ﻪﻣﺍﺮﺧ ﻱﺮﻫﺎﻃ ﺍﺮﻫﺯ
،١
ﻱﻮﻤﻳﺮﻛ ﻱﻭﺮﻫ ﻩﺪﻴﺠﻣ
∗
،٢
ﻩﮊﺭ ﺪﻴﻫﺎﻧ ﻲﺟﺎﺣ ﻢﻴﻫﺍﺮﺑﺍ ،٢
٣ﻩﺩﺍﺯ ﻱﺮﻈﺘﻨﻣ ﻲﻠﻋ،
٤
١ . ﻩﻭﺮﮔ ﻱﺭﺎﺘﺳﺮﭘ ﺪﻫﺎﺷ ﻩﺎﮕﺸﻧﺍﺩ ،
٢ . ﻩﻭﺮﮔ ﺎﺘﺳﺮﭘ
،ﻱﺭ ﻩﺪﻜﺸﻧﺍﺩ
،ﻱﺭﺎﺘﺳﺮﭘ ﻩﺎﮕﺸﻧﺍﺩ ﺪﻫﺎﺷ ﻭ ﺰﻛﺮﻣ ﺕﺎﻘﻴﻘﺤﺗ ﺖﻳﺮﻳﺪﻣ ﺵﺯﻮﻣﺁﻭ
،ﻮﺟﺩﺪﻣ ﻩﻭﺮﮔ ﺖﻣﻼﺳ ﻱﺪﻨﻤﻟﺎﺳ
۳ . ﻩﻭﺮﮔ ﺭﺎﻣﺁ
،ﻲﺘﺴﻳﺯ ﻩﺎﮕﺸﻧﺍﺩ ﺑﺮﺗ ﻴ ﺱﺭﺪﻣ ﺖ
۴ . ﮔ ﻩﻭﺮ ﺖﻣﻼﺳ
،ﻥﺍﻭﺭ ﺰﻛﺮﻣ ﺕﺎﻘﻴﻘﺤﺗ ﺶﺠﻨﺳ
،ﺖﻣﻼﺳ ﻩﺪﻜﺸﻫﻭﮋﭘ ﻡﻮﻠﻋ
ﻲﺘﺷﺍﺪﻬﺑ ﺩﺎﻬﺟ ﻲﻫﺎﮕﺸﻧﺍﺩ
ﻝﺎﺳ ﻢﻫﺩﺯﺍﻭﺩ ﻩﺭﺎﻤﺷ ﻝﻭﺍ ﻔﺳﺍ ـ ﻦﻤﻬﺑ ﺪﻨ ١٣٩١ ﺺﺻ ٨٧ - ٧٩
: 3 / 10 / 1391
] ! " #
$ 13
%&
91 [
ﻩﺪﻴﻜﭼ ﺶﻫﻭﮋﭘ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻱﺍ ﺵﻭﺭ ﺖﺳﺍ ﻲﺘﺧﺎﻨﺷ ﻌﺗ ﻭ ﻪﻤﺟﺮﺗ ﻑﺪﻫ ﺎﺑ ﻪﮐ
ﻴﻴ ﺍﻭﺭ ﻦ ﻲﻳ ﺎﭘ ﻭ ﻳﺎ ﻲﻳ ﻪﻣﺎﻨﺸﺳﺮﭘ ٥
ﻭ ﻱﺪﻌﺑ ١٩ ﻪﻳﻮﮔ ﮐ ﺶﺠﻨﺳ ﻱﺍ ﻴ
ﻔ ـﻴ ﺖ
ﮋﻧﺁ ﻪﺑ ﻼﺘﺒﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻲﮔﺪﻧﺯ ﻳ
ﺭﺪﺻ ﻦ ﻱ (Seattle Angina Questionnaire) ﻡﺎﺠﻧﺍ
ﺖﺳﺍ ﻪﺘﻓﺮﮔ ﺮﺑ ﻪﻤﺟﺮﺗ ،ﺭﺍﺰﺑﺍ ﺡﺍﺮﻃ ﺯﺍ ﺯﻮﺠﻣ ﺐﺴﮐ ﺯﺍ ﺲﭘ.
ﺑ ﻩﮊﻭﺮﭘ ﻞﮑﺗﻭﺮﭘ ﺱﺎﺳﺍ ﻴ
ﻦ ﻠﻠﻤﻟﺍ ﻲ ﺯﺭﺍ ﻳ ﺑﺎ ﻲ ﮐ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﺖﻓﺮﮔ ﻡﺎﺠﻧﺍ .
ﺍﻭﺭ ﺲﭙﺳ ﻲﻳ ﺭﻮﺻ ﻱ ﮐﻼﻣ ﻭ ﻩﺯﺎﺳ ،ﺍﻮﺘﺤﻣ ، ﻲ
ﻌﺗ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻴﻴ
ﺩﺮﮔ ﻦ ﻳ ﺪ . ﻪـﺑ
ﻌﺗ ﺭﻮﻈﻨﻣ ﻴﻴ ﺍﻭﺭ ﻦ ﻲﻳ ﻩﻭﺮﮔ ﻪﺴﻳﺎﻘﻣ ﺯﺍ ﻩﺯﺎﺳ ﻩﺪﺷ ﻪﺘﺧﺎﻨﺷ ﻱﺎﻫ
) ﻥﺍﺭﺎﻤﻴﺑ ﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﻥﻭﺪﺑ ﻭ ﺎﺑ ﻴ
ﻪﻨ ( ﺍﺮﺑ ﻭ ﻱ ﻌﺗ ﻴﻴ ﺍﻭﺭ ﻦ ﻲﻳ ﮐﻼﻣ ﻲ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﺯﺍ ،
ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ SF36 .
ﻌﺗ ﻴﻴ ﺎﭘ ﻦ ﻳﺎ ﻳ ﻠﺤﺗ ﺎﺑ ﺭﺍﺰﺑﺍ ﻲ ﻴ
ﻧﺎﺴﻤﻫ ﻞ ﻲ ﻧﻭﺭﺩ ﻲ ﺪﺷ ﻡﺎﺠﻧﺍ ﻥﻮﻣﺯﺁ ﺯﺎﺑ ﻥﻮﻣﺯﺁ ﺵﻭﺭ ﻭ .
ﺍ ﻪﺑ ﻳ ﺭﻮـﻈﻨﻣ ﻦ ١٠٠
ﺭﺎـﻤﻴﺑ ﻪـﺑ ﻼﺘـﺒﻣ
ﮋﻧﺁ ﻳ ﺭﺪﺻ ﻦ ﻱ ﺮﺘﺴﺑ ﻱ ﻳ ﺎﭘﺮﺳ ﺎ ﻲﻳ ﻪﻌﺟﺍﺮﻣ ﺷﺯﻮﻣﺁ ﺰﮐﺮﻣ ﻭﺩ ﻪﺑ ﻩﺪﻨﻨﮐ ﻲ
ﻧﺎﻣﺭﺩ ﻲ ﺘﻨﻣ ﺪﻧﺩﻮﻤﻧ ﺖﮐﺮﺷ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ،ﻢﻗ ﺮﻬﺷ ﺐﺨ .
ﺎﺘﻧ ﻳ ﺞ ﻪﺴﻳﺎﻘﻣ ﻞﻴﻠﺤﺗ
ﻩﻭﺮﮔ ﻱﺎﻫ ﻪﺘﺧﺎﻨﺷ ﻩﺪﺷ ﻥﺎﺸﻧ ﻪﻛ ﺩﺍﺩ ﻣ ﻴ ﮕﻧﺎ ﻴ ﮐ ﻦ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﺑﻴ ﺳ ﻪﺴﻔﻗ ﺖﻣﻼﻋ ﺩﺭﺩ ﻥﻭﺪﺑ ﻥﺍﺭﺎﻤ ﻴ
ﺭﺩ ﻪﻨ ﻲﻣﺎﻤﺗ ﺩﺎﻌﺑﺍ ﺑ ﺭﺩ ﻭ ﺮﺗﻻﺎـﺑ ﻴ
ﺩﺎـﻌﺑﺍ ﺮﺘـﺸ
ﻨﻌﻣ ﻲ ﺩﻮﺑ ﺭﺍﺩ . ﮕﺘﺴﺒﻤﻫ ﻲ ﻨﻌﻣ ﻭ ﻻﺎﺑ ﻲ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻭﺩ ﺯﺍ ﻞﺻﺎﺣ ﺕﺍﺮﻤﻧ ﺮﺜﮐﺍ ﻦﻴﺑ ﺭﺍﺩ ﻭSAQ
SF-36 ﮐﻼﻣ ﻲﻳﺍﻭﺭ ﻲ
ﺩﺭﻮﻣ ﺍﺭ ﻥﻮﻣﺯﺁ ﺪﻴﻳﺄﺗ
ﺩﺍﺩ ﺭﺍﺮﻗ .
ﻱﺎﻔﻟﺁ ﺥﺎﺒﻧﻭﺮﮐ ﺩﻭﺪﺤﻣ ﺭﺩ ٥٩
/ ٠ ﺎﺗ ٨٥ / ٠ ﺐﻳﺮﺿ ﻭ ﻲﻳﺎﻳﺎﭘ ﻥﻮﻣﺯﺁ ﺩﺪﺠﻣ ) (ICC ﺭﺩ ﻭﺩ ﺭﺎﺑ ﺍﺮﺟﺍ ﻭ ﻪﺑ ﻪﻠﺻﺎﻓ ۲ ﺑ ﺩﺎـﻌﺑﺍ ﻡﺎـﻤﺗ ﺭﺩ ،ﻪﺘﻔﻫ ﻴ
ﺯﺍ ﺮﺘـﺸ
٩٠ / ٠ ﺩﻮﺑ ﺱﺎﺳﺍ ﺮﺑ. ﻳ ﻪﺘﻓﺎ ﺎﻫ ﻱ ﺍﻳ
،ﻪﻌﻟﺎﻄﻣ ﻦ ﺭﺍﺰﺑﺍSAQ
ﻱ ﺎﭘ ﻳ ﻣ ﻭ ﺖﺳﺍﻭﺭ ﻭ ﺎ ﻲ
ﺯﺍﺪﻧﺍ ﺖﻬﺟ ﺪﻧﺍﻮﺗ ﻩ
ﮔ ﻴ ﺮ ﻱ ﭘﻴ ﺶﺨﺑ ﺭﺩ ﺖﻣﻼﺳ ﺪﻣﺎ ﺎﻫ
ﻱ ـﺸﻫﻭﮋﭘ ﻲ ﻭ
ﻧﺎﻣﺭﺩ ﻲ ﮔ ﺭﺍﺮﻗ ﻪﺟﻮﺗ ﺩﺭﻮﻣ ﻴ
ﺩﺮ . ﺩﺎﻬﻨﺸﻴﭘ ﻲﻣ ﺩﻮﺷ ﺕﺎﻌﻟﺎﻄﻣ ﺭﺩ
،ﻲﺗﺁ ﻭﺭ ﺮﺑ ﻥﺎﻘﻘﺤﻣ ﻱ
ﻪﻧﻮﻤﻧ ﺎﻫ ﻱ ﺑﻴ ﺮﺘﺸ ﺎﻬﻫﻭﺮﮔ ﻭ ﻱ ﺑ ﻒﻠﺘﺨﻣ ﻴ ﺭﺎﻤ ﻱ ﺎـﻫ ﻱ ﻕﻭﺮـﻋ
ﺪﻨﺷﺎﺑ ﻪﺘﺷﺍﺩ ﺰﮐﺮﻤﺗ ﺮﻧﻭﺮﮐ .
ﻩﮊﺍﻭﺪﻴﻠﮐ ﻪﻤﺟﺮﺗ:
، ﻲﻳﺎﻳﺎﭘ ﻭ ﻲﻳﺍﻭﺭ
، ﻱﺭﺪﺻ ﻦﻳﮋﻧﺁ ،ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ
ﻩﺪﻨﺴﻳﻮﻧ∗
ﻮﮕﺨﺳﺎﭘ :
،ﻥﺍﺮﻬﺗ ﻢﻴﺣﺭ ﺖﻤﺣﺭ ﺪﻴﻬﺷ ﻪﭼﻮﻛ ،ﻲﻧﺎﻘﻟﺎﻃ ﻪﺑ ﻩﺪﻴﺳﺮﻧ ،ﺮﺼﻌﻴﻟﻭ ﻥﺎﺑﺎﻴﺧ ﻙﻼﭘ ،ﻩﺩﺍﺯ
۶ ﺪﻫﺎﺷ ﻩﺎﮕﺸﻧﺍﺩ ،ﻲﻳﺎﻣﺎﻣ ﻭ ﻱﺭﺎﺘﺳﺮﭘ ﻩﺪﻜﺸﻧﺍﺩ ،
ﻦﻔﻠﺗ : ٦٦٤١٨٥٩٠ E-mail: [email protected]
٨٠
ﻪﻣﺪﻘﻣ ﻝﺎﺣ ﺭﺩ ﻱﺭﺎﻤﻴﺑ ﺮﺿﺎﺣ ﻊﻳﺎﺷ ﺯﺍ ﻕﻭﺮﻋ ﻭ ﺐﻠﻗ ﻱﺎﻫ
ﻱﺭﺎـﻤﻴﺑ ﻦﻳﺮـﺗ ﻱﺎـﻫ
ﻲﻣ ﺏﻮﺴﺤﻣ ﻱﺮﺸﺑ ﻊﻣﺍﻮﺟ ﺭﺩ ﺩﻮﺟﻮﻣ ﺭﺩ ﻥﺍﺭﺎـﻤﻴﺑ ﻦـﻳﺍ ﺩﺍﺪـﻌﺗ ﻭ ﺩﻮﺷ
ﻪﻫﺩ ﺖﺳﺍ ﺶﻳﺍﺰﻓﺍ ﻪﺑ ﻭﺭ ﺮﻴﺧﺍ ﻱﺎﻫ ]
١ [.
ﻱﺭﺎﻤﻴﺑ ﺖﻠﻋ ﻲﻗﻭﺮﻋ ﻲﺒﻠﻗ ﻱﺎﻫ
ﻣ ﺎﻴﻧﺩ ﻞﻛ ﺭﺩ ﺮﻴﻣ ﻭ ﮒﺮﻣ ﻲﻠﺻﺍ ﻲ
ﺩﻭﺪـﺣ ﻪـﻛ ﻱﺭﻮـﻃ ﻪـﺑ ،ﺪﻨـﺷﺎﺑ ١٦
ﻱﺭﺎﻤﻴﺑ ﺖﻠﻋ ﻪﺑ ﺎﻴﻧﺩ ﺭﺩ ﮒﺮﻣ ﻥﻮﻴﻠﻴﻣ ﻲـﻣ ﻕﺎـﻔﺗﺍ ﻱﺮﻧﻭﺮﻛ ﻕﻭﺮﻋ
ﺪـﺘﻓﺍ
ﻪﻛ ٨٢ ﺪﺻﺭﺩ ﻲـﻣ ﻩﺪﻫﺎﺸﻣ ﻪﻌﺳﻮﺗ ﻝﺎﺣ ﺭﺩ ﻱﺎﻫﺭﻮﺸﻛﺭﺩ ﻥﺁ ﺩﻮـﺷ
. ﺎـﺗ
ﻝﺎﺳ ٢٠٢٠ ﺎﺑ ﻲﻗﻭﺮﻋ ﻲﺒﻠﻗ ﻱﺎﻬﻳﺭﺎﻤﻴﺑ ٢٠
ﺖـﻠﻋ ﻦﻴﻟﻭﺍ ،ﮒﺮﻣ ﻥﻮﻴﻠﻴﻣ
ﺩﻮﺑ ﺪﻫﺍﻮﺧ ﺎﻴﻧﺩ ﺭﺩ ﻲﻧﺍﻮﺗﺎﻧ ﻭ ﮒﺮﻣ ]
٢ [.
ﺍ ﺭﺩ ـﻳ ﻧ ﻥﺍﺮ ـﻴ ﺑ ﺰ ﻴ ﺭﺎـﻤ ﻱ ﻕﻭﺮـﻋ
ﺮﻧﻭﺮﮐ ﻳ ﮑ ﻲ ﻻﺩ ﺯﺍ ﻳ ﻣ ﻭ ﮒﺮﻣ ﻩﺪﻤﻋ ﻞ ﻴ
ﻧﺍﻮﺗﺎﻧ ﻭ ﺮ ﻲ ﻭ ﻩﺪـﺷ ﺏﻮـﺴﺤﻣ ﺭﺩ
ﻟﻭﺍ ﺮﺿﺎﺣ ﻝﺎﺣ ﻴ
ﻣ ﻭ ﮒﺮﻣ ﺖﻠﻋ ﻦ ﻴ
ﻻﺎﺑ ﺩﺍﺮﻓﺍ ﺭﺩ ﺮ ﻱ
٣٥ ـﻣ ﻝﺎﺳ ﻲ ﺪـﺷﺎﺑ
] ٣ [.
ﺭﺪﺻ ﻦﻳﮋﻧﺁ ،ﺮﻧﻭﺮﮐ ﻕﻭﺮﻋ ﻱﺎﻬﻳﺭﺎﻤﻴﺑ ﻥﺎﻴﻣ ﺭﺩ ﻱ
ﻣ ﺭﺩ ـﻴ ﻡﺩﺮـﻣ ﻥﺎ
ﺎﺷ ﻳ ﺮﻣﺁ ﺭﺩ ،ﺖﺳﺍ ﻊ ﻳ
ﺎﮑ ٨ / ٦ ﻣ ﻴﻠ ﻴ ﺪﻨﺘـﺴﻫ ﻼﺘـﺒﻣ ﻥﺁ ﻪـﺑ ﺮـﻔﻧ ﻥﻮ .
ﺍ ـﻳ ﻦ
ﺑﻴ ﺭﺎﻤ ﻱ ﮔﺩﺮﺸﻓ ﺱﺎﺴﺣﺍ ﺎﺑ ﻲ
ﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﻭ ﻴ
ﺘﻧ ﺭﺩ ﻪﻨ ﻴ ﻝﺩﺎﻌﺗ ﻡﺪﻋ ﻪﺠ
ﺎﺿﺎﻘﺗ ﻭ ﻥﻮﺧ ﻪﺿﺮﻋ ﻱ
ﺍ ﺴﮐ ﻴ ﮕﻨﺗ ﻝﺎﺒﻧﺩ ﻪﺑ ﻥﮋ ﻲ
ﺳﻭ ﻪﺑ ﺮﻧﻭﺮﮐ ﻕﻭﺮﻋ ﻴ
ﻪﻠ
ﺎﺿ ﻳ ﺗﺮﻠﮑﺳﺍﻭﺮﺗﺁ ﻪﻌ ﻴ
ﻣ ﺺﺨﺸﻣ ﮏ ﻲ
ﺩﻮﺷ ] ٤ [ ﻫﺎﻣ ﻦﺘﺷﺍﺩ ﺎﺑ ﻭ ﻴ
ﻦﻣﺰﻣ ﺖ
ﻥﺍﻮﺗﺎﻧ ﻭ ﻼﻋ ﻭ ﻩﺪﻨﻨﮐ ﻳ
ﮋﻧﺁ ﻢ ﻳ ﻟﺎﻌﻓ ﻞﻤﺤﺗ ﻡﺪﻋ ﻭ ﻦ ﻴ
ﮐ ﺮﺑ ﺖ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ
ﺍﻳ ﺑ ﻦ ﻴ ﺗ ﻥﺍﺭﺎﻤ ﺄﺛ ﻴ ﻔﻨﻣ ﺮ ﻲ ﻣ ﻲ ﺩﺭﺍﺬـﮔ ] ٥ [.
ﺭﺎـﺑ ﺮـﺑ ﻩﻭﻼـﻋ ﺐـﻴﺗﺮﺗ ﻦﻳﺪـﺑ
ﺍ ،ﻱﺩﺎﺼﺘﻗﺍ ﻭ ﻲﻨﻴﻟﺎﺑ ﻳ
ﺑ ﻦ ﻴ ﺭﺎﻤ ﻱ ﺪﻧﺯ ﺖﻴﻔﻴﻛ ﺍﺭ ﻲﺘﻣﻼـﺳ ﻪﺑ ﻪﺘﺴﺑﺍﻭ ﻲﮔ
ﻤﻫﺍ ﻭ ﻩﺩﺍﺩ ﺭﺍﺮـﻗ ﺪـﻳﺪﻬﺗ ﺩﺭﻮـﻣ ﻼﺘﺒﻣ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ـﻴ
ﺢﻄـﺳ ﻲـﺳﺭﺮﺑ ﺖ
ﻲـﻣ ﺭﺎﻜﺷﺁ ﻥﺍﺭﺎﻤﻴﺑ ﻦﻳﺍ ﺭﺩ ﺍﺭ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﺩﺯﺎـﺳ
. ﮐ ﻴ ﻔ ـﻴ ﮔﺪـﻧﺯ ﺖ ﻲ
ﻨﺘﺒﻣ ﻲ ﺍﺮـﺷ ﺯﺍ ﺖـﺴﺗﺭﺎﺒﻋ ﺖﻣﻼـﺳ ﺮـﺑ ﻳ
ﻄ ﻲ ﺑ ﻥﺁﺭﺩ ﻪـﮐ ﻴ
ﺮـﻈﻧ ﺯﺍ ﺭﺎـﻤ
ﻔﻃﺎﻋ ﻲ ﻋﺎﻤﺘﺟﺍ ، ﻲ ﻓ ﺩﺮﮑﻠﻤﻋ ﻭ ﻴ
ﺰ ﻳ ﮑ ﻲ ﺎﺿﺭ ﺱﺎﺴﺣﺍ ﻳ
ـﻣ ﺖ ﻲ ﺎﻤﻧ ـﻳ ﺪ ] ٦ [.
ﺎﻬﻧﺭﺩ ﻪﭽﻧﺁ ﺭﺎـﻤﻴﺑ ﻱﺍﺮـﺑ ﻲـﺣﺍﺮﺟ ﺎﻳ ﻭ ﻲﻳﻭﺭﺍﺩ ﻥﺎﻣﺭﺩ ﻚﻳ ﻝﺎﺒﻧﺩ ﻪﺑ ﺖﻳ
ﻲﻣ ﻞﺻﺎﺣ ﻲﻣ ﻲﻗﺎﺑ ﻭ ﺩﻮﺷ
ﻲـﺳﺎﺳﺍ ﻭ ﻦﻳﺮـﺘﻬﺑ ﺪﻧﺎﻣ ﻱﺍﺮـﺑ ﺭﺎـﻴﻌﻣ ﻦﻳﺮـﺗ
ﺖﺳﺍ ﻥﺎﻣﺭﺩ ﻥﺁ ﺮﻴﺛﺄﺗ ﻥﺍﺰﻴﻣ ﺕﻭﺎﻀﻗ ]
٧ [.
،ﺩﺭﻮـﻣ ﺮـﻫ ﺭﺩ ﺖﻣﻼﺳ ﺪﻣﺎﻴﭘ
ﻩﺯﺍﺪﻧﺍ ﻩﺪﺷ ﺭﺎﺠﻨﻫ ﻭ ﺮﺒﺘﻌﻣ ﻱﺎﻫﺭﺍﺰﺑﺍ ﺎﺑ ﻭ ﻩﺪﺷ ﻒﻳﺮﻌﺗ ﺪﻳﺎﺑ ﺪﻧﻮﺷ ﻱﺮﻴﮔ
.
ــﻤﻫ ﺭﺩ ﻴ ﺎــﻫﺭﺍﺰﺑﺍ ﺎﺘــﺳﺍﺭ ﻦ ﻱ
ﻣ ــﻔﻠﺘﺨ ﻲ ــﺣﺍﺮﻃ ﻲ ﺩﺮﮔ ﻳ ﺪــﻧﺪ . ــﺷ ﻭﺩ ﻴ ﻩﻮ
ﺎﻫﺭﺍﺰﺑﺍ ﻱ ﻣﻮﻤﻋ ﻲ ﺻﺎﺼﺘﺧﺍ ﻭ ﻲ
ـﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ ﻪﺑ ﻲ
ﮐ ﻴ ﻔ ـﻴ ﮔﺪـﻧﺯ ﺖ ﻲ ﺭﺩ
ﺪﻨﺘﺴﻫ ﺱﺮﺘﺳﺩ .
ﺎـﻫﺭﺍﺰﺑﺍ ﻱ ﻣﻮـﻤﻋ ﻲ ﮐ ﻴ ﻔ ـﻴ ﮔﺪـﻧﺯ ﺖ ﻲ ﻒـﻠﺘﺨﻣ ﻉﺍﻮـﻧﺍ
ﺑﻴ ــﻣ ﻩﺯﺍﺪــﻧﺍ ﺍﺭ ﻥﺍﺭﺎــﻤ ﻲ
ﮔ ﻴ ﻮــﻤﻌﻣ ﻭ ﺪــﻧﺮ ﹰﻻ
ــﻳ ــﺳﻭ ﻩﺩﻭﺪــﺤﻣ ﮏ ﻴ
ﻌ ﻲ ﺯﺍ
ﺯﻳ ﻪﻋﻮﻤﺠﻣﺮ ﺎﻫ
ﻱ ﮐ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﻣ ﺶﺷﻮﭘ ﺍﺭ ﻲ
ﺯﺍ ﻩﺩﺎﻔﺘـﺳﺍ ﺎﺑ ﺎﻣﺍ ﺪﻨﻫﺩ
ﻧ ﻥﺁ ﻲﻤ ﺖﺒﻗﺍﺮﻣ ﺕﺍﺮﺛﺍ ﻥﺍﻮﺗ ﻲﺑﺎـﻳﺯﺭﺍ ﻲﺑﻮـﺧ ﻪـﺑ ﺍﺭ ﺹﺎـﺧ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ
ﺩﺮﮐ ] ٨ [ ﺎﻫﺭﺍﺰﺑﺍ ﺯﺍ. ﻱ ﻣﻮﻤﻋ ﻲ ﻩﺯﺍﺪﻧﺍ ﺭﻮﻈﻨﻣ ﻪﺑ ﻪﮐ ﮔ
ﻴ ﺮ ﻱ ﮐ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ
ﻣ ﺪﻨﺘﺴﻫ ﺱﺮﺘﺳﺩ ﺭﺩ ﻲ
ﻪﺑ ﻥﺍﻮﺗ
"
ﻩﺎـﺗﻮﻛ ﻡﺮـﻓ ٣٦
ﻲﻟﺍﺆـﺳ ) "
SF-36
( ﻭ
"
ﮐ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﻧﺎﻬﺟ ﻥﺎﻣﺯﺎﺳ ﻲ
ﺖﺷﺍﺪﻬﺑ
"
(WHOQOL) ﺩﺮـﮐ ﻩﺭﺎﺷﺍ
] ١١ - ٩ [.
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﺑﺎﻘﻣ ﺭﺩ ﻱﺎﻫ
ﻱﺭﺎﻤﻴﺑ ﻲﺻﺎﺼﺘﺧﺍ ﻱﺍﺮﺑ ﻱﺭﺍﺰﺑﺍ ،ﺎﻫ
ﻲﻣ ﺺﺨﺸﻣ ﻱﺭﺎﻤﻴﺑ ﺎﺑ ﻡﺩﺮﻣ ﺯﺍ ﻲﻫﻭﺮﮔ ﻲﺑﺎﻳﺯﺭﺍ ﻲﺑﺎـﻳﺯﺭﺍ ﹰﺎﺒﻟﺎﻏ ﻪﻛ ﺪﺷﺎﺑ
ﻲﻣ ﺭﺍﺮﻗ ﻑﺪﻫ ﺍﺭ ﺎﻬﻳﺭﺎﻤﻴﺑ ﻲﻨﻴﻟﺎﺑ ﺮﻴﺳ ﺪﻨﻫﺩ
. ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻪﻠﻤﺟ ﺯﺍ ﺎـﻫ
ﻱ
ــﺻﺎﺼﺘﺧﺍ ﻲﮔﺪــﻧﺯ ﺖــﻴﻔﻴﻛ ﻲ
ﺑﻴ ﺮــﻧﻭﺮﮐ ﻥﺍﺭﺎــﻤ ﻱ
ﻘﻣ ــﻴ ــﺳﺭﺮﺑ ﺱﺎ ﻲ
ﻣ ﺱﻮﺘﮐﺭﺎﻔﻧﺍ ﻴ
ﺩﺭﺎﮐﻮ (MIDAS) ﮐ ﺶﺠﻨﺳ ﺭﺍﺰﺑﺍ ،
ﻴ ﻔ ﻴ ﮔﺪـﻧﺯ ﺖ ﻲ ﮏـﻣ
ﻧﻴ ﻮ (MacNew) ﮋﻧﺁ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻭ
ﻳ ﺳ ﻦ ﻴ ﻞﺗﺎ (SAQ) ﻣ ﻲ ﺩﺮـﺑ ﻡﺎﻧ ﻥﺍﻮﺗ
] ١٤ - ١٢ [.
ﺑ ﺯﺍ ﻴ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦ ﺎـﻫ
ﻱ
،ﺭﻮﮐﺬـﻣ ) (SAQ Seattle Angina
Questionnaire
ﻳ ﺻﺎﺼﺘﺧﺍ ﻪﻣﺎﻨﺸﺳﺮﭘ ﮏ ﻲ
ﺳﻮﺑ ﻪﮐ ﺖﺳﺍ ﻴ
ﻪﻠ
Spertus
ﻝﺎﺳ ﺭﺩ ﺭﺩ ﺖﻣﻼﺳ ﻪﺑ ﻪﺘﺴﺑﺍﻭ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﻲﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ ﻪﺑ1995
ﺑ ﺎﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻴ
ﺭﺎﻤ ﻱ ﻧﻭﺮﮐ ﻕﻭﺮﻋ ﺣﺍﺮﻃ ،ﺮ
ﻲ ﺩﺮﮔ ﻳ ﺪ ] ١٤ [.
ﺍﻳ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻦ
ﻞﻣﺎﺷ ١٩ ﺳ ﺆ ﻞﻣﺎـﺷ ﺮـﻧﻭﺮﻛ ﻕﻭﺮـﻋ ﻱﺭﺎـﻤﻴﺑ ﺪـﻌﺑ ﺞﻨـﭘ ﻪـﻛ ﺖﺳﺍ ﻝﺍ
ﻧﺎﻤﺴﺟ ﺩﺮﮑﻠﻤﻋ ﻲ
ﮋﻧﺁ ﺕﺪﺷ ﻭ ﺕﺎﺒﺛ ، ﻳ
،ﻦ ﺯﺍ ﮎﺭﺩ ﻭ ﻥﺎـﻣﺭﺩ ﺯﺍ ﺖﻳﺎـﺿﺭ
ﺑﻴ ﺭﺎﻤ ﻱ ﻩﺯﺍﺪﻧﺍ ﺍﺭ ﻲﻣ ﻱﺮﻴﮔ ﺪـﻨﻛ
. ـﺳ ﺆ ﺕﺭﻮـﺻ ﻪـﺑ ﺕﻻﺍ ٥
ﻭ ٦ ﻟﻴ ـﺗﺮﮑ ﻲ
ﺪﻨﺘﺴﻫ . ﺍﻳ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦ ﻠﺑﺎﻗ
ﻴ ﺍﺮﺟﺍ ﺖ ﻲﻳ ـﺴﺑ ﻴ ﺑﻮـﺧ ﺭﺎ ﻲ ﻩﺎـﺗﻮﮐ ،ﻪﺘـﺷﺍﺩ
ﻧﺎﺳﺁ ﻪﺑ ﻭ ﻩﺩﻮﺑ ﻲ
ـﺴﺑ ﺭﺩ ﻩﺩﺮﺘـﺴﮔ ﺭﻮـﻃ ﻪـﺑ ﻭ ﺖـﺳﺍ ﻢﻬﻓ ﻞﺑﺎﻗ ﻴ
ﺭﺎ ﻱ ﺯﺍ
ﻘﺤﺗ ﻴ ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺕﺎﻘ ]
١٨ - ١٥ [.
ﺩﺭﺍﺪﻧﺎﺘـﺳﺍ ﻭ ﻪـﻤﺟﺮﺗ ﻲـﺳﺭﺮﺑ
ﺯ ﻥﺎﻘﻘﺤﻣ ﻂﺳﻮﺗ ﻥﻮﻨﻛﺎﺗ ،ﺭﺍﺰﺑﺍ ﻦﻳﺍ ﻱﺯﺎﺳ ﻳ
ﺩﺎ ﻱ ﻱﺎﻫﺭﻮﺸﻛ ﺭﺩ ﻪﻠﻤﺟ ﺯﺍ
ﺐـﻠﻏﺍ ﺞﻳﺎـﺘﻧ ﻱﺎﻨﺒﻣ ﺮﺑ ﻭ ﻩﺪﺷ ﻲﺳﺭﺮﺑ ﻥﺎﻤﻟﺁ ﻭ ﮊﻭﺮﻧ ﻭ ﻥﺎﺘﺴﻠﮕﻧﺍ ،ﻦﭘﺍﮊ ﺍ ،ﺕﺎﻌﻟﺎﻄﻣ ﻳ
ﺎﻨﺸﺳﺮﭘ ﻦ ﺖـﻴﻔﻴﻛ ﻲـﺳﺭﺮﺑ ﻱﺍﺮـﺑ ﺎـﻳﺎﭘ ﻭ ﺮﺒﺘﻌﻣ ﻱﺭﺍﺰﺑﺍ ﻪﻣ
ﮓـﻨﻫﺮﻓ ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﻦﻳﺍ ﻲﮔﺪﻧﺯ ﺖـﺳﺍ ﻩﺪـﺷ ﻪﺘﺧﺎﻨـﺷ ﻒـﻠﺘﺨﻣ ﻱﺎـﻫ
] ٢٢ - ١٩ [.
ﻥﺎـﺑﺯ ﻪـﺑ ﻥﻮﻨﻛﺎـﺗ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻦﻳﺍ ﻪﭼﺮﮔﺍ ﻱﺩﺪـﻌﺘﻣ ﻱﺎـﻫ
ﻪﻤﺟﺮﺗ ﺠﻨﺴﻧﺍﻭﺭ ﻭ ﻲ
ـﻟ ،ﻩﺪﺷ ﻴ ـﻠﻋ ﻦﮑ ﻲ ـﻘﻘﺤﻣ ﺵﻼـﺗ ﻢـﻏﺭ ﻴ
ﻪـﻧﻮﮔ ،ﻦ
ﺭﺍﺰﺑﺍ ﻦﻳﺍ ﻩﺪﺷ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻲﺳﺭﺎﻓ ﻳ
ﺪﺸﻧ ﺖﻓﺎ . ﺮﺗ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﻑﺪﻫ
،ﻪﻤﺟ
ﺶﺠﻨـﺳ ﻲـﺻﺎﺼﺘﺧﺍ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻲـﺳﺭﺎﻓ ﻪﻧﻮﮔ ﻲﻳﺎﻳﺎﭘ ﻭ ﻲﻳﺍﻭﺭ ﻦﻴﻴﻌﺗ ﮐ ﻴ ﻔ ﻴ ﻱﺭﺪﺻ ﻦﻳﮋﻧﺁ ﻪﺑ ﻼﺘﺒﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻲﮔﺪﻧﺯ ﺖ )
SAQ ( ﺖﺳﺍ .
ﺵﻭﺭ ﻭ ﺩﺍﻮﻣ ﺭﺎﻛ
ﺶﻫﻭﮋﭘ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻱﺍ ﺵﻭﺭ ﻲﺘﺧﺎﻨﺷ ﺖﺳﺍ ﺡﺍﺮـﻃ ﺎـﺑ ﻪـﺒﺗﺎﮑﻣ ﺯﺍ ﺪﻌﺑ.
ﺯﺍ ﻪﻤﺟﺮﺗ ﺪﻨﻳﺁﺮﻓ ﻡﺎﺠﻧﺍ ﺖﻬﺟ ،ﺯﻮﺠﻣ ﺬﺧﺍ ﻭ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺵﻭﺭ
ﻪﻴﺻﻮﺗ ﻩﺪـﺷ
Forward-Backward
ﺱﺎـﺳﺍ ﺮـﺑ ﻞـﮑﺗﻭﺮﭘ
ﻩﮊﻭﺮـﭘ ﻦﻴـﺑ ﻲـﻠﻠﻤﻟﺍ ﻲﺑﺎـﻳﺯﺭﺍ
ﺖـﻴﻔﻴﻛ ﻲﮔﺪـﻧﺯ
International Quality of Life Assessment Project=IQOLA
ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ]
٢٣ [.
ﺍﺪﺘﺑﺍ ،ﺭﻮﻈﻨﻣ ﻦﻳﺪﺑ ٢
ﻥﺎـﺑﺯ ﻪـﺑ ﻂﻠـﺴﻣ ﻲـﻧﺍﺮﻳﺍ ﻢﺟﺮﺘﻣ
ﻲﺴﻴﻠﮕﻧﺍ ٢ ﻪﻤﺟﺮﺗ ﻥﺎـﺑﺯ ﻪـﺑ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻲـﺴﻴﻠﮕﻧﺍ ﻪﺨـﺴﻧ ﺯﺍ ﻪﻧﺎﮔﺍﺪﺟ
ﺪﻧﺩﺭﻭﺁ ﻞﻤﻋ ﻪﺑ ﻲﺳﺭﺎﻓ .
ﺭﺩ ﺎـﺑ ﻕﻮـﻓ ﻪـﻤﺟﺮﺗ ﻭﺩ ﺯﺍ ﻪﻴﻟﻭﺍ ﻲﺳﺭﺎﻓ ﻪﺨﺴﻧ
ﻑﺎﮑﺷ ﺡﻼﺻﺍ ﻭ ﻪﻤﺟﺮﺗ ﻦﻳﺮﺘﻬﺑ ﻦﺘﻓﺮﮔ ﺮﻈﻧ ﺮـﻫ ﺯﺍ ﺩﻮﺟﻮﻣ ﻱﺎﻫ
ﻝﺍﺆـﺳ
ﺪﻣﺁ ﺖﺳﺩ ﻪﺑ .
ﻲـﺴﻴﻠﮕﻧﺍ ﻥﺎـﺑﺯ ﺭﺩ ﺺـﺼﺨﺘﻣ ﺩﺮـﻓ ﻭﺩ ﺪـﻌﺑ ﻪﻠﺣﺮﻣ ﺭﺩ
٨١
ﺪـﻧﺩﺮﮐ ﻪـﻤﺟﺮﺗ ﻲـﺴﻴﻠﮕﻧﺍ ﻥﺎـﺑﺯ ﻪﺑ ﹰﺍﺩﺪﺠﻣ ﺍﺭ ﻩﺪﺷ ﻪﻴﻬﺗ ﻲﻳﺎﻬﻧ ﻪﺨﺴﻧ .
ﻴﻠﮕﻧﺍ ﻪﺨﺴﻧ ﺎﺑ ﻲﻠﺻﺍ ﻲﺴﻴﻠﮕﻧﺍ ﻪﺨﺴﻧ ﻪﻠﺣﺮﻣ ﻦﻳﺍ ﺯﺍ ﺲﭘ ﺯﺍ ﻞـﺻﺎﺣ ﻲﺴ
ﻭ ﺪـﺷ ﻪﺴﻳﺎﻘﻣ ﺮﮕﻳﺪﮑﻳ ﺎﺑ ﻖﻴﻘﺤﺗ ﻢﻴﺗ ﻂﺳﻮﺗ ﻥﺎﺑﺯ ﻦﻴﺼﺼﺨﺘﻣ ﻪﻤﺟﺮﺗ ﻭ ﻥﺎـﺑﺯ ﺱﺎﻨﺷﺭﺎﮐ ﻂﺳﻮﺗ ﺶﻳﺍﺮﻳﻭ ﻭ ﻡﺯﻻ ﺕﺎﺣﻼﺻﺍ ﻡﺎﺠﻧﺍ ﺎﺑ ﺖﻳﺎﻬﻧ ﺭﺩ ﺗ ﺩﺭﻮﻣ ﻲﺳﺭﺎﻓ ﻲﻳﺎﻬﻧ ﻪﺨﺴﻧ ،ﻲﺳﺭﺎﻓ ﺕﺎﻴﺑﺩﺍ ﺄ
ﺖـﻓﺮﮔ ﺭﺍﺮـﻗ ﺪﻴﺋ .
ﻦﻴـﻴﻌﺗ
ﻱﺍﺮﺑ ﻱﺭﻮﺻ ﻲﻳﺍﻭﺭ ﻲﺑﺎﻳﺯﺭﺍ
ﮎﺭﺩ ﻭ ﻢـﻬﻓ ﻥﺍﺭﺎـﻤﻴﺑ
ﺯﺍ ﺎﻬـﺸﺳﺮﭘ ﻡﺎـﺠﻧﺍ
ﺖﻓﺮﮔ ﻨﻣ ﻦﻳﺪﺑ ﺯﺍ ،ﺭﻮﻈ ١٠ ﺭﺎﻤﻴﺑ ﻱﺍﺭﺍﺩ ﻱﺭﺪﺻ ﻦﻳﮋﻧﺁ ﻼﺘﺒﻣ ﻱﺎﻬﻛﻼﻣ
ﺩﻭﺭﻭ ﻪﺑ ﮋﭘ ﻭ ﺶﻫ
، ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﻴﻤﻜﺗ ﺹﻮﺼﺧ ﺭﺩ ﻲﻫﺍﻮﺧﺮﻈﻧ
ﺪﺷ ﻭ ﺭﺩ
ﺖﻳﺎﻬﻧ ﺎﻨﺑ ﺮﺑ ﺮﻈﻧ ﻢﻴﺗ ﺶﻫﻭﮋﭘ ﺩﺭﻮﺧﺯﺎﺑ ﻭ
،ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ﻡﺯﻻ ﻱﺎﻫﺮﻴﻴﻐﺗ
ﺮﻈﻧ ﻪﺘﻓﺮﮔ ﻱﺍﺮﺑ ؛ﺪﺷ ﻲﺳﺭﺮﺑ
ﻲﺋﺍﻭﺭ ﺍﻮﺘﺤﻣ ﻪﺑ ﻞﮑﺷ ﺯﺍ ،ﻲﻔﻴﮐ ١٠
ﺮﻔﻧ
ﺯﺍ ﻴﻣﺯ ﻦﻳﺍ ﺭﺩ ﺮﻈﻧ ﺐﺣﺎﺻ ﻥﺎﺼﺼﺨﺘﻣ ﻪﻨ
ﺪـﺷ ﺖﺳﺍﻮﺧﺭﺩ ﺎـﺗ
ﺲـﭘ ﺯﺍ
ﻲﺳﺭﺮﺑ ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺮﺑ ﺱﺎﺳﺍ ﺖﻳﺎﻋﺭ ﻱﺎﻫﺭﺎﻴﻌﻣ ﺭﻮﺘﺳﺩ
،ﻥﺎﺑﺯ ﻩﺩﺎﻔﺘﺳﺍ
ﺯﺍ ﻩﮊﺍﻭ ﻱﺎﻫ
،ﺐﺳﺎﻨﻣ ﻱﺮﻴﮔﺭﺍﺮﻗ ﺕﺍﺭﺎﺒﻋ
ﻱﺎﺟﺭﺩ ﺕﺍﺮـﻈﻧ ﺩﻮـﺧ ﺐﺳﺎﻨﻣ
ﺩﻮﺧ ﺍﺭ ﻪﺋﺍﺭﺍ ﺪﻨﻫﺩ . ﻪﻌﻣﺎﺟ ﻑﺪﻫ ﺶﻫﻭﮋﭘ
،ﺮـﺿﺎﺣ ﻥﺍﺭﺎـﻤﻴﺑ ﻪـﺑ ﻼﺘـﺒﻣ
ﻪﻌﺟﺍﺮﻣ ﻲﻳﺎﭘﺮﺳ ﺎﻳ ﻱﺮﺘﺴﺑ ﻱﺭﺪﺻ ﻦﻳﮋﻧﺁ ﻲـﺷﺯﻮﻣﺁ ﺰـﮐﺮﻣ ﻭﺩ ﻪﺑ ﻩﺪﻨﻨﮐ
ﺩ ﺪﻧﺩﻮﺑ ﻢﻗ ﺮﻬﺷ ﺐﺨﺘﻨﻣ ﻲﻧﺎﻣﺭ .
ﻱﺎـﻫﺭﺎﻴﻌﻣ ﻭ ﻥﺎﺳﺁ ﻱﺮﻴﮔ ﻪﻧﻮﻤﻧ ﺵﻭﺭ
ﻱﻻﺎﺑ ﻦﺳ ﻞﻣﺎﺷ ﺩﻭﺭﻭ ١٨
ﺖﺷﺬﮔ ،ﻲﺳﺭﺎﻓ ﻥﺎﺑﺯ ﻪﺑ ﻢﻠﮑﺗ ﻲﻳﺎﻧﺍﻮﺗ ،ﻝﺎﺳ
ﻞﻗﺍﺪﺣ ١ ﻥﺩﻮـﺒﻧ ﻼﺘـﺒﻣ ،ﻱﺭﺎﻤﻴﺑ ﻲﻌﻄﻗ ﺺﻴﺨﺸﺗ ﺯﺍ ﻩﺎﻣ ﻱﺭﺎـﻤﻴﺑ ﻪـﺑ
ﺭﺩ ﺖﮐﺮـﺷ ﺖﻬﺟ ﺖﻳﺎﺿﺭ ﻭ ﻲﺘﺧﺎﻨﺷ ﺕﻻﻼﺘﺧﺍ ﻭ ﻲﻧﺍﻭﺭ ﻩﺪﺷ ﻪﺘﺧﺎﻨﺷ ﺩﻮﺑ ﺶﻫﻭﮋﭘ ﻡﺎﺠﻧﺍ .
ﻣ ﺬﺧﺍ ﺯﺍ ﺲﭘ ﺖـﻧﻭﺎﻌﻣ ﺯﺍ ﺯﻮﺠ
ﻭ ﻩﺎﮕـﺸﻧﺍﺩ ﻲـﺸﻫﻭﮋﭘ
،ﻲﻧﺎـﻣﺭﺩ ﻲﺷﺯﻮﻣﺁ ﺰﮐﺍﺮﻣ ﺎﺑ ﻲﮕﻨﻫﺎﻤﻫ ﺰﻴﻧ ١٠٠
ﺩﻭﺭﻭ ﻂﻳﺍﺮـﺷ ﻱﺍﺭﺍﺩ ﺭﺎـﻤﻴﺑ
ﺪﻧﺪـﺷ ﻪﻌﻟﺎﻄﻣ ﺩﺭﺍﻭ ﺎﻫﺭﺎﻴﻌﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺡﺮﻃ ﻪﺑ ﻱﺍﺮـﺟﺍ ﺯﺍ ﻑﺪـﻫ ﺲﭙـﺳ;
ﺪﺷ ﻩﺩﺍﺩ ﺢﻴﺿﻮﺗ ﻥﺎﮔﺪﻨﻨﮐ ﺖﮐﺭﺎﺸﻣ ﻱﺍﺮﺑ ﻥﺁ ﻡﺎﺠﻧﺍ ﻩﻮﺤﻧ ﻭ ﺡﺮﻃ .
ﺲـﭘ ﺯﺍ
ﮕﺸﻫﻭﮋﭘ ﺩﺰﻧ ﺕﺎﻋﻼﻃﺍ ﻥﺪﻧﺎﻣ ﻪﻧﺎﻣﺮﺤﻣ ﻥﺎﻨﻴﻤﻃﺍ ﻭ ﺮ
ﺐـﻠﺟ ﺖﻳﺎـﺿﺭ
،ﻥﺎـﻧﺁ
ﻪﻣﺎﻨﺸﺳﺮﭘ ﺕﺪﻣ ﻲﻃ ﺎﻫ
٦ ﻩﺎﻣ ﻞـﻴﻤﻜﺗ ﺪـﺷ ﻱﺍﺮـﺑ. ﻱﺭﻭﺁﺩﺮـﮔ ﻩﺩﺍﺩ
ﺎـﻫ ﺯﺍ
ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻱﺎـﻫ
Seattle Angina Questionnaire
، SF-36
ﺕﺎـﻋﻼﻃﺍ ﻭ
ﻩﺎﻔﺘﺳﺍ ﻲﮑﺷﺰﭘ ﻭ ﻲﺘﺧﺎﻨﺷ ﺖﻴﻌﻤﺟ ﺪﺷ
.
ﻪﻣﺎﻨــﺸﺳﺮﭘ
Seattle Angina Questionnaire )
(SAQ
ﻞﻣﺎــﺷ ١٩
ﻝﺍﺆﺳ ﺮﻛ ﻕﻭﺮﻋ ﻱﺭﺎﻤﻴﺑ ﺪﻌﺑ ﺞﻨﭘ ﻪﻛ ﺖﺳﺍ ﻩﺯﺍﺪﻧﺍ ﺍﺭ ﺮﻧﻭ
ﻲـﻣ ﻱﺮﻴﮔ ﺪـﻨﻛ
.
٩ ﻝﺍﺆﺳ ﻱﺭﺪـﺻ ﻦﻳﮋـﻧﺁ ﻢﻳﻼﻋ ﻝﺎﺒﻧﺩ ﻪﺑ ﺍﺭ ﻲﻧﺎﻤﺴﺟ ﺩﺮﮑﻠﻤﻋ ﺭﺍﺰﺑﺍ ﻦﻳﺍ
ﻲﻣ ﺪﺠﻨﺳ . ﻚﻳ ﻝﺍﺆﺳ ﻲﻣ ﻲﺳﺭﺮﺑ ﺍﺭ ﻲﻨﻳﮋﻧﺁ ﺩﺭﺩ ﺕﺎﺒﺛ ﻞﻣﺎـﺷ ﻪـﮐ ﺪﻨﻛ
ﻥﺍﺭﺎـﻤﻴﺑ ﺖـﻴﻟﺎﻌﻓ ﻦﻳﺮﺗﺪﻳﺪـﺷ ﻱﺍﺮـﺑ ﻪﻨﻴﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﺏﻭﺎﻨﺗ ﺕﺍﺮﻴﻴﻐﺗ ﺖﺳﺍ . ٢ ﻝﺍﺆﺳ ﻔﻗ ﺩﺭﺩ ﻝﺎﺒﻧﺩ ﻪﺑ ﻭﺭﺍﺩ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻭ ﺩﺭﺩ ﺭﺍﺮﮑﺗ ﻪﻨﻴﺳ ﻪﺴ
ﻲﻣ ﻲﺳﺭﺮﺑ ﺍﺭ ﺪﻳﺎﻤﻧ
. ٤ ﻝﺍﺆﺳ ﻥﺎـﻣﺭﺩ ﺯﺍ ﺖﻳﺎﺿﺭ ﻞﻣﺎﺷ ﻥﺎﻣﺭﺩ ﺯﺍ ﺖﻳﺎﺿﺭ
ﺍﺭ ﻲـﻠﻛ ﺖﻳﺎـﺿﺭ ﻭ ﻚـﺷﺰﭘ ﺕﺎﺤﻴﺿﻮﺗ ﺯﺍ ﺖﻳﺎﺿﺭ ،ﻭﺭﺍﺩ ﻑﺮﺼﻣ ﻭ ﺮﻴﺧﺍ ﺪـﻫﺩ ﻲﻣ ﺭﺍﺮﻗ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ .
٣ ﻝﺍﺆـﺳ ﻩﺯﺍﺪـﻧﺍ ﻱﺭﺎـﻤﻴﺑ ﺯﺍ ﻙﺭﺩ ﻱﺮـﻴﮔ
ﻲﻣ ﺪﻨﻛ . ﺕﺍﺮـﻤﻧ ﻊـﻤﺟ ﺎـﺑ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﻛ ﻝﺍﺆـﺳ
ﻪـﺑ ﻥﺁ ﻞﻳﺪـﺒﺗ ﻭ ﺎـﻫ
ﺱﺎﻴﻘﻣ ٠ ﺎﺗ ١٠٠ ﺭﺩ ﻪﻛ ﻥﺁ ٠ ﻭ ﻦﻳﺮﺗﺪﺑ ١٠٠
ﻦـﻜﻤﻣ ﻞﻜـﺷ ﻦﻳﺮﺘﻬﺑ
ﻲﻣ ﻪﺒﺳﺎﺤﻣ ﺖﺳﺍ ﺩﻮﺷ
. ﺩﺭﻮﻣ ﻲﻠﺻﺍ ﻪﺨﺴﻧ ﻲﻳﺎﻳﺎﭘ ﻭ ﻲﻳﺍﻭﺭ ﺪـﻴﻳﺄﺗ
ﺭﺍﺮـﻗ
ﺖــﺳﺍ ﻪــﺘﻓﺮﮔ ]
١٤ [.
ﻩﺎــﺗﻮﮐ ﻡﺮــﻓ ﻪﻣﺎﻨــﺸﺳﺮﭘ ٣٦
)
SF-36
( ﺭﺍﺰــﺑﺍ ﮏــﻳ
ﻩﺯﺍﺪﻧﺍ ﻲﻣﻮﻤﻋ ﻥﺁ ﺯﺍ ﻪﮐ ﺖﺳﺍ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻭ ﺖﻣﻼﺳ ﺖﻴﻌﺿﻭ ﻱﺮﻴﮔ
ﻲﻣ ﻩﺯﺍﺪﻧﺍ ﻱﺍﺮﺑ ﻥﺍﻮﺗ ﻲﮔﺪﻧﺯ ﺖﻴﻔﻴﮐ ﻭ ﺖﻣﻼﺳ ﺖﻴﻌﺿﻭ ﻱﺮﻴﮔ
ﺎﺑ ﻂﺒﺗﺮﻣ
ﻩﻭﺮﮔ ﻲﺘﻣﻼﺳ ﺩﺮﮐ ﻩﺩﺎﻔﺘﺳﺍ ﺭﺎﻤﻴﺑ ﻭ ﻢﻟﺎﺳ ﻲﺘﻴﻌﻤﺟ ﻱﺎﻫ
. ﻲﺳﺭﺎﻓ ﻪﺨﺴﻧ
ﻪﻣﺎﻨﺸﺳﺮﭘ
SF-36
ﺶﺠﻨﺳ ﺖﻬﺟ ﺖﻴﻔﻴﮐ
ﻲﮔﺪـﻧﺯ ﺯﺍ ﺮـﻈﻨﻣ ﺖﻣﻼـﺳ
ﻱﺍﺭﺍﺩ ۳۶ ﺭﺩ ﻪـﻳﻮﮔ ۸
ﺯﺍ ﺪـﻨﺗﺭﺎﺒﻋ ﻪـﮐ ﺖـﺳﺍ ﺖﻣﻼـﺳ ﺪـﻌﺑ :
ﺩﺮــﮑﻠﻤﻋ
،ﻲﻧﺎﻤـﺴﺟ ﺕﻼﮑـﺸﻣ ﺖـﻠﻋ ﻪـﺑ ﺶـﻘﻧ ﻱﺎـﻔﻳﺍ ﺭﺩ ﺖﻳﺩﻭﺪﺤﻣ ،ﻲﻤﺴﺟ ﮑﻠﻤﻋ ،ﻁﺎﺸﻧ ،ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ ،ﻲﻤﺴﺟﺩﺭﺩ ﺭﺩ ﺖﻳﺩﻭﺪﺤﻣ ،ﻲﻋﺎﻤﺘﺟﺍ ﺩﺮ
ﻥﺍﻭﺭ ﺖﻣﻼﺳ ،ﻲﻔﻃﺎﻋ ﺕﻼﮑﺸﻣ ﺖﻠﻋ ﻪﺑ ﺶﻘﻧ ﻱﺎﻔﻳﺍ .
ﺩﺎـﻌﺑﺍ ﺯﺍ ﮏـﻳ ﺮﻫ
ﺎﺑ ﺐﺳﺎﻨﺘﻣ ﺭﻮﮐﺬﻣ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻻﺍﺆﺳ
ﻪﻨﻳﺰﮔ ،ﺕ ﺩﺭﻮـﻣ ﺍﺭ ﻲـﻔﻠﺘﺨﻣ ﻱﺎـﻫ
ﻩﺯﺍﺪﻧﺍ ﻲﻣ ﺭﺍﺮﻗ ﻱﺮﻴﮔ ﻥﺁ ﺯﺎﻴﻧ ﺐﺴﺣ ﺮﺑ ﻪﻛ ﺪﻫﺩ
ﻝﺍﺆﺳ ﻪﻨﻳﺰﮔ ﻭﺩ ﺯﺍ )
،ﻪﻠﺑ
ﺮﻴﺧ ( ﺍ ﺐـﻠﻏﺍ ،ﺕﺎـﻗﻭﺍ ﺮﺘـﺸﻴﺑ ،ﺕﺎـﻗﻭﺍ ﻡﺎﻤﺗ ﺭﺩ ﻪﻨﻳﺰﮔ ﺶﺷ ﻲﻟﺍ
،ﺕﺎـﻗﻭ
ﺖﻗﻭ ﻲﻀﻌﺑ ،ﺕﺎﻗﻭﺍ ﻲﻫﺎﮔ ﻲﻣ ﻞﻣﺎﺷ ﺍﺭ ﺖﻗﻭ ﭻﻴﻫ ،ﺎﻫ
ﺩﻮـﺷ . ﻱﺎـﻫﺯﺎﻴﺘﻣﺍ
ﺎـﺗ ﺮﻔـﺻ ﺯﺍ ﺱﺎﻴﻘﻣ ﺮﻫ ١٠٠
ﻭ ﻦﻳﺮﺗﺪـﺑ ﺮﻔـﺻ ﻪـﮐ ﺖـﺳﺍ ﺮـﻴﻐﺘﻣ ١٠٠
ﻲـﻣ ﺵﺭﺍﺰـﮔ ﺮﻈﻧ ﺩﺭﻮﻣ ﺱﺎﻴﻘﻣ ﺭﺩ ﺍﺭ ﺖﻴﻌﺿﻭ ﻦﻳﺮﺘﻬﺑ ﺪـﻨﮐ
. ﻭ ﻲﻳﺎـﻳﺎﭘ
ﻲﻠﺻﺍ ﻪﺨﺴﻧ ﻲﻳﺍﻭﺭ ]
٩ [ ﺭﻮﮐﺬـﻣ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻲﺳﺭﺎﻓ ﻪﺨﺴﻧ ﻦﻴﻨﭽﻤﻫ ﻭ
ﺩﺭﻮﻣ ﺪﻴﻳﺄﺗ ﺖـﺳﺍ ﻪـﺘﻓﺮﮔ ﺭﺍﺮـﻗ ]
١٠ [.
ﺖـﻴﻌﻤﺟ ﺕﺎـﻋﻼﻃﺍ ﻪﻣﺎﻨـﺸﺳﺮﭘ
ﺖﻴﻌﺿﻭ ،ﻞﻫﺎﺗ ﺖﻴﻌﺿﻭ ، ﺲﻨﺟ ،ﻦﺳ ﻞﻣﺎﺷ ﻞﻣﺎﺷ ﻱﺭﺎﻤﻴﺑ ﻭ ﻲﺘﺧﺎﻨﺷ
،ﻝﺎﻐﺘـﺷﺍ ﺖﻴﻌـﺿﻭ ،ﻱﺩﺎـﺼﺘﻗﺍ ﺖﻴﻌـﺿﻭ ،ﺕﻼﻴـﺼﺤﺗ ﻥﺍﺰـﻴﻣ ،ﺖﻧﻮﮑﺳ ﻪﻘﺑﺎﺳ ،ﻱﺭﺎﻤﻴﺑ ﻲﮔﺩﺍﻮﻧﺎﺧ ﻪﻘﺑﺎﺳ ،ﻱﺭﺎﻤﻴﺑ ﻪﻘﺑﺎﺳ ،ﺭﺎﮕﻴﺳ ﻑﺮﺼﻣ ﻪﻘﺑﺎﺳ ﻪﻘﺑﺎـﺳ ،ﻱﺮﺘﺴﺑ ﺕﺎﻌﻓﺩ ﺩﺍﺪﻌﺗ ،ﻲﺒﻠﻗ ﻱﺭﺎﻤﻴﺑ ﻪﺑ ﻼﺘﺑﺍ ﺕﺪﻣ ،ﻲﻓﺍﺮﮔﻮﻳﮋﻧﺁ ﺁ ﺐﻠﻗ ﻲﺣﺍﺮﺟ ﻭ ﻲﺘﺳﻼﭘﻮﻳﮋﻧﺁ،ﻲﻓﺍﺮﮔ ﻮﻳﮋﻧ .
ﻦﻴـﻴﻌﺗ ﻲـﺳﺭﺮﺑ ﺭﻮـﻈﻨﻣ ﻪﺑ
ﻩﺪــﺷ ﻪﺘﺧﺎﻨــﺷ ﻱﺎــﻫﻭﺮﮔ ﻪــﺴﻳﺎﻘﻣ ﺯﺍ ﻖــﻴﻘﺤﺗ ﻦــﻳﺍ ﺭﺩ ﻩﺯﺎــﺳ ﻲــﻳﺍﻭﺭ
(Known Group Comparison)
ﻪﮐ ﻥﺁ ﻱﺍﺮﺑ ﺵﻭﺭ ﻦﻳﺍ ،ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ
ﻩﻭﺮـﮔ ﺮﻳﺯ ﻱﺯﺎﺳ ﺍﺪﺟ ﻥﺍﻮﺗ ﻥﺍﺰﻴﻣ ﻪﭼ ﻪﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺍﺭ ﻥﻮﮔﺎـﻧﻮﮔ ﻱﺎـﻫ
ﻲﻣ ﻪﺘﻓﺮﮔ ﺭﺎﮐ ﻪﺑ ﺩﺭﺍﺩ ﺎﺒﻋ ﻪﺑ ؛ﺩﻮﺷ
ﻲﻳﺍﻭﺭ ﺯﺍ ﻉﻮﻧ ﻦﻳﺍ ﺮﮕﻳﺩ ﺕﺭ ﻠﺑﺎﻗ
ـﻴ ﺖ
ﺎﻧﺍﻮﺗ ﻭ ﻲﻳ ﻳ ﺦﺳﺎﭘ ﻕﺍﺮﺘﻓﺍ ﺭﺩ ﺍﺭ ﺭﺍﺰﺑﺍ ﮏ ﻌﻣ ﻪـﺑ ﻪـﺟﻮﺗ ﺎـﺑ ﻥﺎﮔﺪﻨﻫﺩ
ـﻴ ﻭ ﺭﺎ
ﻌﺗ ﺽﺮﻓ ﻴﻴ ﻣ ﺺﺨﺸﻣ ﻩﺪﺷ ﻦ ﻲ
ﺩﺯﺎﺳ ] ٢٤ [.
ﺭﺩ ﻦﻳﺍ
،ﺶﻫﻭﮋﭘ ﻪﺑ ﺮﺘﻣﺍﺭﺎﭘ
ﺭﺎﻛ ﻩﺩﺮﺑ ﻡﺪﻋ ،ﻩﺪﺷ ﻳ
ﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﺩﻮﺟﻭ ﺎ ﻴ
ﺑ ﻪﻨ ﻴ ﺩﻮـﺑ ﻥﺍﺭﺎـﻤ .
ﺍ ﻪـﺑ ـﻳ ﻦ
،ﺭﻮﻈﻨﻣ ﻣ ﻪﻧﺎﮕﺠﻨﭘ ﺩﺎﻌﺑﺍ ﺯﺍ ﻚﻳ ﺮﻫ ﻩﺮﻤﻧ ﻪﺴﻳﺎﻘﻣ ﻩﻭﺮـﮔ ﻭﺩ ﻥﺎـﻴﻣ ﺱﺎﻴﻘ
ﺑﻴ ﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﻥﻭﺪﺑ ﻭ ﺎﺑ ﻥﺍﺭﺎﻤ ﻴ
ﺪـﺷ ﻡﺎـﺠﻧﺍ ﻪﻨ .
ﺍ ﺎـﻣ ﺭﺎـﻈﺘﻧﺍ ـﻳ
ﻦ ﺩﻮـﺑ
ﺩﺍﺮﻓﺍ ﻱ ﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﻪﮐ ﻴ
ﺎﻘﻣ ﺭﺩ ﺪـﻧﺭﺍﺩ ﻪﻨ ﻳ
ﺑ ﺎـﺑ ﻪـﺴ ﻴ ﻧﺍﺭﺎـﻤ ﻲ ﺩﺭﺩ ﻪـﮐ
ﺳ ﻪﺴﻔﻗ ﻴ ﺮﺘﻤﮐ ﻩﺮﻤﻧ ،ﺪﻧﺭﺍﺪﻧ ﻪﻨ ﻱ
ﻪﻣﺎﻨﺸﺳﺮﭘ ﺯﺍ ﺍﺭ ﻭ ﺪﻨﻨﮐ ﺐﺴﮐSAQ
٨٢
ﮐ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﻌﺿ ﻴ ﻒ ﺮﺗ ﻱ ﺪﻨﺷﺎﺑ ﻪﺘﺷﺍﺩ .
ـﺳﺭﺮﺑ ﺭﻮـﻈﻨﻣ ﻪـﺑ ﻲ
ﻲـﻳﺍﻭﺭ
ﮐﻼﻣ ﻲ ﮕﺘﺴﺒﻤﻫ ، ﻲ
ﻩﺮﻤﻧ ﺎﻫ ﻱ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﺎـﺑSAQ
SF-36
ﻩﺯﺍﺪﻧﺍ ﮔ ﻴ ﺮ ﻱ ﺩﺮﮔ ﻳ ﺪ . ﻠﺤﺗ ﺵﻭﺭ ﻩﺩﺎﻔﺘـﺳﺍ ﺎـﺑ ﺭﺍﺰـﺑﺍ ﻲﻳﺎﻳﺎﭘ ـﻴ
ﻲﻧﺎـﺴﻤﻫ ﻞ
ﻲـﻧﻭﺭﺩ
(Internal consistency)
ﺕﺎـﺒﺛ ﻭ
(stability)
ﻥﻮـﻣﺯﺁ ﺩﺭﻮـﻣ
ﻲﺳﺭﺮﺑ ﺖﻓﺮﮔ ﺭﺍﺮﻗ .
ﺖﻬﺟ ﻦﻴـﻴﻌﺗ
،ﻲـﻧﻭﺭﺩ ﻲﻧﺎـﺴﻤﻫ ﺐﻳﺮـﺿ
ﻱﺎـﻔﻟﺁ
ﺥﺎﺒﻧﻭﺮﻛ ﻱﺍﺮﺑ ﻞﻛ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻭ
ﺰـﻴﻧ ﻱﺍﺮـﺑ ﺮـﻫ ﺭﺩ ،ﺪـﻌﺑ ١٠٠ ﺑﻴ ﺭﺎـﻤ
ﻪﺒﺳﺎﺤﻣ ﺪﻳﺩﺮﮔ ﻪﺑ ﺭﻮﻈﻨﻣ ﺕﺎﺒﺛ ﻲﺳﺭﺮﺑ ﺰﻴﻧ
ﺯﺍ ﺵﻭﺭ ﻥﻮﻣﺯﺁﺯﺎﺑ ﻥﻮﻣﺯﺁ
ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ .
ﺪﺑ ﻳ ﺗﺮﺗ ﻦ ﻴ ﻪﮐ ﺐ ٣٠ ﺑﻴ ﺍﺭ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺭﺎﻤ ﺭﺩ
ﻭﺩ
،ﻪﻠﺣﺮﻣ ﺎﺑ
ﻪﻠﺻﺎﻓ ﻲﻧﺎﻣﺯ ﻭﺩ ﻪﺘﻔﻫ ﻭ ﺪﻧﺩﺮﻛ ﻞﻴﻤﻜﺗ ﺕﺍﺮﻤﻧ ﺲﭙﺳ
ﺐﺴﻛ ﻩﺪـﺷ ﺭﺩ
ﻦﻳﺍ ٢ ﻪﻠﺣﺮﻣ ﺍﺭ ﺎﺑ ﻩﺩﺎﻔﺘﺳﺍ ﺯﺍ ﺺﺧﺎﺷ ﻥﻮﻣﺯﺁ ﻲﮕﺘﺴﺒﻤﻫ
ﻥﻭﺭﺩ ﺷﻮﺧ ﻪ
ﻱﺍ
(ICC)
ﺎﺑ ﻢﻫ ﺪﺷ ﻪﺴﻳﺎﻘﻣ .
ﻞﻴﻠﺤﺗ ﻩﺩﺍﺩ ﺎﻫ ﺎﺑ ﻩﺩﺎﻔﺘﺳﺍ ﺯﺍ ﻡﺮـﻧ ﺭﺍﺰـﻓﺍ
SPSS16
ﺭﺩ ﺢﻄﺳ ﻱﺭﺍﺩﺎﻨﻌﻣ ٠٥
/ ٠ ﻡﺎﺠﻧﺍ ﺪﺷ .
ﻪﺘﻓﺎﻳ ﺎﻫ
ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺮـﺿﺎﺣ ٦٣ ﺪـﺻﺭﺩ ﺩﺍﺮـﻓﺍ ﺍﺭ ﻭ ﻥﺎـﻧﺯ ٣٧ ﺖﮐﺭﺎـﺸﻣ ﺪـﺻﺭﺩ
ﻥﺎﮔﺪﻨﻨﮐ ﺍﺭ
ﻞﻴﮑـﺸﺗ ﻥﺍﺩﺮـﻣ ﻲـﻣ
ﺪـﻧﺩﺍﺩ . ﻦﻴﮕﻧﺎـﻴﻣ ﻦـﺳ
ﻞـﮐ ﺩﺍﺮـﻓﺍ
ﺮﺑﺍﺮﺑ ٦١ / ١٠
± ٢٠ / ٥٩ ﻝﺎﺳ ﺩﻮﺑ . ﻝﻭﺪﺟﺭﺩ ﻩﺭﺎﻤﺷ ۱
، ﺪـﺻﺭﺩ ﻭ ﻲـﻧﺍﻭﺍﺮﻓ
ﺕﺎﺼﺨﺸﻣ ﻲﺘﻴﻌﻤﺟ
ﻭ ﮑﺷﺰﭘ ﻲ ﻪﻧﻮﻤﻧ ﻱﺎﻫ ﺩﺭﻮﻣ ﺖﺳﺍ ﻩﺪﻣﺁ ﻪﻌﻟﺎﻄﻣ .
ﻪﺑ
ﺭﻮﻈﻨﻣ ﻲﺑﺎﻳﺯﺭﺍ ﻥﺍﻮﺗ ﻱﺯﺎﺳﺍﺪﺟ ﻩﻭﺮﮔﺮﻳﺯ
ﻱﺎﻫ ﻪﺨـﺴﻧ ﻂـﺳﻮﺗ ﻥﻮﮔﺎـﻧﻮﮔ
ﺳﺭﺎﻓ ﻲ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺩﻮﺟﻭ ﺱﺎﺳﺍ ﺮﺑ
ﻳ ـﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﺩﻮﺟﻭ ﻡﺪﻋ ﺎ ﻴ
ﺯﺍ ﻪﻨ
ﺗ ﻥﻮﻣﺯﺁ ﻲ ﻞﻘﺘﺴﻣ ) ﻣ ﻑﻼﺘﺧﺍ ﻴ ﮕﻧﺎ ﻴ ﻦ ( ﻩﺩﺎﻔﺘﺳﺍ ﺪﺷ ) ﻝﻭﺪﺟ ٢ .(
ﺞﻳﺎﺘﻧ
ﺁ ﻥﻮﻣﺯ ﻥﺎﺸﻧ ﺑ ﻩﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﺩﺍﺩ ﻴ
ﮐ ﺩﺎﻌﺑﺍ ﺮﺘﺸ ﻴ
ﻔ ـﻴ ﮔﺪـﻧﺯ ﺖ ﻲ ﺑﻴ ﻥﺍﺭﺎـﻤ
ﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﻥﻭﺪﺑ ﻴ
ﺍﺭﺍﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺯﺍ ﺮﺘﺸﻴﺑ ﻪﻨ ﻱ
ﺕﻭﺎﻔﺗ ﻦﻳﺍ ﻭ ﺖﺳﺍ ﺩﺭﺩ
ﮋﻧﺁ ﺕﺎﺒﺛ ﺩﺎﻌﺑﺍ ﺹﻮﺼﺧﺭﺩ ﻳﻨ
ﻲ ) ٠٤ / ٠
= (P
ﮋﻧﺁ ﺕﺪـﺷ ، ﻳ
ـﻨ ﻲ ) ٠٠ / ٠
= (P
ﻭ
ﺑ ﺯﺍ ﮎﺭﺩ ﻴ ﺭﺎﻤ ﻱ ) ٠٠ / ٠
= (P
ﻨﻌﻣ ﻲ ﻣ ﺭﺍﺩ ﻲ ﺪﺷﺎﺑ . ﮕﺘﺴﺒﻤﻫ ﺐﻳﺮﺿ ﻲ
ﻦﻴـﺑ
ﻨﺸﺳﺮﭘ ﻭﺩ ﺯﺍ ﻞﺻﺎﺣ ﺕﺍﺮﻤﻧ ﻪﻣﺎ
ﻭSAQ SF-36
ـﮐﻼﻣ ﻲﻳﺍﻭﺭ ﺺﺧﺎﺷ ﻲ
ﻩﺭﺎﻤﺷ ﻝﻭﺪﺟ ﺭﺩ ﺍﺭ ﻥﻮﻣﺯﺁ ٣
ﺖﺳﺍ ﻩﺩﺍﺩ ﻥﺎﺸﻧ .
ﮕﺘـﺴﺒﻤﻫ ﺐﻳﺮﺿ ﻲ
ﻭﺩ
ﻤﺴﺟ ﺕﻼﮑﺸﻣ ﺪﻌﺑ ﺰﺟ ﻪﺑ ﺩﺎﻌﺑﺍ ﻡﺎﻤﺗ ﺭﺩ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻲ
ﮋـﻧﺁ ﺕﺪﺷ ﺎﺑ ﻳ
ﻦ
ﺑ ﺯﺍ ﮎﺭﺩ ﻭ ﻴ
ﺭﺎﻤ ﻱ ﺭﺎﻣﺁ ﺮﻈﻧ ﺯﺍ ﻱ
ﻨﻌﻣ ﻲ ﺩﻮﺑ ﺭﺍﺩ . ﺭﺩ ﻪﺒﺳﺎﺤﻣ ﻲﻧﺎـﺴﻤﻫ
،ﻲﻧﻭﺭﺩ ﻱﺍﺮﺑ ﺐﻳﺮﺿ ﺶﺳﺮﭘ ﻞﻛ
ﻪﻣﺎﻧ ٨٥٨ / ٠ ﺩﻮﺑ ﻭ ﻩﺮﻤﻧ ﻱﺎﻫ ٥٦٤ / ٠
) ﻦﻳﺮﺘﻤﻛ ﺭﺍﺪﻘﻣ ( ﻭ ٨٥٥ / ٠ ) ﻦﻳﺮﺘﺸﻴﺑ ﺭﺍﺪﻘﻣ
( ﺐﻴﺗﺮﺗ ﻪﺑ ﺍﺭ ﻱﺍﺮﺑ
ﻩﺩﺮـﺧ
ﻱﺎﻬﺳﺎﻴﻘﻣ ﺎﺿﺭ
ﻳ ﻥﺎﻣﺭﺩ ﺯﺍ ﺖ ﻭ
ﻲﻧﺎﻤﺴﺟ ﺩﺮﮑﻠﻤﻋ ﺖﺳﺩ ﻪﺑ
ﺩﺍﺩ . ﻦﻴﻨﭽﻤﻫ
ﻦﻳﺍ ﺕﺎﺒﺛ ﺱﺎﻴﻘﻣ
ﺯﺍ ﻖﻳﺮﻃ ﺩﺪﺠﻣ ﻥﻮﻣﺯﺁ ﻪﺑ
ﻪﻠﺻﺎﻓ ۲ ﻪﺘﻔﻫ
ﺮﺑ ﻱﻭﺭ ﻪﻧﻮﻤﻧ ﻱﺍ ﻞﮑـﺸﺘﻣ ﺯﺍ
٣٠ ﺑﻴ ﺩﺭﻮـﻣ ﺭﺎـﻤ ﻲـﺳﺭﺮﺑ
ﺭﺍﺮـﻗ ﺖـﻓﺮﮔ .
ﺕﺍﺮﻤﻧ ﻲﮕﺘﺴﺒﻤﻫ ﺱﺎﻴﻘﻣ
ﺭﺩ ﻭﺩ ﺭﺎﺑ
،ﺍﺮﺟﺍ ﺑﻴ ﺯﺍ ﺮﺘﺸ ٩٠ / ٠ ﺪﺷ ﺵﺭﺍﺰﮔ
) ﻝﻭﺪﺟ ﻩﺭﺎﻤﺷ ٤ (.
1 :
! "
#$%& $
!' ! "
) ' 61 (
/ 10 20 / 59
% *+ $ , 25
/ 3 41 / 3
-./ + 0 1 25
/ 3 41 / 3
) (
2 *3 37
4 , 2 5 63
! "
80
$ % &
2
$ '(!
18
6 $ 2 5 ) * 58
)"' + 14
,-+
15
. / 5
0 / 6
1 2
7 &, 0$
2'-+
40
3 "+
35
3 (0!
8
4563 11
! 7 4
2 ' 2 5
89 88
& "' 12
1 4&
8 :%
93
";
7
/$ 2 5 / 53
/ 47
" ' #%
)5+
8
$ / < = 12
-*
80
>5? )",; @ )A+ ; 10
2*
45
B+ 3 40
-6-9 6-!
48
@2-5/ @ (-+
12
% 2. @ (-+
10
3 ; 16
>5? @ (-+ . 2 * )A+ ; 47
+ ; .23C D )A 62
";EF23C D )A+ ; 11
G5? 1 & (H )A+ ; 12
٨٣
2 :
*: ;
%8
< 3
! " : 1 $
= !:> ? + 7 - 0$ + 8 1 2 @ A BC3' = <$ 3 '% +$
2 7D $ $ 0$ + )
85
= (n 2 7D 0 + 0$ +
) 15
= (n
I-7 - ) -J K L ( I-7 -
) -J K L P (
('& B3 L )
21 / 21 ( 39 / 53 )
17 / 27 ( 25 / 54 89
/ 0
03C D >M )
85 / 31 ( 94 / 32 )
00 / 0 ( 50 04
/ 0
03C D % )
09 / 17 ( 32 / 66 )
58 / 2 ( 33 / 99 00
/ 0
B3 N )
91 / 21 ( 05 / 55 )
50 / 12 ( 75 06
/ 0
@ (-+ <
) 15 / 21 ( 72 / 38 )
57 / 20 ( 88 / 63 00
/ 0
3 : 3 '% ! + " *- SAQ
SF-36
*
PQ; 0J
05 / 0
** P
PQ; 0J
01 / 0 P
4 :
! ,
* -J
3 '%
K:$%5:
@ ? L - %A M<
" *- 0
<
3 '% $
= !:> ? + 7 - 0$ + 8 1 2 @ A BC3' = <$
ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﻱﺮﻴﮔ
ﺶﻫﻭﮋﭘ ﺮﺿﺎﺣ ﻪﺑ ﺭﻮﻈﻨﻣ ﻲﺳﺭﺮﺑ ﻲﮔﮋﻳﻭ ﻱﺎﻫ ﻥﺍﻭﺭ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻲﺠﻨـﺳ
ﮐ ﺶﺠﻨﺳ ﻲﺻﺎﺼﺘﺧﺍ ﻴ
ﻔ ﻴ ﮋـﻧﺁ ﻪـﺑ ﻼﺘﺒﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻲﮔﺪﻧﺯ ﺖ ﻳ
ﺭﺪـﺻ ﻦ ﻱ
(Seattle Angina Questionnaire)
ﻡﺎﺠﻧﺍ ﺪﻳﺩﺮﮔ . ﺍﻳ ـﻣ ﺭﺍﺰﺑﺍ ﻦ ﻲ
ﺪـﻧﺍﻮﺗ
ﻩﺯﺍﺪﻧﺍ ﺖﻬﺟ ﮔ
ﻴ ﺮ ﻱ ﭘﻴ ﺶﺨﺑ ﺭﺩ ﺖﻣﻼﺳ ﺪﻣﺎ ﺎـﻫ
ﻱ ـﺸﻫﻭﮋﭘ ﻲ ﻧﺎـﻣﺭﺩ ﻭ ﻲ
ﮔ ﺭﺍﺮﻗ ﻪﺟﻮﺗ ﺩﺭﻮﻣ ﻴ
ﺩﺮ . ﺩﺮﺑﺭﺎﮐ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺭﻮﻛﺬﻣ
ﻪـﺑ ﻲﮔﺩﺎـﺳ ﻥﺎـﮑﻣﺍ
ﻩﺩﻮﺑ ﺮﻳﺬﭘ ﻭ
ﻲﻣ ﺪﻧﺍﻮﺗ ﻂﺳﻮﺗ ﺑﻴ ﺎﻳ ﺭﺎﻤ ﻪﺋﺍﺭﺍ ﻥﺎﮔﺪﻨﻫﺩ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻣﺪﺧ
ﺭﺩ ﻪﺻﺮﻋ ﻫ ﻱﺎ ﻒﻠﺘﺨﻣ ﺮﻴﻈﻧ
،ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺰﮐﺍﺮﻣ
ﻲﻃ ﻲﺘﺷﺍﺪﻬﺑ ﺩﻭﺪـﺣ
١٠ ﻪﻘﻴﻗﺩ ﻞﻴﻤﮑﺗ ﺩﺩﺮﮔ . ﻥﺎﻳﺎﺷ ﺮﮐﺫ ﺭﺩ ﻢـﻫ ﺮـﺿﺎﺣ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﺖﺳﺍ
ﮐ ﺶﺠﻨﺳ ﻴ
ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﻌﺗ ﺭﺩ ﻢـﻫ ﻭ ﺖﻣﻼـﺳ ﺎـﺑ ﻂﺒﺗﺮﻣ ﻴـﻴ
ﺕﺍﺮـﺛﺍ ﻦ
ﻥﺎﻣﺭﺩ ﺎﻫ ﻱ ﮐ ﺮﺑ ﻒﻠﺘﺨﻣ ﻴ
ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﻣ ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻲ
ﮔ ﻴ ﺩﺮ . ﺭﺩ ﻂﺳﻮﺗ ﺖﻗﺩ ﺎﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻪﻤﺟﺮﺗ ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ
ﻭ ﻩﺎـﮔﺁ ﻭ ﻂﻠﺴﻣ ﺩﺍﺮﻓﺍ
ﺍﺮﻓ ﻪـﺑ ﻪﺟﻮﺗ ﻭ ﻪﻤﺟﺮﺗ ﻝﻮﺻﺍ ﺯﺍ ﻱﻭﺮﻴﭘ ﺎﺑ ﻳ
ﺤـﺻ ﺪـﻨ ﻴ ﺭﺩ ﺖـﻗﺩ ﻭ ﻥﺁ ﺢ
ﮕﻨﻫﺮﻓ ﻖﺑﺎﻄﺗ ﻲ
ﻧﺎﻌﻣ ﻲ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﺖﺳﺍ
. ﺮـﺿﺎﺣ ﻪـﻌﻟﺎﻄﻣ ﺕﻮـﻗ ﻁﺎﻘﻧ ﺯﺍ
ﻡﺎﮔ ﺖﻳﺎﻋﺭ ﺎﻫ
ﻱ ﻪﻴﺻﻮﺗ ﻲﻠﺻﺍ ﺍﺮـﺑ ﺮـﺒﺘﻌﻣ ﻊﺑﺎـﻨﻣ ﻖـﺒﻃ ﻩﺪﺷ
ﻱ ﺍﺮﻓ ﻳ ﺪـﻨ
ﮕﻨﻫﺮﻓ ﻖﺑﺎﻄﺗ ﺯﺍ ﻥﺎﻨﻴﻤﻃﺍ ﻭ ﻥﺍﺩﺮﮔﺮﺑ ﻲ
ﻘﻣ ﻴ ﺱﺎ ﻲـﻣ ﺎﻫ ﺪـﺷﺎﺑ ] ٢٥ [.
ﺭﺩ
ﻦﻳﺍ ﭘ
،ﺶﻫﻭﮋ ﻱﺍﺮﺑ ﻲﺳﺭﺮﺑ ﻲﺋﺍﻭﺭ
،ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻩﺯﺎﺳ ﺯﺍ
ﻪـﺴﻳﺎﻘﻣ ﺵﻭﺭ
ﻩﻭﺮﮔ ﻱﺎﻫ ﻪﺘﺧﺎﻨﺷ ﻩﺪﺷ ﺖﻬﺟ ﻼﻋ ﺮﺘﻣﺍﺭﺎﭘ ﻳ
ﺳ ﻪﺴﻔﻗ ﻢ ﻴ
ﻩﺩﺎﻔﺘﺳﺍ ﻪﻨ ﺪﺷ
.
ﺞﻳﺎﺘﻧ ﻥﺎﺸﻧ ﻞﻴﻠﺤﺗ ﻪﻛ ﺩﺍﺩ
ﺘﻣﺍ ﻴ ﮐ ﺯﺎ ﻴ ﻔ ﻴ ﮔﺪﻧﺯ ﺖ ﻲ ﺑﻴ ﺩﺭﺩ ﻥﻭﺪـﺑ ﻥﺍﺭﺎـﻤ
ﻥﺎﻨﭼ ﻪﻨﻴﺳ ﻪﺴﻔﻗ ﺖﻣﻼﻋ ﻪﻛ
ﻲﻣ ﺭﺎﻈﺘﻧﺍ ﺭﺩ ﺖﻓﺭ ﻲﻣﺎﻤﺗ ﺩﺎﻌﺑﺍ ﻦﻴﻳﺎـﭘ ﺮـﺗ
ﻪـﺳ ﺭﺩ ﺕﻭﺎـﻔﺗ ﻦﻳﺍ ﻭ ﺩﻮﺑ ﻲـﻨﻳﮋﻧﺁ ﺩﺭﺩ ﺕﺪـﺷ ﻭ ﺕﺎـﺒﺛ ﺪـﻌﺑ
ﺯﺍ ﮎﺭﺩ ﻭ
% . D
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**0 289
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**0 323 /
**0 30
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**0 256
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C D >M I3 431
/
**0 157
/ 0 432 /
**0 346
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**0 336
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**0 245
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*0 236
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*0 318 /
**0
I3C D % 442
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**0 242
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*0 509 /
**0 504
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**0 392 /
**0 302 /
**0 315
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**0 345 /
**0
B3 N 238
/
*0 307
/
**0 214
/
*0 246
/
*0 210
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*0 339 /
**0 254
/
*0 264 /
**0
@ (-+ <
367 /
**0 168
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**0 478
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**0 341 /
**0 373 /
**0 267
/
**0 272 /
**0
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$
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#$%& $ ( L - %A @ ? K:%5
100
= n ICC
30
= n
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R 2;
) 9 S 1 ( )
97 / 0 ( 09 / 51 855
/ 0 98
/ 0
03C D >M 1
R 2;
) 10 ( )
52 / 2 ( 92 / 33 S
94 / 0
03C D % 2
R 2;
) 12 S 11 ( )
00 / 1 ( 85 / 67 629
/ 0 97
/ 0
B3 N 4
R 2;
) 16 S 13 ( )
89 / 1 ( 32 / 72 564
/ 0 90
/ 0
@ (-+ <
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) 19 S 17 ( )
26 / 1 ( 96 / 41 591
/ 0 91
/ 0
٨٤
ﻲﻨﻌﻣ ﻱﺭﺎﻤﻴﺑ ﺩﻮﺑ ﺭﺍﺩ
. ﻪﺘﻓﺎﻳ ﻲﺳﺭﺮﺑ ﻥﺎـﺸﻧ ﻩﺯﺎـﺳ ﻲـﻳﺍﻭﺭ ﻪـﺑ ﻁﻮﺑﺮﻣ ﻱﺎﻫ
ﻲﻣ ﻪﻳﻮﮔ ﺭﺎﺘﺧﺎﺳ ﺮﻈﻧ ﺯﺍ ﻱﺩﺎﻳﺯ ﺪﺣ ﺎﺗ ﺭﺍﺰﺑﺍ ﻦﻳﺍ ﺪﻫﺩ ﺖﺳﺍﻭﺭ ﺎﻫ
. ﺭﺩ ﻪﭼﺮﮔ
ﻱﺭﺎﻣﺁ ﻞﻴﻠﺤﺗ ﺩﺎﻌﺑﺍ ﻲﺧﺮﺑ ﺕﻭﺎﻔﺗ
ﻲﻨﻌﻣ
،ﺖـﺳﺍ ﻩﺩﺍﺪﻧ ﻥﺎﺸﻧ ﺍﺭ ﻊﻃﺎﻗ ﻱﺭﺍﺩ
ﺕﻭﺎﻔﺗ ﻪﻛ ﻦﻳﺍ ﻪﺑ ﺖﻳﺎﻨﻋ ﺎﺑ ﺎﻣﺍ ﺪﻨﺘـﺴﻫ ﻪـﻈﺣﻼﻣ ﻞﺑﺎﻗ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ ﻱﺎﻫ
ﻲﻣ ﺩﺍﺩ ﺖﺒﺴﻧ ﻲﺴﻧﺎﺷ ﻱﺎﻄﺧ ﻪﺑ ﺍﺭ ﺩﺭﺍﻮﻣ ﻥﺁ ﻥﺍﻮﺗ .
ﻲﻣ ﺭﺎﻈﺘﻧﺍ ﺭﺍﺮـﻜﺗ ،ﺩﻭﺭ
ﺪﻳﺎﻤﻧ ﺪﻴﻳﺄﺗ ﺍﺭ ﺮﻣﺍ ﻦﻳﺍ ﺮﺘﺸﻴﺑ ﻪﻧﻮﻤﻧ ﻢﺠﺣ ﺎﺑ ﻪﻌﻟﺎﻄﻣ .
ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﻲﮑﺳ ﻭ
ﻥﺍﺭﺎﮑﻤﻫ ﻲـﻨﭘﺍﮊ ﻪﺨـﺴﻧ ﻲﻳﺎﻳﺎﭘ ﻭ ﻲﻳﺍﻭﺭ ﻑﺪﻫ ﺎﺑ ﻪﮐ
ﻩﺪـﺷ ﻡﺎـﺠﻧﺍSAQ
ﻁﺎﺒﺗﺭﺍ ﺩﻮﺑ ﻱﺭﺍﺩﺎﻨﻌﻣ
ﺩﺎﻌﺑﺍ ﻡﺎﻤﺗ ﺭﺩ ﻦﻳﮋـﻧﺁ ﺕﺎـﺒﺛ ﺰﺟ ﻪﺑ
ﺪـﺷ ﻩﺪﻫﺎـﺸﻣ .
ﺖﺷﺍﺩ ] ١٩ [.
ﺎﻣﺎﻴﻴﺸﻴﻧ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﺽﺮﻓ ﻦﻳﺍ ﻪـﺘﻓﺮﮔ ﺭﺍﺮـﻗ ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ ﺰﻴﻧ
ﻲﻨﻌﻣ ﺭﻮﻃ ﻪﺑ ﻪﻨﻴﺳ ﻪﺴﻔﻗ ﺩﺭﺩ ﻥﻭﺪﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻭ ﺖﺳﺍ ﺖﻴﻔﻴﮐ ﻩﺮﻤﻧ ﻱﺭﺍﺩ
ﻮـﺑ ﻥﺍﺭﺎـﻤﻴﺑ ﻪـﺑ ﺖﺒﺴﻧ ﺍﺭ ﻱﺮﺗﻻﺎﺑ ﻲﮔﺪﻧﺯ ﺩ
ﺐـﺴﮐ ﻪﻨﻴـﺳ ﻪـﺴﻔﻗ ﺩﺭﺩ ﻥ
ﺪﻧﺩﺮﮐ ] ٢٦ [.
ﻲﻨﻌﻣ ﻭ ﻻﺎﺑ ﻲﮕﺘﺴﺒﻤﻫ ﺮـﻤﻧ ﺮـﺜﮐﺍ ﻦﻴﺑ ﺭﺍﺩ
ﻭﺩ ﺯﺍ ﻞـﺻﺎﺣ ﺕﺍ
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻭSAQ
SF-36
ﺪـﻴﻳﺄﺗ ﺩﺭﻮـﻣ ﺍﺭ ﻥﻮﻣﺯﺁ ﻲﮐﻼﻣ ﻲﻳﺍﻭﺭ ﺺﺧﺎﺷ
ﻪـﻨﻴﻣﺯ ﻦـﻳﺍ ﺭﺩ ﻩﺪـﺷ ﻡﺎـﺠﻧﺍ ﺕﺎـﻌﻟﺎﻄﻣ ﺐـﻠﻏﺍ ﺞﻳﺎـﺘﻧ ﺎﺑ ﻦﻳﺍ ﻪﮐ ﺩﺍﺩ ﺭﺍﺮﻗ ﺩﺭﺍﺩ ﻲﻧﺍﻮﺨﻤﻫ ]
٢٢ - ١٩ [.
ﺭﺩ ﻦﻳﺍ
،ﺶﻫﻭﮋﭘ ﺐﻳﺮﺿ ﻱﺎﻔﻟﺁ
،ﻪﻣﺎﻨﺸﺳﺮﭘ ﻲﻠﮐ ﺥﺎﺒﻧﻭﺮﮐ ﻥﺎـﺸﻧ
ﻩﺪـﻨﻫﺩ
ﻲﻧﺎﺴﻤﻫ ﻲﻧﻭﺭﺩ ﻱﻻﺎﺑ ﺕﺍﺭﺎﺒﻋ ﺭﺍﺰﺑﺍ ﺩﻮﺑ ﺮﻫ ﺩ ﺪـﻨﭼ ﺯﺍ ﺖﻳﺎـﺿﺭ ﺪـﻌﺑ ﻭﺩ ﺭ
ﻲﻣ ﻩﺪﺷ ﻪﻴﺻﻮﺗ ﺭﺍﺪﻘﻣ ﺯﺍ ﺮﺘﻤﮐ ﻱﺭﺎﻤﻴﺑ ﺯﺍ ﮎﺭﺩ ﻭ ﻥﺎﻣﺭﺩ ﺪـﺷﺎﺑ
. ﻪـﻌﻟﺎﻄﻣ
ﻩﺩﻭﺪـﺤﻣ ﺭﺩ ﺥﺎـﺒﻧﻭﺮﮐ ﻱﺎـﻔﻟﺁ ﺐﻳﺍﺮﺿ ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﻲﮑﺳ ٥١
/ ٠ ﺎـﺗ ٩٦ / ٠
ﺩﺭﺍﺩ ﻲﻧﺍﻮـﺨﻤﻫ ﺎـﻣ ﻪـﻌﻟﺎﻄﻣ ﺎﺑ ﻪﮐ ﺪﺷ ﺵﺭﺍﺰﮔ ]
١٩ [.
ﻪـﻌﻟﺎﻄﻣ ﻦـﺳﺮﺘﭘ ﻭ
ﻱﮊﻭﺮﻧ ﻪﻤﺟﺮﺗ ﻲﻳﺎﻳﺎﭘ ﻭ ﻲﻳﺍﻭﺭ ﻥﺍﻮﻨﻋ ﺎﺑ ﻥﺍﺭﺎﻜﻤﻫ ﻦﻴـﻴﻌﺗ ﺖـﻬﺟ ،SAQ
ﻩﺩﻭﺪﺤﻣ ﺭﺩ ﺥﺎﺒﻧﻭﺮﮐ ﻱﺎﻔﻟﺁ ﺐﻳﺮﺿ ﻲﻧﻭﺭﺩ ﻲﻧﺎﺴﻤﻫ ٧٠
/ ٠ ﺎﺗ ٩٢ / ٠ ﻻﺎـﺑ ،
ﺪﺷ ﻩﺩﺍﺩ ﻥﺎﺸﻧ ]
٢١ [.
ﺍﺮﮔ ﺕ ﻲـﻳﺍﻭﺭ ﻭ ﻲﻳﺎـﻳﺎﭘ ﻲـﺳﺭﺮﺑ ﻥﺍﻮـﻨﻋ ﺎـﺑ ﺩﻮـﺧ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﻥﺍﺭﺎﻜﻤﻫ ﻭ
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻲﺴﻴﻠﮕﻧﺍ ﻪﺨﺴﻧ ﻱﻭﺭ ﺮﺑ SAQ
٦٥٥ ﻱﺭﺎـﻤﻴﺑ ﻪـﺑ ﻼﺘﺒﻣ ﺭﺎﻤﻴﺑ
ﻻﺎـﺑ ﺍﺭ ﺥﺎـﺒﻧﻭﺮﮐ ﻱﺎـﻔﻟﺁ ﺐﻳﺮﺿ ﺮﻧﻭﺮﮐ ﻕﻭﺮﻋ )
٨٣ / ٠ ﺎـﺗ ٩٢ / ٠ ( ﺵﺭﺍﺰـﮔ
ﺪﻧﺩﺮﮐ ] ٢٠ [.
ﻲﻳﺎﻳﺎﭘ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺎﺑ
ﻥﻮـﻣﺯﺁ ﺯﺍ ﻩﺩﺎﻔﺘـﺳﺍ ﺩﺪـﺠﻣ
ﺰـﻴﻧ ﺩﺭﻮـﻣ
ﻲﺳﺭﺮﺑ ﺭﺍﺮﻗ ﺖﻓﺮﮔ ﻪﮐ ﻧ ﺞﻳﺎﺘ ﻪﺑ ﺖﺳﺩ ﻩﺪﻣﺁ ﺯﺍ ﻭﺩ ﺭﺎﺑ ﻱﺍﺮﺟﺍ ﻥﻮـﻣﺯﺁ ﻪـﺑ
ﻪﻠﺻﺎﻓ ﻭﺩ
،ﻪﺘﻔﻫ ﺕﺎﺒﺛ ﻱﻻﺎﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺭﻮﮐﺬﻣ
ﺍﺭ ﺪـﻫﺪﻴﻣ ﻥﺎﺸﻧ ﺕﺍﺮـﮔ.
ﺭﺩ ﺰــﻴﻧ ﻪﻣﺎﻨــﺸﺳﺮﭙﺗﺎﺒﺛ ﺩﻮــﺧ ﻪــﻌﻟﺎﻄﻣ ﻩﺩﺍﺩ ﺭﺍﺮــﻗ ﺪــﻴﻳﺄﺗ ﺩﺭﻮــﻣSAQ
ﺖـﺳﺍ ] ٢٠ [.
ﻭ ﻲﮑـﺳ ﻪـﻌﻟﺎﻄﻣ ﺭﺩ ﻦـﺳﺮﺘﭘ
ﺺﺧﺎـﺷ ﻲﮕﺘـﺴﺒﻤﻫ ﻥﻭﺭﺩ
ﻪﺷﻮﺧ ﺩﻮـﺑ ﺏﻮـﻠﻄﻣ ﺕﺎـﺒﺛ ﻥﺍﺰﻴﻣ ﺯﺍ ﺮﺘﻤﮐ ،ﻪﻣﺎﻨﺸﺳﺮﭘ ﻱﺍ ]
٢١،١٩ [.
ﺮـﺑ
ﻪﺘﻓﺎﻳ ﺱﺎﺳﺍ
،ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﻱﺎﻫ ﺖـﺳﺍﻭﺭ ﻭ ﺎـﻳﺎﭘ ﻱﺭﺍﺰـﺑﺍSAQ
. ﻪـﺑ ﺮـﻈﻧ
ﻲﻣ ﺪﺳﺭ ﻦﻳﺍ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺎﺑ
ﻲﮔﮋﻳﻭ ﺩﻮﺟﻭ ﻲﻳﺎﻫ
ﺮﻴﻈﻧ ﻩﺮﻤﻧ ـﮔ ﺰ ﻱﺭﺍ
،ﻩﺩﺎـﺳ
ﻲﻳﺎﻳﺎﭘ ﻭ ﺘﺒﺴﻧ ﻲﻳﺍﻭﺭ ﹰﺎ
،ﺐﺳﺎﻨﻣ ﻤﮑﺗ ﻥﺎﻜﻣﺍ ﻞﻴ
ﺭﺩ ﻥﺎـﻣﺯ ﻩﺎـﺗﻮﻛ ﻭ ﺖـﻴﻠﺑﺎﻗ
ﻱﺮﻴﮔﺭﺎﮑﺑ ﺭﺩ
ﺖﻴﻌﻗﻮﻣ ﻱﺎﻫ ﻱﺭﺍﺰﺑﺍ ﻒﻠﺘﺨﻣ ﺐﺳﺎﻨﻣ
ﺖﺳﺍ ﻪـﻧﻮﻤﻧ. ﻱﺮـﻴﮔ
ﻪـﻧﻮﻤﻧ ﺩﻭﺪـﺤﻣ ﻢﺠﺣ ﻭ ﻲﻳﺎﻴﻓﺍﺮﻐﺟ ﺖﻳﺩﻭﺪﺤﻣ ،ﻲﻓﺩﺎﺼﺗ ﺮﻴﻏ ﻦـﻳﺍ ﺭﺩ ﺎـﻫ
ﻪﺘﻓﺎﻳ ﻱﺮﻳﺬﭘ ﻢﻴﻤﻌﺗ ﺖﻴﻠﺑﺎﻗ ،ﻪﻌﻟﺎﻄﻣ ﻲﻣ ﺶﻫﺎﮐ ﺍﺭ ﺎﻫ
ﻦـﻳﺍ ﻡﺎـﺠﻧﺍ ﻭ ﺪـﻫﺩ
ﺮﺗﻻﺎﺑ ﻪﻧﻮﻤﻧ ﻢﺠﺣ ﺎﺑ ﻪﻌﻟﺎﻄﻣ )
ﻥﺎﺘـﺳﺍ ﺪـﻨﭼ ﻲﺒﻠﻗ ﻥﺍﺭﺎﻤﻴﺑ (
ﻲـﻣ ﺭﺩ ﺪـﻧﺍﻮﺗ
ﻣ ﺖﻳﺩﻭﺪﺤﻣ ﻦﻳﺍ ﺀﺎﻘﺗﺭﺍ ﺆ
ﺪﺷﺎﺑ ﺮﺛ . ﺩﺎﻬﻨﺸﻴﭘ ﻲﻣ ﺩﻮﺷ ﺕﺎـﻌﻟﺎﻄﻣ ﺭﺩ
،ﻲـﺗﺁ
ﻪﻧﻮﻤﻧ ﻱﻭﺭ ﺮﺑ ﻥﺎﻘﻘﺤﻣ ﻩﻭﺮـﮔ ﻭ ﺮـﮕﻳﺩ ﻱﺎﻫ
ﻱﺭﺎـﻤﻴﺑ ﻒـﻠﺘﺨﻣ ﻱﺎـﻫ ﻱﺎـﻫ
ﺪﻨﺷﺎﺑ ﻪﺘﺷﺍﺩ ﺰﮐﺮﻤﺗ ﺮﻧﻭﺮﮐ ﻕﻭﺮﻋ .
ﻥﺎﮔﺪﻨﺴﻳﻮﻧ ﻢﻬﺳ ﻪﻣﺍﺮﺧ ﻱﺮﻫﺎﻃ ﺍﺮﻫﺯ :
ﻲﺣﺍﺮﻃ
،ﻪﻣﺎﻨﺣﺮﻃ ﻊـﻤﺟ
ﻱﺭﻭﺁ ﻩﺩﺍﺩ ﻭ ﻪـﻤﺟﺮﺗ ،ﺎـﻫ
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻥﺩﺮﻛ ﻲﻳﺎﻬﻧ ﻩﺩﺍﺩ ﻞﻴﻠﺤﺗ ،
ﻪﻟﺎﻘﻣ ﻦﻳﻭﺪﺗ ﻭ ﻪﻴﻬﺗ ،ﺎﻫ
ﻱﻭﺮﻫ ﻩﺪﻴﺠﻣ ﻱﻮﻤﻳﺮﮐ
: ﻥﺎﻳﺎﭘ ﻙﺮﺘﺸﻣ ﺖﻳﺮﻳﺪﻣ ﻭ ﻪـﻤﺟﺮﺗ ،ﻪـﻣﺎﻧ
ﻲﻳﺎـﻬﻧ
،ﻪﻣﺎﻨﺸﺳﺮﭘ ﻥﺩﺮﻛ ﻩﺩﺍﺩ ﻞﻴﻠﺤﺗ
ﻪﻟﺎﻘﻣ ﻪﻴﻬﺗ ﺭﺩ ﺖﻛﺭﺎﺸﻣ ،ﺎﻫ
ﻩﮊﺭ ﺪﻴﻫﺎﻧ : ﻥﺎﻳﺎﭘ ﻙﺮﺘﺸﻣ ﺖﻳﺮﻳﺪﻣ ﻭ ﻪﻤﺟﺮﺗ ،ﻪﻣﺎﻧ
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻥﺩﺮﻛ ﻲﻳﺎﻬﻧ
ﻩﺩﺍﺯ ﻲﺟﺎﺣ ﻢﻴﻫﺍﺮﺑﺍ :
ﻥﺎﻳﺎﭘ ﻙﺮﺘﺸﻣ ﺖﻳﺮﻳﺪﻣ ﺤﺗ ،ﻪﻣﺎﻧ
ﻩﺩﺍﺩ ﻞﻴﻠ ﺎﻫ
ﻱﺮﻈﺘﻨﻣ ﻲﻠﻋ :
ﻥﺎـﻳﺎﭘ ﻙﺮﺘـﺸﻣ ﺖﻳﺮﻳﺪﻣ ﻭ ﻪـﻤﺟﺮﺗ ،ﻪـﻣﺎﻧ
ﻥﺩﺮـﻛ ﻲﻳﺎـﻬﻧ
،ﻪﻣﺎﻨﺸﺳﺮﭘ ﻩﺩﺍﺩ ﻞﻴﻠﺤﺗ
ﻪﻟﺎﻘﻣ ﻪﻴﻬﺗ ﺭﺩ ﺖﻛﺭﺎﺸﻣ ،ﺎﻫ
ﻲﻧﺍﺩﺭﺪﻗ ﻭ ﺮﻜﺸﺗ ﺶﻫﻭﮋﭘ ﺮـﺿﺎﺣ ﻲـﺸﺨﺑ ﺯﺍ ﻥﺎـﻳﺎﭘ ﻪـﻣﺎﻧ ﻱﺭﺎﺘـﺳﺮﭘ ﺪـﺷﺭﺍ ﻲـﺳﺎﻨﺷﺭﺎﮐ
ﺖﺒﻗﺍﺮﻣ ﻪﺑ ﻪﻣﺍﺮﺧ ﻱﺮﻫﺎﻃ ﺍﺮﻫﺯ ﻩﮋﻳﻭ ﻱﺎﻫ ﻲﻳﺎﻤﻨﻫﺍﺭ
ﺮﺘﮐﺩ ﻱﻭﺮﻫ ﻩﺪﻴﺠﻣ
ﻩﺩﻮﺑ ﺖﺳﺍ . ﻭﮋﭘ ﻥﺍﺮﮕﺸﻫ ﻪﺑ ﻦﻳﺍ ﻪﻠﻴﺳﻭ ﺐﺗﺍﺮﻣ ﺱﺎﭙﺳ ﻲﻧﺍﺩﺭﺪﻗ ﻭ ﺩﻮﺧ
ﺍﺭ
ﺯﺍ ﻲﻣﺎﻤﺗ ﻱﺩﺍﺮﻓﺍ ﻪﮐ ﺭﺩ ﻡﺎﺠﻧﺍ ﺶﻫﻭﮋﭘ ﻩﺩﻮـﻤﻧ ﺕﺪﻋﺎﺴﻣ
،ﺪـﻧﺍ ﻪـﺑ ﻩﮋـﻳﻭ
ﻡﺮــﺘﺤﻣ ﻞﻨــﺳﺮﭘ ﻭ ﻥﺍﺮﻳﺪــﻣ ،ﺪﻫﺎــﺷ ﻩﺎﮕــﺸﻧﺍﺩ ﻲــﺸﻫﻭﮋﭘ ﺖــﻧﻭﺎﻌﻣ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺮـﺼﻌﻴﻟﻭ ﺕﺮـﻀﺣ ﻭ ﻲﺘـﺸﻬﺑ ﺪﻴﻬﺷ ﻱﺎﻫ
ﺖﮐﺮـﺷ ﻥﺍﺭﺎـﻤﻴﺑ ﻭ
ﻡﻼﻋﺍ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ ﻩﺪﻨﻨﮐ ﻲﻣ
ﺪﻧﺭﺍﺩ .
٨٥
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