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(36) 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺶﺷﻮﭘ ﺖﺤﺗ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﺩﺮﻜﻠﻤﻋ 1386 ؛ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ

4ﻱﺮﻫﻮﮔ ﺎﺿﺭﺩﻮﻤﺤﻣ / ³ﺎﻴﻧﺪﺣﻮﻣ ﻩﺪﻴﻌﺳ / ²ﻲﻜﻠﻣ ﺎﺿﺭﺪﻤﺤﻣ / ¹ﻲﺒﻴﺒﻃ ﻦﻳﺪﻟﺍ ﻝﺎﻤﺟ ﺪّﻴﺳ

ﻩﺪﻴﻜﭼ

ﻞﺋﺎﺴﻣ ﺎﺑ ﻞﺧﺍﺪﺗ ﻭ ﻥﺁ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻉﻮﻨﺗ ،ﻩﺪﻴﭽﻴﭘ ﺖﻴﻫﺎﻣ ﻞﻴﻟﺩ ﻪﺑ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻭ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻣﺪﺧ ﻲﺑﺎﻴﺷﺯﺭﺍ :ﻪﻣﺪﻘﻣ .ﺖﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﺍﺭ ﺩﺪﻌﺘﻣ ﻞﺋﺎﺴﻣ ﺪﻳﺎﺑ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺮﻴﮔﻮﺳ ﻥﻭﺪﺑ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻱﺍﺮﺑ .ﻱﺪﻌﺑ ﺪﻨﭼ ﻭ ﺮﻴﻄﺧ ،ﺭﺍﻮــﺷﺩ ﺖــﺳﺍ ﻱﺮﻣﺍ ،ﻥﻮﮔﺎﻧﻮﮔ ﻱﻭﺮﻴﻧ ﻱﺎﻫ ﺺﺧﺎﺷ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،ﺲﻧﺍژﺭﻭﺍ ﺩﺮﻜﻠﻤﻋ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺯﺎﻴﺘﻣﺍ ﺎﺑ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺖﻴﻜﻟﺎﻣ ﻦﻴﺑ ﻱ ﻪﻄﺑﺍﺭ ﻦﻴﻴﻌﺗ ،ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻑﺪﻫ .ﺩﻮﺑ ﻲﻔﻴﻛ ﺺﺧﺎﺷ ﻭ ﻲﻜﺷﺰﭘﺮﻴﻏ ﺕﺍﺰﻴﻬﺠﺗ ،ﻲﻜﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ،ﻱﺭﺎﺘﺧﺎﺳ ﻞﺋﺎﺴﻣ ،ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ،ﻲﻧﺎﺴﻧﺍ ﻭ ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ 51 ﻞﻣﺎــﺷ ﺶﻫﻭﮋﭘ ﻱ ﻪﻌﻣﺎﺟ .ﺖــﺳﺍ ﻱﺩﺮﺑﺭﺎﻛ ﻭ ﻲﻌﻄﻘﻣ - ﻲﻔﻴﺻﻮﺗ ﺶﻫﻭﮋﭘ ﻚﻳ ﻦﻳﺍ :ﻲـﺳﺭﺮﺑ ﺵﻭﺭ ﺭﺩ ﺩﻮﺟﻮﻣ ﺕﺎﺴﻠﺠﺗﺭﻮﺻ ،ﺕﺍﺪﻨﺘﺴﻣ ﻪﺑ ﻪﻌﺟﺍﺮﻣ ﺎﺑ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﺎﻫ ﻩﺩﺍﺩ .ﺖــﺳﺍ ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕــﺸﻧﺍﺩ ﺶــﺷﻮﭘ ﺖﺤﺗ ﻲﺻﻮﺼﺧ ﺕﺭﺍﺯﻭ ﻲﻧﺎﻣﺭﺩ ﺰﻛﺍﺮﻣ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻭ ﻲﺸﺨﺑ ﺭﺎﺒﺘﻋﺍ ﺰﻛﺮﻣ ﻭ ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻥﺎﻣﺭﺩ ﺖﻧﻭﺎﻌﻣ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻭ ﻲﺸﺨﺑﺭﺎﺒﺘﻋﺍ ﺰﻛﺮﻣ

t ﻥﻮﻣﺯﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻭ ^SPSS ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻂﺳﻮﺗ ﺎﻫ ﻩﺩﺍﺩ .ﺪﺷ ﻱﺭﻭﺁﺩﺮﮔ ،ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁ ﻊﻤﺟ ﻡﺮﻓ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ،1386 ﻝﺎــﺳ ﺭﺩ ﺖــﺷﺍﺪﻬﺑ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻞﻴﻠﺤﺗ ﺩﺭﻮﻣ ﻞﻘﺘﺴﻣ ،ﻲﻜــﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ،ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ،ﺲﻧﺍژﺭﻭﺍ ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﻪﺑ ﻪﺘﻓﺎﻳ ﺺﻴﺼﺨﺗ ﺯﺎﻴﺘﻣﺍ ﺎﺑ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺖﻴﻜﻟﺎﻣ ﻉﻮﻧ ﻦﻴﺑ :ﺎﻫ ﻪﺘﻓﺎﻳ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻪﻄﺑﺍﺭ ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻔﻴﻛ ﺺﺧﺎــﺷ ،ﻲﻜــﺷﺰﭘﺮﻴﻏ ﺕﺍﺰﻴﻬﺠﺗ ،ﻲﻓﺮﺼﻣ ﻭ ﻲﻳﻭﺭﺍﺩ ﻪﻄﺑﺍﺭ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﻱﺭﺎﺘﺧﺎﺳ ﻞﺋﺎﺴﻣ ﻪﺑ ﻪﺘﻓﺎﻳ ﺺﻴﺼﺨﺗ ﺯﺎﻴﺘﻣﺍ ﺎﺑ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻴﻜﻟﺎﻣ ﻉﻮﻧ ﻦﻴﺑ .ﺪــﺸﻧ ﻩﺪﻫﺎــﺸﻣ

(P-Value=0/028) .ﺪﺷ ﻩﺪﻳﺩ ﺩﻮﺒﻧ .ﺖﺳﺍ ﻪﺘﺷﺍﺪﻧ ﻲﺗﻭﺎﻔﺗ ﻲﺘﻟﻭﺩ ﻭ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﻦﻴﺑ 1386 ﻝﺎﺳ ﺭﺩ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺭﺩ ﻲﻫﺩﺯﺎﻴﺘﻣﺍ ﻩﻮﺤﻧ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻩﺭﺍﺩﺍ ﻥﺎﺳﺎﻨﺷﺭﺎﻛ ﻱﺮﻴﮔ ﺖﻬﺟ ﻭ ﻱﺮﻴﮔﻮﺳ ﻥﻭﺪﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻱ ﻩﺪﻨﻫﺩ ﻥﺎــﺸﻧ ﺪﻧﺍﻮﺗ ﻲﻣ ﻲﺻﻮﺼﺧ ﻭ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﻦﻴﺑ ﺕﻭﺎﻔﺗ .ﺪﺷﺎﺑ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺭﺩ ﻲﻤﻠﻋ ﻱﺎﻫﺭﻮﺤﻣ ﺖﻳﺎﻋﺭ ﻭ ﺲﻧﺍژﺭﻭﺍ ،ﺩﺮﻜﻠﻤﻋ ﻲﺑﺎﻴﺷﺯﺭﺍ ،ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺖﻴﻜﻟﺎﻣ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ 88/5/6 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ • 88/4/3 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 88/2/19 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ •

ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻲﻜﺷﺰﭘ ﻲﻧﺎﺳﺭ ﻉﻼﻃﺍ ﻭ ﺖﻳﺮﻳﺪﻣ ﻩﺪﻜﺸﻧﺍﺩ ،ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ ﻩﻭﺮﮔ ﺩﺎﺘﺳﺍ 1 . ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻲﻜﺷﺰﭘ ﻲﻧﺎﺳﺭ ﻉﻼﻃﺍ ﻭ ﺖﻳﺮﻳﺪﻣ ﻩﺪﻜﺸﻧﺍﺩ ،ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ ﻩﻭﺮﮔ ﺭﺎﻴﺸﻧﺍﺩ 2 .

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(36) 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻪﻣﺪﻘﻣ ﻡﺎﻈﻧ ﺩﻮﺟﻭ ،ﺖﻳﺮﻳﺪﻣ ﺶﻧﺍﺩ ﻑﺮﮕﺷ ﺕﻻﻮﺤﺗ ﻲﻧﻮﻨﻛ ﺮﺼﻋ ﺭﺩ ﻪﻛ ﻱﺍ ﻪﻧﻮﮔ ﻪﺑ ،ﺖﺳﺍ ﻩﺩﺮﻛ ﺮﻳﺬﭘﺎﻧ ﺏﺎﻨﺘﺟﺍ ﺍﺭ ﺶﻳﺎﭘ ﻭ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺯﺍ ﻢﻋﺍ ﻥﺎﻣﺯﺎﺳ ﻒﻠﺘﺨﻣ ﺩﺎﻌﺑﺍ ﺭﺩ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻡﺎﻈﻧ ﻡﺪﻋ ﺎﻫ ﻱﮋﺗﺍﺮﺘﺳﺍ ﻭ ﻑﺍﺪﻫﺍ ،ﻥﺎﻨﻛﺭﺎﻛ ،ﺕﺎﻧﺎﻜﻣﺍ ﻭ ﻊﺑﺎﻨﻣ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺭﺩ [1].ﺪﻨﻣﺎﻧ ﻲﻣ ﻥﺎﻣﺯﺎﺳ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﺍﺭ ﻭ ﺖﻴﺑﻮﻠﻄﻣ ﻥﺍﺰــﻴﻣ ﺯﺍ ﻲــﻫﺎﮔﺁ ﺭﻮﻈﻨﻣ ﻪــﺑ ﻥﺎﻣﺯﺎــﺳ ﺮــﻫ ﻩﺪﻴﭽﻴﭘ ﻂﻴﺤﻣ ﺭﺩ ﻩﮋــﻳﻭ ﻪﺑ ،ﺶﻳﻮﺧ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﺖــﻴﺑﻮﻏﺮﻣ

[2].ﺩﺭﺍﺩ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻡﺎﻈﻧ ﻪﺑ ﻲﻣﺮﺒﻣ ﺯﺎﻴﻧ ﺎﻳﻮﭘﻭ ﻢﺘــﺴﻴﺳ ﻚﻳ ﻦﺘــﺷﺍﺩ ،ﺪﻣﺁﺭﺎﻛ ﺖﻳﺮﻳﺪﻣ ﻱﺎﻫﺭﺍﺰﺑﺍ ﺯﺍ ﻲﻜﻳ ﻭ ﺎﻜﺗﺍ ﺎﺑ ﻪﻛ ﺖﺳﺍ ﻢﺠﺴﻨﻣ ﻭ ﻪﻧﺎﻓﺮﻄﻴﺑ ،ﻖﻴﻗﺩ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻭ ﺶﻳﺎﭘ ﺪﺣ ﻦﻳﺮﺘﻬﺑ ﻪﺑ ﺍﺭ ﻥﺎﻣﺯﺎــﺳ ﻥﺍﻮﺘﺑ ﻥﺁ ﺞﻳﺎﺘﻧ ﺯﺍ ﺢﻴﺤﺻ ﻱﺭﻭ ﻩﺮﻬﺑ ﺖﻳﺍﺪﻫ ﻭ ﻱﺮﺒﻫﺭ ،ﻥﺎﻣﺪﻧﺍﺭ ﺮﺜﻛﺍﺪﺣ ﻪﺑ ﻥﺪﻴــﺳﺭ ﻩﺍﺭ ﺭﺩ ﻦﻜﻤﻣ ءﺎﻘﺗﺭﺍ ﻱﺍﺮﺑ ﻢﻟﺎــﺳ ﺖﺑﺎﻗﺭ ﺩﺎﺠﻳﺍ ﺮﺑ ﻩﻭﻼــﻋ ﻲﺑﺎﻴــﺷﺯﺭﺍ .ﺩﻮﻤﻧ ﺪﻴﻛﺄﺗ ﺎﻫ ﻲﻳﺎﺳﺭﺎﻧ ﻊﻓﺭ ﻭ ﺩﻮﺒﻬﺑ ﺮﺑ ،ﻩﺪــﺷ ﻪﺋﺍﺭﺍ ﺕﺎﻣﺪﺧ ﺖﻴﻔﻴﻛ [3].ﺩﺭﺍﺩ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻲﻔﻴﻛﻭ ﻲﻤﻛ ﺕﺭﺎﻈﻧ ﻭ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺎﻫ ﻥﺎﻣﺯﺎﺳ ﺭﺩ ﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺖﻴﻔﻴﻛ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻩﮋﻳﻭ ﻪﺑ ﻲﻧﺎﻣﺭﺩ ﻭ ﻪﻛ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺮﻴﻏ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻪﺋﺍﺭﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺎﺑ ﻪــﺴﻳﺎﻘﻣ ﺭﺩ ﻭ ﺮﺗ ﻞﻜﺸﻣ ﺩﻮﺷ ﻲﻣ ﻪﺋﺍﺭﺍ ﻲﻧﺎﻣﺭﺩ ﻲﺘــﺷﺍﺪﻬﺑ ﻪﻴﻟﻭﺍ ﺡﻮﻄــﺳ ﺭﺩ ﻲﺘﻣﺪﻗ ﻱﺍﺭﺍﺩ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻲﺑﺎﻴﺷﺯﺭﺍ .ﺖﺳﺍﺮﺗ ﻩﺪﻴﭽﻴﭘ ﺭﺩ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻣﺪﺧ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻪﻛ ﻥﺁ ﻝﺎﺣ .ﺖﺳﺍ ﻲﻧﻻﻮﻃ [4].ﺩﺭﺍﺩ ﻲﮔﺯﺎﺗ ﻥﺍﺮﻳﺍ ﻩﮋﻳﻭ ﻪﺑ ﺎﻫﺭﻮﺸﻛ ﺐﻠﻏﺍ ﻪﺑ ﺖﻟﻭﺩ ﻪﺟﺩﻮﺑ ﺯﺍ ﻱﺮﻴﮔ ﻢﺸﭼ ﻢﻬﺳ ﺹﺎﺼﺘﺧﺍ ﻪﺑ ﻪﺟﻮﺗﺎﺑ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻣﺪﺧ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻡﻭﺰﻟ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﺶﺨﺑ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻣﺪﺧ ﻲﺑﺎﻴــﺷﺯﺭﺍ .ﺖﺴﻴﻧ ﻩﺪﻴــﺷﻮﭘ ﻥﺎﮕﻤﻫ ﺮﺑ ﻢﻫﺍﺮﻓ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺍﺭ ﺕﺎﻣﺪﺧ ﺖﻴﻔﻴﻛ ﻪــﺴﻳﺎﻘﻣ ﻥﺎﻜﻣﺍ ﺖﻬﺟ .ﺩﻮﺷ ﻲﻣ ﻡﺩﺮﻣ ﻲﻌﻗﺍﻭ ﻱﺎﻫﺯﺎﻴﻧ ﻦﻴﻣﺄﺗ ﻪﺑ ﺮﺠﻨﻣ ﻭ ﺩﺭﻭﺁ ﻲﻣ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻪﺑ ﺪﻳﺎﺑ ﻥﺍﺮﻳﺪﻣ ﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻲﺸﺨﺑﺮﺛﺍ ﻭ ﺖﻴﻔﻴﻛ ﺩﻮﺒﻬﺑ [5].ﺪﻧﺯﺍﺩﺮﭙﺑ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ ﻪﻨﻳﺰﻫ ﺶــﻳﺍﺰﻓﺍ ﻪﺑ ﺎﻬﻨﺗ ﻪﻧ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻥﺍﺪﻘﻓ ﺖﻣﻼﺳ ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻪﺋﺍﺭﺍ ﺭﺩ ﺖﻠﻔﻏ ﻪﻜﻠﺑ ،ﺪﻣﺎﺠﻧﺍ ﻲﻣ ﻥﺁ ﻦﻴﻣﺄﺗ ﻪﻜﻧﺁ ﻝﺎﺣ.ﺩﺯﺍﺪﻧﺍ ﻲﻣ ﻩﺮــﻃﺎﺨﻣ ﻪﺑ ًﺍﺪﻳﺪــﺷ ﺍﺭ ﻪﻌﻣﺎﺟ ﺕﺎﺴﺳﺆﻣ ﺯﺍ ﻞﻣﺎﻛ ﻱﺭﻭ ﻩﺮﻬﺑ ﺖﻣﻼﺳ ﻦﻴﻣﺄﺗ ﻭ ﻦﻴﻤﻀﺗ ﺮﺑ ﻩﻭﻼﻋ [6].ﺖــﺷﺍﺩ ﺪﻫﺍﻮﺧ ﻲﭘ ﺭﺩ ﺐــﺳﺎﻨﻣ ﻪﻨﻳﺰﻫ ﺎﺑ ﺰﻴﻧ ﺍﺭ ﻲــﻧﺎﻣﺭﺩ ﻪﺑ ﻥﺁ ﻒﻠﺘﺨﻣ ﻱﺎﻫ ﺶﺨﺑ ﻭ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻪﻛ ﺖــﺳﺍ ﻲﻬﻳﺪﺑ

ﻒﻳﺎﻇﻭ ﺎﺑ ﻲﻧﺎﻣﺯﺎــﺳ ﻥﺍﻮﻨﻋ ﻪﺑ ﻚﻳﺮﻫ ،ﺲﻧﺍژﺭﻭﺍ ﺹﻮــﺼﺧ ﻪﺘﺒﻟﺍ ﻭ ﺎﻫﺪﺣﺍﻭ ﺮﻳﺎــﺳ ﺎﺑ ﻡﺎﮕﻤﻫ ﺪﻳﺎﺑ ﺪﻧﺭﺍﺩ ﻩﺪﻬﻋﺮﺑ ﻪﻛ ﻲﺗﺎﻴﺣ ﺮﻫ ﺭﺩ ﺎﻫ ﻥﺁ ﺩﻮﺒﻬﺑ ﻭ ﺩﺮﻴﮔ ﺭﺍﺮﻗ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺩﺭﻮﻣ ﺎﻫ ﻥﺁ ﺭﺪﺻ ﺭﺩ [7].ﺩﻮﺷ ﺭﻮﻣﺍ ﻪﺣﻮﻟﺮﺳ ،ﺖﺳﺍ ﻪﻌﻣﺎﺟ ﻥﺍﻮﺗ ﺭﺩ ﻪﻛ ﻲﺤﻄﺳ ،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻣﺪﺧ ﻲﻔﻴﻛ ﻭ ﻲﻤﻛ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺭﻮﻈﻨﻣ ﻪﺑ ﻪﺑ ﻪﻛ ،ﺖﺳﺍ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻲﻳﺎﻫﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﻦﻳﻭﺪﺗ ﺰﻴﭼ ﺮﻫ ﺯﺍ ﻞﺒﻗ ﻱﻮﺳ ﺯﺍ ﻥﺁ ﺖﻴﻤﻫﺍ ﻙﺭﺩ ﻭ ﺎﻫ ﺖﻟﻭﺩ ﻲﺳﺎﻴﺳ ﻩﺩﺍﺭﺍ ﻪﺑ ﺩﻮﺧ ﻪﺑﻮﻧ ﻝﺎﺣ ﺭﺩ .ﺩﺭﺍﺩ ﺯﺎﻴﻧ ﺭﻮــﺸﻛ ﻲﺘــﺷﺍﺪﻬﺑ ﻥﻻﻮﺌــﺴﻣ ﻭ ﻥﺍﺭﺍﺰﮔﺭﺎﻛ ﺭﻮﻃ ﻪﺑ ﻲﻧﺎﻣﺭﺩ ﻲﺘــﺷﺍﺪﻬﺑ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺖﻴﻔﻴﻛ ﻦﻴﻣﺄﺗ ﺮﺿﺎﺣ [8].ﺩﺭﺍﺩ ﺭﺍﺮﻗ ﺎﻫ ﺖﻟﻭﺩ ﺯﺍ ﻱﺭﺎﻴﺴﺑ ﻪﻣﺎﻧﺮﺑ ﺭﺩ ﻱّﺪﺟ ﻱﺍﺮﺑ ﻱﺭﺎﻴﺴﺑ ﻱﺎﻫ ﺵﻼﺗ ﺮﻴﺧﺍ ﻱﺎﻫ ﻝﺎﺳ ﺭﺩ ﺰﻴﻧ ﺎﻣ ﺭﻮﺸﻛ ﺭﺩ ﻪﺑ ﻝﻮﺌﺴﻣ ﻱﺎﻫﺩﺎﻬﻧ ﻱﻮــﺳ ﺯﺍ ﻲﺑﺎﻳﺯﺭﺍ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﻦﻳﻭﺪﺗ ﻲﻜﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ،ﺖﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ﻂﺳﻮﺗ ﺹﻮﺼﺧ .ﺖﺳﺍ ﻩﺪﺷ ﻥﺍﻮﻨﻋ ﻪﺑ ﻲﻜــﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ،ﺖــﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ﻭ ﻩﺩﻮﻤﻧ ﺫﺎﺨﺗﺍ ﻲﺻﺎﺧ ﺮﻴﺑﺍﺪﺗ ﻪﻌﻣﺎﺟ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﻲﻟﻮﺘﻣ ،ﺕﺎﻧﺎﻜﻣﺍ ﺶﻳﺍﺰﻓﺍ ﻭ ﻲﻜﺷﺰﭘ ﻱﺎﻫ ﺖﻳﺭﻮﻓ ﺰﻛﺍﺮﻣ ﺵﺮﺘــﺴﮔ ﺎﺑ ﺶﺨﺑ ﺰﻴﻬﺠﺗ ﺎﺑ ﻦﻴﻨﭽﻤﻫ ﻭ ﻲﻧﺎﺳﺭﺩﺍﺪﻣﺍ ﻞﻳﺎــﺳﻭ ﻭ ﺕﺍﺰﻴﻬﺠﺗ ﻲــﺷﺎﻧ ﺽﺭﺍﻮﻋ ﺶﻫﺎﻛ ﺭﺩ ﻲﻌــﺳ ،ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﻲﻠﻤﻋ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻪﻛ ﻱﺭﻮــﻃ ﻪﺑ .ﺖــﺳﺍ ﻩﺩﻮﻤﻧ ﺙﺩﺍﻮــﺣ ﺯﺍ ﻭ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﺶﺨﺑ ﻲــﺼﺼﺨﺗ ﻭ ﻲــﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﺯﺎﻴﺘﻣﺍ ﻞﻗﺍﺪﺣ ﺐﺴﻛ ﻪﺑ ﻁﻮﻨﻣ ﺍﺭ ﻲﺻﻮﺼﺧ ﺯﺎﻴﺘﻣﺍ ﻞﻗﺍﺪﺣ ﺪﻗﺎﻓ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻭ ﺖﺳﺍ ﻩﺩﺍﺩ ﺭﺍﺮﻗ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺵﺭﺍﺰﮔ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺮﻳﺯ ،ﻩﺩﻮﺑ ﺵﺯﺭﺍ ﺪﻗﺎﻓ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺶﺨﺑ ﺮﻳﺎــﺳ ﺕﺭﻮﺻ ﻦﻳﺍ ﺭﺩ .ﺪــﺷ ﺪﻫﺍﻮﺧ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺮﻘﻣ ﺖﻠﻬﻣ ﺯﺍ ﺲــﭘ ﻭ ﺪــﺷ ﺪﻫﺍﻮﺨﻧ ﻲﺑﺎﻳﺯﺭﺍ ﺕﺭﻮﺻ ﺭﺩ ﻭ ﺖــﻓﺮﮔ ﺪﻫﺍﻮﺧ ﺭﺍﺮﻗ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺩﺭﻮﻣ ﻩﺭﺎــﺑﻭﺩ ﻱﺎﻫ ﻲﺣﺍّﺮﺟ ﺰﻛﺮﻣ ﻪﺑ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺯﺎﻴﺘﻣﺍ ﺐــﺴﻛ ﻡﺪﻋ [9].ﺪﺷ ﺪﻫﺍﻮﺧ ﻞﻳﺪﺒﺗ ﻩﺎﮕﻧﺎﻣﺭﺩ ﺎﻳ ﺩﻭﺪﺤﻣ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺮﺿﺎﺣ ﻝﺎــﺣ ﺭﺩ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻥﺎﻣﺭﺩ ﻱﺎﻫ ﺖﻧﻭﺎﻌﻣ ﻂﺳﻮﺗ ﻲﺻﻮﺼﺧ ﻭ ﻲﺘﻟﻭﺩ ﻂﺳﻮﺗ ﻪﻛ (ﻒﻟﺍ ﻞﻤﻌﻟﺍﺭﻮﺘﺳﺩ) ﻱﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺖــﺴﻴﻟ ﻚﭼ ﺎﺑ ﻭ ﻩﺪــﺷ ﻦﻳﻭﺪﺗ ﻲﻜــﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ﺖــﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ .ﺩﺮﻴﮔ ﻲﻣ ﺕﺭﻮﺻ

(3)

(36) 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻪﻛ ﺖﺳﺍ ﻱﻮﺤﻧ ﻪﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻢﻴﺗ ﺐﻴﻛﺮﺗ ﻭ ﻞﻤﻋ ﻩﻮﻴــﺷ ﺯﻭﺮﺑ ﻭ ﻪﺘﻓﺮﮔ ﺕﺭﻮﺻ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺭﺩ ﻱﺮﮕﻧ ﻪﺒﻧﺎﺟ ﻚﻳ ﻪﺒﺋﺎــﺷ ﻞﺑﺎﻗ ﺕﻭﺎﻔﺗ ﻪﻜﻨﻳﺍ ﻥﻭﺪﺑ ﻲﺘﻟﻭﺩ ﻭ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﻦﻴﺑ ﺕﻭﺎﻔﺗ ﺩﻮﺟﻭ ﺶﺨﺑ ﻭﺩ ﻦﻳﺍ ﺩﺮﻜﻠﻤﻋ ﺭﺩ ﻲﻤﻠﻋ ﻲﻳﺎﻨﺒﻣ ﺮﺑ ﻱﺍ ﻪﻈﺣﻼﻣ ﻲﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ ﻪﺑ ﺶﻫﻭﮋﭘ ﻦﻳﺍ .ﺖﺳﺍ ﻩﺩﻮﺑ ﺡﺮﻄﻣ ،ﺪﺷﺎﺑ ﻪﺘﺷﺍﺩ ﻱﺯﺎﺳ ﻑﺎﻔﺷ ﻭ ﻡﺎﻬﺑﺍ ﻊﻓﺭ ﻭ ﺏﺎﻳﺯﺭﺍ ﻂــﺳﻮﺗ ﻲﻫﺩﺯﺎﻴﺘﻣﺍ ﻩﻮﺤﻧ ﺖﺤﺗ ﻲﺻﻮﺼﺧ ﻭ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺩﺮﻜﻠﻤﻋ ﺞﻳﺎﺘﻧ .ﺖﻓﺮﮔ ﻡﺎﺠﻧﺍ ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﺶﺷﻮﭘ ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﻡﺎﺠﻧﺍ ﻥﺎﻣﺯ ﺮــﻈﻧ ﺯﺍ ﻪﻛ ﺖــﺳﺍ ﻲﻔﻴﺻﻮﺗ ﻉﻮﻧ ﺯﺍ ﺶﻫﻭﮋﭘ ﻦــﻳﺍ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ،ﺞﻳﺎﺘﻧ ﺮﻈﻧ ﺯﺍ .ﺩﻮــﺷ ﻲﻣ ﻲﻘﻠﺗ ﻲﻌﻄﻘﻣ ،ﺶﻫﻭﮋﭘ ﻪﻌﻣﺎﺟ .ﺖﺳﺍ ﻱﺪﻨﺑ ﻢﻴﺴﻘﺗ ﻞﺑﺎﻗ ﻱﺩﺮﺑﺭﺎﻛ ﻱﺎﻫ ﺡﺮﻃ ﻒﻳﺩﺭ ﺭﺩ ﻭ ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻪﻴﻠﻛ ﻞﻣﺎــﺷ ﺶﻫﻭﮋﭘ ﻦﻳﺍ .ﺩﻮﺑ ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕــﺸﻧﺍﺩ ﺶــﺷﻮﭘ ﺖﺤﺗ ﻲﺻﻮﺼﺧ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﺶــﺷﻮﭘ ﺖﺤﺗ ﻲﻣﻮﻤﻋ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ 51 ﻞﻛ ﺭﺩ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ 15 ﺩﺍﺪﻌﺗ ﻦﻳﺍ ﺯﺍ ﻪﻛ ،ﺪﻧﺭﺍﺩ ﺭﺍﺮــﻗ ﻥﺍﺮﻳﺍ ﻲﻜــﺷﺰﭘ ﻪﻴﻠﻛ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ .ﺪﻧﺩﻮﺑ ﻲﺻﻮﺼﺧ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ 36 ﻭ ﻲﺘﻟﻭﺩ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻥﺎﻣﺭﺩ ﺖﻧﻭﺎﻌﻣ ﺭﺩ ﺩﻮﺟﻮﻣ ﺕﺍﺪﻨﺘــﺴﻣ ﺭﺩ ﺩﻮﺟﻮﻣ ﺕﺍﺪﻨﺘﺴﻣ ،ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻪﺑ ﻁﻮﺑﺮﻣ ﻥﺍﺮﻳﺍ ﻥﺎﻣﺭﺩ ،ﺖــﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ﻲﻧﺎﻣﺭﺩ ﺰﻛﺍﺮﻣ ﻲــﺸﺨﺑﺭﺎﺒﺘﻋﺍ ﺰﻛﺮﻣ ﻪﺑ ﻁﻮﺑﺮﻣ ﺕﺎــﺴﻠﺠﺗﺭﻮﺻ ﻦﻴﻨﭽﻤﻫ ﻭ ﻲﻜــﺷﺰﭘ ﺵﺯﻮــﻣﺁﻭ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻚﻳﺮﻫ ﺭﺩ ﺩﻮﺟﻮﻣ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻪﺘــﺳﺩ ﻭ ﻱﺭﻭﺁ ﻊﻤﺟ ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁ ﻊﻤﺟ ﻡﺮﻓ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ﺕﺍﺪﻨﺘﺴﻣ ﺱﺎﺳﺍ ﺮﺑ ﺎﻫ ﻩﺩﺍﺩ ﻦﻳﺍ ﺖــﺳﺍ ﺮﻛﺫ ﻪﺑ ﻡﺯﻻ .ﺪــﺷ ﻱﺪﻨﺑ ﻪﺴﻳﺎﻘﻣ ﻱﺍﺮﺑ .ﺖــﺳﺍ ﻩﺩﻮﺑ 1386 ﻝﺎــﺳ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻪﺑ ﻁﻮﺑﺮﻣ ﻞﻘﺘﺴﻣ ^t ﻥﻮﻣﺯﺁ ﺯﺍ ﻲﺻﻮﺼﺧ ﻭ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ .ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺎﻫ ﻪﺘﻓﺎﻳ ﺭﺩ ﺺﺧﺎﺷ ﻦﻳﺪﻨﭼ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻱﺍﺮﺑ ﻱﻭﺮﻴﻧ :ﺯﺍ ﺪﻧﺩﻮﺑ ﺕﺭﺎﺒﻋ ﺎﻫ ﺺﺧﺎــﺷ ﻦﻳﺍ .ﺪــﺷ ﻲﻣ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺕﺍﺰﻴﻬﺠﺗ ،ﻱﺭﺎﺘﺧﺎﺳ ﻞﺋﺎــﺴﻣ ،ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ،ﻲﻧﺎــﺴﻧﺍ ﺺﺧﺎﺷ ﻭ ﻲﻔﻴﻛ ﺺﺧﺎﺷ ،ﻲﻜﺷﺰﭘﺮﻴﻏ ﺕﺍﺰﻴﻬﺠﺗ ،ﻲﻜــﺷﺰﭘ .ﺮﻳﺎﺳ ﺩﺭﻮﻣ ﻝﺎﺳ ﺭﺩ 398 ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺯﺎﻴﺘﻣﺍ ﻞﻛ

ﻦﻳﺮﺘــﺸﻴﺑ ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ 15 ﻦﻴﺑ ﺯﺍ .ﺩﻮﺑ ﻪﻌﻟﺎﻄﻣ 92/96) ﺯﺎﻴﺘﻣﺍ 370 ﻪﻛ ﺩﻮﺑ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻲﻜﻳ ﻱﺍﺮﺑ ﺯﺎﻴﺘﻣﺍ 321 ﺎﺑ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺍﺭ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ ﻭ ﺩﺭﻭﺁ ﺖﺳﺩ ﻪﺑ ﺍﺭ (ﺪﺻﺭﺩ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﺸﻴﺑ .ﺩﺭﻭﺁ ﺖــﺳﺩ ﻪﺑ (ﺪﺻﺭﺩ 80/65)ﺯﺎﻴﺘﻣﺍ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺭﻮﺤﻣ ﺭﺩ ﻩﺪــﺷ ﻦﻳﺍ ﺭﺩ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﺑ (ﺪﺻﺭﺩ 96/98) 386 ،ﻲــﺻﻮﺼﺧ .ﺩﻮﺑ (ﺪﺻﺭﺩ 75/37)ﺯﺎﻴﺘﻣﺍ 300 ،ﺭﻮﺤﻣ .ﺩﻮﺷ ﻲﻣ ﻪﺒﺳﺎﺤﻣ 160 ﺯﺍ ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺯﺎﻴﺘﻣﺍ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺭﻮﺤﻣ ﻦﻳﺍ ﺭﺩ ﻩﺪــﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘــﺸﻴﺑ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﺑ (ﺪﺻﺭﺩ 98/75)ﺯﺎﻴﺘﻣﺍ 158 ،ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ .ﺩﻮﺑ (ﺪﺻﺭﺩ 85) 136 ﺭﻮﺤﻣ ﻦﻳﺍ ﺭﺩ ﻩﺪﺷ ﺐﺴﻛ ﻲﺻﻮﺼﺧ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺭﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻚﻳ ﻞﻛ ﻲﻨﻌﻳ .ﺩﺭﻭﺁ ﺖــﺳﺩ ﻪﺑ ﺍﺭ ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ﺯﺎــﻴﺘﻣﺍ 160 ﺭﺩ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﻤﻧ ﺐــﺴﻛ ﺍﺭ ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ﺯﺎﻴﺘﻣﺍ ﻲﻨﻌﻳ ﺯﺎﻴﺘﻣﺍ 127 ،ﻲﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺭﺩ ﺭﻮﺤﻣ ﻦﻳﺍ .ﺩﻮﻤﻧ ﺐــﺴﻛ ﺍﺭ ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ﺯﺎﻴﺘﻣﺍ ﺯﺍ ﺪــﺻﺭﺩ 79/37 .ﺪﺷﺎﺑ ﻲﻣ 309 ،ﻱﺭﺎﺘﺧﺎﺳ ﻞﺋﺎﺴﻣ ﺭﻮﺤﻣ ﺭﺩ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺯﺎﻴﺘﻣﺍ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺭﺩ ﺭﻮﺤﻣ ﻦﻳﺍ ﺭﺩ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘــﺸﻴﺑ ﻦﻳﺍ ﺭﺩ ﺯﺎﻴﺘﻣﺍ ﻦــﻳﺮﺘﻤﻛ.ﺩﻮﺑ (ﺪــﺻﺭﺩ 95/46) 295 ،ﻲــﺘﻟﻭﺩ .ﺩﻮﺑ (ﺪﺻﺭﺩ 72/16) 223 ،ﺭﻮﺤﻣ ﺭﺩ ﻱﺭﺎﺘﺧﺎﺳ ﻞﺋﺎﺴﻣ ﺭﻮﺤﻣ ﺯﺍ ﻩﺪﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﺸﻴﺑ 98/05) ﺯﺎﻴﺘﻣﺍ 303 ،ﻲﺻﻮﺼﺧ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ 219 ،ﺭﻮﺤﻣ ﻦﻳﺍ ﺭﺩ ﻩﺪــﺷ ﺐــﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﺑ (ﺪﺻﺭﺩ .ﺩﻮﺑ (ﺪﺻﺭﺩ 70/87) ،ﻲﻓﺮﺼﻣ ﻭ ﻲﻳﻭﺭﺍﺩ ،ﻲﻜﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺯﺎﻴﺘﻣﺍ ﻦﻴﺑ ﺭﺩ ﺭﻮﺤﻣ ﻦﻳﺍ ﺭﺩ ﻩﺪﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﺸﻴﺑ .ﺪﺷﺎﺑ ﻲﻣ 265 ﻦﻳﺮﺘﻤﻛ .ﺩﻮﺑ (ﺪﺻﺭﺩ 91/32) 242 ،ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ .ﺩﻮﺑ (ﺪﺻﺭﺩ 76/22) 202 ،ﻩﺪﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﺸﻴﺑ ﻲﺻﻮﺼﺧ ﻲﻣﻮﻤﻋ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ 36 ﻦﻴﺑ ﺭﺩ ،ﻲﻓﺮﺼﻣ ﻭ ﻲﻳﻭﺭﺍﺩ ،ﻲﻜﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ﺭﻮﺤﻣ ﺭﺩ ﻩﺪﺷ ﺐﺴﻛ 175 ﻩﺪــﺷ ﺐــﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ ﻭ (ﺪــﺻﺭﺩ 95/47) 253 .ﺩﻮﺑ (66/03) 272 ﺲﻧﺍژﺭﻭﺍ ﻲﻜــﺷﺰﭘﺮﻴﻏ ﺕﺍﺰﻴﻬﺠﺗ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺯﺎﻴﺘﻣﺍ ﻦﻴﺑ ﺭﺩ ﺭﻮﺤﻣ ﻦﻳﺍ ﺯﺍ ﻩﺪــﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘــﺸﻴﺑ .ﺪــﺷﺎﺑ ﻲﻣ

(4)

(36) 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻪﺳ .ﺩﻮﺑ (ﺪﺻﺭﺩ 95/22) 259 ،ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ .ﺪﻧﺩﺮﻛ ﺐﺴﻛ ﺍﺭ ﺭﻮﺤﻣ ﻦﻳﺍ ﺯﺍ 259 ﺯﺎﻴﺘﻣﺍ ﻲﻣﻮﻤﻋ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺭﺩ ﺭﻮﺤﻣ ﻦﻳﺍ ﺯﺍ ﻩﺪﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﺑ (ﺪﺻﺭﺩ 82/72) 225 ،ﻲﻣﻮﻤﻋ ﻦﻴﺑ ﺭﺩ ﺭﻮــﺤﻣ ﻦــﻳﺍ ﺯﺍ ﻩﺪــﺷ ﺐــﺴﻛ ﺯﺎــﻴﺘﻣﺍ ﻦﻳﺮﺘــﺸﻴﺑ (ﺪﺻﺭﺩ 96/79) 226 ،ﻲــﺻﻮﺼﺧ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ 70/58) 192 ،ﺭﻮﺤﻣ ﻦﻳﺍ ﺯﺍ ﻩﺪــﺷ ﺐــﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﺑ .ﺩﻮﺑ (ﺪﺻﺭﺩ .ﺪﺷﺎﺑ ﻲﻣ 72 ،ﻲﻔﻴﻛ ﺺﺧﺎــﺷ ﺭﻮﺤﻣ ﺯﺍ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺍ ﺯﺍ ﺍﺭ ﻞﻣﺎﻛ ﺯﺎﻴﺘﻣﺍ ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻲﻜﻳ ﺐــﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﻤﻧ ﺐــﺴﻛ ﺍﺭ ﺯﺎﻴﺘﻣﺍ 72 ﻲﻨﻌﻳ ﺭﻮﺤﻣ .ﺩﻮﺑ (ﺪﺻﺭﺩ 52/77) 38 ﺭﻮﺤﻣ ﻦﻳﺍ ﺭﺩ ﻩﺪﺷ ﻦﻳﺍ ﺯﺍ ﺍﺭ ﻞﻣﺎﻛ ﺯﺎﻴﺘﻣﺍ ﻲﺻﻮﺼﺧ ﻲﻣﻮﻤﻋ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺎﻬﭼ ﻦﻳﺍ ﺯﺍ ﻩﺪﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺪﻧﺩﺭﻭﺁ ﺖﺳﺩ ﻪﺑ ﺺﺧﺎــﺷ

.ﺩﻮﺑ ﺪﺻﺭﺩ 59/72 ﻲﻨﻌﻳ ﺯﺎﻴﺘﻣﺍ 43 ﺭﻮﺤﻣ ﺭﺩ ﺮﻳﺎﺳ ﺯﺍ ﺭﻮﻈﻨﻣ .ﺖــﺳﺍ 397 ﺮﻳﺎــﺳ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺯﺎﻴﺘﻣﺍ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ،ﻲﻨﻴﺑ ﺶﻴﭘ ﻥﻮــﭼ ﻱﺩﺭﺍﻮﻣ ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻡﺎﺠﻧﺍ ﻥﺎﻜﻣﺍ ،ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﻱﺍﺮﺑ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻙﺭﺍﺪﺗ ﻭ ﻡﺎﺠﻧﺍ ﻥﺎﻜﻣﺍ ،ﻞﻴﻄﻌﺗ ﻡﺎﻳﺍ ﻭ ﺐــﺷ ﺕﺎﻋﺎــﺳ ﺭﺩ ﻲﻓﺍﺮﮔﻮﻧﻮــﺳ ﻲﮔﺩﺎﻣﺁ ﻥﺍﺰﻴﻣ ،ﺲﻧﺍژﺭﻭﺍ ﺭﺩ ﻱﺭﻭﺮﺿ ﻲﺼﺼﺨﺗ ﻱﺎﻫ ﺶﻳﺎﻣﺯﺁ ﻩﺩﺎﻔﺘﺳﺍ ﻥﺎﻜﻣﺍ ،ﺎﻫ ﻲﮕﺘﺧﻮﺳ ﻉﺍﻮﻧﺍ ﺩﺭﻮﻣ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﻪﺑﺮﺠﺗ ﻭ ﺰﻴﻟﺎﻳﺩ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻥﺎﻜﻣﺍ ،ﺩﺎﺣ ﻲﻧﺍﻭﺭ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺍﺮﺑ ﺲﻧﺍژﺭﻭﺍ ﺯﺍ

ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﺸﻴﺑ .ﺖﺳﺍ ... ﻭ ﻱﺭﺍﺮﻄﺿﺍ ﺩﺭﺍﻮﻣ ﺭﺩ ﻲﻗﺎﻔﺻ 335 ،ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺭﺩ ﺭﻮﺤﻣ ﻦﻳﺍ ﺯﺍ ﻩﺪﺷ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺮﻳﺎــﺳ ﺯﺎﻴﺘﻣﺍ ﻞﻛ ﺯﺍ ﺪﺻﺭﺩ 84/38 ﻲﻨﻌﻳ .ﺩﻮــﺑ .ﺩﻮﺑ ﺪﺻﺭﺩ 48/36 ﻲﻨﻌﻳ .ﺩﻮﺑ 192 ﺭﻮﺤﻣ ﻦﻳﺍ ﺯﺍ ﻩﺪﺷ ﺐﺴﻛ ﻦﻴﺑ ﺭﺩ ﺖﻤــﺴﻗ ﻦﻳﺍ ﺯﺍ ﻩﺪــﺷ ﺐــﺴﻛ ﺯﺎــﻴﺘﻣﺍ ﻦﻳﺮﺘــﺸﻴﺑ (ﺪﺻﺭﺩ 76/07) 302 ،ﻲــﺻﻮﺼﺧ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺪﺻﺭﺩ 54/91 ﻲﻨﻌﻳ .ﺩﻮﺑ 218 ،ﻩﺪﺷ ﺐﺴﻛ ﺯﺎﻴﺘﻣﺍ ﻦﻳﺮﺘﻤﻛ .ﺩﻮﺑ .ﺮﻳﺎﺳ ﺯﺎﻴﺘﻣﺍ 397 ﺯﺍ ﻑﻼﺘﺧﺍ ﺩﻮــﺷ ﻲﻣ ﻩﺪــﻳﺩ 1 ﻝﻭﺪــﺟ ﺭﺩ ﻪــﻛ ﺭﻮــﻃ ﻥﺎﻤﻫ ﻲﺻﻮﺼﺧ ﻭ ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻱﺭﺎﺘﺧﺎﺳ ﺺﺧﺎﺷ ﺮﻈﻧ ﺯﺍ ،ﻩﺪﺷ ﻩﺪﻳﺩ ﻑﻼﺘﺧﺍ ﺎﻬﻨﺗ .ﺪﺸﻧ ﻩﺪﻳﺩ

(P-Value=0/028) .ﺩﻮﺑ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﺍﺭ ﻥﺎﻣﺭﺩ ﻡﺎﻈﻧ ﺐــﻠﻗ ،ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﻪﻛ ﻲــﻳﺎﺠﻧﺁ ﺯﺍ ﻱﺎﻫ ﺶﺨﺑ ﺮﻳﺎــﺳ ﺩﻮﺒﻬﺑ ﺚﻋﺎﺑ ﻥﺁ ﺡﻼﺻﺍ ،ﺪﻫﺩ ﻲﻣ ﻞﻴﻜــﺸﺗ [10،11].ﺪﻳﺩﺮﮔ ﺪﻫﺍﻮﺧ ﻲﻧﺎﻣﺭﺩ ﺕﺭﻮﺻ ﻪﺑ ﺶﺨﺑ ﻦﻳﺍ ﻪﻛ ﺖﺳﺍ ﺪﺣ ﻥﺁ ﺎﺗ ﺲﻧﺍژﺭﻭﺍ ﺖﻴﻤﻫﺍ ،ﻲﻧﺎﺳﺭﺩﺍﺪﻣﺍ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﻂﺑﺍﻮﺿ ﺱﺎــﺳﺍ ﺮﺑ ﻭ ﻞﻘﺘــﺴﻣ ﺕﺭﺍﺯﻭ ﺏﻮﺼﻣ ﻲﻜﺷﺰﭘ ﺙﺩﺍﻮﺣ ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﻲﻧﺍﻮﺗﺯﺎﺑ ﻭ ﻥﺎﻣﺭﺩ

ﺶﺷﻮﭘ ﺖﺤﺗ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺩﺭﻮﻣ ﻒﻠﺘﺨﻣ ﻱﺎﻫﺭﻮﺤﻣ ﻪﺴﻳﺎﻘﻣ :1ﻝﻭﺪﺟ ﻲﺘﻟﻭﺩ ﻭ ﻲﺻﻮﺼﺧ ﻚﻴﻜﻔﺗ ﻪﺑ ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ

ﺺﺧﺎﺷ ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ

ﻲﺻﻮﺼﺧ ﻲﻣﻮﻤﻋ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﺢﻄﺳ

P-Value ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ﻦﻴﮕﻧﺎﻴﻣ ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ _{ﻦﻴﮕﻧﺎﻴﻣ}

ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ 348

13 345

22 0/580

ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ 145

7 143

6 0/444

ﻱﺭﺎﺘﺧﺎﺳ ﻞﺋﺎﺴﻣ 254

17 268

20 0/028

ﻲﻜﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ 217

14 225

18 0/091

ﻲﻜﺷﺰﭘﺮﻴﻏ ﺕﺍﺰﻴﻬﺠﺗ 245

11 235

18 0/73

ﻲﻔﻴﻛ ﺺﺧﺎﺷ 60

9 59

8 0/936

ﺮﻳﺎﺳ ﺺﺧﺎﺷ 268

51 253

23 0/309

(5)

(36) 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻭ ﺩﻮﺷ ﻲﻣ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻲﻜــﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ،ﺖــﺷﺍﺪﻬﺑ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺮﻳﺯ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺮﻈﻧ ﺯﺍ ﻪــﭽﻧﺎﻨﭼ ﺪﻫﺍﻮﺨﻧ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﺶﺨﺑ ﺮﻳﺎﺳ ،ﺩﺩﺮﮔ ﺩﺍﺪﻤﻠﻗ [12،13].ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧﺭﺩ ﺲــﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺭﺩ ﻲﻔﻠﺘﺨﻣ ﻞــﻣﺍﻮﻋ ﻲﻳﺎﺳﺎﻨﺷ ﻱﺎﻫ ﺺﺧﺎﺷ ﻦﻳﺮﺗ ﻢﻬﻣ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺭﺩ .ﺩﻮﺷ ﻲﻣ ،ﺶﺨﺑ ﻦﻳﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺖﻬﺟ ﺖــﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ﻂﺳﻮﺗ ﻩﺪــﺷ .ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ ﺯﺍ ﻚﻳ ﭻــﻴﻫ ﺭﺩ ﻪﻛ ﺪــﻧﺩﺍﺩ ﻥﺎــﺸﻧ ﺶــﻫﻭﮋﭘ ﻱﺎــﻫ ﻪﺘﻓﺎﻳ ﺕﻭﺎﻔﺗ ﻱﺭﺎﺘﺧﺎﺳ ﻞﺋﺎﺴﻣ ﺺﺧﺎﺷ ﺰﺟ ﻪﺑ ﺭﻮﻛﺬﻣ ﻱﺎﻫ ﺺﺧﺎﺷ ﻲﻣﻮﻤﻋ ﻭ ﻲﺘﻟﻭﺩ ﻲــﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﻱﺭﺍﺩ ﻲــﻨﻌﻣ .ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﻲﺻﻮﺼﺧ ﺺﺧﺎــﺷ ،ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺯﺍ ﻲﻜﻳ ﻩﺪﻴﺷﻮﭘ ﻥﺎﮕﻤﻫ ﺮﺑ ﻲﻧﺎــﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻴﻤﻫﺍ .ﺩﻮﺑ ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﻪﺘﺴﻫ" ﻪﻛ ﺖﺳﺍ ﻩﺩﺭﻭﺁ ﺩﻮﺧ ﺶﻫﻭﮋﭘﺭﺩ (2003) ﻥﺎﻨﻴﻧ .ﺖﺴﻴﻧ .ﺪﻫﺩ ﻲﻣ ﻞﻴﻜــﺸﺗ ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺍﺭ ﻥﺎﻣﺯﺎــﺳ ﻚﻳ ﻱﺰــﻛﺮﻣ ﺎﺑ ﻲﻧﺎــﺴﻧﺍ ﻊﺑﺎﻨﻣ ﻪﻛ ﺪﻧﺍ ﻪﺘﻓﺎﻳﺭﺩ ﻪــﺑﺮﺠﺗ ﻪﺑ ﻥﺍﺮﻳﺪﻣ ﻦــﻴﻨﭽﻤﻫ ﻥﺎﻣﺯﺎﺳ ﻝﺎﻤﻛ ﻭ ﺕﺎﻴﺣ ،ﻚﻳﮋﺗﺍﺮﺘﺳﺍ ﺖﻴﻘﻓﻮﻣ ﺪﻧﺍﻮﺗ ﻲﻣ ﺖﻴﻔﻴﻛ [14]."ﺪﻳﺎﻤﻧ ﻦﻴﻤﻀﺗ ﺍﺭ ﻑﻼﺘﺧﺍ ﻪــﭼﺮﮔﺍ ،ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺺﺧﺎــﺷ ﺩﺭﻮــﻣﺭﺩ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﻭﺩ ﺭﺩ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺯﺎﻴﺘﻣﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻴﺑ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﺯﺍ ﻲﻛﺎﺣ ﻦﻴﮕﻧﺎﻴﻣ ﻭﺩ ﻦﻳﺍ ﻪﺴﻳﺎﻘﻣ ﺎﻣﺍ ،ﺪﺸﻧ ﺕﺎﺒﺛﺍ ﻲﺻﻮﺼﺧ ﻭ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺺﺧﺎــﺷ ﺯﺎﻴﺘﻣﺍ ﻥﺩﻮﺑ ﺮﺗﻻﺎﺑ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺮﺜﻛﺍ ﻪﻛ ﻱﺭﻮﻃ ﻪﺑ .ﺩﻮﺑ ﻲﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻲﻳﺎﺠﻧﺁ ﺯﺍ .ﺪﻧﺩﻮﺑ ﻩﺩﻮﻤﻧ ﺐﺴﻛ ﺍﺭ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺯﺎﻴﺘﻣﺍ ﺮﺜﻛﺍﺪﺣ ﺭﻮﻃ ﻪﺑ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﻕﻮﻘﺣ ﻪﻛ ﺩﻮﺷ ﻲﻣ ﺖﺧﺍﺩﺮﭘ (ﻲﺘﻟﻭﺩ ﺶﺨﺑ) ﺎﻫ ﻩﺎﮕﺸﻧﺍﺩ ﻂﺳﻮﺗ ﻢﻴﻘﺘــﺴﻣ ﺮﻴﺛﺄﺗ ﻲﺘﻟﻭﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻚﻳ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺩﺍﺪﻌﺗ ﻥﺩﻮﺑ ﺮﺗﻻﺎﺑ ﻭ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺍﺬﻟ ،ﺩﺭﺍﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﻧﺎﻴﻟﺎﺳ ﻪﺟﺩﻮﺑ ﺮﺑ ﻲﻤﻴﻘﺘﺴﻣ ﻭ ﻡﺯﻻ ﻥﺍﺰﻴﻣ ﻪﺑ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺏﺬﺟ ﻱﺍﺮﺑ ﻲﻓﺎﻛ ﻩﺰﻴﮕﻧﺍ ﻲﺘﻟﻭﺩ ﺕﺭﺍﺯﻭ ﺲﻧﺍژﺭﻭﺍ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺕﺎﻣﺍﺰﻟﺍ ﺎﺑ ﻖﺒﻄﻨﻣ ﻦﻳﺍ ﻲــﺳﺭﺮﺑ ﺭﺩ ﻪﻛ ﺖــﺳﺍ ﻲﻟﺎﺣ ﺭﺩ ﻦﻳﺍ .ﺪﻧﺭﺍﺩ ﺍﺭ ﺖــﺷﺍﺪﻬﺑ ﻦﻴﺑ ﻱﺩﺎﻳﺯ ﻲﮔﺪﻨﻛﺍﺮﭘ ،ﻲﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺺﺧﺎﺷ ﺯﺍ ﻲﺧﺮﺑ ﺭﺩ .ﺪﻳﺩﺮﮔ ﻩﺪﻫﺎﺸﻣ ﻒﻠﺘﺨﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺍﺯﺎﻴﺘﻣﺍ ﺮﮕﻳﺩ ﻲﺧﺮﺑ ﺭﺩ ﻭ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺢﻄﺳ ﻪﺑ ﻚﻳﺩﺰﻧ ﺯﺎﻴﺘﻣﺍ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺪﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ .ﺪﻨﺘﺷﺍﺩ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺢﻄﺳ ﺯﺍ ﻱﺩﺎﻳﺯ ﻪﻠﺻﺎﻓ ﺯﺎﻴﺘﻣﺍ

ﺯﺍ ﻲﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻞﻨﺳﺮﭘ ﻕﻮﻘﺣ ﻢﻴﻘﺘﺴﻣ ﺖﺧﺍﺩﺮﭘ ﺕﺍﺯﺎﻴﺘﻣﺍ ﻲﮔﺪﻨﻛﺍﺮﭘ ﺭﺩ ﻲﻤﻬﻣ ﺶﻘﻧ ﺪﻧﺍﻮﺗ ﻲﻣ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺪﻣﺁﺭﺩ .ﺪﺷﺎﺑ ﻪﺘﺷﺍﺩ ﻲﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺭﺩ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺭﺩ ﻪﻛ ﻱﺮﮕﻳﺩ ﺺﺧﺎﺷ

.ﺖﺳﺍ ﻲﻜﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ﺺﺧﺎﺷ ،ﺩﻮﺷ ﻲﻣ ﺕﺍﺰﻴﻬﺠﺗ ﺖﻴﻤﻫﺍ ﻩﺭﺎﺑﺭﺩ (1382) ﻩﺪﻘﻔﻟﺍ ﻪﻛ ﻲﺸﻫﻭﮋﭘ ﺭﺩ ﻪﺟﻮﺗﺎﺑ ﺕﺍﺰﻴﻬﺠﺗ ﻢﻬﻣ ﺶﻘﻧ ﻪﺑ ﻱﺍ ﻩﺭﺎﺷﺍ ،ﻩﺩﺍﺩ ﻡﺎﺠﻧﺍ ﻲﻜــﺷﺰﭘ ﻪﻛ ﻩﺪﻣﺁ ﻱﻭ ﺶﻫﻭﮋﭘ ﺭﺩ .ﺖﺳﺍ ﻩﺩﺮﻛ ﻱژﻮﻟﻮﻨﻜﺗ ﺖﻓﺮــﺸﻴﭘ ﻪﺑ ﻭ ﺪﺑﺎﻳ ﻲﻣ ﺹﺎﺼﺘﺧﺍ ﻲﻜﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ﺪﻳﺮﺧ ﻪﺑ ﻪﻛ ﻱﺍ ﻪﻨﻳﺰﻫ ،ﺩﻮﺷ ﻲﻣ ﺎﻫ ﻥﺁ ﻱﺭﺍﺪﻬﮕﻧ ﻭ ﺕﺍﺮﻴﻤﻌﺗ ﻑﺮﺻ ﻪﻛ ﻲﻳﺎﻫ ﻪﻨﻳﺰﻫ ﺰﻴﻧ [15].ﺩﺭﺍﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻪﻨﻳﺰﻫ ﺭﺩ ﻱﺍ ﻩﺪﻤﻋ ﻢﻬﺳ ﻥﻮﻧﺎﻗ ﺭﺩ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﻲﻜــﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ﻙﺭﺍﺪﺗ ﺖﻴﻤﻫﺍ ﺮﻈﻧ ﺭﺩ ﻲﮕﻨﻫﺮﻓ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ،ﻱﺩﺎﺼﺘﻗﺍ ﻪﻌــﺳﻮﺗ ﻡﻮــﺳ ﻪﻣﺎﻧﺮﺑ ﺕﺭﺍﺯﻭ ﻥﻮﻧﺎﻗ ﻦﻳﺍ ﻒﻟﺍ ﺪﻨﺑ 193 ﻞﺻﺍ ﻪﻛ ﻱﺭﻮﻃ ﻪﺑ ،ﻩﺪﺷ ﻪﺘﻓﺮﮔ ﺭﺩ ﺎﺗ ﺩﺯﺎﺳ ﻲﻣ ﻒﻠﻜﻣ ﺍﺭ ﻲﻜﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ،ﺖــﺷﺍﺪﻬﺑ ﺞﻨﭘ ﻪﻣﺎﻧﺮﺑ ﻲﻃﺭﺩ ،ﺕﺎﻣﺪﺧ ﻱﺪﻨﺑ ﺢﻄﺳ ﻑﺍﺪﻫﺍ ﻖﻘﺤﺗ ﻱﺎﺘﺳﺍﺭ ﻱﺮﺘﺴﺑ ﻥﺎﻣﺭﺩ ﺩﻮﺟﻮﻣ ﻱﺎﻫ ﺖﻴﻓﺮﻇ ﻖﻴﺒﻄﺗ ﺖﻬﺟ ﻡﻮــﺳ ﻪﻟﺎﺳ ﮓﻨﻫﺎﻤﻫ (ﺲﻧﺍژﺭﻭﺍ)ﻲﻜﺷﺰﭘ ﻱﺭﻮﻓ ﺕﺎﻣﺪﺧ ﻲﻫﺩ ﻥﺎﻣﺎــﺳ ﻭ ﻞﻳﺪﻌﺗ ﻭ ﺎﻫﺩﻮﺒﻤﻛ ﻊــﻓﺭ ﻪﺑ ﺖﺒــﺴﻧ ،ﺕﺎﻣﺪﺧ ﻱﺪﻨﺑ ﺢﻄــﺳ ﺎﺑ ،ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﻧﺎــﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺯﺍ ﻢﻋﺍ ﺩﺍﺯﺎﻣ ﻲــﻧﺎﻣﺭﺩ ﺕﺎــﻧﺎﻜﻣﺍ ﻡﺯﻻ ﺕﺎﻣﺍﺪﻗﺍ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺮﻴﻏ ﻭ ﻩﺩﻮﺳﺮﻓ ﻱﺎﻫﺪﺣﺍﻭ ﻲﻨﻳﺰﮕﻳﺎﺟ [16،17].ﺪﻫﺩ ﻡﺎﺠﻧﺍ ﺍﺭ ﻲﻜﺷﺰﭘ ﺕﺍﺰﻴﻬﺠﺗ ﻪﻛ ﺩﺍﺩ ﻥﺎــﺸﻧ ﺶﻫﻭﮋﭘ ﺯﺍ ﻞﺻﺎﺣ ﺞﻳﺎﺘﻧ .ﺪﻨﺘﺴﻫ ﺎﭘ ﻪﺑﺎﭘ ﻲﺘﻟﻭﺩ ﻭ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﻭﺩ ﺭﺩ ﻲﻜﺷﺰﭘ ﺮﻴﻏ ﻭ .ﺪﻨﻛ ﻲﻤﻧ ﺪﻴﻳﺄﺗ ﺍﺭ (1378) ﻲﺟﺰﻳﺩ ﻱﺪﻴﻋ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺞﻳﺎﺘﻧ ﻦﻳﺍ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﻱﺍ ﻪــﺴﻳﺎﻘﻣ ،ﺩﻮﺧ ﺶﻫﻭﮋﭘ ﺭﺩ ﻥﺎــﺸﻳﺍ ﻥﺍﺭﺎﻤﻴﺑ ﺯﺍ ﻲﺠﻨــﺳﺮﻈﻧ ﺎﺑ ﻭ ﺩﺍﺩ ﻡﺎﺠﻧﺍ ﻲﺻﻮﺼﺧ ﻭ ﻲــﺷﺯﻮﻣﺁ ﺩﺭﻮﻣ ﺭﺩ ،ﻲﺻﻮﺼﺧ ﻭ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻱﺮﺘــﺴﺑ ،ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺼﻴﺨﺸﺗ ﺕﺎﻧﺎﻜﻣﺍ ،ﻞﻨﺳﺮﭘ ،ﻥﺍﺭﺎﺘﺳﺮﭘ ،ﻥﺎﻜــﺷﺰﭘ ﻥﺍﺭﺎﻤﻴﺑ ﺮﺜﻛﺍ :ﻪﻛ ﺖﺳﺍ ﻩﺩﻮﻤﻧ ﺮﻛﺫ ... ﻭ ﻲﻜــﺷﺰﭘﺮﻴﻏ ﺕﺍﺰﻴﻬﺠﺗ ﻪﻛ ﺪﻨﺘــﺷﺍﺩ ﺩﺎﻘﺘﻋﺍ ﻲــﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻱﺮﺘــﺴﺑ ﻲﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻧﺎﻣﺭﺩ ﻭ ﺺﻴﺨــﺸﺗ ﺕﺎﻧﺎﻜﻣﺍ ﻪﺠﻴﺘﻧ ﻦﻳﺍ ﻪﺑ ﻱﻭ .ﺖــﺳﺍ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺯﺍ ﺮﺘــﺸﻴﺑ ﺶﺨﺑ ﺭﺩ ﺕﺍﺰﻴﻬﺠﺗ ،ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻩﺎﮔﺪﻳﺩ ﺯﺍ ﻪﻛ ﺪﻴﺳﺭ

(6)

(36) 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

.ﺪﻨﺘــﺷﺍﺩ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﻪﺑ ﺖﺒــﺴﻧ ﻱﺮﺘﻬﺑ ﺖﻴﻌﺿﻭ ﻲﺻﻮﺼﺧ ﺯﺍ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻑﻼﺘﺧﺍ ﻪﻛ ﺪﺷ ﻩﺪﻳﺩ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ ﻪﻜﻧﺁ ﻝﺎﺣ ﺩﻮﺟﻭ ﻲﺻﻮﺼﺧ ﻭ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﺭﺩ ﺕﺍﺰﻴﻬﺠﺗ ﺖﻴﻌﺿﻭ ﺮــﻈﻧ [18].ﺩﺭﺍﺪﻧ ﻱﺎﻫ ﺵﺯﺭﺍ ،ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻱﺎﻫ ﺺﺧﺎﺷ ﺯﺍ ﺮﮕﻳﺩ ﻲﻜﻳ ﻡﺎﻈﻧ ﻱﺎﻫ ﻱﺮﻴﮔ ﺖﻬﺟ ﻭ ﺎﻫ ﺖﺳﺎﻴﺳ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺖﺳﺍ ﻲﻗﻼﺧﺍ ﺖﻳﺎﻋﺭ ﺖﻬﺟ ﺯﺍ ﻲــﺘﻟﻭﺩ ﺶﺨﺑ ﺮﺑ ﺰﻛﺮﻤﺗ ﺮﺑ ﻲــﻨﺒﻣ ،ﺖﻣﻼــﺳ ﺺﺧﺎﺷ ﻦﻳﺍ ﺯﺎﻴﺘﻣﺍ ﻦﻴﺑ ﻪﻛ ﺖﻓﺭ ﻲﻣ ﺭﺎﻈﺘﻧﺍ ،ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ﻩﺪﻫﺎﺸﻣ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻑﻼﺘﺧﺍ ﻲﺻﻮﺼﺧ ﻭ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﻭﺩ ﺭﺩ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻑﻼﺘﺧﺍ ﭻﻴﻫ ﺶــﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ ﻪﻜﻧﺁ ﻝﺎﺣ .ﺩﺩﺮــﮔ ﻪﻛ ﻱﺭﺎﻴﺴﺑ ﻱﺎﻫ ﺵﻼﺗ ﻢﻏﺭ ﻲﻠﻋ ﺮﮕﻳﺩ ﺕﺭﺎﺒﻋ ﻪﺑ .ﺪــﺸﻧ ﻩﺪﻳﺩ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻗﻼﺧﺍ ﻱﺎﻫ ﺵﺯﺭﺍ ﺖﻳﺎﻋﺭ ﺖﻬﺟ ﻥﺎﺴﻜﻳ ﻲﺻﻮﺼﺧ ﻭ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﺭﺩ ﻲﺟﻭﺮﺧ ،ﻪﺘﻓﺮﮔ ﺕﺭﻮﺻ .ﺩﻮﺑ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺭﺩ ﻪﻛ ﻱﺮﮕﻳﺩ ﺺﺧﺎﺷ ﻥﺎﻫﺍﺮﻤﻫ ﻭ ﺭﺎﻤﻴﺑ)ﻉﻮﺟﺭ ﺏﺎﺑﺭﺍ .ﺖﺳﺍ ﻲﻔﻴﻛ ﺺﺧﺎﺷ ،ﺩﻮﺸﻴﻣ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺩﺭﻮﻣ ﻲﻔﻴﻛ ﺺﺧﺎﺷ ﻪﻄﻴﺣ ﺭﺩ ﻥﺎﻧﺁ ﺖﻳﺎﺿﺭ ﻭ (ﺭﺎﻤﻴﺑ .ﺪﻧﺮﻴﮔ ﻲﻣ ﺭﺍﺮﻗ ﻱﺮﺘــﺸﻣ ﻞﺻﺍ ﻪﺑ ﻪﺟﻮﺗ ﺖﻳﺮﻳﺪﻣ ﻦــﻳﻮﻧ ﻱﺎــﻫ ﻪﻳﺮﻈﻧ ﺭﺩ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﺕﺎﻣﺪﺧ ﻥﺎﻴﺿﺎﻘﺘﻣ ﺖﻳﺎﺿﺭ ﺐﻠﺟ ﻭ ﻱﺭﺍﺪﻣ

[19].ﺩﻮﺷ ﻲﻣ ﻲﻘﻠﺗ ﻲﻠﺻﺍ ﻱﺎﻫ ﻱﺮﻴﮔ ﺖﻬﺟ ﻪﺠﻴﺘﻧ ﻦﻳﺍ ﻪﺑ ﺩﻮﺧ ﺶﻫﻭﮋﭘ ﺭﺩ (1383) ﺶــﻴﻣﺮﻗ ﻲــﻔﻴﻄﻟ ﺕﺎﻣﺪﺧ ﺯﺍ ﻡﺩﺮﻣ ﺖﻳﺎﺿﺭ ،ﻲﻳﺍﺮﺟﺍ ﻭ ﻱﺭﺍﺩﺍ ﻡﺎﻈﻧ ﺭﺩ :ﻪﻛ ﺪﻴﺳﺭ ﺶﺠﻨﺳ ﻲﻠﺻﺍ ﻱﺎﻫ ﺺﺧﺎــﺷ ﺯﺍ ﻲﻜﻳ ،ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻩﺎﮕﺘــﺳﺩ ﻞﻴﺒﻗ ﺯﺍ ﻲﻳﺎﻫ ﻪﻔﻟﺆﻣ ﻭ ﺪــﺷﺎﺑ ﻲﻣ ﻪﻌــﺳﻮﺗ ﻭ ﺪــﺷﺭ ﻭ ﻱﺪﻣﺁﺭﺎﻛ ﻲﮕﻧﻮﮕﭼ ،ﻥﺎﻌﺟﺍﺮﻣ ﺭﺎﻛ ﻡﺎــﺠﻧﺍ ﺭﺩ ﺖﻗﺩ ﻭ ﺖﺤﺻ ،ﺖﻋﺮــﺳ ،ﺐﺳﺎﻨﻣ ﻲﻧﺎﺳﺭ ﻉﻼﻃﺍ ﻭ ﻥﺎﮔﺪﻧﺮﻴﮔ ﺖﻣﺪﺧ ﺎﺑ ﺩﺭﻮﺧﺮﺑ ﻭ ﺭﺎﺘﻓﺭ ﻭ ﻥﺎﮔﺪﻧﺮﻴﮔ ﺖﻣﺪﺧ ﻱﺪﻨﻤﺘﻳﺎﺿﺭ ﺐﺟﻮﻣ ﻪﻛ ﺪﻨﺘﺴﻫ ﻲﻠﻣﺍﻮﻋ [20].ﺪﻧﻮﺷ ﻲﻣ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻩﺎﮕﺘﺳﺩ ﻦﻴﻌﺟﺍﺮﻣ ﻞﺣ ﻩﺍﺭ ﻚﻳ ﻪﺑ ًﻼﻛ ﺮﻴﺧﺍ ﻱﺎﻫ ﻝﺎﺳ ﻩﺩﺮﺘﺴﮔ ﺕﺎﻘﻴﻘﺤﺗ ﺞﻳﺎﺘﻧ ﻢﻳﺮﻜﺗ ﻭ ﻱﺭﺍﺪﻣ ﻱﺮﺘﺸﻣ ﮓﻨﻫﺮﻓ ﻪﻜﻨﻳﺍ ﻥﺁ ﻭ ﺪﻧﺍ ﻩﺪﻴﺳﺭ ﻙﺮﺘﺸﻣ [21].ﺩﺮﻴﮔ ﺭﺍﺮﻗ ﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻡﺎﻤﺗ ﻪﺣﻮﻟﺮﺳ ﺭﺩ ﺪﻳﺎﺑ ﻉﻮﺟﺭ ﺏﺎﺑﺭﺍ ﻪﺋﺍﺭﺍ ﺪﻧﻭﺭ ﺩﻮﺒﻬﺑ ﻂﻳﺍﺮــﺷ ﻲﻧﺎــﺴﻧﺍ ﻊﺑﺎﻨﻣ ﻥﺩﺍﺩ ﺭﺍﺮﻗ ﺭﻮﺤﻣ ﺎﺑ ﺎﺗ [22].ﺩﺭﻭﺁ ﻢﻫﺍﺮﻓ ﺍﺭ ﺕﺎﻣﺪﺧ ،ﻥﺍﺭﺎﻤﻴﺑ ﺖﻳﺎﺿﺭ ﺺﺧﺎــﺷ ﺭﺩ ،ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻭ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﻦﻴﺑ ﻱﺭﺎﻣﺁ ﻅﺎﺤﻟ ﺯﺍ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻑﻼــﺘﺧﺍ

.ﺪﺸﻧ ﻩﺪﻳﺩ ﻲﺘﻟﻭﺩ ﺲﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻱﺎﻫ ﺺﺧﺎﺷ ﺯﺎﻴﺘﻣﺍ ﻦﻴﺑ ﻪﻛ ﻲﺗﻭﺎﻔﺗ ﺎﻬﻨﺗ ﻱﺭﻮﻃ ﻪﺑ .ﺩﻮﺑ ﻱﺭﺎﺘﺧﺎــﺳ ﻞﻳﺎﺴﻣ ﺺﺧﺎﺷ ﺭﺩ ،ﺪﺷ ﻩﺪﻫﺎــﺸﻣ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺺﺧﺎــﺷ ﻦﻳﺍ ﺯﺎﻴﺘﻣﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻪﻛ .ﺩﻮﺑ ﺮﺗﻻﺎﺑ ﻲــﺘﻟﻭﺩ ﻲﻣﻮﻤﻋ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻲــﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﻛ ﺪــﺷﺎﺑ ﻥﺁ ﺕﻭﺎﻔﺗ ﻦﻳﺍ ﻞﻳﻻﺩ ﺯﺍ ﻲﻜﻳ ﺪﻳﺎــﺷ ﺐﺴﻛ ﻪﺑ ﻲﺟﺎﻴﺘﺣﺍ ،ﻪﻌﺳﻮﺗ ﻭ ﺯﺎﺳ ﻭ ﺖﺧﺎــﺳ ﻱﺍﺮﺑ ﻲﺻﻮﺼﺧ ﺎﻬﻨﺗ ﻪﻧ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ،ﺲﻜﻋﺮﺑ .ﺪﻧﺭﺍﺪﻧ ﻲﺘﻟﻭﺩ ﻱﺎﻫﺩﺎﻬﻧ ﺯﺍ ﻩﺯﺎﺟﺍ ﻭ ﺖﺧﺎﺳ ﻭ ﺮﻴﻴﻐﺗ ﺮﻫ ﻡﺎﺠﻧﺍ ﻱﺍﺮﺑ ﻪﻜﻠﺑ ،ﺩﺭﺍﺩ ﻱﺩﻭﺪﺤﻣ ﻪﺟﺩﻮﺑ ﻩﺯﺎﺟﺍ ﺐﺴﻛ ﻭ ﻱﺭﺍﺩﺍ ﺐﺗﺍﺮﻣ ﻪﻠﺴﻠﺳ ﻥﺩﺮﻛ ﻲﻃ ﻪﺑ ﺯﺎﻴﻧ ﻱﺯﺎــﺳ .ﺩﺭﺍﺩ ﺡﻼﺼﻳﺫ ﻊﺟﺍﺮﻣﺯﺍ ﺖﻴﻜﻟﺎﻣ ﻦﻴﺑ ﻪﻛ ﺩﺍﺩ ﻥﺎﺸﻧ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ ﻲﻠﻛ ﺭﻮﻃ ﻪﺑ ﻱﺭﺍﺩ ﻲﻨﻌﻣ ﻪﻄﺑﺍﺭ ﺲــﻧﺍژﺭﻭﺍ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺯﺎﻴﺘﻣﺍ ﻭ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ (1382) ﺩﺮﮕﻧﺍﻭﺭ ﻪــﻛ ﺖــﺳﺍ ﻲﻟﺎﺣ ﺭﺩ ﻦﻳﺍ .ﺩﺭﺍﺪﻧ ﺩﻮــﺟﻭ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﻛ ﺪﻳﺎﻤﻧ ﻲﻣ ﺭﺎﻬﻇﺍ ﺩﻮﺧ ﺶﻫﻭﮋﭘ ﻪﺠﻴﺘﻧ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﺎﺑ ﻪﺴﻳﺎﻘﻣ ﺭﺩ ﻱﺮﺗﻻﺎﺑ ﺕﺎﺟﺭﺩ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺭﺩ ﻡﺎﮕﻨﻫ ﺭﺩ ﺏﺎﻴﺷﺯﺭﺍ ﻩﻭﺮﮔ ﻪﻛ ﺩﻮﻤﻧ ﺭﺎﻬﻇﺍ ﻱﻭ .ﺪﻧﺍ ﻩﺩﺮﻛ ﺐﺴﻛ ﻢﺸﭼ ﻭ ﻱﺮﮕﻧﻮﺳ ﺭﺎﭼﺩ ﻲﺘﻟﻭﺩ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺞﻳﺎﺘﻧ ﻪﻛ ﻲﻟﺎﺣ ﺭﺩ ،ﻩﺪــﺷ ﻲــﺷﻮﭘ [23].ﺖﺳﺍ ﺮﺗ ﻚﻳﺩﺰﻧ ﺖﻴﻌﻗﺍﻭ ﻪﺑ ﻲﺻﻮﺼﺧ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﻦﻴﺑ ﻲﺗﻭﺎﻔﺗ ﻪﻛ ﺩﺍﺩ ﻥﺎﺸﻧ ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ ﺭﺩ ﻪﻛ ﻥﺎﻨﭽﻤﻫ .ﺩﺭﺍﺪــﻧ ﺩﻮﺟﻭ ﻲــﻫﺩﺯﺎﻴﺘﻣﺍ ﺏﺎــﺑ ﺯﺍ ﻲــﺘﻟﻭﺩ ﻭ ،ﻭﺩ ،ﻚﻳ ،ﻲﻟﺎﻋ ﻚﻳ ﺕﺎــﺟﺭﺩ ﺎﺑ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﻦﻳﺍ ﺰﻴﻧ ﻲﺻﻮﺼﺧ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻴﺑ ﺭﺩ ،ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻪــﺳ ﻭ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﻦــﻴﺑ ﻑﻼﺘﺧﺍ ﺩﻮﺒﻧ .ﺖــﺳﺍ ﺩﻮﺟﻮﻣ ﺕﺎــﺟﺭﺩ ﻱﺮﮕﻧﻮﺳ ﻥﻭﺪﺑ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻩﺪﻨﻫﺩ ﻥﺎــﺸﻧ ﺪﻧﺍﻮﺗ ﻲﻣ ﻲﺻﻮﺼﺧ ﺖﻟﺍﺪﻋ ﺖﻳﺎﻋﺭ ﻭ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻩﺭﺍﺩﺍ ﻥﺎــﺳﺎﻨﺷﺭﺎﻛ ﻱﺮﻴﮔ ﺖﻬﺟ ﻭ ﺩﻮﺷ ﻲﻣ ﺚﻋﺎﺑ ﻪﺘﻜﻧ ﻦﻴﻤﻫ .ﺪﺷﺎﺑ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﺭﺩ ﻭ ﻩﺪﻳﺩ ﻲﺘﻟﻭﺩ ﺶﺨﺑ ﺎﺑ ﺖﺑﺎﻗﺭ ﺭﺩ ﺍﺭ ﺩﻮﺧ ﻲﺻﻮﺼﺧ ﺶﺨﺑ ﻪﻛ ﺍﺭ ﻥﺍﺭﺎﻤﻴﺑ ﻭ ﻉﻮﺟﺭ ﺏﺎﺑﺭﺍ ﻪﺑ ﻥﺩﺮﻛ ﺖﻣﺪﺧ ﻱﺍﺮﺑ ﻡﺯﻻ ﻩﺰــﻴﮕﻧﺍ ﺰﻛﺍﺮﻣ ﻪﺑ ﺪﻨﻧﺍﻮﺗ ﻲﻣ ﻱﺮﺘﺸﻴﺑ ﻥﺎﻨﻴﻤﻃﺍ ﺎﺑ ﺰﻴﻧ ﻥﺍﺭﺎﻤﻴﺑ .ﺪﻨﻛ ﺐﺴﻛ .ﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ ﻥﺎﻣﺭﺩ ﻱﺍﺮﺑ ﻲﻧﺎﻣﺭﺩ ﻦﻴﻴﻌﺗ ﺭﺩ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻪﺠﻴﺘﻧ ﻪﻜﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗﺎﺑ ﺎﺑ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻦﻳﺍ ﻪﻛ ﺖﺳﺍ ﻡﺯﻻ ﺍﺬﻟ ،ﺖﺳﺍ ﺮﺛﺆﻣ ﺯﻭﺭ ﺖﺨﺗ ﻪﻨﻳﺰﻫ

(7)

(36) 12 ؛1388 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

،ﻲﻤﻫﺍﺮﻓ ﻱﺎﻫ ﺺﺧﺎﺷ ﺮﺑ ﻩﻭﻼﻋ ﻭ ﻪﺘﻓﺮﮔ ﺕﺭﻮﺻ ﻲﻓﺎﻛ ﺖﻗﺩ ﻪﺠﻴﺘﻧ ﺎﺗ ،ﺩﻮــﺷ ﻪﺟﻮﺗ ﺰﻴﻧ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺕﺎﻣﺪﺧ ﺖﻴﻔﻴﻛ ﻪﺑ .ﺪﺷﺎﺑ ﻚﻳﺩﺰﻧ ﺖﻴﻌﻗﺍﻭ ﻪﺑ ﺮﺘﺸﻴﺑ ﻪﭼﺮﻫ ﻲﺑﺎﻴﺷﺯﺭﺍ ﺪﺟﺍﻭ ﻲﻟﺎﻣ ﺮﻈﻧ ﺯﺍ ﻲﺑﺎــﺴﺘﻛﺍ ﻪﺟﺭﺩ ﺎﻳ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺖﻴﻤﻫﺍ ﺩﺎﻨﺳﺍ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻪﺟﺭﺩ ﻦﻴﻴﻌﺗ ﺱﺎﺳﺍ ﺮﺑ ﺍﺮﻳﺯ .ﺖــﺳﺍ ﺖﻴﻤﻫﺍ ﻲﺑﺎﻳﺯﺭﺍ ﻪﺟﺭﺩ ﺎﺑ ﺐﺳﺎﻨﺘﻣ ﺍﺭ ﺯﻭﺭ ﺖﺨﺗ ﻪﻨﻳﺰﻫ ﻪﺒﺳﺎﺤﻣ ،ﻲﻜﺷﺰﭘ .ﺪﻨﻫﺩ ﻲﻣ ﻡﺎﺠﻧﺍ ﻲﻣﺎﻤﺗ ﻱﺭﺎﻜــﻤﻫ ﺯﺍ ﻪــﻛ ﺩﺭﺍﺩ ﺎــﺟ ﺮــﺧﺁ ﺭﺩ :ﻱﺭﺍﺰﮕــﺳﺎﭙﺳ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻪﺑ ﻪﺘــﺴﺑﺍﻭ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻦﻴﻟﻮﺌــﺴﻣ ﻥﺎﻣﺭﺩ ﺖﻧﻭﺎﻌﻣ ﻲﺑﺎﻴــﺷﺯﺭﺍ ﻩﺭﺍﺩﺍ ﻡﺮﺘﺤﻣ ﻥﺎــﺳﺎﻨﺷﺭﺎﻛ ﻭ ﻥﺍﺮﻳﺍ ﻭ ﺮﻜﺸﺗ ﻝﺎﻤﻛ ﻲﻜــﺷﺰﭘ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ،ﺖــﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ .ﻢﻴﺷﺎﺑ ﻪﺘﺷﺍﺩ ﺍﺭ ﻱﺭﺍﺰﮕﺳﺎﭙﺳ

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Health Administration 2009; 12 (36)

Affiliated to Iran University of Medical Sciences; 2007

Tabibi J.¹ / Maleki M.² / Movahednia S.³ / Gohari M.R.⁴

Abstract

Introduction: The assessment of healthcare and hospital services is a difficult, critical and multidimen- sional task, due to its complex nature, variable activities and interactions with multiple issues affected by economic, political and social restrictions. That is to say, hospital assessment must be done by attending of several issues and without any bias. This research was aimed to determine relationship between hospital ownership and performance assessment score of emergency department; according to human resource indices, ethical values, structural issues, medical and non-medical equipments and quality indices.

Methods: This research is a descriptive, cross-sectional and applied study. Its population includes all of 51 public and private general hospitals covered by Iran University of Medical Science (IUMS).

Documentations and minutes recorded on Accreditation and Assessment Center of Medical in IUMS and also in Healthcare Ministry in the year 2007 are the data sources arranged by a designed form for gathering data. Data are processed by SPSS software and analyzed using independent t-tests.

Results: There isn’t any meaningful relation between hospital ownership and scores allocated, to ED human resource, ethical values, medical and non-medical equipments, medicals and consumption goods and quality indices in IUMS general hospitals(P_v=0.028). But we found a meaningful relation between hospital ownership and structural issues in this general hospital’s ED.

Conclusion: There are no differences between governmental and private hospitals according to docu- mented scores in 1386. So, it can point to an unbiased assessment by experts, and also adhering of scientific procedures in hospital assessment.

Keywords: Hospital Ownership, Performance Assessment, Emergency Department

Professor of Health Services Management Department, School of Management and Medical Information Science, Iran University of Medical Sciences 1.

Associate Professor of Health Services Management Department , School of Management and Medical Information Science, Iran University 2.

of Medical Sciences