Copyright © 2020 The Author(s); Published by Iranian Journal of Rehabilitation Research in Nursing. This is an open access article, distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses /by-nc/4.0/) which permits others to copy and redistribute material just in noncommercial usages, provided the original work is properly cited.
Iranian Journal of
Rehabilitation Research in Nursing
Winter 2020, Volume 7, Issue 2
Research Paper
The Effect of a 5A-Based Self-Management Program on Empowering the Elderly with Diabetes
Maedeh Sadeghigolafshani 1 , Nahid Rejeh 2,* , Majideh Heravi-Karimooi 3 , Seyed Davood Tadrisi 4
1 MSc Student in Geriatric Nursing, Shahed University, Tehran, Iran
2 Professor, Elderly Care Research Center, Shahed University, Tehran, Iran
3 Associate Professor, Elderly Care Research Center, Shahed University, Tehran, Iran
4 Associate Professor, Trauma Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
* Corresponding author: Nahid Rejeh, Professor, Elderly Care Research Center, Shahed University, Tehran, Iran. E-mail:
[email protected] How to Cite this Article:
Sadeghigolafshani M, Rejeh N, Heravi-Karimooi M, Tadrisi SD. The Effect of a 5A-Based Self-Management Program on Empowering the Elderly with Diabetes. J North Khorasan Univ Med Sci. 2020;7(2):1-9.
DOI: 10.29252/ijrn.7.2.1
Received: 12 Jun 2020
Accepted: 28 Jul 2020 Abstract
Introduction: Diabetes is one of the most common health problems in healthy people. One of the essential care strategies based on 5A self-management is to increase the potential of chronic patients. Therefore, this study was conducted in 2019s to impact the program's self-management based on the 5A on empowering salamanders with diabetes in the Clinic of Razi Hospital in Qaemshahr city.
Methods: This semi-experimental experimental study was performed on 90 older adults with diabetes by simple random sampling in two test and control groups. In the test group, 12 sessions of 30-40 minutes of training were performed based on the 5A self-management. The instrument of this study is the Patient Empowerment Questionnaire.
Results: The independent t-test did not show a significant difference between the two groups of test and control before the intervention (P < 0.93), but after the intervention, it showed a significant difference (P < 0.03). The ANOVA test showed a significant difference after eliminating the pre-test effect (P < 0.032 and Eta = 0.01) so that 10% of the post-test changes are due to the self-management.
Conclusions: According to the results of this study, it can be said that the implementation of the 5A self-management model is one of the most important appropriate approaches to reduce the costs of treatment and care for the elderly with diabetes and improve their empowerment.
Keywords:
Model-Based Self- Management 5A Empowerment Elderly
Diabetes Diseases
© 2020 Iranian Journal of Rehabilitation Research in Nursing
Extended Abstract
OBJECTIVE
Diabetes is a chronic disease and one of the significant public health problems around the world. Among the models and programs used in self-management and empowerment, the 5A self-management, or behavior change based on five stages of review, guidance, agreement, assistance, and follow-up, is considered the most common healthcare model. 5A self-management program training is an evidence-based program that first assesses patients 'behavioral levels, therapeutic beliefs, and motivations and describes patients' status. Based on
the clinical trial study and educational experiences, the researcher decided to conduct the present research to investigate a self-management program based on the 5A model on empowering the elderly with diabetes.
MATERIALS AND METHODS
This study was a semi-experimentalexperimental study using a simple random sampling method on 90 older people with diabetes in Qaemshahr city located in the Mazandaran province, located in northern Iranin 2019.
Sadeghigolafshani et al.
The research environment was the diabetes clinic of Razi Hospital in Qaemshahr city Criteria for entering the study of the elderly over 60 years of age with a diagnosis of diabetes by a physician who has been diagnosed with the disease for the past one year. They had minimal literacy, were aware of time and place, and lacked mental illness or other chronic illnesses such as high blood pressure and dialysis. Criteria for elimination from this study were patients with diabetes who missed more than one session. In this research, the Empowerment Questionnaire was designed by the University of Michigan Education and Research Center in 2000 in English. The questionnaire was graded from eight questions based on a 5-point Likert scale from an entirely agreeable score of one to an opposite score of five. The score ranges from 40 to 8, with a lower score indicating higher empowerment. This experimental study of 90 diabetic salamanders was performed randomly in a simple randomized trial in two groups. In the test group, 12 sessions were conducted with 40-30 minutes of training based on the model 5A. This research tool can empower patients after getting the test SPSS21 descriptive statistical software (tables, mean
and standard deviation) and inferential statistics (paired t-test and analysis of covariance) were analyzed at the significant level 0/05.
RESULTS
This study showed the empowerment of the elderly with diabetes in the experimental group before the intervention of 22.56 + 4.98 and the control group of 22.4 + 5.7. The independent t-test did not show a significant difference between the two groups (P <
0.92(. However, after the intervention in the test group20.17 + 4.89 and the control group23.15 + 5.32, it was obtained that the independent t-test did not show a significant difference (P < 0.03). The paired t-test in the test group showed a significant difference before and after the intervention (P < 0.03), but the paired t-test control group did not show a significant difference before and after the intervention (P < 0.32). The incubation test showed a significant difference after eliminating the pre-test effect (P < 0.03, Eta = 0.1) so that 10% of the post-test changes were due to the 5A self-management model.
Table 1. The Effect of 5A Self-Management Model on the Empowerment of Elderly People with Diabetes
Source of Variance Total Square Footage Degrees of Freedom Average Average The Value of F sig Eta
Modified model 258.52 2 129.27 4.89 P < 0.01 0.1
Post-test separator 2015.81 1 2015.81 76.27 P < 0.01 0.4
Group 250.75 1 250.75 9.4 P < 0.03 0.1
Error 2299.27 87 26.42
Sum 45504 90
Total 2557.18 89
CONCLUSION
This study shows the effectiveness of implementing the 5A model self-management program on increasing the empowerment of the elderly with diabetes. Given the weakness of traditional education in considering the active role of patients in controlling their disease and clarifying the effectiveness of short-term structured training programs due to patients' active participation in managing the disease symptoms, we can expect increased independence in patients. This method can be used as a cheap way to improve the condition of the elderly with diabetes. He also used these programs in future research to improve the state of other chronic diseases.
Ethical Considerations
Shahed Univesity has approved this article with the code of ethics IR.Shahwed.REC.1397.051 and IRCT registration number: IRCT20110912007529N19.
Funding or Supports
This research was conducted at the by Shahed Univesity.
Author's Contribution
Ms. Maedeh Sadeghigolafshani was involved in the research and writing of the article. As a supervisor, Dr.
Nahid Rejeh contributed to the implementation of this project and the writing of this article. Dr. Majideh Heravi-Karimooi, as the consultant of this article, collaborated in the literary editing and editing of the tables. Mr. Seyed Davood Tadrisi participated in the analysis and writing of the findings of the article.
Conflict of Interest
Regarded to authors declare there was no conflict of interest between them.
Applicable Remarks
The study results showed that patient education programs by increasing motivation and self- management of diabetic elderly patients could empower patients, increase self-efficacy, and increase the quality of life of diabetic elderly.
Acknowledgments
This research project is the result of the Master's Thesis in Shahed Univesity.
نﺎﺘﺴﻣز 1399 هرود ، 7 هرﺎﻤﺷ ، 2 DOI: 10.29252/ijrn.7.2.1
3
يرﺎﺘﺳﺮﭘ رد ﯽﺸﺨﺒﻧاﻮﺗ ﺶﻫوﮋﭘ ﻪﯾﺮﺸﻧ
ﯽﺸﻫوﮋﭘ ﻪﻟﺎﻘﻣ
ﺛﺄﺗ ﯿ ﺮ ﺪﻣدﻮﺧ ﻪﻣﺎﻧﺮﺑ ﯾ
ﺮ ﯾﺘ ﯽ ﻨﺘﺒﻣ ﯽ ﺮﺑ ﻮﮕﻟا ي زﺎﺳﺪﻨﻤﻧاﻮﺗ ﺮﺑ 5A
ي ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ
د ﯾ ﺖﺑﺎ
ﻗدﺎﺻ هﺪﺋﺎﻣ ﯽ
ﻞﮔ ﻧﺎﺸﻓا ﯽ ﻫﺎﻧ ،
1ﯿ ﺪ هژر
*
ﺠﻣ ،
،2ﯿ هﺪ وﺮﻫ ي ﺮﮐ ﯾ ﻮﻤ ي
،
3ﺳ ﯿ ﺪ رﺪﺗ دوواد ﯾ
ﺴ ﯽ
4
ﻮﺠﺸﻧاد
1ي ﺳﺎﻨﺷرﺎﮐ ﯽ رﺎﺘﺳﺮﭘ ﺪﺷرا ي
ﺪﻨﻤﻟﺎﺳ ي
، رﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد ي
، ا ،ناﺮﻬﺗ ،ﺪﻫﺎﺷ هﺎﮕﺸﻧاد ﯾ
ناﺮ
ﻘﺤﺗ ﺰﮐﺮﻣ ،دﺎﺘﺳا
2ﯿ تﺎﻘ ﺖﺒﻗاﺮﻣ ﺎﻫ ي ﺪﻨﻤﻟﺎﺳ ي
، رﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد ي
، ا ،ناﺮﻬﺗ ،ﺪﻫﺎﺷ هﺎﮕﺸﻧاد ﯾ
ناﺮ
ﺸﻧاد
3ﯿ
،رﺎ ﻘﺤﺗ ﺰﮐﺮﻣ ﯿ تﺎﻘ ﺖﺒﻗاﺮﻣ ﺎﻫ ي ﺪﻨﻤﻟﺎﺳ ي
، رﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد ي
، ا ،ناﺮﻬﺗ ،ﺪﻫﺎﺷ هﺎﮕﺸﻧاد ﯾ
ناﺮ
ﺸﻧاد
4ﯿ
،رﺎ ﻘﺤﺗ ﺰﮐﺮﻣ ﯿ تﺎﻘ رﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد ،ﺎﻣوﺮﺗ ي
، ﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﯽ
ﻘﺑ ﯿﻪ ﻪﻟا ا ،ناﺮﻬﺗ ،(ﺞﻋ) ﯾ
ناﺮ
لﻮﺌﺴﻣ هﺪﻨﺴﯾﻮﻧ
*: ﻫﺎﻧ ﯿ ﺪ هژر
، ﻘﺤﺗ ﺰﮐﺮﻣ ،دﺎﺘﺳا ﯿ
تﺎﻘ ﺖﺒﻗاﺮﻣ ﺎﻫ ي ﺪﻨﻤﻟﺎﺳ ي
، رﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد ي
، ا ،ناﺮﻬﺗ ،ﺪﻫﺎﺷ هﺎﮕﺸﻧاد ﯾ
ناﺮ .
اﯾ ﻤ ﯿ ﻞ : [email protected]
:ﻪﻟﺎﻘﻣ ﺖﻓﺎﯾرد ﺦﯾرﺎﺗ
23
/ 02 / 1399
:ﻪﻟﺎﻘﻣ شﺮﯾﺬﭘ ﺦﯾرﺎﺗ07 / 05 / 1399
ﻣﺎﻤﺗ ﯽ اﺮﺑ ﺮﺸﻧ قﻮﻘﺣ ي
ﻤﻠﻋ ﻦﻤﺠﻧا ﯽ رﺎﺘﺳﺮﭘ ي اﯾ ناﺮ .ﺖﺳا ظﻮﻔﺤﻣ
ﻪﻣﺪﻘﻣ ﻪﺑ ﺖﺑﺎﯾد ﺖﺷاﺪﻬﺑ هﺪﻤﻋ تﻼﮑﺸﻣ زا ﯽﮑﯾ ،ﻦﻣﺰﻣ يرﺎﻤﯿﺑ ﮏﯾ ناﻮﻨﻋ
نﺎﻬﺟ ﺮﺳاﺮﺳ رد ﯽﻣﻮﻤﻋ ﻣ
ﯽ ﺪﺷﺎﺑ ] 1 [ دوﺪﺣ ﻪﮐ 2 ﺎﺗ 5 ﺖﯿﻌﻤﺟ ﺪﺻرد
ﯽﻣﺮﺑ رد ار ﺎﯿﻧد دﺮﯿﮔ
] 2 [ ﺶﯿﭘ . ﯽﻨﯿﺑ ﻣ ﯽ دﻮﺷ نﺎﯾﻼﺘﺒﻣ رﺎﻣآ لﺎﺳ ﺎﺗ
2035 ﻪﺑ ﺶﯿﺑ زا 380 ﺪﯿﺳر ﺪﻫاﻮﺧ ﺮﻔﻧ نﻮﯿﻠﯿﻣ ]
3 [.
عﻮﯿﺷ ناﺪﻨﻤﺸﻧاد
لﺎﺳ ﺎﺗ ﺎﯿﻧد ﺮﺳاﺮﺳ رد ار ﺖﺑﺎﯾد 2050
دوﺪﺣ 14 ﺪﺻرد ﺶﯿﭘ ﺪﻧدﺮﮐ ﯽﻨﯿﺑ
] 4 [.
نﺮﻗ رد 21 عﻮﻧ ﺖﺑﺎﯾد ﻼﺘﺑا 2
ناﺪﻨﻤﻟﺎﺳ رد ناﻮﻨﻌﺑ
ﻣ ﮏﯾ ﻞﮑﺸ
ﻪﺑ ﯽﻣﻮﻤﻋ هﺪﻤﻋ ﯽﻣ رﺎﻤﺷ
ﺪﯾآ ] 5 [ داﺮﻓا مرﺎﻬﭼ ﮏﯾ ًﺎﺒﯾﺮﻘﺗ ﺮﺿﺎﺣ نﺮﻗ رد .
يﻻﺎﺑ 65 رﺎﻈﺘﻧا ﺪﻨﺘﺴﻫ ﻼﺘﺒﻣ ﺖﺑﺎﯾد يرﺎﻤﯿﺑ ﻪﺑ لﺎﺳ ﻣ
ﯽ دور رد 30 لﺎﺳ ﺮﺑاﺮﺑﺪﻨﭼ ﻢﻗر ﻦﯾا هﺪﻨﯾآ
دﻮﺷ ] 6 [ ﺷ . ﯿ عﻮ دﯾ ﺖﺑﺎ رد ناﺪﻨﻤﻟﺎﺳ اﯾ ناﺮ 4/
14
ﺪﺻرد اﺰﻓا ﯾ ﺶ ﻪﺘﻓﺎﯾ ﺖﺳا ﻪﮐ دﻮﺧ ﺑﯿ ﺮﮕﻧﺎ ﺷ ﯿ عﻮ ﻻﺎﺑ ي دﯾ ﺖﺑﺎ رد ناﺪﻨﻤﻟﺎﺳ
ﻣ ﯽ ﺪﺷﺎﺑ ] 7 [ . رد اﯾ ناﺮ ﺑﯿ ﺶ زا 40 ﻣ ﯿﻠ ﯿ درﺎ رﯾ لﺎ زا ﻪﺟدﻮﺑ ترازو ﺖﺷاﺪﻬﺑ
و نﺎﻣرد اﺮﺑ ي لﺮﺘﻨﮐ ﺑﯿ رﺎﻤ ي دﯾ ﺖﺑﺎ ﺰﻫ ﯾ ﻪﻨ ﻣ ﯽ دﻮﺷ ] 8 [.
رد ﻧد ﯿﺎ ﻧﯿ ﺰ 174
ﺑﯿﻠ ﯿ نﻮ رﻻد رد لﺎﺳ ﻪﻓﺮﺻ ﺰﻫ ﯾ ﻪﻨ ﺎﻫ ي ﻧﺎﻣرد ﯽ ﺑﯿ رﺎﻤ ي دﯾ ﺖﺑﺎ ﻣ ﯽ دﻮﺷ ] 9 [ .
ﺶﻟﺎﭼ زا ﯽﮑﯾ ﺖﺑﺎﯾد يرﺎﻤﯿﺑ هزوﺮﻣا ﻦﯿﻤﻫ ياﺮﺑ ﺑ ﺖﻣﻼﺳ ﻢﻬﻣ يﺎﻫ
ﻪ
ﯽﻣ رﺎﻤﺷ ﺪﯾآ ] 3 [ ﯽﻣ نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ . زوﺮﺑ ،ﯽﮔﺪﻧز ﻂﯾاﺮﺷ دﻮﺒﻬﺑ ﺪﻫد
ﺎﺗ ار ﺖﺑﺎﯾد 11
ﺎﺗ يدراﻮﻣ رد ﯽﺘﺣ و ﺮﯿﺧﺄﺗ ﻪﺑ لﺎﺳ 20
ﺪﺻرد ﯽﻔﻨﻣ
هﺪﯿﮑﭼ :ﻪﻣﺪﻘﻣ
د ﯾ ﺖﺑﺎ ناﻮﻨﻌﺑ ﯾﮑ ﯽ ار تﻼﮑﺸﻣ زا ﯾ
ﺞ ﺘﻣﻼﺳ ﯽ بﻮﺴﺤﻣ ناﺪﻨﻤﻟﺎﺳ رد ﻣ
ﯽ دﻮﺷ اﺰﻓا . ﯾ ﺶ زﺎﺳﺪﻨﻤﻧاﻮﺗ ي
ﺑﯿ نارﺎﻤ د ﻪﺑ ﻼﺘﺒﻣ ﯾ ﺖﺑﺎ
ﺶﻘﻧ ﺶ ﯾ اﺰﻓا رد ﯽ ﺘﺒﻗاﺮﻣ ي ﺎﻫ ي ﮋﺗاﺮﺘﺳا ﻦ ﯾ ﺮﺘﻤﻬﻣزا ﯽ ﮑ ﯾ
5Aي ﻮﮕﻟا ﺮﺑ ﯽ ﻨﺘﺒﻣ ﯽ ﯾﺘ ﯾﺮ ﺪﻣدﻮﺧ .دراد ي رﺎﻤ ﺑﯿ ﻦ ﯾ ا ضراﻮﻋ لﺮﺘﻨﮐ رد ﯽ ﻤﻬﻣ ﺪﻨﻤﻧاﻮﺗ ي ﺑﯿ نارﺎﻤ ﻣ ﻦﻣﺰﻣ ﯽ ﺪﺷﺎﺑ اﺬﻟ . اﯾ ﻦ ﺛﺄﺗ فﺪﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﯿﺮ
ﺪﻣدﻮﺧ ﻪﻣﺎﻧﺮﺑ ﯾﺮ
ﯾﺘ ﯽ ﻨﺘﺒﻣ ﯽ ﺮﺑ زﺎﺳﺪﻨﻤﻧاﻮﺗ ﺮﺑ
5Aي
ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ
دﯾ ﺖﺑﺎ ﻠﮐ ﯿﻨ ﯿ ﮏ ﺑﯿ نﺎﺘﺳرﺎﻤ زار ي لﺎﺳ رد ﺮﻬﺸﻤﺋﺎﻗ 1398
.ﺪﺷ مﺎﺠﻧا
:رﺎﮐ شور
اﯾ
ﻦ ﻧ ﻪﻌﻟﺎﻄﻣ ﯿ ﻪﻤ ﺑﺮﺠﺗ ﯽ ور ﺮﺑ ي 90 د ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ زا ﺮﻔﻧ ﯾ
ﺖﺑﺎ ﻓدﺎﺼﺗ شور ﺎﺑ ﯽ
مﺎﺠﻧا ﺪﻫﺎﺷ و نﻮﻣزآ هوﺮﮔ ود رد هدﺎﺳ
نﻮﻣزآ هوﺮﮔ رد .ﺪﺷ 12
ﻪﺴﻠﺟ 40 - 30 ﻗد ﯿ ﻪﻘ ا ي ﺷزﻮﻣآ ﯽ ﻮﮕﻟا سﺎﺳاﺮﺑ ي
ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ا راﺰﺑا .ﺪﺷ مﺎﺠﻧا
5Aﯾ
ﻦ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺶﻫوﮋﭘ
زﺎﺳﺪﻨﻤﻧاﻮﺗ ي
ﺑﯿ نارﺎﻤ اور ﺎﺑ ﯽﯾ رﻮﺻ ي و اﻮﺘﺤﻣ ﯽﯾ ﺎﭘ و ﯾﺎ ﯽﯾ ﺄﺗ دﺪﺠﻣ نﻮﻣزآ ﯿﯾ
ﺪ
.ﺪﺷ ﻦ ﯿ ﺑ ﻞﻘﺘﺴﻣ ﯽ ﺗ نﻮﻣزآ
:ﺎﻫﻪﺘﻓﺎﯾزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺮﻈﻧ زا ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ ﺪﻫﺎﺷ و نﻮﻣزآ هوﺮﮔ ود ي
ﻨﻌﻣ فﻼﺘﺧا ﯽ
راد ي ) داﺪﻧ نﺎﺸﻧ ار 93
/0
<
ﻟو (
Pﯽ ﻨﻌﻣ فﻼﺘﺧا ،ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ ﯽ
راد ي ) داد نﺎﺸﻧ ار 03
/0
P<ﭘ ﺮﺛا فﺬﺣ ﺪﻌﺑ اﻮﻧآ نﻮﻣزآ .(
ﯿ ﺶ ﻨﻌﻣ فﻼﺘﺧا نﻮﻣزآ ﯽ
راد ي نﺎﺸﻧ ار
) داد 032 /0
P<و 01 /0 = ﻮﻃ (
Etaر ي ﻪﮐ 10 ﺪﺻرد ﻐﺗ ﯿﯿ تاﺮ نﻮﻣزآ ﺲﭘ ﻟﺪﺑ
ﯿ ﻞ ﻮﮕﻟا لﺎﻤﻋا ي ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ .ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد
ﻪﺠﯿﺘﻧ :يﺮﯿﮔ
ﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﯾ
ﺞ اﯾ ﻦ ﻣ ﻪﻌﻟﺎﻄﻣ ﯽ ناﻮﺗ اﺮﺟا ﺖﻔﮔ ي ﺪﻣدﻮﺧ ﻮﮕﻟا ﯾﺮ
ﯾﺘ ﯽ ﯾ
5Aﮑ ﯽ ﺮﺘﻤﻬﻣ زا ﯾ ﻦ ور ﯾ ﺎﻫدﺮﮑ ي رﻮﻈﻨﻣ ﻪﺑ ﺐﺳﺎﻨﻣ
ﺶﻫﺎﮐ ﺰﻫ ﯾ ﻪﻨ ﺎﻫ ي د ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ زا ﺖﺒﻗاﺮﻣ و نﺎﻣرد ﯾ
ﺖﺑﺎ ﻣ ﯽ ﺪﺷﺎﺑ زﺎﺳﺪﻨﻤﻧاﻮﺗ دﻮﺒﻬﺑ ﺐﺟﻮﻣ و ي
نآ ﺎﻫ ﻣ ﯽ ددﺮﮔ
. ﺖﺑﺎ ﯾ د ،ناﺪﻨﻤﻟﺎﺳ ، ي زﺎﺳﺪﻨﻤﻧاﻮﺗ ،
A5 ﻮﮕﻟا ﺮﺑ ﯽ ﻨﺘﺒﻣ ﯽ ﯾﺘ ﯾﺮ ﺪﻣدﻮﺧ
:ﺎﻫهژاوﺪﯿﻠﮐﺮﺸﻧ ﯾ ﻪ ﺸﺨﺒﻧاﻮﺗ ﺶﻫوﮋﭘ ﯽ
رﺎﺘﺳﺮﭘ رد ي هرود ، 7 هرﺎﻤﺷ ، 2 ، نﺎﺘﺴﻣز 1399
4
ﯽﻣ ﺎﻤﻧ ﺪﯾ ] 10 [ . ﺶﺨﺑ زا مﻮﻬﻔﻣ ،ﺖﺑﺎﯾد يرﺎﻤﯿﺑ نﺎﻣرد ﻢﻬﻣ يﺎﻫ
ﯽﻣ يزﺎﺳﺪﻨﻤﻧاﻮﺗ و ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﺟﻮﺗ درﻮﻣ ﺮﯿﺧا لﺎﺳ ﺪﻨﭼ رد ﻪﮐ ﺪﺷﺎﺑ
ﺖﺳﺎﯿﺳ زا يرﺎﯿﺴﺑ ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ ﺖﻣﻼﺳ هزﻮﺣ ناراﺬﮔ
] 11 [ .
ﺖﺑﺎﯾد يرﺎﻤﯿﺑ نﺎﻣرد رد ﺪﯿﻔﻣ و ﻢﻬﻣ يﺎﻫدﺮﮑﯾور زا ﯽﮑﯾ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﯽﻣ و ﺖﺑﺎﯾد يرﺎﻤﯿﺑ صﻮﺼﺧ رد ﯽﻫﺎﮔآ ندروآ ﻢﻫاﺮﻓ ﺎﺑ نآ رد ﻪﮐ ﺪﺷﺎﺑ
ترﺎﻬﻣ ﺐﺴﮐ ﺖﺑﺎﯾد يرﺎﻤﯿﺑ لﺮﺘﻨﮐ ﺐﺟﻮﻣ مزﻻ يﺎﻫ
ﻣ ﯽ دﻮﺷ ] 12 [ .
ﻪﺑ رﺎﻤﯿﺑ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﯽﮔزﺎﺗ
ناﻮﻨﻌﺑ لﺮﺘﻨﮐ ﺖﯾﺮﯾﺪﻣ رد ﻢﻬﻣ مﻮﻬﻔﻣ ﮏﯾ
ﺪﻨﻗ نﻮﺧ ﺑﯿ نارﺎﻤ ﻪﺑ ﻼﺘﺒﻣ ﺖﺑﺎﯾد شور ﻦﯾا سﺎﺳا ﻪﮐ ﺖﺳا هﺪﺷ حﺮﻄﻣ
ﯽﻣ رﺎﻤﯿﺑ دﻮﺧ يﺎﻫرﺎﺘﻓر لﺮﺘﻨﮐ و ﯽﺗرﺎﻈﻧدﻮﺧ ﻪﯾﺎﭘ ﺮﺑ ﺪﺷﺎﺑ
] 13 [ اﺮﯾز ؛
ﯽﻣ ﺐﺟﻮﻣ ﻪﮐ ﺖﺳا يدﺮﮑﯾور يزﺎﺳﺪﻨﻤﻧاﻮﺗ زا يﺮﺘﻬﺑ كرد رﺎﻤﯿﺑ دﻮﺷ
ﺪﺷﺎﺑ ﻪﺘﺷاد يرﺎﻤﯿﺑ ﺖﯿﻟﺎﻌﻓ رد ﺖﮐﺮﺷ ﺎﺑ و
دﻮﺧ زا ﺖﺒﻗاﺮﻣ يﺎﻫ
، ﺒﺳ ﮏ
ﺪﯾﺎﻤﻧ لﺮﺘﻨﮐ ار دﻮﺧ ﯽﮔﺪﻧز ]
1 [.
نﻮﻨﻓ شزﻮﻣآ ﺎﺑ يزﺎﺳﺪﻨﻤﻧاﻮﺗ
لﺮﺘﻨﮐ ،شزرو ،ﻪﯾﺬﻐﺗ ﺖﯿﻌﺿو لﺮﺘﻨﮐ ﺮﯿﻈﻧ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ و ﯽﺗرﺎﻈﻧدﻮﺧ سﺮﺘﺳا ﺎﺑ يرﺎﮔزﺎﺳ ،ﯽﯾاﺬﻏ و ﯽﯾوراد ﻢﯾژر زا ﺖﯿﻌﺒﺗ دﺎﺠﯾا و ﺎﻫ
هﺰﯿﮕﻧا ﯽﻣ طﺎﺒﺗرا رد ﯽﻧﺎﻣرد يﺎﻫ ﺪﺷﺎﺑ
] 11 [ نارﺎﻤﯿﺑ رد ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ .
يرﺎﻤﯿﺑ يزﺎﺳﺪﻨﻤﻧاﻮﺗ رد يدﺮﺑرﺎﮐ يﮋﺗاﺮﺘﺳا ﮏﯾ ﻦﻣﺰﻣ بﻮﺴﺤﻣ ﺎﻫ
ﻣ ﯽ
دﻮﺷ ] 14 [ نﺎﯿﻣ زا . ﺎﻫﻮﮕﻟا ﻪﻣﺎﻧﺮﺑ و ﯾﺮﯾﺪﻣدﻮﺧ ﻪﻨﯿﻣز رد ﻪﮐ ﯽﯾﺎﻫ و ﯽﺘ
ﯽﻣ رﺎﮐ ﻪﺑ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻮﮕﻟا ،دور
ﯾﺎ5A ﺮﯿﯿﻐﺗ ﻮﮕﻟا نﺎﻤﻫ
سﺎﺳاﺮﺑ ﻪﮐ رﺎﺘﻓر 5
ﻪﻠﺣﺮﻣ يﺮﯿﮕﯿﭘ و ﮏﻤﮐ ،ﻖﻓاﻮﺗ ،ﯽﯾﺎﻤﻨﻫار ،ﯽﺳرﺮﺑ
ﯽﻣ ﻪﺑ ،ﺪﺷﺎﺑ ناﻮﻨﻋ ارﯾ ﺞ ﺮﺗ ﯾ ﻦ ﯽﻣ رﺎﻤﺷ ﻪﺑ ﯽﺘﺷاﺪﻬﺑ ﺖﺒﻗاﺮﻣ ﻮﮕﻟا ﯾآ
ﺪ ] 15 [ .
ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﻣﺎﻧﺮﺑ شزﻮﻣآ ﻪﮐ ﺖﺳا ﺪﻫاﻮﺷ ﺮﺑ ﯽﻨﺘﺒﻣ ﻪﻣﺎﻧﺮﺑ ﮏﯾ5A
و تادﺎﻘﺘﻋا ،نارﺎﻤﯿﺑ يرﺎﺘﻓر حﻮﻄﺳ ﯽﺑﺎﯾزرا ﯽﺳرﺮﺑ ﻪﺑ لوا ﻪﻠﺣﺮﻣ رد هﺰﯿﮕﻧا ﺑ ﺖﯿﻌﺿو حﺮﺷ و ﯽﻧﺎﻣرد يﺎﻫ ﯽﻣ نارﺎﻤﯿ
دزادﺮﭘ ] 16 [ ﻪﻠﺣﺮﻣ رد .
ﻪﺑ ،مود هرﺎﺷا ﯽﺼﺨﺷ ﺖﺷاﺪﻬﺑ درﻮﻣ رد رﺎﻤﯿﺑ ﺖﯾاﺪﻫ و ﯽﯾﺎﻤﻨﻫار
ﯽﻣ ﺪﯾﺎﻤﻧ ] 4 [ ﺐﯿﺳآ زا ﺺﺨﺷ ،ﻪﻠﺣﺮﻣ ﻦﯾا رد . ﻦﮑﻤﻣ ﻪﮐ كﺎﻧﺮﻄﺧ يﺎﻫ
ﯽﻣ هﺎﮔآ ،دﻮﺷ دﺎﺠﯾا ﻢﻟﺎﺳﺎﻧ يﺎﻫرﺎﺘﻓر ﺖﻠﻋ ﻪﺑ ﺖﺳا ،مﻮﺳ ﻪﻠﺣﺮﻣرد .ددﺮﮔ
و ﻊﻧاﻮﻣ دروآﺮﺑ و ﯽﻨﯿﻋ فاﺪﻫا ﯽﻌﻗاو بﺎﺨﺘﻧا درﻮﻣ رد رﺎﻤﯿﺑ ﺎﺑ ﻖﻓاﻮﺗ ﺶﯿﭘ تﻼﮑﺸﻣ ﯽﻨﯿﺑ مﺎﺠﻧا
ﻣ ﯽ دﻮﺷ ] 17 [ . رد ،ﮏﻤﮐ ﺎﯾ مرﺎﻬﭼ ﻪﻠﺣﺮﻣ
هروﺎﺸﻣ ﺎﯾ شزﻮﻣآ ﻪﺑ زﺎﯿﻧ نارﺎﻤﯿﺑ ﯽﺧﺮﺑ ﺖﺳا ﻦﮑﻤﻣ ﻣ يﺎﻫ
صﻮﺼﺨ
شزﻮﻣآ ﻖﯾﺮﻃ زا رﺎﮐ ﻦﯾا ﻪﮐ ﺪﻨﺷﺎﺑ ﻪﺘﺷاد رﻮﺷوﺮﺑ نداد ﺎﯾ ﯽﻫﺎﻔﺷ يﺎﻫ
هروﺎﺸﻣ ﺎﯾ ﯽﻣ مﺎﺠﻧا ﯽﺼﺼﺨﺗ يﺎﻫ ددﺮﮔ
] 4 [ ،يﺮﯿﮕﯿﭘ ،ﺮﺧآ ﻪﻠﺣﺮﻣ رد .
سﺎﻤﺗ ﻖﯾﺮﻃ زا ﻢﻈﻨﻣ ﯽﻧﺎﺒﯿﺘﺸﭘ ﺖﯾﺰﯾو و ﯽﻨﻔﻠﺗ يﺎﻫ
ﻨﻣ رد رﺮﮑﻣ يﺎﻫ لﺰ
ﯽﻣ ترﻮﺻ دﺮﯿﮔ ] 16 [ ﺖﺒﺴﻧ نارﺎﻤﯿﺑ ﯽﻫﺎﮔآ ﺶﯾاﺰﻓا ﺎﺑ ﯽﺗﺮﯾﺪﻣدﻮﺧ ﻮﮕﻟا .
شور ﺪﯾاﻮﻓ ﺎﯾ تاﺮﻄﺧ ﻪﺑ نﻮﺧ ﺪﻨﻗ لﺮﺘﻨﮐ يﺎﻫ
، و ﺶﻧاد ﺶﯾاﺰﻓا ﻦﻤﺿ
ﻮﻋ لﺮﺘﻨﮐ ﻪﺑ نارﺎﻤﯿﺑ ﯽﻫﺎﮔآ ﯽﻣ ﮏﻤﮐ يرﺎﻤﯿﺑ ضرا
ﺪﯾﺎﻤﻧ ] 18 [؛
ﯽﻣ نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ نارﺎﻤﯿﺑ ﺪﻫد
ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ هﺪﯾﺪﻧ شزﻮﻣآ ﻪﮐ
ﺪﻧا 4
ﺮﺑاﺮﺑ شزﻮﻣآ داﺮﻓا زا ﺮﺘﺸﯿﺑ ضﺮﻌﻣ رد هﺪﯾد
يرﺎﻤﯿﺑ ضراﻮﻋ و تاﺮﻄﺧ
ﺪﻧراد راﺮﻗ ﺖﺑﺎﯾد ]
19 [ تﺎﻌﻟﺎﻄﻣ . ﺮﺑ ﯽﻨﺒﻣ ﯽﺠﯾﺎﺘﻧ ﻮﮕﻟا شور ﯽﺸﺨﺑﺮﺛا
ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻓر ﺮﺑ ار5A
ﻦﻣﺰﻣ نارﺎﻤﯿﺑ درد و ﯽﮕﺘﺴﺧ ﻊ ]
20 [ ﺶﻫﺎﮐ
ﺖﯾﺮﺗرآ ﻮﺌﺘﺳا ضراﻮﻋ ]
21 [ نﻮﺧرﺎﺸﻓ ﺶﻫﺎﮐ و ﯽﮔﺪﻧز ﺖﯿﻔﯿﮐ ﺶﯾاﺰﻓا ،
ناﺪﻨﻤﻟﺎﺳ ] 17 [ ﺰﯿﻧ ار ﯽﯾﺎﺠﻧآ زا .ﺪﻧداد نﺎﺸﻧ ﻪﺑ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﻪﮐ
اﻮﻨﻋ ن
ﺎﺳ زا ﯽﺷزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ﮏﯾ ل
1989 نارﺎﻤﯿﺑ زا يرﺎﺘﺳﺮﭘ و ﯽﮑﺷﺰﭘ رد
ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ ﻦﮐر ناﻮﻨﻋ ﻪﺑ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ شزﻮﻣآ ،ﺖﺳا ﻪﺘﻓر رﺎﮑﺑ
نارﺎﻤﯿﺑ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﯽﻠﺻا ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ
ﯽﻣ رﺎﻤﺷ ﻪﺑ ﺪﯾآ
. ﻨﭽﻤﻫ ﯿ ﻦ
آ ﻢﻏﺮﯿﻠﻋ ﻪﮑﻧ رﻮﺌﺗ ي ﺎﻫ ي ﻟﺎﺑ ﯿﻨ ﯽ ﻣ ﯽ ﺪﻧاﻮﺗ ﺶﻘﻧ ﻤﻬﻣ ﯽ رد ءﺎﻘﺗرا ﺖﺒﻗاﺮﻣ
ﺎﻫ ي رﺎﺘﺳﺮﭘ ي ﻪﺘﺷاد ﺪﺷﺎﺑ
، زا اﯾ ﻦ يﻮﮕﻟا ﻟﺎﺑ ﯿﻨ ﯽ ﺮﺘﻤﮐ رد تﺎﻌﻟﺎﻄﻣ
رﺎﺘﺳﺮﭘ ي هدﺎﻔﺘﺳا هﺪﺷ ﺖﺳا ] 22 [ ﻖﻘﺤﻣ . سﺎﺳاﺮﺑ برﺎﺠﺗ ﻟﺎﺑ ﯿﻨ ﯽ دﻮﺧ
ﻪﺑ ناﻮﻨﻋ رﺎﺘﺳﺮﭘ و برﺎﺠﺗ ﺷزﻮﻣآ ﯽ دﻮﺧ رد ﻠﮐ ﯿﻨ ﯿ ﮏ دﯾ ﺖﺑﺎ ﺑﯿ نﺎﺘﺳرﺎﻤ
ﻣﺄﺗ ﯿ ﻦ ﻋﺎﻤﺘﺟا ﯽ ﻪﻣﺎﻧﺮﺑ ﺮﯿﺛﺄﺗ ﯽﺳرﺮﺑ فﺪﻫ ﺎﺑ ار ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﺪﺷ نآ ﺮﺑ
ﻮﮕﻟا ﺮﺑ ﯽﻨﺘﺒﻣ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺮﺑ5A
.ﺪﻫد مﺎﺠﻧا ﺖﺑﺎﯾد رﺎﮐ شور ،ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﻪﻤﯿﻧ
ﻪﻧﻮﻤﻧ شور ﺎﺑ ﯽﺑﺮﺠﺗ يور ﺮﺑ هدﺎﺳ ﯽﻓدﺎﺼﺗ يﺮﯿﮔ
90
ناﺪﻨﻤﻟﺎﺳ زا ﺮﻔﻧ ﻼﺘﺒﻣ
ﻪﺑ عﻮﻧ ﺖﺑﺎﯾد 2
ﻠﮐ رد ﯿﻨ ﯿ ﮏ د ﯾ ﺖﺑﺎ ﺑﯿ نﺎﺘﺳرﺎﻤ
زار ي ﻢﺋﺎﻗ ﺮﻬﺷ ﺮﻬﺷ لﺎﺳ رد 1398 سﺎﺳاﺮﺑ ﻪﻧﻮﻤﻧ ﻢﺠﺣ .ﺪﺷ مﺎﺠﻧا
ﺮﺛا هزاﺪﻧا ﺎﺑ ﯽﻠﺒﻗ تﺎﻌﻟﺎﻄﻣ 72
/0 نﻮﻣزآ ناﻮﺗ ، 90
ﺪﺻرد نﺎﻨﯿﻤﻃا ﻪﻠﺻﺎﻓ ،
95 يراد ﯽﻨﻌﻣ ﺢﻄﺳ رد ، 05
/0 داﺪﻌﺗ 90 و نﻮﻣزآ هوﺮﮔ ود رد ﺮﻔﻧ
ﺪﻫﺎﺷ ﺪﺷ دروآﺮﺑ ] 23 [ . ﻞﻣاﻮﻋ زﺎﺳ نﺎﺴﻤﻫ ي
ﻞﻣﺎﺷ ،ﺖﯿﺴﻨﺟ ،ﻦﺳ تﺪﻣ
نﺎﻣز د ﻪﺑ ﻼﺘﺑا ﯾ ﺖﺑﺎ .دﻮﺑ رﺎﻈﺘﻧا ﻣ ﯽ دور ﻓدﺎﺼﺗ بﺎﺨﺘﻧا ﺮﻣا ﺎﺑ ﯽ
ﻪﻧﻮﻤﻧ ﺎﻫ
ﺛﺄﺗ ﯿﺮ ﻏ رد دﺮﮐ لﺮﺘﻨﮐ ار ﺮﮔ شوﺪﺨﻣ ﻞﻣاﻮﻋ ﯿﺮ
اﯾ ﻦ شور ﺎﺑ ترﻮﺻ
راوﻮﮐ ﯾ ﺲﻧﺎ و شور ﺎﻫ ي رﺎﻣآ ي اﯾ ﻦ دﺮﮔ ﻪﺒﺳﺎﺤﻣ ﻢﻬﻣ ﯾﺪ
ﻨﭽﻤﻫ . ﯿ ﺖﻬﺟ ﻦ
ﮔﻮﻠﺟ ﯿﺮ ي ﻠﺤﺗ ،شرﻮﺗ زا ﯿ
رﺎﻣآ ﺮﮔ ﻞ ي ﻧﯿ ﻪﺑ ﺖﺒﺴﻧ ﺰ ﺼﺨﺗ
ﯿ ﺑ ﺺ ﯿ رد نارﺎﻤ
هوﺮﮔ ﺎﻫ ﺑ ﯽ .دﻮﺑ عﻼﻃا نﺎﺘﺳرﺎﻤﯿﺑ ﺖﺑﺎﯾد ﮏﯿﻨﯿﻠﮐ ﺶﻫوﮋﭘ ﻦﯾا ﻂﯿﺤﻣ
ﻮﺑ ﺮﻬﺸﻤﺋﺎﻗ ﺮﻬﺷ يزار يﻻﺎﺑ ناﺪﻨﻤﻟﺎﺳ ﻪﻌﻟﺎﻄﻣ ﻪﺑ دورو يﺎﻫرﺎﯿﻌﻣ .د
60
ﺺﯿﺨﺸﺗ نﺎﻣز زا ﻪﮐ ﮏﺷﺰﭘ ﻂﺳﻮﺗ ﺖﺑﺎﯾد يرﺎﻤﯿﺑ ﺺﯿﺨﺸﺗ ﺎﺑ لﺎﺳ ﺎﻬﻧآ يرﺎﻤﯿﺑ ﮏﯾ
،ﻦﺘﺷﻮﻧ نﺪﻧاﻮﺧ داﻮﺳ ﻞﻗاﺪﺣ ياراد .ﺪﺷﺎﺑ ﻪﺘﺷﺬﮔ لﺎﺳ
يرﺎﻤﯿﺑ ﺪﻗﺎﻓ و نﺎﮑﻣ و نﺎﻣز ﻪﺑ هﺎﮔآ يرﺎﻤﯿﺑ ﺎﯾ ﯽﻧاور ﯽﺣور يﺎﻫ
يﺎﻫ
ﻮﺑ ﺰﯿﻟﺎﯾد ،نﻮﺧرﺎﺸﻓ ﺮﯿﻈﻧ ﺮﮕﯾد ﻦﻣﺰﻣ ﻪﻌﻟﺎﻄﻣ زا جوﺮﺧ يﺎﻫرﺎﯿﻌﻣ .ﺪﻧد
ﻞﻣﺎﺷ نارﺎﻤﯿﺑ ﻪﺴﻠﺟ ﮏﯾ زا ﺶﯿﺑ ﺖﺒﯿﻏ تﺎﺴﻠﺟ رد ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ
.دﻮﺑ ﯽﺷزﻮﻣآ تﺎﺼﺨﺸﻣ مﺮﻓ ،ﺶﻫوﮋﭘ ﻦﯾا رد تﺎﻋﻼﻃا يروآدﺮﮔ راﺰﺑا
و (ﻞﻫﺄﺗ ،تﻼﯿﺼﺤﺗ ،يرﺎﻤﯿﺑ ﻪﻘﺑﺎﺳ ،ﺲﻨﺟ ،ﻦﺳ) ﯽﺘﺧﺎﻨﺷ ﺖﯿﻌﻤﺟ يزﺎﺳﺪﻨﻤﻧاﻮﺗ هﺎﺗﻮﮐ مﺮﻓ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺑﯿ
نارﺎﻤ DES-SF ) Diabetes
Empowerment Scale-Short Form (.
.دﻮﺑ هﺎﮕﺸﻧاد تﺎﻘﯿﻘﺤﺗ و شزﻮﻣآ ﺰﮐﺮﻣ ﻂﺳﻮﺗ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﻪﻣﺎﻨﺸﺳﺮﭘ
نﺎﮕﯿﺸﯿﻣ لﺎﺳ رد 2000 ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﯾا .ﺪﺷ ﯽﺣاﺮﻃ ﯽﺴﯿﻠﮕﻧا نﺎﺑز ﻪﺑ
زا 8 لاﺆﺳ سﺎﯿﻘﻣ سﺎﺳاﺮﺑ 5
ﻪﻨﯾﺰﮔ ﻖﻓاﻮﻣ ًﻼﻣﺎﮐ هﺮﻤﻧ زا تﺮﮑﯿﻟ يا 1
ﺎﺗ
ﻒﻟﺎﺨﻣ ًﻼﻣﺎﮐ 5
هﺮﻤﻧ اﺮﻤﻧ ﻪﻨﻣاد .ﺪﺷ يراﺬﮔ زا ت
40 ﺎﺗ 8 ﯽﻣ ﻪﮐ ﺪﺷﺎﺑ
ﻦﯿﯾﺎﭘ هﺮﻤﻧ دﻮﺑ ﺮﺗﻻﺎﺑ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﻪﻧﺎﺸﻧ ﺮﺗ ]
24 [.
ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﯽﯾﺎﯾﺎﭘ
نﻮﻣزآ شور خﺎﺒﻧوﺮﮐ ﺎﻔﻟآ
نارﺎﮑﻤﻫ و ﯽﻧﺎﯾور ﻪﻌﻟﺎﻄﻣ رد. 86
/0 شراﺰﮔ
ﺪﺷ ] 25 [.
ر ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ رد ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﯾا يﻮﺘﺤﻣ و يرﻮﺻ ﯽﯾاو
ﻂﺳﻮﺗ 10 ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﯽﻤﻠﻋ ﺖﺌﯿﻫ يﺎﻀﻋا و ﺪﯿﺗﺎﺳا زا ﻦﺗ راﺮﻗ ﺪﯿﯾﺄﺗ درﻮﻣ ناﺮﻬﺗ ﺪﻫﺎﺷ ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد و نارﺪﻧزﺎﻣ
يور ﺮﺑ ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﯾا ﯽﯾﺎﯾﺎﭘ ﻦﯿﻨﭽﻤﻫ .ﺖﻓﺮﮔ 20
ﺎﺑ ﺮﻔﻧ
ﻤﻫ ﺐﯾﺮﺿ ﺎﺑ دﺪﺠﻣ نﻮﻣزآ شور ﯽﮕﺘﺴﺒ
91 /0 درﻮﻣ ﺄﺗ ﯿﯾ ﺪ .ﺖﻓﺮﮔ راﺮﻗ
ﻪﺑ دورو ﻂﯾاﺮﺷ ﻪﮐ ﯽﻧﺎﺴﮐ ﻦﯿﺑ زا اﺪﺘﺑا ﺮﮕﺸﻫوﮋﭘ ،ﻪﻌﻟﺎﻄﻣ ﻦﯾا ياﺮﺟا رد ﺪﻨﺘﺷاد ار ﻪﻌﻟﺎﻄﻣ 90
هدﺎﺳ ﯽﻓدﺎﺼﺗ شور ﺎﺑ ﺲﭙﺳ .دﻮﻤﻧ بﺎﺨﺘﻧا ار ﺮﻔﻧ
ﻪﻋﺮﻗ و و نﻮﻣزآ هوﺮﮔ ود ﯽﺸﮐ ﺪﻫﺎﺷ
ﻦﻤﺿ ﻖﻘﺤﻣ ﺲﭙﺳ .دﻮﻤﻧ ﻢﯿﺴﻘﺗ ار
ﺖﮐﺮﺷ ناﺪﻨﻤﻟﺎﺳ ﻪﺑ ﺶﻫوﮋﭘ فاﺪﻫا ﺢﯿﺿﻮﺗ و ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد هﺪﻨﻨﮐ
نﺎﻨﯿﻤﻃا ﯽﺑ ﻪﺑ ﺖﺒﺴﻧ نداد و ﯽﻣﺎﻨﻤﮔ ﻆﻔﺣ و ﺶﻫوﮋﭘ ﻦﯾا ندﻮﺑ ﺮﻄﺧ
ﯽﻣ هداد ﺖﺻﺮﻓ ﻦﯾا ﺎﻬﻧآ ﻪﺑ ﺶﻫوﮋﭘ يﺎﻫﺪﺣاو ﯽﺼﺨﺷ تﺎﻋﻼﻃا رد ﺪﺷ
ﻞﮔ ﻧﺎﺸﻓا ﯽ و نارﺎﮑﻤﻫ
5
.ﺪﻧﻮﺷ جرﺎﺧ ﺶﻫوﮋﭘ زا ﻪﻌﻟﺎﻄﻣ نﺎﯾﺮﺟ رد ﯽﺘﺣ ،ﻞﯾﺎﻤﺗ مﺪﻋ ترﻮﺻ ﺖﯾﺎﺿر ﺐﺴﮐ ﻦﻤﺿ ﺮﮕﺸﻫوﮋﭘ ﺲﭙﺳ رد ﺶﻫوﮋﭘ يﺎﻫﺪﺣاو زا ﯽﺒﺘﮐ ﻪﻣﺎﻧ
ﮐ هوﺮﮔ لﺮﺘﻨ
، شزﻮﻣآ نﺎﺘﺳرﺎﻤﯿﺑ ﺖﺑﺎﯾد ﮏﯿﻨﯿﻠﮐ و نﺎﺘﺳرﺎﻤﯿﺑ ﺞﯾار يﺎﻫ ار
نﻮﻣزآ هوﺮﮔ رد ﯽﻟو اﺮﺟا 12
ﻪﺴﻠﺟ ﻮﮕﻟا سﺎﺳاﺮﺑ ﯽﺷزﻮﻣآ 5
ﻪﻠﺣﺮﻣ ا ي
تﺪﻣ ﻪﺑ 12 ﻪﺘﻔﻫ ﻪﺴﻠﺟ ﺮﻫ 30 ﺎﺗ 45 .دﻮﻤﻧ اﺮﺟا ﻪﻘﯿﻗد
لوﺪﺟ 1.
ﻪﺻﻼﺧ ﻪﺴﻠﺟ ﺎﻫ ي ﻮﮕﻟا سﺎﺳاﺮﺑ ﯽﺷزﻮﻣآ 5
ﻪﻠﺣﺮﻣ ا ي
ﻪﺴﻠﺟ شراﺰﮔ
لوا ﺶﻫوﮋﭘ يﺎﻫﺪﺣاو ﺎﺑ ﯽﯾﺎﻨﺷآ و ﺶﻫوﮋﭘ فاﺪﻫا ﺢﯿﺿﻮﺗ
و ﯽﺳرﺮﺑ نارﺎﻤﯿﺑ يﺎﻫروﺎﺑ و ﺎﻫرﺎﺘﻓر ﯽﯾﺎﺳﺎﻨﺷ و تﻼﮑﺸﻣ ﺖﺧﺎﻨﺷ و
مود يرﻮﻀﺣ ﻪﺒﺣﺎﺼﻣ ﻂﺳﻮﺗ ﺎﻫرﻮﺘﮐﺎﻓ ﮏﺴﯾر ﯽﺳرﺮﺑ ،ﯽﯾاﺬﻏ ﻢﯾژر ﺖﯾﺎﻋر و وراد فﺮﺼﻣ هﻮﺤﻧ ،ﯽﮔﺪﻧز ﮏﺒﺳ ،ﻪﯾﺬﻐﺗ هﻮﺤﻧ ،دﺮﻓ يرﺎﻤﯿﺑ ﻪﻘﺑﺎﺳ ﯽﺳرﺮﺑ
مﻮﺳ نﺪﺷ ﯽﯾاﺮﺟا
شزﻮﻣآ ﻂﺳﻮﺗ رﺎﺘﻓر حﻼﺻا ﺪﯾاﻮﻓ و ﯽﺘﻣﻼﺳ تاﺮﻄﺧ درﻮﻣ رد رﺎﻤﯿﺑ ﯽﯾﺎﻤﻨﻫار
مرﺎﻬﭼ ﯽﻌﯿﺒﻃﺮﯿﻏ يﺎﻫرﺎﺘﻓر حﻼﺻا ﺮﺑ ﺪﯿﮐﺎﺗ و ﯽﻌﯿﺒﻃﺮﯿﻏ دراﻮﻣ ﯽﯾﺎﺳﺎﻨﺷ و ﯽﻠﺒﻗ ﻪﻠﺣﺮﻣ ﯽﺳرﺮﺑ سﺎﺳاﺮﺑ اﺮﺟا
ﻢﺠﻨﭘ ﻊﻗاو فاﺪﻫا ﻢﯿﻈﻨﺗ سﺎﺳاﺮﺑ اﺮﺟا
ﻪﻧﺎﻨﯿﺑ
و ﻢﺸﺷ ﻢﺘﻔﻫ هﺮﻬﭼ ﻪﺑ هﺮﻬﭼ شزﻮﻣآ ﮏﻤﮐ ﻪﺑ شزﻮﻣآ
ﺎﻫ ﯽﯾ داد ﯽﺗﺎﯿﺣ ﻢﯾﻼﻋ لﺮﺘﻨﮐ و نﻮﺧ ﺪﻨﻗ لﺮﺘﻨﮐ درﻮﻣ رد ﻪﺑ ن
ﻪﻧازور ترﻮﺻ و ﻪﺴﻠﺟﺮﻫ ﻦﯾﺮﻤﺗ رد
ﻢﻫد ﺎﺗ ﻢﺘﺸﻫ نﺎﻣز رد شزﻮﻣآ نﺎﯾﺎﭘ زا ﺪﻌﺑ ﻖﻘﺤﻣ ﻪﮐ دﻮﺑ دﺮﮑﻠﻤﻋ يﺮﯿﮕﯿﭘ
ﮏﯾ يﺎﻫ ﺎﺗ تﺎﻗﻼﻣ ﻖﯾﺮﻃ زا شزﻮﻣآ زا ﺪﻌﺑ ﻪﺘﻔﻫود سﺎﻤﺗ ،ﺖﺑﺎﯾد ﮏﯿﻨﯿﻠﮐ ﻪﺑ رﺎﻤﯿﺑ ﻪﻌﺟاﺮﻣ ﺎﯾ ﯽﮕﺘﻔﻫ يﺎﻫ
يﺎﻫ
ﺎﯾ ﯽﻨﻔﻠﺗ سﻼﮐ ﮏﻣﺎﯿﭘ لﺎﺳرا ﺎﯾ يرﻮﻀﺣ ﯽﺷزﻮﻣآ يﺎﻫ ﻪﺑ
ﺑﯿ نارﺎﻤ ﻌﺿو ﯿ ﺖ ﺎﻬﻧا ﻪﺑ ترﻮﺻ ﺮﻤﺘﺴﻣ ﭘﯿ ﮕ ﯿﺮ ي ﺪﺷ .
ﻢﻫدزﺎﯾ ﺎﯾ رﺎﺘﻓر ﺮﯿﯿﻐﺗ دﺎﺠﯾا ﻪﺑ زﺎﯿﻧ ترﻮﺻ رد و دﻮﻤﻧ ﯽﺳرﺮﺑ ار ﻖﻓاﻮﺗ درﻮﻣ يرﺎﺘﻓر فاﺪﻫا يرﻮﻀﺣ ﻪﺴﻠﺟ ﮏﯾ رد ﺮﮕﺸﻫوﮋﭘ ،ﺪﺷ راﺰﮔﺮﺑ شزﻮﻣآ زا ﺪﻌﺑ
فاﺪﻫا حﻼﺻا ﺎﯾ ﺪﯿﮐﺎﺗ
شزﻮﻣآ يرﺎﺘﻓر يﺎﻫ
ﺖﺧادﺮﭘ مزﻻ .
ﻢﻫدزاود رد ار يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﻪﻣﺎﻨﺸﺳﺮﭘ دﺪﺠﻣ ﻖﻘﺤﻣ
ﺘﺧا ﯿ رﺎ ﺑﯿ نارﺎﻤ راﺮﻗ داد و ﺮﻫ ود هوﺮﮔ نﻮﻣزآ و ﺪﻫﺎﺷ ﻪﻣﺎﻨﺸﺳﺮﭘ ار ﻤﮑﺗ ﯿ ﻞ ﺪﻧدﻮﻤﻧ .
تﺎﻋﻼﻃا ﺲﭘ يرﺎﻣآ راﺰﻓا مﺮﻧ رد نﺪﺷ دراو زا ﻪﺨﺴﻧSPSS
21 ﻂﺳﻮﺗ
و ﻦﯿﮕﻧﺎﯿﻣ ،لواﺪﺟ) ﯽﻔﯿﺻﻮﺗ نﻮﻣزآ ﯽﺗ) ﯽﻃﺎﺒﻨﺘﺳا رﺎﻣآ و (رﺎﯿﻌﻣ فاﺮﺤﻧا
ﯽﻨﻌﻣ ﺢﻄﺳ رد (اﻮﮑﻧا و ﻞﻘﺘﺴﻣ ﯽﺗ و جوز يراد
05 /0 .ﺪﺷ ﻞﯿﻠﺤﺗ ﻪﯾﺰﺠﺗ
ﻪﺘﻓﺎﯾ ﺎﻫ
59 ،نز نﺎﯾﻮﮕﺨﺳﺎﭘ ﺪﺻرد 29
،ﯽﯾاﺪﺘﺑا تﻼﯿﺼﺤﺗ ﺢﻄﺳ ﺪﺻرد 46
ﻪﺘﺴﺸﻧزﺎﺑ ﺪﺻرد -
و هدﺎﺘﻓارﺎﮐزا 87
ﻞﻫﺄﺘﻣ ﺪﺻرد هدﻮﺑ
ﺪﻧا .
ﯽﻨﻌﻣ فﻼﺘﺧا هوﺮﮔ ود ﻦﯿﺑ ﻞﻘﺘﺴﻣ ﯽﺗ نﻮﻣزآ يراد
) داﺪﻧ نﺎﺸﻧ ار 49
/0
<
ﺮﻈﻧ زا لﺮﺘﻨﮐ و نﻮﻣزآ هوﺮﮔ ود ﻦﯿﺑ ﺮﺋﻮﮑﺳا يﺎﮐ نﻮﻣزآ ﻦﯿﻨﭽﻤﻫ .(P ) ﺖﯿﺴﻨﺟ 5/
0
<
) تﻼﯿﺼﺤﺗ ،(P 42
/0
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) ﻞﻐﺷ و (P 32 /0
<
(P
ﯽﻨﻌﻣ فﻼﺘﺧا .داﺪﻧ نﺎﺸﻧ ار يراد
ناﺪﻨﻤﻟﺎﺳ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﻦﯿﮕﻧﺎﯿﻣ ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﺞﯾﺎﺘﻧ ﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ
ﺖ رد ار
ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ نﻮﻣزآ هوﺮﮔ 98
/4 56+ / 22 لﺮﺘﻨﮐ هوﺮﮔ رد و 7/
5 +
47 / 22 يراد ﯽﻨﻌﻣ فﻼﺘﺧا هوﺮﮔ ود ﻦﯿﺑ ﻞﻘﺘﺴﻣ ﯽﺗ نﻮﻣزآ .داد نﺎﺸﻧ
) داﺪﻧ نﺎﺸﻧ ار 92
/0
<
نﻮﻣزآ هوﺮﮔ رد ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ ﯽﻟو (P 89
/4
17+ / 20 لﺮﺘﻨﮐ هوﺮﮔ رد و 32
/5 51+ / 23 ﯽﺗ نﻮﻣزآ ﻪﮐ ﺪﻣآ ﺖﺳد ﻪﺑ
ﺘﺧا ﻞﻘﺘﺴﻣ ﯽﻨﻌﻣ فﻼ ) داﺪﻧ نﺎﺸﻧ ار يراد 03
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نﻮﻣزآ ﻦﯿﻨﭽﻤﻫ .(P
ﯽﻨﻌﻣ فﻼﺘﺧا ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ و ﻞﺒﻗ نﻮﻣزآ هوﺮﮔ رد ﯽﺟوز ﯽﺗ ار يراد
) داد نﺎﺸﻧ 03 /0
<
ﺪﻌﺑ و ﻞﺒﻗ لﺮﺘﻨﮐ هوﺮﮔرد ﯽﺟوز ﯽﺗ نﻮﻣزآ ﯽﻟو (P
ﯽﻨﻌﻣ فﻼﺘﺧا ﻪﻠﺧاﺪﻣ زا ) داﺪﻧ نﺎﺸﻧار يراد
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.( P
ﺟ لوﺪ 2.
و ﯾ ﮔﮋ ﯽ ﺎﻫ ي ﯽﺘﺧﺎﻨﺷ ﺖﯿﻌﻤﺟ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ
ﺎﻫﺮﯿﻐﺘﻣ (ﺪﺻرد) ﯽﻧاواﺮﻓ
ﺖﯿﺴﻨﺟ نز )
9 58/ ( 53
دﺮﻣ )
/1 41 ( 37
ﻞﮐ )
100 ( 90
تﻼﯿﺼﺤﺗ ﯽﺋاﺪﺘﺑا )
9 28/ ( 26
ﻪﻄﺳﻮﺘﻣ و ﯽﺋﺎﻤﻨﻫار )
5 25/ ( 23
ﻢﻠﭙﯾد )
1 21/ ( 29
ﻻﺎﺑ ﻪﺑ ﻢﻠﭙﯾد )
/4 24 ( 22
ﻊﻤﺟ )
100 ( 90
ﻞﻐﺷ راد ﻪﻧﺎﺧ )
4 34/ ( 31
ﻞﻏﺎﺷ )
9 18/ ( 17
ﺘﻓارﺎﮐزﺎﻬﺘﺴﺸﻧزﺎﺑ دﺎ
ه )
7 46/ ( 42
ﻊﻤﺟ )
100 ( 90
ﻞﻫﺄﺗ ﻞﻫﺄﺘﻣ )
7 86/ ( 78
دﺮﺠﻣ - ﻪﻘﻠﻄﻣ هﻮﯿﺑ– )
3 13/ ( 12
ﻊﻤﺟ )
100 ( 90
ﺮﺸﻧ ﯾ ﻪ ﺸﺨﺒﻧاﻮﺗ ﺶﻫوﮋﭘ ﯽ
رﺎﺘﺳﺮﭘ رد ي هرود ، 7 هرﺎﻤﺷ ، 2 ، نﺎﺘﺴﻣز 1399
6
لوﺪﺟ 3 . ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ يﻮﮕﻟا ﺮﯿﺛﺄﺗ 5
ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺮﺑA
ﺲﻧﺎﯾراو ﻊﺒﻨﻣ تاروﺬﺠﻣ عﻮﻤﺠﻣ
يدازآ ﻪﺟرد روﺬﺠﻣ ﻦﯿﮕﻧﺎﯿﻣ
راﺪﻘﻣ يراد ﯽﻨﻌﻣ ﺢﻄﺳ F
Eta
هﺪﺷ حﻼﺻا ﻮﮕﻟا 52
/ 258 2
27 / 129 89
/4 P </001
10 /0
نﻮﻣزآ ﺲﭘ هﺪﻨﻨﮐاﺪﺟ 81
/ 2015 1
81 / 2015 27
/ 76 P </001
40 /0
هوﺮﮔ 75
/ 250 1
75 / 250 4/
9 P </003
10 /0
ﺎﻄﺧ 27
/ 2299 87
42 / 26
ﻊﻤﺟ 45504
90
ﻞﮐ 18
/ 2557 89
نﻮﻣزآ ﺶﯿﭘ ﺮﺛا فﺬﺣ ﺪﻌﺑ ﺲﻧﺎﯾراﻮﮐ ﺰﯿﻟﺎﻧآ نﻮﻣزآ
، ﯽﻨﻌﻣ فﻼﺘﺧا يراد
) داد نﺎﺸﻧ ار 03
/0
<
،1P /0
= ﻪﮐ يرﻮﻃ (Eta 10
ﺪﺻرد ﺲﭘ تاﺮﯿﯿﻐﺗ
زا ﯽﺷﺎﻧ نﻮﻣزآ ا
) دﻮﺑ ﺖﺑﺎﯾد ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻮﮕﻟ لوﺪﺟ
3 .(
ﺚﺤﺑ ﻪﻌﻟﺎﻄﻣ ﻦﯾا فﺪﻫ ﯽﺳرﺮﺑ
ﺮﺑ ﯽﻨﺘﺒﻣ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﻣﺎﻧﺮﺑ ﺮﯿﺛﺄﺗ ﻟا
ﻮﮕ 5 A
يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺮﺑ ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ
عﻮﻧ ﺖﺑﺎﯾد 2
ﻠﮐ رد ﯿﻨ ﯿ ﮏ د ﯾ ﺖﺑﺎ
ﺑﯿ نﺎﺘﺳرﺎﻤ زار ي ﻢﺋﺎﻗ ﺮﻬﺷ ﺮﻬﺷ لﺎﺳ رد 1398 دﻮﺑ ﻧ . نﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ ﺞﯾﺎﺘ
داد ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ اﺮﻓ ﯾ يﺪﻨ لﺎﻌﻓ و ﻠﻤﻋ ﯽ ار ﺮﻌﺗ ﯾ ﻒ هدﺮﮐ ﺪﻧا ﻪﮐ ﻂﺳﻮﺗ
ﺑﯿ رﺎﻤ اﺪﻫ ﯾ ﺖ ﻣ ﯽ دﻮﺷ و ﻞﻣﺎﺷ ﻟﺎﻌﻓ ﯿ ﺖ ﺎﻫ ي صﺎﺧ ﻪﺑ رﻮﻈﻨﻣ ﺘﺳد ﯿﺑﺎ ﯽ ﻪﺑ
فاﺪﻫا ﺪﻣ ﯾﺮ ﯾ ﺖ ﺑﯿ يرﺎﻤ .ﺖﺳا رد اﺮﻓ ﯾ ﺪﻨ ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ﺑﯿ نارﺎﻤ و
هداﻮﻧﺎﺧ ﺎﻫ ﯾ نﺎﺸ ﺎﻫرﺎﺘﻓر ﯽﯾ ار ﻪﮐ ﺮﺑ ﮏﯾ ﺖﻟﺎﺣ ﮑﺷﺰﭘ ﯽ ﺮﺛا ﻣ ﯽ ﺪﻧراﺬﮔ
، و
ﻧﯿ ﺰ ﺎﻫرﺎﺘﻓر ﯽﯾ ﻪﮐ زا ضراﻮﻋ ﺖﻟﺎﺣ ﮑﺷﺰﭘ ﯽ ﭘﯿ ﮕﺸ ﯿ يﺮ ﻣ ﯽ ﺎﻤﻧ ﯾ ﺪﻨ ار كرد
ﻣ ﯽ ﺪﻨﻨﮐ و رﻮﻄﺑ يدﺮﺒﻫار اﯾ ﻦ يﺎﻫرﺎﺘﻓر ﺘﺷاﺪﻬﺑ ﯽ ار ﻃ ﯽ نﺎﻣز ﻪﺑ رﺎﮐ ﻣ ﯽ
ﺪﻧﺮﺑ ﺪﻣدﻮﺧ . ﯾﺮ ﯾﺘ ﯽ ﺎﻧاﻮﺗ ﯽﯾ داﺮﻓا ياﺮﺑ لﺮﺘﻨﮐ و نﺎﻣرد ﻢﺋﻼﻋ ﻓﯿ ﺰﯾ ﮑ ﯽ و
ﻧاور ﯽ ﺑﯿ يرﺎﻤ ﻦﻣﺰﻣ و ﻐﺗ ﯿﯿ ﺮ اﺮﺷ ﯾ ﻂ ﮔﺪﻧز ﯽ ﻪﺑ رﻮﻈﻨﻣ ﮔﺪﻧز ﯽ ﺮﺘﻬﺑ ﺎﺑ
اﺮﺷ ﯾ ﻂ دﻮﺟﻮﻣ .ﺖﺳا ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ﺮﺛﺆﻣ ﻔﻣو ﯿ ﺪ ياراد ﺎﻧاﻮﺗ ﯽﯾ ياﺮﺑ لﺮﺘﻨﮐ
اﺮﺷ ﯾ ﻂ يﺎﻬﺨﺳﺎﭘ و ﻧاور
ﯽ
، يرﺎﺘﻓر و ﺘﺧﺎﻨﺷ ﯽ مزﻻ ياﺮﺑ دﻮﺒﻬﺑ ﮐﯿ ﻔﯿ ﺖ
ﮔﺪﻧز ﯽ ﺪﻨﻤﻟﺎﺳ ﺖﺳا ] 23 [.
ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ شزﻮﻣآ 5
ﺎﺳﺪﻨﻤﻧاﻮﺗ ﺶﯾاﺰﻓا ﺐﺟﻮﻣA ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ يز
ﺖﺑﺎﯾد ﻪﺑ دﺮﮔ ﯾﺪ نارﺎﮑﻤﻫ و يرﺪﯿﺣ ﻪﻌﻟﺎﻄﻣ ﺎﺑ ﻮﺴﻤﻫ ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﺞﯾﺎﺘﻧ .
) 2017 ﯽﻣ ( ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻮﮕﻟا ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد ﻪﮐ ﺪﺷﺎﺑ ﺐﺟﻮﻣ ،5A
ﯽﻣ ﯽﺴﻔﻨﺗ ﻦﻣﺰﻣ نارﺎﻤﯿﺑ رد ﺲﻔﻧ ﯽﮕﻨﺗ و ﯽﮕﺘﺴﺧ ﺶﻫﺎﮐ ددﺮﮔ
] 20 [ .
ﻦﯿﻨﭽﻤﻫ ) نارﺎﮑﻤﻫو يﺪﻧﻮﻟاد
1395 يﻮﮕﻟا ﺪﻨﺘﻓﺮﮔ ﻪﺠﯿﺘﻧ (
ياراد ناردﺎﻣ ﯽﻣﻮﻤﻋ ﺖﻣﻼﺳ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﺞﻠﻓ نﺎﮐدﻮﮐ
ﯽﻣ يﺰﻐﻣ ددﺮﮔ ] 16 [ و هﺎﻨﭘردﺎﻗ . نارﺎﮑﻤﻫ
) 1396 ﻮﮕﻟا ،(
ﺐﺟﻮﻣ5A
ﯽﻣ رادرﺎﺑ نﺎﻧز رد كﺮﺤﺗ ﺶﯾاﺰﻓا و نزو لﺮﺘﻨﮐ دﻮﺷ
] 26 [ و ﯽﻗدﺎﺻ .
) نارﺎﮑﻤﻫ 1398 ﯽﮔﺪﻧز ﺖﯿﻔﯿﮐ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻮﮕﻟا ،(
ﯽﻣ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ ددﺮﮔ
] 17 [ و يﺮﻀﺧ . نارﺎﮑﻤﻫ
) 1393 ،(
ﯽﻧﻮﺧرﺎﺸﻓ ناﺪﻨﻤﻟﺎﺳ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﻮﮕﻟا ﻦﯾا ياﺮﺟا ﯽﻣ دﻮﺷ ] 27 [ . ﺎﺘﺳار ﻦﯾا رد ) نارﺎﮑﻤﻫ و يداﺮﻣ
1396 ﻮﮕﻟا ،(
ﺮﯾﺪﻣدﻮﺧ ﯾ ﯽﺘ ﯽﻣ ناﺪﻨﻤﻟﺎﺳ نﻮﺧرﺎﺸﻓ لﺮﺘﻨﮐ ﺐﺟﻮﻣ5A دﻮﺷ
] 28 [.
) نارﺎﮑﻤﻫ و يرﻮﻤﯿﺗ 1390
ﺪﻧدﺮﮐ نﺎﯿﺑ ( هوﺮﮔ رد ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ و ﻞﺒﻗ
ﮐ تاﺮﻤﻧ ﺮﻈﻧ زا نﻮﻣزآ ﯿﻔ
ﯿ ﮔﺪﻧز ﺖ ﯽ ﻣﻮﻤﻋ ﯽ رادﺎﻨﻌﻣ توﺎﻔﺗ ي
هﺪﻫﺎﺸﻣ
ﺪﺷ ] 29 [ ) نارﺎﮑﻤﻫ و يدﻮﻌﺴﻣ . 1389
ﺪﻧدﺮﮐ نﺎﯿﺑ ( هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ
شزﻮﻣآ زا ﻞﺒﻗ ﻪﻠﺧاﺪﻣ هوﺮﮔ رد ﯽﮔﺪﻧز ﺖﯿﻔﯿﮐ 71
/ 41 دﻮﺑ ﮐ ﻦﯿﮕﻧﺎﯿﻣ ﺎﺑ ﻪ
46 / 75 ﻨﻌﻣ رﻮﻃ ﻪﺑ ﯽ راد ي اﺮﺟا زا ﻞﺒﻗ ﻪﺑ ﺖﺒﺴﻧ ي
شاﺰﻓا ﻪﻣﺎﻧﺮﺑ ﯾﻓﺎ
ﺖ
] 30 [ ﺎﺑ هﺪﺷ ﺮﮐذ تﺎﻘﯿﻘﺤﺗ زا هﺪﻣآ ﺖﺳﺪﺑ ﺞﯾﺎﺘﻧ . ﺘﻧ
ﯿ ﻪﺠ ي ﻖﯿﻘﺤﺗ ﻦﯾا ﺘﺧا ﻦﯾا ﻞﯿﻟد .ﺖﺳا ﻒﻟﺎﺨﻣ
ﺰﯿﻧ فﻼ ﻣ ﯽ ﺪﻧاﻮﺗ رد توﺎﻔﺗ ﻪﻌﻣﺎﺟ ي يرﺎﻣآ
.ﺪﺷﺎﺑ ﺶﻫوﮋﭘ ﻂﯿﺤﻣ و ﻞﻣاﻮﻋ زا ﯽﮑﯾ ﻪﮐ ﺖﺳا ﯽﻬﯾﺪﺑ ﺮﺛﺆﻣ
ﺑﺎﯾد يرﺎﻤﯿﺑ لﺮﺘﻨﮐ و يﺮﯿﮕﺸﯿﭘ ﺮﺑ ﺖ
ﻞﻣاﻮﻋ ،يرﺎﻤﯿﺑ زا ﯽﻓﺎﮐ ﯽﻫﺎﮔآ زا يرادرﻮﺧﺮﺑ ﺮﺛﺆﻣ
هﻮﺤﻧ و نآ زوﺮﺑ ﺮﺑ
ﯽﻣ يرﺎﻤﯿﺑ ﻦﯾا زا يﺮﯿﮕﺸﯿﭘ مﺪﻋ و ﺖﺧﺎﻨﺷ مﺪﻋ ﻪﻧﺎﻔﺳﺄﺘﻣ ﻪﮐ ﺪﺷﺎﺑ
ﯽﻣ يرﺎﻤﯿﺑ ضراﻮﻋ ﺪﯾﺪﺸﺗ ﺐﺟﻮﻣ يرﺎﻤﯿﺑ ﻪﺑ ﺖﺒﺴﻧ ﯽﻫﺎﮔآ ددﺮﮔ
] 2 [ .
ﻪﻣﺎﻧﺮﺑ اﺬﻟ ﺶﯾاﺰﻓا ﺎﺑ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ شزﻮﻣآ يﺎﻫ رد ترﺎﻬﻣ و ﯽﻫﺎﮔآ
ﺎﻬﻧآ ﯽﮔﺪﻧز ﺖﯿﻔﯿﮐ ﺶﯾﺰﻓا و يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ نارﺎﻤﯿﺑ ﯽﻣ دﻮﺷ ] 12 [ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ رد يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺶﯾاﺰﻓا ﺎﺑ اﺮﯾز .
ﯽﻣ هﺰﯿﮕﻧا و ﯽﮔﺪﻧز ﺖﯿﻔﯿﮐ ناﻮﺗ ﺪﯿﺸﺨﺑ دﻮﺒﻬﺑ ار نارﺎﻤﯿﺑ ﻦﯾا ﯽﻧﺎﻣرد يﺎﻫ
] 11 [ ﺪﻧور ﺮﺑ ترﺎﻈﻧ ،ﺪﻬﻌﺗ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ شزﻮﻣآ نﻮﭼ .
ﯽﻣ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ رد ﯽﮔﺪﻧز زا ﺖﯾﺎﺿر ﺶﯾاﺰﻓا و نﺎﻣرد ﮔ
ددﺮ
] 5 [ ﯽﻣ نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ . ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﻣﺎﻧﺮﺑ ﺪﻫد
ﺶﻫﺎﮐ ﺐﺟﻮﻣ5A
ﯽﻫﺎﮔآ ﺶﯾاﺰﻓا ،يﺮﺘﺴﺑ داﺪﻌﺗ ،
ﺶﯾاﺰﻓا و ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﺶﻧاد ﺶﯾاﺰﻓا
ﯽﻣ نارﺎﻤﯿﺑ رد يﺪﻣآرﺎﮐدﻮﺧ ددﺮﮔ
] 20 , 28 [.
ﻦﯾا ياﺮﺟا ﻪﮐ داد نﺎﺸﻧ ﻪﺑﺎﺸﻣ تﺎﻌﻟﺎﻄﻣ ﺞﯾﺎﺘﻧ يﻮﮕﻟا
ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ
ﯽﻫﺎﮔآ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﯽﺘﺑﺎﯾد نارﺎﻤﯿﺑ
ﻣ ﯽ ددﺮﮔ ﺶﯾاﺰﻓا ﺎﺑ نارﺎﻤﯿﺑ ﻦﯾا .
يﺎﻫﺪﻨﯾآﺮﻓ و ﯽﯾاﺬﻏ ﻢﯾژر ﺖﯾﺎﻋر مﺪﻋ تﻼﮑﺸﻣ درﻮﻣ رد ﺖﺧﺎﻨﺷ يدﺎﯾز ضراﻮﻋ رﺎﭼد ﯽﺘﺒﻗاﺮﻣ ﻣ
ﯽ ﺪﻧﻮﺷ تﺪﺷ ﻞﻠﻋ زا ﯽﮑﯾ ﻪﻧﺎﻔﺳﺎﺘﻣ ﻪﮐ
ﺖﺑﺎﯾد يرﺎﻤﯿﺑ ضراﻮﻋ دﻮﺧ زا ﺖﺒﻗاﺮﻣ رد نارﺎﻤﯿﺑ ﯽﻫﺎﮔآ و ﺖﺧﺎﻨﺷ مﺪﻋ
ﻣ ﯽ ﺪﺷﺎﺑ ] 17 , 18 [.
ﺮﯾﺪﻣدﻮﺧ ﻪﻣﺎﻧﺮﺑ رد ﯾ
ﯽﺘ ﯽﻣﺎﻤﺗ و ﻪﺘﺷاد يرﻮﺤﻣ و لﺎﻌﻓ ﺶﻘﻧ رﺎﻤﯿﺑ ،5A
ﺖﯿﻟﺎﻌﻓ ﺮﺑ ﯽﻧﺎﻣرد و ﯽﺘﺒﻗاﺮﻣ يﺎﻫ .دراد ﺰﮐﺮﻤﺗ رﺎﻤﯿﺑ
ﻪﻣﺎﻧﺮﺑ ﻦﯾا زا فﺪﻫ ،ﺎﻫ
ﻢﯿﻤﺼﺗدﻮﺧ و لﻼﻘﺘﺳا ﺮﺜﮐاﺪﺣ ﻪﺑ ﯽﺑﺎﯿﺘﺳد ز ﺖﯿﻔﯿﮐ ءﺎﻘﺗرا و يﺮﯿﮔ
ﯽﮔﺪﻧ
ﯽﻣ ﺪﺷﺎﺑ ] 20 [ ﯽﻣ ﺮﻃﺎﺧ ﻦﯿﻤﻫ ﻪﺑ . رد يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺶﯾاﺰﻓا ﺖﻔﮔ ناﻮﺗ
ﺖﯿﻟﺎﻌﻓ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ لﺮﺘﻨﮐ و ﯽﮑﯾﺰﯿﻓ يﺎﻫ
ﯽﻣ ﺎﻬﻧآ رد سﺮﺘﺳا ﺶﻫﺎﮐ و ﯽﯾاﺬﻏ ﻢﯾژر ددﺮﮔ
] 19 [ ﮏﯾ ﻪﻣﺎﻧﺮﺑ ﻦﯾا اﺬﻟ .
ﺖﯾﺮﯾﺪﻣ رد يدﺎﯾز رﺎﯿﺴﺑ ﺮﯿﺛﺄﺗ ﻪﮐ ﺖﺳا رﺎﺘﻓر حﻼﺻا يﮋﺗاﺮﺘﺳا يرﺎﻤﯿﺑ ﯽﻣ ﮏﻤﮐ رﺎﻤﯿﺑ ﻪﺑ و دراد ﻦﻣﺰﻣ يﺎﻫ ار يرﺎﻤﯿﺑ ﺎﺗ ﺪﻨﮐ
لﺮﺘﻨﮐ
ﯽﺘﻣﻼﺳ و ﺪﯾﺎﻤﻧ دراد ﻪﮕﻧ بﻮﻠﻄﻣ ﺪﺣ رد ار شا
] 28 [.
ﻪﻣﺎﻧﺮﺑ
ﯾﺪﻣدﻮﺧ نارﺎﻤﯿﺑ رد ترﺎﻬﻣ و ﺶﻧاد ﺶﯾاﺰﻓا و تﺎﻋﻼﻃا ﻪﺋارا زا ﺮﺗاﺮﻓ ﯽﺘﯾﺮ ﻦﻣﺰﻣ و يﺮﺘﺴﺑ نارﺎﻤﯿﺑ ﻪﺑ فﻮﻄﻌﻣ ﺎﻬﻨﺗ ﯽﺘﺒﻗاﺮﻣ ﻮﮕﻟا ﻦﯾا .ﺖﺳا
ﯽﻤﻧ يرﺎﻤﯿﺑ زوﺮﺑ زا يﺮﯿﮕﺸﯿﭘ ياﺮﺑ ﺰﯿﻧ ﻢﻟﺎﺳ داﺮﻓا رد ﻪﮑﻠﺑ ﺪﺷﺎﺑ و ﺎﻫ
ﯽﻣ هدﺎﻔﺘﺳا ﺖﺳردﺎﻧ يﺎﻫرﺎﺘﻓر حﻼﺻا ددﺮﮔ
] 31 [.
ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ﺎﻧاﻮﺗ ﯽﯾ
داﺮﻓا ياﺮﺑ لﺮﺘﻨﮐ و نﺎﻣرد ﻢﺋﻼﻋ ﻓﯿ ﺰﯾ ﮑ ﯽ و ﻧاور ﯽ ﺑﯿ يرﺎﻤ ﻦﻣﺰﻣ و ﻐﺗ ﯿﯿ ﺮ
اﺮﺷ ﯾ ﻂ ﮔﺪﻧز ﯽ ﻪﺑ رﻮﻈﻨﻣ ﮔﺪﻧز ﯽ ﺮﺘﻬﺑ ﺎﺑ اﺮﺷ ﯾ ﻂ دﻮﺟﻮﻣ .ﺖﺳا
ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ﺮﺛﺆﻣ ﻔﻣ و ﯿ ﺪ ياراد ﺎﻧاﻮﺗ ﯽﯾ ياﺮﺑ لﺮﺘﻨﮐ اﺮﺷ ﯾ ﻂ يﺎﻬﺨﺳﺎﭘ و
ﻧاور ﯽ
، يرﺎﺘﻓر و ﺘﺧﺎﻨﺷ ﯽ مزﻻ ياﺮﺑ دﻮﺒﻬﺑ ﮐﯿ ﻔﯿ ﺖ ﮔﺪﻧز ﯽ ﺪﻨﻤﻟﺎﺳ ﺖﺳا
] 13 [.
ﻞﮔ ﻧﺎﺸﻓا ﯽ و نارﺎﮑﻤﻫ
7
داد نﺎﺸﻧ ﯽﺘﺑﺎﯾد نارﺎﻤﯿﺑ يور ﺮﺑ ﻪﻌﻟﺎﻄﻣ ﻦﯾا ﺞﯾﺎﺘﻧ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻮﮕﻟا
ﯽﻣ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ5A دﺮﮔ
.د
ﺪﻣ ﯾ ناﺮ رﺎﺘﺳﺮﭘ ي ﺑﯿ ﺎﺘﺳرﺎﻤ ن ﺎﻫ و ﻧﯿ ﺰ ﻟﻮﺌﺴﻣ ﯿ ﻦ ﺶﺨﺑ ﺎﻫ ﻣ ﯽ ﺪﻨﻧاﻮﺗ ﻤﻫا ﯿ ﺖ
عﻮﺿﻮﻣ ﻪﻣﺎﻧﺮﺑ ﺪﻣ دﻮﺧ ﯾﺮ ﯾﺘ ﯽ ار رد ناﺪﻨﻤﻟﺎﺳ ﻼﺘﺒﻣ ﻪﺑ ﺖﺑﺎﯾد ﺪﻣ ﺮﻈﻧ
ﻪﺘﺷاد ﺪﻨﺷﺎﺑ و ﻨﭽﻤﻫ ﯿ ﻦ ﻣ ﯽ ﺪﻨﻧاﻮﺗ زا نارﺎﺘﺳﺮﭘ ﺪﻨﻫاﻮﺨﺑ رد ﻪﻣﺎﻧﺮﺑ ﺎﻫ ي
شزﻮﻣآ ﻪﺑ ﺑﯿ
،رﺎﻤ ﻪﻣﺎﻧﺮﺑ دﻮﺧ ﺪﻣ ﯾﺮ ﯾﺘ ﯽ ار ﺪﻨﻧﺎﺠﻨﮕﺑ و زا ﺪﯿﻔﻣ ﺐﻟﺎﻄﻣ
ﺷزﻮﻣآ ﯽ اﺮﺑ ي ناﺪﻨﻤﻟﺎﺳ ﻼﺘﺒﻣ ﻪﺑ ﺖﺑﺎﯾد هدﺎﻔﺘﺳا ﮐ
؛ﺪﻨﻨ ﺎﻣا رد ﻣز ﯿ ﻪﻨ ي
ﭘﯿ ﮕ ﯿﺮ ي ﻧﯿ ﺰ ﺎﺑﯾ ﺪ ﻪﻣﺎﻧﺮﺑ رﯾ ﺰ ي ﺎﻫ رد ﻣز ﯿ ﻪﻨ ي ﻟﺎﻌﻓ ﯿ ﺖ نارﺎﺘﺳﺮﭘ ﺖﺷاﺪﻬﺑ
ﻪﻌﻣﺎﺟ ترﻮﺻ ﮔﯿ دﺮ ﮐ ﻪ ﻢﻫ اﮐ ا نﻮﻨ ﯾ ﻦ ﻪﻠﺌﺴﻣ رد ﮐ رﻮﺸ ﺎﻣ ﮐ ﻢ ﮓﻧر ﺖﺳا
] 21 [ نارﺎﺘﺳﺮﭘ . ﻞﻏﺎﺷ
رد ﺑﯿ نﺎﺘﺳرﺎﻤ ﺎﻫ و هﺎﮕﻧﺎﻣرد ﺎﻫ و ﺰﮐاﺮﻣ ﻦﻤﺠﻧا
دﯾ ﺖﺑﺎ ﻣ ﯽ ﺪﻧاﻮﺗ سﺎﺳاﺮﺑ آﺮﻓ ﯾ ﺪﻨ ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ﻞﻤﻋ ﺪﻨﻨﮐ ﺎﺗ ﺑﯿ نارﺎﻤ ﺪﻧاﻮﺘﺑ
رد ﺮﻣا ﺖﺒﻗاﺮﻣ زا دﻮﺧ لﻼﻘﺘﺳا ﻪﺘﺷاد
،ﺪﻨﺷﺎﺑ ﻦﯾا ﺮﺑ هوﻼﻋ ﺑﯿ
نارﺎﻤ ﻼﺘﺒﻣ
ﻪﺑ دﯾ ﺰﯿﻧ ﺖﺑﺎ ﻣ ﯽ ﺪﻨﻧاﻮﺗ ﺎﺑ ﻪﻋﻮﻤﺠﻣ ا ي زا ﺎﻫرﺎﺘﻓر ﻞﺜﻣ ﻈﻨﺗ ﯿ ﻢ ژر ﯾ ﻢ اﺬﻏ ﯽﯾ
،
،شزرو فﺮﺼﻣ
،ﺎﻫوراد ﺎﭘدﻮﺧ ﯾ ﺸ ﯽ ﺪﻨﻗ نﻮﺧ و ﺖﺒﻗاﺮﻣ زا رﻮﻄﺑ ﺎﭘ ﻪﻧازور
ياﺮﺑ ﺘﺳد ﯿﺑﺎ ﯽ ﻪﺑ لﺮﺘﻨﮐ تﺎﻣاﺪﻗا ،نﻮﺧ ﺪﻨﻗ ﺮﺛﺆﻣ
مﺎﺠﻧا ار .ﺪﻨﻫد
نارﺎﺘﺳﺮﭘ ﻦﻤﺿ ﻢﻫاﺮﻓ ندروآ ﺖﺻﺮﻓ ﺖﮐرﺎﺸﻣ يﺎﻀﻋا لﺎﻌﻓ هداﻮﻧﺎﺧ
ﺑﯿ
،رﺎﻤ رد درﻮﻣ موﺰﻟ تﺎﻌﺟاﺮﻣ ﻢﻈﻨﻣ ﻪﺑ ﻠﮐ ﯿﻨ ﮏﯿ ﺖﻬﺟ لﺮﺘﻨﮐ
،نﻮﺧﺪﻨﻗ
مﺎﺠﻧا ﺎﻣزآ ﯾ ﺶ ﺎﻫ ﻞﺻاﻮﻓ رد ﻧﺎﻣز ﯽ ﺺﺨﺸﻣ و لﻮﺻا ﻟوا ﯿﻪ نﺎﻣرد دﯾ ﺖﺑﺎ
ﺖﻬﺟ ﭘﯿ ﮕﺸ ﯿ يﺮ زا زوﺮﺑ ضراﻮﻋ دﯾ ﺖﺑﺎ ار ﻪﺑ ﺑﯿ شزﻮﻣآ نارﺎﻤ .ﺪﻨﻫد
رد
ﺎﻬﻧ ﯾ ﺖ نارﺎﺘﺳﺮﭘ ﺶﻘﻧ ﻤﻬﻣ ﯽ ار رد ﺖﺒﻗاﺮﻣ زا ﺑﯿ نارﺎﻤ دﯾ ﺘﺑﺎ ﯽ ﻪﺑ هﺪﻬﻋ
ﺪﻧراد و رد نارﺎﻤﯿﺑ ﻪﺑ ﮏﻤﮐ لﻮﺌﺴﻣ ﺖﻬﺟ
ﺐﺴﮐ ﺶﻧاد و شﺮﮕﻧ مزﻻ
ياﺮﺑ ﺖﺳﺪﺑ ندروآ لﻼﻘﺘﺳا .ﺪﻨﺘﺴﻫ
ﺖﯾدوﺪﺤﻣ زا ﯽﻣ ﺶﻫوﮋﭘ ﻦﯾا يﺎﻫ
رد دﻮﺟﻮﻣ تﻼﮑﺸﻣ و ﻂﯾاﺮﺷ ﻪﺑ ناﻮﺗ
ﯽﻣ ﻪﮐ دﻮﻤﻧ هرﺎﺷا ناﺪﻨﻤﻟﺎﺳ ﯽﮔﺪﻧز ﻂﯿﺤﻣ ﺮﺑ ﻪﺘﺳاﻮﺧﺎﻧ ترﻮﺻ ﻪﺑ ﺪﻧاﻮﺗ
يزﺎﺳﺪﻨﻤﻧاﻮﺗ ﺪﺷﺎﺑ راﺬﮔﺮﯿﺛﺎﺗ ﺎﻬﻧآ
. ﻦﯿﻨﭽﻤﻫ رد اﯾ ﻦ ﺶﻫوﮋﭘ زا ﻪﻣﺎﻨﺸﺳﺮﭘ
اﺮﺑ ي ﺳرﺮﺑ ﯽ دﻮﺧ ﮐ ﺪﻣآرﺎ ي هدﺎﻔﺘﺳا هﺪﺷ ﺖﺳا ﮐ ﻪ لﺎﻤﺘﺣا شرﻮﺗ ﻪﺑ ﯾ دﺎ
دﻮﺟو ندروآ .دﻮﺑ ﺮﮕﺸﻫوﮋﭘ لﺮﺘﻨﮐ زا جرﺎﺧ ﻪﮐ ﺖﺷاد
اﺬﻟ ﺎﻫﺪﺣاو ي درﻮﻣ
ﺶﻫوﮋﭘ رد ﻮﮕﺨﺳﺎﭘ ﯽﯾ ﻪﺑ تارﺎﺒﻋ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻤﻣ ﮑ ﻦ دﻮﺑ رﺎﺘﻓر ﮑﯾ نﺎﺴ
ﻪﺘﺷاﺪﻧ .ﺪﻨﺷﺎﺑ
ﻪﺠﯿﺘﻧ يﺮﯿﮔ
ﯾ ﻪﺘﻓﺎ ﺎﻫ ﺮﺑ ﯽﻨﺘﺒﻣ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﻣﺎﻧﺮﺑ ﻪﮐ ﺖﺳا نآ زا ﯽﮐﺎﺣ ﻮﮕﻟا
ي 5A
ﻣ ﯽ ﺪﻧاﻮﺗ ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ يزﺎﺳﺪﻨﻤﻧاﻮﺗ .ﺪﻫد ﺶﯾاﺰﻓا ار
ﯾا ﺮﻣا ﻦ
ﻪﻣﺎﻧﺮﺑ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ زا هدﺎﻔﺘﺳا ﺪﯾﺆﻣ دﻮﺧ يﺰﯾر
يﺎﻫزﺎﯿﻧ ﺮﺑ ﻪﯿﮑﺗ ﺎﺑ هﺪﺷ
ﻼﺘﺒﻣ ناﺪﻨﻤﻟﺎﺳ ﻪﺑ
ﺖﺑﺎﯾد ﻪﺑ يﺎﻘﺗرا رﻮﻈﻨﻣ ناﺪﻨﻤﻟﺎﺳ يزﺎﺳﺪﻨﻤﻧاﻮﺗ
ﺖﺳا . ا ﺎﺠﻧآز ﺮﺑ ﯽﻨﺘﺒﻣ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ يﻮﮕﻟا ﯽﻟﻮﺻا ياﺮﺟا ﻪﮐ ﺎﺑ 5A
ﺮﺑ ﺪﯿﮐﺄﺗ ﺖﺑﺎﯾد ﺪﻨﻤﻟﺎﺳ ﻣ ﯽ ﺪﻧاﻮﺗ يزﺎﺳﺪﻨﻤﻧاﻮﺗ يﺎﻘﺗرا و دﻮﺒﻬﺑ ﻪﺑ نآ
ﺎﻫ
دﺮﮑﯾور ﻦﯾا ،ﺪﻣﺎﺠﻧﺎﯿﺑ ﻣ
ﯽ ﺪﻧاﻮﺗ رد ﺐﺳﺎﻨﻣ رﺎﮑﻫار ﻪﻣﺎﻧﺮﺑ
ﺎﻫ ي ﯽﺘﺒﻗاﺮﻣ
،نآ ﺮﺑ ﻪﯿﮑﺗ ﺎﺑ و ﺪﺷﺎﺑ ﻣ
ﯽ ناﻮﺗ دﻮﺒﻬﺑ ار يﺪﻨﻤﻟﺎﺳ نارود رد يزﺎﺳﺪﻨﻤﻧاﻮﺗ
ﺸﺨﺑ ﺪﯿ . هدﺎﻔﺘﺳا ﺎﺘﻧ زا ﯾ ﺞ اﯾ ﻦ ﻂﺳﻮﺗ ﻪﻌﻟﺎﻄﻣ نارﺎﺘﺳﺮﭘ
رد ﺣ ﯿ ﻪﻄ ﺎﻫ ﯽﯾ ﮐ ﻪ ﻪﺑ
ناﺪﻨﻤﻟﺎﺳ طﻮﺑﺮﻣ ﻣ ﯽ دﻮﺷ ﻣ ﯽ ﺪﻧاﻮﺗ اﺮﺑ ي ﺪﻋﺎﻘﺘﻣ ﮐ ندﺮ ﺑﯿ نارﺎﻤ ﻪﺑ مﺎﺠﻧا
ﻐﺗ ﯿﯿ تاﺮ رﺎﺘﻓر ي و ﺎﭘﯾ ﺪﻨﺒ ي ﻪﺑ ژر ﯾ ﻢ ﺎﻫ ي اﺬﻏ ﯽﯾ
، وراد ﯽﯾ و شزرو و ﻟﺎﻌﻓ ﯿ ﺖ
ﻓﯿ ﺰ ﯽﮑﯾ و رد ﺘﻧ ﯿ ﻪﺠ ﮐ لﺮﺘﻨ
،ﺖﺑﺎﯾد ﺐﺳﺎﻨﻣ و ﮐ ﺪﻣآرﺎ ﺪﺷﺎﺑ و زا شور ﻪﻣﺎﻧﺮﺑ
ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ﻣ5A ﯽ ﺪﻨﻧاﻮﺗ اﺮﺑ ي دﻮﺧ ﮐ ﺪﻣآرﺎ ي ﺑﯿ نارﺎﻤ رد ﺎﺳ ﯾﺮ ﺑﯿ رﺎﻤ ي
ﺎﻫ ي ﻦﻣﺰﻣ ﻧﯿ ﺰ هدﺎﻔﺘﺳا ﮐ زا .ﺪﻨﻨ ﺎﺠﻧآ ﯽﯾ ﯽﮑﯾ ﻪﮐ زا فاﺪﻫا ﺪﻣ ﯾﺮ ﯾ ﺖ
،يرﺎﺘﺳﺮﭘ ءﺎﻘﺗرا ﮐﯿ ﻔﯿ ﺖ تﺎﻣﺪﺧ يرﺎﺘﺳﺮﭘ و ﺐﻠﺟ ﺎﺿر ﯾ ﺖ ﺑﯿ نارﺎﻤ ،ﺖﺳا ﺎﺘﻧ
ﯾ ﺞ اﯾ ﻦ ﻪﻌﻟﺎﻄﻣ ﻣ ﯽ ﺪﻧاﻮﺗ ﻪﺑ ﺪﻣ ﯾ ناﺮ رد ﺪﻣ ﯾﺮ ﯾ ﺖ و شزﻮﻣآ ﻦﻤﺿ ﺖﻣﺪﺧ
نارﺎﺘﺳﺮﭘ ﺖﻬﺟ هدﺎﻔﺘﺳا ﺳو ﯿ زا ﻊ اﯾ ﻦ ﻪﻣﺎﻧﺮﺑ ﻤﮐ ﮏ ﺎﻤﻧ ﯾ .ﺪ ﻪﻣﺎﻧﺮﺑ ﺎﻫ ي
ﺪﻣ ﯾﺮ ﯾ ﺖ دﯾ ﺖﺑﺎ ﺎﺑ يرﺎﺘﺳﺮﭘ ﺚﻋﺎﺑ دﻮﺒﻬﺑ رد ﺎﺘﻧ ﯾ ﺞ دﯾ ﺖﺑﺎ و ضراﻮﻋ ﺶﻫﺎﮐ
ﺎﺑ لﺮﺘﻨﮐ ﻗد ﯿ ﻖ نﻮﺧﺪﻨﻗ ﻣ ﯽ دﻮﺷ .
ﻫﺎﮔآ ﯽ ﻮﺠﺸﻧاد ﯾ نﺎ رﺎﺘﺳﺮﭘ ي ﺪﻨﻤﻟﺎﺳ ي رد صﻮﺼﺧ ﺛﺄﺗ ﯿﺮ لﺪﻣ دﻮﺧ
ﺪﻣ ﯾﺮ ﯾﺘ ﯽ ﺮﺑ دﻮﺧ ﮐ ﺪﻣآرﺎ ي ناﺪﻨﻤﻟﺎﺳ ﻼﺘﺒﻣ ﻪﺑ ﺖﺑﺎﯾد و ﮐ ﻢ ﺰﻫ ﯾ ﻪﻨ ندﻮﺑ
اﯾ ﻦ شور و ﺮﺛا ﺸﺨﺑ ﯽ ﻻﺎﺑ ي نآ ﻣ ﯽ ﺪﻧاﻮﺗ ﻟد ﯿ ﻞ ﺑﻮﺧ ﯽ ﺪﺷﺎﺑ ﺎﺗ اﺮﺷ ﯾ ﻂ
ﺒﺳﺎﻨﻣ ﯽ اﺮﺑ ي شزﻮﻣآ ناﺪﻨﻤﻟﺎﺳ ﻢﻫاﺮﻓ .ددﺮﮔ اﺮﺑﺎﻨﺑ ﯾ ﻦ مزﻻ ﺖﺳا ﮐ ﻪ
شزﻮﻣآ ﻪﻣﺎﻧﺮﺑ ﺎﻫ ي ﺪﻣدﻮﺧ ﯾﺮ ﯾﺘ ﯽ ﻪﺑ ﺑﯿ
،نارﺎﻤ ﻪﺑ صﻮﺼﺧ ناﺪﻨﻤﻟﺎﺳ ﻼﺘﺒﻣ
ﻪﺑ ﺑﯿ رﺎﻤ ي ﻦﻣﺰﻣ رد ﮐ ﺐﺘ رﺎﺘﺳﺮﭘ ي هﺪﻧﺎﺠﻨﮔ ﻣا .دﻮﺷ ﯿ ﺪ ﺖﺳا ﮐ ﻪ اﺰﻓا ﯾ ﺶ
ﻫﺎﮔآ ﯽ ﻮﺠﺸﻧاد ﯾ نﺎ رﺎﺘﺳﺮﭘ ي رد عﻮﺿﻮﻣ شزﻮﻣآ دﻮﺧ ﺪﻣ ﯾﺮ ﯾﺘ ﯽ ﻪﺑ اﯾ ﻦ
داﺮﻓا اﺰﻓا ﺪﻧاﻮﺘﺑ ﯾ ﺶ ﺖﻣﻼﺳ ﻤﺴﺟ ﯽ و ﻧاور ﯽ اﯾ ﻦ هوﺮﮔ زا داﺮﻓا ﻪﻌﻣﺎﺟ و رد
ﺎﻬﻧ ﯾ ﺖ سﺎﺴﺣا ﺎﺿر ﯾ ﺪﻨﻣ ﺖ ي زا ﮔﺪﻧز ﯽ نﺎﻧآ ﻪﺑ ار لﺎﺒﻧد ﻪﺘﺷاد .ﺪﺷﺎﺑ
بﺎﺨﺘﻧا ﺤﺻ ﯿ ﺢ ﻧﯿ ﺪﻨﻣزﺎ ﺶﻧاد و ﻪﺑﺮﺠﺗ .ﺖﺳا ﻤﻫا ﯿ ﺖ و تروﺮﺿ شزﻮﻣآ ﻪﺑ
ﺑﯿ رﺎﻤ رد يﺎﻘﺗرا ﺪﻣ ﯾﺮ ﯾ نﺎﻣرد ﺖ ﺐﺒﺳ هﺪﺷ ﺎﺗ ﻪﺑ شزﻮﻣآ ﻪﺑ ناﻮﻨﻋ يﺮﺼﻨﻋ
ﺶﺨﺑﺮﺛا رد ﺪﻣ ﯾﺮ ﯾ ﺖ دﯾ ﺖﺑﺎ هﺎﮕﻧ
،دﻮﺷ ﻪﮐ ﺘﺻﺮﻓ ﯽ ﻢﻫاﺮﻓ ار ﻣ ﯽ ﺪﻨﮐ ﺎﺗ رد
رﺎﻨﮐ ﺴﺑ ﯿ يرﺎ زا ﭘﯿ يﺎﻫﺪﻣﺎ
،ﺖﺒﺜﻣ ﺎﺑ ﻤﮐ ﮏ ﻪﺑ ﭘﯿ ﮕﺸ ﯿ يﺮ زا زوﺮﺑ و تﺪﺷ
ضراﻮﻋ وﺑ ﯿ رﺎﻤ ي ﺎﻫ ي
،هاﺮﻤﻫ زا رﺎﺑ ﻟﺎﻣ ﯽ دﯾ ﺖﺑﺎ ﺮﺑ ﺑﯿ
،رﺎﻤ هداﻮﻧﺎﺧ و ﺳ ﯿ ﻢﺘﺴ
ﺘﺷاﺪﻬﺑ ﯽ .ﺪﻫﺎﮑﺑ ﯽﻗﻼﺧا تﺎﻈﺣﻼﻣ قﻼﺧا ﺪﮐ ﺎﺑ ناﺮﻬﺗ ﺪﻫﺎﺷ ﯽﯾﺎﻣﺎﻣ يرﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد بﻮﺼﻣ ﻪﻟﺎﻘﻣ ﻦﯾا 1397,051 IR.Shahwed.REC.
ﺎﺑ ﯽﻨﯿﻟﺎﺑ ﯽﯾﺎﻣزآرﺎﮐ ﺰﮐﺮﻣ رد و
ﺖﺒﺛﺪﮐ 19 20110912007529N ﻣIRCT
ﯽ ﺪﺷﺎﺑ ﻦﯾا رد ﻦﯿﻨﭽﻤﻫ .
ﺮﭘ زا ﺪﻌﺑ ﻪﻧﺎﻫﺎﮔآ ترﻮﺻ ﻪﺑ نﺎﮔﺪﻨﻨﮐ ﺖﮐﺮﺷ ﯽﻣﺎﻤﺗ ﻪﻌﻟﺎﻄﻣ ﮐ ندﻮﻤﻧ
ﯽﺒﺘ
ﺪﻧدﻮﻤﻧ ﺖﮐﺮﺷ ﺶﻫوﮋﭘ ﻦﯾا رد ﻪﻧﺎﻫﺎﮔآ ﺖﯾﺎﺿر مﺮﻓ .
ﯽﻟﺎﻣ ﺖﯾﺎﻤﺣ .ﺖﻓﺮﮔ ترﻮﺻ ﺪﻫﺎﺷ هﺎﮕﺸﻧاد ﯽﻟﺎﻣ ﺖﯾﺎﻤﺣ ﺎﺑ ﺶﻫوﮋﭘ ﻦﯾا نﺎﮔﺪﻨﺴﯾﻮﻧ ﻢﻬﺳ ﻪﻟﺎﻘﻣ ﻦﺘﺷﻮﻧ و ﺶﻫوﮋﭘ ﻦﯾا مﺎﺠﻧا رد ﯽﻧﺎﺸﻓا ﻞﮔ ﯽﻗدﺎﺻ هﺪﺋﺎﻣ ﻢﻧﺎﺧ مﺎﺠﻧا رد ﺎﻤﻨﻫار دﺎﺘﺳا ناﻮﻨﻌﺑ هژر ﺪﯿﻫﺎﻧ ﺮﺘﮐد ﻢﻧﺎﺧ .ﺪﻧدﻮﻤﻧ ﺖﮐرﺎﺸﻣ ﻦﯾا يوﺮﻫ هﺪﯿﺠﻣ ﺮﺘﮐد ﻢﻧﺎﺧ .ﺪﻧدﻮﻤﻧ ﺖﮐرﺎﺸﻣ ﻪﻟﺎﻘﻣ ﻦﺘﺷﻮﻧ و ﺶﻫوﮋﭘ و ﯽﺑدا رﺎﺘﺳاﺮﯾو ناﻮﻨﻌﺑ ﻪﻟﺎﻘﻣ ﻦﯾا رد روﺎﺸﻣ دﺎﺘﺳا ناﻮﻨﻌﺑ يﻮﻤﯾﺮﮐ رد ﺰﯿﻧ ﯽﺴﯾرﺪﺗ دوواد ﺪﯿﺳ يﺎﻗآ .ﺪﻧدﻮﻤﻧ يرﺎﮑﻤﻫ لواﺪﺟ ﺶﯾاﺮﯾو ﻦﺘﺷﻮﻧ و ﻞﯿﻠﺤﺗ ﯾ
ﻪﺘﻓﺎ ﺎﻫ ي .ﺪﻧدﻮﺑ ﻞﯿﺧد ﻪﻟﺎﻘﻣ ﻦﯾا
ﻊﻓﺎﻨﻣ دﺎﻀﺗ ﭻﯿﻫ ﺳﻮﺗ ﻊﻓﺎﻨﻣ ضرﺎﻌﺗ ﻪﻧﻮﮔ .ﺖﺳا هﺪﺸﻧ نﺎﯿﺑ نﺎﮔﺪﻨﺴﯾﻮﻧ ﻂ
ﻪﻌﻟﺎﻄﻣ ﯽﻠﻤﻋ دﺮﺑرﺎﮐ داد نﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ ﺞﯾﺎﺘﻧ ﻪﻣﺎﻧﺮﺑ
ﺎﻫ ي دﺎﺠﯾا ﺶﯾاﺰﻓا ﺎﺑ رﺎﻤﯿﺑ ﻪﺑ شزﻮﻣآ
ﯽﺘﺑﺎﯾد ﺪﻨﻤﻟﺎﺳ نارﺎﻤﯿﺑ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ و هﺰﯿﮕﻧا ﻣ
ﯽ ﺪﻧاﻮﺗ ﺮﺑ هوﻼﻋ
ﺐﺟﻮﻣ نارﺎﻤﯿﺑ رد يزﺎﺳﺪﻨﻤﻧاﻮﺗ يزﺎﺳﺪﻨﻤﻧاﻮﺗ دﻮﺒﻬﺑ
ﯽﺘﺑﺎﯾد ناﺪﻨﻤﻟﺎﺳ
.ددﺮﮔ
ﺮﺸﻧ ﯾ ﻪ ﺸﺨﺒﻧاﻮﺗ ﺶﻫوﮋﭘ ﯽ
رﺎﺘﺳﺮﭘ رد ي هرود ، 7 هرﺎﻤﺷ ، 2 ، نﺎﺘﺴﻣز 1399
8
ﯽﻧادرﺪﻗ و ﺮﮑﺸﺗ ﯽﺗﺎﻘﯿﻘﺤﺗ حﺮﻃ ﻦﯾا ﻞﺻﺎﺣ
ﺪﺷرا ﯽﺳﺎﻨﺷرﺎﮐ ﻪﻣﺎﻧ نﺎﯾﺎﭘ يرﺎﺘﺳﺮﭘ
ﯽﻣ ﺪﻫﺎﺷ هﺎﮕﺸﻧاد ﯽﯾﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ هﺪﮑﺸﻧاد يﺪﻨﻤﻟﺎﺳ ﺤﻣ ﻪﮐ ﺪﺷﺎﺑ
ﻖﻘ ﯽﻣ مزﻻ دﻮﺧ ﺮﺑ
ﻪﯿﻠﮐ زا ﺪﻧاد ﺖﺑﺎﯾد ﻪﺑ ﻼﺘﺒﻣ داﺮﻓا
ﻨﯿﻠﮐ ﻦﯿﻟﻮﺌﺴﻣ و ﮏﯿ
لﺎﻤﮐ ﺪﻧدﻮﻤﻧ يرﺎﮑﻤﻫ حﺮﻃ ﻦﯾا ياﺮﺟا رد ﻪﮐ ﺮﻬﺸﻤﺋﺎﻗ يزار ﺖﺑﺎﯾد ﯽﻧادرﺪﻗ و ﺮﮑﺸﺗ آ ﻞﻤﻋ ﻪﺑ
.درو References
1. Zhu TH, Mooi CS, Shamsuddin NH, Mooi CS. Diabetes empowerment scores among type 2 diabetes mellitus patients and its correlated factors: A cross-sectional study in a primary care setting in Malaysia. World J Diabetes.
2019;10(7):403-13. doi: 10.4239/wjd.v10.i7.403 pmid:
31363387
2. Parsaee M, Sahbaei F, Hojjati H. Effect of Extended Parallel Process Pattern on Diet Adherence in Type II Diabetic Patients. J Diabet Nurs. 2019;7(4):958-67.
3. Tajari M, Akhoundzadeh G, Hojjati H. Educational Effect of Short Message Service and Telegram Reminders on Adherence to the Diet in Teenagers with Type I Diabetes in Gorgan 2018. J Diabet Nurs. 2019;7(2):764-74.
4. Moradi M, Nasiri M, Jahanshahi M, Hajiahmadi M. The effects of a self-management program based on the 5A model on self-efficacy among older men with hypertension. (Persian). Nurs Midwife Stud.
2019;8(1):21-7. doi: 10.4103/nms.nms_97_17 5. Vares Z, Asayesh H, Aliakbarzade arani Z, Sharififard F.
Related factors in the quality of life of elderly diabetics.
Iran J Diabet Metabol. 2017;16(5):261-8.
6. Schernthaner G, Schernthaner-Reiter MH. Diabetes in the older patient: heterogeneity requires individualisation of therapeutic strategies. Diabetologia. 2018;61(7):1503- 16. doi: 10.1007/s00125-018-4547-9 pmid: 29417185 7. Bagheri M, Bagheri M, Niknami S. The Effect of
Educational Intervention on Knowledge and Self-Care of Elderly People with Type 2 Diabetes. (Persian). J Gerontol. 2019;3(2):21-30. doi: 10.29252/joge.3.2.21 8. Taghipour A, Moshki M, Mirzaei N. Determination of
Effective Factors on Self-care Behaviors in Women with Diabetes Referring to Mashhad Health Centers.
(Persian). Iran J Health Educat Health Promot.
2017;5(4):328-35. doi:
10.30699/acadpub.ijhehp.5.4.320
9. Taher M, Abredari H, Karimy M, Rahmati M, Atarod M, Azaepira H. The Assessment of Social Support and Self- Care Requisites for Preventing Diabetic Foot Ulcer in Diabetic Foot Patients. (Persian). J Educat Communit Health. 2016;2(4):34-40. doi: 10.21859/jech-02045 10. Alirezaei Shahraki R, Aliakbari Kamrani A, Sahaf R,
Abolfathi Momtaz Y. Effects of Nationwide Program for Prevention and Control of Diabetes Initiated by the Ministry of Health on Elderly Diabetic Patients' Knowledge, Attitude and practice in Isfahan. (Persian).
Salmand. 2019;14(1):84-95. doi: 10.32598/SIJA.14.1.84 11. Zare M, Alipour A, Shayeghan Z, Khaleghi Delavar F,
Shahriari H, Amirabadi F. The Evaluation of Psychometric Properties of Diabetes Empowerment Scale. (Persian). Health Psychol. 2013;11(3):1-10.
12. Masoodi M, Nosratabadi M, Halvaiepour Z, Yousefi S, Karimi M. Exploring the empowerment index and its
related factors in type 2 diabetes patients in Sirjan city.
Med J Mashhad Univ Med Sci. 2016;59(1):56-63.
13. Hara Y, Iwashita S, Okada A, Tajiri Y, Nakayama H, Kato T, et al. Development of a novel, short, self-completed questionnaire on empowerment for patients with type 2 diabetes mellitus and an analysis of factors affecting patient empowerment. Biopsychosoc Med. 2014;8:19.
doi: 10.1186/1751-0759-8-19 pmid: 25183994 14. Angwenyi V, Aantjes C, Kajumi M, De Man J, Criel B,
Bunders-Aelen J. Patients experiences of self-management and strategies for dealing with chronic con
