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3

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)1

ـﺳﺎﻨﺷرﺎﮐ(

ﯽ

ﯽﻣﻼـﺳا دازآ هﺎﮕــﺸﻧاد ﯽـﺳﺎﻨﺸﻧاور ﺪــﺷرا

، تﺎــﻘﯿﻘﺤﺗ ﺰـﮐﺮﻣ ﺪــﺣاو .

ناور ﺖــﺷاﺪﻬﺑ ءﺎـﻘﺗرا ﻦــﻤﺠﻧا ،يرﻮــﺼﻨﻣﺪﯿﻬﺷ نﺎــﺑﺎﯿﺧ ،ﺶﯾﺎـﯿﻧ نﺎــﺑﺎﯿﺧ ،نﺎﺧرﺎﺘـﺳ نﺎــﺑﺎﯿﺧ ،ناﺮـﻬﺗ .

ناﺮﻬﺗ ﯽﮑﺷﺰﭙﻧاور ﻮﺘﯿﺘﺴﻧا -

ناور ﺖﻣﻼـﺳ و يرﺎـﺘﻓر مﻮـﻠﻋ هﺪﮑـﺸﻧاد .

رﺎـﮕﻧرود : 66509024 - 021 (لﻮﺌـﺴﻣ هﺪﻨـﺴﯾﻮﻧ) [email protected]

: E-mail

؛

)2

ﺪﻫﺎﺷ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﯽﻨﯿﻟﺎﺑ ﯽﺳﺎﻨﺸﻧاور ياﺮﺘﮐد( )3 ؛

ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد دﺎﺘﺳا ،ﮏﺷﺰﭙﻧاور(

ناﺮﯾا ، ﺴﻧا ،ناور ﺖﺷاﺪﻬﺑ تﺎﻘﯿﻘﺤﺗ ﺰﮐﺮﻣ

ناﺮـﻬﺗ ﯽﮑـﺷﺰﭙﻧاور ﻮﺘﯿﺘ -

هﺪﮑـﺸﻧاد

ناور ﺖﻣﻼﺳ و يرﺎﺘﻓر مﻮﻠﻋ

)4 ؛ ،ﯽﺳﺎﻨﺸﻧاور سﺎﻨﺷرﺎﮐ(

ناﺮﻬﺗ ﯽﮑﺷﺰﭙﻧاور ﻮﺘﯿﺘﺴﻧا -

ناور ﺖﻣﻼﺳ و يرﺎﺘﻓر مﻮﻠﻋ هﺪﮑﺸﻧاد .

1- mental health 2- Primary Health Care

روﺮﻣ مﺎﻈﻧ ﺪﻨﻣ ﺶﻫوﮋﭘ يﺎﻫ

مﺎﺠﻧا هﺪﺷ

ﺖﺒﻗاﺮﻣ رد ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ مﺎﻏدا ﻪﻨﯿﻣز رد ﻟوا ﯽﺘﺷاﺪﻬﺑ يﺎﻫ

ﯿ ناﺮﯾا رد ﻪ

هﺎﺷ ﻖﯾﺎﻘﺷ يﺪﻤﺤﻣ

) 1

ﯽﺑﻮﻘﻌﯾ ﺪﯿﻤﺣ ﺮﺘﮐد ،( )

2

،(

يﺮﻬﻟاﻮﺑ ﺮﻔﻌﺟ ﺮﺘﮐد

) 3

رﻮﭘﺮﯿﺸﻣ ﻦﯾﺮﯿﺷ ،( )

4

(

هﺪﯿﮑﭼ

فﺪﻫ :

ﺮﺿﺎﺣ ﺶﻫوﮋﭘ فﺪﻫ روﺮﻣ

ﯽﺳرﺮﺑ يﺎﻫ مﺎﺠﻧا هﺪﺷ ناﺮﯾا رد رد رﻮﻣ ﻪﻣﺎﻧﺮﺑ د رد ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ مﺎﻏدا ﺖﺒﻗاﺮﻣ

ﺎـﻫ ي ﺘـﺷاﺪﻬﺑ ﯽ ﻟوا ـﯿ ﻪ

)

،

(PHC

ﻃ ﯽ لﺎﺳ ﺎﻫ

1367

ي

1386

ﺎﺗ

.

ﺖﺳا

شور :

ﺖﺴﺟ و ﺖﺴﺟ ،ﮏﯿﻧوﺮﺘﮑﻟا يﻮﺟ و

ﺖﺴﺟ ،ﯽﺘﺳد يﻮﺟ

ﻮـﺟ و

ﺎـﺑ سﺎـﻤﺗ و ﻊﺑﺎـﻨﻣ ﺖـﺳﺮﻬﻓ رد

ﺐﺣﺎــﺻ صﺎﺨــﺷا ﺮــﻈﻧ

و مﺎــﺠﻧا ﮏــﻧﺎﺑ ﺎــﻫ ي ﺗﺎــﻋﻼﻃا ﯽ

Pubmed

،

IranDoc

،

SID IranPsych

،

Embase

،

PsycINFO

و

Iranmedex

ﺖﺴﺟ د

.

ﺪﺷ ﻮﺟو عﻮﻤﺠﻣ ر

، داﺪﻌﺗ زا ﮑﭼ

156

ﯿ ﻪﺑ ﺶﻫوﮋﭘ هﺪ ﺖﺳد

،هﺪﻣآ

26

ناور ﺖـﺷاﺪﻬﺑ تﺎﻣﺪـﺧ مﺎـﻏدا ﻪـﻣﺎﻧﺮﺑ ﺎـﺑ ﻂﺒﺗﺮﻣ ﺶﻫوﮋﭘ و شراﺰﮔ

رد بﺎﺨﺘﻧا

PHC .

ﺪﺷ

ﯾ ﻪﺘﻓﺎ ﺎﻫ :

شراﺰﮔ ﻫﺎ ي ﺮﮕﻧﺎﯿﺑ ﺪﻨﺘﺴﻣ نآ

لﻮﻃ رد ﻪﮐ ﺖﺳا رﺪﺗ شﺮﺘﺴﮔ لﺎﺳ

20

ﯾ ﺠ ﯽ

،ﻪﻣﺎﻧﺮﺑ

6 /

ﻌﻤﺟ ﺪـﺻرد

54

ـﯿ رﻮـﺸﮐ ﺖ

)2 /

ﻌﻤﺟ ﺪﺻرد

95

ﯿ ﺎﺘﺳور ﺖ ﯽﯾ

6/

و ﻌﻤﺟ ﺪﺻرد

36

ﯿ ﺮﻬﺷ ﺖ

(

ي ﺮﯾز راﺮـﻗ ﻪﻣﺎﻧﺮﺑ ﻦﯾا ﺶﺷﻮﭘ ﻪـﺘﻓﺮﮔ

.

ﺪـﻧا ﻣ ـﯿ ﺑ ﻞـﮐ ناﺰ ﯿ رﺎﻤ ـﯾ ﺑﺎ

نﺎـﻣز رد نازرﻮـﻬﺑ ﯽ

ﯽﺳرﺮﺑ

7/

14 - 3/

ﺮﻔﻧ

4 .

دﻮﺑ ﺖﯿﻌﻤﺟ ﺮﻔﻧ راﺰﻫ رد مﺎﺠﻧا ﯽﺳرﺮﺑ ﻪُﻧ

هرﺎﺑرد هﺪﺷ

ﺶﯾاﺰـﻓا زا ﯽﮐﺎـﺣ ،ﻪـﻌﻣﺎﺟ داﺮﻓا و نازرﻮﻬﺑ شﺮﮕﻧ و ﯽﻫﺎﮔآ ﺶﺠﻨﺳ

بﻮﻠﻄﻣ رد ﻐﺘﻣ ﻦﯾا ﺮﯿ

.

دﻮﺑ

ﻪﺠﯿﺘﻧ يﺮﯿﮔ :

اﺮﺟا ﻪﻣﺎﻧﺮﺑ ء رد ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ مﺎﻏدا ﺎﺘﺳور ﻖﻃﺎﻨﻣ رد

PHC

ﯽﯾ ﮏﭼﻮﮐ يﺎﻫﺮﻬﺷ و ﻘﻓﻮﻣ ﺎـﺑ

ـﯿ ﺖ

،هدﻮﺑ هاﺮﻤﻫ ﺎﻣا

ﻮﮕﺑاﻮﺟ ي ﻌﻤﺟ ﯿ نﻼﮐ ﺖ ﺮﻬﺷ ي ﺎﻫﺮﻬﺷ و ي رﻮﺸﮐ گرﺰﺑ ﺗ ﻦﯾاﺮﺑﺎﻨﺑ

.

ﺖﺴﯿﻧ

ﺪﺠ ﯾ

.

دراد تروﺮﺿ ﻪﻣﺎﻧﺮﺑ ﻦﯾا رد ﺮﻈﻧﺪ

هژاوﺪﯿﻠﮐ : ناور ﺖﺷاﺪﻬﺑ

؛ ﺘﺷاﺪﻬﺑ ﺖﺒﻗاﺮﻣ تﺎﻣﺪﺧ ﻪﯿﻟوا ﯽ

؛ روﺮﻣ مﺎﻈﻧ ﺪﻨﻣ

؛ ناﺮﯾا

:ﻪﻟﺎﻘﻣ ﺖﻓﺎﯾرد] 5/

11 / 1390 :ﻪﻟﺎﻘﻣ شﺮﯾﺬﭘ ؛ 18

/6 / 1391 [

ﻪﻣﺪﻘﻣ ناور ﺖﻣﻼﺳ مﻮﻬﻔﻣ ﻪﺒﻨﺟ ،

1

ﯽـﻠﮐ مﻮـﻬﻔﻣ زا يا ﺮـﺗ

ﺖﻣﻼـﺳ

ﺑ و ﺖﺳا مﺎﻤﺗ ﻪ شور

يﺮﯿﺑاﺪـﺗ و ﺎـﻫ ﻪـﺘﻔﮔ

ﯽـﻣ ياﺮـﺑ ﻪـﮐ دﻮـﺷ

يﺮﯿﮕﺸﯿﭘ يرﺎﻤﯿﺑ ﻪﺑ ﻼﺘﺑا زا

ناﻮـﺗ و نﺎـﻣرد ،ﯽـﻧاور يﺎﻫ ﯽـﺸﺨﺑ

نآ ﺎﻫ ﻪﺑ ﯽﻣ رﺎﮐ ) دور 1 ـﺑ ﯽﻫﺎﮕﻧ ﺎﺑ .(

ﻪ هﺪـﺷﺮﺸﺘﻨﻣ مﺎـﻗرا و رﺎـﻣآ

رد رﺎﺑ هرﺎﺑ يرﺎﻤﯿﺑ ﯽﻧﺎﻬﺟ ﯽﻧاور يﺎﻫ

، ماﺪﻗا مﺎﺠﻧا تروﺮﺿ ﻫﺎ

ي

ﯽﺳﺎﺳا ياﺮـﺑ يﺮﯿﮕـﺸﯿﭘ و

ﻼﺘـﺧا نﺎـﻣرد تﻻ

ﺎـﻘﺗرا و ﯽـﻧاور ي

ﯽـﻣ نﺎـﯾﺎﻤﻧ ﺶﯿـﭘ زا ﺶﯿـﺑ داﺮـﻓا ناور ﺖﻣﻼﺳ ﺢﻄﺳ دﻮـﺷ

) 2 .(

ﺟ يﺎﻫرﻮﺸﮐ ﺮﯾﺎﺳ ﺎﺑ مﺎﮕﻤﻫ ناﺮﯾا ﯽﻣﻼﺳا يرﻮﻬﻤﺟ نﺎـﻬ

ياﺮـﺑ

،داﺮـﻓا ﯽﻋﺎـﻤﺘﺟا و ﯽـﻧاور ،ﯽﻤﺴﺟ ﺖﻣﻼﺳ ﺢﻄﺳ دﺮﺒﺸﯿﭘ ياﺮـﺑ

لﺎﺳ رد ناور ﺖﺷاﺪﻬﺑ يرﻮﺸﮐ ﻪﻣﺎﻧﺮﺑ ﻦﯾوﺪﺗ 1365

دﺮﮐ ماﺪﻗا .

ﻪﺘﻓﺎﯾ يﺎﻫ رد ﻪـﻣﺎﻧﺮﺑ مﺎـﻏدا ﯽـﺸﯾﺎﻣزآ ﻪﻧﺎﻣﺎـﺳ

ﯽﺘـﺷاﺪﻬﺑ ﻪﮑﺒـﺷ -

ُا ﯽﻧﺎﻣرد ﺘﺳ ﺎ ن ﺎﺑ داد نﺎﺸﻧ يرﺎﯿﺘﺨﺑ و لﺎﺤﻣرﺎﻬﭼ و نﺎﻬﻔﺻا يﺎﻫ

و نازرﻮـﻬﺑ ﻪـﺑ ناور ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﮏـﯾ ﯽﻣﻮـﻤﻋ نﺎﮑـﺷﺰﭘ

ﻪﻘﻄﻨﻣ

،

ﯽـﻣ ،نﺎـﻧآ شﺮـﮕﻧ رد ﺮﯿﯿﻐﺗ دﺎﺠﯾا ﻦﻤﺿ شزﻮـﻣآ ناﻮـﺗ

،ناور ﺖﺷاﺪﻬﺑ ﻪﺑ ار ﯽﻋﺎﺟرا ﯽﻧاور نارﺎﻤﯿﺑ نﺎﻣرد و ﯽﺑﺎﯾرﺎﻤﯿﺑ

ﻢـﻫ .دﺮـﮐ راﺬﮔاو نﺎﻧآ ﻦﯿـﻨﭼ

ﻦـﯾا شزﻮـﻣآ ﻪﺘـﺴﻧاﻮﺗ ﺎـﻫ ﺖـﺳا

شﺮﮕﻧ زا يرﺎﯿﺴﺑ ﺖﯿﻌﻤﺟ رد ار ﯽﻓاﺮﺧ يﺎﻫ

ﺶـﺷﻮﭘ ﺮﯾز ﺮـﯿﯿﻐﺗ

ﺪﻫد ) 3 .(

ﺎﻣﺪــﺧ مﺎــﻏدا ﻪــﻣﺎﻧﺮﺑ ﻪﻧﺎﻣﺎــﺳ رد ناور ﺖــﺷاﺪﻬﺑ ت

ﺖــﺒﻗاﺮﻣ

ﯽﺘﺷاﺪﻬﺑ ﯿﻟوا

2

ﻪ ) ﻪﺑ (

PHC

رﻮﻃ ﺪـﺷر ﯽﻔﯿﮐ و ﯽﻤﮐ هدﺮﺘـﺴﮔ

يا

ﺖﺳا ﻪﺘﺷاد ﯽﺷور ندروآ ﻢﻫاﺮﻓ .

ياﺮﺑ نﺎﻣزﺎﺳ و ﯽﺑﺎﯾزرا ﯽـﻫد

Iranian Journal of Psychiatry and Clinical Psychology, Vol. 19, No. 1, Spring 2013, 3-8

ﻪﻠﺠﻣ ،ناﺮﯾا ﯽﻨﯿﻟﺎﺑ ﯽﺳﺎﻨﺸﻧاور و ﯽﮑﺷﺰﭙﻧاور لﺎﺳ

ﻢﻫدزﻮﻧ هرﺎﻤﺷ ، 1 ، رﺎﻬﺑ 1392 ، 8 - 3

ﻪﻟﺎﻘﻣ

يروﺮﻣ

Review Article

Downloaded from ijpcp.iums.ac.ir at 6:28 CEST on Saturday October 4th 2014

(2)

ﺖﺒﻗاﺮﻣ رد ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ مﺎﻏدا ﻟوا ﯽﺘﺷاﺪﻬﺑ يﺎﻫ

ﯿﻪ

4

لﺎﺳﻢﻫدزﻮﻧرﺎﻤﺷ /ه 1 / رﺎﻬﺑ1392

Vol. 19 / No. 1 / Spring 2013

ﺶﻫوﮋﭘ يﺎﻫ

ﻪـﻨﯿﻣز ﻦـﯾا رد هﺪـﻨﮐاﺮﭘ و دﺪـﻌﺘﻣ

، ـﺑ ياﺮ ﺶﺠﻨـﺳ

رﺎـــﮐ ا و ﻞـــﯿﻤﮑﺗ ،ﻪـــﻣﺎﻧﺮﺑ ﻒﻌـــﺿ و ترﺪـــﻗ ناﺰـــﯿﻣ و ﯽﯾ

ﻪﭼرﺎﭙﮑﯾ ﺶﻟﺎﭼ ﻊﻓر ،نآ يزﺎﺳ يﺎﻫ

ور ِﺶﯿﭘ ﺺﺨـﺸﻣ و ندﺮـﮐ

ﻪﻨﯿﻣز ﺶﻫوﮋﭘ ﺪﻨﻣزﺎﯿﻧ يﺎﻫ ﻪﺑ يروﺮﺿ ﺮﺘﺸﯿﺑ يﺎﻫ

ﯽـﻣ ﺮـﻈﻧ ﺪـﺳر .

،ﻦﯾاﺮﺑﺎﻨﺑ ﺶﻫوﮋﭘ ﺮﺿﺎﺣ روﺮﻣ فﺪﻫ ﺎﺑ ﯽﺳرﺮﺑ

يﺎﻫ مﺎـﺠﻧا هﺪـﺷ

ﻣز رد ﯿ ﻪﻨ

رد ناور ﺖـﺷاﺪﻬﺑ تﺎﻣﺪـﺧ مﺎـﻏدا ﻪـﻣﺎﻧﺮﺑ

،

PHC

ـﻃ ﯽ

لﺎــﺳ ﺎــﻫ ي 86 - 1367

، دراد شﻼــﺗ ﻪــﻨﯿﻣز ﻦــﯾا رد ﺎــﺗ

هداد يﺎــﻫ

ــﻣ و ﻢﺠــﺴﻨﻣ ﺆ

ــﯿﺘﺧا رد يﺮﺛ ــﺴﻣ رﺎ

ﺆ ﻻو ﺖــﺳد و ن نارﺎﮐرﺪــﻧا

ﻫد راﺮﻗ رﻮﺸﮐ ﯽﺘﺷاﺪﻬﺑ ﺎـﺗ ﺪ

ﻪـﻣﺎﻧﺮﺑ ﺎـﺑ ﻊـﯾزﻮﺗ و ﺐـﺳﺎﻨﻣ يﺰـﯾر

و تﺎــﻧﺎﮑﻣا ﻪــﻧﻻدﺎﻋ

،تﻼﯿﻬــﺴﺗ مﺎــﮔ

يﺎﺘــﺳار رد ﯽــﺳﺎﺳا يﺎــﻫ

ﺎﻘﺗرا ء .دﻮﺷ ﻪﺘﺷادﺮﺑ ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ ﺖﯿﻔﯿﮐ

شور

رد روﺮﻣ مﺎﻈﻧ ﺪﻨﻣ ﯽﺳرﺮﺑ ﺮﺿﺎﺣ يﺎـﻫ

مﺎـﺠﻧا رد هﺪـﺷ ﻣز ﯿ ﻪـﻨ

ناور ﺖـــﺷاﺪﻬﺑ تﺎﻣﺪـــﺧ مﺎـــﻏدا رد

رﻮــــﺸﮐ رد

PHC

، رد

ﮏﻧﺎﺑ ﺎﻫ ي ﺗﺎﻋﻼﻃا ﯽ ،ﯽﮑﺷﺰﭘ ،يرﺎﺘﻓر مﻮﻠﻋ ﺎﺑ ﻂﺒﺗﺮﻣ ﯽﺼﺼﺨﺗ

ﺖﺴﺟ ﯽﮑﺷﺰﭙﻧاور و ﺖﺷاﺪﻬﺑ و

ﻮﺟ ﺪﺷ هژاوﺪﯿﻠﮐ . ﺎﻫ

ي ﺐـﺳﺎﻨﻣ

رد ﮏﻧﺎﺑ ﺎﻫ ي ﺗﺎـﻋﻼﻃا ﯽ

Pubmed

،

IranDoc

، ،

SID IranPsych

،

Embase

،

PsycINFO

و

Iranmedex

ﺖــﺴﺟ ﻮــﺟو .ﺪــﺷ ياﺮــﺑ

ﻦﺘﻓﺎﯾ ﯽﺳرﺮﺑ يﺎﻫ ،ﻂﺒﺗﺮﻣ نوﺰﻓا ﺮﺑ ﻦﯾوﺎـﻨﻋ زا هدﺎﻔﺘﺳا

،

MeSH

هژاو زا ﻦﯾا رد لواﺪﺘﻣ يﺎﻫ ﻪﻧﻮﮔ

ﯽﺳرﺮﺑ ﺎﻫ .ﺪـﺷ ﻪـﺘﻓﺮﮔ هﺮﻬﺑ ﺰﯿﻧ

ﻢﻫ ﻦﯿﻨﭼ ، شراﺰﮔ يﺎﻫ ترازو ناور ﺖﻣﻼـﺳ هرادا رد دﻮـﺟﻮﻣ

ﮑﺷﺰﭘ شزﻮﻣآ و نﺎﻣرد ،ﺖﺷاﺪﻬﺑ ﯽ

ﻧ و ـﯿ

ﻪـﺋارا ﻊﺑﺎـﻨﻣ ﺰ رد هﺪـﺷ

ﻟﺎﻘﻣ ﻪ ﻫﺎ ي ﺸﻫوﮋﭘ ﺪﻧﺪﺷ ﯽﺳرﺮﺑ ﯽ .

كﻼﻣ ﺶﻫوﮋﭘ دورو يﺎﻫ ﺎـﻫ

ﻪــﺑ رﺎــﻣآ ﻪــﻌﻣﺎﺟ ــﻣ ي

ﺮ رو مﺎــﻈﻧ ﺪــﻨﻣ :زا دﻮــﺑ ترﺎــﺒﻋ ﺮــﺿﺎﺣ

(ﻒــﻟا ﯽــﺳرﺮﺑ لﺎــﺳ رد ﺎــﻫ ي 86 - 1367 مﺎــﺠﻧا

،ﺪــﺷﺎﺑ هﺪــﺷ

ﻧدﻮﻣزآ (ب ﯽ

ﺎﻫ ي ﺶﻫوﮋﭘ

زا ﺪﻨـﺷﺎﺑ ترﺎـﺒﻋ ﺎـﻫ ،ﻪـﻌﻣﺎﺟ داﺮـﻓا

زرﻮــﻬﺑ نا ﻂــﺑار ، ﯽﺘــﺷاﺪﻬﺑ يﺎــﻫ ﮏــﺷﺰﭘ و نادرﺎــﮐ ،ﺐــﻠﻃواد

ﻣﻮــﻤﻋ ﯽ ﺘــﺷاﺪﻬﺑ ﺰــﮐاﺮﻣ رد ﻞﻏﺎــﺷ ﯽ

- ﻧﺎــﻣرد ﺮــﯾز ﯽ ﺶــﺷﻮﭘ ؛

و ج ( ﻪﺘﻓﺎﯾ يﺎﻫ ﻠﺧاﺪﻣ ﻪ ﻫﺎ ي ـﻣرد ﻧﺎ ﯽ ـﺷزﻮﻣآ و ﯽ ﺎـﻬﻧآ رد نﺎـﯿﺑ

هﺪﺷ .ﺪﺷﺎﺑ هﺪﯿﮑﭼ اﺪﺘﺑا ﺶﻫوﮋﭘ

ﺎﻫ ﯽﺳرﺮﺑ ﺲﭙﺳ .ﺪﺷ ﻞـﻣﺎﮐ ﻦﺘـﻣ

ﺶﻫوﮋــﭘ مﺎــﻤﺗ ﯽﯾﺎــﻫ

مﺎــﻏدا ﻪــﻣﺎﻧﺮﺑ ﺎــﺑ ﺎــﻬﻧآ عﻮــﺿﻮﻣ ﻪــﮐ

ناور ﺖــــﺷاﺪﻬﺑ تﺎﻣﺪــــﺧ رد

طﺎــــﺒﺗرا

PHC

ﺖــــﺷاد ،

ﺖﺴﺟ .ﺪﺷ ﻮﺟو ﺶﻫوﮋﭘ ﻞﻣﺎﮐ ﻦﺘﻣ

،ناﻮـﻨﻋ ﻪـﺑ ﻪـﺟﻮﺗ ﺎﺑ ﺎﻫ

فﺪــﻫ ﺎــﻫ درﻮــﻣ يﺎــﻫﺮﯿﻐﺘﻣ ،فﺪــﻫ ﺖــﯿﻌﻤﺟ ، ﯽــﺳرﺮﺑ

،

ﯿﻌﻣ عﻮــﻧ ،جوﺮــﺧ و دورو يﺎــﻫرﺎ ﺶﻫوﮋــﭘ

ﻢــﻫ و ﻦﯿــﻨﭼ

ﯽــﮔﮋﯾو يﺎــﻫ راﺰــﺑا ﻪــﺑ ﻪــﺘﻓررﺎﮐ ﯽــﺳرﺮﺑ

ﻪــﺘﻓﺎﯾ .ﺪــﺷ يﺎــﻫ

ﺶﻫوﮋــﭘ ــﺷ ﻪــﯾﺎﭘ ﺮــﺑ ﺎــﻫ ﺺﺧﺎ

ﺎــﻫ ي ــﺸﺷﻮﭘ ﯽ ــﺷزﻮﻣآ ، ﯽ

و

ﺗﺎﻣﺪﺧ ﯽ جاﺮﺨﺘﺳا ﺪﺷ

.

ﯾ ﻪﺘﻓﺎ ﺎﻫ عﻮــﻤﺠﻣ زا 156

ﻪــﻟﺎﻘﻣ هﺪــﯿﮑﭼ درﻮــﻣ رد

ناور ﺖــﺷاﺪﻬﺑ

،

26 رد شراﺰﮔ و ﻪﻟﺎﻘﻣ درﻮﻣ

ناور ﺖـﺷاﺪﻬﺑ تﺎﻣﺪﺧ مﺎﻏدا رد

دﻮﺑ

PHC

داﺪـﻌﺗ ﻦـﯾا زا ﻪﮐ

، ﻪـﺑ ﯽـﺳﺮﺘﺳد نﺎـﮑﻣا ود

شراﺰـﮔ

ﻞــﻣﺎﮐ ) 4 ، 5 ( ، 14 پﺎــﭼ ﻪــﻟﺎﻘﻣ هﺪــﺷ

) 19 - 6

،(

9 ﻟﺎﻄﻣ ياراد ﻪــﻌ

ﻪــﻟﺎﻘﻣ و شراﺰــﮔ )

28 - 20 ( نﺎــﯾﺎﭘ ﮏــﯾ و ﯽﻠﯿــﺼﺤﺗ ﻪــﻣﺎﻧ

) 29 (

ﻢﻫاﺮﻓ دﻮﺑ . رﺎﺘﺧﺎﺳ ﺮﻈﻧ زا ي

، ﻟﺎﻘﻣ ﻪ يﺎﻫ هﺪﺷﺮﺸﺘﻨﻣ رد

ﻪﺘـﺳد ﺞﻨﭘ

:ﺪﻨﺘﻓﺮﮔ راﺮﻗ 1

( ﺖﺸﻫ رد ﻪـﻟﺎﻘﻣ هرﺎـﺑ ﺎﻫدروﺎﺘـﺳد ﺶﻟﺎـﭼ و

،ﺎـﻫ

ﺖﺻﺮﻓ ﭘ تروﺮﺿ ،ﻊﻧاﻮﻣ و ﺎﻫ ﯿ

ﺶ ﮔﯿ ﺮ ي ﺎﻘﺗرا و ي ناور ﺖﻣﻼﺳ

ﺪﺠﺗ تروﺮﺿ و ﯾ

ﺪ ﺮﻈﻧ رد رﻮﺸﮐ ﻪﻣﺎﻧﺮﺑ ي

ناور ﺖـﺷاﺪﻬﺑ .

ا ـﯾ ﻦ

ﻟﺎﻘﻣ ﻪ ﻫ

اﺮﺟا دﺮـﮑﻠﻤﻋ ﻪـﺑ طﻮﺑﺮﻣ رﺎﻣآ ﺎ ﺪﻨﺘـﺷاﺪﻧ ﯽـﯾ

ﺑ و ﯿ ﺮﺘـﺸ ﺮـﺑ

فﺪﻫ ﺎﻫ هار ، ﺎـﻫ ي ﺎـﻘﺗرا ء

اﺮﺟا ﻊـﻧاﻮﻣ و ﺎﻫدروﺎﺘـﺳد ﯽـﯾ

ﺗ ﺄ ﮐ ـﯿ ﺪ

ﺪﻨﺘــﺷاد ) 16 - 10 ، 19 ؛(

2 داﺪــﻌﺗ ( 11 ﻣ شراﺰــﮔ و ﻪــﻟﺎﻘ اراد

ي

ﻪﺘﻓﺎﯾ يﺎﻫ اﺮﺟا ﯽﯾ ﻖﻃﺎـﻨﻣ رد ناور ﺖـﺷاﺪﻬﺑ ﻪـﻣﺎﻧﺮﺑ دﺮـﮑﻠﻤﻋ و

ﺮﻬﺷ ي ﺎﺘﺳور و ﺖﺸﻫ داﺪﻌﺗ ﻦﯾا زا .ﯽﯾ مﺎـﻏدا ﻪـﺑ طﻮـﺑﺮﻣ ﻪﻟﺎﻘﻣ

ﺎﺘــﺳور ﻖﻃﺎــﻨﻣ رد ناور ﺖــﺷاﺪﻬﺑ ﻪــﻣﺎﻧﺮﺑ ﯽﯾ

) 4

، 6

، 9

، 17 ، 23 ،

25

، 27 ، 28

،(

ﮏــﯾ و ﻪــﻟﺎﻘﻣ ﮏــﯾ ﻖﻃﺎــﻨﻣ ﻪــﺑ طﻮــﺑﺮﻣ شراﺰــﮔ

ﺮﻬــﺷ ي ﺎﺘــﺳور و ) ﯽﯾ 5 ، 24 ( و ﮏــﯾ ﻣ ﻪــﻟﺎﻘ طﻮــﺑﺮﻣ ﻪــﺑ ﻖﻃﺎــﻨﻣ

ﺮﻬﺷ ي دﻮﺑ ) 18

؛(

3 ( ـﯾ ﮏ ﻪـﻌﻟﺎﻄﻣ هرﺎـﺑرد ﮕﻧﻮـﮕﭼ ﯽ دﺮـﮑﻠﻤﻋ

ﺪــﻣ ﯾﺮ ﯾ ﺖ ﺘــﺷاﺪﻬﺑ ﻪﮑﺒــﺷ رد ناور ﺖــﺷاﺪﻬﺑ ﻪــﻣﺎﻧﺮﺑ ﯽ

- ﻧﺎــﻣرد ﯽ

) 26 (

؛ 4 ( هرﺎﺑرد ﻪﻟﺎﻘﻣ ﻪﺳ ﺸﺨﺑﺮﺛا

ﯽ ﺰﻫ و ﯾ ﻪﻨ - ﺖـﻌﻔﻨﻣ ﮏـﯾ ﻪـﮐ

درﻮﻣ رد هرﺎﺑ ﺑﯿ نارﺎﻤ ﺪﺷ ﯾ ﺪ ـﻧاور ﯽ ﻋﺮـﺻ و ﯽ ) 28 ود و ( درﻮـﻣ

ﻪﺑ طﻮﺑﺮﻣ ﺑﯿ

نارﺎﻤ ﻋﺮﺻ و هدﺮﺴﻓا ﯽ

) 7 ، 8 ( دﻮﺑ . ﻪـﺘﻓﺎﯾ ﻦـﯾا يﺎـﻫ

ﻪﻟﺎﻘﻣ داد نﺎﺸﻧ ﺎﻫ اﺮﺟا

ء ﻪﻣﺎﻧﺮﺑ ﺎﻫ ي ور ناور ﺖﺷاﺪﻬﺑ ي

ﺑﯿ نارﺎـﻤ

ﻋﺮــﺻ ﯽ

، ﺪــﺷ ﯾ ﺪ ــﻧاور ﯽ ﺶﺨﺑﺮــﺛا هدﺮــﺴﻓا و و

اﺮــﺑ تﺎﻣﺪــﺧ ي

ﺑﯿ نارﺎﻤ نآ هداﻮﻧﺎﺧ و ﻣ ﺎﻫ

ﺆ دﻮﺑ ﺮﺛ و ؛ﺖﺳا ه 5

( ﯾ ﮏ ﻪﻟﺎﻘﻣ هرﺎﺑرد

ﺎﺿر ﯾ ﺖ ﻌﺟاﺮﻣ ﺎ ن نآ هداﻮﻧﺎﺧ و رد تﺎﻣﺪﺧ زا ﺎﻫ

ﯾ ﺘﻓﺎ ) ﯽ 25 .(

ﻪﺘﻓﺎﯾ ﺎﻫ داد نﺎﺸﻧ لﻮﻃ رد 20

اﺮـﺟا لﺎـﺳ ء

ﻪـﻣﺎﻧﺮﺑ لﺎـﺳ رد ،

1386

،ﯽﯾﺎﺘــﺳور ﺶــﺷﻮﭘ ﺮــﯾز داﺮــﻓا داﺪــﻌﺗ

،ﻞــﮐ و يﺮﻬــﺷ

ﻪـــﺑ زا دﻮـــﺑ ترﺎـــﺒﻋ ،ﺐـــﯿﺗﺮﺗ 20754173

) 2/

95

،(ﺪـــﺻرد

18116210 )

6/

36 و (ﺪﺻرد 38870383

) 6/

54 .ﺮـﻔﻧ (ﺪـﺻرد

ﻢــﻫ لﺎــﺳ رد ﻦﯿــﻨﭼ 1386

زا 2191 ﯽﺘــﺷاﺪﻬﺑ ﺰــﮐﺮﻣ -

ﯽﻧﺎــﻣرد

،يﺮﻬﺷ 1387 ﺪﻬﺑ هﺎﮕﯾﺎﭘ ،ﯽﺘﺷا

2612 ﯽﺘﺷاﺪﻬﺑ ﺰﮐﺮﻣ -

ﯽﻧﺎـﻣرد

و ﯽﯾﺎﺘــــﺳور 16994

،ﺖــــﺷاﺪﻬﺑ ﻪــــﻧﺎﺧ

ﻪــــﺑ ﺐــــﯿﺗﺮﺗ 1021

) 6/

36 ﺻرد ــ

،(ﺪ 761 ) 9/

54 ﺻرد ــ ،(ﺪ 2497 ) 6/

95 ﺻرد ــ (ﺪ

Downloaded from ijpcp.iums.ac.ir at 6:28 CEST on Saturday October 4th 2014

(3)

هﺎﺷ ﻖﯾﺎﻘﺷ نارﺎﮑﻤﻫ و يﺪﻤﺤﻣ

5

لﺎﺳﻢﻫدزﻮﻧرﺎﻤﺷ /ه 1 / رﺎﻬﺑ1392 Vol. 19 / No. 1 / Spring 2013

لوﺪﺟ 1 ﮔآ ﺮﯿﯿﻐﺗ ناﺰﯿﻣ- ﻪﻌﻣﺎﺟ داﺮﻓا و نازرﻮﻬﺑ شﺮﮕﻧ و ﯽﻫﺎ

لﺮﺘﻨﮐ و ﺶﯾﺎﻣزآ هوﺮﮔ ود رد

ﻊﺒﻨﻣ هرﺎﻤﺷ ﯽﺳرﺮﺑ درﻮﻣ ﻪﻧﻮﻤﻧ

ﯽﻫﺎﮔآ شﺮﮕﻧ

تاﺮﻤﻧ ﻪﻨﻣاد ﻦﯿﮕﻧﺎﯿﻣ

) رﺎﯿﻌﻣ فاﺮﺤﻧا (

تاﺮﻤﻧ ﻪﻨﻣاد ﻦﯿﮕﻧﺎﯿﻣ

) رﺎﯿﻌﻣ فاﺮﺤﻧا (

ﯽﺳرﺮﺑ زا ﺶﯿﭘ

ﯽﺳرﺮﺑ نﺎﻣز

ﯽﺳرﺮﺑ زا ﺶﯿﭘ

ﯽﺳرﺮﺑ نﺎﻣز

19 نازرﻮﻬﺑ 58

- 0 6/

36 ) 4/

8 ( 9/

46 ) 78 /4 ( 22 - 0 29 /6 ) 7/

5 ( 51 / 14 ) 36 /3 (

18 يﺮﻬﺷ نﺎﻧز 100

- 0 5/

40 ) 3/

5

*(

5/

41 ) 1/

5

**( 2/

64 ) 4/

7

*( 9/

41 ) 1/

6

**( 100 - 0 5/

54 ) 5/

4

*(

1/

43 ) 0/

4

**( 2/

80 ) 3/

2

*( 9/

49 ) 8/

2

**(

24 ﺎﺘﺳور ﻪﻌﻣﺎﺟ ﯽﯾ

30

- 0 5/

14 ) 5/

2

*( 9/

13 ) 2/

2

**( 4/

21 ) 1/

3

*( 8/

14 ) 7/

2

**( 16 - 0 9/

11 ) 1/

2

*(

6/

11 ) 6/

2

**( 9/

13 ) 9/

2

*( 4/

12 ) 4/

2

**(

24 ﺮﻬﺷ ﻪﻌﻣﺎﺟ ي 30

- 0 6/

15 ) 0/

3

*( 9/

15 ) 8/

2

**( 5/

18 ) 1/

2

*( 2/

16 ) 9/

2

**( 16 - 0 1/

12 ) 2/

2

*(

5/

11 ) 3/

2

**( 5/

13 ) 6/

1

*( 0/

12 ) 8/

2

**(

ﺪﻫﺎﺷ هوﺮﮔ^** /ﺶﯾﺎﻣزآ هوﺮﮔ*

و 16718 ) 4/

98 .ﺪــﻧدﻮﺑ حﺮــﻃ ﺶــﺷﻮﭘ ﺮــﯾز درﻮــﻣ (ﺪــﺻرد

ﻢﻫ زا ،ﻦﯿـﻨﭼ 29396

،زرﻮـﻬﺑ 7951 و نادرﺎـﮐ 9075

،ﮏـﺷﺰﭘ

ﻪﺑ ﺐﯿﺗﺮﺗ 27649 ) 94

،(ﺪﺻرد 6364 ) 80 ﺪﺻرد و ( 7181 ) 79

ﯽــﻧاواﺮﻓ ﻊــﯾزﻮﺗ ﺮــﻈﻧ زا .ﺪــﻧدﻮﺑ هﺪــﯾد شزﻮــﻣآ ﺮــﻔﻧ (ﺪــﺻرد ﻂﺑار و نازرﻮﻬﺑ ،ﯽﺑﺎﯾرﺎﻤﯿﺑ ﺶـﺷﻮﭘﺮﯾز ﻖﻃﺎﻨﻣ رد ﯽﺘﺷاﺪﻬﺑ يﺎﻫ

ﻪﺑ ﯽﯾﺎﺘﺳور ﺐـﯿﺗﺮﺗ

26027 ، 72293 ، 45071 ، 54417 و 16170

درﻮـﻣ

ﺪـﺷ لﻼﺘـﺧا ﯾ

ﺪ ـﻧاور ،ﯽ ﻔﺧ لﻼﺘـﺧا ـﯿ

ﻒ ـﻧاور ،ﯽ عﺮـﺻ ،

ﺐﻘﻋ ﺪﻧﺎﻣ ﯽﮔ ﻨﻫذ و ﯽ ﺎﺳ ﯾﺮ لﻼﺘﺧا ﺎﻫ ﺎﻨﺷ ار ﻦـﯾا .ﺪـﻧدﺮﮐ ﯽﯾﺎـﺳ

نﺎـﻤﻫ ﻪـﺑ ،يﺮﻬـﺷ ﺶـﺷﻮﭘ ﺮـﯾز ﻖﻃﺎـﻨﻣ درﻮﻣ رد مﺎﻗرا ،ﺐـﯿﺗﺮﺗ

زا دﻮـﺑ ترﺎﺒﻋ 6883

، 30974 ، 12048 ، 10480 و 13587 .ﺮـﻔﻧ

ﻪﺑ ﻪﻣﺎﻧﺮﺑ ﻦﯾا ءاﺮﺟا لﻮﻃ رد ﯽﻠﮐ رﻮﻃ 213978

و 73972 درﻮـﻣ

لﻼﺘﺧا ﻞﮐ زا ﻪﺑ ﺎﻫ

و ﯽﯾﺎﺘـﺳور ﺶـﺷﻮﭘ ﺮـﯾز ﻖﻃﺎـﻨﻣ رد ﺐـﯿﺗﺮﺗ

هﺪﺷ ﯽﯾﺎﺳﺎﻨﺷ يﺮﻬﺷ .ﺪﻧا

هداد ﺎــﻫ ي

ــﺳرﺮﺑ ﻪــﺑ طﻮــﺑﺮﻣ ﯽ

ﻫﺎــﮔآ ﯽ داﺮــﻓا شﺮــﮕﻧ و

ﺮﯾز مﺎﻏدا ﻪﻣﺎﻧﺮﺑ ﺶﺷﻮﭘ تﺎﻣﺪﺧ

رد ناور ﺖﺷاﺪﻬﺑ نﺎـﺸﻧ

PHC

داد هوﺮﮔ رد ،ﺶﯾﺎﻣزآ داﺮﻓا و نازرﻮﻬﺑ شﺮﮕﻧ و ﯽﻫﺎﮔآ ناﺰﯿﻣ

ﻪﻌﻣﺎﺟ ﺲﭘ ﻠﺧاﺪﻣ زا ﻪ ﯽﺷزﻮﻣآ

، ﻪﺑ ﺖﺒﺴﻧ ﺶﯿـﭘ ـﻠﺧاﺪﻣ زا ،ﻪ رد

ﯽﯾﺎﺘﺳور و يﺮﻬﺷ ﺖﯿﻌﻤﺟ ﻪﺘﺷاد ﺶﯾاﺰﻓا

ﯽﻟو ، ﺪﻫﺎﺷ هوﺮﮔ رد

ﺮﯿﯿﻐﺗ ﯾد ي ) ﺖﺳا هﺪﺸﻧ هﺪ

لوﺪﺟ

( .

1

ﺚﺤﺑ روﺮــﻣ مﺎــﻈﻧ ﯽــﺳرﺮﺑ ﺪــﻨﻣ مﺎــﺠﻧا يﺎــﻫ

مﺎــﻏدا ﻪــﻨﯿﻣز رد هﺪــﺷ

رد ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ

PHC

داد نﺎـﺸﻧ ناﺮـﯾا رد نﺎـﯾﺎﭘ ﺎـﺗ

لﺎﺳ 1386

، ناﺰﯿﻣ 2/

95 ﻌﻤﺟ ﺪﺻرد ﯿ

ﺎﺘﺳور ﺖ ﯽﯾ ، 6/

36 ﺪﺻرد ﻌﻤﺟ

ﯿ ﺮﻬﺷ ﺖ ي و 6/

54 ﻌﻤﺟ ﻞﮐ ﺪﺻرد ﯿ

رﻮﺸﮐ ﺖ ﭘ ﺮﯾز

ﺶﺷﻮ

ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ مﺎﻏدا ﻪﻣﺎﻧﺮﺑ رد

PHC

ﻪـﺘﻓﺮﮔ راﺮـﻗ .ﺪـﻧا

ﯽﻃ لﺎﺳ يﺎﻫ 86 - 1367

،

ناور ﺖـﺷاﺪﻬﺑ تﺎﻣﺪـﺧ مﺎﻏدا ﻪﻣﺎﻧﺮﺑ

رد ﺑﻪ

PHC

ﯽﺠﯾرﺪﺗ ترﻮﺻ ﻪـﺑ ،

،ﺐـﯿﺗﺮﺗ 4 / 98 ، 6/

95

، 9/

54 و

6/

36 ﺪﺻرد ﻪـﻧﺎﺧ ﺎـﻫ ي

ﺘـﺷاﺪﻬﺑ ﺰـﮐاﺮﻣ ،ﺖـﺷاﺪﻬﺑ ﯽ

- ﻧﺎـﻣرد ﯽ

ﺎﺘﺳور ﯽﯾ ﺎﭘ ، ﯾ هﺎـﮕ ﺎـﻫ ي ﺘـﺷاﺪﻬﺑ ﯽ

ﺘـﺷاﺪﻬﺑ ﺰـﮐاﺮﻣ و ﯽ

- ﻧﺎـﻣرد ﯽ

ﺮﻬﺷ ي ار ﺮﯾز و هداد راﺮﻗ ﺶﺷﻮﭘ 27649

،زرﻮﻬﺑ 6364 نادرﺎﮐ

و 7181 ﻣﻮﻤﻋ ﮏﺷﺰﭘ ﯽ

ﯾد شزﻮﻣآ ﺪﻨﭼﺮﻫ .ﺪﻧﺪ

شﺮﺘﺴﮔ ناﺰﯿﻣ

يرﻮــﺸﮐ ﻪــﻣﺎﻧﺮﺑ رد ناور ﺖــﺷاﺪﻬﺑ تﺎﻣﺪــﺧ مﺎــﻏدا

رد

PHC

زﺮﻣ ﻪﺑ ﯽﯾﺎﺘﺳور ﻖﻃﺎﻨﻣ 100

هﺪﯿﺳر ﺪﺻرد ،

رد شﺮﺘـﺴﮔ ناﺰـﯿﻣ

ﺎﺑ يﺮﻬﺷ ﺖﯿﻌﻤﺟ ﺪﺷر

6/

36 ﺪﺻرد ي

هدﻮـﺒﻧ بﻮـﻠﻄﻣ ﺖـﺳا

و

نﺎﻤﻫ ﯽﺑﺎﯿﺷزرا ﻪﮐ رﻮﻃ ترﻮﺻ يﺎﻫ

ﻪﺘﻓﺮﮔ لﺎﺳ رد يﺎﻫ 1374 و

1385 داد نﺎﺸﻧ ﻧﺪ

، ﻪﻣﺎﻧﺮﺑ ﻦﯾوﺪﺗ و يﺮﮕﻧزﺎﺑ ﺪﻨﻣزﺎﯿﻧ ﻪﻣﺎﻧﺮﺑ يﺎـﻫ

رﻮـﺸﮐ يﺮﻬﺷ ﻖﻃﺎﻨﻣ ياﺮﺑ ﯽﺗﺎﻣﺪﺧ ﻊﻣﺎﺟ ﺖـﺳا

) 13 ، 16 ، 19 ،

27 .(

ﯾ ﻪﺘﻓﺎ ﺎﻫ ﻣ ﺆ ﻦﯾا ﺪﯾ ﻪﮐ ﺖﺳا درﻮﻣ ناور ﺖﺷاﺪﻬﺑ شزﻮﻣآ ﺎﺑ

ﻄﺑار و نازرﻮﻬﺑ ﻪﺑ ﺎ

ﯽﺘﺷاﺪﻬﺑ ن ﺐﻠﻃواد

راﺮﻗ ﺶﺷﻮﭘ ﺮﯾز نﺎﮑﻣا ،

ــﻧاور نارﺎــﻤﯿﺑ نداد ناور ﺖــﺷاﺪﻬﺑ تﺎﻣﺪــﺧ ﺪــﻨﻣزﺎﯿﻧ ﯽ

ﻢﻫاﺮــﻓ

ﯽــﻣ ﺪــﯾآ ردﺎــﻗ ﺰــﮐاﺮﻣ نﺎﮑــﺷﺰﭘ و ﻫاﻮﺧ

ﺪــﻨ دﻮــﺑ نﺪــﻧارﺬﮔ ﺎــﺑ

هرود ناور ﺖﺷاﺪﻬﺑ يزﻮﻣآزﺎﺑ يﺎﻫ

، ﺖـﺷاﺪﻬﺑ ﯽﺳﺎﺳا تﺎﻣﺪﺧ

دوﺪﺣ ﻪﺑ ار ناور 85

ﺪﻨﻫد ﻪﺋارا نارﺎﻤﯿﺑ ﺪﺻرد )

4 ، 6 ، 16 ، 19 ،

24 .(

رد درﻮﻣ شزﻮﻣآ ﯽﺸﺨﺑﺮﺛا نازرﻮﻬﺑ شﺮﮕﻧ و ﯽﻫﺎﮔآ ﺮﺑ ﺎﻫ

ﺎﺟ داﺮـﻓا و

،ﻪــﻌﻣ ﻪــﺘﻓﺎﯾ ــﻣآ ﻪــﮐ ﺖــﺳا نآ ﺮﮕﻧﺎــﺸﻧ ﺎــﻫ شزﻮ

يﺎــﻫ

ﻪﺋارا ﺎﻘﺗرا ﺐﺟﻮﻣ ﺎﻬﻨﺗ ﻪﻧ هﺪﺷ ء

نﺎﻨﮐرﺎﮐ شﺮﮕﻧ و ﯽﻫﺎﮔآ ﺢﻄﺳ

(4)

ﯿﻪ

6

Vol. 19 / No. 1 / Spring 2013

ﻪﻧﺎﻣﺎﺳ ،هﺪﺷ

PHC

شزﻮﻣآ ﻦﯾا ﻪﮑﻠﺑ ﺎﻘﺗرا ﺎﻫ

ء ﺮـﯿﯿﻐﺗ و ﯽﻫﺎـﮔآ

ﺖـﺳا ﻪﺘـﺷاد ﺮـﺑ رد ﺰـﯿﻧ ار ﻪـﻌﻣﺎﺟ داﺮﻓا شﺮﮕﻧ )

4 ، 6 ، 16 ، 24 ،

27 ، 29 ، 30 ، 31 ، 32 .(

ﯽﺑﺎﯿﺷزرا مﺎﺠﻧا يﺎﻫ هﺪﺷ

ﯾا رد ﯽﻣ نﺎﺸﻧ ناﺮ ﺪﻫد

اﺮﺟا ء ﻪﻣﺎﻧﺮﺑ

رد ناور ﺖﺷاﺪﻬﺑ تﺎﻣﺪﺧ مﺎﻏدا ﯽﻧﺎـﺴﻧا يوﺮﯿﻧ دﻮﺟو ﺎﺑ

PHC

ﯽــﭘ ﺐــﻗاﺮﻣ و ﺮــﯿﮔ

،(زرﻮــﻬﺑ) ﺖــﯿﻘﻓﻮﻣ ﺎــﺑ ﯽﯾﺎﺘــﺳور ﻖﻃﺎــﻨﻣ رد

ﻢﺸﭼ اﺮﺟا .ﺖﺳا هدﻮﺑ هاﺮﻤﻫ ﺮﯿﮔ ء

زا هدﺎﻔﺘـﺳا ﯽـﺸﯾﺎﻣزآ ﻪـﻣﺎﻧﺮﺑ

ﻄﺑار ﺎ ﯽﺘﺷاﺪﻬﺑ ن

ﺮﻬـﺷ رد ﺪـﻨﭼﺮﻫ ،ﺐـﻠﻃواد ﺎـﺑ ﮏـﭼﻮﮐ يﺎـﻫ

ﺑ وﺮﺑور ﯽﺠﯾرﺪﺗ شﺮﺘﺴﮔ هدﻮ

، نﻼﮐ ﺖﯿﻌﻤﺟ يﻮﮕﺑاﻮﺟ يﺮﻬﺷ

ﯿﻧ رﻮﺸﮐ گرﺰﺑ يﺎﻫﺮﻬﺷ و ﺖﺴ

يدﺎـﯾز تﻼﮑـﺸﻣ ﺎـﺑ و

، ﺪـﻨﻧﺎﻣ

دﺎﻤﺘﻋا ﻦﺘﺷاﺪﻧ ﻄﺑار ﻪﺑ مدﺮﻣ ﺎ

ن

، ) ﺖﺳا هدﻮﺑ هاﺮﻤﻫ 18

، 24 ، 27 ( .

ﻪﺘﻓﺎﯾ ﺎﻫ ﻢﻫ ﻦﯿﻨﭼ ﺮﮕﻧﺎﺸﻧ ﻪـﺑﺮﺠﺗ و ﻪﻣﺎﻧﺮﺑ يﺮﮕﻧزﺎﺑ تروﺮﺿ

ﺮﮕﯾد ﺎﻫﻮﮕﻟا دﻮﺑ ﻖﻃﺎـﻨﻣ رد هداﻮﻧﺎـﺧ ﮏﺷﺰﭘ ﻪﻣﺎﻧﺮﺑ زا هدﺎﻔﺘﺳا .

ﯽﯾﺎﺘــﺳور ﺗ و ﮏــﭼﻮﮐ يﺎﻫﺮﻬــﺷ و

ﺄ ﺰــﮐاﺮﻣ ﺰــﯿﻬﺠﺗ و ﺲﯿــﺳ

ﻪﻌﻣﺎﺟ ناور ﺖﺷاﺪﻬﺑ نﻼﮐ رد ﺮﮕﻧ

ﻪﻣﺎﻧﺮﺑ ﻪﻠﻤﺟ زا ،ﺎﻫﺮﻬﺷ ﯽﯾﺎـﻫ

لﺎﺳ رد ﻪﮐ ﺖﺳا

اﺮـﺟا ﻪـﺑ ناﺮﯾا رد ﺮﯿﺧا يﺎﻫ ء

هﺪـﻣآ رد ﺖـﺳا

) 27 ءاﺮﺟا ﺎﺑ .(

ﻪـﻣﺎﻧﺮﺑ نﺎـﻨﮐرﺎﮐ ﻂـﺳﻮﺗ لﺰـﻨﻣ رد ﺖـﯾﺰﯾو يﺎـﻫ

ﺰﮐاﺮﻣ ﻪـﻌﻣﺎﺟ ناور ﺖﺷاﺪﻬﺑ ﺮـﮕﻧ

ﯽـﻣ ﻪـﺑ يدﺎـﯾز ﺪـﺣ ﺎـﺗ ناﻮـﺗ

تﺎﻣﺪﺧ ﻣ و ﻪﻨﯿﻬﺑ ﺆ و ﺖـﻓﺎﯾ ﺖـﺳد ﺰـﮐاﺮﻣ ﻦﯾا ﺮﺛ ﻪـﻨﯿﻣز

ﺎـﻘﺗرا ء

ﻢﻫاﺮـﻓ ار ﻪﻌﻣﺎﺟ داﺮﻓا ﯽﻋﺎﻤﺘﺟا و ﯽﻤﺴﺟ ،ﯽﻧاور ﺖﻣﻼﺳ ﺢﻄﺳ .دروآ ﻪﺘﻓﺎﯾ روﺮﻣ يﺎﻫ مﺎﻈﻧ

ﺮﺿﺎﺣ ﺪﻨﻣ ﻪـﻣﺎﻧﺮﺑ ﺮﻈﻧﺪﯾﺪﺠﺗ موﺰﻟ ﺮﺑ

و يرﻮﺸﮐ مﺎﺠﻧا

ﯽـﺳرﺮﺑ يﺎـﻫ ﻪـﻨﯾﺰﻫ - يﺪﻨﻤﺘﯾﺎـﺿر ،ﯽـﺸﺨﺑﺮﺛا

ﺖﻓﺎﯾرد ﯽﺳرﺮﺑ و تﺎﻣﺪﺧ نﺎﮔﺪﻨﻨﮐ يﺎـﻫ

ـﭘ زا ﺶﯿـﺑ ﯽـﻔﯿﮐ ﺶﯿ

ﺗ ﺄ .دراد ﺪﯿﮐ

يراﺰﮕﺳﺎﭙﺳ

ﺮﺘﮐد نﺎﯾﺎﻗآ زا ﯽﻠﻋ

ﺮﻐـﺻا داﮋﻧﺮﻐـﺻا

ﺪـﯾﺮﻓ و ﺪﯿـﺳ سﺎـﺒﻋ

يﺮﻗﺎﺑ ﯽﯾﺎﻤﻨﻫار ياﺮﺑ يدﺰﯾ ﺎﻫ

ﮏـﻤﮐ و رد نﺎـﺸﯾﺎﻫ دﺮـﮔ

يروآ

هداد ﯽﻣ ﯽﻧادرﺪﻗ ﻪﻧﺎﻤﯿﻤﺻ ،ﺎﻫ .دﻮﺷ

نﺎﯾﺎﭘ زا ﻪﺘﻓﺮﮔﺮﺑ ﻪﻟﺎﻘﻣ ﻦﯾا ] ﻪﻣﺎﻧ

ﺪﺷرا ﯽﺳﺎﻨﺷرﺎﮐ ﺖﺴﺨﻧ هﺪﻨﺴﯾﻮﻧ

لﺎﺳ رد 1390 ﺖﺳا . [

ﻧ رﺎﻬﻇا ﻪﺑ ﺎﻨﺑ ] ،ﻪﻟﺎﻘﻣ لﻮﺌﺴﻣ هﺪﻨﺴﯾﻮ

و ﺶﻫوﮋـﭘ زا ﯽﻟﺎـﻣ ﺖـﯾﺎﻤﺣ

ﺖﺳا ﻪﺘﺷاﺪﻧ دﻮﺟو ﻊﻓﺎﻨﻣ ضرﺎﻌﺗ . [

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هﺎﺷ ﻖﯾﺎﻘﺷ نارﺎﮑﻤﻫ و يﺪﻤﺤﻣ

7

لﺎﺳﻢﻫدزﻮﻧرﺎﻤﺷ /ه 1 / رﺎﻬﺑ1392 Vol. 19 / No. 1 / Spring 2013

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8

Vol. 19 / No. 1 / Spring 2013

Integration of Mental Health Care in Primary Health Care Program in Iran:

A Systematic Review

Abstract

Objectives: The current study aimed to provide a systematic review of studies conducted between 1998 and 2008 on the primary healthcare program (PHC) in Iran. Method: Electronic and manual search of a number of internal and external databases and resources (including Pubmed, IranDoc, SID, IranPsych, Embase, PsycINFO, and Iranmedex) were conducted as well as interviews with professionals in the sector. In total, of the 156 research abstracts that were obtained, 26 reports and research programs relating to the subject of integration of mental health care in PHC in Iran were selected. Results: Studies suggest that, in its 20-year gradual expansion, the integrated program has covered 54.6% of the country’s population (specifically 95.2% of rural and 36.6% of urban population). Moreover, the total number of case findings by health workers increased from 4.3 to 14.7 persons in every thousand of the population.

Nine assessments conducted to examine knowledge and attitudes of health workers and individuals in the community towards mental health indicated positive improvements in these factors. Conclusion: The integration of mental health care in PHC program has been successful in smaller cities and rural areas, but it has not been responsive to populations of large metropolitan cities in Iran. Therefore, there is an urgent need to revise this program

.

Key words: mental health; primary health care services; systematic review;

Iran

[Received: 25 January 2012; Accepted: 8 September 2012]

Shaghayegh Shahmohammadi *, Hamid Yaghobi ^a, Jafar Bolhari ^b, Shirin Moshirpour ^c

* Corresponding author: Islamic Azad University, Tehran, Iran, IR.

Fax: +9821-66509024

E-mail: [email protected]

a Shahed University, Tehran, Iran; ^b Mental Health Research Center , Tehran Institute of Psychiatry-Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran; ^c Tehran Institute of Psychiatry-Faculty of Behavioral Sciences and Mental Health, Tehran, Iran.