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(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻥﺁ ﺮﺑ ﺮﺛﺆﻣ ﻞﻣﺍﻮﻋ ﻭ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ (1387 ؛ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ)

4ﻪﻧﺍﺮﻜﺷ ﺩﺎﻫﺮﻓ ،³ ﻱﺭﻮﻔﻏ ﺮﻴﺼﺑ ﺪﻣﺎﺣ ،² ﺮﻛﺎﺷ ﻦﻴﺴﺣ ،¹ ﻲﻨﻴﺴﺣ ﺪﻤﺤﻣ

ﻩﺪﻴﻜﭼ ﻦﻳﺍ ﻑﺪﻫ .ﺩﺭﺍﺬﮔ ﻲﻣ ﺮﻴﺛﺄﺗ ﺶﺨﺑ ﻦﻳﺍ ﻱﺎﻫﺪﻨﻳﺍﺮﻓ ﺯﺍ ﻱﺭﺎﻴــﺴﺑ ﺮﺑ ،ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻲﺠﻨــﺳ ﻥﺎﻣﺯ :ﻪﻣﺪﻘﻣ ﻞﻣﺍﻮﻋ ﺎﺑ ﻥﺁ ﻁﺎﺒﺗﺭﺍ ﻭ ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻲﺠﻨﺳ ﻥﺎﻣﺯ ﻲﺳﺭﺮﺑ ﻪﻌﻟﺎﻄﻣ .ﺩﻮﺑ ﻩﺯﻭﺭ 10 ﻲﻧﺎﻣﺯ ﻩﺭﻭﺩ ﻚﻳ ﺭﺩ ﻒﻠﺘﺨﻣ ﻪﻌﺟﺍﺮﻣ ﻱ ﻩﻮﺤﻧ ،ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ،ﻚﻴﻓﺍﺮﮔﻮﻣﺩ ﺕﺎﻋﻼﻃﺍ ﺭﺎﻤﻴﺑ 649 ﻱ ﻩﺪﻧﻭﺮﭘ ﺯﺍ ،ﻲﻌﻄﻘﻣ ﻱﺍ ﻩﺪﻫﺎﺸﻣ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ :ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﺎﻫ ﻩﺩﺍﺩﻭ؛ ﺝﺍﺮﺨﺘﺳﺍ ،ﺎﻫ ﺲﻳﻭﺮﺳ ﺮﻳﺎﺳ ﺖﻳﺰﻳﻭ ﻭ ﺎﻫ ﺶﻳﺎﻣﺯﺁ ﺖــﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﺎﻳ ﺖــﺳﺍﻮﺧﺭﺩ ،ﻡﺯﻻ ﻱﺎﻫ ﻥﺎﻣﺯ ،ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ .ﺪﺷ ﻞﻴﻠﺤﺗ ﻞﻘﺘﺴﻣ t ﻱﺭﺎﻣﺁ ﻥﻮﻣﺯﺁ ﻭ SPSS ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻂﺳﻮﺗ ﻦﻴﻴﻌﺗ ،ﻪﻘﻴﻗﺩ 210 ،ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ،ﻪﻘﻴﻗﺩ 22 ،ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻱ ﻪﻠﺻﺎﻓ ﻂــﺳﻮﺘﻣ :ﺎﻫ ﻪﺘﻓﺎﻳ ﺖﻔﻴﺷ ﻭ ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻭ ﺭﺎﻤﻴﺑ ﺲﻨﺟ ﺎﺑ ﺎﻫ ﻥﺎﻣﺯ ﻦﻳﺍ .ﺖﺳﺍ ﻪﻘﻴﻗﺩ 243 ،ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ژﺎﻳﺮﺗ ﻭ ﻪﻘﻴﻗﺩ 51 ،ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﺎﺗ ﻒﻴﻠﻜﺗ ﻦﻴﺑ ،ﺶﻳﺎﻣﺯﺁ ﻭ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﺖــﺳﺍﻮﺧﺭﺩ ،ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ ﺩﻭﺭﻭ ﻱ ﻩﻮﺤﻧ ﺎﺑ ﻲﻟﻭ ،ﺪﻧﺭﺍﺪﻧ ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻱ ﻪــﻄﺑﺍﺭ ،ﻱﺭﺎﻛ ﻦﻴﻴﻌﺗ ﻭ ؛ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻭ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ ژﺎﻳﺮﺗ ﻲﻧﺎﻣﺯ ﻞﺻﺍﻮﻓ ﻭ ﻲﺒﺼﻋ ﻲﺣﺍﺮﺟ ﻭ ﻲﺣﺍﺮﺟ ﺖﻳﺰﻳﻭ ﺖﺳﺍﻮﺧﺭﺩ .ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻁﺎﺒﺗﺭﺍ ﺐﻴﺗﺮﺗ ﻪﺑ ،ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ژﺎﻳﺮﺗ ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﺎﺗ ﻒﻴﻠﻜﺗ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻥﺎﻣﺯ ﻉﻮﻤﺠﻣ ﻂﺳﻮﺘﻣ ﻭ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻭ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺑ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻥﺎﻣﺯ ﻂــﺳﻮﺘﻣ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻱﺎﻫ ﺲﻳﻭﺮﺳ ﺖﻳﺰﻳﻭﻭﺎﻫ ﺶﻳﺎﻣﺯﺁ ﺖﺳﺍﻮﺧﺭﺩ ﻭ ﻪﻌﺟﺍﺮﻣ ﻱ ﻩﻮﺤﻧ .ﺖــﺳﺍﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺪﺣ ﺭﺩ ،(ﺎﻣﻭﺮﺗ) ﺰﻛﺮﻣ ﻦﻳﺍ ﺭﺩ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﻭ ..ﺖﺳﺍ ﺮﺛﺆﻣﺎﻫ ﻥﺎﻣﺯ ﻦﻳﺍ ﺮﺑ ﻲﺒﺼﻋ ﻲﺣﺍﺮﺟ ﻭ ﻲﺣﺍﺮﺟ ﺖﻣﺎﻗﺍ ﺕﺪﻣ ،ﻲﺘﺷﺍﺪﻬﺑ ﺖﺒﻗﺍﺮﻣ ﺕﺎﻣﺪﺧ ،ﺎﻣﻭﺮﺗ ،ﺕﺎﻣﺪﺧ ﺖﻴﻔﻴﻛ ،ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ،ﻲﺠﻨﺳ ﻥﺎﻣﺯ ﻞﻴﻠﺤﺗ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ 88/12/18 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ • 88/9/16 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 88/4/13 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ •

ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ،ﺲﻧﺍژﺭﻭﺍ ﺐﻃ ﻩﻭﺮﮔ ﺭﺎﻳﺩﺎﺘﺳﺍ 1 .

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(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻪﻣﺪﻘﻣ ﺮﺘﺸﻴﺑ ﺩﻭﺭﻭ ﻲﻠﺻﺍ ﺏﺭﺩ ،ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻱﺍ ﻪﻧﻮﻤﻧ ﺶﺨﺑ ﻦﻳﺍ ﺭﺩ .ﺖﺳﺍ ﻩﺩﻮﺑ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻪﺑ ﻪﺋﺍﺭﺍ ﻞﺑﺎﻗ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻥﺁ ﺭﺩ ﻪﻛ ﻲﺗﺎﻣﺪﺧ ﻉﺍﻮﻧﺍ ﺯﺍ ﻪﻧﺍﺯﻭﺭ ﺕﺎﻗﺎﻔﺗﺍ ﻲﻣﺎﻤﺗ ﺎﺒﻳﺮﻘﺗ .ﺩﻮــﺷ ﻲﻣ ﻪﺋﺍﺭﺍ ،ﺪــﺷﺎﺑ ﻲﻣ ﻪﺑ ﺪﻫﺩ ﻲﻣ ﺥﺭ ﺰﻴﻧ ﺲﻧﺍژﺭﻭﺍ ﻱﺎﻫ ﺶﺨﺑ ﺭﺩ ﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻚﻳ ﺍﺭ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺮﻫ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻥﺍﻮﺗ ﻲﻣ ﻪﻛ ﻱﺭﻮﻃ ﻪﺑ [1] .ﺖﻓﺮﮔ ﺮــﻈﻧ ﺭﺩ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻥﺁ ﺯﺍ ﻚﭼﻮﻛ ﻪﻧﻮﻤﻧ ﺖﺳﺍ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺶﺨﺑ ﺎﻬﻨﺗ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻞﻴﻟﺩ ﻦﻴﻤﻫ ﻦﻳﺍ .ﺩﻮﺷ ﻲﻣ ﻪﺟﺍﻮﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻡﺎﺣﺩﺯﺍ ﻡﺎﻧ ﻪﺑ ﻲﻠﻜﺸﻣ ﺎﺑ ﻪﻛ ﻭ ﺩﺪﻌﺘﻣ ﺕﺍﺮﻫﺎﻈﺗ ﻪﻛ ﺖﺳﺍ ﻲﻬﺟﻮﺗ ﻞﺑﺎﻗ ﻞﻜــﺸﻣ ﻡﺎﺣﺩﺯﺍ [1،2] .ﺩﺭﺍﺩ ﻱﺭﺎﻴﺴﺑ ﻞﻳﻻﺩ ﻱﺮﻴﮕﺸﻴﭘ ﻪﻳﺎﭘ ﺮﺑ ﺪﻳﺎﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﻴﻟﻭﺍ ﺖﻳﺮﻳﺪﻣ ﺯﺍ ﺖﺒﻗﺍﺮﻣ ﺖﻴﻔﻴﻛ ﺮﺑ ﻥﺁ ﺐﺳﺎﻨﻣﺎﻧ ﺕﺍﺮﺛﺍ ﻭ ﻡﺎﺣﺩﺯﺍ ﺯﻭﺮﺑ ﺯﺍ ﺮﻫ ﺭﺎﻛ ﺵﺩﺮﮔ ﻲﺠﻨﺳ ﻥﺎﻣﺯ ﻞﻴﻠﺤﺗ .ﺪﺷﺎﺑ ﺭﺍﻮﺘﺳﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻡﺎﺣﺩﺯﺍ ﻞﻀﻌﻣ ﻞﺣ ﻱﺍﺮﺑ ﻩﺍﺭ ﻦﻳﺮﺘﻧﺍﺯﺭﺍ ﻭ ﻦﻳﺮﺗﺮﺛﺆﻣ ،ﺭﺎﻤﻴﺑ ،ﻱﺮﮕﻳﺩ ﻪﻋﻮﻤﺠﻣ ﺮﻫ ﺪﻨﻧﺎﻣ [3-6 ،1] .ﺖﺳﺍ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻑﺍﺪﻫﺍ ﻦﻴﻣﺄﺗ ﺭﺩ ﺶﺨﺑ ﻦــﻳﺍ ﻲﻟﻮﺻﺍ ﻭ ﺢﻴﺤﺻ ﺖــﻳﺮﻳﺪﻣ ﻡﺰﻠﺘﺴﻣ ﺶﺨﺑ ﻦﻳﺍ ﺖﻳﺮﻳﺪﻣ .ﺩﺭﺍﺩ ﻱﺍ ﻩﺪﻨﻨﻛ ﻦﻴﻴﻌﺗ ﺶﻘﻧ ﻥﺁ ﺮﻫ ﺭﺩ ﺶﺨﺑ ﺩﻮﺟﻮﻣ ﺖﻴﻌﺿﻭ ﻪﻨﻴﻣﺯ ﺭﺩ ﻱﺍ ﻪﻳﺎﭘ ﺕﺎﻋﻼﻃﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻭ ﺩﺍﺪﻌﺗ ﺯﺍ ﻉﻼﻃﺍ .ﺖﺳﺍ ﻲﻧﺎﻣﺯ ﻊﻄﻘﻣ ﺩﺭﻮﻣ ﻡﺎﺧ ﺩﺍﻮﻣ ﺪــﻧﺍﻮﺗ ﻲﻣ ،ﺶﺨﺑ ﻦﻳﺍ ﻪﺑ ﻪــﻌﺟﺍﺮﻣ ﺩﺭﻮﻣ ﺶﺨﺑ ﺯﺍ ﺮﺗﺍﺮﻓ ﺢﻄــﺳ ﺭﺩ ﻲﻳﺎﻫ ﻱﺯﺎــﺳ ﻢﻴﻤﺼﺗ ﻱﺍﺮﺑ ﺯﺎﻴﻧ ﺭﺍﺮﻗ ﻥﺎﻣﺭﺩ ﺮﻣﺍ ﻥﺍﺭﺍﺰﮔ ﺖﺳﺎﻴﺳ ﺭﺎﻴﺘﺧﺍ ﺭﺩ ﺰﻴﻧ ﺍﺭ ﺲﻧﺍژﺭﻭﺍ ﻭ ﺲﻧﺍژﺭﻭﺍ ﻱﺎــﻫ ﺶﺨﺑ ﺮﺘــﺸﻴﺑ ﺭﺩ ﺮﺿﺎﺣ ﻝﺎﺣ ﺭﺩ .ﺪﻫﺩ ﻪﺘﻴﻤﻛ ﻪﺑ ﻡﻮﺳﻮﻣ ﻲﺻﺎﺧ ﻱﺎﻫ ﻪﺘﻴﻤﻛ ،ﻥﺎﻬﺟ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻭ ﻡﻭﺍﺪﻣ ﺭﻮــﻃ ﻪﺑ ﻪﻛ ﺪﻨﺘــﺴﻫ ﺮﻘﺘــﺴﻣ ﺖﻴﻔﻴﻛ ﻱﺎﻘﺗﺭﺍ

Continuous) ﺖــﻴﻔﻴﻛ ﺮﻤﺘــﺴﻣ ﻱﺎﻘﺗﺭﺍ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ ﺐﻟﺎﻗ ﻱﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺕﺎﻌﻟﺎﻄﻣ (Quality Improvement = CQI

ﺮﺑ ﺍﺭ ﻥﺁ ﺞﻳﺎﺘﻧ ﻭ ﻩﺩﺍﺩ ﻡﺎــﺠﻧﺍ ﺲﻧﺍژﺭﻭﺍ ﻱﺎــﻫ ﺶﺨﺑ ﺭﺩ ﺍﺭ ﻭ ﻩﺩﺮﻛ ﺮﻴﺴﻔﺗ ﺶﺨﺑ ﻥﺎﻤﻫ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﻭ ﻂﻳﺍﺮﺷ ﺱﺎــﺳﺍ ﻲﻣ ﻪﺋﺍﺭﺍ ﺩﻮﺟﻮﻣ ﺖــﻴﻌﺿﻭ ﺩﻮﺒﻬﺑ ﻱﺍﺮﺑ ﺍﺭ ﻲﻳﺎﻫﺩﺎﻬﻨــﺸﻴﭘ [1] .ﺪﻨﻫﺩ ﺎﺑ ﻲﻳﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﻱﺎﻫ ﺶﺨﺑ ﻥﺍﺮــﻳﺪﻣ ﻦﻳﺍ ﺖﻳﺮﻳﺪﻣ ﻩﺯﻮﺣ ﺭﺩ ﻲﺗﻼﻜــﺸﻣ ﺎﺑ ،ﻻﺎﺑ ﻦﻴﻌﺟﺍﺮﻣ ﻢﺠﺣ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺕﺪﻣ ﺶــﻳﺍﺰﻓﺍ .ﺪﻨﺘــﺴﻫ ﻭﺭ ﻪﺑ ﻭﺭ ﺎﻫ ﺶﺨﺑ ﻦﻳﺍ ﺯﺍ ﻲﻜﻳ ﻥﺍﻮــﻨﻋ ﻪﺑ ،ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎــﻤﻴﺑ ﺭﺎﻛ

ﺭﺩ ﻪﻛ ﺪــﺷﺎﺑ ﻲﻣ ﻲﺋﻮــﺳ ﺕﺍﺮﺛﺍ ﻭ ﺽﺭﺍﻮﻋ ﻱﺍﺭﺍﺩ ،ﺩﺭﺍﻮﻣ ﺍﺭ ﺩﻮﺧ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻭ ﻲــﺸﺨﺑ ﻞﺧﺍﺩ ﻒﻠﺘﺨﻣ ﻱﺎﻫﺪﻨﻳﺍﺮﻓ [7 - 11 ،2 ،1] .ﺪﻨﻫﺩ ﻲﻣ ﻥﺎﺸﻧ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﺖــﺒﻗﺍﺮﻣ ﻪﺋﺍﺭﺍ ﻱﺪﻴﻠﻛ ﻱﺎــﻫ ﻥﺎﻣﺯ ﺕﺎﻌﻟﺎﻄﻣ ﺎﻳ ﻥﺎﻣﺯ ﺕﺎﻌﻟﺎﻄﻣ ﻪﺑ ﻡﻮــﺳﻮﻣ ﻲﺗﺎﻌﻟﺎﻄﻣ ﺐﻟﺎﻗ ﺭﺩ ﻲﺳﺭﺮﺑ ﻲﻨﻴﻋ ﻭ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻱﺎﻫﺭﺎﻴﻌﻣ ﻪﻠﻤﺟ ﺯﺍ ﻲﺠﻨﺳ ﻥﺎﻣﺯ ﻱﺎﻫ ﻥﺎﻣﺯ ﻦﻳﺍ ﻪــﻠﻤﺟ ﺯﺍ .ﺖــﺳﺍ ﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻪﺋﺍﺭﺍ ﺖــﻴﻔﻴﻛ [1] :ﺩﺮﻛ ﻩﺭﺎﺷﺍ ﺮﻳﺯ ﺩﺭﺍﻮﻣ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ ﻱﺪﻴﻠﻛ ژﺎﻳﺮﺗ ﻭ ﺶــﺨﺑ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺩﻭﺭﻭ ﻦــﻴﺑ ﻲﻧﺎﻣﺯ ﻪــﻠﺻﺎﻓ .1

؛ﻥﺎﻧﺁ

؛ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ .2 ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎــﺗ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪــﻠﺻﺎﻓ .3 ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﻥﺎﻧﺁ ﺝﻭﺮﺧ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ .4 ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﻲــﺳﺮﺘﺳﺩ ﺪﻧﺍﻮﺗ ﻲﻣ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺕﺪــﻣ .ﺪﻫﺩ ﺭﺍﺮﻗ ﻲــﻔﻨﻣ ﺮﻴﺛﺄﺗ ﺖﺤﺗ ﺍﺭ ﺎــﻫ ﺖﺒﻗﺍﺮﻣ ﻪــﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺕﺪﻣ ﺮﮔﺍ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ ﻱﺍ ﻪﻌﻟﺎﻄﻣ [12]

ﻩﺪﻨﻫﺩ ﻥﺎﺸﻧ ،ﺪــﺷﺎﺑ ﺩﺎﻳﺯ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ،ﻲﺋﺍﺮﺟﺍ ﻱﺎﻫ ﻞﻤﻌﻟﺍﺭﻮﺘﺳﺩ ،ﻲﻠﻛ ﻱﺎﻫ ﻲﺸﻣ ﻂﺧ ﺭﺩ ﻝﻼﺘﺧﺍ ﻱﺭﻮﻃ ﻪﺑ ﺖﺳﺍ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻱﺭﺎﺟ ﻱﺎﻫﺪﻧﻭﺭ ﻭ ﺎﻫﺪﻨﻳﺍﺮﻓ ﻝﻮﻃ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮــﮔ ﻪﻛ ﻲﻳﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻪﻛ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻥﺎﻧﺁ ﺭﺎﻛ ﺵﺩﺮﮔ ﻲﻠﻛ ﻥﺎﻣﺯ ﺕﺪﻣ ،ﺪﻣﺎﺠﻧﺍ ﻲﻣ [5] .ﺪﺷﺎﺑ ﻲﻣ ﺭﺎﻈﺘﻧﺍ ﺩﺭﻮﻣ ﺎﻳ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﺪﺣ ﺯﺍ ﺮﺘــﺸﻴﺑ ﺰﻴﻧ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮــﮔ ﻥﺎﻣﺯ ﺕﺪﻣ ﻦﻴﺑ ﻦــﻴﻨﭽﻤﻫ [3] .ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﺲﻜﻋ ﻪﻄﺑﺍﺭ ،ﻥﺎﻧﺁ ﻱﺩﻮﺒﻬﺑ ﻭ ﺲﻧﺍژﺭﻭﺍ ﺭﺎﻛ ﺵﺩﺮﮔ ﻲﺠﻨــﺳ ﻥﺎﻣﺯ ﻞﻴﻠﺤﺗ ،ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﻑﺪــﻫ ﻢﺘﻔﻫ ﻱﺍﺪﻬــﺷ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎــﻤﻴﺑ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻦــﻴﺑ ﻲﻧﺎﻣﺯ ﻞﺻﺍﻮﻓ ﻦﻴﻴﻌﺗ ﻭ ﻥﺍﺮــﻬﺗ ﺮﻴﺗ ،ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ،ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﻥﺎﻧﺁ ﺝﻭﺮﺧ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻒــﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﻁﺎﺒﺗﺭﺍ ﻲــﺳﺭﺮﺑ ﻭ ﻥﺎﻧﺁ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎــﻳﺮﺗ ﻭ ،ﻥﺍﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﺪﻨﻧﺎﻣ ﻲﻠﻣﺍﻮﻋ ﺎــﺑ ﻲﻧﺎﻣﺯ ﻞﺻﺍﻮﻓ ﻦﻳﺍ ﻡﺪﻋ ﺎﻳ ﺖﺳﺍﻮﺧﺭﺩ ،ﻪﻌﺟﺍﺮﻣ ﻱﺭﺎﻛ ﺖﻔﻴــﺷ ،ﻥﺍﺭﺎﻤﻴﺑ ﻉﻮﻧ .ﺖﺳﺍ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﻭ ﺶﻳﺎﻣﺯﺁ ﺖﺳﺍﻮﺧﺭﺩ

(3)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺕﺪﻣ ﻂــﺳﻮﺘﻣ ﺩﻮﺟﻮﻣ ﺖﻴﻌﺿﻭ ﻥﺩﺭﻭﺁ ﺖــﺳﺩ ﻪﺑ ﺎﺑ ﻞﺻﺍﻮﻓ ﻭ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎــﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺭﺩ ﻱﺪﻌﺑ ﺕﻼﺧﺍﺪﻣ ﺮﻴﺛﺄﺗ ﻥﺍﻮﺗ ﻲﻣ ،ﻻﺎﺑ ﺭﺩ ﻩﺪﺷ ﺪﻴﻗ ﻲﻧﺎﻣﺯ ﻪﻛ - ﺎﻫ ﻥﺎﻣﺯ ﻦﻳﺍ ﺮﺑ ﺍﺭ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﺪﻧﻭﺭ ﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻪﺋﺍﺭﺍ ﺖﻴﻔﻴﻛ ﻩﺪﺷ ﻪﺘﻓﺮﻳﺬﭘ ﻲﻧﺎﻬﺟ ﻱﺎﻫ ﺺﺧﺎﺷ .ﺩﻮﻤﻧ ﻲﺳﺭﺮﺑ - ﺪﺷﺎﺑ ﻲﻣ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﻚﻳ ﺭﺩ ﻭ ﺖﺳﺍ ﻲﻌﻄﻘﻣ ﻭ ﻱﺍ ﻩﺪﻫﺎــﺸﻣ ﻉﻮﻧ ﺯﺍ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﻩﺎﻣﺮﻬﻣ 13 ﺯﻭﺭ ﺢﺒﺻ 8 ﺖﻋﺎــﺳ ﺯﺍ ﻩﺯﻭﺭ 10 ﻲﻧﺎﻣﺯ ﻩﺭﻭﺩ ﺭﺩ ،1387 ﻩﺎــﻣﺮﻬﻣ 22 ﺯﻭﺭ ﺢــﺒﺻ 8 ﺖﻋﺎــﺳ ﺎــﺗ 1387 ﻱﻭﺭ ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻲﻧﺎﻣﺯ ﻊﻄﻘﻣ ﺭﺩ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻳﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻩﺪﻧﻭﺮﭘ ﻪﻴﻠﻛ ﻪﺘﻓﺮﮔ ﻡﺎﺠﻧﺍ ﺖــﺴﻴﻟ ﻚﭼ ﺭﺍﺰﺑﺍ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ﻭ ﺭﻮــﻛﺬﻣ ﺺﻗﺎﻧ ﺎﻫ ﻥﺁ ﺭﺩ ﻩﺪﺷ ﺖﺒﺛ ﺕﺎﻋﻼﻃﺍ ﻪﻛ ﻲﻳﺎﻫ ﻩﺪﻧﻭﺮﭘ .ﺖﺳﺍ ﺮﺘﺸﻴﺑ ﺭﺩ ﻪﻛ ﻲﻳﺎﺠﻧﺁ ﺯﺍ .ﺪﻧﺪﻳﺩﺮﮔ ﻑﺬﺣ ﻪﻌﻟﺎﻄﻣ ﺯﺍ ،ﺪﻧﺩﻮﺑ ﺩﻭﺭﻭ ﻥﺎﻣﺯ ،ﻩﺪــﺷ ﺮﻛﺫ ﻲﻧﺎﻣﺯ ﻞﺻﺍﻮﻓ ﻥﺎﻴﻣ ﺯﺍ ،ﺎﻫ ﻩﺪﻧﻭﺮﭘ ﻱﺮﻴﮔ ﻩﺯﺍﺪﻧﺍ ،ﺩﻮﺑ ﻩﺪــﺸﻧ ﺮﻛﺫ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ ﻥﺍﺭﺎــﻤﻴﺑ .ﺩﻮﺒﻧ ﺮﺴﻴﻣ ﻥﺎﻧﺁ ژﺎﻳﺮﺗ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﺩﻭﺭﻭ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻦﻳﺍ ﺭﺩ ﺪــﻨﻧﺍﻮﺗ ﻲﻣ ﻲﺗﻭﺎﻔﺘﻣ ﻭ ﻒــﻠﺘﺨﻣ ﻱﺎــﻫﺭﻮﺘﻛﺎﻓ ﻥﺎﻣﺯ ﺕﺪﻣ ﻞﻛ ﺭﺩ ﻭ ءﺰــﺟ ﻪﺑ ءﺰﺟ ﺕﺭﻮــﺻ ﻪﺑ ﺎــﻫ ﻥﺎﻣﺯ .ﺪﻨﺷﺎﺑ ﻪﺘﺷﺍﺩ ﺮﻴﺛﺄﺗ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻪﺑ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺭﺩ ﻞــﻣﺍﻮﻋ ﻦﻳﺍ ﻥﺎــﻴﻣ ﺯﺍ [8 ،7 ،2 ،1]

،ﻪﻌﺟﺍﺮﻣ ﻩﻮﺤﻧ ،ﺖﻴﺴﻨﺟ ﺎﺑ ﺎﻫ ﻥﺎﻣﺯ ﻦﻳﺍ ﻦﻴﺑ ﻪﻄﺑﺍﺭ ﻲﺳﺭﺮﺑ ﺶﻳﺎﻣﺯﺁ ﺖﺳﺍﻮﺧﺭﺩ ،ﻥﺍﺭﺎﻤﻴﺑ ﻪﻌﺟﺍﺮﻣ ﺖﻔﻴﺷ ،ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻪﺘﺧﺍﺩﺮﭘ ﺎﻫ ﺲﻳﻭﺮــﺳ ﺮﻳﺎــﺳ ﺖﻳﺰﻳﻭ ﻭ ﻱﺭﺍﺩﺮــﺑﺮﻳﻮﺼﺗ ﻭ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﻱﺎﻫ ﻩﺩﺍﺩ .ﺩﻮــﺷ ﻲﻣ

Excel ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﺎــﻫﺭﺍﺩﻮﻤﻧ ﻢــﺳﺭ ﻱﺍﺮﺑ ،ﻞﻴﻠﺤﺗ ^SPSS ﻱﺩﺍﺪﻌﺗ ﻱﺭﺎﻣﺁ ﻁﺎﺒﺗﺭﺍ ﺩﺭﻮﻣ ﺭﺩ .ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ 2003 ﻪﺨﺴﻧ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺕﺪﻣ ﺭﺩ ﻞﻴﺧﺩ ﻱﺎﻫﺮﻴﻐﺘﻣ ﺯﺍ ﺕﻭﺎﻀﻗ ﻞﻘﺘﺴﻣ ^T ﻥﻮﻣﺯﺁ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﻥﺎﮔژﺍﻭ ﺯﺍ ﻱﺩﺍﺪﻌﺗ ﺩﺮﺑﺭﺎﻛ ﺎﺗ ﺖــﺳﺍ ﻡﺯﻻ .ﺖﻓﺮﮔ ﻡﺎﺠﻧﺍ :ﺩﻮﺷ ﻥﺎﻴﺑ ﻑﺎﻔﺷ ﻞﻜﺷ ﻪﺑ ﻲﺳﺭﺮﺑ ﻦﻳﺍ ﻭﺩ ﻪﺑ ﻲــﺳﺭﺮﺑ ﻦﻳﺍ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﻪــﺑ ﻪﻌﺟﺍﺮﻣ ﻩﻮــﺤﻧ ﻪﺑ ﺎﻳ ﻭ (^EMS) ﺲﻧﻻﻮﺒﻣﺁ ﻂﺳﻮﺗ ﺎﻳ ،ﺖــﺳﺍ ﻩﺩﻮﺑ ﺕﺭﻮﺻ ﻪﺘﺳﺩ ﻭﺩ ﻪﺑ ﺰﻴﻧ ﻥﺍﺭﺎﻤﻴﺑ ﻉﻮﻧ ،(^{Walk - in}) ﺮﮕﻳﺩ ﻱﺎﻫ ﺵﻭﺭ ﻱﺭﺎﻛ ﺖﻔﻴﺷ .ﺖﺳﺍ ﻩﺪﺷ ﻢﻴــﺴﻘﺗ ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ ﻭ ﻲﻳﺎﻣﻭﺮﺗ

ﻪﻣﺍﺩﺍ ﺐﺷ 8 ﺖﻋﺎﺳ ﺎﺗ ﻭ ﻩﺪﺷ ﺯﺎﻏﺁ ﺢﺒﺻ 8 ﺖﻋﺎﺳ ﺯﺍ ﺯﻭﺭ ﻭ ﻩﺪﺷ ﻉﻭﺮﺷ ﺐﺷ 8 ﺖﻋﺎﺳ ﺯﺍ ﺐﺷ ﺖﻔﻴﺷ ﻭ ﺪﻨﻛ ﻲﻣ ﺍﺪﻴﭘ ﻦﻴﻨﭽﻤﻫ .ﺪﺳﺭ ﻲﻣ ﻥﺎﻳﺎﭘ ﻪﺑ ﻱﺪﻌﺑ ﺯﻭﺭ ﺢﺒﺻ 8 ﺖﻋﺎﺳ ﺭﺩ ﺎﻳ ﺮﮕﻳﺩ ﺶﺨﺑ ﻪﺑ ﻥﺎﻧﺁ ﻝﺎــﻘﺘﻧﺍ ،ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﺯﺍ ﺭﻮــﻈﻨﻣ .ﺪﺷﺎﺑ ﻲﻣ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﻥﺎﻧﺁ ﺝﻭﺮﺧ

ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ ﻥﺎﮔﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ ﺖﻴﺴﻨﺟ :1 ﺭﺍﺩﻮﻤﻧ ﻲﻧﺎﻣﺯ ﻩﺭﻭﺩ ﺭﺩ ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ

ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻚﻴﻜﻔﺗ ﻪﺑ ﻩﺯﻭﺭ ﻩﺩ

(4)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺎﻫ ﻪﺘﻓﺎﻳ ﺩﻮﺟﻮﻣ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﺩﻮﺟﻮﻣ ﻱﺎﻫ ﻩﺪﻧﻭﺮﭘ ﻞﻛ ﺩﺍﺪﻌﺗ 741 ،ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻲﻧﺎﻣﺯ ﻩﺭﻭﺩ ﺭﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻧﺎﮕﻳﺎﺑ ﺭﺩ ،ﻩﺪﻧﻭﺮﭘ 92 ﺭﺩ ﻩﺪــﺷ ﺖﺒﺛ ﺕﺎﻋﻼﻃﺍ ،ﻦﻴﺑ ﺯﺍ .ﺩﻮﺑ ﻩﺪﻧﻭﺮﭘ ﻱﺍﺮﺑ ﺎﻫ ﻥﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻥﺎﻜﻣﺍ ﻪﻛ ﺩﻮﺑ ﻩﺪــﺷ ﺖﺒﺛ ﻱﻮﺤﻧ ﻪﺑ ﻪﻛ ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ ﺮﻈﻧ ﺩﺭﻮﻣ ﻲﻧﺎﻣﺯ ﻱﺎﻫﺮﻴﻐﺘﻣ ﻱﺮﻴﮔ ﻩﺯﺍﺪﻧﺍ ﻱﺎﻫ ﻩﺪﻧﻭﺮﭘ ﺩﺍﺪﻌﺗ ﻭ ﺪﻧﺪﺷ ﺝﺭﺎﺧ ﻪﻌﻟﺎﻄﻣ ﺯﺍ ﺎﻫ ﻩﺪﻧﻭﺮﭘ ﻦﻳﺍ .ﺖﻓﺎﻳ ﺶﻫﺎﻛ ﻩﺪﻧﻭﺮﭘ 649 ﻪﺑ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ (ﺪﺻﺭﺩ 10.33) ﺭﺎﻤﻴﺑ 67 ،ﻥﺍﺭﺎﻤﻴﺑ ﻩﺪﻧﻭﺮﭘ 649 ﻦﻴﺑ ﺯﺍ ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻪــﻛ ﺪﻧﺩﻮﺑ ﺩﺮــﻣ (89.67) ﺭﺎــﻤﻴﺑ 582 ﻭ ﻥﺯ ﻩﺪﻫﺎﺸﻣ ﻞﺑﺎﻗ 1 ﺭﺍﺩﻮﻤﻧ ﺭﺩ (ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ ﻭ ﻲﻳﺎﻣﻭﺮﺗ) ﺎﻫ ﻥﺁ ﻦﻳﺮﺗ ﻦﺴﻣ ﻭ ﻪﻫﺎﻣ 3 ﻱﺭﺍﻮﺧﺮﻴﺷ ،ﺭﺎﻤﻴﺑ ﻦﻳﺮﺗ ﻥﺍﻮﺟ .ﺖﺳﺍ ﻲﻨﺳ ﻱﺎﻤﻧ ﻭ 33 ﻥﺍﺭﺎﻤﻴﺑ ﻲﻨﺳ ﻪﻧﺎﻴﻣ ،ﻪﻟﺎﺳ 87 ﻱﺩﺮﻣ ﺭﺎﻤﻴﺑ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻪﺑ ﻁﻮﺑﺮﻣ ﺕﺎﻋﻼﻃﺍ ﺮﻳﺎــﺳ .ﺩﻮﺑ ﻝﺎﺳ 26 ﻥﺎﻧﺁ (1 ﻝﻭﺪﺟ) .ﺖﺳﺍ ﻩﺪﺷ ﺖﺒﺛ ﻝﻭﺪﺟ ﺎﺑ) ﻝﺎــﺳ 32.16 ﻲﻳﺎﻣﻭﺮﺗ ﻥﺍﺭﺎــﻤﻴﺑ ﻲﻨــﺳ ﻦــﻴﮕﻧﺎﻴﻣ ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ ﻥﺍﺭﺎــﻤﻴﺑ ﺭﺩ ﻭ (ﻝﺎــﺳ 19.84 ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ﻦﻴﮕﻧﺎﻴﻣ .ﺩﻮﺑ (ﻝﺎﺳ 21.80 ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ﺎﺑ) ﻝﺎﺳ 39.83 23.24 ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ﺎﺑ) ﻝﺎﺳ ^EMS، 43.14 ﻥﺍﺭﺎﻤﻴﺑ ﻲﻨﺳ ﺎﺑ) ﻝﺎﺳ ^{Walk - in}، 35.44 ﻥﺍﺭﺎﻤﻴﺑ ﻲﻨﺳ ﻦﻴﮕﻧﺎﻴﻣ ﻭ (ﻝﺎﺳ

EMS 139 ﺭﺎﻤﻴﺑ 199 ﺯﺍ .ﺩﻮﺑ (ﻝﺎﺳ 20.34 ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ﺭﺎﻤﻴﺑ 450 ﺯﺍ ﻭ ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ ﺭﺎﻤﻴﺑ 60 ﻭ ﻲﻳﺎﻣﻭﺮﺗ ،ﻥﺎﻧﺁ ﺮﻔﻧ ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ ﺭﺎﻤﻴﺑ 32 ﻭ ﻲﻳﺎﻣﻭﺮﺗ ﺭﺎــﻤﻴﺑ ^{Walk - in}، 418 139 ،ﻲﻳﺎﻣﻭﺮﺗ ﺭﺎــﻤﻴﺑ 557 ﺯﺍ ،ﺮﮕﻳﺩ ﺕﺭﺎــﺒﻋ ﻪﺑ .ﺪــﻧﺩﻮﺑ 75) ﺭﺎﻤﻴﺑ 418 ﻭ ^EMS ﺕﺭﻮــﺻ ﻪﺑ (ﺪﺻﺭﺩ 25) ﺭﺎــﻤﻴﺑ ،ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ ﺭﺎﻤﻴﺑ 92 ﺯﺍ ﻭ ^{Walk - in} ﺕﺭﻮﺻ ﻪﺑ (ﺪﺻﺭﺩ ﺭﺎﻤﻴﺑ 32 ﻭ ^EMS ﺕﺭﻮﺻ ﻪﺑ (ﺪﺻﺭﺩ 65.21) ﺭﺎــﻤﻴﺑ 60

ﻪﻌﺟﺍﺮﻣ ﺶﺨﺑ ﻪﺑ ^{Walk - in} ﺕﺭﻮﺻ ﻪﺑ (ﺪــﺻﺭﺩ 34.79) (2 ﺭﺍﺩﻮﻤﻧ) ﺪﻧﺍ ﻩﺩﻮﻤﻧ ﻪﺒــﺳﺎﺤﻣ ﻥﺎﻜﻣﺍ ،ﺩﺭﻮﻣ 635 ﺭﺩ ،ﻩﺪﻧﻭﺮﭘ 649 ﻦــﻴﺑ ﺯﺍ 624 ﺭﺩ ،ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻥﺎــﻣﺯ ﻲــﺳﺭﺮﺑ ﻭ ﻱﺮﻴﮔ ﻩﺭﺍﺪﻧﺍ ﻥﺎﻜﻣﺍ ﻩﺪــﻧﻭﺮﭘ 649 ﺯﺍ ﻩﺪــﻧﻭﺮﭘ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ،ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻩﺪﻧﻭﺮﭘ 649 ﺯﺍ ﻩﺪﻧﻭﺮﭘ 102 ﺭﺩ ﺎﻬﻨﺗ ﻭ ﺭﺎﻤﻴﺑ ﺎﺗ ﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻪﺒــﺳﺎﺤﻣ ﻥﺎﻜﻣﺍ ﻲﻔﻴﺻﻮﺗ ﻱﺎﻫ ﻩﺭﺎﻣﺁ ﻪﻛ ﺖﺷﺍﺩ ﺩﻮﺟﻭ ﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﺖﻋﺎﺳ .ﺖﺳﺍ ﻩﺪﺷ ﺖﺒﺛ 2 ﻝﻭﺪﺟ ﺭﺩ ﻲﻧﺎﻣﺯ ﻞﺻﺍﻮﻓ ﻦﻳﺍ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻭﺩ ﻡﺎﻏﺩﺍ ﺎﺑ ،ﺮﺘﻬﺑ ﻲﺳﺭﺮﺑ ﻱﺍﺮﺑ ﺖﻳﺰﻳﻭ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪــﻠﺻﺎﻓ ﻭ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻪﻠﺻﺎﻓ ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ ،ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﺧﺍﺩﺮﭘ ﻥﺍﺭﺎﻤﻴﺑ ﻲﻳﺎﻬﻧ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻥﺁ ﻪﻧﺎﻴﻣ ،ﻪﻘﻴﻗﺩ 243.36 ،ﻲــﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻦﻳﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻪــﻛ .ﺖــﺳﺍ ﻪﻘﻴﻗﺩ 90 ﻲــﺳﺭﺮﺑ ﻦﻳﺍ ﺭﺩ ﻥﺁ ﻱﺎﻤﻧ ﻭ ﻪﻘﻴﻗﺩ 165 ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ،ﻪﻘﻴﻗﺩ 234 ﻥﺯ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ﻥﺎﻣﺯ ﻦﻳﺍ ﻂــﺳﻮﺘﻣ ﺭﺩ ،ﻪﻘﻴﻗﺩ 242 ﻲــﻳﺎﻣﻭﺮﺗ ﻥﺍﺭﺎــﻤﻴﺑ ﺭﺩ ،ﻪﻘﻴﻗﺩ 250 ﺩﺮــﻣ

EMS 325 ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ،ﻪﻘﻴﻗﺩ 243 ﻲﻳﺎﻣﻭﺮﺗ ﺮﻴﻏ ﻥﺍﺭﺎــﻤﻴﺑ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺭﺩ ،ﻪﻘﻴﻗﺩ ^{Walk - in}، 207 ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ،ﻪﻘﻴﻗﺩ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺭﺩ ،ﻪﻘﻴﻗﺩ 320 ،ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺶﻳﺎﻣﺯﺁ ﺖﺳﺍﻮﺧﺭﺩ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺭﺩ ،ﻪﻘﻴﻗﺩ 158 ،ﺪﻧﺍ ﻪﺘﺷﺍﺪﻧ ﺶﻳﺎﻣﺯﺁ ﺖــﺳﺍﻮﺧﺭﺩ ﺭﺩ ،ﻪﻘﻴﻗﺩ 308 ،ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﺖــﺳﺍﻮﺧﺭﺩ ﻪﻛ ﺭﺩ ،ﻪﻘﻴﻗﺩ 172 ،ﺪﻧﺍ ﻪﺘﺷﺍﺪﻧ ﻲﺘﺳﺍﻮﺧﺭﺩ ﻦﻴﻨﭼ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ 242 ،ﺪﻧﺍ ﻩﺩﺮﻛ ﻪﻌﺟﺍﺮﻣ ﺯﻭﺭ ﻱﺭﺎﻛ ﺖﻔﻴﺷ ﺭﺩ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ

ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ ﻩﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ ﻥﺍﺭﺎﻤﻴﺑ ﺕﺎﻋﻼﻃﺍ :1 ﻝﻭﺪﺟ ﻩﺯﻭﺭ 10 ﻲﻧﺎﻣﺯ ﻩﺭﻭﺩ ﺭﺩ

ﻪﻌﺟﺍﺮﻣ ﻩﻮﺤﻧ ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ

EMS Walk - in

ﻲﻳﺎﻣﻭﺮﺗ ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ

ﺖﻴﺴﻨﺟ ﺩﺍﺪﻌﺗ

ﺪﺻﺭﺩ ﻦﺳ ﻦﻴﮕﻧﺎﻴﻣ ﻦﺳ ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ

ﺩﺍﺪﻌﺗ ﺪﺻﺭﺩ ﺩﺍﺪﻌﺗ ﺪﺻﺭﺩ ﺩﺍﺪﻌﺗ ﺪﺻﺭﺩ ﺩﺍﺪﻌﺗ ﺪﺻﺭﺩ

ﺩﺮﻣ 582

10.33 39.92

21.67 164

28.18 418 71.82 501 86.08 81 13.92

ﻥﺯ 67

89.67 36.34

21.38 35

52.24 32 47.76 56 83.58 11 16.42

ﻊﻤﺟ 649

100 37.80

21.56 199

30.66 450 69.34 557 85.82 92 14.18

(5)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻪﻌﺟﺍﺮﻣ ﺐــﺷ ﻱﺭﺎﻛ ﺖﻔﻴــﺷ ﺭﺩ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺭﺩ ﻭ ﻪﻘﻴﻗﺩ .ﺩﻮﺑ ﻪﻘﻴﻗﺩ 244 ،ﺪﻧﺍ ﻩﺩﺮﻛ ﻦﻴﮕﻧﺎﻴﻣ ﺎــﺑ ﻲــﺳﺭﺮﺑ ﺩﺭﻮﻣ ﺮﻴﻐﺘﻣ 10 ﻱﺭﺎﻣﺁ ﻁﺎــﺒﺗﺭﺍ ﺖﻳﺰﻳﻭ ﺎﺗ ﻥﺍﺭﺎــﻤﻴﺑ ژﺎﻳﺮﺗ ﻦــﻴﺑ ﻪﻧﺎﮔ ﻪــﺳ ﻲﻧﺎﻣﺯ ﻞــﺻﺍﻮﻓ ﻦﻴﻴﻌﺗ ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ،ﻚﺷﺰﭘ

ﻲﺳﺭﺮﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﻥﺎﻧﺁ ﺝﻭﺮﺧ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ .ﺖﺳﺍ ﻩﺪﺷ ﻱﺯﺎﺳ ﻪﺻﻼﺧ 3 ﻝﻭﺪﺟ ﺭﺩ ﻥﺁ ﺞﻳﺎﺘﻧ ﻭ ﺪﺷ ﻥﺎﻧﺁ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻦﻴﺑ

(06(06

(06(06 :DON:DON:DON:DON LQLQLQLQ

Ä mY»ÃÂv¿

¨¿{Y| e

ÊËZ»ÁeÌ£

ÊËZ»Áe

ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻪﻌﺟﺍﺮﻣ ﻩﻮﺤﻧ :2 ﺭﺍﺩﻮﻤﻧ ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻚﻴﻜﻔﺗ ﻪﺑ ﻩﺯﻭﺭ 10 ﻲﻧﺎﻣﺯ ﻩﺭﻭﺩ ﺭﺩ

ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻥﺎﻳﺮﺟ ﺭﺩ ﻪﻧﺎﮔ ﻪﺳ ﻲﻧﺎﻣﺯ ﻞﺻﺍﻮﻓ :2 ﻝﻭﺪﺟ ﻩﺯﻭﺭ ﻩﺩ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﺭﺩ

ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ

ﻩﺭﺎﻣﺁ (ﻪﻘﻴﻗﺩ) ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ ژﺎﻳﺮﺗ

(ﻪﻘﻴﻗﺩ) ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ (ﻪﻘﻴﻗﺩ) ﺝﻭﺮﺧ ﺎﺗ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ

Min

<1

<1 1

Max 59

965 340

ﻦﻴﮕﻧﺎﻴﻣ 32

210.6 51

ﻪﻧﺎﻴﻣ 30

135 28

ﺎﻤﻧ 30

120 10

(6)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺮﻴﻐﺘﻣ ﻦﻳﺍ ًﻼﻤﻋ ﻦﻳﺍﺮﺑﺎﻨﺑ .ﺩﺮﻴﮔ ﻲﻤﻧ ﺕﺭﻮﺻ ژﺎﻳﺮﺗ ﺭﺎﺘﺳﺮﭘ ﻂﺳﻮﺗ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﺖﺳﺍﻮﺧﺭﺩ ،ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬــﺷ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ * .ﺩﺭﺍﺪﻧ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﺭﺩ ﻲﺸﻘﻧ

ﻲﻧﺎﻣﺯ ﻞﺻﺍﻮﻓ ﻦﻴﺑ ﺭﺍﺩﺎﻨﻌﻣ ﻁﺎﺒﺗﺭﺍ ﺩﻮﺟﻭ ﻡﺪﻋ ﺎﻳ ﺩﻮﺟﻭ ﻦﻴﻴﻌﺗ ﻱﺍﺮﺑ ﻞﻘﺘﺴﻣ ^{T -}^Test ﻥﻮﻣﺯﺁ ﺞﻳﺎﺘﻧ :3 ﻝﻭﺪﺟ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ ﻱﺎﻫﺮﻴﻐﺘﻣ ﺎﺑ

ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ ﺮﻴﻐﺘﻣ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ

P ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻁﺎﺒﺗﺭﺍ

(ﻲﻳﺎﻣﻭﺮﺗ ﺮﻴﻏ ﻭ ﻲﻳﺎﻣﻭﺮﺗ) ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

0.983 ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ

ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ 0.808

ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ

ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﺝﻭﺮﺧ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ 0.815

(Walk - in ﻭ EMS) ﻪﻌﺟﺍﺮﻣ ﻩﻮﺤﻧ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

0.007 ﺖﺷﺍﺩ ﺩﻮﺟﻭ

ﺖﺷﺍﺩ ﺩﻮﺟﻭ

(ﻥﺯ ﻭ ﺩﺮﻣ) ﺖﻴﺴﻨﺟ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

ﺶﻳﺎﻣﺯﺁ ﺖﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

<0.050 ﺖﺷﺍﺩ ﺩﻮﺟﻭ

ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﺝﻭﺮﺧ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ..413

ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﺖﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

* - -

ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ

<0.050 ﺖﺷﺍﺩ ﺩﻮﺟﻭ

ﻲﺣﺍﺮﺟ ﺖﻳﺰﻳﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

ﻱﺪﭘﻮﺗﺭﺍ ﺖﻳﺰﻳﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

ﻲﺒﺼﻋ ﻲﺣﺍﺮﺟ ﺖﻳﺰﻳﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

ﻱژﻮﻟﻭﺭﻮﻧ ﺖﻳﺰﻳﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

(ﺐﺷ ﻭ ﺯﻭﺭ) ﻱﺭﺎﻛ ﺖﻔﻴﺷ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﻟﻭﺍ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ

(7)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻱﺪﭘﻮﺗﺭﺍ ﺖﻳﺰﻳﻭ ﺖــﺳﺍﻮﺧﺭﺩ ،ﻥﺍﺭﺎﻤﻴﺑ ﻉﻮﻧ ﺮﻴﻐﺘﻣ ﻪــﺳ ﺎﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻪــﻌﺟﺍﺮﻣ ﻱﺭﺎﻛ ﻱﺎﻫ ﺖﻔﻴــﺷ ﻭ ﻥﺍﺭﺎــﻤﻴﺑ ﻱﺍﺮــﺑ ﻦﻴﺑ ﻪﻛ ﻲﻟﺎﺣ ﺭﺩ .ﺖــﺷﺍﺪﻧ ﺩﻮﺟﻭ ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻁﺎــﺒﺗﺭﺍ ﺖــﺳﺍﻮﺧﺭﺩ ،ﻥﺍﺭﺎﻤﻴﺑ ﻪﻌﺟﺍﺮﻣ ﻩﻮﺤﻧ ﺎﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻦــﻳﺍ ﺖﻳﺰﻳﻭ ﺖﺳﺍﻮﺧﺭﺩ ،ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﺖﺳﺍﻮﺧﺭﺩ ،ﺶﻳﺎﻣﺯﺁ ﺎﺑ ﺐﻴﺗﺮﺗ ﻪﺑ ﻲﺒﺼﻋ ﻲﺣﺍﺮﺟ ﺖﻳﺰﻳﻭ ﺖﺳﺍﻮﺧﺭﺩ ﻭ ﻲﺣﺍﺮﺟ 0.001 ﻭ 0.05 ﺯﺍ ﺮﺘﻜﭼﻮﻛ ،0.05 ﺯﺍ ﺮﺘﻜﭼﻮﻛ ،^P=0.007 .ﺪﺷ ﻪﻈﺣﻼﻣ ﺭﺍﺩ ﻲﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻁﺎﺒﺗﺭﺍ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﺮﺘﺸﻴﺑ ﻪﻛ ﺖﺳﺍ ﻦﻳﺍ ﺯﺍ ﻲﻛﺎﺣ ﻥﺍﺭﺎﻤﻴﺑ ﺖﻴــﺴﻨﺟ ﻲــﺳﺭﺮﺑ ﻥﺎﻧﺯ ﺍﺭ ﻥﺍﺭﺎﻤﻴﺑ ﺪﺻﺭﺩ 20 ﺎــﻬﻨﺗ ﻭ ﺪﻨﺘــﺴﻫ ﺩﺮﻣ ﻦﻴﻌﺟﺍﺮﻣ ﻝﺎﺳ 40 ﺩﻭﺪﺣ ﻦﻴﻌﺟﺍﺮﻣ ﻦﺳ ﻦﻴﮕﻧﺎﻴﻣ .ﺪﻨﻫﺩ ﻲﻣ ﻞﻴﻜــﺸﺗ ﻭ ﻞﻴﺘﺳﺍ ﻪﻌﻟﺎﻄﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻦﺳ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺑ ﺖﺒﺴﻧ ﻪﻛ ﺖــﺳﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺑﺎﺸﻣ ﻲﻟﻭ [13] ﺪﻧﺭﺍﺩ ﻱﺮﺘﻤﻛ ﻦﺳ ،ﺶﻧﺍﺭﺎﻜﻤﻫ ﺮﻛ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﺲــﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻲﻳﺎﻣﻭﺮﺗ ﻥﺍﺭﺎــﻤﻴﺑ ﻲﻨــﺳ ﻱﺍﺮﺑ ﻲﻠﺻﺍ ﺮﺼﻨﻋ ،ﺕﺎﻋﻼﻃﺍ ﻪﻛ ﻲﻳﺎﺠﻧﺁ ﺯﺍ [14] .ﺪﻨﺘﺴﻫ ﻦﻳﺍ ﻦﺘﺷﺍﺩ ﺖﺳﺩ ﺭﺩ ،ﺖﺳﺍ ﺪﻫﺍﻮﺷ ﺮﺑ ﻲﻨﺘﺒﻣ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﺭﺩ ﺍﺭ ﺲﻧﺍژﺭﻭﺍ ﻥﺍﺮــﻳﺪﻣ ﺪﻧﺍﻮﺗ ﻲﻣ ﻚﻴﻓﺍﺮﮔﻮﻣﺩ ﺕﺎــﻋﻼﻃﺍ ﺖﻴــﺴﻨﺟ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺕﺎﻣﺪﺧ ﻪﺋﺍﺭﺍ ﻱﺍﺮﺑ ﺮﺘﻬﺑ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ .ﺪﻨﻛ ﻱﺭﺎﻳ ﻦﻴﻌﺟﺍﺮﻣ ﻦﺳ ﻭ ﻱﺎﻫ ﻥﺎﻣﺯ ﺮﺑ ﻲﻬﺟﻮﺗ ﻞﺑﺎﻗ ﺮﻴﺛﺄﺗ ﻥﺍﺭﺎــﻤﻴﺑ ﻝﺎﻘﺘﻧﺍ ﻩﻮﺤﻧ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪــﻠﺻﺎﻓ ﻪﻛ ﻱﻮﺤﻧ ﻪﺑ ﺖــﺷﺍﺩ ﻪﺒــﺳﺎﺤﻣ ﺩﺭﻮﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﻭ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﺶﺨﺑ ﻪﺑ ﺲــﻧﻻﻮﺒﻣﺁ ﺎﺑ ﻪﻛ ﻲــﻫﻭﺮﮔ ﺭﺩ ﻥﺎﻧﺁ ﺝﻭﺮــﺧ ﺎــﺗ ﺮﺘﺸﻴﺑ ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻁﺎﺒﺗﺭﺍ ﺎﺑ ﺪﻧﺩﻮﺑ ﻩﺪﺷ ﻞﻘﺘﻨﻣ ﺲﻧﺍژﺭﻭﺍ ﺪﻧﺩﻮﺑ ﻩﺩﺮﻛ ﻪﻌﺟﺍﺮﻣ ﺲﻧﻻﻮﺒﻣﺁ ﻥﻭﺪﺑ ﻪــﻛ ﺩﻮﺑ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺯﺍ ﺭﺩ ﺶﻧﺍﺭﺎﻜﻤﻫ ﻭ ﻞﻴﺘــﺳﺍ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺎﺑ ﺮﻳﺎﻐﻣ ﺞﻳﺎﺘﻧ ﻦﻳﺍ ﻪﻛ ﺐﻠﻏﺍ ﺭﺩ ﻪﻜﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ [13]. ﺖــﺳﺍ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺕﺪﺷ ﻪﻛ ﺪﻨﻨﻛ ﻲﻣ ﺲﻧﻻﻮﺒﻣﺁ ﺖﺳﺍﻮﺧﺭﺩ ﻲﻧﺍﺭﺎﻤﻴﺑ ،ﺩﺭﺍﻮﻣ ﻱﺭﺎﻣﺁ ﻁﺎﺒﺗﺭﺍ ﻦﻳﺍ ،ﺖﺳﺍ ﺮﺘﺸﻴﺑ ﺎﻫ ﻥﺁ ﺕﻼﻜــﺸﻣ ﺕﺪﺣ ﻭ .ﺪﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻲﻘﻄﻨﻣ ﺭﺍﺩ ﻲﻨﻌﻣ ﻱﺎﻫﺮﻴﻐﺘﻣ ،ﻪﻌﻟﺎﻄﻣ ﻦــﻳﺍ ﺮﻈﻧ ﺩﺭﻮﻣ ﻲﻠﺻﺍ ﻱﺎــﻫﺮﻴﻐﺘﻣ ﺕﺎﻋﺎﺳ ﺖﺒﺛ ﺭﺩ ﺭﺎﻴﺴﺑ ﺺﻳﺎﻘﻧ ﻪﻧﺎﻔــﺳﺎﺘﻣ ﺎﻣﺍ ﺪﻧﺩﻮﺑ ﻲﻧﺎﻣﺯ ﻱﺮﻴﮔ ﻩﺯﺍﺪﻧﺍ ﺯﺍ ﻊﻧﺎﻣ ،ﺲﻧﺍژﺭﻭﺍ ﺶــﺨﺑ ﺯﺍ ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ .ﺪﻳﺩﺮﮔ ﺶﺨﺑ ﻦﻳﺍ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺕﺪﻣ ﻖﻴﻗﺩ

ﻩﺪﻧﻭﺮﭘ 102 ﺭﺩ ﺎــﻬﻨﺗ ﻲــﺳﺭﺮﺑ ﺩﺭﻮﻣ ﻩﺪﻧﻭﺮﭘ 649 ﻦﻴﺑ ﺯﺍ .ﺩﻮﺑ ﻩﺪﺷ ﺖﺒﺛ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﺖﻋﺎﺳ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺕﺪــﻣ ﻪﻜﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻭ ﺐــﻴﺗﺮﺗ ﻦﻳﺍ ﻪــﺑ ﺝﻭﺮﺧ ﻪﻈﺤﻟ ﺎﺗ ﺩﻭﺭﻭ ﻥﺎﻣﺯ ﺯﺍ ﺶﺨﺑ ﻦﻳﺍ ﺭﺩ ﻥﺍﺭﺎــﻤﻴﺑ ﺭﺎﻛ ﻥﺎﻣﺯ ﺕﺪﻣ ﻱﺮﻴﮔ ﻩﺯﺍﺪﻧﺍ ﻼﻤﻋ ،[1] ﺩﻮﺷ ﻲﻣ ﻞﻣﺎــﺷ ﺍﺭ ﻥﺎﻧﺁ ﺎﻫ ﻩﺪﻧﻭﺮﭘ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺎﺑ ﺶﺨﺑ ﻦﻳﺍ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮﮔ ،ﻝﺎﺣ ﻦﻳﺍ ﺎﺑ .ﺪــﺸﻧ ﺮﺴﻴﻣ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻩﺪــﺷ ﻲﻧﺎﮕﻳﺎﺑ ﻪﺑ ،ﻥﺎﻧﺁ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻥﺎﻣﺯ ﻂــﺳﻮﺘﻣ ﻥﺎﻣﺯ ﺕﺪﻣ ﻂــﺳﻮﺘﻣ ﻪﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻦﻳﺮﺗ ﻚﻳﺩﺰﻧ ﻥﺍﻮﻨﻋ .ﺪﻳﺩﺮﮔ ﻱﺮﻴﮔ ﻩﺯﺍﺪﻧﺍ ،ﺭﺎﻛ ﺵﺩﺮﮔ ﻥﺎﻣﺯ ﺮﺜﻛﺍﺪﺣ ﺩﻮــﺸﻧ ﻪﺋﺍﺭﺍ ﻩﺭﻭﺎــﺸﻣ ﻪﻛ ﻲــﺗﺭﻮﺻ ﺭﺩ 70 ،ﺲﻧﺍژﺭﻭﺍ ﺶــﺨﺑ ﺭﺩ ﺭﺎﻤﻴﺑ ﺭﺎﻛ ﺵﺩﺮــﮔ ﻱﺍﺮــﺑ ﻡﺯﻻ ﺎﻳ ﻲﻫﺎﮕﺸﻳﺎﻣﺯﺁ ﻲﺳﺭﺮﺑ ﻭﺍ ﻱﺍﺮﺑ ﻪﻛ ﻱﺭﺎﻤﻴﺑ .ﺖــﺳﺍ ﻪﻘﻴﻗﺩ 110 ﺎﺗ 90 ﺽﺮﻋ ﺭﺩ ﺩﻮﺷ ﻲﻣ ﺖﺳﺍﻮﺧﺭﺩ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ [1] .ﺪﻨﻛ ﻲﻣ ﻲﻃ ﺍﺭ ﺮﻴﺴﻣ ﻦﻳﺍ ﻪﻘﻴﻗﺩ ﺖﻳﺰﻳﻭ ﺎﺗ ﻥﺍﺭﺎــﻤﻴﺑ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻂــﺳﻮﺘﻣ ﻪﻘﻴﻗﺩ 22 ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﺎﻣﺍ ،ﺪﺷﺎﺑ ﻪﻘﻴﻗﺩ 15 ﺪﻳﺎﺑ ﻚﺷﺰﭘ ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﻭ ﺩﻭﺭﻭ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ .ﺖﺳﺍ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﺶﻳﺎﻣﺯﺁ ،ﺎﻫ ﻥﺁ ﻱﺍﺮﺑ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ ﺭﺩ ﺲﻧﺍژﺭﻭﺍ ﺶــﺨﺑ ﺯﺍ ﺎﺗ 60 ﻦﻴﺑ ﺪﻳﺎﺑ ﺰﻴﻧ ﺩﻮﺷ ﻲﻤﻧ ﺖﺳﺍﻮﺧﺭﺩ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﻭ ﺩﺭﻮﻣ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺭﺩ [1] .ﺪﺷﺎﺑ ﻪﻘﻴﻗﺩ 70 ﺎﺑ .ﺖﺳﺍ ﻩﺩﻮﺑ ﻪﻘﻴﻗﺩ 210 ،ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﻱﺍﺮﺑ ﺯﺎﻴﻧ ﺖﺳﺍﻮﺧﺭﺩ ﺶﻳﺎﻣﺯﺁ ،ﻥﺍﺭﺎﻤﻴﺑ ﺪﺻﺭﺩ 50 ﺯﺍ ﻪﻜﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺪﺻﺭﺩ 50 ﺰﻴﻧ ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﺖﺳﺍﻮﺧﺭﺩ ﻲﻧﺍﻭﺍﺮﻓ ﻭ ﻩﺪﺷ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﻥﺎﻣﺯ ﺕﺪﻣ ﺪــﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻦﻳﺍﺮﺑﺎﻨﺑ ،ﺩﻮﺑ .ﺖﺳﺍ ﺮﺗﻻﺎﺑ ﺩﺭﺍﺪﻧﺎﺘــﺳﺍ ﻥﺎﻣﺯ ﻪﺑ ﺖﺒــﺴﻧ ،ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺯﺍ ﻩﺪﻣﺁ ﺖــﺳﺩ ﻪﺑ ﻥﺎﻣﺯ ﺕﺪﻣ ﺮﺑﺍﺮﺑ ﻭﺩ ﻥﺎﻣﺯ ﻦــﻳﺍ ﻪﺑ ﻥﺎﻣﺯ ﺕﺪﻣ ﺯﺍ ﺮﺘﻤﻛ ﻭ ﺲــﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪــﺳ ﺭﺩ ﻥﺎﻘﻧﻻ ﺕﺪﻣ ﻦﻳﺍ ﻦﻴﻨﭽﻤﻫ [15].ﺖﺳﺍ ﺮﻛ ﻪﻌﻟﺎﻄﻣ ﺯﺍ ﻩﺪﻣﺁ ﺖــﺳﺩ ﺲﻧﺍژﺭﻭﺍ ﺶــﺨﺑ ﺭﺩ ﺖﻣﺎﻗﺍ ﻥﺎــﻣﺯ ﺕﺪﻣ ﺯﺍ ﺮﺘﻤﻛ ﻥﺎــﻣﺯ ﺭﺩ ﺖﻣﺎﻗﺍ ﻥﺎﻣﺯ ﺕﺪﻣ ﺯﺍ ﺮﺘــﺸﻴﺑ ﻲﻤﻛ ﻭ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻪــﺳ ﺱﺎﻛﻮﻟ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﺮﮕﻳﺩ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻭﺩ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ .ﺖﺳﺍ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺞﻨﭘ ﻱﻭﺭ 2009 ﻝﺎــﺳ ﺭﺩ ﺶﻧﺍﺭﺎﻜﻤﻫ ﻭ ﻒﺼﻧ ،ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺯﺍ ﺞﺘﻨﻣ ﻥﺎــﻣﺯ ﺕﺪﻣ ،ﻞــﺑﺎﻘﻣ ﺭﺩ [16]

(8)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺶﺨﺑ ﺭﺩ ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﻱﻮﺗﺮﭘ ﻪﻌﻟﺎﻄﻣ ﺯﺍ ﻞﺻﺎﺣ ﻥﺎﻣﺯ ﺕﺪﻣ ﻦﻳﺍ [17].ﺖﺳﺍ ﺎﻜﻳﺮﻣﺁ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻲﻜﻳ ﺲﻧﺍژﺭﻭﺍ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺎﺑ ﻪــﺴﻳﺎﻘﻣ ﺭﺩ ﻥﺎﻣﺯ ﺕﺪﻣ ﻭ 346.3 ﺐﻴﺗﺮﺗ ﻪــﺑ) ﻱﺩﺎﺑﺁﺯﻭﺮﻴﻓ ﻭ (ﺹ) ﻡﺮﻛﺍ ﻝﻮــﺳﺭ ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﺶــﺷﻮﭘ ﺖﺤﺗ ﻪﻛ ( 229.5 ژﺎﻳﺮﺗ ﻦﻴﺑ ﻥﺎﻣﺯ ﺕﺪﻣ ﻂﺳﻮﺘﻣ [18].ﺪﺷﺎﺑ ﻲﻣ ﺮﺘﻤﻛ ،ﺪﻨﺘﺴﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻦﻳﺍ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ ﻩﺪﻨﻨﻛ ﻪﻌﺟﺍﺮﻣ ﻥﺍﺭﺎﻤﻴﺑ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻦــﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻭ ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ .ﺖﺳﺍ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺪﺣ ﺯﺍ ﺶﻴﺑ ﺰﻴﻧ ﻥﺎﻧﺁ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﻞﻣﺍﻮﻋ ﺎﺑ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻁﺎﺒﺗﺭﺍ ﻲــﺳﺭﺮﺑ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﻪﻛ ﺩﺍﺩ ﻥﺎــﺸﻧ ﻒﻠﺘﺨﻣ ﻁﺎﺒﺗﺭﺍ ﻲﻳﺎﻣﻭﺮﺗﺮﻴﻏ ﻭ ﻲﻳﺎﻣﻭﺮﺗ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻲﻳﺎﻣﻭﺮﺗ ﻥﺍﺭﺎﻤﻴﺑ ﺯﺍ ﻱﺭﺎﻴﺴﺑ ﻪﻜﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺩﺭﺍﺪﻧ ﺭﺍﺩﺎﻨﻌﻣ ﺪﻳﺎﺷ ،ﺪﻧﺍ ﻩﺪﺷ ﺩﺭﺍﻭ ﺶﺨﺑ ﻪﺑ ﺲﻧﻻﻮﺒﻣﺁ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﻥﻭﺪﺑ ﻱﺎﻫﺎﻣﻭﺮﺗ ﻼﻤﻋ ﻥﺍﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻦﻳﺍ ﻪﻛ ﺖــﻓﺮﮔ ﻪﺠﻴﺘﻧ ﻥﺍﻮﺘﺑ ﺎﻫ ﻥﺁ ﻪﺑ ﻲﮔﺪﻴﺳﺭ ﺖﻳﻮﻟﻭﺍ ﺍﺬﻟ ﻭ ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺪﻳﺪﺷ ﻥﺍﺪﻨﭼ ﻪﻧ ﻩﺩﻮﺒﻧ ﺮﺗﻻﺎﺑ ﻥﺍﺪــﻨﭼ ﺶﺨﺑ ﻲﻳﺎﻣﻭﺮﺗ ﻥﺍﺭﺎــﻤﻴﺑ ﻪﺑ ﺖﺒــﺴﻧ ﻭ ﺖﻳﺰﻳﻭ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﺩﺭﻮﻣ ﺭﺩ ﺖﻴﻌﺿﻭ ﻦﻳﺍ .ﺖﺳﺍ ژﺎﻳﺮﺗ ﻦﻴﺑ ﻥﺎﻣﺯ ﺕﺪﻣ ﻞﻛ ﻂﺳﻮﺘﻣ ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ .ﺩﻮﺑ ﻕﺩﺎﺻ ﺰﻴﻧ ﻥﺎﻧﺁ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺭﺎﻛ ﺖﻔﻴــﺷ ﻭ ﻉﻮﻧ ﻭ ﺖﻴــﺴﻨﺟ ﺎﺑ ﺎﻫ ﻥﺎﻣﺯ ﻦﻳﺍ ﻦﻴﺑ ﺎﻣﺍ ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﺭﺍﺩﺎــﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻪﻄﺑﺍﺭ ،ﻥﺍﺭﺎــﻤﻴﺑ ﻪﻌﺟﺍﺮﻣ ﺖــﺳﺍﻮﺧﺭﺩ ،ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺩﻭﺭﻭ ﻩﻮــﺤﻧ ﺎﺑ ﺩﻮﺟﻭ ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻁﺎــﺒﺗﺭﺍ ،ﻱﺭﺍﺩﺮﺑﺮﻳﻮﺼﺗ ﻭ ﺶﻳﺎﻣﺯﺁ .ﺩﺭﺍﺩ ﺖــﺳﺍﻮﺧﺭﺩ ﻦﻴﺑ ﻪﻛ ﺩﺍﺩ ﻥﺎــﺸﻧ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﻥﺎﻣﺯ ﺕﺪﻣ ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺍﺮﺑ ﺶﻳﺎﻣﺯﺁ ﺖــﺳﺍﻮﺧﺭﺩ ﻡﺪﻋ ﻭ ﺭﺍﺩﺎﻨﻌﻣ ﻱﺭﺎﻣﺁ ﻪﻄﺑﺍﺭ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺭﺩ ﺎﻫ ﻥﺁ ﺭﺎﻛ ﺵﺩﺮﮔ ﺶﻳﺎﻣﺯﺁ ﺎﻫ ﻥﺁ ﻱﺍﺮﺑ ﻪﻛ ﻲﻧﺍﺭﺎﻤﻴﺑ ﻪﻛ ﻱﻮﺤﻧ ﻪﺑ .ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﺶﺨﺑ ﺭﺩ ﻱﺮﺘﺸﻴﺑ ﻥﺎﻣﺯ ﺕﺪﻣ ،ﺖــﺳﺍ ﻩﺪــﺷ ﺖﺳﺍﻮﺧﺭﺩ ﻦﻴﻌﺟﺍﺮﻣ ﻪﻜﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻉﻮﺿﻮﻣ ﻦﻳﺍ .ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﺭﻮﻀﺣ ،ﺪﻧﺭﺍﺬﮔ ﻲﻣ ﺮﺳ ﺖــﺸﭘ ﺍﺭ ﺭﺎﻈﺘﻧﺍ ﻥﺎﻣﺯ ﻭﺩ ﻩﺎﮕــﺸﻳﺎﻣﺯﺁ ﻪﺑ ﺯﺍ ﺪﻨﺗﺭﺎﺒﻋ ﺭﺎــﻈﺘﻧﺍ ﻥﺎﻣﺯ ﻭﺩ ﻦﻳﺍ .ﺪــﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻱﺩﺎــﻋ ﻱﺎﻫ ﻪﻧﻮﻤﻧ ،ﻩﺎﮕــﺸﻳﺎﻣﺯﺁ ﻱﺎﻫ ﻦﻴــﺴﻨﻜﺗ ﻪﻜﻨﻳﺍ ﻱﺍﺮﺑ ﺭﺎﻈﺘﻧﺍ ﻥﺪــﺷ ﻩﺩﺎﻣﺁ ﻱﺍﺮﺑ ﺭﺎﻈﺘﻧﺍ ﻭ ﺪﻧﺮﻴﮕﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺯﺍ ﺍﺭ ﺯﺎﻴﻧ ﺩﺭﻮﻣ .ﺎﻫ ﺶﻳﺎﻣﺯﺁ ﺏﺍﻮﺟ

ﻱﺭﻭﺁﺩﺎﻳ ﻪﻛ ﺪﺷ ﺩﺭﻮﺧﺮﺑ ﻱﺩﺭﺍﻮﻣ ﻪﺑ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻲﻃ ﺮﺛﺆﻣ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺕﺎﻣﺪﺧ ﺮﺘﻬﺑ ﻪﺋﺍﺭﺍ ﺭﺩ ﺪﻧﺍﻮﺗ ﻲﻣ ﺎﻫ ﻥﺁ ﻭ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﺯﺍ ﻲــﺸﺨﺑ ﺕﺭﻮﺻ ﻪــﺑ ﺮﻳﺯ ﺭﺩ ﻪﻛ ﺪــﺷﺎﺑ :ﺩﺩﺮﮔ ﻲﻣ ﻪﺋﺍﺭﺍ ﺕﺍﺩﺎﻬﻨﺸﻴﭘ ﺐﺴﺣ ﺮﺑ :ﻲﻟﺎﻤﺘﺣﺍ ﺕﺎﻴﻠﻤﻋ ﺡﺮﻃ ﻪﺘﻴﻤﻛ ﻞﻴﻜــﺸﺗ .1 ﺮﺒﺘﻌﻣ ﻊــﺟﺮﻣ ﺏﺎﺘﻛ ﺎــﻬﻨﺗ ﺭﺩ ﻪــﻛ ﻲــﻠﻠﻤﻟﺍ ﻦﻴﺑ ﻒــﻳﺭﺎﻌﺗ ﻲﻳﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ،ﺖــﺳﺍ ﻩﺪــﺷ ﺮﻛﺫ ﺰﻴﻧ ﺲﻧﺍژﺭﻭﺍ ﺖﻳﺮﻳﺪﻣ ﻪﺘﺷﺍﺩ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﻪﻧﻻﺎﺳ ﺖﻳﺰﻳﻭ ﺭﺍﺰﻫ 30 ﺯﺍ ﺶﻴﺑ ﻪﻛ

High) ﻊﺟﺍﺮﻣ ﺮﭘ ﺎﻳ ﻍﻮﻠﺷ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﺘﺳﺩ ﺭﺩ ﺪﻨﺷﺎﺑ ﺯﺍ ﻩﺪﻣﺁ ﺖــﺳﺩ ﻪﺑ ﺞﻳﺎﺘﻧ ﻭ [1] ﺪﻧﺮﻴﮔ ﻲﻣ ﺭﺍﺮﻗ (^{- Volume} ﻲﺳﺭﺮﺑ ﺖﺤﺗ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﻮﻃ ﻪﺑ ﻪﻧﺍﺯﻭﺭ ،ﻪــﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻩﺯﻭﺭ 10 ﻲــﻧﺎﻣﺯ ﻩﺭﻭﺩ ﺭﺩ ﻚﻳﺩﺰﻧ ﻪﻧﻻﺎــﺳ ﺎﺑ ﻭ ﺪﻫﺩ ﻲﻣ ﻪﺋﺍﺭﺍ ﺖﻳﺰﻳﻭ 74.1 ﻂــﺳﻮﺘﻣ .ﺖﺳﺍ ﻍﻮﻠﺷ ﻱﺎﻫ ﻥﺎﺘــﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻲﻜﻳ ،ﺖﻳﺰﻳﻭ ﺭﺍﺰﻫ30 ﻪﺑ ﺕﺭﻮﺻ ﺭﺩ ﻪﻛ ﺩﺭﺍﺩ ﺩﻮﺟﻭ ﻩﺪــﺷ ﻦﻳﻭﺪﺗ ﺶﻴﭘ ﺯﺍ ﻲﺣﺮﻃ ﻥﺍﺭﺎﻤﻴﺑ ﺩﺍﺪﻌﺗ ﺶﻳﺍﺰﻓﺍ ﻞﻴﻟﺩ ﻪﺑ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺯﻭﺮﺑ ﻲﺗﺎﻴﻠﻤﻋ ﻪﻣﺎﻧﺮﺑ ﻚﻳ ﺐﻟﺎﻗ ﺭﺩ ﻭ ﻪﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘــﺳﺍ ﺩﺭﻮﻣ ﻱﺍ ﻪﺘﻴﻤﻛ ﺪﻳﺎﺑ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺮﻫ ﺎﺘﺳﺍﺭ ﻦﻴﻤﻫ ﺭﺩ .ﺩﻮﺷ ﻲﻣ ﺍﺮﺟﺍ ﺭﺩ ﺍﺭ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻡﺎﺣﺩﺯﺍ ﺖﻳﺮﻳﺪﻣ ﺪﻧﺍﻮﺘﺑ ﺎﺗ ﺪﺷﺎﺑ ﻪﺘﺷﺍﺩ ﻪﺘﻴﻤﻛ ﺎﺣﻼﻄﺻﺍ ﺍﺭ ﻪﺘﻴﻤﻛ ﻦﻳﺍ .ﺩﺮﻴﮔ ﻩﺪﻬﻋ ﻪﺑ ﻡﻭﺰﻟ ﻊــﻗﺍﻮﻣ ﻦﻴﻨﭼ ﻞﻴﻜﺸﺗ [3-6 ،1] .ﺪﻨﻣﺎﻧ ﻲﻣ ﻲﻟﺎﻤﺘﺣﺍ ﺕﺎﻴﻠﻤﻋ ﺡﺮﻃ ﺩﺎﻬﻨﺸﻴﭘ ﻥﺍﺮﻬﺗ ﺮﻴﺗ ﻢﺘﻔﻫ ﻱﺍﺪﻬﺷ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺍﺮﺑ ﻱﺍ ﻪﺘﻴﻤﻛ .ﺩﻮﺷ ﻲﻣ ﻱﺩﺪﻌﺘﻣ ﻞﻣﺍﻮﻋ ﻭ ﻞــﻠﻋ :ﻲﻓﺎﻛ ﻪﺟﺩﻮﺑ ﺺــﻴﺼﺨﺗ .2 ﺲﻧﺍژﺭﻭﺍ ﻱﺎﻫ ﺶﺨﺑ ﺭﺩ ﻡﺎﺣﺩﺯﺍ ﺯﻭﺮــﺑ ﻪﺑ ﺮﺠﻨﻣ ﺪﻨﻧﺍﻮﺗ ﻲﻣ ﻲﻓﺎﻛﺎﻧ ﻱﺎــﻫ ﻪﺟﺩﻮﺑ ﻪــﺠﻴﺘﻧ ﻞﻣﺍﻮﻋ ﻦﻳﺍ ﺮﺘــﺸﻴﺑ .ﺪﻧﻮــﺷ ﺎﺗ ﺖﺳﺍ ﻡﺯﻻ [3-6 ،1] .ﺪﻨــﺷﺎﺑ ﻲﻣ ﺲﻧﺍژﺭﻭﺍ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻭ ﻝﻭﺍ ﻪﻠﻫﻭ ﺭﺩ ﺭﻮــﺸﻛ ﺖﻣﻼﺳ ﺶﺨﺑ ﻥﺍﺭﺍﺰﮔ ﺖــﺳﺎﻴﺳ ﻪﺟﺩﻮﺑ ﻞﻳﺪﻌﺗ ﻪﺑ ﺖﺒﺴﻧ ﻡﻭﺩ ﻪﻠﻫﻭ ﺭﺩ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻥﺍﺮﻳﺪﻣ .ﺪﻨﻨﻴﺸﻨﺑ ﺚﺤﺑ ﻪﺑ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻍﻮﻠﺷ ﻱﺎﻫ ﺶﺨﺑ ﺭﺩ ،ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﻖﺒﻃ :ﺲﻧﻻﻮﺒﻣﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻥﺍﺰﻴﻣ ﻲﺳﺭﺮﺑ ﻪﻌﺟﺍﺮﻣ ﺲﻧﺍژﺭﻭﺍ ﺶــﺨﺑ ﻪﺑ ﻪﻛ ﻱﺭﺎﻤﻴﺑ 6 ﺮــﻫ ﺯﺍ ﺎــﺒﻳﺮﻘﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻦﻳﺍ ﺪﺻﺭﺩ 75 ﻭ ﺪﻧﺩﻮﺑ ﻲﻳﺎﻣﻭﺮﺗ ﺭﺎﻤﻴﺑ 5 ،ﺪﻧﺍ ﻩﺩﺮﻛ .ﺪﻧﺍ ﻩﺪﺷ ﺶﺨﺑ ﺩﺭﺍﻭ ﺲﻧﻻﻮﺒﻣﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻥﻭﺪﺑ ،ﻲﻳﺎﻣﻭﺮﺗ

(9)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺶﺨﺑ ﻪﺑ ﺲــﻧﻻﻮﺒﻣﺁ ﻂــﺳﻮﺗ ﻥﺍﺭﺎﻤﻴﺑ ﺪــﺻﺭﺩ 31 ﺎــﻬﻨﺗ ﻩﺩﺎﻔﺘﺳﺍ ﻡﺪﻋ ﻞﻳﻻﺩ ﺖــﺳﺍ ﺮﺘﻬﺑ .ﺪﻧﺍ ﻩﺪــﺷ ﺩﺭﺍﻭ ﺲﻧﺍژﺭﻭﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﺖﻬﺟ ﺭﺩ ﻭ ﻩﺪــﺷ ﻲﺑﺎﻳﺩﺭ ﺲﻧﻻﻮﺒﻣﺁ ﺯﺍ ﻥﺍﺭﺎﻤﻴﺑ .ﺩﻮﺷ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﺖﻣﺪﺧ ﻦﻳﺍ ﺯﺍ ﺮﺘﻬﺑ ﺎﻫ ﻱﮋﺗﺍﺮﺘﺳﺍ ﺖﺳﺍ ﺮﺘﻬﺑ :ﺵﺩﺮﮔ ﺭﺩ ﻱﺎﻫ ﻡﺮﻓ ﻞﻴﻤﻜﺗ .3 ﻩﺩﺍﺩ ﺮﻴﻴﻐﺗ ﻱﻮــﺤﻧ ﻪﺑ ﺶﺨﺑ ﻱﺭﺎﺟ ﻱﺎﻫ ﻞﻤﻌﻟﺍﺭﻮﺘــﺳﺩ ﻭ ﺶﺨﺑ ﺯﺍ ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﻭ ﺩﻭﺭﻭ ﺕﺎﻋﺎــﺳ ﺖﺒﺛ ﻪﻛ ﺩﻮــﺷ ﺩﺍﺪﻤﻠﻗ ﻲﻣﺍﺰﻟﺍ ،ﺶﺨﺑ ﻱﺎﻫﺪﻨﻳﺍﺮﻓ ﻭ ﺎﻫ ﻡﺮﻓ ﺭﺩ ﺰﻴﻧ ﺲﻧﺍژﺭﻭﺍ .ﺪﻧﻮﺷ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ :ﻖﻴﻗﺩ ﻱﺯﺎﺳ ﺪﻨﺘــﺴﻣ ﻡﺍﺰﻟﺍ ﻭ ﺵﺯﻮﻣﺁ .4 ﻭ ﻩﺪﻧﻭﺮﭘ 635 ﺭﺩ ،ﻚــﺷﺰﭘ ﺖﻳﺰﻳﻭ ﺎﺗ ﻥﺍﺭﺎﻤﻴﺑ ژﺎﻳﺮﺗ ﻦــﻴﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻒﻴﻠﻜﺗ ﻦﻴﻴﻌﺗ ﺎﺗ ﻚﺷﺰﭘ ﺖﻳﺰﻳﻭ ﻦﻴﺑ ﻲﻧﺎﻣﺯ ﻪﻠﺻﺎﻓ ﺭﺩ ﺰﻴﻧ ﻱﺮــﮕﻳﺩ ﺩﺭﺍﻮﻣ .ﺩﻮﺑ ﻩﺪــﺷ ﺖﺒﺛ ﻩﺪــﻧﻭﺮﭘ 634 ﺭﺩ ﺎﻫ ﻥﺁ ﺯﺍ ﻱﺩﺍﺪﻌﺗ ﻪﺑ ﻦﺘﻣ ﺭﺩ ﻪﻛ ﺖــﺷﺍﺩ ﺩﻮﺟﻭ ﻪﻨﻴﻣﺯ ﻦﻴﻤﻫ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻩﺪﻧﻭﺮﭘ ﺕﺎﻋﻼﻃﺍ ﺮﺗ ﻖﻴﻗﺩ ﺖﺒﺛ .ﺪــﺷ ﻩﺭﺎــﺷﺍ ﻚﻤﻛ ﺪﻧﺍﻮﺗ ﻲﻣ ﻥﺍﺭﺎﻤﻴﺑ ﺝﻭﺮﺧ ﻭ ﺩﻭﺭﻭ ﺖﻋﺎﺳ ﺎﺻﻮﺼﺨﻣ ﺪﻨﻛ ﺎﻔﻳﺍ ﻥﺎﻣﺯ ﺖﻳﺮﻳﺪﻣ ﻭ ﻲﺠﻨﺳ ﻥﺎﻣﺯ ﺕﺎﻌﻟﺎﻄﻣ ﺭﺩ ﻲﺑﻮﺧ .ﺪﺷﺎﺑ ﻪﺘﺷﺍﺩ ﻲﻳﺍﺰــﺴﺑ ﺶﻘﻧ ﻥﺍﺮﻳﺪﻣ ﻱﺎﻫ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﺭﺩ ﻭ [1] ﺩﻮﺷ ﻲﻣ ﻒﻳﺮﻌﺗ ﻥﺎﻣﺯ ﺎﺑ ﺲﻧﺍژﺭﻭﺍ ﺐﻃ ﻪﻛ ﻲﻳﺎﺠﻧﺁ ﺯﺍ ﻭ ﺕﺪﻣ ﻩﺎﺗﻮﻛ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﺱﻼﻛ ﻱﺭﺍﺰﮔﺮﺑ ﺎﺑ ﻥﺍﻮﺘﺑ ﺪﻳﺎﺷ ﺖﻬﺟ ﻦﻴﻴﻌﺗ ﻱﺍﺮﺑ ﻲﺠﻨﺳ ﻥﺎﻣﺯ ﺕﺎﻋﻼﻃﺍ ﺖﻴﻤﻫﺍ ﺢﻳﺮﺸﺗ ﻪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﺩﻭﺭﻭ ﺕﺎﻋﺎــﺳ ﺖﺒﺛ ،ﺶﺨﺑ ﻱﺪﻌﺑ ﻱﺎــﻫ ﻱﺮﻴﮔ ﺩﺭﻮﻣ ﻱﺪﺣ ﺎﺗ ﺍﺭ ﺲﻧﺍژﺭﻭﺍ ﺶﺨﺑ ﺯﺍ ﻥﺎﻧﺁ ﺝﻭﺮﺧ ﻭ ﺶﺨﺑ .ﺩﺍﺩ ﺭﺍﺮﻗ ﻲﻳﺍﺮﺟﺍ ﺖﻧﺎﻤﺿ

Salluzzo R, Mayer T, editors. Emergency department 1.

management: principles and applications. St. Louis:

Mosby; 1997.

Yoon P, Steiner I, Reinhardt G. Analysis of factors 2.

influencing length of stay in the emergency department.

Can J Emerg Med 2003; 5 (3): 155-61.

Little JM. Healthcare rationing: constraints and equity.

3.

Med J Aust 2001; 174 (12): 641-2.

Baggoley C. President's massage. Emerg Med (Aust) 4.

1998; 10: 169-71.

Liew D, Liew D, Kennedy MP. Emergency department 5.

length of stay independently predicts excess inpatient length of stay. Med J Aust 2003; 179 (10): 524-6.

Cameron PA, Campbell DA. Access block: problems 6.

and progress. Med J Aust 2003; 178 (3): 99-100.

Black D, Pearson M. Average length of stay, delayed 7.

discharge, and hospital congestion -a combination of medical and managerial skills is needed to solve the problem. BMJ 2002; 325 (7365): 610-1.

Richardson DB. Reducing patient time in the emergency 8.

department. Med J Aust 2003; 179 (10): 516-7.

Paulson DL. Comparison of wait times and patients 9.

leaving without being seen when licensed nurses versus unlicensed assistive personnel perform triage. J Emerg Nurs 2004; 30 (4): 307-11.

Cassidy-Smith TN, Baumann BM, Boudreaux ED.

10.

The disconfirmation paradigm: throughput times and emergency department patient satisfaction. J Emerg Med 2007; 32 (1): 7-13.

Fernandes CMB, Price A, Christenson JM. Does 11.

reduced length of stay decrease the number of emergency department patients who leave without seeing a physician?

J Emerg Med 1997; 15 (3): 397-9.

Vieth TL, Rhodes KV. The effect of crowding on access 12.

References

(10)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ and quality in an academic ED. Am J Emerg Med 2006; 24

(7): 787-94.

Stiell A, Forster AJ, Stiell IG, Walraven C. Prevalence 13.

of information gaps in the emergency department and the effect on patient outcomes. CMAJ 2003; 169 (10): 1023-8.

Carr BG, Kaye AJ, Wiebe DJ, Gracias VH, Schwab 14.

CW, Reilly PM. Emergency department length of stay: a major risk factor for pneumonia in intubated blunt trauma patients. J Trauma 2007; 63 (1): 9-12.

Langhan TS. Do elective surgical and medical 15.

admissions impact emergency department length of stay measurements? Clin Invest Med 2007; 30 (5): E177-82.

Lucas R, Farley H, Twanmoh J, Urumov A, Olsen N, 16.

Evans B, et al. Emergency department patient flow: the influence of hospital census variables on emergency department length of stay. Acad Emerg Med 2009; 16 (7):

597-602.

Partovi NP, Nelson BK, Bryan ED, Walsh MJ. Faculty 17.

triage shortens emergency department length of stay. Acad Emerg Med 2001; 8 (10): 990-5.

Tabibi SJ, Najafi B, Shoaie S. [Waiting time in the 18.

emergency department in selected hospitals of Iran University of Medical Sciences in 2007]. Journal of Research in Medical Sciences 2009; 33 (2): 117-22.

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Journal of Health Administration 2010; 13 (40)

Martyrs Hospital of Tehran, Iran

Hosseini M.¹ / Shaker H.² / Ghafouri H B.³ / Shokraneh F.⁴

Introduction: Chronometry of patients' workflow in emergency department (ED) is influenced by and influencing on many factors. This study was designed to calculate the chronometric indices of patients' workflow in ED of 7th Tir Martyrs Hospital of Tehran, and to determine their associated factors.

Methods: In this cross-sectional study, the population study are 649 records of patients attending in ED of 7th Tir Martyrs Hospital of Tehran, during 4-13 October 2008. Demographic data, route of entrance (EMS/Walk-in), traumatic/non-traumatic types, time durations, lab test and imaging request, other services visits, and work shift data were collected and analyzed by SPSS 12 through T-test

Results: We found mean time between triage to visit 22 minutes, visit to disposition 210 minutes, disposition to exit 51 minutes, and triage to disposition 243 minutes. There were no statistically significant relationship between durations and sex, traumatic/non-traumatic patients and shift of work. There were statistically significant relationship between durations and route of entrance, lab test and imaging request, surgery and neurosurgery visits with triage to visit, visit to disposition and disposition to exit..

Conclusion: Mean triage to visit, visit to disposition, disposition to exit, and triage to disposition durations were closer to them, and these differences are related to route of entrance, lab tests and imaging request, surgery and neurosurgery visits..

Keywords: Chronometric Analysis, Emergency Department, Trauma, Quality of Care, Healthcare Services, Length of Stay

Assistant Professor of Emergency Medicine Department, 7th Tir Martyrs Hospital, Iran University of Medical Sciences, Tehran, Iran.

1.

Assistant Professor of Emergency Medicine Department, Rasool-E Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

2.

Assistant Professor of Emergency Medicine Department, 7th Tir Martyrs Hospital, Iran University of Medical Sciences, Tehran, Iran;

3.

Corresponding Author (hbgssl@iums. ac. ir).

MSc of Medical Librarianship and Information Science, Center for Gifted and Talented Students, Iran University of Medical Sciences, 4.

Abstract