efficacy in patients with bone marrow transplantation

(1)

هﮋﻳو ﺖﺒﻗاﺮﻣ يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ

Iranian Journal of Critical Care Nursing

هرود 4 هرﺎﻤﺷ ، 3 ، ﺰﻴﻳﺎﭘ 1390 Vol. 4, No. 3, Autumn 2011

تﺎﺤﻔﺻ : 116 - 109

Page: 109 - 116

ﺗ ﺄ يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﺮﻴﺛ ﺎﻘﺗرا يﺎﻫ

ي ﺮﺑ ﺖﻣﻼﺳ ﺖﺤﺗ نارﺎﻤﻴﺑ رد دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣآرﺎﻛدﻮﺧ

ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻞﻤﻋ

ﻲﻨﻴﻓ يﺰﻳﺰﻋ ﻞﻴﻋﺎﻤﺳا MSc1

، يﺮﻗﺎﺑ جﺎﺣ ﺐﻳدا ﻦﺴﺤﻣ PhD*

، نﺎﻳرﻮﺸﺤﻠﺳ ﻪﻴﺳآ

2دﺮﻓ

، MSc نﺎﻴﭼﺎﺧ ﺲﻴﻟآ MSc2

* 1 . ﺸﻧاد هﺪﻜ نﺎﺷﺎﻛ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻳﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ي ناﺮﻳا ،نﺎﺷﺎﻛ ،

2 . هﺪﻜﺸﻧاد ناﺮﻬﺗ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻳﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ ي ناﺮﻳا ،ناﺮﻬﺗ ،

هﺪﻴﻜﭼ

فاﺪﻫا : نﺎﻃﺮﺳ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﻴﺑ هﺪﻳﺪﻋ تﻼﻜﺸﻣ ﺎﺑ ،ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ زا ﺲﭘ ،نﻮﺧ يﺎﻫ

ﻲﻣ ﻪﺟاﻮﻣ يا ﺮﺑ ﻪﻛ ﺪﻧﻮﺷ

نآ يﺪﻣآرﺎﻛدﻮﺧ رد ﺎﻫ

ﻲﻣ ﻲﻔﻨﻣ ﺮﻴﺛﺄﺗ دﻮﺧ زا ﺖﺒﻗاﺮﻣ دراﺬﮔ

. ﻪﻌﻟﺎﻄﻣ فﺪﻫ ﺎﺑ ﺮﺿﺎﺣ ي

"

يﮋﺗاﺮﺘﺳا ﺮﻴﺛﺄﺗ ﻦﻴﻴﻌﺗ نارﺎﻤﻴﺑ يﺪﻣآرﺎﻛدﻮﺧ ﺮﺑ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

ﺖﺤﺗ ﻞﻤﻋ

ﭘﻴ ﺪﻧﻮ ﺰﻐﻣ ناﻮﺨﺘﺳا دﻮﺧ زا ﺖﺒﻗاﺮﻣ رد

"

ﺪﺷ مﺎﺠﻧا

.

شور ﺎﻫ : ﻦﻳا ﻪﻌﻟﺎﻄﻣ ﻪﻤﻴﻧ ي ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺪﻳﺪﻧﺎﻛ نارﺎﻤﻴﺑ رد ﺪﻌﺑ و ﻞﺒﻗ ﻲﺑﺮﺠﺗ لﺎﺳ رد ناﺮﻬﺗ ﺮﻬﺷ ﻲﺘﻌﻳﺮﺷ نﺎﺘﺳرﺎﻤﻴﺑ رد

1388 مﺎﺠﻧا

ﺪﺷ . ﺪﻧﺪﺷ ﻢﻴﺴﻘﺗ لﺮﺘﻨﻛ و نﻮﻣزآ هﺮﻔﻧ ﻲﺳ هوﺮﮔ ود ﻪﺑ ﻲﻓدﺎﺼﺗ ترﻮﺻ ﻪﺑ رﺎﻤﻴﺑ ﺖﺼﺷ .

يﮋﺗاﺮﺘﺳا درﻮﻣ رد شزﻮﻣآ ،نﻮﻣزآ هوﺮﮔ يﺎﻘﺗرا يﺎﻫ

ﺘﻨﻛ هوﺮﮔ ﺎﺑ و ﺪﻧدﺮﻛ ﺖﻓﺎﻳرد ار ﺖﻣﻼﺳ ﺪﺷ رﺎﺘﻓر ﺶﺨﺑ ﻦﻴﺗور ﺎﺑ ﻖﺑﺎﻄﻣ ،لﺮ

. ﻪﺴﻳﺎﻘﻣ ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ زور ﻲﺳ و ﻞﺒﻗ هوﺮﮔ ود يﺪﻣآرﺎﻛدﻮﺧ ﺲﭙﺳ

ﺪﺷ . هداد ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ نﻮﻣزآ و ﻲﻔﻴﺻﻮﺗ رﺎﻣآ زا هدﺎﻔﺘﺳا ﺎﺑ ﺎﻫ

يﺎﻛ و ﺲﻧﺎﻳراﻮﻛ ﻞﻴﻠﺤﺗ ،ﻞﻘﺘﺴﻣ ﻲﺗ ،جوز ﻲﺗ يﺎﻫ راﻮﻜﺳا

راﺰﻓا مﺮﻧ رد

SPSS11.5 ﺪﺷ مﺎﺠﻧا

.

ﻪﺘﻓﺎﻳ ﺎﻫ : ﻲﻨﻌﻣ فﻼﺘﺧا ﺪﺸﻧ هﺪﻫﺎﺸﻣ هوﺮﮔ ود ﻚﻴﻓاﺮﮔﻮﻣد يﺎﻫﺮﻴﻐﺘﻣ ﻦﻴﺑ يراد

. دﺎﻌﺑا و ﻲﻠﻛ سﺎﻴﻘﻣ رد نﻮﻣزآ هوﺮﮔ يﺪﻣآرﺎﻛدﻮﺧ ناﺰﻴﻣ

ﻢﻴﻤﺼﺗ ،يرﺎﮔزﺎﺳ ﺖﻓﺎﻳ ﺶﻳاﺰﻓا ،شزﻮﻣآ زا ﻞﺒﻗ نﺎﺷدﻮﺧ ﻪﺑ ﺖﺒﺴﻧ ﻦﻴﻨﭽﻤﻫ و ﺪﻫﺎﺷ هوﺮﮔ ﻪﺑ ﺖﺒﺴﻧ سﺮﺘﺳا ﺶﻫﺎﻛ و يﺮﻴﮔ

) 001 / 0 p<

.(

توﺎﻔﺗ

ﻞﺒﻗ ﻪﺑ ﺖﺒﺴﻧ دﺎﻌﺑا ﻪﻤﻫ رد يﺪﻣآرﺎﻛدﻮﺧ تاﺮﻤﻧ ﻲﻨﻌﻣ يرﺎﻣآ ظﺎﺤﻟ زا ﻪﻠﺧاﺪﻣ زا

دﻮﺑ راد ) 05 / 0 p<

.(

ﻪﺠﻴﺘﻧ يﺮﻴﮔ : يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﻲﻣ ،ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ نارﺎﻤﻴﺑ ﻪﺑ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

مﺎﺠﻧا رد نارﺎﻤﻴﺑ ﻦﻳا نﺎﻨﻴﻤﻃا ﺶﻳاﺰﻓا ﺐﺒﺳ ﺪﻧاﻮﺗ

ﺮﺗﻻﺎﺑ ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ هاﺮﻤﻫ ﻪﺑ ﺮﺘﺸﻴﺑ يﺎﻘﺑ ﺖﻳﺎﻬﻧ رد ﻪﻛ دﻮﺷ نﺎﻣرد ﺪﻨﻳاﺮﻓ رد دﻮﺧ زا ﺖﺒﻗاﺮﻣ ﺖﺷاد ﺪﻫاﻮﺧ ﻲﭘ رد نارﺎﻤﻴﺑ ﻦﻳا رد ار ي

.

يﺪﻴﻠﻛ نﺎﮔژاو :

يﮋﺗاﺮﺘﺳا ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

؛ يﺪﻣآرﺎﻛدﻮﺧ

؛ دﻮﺧ زا ﺖﺒﻗاﺮﻣ

؛ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ

The effect of health-promotion strategies education on self-care self- efficacy in patients with bone marrow transplantation

Ismail Azizi Fini¹, Mohsen Adib-Hajbaghery^* PhD, Asieh Salahshoorian Fard², Alis Khachian²

*1. Nursing and Midwifery faculty, Kashan University of Medical Sciences, Kashan, Iran 2. Nursing and Midwifery faculty, Tehran University of Medical Sciences, Tehran, Iran Abstract

Aims: Patients with blood cancer are encountering numerous problems following bone marrow transplantation which exert negative impact on self-care self efficacy. The present study has been conducted to determine the effect of health-promotion strategies on self-care self-efficacy among patients undergoing bone marrow transplantation.

Methods: This before- after semi experimental study was performed among patients candidate for bone marrow transplantation in Shariati Hospital of Tehran in 2009. Sixty patients were randomly allocated into two groups of 30 participants each as experimental and control groups; the former received education on health promotion strategies and the latter was treated according to the ward's routine. Self efficacy was compared between the two groups before and thirty days after the intervention. Data were analyzed by SPSS11.5 statistical software using descriptive statistics, independent and paired t-test, covariance analysis and chi-square.

Results: No significant difference was observed between the two groups in terms of demographic variables. The self-efficacy scale was increased in general comparison as well as adaptability, decision- making and stress reduction parameters in control with respect to the experimental group and also at post compared to pre-intervention in both groups (p<0.001). The mean self-efficacy scores was statistically different in all dimensions after in comparison with before the intervention (p<0.05).

Conclusion: Education on health promotion strategies to bone marrow transplant patients can increase patients' confidence in performing self-care processes and consequently brings more survival along with higher quality of life among this group.

Key words: Health promotion strategies; Self-efficacy; Self-care; Bone marrow transplantation

(2)

110 ﺰﻳﺰﻋ ﻞﻴﻋﺎﻤﺳا ي

نارﺎﻜﻤﻫ و ﻲﻨﻴﻓ

ﻪﻣﺪﻘﻣ

ﻪﺑ ﺰﻴﮕﻧاﺮﺑ ﺚﺤﺑ ﻲﻘﻴﻘﺤﺗ شور ﻚﻳ زا ،ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ شور ﻚﻳ ﻲﻤﻴﺧﺪﺑ نﺎﻣرد ياﺮﺑ دراﺪﻧﺎﺘﺳا ﻲﻧﺎﻣرد

يﺎﻫ

يرﺎﻤﻴﺑ ،ﺪﻣﺎﺟ يﺎﻫرﻮﻣﻮﺗ ،ﻲﻧﻮﺧ و ﻲﻨﻤﻳا ﺺﻘﻧ يﺎﻫ

ﺖﺳا هﺪﺷ ﻞﻳﺪﺒﺗ ﻚﻴﻟﻮﺑﺎﺘﻣ تﻻﻼﺘﺧا ]

1 .[

ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻪﭼﺮﮔا

گرﺰﺑ و نﺎﻛدﻮﻛ ﺮﻤﻋ لﻮﻃ ﺶﻳاﺰﻓا ﺐﺟﻮﻣ ناﻮﺨﺘﺳا نﻻﺎﺳ

ﻲﻣ سﺮﺘﺳا ﺶﻳاﺰﻓا ﺎﺑ ﻲﻧﺎﻣرد ﺪﻨﻳاﺮﻓ ﻦﻳا ﺎﻣا ،دﻮﺷ يﺎﻫ

ﻲﻋﺎﻤﺘﺟا و ﻲﻧاور ،ﻲﻤﺴﺟ هداﻮﻧﺎﺧ و رﺎﻤﻴﺑ ياﺮﺑ

،يو ي

نآ ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ ﻲﻣ راﺮﻗ ﺮﻴﺛﺄﺗ ﺖﺤﺗ ار ﺎﻫ

ﺪﻫد ] 2 .[

ﻪﻧﻻﺎﺳ

ﺎﺑ نﺎﻣرد ﺖﺤﺗ ﺎﻴﻧد ﺮﺳﺎﺗﺮﺳ رد ﺮﻔﻧ راﺰﻫ هدﺰﻧﺎﭘ ﻪﺑ ﻚﻳدﺰﻧ ﻲﻣ راﺮﻗ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺪﻧﺮﻴﮔ

] 3 .[

و يرﺎﻤﻴﺑ ﺪﻨﻳاﺮﻓ

رد ﺺﻘﻧ ﻪﻠﻤﺟ زا ﻲﺿراﻮﻋ ﻲﻧﺎﻃﺮﺳ نارﺎﻤﻴﺑ رد نﺎﻣرد ﺎﺿر ﺶﻫﺎﻛ ،ﻲﺴﻨﺟ دﺮﻜﻠﻤﻋ ﻲﮔﺪﻧز زا ﺖﻳ

] 4 [ ﺶﻫﺎﻛ ،

يرﺎﮔزﺎﺳ ]

5 [ ﺲﻔﻧ ﻪﺑ دﺎﻤﺘﻋا و ]

6 [ ﺶﻨﺗ ﺶﻳاﺰﻓا ، يﺎﻫ

ﻲﻔﻃﺎﻋ ] 7 [ ﻲﻧاور تﻻﻼﺘﺧا و ﻲﮔدﺮﺴﻓا ،باﺮﻄﺿا ، ]

4 [ ار

يﺎﻫرﺎﺘﻓر ﺶﻫﺎﻛ ﺚﻋﺎﺑ ضراﻮﻋ ﻦﻳا ﻪﻛ دراد هاﺮﻤﻫ ﻪﺑ هﺪﺷ ﻲﺘﺒﻗاﺮﻣدﻮﺧ ]

8 [ ﻪﺑ نارﺎﻤﻴﺑ ﻦﻳا رد ار يﺪﻣآرﺎﻛدﻮﺧ و ،

ﻗ ﺮﻴﺛﺄﺗ ﺖﺤﺗ ﻢﻴﻘﺘﺴﻣ ﺮﻴﻏ و ﻢﻴﻘﺘﺴﻣ رﻮﻃ ﻲﻣ راﺮ

ﺪﻨﻫد ] 9 .[

ﻂﺳﻮﺗ رﺎﺑ ﻦﻴﻟوا يﺪﻣآرﺎﻛدﻮﺧ مﻮﻬﻔﻣ اروﺪﻨﺑ

ﻪﻛ ﺪﺷ ﻲﻓﺮﻌﻣ

زا ﺖﺳا ترﺎﺒﻋ

» رﺎﻈﺘﻧا و صﺎﺧ ﺖﻴﻟﺎﻌﻓ ﻚﻳ مﺎﺠﻧا ﻲﻳﺎﻧاﻮﺗ

ﻦﻴﻌﻣ رﺎﺘﻓر ﻚﻳ ﺰﻴﻣآ ﺖﻴﻘﻓﻮﻣ مﺎﺠﻧا ياﺮﺑ ﻦﺘﺷاد ﻲﻳﺎﻧاﻮﺗ «

] 10 .[

ﻲﻣ يﺪﻣآرﺎﻛدﻮﺧ ﻪﻛ ﺖﺳا هداد نﺎﺸﻧ تﺎﻘﻴﻘﺤﺗ ﺪﻧاﻮﺗ

ﺶﻴﭘ ار ﺺﺨﺷ دﺮﻜﻠﻤﻋ ﻪﺑ و ﺪﻳﺎﻤﻧ ﻲﻨﻴﺑ

ﻪﺠﻴﺘﻧ ناﻮﻨﻋ زا يا

ﺪﺑﺎﻳ ﺮﻴﻴﻐﺗ ،درﻮﺧزﺎﺑ و ﻪﺑﺮﺠﺗ ،يﺮﻴﮔدﺎﻳ .

تاﺮﻴﻴﻐﺗ ناﺰﻴﻣ ﻪﻛ

هﻮﻴﺷ ﺎﺑ يﺪﻣآرﺎﻛدﻮﺧ دراد ﻢﻴﻘﺘﺴﻣ طﺎﺒﺗرا دﺮﻓ رﺎﺘﻓر ي

. رد

ﺖﻴﻌﺿو ،يدﺮﻓ ﺶﻧاد ﻞﻴﺒﻗ زا يدﺎﻳز ﻞﻣاﻮﻋ ،لﺎﺣ ﻦﻴﻋ رد نﺎﻣز ،يدﺮﻓ ﻦﻴﺑ ﻂﻴﺤﻣ ،ﺲﻔﻧ ﻪﺑ دﺎﻤﺘﻋا ،ﻲﻤﺴﺟ ﻲﻣ ،سﺮﺘﺳا و ،ﻒﻳﺎﻇو ﻲﮔﺪﻴﭽﻴﭘ ،سﺮﺘﺳد ﻧاﻮﺗ

ﺮﺑ ﺪ

ﺮﻴﺛﺄﺗ نآ زا ﻲﺷﺎﻧ رﺎﺘﻓر ﺮﺑ ﺰﻴﻧ و يﺪﻣآرﺎﻛدﻮﺧ ﺪﺷﺎﺑ راﺬﮔ

] 11 و

12 .[

ﻲﻣ نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ و يﺪﻣآرﺎﻛدﻮﺧ ﻪﻛ ﺪﻨﻫد

ﺪﻌﺑ يﺎﻘﺑ و ﺪﻧﻮﻴﭘ ﺞﻳﺎﺘﻧ ﻲﻠﺻا ﺪﻴﻠﻛ ،ﻲﺘﺒﻗاﺮﻣدﻮﺧ يﺎﻫرﺎﺘﻓر ﺮﺘﺸﻴﺑ يرﺎﮔزﺎﺳ ﺎﺑ و هدﻮﺑ نآ زا ]

13 و 14 [ ﻪﻧﺎﺸﻧ ﺶﻫﺎﻛ ، -

ﺮﻣدﻮﺧ يﺎﻫرﺎﺘﻓر ﺶﻳاﺰﻓا ،ﻲﻧاور و ﻲﻤﺴﺟ يﺎﻫ ﻲﺘﺒﻗا

] 14 [ ،

ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ دﻮﺒﻬﺑ و ﻲﮔﺪﻧز زا تﺬﻟ ﺶﻳاﺰﻓا ]

13 [ هاﺮﻤﻫ

ﺲﺣ ﺶﻳاﺰﻓا ياﺮﺑ تﻼﺧاﺪﻣ مﺎﺠﻧا ﺰﻴﻧ و ﺖﺳا ﻲﻣ ،يﺪﻣآرﺎﻛدﻮﺧ ﺶﻳاﺰﻓا ياﺮﺑ ار ﻲﺘﺒﺜﻣ ﺞﻳﺎﺘﻧ ﺪﻧاﻮﺗ

ﺪﺷﺎﺑ ﻪﺘﺷادﺮﺑ رد ﻲﻧﺎﻃﺮﺳ نارﺎﻤﻴﺑ رد يﺪﻣآرﺎﻛدﻮﺧ ]

15 [ ﻪﺑ

،ﻻﺎﺑ يﺪﻣآرﺎﻛدﻮﺧ ياراد داﺮﻓا ﻪﻛ يرﻮﻃ ﺑ دﺎﻤﺘﻋا و تﺎﺒﺛ

ﻪ

رد ﻦﻴﻳﺎﭘ يﺪﻣآرﺎﻛدﻮﺧ ياراد داﺮﻓا ﻪﺑ ﺖﺒﺴﻧ ﺮﺘﺸﻴﺑ ﺲﻔﻧ ﺖﺷاد ﺪﻨﻫاﻮﺧ ﺖﺨﺳ ﻂﻳاﺮﺷ ﺎﺑ درﻮﺧﺮﺑ ]

16 و 17 .[

ﻲﻣ نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ ﻦﻴﻨﭽﻤﻫ ﻪﻧﺎﺸﻧ دﻮﺟو ﻦﻴﺑ ﻪﻛ ﺪﻫد

يﺎﻫ

طﺎﺒﺗرا نﺎﻣرد لﻮﻃ رد ﻲﮔﺪﻧز زا تﺬﻟ و رﺎﻤﻴﺑ رد ﻲﻧاور دراد دﻮﺟو ﻲﻔﻨﻣ 18]

ﻖﻠﺧ ياراد نارﺎﻤﻴﺑ ﻪﻛ يرﻮﻃ ﻪﺑ [

ناﺪﻘﻓ ،هدﺮﺴﻓا ﺪﻧﻮﻴﭘ زا ﻞﺒﻗ باﺮﻄﺿا و ﻲﻋﺎﻤﺘﺟا ﺖﻳﺎﻤﺣ

ﺪﻗﺎﻓ نارﺎﻤﻴﺑ ﻪﺑ ﺖﺒﺴﻧ يﺮﺘﻤﻛ يﺎﻘﺑ ﺲﻧﺎﺷ ،ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧراد ﻢﻳﻼﻋ ﻦﻳا ]

7 و 19 [ ﻪﻠﻤﺟ زا ﻲﻠﻣاﻮﻋ ﻪﻛ ﻲﻟﺎﺣ رد ؛

هﻮﻴﺷ ﻦﻳا رد ﺪﻧﻮﻴﭘ زا ﺪﻌﺑ ار ﺎﻘﺑ ﺲﻧﺎﺷ ،يرﺎﮔزﺎﺳ يﺎﻫ

ﻲﻣ ﺶﻳاﺰﻓا نارﺎﻤﻴﺑ ﺪﻨﻫد

] 20 .[

ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺳ ي

ﻴ ﻼﺟﺮ و

نﺎﺸﻧ ،نارﺎﻜﻤﻫ ﺪﻌﺑ درد ناﺰﻴﻣ و يﺪﻣآرﺎﻛدﻮﺧ ﻦﻴﺑ ﻪﻛ داد

دراد دﻮﺟو ﻲﮕﺘﺴﺒﻤﻫ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ زا ]

21 [ ﻪﺑ ؛

ﻲﻣ يﺪﻣآرﺎﻛدﻮﺧ ﺶﻳاﺰﻓا ﻪﻛ ﻪﻛ يرﻮﻃ دﻮﺒﻬﺑ ﻪﺑ ﺪﻧاﻮﺗ

هﺪﻨﻫد ﺎﻘﺗرا يﺎﻫرﺎﺘﻓر ﺮﺠﻨﻣ ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ و ﻲﺘﻣﻼﺳ ي

دﻮﺷ ] 22 وﻮﻟرﻮﻛ .[

ﻳ ﺰﺴ ﻦﻳا رد ﻪﻛ ﺖﺳا هداد شراﺰﮔ هرﺎﺑ

يﺪﻣآرﺎﻛدﻮﺧ كرد ﺶﻳاﺰﻓا ﻞﻤﻋ ﺖﺤﺗ ﻦﺴﻣ نارﺎﻤﻴﺑ

ﻲﻣ ،ﭗﻴﻫ ﻞﺼﻔﻣ ﺾﻳﻮﻌﺗ ﻲﺣاﺮﺟ ﻲﻳﺎﻧاﻮﺗ ﺪﻧاﻮﺗ

يﺎﻫ

زا ﺪﻌﺑ ﻲﮔدﺮﺴﻓا و ﺪﻫد ﺶﻳاﺰﻓا ار نارﺎﻤﻴﺑ ﻦﻳا يدﺮﻜﻠﻤﻋ يﺪﻣآرﺎﻛدﻮﺧ يور راﺬﮔﺮﻴﺛﺄﺗ ﻞﻣاﻮﻋ زا ﻲﻜﻳ دﻮﺧ ﻪﻛ ،ﻞﻤﻋ ﺪﻫد ﺶﻫﺎﻛ ار ﺖﺳا ]

23 .[

تﺎﻘﻴﻘﺤﺗ ﺞﻳﺎﺘﻧ زروﺮﺑ

نارﺎﻜﻤﻫ و

ور ﺮﺑ ،ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻪﻛ داد نﺎﺸﻧ ﺰﻴﻧ يﺪﻣآرﺎﻛدﻮﺧ ي

دراد ﻲﻔﻨﻣ ﺮﻴﺛﺄﺗ نارﺎﻤﻴﺑ ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ و ]

24 .[

ﻦﻴﻨﭽﻤﻫ

ﻪﻌﻟﺎﻄﻣ ﻪﻛ ﺖﺳا هداد نﺎﺸﻧ ﻲﻧﺎﻃﺮﺳ نارﺎﻤﻴﺑ رد يﺮﮕﻳد ي و ﻪﺘﻓﺎﻳ ﺶﻫﺎﻛ نﺎﻣز لﻮﻃ رد نارﺎﻤﻴﺑ ﻦﻳا يﺪﻣآرﺎﻛدﻮﺧ

نآ ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ ﻲﻣ راﺮﻗ ﺮﻴﺛﺄﺗ ﺖﺤﺗ ار ﺎﻫ

ﺪﻫد ] 13 .[

ﻲﻣ ﻦﻳاﺮﺑﺎﻨﺑ ﺶﻴﭘ ناﻮﺗ

نﺎﻣرد ﺪﻨﻳاﺮﻓ ﻪﻛ دﺮﻛ ﻲﻨﻴﺑ ﺰﻐﻣ ﺪﻧﻮﻴﭘ

ﺮﻴﺛﺄﺗ ﺖﺤﺗ تﺪﺷ ﻪﺑ ار نﺎﻳﻼﺘﺒﻣ يﺪﻣآرﺎﻛدﻮﺧ ،ناﻮﺨﺘﺳا ﻲﻣ راﺮﻗ ﻞﻴﺒﻗ زا ﻲﺷزﻮﻣآ و ﻲﻧﺎﻣرد تﻼﺧاﺪﻣ ياﺮﺟا و ﺪﻫد

يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﺮﻴﺛﺄﺗ ﺪﻧاﻮﺘﺑ ﺪﻳﺎﺷ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

دراﺬﮕﺑ نﺎﻣرد ﺞﻳﺎﺘﻧ يور ﺮﺑ ﻲﺘﺒﺜﻣ .

ﻮﻟ يﺪﻣآرﺎﻛدﻮﺧ زا ﺺﺨﺷ نﺎﻨﻴﻤﻃا ﺶﺠﻨﺳ ياﺮﺑ ار يراﺰﺑا ،

ا ﺖﺒﻗاﺮﻣ رد يﮋﺗاﺮﺘﺳا دﺮﺑرﺎﻛ و دﻮﺧ ز

ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

دﻮﻤﻧ ﻲﺣاﺮﻃ ]

13 .[

ﻦﻳا دﺮﺑرﺎﻛ ﻪﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺪﻨﭼ ﻲﻃ وا

و ﻲﻧﺎﻃﺮﺳ نارﺎﻤﻴﺑ يﺪﻣآرﺎﻛدﻮﺧ ﺶﺠﻨﺳ رد راﺰﺑا

(3)

يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﺮﻴﺛﺄﺗ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻞﻤﻋ ﺖﺤﺗ نارﺎﻤﻴﺑ رد دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣآرﺎﻛدﻮﺧ ﺮﺑ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

111

ﺖﺧادﺮﭘ يﺰﻴﻟﺎﻳدﻮﻤﻫ ]

9 ، 14 ، 16 ، 17 ، 18 و 19 .[

ﻦﻴﻨﭽﻤﻫ

يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﻪﻛ ﺖﺳا هﺪﺷ ﺺﺨﺸﻣ يﺎﻘﺗرا يﺎﻫ

ﺎﺿر ﺶﻳاﺰﻓا ﺚﻋﺎﺑ رﺎﻤﻴﺑ ﻪﺑ ﺖﻣﻼﺳ زا هداﻮﻧﺎﺧ و ﻮﺟدﺪﻣ ﺖﻳ

ﺖﺒﻗاﺮﻣ ﺖﻴﻔﻴﻛ ]

25 [

،ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ دﻮﺒﻬﺑ ، ﺶﻳاﺰﻓا

باﺮﻄﺿا ﺶﻫﺎﻛ ،ﺖﺒﻗاﺮﻣ مواﺪﺗ زا نﺎﻨﻴﻤﻃا ،يﺪﻣآرﺎﻛدﻮﺧ رد ﺖﻛرﺎﺸﻣ ﺶﻳاﺰﻓا ،يرﺎﻤﻴﺑ ضراﻮﻋ زوﺮﺑ ﺶﻫﺎﻛ ،رﺎﻤﻴﺑ ﻪﻣﺎﻧﺮﺑ مﺎﺠﻧا رد ﻮﺟدﺪﻣ لﻼﻘﺘﺳا ﺶﻳاﺰﻓا ،ﻲﺘﺒﻗاﺮﻣ يﺎﻫ

ﺖﻴﻟﺎﻌﻓ هﺮﻣزور يﺎﻫ ]

26 [ ﺘﺴﺑ نﺎﻣز نﺪﺷ هﺎﺗﻮﻛ ، يﺮ

] 25 [ و

ﻪﻨﻳﺰﻫ ﺶﻫﺎﻛ ﺎﻫ

] 27 [ ﻲﻣ دﻮﺷ . زا ﻲﺧﺮﺑ ﻪﻛ ﻲﻟﺎﺣرد

هداد نﺎﺸﻧ تﺎﻘﻴﻘﺤﺗ يﮋﺗاﺮﺘﺳا زا هدﺎﻔﺘﺳا ﻪﻛ ﺪﻧا

يﺎﻘﺗرا يﺎﻫ

ﺶﻴﭘ زا ﺖﻣﻼﺳ ﻲﻨﻴﺑ

هﺪﻨﻨﻛ نزو ﺶﻫﺎﻛ ﻢﻬﻣ يﺎﻫ ]

5 [ ،

ﻪﻧﺎﺸﻧ ﺶﻫﺎﻛ و يرﺎﻤﻴﺑ ﺎﺑ يرﺎﮔزﺎﺳ ﺎﻫ

] 28 [ ﺞﻳﺎﺘﻧ دﻮﺒﻬﺑ ،

نﺎﻣرد ] 29 [ نﺎﻣرد زا ﺪﻌﺑ يﺎﻘﺑ ، ]

27 و 29 [ ﻣ ،ﺖﺳا تﺎﻌﻟﺎﻄ

ﻦﻳا دﺮﺑرﺎﻛ و شزﻮﻣآ ﻢﻏﺮﻴﻠﻋ ﻪﻛ هداد نﺎﺸﻧ ﺮﮕﻳد يﮋﺗاﺮﺘﺳا ،ﻲﺘﺒﻗاﺮﻣدﻮﺧ يﺎﻫرﺎﺘﻓر رد ﻲﻬﺟﻮﺗ ﻞﺑﺎﻗ دﻮﺒﻬﺑ ،ﺎﻫ

ﻲﻤﺴﺟ يﺎﻬﺘﻴﻟﺎﻌﻓ ]

24 [ ترﺎﻬﻣ و يرﺎﮔزﺎﺳ يﺎﻫ

] 30 [

يﮋﺗاﺮﺘﺳا ﻦﻳا ﺖﺴﺑرﺎﻛ ناﺰﻴﻣ و هﺪﺸﻧ هﺪﻫﺎﺸﻣ نارﺎﻤﻴﺑ رد ﺎﻫ

ﺖﺳا هدﻮﺑ توﺎﻔﺘﻣ ﺰﻴﻧ ﺲﻨﺟ ود .

ﻪﻴﺻﻮﺗ دﻮﺟو ﺎﺑ دﻮﺟﻮﻣ يﺎﻫ

يﮋﺗاﺮﺘﺳا شزﻮﻣآ ياﺮﺑ تﺎﺷراﺰﮔ ،ﻲﺘﺒﻗاﺮﻣدﻮﺧ يﺎﻫ

ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺖﺤﺗ نارﺎﻤﻴﺑ رد هﮋﻳو ﻪﺑ ،ﻪﻨﻴﻣز ﻦﻳا رد يدوﺪﻌﻣ ﺖﺳا هﺪﺷ ﺮﺸﺘﻨﻣ ناﻮﺨﺘﺳا ]

24 .[

رد ﻪﻛ ﻦﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ

يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﺮﻴﺛﺄﺗ ﺚﺤﺑ زﻮﻨﻫ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

ﻪﻌﻟﺎﻄﻣ ﺰﻴﻧ و دراد دﻮﺟو ﻲﺗﺎﻀﻗﺎﻨﺗ ﺮﺑ ﻪﻨﻴﻣز ﻦﻳا رد ﻪﺑﺎﺸﻣ ي

ﻴﺑ يور ناﺮﻳا رد ،ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻞﻤﻋ ﺖﺤﺗ نارﺎﻤ

ﻪﻌﻟﺎﻄﻣ ﺎﺗ ﺪﺷ نآ ﺮﺑ ﻖﻘﺤﻣ ،دراﺪﻧ دﻮﺟو فﺪﻫ ﺎﺑ ار يا

يﮋﺗاﺮﺘﺳا ﺮﻴﺛﺄﺗ ﻲﺳرﺮﺑ يﺪﻣآرﺎﻛدﻮﺧ ﺮﺑ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻞﻤﻋ ﺖﺤﺗ نارﺎﻤﻴﺑ رد ،دﻮﺧ زا ﺖﺒﻗاﺮﻣ ﺪﻫد مﺎﺠﻧا .

شور ﺎﻫ

ﻪﻌﻟﺎﻄﻣ ﻪﻌﻟﺎﻄﻣ ﻚﻳ ،ﺮﺿﺎﺣ ي ﺮﺑ ﻪﻛ دﻮﺑ ﻲﺑﺮﺠﺗ ي

يور

ﻲﺳ هوﺮﮔ ود رد ،ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺪﻳﺪﻧﺎﻛ رﺎﻤﻴﺑ ﺖﺼﺷ نﻮﻣزآ ﺶﻴﭘ ترﻮﺻ ﻪﺑ لﺮﺘﻨﻛ و نﻮﻣزآ هﺮﻔﻧ ،نﻮﻣزآ ﺲﭘ ـ

ناﺮﻬﺗ ﻲﺘﻌﻳﺮﺷ ﺮﺘﻛد نﺎﺘﺳرﺎﻤﻴﺑ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺰﻛﺮﻣ رد لﺎﺳ رد 1388

ﺖﻓﺮﮔ مﺎﺠﻧا .

ﻪﻌﻣﺎﺟ نارﺎﻤﻴﺑ ار ﺶﻫوﮋﭘ ي

ﻴﭘ ﺰﻛﺮﻣ ﻪﺑ هﺪﻨﻨﻛ ﻪﻌﺟاﺮﻣ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺪﻳﺪﻧﺎﻛ ﺰﻐﻣ ﺪﻧﻮ

ﺪﻧداد ﻞﻴﻜﺸﺗ ناﻮﺨﺘﺳا .

ﻲﭘ ترﻮﺻ ﻪﺑ ﻪﻧﻮﻤﻧ بﺎﺨﺘﻧا و ﻲﭘرد

ﺪﺷ مﺎﺠﻧا هوﺮﮔ ود ﻪﺑ ﻲﻓدﺎﺼﺗ ﺺﻴﺼﺨﺗ ﺎﺑ .

ﺎﺑ ﻪﻧﻮﻤﻧ ﻦﻴﻟوا

نآ زا ﺲﭘ و ﺖﻓﺎﻳ صﺎﺼﺘﺧا نﻮﻣزآ هوﺮﮔ ﻪﺑ ﻲﺸﻛ ﻪﻋﺮﻗ ﻪﻧﻮﻤﻧ ﻪﻴﻘﺑ ﻚﻳ ترﻮﺻ ﻪﺑ ﺲﻨﺟ ﻞﻣﺎﻋ ندﻮﻤﻧ ظﺎﺤﻟ ﺎﺑ ﺎﻫ

داﺪﻌﺗ ﺎﺗ ﺪﺷ هداد ﺺﻴﺼﺨﺗ هوﺮﮔ ود زا ﻚﻳ ﺮﻫ ﻪﺑ نﺎﻴﻣرد ﺪﻴﺳر ﺮﻔﻧ ﻲﺳ ﻪﺑ هوﺮﮔ ﺮﻫ رد نارﺎﻤﻴﺑ .

ﻪﻧﻮﻤﻧ بﺎﺨﺘﻧا يﺎﻫرﺎﻴﻌﻣ ،لﺎﺳ هﺪﻔﻫ يﻻﺎﺑ ﻦﺳ ﻞﻣﺎﺷ ﺎﻫ

نﺎﺑز ﻪﺑ ندﺮﻛ ﺖﺒﺤﺻ و نﺪﻧاﻮﺧ ﻲﻳﺎﻧاﻮﺗ ،ندﻮﺑ ﻲﻧاﺮﻳا ﻢﻛ ﻦﺘﺷاﺪﻧ ،ﻲﺳرﺎﻓ ﻲﻤﻠﻜﺗ ،ﻲﻳﺎﻨﻴﺑ تﻻﻼﺘﺧا ناﺪﻘﻓ ،ﻲﻳاﻮﻨﺷ

دﻮﺑ ﻲﻧاور و .

ﻞﻨﺳﺮﭘ ءﺰﺟ نارﺎﻤﻴﺑ ﻪﻛ ﻲﺗرﻮﺻ رد ﻦﻴﻨﭽﻤﻫ

هدﻮﺑ ﻲﺘﺷاﺪﻬﺑ ﻢﻴﺗ ﺪﻧﻮﻴﭘ درﻮﻣ رد ﻲﻧوﺪﻣ شزﻮﻣآ ﺮﮔا ﺰﻴﻧ و

ﻲﻣ فﺬﺣ ﻪﻌﻟﺎﻄﻣ زا ﺪﻧدﻮﺑ هدﺮﻛ ﺖﻓﺎﻳرد ﺪﻧﺪﺷ

. يﺎﻫﺪﺣاو

زا ﺪﻌﺑ زور ﻲﺳ و ﺪﻧﻮﻴﭘ زا ﻞﺒﻗ نﺎﻣز رد ﺖﺑﻮﻧ ود رد ﺶﻫوﮋﭘ درﻮﻣ ﺪﻧﻮﻴﭘ ﻲﺳرﺮﺑ

ﺪﻨﺘﻓﺮﮔ راﺮﻗ .

زا دﻮﺑ ترﺎﺒﻋ ﺶﻫوﮋﭘ راﺰﺑا

ﺶﺳﺮﭘ ﻚﻳ ﻲﮔﮋﻳو درﻮﻣ رد لاﺆﺳ ﺞﻨﭘ ﻞﻣﺎﺷ ﻪﻣﺎﻧ

يﺎﻫ

يدﺮﻓ ) ﺿو ،ﺲﻨﺟ ،ﻦﺳ يﺮﺘﺴﺑ تﺎﻌﻓد داﺪﻌﺗ ،يدﺎﺼﺘﻗا ﺖﻴﻌ

داﻮﺳ ﺢﻄﺳ و (

و 29 يﮋﺗاﺮﺘﺳا درﻮﻣ رد لاﺆﺳ يﺎﻘﺗرا يﺎﻫ

ﺖﻣﻼﺳ . ﺶﺳﺮﭘ ﻪﻣﺎﻧ يﮋﺗاﺮﺘﺳا ي ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

)

SUPPH

( ﻢﻧﺎﺧ ﻂﺳﻮﺗ ﻪﻛ ﺖﺳا دراﺪﻧﺎﺘﺳا راﺰﺑا ﻚﻳ ، ﻮﻟ

ياﺮﺑ

رد و هﺪﺷ ﻲﺣاﺮﻃ دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣآرﺎﻛدﻮﺧ ﺶﺠﻨﺳ ﺖﺳا ﻪﺘﻓر رﺎﻛ ﻪﺑ ﻦﻴﻟﺎﺑ و ﻖﻴﻘﺤﺗ ]

14 .[

ﺖﻟﺎﺣ ،راﺰﺑا ﻦﻳا

شراﺰﮔدﻮﺧ ﻢﻫ و دراد ﻲﻫد

ﻪﺒﺳﺎﺤﻣ ﺎﺑ راﺰﺑا ﻲﻧورد ﻲﮕﺘﺴﺑ ي

خﺎﺒﻧوﺮﻛ يﺎﻔﻟآ )

94 / 0 ( ﺖﺳا هﺪﺷ شراﺰﮔ .

ﺐﻳﺮﺿ ﻦﻴﻨﭽﻤﻫ

ﻢﻫ سﺎﻴﻘﻣ زا ﻞﺻﺎﺣ تاﺮﻤﻧ ﺎﺑ ،نآ زا ﻞﺻﺎﺣ تاﺮﻤﻧ ﻲﮕﺘﺴﺑ

ﻲﺘﻣﻼﺳ رﺎﺘﻓر )

Health Behavior Scale

( 61 / 0

= هدﻮﺑ r

ﺖﺳا ] 13 .[

ﺶﺳﺮﭘ ﻦﻳا تﻻاﺆﺳ ﭘ ﻪﻣﺎﻧ

ﻪﻨﻳﺰﮔ ﺞﻨ رد يا

هدوﺪﺤﻣ رد تﺮﻜﻴﻟ سﺎﻴﻘﻣ ي

» مراد ﻞﻣﺎﻛ نﺎﻨﻴﻤﻃا

« ) ﺞﻨﭘ

هﺮﻤﻧ ( ﺎﺗ

» مراد ﻲﻤﻛ ﻲﻠﻴﺧ نﺎﻨﻴﻤﻃا

« ) هﺮﻤﻧ ﻚﻳ (

و هدﻮﺑ

ﻞﻣﺎﺷ رﺎﻬﭼ ﺪﻌﺑ

» يﺮﻴﮔ ﻢﻴﻤﺼﺗ ،سﺮﺘﺳا ﺶﻫﺎﻛ ،يرﺎﮔزﺎﺳ

ﻲﮔﺪﻧز زا ندﺮﺑ تﺬﻟ و «

ﺖﺳا . ﺶﺳﺮﭘ ﻦﻳا تﻻاﺆﺳ ،ﻪﻣﺎﻧ

رد هﺪﺷ ﺮﻛذ دراﻮﻣ مﺎﺠﻧا رد ار دﺮﻓ نﺎﻨﻴﻤﻃا ناﺰﻴﻣ درﻮﻣ راﺰﺑا

نآ زﺎﻴﺘﻣا عﻮﻤﺠﻣ و هداد راﺮﻗ ﻲﺳرﺮﺑ 145

ﺖﺳا . ﻦﻳا

ﺶﺳﺮﭘ ﻲﻳاور و ﻪﻤﺟﺮﺗ ﻲﺳرﺎﻓ ﻪﺑ رﺎﺑ ﻦﻴﻟوا ياﺮﺑ ﻪﻣﺎﻧ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﺪﻴﺗﺎﺳا زا ﺮﻔﻧ هد ﻂﺳﻮﺗ نآ ياﻮﺘﺤﻣ

ﺖﻓﺮﮔ راﺮﻗ ﺪﻴﻳﺄﺗ درﻮﻣ ناﺮﻳا .

زا ﺰﻴﻧ هﺪﺷ ﻪﻤﺟﺮﺗ راﺰﺑا ﻲﻳﺎﻳﺎﭘ

ﺑ ﻪﺘﻔﻫ ﻚﻳ ﻪﻠﺻﺎﻓ ﻪﺑ دﺪﺠﻣ نﻮﻣزآ و نﻮﻣزآ شور هد يور ﺮ

(4)

ﺐﻳﺮﺿ و ﻲﺳرﺮﺑ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺶﺨﺑ نارﺎﻤﻴﺑ زا ﺮﻔﻧ ﺖﺑﻮﻧ ود ياﺮﺑ نﻮﺳﺮﻴﭘ ﻲﮕﺘﺴﺒﻤﻫ 94

/ 0

= )r

001 / 0

= (p

ﻪﺑ

ﺪﻣآ ﺖﺳد .

،رﺎﻤﻴﺑ ﺮﻫ ياﺮﺑ لوا ﺖﺑﻮﻧ رد تﺎﻋﻼﻃا يروآ ﻊﻤﺟ زا ﺪﻌﺑ يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﺖﺤﺗ نﻮﻣزآ هوﺮﮔ نارﺎﻤﻴﺑ يﺎﻘﺗرا يﺎﻫ

ﻪﻨﻴﻣز رد ﺖﻣﻼﺳ

،يرﺎﮔزﺎﺳ ،سﺮﺘﺳا ﺶﻫﺎﻛ يﺎﻫ ﻢﻴﻤﺼﺗ

و ﻪﻳﺬﻐﺗ ،ﺖﺣاﺮﺘﺳا ،ﺖﻴﻟﺎﻌﻓ ،ﻲﮔﺪﻧز زا ندﺮﺑ تﺬﻟ ،يﺮﻴﮔ ﺪﻨﺘﻓﺮﮔ راﺮﻗ ﺎﻫوراد فﺮﺼﻣ .

يرﺎﻜﻤﻫ ﺎﺑ ﻲﺷزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ﻦﻳا

ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺶﺨﺑ ﻞﻨﺳﺮﭘ زا دﻮﺧ ﻪﻛ ،ﺶﻫوﮋﭘ رﺎﻜﻤﻫ رد ،دﻮﺑ هﺪﻳد ار مزﻻ شزﻮﻣآ رﺎﻛ ﻦﻳا ياﺮﺑ و دﻮﺑ ناﻮﺨﺘﺳا سﻼﻛ زا ﻲﻜﻳ ياﺮﺑ ترﻮﺻ ﻪﺑ ﺪﻧﻮﻴﭘ ﺰﻛﺮﻣ ﻲﺷزﻮﻣآ يﺎﻫ

ﺑ هﺮﻬﭼ ﻪﺑ هﺮﻬﭼ و يداﺮﻔﻧا ترﻮﺻ ﻪﺑ نﻮﻣزآ هوﺮﮔ نارﺎﻤﻴ

ﺪﺷ اﺮﺟا . هوﺰﺟ ﻚﻳ و هداد باﻮﺟ نارﺎﻤﻴﺑ تﻻاﻮﺳ ﻪﺑ ﺲﭙﺳ

نآ رﺎﻴﺘﺧا رد هﺪﺷ هداد ﺢﻴﺿﻮﺗ ﺐﻟﺎﻄﻣ يوﺎﺣ ﻲﺷزﻮﻣآ ﺎﻫ

ﺪﺷ هداد راﺮﻗ .

رﺎﻴﺘﺧا رد ﺮﮕﺸﻫوﮋﭘ ﻦﻔﻠﺗ هرﺎﻤﺷ ﻦﻴﻨﭽﻤﻫ

نآ ﺪﻨﺳﺮﭙﺑ ار نﺎﺸﺗﻻاﺆﺳ زﺎﻴﻧ ﻊﻗاﻮﻣ رد ﺎﺗ ﺖﻓﺮﮔ راﺮﻗ ﺎﻫ .

ﻴﺑ ﺖﺒﻗاﺮﻣزا لﺮﺘﻨﻛ هوﺮﮔ نارﺎﻤ شزﻮﻣآ و ﺎﻫ

ﻦﻴﺗور يﺎﻫ

هﺮﻬﺑ ﺶﺨﺑ ﻲﻣ ﺪﻨﻣ

ﺪﻧﺪﺷ . هوﺮﮔ ود ﺮﻫ ،ﺪﻧﻮﻴﭘ زا ﺪﻌﺑ زور ﻲﺳ

ﺶﺳﺮﭘ ﻂﺳﻮﺗ ﺪﻧﻮﻴﭘ زا ﻞﺒﻗ ﺪﻨﻧﺎﻤﻫ يﮋﺗاﺮﺘﺳا ﻪﻣﺎﻧ

يﺎﻫ

زرا ﺖﻣﻼﺳ يﺎﻘﺗرا ﺷ

ﺪﻧﺪﺷ ﻲﺑﺎﻴ .

هداد ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ ياﺮﺑ نﻮﻣزآ و ﻲﻔﻴﺻﻮﺗ رﺎﻣآ زا ﺎﻫ

يﺎﻫ

t

،جوز و ﺪﺷ هدﺎﻔﺘﺳا يﺎﻛ ﻊﺑﺮﻣ و ﺲﻧﺎﻳراﻮﻛ ﻞﻴﻠﺤﺗ ،ﻞﻘﺘﺴﻣt

ﻊﻤﺟ تﺎﻋﻼﻃا راﺰﻓا مﺮﻧ ﻂﺳﻮﺗ هﺪﺷ يروآ

SPSS11.5

درﻮﻣ

ﺖﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ .

ﻪﺘﻓﺎﻳ ﺎﻫ

ﻪﻧﻮﻤﻧ ﻦﺳ ﻦﻴﮕﻧﺎﻴﻣ نﻮﻣزآ هوﺮﮔ رد ﺶﻫوﮋﭘ درﻮﻣ يﺎﻫ

20 / 41 ) 86 / 12

= (SD

لﺮﺘﻨﻛ هوﺮﮔ رد و 46

/ 44

) 75 / 9

= (SD

و نﻮﻣزآ هوﺮﮔ رد ﻪﻛ يرﻮﻃ ﻪﺑ هدﻮﺑ لﺎﺳ

ﺐﻴﺗﺮﺗ ﻪﺑ لﺮﺘﻨﻛ 7

/ 36 و ﺪﺻرد 7

/ 46 ﻪﻧﻮﻤﻧ ﺪﺻرد رد ﺎﻫ

ﻲﻨﺳ هوﺮﮔ 31

ﻲﻟا 45 ﺪﻨﺘﺷاد راﺮﻗ لﺎﺳ .

ﺪﺻرد هﺎﺠﻨﭘ

ﻪﻧﻮﻤﻧ ﺪﻧدﻮﺑ نز ﺪﺻرد هﺎﺠﻨﭘ و دﺮﻣ هوﺮﮔ ﺮﻫ رد ﺎﻫ .

ﺖﺼﺷ

و نﻮﻣزآ هوﺮﮔ زا ﺪﺻرد 3

/ 43 ،لﺮﺘﻨﻛ هوﺮﮔ رد ﺪﺻرد

ﺻرد هﺎﺠﻨﭘ ،ﻞﻫﺄﺘﻣ و نﻮﻣزآ هوﺮﮔ زا ﺪ

3 / 43 هوﺮﮔ زا ﺪﺻرد

،ﻲﻫﺎﮕﺸﻧاد و ﻢﻠﭙﻳد تﻼﻴﺼﺤﺗ ياراد ﺐﻴﺗﺮﺗ ﻪﺑ لﺮﺘﻨﻛ 3 / 23 لﺮﺘﻨﻛ هوﺮﮔ زا ﺪﺻرد ﻲﺳ و نﻮﻣزآ هوﺮﮔ زا ﺪﺻرد

و نﻮﻣزآ هوﺮﮔ زا ﺪﺻ رد ﻞﻬﭼ ،ﺪﻧدﻮﺑ ﺮﮔرﺎﻛ 7

/ 46 زا ﺪﺻرد

ﺪﺻرد ﻞﻬﭼ و ﻦﻴﻳﺎﭘ يدﺎﺼﺘﻗا ﺖﻴﻌﺿو ياراد لﺮﺘﻨﻛ هوﺮﮔ ﺎﺗ ود ﻦﻴﺑ ،هوﺮﮔ ود ﺮﻫ زا نﺎﻣرد و ﺺﻴﺨﺸﺗ ياﺮﺑ رﺎﺑ ﻪﺳ

ﺪﻧدﻮﺑ هﺪﺷ يﺮﺘﺴﺑ نﺎﺘﺳرﺎﻤﻴﺑ رد يرﺎﻤﻴﺑ ﻦﻳا .

نآ دﺎﻌﺑا ﺰﻴﻧ و ﻞﻛ يﺪﻣآرﺎﻛدﻮﺧ تاﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ ﻲﻨﻌﻣ توﺎﻔﺗ هوﺮﮔ ود رد ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ داﺪﻧ نﺎﺸﻧ ار يراد

.

ﻪﺴﻳﺎﻘﻣ ﺎﻣا دﺎﻌﺑا ﺰﻴﻧ و ﻞﻛ يﺪﻣآرﺎﻛدﻮﺧ تاﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ي

ﻢﻴﻤﺼﺗ ،يرﺎﮔزﺎﺳ ﺮﺘﺳا ﺶﻫﺎﻛ ،يﺮﻴﮔ

ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ ،س

ﻲﻨﻌﻣ توﺎﻔﺗ رد ﻪﻛ ﻲﻟﺎﺣرد داد نﺎﺸﻧ هوﺮﮔ ود ﻦﻴﺑ ار يراد

لوﺪﺟ 1 . ﻪﺴﻳﺎﻘﻣ ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ و ﻞﺒﻗ ،هوﺮﮔ ود رد يﺪﻣآرﺎﻛدﻮﺧ ي

هوﺮﮔ

سﺎﻴﻘﻣ نﻮﻣزآ

) Mean±SD (

لﺮﺘﻨﻛ

) Mean±SD (

ﻞﺒﻗ ﺪﻌﺑ

p ﻞﺒﻗ

ﺪﻌﺑ

p

يرﺎﮔزﺎﺳ 63

/

±3 86 / 13 2/99 36±

/ 16 001 / 0 85

/

±2 70 / 13 83 /

±2 73 / 13 0/326

ﻢﻴﻤﺼﺗ يﺮﻴﮔ 72

/

±2 06 / 10 2/06 60±

/ 11 001 / 0 71

/

±2 86 / 9 62

/

±1 16 / 9 0/085

سﺮﺘﺳا ﺶﻫﺎﻛ

36 /

±5 83 / 17 3/22 23±

/ 22 001 / 0 56

/

±4 00 / 18 39

/

±4 20 / 18 0/161

ﻲﮔﺪﻧز زا تﺬﻟ

51 /

±9 60 / 39 8/72 96±

/ 40 160 / 0 29

/

±7 23 / 39 83 /

±6 60 / 38 0/134

ﻞﻛ يﺪﻣآرﺎﻛدﻮﺧ

59 /

±18 36 / 81 /62

±14 23 / 91 002 / 0 470

/

±14 80 / 80 85

/

±12 70 / 79 0/105

(5)

113

ﻲﻨﻌﻣ توﺎﻔﺗ هوﺮﮔ ود ﻦﻴﺑ ﻲﮔﺪﻧز زا ندﺮﺑ تﺬﻟ ﺪﻌﺑ يراد

ﺪﺸﻧ هﺪﻫﺎﺸﻣ )

247 / 0

= (p

) لوﺪﺟ 1 ( .

،يرﺎﮔزﺎﺳ ﺪﻌﺑ ﻪﺳ رد ﻪﻠﺧاﺪﻣ زا ﺲﭘ نﻮﻣزآ هوﺮﮔ تاﺮﻤﻧ ﻢﻴﻤﺼﺗ

،يﺮﻴﮔ ﻲﻠﻛ زﺎﻴﺘﻣا ﺰﻴﻧ و ،سﺮﺘﺳا ﺶﻫﺎﻛ

ﺰﻓا يﺪﻣآرﺎﻛدﻮﺧ نﻮﻣزآ رد ﺶﻳاﺰﻓا ﻦﻳا ﻪﻛ ﻪﺘﻓﺎﻳ ﺶﻳا

t

ﻲﻨﻌﻣ ﻲﺟوز زا ندﺮﺑ تﺬﻟ ﺪﻌﺑ رد ﺎﻣا ﺪﺷ هﺪﻫﺎﺸﻣ يراد

ﻲﻨﻌﻣ توﺎﻔﺗ ﻲﮔﺪﻧز ﺪﺸﻧ هﺪﻫﺎﺸﻣ يراد

. لﺮﺘﻨﻛ هوﺮﮔ رد

نﻮﻣزآ ﻲﻨﻌﻣ توﺎﻔﺗ ﻪﻧﻮﮔ ﭻﻴﻫ ﻪﻛ داد نﺎﺸﻧ ﻲﺟوز t

يراد

) 05 / 0

p>

( يﺪﻣآرﺎﻛدﻮﺧ ﻲﻠﻛ زﺎﻴﺘﻣا رد ﺰﻴﻧ و ﺪﻌﺑ رﺎﻬﭼ رد

ﺖﺷاﺪﻧ دﻮﺟو )

لوﺪﺟ 1 .(

ﺪﺟ لو 2 ﻲﻣ ﺶﻳﺎﻤﻧ ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ ار هوﺮﮔ ود تاﺮﻤﻧ و ﺪﻫد

ﻲﻣ ﺺﺨﺸﻣ دﺎﻌﺑا ﻪﻤﻫ رد هوﺮﮔ ود تاﺮﻤﻧ توﺎﻔﺗ ﻪﻛ ﺪﻨﻛ

ﻲﻨﻌﻣ ﺖﺳا هدﻮﺑ راد .

يﺎﻫﺮﻴﻐﺘﻣ ﺮﺛا فﺬﺣ ياﺮﺑ ﻦﻴﻨﭽﻤﻫ

ﻪﻨﻴﻣز ،ﻞﻫﺄﺗ ﺖﻴﻌﺿو ،يدﺎﺼﺘﻗا ﺖﻴﻌﺿو ،ﺲﻨﺟ ﻞﺜﻣ يا رد نﺪﺷ يﺮﺘﺴﺑ تﺎﻌﻓد داﺪﻌﺗ و داﻮﺳ ﺢﻄﺳ ،ﻞﻐﺷ

ﻞﻴﻠﺤﺗ زا نﺎﺘﺳرﺎﻤﻴﺑ ﻪﻛ داد نﺎﺸﻧ و ﺪﺷ هدﺎﻔﺘﺳا ﺲﻧﺎﻳراﻮﻛ

ﻲﻨﻌﻣ شزﻮﻣآ ﺮﻴﺛﺄﺗ ﺰﻴﻧ ﺎﻫﺮﻴﻐﺘﻣ ﻦﻳا ﺮﺛا فﺬﺣ ﺎﺑ ﺖﺳا راد

) 001 / 0

= .(p

ﺚﺤﺑ

شزﻮﻣآ ﻪﻛ داد نﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ يﮋﺗاﺮﺘﺳا

ﺖﺤﺗ نارﺎﻤﻴﺑ رد ار دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣآرﺎﻛدﻮﺧ ،ﺖﻣﻼﺳ ﻲﻣ يﺎﻘﺗرا ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻞﻤﻋ ﺪﻫد

. تﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﻲﻣ نﺎﺸﻧ

،يﺪﻣآرﺎﻛدﻮﺧ ﺶﻳاﺰﻓا ﺚﻋﺎﺑ شزﻮﻣآ ﻪﻛ ﺪﻫد

ﻪﻌﺟاﺮﻣ تﺎﻌﻓد داﺪﻌﺗ ﺶﻫﺎﻛ و يدﺮﻜﻠﻤﻋ ﺖﻴﻟﺎﻌﻓ دﻮﺒﻬﺑ نﺎﺘﺳرﺎﻤﻴﺑ ﻪﺑ دﺪﺠﻣ ]

31 [ ﺎﻤﻴﺑ نﺎﻨﻴﻤﻃا ﺶﻳاﺰﻓا ﻲﺘﺑﺎﻳد نار

نﻮﺧ ﺪﻨﻗ لﺮﺘﻨﻛ و يرﺎﻤﻴﺑ درﻮﻣ رد ]

32 [ سﺮﺘﺳا ﺶﻫﺎﻛ و

] 27 [ دﻮﺷ . ﻪﻌﻟﺎﻄﻣ ﺎﺑ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﺞﻳﺎﺘﻧ نﻮﺳرﺎﻛ

و

ﻢﻫ نارﺎﻜﻤﻫ دراد ﻲﻧاﻮﺧ

] 33 رﺎﻛ .[

ﺪﻨﺘﻓﺎﻳرد ﺰﻴﻧ نارﺎﻜﻤﻫ و ا

يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﻪﻛ ﻲﻣ ﻲﺘﺒﻗاﺮﻣدﻮﺧ يﺎﻫ

ﺶﻳاﺰﻓا ﺎﺑ ﺪﻧاﻮﺗ

ﺴﻔﻨﺗ ﻞﻜﺸﻣ زوﺮﺑ تﺎﻌﻓد ﺶﻫﺎﻛ ﺚﻋﺎﺑ ،يﺪﻣآرﺎﻛدﻮﺧ رد ﻲ

دﻮﺷ ﻪﻳر يداﺪﺴﻧا ﻦﻣﺰﻣ يرﺎﻤﻴﺑ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﻴﺑ .

ﻦﻴﻨﭽﻤﻫ

ﻪﻣﺎﻧﺮﺑ ﻪﻛ ﻲﺗرﻮﺻ رد ﻪﻛ ﺖﺳا هداد نﺎﺸﻧ ﺮﮕﻳد تﺎﻌﻟﺎﻄﻣ -

ناﻮﺗ يﺎﻫ يرﺎﻤﻴﺑ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﻴﺑرد ﻲﺸﺨﺑ

ﻦﻣﺰﻣ يﺎﻫ

ﻲﻣ ،دﻮﺷ هاﺮﻤﻫ شزﻮﻣآ ﺎﺑ يداﺪﺴﻧا دﻮﺒﻬﺑ رد ﺪﻧاﻮﺗ

ﺪﺷﺎﺑ ﺮﺛﺆﻣ نارﺎﻤﻴﺑ ﻦﻳا تﺪﻣ ﻲﻧﻻﻮﻃ يﺪﻣآرﺎﻛدﻮﺧ ]

31 .[

ﺘﻓﺎﻳ ﻪ يﺎﻫ ﻪﻌﻟﺎﻄﻣ سﺎﻫ ي

ﺪﻴﻳﺄﺗ ار ﺎﻣ ﺞﻳﺎﺘﻧ ﺰﻴﻧ نارﺎﻜﻤﻫ و

ﺖﺳا هدﻮﻤﻧ ]

34 .[

ﻲﻣ نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ ﻦﻴﻨﭽﻤﻫ ﻪﻛ ﺪﻫد

يﮋﺗاﺮﺘﺳا زا هدﺎﻔﺘﺳا و سﺮﺘﺳا ﺶﻫﺎﻛ ﺚﻋﺎﺑ يرﺎﮔزﺎﺳ يﺎﻫ

ﻪﻧﺎﺸﻧ هﺪﺷ نارﺎﻤﻴﺑ رد نآ يﺎﻫ ]

35 [ ﺖﺤﺗ ﻪﻛ ﻲﻧارﺎﻤﻴﺑ و

ﻪﻣﺎﻧﺮﺑ ﻪﻨﻴﻣز رد ﻲﺷزﻮﻣآ يﺎﻫ ﻪﺘﻓﺮﮔ راﺮﻗ سﺮﺘﺳا ﺶﻫﺎﻛ ي

-

ﺪﻧا ﺖﻴﻔﻴﻛ زا و ﻪﺘﺷاد دﻮﺧ يرﺎﻤﻴﺑ ﺎﺑ يﺮﺘﻬﺑ يرﺎﮔزﺎﺳ

هدﻮﺑ رادرﻮﺧﺮﺑ يﺮﺗﻻﺎﺑ ﻲﮔﺪﻧز ﺪﻧا

] 36 .[

ﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ

ﻲﻣ ،ﻪﻌﻟﺎﻄﻣ يﮋﺗاﺮﺘﺳا ﻪﻛ دﺮﻛ نﺎﻴﺑ ناﻮﺗ

ﻲﻣ ﺖﻣﻼﺳ ﺰﻐﻣ ﺪﻧﻮﻴﭘ نارﺎﻤﻴﺑ يﺪﻣآرﺎﻛدﻮﺧ ﺮﺑ ﺪﻧاﻮﺗ

ﻪﻨﻴﻣز رد ناﻮﺨﺘﺳا نآ نﺎﻨﻴﻤﻃا ي

مﺎﺠﻧا ياﺮﺑ ﻲﻳﺎﻧاﻮﺗ رد ﺎﻫ

لوﺪﺟ 2 . رﺎﻴﻌﻣ فاﺮﺤﻧا و ﻦﻴﮕﻧﺎﻴﻣ ﻪﻠﺧاﺪﻣ زا ﺲﭘ هوﺮﮔ ود رد يﺪﻣآرﺎﻛدﻮﺧ تاﺮﻤﻧ تاﺮﻴﻴﻐﺗ

هوﺮﮔ

سﺎﻴﻘﻣ نﻮﻣزآ

لﺮﺘﻨﻛ

ﻦﻴﮕﻧﺎﻴﻣ رﺎﻴﻌﻣ فاﺮﺤﻧا ﻦﻴﮕﻧﺎﻴﻣ

رﺎﻴﻌﻣ فاﺮﺤﻧا

p

يرﺎﮔزﺎﺳ 50

/ 2 - 44

/ 2 9

/ 0 - 60

/ 1 004

/ 0

ﻢﻴﻤﺼﺗ يﺮﻴﮔ 53

/ 1 - 94

/ 1 23

/ 0 71

/ 1 001

/ 0

سﺮﺘﺳا ﺶﻫﺎﻛ

53 / 4 - 02

/ 3 93

/ 1 - 13

/ 2 001

/ 0

ﻲﮔﺪﻧز زا تﺬﻟ

26 / 6 - 13

/ 6 33

/ 2 - 88

/ 3 004

/ 0

ﻞﻛ يﺪﻣآرﺎﻛدﻮﺧ

83 / 14 32

/ 10 93

/ 4 - 38

/ 9 001

/ 0

(6)

ﻫرﺎﺘﻓر عﻮﺿﻮﻣ ﻦﻳا و ﺪﺷﺎﺑ راﺬﮔ ﺮﻴﺛﺄﺗ دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺎ رد يﺪﻣآرﺎﻛدﻮﺧ ﺶﻳاﺰﻓا ياﺮﺑ ﻲﺷزﻮﻣآ تﻼﺧاﺪﻣ ﺖﻴﻤﻫا

ﻲﻣ نﺎﺸﻧ ار نارﺎﻤﻴﺑ ﻦﻳا ﻲﻣ و ﺪﻫد

ﺶﻴﭘ ناﻮﺗ ﺎﺑ ﻪﻛ دﺮﻛ ﻲﻨﻴﺑ

ﺞﻳﺎﺘﻧ ،دﻮﺧ زا ﺖﺒﻗاﺮﻣ رد نارﺎﻤﻴﺑ يﺪﻣآرﺎﻛدﻮﺧ ﺶﻳاﺰﻓا ﻪﻨﻳﺰﻫ و ﻪﺘﻓﺎﻳ دﻮﺒﻬﺑ نﺎﻣرد ياﺮﺑ نﺎﻣرد و يﺮﺘﺴﺑ يﺎﻫ

ﻛ نارﺎﻤﻴﺑ ﺪﺑﺎﻳ ﺶﻫﺎ

.

يﮋﺗاﺮﺘﺳا شزﻮﻣآ ﻪﺘﺴﻧاﻮﺗ ،ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺖﺤﺗ نارﺎﻤﻴﺑ رد ار دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣآرﺎﻛدﻮﺧ شزﻮﻣآ ﻦﻳا ﻲﻟو ﺪﻫد ﺶﻳاﺰﻓا ناﻮﺨﺘﺳا ﺪﻌﺑ ﺮﺑ ﻪﺘﺴﻧاﻮﺘﻧ ﺎﻫ

دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣآرﺎﻛدﻮﺧ دﺎﻌﺑا زا ﻲﻜﻳ ﻪﻛ ﻲﮔﺪﻧز زا تﺬﻟ دراﺬﮕﺑ ﻲﺳﻮﺴﺤﻣ ﺮﻴﺛﺄﺗ ﺖﺳا .

رد ﺮﺿﺎﺣ ﻖﻴﻘﺤﺗ ﺞﻳﺎﺘﻧ ﺪﻌﺑ

ﺞﻳﺎﺘﻧ ﺎﺑ ﻲﮔﺪﻧز زا تﺬﻟ ﻮﻟ

] 18 [ ﻢﻫ دراد ﻲﻧاﻮﺧ .

ﻲﻣ ناﻮﺗ

ندﺮﺑ تﺬﻟ و ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ زا نارﺎﻤﻴﺑ كرد نﻮﭼ ﻪﻛ ﺖﻔﮔ ﻲﻣ نآ زا ﺖﻴﻌﺿو ﻪﻠﻤﺟ زا يدﺎﻳز ﻞﻣاﻮﻋ ﺮﻴﺛﺄﺗ ﺖﺤﺗ ﺪﻧاﻮﺗ

مﺪﻋ ﺎﻳ ﺖﻓﺮﺸﻴﭘ ﺰﻴﻧ و داﺮﻓا ﻲﮕﻨﻫﺮﻓ ﻂﻳاﺮﺷ ،يدﺎﺼﺘﻗا دﺮﻴﮔ راﺮﻗ يرﺎﻤﻴﺑ ﺖﻓﺮﺸﻴﭘ ]

37 [ ﻄﻣ ﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ و ﻪﻌﻟﺎ

-

ﻞﻤﻋ ﺖﺤﺗ نارﺎﻤﻴﺑ ﺪﺻرد ﻦﻳﺮﺘﺸﻴﺑ داد نﺎﺸﻧ ﻪﻛ ﺮﺿﺎﺣ ي ﺪﻧرادرﻮﺧﺮﺑ ﻲﻨﻴﻳﺎﭘ يدﺎﺼﺘﻗا ﺖﻴﻌﺿو زا ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ نﺎﻣرد و ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﺪﻨﻳاﺮﻓ ﻲﻓﺮﻃ زا و مﺎﺠﻧا يﺎﻫ

يﺎﻫوراد ﺪﻳﺮﺧ ﺪﻨﻧﺎﻣ ﺪﻧﻮﻴﭘ ضراﻮﻋ ﺶﻫﺎﻛ ياﺮﺑ هﺪﺷ هﺪﻨﻨﻛ بﻮﻛﺮﺳ ﺪﻣآرد زا يدﺎﻳز راﺪﻘﻣ ﻪﻛ ﻲﻨﻤﻳا ﻢﺘﺴﻴﺳ ي

ﺧ ﻲﻣ صﺎﺼﺘﺧا دﻮﺧ ﻪﺑ ار هداﻮﻧﺎ ﻲﻣ ،ﺪﻫد

ﻦﻳا تﻼﻜﺸﻣ ﺪﻧاﻮﺗ

و هداد ﺶﻳاﺰﻓا ار نارﺎﻤﻴﺑ ﺖﺳا ﻦﻜﻤﻣ

ﺖﻴﻔﻴﻛ ﺮﺑ ﺮﻣا ﻦﻳا

نآ تﺬﻟ ناﺰﻴﻣ و ﻲﮔﺪﻧز دراﺬﮕﺑ ﻲﻔﻨﻣ ﺮﻴﺛﺄﺗ ﻲﮔﺪﻧز زا ﺎﻫ

. رد

هوﺮﮔ ود تاﺮﻤﻧ توﺎﻔﺗ ﻪﺴﻳﺎﻘﻣ ﻪﻛ ﻦﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ لﺎﺣ ﻦﻴﻋ ﻲﻨﻌﻣ توﺎﻔﺗ يرﺎﻣآ ظﺎﺤﻟ ﻪﺑ ﻪﻄﻴﺣ ﻦﻳا رد ار يراد

نﺎﺸﻧ

يﮋﺗاﺮﺘﺳا ﺮﻴﺛﺄﺗ ﻲﺳرﺮﺑ ياﺮﺑ ﺮﺘﺸﻴﺑ ﻖﻴﻘﺤﺗ ،داد ﻦﻳا ﺮﺑ ﺎﻫ

ﻴﭘ ﻪﻄﻴﺣ ﺎﻬﻨﺸ ﻲﻣ د دﻮﺷ .

ﻪﺠﻴﺘﻧ يﺮﻴﮔ

يﮋﺗاﺮﺘﺳا شزﻮﻣآ شور ﻚﻳ ناﻮﻨﻋ ﻪﺑ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

ﻢﻛ ﻲﻣ ،هدﺎﺳ و ﻪﻨﻳﺰﻫ و دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣارﺎﻛدﻮﺧ ﺮﺑ ﺪﻧاﻮﺗ

ﺖﺒﺜﻣ ﺮﻴﺛﺄﺗ داﺮﻓا ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ و ﻲﻧاور و ﻲﻤﺴﺟ ﺖﻣﻼﺳ دراﺬﮕﺑ . ﻴﭘ ﺸ ﻲﻣ دﺎﻬﻨ ﺮﻈﻧ زا نارﺎﻤﻴﺑ ﻦﻳا ﻲﺳرﺮﺑ دﻮﺷ

هدﺎﻔﺘﺳا درﻮﻣ راﺰﺑا زا هدﺎﻔﺘﺳا ﺎﺑ دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺪﻣآرﺎﻛدﻮﺧ ﻪﻣﺎﻧﺮﺑ زا ﻲﻳﺰﺟ ﺶﻫوﮋﭘ ﻦﻳا رد رد نارﺎﺘﺳﺮﭘ يرﺎﻛ ي

ﺶﺨﺑ دﺮﻴﮔ راﺮﻗ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ يﺎﻫ .

ﻪﺟﻮﺗ ﺎﺑ ﻦﻴﻨﭽﻤﻫ

ﺎﻄﻣ ﻦﻳا رد نارﺎﻤﻴﺑ ﻦﻳا ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ ﻪﻛ ﻦﻳا ﻪﺑ ﻲﺳرﺮﺑ ﻪﻌﻟ

ﺪﺸﻧ ﺗ رد ﻪﻳﻮﻧﺎﺛ ﻲﻘﻴﻘﺤ و ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ ﻲﺳرﺮﺑ ﻪﻨﻴﻣز

ﻲﻣ نآ ﺮﺑ راﺬﮔﺮﻴﺛﺄﺗ ﻞﻣاﻮﻋ دﺮﻴﮔ مﺎﺠﻧا ﺪﻧاﻮﺗ

.

زا ﻒﻠﺘﺨﻣ ﻞﻳﻻد ﻪﺑ ،ﺮﺿﺎﺣ ﺶﻫوﮋﭘ رد ﻪﻜﻨﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺖﻳدوﺪﺤﻣ ﻪﻠﻤﺟ ﻪﻧﻮﻤﻧ ﻦﻴﺑ رد تﺎﻋﻼﻃا رﺎﺸﺘﻧا ،ﻲﻧﺎﻣز يﺎﻫ

-

ﻪﻧﻮﻤﻧ ﻢﻛ داﺪﻌﺗ و ﺎﻫ يﮋﺗاﺮﺘﺳا ﻲﺷزﻮﻣآ ﻪﻠﺧاﺪﻣ ﺮﻴﺛﺄﺗ ،ﺎﻫ

يﺎﻫ

يﺎﻘﺗرا زرا درﻮﻣ تﺪﻣ هﺎﺗﻮﻛ رد ﺖﻣﻼﺳ ﺷ

،ﻪﺘﻓﺮﮔ راﺮﻗ ﻲﺑﺎﻴ زا

ور ﻦﻳا ﻲﻣ دﺎﻬﻨﺸﻴﭘ ﺮﻴﺛﺄﺗ صﻮﺼﺧ رد ﻪﻳﻮﻧﺎﺛ ﺰﻴﻟﺎﻧآ ﻚﻳ دﻮﺷ

ﻪﻠﺧاﺪﻣ يﮋﺗاﺮﺘﺳا ﻲﺷزﻮﻣآ ي ﺮﺑ ﺖﻣﻼﺳ يﺎﻘﺗرا يﺎﻫ

تﺪﻣ ﻲﻧﻻﻮﻃ رد ﻪﻌﻟﺎﻄﻣ درﻮﻣ نارﺎﻤﻴﺑ رد يﺪﻣآرﺎﻛدﻮﺧ ) ﻪﻠﺧاﺪﻣ زا ﺲﭘ هﺎﻣ ﺶﺷ دوﺪﺣ (

ﻪﻛ دﺮﻴﮔ ترﻮﺻ ﺰﻴﻧ

ﺪﺣ ﻪﭼ ﺎﺗ دﻮﺷ ﺺﺨﺸﻣ يراﺪﻳﺎﭘ زا تﻼﺧاﺪﻣ ﻪﻧﻮﮔ ﻦﻳا

ﺪﻧرادرﻮﺧﺮﺑ .

ﻲﻧادرﺪﻗ و ﺮﻜﺸﺗ

مﺮﺘﺤﻣ ﺖﻧوﺎﻌﻣ زا ﻲﻧادرﺪﻗ و ﺮﻜﺸﺗ ﺐﺗاﺮﻣ ﻪﻠﻴﺳو ﻦﻳﺪﺑ ﺰﻛﺮﻣ ،ناﺮﻳا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﺸﻫوﮋﭘ مﺮﺘﺤﻣ ﺖﻧوﺎﻌﻣ ،ﻲﺘﻌﻳﺮﺷ ﺮﺘﻛد نﺎﺘﺳرﺎﻤﻴﺑ ناﻮﺨﺘﺳا ﺰﻐﻣ ﺪﻧﻮﻴﭘ تﺎﻘﻴﻘﺤﺗ رﺎﻜﻤﻫ مﺮﺘﺤﻣ ﺶﻫوﮋﭘ رﺎﻛﻮﻜﻴﻧ ﻢﻧﺎﺧ رﺎﻛﺮﺳ درﻮﻣ نارﺎﻤﻴﺑ ،

ﺮﺘﻛد ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ ﺰﻛﺮﻣ مﺮﺘﺤﻣ نﺎﻨﻛرﺎﻛ و ﻪﻌﻟﺎﻄﻣ ﻪﺑ ،ﺪﻧدﻮﻤﻧ يرﺎﻳ ﺶﻫوﮋﭘ ﻦﻳا مﺎﺠﻧا رد ار ﺎﻣ ﻪﻛ ﻲﺘﻌﻳﺮﺷ ﻲﻣ ﻞﻤﻋ ﺪﻳآ

.

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