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ﻩﺎﺸﻧﺎﻣﺮﻛ ﻲﻧﺎﻣﺭﺩ ،ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﻭ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ 1370-1386 ﻱﺎﻫ ﻝﺎﺳ ﺭﺩ (MeSH) ﻱﺎﻫﺮﮕﻔﻴﺻﻮﺗ ﺱﺎﺳﺍﺮﺑ

4ﻲﻜﻟﺎﻤﻟﺍﺪﺒﻋ ﻪﻧﺍﻭﺮﭘ ،³ﻲﻳﺎﺿﺭ ﺭﻮﺼﻨﻣ ،²ﻲﺻﻮﺼﺨﻣ ﻩﺭﺍﺮﺷ ،¹ﻩﺩﺍﺯﺮﺒﻛﺍ ﻩﺪﻳﺮﻓ

ﻩﺪﻴﻜﭼ ﻦﻳﺍ ﻑﺪﻫ .ﺩﻮــﺷ ﻲﻣ ﻩﺩﺎﻔﺘــﺳﺍ ﻲﭘﺎﭼ ﺮﻴﻏ ﻭ ﻲﭘﺎﭼ ﻊﺑﺎﻨﻣ ﻱﺍﻮﺘﺤﻣ ﻂﺒﺿ ﻭ ﻞــﻴﻠﺤﺗ ،ﻲﻳﺎــﺳﺎﻨﺷ ﺭﻮﻈﻨﻣ ﻪﺑ ﺍﻮﺘﺤﻣ ﻞــﻴﻠﺤﺗ :ﻪـﻣﺪﻘﻣ ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﺱﺎﺳﺍ ﺮﺑ ﺎﻫ ﺶﻫﻭﮋﭘ ﻲﻋﻮﺿﻮﻣ ﺶﻳﺍﺮﮔﻭ 70-86 ﻱﺎﻫ ﻝﺎﺳ ﺭﺩ ﻲﻋﻮﺿﻮﻣ ﻱﺎﻫ ﺶﻳﺍﺮﮔ ،ﺎﻫ ﻲﮔﮋﻳﻭ ﻦﻴﻴﻌﺗ ﺶﻫﻭﮋﭘ .ﺩﻮﺑ ﻲﻜﺷﺰﭘ ﻲﻋﻮﺿﻮﻣ ﻥﺍﻮﻨﻋﺮﺳ ﺭﺩ ﻪﻛ ﺖﺳﺍ ﻲﺸﻫﻭﮋﭘ ﺡﺮﻃ 369 ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱ ﻪﻌﻣﺎﺟ .ﺖــﺳ ﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ ﻭ ﻲﻔﻴﺻﻮﺗ ﺶﻳﺎﻤﻴﭘ ﺶﻫﻭﮋﭘ ﺵﻭﺭ :ﻲـﺳﺭﺮﺑ ﺵﻭﺭ ﻩﺪﺷ ﺐﻳﻮﺼﺗ 1386 ﻝﺎﺳ ﻥﺎﻳﺎﭘ ﺎﺗ ﺎﻫ ﻥﺁ ﻲﻳﺎﻬﻧ ﺵﺭﺍﺰﮔ ﻭ ﺪﻫﺩ ﻲﻣ ﺭﺍﺮﻗ ﻲــﺳﺭﺮﺑ ﺩﺭﻮﻣ ﺍﺭ ﺪﻧﺍ ﻩﺪــﺷ ﺍﺮﺟﺍ 1370-1386 ﻱﺎﻫ ﻝﺎــﺳ .ﺖﺳﺍ ﻩﺪﺷ ﻱﺭﻭﺁﺩﺮﮔ ﻲﺗﺎﻋﻼﻃﺍ ﻡﺮﻓ ﻖﻳﺮﻃ ﺯﺍ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﺎﻫ ﻩﺩﺍﺩ .ﺖــﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﻱﺭﺎﻤﺷ ﺮﺳ ﺯﺍ ﻲــﺳﺭﺮﺑ ﻦﻳﺍ ﺭﺩ .ﺖــﺳﺍ ﻲﻓﺮﺣ ﺩﺎﻤﻧ ﺯﺍ ،ﻱﺭﺍﺬﮔﺰﻣﺭ ﻱﺍﺮﺑ .ﺖــﺳﺍ ﺡﺮﻃ ﻱﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ ﻭ ﻩﺪﻴﻜﭼ ،ﻥﺍﻮﻨﻋ ﺭﺩ ﺝﺭﺪﻨﻣ ﻱﺎﻫ ﻩژﺍﻭ ﻢﻴﻫﺎﻔﻣ ﻭ ﻥﻮﻤﻀﻣ ،ﺖﺒﺛ ﺪﺣﺍﻭ ﻪﺟﻮﺗ ﺎﺑ ﻲﻋﻮﺿﻮﻣ ﻱﺎﻫ ﻪﻟﻮﻘﻣ .ﺖﺳﺍ ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﺭﺩ ﺡﻼﻄﺻﺍ ﺖﻴﻌﻗﻮﻣ ﻱ ﻩﺪﻨﻨﻛ ﺺﺨــﺸﻣ ﺩﺎﻤﻧ .ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘــﺳﺍ ﻱﺩﺪﻋ ـ

SPSS ﻱﺭﺎﻣﺁ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﺎﻫ ﻩﺩﺍﺩ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ ﻱﺍﺮﺑ .ﺪﻧﺍ ﻩﺪﺷ ﻦﻴﻴﻌﺗ ،ﻩﺪﺷ ﻪﺘﻓﺮﻳﺬﭘ ﺕﺎﺣﻼﻄﺻﺍ ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﻱﺎﻫ ﻩﺭﺎﻤﺷ ﻪﺑ .ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﻪﻟﻮﻘﻣ .ﺪــﺷﺎﺑ ﻲﻣ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻲﻠﺻﺍ ﻪﻟﻮﻘﻣ ﻱ ﻪﻨﻴﻣﺯ ﺭﺩ ﻩﺪــﺷ ﻡﺎﺠﻧﺍ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﺪﺻﺭﺩ 23.3 ﻪﻟﺎــﺳ 16 ﻩﺭﻭﺩ ﻦــﻳﺍ ﺭﺩ :ﺎـﻫ ﻪﺘﻓﺎﻳ ﺪﺻﺭﺩ16.8 ﺎﺑ «ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲــﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨــﺸﺗ ،ﻲﻳﺍ ﻪﻳﺰﺠﺗ ﻥﻮﻨﻓ» ﻪﻟﻮﻘﻣ ﻭ ﺪﺻﺭﺩ21.4 ﺎﺑ «ﻲﻳﺎﻴﻤﻴــﺷ ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎــﻫﻭﺭﺍﺩ»

ﻪﺒﺗﺭ ،ﺪﺻﺭﺩ22.8ﻲﻠﻴﺼﺤﺗ ﻒﻠﺘﺨﻣ ﻊﻃﺎﻘﻣ ﻦﻴﺑ ﺭﺩ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻲﻠﺻﺍ ﻪﻟﻮﻘﻣ .ﺪﻧﺭﺍﺩ ﺍﺭ ﺶﻫﻭﮋﭘ ﻉﻮﺿﻮﻣ ﻡﻮــﺳ ﻭ ﻡﻭﺩ ﻱﺎﻫ ﺖﻳﻮﻟﻭﺍ ﺍﺭ ﻢﻬــﺳ ﻦﻳﺮﺗﻻﺎﺑ ﻩﺭﺍﻮﻤﻫ ﺪﺻﺭﺩ23.1ﺭﺎﻛ ﻞﺤﻣ ﻭ ،ﺪﺻﺭﺩ23.3ﺖﻴــﺴﻨﺟ ،ﺪﺻﺭﺩ23.3 ﻲــﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﻭﺮﮔ ،ﺪﺻﺭﺩ23.3 ﻲﻤﻠﻋ .ﺖﺳﺍ ﻪﺘﺷﺍﺩ .ﺪﺷﺎﺑ ﻲﻣ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻭ ﻲﻧﺎﻣﺭﺩ ،ﻲﺼﻴﺨﺸﺗ ﻱﺎﻫ ﺵﻭﺭ ﺎﺑ ﻂﺒﺗﺮﻣ ﻱﺎﻫ ﻉﻮﺿﻮﻣ ﻱﻭﺭ ﺮﺑ ﺎﻫ ﺶﻫﻭﮋﭘ ﺰﻛﺮﻤﺗ ﻲﻠﻛ ﺭﻮﻃ ﻪﺑ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ .ﺪﻳﺁ ﻞﻤﻋ ﻪﺑ ﻲﻳﺎﻫ ﻲﺠﻨﺳ ﺮﻈﻧ ﺶﻫﻭﮋﭘ ﻉﻮﺿﻮﻣ ﻥﺩﺮﻛ ﺪﻨﻤﻓﺪﻫ ﻭ ﻲﻳﺍﻮﺘﺤﻣ ﺖﻳﺮﻳﺪﻣ ﺭﻮﻈﻨﻣ ﻪﺑ ﺩﻮﺷ ﻲﻣ ﻪﻴﺻﻮﺗ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ 88/11/14 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ • 88/9/19 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 88/1/29 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ •

([email protected]) ﻝﻮﺌﺴﻣ ﻩﺪﻨﺴﻳﻮﻧ ؛ﻩﺎﺸﻧﺎﻣﺮﻛ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻱﺰﻛﺮﻣ ﻪﻧﺎﺨﺑﺎﺘﻛ ،ﻲﻧﺎﺳﺭ ﻉﻼﻃﺍ ﻭ ﻱﺭﺍﺪﺑﺎﺘﻛ ﺪﺷﺭﺍ ﺱﺎﻨﺷﺭﺎﻛ .1

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ﻪﻣﺪﻘﻣ ﺶﻫﻭﮋﭘ ﻚﻴﻨﻜﺗ ﻲﻋﻮﻧ ﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ ،ﻥﻮــﺴﻟﺮﺑ ﻩﺪﻴﻘﻋ ﻪﺑ ﻦﻜﻤﻣ ﻪﻛ ﺎﺠﻧﺁ ﺎﺗ ﻭ ﻢﻈﻨﻣ ،ﻲﻨﻴﻋ ﻒﻴﺻﻮﺗ ﻱﺍﺮﺑ ﻪﻛ ﺖــﺳﺍ ﺮﻴــﺴﻔﺗ ﻲﻳﺎﻬﻧ ﻑﺪﻫ ﺎﺑ ﺕﺎﻃﺎﺒﺗﺭﺍ ﻱﺍﻮــﺘﺤﻣ ﻲﻤﻛ ﺖــﺳﺍ ﺭﻮﻈﻨﻣ ﻪﺑ ًﺎﺒﻟﺎﻏ ﺍﻮــﺘﺤﻣ ﻞﻴﻠﺤﺗ [1].ﺩﻭﺭ ﻲﻣ ﺭﺎﻛ ﻪﺑ ﺎــﻫ ﻩﺩﺍﺩ ﺮﻴﻏ ﻭ ﻲﭘﺎﭼ ﻊــﺑﺎﻨﻣ ﻱﺍﻮﺘﺤﻣ ﻂﺒﺿ ﻭ ﻞــﻴﻠﺤﺗ ،ﻲﻳﺎــﺳﺎﻨﺷ ﻪﻛ ﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ [2] .ﺩﺮﻴﮔ ﻲﻣ ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘــﺳﺍ ﺩﺭﻮﻣ ﻲﭘﺎﭼ ،ﺩﻮــﺷ ﻲﻣ ﻪﺘﻓﺮﮔﺭﺎﻛ ﻪﺑ ﺎﻫ ﻦﺘﻣ ﻱﺍﻮﺘﺤﻣ ﻲــﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﺎﻫ ﺕﺭﺎﺒﻋ ،ﺎــﻫ ﻪﻤﻠﻛ ﻲﻧﺍﻭﺍﺮﻓ ﺪﻨﻣ ﻡﺎــﻈﻧ ﻞﻴﻠﺤﺗ ﻞــﺻﺍ ﺭﺩ .ﺖــﺳﺍ ﺩﺍﻮﻣ ﻉﺍﻮﻧﺍ ﺮﮕﻳﺩ ﻭ ﻢﻠﻴﻓ ،ﺏﺎﺘﻛ ﺭﺩ ...ﻭ ،ﺎــﻫ ﻡﻮﻬﻔﻣ ﻩﺩﺎﻔﺘــﺳﺍ ﻞﻴﻠﺤﺗ ﻱﺍﺮﺑ ﺖﺒﺛ ﺪﺣﺍﻭ ﺶــﺷ ﺯﺍ ًﻻﻮــﻤﻌﻣ [3]

،ﻪﻠﻤﺟ ،ﻪﻤﻠﻛ ﺖــﻟﺎﺣ ،ﻪﻤﻠﻛ :ﺯﺍ ﺪــﻧﺍ ﺕﺭﺎﺒﻋ ﻪﻛ ﺪــﻨﻨﻛ ﻲﻣ ﻥﻮﻤﻀﻣ ﺎﻳ ﻉﻮﺿﻮﻣ [4] .ﻦــﺘﻣ ﻞﻛ ﻭ ﻑﺍﺮﮔﺍﺭﺎﭘ ،ﻉﻮﺿﻮﻣ .ﺖﺳﺍ ﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ ﺭﺩ ﺖﺒﺛ ﺪﺣﺍﻭ ﻢﻬﻣ ﻱﺎﻫ ﻞﻜﺷ ﺯﺍ ﻲﻜﻳ ﻥﺍﺰﻴﻣ ﻭ ﺎﻫ ﻉﻮﺿﻮﻣ ﻲﻳﺎــﺳﺎﻨﺷ ،ﻲﻋﻮﺿﻮﻣ ﻱﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ ﻲــﺳﺭﺮﺑ ﻦﻳﺍ ﺭﺩ [5] .ﺖــﺳﺍ ﻦﺘﻣ ﻚﻳ ﺭﺩ ﺎﻫ ﻥﺁ ﻲــﻧﺍﻭﺍﺮﻓ ﺖﺳﺮﻬﻓ ﻲﻋﺮﻓ ﻭ ﻲﻠﺻﺍ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ،ﻉﻮﺿﻮﻣ ﻦﻴﻴﻌﺗ ﻱﺎﻨﺒﻣ

Medical Subject) ﻲﻜﺷﺰﭘ ﻲﻋﻮﺿﻮﻣ ﻥﺍﻮﻨﻋ ﺮﺳ ﻲﺘﺧﺭﺩ ﻭ ﻲﻳﺎﺒﻔﻟﺍ ﺶﺨﺑ ﻭﺩ ﺯﺍ (^MeSH) ﺶﻣ .ﺪﺷﺎﺑ ﻲﻣ (^Heading ﺶﺨﺑ ﻪﻛ ﻩﺪﺷ ﻞﻴﻜﺸﺗ ﻲﺘﺧﺭﺩ ﺭﺎﺘﺧﺎﺳ ﺎﻳ ﻲﺒﺗﺍﺮﻣ ﻪﻠــﺴﻠﺳ ﺍﺭ ﺎﻫ ﻉﺎﺟﺭﺍ ﻭ ،ﺎﻫ ﻪﻧﺎﺸﻧ ،ﺎﻫ ﺖــﺷﺍﺩﺩﺎﻳ ،ﺎﻫ ﺡﻼﻄﺻﺍ ﻲﻳﺎﺒﻔﻟﺍ ﻪﻣﺎﻨﺣﻼﻄﺻﺍ ﻲﺘﺧﺭﺩ ﺭﺎﺘﺧﺎــﺳ ﻡﻭﺩ ﺶﺨﺑ ﻭ ﺩﺮﻴﮔ ﻲﻣ ﺮﺑﺭﺩ ﻲﻳﺎﺒﻔﻟﺍ ﺶﺨﺑ ﺭﺩ ﻪﻛ ﻱﺍ ﻩﺪﻳﺰﮔ ﻱﺎﻫ ﺡﻼﻄﺻﺍ .ﺖــﺳﺍ ﺶﻣ ﻩﺩﺰﻧﺎﺷ ﺭﺩ ﻲﺒﺗﺍﺮﻣ ﻪﻠــﺴﻠﺳ ﺕﺭﻮﺻ ﻪﺑ ﺶﺨﺑ ﻦﻳﺍ ﺭﺩ ﻩﺪﻣﺁ ﻱﺪﻴﺷﺭ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ [6] .ﺪﻧﺍ ﻩﺪﺷ ﻢﻴﻈﻨﺗ ﻲﻋﻮﺿﻮﻣ ﻪﻟﻮﻘﻣ ﺩﺭﻮﻣ ﺶﻫﻭﮋﭘ ﺵﻭﺭ ﻦﻳﺮﺘﺸﻴﺑ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ (1374) ﺖﻳﻮﻟﻭﺍ .ﺪــﺷﺎﺑ ﻲﻣ ﺪﺻﺭﺩ 43 ﻲــﻔﻴﺻﻮﺗ ﺵﻭﺭ ﻩﺩﺎﻔﺘــﺳﺍ ﻱﺎﻫ ﻩﺍﺭ ﻭ ﺭﻮﺸﻛ ﺭﺩ ﻊﻳﺎﺷ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻪﺑ ﻁﻮﺑﺮﻣ ﻉﻮﺿﻮﻣ ﻪﺑ ﺍﺭ ﺕﺎﻘﻴﻘﺤﺗ ﺪﺻﺭﺩ ﻦﻳﺮﺘــﺸﻴﺑ ﻥﺁ ﻥﺎﻣﺭﺩ ﻭ ﻱﺮﻴﮕــﺸﻴﭘ ﺪﺻﺭﺩ 50.6 ﺎﺑ ﻦﻴﺼﺼﺨﺘﻣ .ﺖــﺳﺍ ﻩﺩﺍﺩ ﺹﺎﺼﺘﺧﺍ ﺩﻮﺧ .ﺪﻧﺩﻮﺑ ﺍﺭﺍﺩ ﺎــﻫ ﺡﺮﻃ ﻥﺎﻳﺮﺠﻣ ﻥﺎﻴﻣ ﺭﺩ ﺍﺭ ﻢﻬــﺳ ﻦــﻳﺮﺗﻻﺎﺑ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ (1371) ﻲــﻧﺍﺮﻔﻏ ﻪﻌﻟﺎﻄﻣ ﺞــﻳﺎﺘﻧ [7]

ﺭﺩ ﻥﺍﺮﻬﺗ ﻩﺎﮕــﺸﻧﺍﺩ ﻲﺗﺎﻘﻴﻘﺤﺗ ﻱﺎــﻫ ﺡﺮﻃ ﺶﻫﻭﮋﭘ ﻉﻮــﻧ ﺪﺻﺭﺩ 1.9 ،ﻱﺩﺮﺑﺭﺎﻛ ﺪــﺻﺭﺩ 18.8 ،ﻱﺩﺎﻴﻨﺑ ﺪــﺻﺭﺩ 7.6 .ﺖــﺳﺍ ﻩﺪــﺸﻧ ﺭﺎﻬﻇﺍ ﺪﺻﺭﺩ 71.8 ﻭ ﻱﺩﺮﺑﺭﺎﻛ ـ ﻱﺩﺎــﻴﻨﺑ ﻪﺑ ﻲﺑﺮﺠﺗ ﺵﻭﺭ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﺶﻫﻭﮋﭘ ﺵﻭﺭ ﻦﻳﺮﺘــﺸﻴﺑ ﻂﺳﻮﺗ ﺎﻫ ﺡﺮﻃ ﺯﺍ ﺪﺻﺭﺩ 7.8 .ﺪﺷﺎﺑ ﻲﻣ ﺪﺻﺭﺩ 65.2 ﻥﺍﺰﻴﻣ

[8] .ﺖﺳﺍ ﻩﺪﺷ ﺍﺮﺟﺍ ﻥﺍﺩﺮﻣ ﻂــﺳﻮﺗ ﺪﺻﺭﺩ 92.2 ﻭ ﻥﺎﻧﺯ ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ (1380) ﺶﻧﺍﺭﺎﻜﻤﻫ ﻭ ﻲﻳﺎﻗﺁ ﻢﺷﺎﻫ ﻪﻌﻟﺎﻄﻣ 27.1) ﻲﻠﺧﺍﺩ ﻩﻭﺮﮔ ﻪﺑ ﻁﻮﺑﺮﻣ ﺎﻫ ﻪﻣﺎﻧ ﻥﺎﻳﺎﭘ ﻦﻳﺮﺘــﺸﻴﺑ ﻪﻛ 13.8) ﻝﺎﻔﻃﺍ ،(ﺪﺻﺭﺩ 21.5) ﻲﺣﺍﺮﺟ .ﺪــﺷﺎﺑ ﻲﻣ (ﺪﺻﺭﺩ ﻢــﺸﭼ ﻭ (ﺪﺻﺭﺩ 8) ﻲﻧﻮﻔﻋ ،(ﺪﺻﺭﺩ 12) ﻥﺎﻧﺯ ،(ﺪﺻﺭﺩ ﺭﺎﻤﻴﺑ ﻲــﻓﺮﻌﻣ ،ﻉﻮــﺿﻮﻣ 389 .ﺪــﺷﺎﺑ ﻲﻣ (ﺪــﺻﺭﺩ 3.2) ﻥﺎﻳﺎﭘ ﻦﻳﺮﺘﺸﻴﺑ .ﺖــﺳﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻲــﺳﺭﺮﺑ ،ﻉﻮﺿﻮﻣ 285 ﻭ ،ﺩﺭﻮﻣ 23 ﺵﺭﺍﻮــﮔ ،ﺩﺭﻮﻣ 39 ﻲﻧﻮﻔﻋ ﺶــﺨﺑ ﺭﺩ ﺎﻫ ﻪﻣﺎﻧ ﻲﺳﺭﺮﺑ [9] .ﺪــﺷﺎﺑ ﻲﻣ ﺩﺭﻮﻣ 28 ﻪﻴﻠﻛ ﻭ ﺩﺭﻮﻣ 31 ﻥﺍﺩﺍﺯﻮﻧ ﻲﻤﻴــﺷﻮﺘﻴﻓ ﺚﺣﺎﺒﻣ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ (1377) ﻪﺘﻔﻜــﺷ ﻭ (ﺪﺻﺭﺩ 19) ﻲــﻨﻴﻟﺎﺑ ﻲﻧﺎﻣﺭﺩ ﺕﺍﺮــﺛﺍ ،(ﺪــﺻﺭﺩ 43.8) ﻪﺑ ﺍﺭ ﺕﺎﻘﻴﻘﺤﺗ ﺩﺍﺪﻌﺗ ﻦﻳﺮﺘــﺸﻴﺑ (ﺪﺻﺭﺩ 16.1) ﺲﻧﺎــﺳﺍ ﺎﻫ ﻪﻣﺎﻧ ﻥﺎﻳﺎﭘ ﻞﻛ ﺯﺍ ﺪــﺻﺭﺩ 15 .ﺪﻧﺍ ﻩﺩﺍﺩ ﺹﺎﺼﺘﺧﺍ ﺩﻮــﺧ .ﺪﻧﺍ ﻪﺘﺧﺍﺩﺮﭘ ﺹﺎﺧ ﻖﻃﺎﻨﻣ ﻥﺎﻫﺎﻴﮔ ﺩﺭﻮــﻣ ﺭﺩ ﻲﺗﺎﻘﻴﻘﺤﺗ ﻪﺑ ﺪﻨــﺷﺎﺑ ﻲﻣ (ﺪﺻﺭﺩ 71.8) ﻱﺩﺎﻴﻨﺑ ﻉﻮﻧ ﺯﺍ ﺎﻫ ﻪﻣﺎﻧ ﻥﺎﻳﺎﭘ ﺮﺜﻛﺍ ﻖﻴﻘﺤﺗ ﺵﻭﺭ ﻦﻳﺮﺘــﺸﻴﺑ (ﺪــﺻﺭﺩ 99) ﻲــﺑﺮﺠﺗ ﺵﻭﺭ ﻭ ﻱﺪﻧﺯ ﻱﺮﮕﻳﺩ ﻪﻌﻟﺎﻄﻣ ﺭﺩ [10] .ﺪــﺷﺎﺑ ﻲﻣ ﻩﺪــﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺍﺪﻌﺗ ﻦﻳﺮﺘــﺸﻴﺑ ﻪﻛ ﺪﻨﺘﻓﺎﻳ ﺭﺩ (1377) ﺖــﻨﻴﻃ ﺵﻮﺧ ﻭ ﻭ (ﺪﺻﺭﺩ 15) ﻪﻳﺎﭘ ﻲﻳﺍﺬﻏ ﻡﻮﻠﻋ ﻩﻭﺮﮔ ﻪﺑ ﻁﻮﺑﺮﻣ ﺎــﻫ ﻪﻟﺎﻘﻣ ﻱﺎﻫ ﻩﺩﺭﻭﺁﺮﻓ ﻭ ﻍﺮﻣ ﻢﺨﺗ ﻩﻭﺮﮔ ﻪﺑ ﻁﻮﺑﺮﻣ ﺩﺍﺪﻌﺗ ﻦــﻳﺮﺘﻤﻛ ﻥﻮــﺳﺭﺪﻧﺁ ﻭ ﻲﻳﻮﺛﺮﺗ ،ﻱﺪﻨﻛ [11] .ﺩﻮﺑ (ﺪــﺻﺭﺩ 0.2) ﻥﺁ 37.9 ﻝﺩﺎــﻌﻣ ﺲﻧﺍژﺭﻭﺍ ﺶــﺨﺑ ﻱﺎﻫ ﻪﻟﺎﻘﻣ ﻪــﻛ ﺪــﻨﺘﻓﺎﻳﺭﺩ ﻞﺣ ﻱﺎﻫ ﻪﻟﺎﻘﻣ .ﺩﻮﺑ ﻩﺪﺷ ﻒﻳﺮﻌﺗ ﻱﺎﻫ ﻉﻮﺿﻮﻣ ﻞﻛ ﺪﺻﺭﺩ 12.7) ﺎﻫﺎﻄﺧ ﻭ (ﺪــﺻﺭﺩ 16) ﺲﻧﺍژﺭﻭﺍ ﺶــﺨﺑ ﻞﺋﺎــﺴﻣ ﺪﻨﺘﻓﺎﻳﺭﺩ ﺰﻧﻮﻣﺍ ﻭ ﻲﻜﻟﻮﺳ ،ﺮﻜﻳﺍﺮﺘﺳﺍ [12] .ﺪﻧﺩﻮﺑ (ﺪﺻﺭﺩ ﻭ (ﺪﺻﺭﺩ 31.8) ﻝﺮﺘﻨﻛ ﺯﺍ ﺶــﻴﺑ (ﺪﺻﺭﺩ 47) ﻥﺎﻣﺭﺩ ﻪــﻛ ﻒﺸﻛ .ﺖﺳﺍ ﻩﺪﺷ ﻊﻗﺍﻭ ﻪﺟﻮﺗ ﺩﺭﻮﻣ (ﺪﺻﺭﺩ 24.4) ﻒﺸﻛ (ﺪﺻﺭﺩ 5.5) ﻲﻓﺎــﺸﺘﻛﺍ ﺩﻮــﺧ ﻭ (ﺪﺻﺭﺩ 6.6) ﻲﺘــﺳﻮﭘ ،ﺰﺘﻟﻮﺑﺎﺑ [13] .ﺪــﻧﺩﻮﺑ ﺭﺩﺎﻧ ﻱﺎﻫ ﺚﺤﺑ ﺖــﺳﻮﭘ ﻥﺎﻃﺮــﺳ ﻲﻘﻴﻘﺤﺗ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻲــﺳﺎﺳﺍ ﻱﺎﻫ ﻩﺯﻮﺣ ﺰﻣﺎﻴﻠﻳﻭ ﻭ ﺮــﻠﻴﻣ ﺶﻫﻭﮋﭘ ،ﻪﺠﻴﺘﻧ ﻭ ﺪﻨﻳﺍﺮﻓ ،ﺪﻨﻳﺍﺮﻓ ﺍﺭ ^JCP ﺭﺩ ﺕﺍﺭﺎــﺸﺘﻧﺍ ﻭ ﺮﻛﺫ ﺎﻫ ﺱﺎﻴﻘﻣ ﻭ ﺎﻫ ﻥﻮﻣﺯﺁ ﻲﺑﺎﻳﺯﺭﺍ ﻭ ﻪﻌﺳﻮﺗ ،ﻲﻠﻐﺷ ﺭﺎﺘﻓﺭ ﻥﻮﻣﺯﺁ ﻱﺎﻫ ﻪﻟﺎﻘﻣ ﺪﺻﺭﺩ 55.2 ﻪﻟﻮﻘﻣ ﺭﺎــﻬﭼ ﻦﻳﺍ .ﺪﻨﻨﻛ ﻲﻣ ﻑﻭﺮﺘﻴﻤﻳﺩ ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ [14] .ﺖﻓﺮﮔ ﻲﻣ ﺮﺑ ﺭﺩ ﺍﺭ ﻩﺪــﺷ ﻪﺑ ﻲﻋﻮﺿﻮﻣ ﺪﻣﺎﺴﺑ ﻦﻳﺮﺘﺸﻴﺑ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ ﺲﻳﻮﻳﺩ ﻭ

(3)

.ﺩﻮﺑ ﻪﺘﺴﺑﺍﻭ ﻮﺠﺸﻧﺍﺩ ﻲﺑﺎﻳﺯﺭﺍ ﻭ ﻱﺮﻴﮔﺩﺎﻳ ،ﻲﻠﻴﺼﺤﺗ ﻪﻣﺎﻧﺮﺑ ﻩﺭﻭﺎــﺸﻣ ﻝﺎﻧﺭﻭژ ﻱﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ ﺭﺩ (1974) ﻲﻠﻧﺎﻣ [15]

ﻲﺸﻫﻭﮋﭘ ﺖﻴﻟﺎﻌﻓ ﻲﺳﺎﺳﺍ ﻩﺯﻮﺣ ﻪﺳ ،(^JCP) ﻲــﺳﺎﻨﺸﻧﺍﻭﺭ ﺭﺩ ﺶﻫﻭﮋﭘ ،ﺶﻫﻭﮋﭘ ﺪﻨﻳﺍﺮﻓ ﻭ ﻩﺭﻭﺎــﺸﻣ ﻪﺠﻴﺘﻧ ﺭﺎــﺸﺘﻧﺍ ﺍﺭ ﺎﻫ ﻥﻮﻣﺯﺁ ﻲﺑﺎﻳﺯﺭﺍ ﻭ ﻪﻌــﺳﻮﺗ ﺭﺩ ﺶﻫﻭﮋﭘ ﻭ ،ﻲﻠﻐــﺷ ﺭﺎﺘﻓﺭ ﺮﻫ ﺭﺩ ﻪﻛ ﺖــﺳﺍ ﻲﻬﻳﺪﺑ [16] .ﺪﻨﻛ ﻲﻣ ﺮﻛﺫ ﺎــﻫ ﺱﺎﻴﻘﻣ ﻭ ﺖﺒﺴﻧ ﻪﺘﺷﺭ ﺮﻫ ﺭﺩ ﻲــﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺶﻳﺍﺮﮔ ،ﻲﻧﺎﻣﺯ ﻊﻄﻘﻣ ﺎﻫ ﻉﻮﺿﻮﻣﺯﺍ ﻲﻀﻌﺑ ؛ﺪﺷﺎﺑ ﻲﻣ ﺕﻭﺎﻔﺘﻣ ،ﺩﻮﺟﻮﻣ ﻂﻳﺍﺮﺷ ﻪﺑ ﻩﺪﻳﺩﺎﻧ ﺮﮕﻳﺩ ﻲﻀﻌﺑ ﻭ ﺪﻧﺮﻴﮔ ﻲﻣ ﺭﺍﺮﻗ ﻪﺟﻮﺗ ﺩﺭﻮﻣ ﺮﺗ ﺶﻴﺑ ﺭﺍﺰﺑﺍ ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﻱﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ .ﺪﻧﻮﺷ ﻲﻣ ﻪﺘﻓﺮﮔ ﻲﺼﺨﺷ ﻱﺎﻫ ﻪﻘﻴﻠﺳ ﻭ ﺎﻫ ﺶﻳﺍﺮﮔ ﺯﺍ ﻲﻫﺎﮔﺁ ﻱﺍﺮﺑ ﻲﺒــﺳﺎﻨﻣ ﺭﺩ ﺍﺭ ﺎﻫﺮﻴﻴﻐﺗ ﻭ ﺪــﺷﺎﺑ ﻲﻣ ﺡﺮﻄﻣ ﻱﺎﻫ ﻉﻮﺿﻮﻣ ﻭ ﻥﺎﻘﻘﺤﻣ ﺖﻳﺮﻳﺪﻣ ﺭﻮﻈﻨﻣ ﻪﺑ .ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ ﻱﺩﺎﻤﺘﻣ ﻱﺎﻫ ﻝﺎــﺳ ﻲﻃ ﻱﺎﻫ ﺶﻳﺍﺮﮔ ﺯﺍ ﻲﻫﺎﮔﺁ ،ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﻲﻳﺍﻮﺘﺤﻣ ﻦﻳﺍ ﺍﺬــﻟ .ﺪﻳﺁ ﻲﻣ ﺭﺎﻤــﺷ ﻪﺑ ﻱﺭﻭﺮــﺿ ﻱﺮﻣﺍ ﻲــﻋﻮﺿﻮﻣ ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻦﻴﻴﻌﺗ ﺭﻮﻈﻨﻣ ﻪﺑ ﺶﻫﻭﮋﭘ ﻥﺎﻣﺯﺎــﺳ ،ﺶﻫﻭﮋﭘ ﻉﻮﻧ ،ﺶﻫﻭﮋﭘ ﺵﻭﺭ ،ﻥﺎﻳﺮﺠﻣ ﺩﺍﺪﻌﺗ ) ﻲﻃ ﺭﺩ ﺎﻫ ﻥﺁ ﻲﻋﻮﺿﻮﻣ ﺶﻳﺍﺮﮔ ﻦﻴﻴﻌﺗ ،( ﺡﺮﻃ ﻩﺪﻨﻨﻛ ﺍﺮﺟﺍ ﺱﺎﺳﺍ ﺮﺑ ﻲﻋﻮﺿﻮﻣ ﺶﻳﺍﺮﮔ ﻦﻴﻴﻌﺗ ﻭ ،ﻒﻠﺘﺨﻣ ﻱﺎﻫ ﻝﺎــﺳ ﻡﺎﺠﻧﺍ ،ﺶﻣ ،ﻲﻜﺷﺰﭘ ﻲﻋﻮﺿﻮﻣ ﻥﺍﻮﻨﻋﺮﺳ ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ .ﺖﺳﺍ ﻩﺪﺷ ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﻞﻴﻠﺤﺗ ﻭ ﻲﻔﻴﺻﻮﺗ ﺶﻳﺎﻤﻴﭘ ﻖﻴﻘﺤﺗ ﺵﻭﺭ ﻪﺑ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻲﻣﺎﻤﺗ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻪــﻌﻣﺎﺟ .ﺖــﺳﺍ ﻪﺘﻓﺮﻳﺬﭘ ﻡﺎﺠﻧﺍ ﺍﻮﺘﺤﻣ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﺭﺩ ﻩﺪﺷ ﺍﺮﺟﺍ ﻲــﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﻱﺎﻫ ﻝﺎــﺳ ﻲﻃ ﻩﺎــﺸﻧﺎﻣﺮﻛ ﻲﻧﺎﻣﺭﺩ ﻲﺘــﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﻭ ﻥﺎﻳﺎﭘ ﺎﺗ ﺎﻫ ﻥﺁ ﻲﻳﺎﻬﻧ ﺵﺭﺍﺰــﮔ ﻪﻛ ﺪــﺷﺎﺑ ﻲﻣ 1370-1386 ﻩﺪﻴﺳﺭ ﻲﻳﺎﻬﻧ ﺐﻳﻮﺼﺗ ﻪﺑ ﻲﺸﻫﻭﮋﭘ ﻱﺍﺭﻮﺷ ﺭﺩ 1386 ﻝﺎﺳ ﺯﺍ ﻲــﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﺩﻭﺪﺤﻣ ﺩﺍﺪﻌﺗ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺖــﺳﺍ ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﺩﺍﺪﻌﺗ .ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﻱﺭﺎﻤﺷﺮﺳ ﺯﺍ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﺎﻫ ﻩﺩﺍﺩ .ﺪــﺷﺎﺑ ﻲﻣ ﺡﺮﻃ 369 ﻩﺪﺷ ﻲﺳﺭﺮﺑ ،ﻪﺘﺴﺑ ﻝﺍﺆﺳ 12 ﻞﻣﺎﺷ ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻲﺗﺎﻋﻼﻃﺍ ﻡﺮﻓ ﻖﻳﺮﻃ ﻪﺟﻮﺗ ﺎﺑ ﻲﻋﻮﺿﻮﻣ ﻲﻠﺻﺍ ﻱﺎﻫ ﻪﻟﻮﻘﻣ .ﺖﺳﺍ ﻩﺪﺷ ﻱﺭﻭﺁﺩﺮﮔ ،ﻩﺪﺷ ﻪﺘﻓﺮﻳﺬﭘ ﺕﺎﺣﻼﻄﺻﺍ ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﻱﺎﻫ ﻩﺭﺎﻤﺷ ﻪﺑ ،ﻉﻮﻴﺷ ﻲﺳﺭﺮﺑ ﻪﺑ ﻪﻛ ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ .ﺪﻧﺍ ﻩﺪــﺷ ﻦﻴﻴﻌﺗ ،ﻲﻫﺎﮔﺁ ،ﻱژﻮﻟﻮﻴﻣﺪﻴﭘﺍﻭﺮﺳ ،ﻱژﻮﻟﻮﻴﻣﺪﻴﭘﺍ ،ﻊﻳﺯﻮﺗ ،ﻲﻧﺍﻭﺍﺮﻓ

ﺢﻄﺳ ،ﻪﺑﺮﺠﺗ ،ﺮﻄﺧ ﻞﻣﺍﻮﻋ ،ﻱژﻮﻟﻭﺮﺳ ،ﺩﺮﻜﻠﻤﻋ ﻭ ﺵﺮﮕﻧ ﻪﻨﻴﻣﺯ ﺭﺩ ﺪﻧﺍ ﻪﺘﺧﺍﺩﺮﭘ ﺵﺯﻮﻣﺁ ﺮﻴﺛﺄﺗ ﻭ ﻲﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ،ﻲﻣﺮﺳ ﻞﻴﻠﺤﺗ ﻱﺍﺮﺑ .ﺪﻧﺍ ﻩﺪــﺷ ﻞﻴﻠﺤﺗ ،ﺶﻫﻭﮋﭘ ﺩﺭﻮﻣ ﻲــﻋﻮﺿﻮﻣ .ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ^SPSS ﻱﺭﺎﻣﺁ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﺎﻫ ﻩﺩﺍﺩ ﺎﻫ ﻪﺘﻓﺎﻳ 84/8) 313 ﺩﺍﺪﻌﺗ ،ﻩﺪﺷ ﻲﺳﺭﺮﺑ ﺶﻫﻭﮋﭘ 369 ﻉﻮﻤﺠﻣ ﺯﺍ 97.3) 359 ﺩﺍﺪﻌﺗ ﻭ ﻱﺮﺠﻣ ﻚﻳ ﻂــﺳﻮﺗ ﺶﻫﻭﮋﭘ (ﺪﺻﺭﺩ ﻩﺎﺸﻧﺎﻣﺮﻛ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻂﺳﻮﺗ ﺶﻫﻭﮋﭘ (ﺪﺻﺭﺩ 52.6) 194 ﻲﻔﻴﺻﻮﺗ ﺶﻫﻭﮋﭘ ﺵﻭﺭ .ﺖــﺳﺍ ﻩﺪــﺷ ﺍﺮﺟﺍ ﻦﻳﺮﺗﻻﺎﺑ ،(ﺪﺻﺭﺩ 65.6) 242 ﻱﺩﺮﺑﺭﺎﻛ ﺶﻫﻭﮋﭘ ﻭ (ﺪﺻﺭﺩ ﺩﺮﻣ ﺶﻫﻭﮋﭘ (ﺪﺻﺭﺩ 66.7) 246 ﺭﺩ .ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺍﺭ ﻲﻧﺍﻭﺍﺮﻓ .ﺪﻧﺍ ﻩﺩﻮﺑ ﻱﺮﺠﻣ ﻥﺎــﻧﺯ ﺶﻫﻭﮋﭘ (ﺪــﺻﺭﺩ 29) 107 ﺭﺩ ﻭ ﺶﻫﻭﮋﭘ (ﺪﺻﺭﺩ 81.3) 300 ﺭﺩ ﺭﺎﻜﻤﻫ ﻥﺎﻳﺮﺠﻣ ﻭ ﻱﺮﺠﻣ (ﺪﺻﺭﺩ 32) 118 ﻦﻴﺼﺼﺨﺘﻣ .ﺖــﺳﺍ ﻩﺩﻮﺑ ﻲﻤﻠﻋ ﺖﺌﻴﻫ ﻭ ﻱﺮﺠﻣ ﺕﻼﻴﺼﺤﺗ ﻥﺍﺰــﻴﻣ ﻲﻧﺍﻭﺍﺮﻓ ﻦﻳﺮﺗﻻﺎﺑ ،ﺶــﻫﻭﮋﭘ .(1 ﻝﻭﺪﺟ) ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺍﺭ ﺭﺎﻜﻤﻫ ﻥﺎﻳﺮﺠﻣ ﻝﺎــﺳ ،ﺶﻫﻭﮋﭘ (ﺪﺻﺭﺩ 13.8) 51 ﺎــﺑ 1378 ﻝﺎــﺳ ﺎﺑ 1380 ﻝﺎــﺳ ﻭ ﺶﻫﻭﮋﭘ (ﺪــﺻﺭﺩ 11.7) 43 ﺎــﺑ 1382 ﻭ ﻲﻧﺍﻭﺍﺮﻓ ﻦﻳﺮﺗﻻﺎﺑ ﺐﻴﺗﺮﺗ ﻪﺑ ﺶﻫﻭﮋﭘ (ﺪــﺻﺭﺩ11.1) 41 ﺶﻫﻭﮋﭘ (ﺪﺻﺭﺩ 0.3) 1 ﺎﺑ ﻡﺍﺪﻛ ﺮﻫ 1371 ﻭ1370 ﻝﺎــﺳ .ﺪﻧﺍ ﻪﺘــﺷﺍﺩ ﺍﺭ ﺶﻫﻭﮋﭘ ﻉﻭﺮــﺷ ﻝﺎــﺳ ﻲﻧﺍﻭﺍﺮﻓ ﻦﻳﺮﺗ ﻦﻴﻳﺎﭘ ﻲﻃ ﻩﺪﺷ ﻉﻭﺮــﺷ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﻲﻋﻮﺿﻮﻣ ﻲﻠﺻﺍ ﺶﻳﺍﺮﮔ .ﺖﺳﺍ ﻩﺪﺷ ﺮﻛﺫ 2 ﻝﻭﺪﺟ ﺭﺩ 1370-1386 ﻱﺎﻫ ﻝﺎﺳ ﻪﻟﻮﻘﻣ ﻥﺯ ﻥﺍﺮﮕــﺸﻫﻭﮋﭘ ﻲــﻋﻮﺿﻮﻣ ﻲﻠﺻﺍ ﺶــﻳﺍﺮﮔ ﻪﻟﻮﻘﻣ ﺩﺮﻣ ﻥﺍﺮﮕــﺸﻫﻭﮋﭘ ،(ﺪﺻﺭﺩ25.2) 27 «ﺎــﻫ ﻱﺭﺎﻤﻴﺑ»

ﻭ (ﺪــﺻﺭﺩ24.4) 60 «ﻲﻳﺎﻴﻤﻴــﺷ ﺕﺎــﺒﻴﻛﺮﺗ ﻭ ﺎــﻫﻭﺭﺍﺩ»

ﻪﻟﻮﻘﻣ ﻙﺮﺘــﺸﻣ ﺕﺭﻮــﺻ ﻪــﺑ ﺩﺮــﻣ ﻭ ﻥﺯ ﻥﺍﺮﮕــﺸﻫﻭﮋﭘ ﻩﺩﻮــﺑ (ﺪــﺻﺭﺩ 31.3) 5 «ﻲﻜــﺷﺰﭙﻧﺍﻭﺭ ﻭ ﻲــﺳﺎﻨﺸﻧﺍﻭﺭ»

ﺖﺌﻴﻫ ﻮﻀﻋ ﻥﺍﺮﮕﺸﻫﻭﮋﭘ ﻲﻋﻮﺿﻮﻣ ﻲﻠﺻﺍ ﺶﻳﺍﺮﮔ .ﺖﺳﺍ ﻥﺍﺮﮕــﺸﻫﻭﮋﭘ ،(ﺪﺻﺭﺩ 25) 75 «ﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻪﻟﻮﻘﻣ ﻲﻤﻠﻋ 5 «ﻲﻜــﺷﺰﭙﻧﺍﻭﺭ ﻭ ﻲــﺳﺎﻨﺸﻧﺍﻭﺭ» ﻪﻟﻮﻘﻣ ﻲﻤﻠﻋ ﺖﺌﻴﻫ ﺮﻴﻏ ﺮﻴﻏ ﻭ ﻲﻤﻠﻋ ﺖﺌﻴﻫ ﻮﻀﻋ ﻥﺍﺮﮕــﺸﻫﻭﮋﭘ ﻭ (ﺪﺻﺭﺩ 21.7) ﻭ ﻲــﺳﺎﻨﺸﻧﺍﻭﺭ» ﻪﻟﻮﻘﻣ ﻙﺮﺘــﺸﻣ ﺕﺭﻮﺻ ﻪﺑ ﻲﻤﻠﻋ ﺖﺌﻴﻫ ﺶﻳﺍﺮﮔ .ﺖــﺳﺍ ﻩﺩﻮﺑ (ﺪــﺻﺭﺩ 34/5) 10 «ﻲﻜــﺷﺰﭙﻧﺍﻭﺭ

(4)

ﻕﻮﻓ ﺕﻼــﻴﺼﺤﺗ ﺎــﺑ ﻥﺍﺮﮕــﺸﻫﻭﮋﭘ ﻲــﻋﻮﺿﻮﻣ ﻲــﻠﺻﺍ 10 ﺐﻴﺗﺮﺗ ﻪﺑ «ﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻪــﻟﻮﻘﻣ ﺺﺼﺨﺘﻣ ﻭ ﺺــﺼﺨﺗ ﻲﻣﻮﻤﻋ ﻱﺍﺮﺘﻛﺩ ،(ﺪــﺻﺭﺩ 35.6) 42 ﻭ (ﺪــﺻﺭﺩ 32.3) ،ﻲﺳﺎﻨﺷ ﻥﺎﺴﻧﺍ» ﻪﻟﻮﻘﻣ ،«ﻲﻜﺷﺰﭙﻧﺍﻭﺭ ﻭ ﻲﺳﺎﻨﺸﻧﺍﻭﺭ» ﻪﻟﻮﻘﻣ ﻭ «ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎــﻫ ﻩﺪﻳﺪﭘ ﻭ ﻲــﺳﺎﻨﺷ ﻪــﻌﻣﺎﺟ ،ﺵﺯﻮــﻣﺁ ﺍﺮﺘﻛﺩ ،(ﺪﺻﺭﺩ 25) 2 ﻡﺍﺪــﻛ ﺮﻫ «ﻲﺗﺎﻋﻼﻃﺍ ﻡﻮﻠﻋ» ﻪــﻟﻮﻘﻣ 39.7) 25 «ﻲﻳﺎﻴﻤﻴــﺷ ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎﻫﻭﺭﺍﺩ» ﻪــﻟﻮﻘﻣ (^PhD) 17.7) 14 «ﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻪﻟﻮﻘﻣ ﺪــﺷﺭﺍ ﺱﺎﻨــﺷﺭﺎﻛ ،(ﺪﺻﺭﺩ

،(ﺪﺻﺭﺩ 100) 1 «ﺎﻫ ﻢﺴﻴﻧﺎﮔﺭﺍ» ﻪﻟﻮﻘﻣ ﺱﺎﻨﺷﺭﺎﻛ ،(ﺪﺻﺭﺩ ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎﻫﻭﺭﺍﺩ» ﻪــﻟﻮﻘﻣ ،«ﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻪﻟﻮﻘﻣ ﻮﺠــﺸﻧﺍﺩ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨﺸﺗ ،ﻲﻳﺍ ﻪﻳﺰﺠﺗ ﻥﻮﻨﻓ» ﻪﻟﻮﻘﻣ ﻭ «ﻲﻳﺎﻴﻤﻴﺷ ﻪﺑ .ﺖــﺳﺍ ﻩﺩﻮﺑ (ﺪﺻﺭﺩ 28.6) 2 ﻡﺍﺪﻛ ﺮﻫ «ﺕﺍﺰــﻴﻬﺠﺗ ﻭ ﻲــﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﻭﺮﮔ ﻲﻋﻮﺿﻮﻣ ﻲﻠﺻﺍ ﺶﻳﺍﺮﮔ ﻲﻠﻛ ﺭﻮــﻃ 38.7) 41 «ﻲﻳﺎﻴﻤﻴﺷ ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎﻫﻭﺭﺍﺩ» ﻪﻟﻮﻘﻣ ﻪﻳﺎﭘ ﻡﻮﻠﻋ 52 «ﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻪﻟﻮﻘﻣ ﻲﻨﻴﻟﺎﺑ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﻭﺮﮔ ،(ﺪﺻﺭﺩ ﻭ ﻲﻳﺎﻣﺎﻣ ،ﻱﺭﺎﺘﺳﺮﭘ ﻲــﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﻭﺮﮔ ،(ﺪﺻﺭﺩ 34.4) ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨﺸﺗ ،ﻲﻳﺍ ﻪﻳﺰﺠﺗ ﻥﻮﻨﻓ» ﻪﻟﻮﻘﻣ ﻲﻜﺷﺰﭘﺍﺮﻴﭘ ﻲــﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﻭﺮﮔ ﻭ (ﺪﺻﺭﺩ 25.4) 16 «ﺕﺍﺰــﻴﻬﺠﺗ ﻭ ﻩﺩﻮﺑ (ﺪﺻﺭﺩ 42.9) 6 «ﻲﺘــﺴﻳﺯ ﻡﻮﻠﻋ» ﻪﻟﻮﻘﻣ ﺖــﺷﺍﺪﻬﺑ ،(ﺪﺻﺭﺩ23.3) 86 «ﺎــﻫ ﻱﺭﺎﻤﻴﺑ» ﻲــﻠﺻﺍ ﻪــﻟﻮﻘﻣ .ﺖــﺳﺍ ﻥﻮﻨﻓ» ﻭ (ﺪﺻﺭﺩ 21.4) 79 «ﻲﻳﺎﻴﻤﻴﺷ ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎﻫﻭﺭﺍﺩ»

16.8) 62«ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨــﺸﺗ ،ﻲﻳﺍ ﻪﻳﺰﺠﺗ ،ﻱژﻮﻟﻮﻨﻜﺗ» ﻲــﻠﺻﺍ ﻪﻟﻮﻘﻣ ﻭ ﻲﻧﺍﻭﺍﺮﻓ ﻦــﻳﺮﺗﻻﺎﺑ (ﺪــﺻﺭﺩ 1 ﺎﺑ ﻡﺍﺪﻛ ﺮﻫ «ﺹﺎﺨــﺷﺍ» ﻪﻟﻮﻘﻣ ﻭ «ﻱﺯﺭﻭﺎــﺸﻛ ،ﺖﻌﻨﺻ .(3 ﻝﻭﺪﺟ) ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺍﺭ ﻲﻧﺍﻭﺍﺮﻓ ﻦﻳﺮﺗ ﻦﻴﻳﺎﭘ (ﺪﺻﺭﺩ0.3) ﻥﺍﻮﻨﻋﺮﺳ ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﺱﺎﺳﺍ ﺮﺑ ﻲﻋﺮﻓ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ﺮﻫ «ﺵﺯﻮﻣﺁ» Î02 ﻭ «ﺺﻴﺨﺸﺗ» Ê01 ﻲﻜﺷﺰﭘ ﻲﻋﻮﺿﻮﻣ ﻭ (ﺪﺻﺭﺩ 5.1) 19 «ﻥﺎﻣﺭﺩ» Ê02 ،(ﺪﺻﺭﺩ 5.4) 20 ﻡﺍﺪﻛ ﻪﺑ (ﺪﺻﺭﺩ 4.9) 18 «ﻱﺭﺎﺘﻓﺭ ﻱﺎﻫ ﻢﺴﻴﻧﺎﻜﻣ ﻭ ﺭﺎﺘﻓﺭ» ^F01 (4 ﻝﻭﺪﺟ) .ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺍﺭ ﻲﻧﺍﻭﺍﺮﻓ ﻦﻳﺮﺗﻻﺎﺑ ﺐﻴﺗﺮﺗ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﻪﻤﻠﻛ ﺹﺎﺧ ﻱﺎﻨﻌﻣ ﻪﺑ ﺎﻳ (ﻲﺘــﺷﺍﺪﻬﺑ) ﺖﻣﻼــﺳ ﺕﺎﻘﻴﻘﺤﺗ ﻡﺎﻈﻧ ﺶﻧﺍﺩ ﺪﻴﻟﻮﺗ ﻱﺍﺮﺑ ﻱﺪﻨﻳﺍﺮﻓ ،ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﺕﺎﻘﻴﻘﺤﺗ ﻡﻮﻠﻋ ،ﻲﻌﻴﺒﻃ ﻡﻮــﻠﻋ ﺔﻄﻴﺣ ﺭﺩ ﺎﻫ ﻪﻴﺿﺮﻓ ﻥﻮــﻣﺯﺁ ﻭ ﻪﺘﻓﺎﻳ ﺕﺎﻋﻼﻃﺍ .ﺖﺳﺍ ﻲﻋﺎﻤﺘﺟﺍ ﻡﻮﻠﻋ ﻭ ﻱﺭﺎﺘﻓﺭ ﻡﻮﻠﻋ ،ﻲﻜﺷﺰﭘ ﺖﻣﻼــﺳ ﻱﺎﻘﺗﺭﺍ ﺭﻮﻈﻨﻣ ﻪﺑ ﺪﻧﺍﻮﺗ ﻲﻣ ﺪﻨﻳﺍﺮﻓ ﻦﻳﺍ ﺯﺍ ﻲــﺷﺎﻧ ﻱﺎﻫ ﻪﺘﻓﺎﻳ [17] .ﺩﺮــﻴﮔ ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘــﺳﺍ ﺩﺭﻮﻣ ﻪﻌﻣﺎﺟ ﺎﻳ ﺩﺮﻓ ﻱﺎﻫ ﺡﺮﻃ ﺪــﺻﺭﺩ 52.6 ﻪــﻛ ﺖــﺳﺍ ﻥﺁ ﺮﮕﻧﺎﻴﺑ ﺶــﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ (1374)ﻱﺪﻴــﺷﺭ .ﺪﻨــﺷﺎﺑ ﻲﻣ ﻲﻔﻴﺻﻮﺗ ،ﻲــﺸﻫﻭﮋﭘ ﻲﻟﺎﺣ ﺭﺩ ،ﻩﺩﻮﻤﻧ ﺵﺭﺍﺰــﮔ ﺹﻮﺼﺧ ﻦﻳﺍ ﺭﺩ ﺍﺭ ﻲﻬﺑﺎــﺸﻣ (1377) ﻪﺘﻔﻜــﺷ ﻭ (1371) ﻲﻧﺍﺮﻔﻏ ﺕﺎﻌﻟﺎﻄﻣ ﺞــﻳﺎﺘﻧ ﻪﻛ ﺵﻭﺭ ﻦﻳﺮﺗ ﻩﺩﺎﻔﺘﺳﺍﺮﭘ ﻲﺑﺮﺠﺗ ﺵﻭﺭ ﻪﻛ ﺖــﺳﺍ ﻥﺁ ﺮﮕﻧﺎﻴﺑ

ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﺪﺻﺭﺩ ﻭ ﻲﻧﺍﻭﺍﺮﻓ ﻊﻳﺯﻮﺗ :1ﻝﻭﺪﺟ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ

ﺭﺎﻜﻤﻫ ﻥﺎﻳﺮﺠﻣ ﻭ ﻱﺮﺠﻣ ﺩﺍﺪﻌﺗ ﻲﻧﺍﻭﺍﺮﻓ

ﺪﺻﺭﺩ

ﺮﻔﻧ ﻚﻳ 313

84.8

ﺮﻔﻧﻭﺩ 51

13.8

ﺮﻔﻧ ﻪﺳ 1

0.3

ﺦﺳﺎﭘ ﻥﻭﺪﺑ 4

1.1

ﺶﻫﻭﮋﭘ ﻩﺪﻨﻨﻛ ﺍﺮﺟﺍ ﻥﺎﻣﺯﺎﺳ 0

0

ﻩﺎﺸﻧﺎﻣﺮﻛ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ 359

97.3

ﺮﮕﻳﺩ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ﺎﺑ ﻙﺮﺘﺸﻣ 4

1.1

1.6

ﺶﻫﻭﮋﭘ ﻱﺎﻫ ﺵﻭﺭ 0

0

ﻲﺑﺮﺠﺗ 49

13.3

ﻲﺑﺮﺠﺗ ﻪﻤﻴﻧ 9

2.4

ﻲﻔﻴﺻﻮﺗ 194

52.6

ﻲﻠﻴﻠﺤﺗ 7

1.9

ﻲﻠﻴﻠﺤﺗ -ﻲﻔﻴﺻﻮﺗ 46

12.5

ﻱﺪﻫﺎﺷ -ﻱﺩﺭﻮﻣ 15

4.1

(ﺕﺭﻮﻫﻮﻛ) ﻲﻫﻭﺮﮕﻤﻫ 2

0.5

ﺮﻳﺎﺳ 9

2.4

10.3

ﺶﻫﻭﮋﭘ ﻉﻮﻧ 0

0

ﻱﺩﺎﻴﻨﺑ 29

7.9

ﻱﺩﺮﺑﺭﺎﻛ 242

65.6

ﻱﺩﺮﺑﺭﺎﻛ - ﻱﺩﺎﻴﻨﺑ 32

8.7

ﻲﻳﺍ ﻪﻌﺳﻮﺗ 5

1.4

16.5

ﻲﮔﮋﻳﻭ ﺮﻫ ﻱﺍﺮﺑ ﺪﺻﺭﺩ ﻭ ﻲﻧﺍﻭﺍﺮﻓ ﻞﻛ ﻊﻤﺟ 369

100

(5)

ﻭ ﻩﺩﺍﺯ ﻒﺻﺁ ﻲﺳﺭﺮﺑ ﺞﻳﺎﺘﻧ [7،8،10] .ﺪــﺷﺎﺑ ﻲﻣ ﺶﻫﻭﮋﭘ ﺪﺻﺭﺩ 79.9 ﺶﻫﻭﮋﭘ ﺵﻭﺭ ﺩﺍﺩ ﻥﺎــﺸﻧ (1377) ﻱﺮﺘﻧﻼﻛ .ﺖﺳﺍ ﻲﺑﺮﺠﺗ ﺵﻭﺭ (ﺪﺻﺭﺩ0.8) ﻭ ﻲﻔﻴﺻﻮﺗ ﺎﻫ ﻪﻣﺎﻧ ﻥﺎﻳﺎﭘ 5 ﻪﺑ ﻱﺩﺮﺑﺭﺎﻛ ﺵﺯﺭﺍ ﻅﺎــﺤﻟ ﻪﺑ ﻲﻜــﺷﺰﭘ ﺕﺎﻌﻟﺎﻄﻣ [18]

ﻁﻮﺑﺮﻣ (1 ﺢﻄﺳ) ﺢﻄﺳ ﻦﻳﺮﺗﻻﺎﺑ .ﺩﻮــﺷ ﻲﻣ ﻢﻴﺴﻘﺗ ﺢﻄﺳ ﺖﺳﺍ (^RCT) ﻩﺪــﺷ ﻝﺮﺘﻨﻛﻭ ﻲﻓﺩﺎﺼﺗ ﻲﻨﻴﻟﺎﺑ ﻲﻳﺎﻣﺯﺁﺭﺎﻛ ﻪﺑ ﺢﻄﺳ ﻦﻳﺍ ﺭﺩ ﻥﻭﺪﻣ ﻱﺭﻭﺮﻣ ﻭ ﻲﺼﻴﺨﺸﺗ ﺕﺎﻌﻟﺎﻄﻣ ﻦﻴﻨﭽﻤﻫ ﻭ ﻮﻴﺘﻜﭙﺳﻭﺮﭘ ﺕﺭﻮﻫﻮﻛ ﺕﺎﻌﻟﺎﻄﻣ ﻡﻭﺩ ﺢﻄــﺳ .ﺩﺭﺍﺩ ﺭﺍﺮﻗ ﺕﺎﻌﻟﺎﻄﻣ ﻪﺑ ﻁﻮﺑﺮﻣ ﻡﻮﺳ ﺢﻄﺳ .ﺖﺳﺍ ﻲﺨﻳﺭﺎﺗ ﺕﺭﻮﻫﻮﻛ ﻱﺪﻫﺎﺷ ﻱﺩﺭﻮﻣ ﺕﺎﻌﻟﺎﻄﻣ ﻥﻭﺪﻣ ﺭﻭﺮﻣ ﻭ ﻱﺪﻫﺎــﺷ ﺩﺭﻮﻣ

ﻭ ﺪﺷﺎﺑ ﻲﻣ ﻲﻔﻴﺻﻮﺗ ﺕﺎﻌﻟﺎﻄﻣ ﻪﺑ ﻁﻮﺑﺮﻣ ﻡﺭﺎﻬﭼ ﺢﻄــﺳ ﻭ ﻲﺑﺎﻳﺯﺭﺍ ﻥﻭﺪﺑ) ﻥﺎﺼﺼﺨﺘﻣ ﺮﻈﻧ ﺭﺎﻬﻇﺍ ،5 ﺢﻄﺳ ﻡﺎﺠﻧﺍﺮــﺳ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ [19] .ﺩﻮــﺷ ﻲﻣ ﻞﻣﺎــﺷ ﺍﺭ (ﻪﻧﺍﺩﺎﻘﻧ ﻭ ﺢــﻳﺮﺻ ،ﻡﻭﺩ ﺢﻄــﺳ ﺭﺩ ﺎﻫ ﺶﻫﻭﮋﭘ ﺪﺻﺭﺩ 0.5 ﻕﻮﻓ ﻱﺪﻨﺑ ﺢﻄــﺳ ﺢﻄــﺳﺭﺩ ﺪﺻﺭﺩ 52.6 ﻭ ﻡﻮــﺳ ﺢﻄــﺳ ﺭﺩ ﺪــﺻﺭﺩ 4.1 ﻩﺪــﺷ ﻡﺎﺠﻧﺍ ﺕﺎﻌﻟﺎﻄﻣ ﺪﺻﺭﺩ 65.6 .ﺪــﻧﺭﺍﺩ ﺭﺍﺮﻗ ﻡﺭﺎــﻬﭼ ﻱﺎﻫ ﺡﺮﻃ ﻲــﺳﺭﺮﺑ ﺭﺩ (1371) ﻲﻧﺍﺮﻔﻏ .ﺖــﺳﺍ ﻱﺩﺮﺑﺭﺎﻛ 18.8 ﺎﺑ ﺍﺭ ﻱﺩﺮﺑﺭﺎﻛ ﺕﺎﻌﻟﺎﻄﻣ ﻥﺍﺮﻬﺗ ﻩﺎﮕــﺸﻧﺍﺩ ﻲﺗﺎﻘﻴﻘﺤﺗ

ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﻲﻠﺻﺍ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ﺱﺎﺳﺍ ﺮﺑ ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﺪﺻﺭﺩ ﻭ ﻲﻧﺍﻭﺍﺮﻓ ﻊﻳﺯﻮﺗ .2 ﻝﻭﺪﺟ ﺶﻫﻭﮋﭘ ﻉﻭﺮﺷ ﻝﺎﺳ ﻚﻴﻜﻔﺗ ﻪﺑ (MeSH) ﻲﻜﺷﺰﭘ ﻲﻋﻮﺿﻮﻣ ﻱﺎﻫ ﻥﺍﻮﻨﻋﺮﺳ

ﺎﻫ ﻢﺴﻴﻧﺎﮔﺭﺍ ﻝﺎﺳ ﺎﻫ ﻱﺭﺎﻤﻴﺑ

ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎﻫﻭﺭﺍﺩ ﻲﻳﺎﻴﻤﻴﺷ ،ﻲﻳﺍ ﻪﻳﺰﺠﺗ ﻥﻮﻨﻓ

ﻭ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨﺸﺗ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﺳﺎﻨﺸﻧﺍﻭﺭ

ﻲﻜﺷﺰﭙﻧﺍﻭﺭ ﻲﺘﺴﻳﺯ ﻡﻮﻠﻋ

ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ

1370 -

- -

- 1

100%

- -

1371 -

- -

- 1

100%

- -

1372 1

8.3%

4 33.3%

3 25%

2 16.7%

- -

2 16.7%

1373 2

12.5%

3 18.8%

4 25%

1 6.3%

- -

3 18.8%

1374 3

20%

2 13.3%

4 26.7%

3 20%

1 6.7%

- -

1375 1

8.3%

4 33.3%

3 25%

2 16.7%

- -

1 8.3%

1376 -

- 5

35.7%

2 14.3%

3 21.4%

- -

2 14.3%

1377 -

- 6

28.6%

6 28.6%

3 14.3%

2 9.5%

1 4.8%

1378 7

13.7%

18 35.3%

8 15.7%

7 13.7%

- -

6 11.8%

1379 1

3.3%

10 33.3%

5 16.7%

3 10%

- -

1380 4

9.8%

7 17.1%

9 22%

5 12.2%

4 9.8%

1381 2

6.7%

4 13.3%

7 23.3%

3 10%

2 6.7%

1382 3

7%

9 20.9%

8 18.6%

9 20.9%

4 9.3%

2 4.7%

1383 2

5.6%

8 22.2%

3 8.3%

7 19.4%

4 11.1%

1384 -

- 5

16.7%

9 30%

8 26.7%

4 13.3%

1 3.3%

1385 2

14.3%

1 7.1%

2 14.3%

3 21.4%

2 14.3%

1 7.1%

1386 1

50%

- -

ﻊﻤﺟ 29

7.9%

86 23.3%

79 21.4%

62 16.8%

31 8.4%

29 7.9%

(6)

ﻦﻳﺍ ﻭ ﻩﺩﻮﻤﻧ ﺮﻛﺫ ﻪﻌﻟﺎﻄﻣ ﻉﻮــﻧ ﻦﻳﺮﺗﻻﺎﺑ ﻥﺍﻮﻨﻋ ﻪﺑ ﺪــﺻﺭﺩ ﻲﺗﺎﻘﻴﻘﺤﺗ ﻱﺎﻫ ﺡﺮﻃ ﺪﺻﺭﺩ 71.8 ﺭﺩ ﻪﻛ ﺖــﺳﺍ ﻲﻟﺎﺣ ﺭﺩ 82 (1379) ﺭﻮﭘ ﻲﻨﻴﻣﺍ [8] .ﺖــﺳﺍ ﻩﺪﺸﻧ ﺮﻛﺫ ﻪﻌﻟﺎﻄﻣ ﻉﻮﻧ ﻱﺩﺮﺑﺭﺎﻛ ﺍﺭ ﻩﺪــﺷ ﻲــﺳﺭﺮﺑ ﻲﺗﺎﻘﻴﻘﺤﺗ ﻱﺎﻫ ﺡﺮﻃ ﺪــﺻﺭﺩ ﺎﺑ [20] .ﺖــﺳﺍ ﻩﺩﻮﻤﻧ ﺵﺭﺍﺰــﮔ ﻱﺩﺎﻴﻨﺑ ﺍﺭ ﺪــﺻﺭﺩ10 ﻭ ﺪــﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻱﺩﺮﺑﺭﺎﻛ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﺖﻴﻫﺎﻣ ﻪﺑ ﻪﺟﻮﺗ ﻭ ﺕﻼﻜــﺸﻣ ﻊﻓﺭ ﺭﻮﻈﻨﻣ ﻪﺑ ﻲــﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﺮﺜﻛﺍ ﻪﻛ (1377) ﻪﺘﻔﻜــﺷ .ﺪﻧﺍ ﻩﺪــﺷ ﺍﺮﺟﺍ ﺩﻮﺟﻮﻣ ﺖﻴﻌﺿﻭ ﻱﺎﻘﺗﺭﺍ .ﺖــﺳﺍ ﻩﺩﻮﻤﻧ ﺵﺭﺍﺰﮔ ﺪﺻﺭﺩ 71.8 ﺍﺭ ﻱﺩﺎــﻴﻨﺑ ﺶﻫﻭﮋﭘ

ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺎﺑ ﺶــﻫﻭﮋﭘ ﻦﻳﺍ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺕﺮــﻳﺎﻐﻣ ﻞﻴﻟﺩ [9]

ﺭﺩ ﻲﻳﺎﻫ ﺶﻫﻭﮋﭘ ﺖﻴﻫﺎﻣ ﺭﺩ ﻥﺍﻮﺗ ﻲﻣ ﺍﺭ (1377) ﻪﺘﻔﻜــﺷ ﻢﻬﺳ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺭﺩ .ﺖــﺴﻧﺍﺩ ﻲﻳﻭﺭﺍﺩ ﻥﺎﻫﺎﻴﮔ ﻪﻨﻴﻣﺯ ﺪﺻﺭﺩ 66.7 ﻥﺍﺩﺮﻣ ﻢﻬــﺳ ﻭ ﺪﺻﺭﺩ 29 ﺶﻫﻭﮋﭘ ﺭﺩ ﻥﺎﻧﺯ 7.8 ﺍﺭ ﺶﻫﻭﮋﭘ ﺭﺩ ﻥﺎــﻧﺯ ﻢﻬــﺳ (1371) ﻲﻧﺍﺮﻔﻏ .ﺖــﺳﺍ ﻩﺩﻮﻤﻧ ﺵﺭﺍﺰــﮔ ﺪﺻﺭﺩ 92.2 ﺍﺭ ﻥﺍﺩﺮــﻣ ﻢﻬــﺳ ﻭ ﺪﺻﺭﺩ ﺮﮕﻧﺎﻴﺑ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﻪﻛ ﻲﻟﺎﺣ ﺭﺩ [8] .ﺖــﺳﺍ

2 ﻝﻭﺪﺟ ﻪﻣﺍﺩﺍ

ﻝﺎﺳ ﻲﻌﻴﺒﻃ ﻡﻮﻠﻋ ،ﻲﺳﺎﻨﺷ ﻥﺎﺴﻧﺍ

،ﺵﺯﻮﻣﺁ ﻭ ﻲﺳﺎﻨﺷ ﻪﻌﻣﺎﺟ ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎﻫ ﻩﺪﻳﺪﭘ ،ﻱژﻮﻟﻮﻨﻜﺗ

،ﺖﻌﻨﺻ ﻱﺯﺭﻭﺎﺸﻛ ﻲﻧﺎﺴﻧﺍ ﻡﻮﻠﻋ

ﺕﺎﻋﻼﻃﺍ ﻢﻠﻋ ﺹﺎﺨﺷﺍ

ﻲﺘﺷﺍﺪﻬﺑ ﺖﺒﻗﺍﺮﻣ

ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ

ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ ﻲﻧﺍﻭﺍﺮﻓ ﺪﺻﺭﺩ

1370 -

- - -

- - - - - - - - - -

1371 -

- - -

- - - - - - - - - -

1372 -

- - -

- - - - - - - - - -

1373 -

- - -

- - - - 2 12.5%

- - 1 6.3%

1374 -

- - -

- - 1 6.7%

1 6.7%

- - - -

1375 -

- - -

- - - - 1 8.3%

- - - -

1376 -

- - -

- - - - - - - - 2 14.3%

1377 -

- 1 4.8%

- - - - 1 4.8%

÷ - 1 4.8%

1378 -

- 3 5.9%

1 2%

- - - - - - 1 2%

1379 -

- 2 6.7%

- - 2 6.7%

- - - - 2 6.7%

1380 -

- 6 14.6%

- - - - - - - - 1 2.4%

1381 -

- 3 10%

- - - - 1 3.3%

- - 1 3.3%

1382 -

- 5 11.6%

- - - - 1 2.3%

- - 2 4.7%

1383 1

2.8%

3 8%/3 -

- - - - - - - - -

1384 -

- 1 3.3%

- - - - - - - - 2 6.7%

1385 -

- 1 7.1%

- - - - - - 1 7.1%

1 7.1%

1386 1

50%

- -

- - - - - - - - - -

ﻊﻤﺟ 2 0.5%

25 6.8%

1 0.3%

3 0.8%

7 1.9%

1 0.3%

14 3.8%

(7)

ﻲﺧﺮﺑ ﺭﺩ .ﺪﺷﺎﺑ ﻲﻣ ﺶﻫﻭﮋﭘ ﺮﻣﺍ ﺭﺩ ﻥﺎﻧﺯ ﺮﺘﺸﻴﺑ ﺖﻛﺭﺎــﺸﻣ ﻲﻛﺪﻧﺍ ﺶﻳﺍﺮﮔ ﻲﻨﻴﻟﺎﺑ ﻭ ﻪﻳﺎﭘ ﻡﻮﻠﻋ ﻲــﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﻭﺮﮔ ﺯﺍ ،ﻲﺳﺎﻨﺷ ﻥﺎــﺴﻧﺍ» ،«ﻲﻌﻴﺒﻃ ﻡﻮﻠﻋ» ﺮﻴﻈﻧ ﺮﮕﻳﺩ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ﻪﺑ ﻡﻮﻠﻋ» ،«ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎﻫ ﻩﺪﻳﺪﭘ ﻭ ﻲــﺳﺎﻨﺷ ﻪﻌﻣﺎﺟ ،ﺵﺯﻮﻣﺁ ﻦﻳﺍ ﻪﻛ ﺩﻮــﺷ ﻲﻣ ﻩﺪﻳﺩ ﺰﻴﻧ «ﻲﻧﺎــﺴﻧﺍ ﻡﻮﻠﻋ» ﻭ «ﻲــﺗﺎﻋﻼﻃﺍ ﻩﺎﮕﺸﻧﺍﺩ ﻱﺭﺍﺩﺍ ﻭ ﻲﺷﺯﻮﻣﺁ ﺕﻼﻜﺸﻣ ﻭ ﻞﺋﺎﺴﻣ ﺎﺑ ﺎﻫ ﻪﻟﻮﻘﻣ ﺪﺻﺭﺩ 23.3 ﻪﻟﺎــﺳ 16 ﻩﺭﻭﺩ ﻦﻳﺍ ﺭﺩ .ﺪﻨــﺷﺎﺑ ﻲﻣ ﻂــﺒﺗﺮﻣ «ﺎﻫ ﻱﺭﺎﻤﻴﺑ»ﻲﻠﺻﺍ ﻪــﻟﻮﻘﻣ ﺭﺩ ﻩﺪــﺷ ﻡﺎﺠﻧﺍ ﻱﺎــﻫ ﺶﻫﻭﮋﭘ 21.4 ﺎﺑ «ﻲﻳﺎﻴﻤﻴــﺷ ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎﻫﻭﺭﺍﺩ» ﻪــﻟﻮﻘﻣ ﺪــﺷﺎﺑ ﻲﻣ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨــﺸﺗ ،ﻲﻳﺍ ﻪﻳﺰﺠﺗ ﻥﻮﻨﻓ» ﻪﻟﻮﻘﻣ ﻭ ﺪــﺻﺭﺩ ﻡﻮــﺳ ﻭ ﻡﻭﺩ ﻱﺎﻫ ﺖﻳﻮﻟﻭﺍ ﺪﺻﺭﺩ 16.8 ﺎﺑ «ﺕﺍﺰــﻴﻬﺠﺗ ﻭ ﺯﺍ ﺲﭘ ﻪﻜﻨﻳﺍ ﻪــﺑ ﻪﺟﻮﺗ ﺎــﺑ .ﺪﻧﺭﺍﺩ ﺍﺭ ﺶــﻫﻭﮋﭘ ﻉﻮــﺿﻮﻣ ﻭ ﻲﻠﺧﺍﺩ ﻲﺗﺎﻋﻼﻃﺍ ﻱﺎــﻫ ﻩﺎﮕﻳﺎﭘ ﺭﺩ ﺭﺮﻜﻣ ﻱﺎﻫﻮﺠﺘــﺴﺟ ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﺪﺻﺭﺩ ﻭ ﻲﻧﺍﻭﺍﺮﻓ ﻊﻳﺯﻮﺗ .3ﻝﻭﺪﺟ

ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﻲﻠﺻﺍ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ﺱﺎﺳﺍ ﺮﺑ (MeSH) ﻲﻜﺷﺰﭘ ﻲﻋﻮﺿﻮﻣ ﻱﺎﻫ ﻥﺍﻮﻨﻋ ﺮﺳ

ﻲﻠﺻﺍ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ﻲﻧﺍﻭﺍﺮﻓ

ﺪﺻﺭﺩ

ﺎﻫ ﻢﺴﻴﻧﺎﮔﺭﺍ 29

7.9

ﺎﻫ ﻱﺭﺎﻤﻴﺑ 86

23.3

ﻲﻳﺎﻴﻤﻴﺷ ﺕﺎﺒﻴﻛﺮﺗ ﻭ ﺎﻫﻭﺭﺍﺩ 79

21.4

ﻭ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨﺸﺗ ،ﻲﻳﺍ ﻪﻳﺰﺠﺗ ﻥﻮﻨﻓ ﺕﺍﺰﻴﻬﺠﺗ

62 16.8

ﻲﻜﺷﺰﭙﻧﺍﻭﺭ ﻭ ﻲﺳﺎﻨﺸﻧﺍﻭﺭ 31

8.4

ﻲﺘﺴﻳﺯ ﻡﻮﻠﻋ 29

7.9

ﻲﻌﻴﺒﻃ ﻡﻮﻠﻋ 2

0.5

ﻭ ﻲﺳﺎﻨﺷ ﻪﻌﻣﺎﺟ ،ﺵﺯﻮﻣﺁ ،ﻲﺳﺎﻨﺷ ﻥﺎﺴﻧﺍ ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎﻫ ﻩﺪﻳﺪﭘ 25

6.8

ﻱﺯﺭﻭﺎﺸﻛ ،ﺖﻌﻨﺻ ،ﻱژﻮﻟﻮﻨﻜﺗ 1

0.3

ﻲﻧﺎﺴﻧﺍ ﻡﻮﻠﻋ 3

0.8

ﺕﺎﻋﻼﻃﺍ ﻢﻠﻋ 7

1.9

ﺹﺎﺨﺷﺍ 1

0.3

ﻲﺘﺷﺍﺪﻬﺑ ﺖﺒﻗﺍﺮﻣ 14

3.8

ﻊﻤﺟ 369

100

ﻲﺸﻫﻭﮋﭘ ﻱﺎﻫ ﺡﺮﻃ ﺪﺻﺭﺩ ﻭ ﻲﻧﺍﻭﺍﺮﻓ ﻊﻳﺯﻮﺗ .4ﻝﻭﺪﺟ ﻲﺘﺧﺭﺩ ﺖﺳﺮﻬﻓ ﻲﻋﺮﻓ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ﺱﺎﺳﺍ ﺮﺑ

(MeSH)ﻲﻜﺷﺰﭘ ﻲﻋﻮﺿﻮﻣ ﻱﺎﻫ ﻥﺍﻮﻨﻋ ﺮﺳ

ﻲﻋﺮﻓ ﻱﺎﻫ ﻪﻟﻮﻘﻣ ﻲﻧﺍﻭﺍﺮﻓ

ﺪﺻﺭﺩ

(B01) (ﻥﺎﮔﺮﻬﻣ ﻲﺑ ) ﺕﺎﻧﺍﻮﻴﺣ 5

1.4

(B03) ﺎﻫ ﻱﺮﺘﻛﺎﺑ 7

1.9

(B04) ﺎﻫ ﺱﻭﺮﻳﻭ 2

0.5

(B05) ﺎﻫ چﺭﺎﻗ 4

1.1

(B06)ﻥﺎﻫﺎﻴﮔ 11

3

(C01)ﺎﻫﺯﻮﻜﻳﺎﻣ ﻭ ﻲﻳﺎﻳﺮﺘﻛﺎﺑ ﻱﺎﻫ ﺖﻧﻮﻔﻋ 16

4.3

(C02)ﻲﺳﻭﺮﻳﻭ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 5

1.4

(C03)ﻲﻠﮕﻧﺍ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 9

2.4

(C04)ﺎﻫ ﻥﺎﻃﺮﺳ 4

1.1

(C05)ﻲﻧﺍﻮﺨﺘﺳﺍ ﻲﻧﻼﻀﻋ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 2

0.5

(C08)ﻲﺴﻔﻨﺗ ﻱﺍﺮﺠﻣ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 1

0.3

(C09)ﻲﻨﻴﺑ ﻭ ﻖﻠﺣ ،ﺵﻮﮔ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 1

0.3

(C10)ﺏﺎﺼﻋﺍ ﻩﺎﮕﺘﺳﺩ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 7

1.9

(C11)ﻢﺸﭼ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 1

0.3

(C12)ﻥﺍﺩﺮﻣ ﻲﻠﺳﺎﻨﺗ ﻱﺭﺍﺭﺩﺍ ﻩﺎﮕﺘﺳﺩ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 3

0.8

ﻭ ﻥﺎﻧﺯ ﻲﻠﺳﺎﻨﺗ ﻱﺭﺍﺭﺩﺍ ﻩﺎﮕﺘﺳﺩ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ (C13)ﻲﻨﺘﺴﺑﺁ ﺽﺭﺍﻮﻋ 6

1.6

(C14)ﻕﻭﺮﻋ ﻭ ﺐﻠﻗ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 9

2.4

(C15)ﻒﻨﻟ ﻭ ﻥﻮﺧ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 4

1.1

(C17)ﺪﻨﺒﻤﻫ ﺖﻓﺎﺑ ﻭ ﺖﺳﻮﭘ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 3

0.8

(C18)ﺯﺎﺳ ﻭ ﺖﺧﻮﺳ ﻭ ﻪﻳﺬﻐﺗ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 2

0.5

(C19)ﺰﻳﺭ ﻥﻭﺭﺩ ﺩﺪﻏ ﻩﺎﮕﺘﺳﺩ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ 3

0.8

(C21)ﻲﻄﻴﺤﻣ ءﺎﺸﻨﻣ ﺎﺑ ﺕﻻﻼﺘﺧﺍ 8

2.2

(C23)ﻱﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻪﻧﺎﺸﻧ ﻭ ﻢﺋﻼﻋ ،ﻂﻳﺍﺮﺷ 1

0.3

(D01)ﻲﻧﺪﻌﻣ ﻲﻳﺎﻴﻤﻴﺷ ﺩﺍﻮﻣ 14

3.8

(D02)ﻲﻟﺁ ﻲﻳﺎﻴﻤﻴﺷ ﺩﺍﻮﻣ 10

2.7

(8)

ﺖﺳﺮﻬﻓ ﻭ ﺕﺎﺣﻼﻄﺻﺍ ﺱﺎﺳﺍ ﺮﺑ ﻪﻛ ﻱﺍ ﻪﻨﻴــﺸﻴﭘ ﻲﺟﺭﺎﺧ ﺖﻓﺎﻳ ﺪــﺷﺎﺑ ﻩﺪــﺷ ﺍﻮﺘﺤﻣ ﻞﻴﻠﺤﺗ (^MeSH) ﺶﻣ ﻲﺘﺧﺭﺩ ﻦﻳﺍ ﻲﻋﻮﺿﻮﻣ ﻱﺎــﻫ ﺶﻳﺍﺮﮔ ﺞﻳﺎﺘﻧ ﻪــﺴﻳﺎﻘﻣ ﻥﺎﻜﻣﺍ ﺪــﺸﻧ ﻪﺟﻮﺗ ﺎﺑ ﺎﻣﺍ .ﺪــﺸﻧ ﺮــﺴﻴﻣ ﺮﮕﻳﺩ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﺎﺑ ﺶﻫﻭﮋﭘ 33.3 ﻝﺎﻐﺘﺷﺍ ﻥﺍﺰﻴﻣ ﻭ ﻦﻴﺼﺼﺨﺘﻣ ﻱﺪﺻﺭﺩ 32 ﻢﻬــﺳ ﻪﺑ ﺶﻳﺍﺮﮔ ﻦﻳﺍ ﻲــﻧﺎﻣﺭﺩ ﻲــﺷﺯﻮﻣﺁ ﺰﻛﺍﺮﻣ ﺭﺩ ﻥﺎﻧﺁ ﻱﺪــﺻﺭﺩ ﻱﺪﺻﺭﺩ 65.6 ﻢﻬﺳ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻭ ﺪﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻲﻘﻄﻨﻣ ﻪﺑ ﺎﻫ ﺶﻫﻭﮋﭘ ﻪﻛ ﺪــﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻱﺩﺮﺑﺭﺎﻛ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﻥﺍﺭﺎﻤﻴﺑ ﻲﻧﺎﻣﺭﺩ ﺖﻴﻌﺿﻭ ﻱﺎﻘﺗﺭﺍ ﻭ ﺕﻼﻜﺸﻣ ﻊﻓﺭ ﺭﻮﻈﻨﻣ «ﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻲﻠﺻﺍ ﻪﻟﻮﻘﻣ ﺮﮕﻳﺩ ﻲﻳﻮﺳ ﺯﺍ .ﺪﻧﺍ ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻲﻤﻠﻋ ﻪﺒﺗﺭ ،ﺪﺻﺭﺩ22.8 ﻲﻠﻴﺼﺤﺗ ﻒﻠﺘﺨﻣ ﻊﻃﺎﻘﻣ ﻦﻴﺑ ﺭﺩ ﺖﻴﺴﻨﺟ ،ﺪﺻﺭﺩ 23.3 ﻲــﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﻭﺮﮔ ،ﺪﺻﺭﺩ 23.3 ﻦﻳﺮﺗﻻﺎﺑ ﻩﺭﺍﻮﻤﻫ ﺪﺻﺭﺩ23.1 ﺭﺎﻛ ﻞــﺤﻣ ﻭ ،ﺪﺻﺭﺩ 23.3 «ﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻲﻋﺮﻓ ﻪﻟﻮﻘﻣ 23 ﻥﺎﻴﻣ ﺭﺩ .ﺖﺳﺍ ﻪﺘﺷﺍﺩ ﺍﺭ ﻢﻬﺳ ،ﺪﺻﺭﺩ 4.3 «ﺎﻫﺯﻮﻜﻳﺎﻣ ﻭ ﻲﻳﺎﻳﺮﺘﻛﺎﺑ ﻱﺎــﻫ ﺖﻧﻮﻔﻋ» ﻪﻟﻮﻘﻣ «ﻕﻭﺮﻋ ﻭ ﺐﻠﻗ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻭ «ﻲﻠﮕﻧﺍ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ» ﻪﻟﻮﻘﻣ «ﻲﻄﻴﺤﻣ ءﺎﺸﻨﻣ ﺎﺑ ﺕﻻﻼﺘﺧﺍ» ﻪﻟﻮﻘﻣ ،ﺪﺻﺭﺩ 2.4 ﻡﺍﺪﻛ ﺮﻫ ﺹﺎﺼﺘﺧﺍ ﺩﻮﺧ ﻪﺑ ﺍﺭ ﻢﻬﺳ ﻦﻳﺮﺗﻻﺎﺑ ﺐﻴﺗﺮﺗ ﻪﺑ ﺪﺻﺭﺩ 2.2

4ﻝﻭﺪﺟ ﻪﻣﺍﺩﺍ

ﺪﺻﺭﺩ

(D03)ﻚﻴﻠﻜﻴﺳﻭﺮﺘﻫ ﺕﺎﺒﻴﻛﺮﺗ 8

2.2

(D04)ﻲﻳﺍ ﻪﻘﻠﺣ ﺪﻨﭼ ﺕﺎﺒﻴﻛﺮﺗ 4

1.1

ﻭ ﺎﻫ ﻥﻮﻣﺭﻮﻫ ﻦﻳﺰﮕﻳﺎﺟ ،ﺎﻫ ﻥﻮﻣﺭﻮﻫ (D06)ﻥﻮﻣﺭﻮﻫ ﻱﺎﻫ ﺖﺴﻴﻧﻮﮔﺎﺘﻧﺁ 3

0.8

(D08)ﺎﻫ ﻢﻳﺰﻧﺁﻮﻛ ﻭ ﺎﻫ ﻢﻳﺰﻧﺁ 10

2.7

(D09)ﺎﻫ ﺕﺍﺭﺪﻴﻫﻮﺑﺮﻛ 1

0.3

(D10)ﺎﻫﺪﻴﭙﻴﻟ 9

2.4

(D12)ﺎﻫ ﻦﻴﺌﺗﻭﺮﭘ ﻭ ﺎﻫﺪﻴﺘﭙﭘ ،ﻪﻨﻴﻣﺁ ﻱﺎﻫﺪﻴﺳﺍ 8

2.2

(D20)ﺲﻜﻠﭙﻤﻛ ﺕﺎﺒﻴﻛﺮﺗ 4

1.1

(D23)ﻲﻜﻳژﻮﻟﻮﻴﺑ ﻞﻣﺍﻮﻋ 2

0.5

(D27)ﺎﻫﺩﺮﺑﺭﺎﻛ ﻭ ﻲﻳﺎﻴﻤﻴﺷ ﻝﺎﻤﻋﺍ 6

1.6

(E01)ﺺﻴﺨﺸﺗ 20

5.4

(E02)ﻲﺳﺎﻨﺷ ﻥﺎﻣﺭﺩ 19

5.1

(E03)ﻱﺩﺭﺪﻴﺑ ﻭ ﻲﺴﺤﻴﺑ 5

1.4

(E04)ﻲﺣﺍﺮﺟ ﻱﺎﻫ ﺵﻭﺭ 6

1.6

(E05)ﻲﺳﺭﺮﺑ ﻥﻮﻨﻓ 13

3.5

(F01)ﻱﺭﺎﺘﻓﺭ ﻱﺎﻫ ﻡﺰﻴﻧﺎﻜﻣ ﻭ ﺭﺎﺘﻓﺭ 18

4.9

(F02)ﻲﺘﺧﺎﻨﺷ ﻥﺍﻭﺭ ﻱﺎﻫ ﻩﺪﻳﺪﭘ ﻭ ﺎﻫ ﺪﻨﻳﺍﺮﻓ 11

3

(F03)ﻲﻧﺍﻭﺭ ﺕﻻﻼﺘﺧﺍ 3

0.8

(G03)ﻲﻣﻮﻤﻋ ﻭ ﻂﻴﺤﻣ ﺖﺷﺍﺪﻬﺑ 12

3.3

ﻭ ،ﻲﻟﻮﻠﺳ ﻱﺎﻫ ﻩﺪﻳﺪﭘ ،ﻲﻜﻳژﻮﻟﻮﻴﺑ ﻱﺎﻫ ﻩﺪﻳﺪﭘ (G04)ﻲﻨﻤﻳﺍ

2 0.5

ﻭ ،ﺯﺎﺳ ﻭ ﺖﺧﻮﺳ ،ﻲﻳﺎﻴﻤﻴﺷﻮﻴﺑ ﻱﺎﻫ ﻩﺪﻳﺪﭘ (G06)ﻪﻳﺬﻐﺗ

6 1.6

(G08)ﻞﺜﻣ ﺪﻴﻟﻮﺗ ﻭ ﻱﺭﺍﺭﺩﺍ ﻩﺎﮕﺘﺳﺩ ﻱژﻮﻟﻮﻳﺰﻴﻓ 5

1.4

(G09)ﺲﻔﻨﺗ ﻭ ﻥﻮﺧ ﺵﺩﺮﮔ ﻩﺎﮕﺘﺳﺩ ﻱژﻮﻟﻮﻳﺰﻴﻓ 1

0.3

ﻭ ﻲﺒﺼﻋ ،ﻲﻧﺍﻮﺨﺘﺳﺍ ﻲﻧﻼﻀﻋ ﻩﺎﮕﺘﺳﺩ ﻱژﻮﻟﻮﻳﺰﻴﻓ (G11)ﻢﺸﭼ

1 0.3

(G14)ﻲﻜﻴﺘﻧژ ﻱﺎﻫﺭﺎﺘﺧﺎﺳ 1

0.3

(H01)(ﻲﻜﺷﺰﭘ ﺮﻴﻏ ) ﻲﻌﻴﺒﻃ ﻡﻮﻠﻋ 2

0.5

4ﻝﻭﺪﺟ ﻪﻣﺍﺩﺍ

ﺪﺻﺭﺩ

(I01)ﻲﻋﺎﻤﺘﺟﺍ ﻡﻮﻠﻋ 4

1.1

(I02)ﺵﺯﻮﻣﺁ 20

5.4

(I03)ﻥﺎﺴﻧﺍ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ 1

0.3

(J02)ﺎﻫ ﻲﻧﺪﻴﺷﻮﻧ ﻭ ﻲﻳﺍﺬﻏ ﺩﺍﻮﻣ 1

0.3

(K01)ﻲﻧﺎﺴﻧﺍ ﻡﻮﻠﻋ 3

0.8

(L01)ﺕﺎﻋﻼﻃﺍ ﻢﻠﻋ 7

1.9

(M01)ﺹﺎﺨﺷﺍ 1

0.3

(N01) ﺖﻴﻌﻤﺟ ﻱﺎﻫ ﺺﺧﺎﺷ 2

0.5

ﻭ ،ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ،ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺕﺎﻧﺎﻜﻣﺍ (N02)ﺕﺎﻣﺪﺧ

3 0.8

(N03) ﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺩﺎﺼﺘﻗﺍ 1

0.3

(N04)ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ 8

2.2

(9)

ﻡﺎﺠﻧﺍ ﻲــﺳﺭﺮﺑ ﺭﺩ ﺞﻳﺮﺗﺭﺎﭘ ﻭ ﻥﻮــﺴﻳﻮﻟ ،ﻥﻮﭙﻳﺭ .ﺪــﻧﺍ ﻩﺩﺍﺩ ﺮﻫ ﻥﺎﻛﺩﻮﻛ ﻪﻳﺭ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻭ ،ﻪﻳﺭ ﻥﺎﻃﺮــﺳ ،ﻢﺳﺁ ﻩﺪــﺷ ﻪﻨﻴﻣﺯ ﻦﻳﺮﺘﮔﺭﺰﺑ ﻥﺍﻮﻨﻋ ﻪﺑ ﺍﺭ ﻝﺎــﺳ ﺭﺩ ﻪﻟﺎﻘﻣ 1400 ﺎﺑ ﻡﺍﺪﻛ [21].ﺪﻧﺍ ﻩﺩﻮﻤﻧ ﺵﺭﺍﺰﮔ ﻲﻋﻮﺿﻮﻣ ﺮﻫ ﻲﻠﺻﺍ ﻥﺎﻛﺭﺍ ﺯﺍ ﺶــﻫﻭﮋﭘ ﻉﻮﺿﻮﻣ ﻪﻛ ﻲــﻳﺎﺠﻧﺁ ﺯﺍ ﺭﺩ ﺩﻮﺟﻮﻣ ﻱﺎــﻫ ﺶﻟﺎﭼ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻭ ﺖــﺳﺍ ﻲــﺸﻫﻭﮋﭘ ﻲﻜــﺷﺰﭘ ﻡﻮﻠﻋ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲــﺸﻫﻭﮋﭘ ﻱﺎﻫ ﻉﻮﺿﻮﻣ ﺏﺎﺨﺘﻧﺍ ﺭﺩ ﻞﺒﻗ ﺎﻫ ﻝﺎــﺳ ﻪﭽﻧﺁ) ﺎﻫ ﻉﻮﺿﻮﻣ ﻥﺩﻮــﺑ ﻱﺭﺍﺮﻜﺗ ﺮــﻴﻈﻧ ﻉﻮﺿﻮﻣ ﻕﺎﺒﻄﻧﺍ ﻡﺪﻋ ﻭ (ﺖﺳﺍ ﻩﺪﻣﺁ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﺕﺎﻴﺑﺩﺍ ﻞﻣﺍﻮﻋ ﻭ [17] ﺖــﻜﻠﻤﻣ ﻥﺍﺮﻳﺪﻣ ﻭ ﻥﺍﺰﻳﺭ ﻪــﻣﺎﻧﺮﺑ ﺯﺎﻴﻧ ﺎــﺑ ،ﻪﻨﻳﺰﻫ ﺪﻨﻧﺎﻣ ﺶــﻫﻭﮋﭘ ﻉﻮﺿﻮﻣ ﺏﺎﺨﺘﻧﺍ ﺭﺩ ﺮــﮕﻳﺩ ﺮــﺛﺆﻣ ،ﻥﺍﺮﮕــﺸﻫﻭﮋﭘ ﻥﺍﻭﺍﺮﻓ ﺕﻻﺎﻐﺘــﺷﺍ ،ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﺕﺎﻧﺎﻜﻣﺍ ﺖــﺷﺍﺩ ﺭﺎﻬﻇﺍ ﻲﻠﻛ ﺭﻮﻃ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ .... ﻭ ﻲﻤﻠﻋ ﻲــﻳﺎﻧﺍﻮﺗ ﻥﺎﺸﻧ ﺖﺳﺍ ﻩﺪﺷ ﻖﻴﻘﺤﺗ ﺎﻫ ﻥﺁ ﺮﺑ ﻪﻛ ﻲﻳﺎﻫ ﻉﻮﺿﻮﻣ ﻲﺳﺭﺮﺑ ﺎﺑ ﻂﺒﺗﺮﻣ ﻱﺎﻫ ﻉﻮﺿﻮﻣ ﻱﻭﺭ ﺮﺑ ﺎــﻫ ﺶﻫﻭﮋﭘ ﺰﻛﺮﻤﺗ ﻩﺪﻨﻫﺩ ﻪﭼ ﺮﮔﺍ .ﺪﺷﺎﺑ ﻲﻣ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻲﻧﺎﻣﺭﺩ ،ﻲﺼﻴﺨﺸﺗ ﻱﺎﻫ ﺵﻭﺭ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺭﺩ ﺩﻮﺟﻮﻣ ﻱﺎﻫ ﻒﻌﺿ ﺖﺳﺍ ﻦﻜﻤﻣ ﺍﺭ ﻥﺍﺮﮕﺸﻫﻭﮋﭘ ،ﻪﻌﻣﺎﺟ ﻲﺘﺷﺍﺪﻬﺑ ﺕﻼﻜــﺸﻣ ﺎﻳ ﻭ ﻲﻧﺎﻣﺭﺩ ﻞﺣ ﺭﻮﻈﻨﻣ ﻪﺑ ﻱﺩﺮﺑﺭﺎﻛ ﺶﻳﺍﺮﮔ ﺎﺑ ﻲﻳﺎﻫ ﻉﻮﺿﻮﻣ ﻱﻮﺳ ﻪﺑ ﻪﺑ ﺮﺠﻨﻣ ﺪﻳﺎﺒﻧ ﺶﻳﺍﺮﮔ ﻦﻳﺍ ﺎﻣﺍ ﺪﺷﺎﺑ ﻩﺩﺍﺩ ﻕﻮﺳ ﺕﻼﻜــﺸﻣ ﻪﭼﺮﮔﺍ .ﺩﺩﺮﮔ ﻱﺩﺎﻴﻨﺑ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﻪﺑ ﺖﺒــﺴﻧ ﻲﻬﺟﻮﺗ ﻲﺑ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﺖﻳﻮﻘﺗ ﺖــﻬﺟ ﺭﺩ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﺎــﺑ ﻥﺍﻮﺗ ﻲﻣ ﺯﺍ ﻭ ﺖــﺷﺍﺩ ﻪﺟﻮﺗ ﺰﻴﻧ ﻱﺩﺮﺑﺭﺎﻛ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﻪﺑ ﻱﺩﺎــﻴﻨﺑ ﻱﺩﺮﺑﺭﺎﻛ ﻱﺎــﻫ ﺶﻫﻭﮋﭘ ﺭﺩ ﻱﺩﺎــﻴﻨﺑ ﻱﺎﻫ ﺶﻫﻭﮋﭘ ﺞــﻳﺎﺘﻧ ﻱﻮﺳ ﻪﺑ ﺍﺭ ﻩﺎﮕﺸﻧﺍﺩ ﺭﺩ ﻩﺪﺷ ﺪﻴﻟﻮﺗ ﺶﻧﺍﺩ ﻭ ﺩﻮﻤﻧ ﻩﺩﺎﻔﺘــﺳﺍ ﻱﺎﻫﺯﺮﻣ ﺵﺮﺘﺴﮔ ﻱﺎﺘﺳﺍﺭ ﺭﺩ ﺶﻧﺍﺩ ﻱﺩﺎﻴﻨﺑ ﻢﻴﻫﺎﻔﻣ ﺪﻴﻟﻮﺗ .ﺩﺍﺩ ﻕﻮﺳ ﺶﻧﺍﺩ ﻱﺭﺍﺰﮕﺳﺎﭙﺳ 86038 ﻩﺭﺎﻤــﺷ ﻲــﺸﻫﻭﮋﭘ ﺡﺮــﻃ ﻉﻮﺿﻮﻣ ﻪــﻟﺎﻘﻣ ﻦــﻳﺍ ﻭ ﺕﺎﻌﻟﺎﻄﻣ ﺰــﻛﺮﻣ ﺵﺯﻮﻣﺁ ﺭﺩ ﺶﻫﻭﮋﭘ ﻪــﺘﻴﻤﻛ ﺏﻮــﺼﻣ ﻩﺎﺸﻧﺎﻣﺮﻛ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻲﻜﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻪﻌﺳﻮﺗ ﺩﻮﺧ ﻲﻧﺍﺩﺭﺪﻗ ﻭ ﺮﻜﺸﺗ ﺐﺗﺍﺮﻣ ﻪﻟﺎﻘﻣ ﻥﺎﮔﺪﻨﺴﻳﻮﻧ .ﺪﺷﺎﺑ ﻲﻣ .ﺪﻧﺭﺍﺩ ﻲﻣ ﺯﺍﺮﺑﺍ ﺭﻮﻛﺬﻣ ﻩﺯﻮﺣ ﻡﺮﺘﺤﻣ ﻦﻴﻟﻮﺌﺴﻣ ﺯﺍ ﺍﺭ

Sarookhani B. [Research methods in social sciences].

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7

Descriptors (1991 – 2008)

Akbarzadeh F.¹ / Makhsoosi Sh.² / Rezaii M.³ / Abdolmaleki P.⁴

Introduction: The Content analysis is used to identification, analysis, record printed and non- printed resources. This research was aimed to content analysis of accomplished research designs in KUMS. We studied other purposes such as characteristics, subjects trend, and research trend based on MeSH.

Methods: This is a descriptive and content analysis research. The universe study is 369 research designs that accomplished in KUMS of 23 March 1991 to 19 March 2008. Data collected by information forms. Recording unit is concept keywords in title, abstract and keywords. Use alphanumeric expressions for coding. Determinate Alphanumeric expressions with consideration the position of entry term in tree structure. The data analyzed by SPSS software.

Results: We found that, researches are in main category «Diseases» (23.3%), «Chemicals and Drugs» (21.4%), and «Analytical, Diagnostic and Therapeutic Techniques and Equipment»

(16.8%). The Main category «Diseases» had the most of share between education (22.8%), jobs (23.3%), groups' education (23.3%), sex (23.3%) and work place (23.1%).

Conclusion: Generally, researches are focused on Diseases related subjects, Diagnostic and Therapeutic Techniques. Therefore, recommend acquire viewpoints about these subjects.

Keywords: Research design, Content analysis, Kermanshah University of Medical Sciences and Health Services

M.Sc. of Library and Information Science. Central Library, Kermanshah University of Medical Sciences, Kermanshah, Iran;

1.

Corresponding Author([email protected])

B.Sc of Library and Information Science. Central Library, Kermanshah University of Medical Sciences, Kermanshah, Iran 2.

Assistant Professor of Biostatistics Department, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran 3.

Abstract