ﻠﺤﺗ ﻞﻴ ﻌﺿو ﺖﻴ ﻮﮕﺨﺳﺎﭘ ﻲﻳ
ﺑ دﺮﻜﻠﻤﻋ نﺎﺘﺳرﺎﻤﻴ
يﺎﻫ ﺷزﻮﻣآ ﻲ
ﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲ
ناﺮﻬﺗ
ﻨﺴﺤﻣ ﺪﻤﺤﻣ
1ﻲ ﺳ ، ﺪﻴ ﺳ مﺎﺴﺣ
2ﻦﻳﺪﻴ ﺴﺣ ﻪﻤﻃﺎﻓﺎﻏآ ،* 3ﻲﻨﻴ
ﺪﻬﻣ ، ي ﺳﺮﻏ ﻲ دﺎﺸﻨﻣ
4ي ﺪﺳا ﻪﻟا ﺖﻤﺸﺣ ،
5ي
ﺖﻓﺎﻳرد ﺦﻳرﺎﺗ
: 9 / 2 / 93 شﺮﻳﺬﭘ ﺦﻳرﺎﺗ
: 10 / 1 / 94
ﺪﻣ ﺪﺷرا سﺎﻨﺷرﺎﻛ1
ﺖﻳﺮﻳ ﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ ﻲ
ﻧﺎﻣرد
،ﻲ هﺪﻜﺸﻧاد ﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﺖﺷاﺪﻬﺑ ﻲ
ا ،ناﺮﻬﺗ ،ناﺮﻬﺗ ناﺮﻳ
ﺸﻧاد2
رﺎﻴ ﺪـﻣ هوﺮـﮔ ،ناﺮـﻳا ،نﺎـﻣﺮﻛ ،نﺎـﻣﺮﻛ ﻲﻜـﺷﺰﭘ مﻮـﻠﻋ هﺎﮕﺸﻧاد ،ﺖﻣﻼﺳ رد ﻲﻫوﮋﭘ هﺪﻨﻳآ هﺪﻜﺸﻫوﮋﭘ ،ﺖﻣﻼﺳ تﺎﻣﺪﺧ ﻪﻳارا ﺖﻳﺮﻳﺪﻣ تﺎﻘﻴﻘﺤﺗ ﺰﻛﺮﻣ ، ﺖﻳﺮﻳ
ﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ ﻲ
ﻧﺎﻣرد
،ﻲ هﺪﻜﺸﻧاد ﺪﻣ ﺖﻳﺮﻳ ﻧﺎﺳر عﻼﻃا و ﻲ
ﻜﺷﺰﭘ
،ﻲ ﺎﮕﺸﻧاد ﻜﺷﺰﭘ مﻮﻠﻋ ه ﻲ
ا
،ناﺮﻳ ا ،ناﺮﻬﺗ ناﺮﻳ
*) ﻮﻧ هﺪﻨﺴﻳ لﻮﺌﺴﻣ (
سﺎﻤﺗ هرﺎﻤﺷ :
09127639881
ﺑﺮﻣ3
،ﻲ ز رﺎﻣآ هوﺮﮔ
،ﻲﺘﺴﻳ ﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﺖﺷاﺪﻬﺑ هﺪﻜﺸﻧاد ﻲ
ا
،ناﺮﻳ ا ،ناﺮﻬﺗ ناﺮﻳ
،ناﺮﻬﺗ ،ناﺮﻳا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﺖﻣﻼﺳ دﺎﺼﺘﻗا و ﺖﻳﺮﻳﺪﻣ مﻮﻠﻋ تﺎﻘﻴﻘﺤﺗ ﺰﻛﺮﻣ ،ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ ﺪﺷرا ﻲﺳﺎﻨﺷرﺎﻛ يﻮﺠﺸﻧاد4
ا ناﺮﻳ
ﻮﺠﺸﻧاد5
ي ﺮﺘﻛد ي ﺪﻣ ﺖﻳﺮﻳ ﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ ﻲ
ﻧﺎﻣرد
،ﻲ هﺪﻜﺸﻧاد ي ﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﺖﺷاﺪﻬﺑ ﻲ
ا ،ناﺮﻬﺗ ،ناﺮﻬﺗ ناﺮﻳ
فﺪﻫ و ﻪﻨﻴﻣز نﺎﺘﺳرﺎﻤﻴﺑ:
ﻲﻣ ﻲﻧﺎﻣرد ﻦﻳﻮﻧ مﺎﻈﻧ رد ﻢﻬﻣ يﺎﻫدﺎﻬﻧ زا ﻲﻜﻳ ﻦﻳﺮـﺘﻤﻬﻣ زا ﺰـﻴﻧ ﻲﻳﻮﮕﺨﺳﺎﭘ و ﺪﺷﺎﺑ
ﻲﻧﺎﻣزﺎﺳ يﺎﻫدﺮﻜﻠﻤﻋ ﺖﺳا
. ﻲﻳﻮﮕﺨﺳﺎﭘ ﻚﻳ
ﺶﻴﭘ يوﺮﻴﻧ ﺮﺑ ﻪﻛ ﺖﺳا هﺪﻧﺮﺑ
ﻲﻠﺻا ﻞﻣاﻮﻋ ﻲﻣ دراو رﺎﺸﻓ
ﺎـﺗ دروآ
رد ﺮﺑاﺮﺑ دﻮﺧ دﺮﻜﻠﻤﻋ ﺪﻨﺷﺎﺑ لﻮﺌﺴﻣ
. ﻦﻳا ﻪﻌﻟﺎﻄﻣ ﺎﺑ فﺪﻫ ﻲﺳرﺮﺑ نﺎﺘﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ مﺎﻈﻧ مﺎـﺠﻧا ﺎـﻫ
ﺖﻓﺮﮔ . شور و داﻮﻣ ﺎﻫ
ﻪﻌﻟﺎﻄﻣ ﻦﻳا:
ﻲﻔﻴﺻﻮﺗ - لﺎـﺳ رد ﻲـﻌﻄﻘﻣ ترﻮـﺼﺑ ﻲﻠﻴﻠﺤﺗ 1392
رد 12 ﻲـﺷزﻮﻣآ نﺎﺘـﺳرﺎﻤﻴﺑ
مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﻧﺎﻣرد
ﺖﻓﺮﮔ مﺎﺠﻧا ناﺮﻬﺗ ﻲﻜﺷﺰﭘ .
هداد ﻪﻠﻴﺳﻮﺑ ﺎﻫ ي
ﻚﭼ ﻟ ﻴ ﺖﺴ ﺎﭘ ﻊﻤﺟ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳ يروآ
ﺪﺷ . هداد ﺎﻫ هدﺎﻔﺘﺳا ﺎﺑ زا
رﺎﻣآ ﻲﻔﻴﺻﻮﺗ و ﻪﻠﻴﺳﻮﺑ و ﻲﻠﻴﻠﺤﺗ ي
مﺮﻧ راﺰﻓا
19
ﺪﺷ ﻞﻴﻠﺤﺗSPSS
.
ﺞﻳﺎﺘﻧ نﺎﺘﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻴﻌﺿو ﻲﻠﻛ رﻮﻃ ﻪﺑ: ﻦﻴﮕﻧﺎﻴﻣ ياراد ﺎﻫ
50 / 1 ) زا 2 هﺮـﻤﻧ ( ﺖﻴﻌـﺿو رد و
"
بﻮﺧ
"
) ﻻﺎﺑ ﻪﺑ ﻂﺳﻮﺘﻣ (
ﺖﺷاد راﺮﻗ .
ﻪﻣﺎﻧﺮﺑ ﺪﻌﺑ يﺰﻳر
ﻦﻴﮕﻧﺎـﻴﻣ ﻦﻳﺮﺘـﺸﻴﺑ ﻚﻳﮋﺗاﺮﺘﺳا )
21 / 0 85±
/ 1 ( ﺪـﻌﺑ و
يذ ﺖﻛرﺎﺸﻣ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻳﺮﺘﻤﻛ نﺎﻌﻔﻧ
) 46 / 0 12±
/ 1 ( ﺪـﻧداد صﺎـﺼﺘﺧا دﻮﺧ ﻪﺑار .
ﻪـﻤﻫ ﻦﻴـﺑ ﺎـﻫﺮﻴﻐﺘﻣ ي
) ﺰـﺠﺑ
كﺮﺤﻣ ﺎﻫ ( ﻲﻨﻌﻣ و ﺖﺒﺜﻣ ﻲﮕﺘﺴﺒﻤﻫ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺎﺑ ﺖﺷاد دﻮﺟو راد
.
ﻪﺠﻴﺘﻧ يﺮﻴﮔ ﻲﻣ دﺮﻜﻠﻤﻋ زا ﻲﺘﻤﺴﻗ ﺮﻫ رد ﻒﻌﺿ : ﺖﻤﺴﻗ ﺮﮕﻳد ﺪﻧاﻮﺗ
ر ﺎﻫ دﺮـﻜﻠﻤﻋ ﺮـﺑ و ﺪﻫد راﺮﻗ ﺮﻴﺛﺄﺗ ﺖﺤﺗ ا
ﺪﺷﺎﺑ ﻪﺘﺷاد ﻲﻔﻨﻣ ﺮﻴﺛﺄﺗ نﺎﺘﺳرﺎﻤﻴﺑ ﻞﻛ .
نﺎﺘﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﻲﻧﻮﻨﻛ ﺖﻴﻌﺿو ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺖـﻴﻤﻫا و ﺎـﻫ
ناﺮﻳﺪـﻣ يرﺎـﻛ ﺖﻳﻮﻟوا رد ﺪﻳﺎﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺺﻗاﻮﻧ ﻪﺑ ﻲﮔﺪﻴﺳر و ﻒﻌﺿ طﺎﻘﻧ ياراد دﺎﻌﺑا ﺖﻳﻮﻘﺗ ،نآ دﺮﻴﮔ راﺮﻗ .
يﺪﻴﻠﻛ تﺎﻤﻠﻛ ﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ:
نﺎﺘﺳرﺎﻤﻴﺑ ،ناﺮﻳﺪﻣ ،دﺮﻜﻠ
ﻜﭼ ﻜﭼ ﻜﭼ ﻜﭼ ﻴﻴﻴﻴ هﺪ هﺪ هﺪ هﺪ ::::
Downloaded from http://journals.tums.ac.ir/ at 9:07 IRDT on Monday June 20th 2016
ﻪﻣﺪﻘﻣ
زا ﻲﻜﻳ ﺖﻣﻼﺳ ﻢﻬﻣ
ﻦﻳﺮﺗ ﻪﺑ نﺎﻬﺟ ﺢﻄﺳ رد ﻲﻋﺎﻤﺘﺟا فاﺪﻫا
رﺎﻤﺷ ﻣ ﻲ ﺪﻳآ . ﻦﻴﻴﻌﺗ ﻞﻣاﻮﻋ زا ﻲﻜﻳ ﻂﻳاﺮـﺷ و ﺖﻴﻌﺿو رد هﺪﻨﻨﻛ
مﺎﻈﻧ ،ﺖﻣﻼﺳ ﻲـﻣ ﺖﻣﻼـﺳ يﺎﻫ
و ﻆـﻔﺣ ﺖـﻬﺟ رد ﻪـﻛ ﺪﻨـﺷﺎﺑ
ﻪﺋارا داﺮﻓا ﺖﻣﻼﺳ يراﺪﻬﮕﻧ ﻲﻣ ﺖﻣﺪﺧ ي
ﺪﻨﻨﻛ ) 1 ( . ﻦﻴـﺑ ﻦﻳا رد
دﺎﻬﻧ زا ﻲــﻜﻳ نﺎﺘــﺳرﺎﻤﻴﺑ ﻲﻧﺎــﻣرد ﻦﻳﻮــﻧ مﺎــﻈﻧ رد ﻢــﻬﻣ يﺎــﻫ
ﻲﻣ ﺪﺷﺎﺑ ) 2 ( . ﻪـﻔﻟﺆﻣ و فاﺪـﻫا زا ﻲﻜﻳ ﺚـﺤﺑ درﻮـﻣ ﻲﻠـﺻا يﺎـﻫ
ﺳ ﻴ ﺖﺳﺎ ناراﺬﮔ ﺖﺳا ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻣﻼﺳ مﺎﻈﻧ ناﺮﻳﺪﻣ و .
هزوﺮﻣا
ﻲﻤﺘـﺴﻴﺳ مﻮـﻬﻔﻣ رد و ﻪـﺘﻓﺎﻳ ﻲـﻧوﺰﻓا زور ﺖـﻴﻤﻫا ﻲﻳﻮﮕﺨﺳﺎﭘ اﻳ ﻦ ﻪﻧﻮﮔ ﻲﻣ ﻒﻳﺮﻌﺗ ﺮـﮔا ﻪـﻛ ﻲﻌﻓﺎـﻨﻣ و ﺎﻫﺪﻣﺎﻴﭘ ﻪﻛ دﻮﺷ
ﻂـﺑاور
ﺖﺧﺎﻨﺷ ﻪﻛ ﺪﻨﺷﺎﺑ هﺪﺷ ﻲﺣاﺮﻃ نﺎﻨﭼ ﻲﻧﺎﻣزﺎﺳ نوﺮﺑ و ﻲﻧﺎﻣزﺎﺳ ﺪـﻨﻫﺪﺑ نﺎﻳﺮﺘـﺸﻣ ﻲـﻘﻄﻨﻣ تارﺎـﻈﺘﻧا ﻪﺑ ﻲﺒﺳﺎﻨﻣ ﺦﺳﺎﭘ و ﻲﻓﺎﻛ ﻲﻣ ﻖﻘﺤﺗ ﺪﺑﺎﻳ
) 3 ( . ﻲﻧﺎـﻣرد ﻲﺘـﺷاﺪﻬﺑ تﺎﻣﺪـﺧ ﺖـﻴﻔﻴﻛ لﺮﺘﻨﻛ
ﻪــﺋارا رد يروﺮــﺿ مﺎــﮔ ﻦﻴــﻟوا رﻮــﻈﻨﻣ ﻪــﺑ ﺢﻴﺤــﺻ تﺎﻣﺪــﺧ ي
ﻳﻮﮕﺨﺳﺎﭘ نﺎﺘﺳرﺎﻤﻴﺑ و ﺪﻨﺘﺴﻫ ﻲ ﻢﻬﻣ ناﻮﻨﻋ ﻪﺑ ﺎﻫ
نﺎﻣزﺎـﺳ ﻦﻳﺮـﺗ
ﺎﻫرﻮﺸﻛ رد ﻲﻧﺎﻣرد ﺑﻴ
ﺶ ﺮﺗ ﻳ ﻦ ﺪﻧراد ار ﻲﺑﺎﻳزرا ﻪﺑ زﺎﻴﻧ )
4 (.
ﻲﻣ ار ﻲﻳﻮﮕﺨﺳﺎﭘ ناﻮﺗ
وﺮﻴﻧ ﻳ ﺶﻴﭘ ﻲ هﺪﻧﺮﺑ ﺖﺴﻧاد ﺮﺑ ﻪﻛ ﻞﻣاﻮﻋ
ﻲﻠﺻا ﻲـﻣ دراو رﺎـﺸﻓ رد ﺎـﺗ دروآ
ﺮـﺑاﺮﺑ دﻮـﺧ دﺮـﻜﻠﻤﻋ لﻮﺌـﺴﻣ
ﺪﻨﺷﺎﺑ ) 5 ( . ﻲﻳﻮﮕﺨـﺳﺎﭘ ،ﺖﺷاﺪﻬﺑ ﻲﻧﺎﻬﺟ نﺎﻣزﺎﺳ ﺪﻴﻛﺄﺗ سﺎﺳا ﺮﺑ
زا ﻢﻬﻣ ﻦﻳﺮﺗ ﺖﺳا ﻲﻧﺎﻣزﺎﺳ يﺎﻫدﺮﻜﻠﻤﻋ )
3 ( ،ﺖﻣﻼـﺳ مﺎـﻈﻧ رد و
ﻪﺒﻨﺟ ﭘ ﻒﻠﺘﺨﻣ يﺎﻫ دﺎـﻌﺑا ﺮـﺑ ﺪﻴﻛﺄﺗ ﻲﺗﺎﻬﺟ زا ﻚﻳ ﺮﻫ ﻲﻳﻮﮕﺨﺳﺎ
ﺪﻧراد ﺖﻣﻼﺳ تﺎﻣﺪﺧ ﻲﻧﺎﺴﻧا )
6 ( ﺮﻃﺎـﺧ ﻦﻴـﻤﻫ ﻪـﺑ ﺮـﺑ ﺰـﻛﺮﻤﺗ
ﻲــﻣ ﻲﻳﻮﮕﺨــﺳﺎﭘ مﺎــﻈﻧ دﺮــﻜﻠﻤﻋ زا كرد ﺶﻳاﺰــﻓا ﺚــﻋﺎﺑ ﺪــﻧاﻮﺗ
قﻮﺸﻣ و ﺎﻫرﺎﺸﻓ ﺮﺘﻬﺑ ﻲﻳﺎﺳﺎﻨﺷ ،ﺖﻣﻼﺳ مﺎـﻈﻧ ناﺮﮕﻳزﺎﺑ ﻪﻛ ﻲﻳﺎﻫ
ﺮـﺘﻬﺑ تﺎﺣﻼﺻا ياﺮﺟا و ﻲﺣاﺮﻃ و ﺪﻨﺘﺴﻫ ﻪﺟاﻮﻣ نآ ﺎﺑ ﺖﻣﻼﺳ دﻮــﺷ ) 7 ( . ﻞﻣﺎــﺷ ،ﻲﺗﺎــﻴﻠﻤﻋ مﻮــﻬﻔﻣ رد ﻲﻳﻮﮕﺨــﺳﺎﭘ ،ﻲــﻓﺮﻃ زا
ﭘ ياﺮﺑ تﺎﺴﺳﺆﻣ و داﺮﻓا ﻦﻴﺑ ﻲﻄﺑاور ﺦﺳﺎ
دﺮـﻜﻠﻤﻋ ﺮﺑاﺮﺑ رد ﻲﻳﻮﮔ
ﻲﻣ دﻮﺧ ﺪﺷﺎﺑ ) 8 ( . ﻞﻴﻜـﺸﺗ ﺮـﺑ هوﻼـﻋ يدﺮـﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ رد
فﺪﻫ ﻪﺑ نﺪﻴﺳر ياﺮﺑ نﺎﻣزﺎﺳ ﺢﻴﺤﺻ نﺎﻴﻨﺑ ،دﻮـﺧ ﻲﻧﺎـﻣرآ يﺎﻫ
هﻮﺤﻧ صﻮﺼﺧ رد ﺪﻳﺎﺑ نﺎﻣزﺎﺳ و ﻲﻧﺎﻣزﺎـﺳ ﻊﺑﺎـﻨﻣ زا هدﺎﻔﺘـﺳا ي
هﺎﺗﻮﻛ تاﺮﻴﺛﺄﺗ ﺪﺷﺎﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ دﻮﺧ دﺮﻜﻠﻤﻋ ﻲﻧآ و تﺪﻣ
) 9 ( .
رد ﻲﻳﻮﮕﺨﺳﺎﭘ ياﺮﺑ ار ﻲﻳﺎﻫرﺎﺸﻓ ًاﺮﻴﺧا ﺖﻣﻼﺳ ﺶﺨﺑ ناﺮﻳﺪﻣ ﺶﺨﺑ ﻲﻠﻣ دﺮﻜﻠﻤﻋ يﺎﻫدراﺪﻧﺎﺘﺳا دﺎﺠﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ دﺮﻜﻠﻤﻋ ﺮﺑاﺮﺑ
هدﺮﻛ ﻪﺑﺮﺠﺗ ﺖﻣﻼﺳ ﺖﻣﻼـﺳ ﻢﺘﺴﻴﺳ ياﺮﺑ ﻪﻨﻴﻬﺑ دﺮﻜﻠﻤﻋ ﻪﻛ ﺪﻧا
ﺪﻨﻨﻛ ﻲﻳﺎﺳﺎﻨﺷ ار ﻲﻠﺤﻣ ﻲﻣﻮﻤﻋ .
ﻦـﻳا ﺮﺑ هوﻼﻋ ﺮـﻴﺧا تﺎﻣاﺪـﻗا ،
يﺎﻬﻧﺎﻣزﺎــﺳ ياﺮــﺑ ﻲــﺸﺨﺑ رﺎــﺒﺘﻋا يﺎﻫدراﺪﻧﺎﺘــﺳا دﺎــﺠﻳا ياﺮــﺑ هﺮــﻬﺑ و ﺖﻛرﺎــﺸﻣ ﺚــﻋﺎﺑ ﻲﻣﻮــﻤﻋ ﺖــﺷاﺪﻬﺑ رد ناﺮﻳﺪــﻣ ي
هزاﺪﻧا نﺎﻣزﺎﺳ دﺮﻜﻠﻤﻋ دﻮﺒﻬﺑ و يﺮﻴﮔ ﺖـﺳا هﺪـﺷ ﺎﻬﻧآ يﺎﻫ
) 10 ( .
نﺎﺘﺳرﺎﻤﻴﺑ رد ﻫ
رﻮﺸﻛ يﺎ رد ﻂـﻘﻓ دﺮـﻜﻠﻤﻋ ﺮﺑاﺮﺑ رد ﻲﻳﻮﮕﺨﺳﺎﭘ
شراﺰﮔ ﻚـﻳ نﺎـﻳﺮﺟ ﻪﻛ ﻲﺘﻨﺳ ﻲﻳﻮﮕﺨﺳﺎﭘ و ﻪﻧﻻﺎﺳ ﻲﻫد ﻪـﻓﺮﻃ
ﻲﻣ يرادا ﺐﺗاﺮﻣ ﻪﻠﺴﻠﺳ رد تﺎﻋﻼﻃا و ﺖـﺳا هﺪﺷ ﻪﺻﻼﺧ ﺪﺷﺎﺑ
دراﺪـﻧ دﻮـﺟو ﻚﻴﺗﺎﻤﺘـﺴﻴﺳ دﺮـﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ مﺎﻈﻧ )
11 ( . رد نﺎﻣزﺎﺳ
،ﻮﻠﻧﺎﺧ و يﺪﻫاز ﺶﻫوﮋﭘ ﻖﺒﻃ ﺰﻴﻧ ﻲﺻﻮﺼﺧ يﺎﻫ 68
% زا
هزﻮﺣ ﻲﺘﻟود ﺮﻴﻏ يﺎﻫ نﺎﻣزﺎﺳ ﻪﻛ ﺪﻧﺪﻘﺘﻌﻣ نﺎﮔﺮﺒﺧ ي
و ﺖﻣﻼﺳ
ﺪﻬﺑ لﺎﺳ رد ناﺮﻳا ﺖﺷا 1404
زا جرﺎـﺧ ﻲﻳﻮﮕﺨـﺳﺎﭘ ﺖﻤـﺳ ﻪـﺑ
ﻲـﻌﺟاﺮﻣ يﻮﮕﺨـﺳﺎﭘ ﺮﺘـﺸﻴﺑ و ﺖـﺷاد ﺪﻨﻫاﻮﺧ ﺶﻳاﺮﮔ نﺎﻣزﺎﺳ ﺪﻨﺘـﺴﻫ رﺎـﺸﻓ مﺮـﻫا ياراد ﻪـﻛ دﻮـﺑ ﺪﻨﻫاﻮﺧ )
12 ( . زا يداﺪـﻌﺗ
ﻲﻳﺎﺳرﺎﻧ ﺮﻴﺧا يﺎﻫ ﻢﺘـﺴﻴﺳ ﻊﻳﺎﺷ رﺎﻴﺴﺑ
،ﺖﻣﻼـﺳ ﺖـﺒﻗاﺮﻣ يﺎـﻫ
ﻪــﻓﺮﺣ ﻲﻳﻮﮕﺨــﺳﺎﭘ درﻮــﻣ رد ﻲــﻧاﺮﮕﻧ ﺶﻳاﺰــﻓا ار ﺖﻣﻼــﺳ يا
هداد ﺪﻧا ) 13 ( ﺮﻃﺎﺧ ﻦﻴﻤﻫ ﻪﺑ ﻪﻈﺣﻼﻣ ﻞﺑﺎﻗ ﺶﻳاﺰﻓا
ﻦﻴـﺑ ﻪﺟﻮﺗ ي
يﺮـﻴﮕﻴﭘ ياﺮـﺑ ﺎﺿﺎﻘﺗ ﺎﺑ ،ﺮﺿﺎﺣ لﺎﺣ رد ﺖﻣﻼﺳ ﺚﺤﺑ ﻪﺑ ﻲﻠﻠﻤﻟا ﻪـﻣﺎﻧﺮﺑ ﺮﻴﺛﺄـﺗ ﻲﺑﺎـﻳزرا ،دﺮـﻜﻠﻤﻋ و ﺖﻣﻼﺳ ﺖﻓﺮﺸﻴﭘ ﻖﻴﻗد و ﺎـﻫ
ﺖﺳﺎﻴﺳ رد ﻲﻳﻮﮕﺨﺳﺎﭘ ﺶﻳاﺰﻓا و ﺖﻣﻼﺳ يﺎﻫ و يرﻮـﺸﻛ ﺢﻄﺳ
ﺖﺳا هﺪﺷ هاﺮﻤﻫ ﻲﻧﺎﻬﺟ )
14 (.
تاﺰﻴﻬﺠﺗ و تﺎﻧﺎﻜﻣا ،ﺺﺼﺨﺘﻣ ﻲﻧﺎﺴﻧا يوﺮﻴﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ناﺮﻳا رد ﻪﺘﻓﺮــﺸﻴﭘ هﻮﻘﻟﺎــﺑ رﻮــﻃ ﻪــﺑ نﺎــﻜﻣا ﻦــﻳا ﻲــﺘﻟود ﺶــﺨﺑ ي ياﺮــﺑ يا
نﺎﺘﺳرﺎﻤﻴﺑ هﺮﻬﺑ ﺎﺑ ﻲﻳاﺮﺟا ﻦﻴﻟﻮﺌﺴﻣ ﻪﻛ دراد دﻮﺟو ﺎﻫ
ﻦـﻳا زا يﺮـﻴﮔ
ﻪﻳﺎﻣﺮﺳ ي ،ﺮـﺘﻬﺑ ﻲﻫدزﺎـﺑ ياﺮـﺑ ﻲﺒـﺳﺎﻨﻣ تاﺪـﻴﻬﻤﺗ ،ﻚﻳﮋﺗاﺮﺘـﺳا
ﺖﻣﺪﺧ ﻪﺘﺴﻳﺎﺷ ﻲﻧﺎﺳر ﺪﻨـﺸﻳﺪﻨﻴﺑ ﺮﺘـﺸﻴﺑ ﻲﻳﻮﮕﺨـﺳﺎﭘ و ﺮﺗ
) 3 ( . ﻪـﺑ
ﺶﺨﺑ رد تﺎﻣﺪﺧ ﻲﻔﻴﻛ ﺢﻄﺳ يﺎﻘﺗرا رﻮﻈﻨﻣ ﻪـﺟﻮﺗ ،ﻲﻧﺎـﻣرد يﺎـﻫ
مﺰﻴﻧﺎﻜﻣ ﻪﺑ ﺮﺘﺸﻴﺑ ﻪﺋارا و ﻲﻳﻮﮕﺨﺳﺎﭘ يﺎﻫ
ﺖﻴﻔﻴﻛ ﺎﺑ تﺎﻣﺪﺧ ي ﻪـﺑ ﺮﺗ
ﻈﻨﻣ نﺎﻣزﺎـﺳ ﻪـﺟﻮﺗ درﻮـﻣ ﻪـﻛ تﺎﻣﺪﺧ ﻦﻳا ﻲﻔﻴﻛ ﺢﻄﺳ يﺎﻘﺗرا رﻮ
ﺖﺳا يروﺮﺿ ﺖﺳا ﺖﺷاﺪﻬﺑ ﻲﻧﺎﻬﺟ .
ﻦـﻳا مﺎـﺠﻧا زا فﺪـﻫ ﻦﻳاﺮﺑﺎﻨﺑ
دﻮﺑ ﻦﻳا ﺶﻫوﮋﭘ زا هدﺎﻔﺘﺳا ﺎﺑ ﺎﺗ
رد عﻮﺿﻮﻣ ﺖﻴﻤﻫا ﺮـﺼﻋ
ﻲﻧﻮـﻨﻛ و
نﺎﻣزﺎﺳ زﺎﻴﻧ يزوﺮﻣا يﺎﻫ
نﺎﺘﺳرﺎﻤﻴﺑ هﮋﻳو ﻪﺑ ،ﺎﻫ
ﻲﺳرﺮﺑ ﻪﺑ ﻞـﻴﻠﺤﺗ و
نﺎﺘﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻴﻌﺿو ﺎﻫ
دﻮﺷ ﻪﺘﺧادﺮﭘ .
شور و داﻮﻣ ﺎﻫ
هدﻮﺑ ﻲﻌﻄﻘﻣ عﻮﻧ زا و ﻲﻠﻴﻠﺤﺗ ﻲﻔﻴﺻﻮﺗ ﺶﻫوﮋﭘ ﻚﻳ ﻪﻌﻟﺎﻄﻣ ﻦﻳا لﺎـﺳ رد ﻪﻛ 1392
ﺪـﺷ مﺎـﺠﻧا .
ﻦﻴـﺑ زا 16 ﻲـﺷزﻮﻣآ نﺎﺘـﺳرﺎﻤﻴﺑ
مﺪـﻋ ﺖـﻠﻋ ﻪـﺑ نﺎﺘـﺳرﺎﻤﻴﺑ رﺎـﻬﭼ ،ناﺮـﻬﺗ ﻲﻜـﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﺖـﻳﺎﻬﻧ رد و ﺪﻧﺪﺷ فﺬﺣ ﻪﻧﻮﻤﻧ زا يرﺎﻜﻤﻫ 12
درﻮـﻣ نﺎﺘـﺳرﺎﻤﻴﺑ
ﮔ راﺮـﻗ ﻪﻌﻟﺎﻄﻣ ﺪـﻨﺘﻓﺮ
. ﻊـﻤﺟ ياﺮـﺑ هداد يروآ
ﺖـﺴﻴﻟ ﻚـﭼ زا ﺎـﻫ
دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ )
11 ( ﺪﻳدﺮﮔ هدﺎﻔﺘﺳا .
ﻲﺗاﺮﻴﻴﻐﺗ دﺎﺠﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ
نﺎﺘﺳرﺎﻤﻴﺑ رد هﻮﺤﻧ و ﺎﻫ
ﻲﺑﺎﻳزرا ي ﻦـﻳا رد ﺮﮕـﺸﻫوﮋﭘ ،ﺪـﻳﺪﺟ يﺎـﻫ
هﻮﺤﻧ و تﻻاﻮﺳ رد ﻲﺗاﺮﻴﻴﻐﺗ ﺖﺴﻴﻟ ﻚﭼ تﻻاﻮـﺳ ﻪﺑ ﻲﻫدزﺎﻴﺘﻣا ي
تاﺮﻈﻧ زا ﻲﻳاور ﺪﻴﻳﺄﺗ ياﺮﺑ ًادﺪﺠﻣ و دﺮﻛ دﺎﺠﻳا 10
ﺗﺎـﺳا زا ﺮﻔﻧ و ﺪﻴ
ﺖـﺴﻴﻟ ﻚﭼ ﺖﻳﺎﻬﻧ رد و دﻮﻤﻧ هدﺎﻔﺘﺳا نﺎﺳﺎﻨﺷرﺎﻛ 52
ﻪـﺑ ﻲﻟاﻮـﺳ
ﺖﻓﺮﮔ راﺮﻗ هدﺎﻔﺘﺳا درﻮﻣ ﺶﻫوﮋﭘ راﺰﺑا ناﻮﻨﻋ .
هﻮﺤﻧ ﻚﭼ ﻞﻴﻤﻜﺗ ي
هﺪﻫﺎﺸﻣ ترﻮﺼﺑ ﺖﺴﻴﻟ ،ناﺮﻳﺪﻣ ﺎﺑ ﻪﺒﺣﺎﺼﻣ و تاﺪﻨﺘﺴﻣ و كراﺪﻣ ي
ﺶﺨﺑ ﻦﻴﻟﻮﺌﺴﻣ ،ﺖﻴﻔﻴﻛ دﻮﺒﻬﺑ ﻦﻴﻟﻮﺌﺴﻣ دﻮﺑ نﺎﻨﻛرﺎﻛ و ﺎﻫ
. تﻻاﻮﺳ
ﺪﻌﺑ ﺖﺸﻫ رد
"
ﻪﻣﺎﻧﺮﺑ ا يﺰﻳر ﻚﻳﮋﺗاﺮﺘﺳ
"
،
"
هزاﺪﻧا دﺮـﻜﻠﻤﻋ يﺮـﻴﮔ
"
،
"
كﺮﺤﻣ ﺎﻫ
"
،
"
ﺶـﻘﻧ ﺖﻴﻟﻮﺌـﺴﻣ و ﺎـﻫ ﺎـﻫ
"
،
"
ﺖـﻴﻠﺑﺎﻗ ﺐـﺳﺎﻨﺗ و ﺎـﻫ
دﺮﻜﻠﻤﻋ تارﺎﻈﺘﻧا
"
،
"
ﺶﻳﺎﭘ شراﺰﮔ و دﺮـﻜﻠﻤﻋ ﻲـﻫد
"
،
"
ﺖﻛرﺎـﺸﻣ
Downloaded from http://journals.tums.ac.ir/ at 9:07 IRDT on Monday June 20th 2016
يذ نﺎﻌﻔﻧ
"
و
"
دﺮﻜﻠﻤﻋ دﻮﺒﻬﺑ
"
ﺖﺳا . ﺖﺴﻴﻟ ﻚﭼ ﺮﻫ زﺎﻴﺘﻣا ﺮﺜﻛاﺪﺣ
104 هدﻮﺑ ) ود و ﻚﻳ ،ﺮﻔﺻ زﺎﻴﺘﻣا ياراد لاﻮﺳ ﺮﻫ (
ﺎﻴﺘﻣا ﻦﻴﮕﻧﺎﻴﻣ و ز
ﻦﻴﮕﻧﺎﻴﻣ ﺮﮔا ﻪﻛ ﻲﺗرﻮﺻ ﻪﺑ ،ﺪﺷ ﻪﺒﺳﺎﺤﻣ نﺎﺘﺳرﺎﻤﻴﺑ ﺮﻫ ﺖﺴﻴﻟ ﻚﭼ ﻦﻴﺑ 66 / 0 - 0 دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺪﺷﺎﺑ
"
ﻢﻛ
"
ﻦﻴـﺑ ، 33 / 1 - 67 / 0
ﺪﺷﺎﺑ
"
ﻂﺳﻮﺘﻣ
"
و ﻦﻴﺑ ﺮﮔا 2 34– / 1 ﺪﺷﺎﺑ
"
بﻮﺧ
"
ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد
ﺪﺷ . هداد و ﻲﻔﻴـﺻﻮﺗ رﺎـﻣآ زا هدﺎﻔﺘـﺳا ﺎـﺑ هﺪـﺷ يروآ ﻊـﻤﺟ يﺎـﻫ
ﺖﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ درﻮﻣ ﻲﻃﺎﺒﻨﺘﺳا .
ﻪﺑ ﻲـﻧاواﺮﻓ ﻪﺒﺳﺎﺤﻣ رﻮﻈﻨﻣ ،ﺎـﻫ
ﻦﻴﮕﻧﺎﻴﻣ ﺪﺷ هدﺎﻔﺘﺳا ﻲﻔﻴﺻﻮﺗ رﺎﻣآ زا ،ﺎﻫﺪﺻرد و ﺎﻫ .
رﺎﻣآ ﺶﺨﺑ رد
نﻮﻣزآ زا ﺰﻴﻧ ﻲﻃﺎﺒﻨﺘﺳا
ﺪﻳدﺮﮔ هدﺎﻔﺘﺳا نﻮﺳﺮﻴﭘ ﻲﮕﺘﺴﺒﻤﻫ ﺐﻳﺮﺿ .
ﺎﻫداد ﻞﻴﻠﺤﺗ راﺰﻓا مﺮﻧ زا هدﺎﻔﺘﺳا ﺎﺑ
19 ﺪﺷ مﺎﺠﻧاSPSS
.
ﺞﻳﺎﺘﻧ نﺎﺘﺳرﺎﻤﻴﺑ داﺪﻌﺗ ﻪـﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ
12 ﻪـﻛ دﻮـﺑ نﺎﺘـﺳرﺎﻤﻴﺑ
ﻪـﺘﻓﺎﻳ ﻖــﺒﻃ ﺮـﺑ ﺎﻬﻧﺎﺘــﺳرﺎﻤﻴﺑ ﺮـﺜﻛا ﺐــﺳﺎﻨﻣ ﺖﻴﻌـﺿو ياراد ﺎــﻫ
ﺪﻧدﻮﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ .
ﻪـُﻧ ﻪﻛ داد نﺎﺸﻧ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻴﻌﺿو
ﺖﻴﻌﺿو رد نﺎﺘﺳرﺎﻤﻴﺑ
"
بﻮﺧ
"
ﺖﻴﻌـﺿو رد نﺎﺘـﺳرﺎﻤﻴﺑ ﻪـﺳ و
ﺪﻨﺘﺴﻫ ﻂﺳﻮﺘﻣ .
دﺮـﻜﻠﻤﻋ ﻲﻳﻮﮕﺨـﺳﺎﭘ ﺖﻴﻌـﺿو ﻲـﻠﻛ رﻮـﻃ ﻪـﺑ
نﺎﺘﺳرﺎﻤﻴﺑ ﺖﻴﻌﺿو رد ﺎﻫ
"
بﻮﺧ
"
ﺖﺷاد راﺮﻗ .
لوﺪﺟ
1 . ﺳﺎﭘ ﺖﻴﻌﺿو نﺎﺘﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨ
ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ
نﺎﺘﺳرﺎﻤﻴﺑ
ﻦﻴﮕﻧﺎﻴﻣ فاﺮﺤﻧا رﺎﻴﻌﻣ ﺖﻴﻌﺿو ﻲﻳﻮﮕﺨﺳﺎﭘ
1 37 / 1 81 / 0 بﻮﺧ
2 88 / 1 29 / 0 بﻮﺧ
3 40 / 1 74 / 0 بﻮﺧ
4 38 / 1 72 / 0 بﻮﺧ
5 65 / 1 73 / 0 بﻮﺧ
6 77 / 1 39 / 0 بﻮﺧ
7 23 / 1 89 / 0 ﻂﺳﻮﺘﻣ
8 77 / 1 52 / 0 بﻮﺧ
9 52 / 1 54 / 0 بﻮﺧ
10 58 / 1 60 / 0 بﻮﺧ
11 29 / 1 78 / 0 ﻂﺳﻮﺘﻣ
12 25 / 1 87 / 0 ﻂﺳﻮﺘﻣ
ﻞﻛ 50 / 1 22 / 0 بﻮﺧ
نﺎﺘـﺳرﺎﻤﻴﺑ دﺮـﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻴﻌﺿو ﻦﻴﮕﻧﺎـﻴﻣ ياراد ﺎـﻫ
22 / 0 50±
/ 1 ﺖﻴﻌﺿو رد و دﻮﺑ
"
بﻮﺧ
"
راﺮـﻗ ﻻﺎﺑ ﻪﺑ ﻂﺳﻮﺘﻣ ﺎﻳ
ﺖﺷاد . نﺎﺘﺳرﺎﻤﻴﺑ ﺮﺜﻛا رد ﻻﺎﺑ رﺎﻴﻌﻣ فاﺮﺤﻧا ﻪﺘﺒﻟا ﺎﻫ
ﻦﻳا ﺮﮕﻧﺎﺸﻧ
هداد ﻪﻛ ﺖﺳا هﺪﻨﻛاﺮﭘ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺑ ﺖﺒﺴﻧ ﺎﻫ
ﺪﻧا ﻪﻤﻫ ﻪﺑ و دﺎـﻌﺑا ي
ﺖﺳا هﺪﺸﻧ ﻪﺟﻮﺗ ناﺰﻴﻣ ﻚﻳ ﻪﺑ .
لوﺪﺟ ﺞﻳﺎﺘﻧ ﻖﺒﻃ ﺮﺑ 2
ﻪﻣﺎﻧﺮﺑ ﺪﻌﺑ ، ﻦﻳﺮﺘﺸﻴﺑ ﻚﻳﮋﺗاﺮﺘﺳا يﺰﻳر
ﻦﻴﮕﻧﺎــﻴﻣ )
21 / 0 85±
/ 1 ( يذ ﺖﻛرﺎــﺸﻣ ﺪــﻌﺑ و ﻦﻳﺮــﺘﻤﻛ نﺎــﻌﻔﻧ
ﻦﻴﮕﻧﺎﻴﻣ ) 46 / 0 12±
/ 1 ( ﺪﻨﺘﺷاد ار .
لوﺪﺟ 2 . نﺎﺘﺳرﺎﻤﻴﺑ رد ﻲﺳرﺮﺑ درﻮﻣ دﺎﻌﺑا رﺎﻴﻌﻣ فاﺮﺤﻧا و ﻦﻴﮕﻧﺎﻴﻣ ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ
ﺪﻌﺑ ﻞﻗاﺪﺣ
ﺮﺜﻛاﺪﺣ
ﻞﻛ
Mean±SD Mean±SD
Mean±SD
ﻪﻣﺎﻧﺮﺑ ﻚﻳﮋﺗاﺮﺘﺳا يﺰﻳر
89 / 0 40±
/ 1 2±0
21 / 0 85±
/ 1
هزاﺪﻧا دﺮﻜﻠﻤﻋ يﺮﻴﮔ 09
/ 1 80±
/ 0 2±0
32 / 0 45±
/ 1
كﺮﺤﻣ ﺎﻫ 50
/ 0 25±
/ 0 2±0
50 / 0 33±
/ 1
ﺶﻘﻧ ﺖﻴﻟﻮﺌﺴﻣ و ﺎﻫ ﺎﻫ
53 / 0 43±
/ 1 2±0
19 / 0 58±
/ 1
ﺖﻴﻠﺑﺎﻗ ﺐﺳﺎﻨﺗ دﺮﻜﻠﻤﻋ تارﺎﻈﺘﻧا و ﺎﻫ
94
/ 0 1±
2±0 29
/ 0 53±
/ 1
و ﺶﻳﺎﭘ شراﺰﮔ دﺮﻜﻠﻤﻋ ﻲﻫد 92
/ 0 64±
/ 0 2±0
40 / 0 65±
/ 1
يذ ﺖﻛرﺎﺸﻣ نﺎﻌﻔﻧ
83 / 0 50±
/ 0 2±0
46 / 0 12±
/ 1
دﺮﻜﻠﻤﻋ دﻮﺒﻬﺑ 95
/ 0 75±
/ 0 2±0
38 / 0 50±
/ 1
ﻞﻛ 89
/ 0 23±
/ 1 88 / 1 29±
/ 0 22 / 0 50±
/ 1
ﻦﻴﻨﭽﻤﻫ ﺴﺒﻤﻫ نﻮﻣزآ ﻲﮕﺘﺴﺒﻤﻫ ﻪﻛ داد نﺎﺸﻧ نﻮﺳﺮﻴﭘ ﻲﮕﺘ
ﻲﻨﻌﻣ و ﺖﺒﺜﻣ ﻪـﻤﻫ و دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﻦﻴﺑ يراد
نآ دﺎـﻌﺑا ي
ﺪﻌﺑ ﺰﺠﺑ
"
كﺮﺤﻣ ﺎﻫ
"
دراد دﻮﺟو .
تﺪـﺷ ظﺎـﺤﻟ زا تﺎﻃﺎﺒﺗرا ﻦﻳا
و ﺪـﻧدﻮﺑ يﻮـﻗ ﺪـﺣ رد ﻪﻄﺑار ﺪـﻌﺑ
"
ﺶـﻘﻧ ﺖﻴﻟﻮﺌـﺴﻣ و ﺎـﻫ ﺎـﻫ
"
ﻪﺘﺷاد ار ﻪﻄﺑار تﺪﺷ ﻦﻳﺮﺘﺸﻴﺑ )
811 / 0 (r=
ﺪﻌﺑ و
"
هزاﺪﻧا يﺮـﻴﮔ دﺮﻜﻠﻤﻋ
"
دﻮـﺑ اراد ﻪﻴﻘﺑ ﺖﺒﺴﻧ ار يﺮﺘﻤﻛ تﺪﺷ ﺰﻴﻧ )
599 / 0 .(r=
ﻪﻴﻘﺑ ﻲﮕﺘﺴﺒﻤﻫ دﻮـﺑ ترﻮـﺻ ﻦـﻳا ﻪﺑ ﺰﻴﻧ دﺎﻌﺑا ي
: يﺰـﻳر ﻪـﻣﺎﻧﺮﺑ
ﻚﻳﮋﺗاﺮﺘﺳا )
684 / 0 (r=
ﺖﻴﻠﺑﺎﻗ ﺐﺳﺎﻨﺗ ، تارﺎﻈﺘﻧا و ﺎﻫ
) 774 / 0 (r=
،
و ﺶﻳﺎـــﭘ شراﺰـــﮔ
دﺮـــﻜﻠﻤﻋ ﻲـــﻫد )
748 / 0 (r=
ﺖﻛرﺎـــﺸﻣ ،
يذ نﺎﻌﻔﻧ ) 695 / 0 (r=
دﺮﻜﻠﻤﻋ دﻮﺒﻬﺑ و )
700 / 0 .(r=
Downloaded from http://journals.tums.ac.ir/ at 9:07 IRDT on Monday June 20th 2016
ﺚﺤﺑ ﻪﺠﻴﺘﻧ و يﺮﻴﮔ
ﺶﻫوﮋﭘ ﻦﻳا رد 12
ﺖـﻓﺮﮔ راﺮـﻗ ﻲـﺳرﺮﺑ درﻮﻣ نﺎﺘﺳرﺎﻤﻴﺑ .
ﺪـﻌﺑ
ﻪﻣﺎﻧﺮﺑ ﻦﻴﮕﻧﺎـﻴﻣ ﻦﻳﺮﺘـﺸﻴﺑ ﻚﻳﮋﺗاﺮﺘـﺳا يﺰﻳر )
21 / 0 85±
/ 1 ( ﺪـﻌﺑ و
يذ ﺖﻛرﺎﺸﻣ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻳﺮﺘﻤﻛ نﺎﻌﻔﻧ
) 46 / 0 12±
/ 1 ( ﺪﻨﺘـﺷاد ار .
ﻪـﺑ
نﺎﺘﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻴﻌﺿو ﻲﻠﻛ رﻮﻃ ﻦﻴﮕﻧﺎﻴﻣ ياراد ﺎﻫ
50 / 1 ﺖﻴﻌﺿو رد و
"
بﻮﺧ
"
ﺖـﺷاد راﺮـﻗ ﻻﺎـﺑ ﻪﺑ ﻂﺳﻮﺘﻣ ﺎﻳ .
ﻦـﻳا
ﻪﺘﻓﺎﻳ ﻪـﻌﻟﺎﻄﻣ ﺞﻳﺎـﺘﻧ ﺎﺑ ﺎﻫ ﺢﻄـﺳ درﻮـﻣ رد نارﺎـﻜﻤﻫ و يﺮﻫﻮـﮔ ي
نﺎﺘﺳرﺎﻤﻴﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ ﻲﺷزﻮﻣآ يﺎﻫ
ﻪﻛ رﻮﺸﻛ ار نآ ﻻﺎﺑ ﻪﺑ ﻂﺳﻮﺘﻣ
ﺪﻧدﺮﻛ شراﺰﮔ دراد ﻲﻧاﻮﺨﻤﻫ
) 15 ( . ﻪﻌﻟﺎﻄﻣ رد ﻦﻴﻨﭽﻤﻫ ،ﻲﺒﻴﺒﻃ ي
نﺎﺘﺳرﺎﻤﻴﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ ﻻﺎﺑ ﻪﺑ ﻂﺳﻮﺘﻣ ناﺮﮔرﺎﺜﻳا ﺪﻳد زا ﻲﺷزﻮﻣآ يﺎﻫ
ﺪـﺷ ﻲﺑﺎﻳزرا )
16 ( . نﺎﺘـﺳرﺎﻤﻴﺑ ﻲﻳﻮﮕﺨـﺳﺎﭘ و ﻦﻴﻌﺟاﺮـﻣ ﺪـﻳد زا ﺎـﻫ
ﻪﻌﻟﺎﻄﻣ رد نارﺎﻤﻴﺑ سﺎﻛ و تﺮﻜﻳد ي
)1
17 ( ﻲﺑﺎـﻳزرا بﻮـﻠﻄﻣ ﺰـﻴﻧ
ﺖﺳا هﺪﺷ . هﺪﺷ ﻲﺑﺎﻳزرا ﻂﺳﻮﺘﻣ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺢﻄﺳ ﻪﻛ ﻲﺗﺎﻌﻟﺎﻄﻣ رد
ﻲﻣ ﺖﺳا ﻪـﻌﻟﺎﻄﻣ ﺞﻳﺎـﺘﻧ ﻪـﺑ ناﻮـﺗ نﺎﺘـﺳرﺎﻤﻴﺑ رد يداﻮـﺟ ي
يﺎـﻫ
نﺎﻬﻔــﺻا ) 3 ( دﺮــﻛ هرﺎــﺷا .
ﻦﻴــﺑ ار يرادﺎــﻨﻌﻣ توﺎــﻔﺗ ﻪــﻌﻟﺎﻄﻣ ﻦــﻳا
نﺎﺘــﺳرﺎﻤﻴﺑ ناﺰــﻴﻣ ﺎــﻣا داﺪــﻧ نﺎــﺸﻧ ﺎــﻫ
ار نآ نﺎﺘــﺳرﺎﻤﻴﺑ رد يﺎــﻫ
نﺎﺘﺳرﺎﻤﻴﺑ زا ﺮﺘﺸﻴﺑ ﻲﺻﻮﺼﺧ دﺮﻛ ﺮﻛذ ﻲﺘﻟود يﺎﻫ
. ﻪﻄﺑار ﻦﻴﻤﻫ رد
ﻪﻌﻟﺎﻄﻣ ﻪـﺴﻳﺎﻘﻣ ﻪـﺑ ﻪـﻛ يا نﺎﺘـﺳرﺎﻤﻴﺑ دﺮـﻜﻠﻤﻋ ي
و ﻲـﺘﻟود يﺎـﻫ
ﺎـﻤﻴﺑ و ﻲﻳﻮﮕﺨـﺳﺎﭘ ﺖﺳا ﻪﺘﺧادﺮﭘ كﻮﻜﻧﺎﺑ رد ﻲﺻﻮﺼﺧ يرﻮـﺤﻣ ر
نﺎﺘﺳرﺎﻤﻴﺑ ﺖﺳا هدﺮﻛ ﺮﻛذ ﺮﺘﺸﻴﺑ ار ﻲﺻﻮﺼﺧ يﺎﻫ
) 18 ( . ﺰـﻴﻧ تﺎﻴﺑ
مﺮﻛا لﻮﺳر تﺮﻀﺣ نﺎﺘﺳرﺎﻤﻴﺑ رد ار ﻲﻳﻮﮕﺨﺳﺎﭘ ﺢﻄﺳ )
ص ( ناﺮﻬﺗ
ﻲﻠﻛ رﻮﻃ ﻪﺑ 50
ﺖﺳا هدﺮﻛ ﺮﻛذ ﺪﺻرد .
ﻪﺘﻓﺎﻳ سﺎﺳا ﺮﺑ ﻲﻧاواﺮﻓ و ﺎﻫ
ﻢﺘﻳآ ﻲﻣ هﺪﺷ ﺮﻛذ ﺶﻫوﮋﭘ يﺎﻫ ﻲﻣ ناﻮﺗ
دﺮـﻛ طﺎﺒﻨﺘﺳا ﻦﻴﻨﭼ ناﻮﺗ
ﺳرﺎﻤﻴﺑ ﻦﻳا رد دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ مﺎﻈﻧ راﺮﻘﺘﺳا ﻪﻛ دﻮﺒﻬﺑ ﺚﻋﺎﺑ نﺎﺘ
ﻢﻴﻤﺼﺗ و دﺮﻜﻠﻤﻋ ﻲﻧﺎـﺴﻧا ﻊﺑﺎـﻨﻣ ﺖﻳﺮﻳﺪـﻣ دﻮـﺒﻬﺑ ًﺎـﺘﻳﺎﻬﻧ و يﺮـﻴﮔ
ﻲﻣ ددﺮﮔ ) 11 ( . ﻪﻛ ﺖﺳا ﺖﻬﺟ ﻦﻴﻤﻫ ﻪﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ
ار ﻣ ﻲ ناﻮـﺗ ﻪـﺑ
زا ار ﻲﻧﺎﻣزﺎـﺳ دﺮـﻜﻠﻤﻋ ﻪـﻛ ﺖﻓﺮﮔ ﺮﻈﻧ رد يدﺮﺒﻫار يراﺰﺑا ناﻮﻨﻋ ﻲﻣ نآ ﻖﻳﺮﻃ و داد ﺎـﻘﺗرا ار يﺮﺘـﺸﻣ ﺖﻳﺎـﺿر ،ﺖـﻓﺮﮔ هزاﺪـﻧا ناﻮﺗ
ﺪﺷ ﺐﺟﻮﻣ ار ﻲﺗﺎﻴﻠﻤﻋ ﻲﻳارﺎﻛ )
19 (.
ﺖـﺳا هﺪـﺷ ﻲـﺳرﺮﺑ تﺎﻣﺪﺧ ﺖﻴﻔﻴﻛ فﺎﻜﺷ ﺰﻴﻧ ﻲﺗﺎﻌﻟﺎﻄﻣ رد دراﻮﻣ زا ﻲﻀﻌﺑ رد ﻪﻛ ﺑﻴ
ﺶ ﺮﺗ ﻳ ﻦ ﻜﺷ هدﻮﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺪﻌﺑ رد فﺎ
ﺖﺳا . ﻲﻣ درﻮﻣ ﻦﻳا رد ﺶﻫوﮋﭘ ﻪﺑ ناﻮﺗ
يﺎﻫ ﻞﺒﻘﻣ ) 20 ( ﺶﻫوﮋﭘ ،
ﻲﻳﺎﻳﺮﺒﻛ ) 21 ( ﻢﻴﻟ ، )2
22 ( ﺲﻳﺪـﻳرﺎﻛ و )3
23 ( ﻪـﻛ دﺮـﻛ هرﺎـﺷا ،
ﺑﻴ ﺶ ﺮﺗ ﻳ ﻦ ﺪﻌﺑ رد ﺖﻴﻔﻴﻛ فﺎﻜﺷ ﻲﻳﻮﮕﺨﺳﺎﭘ
ﺖـﺳا هﺪـﺷ هﺪﻳد .
ﻪﺴﻳﺎﻘﻣ ﻪﺘﻓﺎﻳ ي نﺎﺘـﺳرﺎﻤﻴﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ درﻮﻣ رد ﺎﻫ لﻮـﻃ رد ﺎـﻫ
ﻲﻣ نﺎﺸﻧ لﺎﺳ ﺪﻨﭼ ﻦﻳا ﻪﺘﻓﺎﻳ ﺶﻳاﺰﻓا ﻲﻳﻮﮕﺨﺳﺎﭘ ناﺰﻴﻣ ﻪﻛ ﺪﻫد
ﺖﺳا . ﺎﺘـﺳرﺎﻤﻴﺑ رد لﺎﺜﻣ رﻮﻃ ﻪﺑ ﻪـﺴﻳﺎﻘﻣ ،لﻮـﺳر تﺮـﻀﺣ ن
ي
لﺎﺳ ﺞﻳﺎﺘﻧ 1382
ﺞﻳﺎﺘﻧ ﺎﺑ 1392 ﻲﻣ نﺎﺸﻧ ﻦﻴﮕﻧﺎـﻴﻣ ﻪـﻛ ﺪـﻫد
هﺮﻤﻧ ﺖﺳا ﻪﺘﻓﺎﻳ ﺶﻳاﺰﻓا ﻲﻳﻮﮕﺨﺳﺎﭘ ي .
1- Dickert & Kass
2 -Lim
3- Karydis
ﺶﻫوﮋـﭘ ﺮﮕﻳد ﺞﻳﺎﺘﻧ ﻖﺒﻃ ﺮﺑ )
لوﺪـﺟ 2 ( ﻪـﻣﺎﻧﺮﺑ ﺪـﻌﺑ ، يﺰـﻳر
ﻦﻴﮕﻧﺎـﻴﻣ ﻦﻳﺮﺘﺸﻴﺑ ﻚﻳﮋﺗاﺮﺘﺳا )
21 / 0 85±
/ 1 ( ﺖﻛرﺎـﺸﻣ ﺪـﻌﺑ و
يذ ﻦﻴﮕﻧﺎـــﻴﻣ ﻦﻳﺮـــﺘﻤﻛ نﺎـــﻌﻔﻧ )
46 / 0 12±
/ 1 ( ار ﺪﻨﺘـــﺷاد . رد
ﻪﻌﻟﺎﻄﻣ ،ﻲﻧﻮﻧﺎﻗ ،يرﺎﺘﺧﺎﺳ ،ﻲﻟﺎﻣ ،ﻲﮕﻨﻫﺮﻓ دﺎﻌﺑا ﻦﻴﺑ زا يﺮﻫﻮﮔ ي ﻪﺑ طﻮﺑﺮﻣ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻳﺮﺘﺸﻴﺑ ،ﻲﻗﻼﺧا و يدﺮﻜﻠﻤﻋ ،ﻲﻧﺎﺳر عﻼﻃا
دﻮـﺑ ﻲﻧﺎـﺳر عﻼـﻃا ﺪﻌﺑ ﻪﺑ طﻮﺑﺮﻣ نآ ﻦﻳﺮﺘﻤﻛ و يرﺎﺘﺧﺎﺳ ﺪﻌﺑ .
داﮋــﻧ يرﻮــﻤﻴﺗ )
24 ( ﻪــﻣﺎﻧﺮﺑ و ﺖﻴﻓﺎﻔــﺷ دﻮــﺒﻧ ﺰــﻴﻧ ياﺮــﺑ يﺰــﻳر
ﭘ تﻼﻜـﺸﻣ زا ار ﻲﻳﻮﮕﺨﺳﺎﭘ نﺎﻣزﺎـﺳ ﻲﻳﻮﮕﺨـﺳﺎ
درﻮـﻣ ﻲـﺘﻟود
ﻪﻌﻟﺎﻄﻣ ﺖﺳا ﻪﺘﺴﻧاد دﻮﺧ ي .
ﺖﺳا يﺪﻨﻳاﺮﻓ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻳﺮﻳﺪﻣ
ﺪﻧراد ﺖﻴﻟﻮﺌﺴﻣ ﻪﻛ ﻲﻧاﺮﻳﺪﻣ ياﺮﺑ .
تﺎﻴﺑﺮﺠﺗ فﺪﻫ ﻦﻳا ﺖﻬﺟ رد
هداد نﺎﺸﻧ ﻞـﺑﺎﻗ رﺎﻴـﺴﺑ راﺰـﺑا ﻚـﻳ ﻲﻳﻮﮕﺨﺳﺎﭘ لﺪﻣ ﮓﻨﻫﺮﻓ ﺪﻧا
هدﺮﺘﺴﮔ ﻒﻴﻃ ﺺﻴﺨﺸﺗ ﻲﻳﺎﻧاﻮﺗ ﻪﻛ ﺖﺳا دﺎﻤﺘﻋا تﻼﻜـﺸﻣ زا يا
دراد ار ﻲﻳﻮﮕﺨﺳﺎﭘ نﺎﻤﻫ ﻪﺑ عﻮﺿﻮﻣ ﻦﻳا ﻪﻛ دراﺪﻧ ﺐﺠﻌﺗ يﺎﺟ و
ياﺮـﺑ دراد دﺮﺑرﺎـﻛ گرﺰـﺑ سﺎﻴﻘﻣ رد تﺎﻋﻮﺿﻮﻣ ياﺮﺑ ﻪﻛ هزاﺪﻧا ﺖﺳا ﺐﺳﺎﻨﻣ ﺰﻴﻧ ﻚﭼﻮﻛ تﺎﻋﻮﺿﻮﻣ )
25 (.
ﻪﻤﻫ ﻦﻴﺑ ،نﻮﺳﺮﻴﭘ ﻲﮕﺘﺴﺒﻤﻫ نﻮﻣزآ سﺎﺳا ﺮﺑ ﺎﻫﺮﻴﻐﺘﻣ ي
) ﺰـﺠﺑ
كﺮﺤﻣ ﺎﻫ ( ﻪﻄﺑار دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺎﺑ دﻮﺟو يرادﺎﻨﻌﻣ و ﺖﺒﺜﻣ ي
دراد . ﺮـﻴﻐﺘﻣ ،يﺮـﻴﻐﺘﻣ ﺮـﻫ ﺶﻳاﺰـﻓا ﺎـﺑ ﻪـﻛ ﺖـﺳﺎﻨﻌﻣ ﻦﻳ ﻪﺑ ﻦﻳا
ﻲﻣ ﺶﻳاﺰﻓا ﺰﻴﻧ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺪﺑﺎﻳ
. يژﺮـﻧا و ناﻮـﺗ فﺮـﺻ ﻪـﺠﻴﺘﻧ رد
ﻲﻣ دﺎﻌﺑا ﻦﻳا زا ﻚﻳ ﺮﻫ رد ﺮﺘﺸﻴﺑ ﺪﻧاﻮﺗ
دﻮـﺒﻬﺑ ﻪـﺑ ﺮﺠﻨﻣ ﺖﻳﺎﻬﻧ رد
نﺎﺘﺳرﺎﻤﻴﺑ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺖﻴﻌﺿو دﻮـﺷ ﺎﻫ
. ﻪـﻌﻟﺎﻄﻣ رد و يﺮﻫﻮـﮔ ي
ﻪــﻤﻫ ﻦﻴــﺑ ﺰــﻴﻧ نارﺎـﻜﻤﻫ درﻮــﻣ رد ﻪــﻌﻟﺎﻄﻣ درﻮــﻣ يﺎــﻫﺮﻴﻐﺘﻣ ي
نﺎﺘـﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ ﻪـﻄﺑار ﺎـﻫ
يرادﺎـﻨﻌﻣ و ﺖـﺒﺜﻣ ي
ﺖﺷاد دﻮﺟو )
15 ( ﻪـﺘﻓﺎﻳ ﺎـﺑ ﺞﻳﺎـﺘﻧ ﻦﻳا ﻪﻛ ﺮـﺿﺎﺣ ﺶﻫوﮋـﭘ يﺎـﻫ
ﺪﻧراد ﻲﻧاﻮﺨﻤﻫ .
ﻪﻌﻟﺎﻄﻣ ﺖﻟاﺪـﻋ ﻦﻴـﺑ ﻪـﻛ داد نﺎﺸﻧ ﺰﻴﻧ يداﻮﺟ ي
و ﻢﻴﻘﺘــﺴﻣ طﺎــﺒﺗرا نارﺎﺘــﺳﺮﭘ ﺪــﻳد زا ﻲﻳﻮﮕﺨــﺳﺎﭘ و ﻲﻧﺎﻣزﺎــﺳ دراد دﻮــﺟو يرادﺎــﻨﻌﻣ )
3 ( . ﻪﺑﺎــﺸﻣ نﺎﺘــﺳرﺎﻤﻴﺑ رد ﻲﻳﻮﮕﺨــﺳﺎﭘ
ﺖـﻠﻔﻏ ﻪﻛ ﺖﺴﻧاد ﻲﺘﻌﻨﺻ تاﺪﻴﻟﻮﺗ ﻲﺣاﺮﻃ رد سﻮﻜﻌﻣ ﻲﺳﺪﻨﻬﻣ ﻲﺟوﺮﺧ ﺖﺳا ﻦﻜﻤﻣ نآ زا هدر ﻦﻳﺮـﺘﻤﻛ رد ار ﺎﻫ
راﺮـﻗ دﻮـﺟﻮﻣ ي
ﺪﻫد ) 19 ( ﻪﺠﻴﺘﻧ رد ﻲـﻣ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺰﻨﻟ ﻚﻳ زا هدﺎﻔﺘﺳا ﻪـﺑ ﺪـﻧاﻮﺗ
رد هدﺮﺘـﺴﮔ ﺪـﻳد ﻚﻳ دﺎﺠﻳا ﻪﺑ ﻚﻤﻛ لوا ،دﻮﺷ ﺮﺠﻨﻣ فﺪﻫ ﺪﻨﭼ تﺎﻃﺎﺒﺗرا ﺺﻴﺨﺸﺗ مود ،ﺖﻣﻼﺳ مﺎﻈﻧ حﻼﺻا دﻮـﺒﻬﺑ تﻼﺧاﺪﻣ رد
ﺖﺳﺎﻴﺳ ﻪﺟﻮﺗ ﻪﺑ ﻪﻛ ﻲﻓﺎﻜﺷ نداد نﺎﺸﻧ مﻮﺳ و يدﺮﻓ زﺎـﻴﻧ ناراﺬﮔ
دراد . ﻲﻣ ﺞﻳﺎﺘﻧ ﻦﻳا ﻪـﺋارا ،ﺪـﻫد ﺶﻳاﺰﻓ ار ﻢﺘﺴﻴﺳ دﺮﻜﻠﻤﻋ ﺪﻧاﻮﺗ
ي
ﺪـﻳﺎﻤﻧ ﻚـﻤﻛ ناراﺬﮕﺘﺳﺎﻴﺳ ﻪﺑ و ﺪﺸﺨﺑ دﻮﺒﻬﺑ ار تﺎﻣﺪﺧ )
26 ( . زا
ﻲﻣ دﺮﻜﻠﻤﻋ ﻲﻳﻮﮕﺨﺳﺎﭘ رد ﻒﻌﺿ ﻪﻛ ﻲﻳﺎﺠﻧآ لﻼﺘـﺧا ﺐﺟﻮﻣ ﺪﻧاﻮﺗ
ﻦـﻳا ﻪـﺑ ﻲﮔﺪﻴـﺳر ،دﻮـﺷ نارﺎـﻤﻴﺑ ﻲﺘﻳﺎﺿرﺎﻧ و نﺎﺘﺳرﺎﻤﻴﺑ رﺎﻛ رد ﺶـﺨﺑ ناﺮﻳﺪﻣ يرﺎﻛ ﺖﻳﻮﻟوا ﺪﻳﺎﺑ ﻪﺸﻴﻤﻫ ﻪﻛ ﺖﺳا ﻲﺜﺤﺑ عﻮﺿﻮﻣ ﺪﺷﺎﺑ ﺖﻣﻼﺳ .
ﻲﻳﻮﮕﺨـﺳﺎﭘ ﻲﻧﻮـﻨﻛ ﺖﻴﻌـﺿو ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻦﻴﻨﭽﻤﻫ
نﺎﺘـﺳرﺎﻤﻴﺑ دﺮﻜﻠﻤﻋ ﻤﻫا و ﺎـﻫ
طﺎـﻘﻧ ياراد دﺎـﻌﺑا ﺖـﻳﻮﻘﺗ ،نآ ﺖـﻴ
ﺖﺳﺎﻴﺳ و ناﺮﻳﺪﻣ يرﺎﻛ ﺖﻳﻮﻟوا رد ﺪﻳﺎﺑ ﻒﻌﺿ دﺮـﻴﮔ راﺮﻗ ناراﺬﮔ
.
ﻦﻴﻨﭽﻤﻫ نﺎﺘﺳرﺎﻤﻴﺑ ﺐـﺴﻛ ﻲﻄـﺳﻮﺘﻣ ﻲﻳﻮﮕﺨﺳﺎﭘ ﺢﻄﺳ ﻪﻛ ﻲﻳﺎﻫ
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ﺮـﮕﻳد يدﺮـﻜﻠﻤﻋ يﺎـﻫﻮﮕﻟا زا دﻮـﺧ ﺖﻴﻌـﺿو يﺎﻘﺗرا ياﺮﺑ ﺪﻧدﺮﻛ نﺎﺘﺳرﺎﻤﻴﺑ ﺪﻨﻳﺎﻤﻧ هدﺎﻔﺘﺳا ﺪﻧراد يﺮﺘﻬﺑ ﺖﻴﻌﺿو ﻪﻛ ﺎﻫ
.
ﻲﻧادرﺪﻗ و ﺮﻜﺸﺗ
ﻳا ناﻮﻨﻋ ﺖﺤﺗ ﻪﻣﺎﻧ نﺎﻳﺎﭘ زا ﻲﺸﺨﺑ ﻞﺻﺎﺣ ﻪﻟﺎﻘﻣ ﻦ
"
ﻪـﻄﺑار ي
ﺪﻨﻤﻧاﻮﺗ ي ناور ﺘﺧﺎﻨﺷ ﻲ مﺎـﻈﻧ ﺎـﺑ ناﺮﻳﺪﻣ ﻲﻳﻮﮕﺨـﺳﺎﭘ
دﺮـﻜﻠﻤﻋ نﺎﺘﺳرﺎﻤﻴﺑ
ناﺮـﻬﺗ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد يﺎﻫ :
1392
"
ﻊـﻄﻘﻣ رد
ﺪﺷرا ﻲﺳﺎﻨﺷرﺎﻛ ﻲﻧﺎـﻣرد و ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ
لﺎـﺳ رد
1392 ﺪﻛ و 798 ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﺖﻳﺎﻤﺣ ﺎﺑ ﻪﻛ ﺪﺷﺎﺑ ﻲﻣ
ﺖﺳا هﺪﺷ اﺮﺟا ناﺮﻬﺗ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و .
نﺎﮔﺪﻨـﺴﻳﻮﻧ
نﺎﺘﺳرﺎﻤﻴﺑ ﻦﻴﻟﻮﺌﺴﻣ و ناﺮﻳﺪﻣ ﻲﻣﺎﻤﺗ زا ﻪﻟﺎﻘﻣ ﻦـﻳا رد ﻪـﻛ ﻲﻳﺎﻫ
ﺪﻧراد ار ﻲﻧادرﺪﻗ و ﺮﻜﺸﺗ لﺎﻤﻛ ﺪﻧدﻮﻤﻧ يرﺎﻜﻤﻫ ﻪﻌﻟﺎﻄﻣ .
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Situation Analysis of Performance Accountability in Teaching Hospitals Affiliated to Tehran University of Medical Sciences
Mohseni.M1, Seyedin.SH*2, Hosseini.AF3, Gharasi Manshadi.M4, Asadi.H5
Submitted: 2014.4.28 Accepted: 2015.3.30
Abstract
Background: hospital is one of the most key institutions in the modern health care system and accountability is the most essential organizational functions. Accountability strengthens the main factors to responsibility regarding functions by pushing them up. This study aimed at assessing the situation analysis of performance accountability in teaching hospitals affiliated to Tehran University of Medical Sciences
Materials and Methods: This descriptive and analytical study performed at 12 teaching hospitals of Tehran University of Medical Sciences in 2013. Data collection performed by performance accountability checklist. Analysis was done by SPSS software version 19 using descriptive and analytical statistics test (Pearson correlation coefficient).
Results: In general, the condition of accountability for hospitals' performance (Mean =1.5 from 2) measured "good"(moderate to high). Strategic planning dimension achieved the highest score (Mean±SD:1.85±0.21) and Stakeholder Participation had the lowest score (Mean±SD: 1.12±0.46).
There was a positive significant correlation between all variables (except Motivation) and performance accountability.
Conclusion: Weakness in any part of performance can affect other parts and have negative impact on total hospital performance. Mentioning the current situation of accountability for hospitals' performance and its importance, reinforcing weak dimensions and addressing deficiencies in performance accountability should be consider as managers' top priority.
Keywords: Performance accountability, Managers, Hospital
1.MSc Student in Health Services Management, Department of Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2.PhD, Associate professor, School of Health Management and Information Sciences Iran University of Medical Sciences, Tehran, Iran. (*Corresponding Author) Email: [email protected] Tel: 09127639881
3.Lecturer, Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
4.MSc Student in Health Services Management, Health Management And Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
5.PhD Student in Health Services Management , Department of Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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