The effect of educational intervention based on the integrated model of health belief with the structure of social support on self-care behaviors during pregnancy

(1)

324

1399 ﻥﺎﺘﺴﻣﺯ،ﻡﺭﺎﻬﭼﺓﺭﺎﻤﺷ،ﻢﺘﺸﻫﺓﺭﻭ ﺩ / ﺖﻣﻼﺳﻯﺎﻘﺗﺭﺍﻭﺖﺷﺍ ﺪﻬﺑﺵﺯﻮﻣﺁﻰﺸﻫﻭﮋﭘﻰﻤﻠﻋﻪﻣﺎﻨﻠﺼﻓ

Hossien Izadirad

Assistant Professor, Health Education and Health Promotion Department.

Zahedan university Medical sciences, Zahedan, Iran

Vahid Nohtani

* M.Sc. Student of Health Education and Health Promotion, Faculty of Health Sciences, Zahedan University of Medical Sciences, Zahedan Iran. (Corresponding author):

[email protected] Mahdi Aliahmadi

M.Sc. Student of Health Education and Health Promotion, Faculty of Health Sciences, Zahedan University of Medical Sciences, Zahedan Iran.

Fatemeh Pourhaji

Assistant Professor, Health Education and Health Promotion Department, Faculty of Health Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.

Shamsoddin Niknami

Associate Professor, Health Education and Health Promotion Department, Tarbiat Modarres University, Tehran, Iran.

Received: 2020/04/16 Accepted: 2020/09/03 Doi: 10.29252/ijhehp.8.4.1

Iranian Journal of Health Education & Promotion

Volume 8, Issue 4, Winter 2021 324

The eﬀect of educational intervention based on the integrated model of health belief with the structure of social support on

self-care behaviors during pregnancy

ABSTRACT

Background and Objective: Self-care behaviors during pregnancy can be eﬀective in reducing the adverse consequences of pregnancy. The aim of this study was to investigate the eﬀect of educational intervention based on the integrated model of health belief model with the structure of social support on self-care behaviors during pregnancy.

Materials and Methods: The present study was a quasi-experimental study conducted among 90 pregnant women in the first abdomen of Iranshahr in 2017.

The samples were selected by simple random sampling and divided into two groups of intervention (45 people) and control (45 people).5 training sessions were held for the intervention group and no intervention was performed in the control group. Six months after the training intervention, the questionnaire was completed by both groups. The collected data were analyzed using SPSS software version 20 and independent t-test, paired t-test and chi-square test.

Results: The results showed that the mean scores of pregnant mothers in Perceived susceptibility structures 1.74(±0/17), Perceived severity 4.55(±0/05), Perceived benefits 0.63(±0/05), self-eﬃcacy 3.67(±0/41), social support structure 5.13(±0/63) and self-care behaviors 3.15(±0/38) showed a significant increase in the intervention group (p<0.001). In the comparison of birth weight, there was a statistically significant diﬀerence between the intervention and control groups after the educational intervention (P = 0.036).

Conclusion: The combination of health belief model and social support structure can be used as a suitable framework for designing and implementing educational interventions aimed at promoting the self-care behaviors of pregnant women and birth weight.

Keywords: Self-care, Social support, Health Belief Model, Birth weight, Pregnant women

Paper Type: Research Article.

 Citation (Vancouver): Izadirad H, Nohtani V, Aliahmadi M, Pourhaji F, Niknami SH. The eﬀect of educational intervention based on the integrated model of health belief with the structure of social support on self-care behaviors during pregnancy . Iran J Health Educ Health Promot. Winter 2021;8(4):324-335. [Persian]x

 Citation (APA): Izadirad H., Nohtani V., Aliahmadi M., Pourhaji F., Niknami SH.

The eﬀect of educational intervention based on the integrated model of health belief with the structure of social support on self-care behaviors during pregnancy. Iranian Journal of Health Education & Health Promotion., 8(4),324-335 . [Persian]

(2)

... ﻰﻋﺎﻤﺘﺟﺍﺖﻳﺎﻤﺣﺭﺎﺘﺧﺎﺳﻭﺖﻣﻼﺳﺭﻭﺎﺑﻯﻮﮕﻟﺍﺮﺑﻰﻨﺘﺒﻣﻰﺷﺯﻮﻣﺁﻪﻠﺧﺍ ﺪﻣﺮﻴﺛﺄﺗ / ﻥﺍﺭﺎﻜﻤﻫﻭ ﺩﺍﺭﻯ ﺩﺰﻳﺍﻦﻴﺴﺣ

ﻯﺎﻫﺭﺎﺘﻓﺭ ﺮﺑ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ﻭ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﺮﺑ ﻰﻨﺘﺒﻣ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺮﻴﺛﺄﺗ

ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ

ﻩ ﺪﻴﻜﭼ

ﻯﺭﺍ ﺩﺭﺎﺑ ﺏﻮﻠﻄﻣﺎﻧ ﻯﺎﻫ ﺪﻣﺎﻴﭘ ﺶﻫﺎﻛ ﺭ ﺩ ﺪﻧﺍﻮﺗ ﻰﻣ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﺭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ :ﻑ ﺪﻫ ﻭ ﻪﻨﻴﻣﺯ ﺎﺑ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻰﻘﻴﻔﻠﺗ ﻝ ﺪﻣ ﺮﺑ ﻰﻨﺘﺒﻣ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺮﻴﺛﺄﺗ ﻰﺳﺭﺮﺑ ،ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻑ ﺪﻫ . ﺪﺷﺎﺑ ﺮﺛﺆﻣ . ﺪﺷﺎﺑ ﻰﻣ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﺮﺑ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻩﺯﺎﺳ ﺮﻬﺷ ﻝﻭﺍ ﻢﻜﺷ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺯﺍ ﺮﻔﻧ 90 ﻥﺎﻴﻣ ﺭ ﺩ ﻪﻛ ﺩﻮﺑ ﻰﺑﺮﺠﺗ ﻪﻤﻴﻧ ﻪﻌﻟﺎﻄﻣ ﻚﻳ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ :ﺎﻫ ﺵﻭﺭ ﻭ ﺩﺍﻮﻣ ﻭ (ﺮﻔﻧ45)ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻭ ﺩ ﻪﺑ ﻭ ﺏﺎﺨﺘﻧﺍ ﻩ ﺩﺎﺳ ﻰﻓ ﺩﺎﺼﺗ ﺵﻭﺭ ﻪﺑ ﺎﻫ ﻪﻧﻮﻤﻧ . ﺪﺷ ﻡﺎﺠﻧﺍ 1396 ﻝﺎﺳﺭ ﺩ ﺮﻬﺸﻧﺍﺮﻳﺍ ﻪﻠﺧﺍ ﺪﻣ ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﺭ ﺩ ﻭ ﺪﻳ ﺩﺮﮔ ﺭﺍﺰﮔﺮﺑ ﻰﺷﺯﻮﻣﺁ ﻪﺴﻠﺟ 5 ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻯﺍﺮﺑ . ﺪﻧ ﺪﺷ ﻢﻴﺴﻘﺗ (ﺮﻔﻧ45)ﻝﺮﺘﻨﻛ ﻯﺭﻭﺁ ﻊﻤﺟ ﻯﺎﻫ ﻩ ﺩﺍ ﺩ. ﺪﺷ ﻞﻴﻤﻜﺗ ﻩﻭﺮﮔ ﻭ ﺩ ﺮﻫ ﻂﺳﻮﺗ ﻪﻣﺎﻨﺸﺳﺮﭘ ،ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻩﺎﻣ 6 . ﺪﺸﻧ ﻡﺎﺠﻧﺍ ﻞﻴﻠﺤﺗ ﺩﺭﻮﻣ ﺮﺋﻮﻜﺳﺍ ﻯﺎﻛ ﻭ ﻰﺟﻭﺯ ﻰﺗ ،ﻞﻘﺘﺴﻣ ﻰﺗ ﻯﺎﻫ ﻥﻮﻣﺯﺁ ﻭ 20 ﻪﺨﺴﻧ SPSS ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﻩ ﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻩ ﺪﺷ . ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ،(0/17±)1/74ﻩ ﺪﺷ ﻙﺭ ﺩ ﺖﻴﺳﺎﺴﺣ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ﺭ ﺩ ﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭ ﺩﺎﻣ ﺕﺍﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﺩﺍ ﺩ ﻥﺎﺸﻧ ﺞﻳﺎﺘﻧ :ﺎﻫ ﻪﺘﻓﺎﻳ ﺖﻳﺎﻤﺣ ﻩﺯﺎﺳ ،(0/41±)3/67ﻯ ﺪﻣﺁﺭﺎﻛ ﺩﻮﺧ ،(0/05±)0/63ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻓﺎﻨﻣ ،(0/05±)4/55ﻩ ﺪﺷ ﻙﺭ ﺩ ﺕ ﺪﺷ ﻥﺎﺸﻧ ﻯﺭﺍ ﺩ ﻰﻨﻌﻣ ﺶﻳﺍﺰﻓﺍ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﺭ ﺩ (0/38±)3/15ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻭ (0/63±)5/13ﻰﻋﺎﻤﺘﺟﺍ ﻑﻼﺘﺧﺍ ،ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻦﻴﺑ ، ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻥﺯﻭ ﻪﺴﻳﺎﻘﻣ ﺭ ﺩ .(p>0/001) ﺩﺍ ﺩ .(P=0/036) ﺖﺷﺍ ﺩ ﺩﻮﺟﻭ ﻯﺭﺎﻣﺁ ﺭﺍ ﺩ ﻰﻨﻌﻣ ﻯﺍﺮﺑ ﺐﺳﺎﻨﻣ ﻰﺑﻮﭼﺭﺎﭼ ﻥﺍﻮﻨﻋ ﻪﺑ ﺪﻧﺍﻮﺗ ﻰﻣ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ﻭ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻖﻴﻔﻠﺗ :ﻯﺮﻴﮔ ﻪﺠﻴﺘﻧ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻥﺯﻭ ﻭ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ءﺎﻘﺗﺭﺍ ﻑ ﺪﻫ ﺎﺑ ﻰﺷﺯﻮﻣﺁ ﺕﻼﺧﺍ ﺪﻣ ﻯﺍﺮﺟﺍ ﻭ ﻰﺣﺍﺮﻃ . ﺩ ﺩﺮﮔ ﻩ ﺩﺎﻔﺘﺳﺍ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ، ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻥﺯﻭ ،ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ،ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ :ﻩژﺍﻭ ﺪﻴﻠﻛ .ﻰﺸﻫﻭﮋﭘ ﻪﻌﻟﺎﻄﻣ :ﻪﻟﺎﻘﻣ ﻉﻮﻧ ﻪﻠﺧﺍ ﺪﻣ ﺮﻴﺛﺄﺗ .ﺵ ﻰﻣﺎﻨﻜﻴﻧ ،ﻑ ﻰﺟﺎﺣﺭﻮﭘ ،ﻡ ﻯ ﺪﻤﺣﺍ ﻰﻠﻋ ،ﻭ ﻰﻧﺎﺘﻬﻧ ،ﺡ ﺩﺍﺭ ﻯ ﺩﺰﻳﺍ :(ﺭﻭﻮﻜﻧﻭ) ﺩﺎﻨﺘﺳﺍ  .ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﺮﺑ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ﻭ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﺮﺑ ﻰﻨﺘﺒﻣ ﻰﺷﺯﻮﻣﺁ .335-324 :(4)8؛1399 ﻥﺎﺘﺴﻣﺯ .ﺖﻣﻼﺳ ءﺎﻘﺗﺭﺍ ﻭ ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﻪﻣﺎﻨﻠﺼﻓ ﺲﻤﺷ ،ﻰﻣﺎﻨﻜﻴﻧ ؛ﻪﻤﻃﺎﻓ ،ﻰﺟﺎﺣﺭﻮﭘ ؛ﻯ ﺪﻬﻣ ،ﻯ ﺪﻤﺣﺍ ﻰﻠﻋ ؛ ﺪﻴﺣﻭ ،ﻰﻧﺎﺘﻬﻧ ؛ﻦﻴﺴﺣ ، ﺩﺍﺭ ﻯ ﺩﺰﻳﺍ :(APA) ﺩﺎﻨﺘﺳﺍ  ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ﻭ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﺮﺑ ﻰﻨﺘﺒﻣ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺮﻴﺛﺄﺗ .(1399 ﻥﺎﺘﺴﻣﺯ) .ﻦﻳ ﺪﻟﺍ .335-324 :(4)8 ،ﺖﻣﻼﺳ ءﺎﻘﺗﺭﺍ ﻭ ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﻪﻣﺎﻨﻠﺼﻓ .ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﺮﺑ ﺩﺍﺭ ﻯ ﺩﺰﻳﺍ ﻦﻴﺴﺣ

،ﺖﻣﻼﺳ ﻯﺎﻘﺗﺭﺍ ﻭ ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﻩﻭﺮﮔ ﺭﺎﻳ ﺩﺎﺘﺳﺍ .ﻥﺍﺮﻳﺍ ،ﻥﺍ ﺪﻫﺍﺯ ﻰﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍ ﺩ ﻰﻧﺎﺘﻬﻧ ﺪﻴﺣﻭ ،ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﺪﺷﺭﺍ ﻰﺳﺎﻨﺷﺭﺎﻛ ﻯﻮﺠﺸﻧﺍ ﺩ * ﻥﺍﺮﻳﺍ .ﻥﺍ ﺪﻫﺍﺯ ﻰﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍ ﺩ ،ﺖﺷﺍ ﺪﻬﺑ ﻩ ﺪﻜﺸﻧﺍ ﺩ (ﻝﻮﺴﻣ ﻩ ﺪﻨﺴﻳﻮﻧ ) [email protected]

ﻯ ﺪﻤﺣﺍ ﻰﻠﻋ ﻯ ﺪﻬﻣ ﻩ ﺪﻜﺸﻧﺍ ﺩ ،ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﺪﺷﺭﺍ ﻰﺳﺎﻨﺷﺭﺎﻛ ﻯﻮﺠﺸﻧﺍ ﺩ ﻥﺍﺮﻳﺍ.ﻥﺍ ﺪﻫﺍﺯ ﻰﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍ ﺩ ،ﺖﺷﺍ ﺪﻬﺑ ﻰﺟﺎﺣﺭﻮﭘ ﻪﻤﻃﺎﻓ ،ﺖﻣﻼﺳ ﻯﺎﻘﺗﺭﺍ ﻭ ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﻩﻭﺮﮔﺭﺎﻳ ﺩﺎﺘﺳﺍ ،ﻪﻳﺭ ﺪﻴﺣ ﺖﺑﺮﺗ ﻰﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍ ﺩ ،ﺖﺷﺍ ﺪﻬﺑ ﻩ ﺪﻜﺸﻧﺍ ﺩ ﻥﺍﺮﻳﺍ ﻰﻣﺎﻨﻜﻴﻧ ﻦﻳ ﺪﻟﺍ ﺲﻤﺷ ﻩ ﺪﻜﺸﻧﺍ ﺩ ،ﺖﻣﻼﺳ ﻯﺎﻘﺗﺭﺍ ﻭ ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﻩﻭﺮﮔ ﺩﺎﺘﺳﺍ .ﻥﺍﺮﻳﺍ ،ﻥﺍﺮﻬﺗ ،ﻥﺍﺮﻬﺗ ﺱﺭ ﺪﻣ ﺖﻴﺑﺮﺗ ﻩﺎﮕﺸﻧﺍ ﺩ ،ﻰﻜﺷﺰﭘ 1399/01/28 :ﺖﻓﺎﻳﺭ ﺩ ﺦﻳﺭﺎﺗ 1399/06/13 :ﺵﺮﻳﺬﭘ ﺦﻳﺭﺎﺗ

(3)

ﻪﻣ ﺪﻘﻣ ﺭ ﺩ ﺮﻴﻴﻐﺗ ﺐﺒﺳ ﻯﺭﺍ ﺩﺭﺎﺑ ﺯﺍ ﻰﺷﺎﻧ ﻰﻋﺎﻤﺘﺟﺍ ﻭ ﻰﻧﺎﻤﺴﺟ ،ﻰﻧﺎﺠﻴﻫ ﺕﺍﺮﻴﻴﻐﺗ ﻯﺭﺎﮔﺯﺎﺳ ﻯﺍﺮﺑ ، ﺩﻮﺷ ﻰﻣ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻰﮔ ﺪﻧﺯ ﻚﺒﺳ ﻭ ﻰﺘﺷﺍ ﺪﻬﺑ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻪﻠﻤﺟ ﺯﺍ ﺎﻫ ﺖﻴﻟﺎﻌﻓ ﺯﺍ ﻯﺍ ﻪﻋﻮﻤﺠﻣ ﺪﻨﻣﺯﺎﻴﻧ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ،ﺕﺍﺮﻴﻴﻐﺗ ﻦﻳﺍ ﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ .(1) ﺪﻨﺷﺎﺑ ﻰﻣ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻭ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﺭﺍ ﺩﺭﺎﺑ ﺩﺮﻓ ﻚﻳ ﻪﻛ ﺪﻨﻛ ﻰﻣ ﻩﺭﺎﺷﺍ ﻰﻳﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻭ ﺕﺎﻤﻴﻤﺼﺗ ﻪﺑ ﻯﺭﺍ ﺩﺭﺎﺑ ﻰﺘﻣﻼﺳ ﻪﺑ ﻁﻮﺑﺮﻣ ﻞﺋﺎﺴﻣ ﻭ ﺕﻼﻜﺸﻣ ﺲﭘ ﺯﺍ ﺪﻧﺍﻮﺘﺑ ﺎﺗ ﺪﻫ ﺩ ﻰﻣ ﻡﺎﺠﻧﺍ .(4-2) ﺩﻮﺷ ﺩﻮﺧ ﻰﺘﻣﻼﺳ ﺩﻮﺒﻬﺑ ﺚﻋﺎﺑ ﺎﻳ ﻩ ﺪﻣﺁﺮﺑ ﻥﺍﺭﻭ ﺩ ﻦﻳﺍ ﺭ ﺩ ﺩﻮﺧ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰـﺘﺒﻗﺍﺮﻣ ﺩﻮـﺧ ﻥ ﺩﻮـﺑ ﺶﺨﺑﺮـﺛﺍ ﻯﺍﺮـﺑ . ﺪﻨﺷﺎﺑ ﻰﻣ ﻰﻋﺎﻤﺘﺟﺍ ﻯﺎﻫ ﺖﻳﺎﻤﺣ ﻭ ﺎﻫ ﺕﺭﺎﻬﻣ ،ﺕﺎـﻋﻼﻃﺍ ﻪـﺑ ﺪـﻨﻣﺯﺎﻴﻧ ﺭ ﺩ ﺩﻮﺧ ﺯﺍ ﺖﺒﻗﺍﺮﻣ ﻯﺍﺮﺑ ﺎﺗ ﺪﻧﺭﺍ ﺩ ﺯﺎﻴﻧ ﻥﺍﻮﺟ ﻥﺎﻧﺯ ًﺎﺻﻮﺼﺧ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺍﺭ ﻥﺎـﺷ ﺩﺍﺯﻮﻧ ﻭ ﺩﻮـﺧ ﺖﻣﻼـﺳ ﺎـﺗ ﺪﻧﻮـﺷ ﺪﻨﻤﻧﺍﻮﺗ ﻯﺭﺍ ﺩﺭﺎـﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻪﻛ ﺪﻫ ﺩ ﻰﻣ ﻥﺎﺸﻧ ﺎﻫﺭﺎﻣﺁ .(5) ﺪﻨﻳﺎﻤﻧ ﻦﻴﻤـﻀﺗ ﻂﺳﻮﺘﻣ ﻥﺍﺮﻳﺍ ﺭ ﺩ ﻭ ﺏﻮﻠﻄﻣ ﻥﺍﺰﻴﻣ ﺯﺍ ﺮﺘﻤﻛ ﻥﺎﻬﺟ ﺭﻮﺸﻛ ﻯﺭﺎﻴﺴﺑ ﺭ ﺩ ﺭ ﺩ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻦﻴﮕﻧﺎﻴﻣ ﻭ (7 ,6) ﺪﺷﺎﺑ ﻰﻣ ﻒﻴﻌﺿ ﺎﺗ ﺯﺍ ﻯﺭﺎﻴﺴﺑ ﻰﻓﺮﻃ ﺯﺍ .(4) ﺪﺷﺎﺑ ﻰﻣ ٪44 ﻥﺎﺘﺴﭼﻮﻠﺑ ﻭ ﻥﺎﺘﺴﻴﺳ ﻥﺎﺘﺳﺍ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻪﺑ ﻪﺘﺴﺑﺍﻭ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻥﺯﻭ ﻪﻠﻤﺟ ﺯﺍ ﻯ ﺩﺍﺯﻮﻧ ﻯﺎﻫ ﺪﻣﺎﻴﭘ ﻰﺘﻴﻌﻤﺟ ﻯﺎﻬﻫﻭﺮﮔ ﻪﻤﻫ ﺭ ﺩ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻥﺯﻭ .(1)ﺖﺳﺍ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻢﻟﺎﺳ ﻮﻤﻧ ﻭ ﺪﺷﺭ ﻚﻳ ﻪﺑﺮﺠﺗ ﻭ ﺎﻘﺑ ﺲﻧﺎﺷ ﻦﻴﻴﻌﺗ ﺭ ﺩ ﺖﻴﻤﻫﺍ ﻦﻳﺮﺘﺸﻴﺑ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻥﺯﻭ ﺪﻨﻧﺎﻣ ﻥﺎﺴﻧﺍ ﻰﮔ ﺪﻧﺯ ﺭ ﺩ ﻰﺼﺧﺎﺷ ﭻﻴﻫ . ﺩﺭﺍ ﺩ ﻩ ﺪﻬﻋﺮﺑ ﺍﺭ .(8) ﺪﻨﻛ ﺖﺒﺤﺻ ﻩ ﺪﻨﻳﺁ ﺮﻴﺴﻣ ﻭ ﻪﺘﺷﺬﮔ ﻊﻳﺎﻗﻭ ﻩﺭﺎﺑﺭ ﺩ ﻪﻛ ﺩﺭﺍ ﺪﻧ ﺩﻮﺟﻭ ﻡﺮﮔ2500 ﺯﺍ ﺮﺘﻤﻛ ﻥﺯﻭ ﺍﺭ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻰﻧﺯﻭ ﻢﻛ ،ﺖﺷﺍ ﺪﻬﺑ ﻰﻧﺎﻬﺟ ﻥﺎﻣﺯﺎﺳ ﻥﺍ ﺩﺍﺯﻮﻧ ﺪﺻﺭ ﺩ 20 ﺎﺗ 15 ﻪﻛ ﺖﺳﺍ ﻩ ﺪﺷ ﻩ ﺩﺯ ﻦﻴﻤﺨﺗ .ﺖﺳﺍ ﻩ ﺩﻮﻤﻧ ﻒﻳﺮﻌﺗ ﺍﺭ ﻝﺎﺳ ﺭ ﺩ ﺪﻟﻮﺗ ﻥﻮﻴﻠﻴﻣ 20 ﺯﺍ ﺶﻴﺑ ﻪﻛ ﺪﻨﺘﺴﻫ ﻰﻧﺯﻭ ﻢﻛ ﻯﺍﺭﺍ ﺩ ﺎﻴﻧ ﺩ ﺕﻭﺎﻔﺘﻣ ﻥﺎﻬﺟ ﻒﻠﺘﺨﻣ ﻖﻃﺎﻨﻣ ﺭ ﺩ ﻰﻧﺯﻭ ﻢﻛ ﻉﻮﻴﺷ ﻪﻛ ﺩﻮﺷ ﻰﻣ ﻞﻣﺎﺷ ﻯﺍﺮﺤﺻ ﺏﻮﻨﺟ ﻯﺎﻫﺭﻮﺸﻛ ﺭ ﺩ ٪13 ،ﺎﻴﺳﺁ ﺏﻮﻨﺟ ﺭ ﺩ ٪28 :ﺖﺳﺍ ﻥﺯﻭ ﺎﺑ ﺩﺍﺯﻮﻧ ﺪﻟﻮﺗ ﻉﻮﻴﺷ ﻥﺍﺮﻳﺍ ﺭ ﺩ .(9)ﻦﻴﺗﻻ ﻯﺎﻜﻳﺮﻣﺁ ﺭ ﺩ ٪9 ﻭ ﺎﻘﻳﺮﻓﺁ ،11 ، 3/8 ﺐﻴﺗﺮﺗ ﻪﺑ ﺭﻮﺸﻛ ﻞﻛ ﻭ ﻰﻳﺎﺘﺳﻭﺭ ،ﻯﺮﻬﺷ ﻖﻃﺎﻨﻣ ﺭ ﺩ ﻢﻛ ﻢﻴﻠﻗﺍ ﻪﺑ ﻁﻮﺑﺮﻣ ﻥﺯﻭ ﻢﻛ ﺩﺍﺯﻮﻧ ﻉﻮﻴﺷ ﻦﻳﺮﺘﺸﻴﺑ ، ﺪﺷﺎﺑ ﻰﻣ ﺪﺻﺭ ﺩ 8/9 ﻭ (٪8,14) ﻥﺎﻣﺮﻛ ﺏﻮﻨﺟ ﻭ ﻥﺎﺘﺴﭼﻮﻠﺑ ﻭ ﻥﺎﺘﺴﻴﺳ ،ﻥﺎﺳﺍﺮﺧ ﺏﻮﻨﺟ ﻭ ﻡﻼﻳﺍ ،ﻩﺎﺸﻧﺎﻣﺮﻛ ،ﻥﺎﺘﺳﺮﻟ ،ﻥﺍ ﺪﻤﻫ ،ﻥﺎﺘﺳ ﺩﺮﻛ ﻢﻴﻠﻗﺍ ﺭ ﺩ ﻥﺁ ﻦﻳﺮﺘﻤﻛ ﺖﻳﺎﻤﺣ ﻭ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻥﺍ ﺪﻘﻓ . (10)ﺖﺳﺍ (3/7٪) ﻥﺎﺘﺳﺯﻮﺧ ﻝﺎﻤﺷ

ﻥﺍ ﺩﺍﺯﻮﻧ گﺮﻣ ﻭ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻰﻧﺯﻭ ﻢﻛﺯﻭﺮﺑ ﺎﺑ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﻋﺎﻤﺘﺟﺍ (13-11). ﺩﺭﺍ ﺩ ﻁﺎﺒﺗﺭﺍ ﻪﻛ ﻰﺷﺯﻮﻣﺁ ﻯﺎﻫﻮﮕﻟﺍ ﺯﺍ ﻩ ﺩﺎﻔﺘﺳﺍ ﺎﺑ ،ﺖﺷﺍ ﺪﻬﺑ ﺵﺯﻮﻣﺁ ﻩﺯﻮﺣ ﺭ ﺩ ﻥﺍﺰﻴﻣ ﻰﺳﺭﺮﺑ ﻭ ﺪﻧﺍ ﻩ ﺪﺷ ﻰﺣﺍﺮﻃ ﺭﺎﺘﻓﺭ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣﺍﻮﻋ ﻦﻴﻴﺒﺗ ﻯﺍﺮﺑ ﻯﺎﻫ ﺩﺮﺒﻫﺍﺭ ﻥﺍﻮﺗ ﻰﻣ ،ﻪﻧﺍﺮﻴﮕﺸﻴﭘ ﺭﺎﺘﻓﺭ ﺫﺎﺨﺗﺍ ﺭ ﺩ ﺎﻫﺮﻴﻐﺘﻣ ﻦﻳﺍ ﺮﻴﺛﺄﺗ . ﺩﺮﻛ ﺍ ﺪﻴﭘ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻯﺎﻘﺗﺭﺍ ﻯﺍﺮﺑ ﻰﺒﺳﺎﻨﻣ ﻦﻳﺮﺗ ﺩﺮﺑﺭﺎﻛﺮﭘ ﺯﺍ ﻰﻜﻳ ^١ﻰﺘﺷﺍ ﺪﻬﺑ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻪﻨﻴﻣﺯ ﻦﻳﺍ ﺭ ﺩ ﻪﻛ ﺪﺷﺎﺑ ﻰﻣ ﺭﺎﺘﻓﺭ ﺢﻴﺿﻮﺗ ﻪﻨﻴﻣﺯ ﺭ ﺩ ﻩ ﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻝ ﺪﻣ ﻯﺎﻫ ﺏﻮﭼﺭﺎﭼ .(14) ﺩﻭﺭ ﺭﺎﻛ ﻪﺑ ﺖﻣﻼﺳ ﺵﺯﻮﻣﺁ ﺕﻼﺧ ﺪﻣ ﻯﺍﺮﺑ ﻯﺍ ﻪﻳﺎﭘ ﻪﺑ ﺪﻧﺍﻮﺗ ﻰﻣ ﻚﻳ ﺯﺍ ﺭﺎﻈﺘﻧﺍ ﺩﺭﻮﻣ ﻯﺎﻫ ﺪﻣﺎﻴﭘ ﻪﺑ ﺭﺎﺘﻓﺭ ﻡﺎﺠﻧﺍ ،ﻮﮕﻟﺍ ﻦﻳﺍ ﺱﺎﺳﺍ ﺮﺑ ﺖﻴﺳﺎﺴﺣ : ﺪﺷﺎﺑ ﻰﻣ ﺭﺎﺘﺧﺎﺳ 6 ﻯﺍﺭﺍ ﺩ ﻮﮕﻟﺍ ﻦﻳﺍ . ﺩﺭﺍ ﺩ ﻰﮕﺘﺴﺑ ﻞﻤﻋ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻧﺍﻮﻣ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻓﺎﻨﻣ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ﺕ ﺪﺷ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ،ﻮﮕﻟﺍ ﻦﻳﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ﺱﺎﺳﺍ ﺮﺑ .ﻞﻤﻋ ﻯﺍﺮﺑ ﺎﻤﻨﻫﺍﺭ ﻭ ﻯ ﺪﻣﺁﺭﺎﻛ ﺩﻮﺧ ﻯﺭﺎﺘﻓﺭ ﻊﻓﺎﻨﻣ ﻙﺭ ﺩ ، ﻪﻠﺌﺴﻣ ﺕ ﺪﺷ ﻭ ﺖﻴﺳﺎﺴﺣ ﻙﺭ ﺩ ﻪﺠﻴﺘﻧ ﻢﻟﺎﺳ ﺭﺎﺘﻓﺭ ﻯﺎﻫ ﻙﺮﺤﻣ ﺎﺑ ﻪﻬﺟﺍﻮﻣ ، ﻪﻠﺌﺴﻣ ﺖﻳﺮﻳ ﺪﻣ ﺎﻳ ﺏﺎﻨﺘﺟﺍ ﻯﺍﺮﺑ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﺖﻴﻘﻓﻮﻣ ﻡﺎﺠﻧﺍ ﻰﻳﺎﻧﺍﻮﺗ ﻭ ﺖﻴﻓﺮﻇ ﻪﺑ ﺩﺮﻓ ﻥﺎﻨﻴﻤﻃﺍ ﻭ ﻞﻤﻋ ﻩ ﺪﻨﻫ ﺩ ﺎﻘﺗﺭﺍ .(15 ,14) ﺩﺭﺍ ﺩ ﺭﺎﺘﻓﺭ ﺰﻴﻣﺁ ﻪﺟﻮﺗ ﺩﺭﻮﻣ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﺮﺑ ﺵﺮﮕﻧ ﻭ ﻰﻫﺎﮔﺁ ﺶﻘﻧ ﺎﻫﺭﺎﺑ ﻪﭼ ﺮﮔﺍ ﻞﻣﺍﻮﻋ ﻪﺑ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﺪﺳﺭ ﻰﻣ ﺮﻈﻧ ﻪﺑ ﺎﻣﺍ ،ﻪﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻥﺍﺮﮕﺸﻫﻭﮋﭘ ﺯﺍ ﻰﺧﺮﺑ ﺩﺭﻮﻣ ﻦﻳﺍ ﺭ ﺩ . ﺪﺷﺎﺑ ﻪﺘﺴﺑﺍﻭ ﺰﻴﻧ ﻯﺮﮕﻳ ﺩ ﻰﻋﺎﻤﺘﺟﺍ ﻭ ﻯ ﺩﺮﻓ ﺪﻨﻧﺍﻮﺗ ﻰﻤﻧ ﻰﻳﺎﻬﻨﺗ ﻪﺑ ﺵﺮﮕﻧ ﻭ ﻰﻫﺎﮔﺁ ﻪﻛ ﺪﻧﺍ ﻪﺘﺷﺍ ﺩ ﺭﺎﻬﻇﺍ ﻥﺍﺮﮕﺸﻫﻭﮋﭘ ﻥﺍﺭ ﺩﺎﻣ ﺩﺍ ﺩ ﻥﺎﺸﻧ ﻯﺍ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ .(16) ﺪﻨﻫ ﺩ ﺶﻳﺍﺰﻓﺍ ﺍﺭ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﺮﺘﺸﻴﺑ ﺕﺎﻋﻼﻃﺍ ﺐﺴﻛ ﻪﺑ ﺯﺎﻴﻧ ،ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﺕﺎﻣﺍ ﺪﻗﺍ ﻡﺎﺠﻧﺍ ﺖﻬﺟ ﺐﻧﺎﺟ ﺯﺍ ﺮﺘﺸﻴﺑ ﻱﺎﻫ ﺖﻳﺎﻤﺣ ﺖﻓﺎﻳﺭ ﺩ ﻭ ﺖﻣﻼﺳ ﻦﻴﺒﻗﺍﺮﻣ ﻖﻳﺮﻃ ﺯﺍ .(17) ﺪﻧﺭﺍ ﺩ ﻥﺎﻴﻓﺍﺮﻃﺍ ﺪﻌﺑ ﺖﻴﻤﻫﺍ ﻪﺑ ﻪﻛ ﺖﻣﻼﺳ ﻩ ﺪﻨﻨﻛ ﻦﻴﻴﻌﺗ ﻰﻋﺎﻤﺘﺟﺍ ﻞﻣﺍﻮﻋ ﺯﺍ ﻰﻜﻳ ﻥﺁ ﻪﺑ ﻯﺍ ﻩ ﺪﻨﻳﺍﺰﻓ ﻪﺟﻮﺗ ﺮﻴﺧﺍ ﻯﺎﻬﻟﺎﺳ ﺭ ﺩ ﻭ ﺩﺭﺍ ﺩ ﻩﺭﺎﺷﺍ ﻥﺎﺴﻧﺍ ﻰﻋﺎﻤﺘﺟﺍ ﺖـﺴﺗﺭﺎﺒﻋ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ . ﺪﺷﺎﺑ ﻰﻣ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،ﺖﺳﺍ ﻩ ﺪﺷ

1. Health Belief Model(HBM)

(4)

... ﻰﻋﺎﻤﺘﺟﺍﺖﻳﺎﻤﺣﺭﺎﺘﺧﺎﺳﻭﺖﻣﻼﺳﺭﻭﺎﺑﻯﻮﮕﻟﺍﺮﺑﻰﻨﺘﺒﻣﻰﺷﺯﻮﻣﺁﻪﻠﺧﺍ ﺪﻣﺮﻴﺛﺄﺗ / ﻥﺍﺭﺎﻜﻤﻫﻭ ﺩﺍﺭﻯ ﺩﺰﻳﺍﻦﻴﺴﺣ ﻥﺍﺭﺎﻜﻤﻫ ﺎﻳ ﻥﺎﺘـﺳﻭ ﺩ ،ﻩ ﺩﺍﻮﻧﺎﺧ ﻪﻛ ﻰﻧﺎﻤـﺴﺟ ﻭ ﻰـﺳﺎﺴﺣﺍ ﺶﻣﺍﺭﺁ ﺯﺍ ﻦﻳﺍ ﻦﺘـﺴﻧﺍ ﺩ ﻰﻨﻌﻳ ﻰﻋﺎﻤﺘﺟﺍ ﺖـﻳﺎﻤﺣ . ﺪﻨﻫ ﺩ ﻰﻣ ﺩﺮﻓ ﻪـﺑ ﺩﺍﺮﻓﺍ ﻪـﻴﻘﺑ ﻭ ﻭ ﺩﺭﺍ ﺩ ﺖـﺳﻭ ﺩ ﺍﺭ ﻭﺍ ﻪﻛ ﺖـﺳﺍ ﻯﺍ ﻪﻌﻣﺎﺟ ﺯﺍ ﻰـﺸﺨﺑ ﺩﺮﻓ ﻪﻛ ﺐﻠﻄﻣ .(18)ﺖـﺳﺍ ﻞﺋﺎﻗ ﺵﺯﺭﺍ ﻭﺍ ﻯﺍﺮﺑ ﻩ ﺪﺷ ﻒﻳﺮﻌﺗ ﺕﻭﺎﻔﺘﻣ ﻯﺎﻫ ﺕﺭﻮﺻ ﻪﺑ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻡﻮﻬﻔﻣ ﻰﻜﻳﺰﻴﻓ ﻭ ﻰﻟﺎﻣ ﻚﻤﻛ ﺪﻨﻧﺎﻣ ﺱﻮﻤﻠﻣ ﻯﺍﺰﺟﺍ ﻞﻣﺎﺷ ﺐﻠﻏﺍ ﻰﻟﻭ ؛ﺖﺳﺍ ﺖـﻳﺎﻤﺣ ﻦـﻳﺍ . ﺪﻧﻮﺷ ﻰﻣ ﻰﻳﺎﻤﻨﻫﺍﺭ ﻭ ﻖﻳﻮﺸﺗ ﺪﻨﻧﺎﻣ ﺱﻮﻤﻠﻣ ﺮﻴﻏ ﻭ ﺖـﻳﺎﻤﺣ ﻰـﻠﺻﺍ ﻉﻮـﻧ ﺭﺎـﻬﭼ . ﺪـﺷﺎﺑ ﻪﺘـﺷﺍ ﺩ ﻰـﻔﻠﺘﺨﻣ ﻝﺎﻜـﺷﺍ ﺪﻧﺍﻮﺗ ﻰﻣ ﺪﻨﻧﺎﻣ ﻯ ﺩﺎﻣ ﻊﺑﺎﻨﻣ ﻞﻣﺎﺷ ﻯﺭﺍﺰﺑﺍ ﺖﻳﺎﻤﺣ -1 : ﺩﺭﺍ ﺩ ﺩﻮـﺟﻭ ﻰـﻋﺎﻤﺘﺟﺍ ﺎﻳ ﻭ ﺕﺎﻋﻼﻃﺍ ﻥ ﺩﺭﻭﺁ ﻢﻫﺍﺮﻓ ﻞﻣﺎﺷ ﻰﺗﺎﻋﻼﻃﺍ ﺖﻳﺎﻤﺣ -2 ﻝﻮﭘ ﻭ ﺍﺬﻏ ﺎﻫ ﻰﺘﺨﺳ ﻭ ﺕﻼﻜﺸﻣ ﺎﺑ ﺎﺗ ﺩﺯﺎﺳ ﻰﻣ ﺭ ﺩﺎﻗ ﺍﺭ ﺩﺮﻓ ﻭ ﺖﺳﺍ ﺕﺍ ﺩﺎﻬﻨﺸﻴﭘ ﺖﻴﻤﻫﺍ ،ﻥ ﺪﻳﺯﺭﻭ ﻖﺸﻋ ﻩ ﺪﻧﺮﻴﮔﺮﺑﺭ ﺩ ﻰﺳﺎﺴﺣﺍ ﺖﻳﺎﻤﺣ -3 ، ﺪﻳﺎﻴﺑ ﺭﺎﻨﻛ ﺖﺧﺎﻨﺷ ﻭ ﻰﺑﺎﻳﺯﺭﺍ ﺭ ﺩ ﺖﻳﺎﻤﺣ -4 ﻭ ﺖﺳﺍ ﻞﺑﺎﻘﻣ ﻑﺮﻃ ﻙﺭ ﺩ ﻭ ﻥ ﺩﺍ ﺩ ﻂﻳﺍﺮـﺷ ﻚـﻳ ﻩﺭﺎـﺑﺭ ﺩ ﻥﺎﺸﻫﺎﮔ ﺪﻳ ﺩ ﻦﺘـﺷﺍﺬﮔ ﻙﺍﺮﺘـﺷﺍ ﻪﺑ ﺎﺑ ﺩﺍﺮﻓﺍ ﻪﻛ ﺩﺮﻓ ﻪﺑ ،ﺹﺎﺧ ﻂﻳﺍﺮـﺷ ﻥﺁ ﺭ ﺩ ﻥﺎـﺸﺘﻳﺮﻳ ﺪﻣ ﻩﻮﺤﻧ ﻩﺭﺎﺑﺭ ﺩ ﺖﺒﺤﺻ ﺎﻳ ﺹﺎﺧ ﻙﺭ ﺩ ﺩﺮﻓ ،ﺎﻬﻫﺎﮔ ﺪﻳ ﺩ ﻦﺘـﺷﺍﺬﮔ ﻙﺍﺮﺘـﺷﺍ ﻪﺑ ﻥﺎﻣﺯ ﺭ ﺩ . ﺪﻨﻨﻛ ﻰﻣ ﻚﻤﻛ ﻥﺁ ﻥ ﺩﺮـﻛ ﺖﻳﺮﻳ ﺪﻣ ﻩﻮﻴـﺷ ﻦـﻳﺮﺘﻬﺑ ﻭ ﺖـﻴﻌﻗﻮﻣ ﻚـﻳ ﻩﺭﺎـﺑﺭ ﺩ ﻯﺮﺘﻬﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﺮﺘﺸﻴﺑ ﻰﺸﺨﺑ ﺮﺛﺍ ﻯﺍﺮﺑ .(19 ,18) ﺪﻨﻛ ﻰﻣ ﺍ ﺪـﻴﭘ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻭ ﺎﻫ ﺕﺭﺎﻬﻣ ،ﺕﺎﻋﻼﻃﺍ ﻪﺑ ﺯﺎﻴﻧ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻩ ﺩﺍﻮﻧﺎﺧ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺮﺛﺍ ،ﻰﺸﻫﻭﮋﭘ ﺭ ﺩ ﻪﻛ ﻯﺭﻮﻃ ﻪﺑ .(20) ﺪﻧﺭﺍ ﺩ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻯﺎﻘﺗﺭﺍ ﺮﺑ ﻰﻧﺎﻣﺭ ﺩ ﺖﺷﺍ ﺪﻬﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻭ ﻪﻠﻤﺟ ﺯﺍ ﻰﻋﺎﻤﺘﺟﺍ ﻰﺘﺧﺎﻨﺷ ﻪﻳﺮﻈﻧ .(21)ﺖﺳﺍ ﻩ ﺪﺷ ﻩ ﺩﺮﻤﺷ ﺖﻴﻤﻫﺍﺮﭘ ﻩ ﺪﺷ ﻩ ﺩﺎﻔﺘﺳﺍ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻂﺒﺗﺮﻣ ﺕﺎﻘﻴﻘﺤﺗ ﺭ ﺩ ﻪﻛ ﺖﺳﺍ ﻰﻳﺎﻫ ﻯﺭﻮﺌﺗ ﻰﻄﻴﺤﻣ ﻞﻣﺍﻮﻋ ﻯﺎﻫﺭﻮﺘﻛﺎﻓ ،ﻰﺘﺧﺎﻨﺷ ﻞﻣﺍﻮﻋ ﻯﺭﻮﺌﺗ ﻦﻳﺍ ﻖﺒﻃ ،ﺖﺳﺍ ﻰﺧﺮﺑ ﻦﻴﻨﭽﻤﻫ .(23 ,22 ) ﺪﻧﺭﺍ ﺩ ﻪﻳﻮﺳ ﻭ ﺩ ﻁﺎﺒﺗﺭﺍ ﺮﮕﻳ ﺪﻜﻳ ﺎﺑ ﺭﺎﺘﻓﺭ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻭ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺖﻴﻤﻫﺍ ﺕﺎﻌﻟﺎﻄﻣ ﺯﺍ .(24) ﺪﻧﺍ ﻩ ﺩﺮﻛ ﻰﻘﻠﺗ ﻢﻬﻣ ﺩﺍﺯﻮﻧ ﻭ ﺭ ﺩﺎﻣ ﺖﻣﻼﺳ ﻯﺍﺮﺑ ﺍﺭ ﺺﺨﺷ ﺖﻴﻟﻮﺌﺴﻣ ﺮﺑ ﺪﻴﻛﺎﺗ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﺭ ﺩ ﻪﻛ ﺎﺠﻧﺁ ﺯﺍ ﻦﻜﻤﻣ ،ﺮﻈﻧ ﺩﺭﻮﻣ ﺭﺎﺘﻓﺭ ﻡﺎﺠﻧﺍ ﺭ ﺩ ﺩﺮﻓ ﺖﻴﻘﻓﻮﻣ ﻡ ﺪﻋ ﺕﺭﻮﺻﺭ ﺩ .ﺖﺳﺍ ﺕﻼﻜﺸﻣ ﻞﺣ ﺭ ﺩ ﺩﺮﻓ ﻰﻳﺎﻧﺍﻮﺗ ﻡ ﺪﻋ ﻭ ﺖﺴﻜﺷ ﺱﺎﺴﺣﺍ ﺩﺎﺠﻳﺍ ﺚﻋﺎﺑ ﺖﺳﺍ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺪﻨﻧﺎﻣ ﻰﺘﻣﻼﺳ ﻯﺎﻫﺭﺎﺘﻓﺭ ﺐﻠﻏﺍ ﻰﻓﺮﻃ ﺯﺍ . ﺩ ﺩﺮﮔ ﺖﻣﻼﺳ ﺮﻴﺛﺎﺗ ﺖﺤﺗ ،ﻯ ﺩﺮﻓ ﻞﻣﺍﻮﻋ ﺮﺑ ﻩﻭﻼﻋ ﻭ ﻩ ﺩﻮﺑ ﻩ ﺪﻴﭽﻴﭘ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ

ﺺﺨﺷ ﺕﺎﻧﺎﻜﻣﺍ ﻭ ﻥﺍﻮﺗ ﺯﺍ ﺝﺭﺎﺧ ﻪﻛ ﺪﻧﺭﺍ ﺩ ﺭﺍﺮﻗ ﺰﻴﻧ ﻰﻋﺎﻤﺘﺟﺍ ﻞﻣﺍﻮﻋ ﺖﻳﺎﻤﺣ ﻥﺍ ﺪﻘﻓ.(25) ﺪﻧﺮﻴﮔ ﺭﺍﺮﻗ ﺮﻈﻧ ﺪﻣ ﺪﻳﺎﺑ ﻞﻣﺍﻮﻋ ﻦﻳﺍ ﻭ ﺖﺳﺍ ﻥﺍﺭﻭ ﺩ ﺭ ﺩ ﺭ ﺩﺎﻣ ﺖﻣﻼﺳ ﻢﻬﻣ ﺮﻄﺧ ﺭﻮﺘﻛﺎﻓ ﻚﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﻰﻋﺎﻤﺘﺟﺍ .(26) ﺩﺭﺍ ﺩ ﻯﺭﺍ ﺩﺭﺎﺑ ﻯﺎﻫ ﺪﻣﺎﻴﭘ ﺮﺑ ﻰﺑﺮﺨﻣ ﺕﺍﺮﺛﺍ ﻭ ﺪﺷﺎﺑ ﻰﻣ ﻯﺭﺍ ﺩﺭﺎﺑ ﺮﻈﻧﺭ ﺩ ،ﻩ ﺪﺷ ﻡﺎﺠﻧﺍ ﺕﺎﻌﻟﺎﻄﻣ ﺮﻳﺎﺳ ﺎﺑ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺰﻳﺎﻤﺗ ﻪﺟﻭ ﻯﺮﻴﮔﺭﺎﻜﺑ ﺎﺑ)ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺮﺑ ﺮﺛﻮﻣ ﻯ ﺩﺮﻓ ﻞﻣﺍﻮﻋ ﻦﺘﻓﺮﮔ ﺭﺎﺘﺧﺎﺳ ﻥ ﺩﺮﺑﺭﺎﻜﺑ ) ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻦﻴﻨﭽﻤﻫ ﻭ (ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻰﺘﺒﻗﺍﺮﻣ ﻡﺎﺠﻧﺍ ﻥ ﺩﻮﺑ ﻦﻴﻳﺎﭘ ﻢﻬﻣ ﻞﻠﻋ ﺯﺍ ﻰﻜﻳ ﻪﻛ (ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ . ﺩﻮﻤﻧ ﻥﺎﻴﺑ ﻥﺍﻮﺗ ﻰﻣ ، ﺩﻮﺑ ﻑ ﺪﻫ ﻩﻭﺮﮔ ﺮﻈﻧ ﺯﺍ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﺖﺒﺴﻧ ﻥﺍﻮﺟ ﻭ ﻥﺍﻮﺟﻮﻧ ﻥﺎﻧﺯ ﻪﻛ ﺖﻴﻌﻗﺍﻭ ﻦﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻦﻳﺍﺮﺑﺎﻨﺑ ﻰﻓﺎﻛﺎﻧ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺖﻓﺎﻳﺭ ﺩ ﺽﺮﻌﻣ ﺭ ﺩ ﺮﺘﺸﻴﺑ ،ﺮﺗ ﻦﺴﻣ ﻯﺎﻫ ﻩﻭﺮﮔ ﻪﺑ ﻅﺎﺤﻟ ﻦﻴﻨﭽﻤﻫ ﻭ ﺪﻨﺘﺴﻫ ﻥﺁ ﺯﺍ ﻰﺷﺎﻧ ﺽﺭﺍﻮﻋ ﻭ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﻯﺎﻫﺭﺎﺘﻓﺭ ﺩﻮﺒﻬﺑ ﺭ ﺩ ﻰﻋﺎﻤﺘﺟﺍ ﻭ ﻯ ﺩﺮﻓ ﻞﻣﺍﻮﻋ ﻥ ﺩﻮﻤﻧ ﺯﺍ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﺮﺑ ﻩﻭﻼﻋ ﻯﺭﺍ ﺩﺭﺎﺑ .ﺖﻓﺮﮔﺭﺍﺮﻗ ﻰﺳﺭﺮﺑ ﺩﺭﻮﻣ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭ ﺩ ﺰﻴﻧ

ﺭﺎﻛ ﺵﻭﺭ .(IRCT2017030432876N1) ﺩﻮﺑ ﻰﺑﺮﺠﺗ ﻪﻤﻴﻧ ﻉﻮﻧ ﺯﺍ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻪﻌﺟﺍﺮﻣ ﻝﻭﺍ ﻢﻜﺷ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻪﻴﻠﻛ ،ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭ ﺩ ﻯﺭﺎﻣﺁ ﻪﻌﻣﺎﺟ ﻕﺮﺷ ﺏﻮﻨﺟ ﺭ ﺩ ﻊﻗﺍﻭ)ﺮﻬﺸﻧﺍﺮﻳﺍ ﺮﻬﺷ ﻰﻧﺎﻣﺭ ﺩ ﻰﺘﺷﺍ ﺪﻬﺑ ﺰﻛﺍﺮﻣ ﻪﺑ ﻩ ﺪﻨﻨﻛ ﻪﻘﻴﻗ ﺩ 12 ﻭ ﻪﺟﺭ ﺩ 27 ﻭ ﻯﺭﻭﺎﺧ ﻯﺍﺯﺍﺭ ﺩ ﻪﻘﻴﻗ ﺩ 41 ﻭ ﻪﺟﺭ ﺩ 60 ﺭ ﺩ ﻥﺍﺮﻳﺍ . ﺩﻮﺑ (ﻥﺎﺘﺴﭼﻮﻠﺑ ﻭ ﻥﺎﺘﺴﻴﺳ ﻥﺎﺘﺳﺍ ﻯﺰﻛﺮﻣ ﺖﻤﺴﻗﺭ ﺩ ﻭ ﻰﻟﺎﻤﺷ ﻯﺎﻨﻬﭘ .ﺖﻓﺎﻳ ﻪﻤﺗﺎﺧ ﻝﺎﺳ ﻥﺎﻤﻫ ﺭﺫﺁ ﺭ ﺩ ﻭ ﻉﻭﺮﺷ 1396 ﺖﺸﻬﺒﻳ ﺩﺭﺍ ﺯﺍ ﻪﻌﻟﺎﻄﻣ 35 ﺎﺗ 18 ﻦﻴﺑ ﻦﺳ ،ﻝﻭﺍ ﻰﮕﻠﻣﺎﺣ ﻞﻣﺎﺷ ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﺩﻭﺭﻭ ﻯﺎﻫﺭﺎﻴﻌﻣ ﻪﻘﻄﻨﻣ ﺭ ﺩ ﺝﺍﻭ ﺩﺯﺍ ،ﻯ ﺩﺎﺼﺘﻗﺍ ﻭ ﻰﮕﻨﻫﺮﻓ ﻯﺎﻫ ﻰﮔﮋﻳﻭ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ)ﻰﮕﻟﺎﺳ ﺯﺍ ﺮﺘﻨﻴﻳﺎﭘ ﻦﻴﻨﺳ ﺭ ﺩ ﻯﺮﻳﺎﺸﻋ ﻭ ﻰﻳﺎﺘﺳﻭﺭ ﻖﻃﺎﻨﻣ ﺹﻮﺼﺨﺑ ، ﻥﺎﺘﺴﭼﻮﻠﺑ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻪﻜﻨﻳﺍ ﻪﺑ ﺖﻳﺎﻨﻋ ﺎﺑ ﻰﻟﻭ ﺪﺘﻓﺍ ﻰﻣ ﻕﺎﻔﺗﺍ ﻢﻫ ﻰﮕﻟﺎﺳ 18 ﻩ ﺪﻫﺎﺸﻣ 18 ﺯﺍ ﺮﺘﻤﻛ ﻦﻴﻨﺳ ﺭ ﺩ ﻯﺭﺍ ﺩﺭﺎﺑ ﺩﺭﺍﻮﻣ ،ﻩ ﺪﺷ ﻡﺎﺠﻧﺍ ﺮﻬﺷ ﺭ ﺩ ﻰﻣ ﻩ ﺪﻫﺎﺸﻣ ﺎﻫﺎﺘﺳﻭﺭ ﺢﻄﺳ ﺭ ﺩ ﺮﺘﺸﻴﺑ 18 ﺮﻳﺯ ﻯﺎﻫ ﻯﺭﺍ ﺩﺭﺎﺑ . ﺪﺸﻧ ﻩ ﺪﻧﻭﺮﭘ ﻦﺘﺷﺍ ﺩ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻝﻭﺍ ﻪﻫﺎﻣ ﻪﺳ ﺭ ﺩ ﻥﺍﺭ ﺩﺎﻣ ﻦﺘﺷﺍ ﺩ ﺭﺍﺮﻗ ،( ﺩﻮﺷ

(5)

ﻪﻌﻟﺎﻄﻣ ﺯﺍ ﺝﻭﺮﺧ ﻯﺎﻫﺭﺎﻴﻌﻣ . ﺩﻮﺑ ﺖﻣﻼﺳ ﺯﺍ ﻥﺯ ﻯﺭﺍ ﺩﺭﻮﺧﺮﺑ ﻭ ﻰﺘﺒﻗﺍﺮﻣ ﻪﻧﻮﻤﻧ ﺩﺍ ﺪﻌﺗ . ﺩﻮﺑ ﻩﮋﻳﻭ ﺖﺒﻗﺍﺮﻣ ﻪﺑ ﺯﺎﻴﻧ ﻭ ﺕﺮﺟﺎﻬﻣ ،ﻦﻴﻨﺟ ﻂﻘﺳ ﻞﻣﺎﺷ ﻪﻌﻟﺎﻄﻣ ﻪﺑﺎﺸﻣ ﻪﻨﻴﻣﺯ ﺭ ﺩ ﻩ ﺪﺷ ﻡﺎﺠﻧﺍ ﻖﻴﻘﺤﺗ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،ﻪﻌﻟﺎﻄﻣ ﺖﻬﺟ ﺢﻄﺳ ﺎﺑ ﻪﻧﻮﻤﻧ ﻢﺠﺣ ،ﻥﺎﺘﺴﭼﻮﻠﺑ ﻭ ﻥﺎﺘﺴﻴﺳ ﻥﺎﺘﺳﺍ ﺭ ﺩ ،(4)ﺮﺿﺎﺣ ﺎﺑ ،=^B-^Z1) 0/85 (٪ 80 ﻥﻮﻣﺯﺁ ﻥﺍﻮﺗ ، =1/96) ٪95 ﻥﺎﻨﻴﻤﻃﺍ ﻝﻮﻣﺮﻓ ﺎﺑ ﻭ ﻪﻧﻮﻤﻧ ٪20ﺵﺰﻳﺭ ﻝﺎﻤﺘﺣﺍ

، ﺩﺭﻮﻣ) ﻝﻭﺍ ﻩﻭﺮﮔ ﺭ ﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﺮﻴﻐﺘﻣ ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ =^S₁ (ﻪﻠﺧﺍ ﺪﻣ ﺎﻳ ﻪﺘﻓﺎﻳ ﻪﻬﺟﺍﻮﻣ ، ﺪﻫﺎﺷ) ﻡﻭ ﺩ ﻩﻭﺮﮔ ﺭ ﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﺮﻴﻐﺘﻣ ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ =^S₂

(ﻪﺴﻳﺎﻘﻣ ﺎﺑ ﻪﺘﻓﺎﻳ ﻪﻬﺟﺍﻮﻣﺮﻴﻏ ﻝﻭﺍ ﻩﻭﺮﮔ ﺭ ﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﺮﻴﻐﺘﻣ ﻦﻴﮕﻧﺎﻴﻣ =1 ﻡﻭ ﺩ ﻩﻭﺮﮔ ﺭ ﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﺮﻴﻐﺘﻣ ﻦﻴﮕﻧﺎﻴﻣ =2 . ﺪﻳ ﺩﺮﮔ ﺩﺭﻭﺁﺮﺑ ﺮﻔﻧ 45ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻭ ﺩ ﺯﺍ ﻚﻳ ﺮﻫ ﺭ ﺩ ﻪﻛ ﺕﺭﻮﺻ ﻦﻳﺍ ﻪﺑ ، ﺪﺷ ﻡﺎﺠﻧﺍ ﻰﻓ ﺩﺎﺼﺗ ﺕﺭﻮﺻ ﻪﺑ ﻪﻌﻟﺎﻄﻣ ﻯﺮﻴﮔ ﻪﻧﻮﻤﻧ ﺖﺤﺗ (ﺭﺍ ﺩﺭﺎﺑ ﻥﺯ 136) ﻝﻭﺍ ﻢﻜﺷ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻪﻴﻠﻛ ﺖﺴﻴﻟ ﺍ ﺪﺘﺑﺍ ﺭ ﺩ ﻰﺘﺷﺍ ﺪﻬﺑ ﺰﻛﺍﺮﻣ ﻞﻛ)ﺮﻬﺸﻧﺍﺮﻳﺍ ﻯﺮﻬﺷ ﻰﻧﺎﻣﺭ ﺩ ﻰﺘﺷﺍ ﺪﻬﺑ ﺰﻛﺮﻣ 5 ﺶﺷﻮﭘ ، ﺪﻳ ﺩﺮﮔ ﺝﺍﺮﺨﺘﺳﺍ ﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭ ﺩﺎﻣ ﺖﺒﻗﺍﺮﻣ ﺮﺘﻓ ﺩ ﺯﺍ ،( ﺩﻮﺑ ﺰﻛﺮﻣ 5 ﻰﻧﺎﻣﺭ ﺩ ﻦﺘﻓﺮﮔ ﺮﻈﻧ ﺭ ﺩ ﺎﺑ ﻝﻭﺍ ﻢﻜﺷﺭﺍ ﺩﺭﺎﺑ ﻥﺯ 90 ﻩ ﺩﺎﺳ ﻰﻓ ﺩﺎﺼﺗ ﺕﺭﻮﺼﺑ ﺲﭙﺳ ﻥﺯ ﺮﻫ ﻪﺑ ﻪﻛ ﺐﻴﺗﺮﺗ ﻦﻳﺍ ﻪﺑ ، ﺪﻧ ﺪﺷ ﺏﺎﺨﺘﻧﺍ ﻪﻌﻟﺎﻄﻣ ﻪﺑ ﺩﻭﺭﻭ ﻯﺎﻫﺭﺎﻴﻌﻣ ﺲﭙﺳ ﻭ ﺪﺷ ﻩ ﺩﺍ ﺩ ﺹﺎﺼﺘﺧﺍ 136 ﺎﺗ 1 ﺯﺍ ﻯﺍ ﻩﺭﺎﻤﺷ ﻝﻭﺍ ﻢﻜﺷ ﺭﺍ ﺩﺭﺎﺑ پﻮﺗ 90 ﺩﺍ ﺪﻌﺗ ﻰﻨﻳﺰﮕﻳﺎﺟ ﻥﻭ ﺪﺑ ﻰﺸﻛ ﻪﻋﺮﻗ ﻑﺮﻇ ﺯﺍ ﻰﻓ ﺩﺎﺼﺗ ﺭﻮﻄﺑ ﺭ ﺩ ﻰﻓ ﺩﺎﺼﺗ ﺕﺭﻮﺼﺑ ﻩ ﺪﺷ ﺏﺎﺨﺘﻧﺍ ﻯﺎﻫ ﻪﻧﻮﻤﻧ ﺖﻳﺎﻬﻧ ﺭ ﺩ . ﺪﺷ ﺝﺭﺎﺧ ﻥﻮﻧﺎﻗ ﺯﺍ ﺭﻮﻈﻨﻣ ﻦﻳﺍ ﻯﺍﺮﺑ . ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻭ ﺩ ﻯﺍﺮﺑ پﻮﺗ 45 ﻪﻛ ﺐﻴﺗﺮﺗ ﻦﻳﺍ ﻪﺑ ، ﺪﺷ ﻩ ﺩﺎﻔﺘﺳﺍ ^١ﻰﻓ ﺩﺎﺼﺗ ﺺﻴﺼﺨﺗ ﻪﻋﺮﻗ ﻑﺮﻇ ﻚﻳ ﻞﺧﺍ ﺩ ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﻯﺍﺮﺑ پﻮﺗ 45 ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻰﻨﻳﺰﮕﻳﺎﺟ ﻥﻭ ﺪﺑ ﺎﻫ پﻮﺗ ﻰﻓ ﺩﺎﺼﺗ ﺭﻮﻃ ﻪﺑ ﺲﭙﺳ ﻭ ﺪﺷ ﻩ ﺩﺍ ﺩ ﺭﺍﺮﻗ ﻰﺸﻛ . ﺪﺷ ﺖﺒﺛ ﻩ ﺪﺷ ﺩﺎﺠﻳﺍ ﻰﻟﺍﻮﺗ ﻭ ﻩ ﺪﺷ ﺝﺭﺎﺧ ﻑﺮﻇ ﺯﺍ ﻪﻣﺎﻨﺸﺳﺮﭘ ،ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﻪﻠﺣﺮﻣ ﺭ ﺩ ﺎﻫ ﻩ ﺩﺍ ﺩ ﻯﺭﻭﺁ ﺩﺮﮔ ﺭﺍﺰﺑﺍ

1. Random allocation rule

،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ،ﻰﺘﺧﺎﻨﺷ ﺖﻴﻌﻤﺟ ﺕﺎﻋﻼﻃﺍ ﺮﺑ ﻞﻤﺘﺸﻣ ﻦﻳﺍ . ﺩﻮﺑ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻙﺭ ﺩ ﺕ ﺪﺷ ،(ﻝﺍﺆﺳ 8)ﻩ ﺪﺷ ﻙﺭ ﺩ ﺖﻴﺳﺎﺴﺣ ﺮﺑ ﻞﻤﺘﺸﻣ ﻪﻣﺎﻨﺸﺳﺮﭘ ،(ﻝﺍﺆﺳ9)ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻧﺍﻮﻣ ،(ﻝﺍﺆﺳ 7)ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻓﺎﻨﻣ ،(ﻝﺍﺆﺳ 8)ﻩ ﺪﺷ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،(ﻝﺍﺆﺳ7)ﻯ ﺪﻣﺁﺭﺎﻛ ﺩﻮﺧ ،(ﻝﺍﺆﺳ 3)ﻞﻤﻋ ﻯﺎﻤﻨﻫﺍﺭ ﺱﺎﺳﺍ ﺮﺑ ،(ﻝﺍﺆﺳ11)ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻭ (ﻝﺍﺆﺳ 7) ﻰﻳﺍﻭﺭ . ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﺶﺠﻨﺳ ﺩﺭﻮﻣ ﻰﻳﺎﺗ ﻪﺳ ﻒﻴﻃ ﺎﺑ ﺕﺮﻜﻴﻟ ﺱﺎﻴﻘﻣ ﻪﻌﻣﺎﺟ ﺭ ﺩ(27)ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﻯ ﺩﺰﻳﺍ ﻂﺳﻮﺗ ﺭﻮﻛﺬﻣ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻰﻳﺎﻳﺎﭘ ﻭ ﻦﻳ ﺪﺑ .ﺖﺳﺍ ﻪﺘﻓﺮﮔ ﺭﺍﺮﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ ﻥﺍﺮﻳﺍ ﻥﺎﺘﺴﭼﻮﻠﺑ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻭ ٪94 ﺎﻫﺭﺎﺘﺧﺎﺳ ﺕﻻﺍﻮﺳ ﻯﺍﺮﺑ ﺍﻮﺘﺤﻣ ﻰﻳﺍﻭﺭ ﺖﺒﺴﻧ ﻪﻛ ﺕﺭﻮﺻ ﻞﻛ ﻯﺍﺮﺑ ﺡﻮﺿﻭ ﺺﺧﺎﺷ ، 0/88ﻥﻮﻣﺯﺁ ﻞﻛ ﻯﺍﺮﺑ ﻰﮔ ﺩﺎﺳ ﺺﺧﺎﺷ ﻥﻮﻣﺯﺁ ﻞﻛ ﻯﺍﺮﺑ ﻥ ﺩﻮﺑ ﻰﺻﺎﺼﺘﺧﺍ ﺺﺧﺎﺷ ﻦﻴﻨﭽﻤﻫ، 0/89ﻥﻮﻣﺯﺁ ﺮﺑﺍﺮﺑ ﺥﺎﺒﻧﻭﺮﻛ ﻯﺎﻔﻟﺁ ﺐﻳﺮﺿ ﺎﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻰﻳﺎﻳﺎﭘ . ﺩﻮﺑ 0/94ﺮﺑﺍﺮﺑ .ﺖﺳﺍ ﻩ ﺪﺷ ﺵﺭﺍﺰﮔ 0/81 ﻪﻴﻬﺗ ﻞﻣﺎﺷ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ﺭ ﺩ ﺶﺠﻨﺳ ﺩﺭﻮﻣ ﻯﺎﻫ ﻪﻔﻟﻮﻣ ﺕﺎﺸﻳﺎﻣﺯﺁ ﻡﺎﺠﻧﺍ ﺝﺭﺎﺨﻣ ﻦﻴﻣﺎﺗ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﺐﺳﺎﻨﻣ ﻰﻳﺍﺬﻏ ﺩﺍﻮﻣ ﻰﺘﺷﺍ ﺪﻬﺑ ﺰﻛﺮﻣ ﺎﺗ ﻝﺰﻨﻣ ﺯﺍ ﺪﻣﺁ ﻭ ﺖﻓﺭ ﻪﻨﻳﺰﻫ ﺖﺧﺍ ﺩﺮﭘ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ،ﻰﻜﻳﺰﻴﻓ ﻯﺎﻫ ﺖﻴﻟﺎﻌﻓ ﺭ ﺩ ﻰﻫﺍﺮﻤﻫ ﻭ ﻖﻳﻮﺸﺗ ،ﻩﺎﮕﺸﻳﺎﻣﺯﺁ ﻭ ﻰﻧﺎﻣﺭ ﺩ ﻰﺗﺎﻋﻼﻃﺍ ﺖﻳﺎﻤﺣ ﻭ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻡﺎﺠﻧﺍ ﺖﻬﺟ ﻖﻳﻮﺸﺗ ﺭﻮﻈﻨﻣ ﻪﺑ . ﺩﻮﺑ ﻰﻧﺎﻣﺭ ﺩ ﻰﺘﺷﺍ ﺪﻬﺑ ﺰﻛﺮﻣ ﻯﺎﻣﺎﻣ ﻭ ﺮﺴﻤﻫ ﺐﻧﺎﺟ ﺯﺍ 3 ﺕﺮﻜﻴﻟ ﻒﻴﻃ ﺎﺑ ﻝﺍﻮﺳ 7 ﻞﻣﺎﺷ ﻰﺳﺎﻴﻘﻣ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺶﺠﻨﺳ ﺩﺭﻮﻣ {(0ﺯﺎﻴﺘﻣﺍ)ﺰﮔﺮﻫ ﻭ (1ﺯﺎﻴﺘﻣﺍ) ﻢﻛ ،(2ﺯﺎﻴﺘﻣﺍ) ﺩﺎﻳﺯ} ﻯﺍ ﻪﻨﻳﺰﮔ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻩ ﺩﺎﻔﺘﺳﺍ ﻭ ﺩ ﺏﺎﺨﺘﻧﺍ ﺯﺍ ﺲﭘ ﻪﻛ ﺩﻮﺑ ﺕﺭﻮﺻ ﻦﻳﺍ ﻪﺑ ﺶﻫﻭﮋﭘ ﻯﺍﺮﺟﺍ ﻩﻮﺤﻧ ﻊﻳﺯﻮﺗ ﻖﻳﺮﻃ ﺯﺍ ﻥﻮﻣﺯﺁ ﺶﻴﭘ ،ﻰﻓ ﺩﺎﺼﺗ ﺕﺭﻮﺼﺑ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻊﻓﺎﻨﻣ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ﺕ ﺪﺷ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ﺖﻴﺳﺎﺴﺣ ﻭ ﻡﺎﺠﻧﺍ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،ﻯ ﺪﻣﺁﺭﺎﻛ ﺩﻮﺧ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻧﺍﻮﻣ ،ﻩ ﺪﺷ ﻙﺭ ﺩ ﺮﻫ ﺭ ﺩ ﻪﻠﺧﺍ ﺪﻣ ﻯﺍﺮﺟﺍ ﺯﺍ ﻞﺒﻗ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻯﺍﻮﺘﺤﻣ ﺲﭙﺳ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺶﺠﻨﺳ ﺩﺭﻮﻣ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻭ ﺩ ﻦﺘﻓﺮﮔ ﺮﻈﻧ ﺭ ﺩ ﺎﺑ ﻭ ﻥﻮﻣﺯﺁ ﺶﻴﭘ ﺯﺍ ﻞﺻﺎﺣ ﺞﻳﺎﺘﻧ ﺱﺎﺳﺍ ﺮﺑ ﻰﺷﺯﻮﻣﺁ ﻂﺳﻮﺗ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻩﺯﺎﺳ ﻭ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ

(6)

... ﻰﻋﺎﻤﺘﺟﺍﺖﻳﺎﻤﺣﺭﺎﺘﺧﺎﺳﻭﺖﻣﻼﺳﺭﻭﺎﺑﻯﻮﮕﻟﺍﺮﺑﻰﻨﺘﺒﻣﻰﺷﺯﻮﻣﺁﻪﻠﺧﺍ ﺪﻣﺮﻴﺛﺄﺗ / ﻥﺍﺭﺎﻜﻤﻫﻭ ﺩﺍﺭﻯ ﺩﺰﻳﺍﻦﻴﺴﺣ . ﺪﻳ ﺩﺮﮔ ﺍﺮﺟﺍ ﻰﻳﺎﻣﺎﻣ ﺱﺎﻨﺷﺭﺎﻛ ﻂﺳﻮﺗ ﻭ ﺪﺷ ﻢﻴﻈﻨﺗ ،ﻪﻴﻬﺗ ﺮﮕﺸﻫﻭﮋﭘ ﺎﺗ 50 ﻰﺷﺯﻮﻣﺁ ﻪﺴﻠﺟ 5 ﺐﻟﺎﻗ ﺭ ﺩ ،ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﺭ ﺩ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﻦﺘﻓﺮﮔ ﺮﻈﻧ ﺭ ﺩ ﺎﺑ ﺱﻼﻛ ﻥﺎﻣﺯ ﺕ ﺪﻣ ﻭ ﺕﺎﺴﻠﺟ ﺩﺍ ﺪﻌﺗ) ﻯﺍ ﻪﻘﻴﻗ ﺩ 60 ﺰﻛﺍﺮﻣ ﺭ ﺩ ﻰﻳﺍﺮﺟﺍ ﺖﻴﻠﺑﺎﻗ ﻭ ﻑ ﺪﻫ ﻩﻭﺮﮔ ﻰﮕﻨﻫﺮﻓ ،ﻰﻋﺎﻤﺘﺟﺍ ﻂﻳﺍﺮﺷ ﺮﻫ ﺭ ﺩ ﻩ ﺪﺷ ﻦﻴﻴﻌﺗ ﺶﻴﭘ ﺯﺍ ﻑﺍ ﺪﻫﺍ ﻪﺑ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻥ ﺪﻴﺳﺭ ﻦﻴﻨﭽﻤﻫﻭ ﻭ ﺶﺳﺮﭘ ،ﻰﻧﺍﺮﻨﺨﺳ ﻰﺷﺯﻮﻣﺁ ﻯﺎﻫ ﺵﻭﺭ ﺯﺍ ﻩ ﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻭ ( ﺩﻮﺑ ﻪﺴﻠﺟ ﺮﺒﺘﻌﻣ ﻊﺑﺎﻨﻣ ﺯﺍ ﻯﺮﻴﮔ ﻩﺮﻬﺑ ﻦﻴﻨﭽﻤﻫ ﻭ ﺶﻘﻧ ﻯﺎﻔﻳﺍ ،ﻰﻫﻭﺮﮔ ﺚﺤﺑ ،ﺦﺳﺎﭘ ﻰﻟﺎﺣ ﺭ ﺩ .ﺖﺳﺍ ﻪﺘﻓﺮﻳﺬﭘ ﺕﺭﻮﺻ ﺵﺯﻮﻣﺁ ،ﻥﺎﻣﺭ ﺩ ﻭ ﺖﺷﺍ ﺪﻬﺑ ﺕﺭﺍﺯﻭ ﺍﺭ ﻪﺑﺎﺸﻣ ﻰﺷﺯﻮﻣﺁ ﺕﻼﺧﺍ ﺪﻣ ،ﻪﻣﺎﻧﺮﺑ ﻥﺎﻳﺎﭘ ﺯﺍ ﺲﭘ ،ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﻪﻛ ﺎﺑ ﻰﻳﺎﻨﺷﺁ :ﻝﻭﺍ ﻪﺴﻠﺟ ،ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺹﻮﺼﺧ ﺭ ﺩ . ﺪﻧ ﺩﻮﻤﻧ ﺖﻓﺎﻳﺭ ﺩ ،ﻰﺘﺷﺍ ﺪﻬﺑ ﺕﺎﻜﻧ ،ﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻉﻭﺮﺷ ﻥﺎﻣﺯ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺕﺎﺴﻠﺟ ﻭ . ﺩﻮﺑ ﺮﻄﺧﺮﭘ ﻯﺎﻫ ﻯﺭﺍ ﺩﺭﺎﺑ ﻭ ﻊﻳﺎﺷ ﺕﻻﻼﺘﺧﺍ،ﺮﻄﺧ ﻢﺋﻼﻋ ﺵﺯﻮﻣﺁ ﻞﻣﺎﺷ ﻭ ﻰﺘﺷﺍ ﺪﻬﺑ ﺩﺎﻘﺘﻋﺍ ﻝ ﺪﻣ ﺱﺎﺳﺍ ﺮﺑ ﺰﻴﻧ ﻡﻮﺳ ﻭ ﻡﻭ ﺩ ﻪﻨﻴﻣﺯ ﺭ ﺩ ﻥﺍﺭ ﺩﺎﻣ ﻩ ﺪﺷ ﻙﺭ ﺩ ﺕ ﺪﺷ ﻭ ﺖﻴﺳﺎﺴﺣ ﻥ ﺩﺮﺑ ﻻﺎﺑ ﺖﻬﺟ ﺭ ﺩ ﻢﻛ ،ﻦﻴﻨﺟ گﺮﻣ ،ﺭ ﺩﺎﻣ گﺮﻣ ،ﻦﻴﻨﺟ ﻂﻘﺳ)ﻯﺭﺍ ﺩﺭﺎﺑ ﺽﺭﺍﻮﻋ ﻪﺑ ﻼﺘﺑﺍ ﻡﺎﺠﻧﺍ ﺹﻮﺼﺧ ﺭ ﺩ ﻥﺍﺭ ﺩﺎﻣ ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻓﺎﻨﻣ ﺶﻳﺍﺰﻓﺍ ﻭ (... ﺩﺍﺯﻮﻧ ﻰﻧﺯﻭ ﻊﻧﺍﻮﻣ ﺶﻫﺎﻛ ﺖﻬﺟ ﺭ ﺩ ﺵﻼﺗ ﻦﻴﻨﭽﻤﻫ ﻭ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻊﻧﺍﻮﻣ ﺎﺗ) ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻓﺎﻨﻣ ﻥ ﺩﺮﻛ ﮓﻧﺭﺮﭘ ﺎﺑ ﻥﺍﺭ ﺩﺎﻣ ﻯﻮﺳ ﺯﺍ ﻩ ﺪﺷ ﻙﺭ ﺩ ﺯﺍ ﻞﺒﻗ ﺎﻫ ﻪﻧﻮﻤﻧ ﻪﻜﻨﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .( ﺪﻨﻛ ﺍ ﺪﻴﭘ ﻯﺮﺘﻤﻛ ﺖﻴﻤﻫﺍ ﺎﻬﻧﺁ ﺩﺰﻧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻯﺍﺮﺑ ﻰﺟﺭﺎﺧ ﻞﻤﻋ ﻯﺎﻤﻨﻫﺍﺭ ﻦﻳﺮﺗ ﻢﻬﻣ ،ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺭ ﺩ ﺪﺷ ﻰﻌﺳ ﺪﻧ ﺩﻮﺑ ﻩ ﺩﺮﻛ ﻥﺍﻮﻨﻋ ﺎﻣﺎﻣ ﺍﺭ ﺩﻮﺧ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﻩ ﺩﺎﻔﺘﺳﺍ ﻥﺍﺭ ﺩﺎﻣ ﺵﺯﻮﻣﺁ ﻯﺍﺮﺑ ﺰﻴﻧ ﺰﻛﺮﻣ ﻯﺎﻣﺎﻣ ﺯﺍ ﻰﺷﺯﻮﻣﺁ ﺕﺎﺴﻠﺟ ﺶﻳﺍﺰﻓﺍ )ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﻯ ﺪﻣﺁﺭﺎﻛ ﺩﻮﺧ ﻯﺎﻘﺗﺭﺍ ﻪﻨﻴﻣﺯ ﺭ ﺩ ﻦﻴﻨﭽﻤﻫ . ﺩ ﺩﺮﮔ ﺮﻳﺎﺳ ﺏﺭﺎﺠﺗ ﻥﻮﭽﻤﻫ ﻖﻓﻮﻣ ﻯﺎﻫﻮﮕﻟﺍ ﺯﺍ ﻩ ﺩﺎﻔﺘﺳﺍ ،ﻥﺍﺭ ﺩﺎﻣ ﻯﺎﻫ ﺕﺭﺎﻬﻣ ﻭ ﻪﻌﻣﺎﺟ ﻥﺎﻤﻫ ﺭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻡﺎﺠﻧﺍ ﻪﺑ ﻖﻓﻮﻣ ﻪﻛ ﻰﻟﻭﺍ ﻢﻜﺷ ﻥﺍﺭ ﺩﺎﻣ ﻩ ﺪﺷ ﻯ ﺪﻨﺒﻧﺎﻣﺯ ﻪﻣﺎﻧﺮﺑ ﻢﻴﻈﻨﺗ ،ﻰﺷﺯﻮﻣﺁ ﻢﻠﻴﻓ ، ﺪﻧﺍ ﻩ ﺪﺷ ﻪﺑﺎﺸﻣ ﻂﻳﺍﺮﺷ ﺎﺑ ﻯﺍﺮﺑ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﺭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻡﺎﺠﻧﺍ ﺭ ﺩ (ﻰﻣﻼﻛ ﻖﻳﻮﺸﺗ ﻭ ﻚﻳ ،ﻡﺭﺎﻬﭼ ﻪﺴﻠﺟ . ﺪﺷ ﺍﺮﺟﺍ ﻰﺷﺯﻮﻣﺁ ﻪﭽﺑﺎﺘﻛ ﻩﺍﺮﻤﻫ ﻪﺑ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻯﺎﻘﺗﺭﺍ ﻭ ﺐﻠﺟ ﺖﻬﺟ ﻯﺍ ﻪﻘﻴﻗ ﺩ 60ﻰﺷﺯﻮﻣﺁ ﻪﺴﻠﺟ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫﺯﺎﻴﻧ ﻭ ﻞﺋﺎﺴﻣ ﺎﺑ ﻰﻳﺎﻨﺷﺁ :ﻞﻣﺎﺷ)ﻥﺍﺮﺴﻤﻫ ﻯﺍﺮﺑ ﻰﻳﺎﻨﺷﺁ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﺭ ﺩ ﻰﺗﺎﻋﻼﻃﺍ ﻭ ﻰﻟﺎﻣ ،ﻰﻔﻃﺎﻋ ﺖﻳﺎﻤﺣ ﺖﻴﻤﻫﺍ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻡﺎﺠﻧﺍ ﺖﻬﺟ ﻩ ﺪﺷ ﺡﺮﻄﻣ ﻊﻧﺍﻮﻣ ﺎﺑ ﻥﺍﺮﻫﻮﺷ

ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭ ﺩ ﺮﻫﻮﺷ ﻚﻳ ﺕﺎﻴﺑﺮﺠﺗ ﻰﻓﺮﻌﻣ ،ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺮﻈﻧ ﺯﺍ ﺖﻳﺎﻤﺣ ﺖﻬﺟ ﻥﺍﺮﻫﻮﺷ ﻰﻳﺎﻧﺍﻮﺗ ﺹﻮﺼﺧ ﺭ ﺩ ﺚﺤﺑ ﻭ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺯﺍ ﻯﺍﺮﺑ ﻯﺍ ﻪﻘﻴﻗ ﺩ 60 ﻯﺍ ﻪﺴﻠﺟ ﻚﻳ ﻢﺠﻨﭘ ﻪﺴﻠﺟ ﻭ ( ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺯﺍ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫﺯﺎﻴﻧ ﻭ ﻞﺋﺎﺴﻣ ﺎﺑ ﻰﻳﺎﻨﺷﺁ :ﻞﻣﺎﺷ)ﻰﻳﺎﻣﺎﻣ ﺱﺎﻨﺷﺭﺎﻛ ﻞﻨﺳﺮﭘ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﺭ ﺩ ﻰﺗﺎﻋﻼﻃﺍ ﻭ ﻰﻔﻃﺎﻋ ﺖﻳﺎﻤﺣ ﺖﻴﻤﻫﺍ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻡﺎﺠﻧﺍ ﺖﻬﺟ ﻩ ﺪﺷ ﺡﺮﻄﻣ ﻊﻧﺍﻮﻣ ﺎﺑ ﺎﻫﺎﻣﺎﻣ ﻰﻳﺎﻨﺷﺁ ﺭ ﺩ ﻖﻓﻮﻣ ﻯﺎﻣﺎﻣ ﻚﻳ ﺕﺎﻴﺑﺮﺠﺗ ﻰﻓﺮﻌﻣ ،ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺮﻈﻧ ﺯﺍ ﻯﺭﺍ ﺩﺭﺎﺑ ﺎﻫﺎﻣﺎﻣ ﻰﻳﺎﻧﺍﻮﺗ ﺹﻮﺼﺧ ﺭ ﺩ ﺚﺤﺑ ﻭ ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺯﺍ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻰﺷﺯﻮﻣﺁ ﻯﺎﻫ ﺵﻭﺭ ﺯﺍ ﻩ ﺩﺎﻔﺘﺳﺍ ﺎﺑ (ﺭﺍ ﺩﺭﺎﺑ ﻥﺎﻧﺯ ﺯﺍ ﺖﻳﺎﻤﺣ ﺖﻬﺟ ﻦﻟﺎﺳ ﺭ ﺩ ﺶﻘﻧ ﻯﺎﻔﻳﺍ ﻭ ﻰﻫﻭﺮﮔ ﺚﺤﺑ ،ﺦﺳﺎﭘ ﻭ ﺶﺳﺮﭘ ،ﻰﻧﺍﺮﻨﺨﺳ ﺩﺍ ﺪﻌﺗ ﻥ ﺩﻮﺑ ﻢﻛ ﻞﻠﻋ ﺯﺍ) . ﺪﻳ ﺩﺮﮔ ﺭﺍﺰﮔﺮﺑ ﺖﺷﺍ ﺪﻬﺑ ﺰﻛﺮﻣ ﺕﺎﻋﺎﻤﺘﺟﺍ ﻪﻠﻤﺟ ﺯﺍ ﻰﻧﻮﮔﺎﻧﻮﮔ ﻞﻠﻋ ﻪﺑ ﻥﺍﻮﺗ ﻰﻣ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻯﺍﺮﺑ ﺕﺎﺴﻠﺟ ﻪﻛ ﻯﺭﻮﻃ ﻪﺑ ﻯﺭﺎﻛ ﻯﻻﺎﺑ ﻢﺠﺣ ﻭ ﺎﻣﺎﻣ ﺩﻮﺒﻤﻛ ،ﺰﻛﺍﺮﻣ ﻥ ﺩﻮﺑ ﻍﻮﻠﺷ : ﻚﻳ ﺎﻬﻨﺗ ﺩﻮﺟﻭ ،ﻪﺘﺷﺍ ﺪﻧ ﺱﻼﻛ ﻯﺭﺍﺰﮔﺮﺑ ﺖﻬﺟ ﻰﻓﺎﺿﺍ ﺖﻗﻭ ﺎﻫ ﺎﻣﺎﻣ ﻯﺎﻫ ﻰﮔﮋﻳﻭ ،ﻰﺷﺯﻮﻣﺁ ﻞﻳﺎﺳﻭ ﺩﻮﺒﻤﻛ ،ﺮﻬﺷ ﺢﻄﺳ ﺭ ﺩ ﻰﺷﺯﻮﻣﺁ ﻥﺎﻜﻣ ﺱﺮﺘﺳ ﺩ ﺭ ﺩ ﻭ ﺏﺎﻫﺫ ﻭ ﺏﺎﻳﺍ ﺖﻬﺟ ﻯ ﺩﺎﺼﺘﻗﺍ ﻞﺋﺎﺴﻣ ،ﻰﻋﺎﻤﺘﺟﺍ ﻰﮕﻨﻫﺮﻓ ﻞﺤﻣ ﻥﺎﺘﺳﺍ ﻰﺘﺣ ﻭ ﺮﻬﺷ ﺝﺭﺎﺧ ﺭ ﺩ ﻝﺎﻐﺘﺷﺍ ﺖﻠﻋ ﻪﺑ ﻥﺍﺮﺴﻤﻫ ﻥ ﺩﻮﺒﻧ ﻩ ﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻰﺷﺯﻮﻣﺁ ﻚﻤﻛ ﻞﻳﺎﺳﻭ ﻭ ﺩﺍﻮﻣ .( ﺩﻮﻤﻧ ﻩﺭﺎﺷﺍ ،ﻰﮔ ﺪﻧﺯ .ﻪﭽﺑﺎﺘﻛ ﻭ ﻢﻠﻴﻓ ، ﺩﺮﺑ ﺖﻳﺍﻭ ﺯﺍ ﺪﻧ ﺩﻮﺑ ﺕﺭﺎﺒﻋ ﻪﻣﺎﻧﺮﺑ ﺭ ﺩ ﻯﺎﻫ ﻩﺎﻣ ﺭ ﺩ ﻰﺘﺷﺍ ﺪﻬﺑ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻡﺎﺠﻧﺍ ﻡﻭﺍ ﺪﺗ ﻰﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ ﻪﺑ ﺎﺑ ﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻡﺎﺠﻧﺍ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﺹﺎﺧ ﻂﻳﺍﺮﺷ ﻞﻴﻟ ﺩ ﻪﺑ ﻪﻛ ﻯﺭﺍ ﺩﺭﺎﺑ ﺮﺧﺁ ٌﺍ ﺩ ﺪﺠﻣ ،ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻩﺎﻣ 6 ، ﺪﺷﺎﺑ ﻰﻣ ﻭﺮﺑﻭﺭ ﻯﺮﺘﺸﻴﺑ ﻊﻧﺍﻮﻣ ﻪﻨﻴﻣﺯ ﺭ ﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻥﺍﺰﻴﻣ ﻭ ﺪﺷ ﻞﻴﻤﻜﺗ ﺩﺍﺮﻓﺍ ﻂﺳﻮﺗ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻥﺎﻤﻫ ﻯﺎﻫ ﺖﺒﻗﺍﺮﻣ)ﺭﺎﺘﻓﺭ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ﺖﻳﺎﻬﻧ ﺭ ﺩ . ﺪﺷ ﻰﺳﺭﺮﺑ ﻯﺭﺎﻣﺁ ﻯﺎﻫ ﻥﻮﻣﺯﺁ ﻖﻳﺮﻃ ﺯﺍ (ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺲﭘ ﻩﺎﻣ 6 ﻭ ﻞﺒﻗ ﻪﻠﺣﺮﻣ ﺭ ﺩ ﻩﻭﺮﮔ ﻭ ﺩ ﻯﺎﻫ ﻩ ﺩﺍ ﺩ ﻪﺑ ﻰﻗﻼﺧﺍ ﺕﺎﻈﺣﻼﻣ ﺖﻳﺎﻋﺭ ﺭﻮﻈﻨﻣ ﻪﺑ . ﺪﻧ ﺪﺷ ﺰﻴﻟﺎﻧﺁ ﻭ ﻯ ﺪﻨﺑ ﺪﻛ ﻩ ﺩﻮﺑ ﻪﻧﺎﻣﺮﺤﻣ ﻥﺭﻮﺻ ﻪﺑ ﺎﻬﻧﺁ ﺕﺎﻋﻼﻃﺍ ﻪﻛ ﺪﺷ ﻩ ﺩﺍ ﺩ ﻥﺎﻨﻴﻤﻃﺍ ﺩﺍﺮﻓﺍ ﻞﻴﻤﻜﺗ ﻪﻧﺎﻫﺎﮔﺁ ﺖﻳﺎﺿﺭ ﻡﺮﻓ ﻥﺎﮔ ﺪﻨﻨﻛ ﺖﻛﺮﺷ ﺯﺍ ﻚﻳﺮﻫ ﻯﺍﺮﺑ ﻭ ﻯﺎﻫ ﻥﻮﻣﺯﺁ ﻭ 20 ﻪﺨﺴﻧ Spssﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﻩ ﺩﺎﻔﺘﺳﺍ ﺎﺑ ﺎﻫ ﻩ ﺩﺍ ﺩ . ﺪﺷ

(7)

ﻯﺎﻛ ﻭ ﻰﺟﻭﺯ ﻰﺗ ،ﻞﻘﺘﺴﻣ ﻰﺗ ﻥﻮﻣﺯﺁ ﻭ ﻰﻠﻴﻠﺤﺗ ﻭ ﻰﻔﻴﺻﻮﺗ ﻯﺭﺎﻣﺁ ﺯﺍ ﺮﺘﻤﻛ ﻯﺭﺎﻣﺁ ﺢﻄﺳ ﺭ ﺩ ﺞﻳﺎﺘﻧ ﻭ ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻰﺳﺭﺮﺑ ﺩﺭﻮﻣ ﺮﺋﻮﻜﺳﺍ . ﺪﺷ ﻰﻘﻠﺗ ﺭﺍ ﺩ ﻰﻨﻌﻣ0/05

ﺎﻫ ﻪﺘﻓﺎﻳ ﺮﻔﺻ ﺎﻫ ﻪﻧﻮﻤﻧ ﺵﺰﻳﺭ ﻥﺍﺰﻴﻣ ﻪﺘﻓﺮﮔ ﺕﺭﻮﺻ ﺕﺍ ﺪﻴﻬﻤﺗ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻪﺑ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﺭ ﺩ ﻥﺎﮔ ﺪﻨﻨﻛ ﺖﻛﺮﺷ ﻦﺳ ﻦﻴﮕﻧﺎﻴﻣ . ﺩﻮﺑ ﻯﺎﻫﺮﻴﻐﺘﻣ ﻅﺎﺤﻟ ﺯﺍ . ﺩﻮﺑ ﻝﺎﺳ 21 ± 2/97ﻭ 20/78±2/18 ﺐﻴﺗﺮﺗ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻭ ﺩ ﻦﻴﺑ ﻯﺭﺍ ﺩ ﻰﻨﻌﻣ ﺕﻭﺎﻔﺗ ،ﻰﺘﺧﺎﻨﺷ ﺖﻴﻌﻤﺟ ﻞﺒﻗ ،ﺶﻫﻭﮋﭘ ﻯﺎﻫ ﻪﻧﻮﻤﻧ ﻪﻛ ﺩﺍ ﺩ ﻥﺎﺸﻧ ﻭ ﺩ ﻯﺎﻛ ﻥﻮﻣﺯﺁ . ﺪﺸﻧ ﻩ ﺪﻫﺎﺸﻣ ﺖﻴﻌﺿﻭ ﻭ ﺪﻣﺁﺭ ﺩ ﻥﺍﺰﻴﻣ ،ﻞﻐﺷ ،ﺕﻼﻴﺼﺤﺗ ﺢﻄﺳ ﺮﻈﻧ ﺯﺍ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ .(1 ﻝﻭ ﺪﺟ) ﺪﻨﺘﺷﺍ ﺪﻧ ﻯﺭﺍ ﺩ ﻰﻨﻌﻣ ﻑﻼﺘﺧﺍ ﻢﻫ ﺎﺑ ﻪﻤﻴﺑ

ﻪﻌﻟﺎﻄﻣ ﺖﺤﺗ ﻯﺎﻫ ﻩﻭﺮﮔ ﺭ ﺩ ﻚﻴﻓﺍﺮﮔﻮﻣ ﺩ ﺕﺎﺼﺨﺸﻣ ﻪﺴﻳﺎﻘﻣ .1ﻝﻭ ﺪﺟ

ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﻞﺒﻗ

ﺮﻴﻐﺘﻣ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ

( ﺪﺻﺭ ﺩ) ﺩﺍ ﺪﻌﺗ ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ

( ﺪﺻﺭ ﺩ) ﺩﺍ ﺪﻌﺗ

*ﻯﺭﺍ ﺩ ﻰﻨﻌﻣ

ﺕﻼﻴﺼﺤﺗ ﺢﻄﺳ

0/695

ﻰﻳﺎﻤﻨﻫﺍﺭ ﻭ ﻰﻳﺍ ﺪﺘﺑﺍ 19(42/22)

17(37/77)

ﻥﺎﺘﺳﺮﻴﺑ ﺩ 18(40)

20(44/44)

ﻰﻫﺎﮕﺸﻧﺍ ﺩ 8(17/77)

8(17/77)

ﻞﻐﺷ

1 41(91/12) 41(91/12) ﺭﺍ ﺩ ﻪﻧﺎﺧ

ﺪﻨﻣﺭﺎﻛ 4(8/88)

4(8/88)

ﺭﺍﻮﻧﺎﺧ ﻪﻧﺎﻴﻫﺎﻣ ﺪﻣﺁﺭ ﺩ ﻥﺍﺰﻴﻣ

0/670

ﻥﺎﻣﻮﺗ ﺭﺍﺰﻫ 500 ﺯﺍ ﺮﺘﻤﻛ 26(57/77)

30(66/66)

ﻥﻮﻴﻠﻴﻣ 1 ﺎﺗ ﺭﺍﺰﻫ 500 ﻦﻴﺑ 12(26/66)

10(22/22)

ﻥﻮﻴﻠﻴﻣ 2 ﺎﺗ 1 ﻦﻴﺑ 7(15/55)

5(11/11)

ﻪﻤﻴﺑ ﺖﻴﻌﺿﻭ

0/725 40(88/88) 41(91/12) ﺩﺭﺍ ﺩ

ﺩﺭﺍ ﺪﻧ 4(8/88)

5(11/12)

ﻭ ﺩ ﻯﺎﻛ ﻯﺭﺎﻣﺁ ﻥﻮﻣﺯﺁ*

،ﻦﺳ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻴﺑ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﻞﺒﻗ ،ﻞﻘﺘﺴﻣ ﻰﺗ ﻥﻮﻣﺯﺁ ﺱﺎﺳﺍ ﺮﺑ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ، ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ﻭ ﻰﻫﺎﮔﺁ ﻩ ﺪﻫﺎﺸﻣ ﻯﺭﺍ ﺩﺎﻨﻌﻣ ﻯﺭﺎﻣﺁ ﻑﻼﺘﺧﺍ ،ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﻯﺎﻫﺭﺎﺘﻓﺭ .(2ﻝﻭ ﺪﺟ) (^P0/05) ﺪﺸﻧ

ﻝ ﺪﻣ ﻯﺎﻫ ﻩﺯﺎﺳ ،ﻰﻫﺎﮔﺁ ،ﻦﺳ ﻯﺎﻫﺮﻴﻐﺘﻣ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ .2ﻝﻭ ﺪﺟ ﺖﺤﺗ ﻯﺎﻫ ﻩﻭﺮﮔ ﺭ ﺩ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻭ ﻰﻘﻴﻔﻠﺗ

ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﻞﺒﻗ ﻪﻌﻟﺎﻄﻣ

ﺮﻴﻐﺘﻣ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ

ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ

ﻯﺭﺍ ﺩ ﻰﻨﻌﻣ ﻑﺍﺮﺤﻧﺍ

ﺭﺎﻴﻌﻣ ﻦﻴﮕﻧﺎﻴﻣ ﻑﺍﺮﺤﻧﺍ

ﺭﺎﻴﻌﻣ ﻦﻴﮕﻧﺎﻴﻣ

ﻦﺳ (2/18)

20/78 (2/97)

*0/291 21

ﻰﻫﺎﮔﺁ (8/05)

39/06 (6/13) 40/6

0/312

ﻙﺭ ﺩ ﺖﻴﺳﺎﺴﺣ ﻩ ﺪﺷ (2)

13/86 (1/87) 13/73 0/745

ﻩ ﺪﺷ ﻙﺭ ﺩ ﺕ ﺪﺷ (3/56)

10/82 (2/25) 10/42 0/527

ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻓﺎﻨﻣ (1/46)

13/37 (2/56) 12/82 0/211

ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻧﺍﻮﻣ (2/83)

8/37 (3/05) 8/31

0/915

ﻯ ﺪﻣﺁﺭﺎﻛ ﺩﻮﺧ (1/58)

9/75 (1/56) 9/83

0/207

ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ (1/81)

10/71 (1/35) 10/62 0/793

ﻰﺘﺒﻗﺍﺮﻣ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻯﺭﺍ ﺩﺭﺎﺑ (2/63)

12/62 (1/55) 12/65 0/961

ﻞﻘﺘﺴﻣ ﻰﺗ ﻯﺭﺎﻣﺁ ﻥﻮﻣﺯﺁ*

ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ ﻖﻳﺮﻃ ﺯﺍ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﻰﺸﺨﺑﺮﺛﺍ ﻦﻴﻴﻌﺗ ﻯﺍﺮﺑ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ﺕﺍﺮﻤﻧ ﻩ ﺩﺎﻔﺘﺳﺍ ﻰﺟﻭﺯ ﻰﺗ ﻥﻮﻣﺯﺁ ﺯﺍ ﻩﻭﺮﮔ ﻭ ﺩ ﺮﻫ ﺭ ﺩ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ﻩﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﻦﻴﺑ ﻯﺭﺍ ﺩﺎﻨﻌﻣ ﻑﻼﺘﺧﺍ ﺞﻳﺎﺘﻧ ﻭ ﺪﺷ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﺭ ﺩ ﻪﻛ ﻰﻟﺎﺣ ﺭ ﺩ (p<0/05) ﺩﺍ ﺩ ﻥﺎﺸﻧ ﺍﺭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﺭ ﺩ ﻰﺷﺯﻮﻣﺁ (p>0/05) ﺪﺸﻧ ﻩ ﺪﻫﺎﺸﻣ ﻯﺭﺍ ﺩﺎﻨﻌﻣ ﻑﻼﺘﺧﺍ ﻪﻧﻮﮔ ﭻﻴﻫ ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ .(3 ﻝﻭ ﺪﺟ) ﻥﺯﻭ ﻪﺴﻳﺎﻘﻣ ﺭ ﺩ ، ﺩﻮﺷ ﻰﻣ ﻩ ﺪﻫﺎﺸﻣ 4 ﻝﻭ ﺪﺟ ﺭ ﺩ ﻪﻛ ﻪﻧﻮﮕﻧﺎﻤﻫ ،ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻦﻴﺑ ، ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﺩﻮﺒﻤﻛ ﺪﻣﺎﻴﭘ ﻭ (p=0/036) ﺩﺭﺍ ﺩ ﺩﻮﺟﻭ ﻯﺭﺎﻣﺁ ﺭﺍ ﺩﺎﻨﻌﻣ ﻑﻼﺘﺧﺍ

(8)

... ﻰﻋﺎﻤﺘﺟﺍﺖﻳﺎﻤﺣﺭﺎﺘﺧﺎﺳﻭﺖﻣﻼﺳﺭﻭﺎﺑﻯﻮﮕﻟﺍﺮﺑﻰﻨﺘﺒﻣﻰﺷﺯﻮﻣﺁﻪﻠﺧﺍ ﺪﻣﺮﻴﺛﺄﺗ / ﻥﺍﺭﺎﻜﻤﻫﻭ ﺩﺍﺭﻯ ﺩﺰﻳﺍﻦﻴﺴﺣ

ﻩﻭﺮﮔ ﺭ ﺩ ﺮﺘﻬﺑ ﻪﺠﻴﺘﻧ ﺯﺍ ﻰﻛﺎﺣ ﻪﻛ ﻩ ﺩﻮﺑ ﺮﺘﻤﻛ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﺭ ﺩ ﻥﺯﻭ .(4 ﻝﻭ ﺪﺟ) ﺪﺷﺎﺑ ﻰﻣ ﻥﻮﻣﺯﺁ

(ﻡﺮﮔ2500 ﺯﺍ ﺮﺘﻤﻛ ﻥﺯﻭ) ﻥﺯﻭ ﺩﻮﺒﻤﻛ ﺪﻣﺎﻴﭘ ﻪﺴﻳﺎﻘﻣ .4 ﻝﻭ ﺪﺟ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻦﻴﺑ ، ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻥﺍ ﺩﺍﺯﻮﻧ

ﻩﻭﺮﮔ 2500 ﺯﺍ ﺮﺘﻤﻛ

ﻡﺮﮔ ﺩﺍ ﺪﻌﺗ( ﺪﺻﺭ ﺩ) ﺎﺗ 2500

ﻡﺮﮔ 4000 ﺩﺍ ﺪﻌﺗ( ﺪﺻﺭ ﺩ) ﻞﻛ

ﺩﺍ ﺪﻌﺗ( ﺪﺻﺭ ﺩ) ﻰﻨﻌﻣ ﺢﻄﺳ

*ﻯﺭﺍ ﺩ

ﻥﻮﻣﺯﺁ 3(٪ 6/66)

42(٪ 93/33) 45(٪ 100)

0/036=p 45(٪ 100) 35(٪77/77) 10(٪ 22/22) ﻝﺮﺘﻨﻛ 13(٪ 14/44) ﻞﻛ 77(٪ 85/55)

90(٪ 100)

ﻭ ﺩ ﻯﺎﻛ ﻥﻮﻣﺯﺁ*

ﻯﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ،ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺭ ﺩ ﺯﺍ ﺪﻌﺑ ﻪﻠﺧﺍ ﺪﻣ ﻩﻭﺮﮔ ﺭ ﺩ ، ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻰﻧﺯﻭ ﻢﻛ ﺶﻫﺎﻛ ﻭ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ، ﻯﺮﺘﺑﻮﻠﻄﻣ ﺖﻴﻌﺿﻭ ﺭ ﺩ ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﻪﺑ ﺖﺒﺴﻧ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﻯﺍﺮﺟﺍ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻪﻛ ﺪﻧﺍ ﻩ ﺩﺍ ﺩ ﻥﺎﺸﻧ ﻪﺑﺎﺸﻣ ﺕﺎﻌﻟﺎﻄﻣ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﺞﻳﺎﺘﻧ . ﺪﺷﺎﺑ ﺮﺛﺆﻣ ﺪﻟﻮﺗ ﻭ ﻰﮕﻠﻣﺎﺣ ﺞﻳﺎﺘﻧ ﺩﻮﺒﻬﺑ ﺭ ﺩ ﺪﻧﺍﻮﺗ ﻰﻣ ﻯﺭﺍ ﺩﺭﺎﺑ

ﺎﺑ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻁﺎﺒﺗﺭﺍ ﺯﺍ ﻰﻛﺎﺣ ،ﻒﻠﺘﺨﻣ ﻊﻣﺍﻮﺟ ﺭ ﺩ ﺕﺎﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺎﺑ ﻮﺴﻤﻫ .(29 ,28) ﺩﻮﺑ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻢﻛ ﻥﺯﻭ ﻪﺑ ﻼﺘﺑﺍ ﺮﻄﺧ ﺶﻫﺎﻛ ﺩﻮﺧ ﻪﻌﻟﺎﻄﻣ ﺭ ﺩ (2)ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﻯﺭﺎﻴﺘﺧﺍ ﻰﻧﺎﻤﻴﻠﺳ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻢﻛ ﻥﺍﺰﻴﻣ ﺮﺑ ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﺮﺑ ﻰﻨﺘﺒﻣ ﻰﺷﺯﻮﻣﺁ ﻪﻣﺎﻧﺮﺑ ﺪﻨﺘﻓﺎﻳﺭ ﺩ .ﺖﺳﺍ ﺮﺛﺆﻣ ﺪﻟﻮﺗ ﻡﺎﮕﻨﻫ ﻰﻧﺯﻭ ، ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻩﻭﺮﮔ ﻭ ﺩ ﻦﻴﺑ ﺭﺍ ﺩ ﻰﻨﻌﻣ ﻑﻼﺘﺧﺍ ﺩﻮﺟﻭ ﺖﻴﺳﺎﺴﺣ ﻯﺎﻘﺗﺭﺍ ﺮﺑ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ ﺮﻴﺛﺄﺗ ﺯﺍ ﻰﺑﻮﺧ ﺪﻫﺎﺷ ﺪﻧﺍﻮﺗ ﻰﻣ ﺎﺑ ﻥﺍﻮﺨﻤﻫ ﻪﺘﻓﺎﻳ ﻦﻳﺍ ﻪﻛ ، ﺪﺷﺎﺑ ﻪﻠﺧﺍ ﺪﻣ ﻩﻭﺮﮔ ﺭ ﺩ ﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭ ﺩﺎﻣ ﻩ ﺪﺷ ﻙﺭ ﺩ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻪﻨﻴﻣﺯ ﺭ ﺩ ﻩ ﺪﺷ ﻙﺭ ﺩ ﺖﻴﺳﺎﺴﺣ ﺶﻳﺍﺰﻓﺍ ﺎﺑ ﻂﺒﺗﺮﻣ ﻯﺎﻬﺸﻫﻭﮋﭘ ﺖﻴﺳﺎﺴﺣ ﻦﻴﺑ ﻪﻛ ﺪﺷﺎﺑ ﻰﻣ ﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭ ﺩﺎﻣ ﺭ ﺩ ﻯﺍ ﻪﻳﺬﻐﺗ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻡ ﺪﻋ .ﺖﺷﺍ ﺩ ﺩﻮﺟﻭ ﻢﻴﻘﺘﺴﻣ ﻪﻄﺑﺍﺭ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﺭﺎﺘﻓﺭ ﻭ ﻩ ﺪﺷ ﻙﺭ ﺩ ﻭ ﻥﺍﻮﺨﺘﺳﺍ ﻰﻛﻮﭘ ﺯﺍ ﻯﺮﻴﮕﺸﻴﭘ ،ﻥﺍﺯﻮﻣﺁ ﺶﻧﺍ ﺩ ﺭ ﺩ ﻥ ﺪﻴﺸﻛ ﺭﺎﮕﻴﺳ ﺪﺷﺎﺑ ﻰﻣ ﻰﺘﺑﺎﻳ ﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺭ ﺩ ﺎﭘ ﺯﺍ ﺖﺒﻗﺍﺮﻣ ﻭ ﻰﻳﺍﺬﻏ ﻢﻳژﺭ ﺯﺍ ﺖﺒﻗﺍﺮﻣ .(33-30)

ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﻯﺭﺍ ﺩﺭﺎﺑ ﻥﺍﺭﻭ ﺩ ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻯﺎﻫﺭﺎﺘﻓﺭ ﻭ ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﺭﺎﺘﺧﺎﺳ ،ﺖﻣﻼﺳ ﺭﻭﺎﺑ ﻯﻮﮕﻟﺍ ﻯﺎﻫﺭﺎﺘﺧﺎﺳ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ .3 ﻝﻭ ﺪﺟ ﻝﺮﺘﻨﻛ ﻭ ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻭ ﺩ ﺭ ﺩ ﻰﺷﺯﻮﻣﺁ ﻪﻠﺧﺍ ﺪﻣ

ﺮﻴﻐﺘﻣ ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﻞﺒﻗ ﻩﻭﺮﮔ

ﻪﻠﺧﺍ ﺪﻣ ﺯﺍ ﺪﻌﺑ ﻯﺭﺍ ﺩﺎﻨﻌﻣ ﺢﻄﺳ

(ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ)ﻦﻴﮕﻧﺎﻴﻣ (ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ)ﻦﻴﮕﻧﺎﻴﻣ

ﻩ ﺪﺷ ﻙﺭ ﺩ ﺖﻴﺳﺎﺴﺣ ﻥﻮﻣﺯﺁ

13/86(2) 15/60(0/72)

*p<0/001

ﻝﺮﺘﻨﻛ 13/73(1/85)

13/53(1/85) p=0/060

ﻩ ﺪﺷ ﻙﺭ ﺩ ﺕ ﺪﺷ ﻥﻮﻣﺯﺁ

10/52(3/56) 15/07(1/25)

p<0/001

ﻝﺮﺘﻨﻛ 10/42(2/25)

10/47(2/13) p=0/643

ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻓﺎﻨﻣ ﻥﻮﻣﺯﺁ

13/37(1/46) p<0/001 14

ﻝﺮﺘﻨﻛ 13/40(1/55)

12/44(2/54) p=0/342

ﻩ ﺪﺷ ﻙﺭ ﺩ ﻊﻧﺍﻮﻣ ﻥﻮﻣﺯﺁ

8/37(2/83) 6/15(2/35)

p<0/001

ﻝﺮﺘﻨﻛ 8/31(3/05)

8/91(2/91) p=0/200

ﻯ ﺪﻣﺁﺭﺎﻛ ﺩﻮﺧ ﻥﻮﻣﺯﺁ

9/75(1/58) 13/42(0/83)

p<0/001

ﻝﺮﺘﻨﻛ 9/33(1/56)

9/04(1/55) p=0/305

ﻰﻋﺎﻤﺘﺟﺍ ﺖﻳﺎﻤﺣ ﻥﻮﻣﺯﺁ

10/71(1/81) 15/84(0/42)

p<0/001

ﻝﺮﺘﻨﻛ 10/62(1/35)

10/22(2/32) p=0/190

ﻰﺘﺒﻗﺍﺮﻣ ﺩﻮﺧ ﻥﻮﻣﺯﺁ

12/62(2/63) 15/77(1/52)

p<0/001

ﻝﺮﺘﻨﻛ 12/60(1/55)

12/46(1/64) p=0/160

ﻰﺟﻭﺯ ﻰﺗ ﻥﻮﻣﺯﺁ*