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(36) 12 ؛1388ﻣﻼﺳ ﺖﻳﺮﻳﺪ

ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻭ (1386 ؛ﻲﻗﺮﺷ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘﺳﺍ)

3ﻲﺴﻴﺋﺭ ﻥﺍﺭﻮﭘ / 2ﺏﺎﻨﺑ ﻲﻟﻼﻫ ﻞﻀﻔﻟﺍﻮﺑﺍﺮﻴﻣ / 1ﺭﻮﭘ ﻱﺮﻴﺼﻧ ﻥﺎﻜﺷﺍﺮﻴﻣﺍ

ﻩﺪﻴﻜﭼ

ﻚﺒــﺳ ﻭ ﺖﻳﺮﻳﺪﻣ ﻝﺎﻤﻋﺍ ﻲﮕﻧﻮﮕﭼ ﻭﺮﮔﺭﺩ ،ﻑﺍﺪﻫﺍ ﻖﻘﺤﺗﺭﺩ ﻥﺎﻣﺯﺎــﺳ ﺖﻴﻘﻓﻮﻣ .ﺖــﺳﺍ ﻥﺍﺮﻳﺪﻣ ﻱﺭﻭﺮﺿ ﻒﻳﺎﻇﻭ ﺯﺍ ﻲﻜﻳ ﻱﺮﺒﻫﺭ :ﻪﻣﺪﻘﻣ ﻲﻗﺮﺷ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘﺳﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒــﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻁﺎﺒﺗﺭﺍ ﻦﻴﻴﻌﺗ ،ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻑﺪﻫ .ﺩﺭﺍﺩ ﺭﺍﺮﻗ ﻱﺮﺒﻫﺭ .ﺩﻮﺑ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺎﺑ ﻥﺎﺘﺳﺍ ﻥﺎﻣﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺎﻨﻛﺭﺎﻛﻭ ﻥﺍﺮﻳﺪﻣ ﺶﻫﻭﮋﭘ ﻱ ﻪﻌﻣﺎﺟ ﻭ (ﻲﮕﺘﺴﺒﻤﻫ) ﻲﻌﻄﻘﻣ ﻉﻮﻧ ﺯﺍ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ :ﻲﺳﺭﺮﺑ ﺵﻭﺭ ،ﻲﻓﺩﺎﺼﺗ ﻱﺮﻴﮔ ﻪﻧﻮﻤﻧ ﺵﻭﺭ ﻪﺑ ﻱﺭﺎﻣﺁ ﻱ ﻪﻌﻣﺎﺟ ﻥﺎﻨﻛﺭﺎﻛ ﺯﺍﺮﻔﻧ 339 ﻭ ﻥﺍﺮﻳﺪﻣ ﺮﻔﻧ18 ﻲﻣﺎﻤﺗ .ﺪﻨــﺷﺎﺑ ﻲﻣ (N=1035) ﻲﻗﺮــﺷ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻚﺒﺳ ﺶﺠﻨﺳ ،ﻥﺍﺮﻳﺪﻣ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﺶﺠﻨﺳ ،ﺶﺨﺑ ﻪﺳ ﺮﺑ ﻞﻤﺘــﺸﻣ) ﻱﺍ ﻪﻣﺎﻨــﺸﺳﺮﭘ ،ﺎﻫ ﻩﺩﺍﺩ ﻱﺭﻭﺁﺩﺮﮔ ﺭﺍﺰﺑﺍ .ﺪﻧﺪــﺷ ﺏﺎﺨﺘﻧﺍ ﺯﺍ ﻲﻳﻮﮕﺨــﺳﺎﭘ ﺩﻮﺧ ﺵﻭﺭ ﻪﺑ ﺎﻫ ﻩﺩﺍﺩ .ﺩﻮﺑ (ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺎﺑ ﻲﻣﻮﻤﻋ ﻲﺗﺎﻋﻼﻃﺍ ﻡﺮﻓ ﻭ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪــﻳﺩ ﺯﺍ ﻥﺍﺮــﻳﺪﻣ ﻱﺮــﺒﻫﺭ ﺐﻳﺮﺿ ﻭ ،ﻪﻓﺮﻃ ﻚﻳ ﺲﻧﺎﻳﺭﺍﻭ ﺰﻴﻟﺎﻧﺁ ﻱﺭﺎﻣﺁ ﻱﺎﻫ ﻥﻮﻣﺯﺁ ﻭ ؛ﻲﻔﻴﺻﻮﺗ ﺭﺎﻣﺁ ﻱﺎﻫ ﺺﺧﺎﺷ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻭ ﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﺶﻫﻭﮋﭘ ﻱﺎﻫ ﻪﻧﻮﻤﻧ .ﺪﺷ ﻞﻴﻠﺤﺗ ﻦﻣﺮﻴﭙﺳﺍ ﻲﮕﺘﺴﺒﻤﻫ ﺎﺑ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻉﻮﻧ ﻦﻴﺑ .ﺪﻧﺩﻮﺑ ﻲﺘﻛﺭﺎﺸﻣ ﻚﺒﺳ ﻱﺍﺭﺍﺩ ﺪﺻﺭﺩ 38/9 ﻭ ﻱﺍ ﻩﺭﻭﺎــﺸﻣ ﻚﺒــﺳ ﻱﺍﺭﺍﺩ ﻥﺍﺮﻳﺪﻣ ﺪﺻﺭﺩ 61/1 :ﺎﻫ ﻪﺘﻓﺎﻳ ﻥﺎﻤﻳﺍﺯ ﺖﺒﺴﻧ ﺺﺧﺎﺷ ﺎﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻦﻴﺑ ﻲﻟﻭ .ﺪﺸﻧ ﻩﺪﻫﺎــﺸﻣ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻁﺎﺒﺗﺭﺍ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ .(r=0/124 ﻭ P-Value<0.05) ﺪﺷ ﺍﺪﻴﭘ ﺭﺍﺩ ﻲﻨﻌﻣ ﻁﺎﺒﺗﺭﺍ ﻩﺪﻳﺪﻧ ﻩﺭﻭﺩ ﺩﺍﺮﻓﺍ ﻂﺳﻮﺗ ﺖﻛﺭﺎﺸﻣ ﺎﻫ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﺭﺩ ﺍﺭ ﻥﺎﻨﻛﺭﺎﻛ ﻭ ،ﺪﻨﻨﻛ ﻲﻣ ﻩﺩﺎﻔﺘــﺳﺍ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻚﺒــﺳ ﺯﺍ ﺮﺘــﺸﻴﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻱﺮﺒﻫﺭ ﺭﺩ ﻥﺍﺮﻳﺪﻣ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﺩﻮﺒﻬﺑ ﻪﺑ ﺮﺠﻨﻣ ﻥﺎﻧﺁ ﻱﺎﻫ ﻲﮕﺘﺴﻳﺎﺷ ﻭ ﺎﻫ ﻱﺪﻨﻤﻧﺍﻮﺗ ﻪﺑ ﻦﺘﺧﺍﺩﺮﭘ ﻭ ﺎﻫ ﻱﺭﺍﺬﮔ ﻑﺪﻫ ،ﺎﻫ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﺭﺩ ﻥﺎﻨﻛﺭﺎﻛ ﻥﺩﺍﺩ ﺖﻛﺭﺎﺸﻣ .ﺪﻨﻫﺩ ﻲﻣ .ﺩﻮﺷ ﻲﻣ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷﺭﺩ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ،ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ،ﻱﺮﺒﻫﺭ ﻚﺒﺳ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ 88/3/26 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ 88/12/28 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 87/10/9 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ

ﻝﻮﺌﺴﻣ ﻩﺪﻨــﺴﻳﻮﻧ ؛ﻥﺍﺮﻬﺗ ﺕﺎﻘﻴﻘﺤﺗ ﻭ ﻡﻮﻠﻋ ﺪﺣﺍﻭ ﻲﻣﻼــﺳﺍ ﺩﺍﺯﺁ ﻩﺎﮕــﺸﻧﺍﺩ ،ﺩﺎﺼﺘﻗﺍ ﻭ ﺖﻳﺮﻳﺪﻣ ﻩﺪﻜــﺸﻧﺍﺩ ،ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ ﻩﻭﺮﮔ ﺭﺎﻳﺩﺎﺘــﺳﺍ 1 .

Downloaded from jha.iums.ac.ir at 9:14 IRDT on Sunday September 3rd 2017

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(36) 12 ؛1388ﻣﻼﺳ ﺖﻳﺮﻳﺪ

ﻪﻣﺪﻘﻣ ﺯﺍ ﻪﻛ ﻱﺭﻮﻃ ﻪﺑ ﺩﺍﺮﻓﺍ ﺮﺑ ﻱﺭﺍﺬﮔﺮﺛﺍ ﻞﻤﻋ ﺯﺍ ﺖﺳﺍ ﺕﺭﺎﺒﻋ ﻱﺮﺒﻫﺭ ﻲﻫﻭﺮﮔ ﻱﺎﻫ ﻑﺪﻫ ﻪﺑ ﻦﺘﻓﺎﻳ ﺖﺳﺩ ﻱﺍﺮﺑ ﻪﻗﻼﻋ ﻭ ﻞﻳﺎﻤﺗ ﻱﻭﺭ ﺯﺍ ﺕﺭﺎﺒﻋ ﺩﺮــﻓ ﺮﻫ ﻱﺮﺒﻫﺭ (ﻩﻮﻴــﺷ) ﻚﺒــﺳ [1].ﺪﻨﻨﻛ ﺵﻼﺗ ،ﻥﺍﺮﮕﻳﺩ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﺭﺩ ﺫﻮﻔﻧ ﻡﺎﮕﻨﻫ ﻪﺑ ﺩﺮﻓ ﻥﺁ ﻱﺭﺎﺘﻓﺭ ﻱﻮﮕﻟﺍ ،ﻱﺮﻴﺒﻌﺗ ﻪﺑ ﻭ [2].ﺖﺳﻭﺍ ﺭﺎﺘﻓﺭ ﺯﺍ ﻥﺍﺮﮕﻳﺩ ﺖﺷﺍﺩﺮﺑ ﺱﺎــﺳﺍﺮﺑ ﻲﺘــﺳﺮﭘﺮﺳ ﺖﺤﺗ ﻥﺎﻨﻛﺭﺎﻛ ﺎﺑ ﻥﺍﺮﺒﻫﺭ ﻞﻣﺎﻌﺗ ﻲﮕﻧﻮﮕﭼ ﺮﮕﻧﺎﻴﺑ [3].ﺪﺷﺎﺑ ﻲﻣ ﻱﺎﻫ ﻚﺒــﺳ ﺪﻧﺍﻮﺗ ﻲﻣ ﻥﺎﻣﺯﺎــﺳ ﻱﺮﺒﻫﺭ ﺶــﻘﻧ ﺭﺩﺮــﻳﺪﻣ ﻱﺎﻫﻮﮕﻟﺍ .ﺩﺮﻴﮔ ﺭﺎﻛ ﻪﺑ ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺖﻳﺍﺪﻫ ﺭﺩ ﺍﺭ ﻲﺗﻭﺎﻔﺘﻣ ﻥﺪﻣﺁ ﺩﻮﺟﻭ ﻪﺑ ﺚﻋﺎﺑ ﻥﺎﻣﺯﺎــﺳ ﺮﻫ ﺭﺩ ﺮﻳﺪﻣ ﺐــﺳﺎﻨﻣ ﻱﺭﺎﺘﻓﺭ ﺖﻳﺎﺿﺭ ﻥﺍﺰﻴﻣ ﻭ ﺩﻮــﺷ ﻲﻣ ﻥﺎﻨﻛﺭﺎﻛ ﺭﺩ ﻱﻮﻗ ﺵﺰﻴﮕﻧﺍﻭ ﻪﻴﺣﻭﺭ ﻱﺪﻴﻠﻛ ﻒﻳﺎﻇﻭ ﺯﺍ ﻱﺮﺒﻫﺭ [4].ﺪﻫﺩ ﻲﻣ ﺶﻳﺍﺰﻓﺍ ﺍﺭ ﻥﺎﻧﺁ ﻲﻠﻐﺷ ﺖﻳﺮﻳﺪﻣ ءﺍﺰﺟﺍ ﺮﻳﺎﺳ ﺍﺮﻳﺯ ،ﺪﻳﺁ ﻲﻣ ﺏﺎــﺴﺣ ﻪﺑ ﺖﻳﺮﻳﺪﻣ ﻢﻬﻣ ﻭ ﻭ ﻉﺍﺪﺑﺍ ،ﺭﺎﻛ ،ﺮﻜﻓ ﻮﺗﺮﭘ ﺭﺩ ﻭ ﻥﺍﺮﺒﻫﺭ ﻭ ﻥﺍﺮﻳﺪﻣ ﻂﺳﻮﺗ ﺪﻳﺎﺑ ،ﺰﻴﻧ [5].ﺪﻧﻮﺷ ﻩﺩﺎﻴﭘ ﻭ ﺪﻧﺮﻴﮔ ﻞﻜﺷ ﻥﺎﻧﺁ ﺭﺎﻜﺘﺑﺍ ﺐﺳﺎﻨﻣ ﺎﻫ ﺖﻴﻌﻗﻮﻣ ﻪﻤﻫ ﻱﺍﺮﺑ ﺹﺎﺧ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻚﻳ ﻱﺎﻫ ﺖﻴﻌﻗﻮﻣ ﺭﺩ ﺪــﻧﺍﻮﺗ ﻲﻣ ﺮﻳﺪﻣ ﻚﻳ ،ﻭﺭ ﻦــﻳﺍ ﺯﺍ .ﺪــﺷﺎﺑ ﻲﻤﻧ ﺩﻮﺧ ﻥﺎﻨﻛﺭﺎﻛ ﻱﺮﺒﻫﺭ ﻱﺍﺮﺑ ﺍﺭ ﻲﺗﻭﺎﻔﺘﻣ ﻱﺎﻫ ﻚﺒــﺳ ،ﻥﻮﮔﺎﻧﻮﮔ ﻥﺎﻨﻛﺭﺎﻛ ﻲﻧﺎﻣﺯﺎــﺳ ﻍﻮﻠﺑ ﻭ ﻥﺎﻣﺯﺎــﺳ ﻢﻛﺎﺣ ﮓﻨﻫﺮﻓ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻱﮋﺗﺍﺮﺘﺳﺍ ﻚﻳ ﻱﺮﺒﻫﺭ ﻪﻌﺳﻮﺗ ﻱﺍﺮﺑ ًﻻﻮﺻﺍ [6].ﺪﻨﻳﺰﮔ ﺮﺑ ﺩﻮﺧ ﻱﺍﺮﺑ ﻲﺗﺎﻴﺣ ﺮﺼﻨﻋ ﻚﻳ ﻲﻧﺎــﺴﻧﺍ ﻊﺑﺎﻨﻣ ﻭ ﺖــﺳﺍ ﺭﺎﻛ ﺭﺩ ﻱﺪﻴﻠﻛ [7].ﺩﺩﺮﮔ ﻲﻣ ﺏﻮﺴﺤﻣ ﻱﺮﺒﻫﺭ ﻪﻌﺳﻮﺗ ﺭﺩ ﺖﻴﻘﻓﻮﻣ ﻪﻛ ﺖﺳﺍ ﺎﻫ ﻥﺁ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ،ﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻪﻳﺎﻣﺮﺳ ﻦﻳﺮﺘﻤﻬﻣ ﻱﺮﺒﻫﺭ ﻭ ﺖﻳﺍﺪﻫ ﻪﻄﺳﺍﻭ ﻪﺑ ﻥﺎﻣﺯﺎــﺳ ﻊﺒﻨﻣ ﻦﻳﺮﺗ ﻲﻨﻏ ﻥﺍﻮﻨﻋ ﻪﺑ ﺖﻳﺍﺪﻫ .ﺪﻧﺭﺍﺩ ﻲــﻣﺮﺑ ﻡﺎﮔ ﻥﺎﻣﺯﺎــﺳ ﻑﺍﺪﻫﺍ ﻖﻘﺤﺗ ﺖــﻬﺟ ﺭﺩ ﻚﺒﺳ ﺫﺎﺨﺗﺍ ﺪﻨﻣﺯﺎﻴﻧ ﻥﺎﻣﺯﺎﺳ ﺮﻫ ﺭﺩ ﻱﺪﻨﻤﺷﺯﺭﺍ ﻪﻳﺎﻣﺮﺳ ﻦﻴﻨﭼ ﻱﺎﻫﻮﮕﻟﺍ ﺖﺧﺎﻨــﺷ .ﺖــﺳﺍ ﺖﻳﺮﻳﺪﻣ ﻱﻮــﺳ ﺯﺍ ﺮﺛﺆﻣ ﻱﺮﺒﻫﺭ ﺭﺩ ﻲﻤﻬﻣ ﺶﻘﻧ ﻲــﺸﺨﺑ ﺮﺛﺍﻭ ﻲﻳﺍﺭﺎﻛ ﺎــﺑ ﻥﺁ ﻪﻄﺑﺍﺭﻭ ﻱﺭﺎــﺘﻓﺭ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻪﻄﺑﺍﺭ ﻦﻳﺍ ﺭﺩ ﻪﻛ ﺩﺭﺍﺩ ﻲﻧﺎﻣﺯﺎﺳ ﺭﻮﻣﺍ ﻪﻨﻴﻬﺑ ﻩﺭﺍﺩﺍ ﺭﺩ ﻩﺪﻨﻨﻛ ﻦﻴﻴﻌﺗ ﻢــﻬﻣ ﻱﺎﻫﺮﻴﻐﺘﻣ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮــﻨﻋ ﻪﺑ ﺪــﻧﺍﻮﺗ ﻲﻣ [8].ﺩﺮﻴﮔﺭﺍﺮﻗ ﻪﺟﻮﺗ ﺩﺭﻮﻣ ﻲﻧﺎﻣﺯﺎﺳﺭﺎﺘﻓﺭ ،ﻥﺁ ﻲﻠﻛ ﻞﻜﺷ ﺭﺩ ،ﻥﺎﺘــﺳﺮﻬﺷ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻪﻜﺒــﺷ ﺖﻴﻌﻤﺟ ﻥﺎﻣﺭﺩ ﻭ ﻱﺮﻴﮕﺸﻴﭘ ﺮﻣﺍ ﺭﺩ ﻪﻛ ﺖﺳﺍ ﻲﻳﺎﻫﺪﺣﺍﻭ ﻪﻋﻮﻤﺠﻣ ﻲﺘﻳﺮﻳﺪﻣ ﺕﺎﻣﺪﺧ ﺭﺍﺩ ﻩﺪﻬﻋ ﻭ ﺪﻧﺭﺍﺩ ﻝﺎﻐﺘــﺷﺍ ﻥﺎﺘــﺳﺮﻬﺷ ﻚﻳ ،ﺶﻳﺎﭘ ،ﻱﺮﺒﻫﺭﻭ ﺖﻳﺍﺪﻫ ،ﻲﻫﺪﻧﺎﻣﺯﺎﺳ ،ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﻪﻠﻤﺟ ﺯﺍ

ﻱﺭﻭﺁﻮﻧﻭ ﺖﻴﻗﻼﺧ ،ﻱﺮــﻴﮔ ﻢﻴﻤﺼﺗ ،ﻲﻧﺎﻣﺯﺎــﺳ ﻱﺎﻫ ﻁﺎﺒﺗﺭﺍ [9].ﺪﺷﺎﺑ ﻲﻣ ﻪﻌﻣﺎﺟ ﺖﻛﺭﺎﺸﻣﻭ ﻚﺒﺳ ﻪﺑ ﻥﺍﺮﻳﺪﻣ ﻲﻳﺎﻨﺷﺁ ﻡﺪﻋ ﻭ ﺖﻳﺮﻳﺪﻣ ﻢﺘــﺴﻴﺳ ﻒﻌﺿ ،ﺎﻫ ﻪﻨﻳﺰﻫ ﺶﻳﺍﺰﻓﺍ ﺯﺍ ﻲﻤﻬﻣ ﺶﺨﺑ ﺭﻮﺸﻛ ﻱﺎﻫﺪﺣﺍﻭ ﺭﺩ ﻱﺮﺒﻫﺭ ﻡﺪﻋ ﻭ ﻲﻟﺎﻣ ﻊﺑﺎﻨﻣ ﻦﺘﻓﺭ ﺭﺪﻫ ﻪﺑ ﻭ ﻲــﺸﺨﺑ ﺮﺛﺍ ﻭ ﻲﺋﺍﺭﺎﻛ ﺶﻫﺎﻛ ﻪﻣﺍﺩﺍ ﺭﺩ ﺍﺭ ﻥﺎــﻧﺁ ﻲﻠﻐــﺷ ﺖﻳﺎﺿﺭ ﺖﻓﺍ ﻭ ﻥﺎــﻨﻛﺭﺎﻛ ﺵﺰــﻴﮕﻧﺍ ﺍﺭ ﺩﻮﺧ ﺮﻴﻄﺧ ﻪﻔﻴﻇﻭ ﻡﺎﺠﻧﺍ ﺭﺩ ﺖﻴﻟﻮﺌﺴﻣ ﺱﺎــﺴﺣﺍ ﻭ ﺖﻣﺪﺧ [10].ﺖﺳﺍ ﻪﺘﺷﺍﺩ ﻝﺎﺒﻧﺩ ﻪﺑ ﻚﻳ ﺩﺮﻜﻠﻤﻋ ﺖﻴﻘﻓﻮﻣ ﻱﺮــﻴﮔ ﻩﺯﺍﺪﻧﺍ ﻪﺑ ﺭﺩﺎﻗ ﻪﻛ ﻱﺭﺎــﻴﻌﻣ ﻥﺎﻣﺯﺎﺳ ﻥﺁ ﺮﻈﻧ ﺩﺭﻮﻣ ﻑﺍﺪﻫﺍ ﻪﺑ ﻝﻮﺻﻭ ﻥﺍﺰﻴﻣ ﻦﻴﻴﻌﺗﻭ ﻥﺎﻣﺯﺎﺳ ﻪﻛ ﺎﺠﻧﺁ ﺯﺍ .ﺖﺳﺍ ﻥﺎﻣﺯﺎــﺳ ﻥﺁ ﻱﺎﻫ ﺺﺧﺎــﺷﻭ ﺭﺎﻣﺁ ﺪــﺷﺎﺑ ﻲﻣ ﻲﻳﺍﺭﺎﻛ ﻪﺟﺭﺩ ﻩﺪﻨﻫﺩ ﺱﺎﻜﻌﻧﺍ ﻊــﻗﺍﻭ ﺭﺩ ﺎﻫ ﺺﺧﺎــﺷ ﻭ ﺎﻫﺭﺎﻣﺁ ﻩﺍﺭ ﺮﮕﻧﺎﻳﺎﻤﻧ ﻥﺍﻮﻨﻋ ﻪﺑ ﺖﺳﺍ ﻲﻧﺎﻣﺯﺎﺳ ﻱﺎﻫ ﺪﺣﺍﻭ ﻲــﺸﺨﺑﺮﺛﺍﻭ ﺍﺭ ﻲﻄﻴﺤﻣﻭ ﺪﺷﺎﺑ ﻲﻣ ﺰﻴﻧ ﻥﺎﻣﺯﺎــﺳ ﻥﺁ ﺩﻮﺟﻮﻣ ﺕﻼﻜــﺸﻣ ﻞﺣ ﺯﺍ ﺍﺬﻟ ﺪﻫﺩ ﻲﻣ ﺖــﺳﺩ ﻪﺑ ﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻲﺑﺎﻴــﺷﺯﺭﺍﻭ ﻝﺮﺘﻨﻛ ﻱﺍﺮﺑ [11].ﺖﺳﺍﺭﺍﺩﺭﻮﺧﺮﺑ ﻱﺩﺎﻴﻨﺑﻭ ﻲﺳﺎﺳﺍ ﺖﻴﻤﻫﺍ ﺭﺩ ﻪﺘﻓﺮﮔ ﺕﺭﻮﺻ ﺕﺎــﻌﻟﺎﻄﻣ ﺮﺘــﺸﻴﺑ ﻪﻛ ﻦﻳﺍ ﻪﺑ ﺖﻳﺎﻨﻋ ﺎــﺑ ﺎﺑ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻥﺍﺮﻳﺪﻣ ؛ﻞﻣﺎﺷ ﻱﺮﺒﻫﺭ ﻱﺎﻫ ﻚﺒــﺳ ﺹﻮﺼﺧ ﺭﺩ ﻲﺸﻫﻭﮋﭘ ﭻﻴﻫ ﻥﻮﻨﻛﺎﺗ ﻭ ﻩﺩﻮﺑ ﻲﻧﺎﺘــﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺖﺷﺍﺪﻬﺑ ﻱ ﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻁﺎﺒﺗﺭﺍ ﻱﺎﺘــﺳﺍﺭ ﺎﺑ ﺖــﺷﺍﺪﻬﺑ ﺶﺨﺑ ﺭﺩ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺎﺑ ﻥﺎﻣﺭﺩ ﻭ ﻦﻳﺍﺮﺑﺎﻨﺑ ،ﺖﺳﺍ ﻪﺘﻓﺮﮕﻧ ﺕﺭﻮﺻ ﺮﻴﮕﻤﺸﭼ ﻱﺎﻫ ﺖﻴﻘﻓﻮﻣ ﺩﻮﺟﻭ ﺯﺍ ﻲﻜﻳ ﺎﺗ ﺖــﺳﺍ ﻥﺁ ﻝﺎﺒﻧﺩ ﻪﺑ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻡﺎﺠﻧﺍ ﺎﺑ ﺮﮕــﺸﻫﻭﮋﭘ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻪﻄﺑﺍﺭ ﻲﻨﻌﻳ ﻲﺘﻳﺮﻳﺪﻣ ﻒﻳﺎﻇﻭ ﻦﻳﺮﺘﻤﻬﻣ ﺎﺑ ﺍﺭ ﻲﻗﺮﺷ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘــﺳﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒــﺷ ﺩﺭﻮﻣ(ﺖﺷﺍﺪﻬﺑ ﺶﺨﺑ ﺭﺩ) ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻱﺩﺍﺪﻌﺗ ﺐﺟﻮﻣ ﻪﻛ ﺍﺭ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻦﻳﺮﺗ ﺶﺨﺑ ﺮﺛﺍ ﻭ ﻩﺩﺍﺩ ﺭﺍﺮﻗ ﻲﺳﺭﺮﺑ .ﺪﻫﺩ ﻪﺋﺍﺭﺍ ﺩﺩﺮﮔ ﻲﻣ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺩﻮﺒﻬﺑ ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﻲـﮕﺘــﺴﺒﻤﻫ ﻩﻮﻴــﺷ ﻪﺑﻭ ﻲـﻌﻄﻘﻣ ﻉﻮـﻧ ﺯﺍ ،ﺶـــﻫﻭﮋﭘ ﻦــﻳﺍ ﻩﮋﻳﻭ ﻑﺍﺪﻫﺍ ﺱﺎــﺳﺍ ﺮﺑ ﻭ ﺖﻓﺮﻳﺬﭘ ﻡﺎــﺠﻧﺍ (Correlational)

،ﻪﻌﻟﺎﻄﻣ ﻦــﻳﺍ ﺭﺩ .ﺩﺩﺮﮔ ﻲﻣ ﺏﻮــﺴﺤﻣ ﻱﺩﺮــﺑﺭﺎﻛ ﻉﻮــﻧ ﺯﺍ ﻥﺁ ﻥﺎﻣﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒــﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻪﻄﺑﺍﺭ

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(3)

(36) 12 ؛1388ﻣﻼﺳ ﺖﻳﺮﻳﺪ

ﺐﺨﺘﻨﻣ ﻱﺩﺮﻜﻠﻤﻋ ﺺﺧﺎﺷ 10 ﺎﺑ ﻲﻗﺮــﺷ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘــﺳﺍ ﻩﺪﺷ ﻥﻮﻣﺯﺁ 1386 ﻝﺎﺳ ﺭﺩ ﻥﺎﻣﺭﺩﻭ ﺖــﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒــﺷ ﺭﺩ .ﺖﺳﺍ ﻭ ﻪﻜﺒﺷ ﺩﺎﺘﺳ ﻥﺎﻨﻛﺭﺎﻛﻭ ﻥﺍﺮﻳﺪﻣ ،ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻱﺭﺎﻣﺁ ﻪﻌﻣﺎﺟ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘﺳﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﺖﺷﺍﺪﻬﺑ ﺰﻛﺮﻣ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻲﻣﺎﻤﺗ .ﺪﺷﺎﺑ ﻲﻣ ﻲﻗﺮــﺷ .ﺪﻧﺪﻳﺩﺮﮔ ﺏﺎﺨﺘﻧﺍﺮﻳﺪﻣ 18 ﺩﺍﺪﻌﺗ ﻪﺑ ﻲﻗﺮﺷ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘــﺳﺍ ﻥﺎــﺸﻧ ﻪﻛ ﻲﻠﺒﻗ ﺕﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻥﺎﻨﻛﺭﺎﻛ ﺩﺭﻮــﻣ ﺭﺩ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻚﺒﺳ ﺯﺍ ﺩﻮﺧ ﻱﺮﺒﻫﺭﺭﺩ ﻥﺍﺮﻳﺪﻣ ﺪﺻﺭﺩ 67 ﺩﺍﺩ ﻲﻣ ﺮﺑ ﻥﺎﻨﻛﺭﺎﻛﺯﺍﺮﻔﻧ 339 ﻢﺠﺣ ﻪﺑ ﻱﺍ ﻪﻧﻮﻤﻧ ،ﺪﻧﺩﻮﻤﻧ ﻲﻣ ﻩﺩﺎﻔﺘــﺳﺍ .(n =339ﺮﻔﻧ) ﺪﻳﺩﺮﮔ ﺏﺎﺨﺘﻧﺍ ﺮﻳﺯ ﻪﻄﺑﺍﺭ ﺱﺎﺳﺍ

d=/05 ، p=ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﺖﺒﺴﻧ

n=Z21-α/2*P(1-P)/d2

ﺮﻫ ﺭﺩ ﻞﻏﺎــﺷ ﻥﺎﻨﻛﺭﺎﻛ ﺩﺍﺪﻌﺗ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻪﻧﻮﻤﻧ ﺩﺍﺪﻌﺗ ﻦﻳﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻪﻜﺒــﺷ18 ﻦﻴﺑ ﺭﺩ ﺐــﺳﺎﻨﺘﻣ ﺭﻮﻃ ﻪﺑ ﻪﻜﺒــﺷ ﻡﺯﻻ ﻪﻧﻮﻤﻧ ﺩﺍﺪﻌﺗ ﻪﻜﺒﺷ ﺮﻫ ﺭﺩ ﻭ ﻊﻳﺯﻮﺗ ﻲﻗﺮﺷ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘﺳﺍ .ﺪﻧﺪﻳﺩﺮﮔ ﺏﺎﺨﺘﻧﺍ ﻥﺎﻨﻛﺭﺎﻛ ﻦﻴﺑ ﺯﺍ ﻲﻓﺩﺎﺼﺗ ﺕﺭﻮﺻ ﻪﺑ ﺯﺍ ﻲﻜﻳ .ﺩﻮــﺑ ﻪﻣﺎﻨــﺸﺳﺮﭘ ﻭﺩ ﺎــﻫ ﻩﺩﺍﺩ ﻱﺭﻭﺁﺩﺮــﮔ ﺭﺍﺰــﺑﺍ ﻱﺮﻴﮔ ﻩﺯﺍﺪﻧﺍ ﻭ ﻲﻣﻮﻤﻋ ﺕﺎﺼﺨــﺸﻣ ﺖﺒﺛ ﻱﺍﺮﺑ ﺎﻫ ﻪﻣﺎﻨــﺸﺳﺮﭘ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﺢﻄﺳ ﺭﺩ ﺐﺨﺘﻨﻣ ﺺﺧﺎــﺷ 10 ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺍﺮــﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﺶﺠﻨــﺳ ﻱﺍﺮﺑ ﻱﺮﮕﻳﺩ ﻭ .ﺩﻮﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻢﻫ ﻭ ﻥﺎﺷﺩﻮﺧ ﺯﺍ ﻦﺗ 10ﺭﺎﻴﺘﺧﺍ ﺭﺩ ﺎﻫ ﻪﻣﺎﻨــﺸﺳﺮﭘ ،ﻲﻳﺍﻭﺭ ﻦــﻴﻴﻌﺗ ﺖﻬﺟ ﻪﻌﻟﺎﻄﻣ ﻭ ﺶﻫﻭﮋﭘ ﻪﻘﺑﺎﺳ ﻪﻛ ﺎﻫ ﻩﺎﮕــﺸﻧﺍﺩ ﻲﻤﻠﻋ ﺕﺎﻴﻫ ﻱﺎﻀﻋﺍ ﻩﺩﺍﺩ ﺭﺍﺮﻗ ،ﺪﻧﺩﻮﺑ ﺍﺭﺍﺩ ﺍﺭ ﺖﻳﺮﻳﺪﻣ ﻭ ﺶﻫﻭﮋﭘ ﻉﻮﺿﻮﻣ ﻪﻨﻴﻣﺯ ﺭﺩ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ ﻭ ﺪﺷ ﻱﺮﻔﻧ10 ﻪﻧﻮﻤﻧ ﻩﻭﺮﮔ ﻪﺑ ﺎﻫ ﻪﻣﺎﻨﺸﺳﺮﭘ ،ﻲﻳﺎﻳﺎﭘ ﻦﻴﻴﻌﺗ ﻱﺍﺮﺑ ﻪﻠﺻﺎﻓ ﺎﺑ ﻪﻠﺣﺮﻣ ﻭﺩ ﻲﻃ ﺭﺩ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻪﻜﺒﺷ ﺎﺗ ﻪــﺳ ﺭﺩ ﺭﺍﺰﺑﺍ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ﺲﭙــﺳ ،ﺪﻳﺩﺮﮔ ﻊــﻳﺯﻮﺗ ﻩﺯﻭﺭ10 ﻲــﻧﺎﻣﺯ ﺎﻫ ﻩﺩﺍﺩ ﻲﻧﻭﺭﺩ ﻲﮕﺘــﺴﺒﻤﻫ ﻭ ﻞــﻴﻠﺤﺗ SPSS 11 ﻱﺭﺍﺰــﻓﺍ ﻡﺮﻧ .ﺪﻳﺩﺮﮔ ﻪﺒﺳﺎﺤﻣ ﺥﺎﺒﻧﻭﺮﻛ ﻱﺎﻔﻟﺁ ﻂﺳﻮﺗ ﻚﺒــﺳ ﻪﻣﺎﻨــﺸﺳﺮﭘ ﻱﺍﺮﺑ ﺥﺎﺒﻧﻭﺮﻛ ﻱﺎﻔﻟﺁ ،ﻪﻠﺻﺎﺣ ﻪﺠﻴﺘﻧ 0/8056 ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺎﺑ ﻥﺍﺮﻳﺪﻣ ﻩﺎﮔ ﺪﻳﺩ ﺯﺍ ﻱﺮﺒﻫﺭ 0/8855 ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻪﻣﺎﻨــﺸﺳﺮﭘ ﻱﺍﺮﺑ ﻭ .ﺖﺳﺍ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﻱﺮﺒﻫﺭ ﻱﺎﻫ ﻚﺒﺳ ﺱﺎــﺳﺍ ﺮﺑ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻪﻣﺎﻨــﺸﺳﺮﭘ

،ﻱﺭﺎﻤﺜﺘﺳﺍ - ﻱﺩﺍﺪﺒﺘﺳﺍ ﻚﺒﺳ ﻞﻣﺎﺷ ﻩﻭﺮﮔ 4 ﻪﺑ ﺕﺮﻜﻴﻟ ﺲﻴﺴﻧﺭ ﻚﺒﺳ ﻭ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻚﺒﺳ ،ﻪﻧﺎﻫﺍﻮﺧ ﺮﻴﺧ - ﻱﺩﺍﺪﺒﺘــﺳﺍ ﻚﺒﺳ .ﺩﻮﺑ ﻩﺪﺷ ﻢﻴﺴﻘﺗ ﻲﺘﻛﺭﺎﺸﻣ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﻩﺪــﺷ ﻲﺣﺍﺮﻃ ﻱﺎﻫ ﻪﻣﺎﻨــﺸﺳﺮﭘ ﺯﺍ ﻡﺍﺪﻛ ﺮﻫ ﺭﺩ ﺯﺍ ﻚﻳ ﺮﻫ ﻱﺍﺮــﺑ ،ﻱﺭﺎﻣﺁ ﻪﻌﻣﺎﺟ ﺕﺍﺮــﻈﻧ ﻪﻄﻘﻧ ﻱﺭﻭﺁ ﻊــﻤﺟ ،ﻢﻛ ،ﻢﻛ ﻲﻠﻴﺧ) ﺢﻄــﺳ ﺞﻨﭘ ،ﻪﻣﺎﻨﺸﺳﺮﭘ ﺭﺩ ﺝﺭﺪﻨﻣ ﺕﻻﺍﺆــﺳ ﺐﻴﺗﺮﺗ ﻪﺑ ﻪﻛ ﺪــﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ (ﺩﺎﻳﺯ ﻲﻠﻴﺧ ،ﺩﺎﻳﺯ ،ﻂــﺳﻮﺘﻣ ﻪﻛ ﻲﺗﻻﺍﺆﺳ ﻱﺍﺮﺑ ﻭ .ﺪﻧﺪﻳﺩﺮﮔ ﻱﺭﺍﺬﮔ ﺵﺯﺭﺍ 5 ﺎﺗ1 ﻩﺭﺎﻤــﺷ ﺯﺍ ﺕﺭﻮﺻ ﻪﺑ ﻱﺭﺍﺬﮔ ﺵﺯﺭﺍ ،ﺪﻨﺘﺴﻫ ﺏﻮﻠﻄﻣ ﻢﻛ ﺡﻮﻄﺳ ﺦــﺳﺎﭘ .ﺪﻳﺩﺮﮔ ﻡﺎﺠﻧﺍ ﺱﻮﻜﻌﻣ ﺩﺭﻮﻣ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻦﻴﻴﻌﺗ ﻱﺍﺮﺑ ﺕﻭﺎﻀﻗ ﺭﺎﻴﻌﻣ

:ﺯﺍ ﺖﺳﺍ ﺕﺭﺎﺒﻋ ﻪﻌﻟﺎﻄﻣ ﻱﺩﺍﺪﺒﺘﺳﺍ ﻚﺒﺳ (ﺪﺻﺭﺩ 25) 30 ﺎﺗ ﺕﺍﺯﺎﻴﺘﻣﺍ ﻉﻮﻤﺠﻣ ﺮﮔﺍ (ﺪﺻﺭﺩ 26 - 50) 31-60 ﻦﻴﺑ ﺕﺍﺯﺎﻴﺘﻣﺍ ﻉﻮﻤﺠﻣ ،ﻱﺭﺎﻤﺜﺘﺳﺍ - ﺕﺍﺯﺎﻴﺘﻣﺍ ﻉﻮﻤﺠﻣ ،ﻪﻧﺎﻫﺍﻮﺧﺮﻴﺧ – ﻱﺩﺍﺪﺒﺘــﺳﺍ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ (ﺪﺻﺭﺩ 51 - 75) ﺪﺷﺎﺑ 61-90 ﻦﻴﺑ (ﺪﺻﺭﺩ 76 - 100)ﺪﺷﺎﺑ 91-120 ﻦﻴﺑ ﺕﺍﺯﺎﻴﺘﻣﺍ ﻉﻮﻤﺠﻣ ﺮﮔﺍ ﻭ .ﻲﺘﻛﺭﺎﺸﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﺍﺪﺘﺑﺍ ،SPSS 11 ﻱﺭﺎــﻣﺁ ﺯﺍﺮﻓﺍ ﻡﺮﻧ ﻪﺑ ﺎﻫ ﻩﺩﺍﺩ ﺩﻭﺭﻭ ﺯﺍ ﺪــﻌﺑ ﻥﺍﺰﻴﻣ (ﻲﺒــﺴﻧ ﻲﻧﺍﻭﺍﺮﻓ ،ﻲﻧﺍﻭﺍﺮﻓ) ﻲﻔﻴﺻﻮﺗ ﺭﺎﻣﺁ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ﻚﻳﺮﻫ ﻪﻄﺑﺍﺭ ﺲﭙﺳ .ﺪــﺷ ﺺﺨــﺸﻣ ﻚﻴﻓﺍﺮﮔﻮﻣﺩ ﻱﺎﻫﺮﻴﻐﺘﻣ ﺯﺍ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺎــﺑ ﻥﺍﺮﻳﺪﻣ ﻱﺮــﺒﻫﺭ ﻚﺒــﺳﺯﺍ ﺐﻳﺮﺿ ،ﻪﻓﺮﻃ ﻚﻳ ﺲﻧﺎﻳﺭﺍﻭ ﺰﻴﻟﺎﻧﺁ ﻱﺭﺎﻣﺁ ﻱﺎﻫ ﻥﻮﻣﺯﺁ ﻖــﻳﺮﻃ .ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻞﻴﻠﺤﺗ ﺩﺭﻮﻣ ﻦﻣﺮﻴﭙﺳﺍ ﻲﮕﺘﺴﺒﻤﻫ ﺎﻫ ﻪﺘﻓﺎﻳ ﻪﻳﺰﺠﺗ ﺱﺎﺳﺍ ﺮﺑ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻪﻜﺒﺷ ﺮﻫ ﻂــﺳﻮﺘﻣ ﺭﻮﻃ ﻪﺑ ،ﺖﻴﻌﻤﺟ ﺮﻔﻧ114477 ﻱﺍﺭﺍﺩ ﻪــﺘﻓﺮﮔ ﺕﺭﻮﺻ ﻱﺎﻫ ﻞﻴﻠﺤﺗ ﻭ ﻭ ﻲﺘــﺷﺍﺪﻬﺑ ﺰﻛﺮﻣ 11 ،ﺖــﺷﺍﺪﻬﺑ ﻪﻧﺎﺧ 56 ،ﺪﻨﻣﺭﺎﻛ ﺮﻔﻧ472 .ﺪﻧﺩﻮﺑ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻚﻳ ﻭ ﻲﻳﺎﺘﺳﻭﺭ ﻭ ﻱﺮﻬﺷ ﻲﻧﺎﻣﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻥﺎﻣﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻲﻣﺎﻤﺗ 50 ﻲﻣﺍﺪﺨﺘــﺳﺍ ﺖـﻴﻌﺿﻭ .ﺪﻧﺩﻮﺑ ﻞﻫﺄﺘﻣ ﺪﺻﺭﺩ 94/4 ﻭ ﺩﺮﻣ .ﺪﻧﺩﻮﺑ ﻱﺩﺍﺩ ﺭﺍﺮﻗ ﻭ ﻲﻌﻄﻗ - ﻲﻤﺳﺭ ﻪﻴﻘﺑ ﻭ ﻲﻧﺎﻤﻴﭘ ﻥﺎﻨﻛﺭﺎﻛ ﺪﺻﺭﺩ ﻚﺷﺰﭘ ﺕﻼﻴﺼﺤﺗ ﻱﺍﺭﺍﺩ ﺪﺻﺭﺩ 94/4ﻲﻠﻴﺼﺤﺗ ﻪﺘﺷﺭ ﺮﻈﻧ ﺯﺍ

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(36) 12 ؛1388ﻣﻼﺳ ﺖﻳﺮﻳﺪ

(ﻚــﺷﺰﭙﻧﺍﺪﻧﺩ)ﻲﻜﺷﺰﭘ ﻑﺮﺣﺮﻳﺎــﺳ ﺪﺻﺭﺩ 5/6 ﻭ ﻲﻣﻮﻤﻋ ﺕﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ ﻪﺘــﺷﺭ ﻩﺩﺮﻛ ﻞﻴﺼﺤﺗ ﻱﺮﻳﺪﻣ ﭻﻴﻫ .ﺪــﻧﺩﻮﺑ .ﺩﻮﺒﻧ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﻪﻜﺒــﺷ ﺮﻳﺪﻣ ﻥﺍﻮﻨﻋ ﻪﺑ ﻥﺍﺮﻳﺪﻣ ± ﻝﺎﻐﺘــﺷﺍ ﺕﺪﻣ ﻦﻴﮕﻧﺎﻴﻣ

.ﺪﻧﺍ ﻩﺩﻮﺑ ﻝﺎﺳ 3/39 ± 3/33 ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﺎﻫ ﻥﺁ ﺪﺻﺭﺩ 63/7 ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮــﻣ ﻥﺎﻨﻛﺭﺎﻛ ﺹﻮــﺼﺧ ﺭﺩ ﺪﻗﺎﻓ ﻥﺎﻨﻛﺭﺎﻛ ﺪــﺻﺭﺩ 24/2 .ﺪﻧﺩﻮﺑ ﻥﺯ ﺪــﺻﺭﺩ 36/3 ﻭ ﺩﺮــﻣ 67/2 ،(ﻞﻣﺎﻛ ﻢــﻠﭙﻳﺩ ﻭ ﻢﻠﭙﻳﺩ ﺮﻳﺯ) ﻲﻫﺎﮕــﺸﻧﺍﺩ ﺕﻼــﻴﺼﺤﺗ 8/6 ،ﺲﻧﺎــﺴﻴﻟ ﻭ ﻢﻠﭙﻳﺩ ﻕﻮﻓ ﻲﻠﻴﺼﺤﺗ ﻙﺭﺪﻣ ﻱﺍﺭﺍﺩ ﺪــﺻﺭﺩ ﻱﺍﺮﺘﻛﺩ ،ﺲﻧﺎــﺴﻴﻟ ﻕﻮﻓ ﻲﻠﻴﻤﻜﺗ ﺕﻼﻴﺼﺤﺗ ﻱﺍﺭﺍﺩ ﺪــﺻﺭﺩ .ﺪﻧﺩﻮﺑ ﻲﺼﺼﺨﺗ ﻱﺍﺮﺘﻛﺩ ﻭ ﻲﻣﻮﻤﻋ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺎﻨﻛﺭﺎﻛ ﻲﻨﺳ ﻩﻭﺮﮔ ﻦﻴﮕﻧﺎﻴﻣ ﺖﻣﺪﺧ ﻪﻘﺑﺎﺳ ﻦﻴﮕﻧﺎﻴﻣ ﻭ ﻝﺎﺳ 36/63 ± 7/43 ﺎﻫ ﻥﺎﺘــﺳﺮﻬﺷ

.ﺪﻧﺩﻮﺑ ﻝﺎﺳ12/38 ± 7/99 ﺎﻫ ﻥﺁ ﻱﺍ ﻩﺭﻭ ﺎﺸﻣ (ﺪﺻﺭﺩ 61/1) ﻥﺍﺮﻳﺪﻣ ﺐﻟﺎﻏ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ

.(1 ﻝﻭﺪﺟ)ﺪﻧﺩﻮﺑ ﻲﺘﻛﺭﺎﺸﻣ ﻚﺒﺳ ﻱﺍﺭﺍﺩ ﺪﺻﺭﺩ 38/9ﻭ ﻱﺎﻫ ﻪﻜﺒﺷ ﻚﻴﻜﻔﺗ ﻪﺑ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺕﺎﻋﻼﻃﺍ

.(2ﻝﻭﺪﺟ)ﺯﺍ ﺪﻨﺗﺭﺎﺒﻋ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ،ﺪﺻﺭﺩ 95 ﻥﺎﻨﻴﻤﻃﺍ ﺢﻄﺳ ﺎﺑ ﺶﻫﻭﮋﭘ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺱﺎــﺳﺍﺮﺑ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻦﻴﺑ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﺕﻭﺎﻔﺗ ﻱﺭﺎﻣﺁ ﺮﻈﻧ ﺯﺍ ﻪﻘﺑﺎﺳ ،ﺖﻣﺪﺧ ﻪﻘﺑﺎــﺳ ،ﻦﺳ ﺎﺑ ﻥﺎﻣﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒــﺷ ﻪﺑ ﻝﺎﻐﺘــﺷﺍ ﺕﺪﻣ ،ﻥﺍﺮﻳﺪﻣ ﺩﻮﺧ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻲﺘﻳﺮﻳﺪﻣ ﺖــﻣﺪﺧ ﻚﺒﺳ ﻦﻴﺑ ﻦﻴﻨﭽﻤﻫ ﻭ (T-Test) ﻥﻮﻣﺯﺁ ﺱﺎــﺳﺍﺮﺑ ﺮﻳﺪﻣ ﻥﺍﻮﻨﻋ ،ﻲﻧﺎﻣﺯﺎﺳ ﺖﺴﭘ ﺎﺑ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻞﻫﺄﺗ ﺖﻴﻌﺿﻭ ﻭ ﻲــﺘﻳﺮﻳﺪﻣ ﻩﺭﻭﺩ ﻥﺪﻧﺍﺭﺬﮔ ،ﻡﺍﺪﺨﺘــﺳﺍ ﻉﻮــﻧ .(P-Value>0/05) ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭﺮﺸﻴﻓ ﻖﻴﻗﺩ ﻥﻮﻣﺯﺁ ﺱﺎــﺳﺍﺮﺑ

ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻦﻴﺑ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﺕﻭﺎﻔﺗ ًﺎﻨﻤﺿ ﺖﻣﺪﺧ ﻪﻘﺑﺎﺳ ﻭ ﻦﺳ ﺎﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖــﺷﺍﺪﻬﺑ ﻦﻴﺑ ﻦﻴﻨﭽﻤﻫ ﻭ ﻪﻓﺮﻃ ﻚــﻳ ﺲﻧﺎﻳﺭﺍﻭ ﺰﻴﻟﺎﻧﺁ ﻥﻮﻣﺯﺁ ﺱﺎــﺳﺍﺮﺑ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ،ﻲﻠﻴﺼﺤﺗ ﻪﺘﺷﺭ ،ﻞﻫﺄﺗ ﺖﻴﻌﺿﻭ ،ﺕﻼﻴﺼﺤﺗ ﻥﺍﺰﻴﻣ ﺎﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻥﻮﻣﺯﺁ ﺱﺎﺳﺍ ﺮﺑ ﺖﻴﺴﻨﺟ ﻭ ﻡﺍﺪﺨﺘــﺳﺍ ﻉﻮﻧ ،ﻲﻧﺎﻣﺯﺎﺳ ﺖــﺴﭘ .(P-Value>0/05) ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﺮﺸﻴﻓ ﻖﻴﻗﺩ ﺎﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻭ ﻥﺍﺮﻳﺪﻣ ﻲﻜﻴﻓﺍﺮﮔﻮﻣﺩ ﺕﺎﺼﺨﺸﻣ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ

.ﺪﻨﺷﺎﺑ ﻲﻣ ﻪﻌﻟﺎﻄﻣ ﻲﺻﺎﺼﺘﺧﺍ ﻑﺍﺪﻫﺍ ﺯﺍ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻭ ﻥﺎﺷﺩﻮﺧ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻦﻴﺑ

(Mann Whitney) ﻥﻮﻣﺯﺁ ﺱﺎﺳﺍﺮﺑ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ .(3 ﻝﻭﺪﺟ) ﺪﺸﻧ ﻩﺪﻫﺎﺸﻣ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻁﺎﺒﺗﺭﺍ ﺎﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻦﻴﺑ ﻖﻃﺎﻨﻣ ﺭﺩ ﺭﺍﻮﻧﺎﺧ ﻲﺳﺮﺘﺳﺩ ﺖﺒﺴﻧ ، ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫ ﺺﺧﺎﺷ ﺖﺤﺗ ﻲﻧﺍﻭﺭ ﻥﺍﺭﺎﻤﻴﺑ ﺖﺒﺴﻧ ،ﻢﻟﺎﺳ ﻲﻧﺪﻴﻣﺎﺷﺁ ﺏﺁ ﻪﺑ ﻲﻳﺎﺘﺳﻭﺭ ﻱﺎﻫ ﻩﻭﺮﮔ ﻥﺍﺯﻮﻣﺁ ﺶﻧﺍﺩ ﺕﺎﻨﻳﺎﻌﻣ ﺖﺒﺴﻧ ،ﺖﻴﻌﻤﺟ ﻪﺑ ﺖﺒﻗﺍﺮﻣ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻪــﺑ ﻥﺯﻭ ﺩﻮﺒﻤﻛ ﻱﺍﺭﺍﺩ ﻥﺍﺩﺍﺯﻮــﻧ ﺪﺻ ﺭﺩ ،ﻑﺪــﻫ ﻩﺮﻤﻧ ﺶﻳﺍﺰﻓﺍ ﺎﺑ ﻪﻛ ﻱﺭﻮــﻃ ﻪﺑ ،ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻲﻤﻴﻘﺘــﺴﻣ ﻁﺎﺒﺗﺭﺍ ﺎﻫ ﺺﺧﺎﺷ ﻦﻳﺍ ﻢﻗﺭ ﺮﺑ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻪﺑ ﻱﺩﺍﺪﺒﺘﺳﺍ ﺯﺍ ﻱﺮﺒﻫﺭ ﻚﺒﺳ .(ﻦﻣﺮﻴﭙﺳﺍ ﻲﮕﺘﺴﺒﻤﻫ ﺐﻳﺮﺿ ﻥﻮﻣﺯﺁ)ﺩﻮﺷ ﻲﻣ ﻩﺩﻭﺰﻓﺍ ﺺﺧﺎﺷ ﻭ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻦﻴﺑ ﺪﺻﺭﺩ 95 ﻝﺎﻤﺘﺣﺍ ﺎﺑ ﻩﺪﻳﺪﻧ ﻩﺭﻭﺩ ﺩﺍﺮﻓﺍ ﻂﺳﻮﺗ ﻥﺎﻤﻳﺍﺯ ﺖﺒــﺴﻧ

(P-Value<0.05 & r=0/124) ﺪــﺷ ﺍﺪــﻴﭘ ﺭﺍﺩ ﻲﻨﻌﻣ ﻁﺎــﺒﺗﺭﺍ .(4 ﻝﻭﺪﺟ)

ﻥﺎﻨﻛﺭﺎﻛ ﻭ ﻥﺎﺷﺩﻮﺧ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻲﻧﺍﻭﺍﺮﻓ ﻊﻳﺯﻮﺗ :1 ﻝﻭﺪﺟ

ﻩﻭﺮﮔ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻥﺍﺮﻳﺪﻣ ﻩﺎﮔﺪﻳﺩ

ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ

ﺩﺍﺪﻌﺗ ﺪﺻﺭﺩ

ﺩﺍﺪﻌﺗ ﺪﺻﺭﺩ

ﻪﻧﺎﻫﺍﻮﺧ ﺮﻴﺧ – ﻱﺩﺍﺪﺒﺘﺳﺍ 0

0 47

13/9

ﻱﺍ ﻩﺭﻭﺎﺸﻣ 11

61/1 285

84

ﻲﺘﻛﺭﺎﺸﻣ 7

38/9 7

2/1

ﻊﻤﺟ 18

100 339

100

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(5)

(36) 12 ؛1388ﻣﻼﺳ ﺖﻳﺮﻳﺪ

ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﻥﺎﺠﻳﺎﺑ ﺭﺫﺁ ﻥﺎﺘﺳﺍ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻲﻣﺎﻤﺗ ﻲﺷﺎﻧ ﺮﻣﺍ ﻦﻳﺍ ﺪﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻪﻛ ﺪﻧﺩﻮﺑ ﻲﻣﻮﻤﻋ ﻚﺷﺰﭘ ﻲﻗﺮﺷ ﻲﻜﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ﻱﺎﻫ ﺖﺳﺎﻴﺳ ﺯﺍ ﻥﺍﺮﻳﺪﻣ ﺮﻳﺎــﺳ ﻱﺎﺟ ﻪﺑ ﻚــﺷﺰﭘ ﻥﺍﺮﻳﺪﻣ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍﺮﺑ ﻲــﻨﺒﻣ ﺪﺷﺎﺑ ﻲﺘﻳﺮﻳﺪﻣ ﻱﺎﻫ ﺖﺴﭘ ﻱﺍﺮﺑ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﻦﻴﻨﭽﻤﻫ ﻭ [13]ﺭﻮﺟﺎﺗ ،[12]ﺭﺪــﺻ ﻲﻗﺩﺎﺻ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺎﺑ ﻪــﻛ .ﺖﺷﺍﺪﻧ ﺖﻘﺑﺎﻄﻣ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ [14]ﻲﻤﻴﻫﺍﺮﺑﺍ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻥﺎﺷﺩﻮﺧ ﻩﺎﮔﺪﻳﺩﺯﺍ ﻥﺍﺮﻳﺪﻣ ﺐﻟﺎﻏ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﺖﻘﺑﺎﻄﻣ [13،14] ﻲــﻤﻴﻫﺍﺮﺑﺍ ﻭ ﺭﻮﺟﺎﺗ ﻱﺎــﻫ ﻪﺘﻓﺎﻳ ﺎﺑ ﻪﻛ ﺩﻮــﺑ ﻱﺮﺘﺧﺍﻭ [15]ﺏﺮﻋ [6]ﺩﺍﺭ ﻕﺪﺼﻣ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺎﺑ ﻲﻟﻭ .ﺖــﺷﺍﺩ ﺎﺑ ﻦﻴﻨﭽﻤﻫ .ﺖــﺷﺍﺪﻧ ﺖﻘﺑﺎﻄﻣ [16]ﺶﻧﺍﺭﺎﻜﻤﻫ ﺎﺑ ﻲﻋﺎﺠــﺷ ﺎﻜﻳﺮﻣﺍ ﻲﭘ ﻲﺳ ﻲــﺳ ﻲﻣ ﻩﺎﮕــﺸﻧﺍﺩ ﺭﺩ ﻪﻛ [17] ﺕﻮﻓ ﻱﺎﻫ ﻪﺘﻓﺎﻳ

ﻲﺘﻛﺭﺎﺸﻣ ﻥﺍﺮﻳﺪﻣ ﺪﺻﺭﺩ 43 ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻪﻛ ﺖﺳﺍ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻚﺒﺳ ﻲﻟﻭ .ﺩﺭﺍﺪﻧ ﺖﻘﺑﺎﻄﻣ ﺖﺳﺍ ﻩﺩﻮﺑ ﻱﺮﺒﻫﺭ ﻚﺒﺳﺮﻳﺎﺳ ﻪﻴﻘﺑ ﻭ ﻦﻳﺍ ﺯﺍ ﺮﻴﻏ ﻱﺮﮕﻳﺩ ﺰﻴﭼ ﻥﺎــﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺍﺮﻳﺪﻣ ﻱﺮــﺒﻫﺭ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺍﺮﻳﺪﻣ ﺪﺻﺭﺩ 13/9 ﻪﻛ ﻱﺭﻮﻃ ﻪﺑ ﺩﺍﺩ ﻲﻣ ﻥﺎــﺸﻧ ﺍﺭ ،ﻪﻧﺎﻫﺍﻮﺧ ﺮﻴﺧ ﻱﺩﺍﺪﺒﺘﺳﺍ ﻚﺒــﺳ ﻱﺍﺭﺍﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻥﺎﻨﻛﺭﺎﻛ ﻲﺘﻛﺭﺎﺸﻣ ﻚﺒﺳ ﺪﺻﺭﺩ 2/1ﻭ ﻱﺍ ﻩﺭﻭﺎــﺸﻣ ﻚﺒــﺳ ﺪﺻﺭﺩ 84 ﻱﺎﻫ ﺭﻮﺸﻛ ﺭﺩ ﻲﺘﻛﺭﺎﺸﻣ ﺖﻳﺮﻳﺪﻣ ﺪﻴﻳﺄﺗ ﻭ ﺪﻴﻛﺄﺗ ﻢﻏﺭ ﻪﺑ .ﺪﻧﺩﻮﺑ ﻭ ﻥﺎﻨﻛﺭﺎﻛ ﺖﻳﺎﺿﺭ ﻱﻭﺭ ﻥﺁ ﺖــﺒﺜﻣ ﺮﻴﺛﺄﺗ ﺖﻬﺟ ﻪــﺑ ﻪﺘﻓﺮــﺸﻴﭘ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﻪﺑ ﻲﻧﺍﺪﻨﭼ ﻞﻳﺎﻤﺗ ﻥﺍﺮﻳﺍ ﺭﺩ ﻥﺍﺮﻳﺪﻣ ،ﻥﺁ ﻲــﺸﺨﺑ ﺮﺛﺍ .ﺪﻧﺭﺍﺪﻧ ﺩﻮﺧ ﺩﺮﻜﻠﻤﻋ ﻪﻄﻴﺣ ﺭﺩ ﻲﺘﻛﺭﺎﺸﻣ ﺖﻳﺮﻳﺪﻣ ﺯﺍ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻲﻧﺍﻭﺍﺮﻓ ﻦﻳﺮﺘﺸﻴﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﺩ

ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷﺭﺩ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ :2 ﻝﻭﺪﺟ

ﻱﺎﻫ ﺺﺧﺎﺷ ﻱﺩﺮﻜﻠﻤﻋ

،ﻱﺎﻫ ﻪﻜﺒﺷ ﻥﺎﻣﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﻥﺎﺠﻳﺎﺑﺭﺫﺁ ﻥﺎﺘﺳﺍ ﻱﺎﻫ ﺵﻭﺭ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺖﺒﺴﻧ ﻱﺭﺍﺩﺭﺎﺑ ﺯﺍ ﻱﺮﻴﮕﺸﻴﭘ ﻥﺭﺪﻣ ﻲﻗﺮﺷ

ﺩﺍﺮﻓﺍ ﻂﺳﻮﺗ ﻥﺎﻤﻳﺍﺯ ﺖﺒﺴﻧ ﻩﺪﻳﺪﻧ ﻩﺭﻭﺩ ﺭﺍﻮﻧﺎﺧ ﻲﺳﺮﺘﺳﺩ ﺖﺒﺴﻧ ﺏﺁ ﻪﺑ ﻲﻳﺎﺘﺳﻭﺭ ﻖﻃﺎﻨﻣ ﺭﺩ ﻢﻟﺎﺳ ﻲﻧﺪﻴﻣﺎﺷﺁ ﻥﻮﻴﺳﺎﻨﻴﺴﻛﺍﻭ ﺶﺷﻮﭘ ﺖﺒﺴﻧ ""ﺖﻴﺗﺎﭙﻫ

ﺖﺤﺗ ﻲﻧﺍﻭﺭ ﻥﺍﺭﺎﻤﻴﺑ ﺖﺒﺴﻧ ﺖﻴﻌﻤﺟ ﻪﺑ ﺖﺒﻗﺍﺮﻣ ﻥﺍﺯﻮﻣﺁ ﺶﻧﺍﺩ ﺕﺎﻨﻳﺎﻌﻣ ﺖﺒﺴﻧ ﻑﺪﻫ ﻱﺎﻫ ﻩﻭﺮﮔ

ﺖﺤﺗ ﺖﻴﻌﻤﺟ ﻢﻬﺳ ﺖﺒﺴﻧ ﻞﻛ ﺯﺍ ﻩﺩﺍﻮﻧﺎﺧ ﻚﺷﺰﭘ ﺶﺷﻮﭘ ﺖﻴﻌﻤﺟ ﺩﻮﺒﻤﻛ ﻱﺍﺭﺍﺩ ﻥﺍﺩﺍﺯﻮﻧ ﺪﺻ ﺭﺩ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻪﺑ ﻥﺯﻭ

ﺮﻳﺯ ﻝﺎﻔﻃﺍ ﺮﻴﻣ ﻭ گﺮﻣ ﻥﺍﺰﻴﻣ (ﻩﺪﻧﺯ ﺪﻟﻮﺗ ﺭﺍﺰﻫ ﺭﺩ) ﻝﺎﺴﻜﻳ ﺭﺩ) ﻥﺍﺩﺍﺯﻮﻧ ﺮﻴﻣ ﻭ گﺮﻣ ﻥﺍﺰﻴﻣ (ﻩﺪﻧﺯﺪﻟﻮﺗ ﺭﺍﺰﻫ

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(36) 12 ؛1388ﻣﻼﺳ ﺖﻳﺮﻳﺪ

ﻥﺎﻧﺁ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻦﻳﺮﺘﻤﻛ ﻭ ﺩﻮﺑ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩ ﺭﺪﺻ ﻲﻗﺩﺎﺻ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺎﺑ ﻪﻛ ﺪﺷﺎﺑ ﻲﻣ ﻱﺭﺎﻤﺜﺘﺳﺍ – ﻱﺩﺍﺪﺒﺘﺳﺍ ﻕﺪﺼﻣ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺎﺑ ﻲــﻟﻭ ﺩﺭﺍﺩ ﺖﻘﺑﺎﻄﻣ [12،18]ﻥﺎــﻳﺩﺍﺯﺁ ﻭ ﻲﺗﺎﻘﻴﻘﺤﺗ ﺮﻳﺎﺳ ﻭ ﻖﻴﻘﺤﺗ ﻦﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺩﺭﺍﺪﻧ ﺖﻘﺑﺎﻄﻣ [6]ﺩﺍﺭ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺖﻔﮔ ﻥﺍﻮﺗ ﻲﻣ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻪﺘﻓﺮﺸﻴﭘ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ ﻪﻛ ﺖﺷﺍﺪﻬﺑ ﻡﺎﻈﻧ ﻥﺍﺮﻳﺪﻣ ﻂﺳﻮﺗ ﺖﻳﺮﻳﺪﻣ ﺭﺩ ﻥﺎﻨﻛﺭﺎﻛ ﺖﻛﺭﺎﺸﻣ ﻞﻴﻟﺩ ﻪﺑ ﺪﻧﺍﻮﺗ ﻲﻣ ﺰﻴﻧ ﻥﺁ ﻭ ﺖــﺳﺍ ﻥﺍﺮﻳﺍ ﺯﺍ ﺮﺘــﺸﻴﺑ ﻥﺎﻧﺁ ﻥﺎﻣﺭﺩ ﻭ

.ﺪﺷﺎﺑ ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﻲﮕﻨﻫﺮﻓ ﻭ ﻲﻄﻴﺤﻣ ﻱﺎﻫ ﺕﻭﺎﻔﺗ ﻱﺎﻫ ﻪﻜﺒــﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻦﻴﺑ ﻪﻌﻟﺎﻄﻣ ﻦــﻳﺍ ﺭﺩ ﻱﺭﺎﻣﺁ ﻁﺎﺒﺗﺭﺍ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺎﺑ ﻥﺎﻣﺭﺩ ﻭ ﺖــﺷﺍﺪﻬﺑ ﺖﻔﮔ ﻥﺍﻮﺗ ﻲﻣ ﻥﺍﺮﻳﺪﻣ ﺹﻮﺼﺧﺭﺩ ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻱﺩﺍﺪﺒﺘﺳﺍ ﺖﻤﺳ ﻪﺑ ﺍﺭ ﺩﻮﺧ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﺪﻫﺍﻮﺨﻧ ﻱﺮﻳﺪﻣ ﺪﻳﺎﺷ

ﻥﺎﻣﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷﺭﺩ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺎﺑ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻁﺎﺒﺗﺭﺍ :3 ﻝﻭﺪﺟ

ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻱﺍ ﻩﺭﻭﺎﺸﻣ

ﻲﺘﻛﺭﺎﺸﻣ

P-Value ﻞﻛ

ﻱﺭﺍﺩﺭﺎﺑ ﺯﺍ ﻱﺮﻴﮕﺸﻴﭘ ﻥﺭﺪﻣ ﻱﺎﻫ ﺵﻭﺭ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺖﺒﺴﻧ 65/69

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ﻩﺪﻳﺪﻧ ﻩﺭﻭﺩ ﺩﺍﺮﻓﺍ ﻂﺳﻮﺗ ﻥﺎﻤﻳﺍﺯ ﺖﺒﺴﻧ 2/72

2/33 2/57

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ﻢﻟﺎﺳ ﻲﻧﺪﻴﻣﺎﺷﺁ ﺏﺁ ﻪﺑ ﻲﻳﺎﺘﺳﻭﺭ ﻖﻃﺎﻨﻣ ﺭﺩ ﺭﺍﻮﻧﺎﺧ ﻲﺳﺮﺘﺳﺩ ﺖﺒﺴﻧ 88/10

93/05 90/03

0/37

"ﺏ"ﺖﻴﺗﺎﭙﻫ ﻥﻮﻴﺳﺎﻨﻴﺴﻛﺍﻭ ﺶﺷﻮﭘ ﺖﺒﺴﻧ 98/94

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0/15

ﺖﻴﻌﻤﺟ ﻪﺑ ﺖﺒﻗﺍﺮﻣ ﺖﺤﺗ ﻲﻧﺍﻭﺭ ﻥﺍﺭﺎﻤﻴﺑ ﺖﺒﺴﻧ 1/85

1/57 1/74

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ﻑﺪﻫ ﻱﺎﻫ ﻩﻭﺮﮔ ﻥﺍﺯﻮﻣﺁ ﺶﻧﺍﺩ ﺕﺎﻨﻳﺎﻌﻣ ﺖﺒﺴﻧ 90/69

96/62 92/99

0/28

ﺖﻴﻌﻤﺟ ﻞﻛ ﺯﺍ ﻩﺩﺍﻮﻧﺎﺧ ﻚﺷﺰﭘ ﺶﺷﻮﭘ ﺖﺤﺗ ﺖﻴﻌﻤﺟ ﻢﻬﺳ ﺖﺒﺴﻧ 82/38

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ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻪﺑ ﻥﺯﻭ ﺩﻮﺒﻤﻛ ﻱﺍﺭﺍﺩ ﻥﺍﺩﺍﺯﻮﻧ ﺪﺻ ﺭﺩ 4/18

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(ﻩﺪﻧﺯ ﺪﻟﻮﺗ ﺭﺍﺰﻫ ﺭﺩ) ﻝﺎﺴﻜﻳ ﺮﻳﺯ ﻝﺎﻔﻃﺍ ﺮﻴﻣ ﻭ گﺮﻣ ﻥﺍﺰﻴﻣ 17/11

19/08 17/88

0/08

(ﻩﺪﻧﺯ ﺪﻟﻮﺗ ﺭﺍﺰﻫ ﺭﺩ) ﻥﺍﺩﺍﺯﻮﻧ ﺮﻴﻣ ﻭ گﺮﻣ ﻥﺍﺰﻴﻣ 11/55

12/37 11/87

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ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺎﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻩﺎﮔﺪﻳﺩﺯﺍ ﺎﻫ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻲﮕﺘﺴﺒﻤﻫ :4 ﻝﻭﺪﺟ

ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻲﮕﺘﺴﺒﻤﻫ ﺐﻳﺮﺿ

P-Value

ﻱﺭﺍﺩﺭﺎﺑ ﺯﺍ ﻱﺮﻴﮕﺸﻴﭘ ﻥﺭﺪﻣ ﻱﺎﻫ ﺵﻭﺭ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺖﺒﺴﻧ /184

/001

ﻩﺪﻳﺪﻧ ﻩﺭﻭﺩ ﺩﺍﺮﻓﺍ ﻂﺳﻮﺗ ﻥﺎﻤﻳﺍﺯ ﺖﺒﺴﻧ /124

/022

ﻢﻟﺎﺳ ﻲﻧﺪﻴﻣﺎﺷﺁ ﺏﺁ ﻪﺑ ﻲﻳﺎﺘﺳﻭﺭ ﻖﻃﺎﻨﻣ ﺭﺩ ﺭﺍﻮﻧﺎﺧ ﻲﺳﺮﺘﺳﺩ ﺖﺒﺴﻧ /03

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"ﺏ"ﺖﻴﺗﺎﭙﻫ ﻥﻮﻴﺳﺎﻨﻴﺴﻛﺍﻭ ﺶﺷﻮﭘ ﺖﺒﺴﻧ -/10

/05

ﺖﻴﻌﻤﺟ ﻪﺑ ﺖﺒﻗﺍﺮﻣ ﺖﺤﺗ ﻲﻧﺍﻭﺭ ﻥﺍﺭﺎﻤﻴﺑ ﺖﺒﺴﻧ /10

/05

ﻑﺪﻫ ﻱﺎﻫ ﻩﻭﺮﮔ ﻥﺍﺯﻮﻣﺁ ﺶﻧﺍﺩ ﺕﺎﻨﻳﺎﻌﻣ ﺖﺒﺴﻧ /004

/94

ﺖﻴﻌﻤﺟ ﻞﻛ ﺯﺍ ﻩﺩﺍﻮﻧﺎﺧ ﻚﺷﺰﭘ ﺶﺷﻮﭘ ﺖﺤﺗ ﺖﻴﻌﻤﺟ ﻢﻬﺳ ﺖﺒﺴﻧ -/04

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ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻪﺑ ﻥﺯﻭ ﺩﻮﺒﻤﻛ ﻱﺍﺭﺍﺩ ﻥﺍﺩﺍﺯﻮﻧ ﺪﺻ ﺭﺩ /10

/05

(ﻩﺪﻧﺯ ﺪﻟﻮﺗ ﺭﺍﺰﻫ ﺭﺩ) ﻝﺎﺴﻜﻳ ﺮﻳﺯ ﻝﺎﻔﻃﺍ ﺮﻴﻣ ﻭ گﺮﻣ ﻥﺍﺰﻴﻣ /145

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(36) 12 ؛1388ﻣﻼﺳ ﺖﻳﺮﻳﺪ

ﺩﻮﺧ ﺯﺍ ﺮﺘﺸﻴﺑ ﺪﻳﺎﺷ ﻥﺎﻨﻛﺭﺎﻛ ﺮﻈﻧ ﺎﺘــﺳﺍﺭ ﻦﻳﺍ ﺭﺩ ﻪﻛ ﺪﻫﺩ ﻕﻮــﺳ ﻕﺩﺎﺻ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻱﺎﻫ ﻚﺒــﺳ ﺹﻮﺼﺧ ﺭﺩ ﺎﻫ ﻥﺁ ﺕﺍﺮﻈﻧ ﺯﺍ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻥﺎﻨﻛﺭﺎﻛ ﻪــﻛ ﻦﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻦــﻴﻨﭽﻤﻫ .ﺪــﺷﺎﺑ ﺪﻧﺩﻮﺑ ﺮﻳﺪﻣ ﺎﺑ ﻢﻴﻘﺘﺴﻣ ﻁﺎﺒﺗﺭﺍﺭﺩﻭ ﺖﺷﺍﺪﻬﺑ ﺰﻛﺮﻣ ﻭ ﻪﻜﺒﺷ ﺩﺎﺘﺳ ﺪﻳﺎﺷ ﻥﺎﺷ ﺦﺳﺎﭘ ﺎﻫ ﻲﻧﺍﺮﮕﻧ ﻱﺍ ﻩﺭﺎﭘ ﻭ ﻱﻮﻗ ﺕﺎﻃﺎﺒﺗﺭﺍ ﻅﺎﺤﻟ ﻪﺑ ﻥﺩﺍﺩ ﺖﻛﺭﺎــﺸﻣ ﻭ ﻥﺎﻨﻛﺭﺎﻛ ﺎﺑ ﻞﻣﺎﻌﺗ ﻲﻟﻭ .ﺪــﺷﺎﺒﻧ ﺢﻴﺤﺻ ﺩﺎﻳﺯ ﻭ ﺖﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒﺷ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﻱﻭﺭ ﺮﺑ ﺎﻫ ﻥﺁ ﺪﻧﺍﻮﺗ ﻲﻣ ﺮﻳﺪﻣ ﺭﺎﺘﻓﺭ ﻉﻮﻧ ﺍﺬﻟ .ﺪﺷﺎﺑ ﺭﺍﺬﮔ ﺮﻴﺛﺄﺗ ﺪﻧﺍﻮﺗ ﻲﻣ ﻥﺎﻣﺭﺩ ﻱﺎﻫ ﺺﺧﺎﺷ ﺩﻮﺒﻬﺑ ﺮﺑ ﻦﻴﻨﭽﻤﻫﻭ ﻥﺎﻨﻛﺭﺎﻛ ﻲﻳﺎﻧﺍﻮﺗ ﻭ ﻩﺰﻴﮕﻧﺍ ﺮﺑ ﺩﺭﻮﻣ ﻪﻧﻮﻤﻧ ﻢــﻛ ﺩﺍﺪﻌﺗ ﻲﻓﺮﻃ ﺯﺍ .ﺪــﻳﺎﻤﻧ ﻚــﻤﻛ ﻱﺩﺮــﻜﻠﻤﻋ ﻦﻴﺑ ﺩﻭﺪﺤﻣ ﺩﺍﺪــﻌﺗ ﻦﻳﺍ ﻊﻳﺯﻮﺗ ًﻻﺎــﻤﺘﺣﺍﻭ (ﺮﻔﻧ18) ﻪــﻌﻟﺎﻄﻣ ﻥﺩﻮﺒﻧ ﺭﺍﺩ ﻲﻨﻌﻣ ﺚﻋﺎﺑ ﻲﻠﻤﻋ ﺭﻮﻃ ﻪﺑ ﻱﺮﺒﻫﺭ ﻚﺒﺳ ﻉﻮﻧ ﺭﺎﻬﭼ ﻱﺎﻫ ﻪﻜﺒــﺷ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻉﻮﻧ ﺹﻮﺼﺧ ﺭﺩ ﺎﻫ ﻩﺩﺍﺩ ﺰﻴﻧ ﻭ ﻩﺪﻳﺩﺮﮔ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺎﺑ ﻥﺎﻣﺭﺩﻭ ﺖــﺷﺍﺪﻬﺑ ﻲﮔﺩﺮﺘــﺴﮔ ،ﻲﻳﺎﻴﻓﺍﺮﻐﺟ ﺖﻴﻌﻗﻮﻣ ﻥﻮﭽﻤﻫ ﺮﮔ ﻪﻠﺧﺍﺪﻣ ﻞﻣﺍﻮﻋ ،ﻥﺁ ﺮﺑ ﻢﻛﺎﺣ ﻱﺎﻫ ﺖــﺳﺎﻴﺳ ،ﻥﺎﻣﺭﺩ ﻭ ﺖــﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻪﻜﺒــﺷ ،ﺮﮕﻳﺩ ﻪﻜﺒﺷ ﻪﺑ ﻱﺍ ﻪﻜﺒﺷ ﺯﺍ ﺎﻫ ﺺﺧﺎــﺷ ﺭﺎﺒﺘﻋﺍ ﻥﺩﻮﺑ ﺕﻭﺎﻔﺘﻣ ﻱﺮﻴﮔ ﺭﺎﻜﺑ ﻡﺪــﻋ ﻭ ﻩﺪــﺷ ﻦﻴﻴﻌﺗ ﻱﺎﻫ ﺺﺧﺎــﺷ ﻥﺩﻮﺒﻧ ﻲﻓﺎﻛ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ ﻱﺎﻫ ﻪﺘﺷﺭ ﻥﺎﮕﺘﺨﻴﻫﺮﻓ .ﺪﻨﺷﺎﺑ ﺭﺍﺬﮔﺮﻴﺛﺄﺗ ﻞﻣﺍﻮﻋ ﺯﺍ ﺪﻳﺎﺷ ﻪﻜﺒﺷ ﻥﺍﺮﻳﺪﻣ ﻥﺍﻮﻨﻋ ﻪﺑ ﺮﻴﺛﺄﺗ ﺹﻮﺼﺧ ﺭﺩ ﻲﺸﻫﻭﮋﭘ ﺩﻮﺷ ﻲﻣ ﺩﺎﻬﻨــﺸﻴﭘ ﺖﻳﺎﻬﻧ ﺭﺩ ﺎﺑ ﺖﻣﻼــﺳ ﻡﺎﻈﻧ ﻲــﺸﺨﺑ ﺮﺛﺍ ﻭ ﻲﻳﺍﺭﺎﻛ ﺮﺑ ﻱﺮﺒﻫﺭ ﻱﺎﻫ ﻚﺒــﺳ ﻲﻘﻴﺒﻄﺗ ﻪﻌﻟﺎﻄﻣ ﻦــﻴﻨﭽﻤﻫ ﻭ ﻥﺍﺮﻳﺍ ﺭﺩ ﺐــﺳﺎﻨﻣ ﻱﻮﮕﻟﺍ ﻪــﺋﺍﺭﺍ ﻥﺍﺮﻳﺪﻣ ﺎﺑ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﻥﺍﺮــﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳ ﻪﻨﻴﻣﺯ ﺭﺩ ﺎﺗ ﺩﻮﺷ ﻡﺎﺠﻧﺍ ﻥﻼﻛ ﺢﻄــﺳ ﺭﺩ ﺖﻣﻼــﺳ ﻡﺎﻈﻧ ﺭﺩ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﻲﺧﺮﺑ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻲﻟﻭ .ﺪﻳﺁ ﺖﺳﺩ ﻪﺑ ﻱﺮﺒﺘﻌﻣ ﺞﻳﺎﺘﻧ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻥﺍﺮﻳﺪﻣ ﻱﺮﺒﻫﺭ ﻚﺒــﺳﻭ ﻱﺩﺮﻜﻤﻋ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺪﻧﺍﻮﺗ ﻲﻣ ﺕﺎﻤﻴﻤﺼﺗﺭﺩ ﻥﺎــﻨﻛﺭﺎﻛ ﻥﺩﺍﺩ ﺖﻛﺭﺎــﺸﻣ ،ﻥﺎﻨﻛﺭﺎﻛ .ﺩﺩﺮﮔ ﻱﺩﺮﻜﻠﻤﻋ ﻱﺎﻫ ﺺﺧﺎﺷ ﺩﻮﺒﻬﺑ ﻪﺑﺮﺠﻨﻣ

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Health Administration 2009; 12 (36)

Nasiripoor A.A.1 / Helali Bonab M.A.2 / Raeisi P.3

Abstract

Introduction: Leadership is one of the necessary duties of the managers. The success of the organi- zation depends on the management and leadership style of the manager. This research was aimed to determine the relationship between leadership styles of the district health network Managers (in East Azerbaijan) by performance indices.

Methods: This is a cross-sectional (correlation) study; its population consists of district health net- work managers and personnel (n=1035). All 18 district health network managers, and 339 personnel randomly were included. Data collection tool was a questionnaire with three sections: leadership style from the directorate’s perspective, from the personnel perspective, and general information with performance indices. Data collected using two types of questionnaires, and analyzed by SPSS software.

Results: We found 61.1% of managers in their leadership style implement consulting method; and 38.9% participating method. Relationship between managers’ leadership style and performance indicator found not statistically significant; but for the personnel perspective; and the ratio of birth delivery by non-trained people were statistically significant (r=0/124 P-Value<0.05).

Conclusion: Managers tend to implement consulting style, and let them to participate in the decision- making. Letting people to be involved in the decision-making and goal settings through utilizing their abilities and competencies will lead to promote performance indicators for health network managers.

Keywords:Leadership Style, Managers, Health Center, Performance Indicators

Assistant Professor of Health Services Management Department, School of Economics and Management, Azad University of Tehran, Science 1.

and Research Branch; Corresponding Author ([email protected])

M.Sc. Student of Health Services Management Department, School of Economics and Management, Azad University of Tehran, Science 2.

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ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ ﻲﺸﻫﻭﮋﭘ - ﻲﻤﻠﻋ ﻪﻣﺎﻨﻠﺼﻓ ﻪﻣﺪﻘﻣ ﺺﻟﺎﺧﺎﻧ ﺪﻴﻟﻮﺗ ﺯﺍ ﻲﺘﺷﺍﺪﻬﺑ ﻭ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ ﻪﻨﻳﺰﻫ ﻢﻬﺳ ًﺎﺒﻟﺎﻏ ﺯﺍ ﺮﺘﺸﻴﺑ ﻪﺘﻓﺎﻳ ﻪﻌﺳﻮﺗ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ GDP ﻲﻠﺧﺍﺩ ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ ﻪﺘﻜﻧ ﻦﻳﺍ .ﺖﺳﺍ ﻪﺘﻓﺎﻴﻧ ﻪﻌﺳﻮﺗ ﻱﺎﻫﺭﻮﺸﻛ

36 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ ﻪﻣﺪﻘﻣ ﻲﻤﻠﻋ ﺩﺍﺪﻧﻭﺮﺑ ﻲﻔﻴﻛ ﻭ ﻲﻤﻛ ﺪﻴﻟﻮﺗ ﻲﺑﺎﻳﺯﺭﺍ ﻱﺍﺮﺑ ﺮﺿﺎﺣ ﻝﺎﺣ ﺭﺩ ﻩﺩﺎﻔﺘــﺳﺍ ﻱﺩﺪﻌﺘﻣ ﻱﺎﻫ ﺵﻭﺭ ﺯﺍ ﻲﺗﺎﻘﻴﻘﺤﺗ ﺰﻛﺍﺮﻣ ﻭ ﻦــﻴﻘﻘﺤﻣ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ،ﺎﻫ ﺵﻭﺭ ﻦﻳﺍ ﺯﺍ ﻲــﻜﻳ

ﻲﺳﺭﺮﺑ ﻪﺑ ﻲﻛﻮﺗ ﻥﻮﻣﺯﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻲﻳﺎﻬﻧ ﻞﻴﻠﺤﺗ ﺭﺩ ﺮﮕﻳﺪﻜﻳ ﺎﺑ ﺶﻧﺍﺩ ﺖﻳﺮﻳﺪﻣ ﺪﻨﻳﺁﺮﻓ ﺩﺎﻌﺑﺍ ﺯﺍ ﻚﻳ ﺮﻫ ﻦﻴﮕﻧﺎﻴﻣ ﻥﺎﻴﺑ ﺮﻔﺻ ﺽﺮــﻓ ،ﻥﻮﻣﺯﺁ ﻦﻳﺍ ﺭﺩ .ﺖــﺳﺍ ﻩﺪــﺷ ﻪﺘﺧﺍﺩﺮﭘ ﺩﺭﻮﻣ ﺩﺎﻌﺑﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻴﺑ ﺭﺍﺩﺎﻨﻌﻣ

1388 ﺭﺎـﻬﺑ / 35 ﻩﺭﺎـﻤﺷ / 12 ﻩﺭﻭﺩ ﺶﺨﺑ ﻲﻧﺎﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺮﻳﺪﻣ ﻲﺳﺭﺮﺑ ﺯﺍ ﻞﺻﺎﺣ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﺩﺍﺩ ﻥﺎﺸﻧ ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺯﺍ .ﺪﻨﺘﺷﺍﺩ ﺭﺍﺮﻗ ﻒﻴﻌﺿ ﺢﻄﺳ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫ

37 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ ﻝﺎﺣ ﺭﺩ ﺯﻭﺭ ﻪﺑ ﺯﻭﺭ ﻲــﺗﺎﻣﺪﺧ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﺭﺩ ﻥﺁ ﻥﻮــﮔﺎﻧﻮﮔ ﻱﺍ ﻪﻠﺣﺮﻣ - ﻲﻠﻴﻠﻘﺗ ﻱﺭﺍﺪﺑﺎــﺴﺣ ﻢﺘــﺴﻴﺳ ،ﺖﺳﺍ ﺵﺮﺘــﺴﮔ .ﺖﺳﺍ [Step-Down Cost Accounting] ﻲﻋﺎﻤﺘﺟﺍ ﺖﻟﺍﺪﻋ ﻦﻴﺘــﺳﺍﺭ

42 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ ﺭﺩ ﻥﺎﻤﻠﻌﻣ ﻲﻧﺎﻣﺯﺎــﺳ ﻱﺪﻧﻭﺮﻬﺷ ﺭﺎﺘﻓﺭ ﻪﻛ ﺪﻨﺘﻓﺎﻳ ﺖــﺳﺩ ﻭ ﻲﻠﻐــﺷ ﺪﻬﻌﺗ ،ﻱﺯﺎــﺳ ﺪﻨﻤﻧﺍﻮﺗ ﺎﺑ ﻭ ﻩﺩﻮﺑ ﻂــﺳﻮﺘﻣ ﺪﺣ ﺱﺎﺳﺍﺮﺑ ﻦﻴﻨﭽﻤﻫ .ﺩﺭﺍﺩ ﺭﺍﺩ ﻲﻨﻌﻣ ﻱﺍ ﻪﻄﺑﺍﺭ ﻱﺍ ﻪﻓﺮﺣ ﺪﻬﻌﺗ

38 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ ﺕﺰﻋ ﻭ ﻲﻧﺎﻣﺯﺎﺳ ﻮﺟ ﻪﻄﺑﺍﺭ ﺰﻴﻧ ﻱﺮﮕﻳﺩ ﻪﻌﻟﺎﻄﻣ ،ﻞﺑﺎﻘﻣ ﺭﺩ ﻦﻴﺑ ﻪﻛ ﺪﻧﺍ ﻩﺩﺍﺩ ﻥﺎــﺸﻧ ﺞﻳﺎﺘﻧ ﻭ ﻩﺩﺍﺩ ﺭﺍﺮﻗ ﻲــﺳﺭﺮﺑ ﺩﺭﻮﻣ ﺍﺭ ﺲﻔﻧ ﻪﻄﺑﺍﺭﺭﺎﻛ ﻪﻘﺑﺎــﺳ ﻭ ﺕﻼﻴﺼﺤﺗ ،ﺲﻔﻧ ﺕﺰﻋ ﺎﺑ ﻲﻧﺎﻣﺯﺎــﺳ