﺍ ﻲﻧﺎﻣﺭﺩ ﻦﻳﻮﻧ ﻱﺎﻫ
ﺱﺭ
ﻲﻳﺎﻫﺭ ﻪﺘﻓﺎﻳ
، ﻲﻤﺴﺟ ﺕﻼﻜﺸﻣ ﺯﺍ ﻲﻌﻴﺳﻭ ﻒﻴﻃ ﺭﺩ ﻝﺎﺣ ﻦﻴﻋ ﺭﺩ ﻲﻧﺍﻭﺭ ،
،
ﻲﻣ ﺭﺍﺮﻗ ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﻱﺩﺎﺼﺘﻗﺍ ﮔ
ﻧﺁ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﻉﻮﻤﺠﻣ ﺭﺩ ﻪﻛ ﺪﻧﺮﻴ ﺍﺭ ﺎﻬ
ﻲﻣ ﺭﺍﺮﻗ ﺮﻴﺛﺎﺗ ﺚﺤﺗ ﺪﻫﺩ
.
ﺪﻳﺍﺯ ﺩﺍﻮﻣ ﻊﻓﺩ ﻭ ﺕﺎﻌﻳﺎﻣ ﻖﻴﻗﺩ ﻢﻴﻈﻨﺗ ،
ﻲﻳﺎﻴﻤﻴﺷ ﺕﺎﺒﻴﻛﺮﺗ ﺯﺍ ﻲﺧﺮﺑ ﺢﺷﺮﺗ ،
ﻥﻮﻣﺭﻮﻫ ﻦﻴﻣﺎﺘﻳﻭ ﻥﺩﻮﻤﻧ ﻝﺎﻌﻓ ﻭ ﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻪﻠﻤﺟ ﺯﺍD
ﻪﻴﻠﻛ ﻱﺎﻫ ﺭﺩ ﺎﻫ
ﻥﺪﺑ ﺪﻨﺘﺴﻫ . ﻱﺭﺎﻤﻴﺑ ﺮﺛﺍ ﺭﺩ ﻪﻛ ﻲﻧﺎﻣﺯ ﺎﻣﺍ ﺯﺍ ﺶﻴﺑ ﻒﻠﺘﺨﻣ ﻱﺎﻫ
۹۵
% ﺞﺴﻧ
ﺐﻳﺮﺨﺗ ﻪﻴﻠﻛ ﺩﻮﺷ
ﻲﻣ ﻱﺪﺣ ﻪﺑ ﻥﺪﺑ ﺭﺩ ﻡﻮﻤﺳ ﻊﻤﺠﺗ ، ﻪﻣﺍﺩﺍ ﻪﻛ ﺪﺳﺭ
ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻥﻭﺪﺑ ﺕﺎﻴﺣ ﻴﻠﻛ ﺪﻧﻮﻴﭘ ﺎﻳ ﺰﻴﻟﺎﻳﺩ
ﺩﻮﺑ ﺪﻫﺍﻮﺨﻧ ﺭﻭﺪﻘﻣ ﻪ ]
۱ [.
ﺖﻓﺎﻳﺭﺩ ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ ﺖﻴﻌﺿﻭ ﻥﺍﺭﺎﻤﻴﺑ ﺯﺍ ﺮﺘﻬﺑ ﺎﻣﻮﻤﻋ ﻪﻴﻠﻛ ﻥﺎﮔﺪﻨﻨﻛ
ﻮﺑ ﺰﻴﻟﺎﻳﺩ ﺖﺤﺗ ﺩ
ﺖﻴﻟﺎﻌﻓ ﻉﻭﺮﺷ ﻭ ﺭﺎﻛ ﻪﺑ ﻝﺎﻐﺘﺷﺍ ﻝﺎﻤﺘﺣﺍ ﻭ ﻩ ﻱﺩﺎﻋ ﻱﺎﻫ
ﺮﺘﺸﻴﺑ ﺎﻬﻧﺁ ﺭﺩ ﺰﻴﻧ ﻪﻧﺍﺯﻭﺭ ﺖﺳﺍ
. ﻪﻨﻳﺰﻫ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻦﻜﻴﻟ ﺪﻧﻮﻴﭘ ﻦﻴﮕﻨﺳ ﻱﺎﻫ
ﻥﺎﻨﻴﻤﻃﺍ ﻡﺪﻋ ﻭ ﻪﻴﻠﻛ ﻞﻣﺎﮐ
ﻴﭘ ﻥﺩﻮﺑ ﻖﻓﻮﻣ ﺯﺍ ﺪﻧﻮ
ﺯﺍ ﻱﺩﺎﻳﺯ ﺩﺍﺪﻌﺗ ﺯﻮﻨﻫ ،
ﺎﺘﻌﻴﺒﻃ ﻪﻛ ﺪﻧﺭﺍﺩ ﺭﺍﺮﻗ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺎﺑ ﺮﻤﺘﺴﻣ ﻥﺎﻣﺭﺩ ﺖﺤﺗ ﻱﻮﻴﻠﻛ ﻥﺍﺭﺎﻤﻴﺑ ﻤﺴﺟ ﻥﻮﮔﺎﻧﻮﮔ ﺕﻼﻜﺸﻣ ﻧﺎ
ﻲ ﺎﻬﻧﺁ ﻱﺍﺮﺑ ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﻲﻧﺍﻭﺭ ، ﻪﺑ
ﺩﻮﺟﻭ ﻲﻣ ﺁﻳ ﺪ
] ۲ [.
ﻪﻨﻳﺰﻫ ﺎﺑ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺎﺑ ﻥﺎﻣﺭﺩ ﺖﺤﺗ ﺭﺎﻤﻴﺑ ﻭ ﻥﺎﻣﺭﺩ ﻒﻠﺘﺨﻣ ﻱﺎﻫ
ﺖﻓﺭ ﻭ ﻪﺟﺍﻮﻣ ﻲﻧﺎﻣﺭﺩ ﺰﻛﺍﺮﻣ ﻪﺑ ﺪﻣﺁ ﺖﺳﺍ
ﻪﻛ ﺮﺴﻛ ﺭﺍﻮﻧﺎﺧ ﻪﺟﺩﻮﺑ ﺯﺍ ﺎﻣﺍﺰﻟﺍ
ﻲﻣ ﺩﻮﺷ . ﺭﺩ ﻦﻤﺿ
، ﻪﺑ ﻭ ﻲﮔﺩﺍﻮﻧﺎﺧ ،ﻲﻠﻐﺷ ﺖﻴﻌﻗﻮﻣ ﺮﻤﺘﺴﻣ ﺰﻴﻟﺎﻳﺩ ﻞﻴﻟﺩ
ﺖﺳﺩ ﺩﺍﺮﻓﺍ ﻦﻳﺍ ﺯﺍ ﻱﺭﺎﻴﺴﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺮﻴﻴﻐﺗ ﺵﻮﺧ
ﺩﻮﺷ ﻲﻣ . ﻥﺁ ﺯﺍ ﻲﻳﺎﺟ ﻪﻛ
ﺖﻓﺎﻳﺭﺩ ﻻﻮﻤﻌﻣ ﺭﻭﺩ ﺰﻴﻧ ﻪﻴﻠﻛ ﻥﺎﮔﺪﻨﻨﻛ
ﻩ ﻲﻃ ﺍﺭ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ
ﻩﺩﻮﻤﻧ ﺪﻧﺍ ﺪﻧﺯ ﺖﻴﻔﻴﻛ ﺮﺑ ﻥﺁ ﺮﻴﺛﺎﺗ ﺯﺍ ، ﻩﺪﻧﺎﻤﻧ ﻥﻮﺼﻣ ﺩﻮﺧ ﻲﮔ
ﺪﻧﺍ . ﻲﻳﺎﺳﺭﺎﻧ
ﻥﺎﻣﺭﺩ ﻭ ﻱﻮﻴﻠﻛ ﻦﻣﺰﻣ ﻩﺪﻤﻋ ﺕﻼﻜﺸﻣ ﺯﻭﺮﺑ ﺐﺟﻮﻣ ﻥﺁ ﻱﺎﻫ
ﺭﺩ ﻱﺍ
ﺖﻴﻟﺎﻌﻓ ﺭﺎﻤﻴﺑ ﻖﻳﻼﻋ ﻭ ﺪﻴﻔﻣ ﻱﺎﻫ ﻣ
ﻲ ﻮﺷ ﺩ ﻪﺑ ﺕﻼﻜﺸﻣ ﻦﻳﺍ ﻪﻛ ﺭﻮﻃ
ﻲﻨﻌﻣ ﺩﺭﺍﺩ ﻪﻄﺑﺍﺭ ﻥﺍﺭﺎﻤﻴﺑ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﺎﺑ ﻱﺭﺍﺩ ]
۳ [.
ﺩﺎﻌﺑﺍ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ
ﻲﻤﺴﺟ ﺶﻳﺎﺳﺁ ﻭ ﺖﻣﻼﺳ ﺕﻭﺎﻔﺘﻣ ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﻲﻧﺍﻭﺭ ،
ﺭﺩ ﺍﺭ ﺩﺍﺮﻓﺍ ﻲﮔﺪﻧﺯ
ﻲﮔﺪﻧﺯ ﺯﺍ ﻭﺍ ﻙﺭﺩ ﻭ ﺺﺨﺷ ﻪﺑﺮﺠﺗ ﺯﺍ ﺮﺛﺎﺘﻣ ﻭ ﻪﺘﺷﺍﺩﺮﺑ ﺖﺳﺍ
ﺎﺑ ﻪﻛ
ﻲﻣ ﺮﻴﻴﻐﺗ ﻥﺎﻣﺯ ﺖﺷﺬﮔ ﺪﻨﻛ
. ﻱﺍﺭﺍﺩ ﺩﺎﻌﺑﺍ ﻦﻳﺍ ﺯﺍ ﻚﻳ ﺮﻫ ﺭﺩ
ﻲﻨﻫﺫ ﻪﺒﻨﺟ ﻭﺩ
ﻩﺯﺍﺪﻧﺍ ﻞﺑﺎﻗ ﻲﻨﻴﻋ ﻭ ﺖﺳﺍ ﻱﺮﻴﮔ
. ﺮﮔﺍ ﻥﺍﺰﻴﻣ ﻒﻴﺻﻮﺗ ﺭﺩ ﻲﻨﻴﻋ ﻪﺒﻨﺟ ﻪﭼ
ﺖﺳﺍ ﻢﻬﻣ ﺩﺮﻓ ﺖﻣﻼﺳ ﺖﻓﺎﻳﺭﺩ ﻭ ﺕﺍﺭﺎﻈﺘﻧﺍ ﺎﻣﺍ ،
ﺩﺮﻓ ﻲﻨﻫﺫ ﻱﺎﻫ ﻪﻛ ﺖﺳﺍ
ﻪﺑﺮﺠﺗ ﻲﻌﻗﺍﻭ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﺮﮕﻧﺎﻴﺑ ﺖﺳﻭﺍ ﻩﺪﺷ
. ﺍﺭ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﻲﺧﺮﺑ
ﺖﻳﺎﺿﺭ ﻭ ﻲﻟﺎﺤﺷﻮﺧ ﺢﻄﺳ ﺎﺑ ﻪﻄﺑﺍﺭ ﺭﺩ ﻲﮔﺪﻧﺯ ﺯﺍ ﻱﺪﻨﻣ
ﻭ ﺩﻮﺧ ﺯﺍ ﺖﻳﺎﺿﺭ ،
ﻒﻳﺮﻌﺗ ﻦﺘﺴﻳﺯ ﺮﺘﻬﺑ ﻱﺩﺮﻓ ﺱﺎﺴﺣﺍ ﻣ
ﻲ ﺪﻨﻨﮐ ] ۴
، ۵ ، ۶
، ۷ [.
ﺰﻴﻧ ﻲﻫﻭﺮﮔ
ﻪﻧﺎﺸﻧ ﻭ ﻱﺭﺎﻤﻴﺑ ﻝﺮﺘﻨﻛ ﻭ ﻱﺩﺮﻜﻠﻤﻋ ﺩﺎﻌﺑﺍ ﺭﺩ ﺍﺭ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﻥﺁ ﻱﺎﻫ
ﻮﻣ ﺭﺍﺮﻗ ﻪﺟﻮﺗ ﺩﺭ ﻣ
ﻲ ﺩ ﻫ ﺪﻨ ] ۸ ، ۹ .[
ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ
ﻱﺭﺎﻤﻴﺑ ﻲﮔﮋﻳﻭ ﺎﺑ ﻦﻣﺰﻣ ﻱﺎﻫ ﻧﺁ ﻱﺩﺮﻓ ﻱﺎﻫ
ﻬ ﺖﻘﻴﻘﺣ ﺭﺩ ﻭ ﺩﺭﺍﺩ ﻁﺎﺒﺗﺭﺍ ﺎ
ﺕﺭﺎﻬﻣ ﺖﻴﻌﻗﻮﻣ ﺭﺩ ﺩﺍﺮﻓﺍ ﻱﺭﺎﮔﺯﺎﺳ ﻱﺎﻫ ﻒﻠﺘﺨﻣ ﻱﺎﻫ
ﻲﮔﺪﻧﺯ ﻪﻛ ﻪﭽﻧﺁ ﻪﺑ ،
ﻪﺘﺧﻮﻣﺁ ﺩﻮﺧ ﻝﺮﺘﻨﻛ ﻩﺭﺎﺑﺭﺩ ﻼﺒﻗ ﺪﻧﺍ
ﺩﺭﺍﺩ ﻲﮕﺘﺴﺑ ، .
ﻦﻳﺍ ﺯﺍ ﻭﺭ ﺦﺳﺎﭘ ، ﻧﺁ ﻱﺎﻫ ﺎﻬ ﺭﺩ ﺖﺳﺍ ﺕﻭﺎﻔﺘﻣ ﻲﮔﺪﻧﺯ ﻥﻮﮔﺎﻧﻮﮔ ﻂﻳﺍﺮﺷ ﺎﺑ ﻲﻳﻭﺭﺎﻳﻭﺭ
؛ ﻱﺭﺎﻤﻴﺑ ﺎﻫ ﻱ
ﺖﻴﻌﻗﻮﻣ ﺯﺍ ﻲﻜﻳﺰﻴﻓ ﻲﻳﺎﻫ
ﺪﻨﺘﺴﻫ ﺦﺳﺎﭘ ﻦﻳﺍ ﺮﺑ ﻪﻛ ﺭﺍﺩ ﺮﻴﺛﺎﺗ ﺎﻫ
ﻧ ﺪ ] ۱۰ [.
ﻲﻣ ﻱﺮﭙﺳ ﻦﻣﺰﻣ ﻲﻧﺍﻮﺗﺎﻧ ﺎﺑ ﺍﺭ ﻲﮔﺪﻧﺯ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺪﻨﻨﻛ
ﻪﺑ ﺯﺎﻴﻧ ،
ﺖﻳﺎﻤﺣ ﻪﺑ ﻥﻮﮔﺎﻧﻮﮔ ﻱﺎﻫ ﺼﺼﺨﺘﻣ ﺐﻧﺎﺟ ﺯﺍ ﺕﺎﻣﺪﺧ ﺖﻓﺎﻳﺭﺩ ﺹﻮﺼﺧ
ﺎ ﻥ
ﺎﻤﺘﺟﺍ ﻭ ﻲﻧﺍﻭﺭ ﺖﻣﻼﺳ ﺪﻧﺭﺍﺩ ﻲﻋ
. ﻥﺍﻮﻨﻋ ﺐﻟﺎﻄﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻦﻳﺍ ،ﻩﺪﺷ
ﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻥﺍﺰﻴﻣ ﻪﺴﻳﺎﻘﻣ ﻭ ﻦﻴﻴﻌﺗ ﻑﺪﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻲ
ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ
ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻱ ﺪﻴﺳﺭ ﻡﺎﺠﻧﺍ ﻪﺑ ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ﻭ .
ﺵﻭﺭ ﺎﻫ ﻠﻋ ﻉﻮﻧ ﺯﺍ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﻤ
ﻲ - ﻪﺴﻳﺎﻘﻣ ﻱﺍ ﺖﺳﺍ ﻪﺑ ﻪﻛ ﻲﻌﻄﻘﻣ ﺵﻭﺭ ﻭﺭ
ﻱ
ﺖﻓﺎﻳﺭﺩ ﻭ ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺎﺑ ﻥﺎﻣﺭﺩ ﺖﺤﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻛ ﻥﺎﮔﺪﻨﻨﻛ
ﻪﻌﺟﺍﺮﻣ ﻪﻴﻠ ﻩﺪﻨﻨﻛ
ﻪﺑ ﮑﻳ ﻲ ﺯﺍ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺎﻫ ﻱ ﻥﺍﺮﻬﺗ ﺮﻬﺷ ﻝﺎﺳ ﺭﺩ
۱۳۸۷ ﺪﺷ ﻡﺎﺠﻧﺍ .
ﻪﻧﻮﻤﻧ ﺮﻴﮔ ﻱ ﻪﺑ ﺵﻭﺭ ﻑﺪﻫ ﺮﺑ ﻲﻨﺘﺒﻣ ﻪﺑ
ﻭ ﺪﻣﺁ ﻞﻤﻋ ۴۳
ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﺭﺎﻤﻴﺑ ﻱ
ﻭ ۳۳ ﺖﻓﺎﻳﺭﺩ ﺏﺎﺨﺘﻧﺍ ﻪﻴﻠﻛ ﻩﺪﻨﻨﻛ ﺪﻧﺪﺷ
. ﺯﺍ ﺮﺗﻻﺎﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻪﻴﻠﮐ ۱۸
ﻝﺎﺳ
ﻲﺣﻭﺭ ﺕﻼﮑﺸﻣ ﻪﮐ -
ﻭ ﻪﺘﺷﺍﺪﻧ ﻱﺪﺟ ﻲﻧﺍﻭﺭ ﯼﺍﺮﺑ
ﻣ ﻦﻳﺍ ﺭﺩ ﺖﮐﺮﺷ ﻪﻌﻟﺎﻄ
ﺖﻳﺎﺿﺭ ﻭ ﺪﻨﺘﺷﺍﺩ ﻉﻭﺮﺷ ﺯﺍ
ﺰﻴﻟﺎﻳﺩ ﻥﺎﻧﺁ ﻞﻗﺍﺪﺣ ۶ ﺑ ﻪﺘﺷﺬﮔ ﻩﺎﻣ ﻮ
ﺩ ﻭ
ﻞﻗﺍﺪﺣ ﻪﮐ ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ﻥﺍﺭﺎﻤﻴﺑ ۲
ﺑ ﻪﺘﺷﺬﮔ ﺎﻬﻧﺁ ﺪﻧﻮﻴﭘ ﺯﺍ ﻩﺎﻣ ﻮ
ﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﺍﻭ
ﺪﻧﺪﺷ .
ﻩﺩﺍﺩ ﻱﺎﻫ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﺶﺳﺮﭘ ﻖﻳﺮﻃ ﺯﺍ
ﻪﻣﺎﻧ ﺖﻴﻌﻤﺟ ﺕﺎﻋﻼﻃﺍ ﺘﺧﺎﻨﺷ
ﻲ
) ،ﻱﺩﺎﺼﺘﻗﺍ ﺖﻴﻌﺿﻭ ،ﻝﺎﻐﺘﺷﺍ ﺖﻴﺿﻭ ،ﻞﻫﺎﺗ ﺖﻴﻌﺿﻭ ،ﺲﻨﺟ ،ﻦﺳ ﻞﻣﺎﺷ
ﻱﺭﺎﻤﻴﺑ ﻪﺑ ﻼﺘﺑﺍ ﺕﺪﻣ ،ﻲﻧﻮﺧ ﻩﻭﺮﮔ ،ﺕﻼﻴﺼﺤﺗ ﺢﻄﺳ ESRD
ﻭ ﻉﻮﻧ ،
ﺪﻧﻮﻴﭘ ﻥﺎﻣﺯ ﺕﺪﻣ ﺰﻴﻧ ﻭ ﻩﺪﻨﻫﺩ ﻉﻮﻧ ،ﻲﻠﺒﻗ ﻲﻨﻳﺰﮕﻳﺎﺟ ﻥﺎﻣﺭﺩ ﻥﺎﻣﺯ ﺕﺪﻣ (
ﻭ
ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ SF-36
ﻊﻤﺟ ﺭﻭﺁ ﻱ ﺪﺷ . ﻂﺳﻮﺗ ﺭﺍﺰﺑﺍ ﻦﻳﺍ
ﺮﻈﺘﻨﻣ ﺍ ﺭﺩ ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﻱ ﻳ
ﻣﻮﺑ ﻥﺍﺮ ﻲ ﺯﺎﺳ ﻱ ﺎﻔﻟﺁ ﻭ ﻩﺪﺷ ﻱ
ﻥﺁ ﺥﺎﺒﻧﻭﺮﮐ
۶۵ / ۰ ﺖﺳﺍ ﻩﺪﺷ ﺵﺭﺍﺰﮔ .
ﺑ ،ﺰﻴﻟﺎﻳﺩ ﺰﮐﺍﺮﻣ ﻪﺑ ﻪﻌﺟﺍﺮﻣ ﺎ ﺶﺳﺮﭘ
ﻪﮐ ﺪﺷ ﻪﺋﺍﺭﺍ ﯼﺰﻴﻟﺎﻳﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻪﺑ ﻪﻣﺎﻧ
ﻪﭽﻧﺎﻨﭼ ﺰﻴﻧ ﻭ ﻞﻳﺎﻤﺗ ﻲﻣ ﺮﭘ ﺍﺭ ﻥﺁ ﺎﺼﺨﺷ ،ﺪﻨﺘﺷﺍﺩ ﻦﺘﺷﻮﻧ ﻲﻳﺎﻧﺍﻮﺗ
ﻭ ﺪﻧﺩﺮﮐ
ﺍ ﺪﻨﺘﺷﺍﺪﻧ ﻦﺘﺷﻮﻧ ﻥﺍﻮﺗ ﺮﮔ ﻲﻣ ﻝﺍﻮﺌﺳ ﻥﺎﻧﺁ ﺯﺍ ﺮﮕﺸﺳﺮﭘ ،
ﺩﻮﺧ ﻭ ﺩﺮﮐ
ﺶﺳﺮﭘ ﻲﻣ ﺮﭘ ﺍﺭ ﻪﻣﺎﻧ ﺩﺮﮐ
. ﻩﺎﮕﻧﺎﻣﺭﺩ ﻪﺑ ،ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ﻥﺍﺭﺎﻤﻴﺑ ﺩﺭﻮﻣ ﺭﺩ ﻭ ﺎﻫ
ﺐﻄﻣ ﮑﺷﺰﭘ ﺶﺳﺮﭘ ﻭ ﺪﺷ ﻪﻌﺟﺍﺮﻣ ﺡﺍﺮﺟ ﻥﺎ ﻪﻣﺎﻧ
ﺪﺷ ﺮﭘ ﻥﺍﺭﺎﻤﻴﺑ ﻂﺳﻮﺗ ﺎﻫ .
ﻩﺩﺍﺩ ﺎﻫ ﻡﺮﻧ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﺭﺍﺰﻓﺍ
SPSS 15 ﻭ
ﻥﻮﻣﺯﺁ ﺎﻫ ﻱ ﻭ ﻲﻔﻴﺻﻮﺗ ﺭﺎﻣﺁ
ﻲﻃﺎﺒﻨﺘﺳﺍ ) ﺟﻭﺯ ﻲﺗ ﻲ ، ﻩﺯﺍﺪﻧﺍ ﺲﻧﺎﻳﺭﺍﻭ ﺰﻴﻟﺎﻧﺁ ﻱﺭﺍﺮﮑﺗ ﻱﺮﻴﮔ
ﻞﻘﺘﺴﻣ ﻲﺗ ﻭ
ﺪﻧﺪﺷ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ .
ﺞﻳﺎﺘﻧ ﻮﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﻲﻨﺳ ﻦﻴﮕﻧﺎﻴﻣ ﺰﻴﻟﺎﻳﺩ
ﻱ ۵۴ ﻝﺎﺳ ﺎﺑ ﻧﺍ ﻑﺍﺮﺤ ﺭﺎﻴﻌﻣ ۷۹ / ۱۴ ﻭ
ﻱﺪﻧﻮﻴﭘ ﻥﺍﺭﺎﻤﻴﺑ ۳۳
ﻝﺎﺳ ﺎﺑ ﻑﺍﺮﺤﻧﺍ ﺭﺎﻴﻌﻣ ۵۳ / ۱۵ ﺩﻮﺑ . ۳۳ ﺮﻔﻧ ﺯﺍ
ﻪﻧﻮﻤﻧ ﺎﻫ ﻱ ﻪﻌﻟﺎﻄﻣ ﻭ ﻥﺯ ۵۹ ﻮﺑ ﻞﻫﺎﺘﻣ ﺮﻔﻧ ﺪﻧﺩ
.
ﻧﺍﻭﺍﺮﻓ ﻲ ﺒﺴﻧ ﻲ ﺖﻳﺎﺿﺭ ﺩﺎﻌﺑﺍ ﻭ ﺢﻄﺳ ﮏﻴﮑﻔﺗ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺪﻨﻣ
ﻱ ﻝﻭﺪﺟ ﺭﺩ
۱ ﺖﺳﺍ ﻩﺪﻣﺁ . ﻥﺎﻤﻫ ﺖﻳﺎﺿﺭ ﻥﺍﺰﻴﻣ ﺎﺑ ﻪﻄﺑﺍﺭ ﺭﺩ ﺖﺳﺍ ﺺﺨﺸﻣ ﻪﮐ ﺭﻮﻃ
ﺯﺍ ﺩﺍﺮﻓﺍ ﺮﺜﮐﺍ ﻲﻠﻐﺷ ﺖﻳﺎﺿﺭ
ﺭﺍﺩﺭﻮﺧﺮﺑ ﺏﻮﺧ ﻱﺪﻨﻣ ﺩﻮﺑ
ﺪﻧ .
ﻪﻴﻠﻛ ﺪﻧﻮﻴﭘ و ﺰﻴﻟﺎﻳد نارﺎﻤﻴﺑ رد ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ ﻲﺳرﺮﺑ
ﻲﺒﻴﻃ نارﺎﻜﻤﻫ و
21
ﻝﻭﺪﺟ ۱ ﻧﺍﻭﺍﺮﻓ( ﻲ ﺒﺴﻧ ﻲ ﺩﺎﻌﺑﺍ ﺭﺩ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻒﻠﺘﺨﻣ ﺮﻫ
ﻩﻭﺮﮔ ﻭﺩ ) ﻪﻌﻣﺎﺟ ﻞﮐ
ﺶﻫﻭﮋﭘ ﺩﺭﻮﻣ (
ﺖﻳﺎﺿﺭ ﺢﻄﺳ ﻱﺪﻨﻣ
←
ﺩﺎﻌﺑﺍ ↓ ﺏﻮﺧ
ﻂﺳﻮﺘﻣ ﻒﻴﻌﺿ
ﻱﺩﺎﺼﺘﻗﺍ ۴
/ ۲۸ ٪ ۹ / ۳۶ ٪ ۳۲ ٪
ﻲﮔﺩﺍﻮﻧﺎﺧ ۲
/
٪۳۰ ۸ /
٪۳۵ ۳۴ ٪
ﻲﻠﻐﺷ ۸
/
٪۴۷ ۶ /
٪۱۹ ۶ /
٪۳۲
ﺭﺩ ﻲﺘﺣﺍﺭ ﻪﻧﺎﺧ ۴ /
٪۲۶ ۷ /
٪۳۷ ۹ /
٪۳۵
ﻦﻴﻳﺎﭘ ﻩﺮﻤﻧ ﻪﮑﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،ﺖﺳﺍ ﺮﺘﺸﻴﺑ ﺖﻳﺎﺿﺭ ﺮﮕﻧﺎﺸﻧ ﺮﺗ
ﻪﺴﻳﺎﻘﻣ ﺭﺩ
ﺖﻳﺎﺿﺭ ﻩﺮﻤﻧ ﺪﻨﻣ
ﻱ ﻩﻭﺮﮔ ﻭﺩ
، ﺯﺍ ﻱﺪﻧﻮﻴﭘ ﻥﺍﺭﺎﻤﻴﺑ ﺢﻄﺳ
ﻲﻠﻐﺷ ﺖﻳﺎﺿﺭ
ﺪﻧﺩﻮﺑ ﺭﺍﺩﺭﻮﺧﺮﺑ ﻱﺮﺘﻤﮐ ﻱﺪﻧﻮﻴﭘ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺩﺎﺼﺘﻗﺍ ﺖﻴﻌﺿﻭ ﺯﺍ ﺖﻳﺎﺿﺭ ﻭ
ﺩﻮﺑ ﺮﺘﻬﺑ
؛ ﺩﻮﺑ ﻂﺳﻮﺘﻣ ﺪﺣ ﺭﺩ ﻩﻭﺮﮔ ﻭﺩ ﺮﻫ ﻲﮔﺩﺍﻮﻧﺎﺧ ﺖﻳﺎﺿﺭ ﻲﻟﻭ )
ﻝﻭﺪﺟ
۲ (.
ﻝﻭﺪﺟ ۲ ( ﻳﺎﺿﺭ ﺢﻄﺳ ﺖ ﻩﻭﺮﮔ ﻭﺩ ﻱﺪﻨﻣ ﻒﻠﺘﺨﻣ ﺩﺎﻌﺑﺍ ﺭﺩ
ﻩﻭﺮﮔ↓ ﻪﻨﻴﻣﺯ ← ﻲﻠﻐﺷ ﻲﮔﺩﺍﻮﻧﺎﺧ ﻱﺩﺎﺼﺘﻗﺍ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ
۳۶ / ۱ ۳۴
/ ۲ ۲۰
/ ۳
ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ۱۰ / ۳ ۲
۷۵
/ ۲
ﻲﻨﻌﻣ ﺕﻭﺎﻔﺗ ﻒﻠﺘﺨﻣ ﺩﺎﻌﺑﺍ ﺭﺩ ﺑ ﻱﺭﺍﺩ
ﻪ ﺰﺟ ﺪ ﻌﺑ ﺭﺩ ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ ﻭ
ﻩﺮﻤﻧ
ﺪﺸﻧ ﻩﺪﻳﺩ ﻲﻧﺎﻤﺴﺟ ﺖﻣﻼﺳ ﻲﻠﮐ .
ﻨﻌﻣ ﺕﻭﺎﻔﺗ ﺩﺎﻌﺑﺍ ﺮﻳﺎﺳ ﺭﺩ ﻲ
ﺭﺍﺩ ﻱ ﻦﻴﺑ
ﺰﻴﻟﺎﻳﺩﻮﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﻱ
ﻤﻧ ﻩﺪﻳﺩ ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ﻭ ﻲ
ﺩﻮﺷ ) ﻝﻭﺪﺟ ۳ .(
ﻝﻭﺪﺟ ۳ ﻪﺴﻳﺎﻘﻣ( ﺕﺍﺮﻤﻧ ﻩﻭﺮﮔ ﻭﺩ ﺭﺩ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﺩﺎﻌﺑﺍ
ﻩﺭﺎﻣﺁ ﻦﻴﮕﻧﺎﻴﻣ ←
ﻑﺍﺮﺤﻧﺍ ﺭﺎﻴﻌﻣ ﺢﻄﺳ
ﻨﻌﻣ ﻲ ﺭﺍﺩ ﻱ
↓ﺎﻫﻩﻭﺮﮔ ﻪﻄﻴﺣ↓
ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ
۸ / ۳۸ ۵ / ۲۱ ۰۰۴ / ۰
۱۶/۱ ۶۰/۴ ﻱﺪﻧﻮﻴﭘ
ﮑﻳﺰﻴﻓ ﺩﺮﮑﻠﻤﻋ ﻲ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ۷
/ ۳۷ ۲ / ۲۶ ۱۳ / ۰
۲۸/۴ ۵۲/۵ ﻱﺪﻧﻮﻴﭘ
ﺖﻳﺩﻭﺪﺤﻣ ﻱﺎﻫ
ﻲﺘﮐﺮﺣ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ۲۵
۹ / ۳۳ ۲۸ / ۰
ﻱﺪﻧﻮﻴﭘ ۵
/ ۳۷ ۷ / ۳۷
ﺩﺭﺩ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ
۲ / ۴۶ ۶ / ۲۶ ۷۳ / ۰
۳۲/۱ ۴۳/۲ ﻱﺪﻧﻮﻴﭘ
ﻱﮊﺮﻧﺍ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ
۴ / ۴۵ ۴ / ۲۰ ۲۱ / ۰
۲۲/۲ ۵۳/۸ ﻱﺪﻧﻮﻴﭘ
ﻲﻋﺎﻤﺘﺟﺍ ﺩﺮﮑﻠﻤﻋ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ
۱ / ۴۶ ۶ / ۱۳ ۲۴ / ۰
۹/۵ ۵۱ ﻱﺪﻧﻮﻴﭘ
ﺭﺩ ﺖﻳﺩﻭﺪﺤﻣ ﻲﻔﻃﺎﻋ ﺶﻘﻧ ﻱﺎﻔﻳﺍ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ۸
/ ۳۰ ۲ / ۳۶ ۸۱ / ۰
۴۰/۶ ۳۳/۶ ﻱﺪﻧﻮﻴﭘ
ﻲﻧﺍﻭﺭ ﺖﻣﻼﺳ ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ
۵ / ۵۵ ۹ / ۲۱ ۴۵ / ۰
۲۱/۹ ۶۱/۸ ﻱﺪﻧﻮﻴﭘ
ﻲﻠﮐ ﻩﺮﻤﻧ
ﻲﻧﺍﻭﺭ ﺖﻣﻼﺳ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ۲
/ ۴۵ ۹ / ۱۶ ۲۵ / ۰
۱۷/۷ ۵۲/۷ ﻱﺪﻧﻮﻴﭘ
ﻲﻠﮐ ﻩﺮﻤﻧ
ﻲﻧﺎﻤﺴﺟ ﺖﻣﻼﺳ
ﻱﺰﻴﻟﺎﻳﺩﻮﻤﻫ ۶
/ ۳۴ ۴ / ۱۷ ۰۱ / ۰
۲۰/۵ ۵۳/۶ ﻱﺪﻧﻮﻴﭘ
ﺚﺤﺑ ﻪﺑ ﻦﻴﻨﭼ ﻉﻮﻤﺠﻣ ﺭﺩ ﻲﻣ ﺮﻈﻧ
ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﺯﺍ ﻱﺪﻧﻮﻴﭘ ﻥﺍﺭﺎﻤﻴﺑ ﻪﮐ ﺪﺳﺭ
ﺏﻮﻠﻄﻣ ﺪﻨﺘﺴﻫ ﺭﺍﺩﺭﻮﺧﺮﺑ ﻱﺮﺗ .
ﻦﻳﺍ ﻑﻼﺧ ﺕﺎﻌﻟﺎﻄﻣ ﻲﻀﻌﺑ ﺭﺩ ﺪﻨﭼ ﺮﻫ
ﻪﻳﺮﻈﻧ ﺵﺭﺍﺰﮔ ﺖﺳﺍ ﻩﺪﺷ ] ۱۲ .[
ﻪﺑ ﻥﺍﺩﺮﻣ ﺭﺩ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻦﻴﮕﻧﺎﻴﻣ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﺩ ﻲﻨﻌﻣ ﺭﻮﻃ
ﻱﺭﺍﺩ
ﺯ ﺯﺍ ﺮﺘﺸﻴﺑ ﺩﻮﺑ ﻥﺎﻧ
ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺎﺑ ﻪﮐ ﻲﮑﺳﻭﻮﻟﻭﺯﻭ
ﻥﺎﺘﺴﻬﻟ ﺭﺩ ]
۱۳ [ ،
ﻲﺟﻮﻓ ﺍﻭﺎﺳ ﻦﭘﺍﮊ ﺭﺩ ] ۱۴ [ ، ﻲﻘﺗ ﻪﻴﻣﻭﺭﺍ ﺭﺩ ﻩﺩﺍﺯ ]
۱۵ [ ﻭ ﻲﻗﻮﺛﻭ ] ۱۶ [ ﺭﺩ
ﻞﻴﺑﺩﺭﺍ ﻲﻨﻌﻣ ﺕﻭﺎﻔﺗ ﺲﻨﺟ ﻭﺩ ﻦﻴﺑ ﻪﮐ ﻩﺩﺮﮑﻧ ﻩﺪﻫﺎﺸﻣ ﻱﺭﺍﺩ
ﺕﺮﻳﺎﻐﻣ ،ﺪﻧﺍ
ﺖﺷﺍﺩ . ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﻥﺎﻳﺎﺳ
ﻲﻨﻌﻣ ﺕﻭﺎﻔﺗ ﻦﻳﺍ ﻪﻴﮐﺮﺗ ﺭﺩ ﺎﻣﺍ ،ﺩﻮﺑ ﺭﺍﺩ
ﻥﺍﺰﻴﻣ
ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻪﺑ ﻥﺍﺩﺮﻣ ﺭﺩ
ﻞﺑﺎﻗ ﺭﻮﻃ ﻪﻈﺣﻼﻣ ﺎﭘ ﻥﺎﻧﺯ ﻪﺑ ﺖﺒﺴﻧ ﻱﺍ ﻳ
ﻦﻴ ﺮﺗ
ﺩﻮﺑ ﻩﺪﺷ ﺵﺭﺍﺰﮔ ]
۱۷ .[
ﺐﺴﺣ ﺮﺑ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻞﮐ ﻩﺮﻤﻧ ﻦﻴﺑ ﺕﻭﺎﻔﺗ
ﻲﻨﻌﻣ ﻞﻫﺄﺗ ﺖﻴﻌﺿﻭ ﺩﺍﺮﻓﺍ ﻊﻔﻧ ﻪﺑ ﻲﻤﺴﺟ ﺩﺮﮑﻠﻤﻋ ﺩﺎﻌﺑﺍ ﺭﺩ ﺎﻣﺍ ،ﺩﻮﺒﻧ ﺭﺍﺩ
ﻲﻨﻌﻣ ﺕﻭﺎﻔﺗ ﻦﻳﺍ ﻞﻫﺄﺘﻣ ﻲﺳﺭﺮﺑ ﺞﻳﺎﺘﻧ ﺎﺑ ﻪﮐ ﺪﺷ ﺭﺍﺩ
ﻲﮑﺳﻭﻮﻟﻭﺯﻭ ﺕﺮﻳﺎﻐﻣ
ﺖﺷﺍﺩ ] ۱۳ .[
ﺑ ﻦﻳﺍ ﺭﺩ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻭ ﺕﻼﻴﺼﺤﺗ ﻥﺍﺰﻴﻣ ﻦﻴﺑ ﻲﺳﺭﺮ
ﻲﻨﻌﻣ ﻪﻄﺑﺍﺭ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺎﺑ ﻪﮐﺪﺸﻧ ﻩﺪﻫﺎﺸﻣ ﻱﺭﺍﺩ
ﻲﻘﺗ ﺶﻳﺍﺰﻓﺍ ﺎﺑ ﻪﮐﻩﺩﺍﺯ
ﻲﻨﻌﻣ ﺶﻳﺍﺰﻓﺍ ﺕﻼﻴﺼﺤﺗ ﺢﻄﺳ ﻪﺑ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﺭﺩ ﻱﺭﺍﺩ
ﻩﺪﻣﺁ ﺖﺳﺩ
ﻲﺳﺭﺮﺑ ﺞﻳﺎﺘﻧ ﺎﺑ ﺎﻣﺍ ،ﺕﺮﻳﺎﻐﻣ ،ﺩﻮﺑ ﻲﻗﻮﺛﻭ
ﺖﺷﺍﺩ ﺖﻘﺑﺎﻄﻣ ]
۱۶ .[
ﺖﻴﻤﻫﺍ
ﻉﻮﺿﻮﻣ
، ﻲﻣ ﺍﺭ ﻲﻠﻴﻤﮑﺗ ﺕﺎﻌﻟﺎﻄﻣ ﻡﺎﺠﻧﺍ ﺪﺒﻠﻃ
. ﻭ ﺭﺍﺰﺑﺍ ﻉﻮﻧ ﺪﻳﺎﺷ ﻪﺘﺒﻟﺍ
ﺮﻴﺛﺎﺗ ﺕﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺮﺑ ﻂﻴﺤﻣ ﻭ ﻩﺩﻮﺑ ﺭﺍﺬﮔ
ﺩﻮﺟﻭ ﻲﺻﺎﺼﺘﺧﺍ ﺭﺍﺰﺑﺍ ﻪﺑ ﺯﺎﻴﻧ
ﺪﺷﺎﺑ ﻪﺘﺷﺍﺩ .
ﻪﺠﻴﺘﻧ ﻱﺮﻴﮔ
ﻨﻌﻣ ﻭ ﺮﺘﻬﺑ ﻩﺮﻤﻧ ﺐﺴﮐ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻲ
،ﺭﺍﺩ ﻱﺪﻧﻮﻴﭘ ﻩﻭﺮﮔ ﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﺯﺍ
ﻲ
ﺮﺘﻬﺑ ﻱ ﻪﻄﻴﺣ ﺭﺩ ﺎﻫ ﻱ ﻣﻮﻤﻋ ﺖﻣﻼﺳ ﻲ
ﻭ ﻠﮐ ﻩﺮﻤﻧ ﻲ ﺖﻣﻼﺳ ﻤﺴﺟ ﻧﺎ ﻲ
ﻴﻟﺎﻳﺩ ﻩﻭﺮﮔ ﻪﺑ ﺖﺒﺴﻧ ﺰ
ﻱ ﺪﻨﺘﺴﻫ ﺭﺍﺩﺭﻮﺧﺮﺑ .
ﻦﻴﮕﻨﺳ ﻪﻨﻳﺰﻫ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ
ﻱﺩﺎﺼﺘﻗﺍ
، ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﻲﺣﻭﺭ
- ﻭ ﻪﻴﻠﮐ ﺪﻧﻮﻴﭘ ﻞﻤﻋ ﻡﺎﺠﻧﺍ ﻲﻧﺍﻭﺭ ﺞﻳﺎﺘﻧ
ﻥﺍﺭﺎﻤﻴﺑ ﻦﻳﺍ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻲﺳﺭﺮﺑ ﻒﻠﺘﺨﻣ
، ﻭ ﺮﺘﺸﻴﺑ ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﺯﺎﻴﻧ
ﺱﺎﺴﺣﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻦﻳﺍ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﺢﻄﺳ ﺶﻫﺎﮐ ﻲﻟﺎﻤﺘﺣﺍ ﻞﻠﻋ ﻦﺘﻓﺎﻳ ﻲﻣ ﺩﻮﺷ .
ﻊﺑﺎﻨﻣ ﻊﺑﺎﻨﻣ
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2- Androli A. Essential medicine Sicily (kidney disease).
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[Persian]
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[Persian]
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5- Parse RP. Quality of life: The art of human becoming. Nurs Sci Quarter. 1994;17:16-21.
6- Anderson KI, Barchhardt CS. Conceptualization and measurement of quality of life as an outcome variable for health care intervention and research. J Adv Nurs.
1999;29:298-306.
ﺒﻗاﺮﻣ يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ ﺖ
هﮋﻳو
هرود
3 هرﺎﻤﺷ ، 1 ، رﺎﻬﺑ 1389
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Nurs Sci Q. 1994;7:10-5.
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with hemodialysis and renal transplantation Wojciech Rowinski. Annals Of Transplantation. 2003;8(2):48-54.
14- Fujisawa M et al. Assessment of Health related Quality Of Life in transplant and hemodialysis patient using the SF-36 Health survey.Adult Urology.56:201-206.
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16- Vosughi M , Movahed pour A .Comparison quality of life between hemodialysis and transplant patient in ardebil medical centers. 2009;9,2:171-179.
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