هﮋﯾو ﺖﺒﻗاﺮﻣ يرﺎﺘﺳﺮﭘ ﻪﻠﺠﻣ
Iranian Journal of Critical Care Nursing
هرود 5 هرﺎﻤﺷ ، 1 ، رﺎﻬﺑ
1391
Vol. 5. No. 1, Spring 2012
ﺤﻔﺻ تﺎ : 22 - 17
17 - 22 Pages:
نارﺎﺘﺳﺮﭘ يﺮﯿﮔدﺎﯾ حﻮﻄﺳ ﺮﺑ ﯽﻧاﺮﻨﺨﺳ شور ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا شزﻮﻣآ ﺮﯿﺛﺄﺗ ﯽﺳرﺮﺑ
ﯽﺷﺮﻓ ﻪﻣﻮﺼﻌﻣ
،1
رﺎﺒﺗﺎﺑﺎﺑ ﻦﯿﺴﺣ يرﻮﻧ يرﺎﺘﺨﻣ ﻪﻠﯿﻤﺟ ،*
يدﻮﻤﺤﻣ ﻦﯿﺴﺣ ،1
1
* 1 . هﺪﮑﺸﻧاد ﻪﯿﻘﺑ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد يرﺎﺘﺳﺮﭘ ي ا
)...
ﺞﻋ ( ناﺮﯾا ،ناﺮﻬﺗ ،
هﺪﯿﮑﭼ
ﻪﻣﺪﻘﻣ : يﺎﻀﻋا زا ﯽﮑﯾ ناﻮﻨﻋ ﻪﺑ نارﺎﺘﺳﺮﭘ هﻮﺤﻧ و ﻂﯾاﺮﺷ ﺎﺑ ﺪﯾﺎﺑ يزاوﺮﭘ ﻢﯿﺗ
دﺮﯿﮔ ترﻮﺻ ﻦﻤﯾا ﯽﻟﺎﻘﺘﻧا ﺎﺗ ﺪﻨﺷﺎﺑ ﺎﻨﺷآ نارﺎﻤﯿﺑ لﺎﻘﺘﻧا ﺢﯿﺤﺻ ي .
ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا شزﻮﻣآ ﺮﯿﺛﺄﺗ ﯽﺳرﺮﺑ فﺪﻫ ﺎﺑ ﯽﺸﻫوﮋﭘ ﺎﺗ ﺪﺷ ﺐﺒﺳ نﺎﻧآ شﺮﮕﻧ و دﺮﮑﻠﻤﻋ ،ﯽﻫﺎﮔآ ﺶﯾاﺰﻓا ياﺮﺑ نارﺎﺘﺳﺮﭘ شزﻮﻣآ و ﯽﯾﺎﻨﺷآ ﺎﮐ و ﻢﻬﻓ ،ﺶﻧاد ناﺰﯿﻣ ﺮﺑ ﯽﻧاﺮﻨﺨﺳ شور ﻪﺑ دﻮﺷ مﺎﺠﻧا نارﺎﺘﺳﺮﭘ دﺮﺑر
.
شور ﺎﻫ ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد: ي
ﻪﻤﯿﻧ نﺎﺘﺳرﺎﻤﯿﺑ زا ﯽﮑﯾ رد ﻞﻏﺎﺷ نارﺎﺘﺳﺮﭘ زا ﺮﻔﻧ ﯽﺳ ،ﯽﺑﺮﺠﺗ ﻪﻧﻮﻤﻧ شور ﻪﺑ ناﺮﻬﺗ ﺐﺨﺘﻨﻣ يﺎﻫ
لﺎﺳ رد نﺎﺳآ يﺮﯿﮔ
1390 ﻪﻨﯿﻣز رد شزﻮﻣآ و ﺪﻧﺪﺷ بﺎﺨﺘﻧا ﺪﺷ مﺎﺠﻧا ﯽﻧاﺮﻨﺨﺳ شور ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا ي
. ﺶﺳﺮﭘ ﻪﻣﺎﻧ ﺘﺧﺎﺳ ﻖﻘﺤﻣ ي ،لاﺆﺳ ﯽﺳ ياراد ﻪ
دﻮﻤﻧ ﯽﺳرﺮﺑ شزﻮﻣآ زا ﺪﻌﺑ هﺎﻣ ﮏﯾ و ﻪﻠﺻﺎﻓﻼﺑ ،ﻞﺒﻗ ﯽﺘﺧﺎﻨﺷ ﻪﻄﯿﺣ رد دﺮﺑرﺎﮐ و ﻢﻬﻓ ،ﺶﻧاد ﺢﻄﺳ ﻪﺳ رد ار شزﻮﻣآ ﺮﯿﺛﺄﺗ ناﺰﯿﻣ .
ﺶﺳﺮﭘ ﯽﯾاور -
ﺶﺳﺮﭘ ﯽﯾﺎﯾﺎﭘ و ﯽﻤﻠﻋ تﺄﯿﻫ يﺎﻀﻋا تاﺮﻈﻧ ﺎﺑ ﻪﻣﺎﻧ نﻮﺳرﺎﭽﯾردﻮﮐ نﻮﻣزآ ﺎﺑ ﻪﻣﺎﻧ
21 ) 72 /0 ( ﺪﺷ ﺪﯿﯾﺄﺗ . هداد راﺰﻓا مﺮﻧ ﺎﺑ ﺎﻫ SPSS17
و نﻮﻣزآ
هزاﺪﻧا ياﻮﻧآ و راﻮﮑﺳا يﺎﮐ ﺖﻓﺮﮔ راﺮﻗ ﻞﯿﻠﺤﺗ و ﻪﯾﺰﺠﺗ درﻮﻣ يراﺮﮑﺗ يﺎﻫ
.
ﻪﺘﻓﺎﯾ ﺎﻫ : ﻦﯿﮕﻧﺎﯿﻣ ) رﺎﯿﻌﻣ فاﺮﺤﻧا و (
ﺐﯿﺗﺮﺗ ﻪﺑ ،ﺪﻌﺑ ﻪﺘﻔﻫ رﺎﻬﭼ و شزﻮﻣآ زا ﺪﻌﺑ و ﻞﺒﻗ ﺶﻧاد ﺢﻄﺳ رد تاﺮﻤﻧ )
64 /1 (± 17 /4 ، )4 /1 (± 67 /7 ،
)9 /1 (± 27 /7 ﺐﯿﺗﺮﺗ ﻪﺑ ﻢﻬﻓ ﺢﻄﺳ رد ، )2
/1 (± 53 /4
، )9 /1 (9± /6
، )5 /1 (7± / 5 ﺐﯿﺗﺮﺗ ﻪﺑ دﺮﺑرﺎﮐ ﺢﻄﺳ رد و )4
/1 (3± /3
، )6 /1 (± 53 /6 ،
)6 /1 (± 33 /6 ﻪﺑ ، ﺪﻣآ ﺖﺳد . ،ﻞﺒﻗ ﺐﯿﺗﺮﺗ ﻪﺑ حﻮﻄﺳ عﻮﻤﺠﻣ تاﺮﻤﻧ )8
/2 (± 03 / 12 شزﻮﻣآ زا ﺪﻌﺑ ﻪﻠﺻﺎﻓﻼﺑ ، )3
/3 (1± / 21 ،ﺪﻌﺑ ﻪﺘﻔﻫ رﺎﻬﭼ و
) 01 /4 (3± / 19 دﻮﺑ هﺮﻤﻧ ﯽﺳ عﻮﻤﺠﻣ زا .
ﯽﻨﻌﻣ فﻼﺘﺧا ﻄﺳ مﺎﻤﺗ رد يﺮﯿﮔدﺎﯾ ﺪﻧور رد يراد
ﺪﺷ هﺪﻫﺎﺸﻣ حﻮ )
001 /0 p<
.(
ﻪﺠﯿﺘﻧ يﺮﯿﮔ هﺪﻨﻫد نﺎﺸﻧ ﺞﯾﺎﺘﻧ : دﻮﺑ يﺮﯿﮔدﺎﯾ حﻮﻄﺳ ﺮﺑ شزﻮﻣآ ﺮﯿﺛﺄﺗ ي
. هﻮﯿﺷ ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا يرﺎﺘﺳﺮﭘ شزﻮﻣآ ﻦﯾاﺮﺑﺎﻨﺑ ﯽﻧاﺮﻨﺨﺳ ي
ﯽﻣ ﺶﯿﭘ ﺎﻣا ،ﺪﺷﺎﺑ ﺪﯿﻔﻣ ﺪﻧاﻮﺗ شور دﻮﺷ ﯽﻣ دﺎﻬﻧ
دﻮﺷ ﯽﺳرﺮﺑ ﺮﺗﺮﺛﺆﻣ شزﻮﻣآ رﻮﻈﻨﻣ ﻪﺑ ﺰﯿﻧ ﯽﺷزﻮﻣآ ﻦﯾﻮﻧ يﺎﻫ .
ﮐ نﺎﮔژاو يﺪﯿﻠ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا:
؛ ﯽﻧاﺮﻨﺨﺳ شزﻮﻣآ
؛ يﺮﯿﮔدﺎﯾ حﻮﻄﺳ
؛ ﯽﺘﺧﺎﻨﺷ ﻪﻄﯿﺣ
؛ نارﺎﺘﺳﺮﭘ
Study of the effect of air evacuation and transport training using lecture method on nurses' level of learning
Masomeh Farshi1, Hosein Babatabar*, Jamileh Mokhtari Nouri1, Hosein Mahmodi1
*1. Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran Abstract
Aims: As the members of the flight team, nurses should be familiar with the situation and proper transfer of patients, so that a safe transport can be arranged. Education and familiarization of nurses to enhance knowledge, performance, and attitude led us to conduct a research to investigate the effect of air transport and evacuation training using lecture method on nurses' levels of knowledge, attitude and performance.
Methods: In the present quasi-experimental study in 2011, 30 nurses working in one of the selected hospitals of Tehran were sampled using simple sampling and were trained in terms of air evacuation and transport using lecture method. The effect of education on knowledge, comprehension, and application levels in cognitive domain were evaluated before, immediately after, and one month following the training using a multiple choice researcher-designed questionnaire including thirty questions. The questionnaire validity was approved by the faculty members and the reliability by the Kuder-Richardson21 test (0.72). Data was analyzed by SPSS17 statistical software, chi square, and repeated-measures ANOVA test.
Results: The mean (±standard deviation) score was respectively 4.17(±1.64), 7.67(±1.4), and 7.27(±1.9) before, immediately after, and 4 weeks following the training in terms of knowledge, 4.53(±1.2), 6.9(±1.9), and 5.7(±1.5) in terms of comprehension, and 3.3(±1.4), 6.53(±1.6), and 6.33(±1.6) in terms of application. The average total scores obtained was 12.03(±2.8), 21.1(±3.3), and 19.3(±4.01) before, immediately after, and 4 weeks following the education out of the total 30 scores. There was also a significant relationship in the learning process between all the three levels (p<0.001).
Conclusion: The study results were indicative of the effects of education on learning levels, demonstrating the usefulness of air evacuation and transport training using lecture method; however, it is suggested that new training strategies be evaluated in order to bring more effective education.
Key words: Air evacuation and transport; Lecture training; learning levels; Cognitive domain; Nurses
) ﻪﻣﺎﻧ نﺎﯾﺎﭘ زا ﻪﺟﺮﺨﺘﺴﻣ ﻪﻟﺎﻘﻣ ﻦﯾا ﺖﺳا ﯽﯾﻮﺠﺸﻧاد ي
.(
18 ﯽﺷﺮﻓ ﻪﻣﻮﺼﻌﻣ نارﺎﮑﻤﻫ و
ﻪﻣﺪﻘﻣ
رداﺪﻣا ﺑ ﯽﻧﺎﺳ ﯽﻣ ﻞﻗاﺪﺣ ﻪﺑ ار بﻮﻠﻄﻣﺎﻧ تاﺮﺛا ،ثداﻮﺣ رد ﻊﻗﻮﻤ ﺪﻧﺎﺳر
.
ﻖﻃﺎﻨﻣ ﻪﺑ نﺎﺣوﺮﺠﻣ ﺢﯿﺤﺻ لﺎﻘﺘﻧا و ﯽﻧﺎﺳر داﺪﻣا ﻦﯾا نﺎﻣز تﺪﻣ دراد ﺖﯿﻤﻫا رﺎﯿﺴﺑ ،ﯽﻧﺎﺳر تﺎﻣﺪﺧ ياﺮﺑ ﯽﻧﺎﻣرد ﺰﮐاﺮﻣ ﺎﯾ و ﻦﻣا .
ﺮﻫ
ﻪﺑ ﺮﯿﻣ و گﺮﻣ ناﺰﯿﻣ ﺪﺷﺎﺑ ﺮﺘﻤﮐ لﺎﻘﺘﻧا و ﯽﻧﺎﺳر داﺪﻣا نﺎﻣز هزاﺪﻧا ﻫﺎﮐ ﯽﻬﺟﻮﺗ ﻞﺑﺎﻗ ناﺰﯿﻣ ﺖﻓﺎﯾ ﺪﻫاﻮﺧ ﺶ
]1 - 3[
.
ﻊﯾﺎﺷ ﺎﻣ رﻮﺸﮐ رد ﺎﻣوﺮﺗ و ثداﻮﺣ ﻪﮐ ﻦﯾا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ رد ﺖﻠﻋ ﻦﯾﺮﺗ
ﺶﻫﺎﮐ رد ﺎﻣوﺮﺗ ﺐﻗﺎﻌﺘﻣ ﯽﯾﻼﻃ نﺎﻣز ﺶﻫﺎﮐ،ﺖﺳا داﺪﻣا ﺖﺳاﻮﺧ گﺮﻣ ﺧد ﺎﻣوﺮﺗ زا ﯽﺷﺎﻧ ﺮﯿﻣو ﺖﺳا ﻞﯿ
. ﺮﺿﺎﺣ ﺮﺼﻋ رد رﻮﻈﻨﻣ ﻦﯾﺪﺑ
تﺪﻣ ﺶﻫﺎﮐ ياﺮﺑ يرﺎﮑﻫار ناﻮﻨﻋ ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا شور ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ ﻪﺟﻮﺗ درﻮﻣ لﺎﻘﺘﻧا نﺎﻣز .
يﺎﻫدراﺪﻧﺎﺘﺳا زا هدﺎﻔﺘﺳا
ﺶﻫﺎﮐ ﻪﺑ ﺮﺠﻨﻣ ،لﺎﻘﺘﻧا نﺎﻣز تﺪﻣ ﺶﻫﺎﮐ ﺎﺑ ،ﯽﯾاﻮﻫ داﺪﻣا رد مزﻻ گﺮﻣ ﯽﻣ ضراﻮﻋ زا يرﺎﯿﺴﺑ و ﺮﯿﻣو دﻮﺷ
]4 , 5[
.
ﻊﯾﺮﺳ ﯽﯾﺎﺠﺑﺎﺟ ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا ﺎﯾ ﺎﻤﯿﭘاﻮﻫ ﻂﺳﻮﺗ موﺪﺼﻣ ﺮﺗ
ﻢﯿﺗ ﻂﺳﻮﺗ لﺎﻘﺘﻧا ﻦﯿﺣ ﺖﺒﻗاﺮﻣ و ﯽﮑﺷﺰﭘ تاﺰﯿﻬﺠﺗ ياراد دﺮﮕﻟﺎﺑ ﯽﻣ ﻪﺘﻔﮔ ﯽﮑﺷﺰﭘ دﻮﺷ
]6 [.
لﺎﺳ رد ﻦﯿﻣوﺪﺼﻣ ﯽﯾاﻮﻫ ﻞﻘﻧ و ﻞﻤﺣ ﻦﯿﻟوا 1784
عاﺮﺘﺧا زا ﺲﭘ
نارداﺮﺑ ﻂﺳﻮﺗ ﻦﻟﺎﺑ ﻪﻔﯿﻠﮔ نﻮﻣ
مﺎﺠﻧا سوﺮﭘ و ﻪﺴﻧاﺮﻓ ﮓﻨﺟ ﯽﻃ و
ﻂﺳﻮﺗ ﻦﯿﺣوﺮﺠﻣ ﻪﯿﻠﺨﺗ و ﺪﺷ كﻮﮑﯿﭘﻮﮑﻧﺮﻓ ناژ
ﺖﻓﺮﮔ ترﻮﺻ .
زا ﺪﻌﺑ
يﻮﺴﻧاﺮﻓ لوا ﯽﻧﺎﻬﺟ ﮓﻨﺟ رد نآ ﻦﯾا زا ﺎﻫ
لﺎﻘﺘﻧا ياﺮﺑ شور
ﺪﻧدﺮﮐ هدﺎﻔﺘﺳا دﻮﺧ ﯽﮕﻨﺟ ﻦﯿﻣوﺪﺼﻣ .
ﺰﯿﻧ مود ﯽﻧﺎﻬﺟ ﮓﻨﺟ رد
هﺪﺤﺘﻣ ﺖﻟﺎﯾا يﺎﻫﺎﻤﯿﭘاﻮﻫ 1/
1 لﺎﺳ ﻪﺳ ﯽﻃ رد ار موﺪﺼﻣ نﻮﯿﻠﯿﻣ
دﺮﮐ ﻞﻘﺘﻨﻣ .
هدﺎﻔﺘﺳا مﺎﻨﺘﯾو ﮓﻨﺟ و هﺮﮐ ﮓﻨﺟ رد لﺎﻘﺘﻧا شور ﻦﯿﻤﻫ
ﺪﺷ . لﺎﺳ رد 1972 ﻪﻣﺎﻧﺮﺑ ﻦﯿﻟوا رد ﯽﮕﻨﺟ ﺮﯿﻏ ﻖﻃﺎﻨﻣ رد لﺎﻘﺘﻧا ي
ر وداﺮﻠﮐرﻮﻧد لﺎﺳ ﺎﺗ و ﺪﺷ يزاﺪﻧا ها
1990 زا ﺶﯿﺑ 170 ﻪﻣﺎﻧﺮﺑ ي
ﺪﺷ اﺮﺟا ﯽﯾاﻮﻫ لﺎﻘﺘﻧا ]6
, 7[
.
ﻪﭽﺨﯾرﺎﺗ اﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا ﻦﯿﻟوا ي لﺎﺳ ﻪﺑ ناﺮﯾا رد ﯽﯾ
1365 ﯽﻣﺮﺑ -
ددﺮﮔ . ناﻮﻨﻋ ﻪﺑ ﺎﻫدﺮﮕﻟﺎﺑ زا هدﺎﻔﺘﺳا ﺰﯿﻧ قاﺮﻋ و ناﺮﯾا ﮓﻨﺟ رد
ﻪﻠﯿﺳو ﻪﻘﻄﻨﻣ ﻪﺑ ﻦﯿﺣوﺮﺠﻣ لﺎﻘﺘﻧا ي راﺮﻗ هدﺎﻔﺘﺳا درﻮﻣ ﻪﻬﺒﺟ ﺖﺸﭘ ي
ﺖﻓﺮﮔ . لﺎﺳ رد 1379 لﻮﺤﺘﻣ ﯽﯾاﻮﻫ داﺪﻣا ﺎﻫدﺮﮕﻟﺎﺑ رد ﯽﺗاﺮﯿﯿﻐﺗ ﺎﺑ
و ﯽﻫﺎﮕﯾﺎﺟ ﺲﻧاژروا ﻂﯾاﺮﺷ رد ﯽﻧﺎﺳرداﺪﻣا رد و ﺪﺷ ﺖﻓﺎﯾ هﮋﯾ
]8 [ .
رد ﯽﺘﺴﯾﺎﺑ لﺎﻘﺘﻧا و داﺪﻣا ﻢﯿﺗ يﺎﻀﻋا زا ﯽﮑﯾ ناﻮﻨﻋ ﻪﺑ نارﺎﺘﺳﺮﭘ ﻪﻨﯿﻣز ﻦﮑﻤﻣ شور ﻦﯾا رد ﻪﮐ ﯽﺗﻼﮑﺸﻣ و ﯽﯾاﻮﻫ لﺎﻘﺘﻧا ﻂﯾاﺮﺷ ي
هﻮﺤﻧ ﻦﯿﻨﭽﻤﻫ و ﺪﯾآ دﻮﺟو ﻪﺑ موﺪﺼﻣ ياﺮﺑ ﺖﺳا موﺪﺼﻣ ﺖﯾﺮﯾﺪﻣ ي
ﺶﯿﭘ ﺪﻨﺷﺎﺑ ﻪﺘﺷاد ار مزﻻ ﯽﻫﺎﮔآ ﯽﻧﺎﻣرد ﻢﯿﺗ و ﺎﯾ عﻮﻗو زا يﺮﯿﮔ
ﮐ ﻦﯾا ضراﻮﻋ ﺶﻫﺎ ﻢﻠﻋ حﻼﺳ ﻪﺑ نﺪﺷ ﺢﻠﺴﻣ ،ﺢﻧاﻮﺳ و ثداﻮﺣ ﻪﻧﻮﮔ
ﻪﺑ و ﻪﺻﺮﻋ رد نآ يﺮﯿﮔرﺎﮐ ﯽﻣ ار شزﻮﻣآ ي
زا ﺰﺟ ﺮﻣا ﻦﯾا و ﺪﺒﻠﻃ
ﺖﺴﯿﻧ ﺮﺴﯿﻣ بﺮﺠﻣ و ﺪﻣآرﺎﮐ ﯽﻧﺎﺴﻧا يوﺮﯿﻧ ﺖﯿﺑﺮﺗ ﻖﯾﺮﻃ ]4
, 5[
.
فﺪﻫ ﺖﺳا ﯽﺘﯿﻟﺎﻌﻓ ،شزﻮﻣآ زا رﻮﻈﻨﻣ ﻪﮐ هﺪﺷ ﯽﺣاﺮﻃ ﺶﯿﭘ زا و راد
ﺖﺻﺮﻓ ندﺮﮐ ﻢﻫاﺮﻓ ﺶﻓﺪﻫ نورد ار يﺮﯿﮔ دﺎﯾ ﺮﻣا ﻪﮐ ﺖﺳا ﯽﯾﺎﻫ
ﯽﻣ ﺖﻋﺮﺳ و هدﺮﮐ ﻞﯿﻬﺴﺗ ﯽﺷروﺮﭘ مﺎﻈﻧ ﮏﯾ ﺪﺸﺨﺑ
]9 [ . ﯽﻣ ،شزﻮﻣآ
دﻮﺷ هﺪﻧﺮﯿﮔدﺎﯾ رد يﺮﯿﮔدﺎﯾ ﺚﻋﺎﺑ ﺪﻧاﻮﺗ .
دﺎﯾ يﺪﻨﯾاﺮﻓ يﺮﯿﮔ
داﺮﻓا ﯽﯾﺎﻧاﻮﺗ ﻦﯿﻨﭽﻤﻫ و ترﺎﻬﻣ و ﺶﻧاد ﻪﺑ ﯽﺑﺎﯿﺘﺳد ﺖﻬﺟ رد ﺖﺳا ﻢﯿﻤﺼﺗ رد يﺮﯿﮔ رﺎﺘﻓر رد ﺮﯿﯿﻐﺗ ﻪﺑ ﺮﺠﻨﻣ ﺖﯾﺎﻬﻧ رد ﻪﮐ ،دﺮﮑﻠﻤﻋ و ﺎﻫ
ﯽﻣ نﺎﻧآ دﻮﺷ ] 10 [ .
ﻪﻄﯿﺣ ﻪﺳ رد ﺎﻫرﺎﺘﻓر هدر ﯽﺘﮐﺮﺣ ـ ﯽﻧاور و ﯽﻔﻃﺎﻋ ،ﯽﺘﺧﺎﻨﺷ ي
يﺪﻨﺑ
ﯽﻣ ﯽﻣ ﻪﮐ دﻮﺷ ﺪﻧﻮﺷ ﻪﺑﺮﺠﺗ نﺎﻣﺰﻤﻫ رﻮﻃ ﻪﺑ ﺪﻨﻧاﻮﺗ
. ﻪﻄﯿﺣ ﯽﺘﺧﺎﻨﺷ ي
ﻪﻄﯿﺣ ناﻮﻨﻋ ﺖﺤﺗ ﺖﺳا هﺪﺷ هﺪﯿﻣﺎﻧ ﺰﯿﻧ ﺮﮑﻔﺗ ي
. ﻦﯾا رد يﺮﯿﮔدﺎﯾ
ﯽﯾﺎﻧاﻮﺗ ﺎﺑ طﺎﺒﺗرا رد و تﺎﻋﻼﻃا ﺐﺴﮐ ﻞﻣﺎﺷ ﻪﻄﯿﺣ ،ﯽﺗﺪﯿﻘﻋ ﯽﯾﺎﻫ
ﺖﯿﻓﺮﻇ ﺪﻨﯾاﺮﻓ ﯽﻨﻫذ يﺎﻫ ﺖﺳا ﻪﻧاﺮﯿﮔدﺎﯾ ﺮﮑﻔﺗ يﺎﻫ
. زا ﯽﻔﻠﺘﺨﻣ عاﻮﻧا
شور ﯽﯾﺎﻧاﻮﺗ ﻪﻌﺳﻮﺗ فﺪﻫ ﺎﺑ ﯽﺷزﻮﻣآ يﺎﻫراﺰﺑا و ﺎﻫ ﯽﺘﺧﺎﻨﺷ يﺎﻫ
ﺪﻧراد دﻮﺟو .
ﻢﻬﻣ شور ﻦﯾﺮﺗ يﺮﯿﮔدﺎﯾ ﻦﺘﺨﯿﮕﻧاﺮﺑ ياﺮﺑ ﺐﻠﻏا ﻪﮐ ﯽﯾﺎﻫ
ﻪﻄﯿﺣ رد هﺪﺷ هدﺎﻔﺘﺳا ﯽﺘﺧﺎﻨﺷ ي ﻪﺑ دﺮﻓ شزﻮﻣآ و ﯽﻧاﺮﻨﺨﺳ ﻞﻣﺎﺷ ﺪﻧا
ﺖﺳا دﺮﻓ . د دﺮﻓ ﻪﺑ دﺮﻓ شزﻮﻣآ و ﯽﻧاﺮﻨﺨﺳ يﺎﻫرﺎﺘﻓر شزﻮﻣآ ر
هﻮﯿﺷ ًﺎﺒﯾﺮﻘﺗ ﯽﺘﺧﺎﻨﺷ ﺪﻨﺘﺴﻫ ﻞﻣﺎﮐ و يرﺎﺼﺤﻧا يﺎﻫ
] 11 [.
ﻪﺑ مﺎﺠﻧا يرﻮﻀﺣ ﺮﯿﻏ و يرﻮﻀﺣ ترﻮﺻ ود ﻪﺑ شزﻮﻣآ ﯽﻠﮐ رﻮﻃ
ﯽﻣ دﻮﺷ . هﻮﯿﺷ ﻢﻠﻌﻣ ،يرﻮﻀﺣ شزﻮﻣآ ي ﻪﺑ و ﺖﺳا رﻮﺤﻣ
زا ﻪﺘﺳد نآ
ﺖﯿﻟﺎﻌﻓ يﺎﻫ ﯽﺷزﻮﻣآ ﯽﻣ ﻪﺘﻔﮔ ﻪﺒﻨﺟ ﻪﮐ دﻮﺷ ي
راد ﯽﻣﻼﮐ ﻧﺪ . ترﺎﺒﻋ ﻪﺑ
ﺮﮕﯾد ارا ﯾﻪ ي نﺎﮔﺪﻧﺮﯿﮔ دﺎﯾ هوﺮﮔ ﻪﺑ ﻢﻠﻌﻣ ﻂﺳﻮﺗ تﺎﻋﻼﻃا و ﺶﻧاد ﻪﺑ
ا و ﯽﻧاﺮﻨﺨﺳ ترﻮﺻ ﺮﯾوﺎﺼﺗ ﺪﻨﻧﺎﻣ ﯽﺷزﻮﻣآ ﮏﻤﮐ ﻞﯾﺎﺳو زا هدﺎﻔﺘﺳ
و ﻢﻠﯿﻓ و ﺪﯾﻼﺳا ...
ﯽﻣ مﺎﺠﻧا دﺮﯿﮔ ] 12 , 13 [.
هﻮﯿﺷ زا ﯽﮑﯾ ﯽﻧاﺮﻨﺨﺳ ﻪﮐ ﺖﺴﯿﻧ هﺪﯿﺷﻮﭘ ﯽﺴﮐ ﺮﺑ ﺖﺳا ﯽﺷزﻮﻣآ يﺎﻫ
دراد ﯽﯾاﺰﺴﺑ ﺶﻘﻧ ﯽﺷزﻮﻣآ مﺎﻈﻧ ﯽﯾارﺎﮐ رد ﻪﮐ ]
14 [ . شور يﺎﯾاﺰﻣ زا
ﻧاﺮﻨﺨﺳ ﺖﺳا نآ ندﻮﺑ سﺮﺘﺳد ﻞﺑﺎﻗ و ندﻮﺑ نازرا ﯽ ]
10 [ .
و رﺎﺘﻓر ﺮﯿﯿﻐﺗ ﻪﺑ ﯽﻬﺘﻨﻣ تادﺎﻋ ﺐﺴﮐ ،طﺎﺒﺗرا ندﻮﺑ ﻪﻓﺮﻃ ود ﻦﯿﻨﭽﻤﻫ ﻪﻌﺳﻮﺗ ،ﯽﻫﺎﮔآ ﺐﺴﮐ رﺎﻨﮐ رد ترﺎﻬﻣ ترﺎﻬﻣ ي
ﺶﺳﺮﭘ ،ﯽﻃﺎﺒﺗرا يﺎﻫ
ﯽﻧاﺮﻨﺨﺳ شور ﻪﺑ شزﻮﻣآ ﺮﮕﯾد يﺎﯾاﺰﻣ زا ،درﻮﺧزﺎﺑ نداد و ﺦﺳﺎﭘ و ﺖﺳا ] 15 [ . ﺮﺛﺆﻣ شزﻮﻣآ ﯽﻧﺎﻣز ﻪﮐ ﺪﻧدﺮﮐ نﺎﯿﺑ نارﺎﮑﻤﻫ و ﯽﻟﺮﺷ
راﺮﻗﺮﺑ ﯽﺗﻮﺻ طﺎﺒﺗرا هﺪﻧﺮﯿﮔ شزﻮﻣآ و هﺪﻨﻫد شزﻮﻣآ ﻦﯿﺑ ﻪﮐ ﺖﺳا ﺖﺳا ﺮﺴﯿﻣ ﯽﺑﻮﺧ ﻪﺑ ﯽﻧاﺮﻨﺨﺳ رد ﺮﻣا ﻦﯾا ﻪﮐ ﺪﺷﺎﺑ ]
16 [ .
و ﻦﯿﻣوﺪﺼﻣ لﺎﻘﺘﻧا و داﺪﻣا ﺮﺿﺎﺣ ﺮﺼﻋ رد ﻪﮐ ﻦﯾا ﻦﺘﻓﺮﮔ ﺮﻈﻧ رد ﺎﺑ گﺮﻣ ناﺰﯿﻣ رد نﺎﻣز ﺖﯿﻤﻫا ﻞﯿﻟد ﻪﺑ ﻦﯿﺣوﺮﺠﻣ راﺮﻗ ﻪﺟﻮﺗ درﻮﻣ ﺮﯿﻣو
ناﺮﺒﺟ ضراﻮﻋ هﺪﻫﺎﺸﻣ ﻦﯿﻨﭽﻤﻫ و ﻪﺘﻓﺮﮔ ا رد ﺮﯾﺬﭘﺎﻧ
ﯽﯾاﻮﻫ لﺎﻘﺘﻧ
ﺐﺒﺳ يزاوﺮﭘ صﺎﺧ ﻂﯾاﺮﺷ زا ﯽﻫﺎﮔآ مﺪﻋ ﻞﯿﻟد ﻪﺑ ﯽﻧﺎﻣرد ﻢﯿﺗ ﻂﺳﻮﺗ ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا شزﻮﻣآ ﺮﯿﺛﺄﺗ ﯽﺳرﺮﺑ فﺪﻫ ﺎﺑ ﯽﺸﻫوﮋﭘ ﺪﺷ ﻞﻏﺎﺷ نارﺎﺘﺳﺮﭘ شﺮﮕﻧ و دﺮﮑﻠﻤﻋ ،ﯽﻫﺎﮔآ ناﺰﯿﻣ ﺮﺑ ﯽﻧاﺮﻨﺨﺳ شور نﺎﺘﺳرﺎﻤﯿﺑ زا ﯽﮑﯾ رد ﺪﺷ مﺎﺠﻧا ،ناﺮﻬﺗ ﺮﻬﺷ ﺐﺨﺘﻨﻣ يﺎﻫ
.
شور ﺎﻫ ﺎﺣ ﺶﻫوﮋﭘ ﺿ
ﺮ ﻪﻌﻟﺎﻄﻣ ﮏﯾ ﻪﻤﯿﻧ ي
زا ﯽﮑﯾ رد ﻪﮐ دﻮﺑ ﯽﺑﺮﺠﺗ
نﺎﺘﺳرﺎﻤﯿﺑ لﺎﺳ رد ناﺮﻬﺗ ﺐﺨﺘﻨﻣ يﺎﻫ 1390
ﺖﻓﺮﮔ ترﻮﺻ .
ﻪﻧﻮﻤﻧ -
ﺪﻧدﻮﺑ ﺪﺷرا ﯽﺳﺎﻨﺷرﺎﮐ و ﯽﺳﺎﻨﺷرﺎﮐ ﻊﻄﻘﻣ نارﺎﺘﺳﺮﭘ ،ﻪﻌﻟﺎﻄﻣ ﻦﯾا يﺎﻫ
ﻄﺳ ﺮﺑ ﯽﻧاﺮﻨﺨﺳ شور ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا شزﻮﻣآ ﺮﯿﺛﺄﺗ ﯽﺳرﺮﺑ نارﺎﺘﺳﺮﭘ يﺮﯿﮔدﺎﯾ حﻮ
19
ﻪﻧﻮﻤﻧ شور ﻪﺑ ﻪﮐ ﺶﺨﺑ زا نﺎﺳآ يﺮﯿﮔ
ﻒﻠﺘﺨﻣ يﺎﻫ )
،ﺲﻧاژروا
هﮋﯾو و ﯽﺣاﺮﺟ ،ﯽﻠﺧاد (
ﺪﻧﺪﺷ بﺎﺨﺘﻧا .
ﻪﻧﻮﻤﻧ ﻢﺠﺣ ي
ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﯾا
بﺎﺴﺘﺣا 5
= % ،α
10
= % ،β Power=90%
ماﺮﮔﻮﻣﻮﻧ زا هدﺎﻔﺘﺳا ﺎﺑ و
ﻦﯿﮕﻧﺎﯿﻣ رد رﺎﻈﺘﻧا درﻮﻣ توﺎﻔﺗ ﻞﻗاﺪﺣ و ﻦﻤﺘﻟآ ﻪﻌﻟﺎﻄﻣ ﻦﯿﻨﭽﻤﻫ و ﺎﻫ
ﻪﻧﻮﻤﻧ داﺪﻌﺗ ،هﺪﺷ مﺎﺠﻧا 28
ﺪﺻرد هد بﺎﺴﺘﺣا ﺎﺑ ﻪﮐ ﺪﺷ دروآﺮﺑ ﺮﻔﻧ
ﺪﺷ دروآﺮﺑ ﺮﻔﻧ ﯽﺳ شﺰﯾر .
ﺳﺮﭘ ﯽﺳﺎﻨﺷرﺎﮐ كرﺪﻣ ﻦﺘﺷاد ،دورو يﺎﻫرﺎﯿﻌﻣ ﺎﯾ ﯽﻠﺧاد يرﺎﺘ
ﻪﻘﺑﺎﺳ لﺎﺳ ود ﻞﻗاﺪﺣ ﻦﺘﺷاد ،يﺮﺳاﺮﺳ ﺶﺨﺑ رد رﺎﮐ ي
،ﯽﻨﯿﻟﺎﺑ يﺎﻫ
ﻪﻨﯿﻣز رد ﯽﻠﺒﻗ شزﻮﻣآ مﺪﻋ هﺮﻤﻧ ﺐﺴﮐ ،ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا ي
ي
ﺶﯿﭘ زا هدﺰﻧﺎﺷ ﺮﺜﮐاﺪﺣ رد ﻪﮐ يداﺮﻓا ﻞﻣﺎﺷ جوﺮﺧ يﺎﻫرﺎﯿﻌﻣ و نﻮﻣزآ
نﻮﻣزآ ود يرﻮﻀﺣ شزﻮﻣآ رد ﻪﮐ يداﺮﻓا و ﺪﻨﯾﺎﻤﻨﻧ ﺖﮐﺮﺷ ﯽﯾﺎﻬﻧ يﺎﻫ
ﺖﻋﺎﺳ ﺪﻨﺘﺷاد ﺖﺒﯿﻏ .
نﺎﻣزﺎﺳ ناﺮﯾﺪﻣ زا ﯽﻫاﻮﺧﺮﻈﻧ ﺎﺑ اﺪﺘﺑا يﺎﻫ
ﻪﺘﺴﺑاو ،ناﺮﯿﮔاﺮﻓ و
ﺪﺷ مﺎﺠﻧا ﯽﺠﻨﺳزﺎﯿﻧ .
ﻪﻠﺣﺮﻣ رد مﺎﺠﻧا ﯽﺠﻨﺳزﺎﯿﻧ سﺎﺳا ﺮﺑ مود ي
ﺪﯿﺳر ﯽﻤﻠﻋ مﺮﺘﺤﻣ ﻦﯾروﺎﺸﻣ ﺪﯿﯾﺄﺗ ﻪﺑ و ﻪﯿﻬﺗ ﻪﻣﺎﻧﺮﺑ فاﺪﻫا ،هﺪﺷ .
رد
ﻪﻠﺣﺮﻣ ﺎﺑ ﯽﺷزﻮﻣآ ياﻮﺘﺤﻣ ،هﺪﺷ ﻪﯿﻬﺗ فاﺪﻫا ﻪﺑ ﺖﯾﺎﻨﻋ ﺎﺑ مﻮﺳ ي
تﺎﻌﻟﺎﻄﻣ ﻪﻧﺎﺨﺑﺎﺘﮐ و ﯽﺘﻧﺮﺘﻨﯾا ﻦﯾروﺎﺸﻣ ﺪﯿﯾﺄﺗ ﻪﺑ و هﺪﺷ هدﺎﻣآ يا
ﺪﯿﺳر ﯽﻤﻠﻋ مﺮﺘﺤﻣ .
ﻮﺘﺤﻣ ا ﯽﺷزﻮﻣآ ي ﻪﯿﻬﺗ
هوﺰﺟ ترﻮﺻ ﻪﺑ هﺪﺷ ي
هدﺎﻣآ ﯽﺷزﻮﻣآ ﺪﺷ
.
ﺶﺳﺮﭘ ﮏﯿﻓاﺮﮔﻮﻣد ﺶﺨﺑ ود ترﻮﺻ ﻪﺑ ﻪﻣﺎﻧ )
،ﻞﻫﺄﺗ ،ﻦﺳ ،ﺲﻨﺟ
ﻪﻘﺑﺎﺳ ﺖﻔﯿﺷ ،تﻼﯿﺼﺤﺗ ﺢﻄﺳ ،ماﺪﺨﺘﺳا عﻮﻧ ،يرﺎﮐ ﺶﺨﺑ ،يرﺎﮐ ي
يرﺎﮐ ﺖﯿﻟﻮﺌﺴﻣ و يرﺎﮐ (
ﯽﺳ و ﻪﻄﯿﺣ ﯽﺳرﺮﺑ ﻪﺑ طﻮﺑﺮﻣ لاﺆﺳ ي
ﺪﺷ ﯽﺣاﺮﻃ ﯽﺘﺧﺎﻨﺷ .
ﺢﻄﺳ رد لاﺆﺳ ﻪﻧ ،ﺶﻧاد ﺢﻄﺳرد لاﺆﺳ هدزﺎﯾ
ﻪﻄﯿﺣ رد لاﺆﺳ هد و ﻢﻬﻓ دﻮﺑ دﺮﮑﻠﻤﻋ ي
. ﺐﺴﮐ ﺎﺑ تﻻاﺆﺳ ﯽﯾاور
ﯽﻣ ﺖﺳد ﻪﺑ ،ﻪﺘﺷر ﻦﯾا رد هﺮﺒﺧ ﺪﯿﺗﺎﺳا زا ﺮﻈﻧ ﺪﯾآ
. تﻻاﺆﺳ ﯽﯾﺎﯾﺎﭘ
ﺶﺳﺮﭘ نﻮﺳرﺎﭽﯾردﻮﮐ نﻮﻣزآ ﺎﺑ ﻪﻣﺎﻧ 21
) 72 /0 ( ﻮﻣ و ﺪﻣآ ﺖﺳﺪﺑ در
ﺖﻓﺮﮔ راﺮﻗ ﺪﯿﯾﺄﺗ .
ﯽﮕﻨﻫﺎﻤﻫ زا ﺲﭘ يرﺎﮑﻤﻫ ﺐﻠﺟ و نﺎﺘﺳرﺎﻤﯿﺑ ﻦﯿﻟﻮﺌﺴﻣ ﺎﺑ مزﻻ يﺎﻫ
ﻪﻧﻮﻤﻧ ﺶﺳﺮﭘ ،ﺎﻫ ﻪﻧﻮﻤﻧ ﻂﺳﻮﺗ ﻪﻣﺎﻧ
ﺪﺷ ﻞﯿﻤﮑﺗ ﺎﻫ .
رﺎﻬﭼ تﺪﻣ ﻪﺑ ﺲﭙﺳ
ﺪﺷ ﻪﯾارا ﯽﻧاﺮﻨﺨﺳ شور ﺎﺑ ﯽﺷزﻮﻣآ ياﻮﺘﺤﻣ ﺖﻋﺎﺳ .
و ﻪﻠﺻﺎﻓﻼﺑ
ﺶﺳﺮﭘ ،شزﻮﻣآ زا ﺲﭘ ﻪﺘﻔﻫ رﺎﻬﭼ ﺪﺷ ﻞﯿﻤﮑﺗ ﻪﻣﺎﻧ
. ﻞﯿﻤﮑﺗ تﺎﻋﻼﻃا
ﺑﺪﮐ هﺪﺷ راﺰﻓا مﺮﻧ دراو ﺎﻫ هداد و هﺪﺷ يﺪﻨ
SPSS17
ﺪﺷ .
ﯽﮔﮋﯾو طﺎﺒﺗرا ﺶﺠﻨﺳ ياﺮﺑ تاﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ﺎﺑ ﯽﺘﺧﺎﻨﺷ ﺖﯿﻌﻤﺟ يﺎﻫ
نﻮﻣزآ زا ﯽﻧاﺮﻨﺨﺳ ﻪﻠﺣﺮﻣ ﻪﺳ رد دﺮﺑرﺎﮐ و ﻢﻬﻓ ،ﺶﻧاد حﻮﻄﺳ ،يﺎﻫ
ﺰﯿﻟﺎﻧآ نﻮﻣزآ ﺎﺑ و ﺪﺷ هدﺎﻔﺘﺳا ﻪﻓﺮﻄﮑﯾ ﺲﻧﺎﯾراو ﺰﯿﻟﺎﻧآ و راﻮﮑﺳا يﺎﮐ هزاﺪﻧا ﺲﻧﺎﯾراو ﮕﻧﺎﯿﻣ يراﺮﮑﺗ يﺎﻫ
و ﻢﻬﻓ ،ﺶﻧاد حﻮﻄﺳ تاﺮﻤﻧ ﻦﯿ
ﺪﺷ ﻪﺴﯾﺎﻘﻣ ﺮﮕﯾﺪﮑﯾ ﺎﺑ ﯽﻧاﺮﻨﺨﺳ ﻪﻠﺣﺮﻣ ﻪﺳ رد دﺮﺑرﺎﮐ .
ﻪﺘﻓﺎﯾ
ﺎﻫ نﺎﺸﻧ ﺞﯾﺎﺘﻧ ،شزﻮﻣآ ﺎﺑ ﮏﯿﻓاﺮﮔﻮﻣد تﺎﻋﻼﻃا ﻦﯿﺑ طﺎﺒﺗرا صﻮﺼﺧ رد
هﺪﻨﻫد زا ﻞﺒﻗ تاﺮﻤﻧ ﻞﮐ ﻦﯿﮕﻧﺎﯿﻣ تاﺮﻤﻧ ﻦﯿﺑ ﻂﻘﻓ ﻪﮐ ﺖﺳا نآ ي
ﯽﻨﻌﻣ فﻼﺘﺧا ماﺪﺨﺘﺳا ﺖﯿﻌﺿو ﺎﺑ شزﻮﻣآ يرﺎﻣآ راد
(p=0.03)
دﻮﺟو
دراد . ﯽﻤﺳر ﻦﯿﺑ فﻼﺘﺧا ﻦﯾا ﻪﮐ داد نﺎﺸﻧ ﯽﮐﻮﺗ نﻮﻣزآ و ﺎﻫ
يدادراﺮﻗ يدادراﺮﻗ ﯽﻨﻌﯾ ؛دراد دﻮﺟو ﺎﻫ هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ﺎﺑ ﺎﻫ
ي 11 / 14 زا
ﯽﻤﺳر هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ﺎﺑ ﺎﻫ ي
22 / 11 يﺮﺗﻻﺎﺑ ﺢﻄﺳ رد ،شزﻮﻣآ زا ﻞﺒﻗ
ﻪﻠﺣﺮﻣ ود رد ﯽﻟو ﺪﻨﺘﺷاد راﺮﻗ ﯽﻨﻌﻣ يرﺎﻣآ فﻼﺘﺧا ،ﺪﻌﺑ ي
دﻮﺟو يراد
ﺷاﺪﻧ ﺖ .
7/
76 ﺪﻧدﻮﺑ ﺚﻧﺆﻣ ﺶﻫوﮋﭘ درﻮﻣ يﺎﻫﺪﺣاو ﺪﺻرد .
7/
46 ،داﺮﻓا ﺪﺻرد
ﻦﺳ ياراد 07
/ 36 18± /6 ﺪﻧدﻮﺑ لﺎﺳ .
80 ﻪﻧﻮﻤﻧ ﺪﺻرد ﻞﻫﺄﺘﻣ ﺎﻫ
ﺪﻧدﻮﺑ . ﺮﺘﺸﯿﺑ )3 / 33 ﺪﺻرد ( ﻪﻧﻮﻤﻧ ﻪﻘﺑﺎﺳ لﺎﺳ هدﺰﻧﺎﭘ ﯽﻟا هدزﺎﯾ ﻦﯿﺑ ﺎﻫ
ﺪﻨﺘﺷاد رﺎﮐ .
و ﯽﺳﺎﻨﺷرﺎﮐ كرﺪﻣ ياراد ﺪﺻرد دﻮﻧ )3
/ 63 ﺪﺻرد (
ﺑ رﺎﺘﺳﺮﭘ ﺖﻤﺳ ياراد ﺪﻧدﻮ
. 30 ﺲﻧاژروا ﺶﺨﺑ رد ﺎﻫﺪﺣاو ﺪﺻرد
و ﺪﻧدﻮﺑ لﻮﻐﺸﻣ )
60 ﺪﺻرد ( ﺪﻧدﺮﮐ ﯽﻣ رﺎﮐ يدادراﺮﻗ ترﻮﺻ ﻪﺑ .
3/
33
و ﺢﺒﺻ ﺖﻔﯿﺷ رد نارﺎﺘﺳﺮﭘ ﺪﺻرد 3/
33 شدﺮﮔ رد ﺖﻔﯿﺷ ﺪﺻرد
ﻪﯿﻘﺑ و ﺪﻧدﻮﺑ نآ ي
ﺮﺼﻋ و ﺢﺒﺻ ﺖﻔﯿﺷ رد ﺎﻫ ﯽﻣ رﺎﮐ
ﺪﻧدﺮﮐ .
ﺶﺳﺮﭘ زا هﺪﻣآ ﺖﺳد ﻪﺑ ﺞﯾﺎﺘﻧ ﻪﻣﺎﻧ
اﺮﻨﺨﺳ شزﻮﻣآ زا ﺲﭘ و ﻞﺒﻗ ي ﯽﻧ
هرﺎﻤﺷ لوﺪﺟ رد دﺮﺑرﺎﮐ و ﻢﻬﻓ ،ﺶﻧاد ﺢﻄﺳ ﻪﺳ رد هﺪﺷ هدروآ ﮏﯾ ي
ﺖﺳا .
ﺚﺤﺑ دراد دﻮﺟو دﺮﺑرﺎﮐ و ﻢﻬﻓ ،ﺶﻧاد يﺮﯿﮔدﺎﯾ ﺢﻄﺳ ﻪﺳ ﯽﺘﺧﺎﻨﺷ ﻪﻄﯿﺣ رد .
ﻦﯿﯾﺎﭘ ،ﺶﻧاد ﻦﯾﺪﺑ و ﺖﺳا ﯽﺘﺧﺎﻨﺷ ﻪﻄﯿﺣ رد يﺮﯿﮔدﺎﯾ ﺢﻄﺳ ﻦﯾﺮﺗ
ﺪﻫد ﻪﯾارا يﺪﻫاﻮﺷ ،يروآدﺎﯾ ﻖﯾﺮﻃ زا ﺪﻧاﻮﺘﺑ هﺪﻧﺮﯿﮔدﺎﯾ ﻪﮐ ﺖﺳا ﯽﻨﻌﻣ هﺪﯾﺪﭘ و درﺎﭙﺳ ﺮﻃﺎﺧ ﻪﺑ هدﺮﮐ ﻪﺑﺮﺠﺗ شزﻮﻣآ نﺎﯾﺮﺟ رد ﻪﮐ ار ﯽﯾﺎﻫ .
ﯽﺗﻼﻤﺟ ﺎﺑ نآ ﻦﯿﯿﺒﺗ و ﺐﻠﻄﻣ ﮏﯾ مﻮﻬﻔﻣ ﻪﺑ ندﺮﺑ ﯽﭘ ﯽﯾﺎﻧاﻮﺗ ﯽﻫﺎﮔآ ﺖﺳا ﯽﻣ ﺺﺨﺷ دﻮﺧ ﻪﮐ دزﺎﺳ
. ،ﯽﻤﻠﻋ لﻮﺻا دﺮﺑرﺎﮐ ﯽﯾﺎﻧاﻮﺗ دﺮﮑﻠﻤﻋ
ﻪﯿﺿﺮﻓ ﺖﯿﻌﻗﻮﻣ و ﺖﯿﻌﺿو رد ﯽﻋاﺰﺘﻧا ﻢﯿﻫﺎﻔﻣ ﺮﮕﯾد و ﺎﯾﺎﻀﻗ ،ﺎﻫ
ﭻﯿﻫ ﻪﮑﻨﯾا نوﺪﺑ ﺐﺳﺎﻨﻣ هار ﻪﻧﻮﮔ
دﻮﺷ ﻪﯾارا ﯽﻠﺣ ]
17 [ .
ﺖﺳد ﻪﺑ ﺞﯾﺎﺘﻧ ﯽﺘﺧﺎﻨﺷ يﺮﯿﮔدﺎﯾ ﺢﻄﺳ ﻪﺳ ﺮﻫ رد ﺶﻫوﮋﭘ ﻦﯾا رد ا ﻪﮐ ﺖﺷاد راﺮﻗ ﻦﯿﯾﺎﭘ ﺢﻄﺳ رد ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ هﺪﻣآ زا رود ﺮﻣا ﻦﯾ
ﯽﻣ ﺪﯿﯾﺄﺗ ار ﻪﻨﯿﻣز ﻦﯾا رد شزﻮﻣآ ﺮﻣا ﻪﺑ زﺎﯿﻧ و هدﻮﺒﻧ رﺎﻈﺘﻧا ﻦﯾا و ﺪﻨﮐ
ﺖﺷاد يدﻮﻌﺻ ﺪﻧور ﯽﻧاﺮﻨﺨﺳ زا ﺪﻌﺑ ناﺰﯿﻣ .
ﯽﻧاﺮﻨﺨﺳ ﯽﻠﮐ رﻮﻃ ﻪﺑ
ﻪﻄﯿﺣ ﯽﻣﺎﻤﺗ رد ﺖﺴﻧاﻮﺗ ﻪﮐ ﺪﯾﺎﻤﻧ دﺎﺠﯾا ﺎﻘﺗرا ﯽﺘﺧﺎﻨﺷ يﺮﯿﮔدﺎﯾ يﺎﻫ
ﺖﺷاد ﯽﻧاﻮﺨﻤﻫ ﺎﻣ ﺶﻫوﮋﭘ ﺞﯾﺎﺘﻧ ﺎﺑ يدﺎﯾز تﺎﻌﻟﺎﻄﻣ ﺞﯾﺎﺘﻧ .
ﺴﺣ نارﺎﮑﻤﻫ و ﯽﻨﯿ ﻪﻌﻟﺎﻄﻣ رد
ﻪﺴﯾﺎﻘﻣ ي ي
ﺮﯿﺛﺄﺗ ود شور ﯽﺷزﻮﻣآ
ﯽﻧاﺮﻨﺨﺳ و ﺖﻠﻔﻤﭘ ﺮﺑ ﯽﻫﺎﮔآ و ﺶﻧاد شﺮﮕﻧ نازﻮﻣآ
نﺎﺘﺳﺮﯿﺑد يﺎﻫ
نﺎﺘﺳﺮﻬﺷ ﻪﻧﺎﻣ
و نﺎﻘﻠﻤﺳ رد درﻮﻣ يرﺎﻤﯿﺑ ﺪﻧدﺮﮐ ﺺﺨﺸﻣ زﺪﯾا ﻪﮐ
شور ﯽﺷزﻮﻣآ
،ﯽﻧاﺮﻨﺨﺳ شور
يﺮﺗﺮﺛﺆﻣ رد ﻪﺴﯾﺎﻘﻣ ﺎﺑ شور ﯽﺷزﻮﻣآ
20 ﯽﺷﺮﻓ ﻪﻣﻮﺼﻌﻣ نارﺎﮑﻤﻫ و
ﺖﻠﻔﻤﭘ و ﻪﻠﺧاﺪﻣ مﺪﻋ ي
ﯽﺷزﻮﻣآ رد ﺗ ﺮﯿﯿﻐ ﯽﻫﺎﮔآ و شﺮﮕﻧ ﺶﻧاد -
نازﻮﻣآ ﺖﺒﺴﻧ ﻪﺑ ﺖﺳازﺪﯾا ] 18 [ .
يﺮﯿﺸﻠﮔ ﺮﯿﺛﺄﺗ ﺰﯿﻧ ود شور شزﻮﻣآ ﯽﻧاﺮﻨﺨﺳ و ار يزﻮﻣآدﻮﺧ ﺮﺑ
ﯽﻫﺎﮔآ و ناردﺎﻣ دﺮﮑﻠﻤﻋ رد
درﻮﻣ ﺪﻧور ﺪﺷر و ﻞﺣاﺮﻣ ﻞﻣﺎﮑﺗ ﻪﯾﺬﻐﺗ يا
ﺎﮐدﻮﮐ ن ﺮﺘﻤﮐ زا ﻪﺳ دﺮﮐ ﻪﺴﯾﺎﻘﻣ لﺎﺳ .
توﺎﻔﺗ ﯽﻫﺎﮔآ دﺮﮑﻠﻤﻋ و
ناردﺎﻣ ﺖﺒﺴﻧ ﻪﺑ ﺪﻧور ﺪﺷر كدﻮﮐ ﺮﺘﻤﮐ زا ﻪﺳ لﺎﺳ ﯽﻧاﺮﻨﺨﺳ رد
دﻮﺑ يزﻮﻣآدﻮﺧ شور زا ﺮﺘﺸﯿﺑ ]
19 [ .
ﯽﯾﺎﺿر ﻼﺘﺒﻣ نارﺎﻤﯿﺑ دﺮﮑﻠﻤﻋ و شﺮﮕﻧ ،ﯽﻫﺎﮔآ ﺮﺑ ﻪﯾﺬﻐﺗ شزﻮﻣآ رد ﻪﺑ ﻪﯾﺬﻐﺗ شزﻮﻣآ داد نﺎﺸﻧ زردﻮﮕﯿﻟا نﺎﺘﺳﺮﻬﺷ رد ﮏﯾ عﻮﻧ ﺖﺑﺎﯾد ﻪﺑ دﺮﮑﻠﻤﻋ و شﺮﮕﻧ ،ﯽﻫﺎﮔآ ﺢﻄﺳ ﺶﯾاﺰﻓا ﺐﺟﻮﻣ ﯽﻧاﺮﻨﺨﺳ ترﻮﺻ ﯽﻣ ﯽﺘﺑﺎﯾد نارﺎﻤﯿﺑ دﻮﺷ
] 20 [ .
ﻖﺣ ﺖﺳود دﺮﮑﻠﻤﻋ و شﺮﮕﻧ ،ﯽﻫﺎﮔآ ﺮﺑ ار ژﺎﯾﺮﺗ شزﻮﻣآ ﺮﯿﺛﺄﺗ
ﺪﻨﺘﺴﻧاد ﺮﺛﺆﻣ ﺲﻧاژروا ﺶﺨﺑ نارﺎﺘﺳﺮﭘ ]
21 [.
يدﺮﮑﻫدرﻮﭘ ﻦﺴﺣ
ﯽﻫﺎﮔآ ﺶﯾاﺰﻓا رد يزﻮﻣآ دﻮﺧ شور ﺮﺑاﺮﺑ رد ار ﯽﻧاﺮﻨﺨﺳ شور ﺐﺳﺎﻨﻣ روژﺎﻣ ﯽﻤﺳﻻﺎﺗ ﻪﺑ ﻼﺘﺒﻣ نﺎﮐدﻮﮐ ﻦﯾﺪﻟاو ﯽﻣ ﺮﺗ
ﺪﻧاد ] 10 [ . رد
ﺶﻫوﮋﭘ ﺞﯾﺎﺘﻧ ﯽﻧاردﺎﻬﺑ
ﺪﺷ هﺪﯾد ﯽﻧاﺮﻨﺨﺳ ﺖﺒﺜﻣ ﺮﯿﺛﺄﺗ ﺰﯿﻧ ]
22 [ .
زاﺮﺑ ﯽﺷزﻮﻣآ شور ﮏﯾ ﯽﻧاﺮﻨﺨﺳ و يرﻮﻀﺣ شزﻮﻣآ ﻪﮐ داد نﺎﺸﻧ
ﺖﺳا باﺬﺟ و ﺮﺛﺆﻣ ،نازرا ]
23 [ . ﺎﺒﺻ قدﺎﺻ رد يرﻮﻀﺣ شور رد
تﺪﻣ ﺮﺑ ار مواﺪﻣ و ﯽﻧﻻﻮﻃ ﺮﯿﺛﺄﺗ يرﻮﻀﺣ ﺮﯿﻏ شور ﻪﺑ ﻪﺴﯾﺎﻘﻣ ﻪﺑ ﯽﻫدﺮﯿﺷ ﺪﻧدروآ ﺖﺳد
] 24 [ . رﺎﮐﺮﺼﻋ و ﯽﯾﺎﻘﺑ
يرﺎﺘﺳﺮﭘ نﺎﯾﻮﺠﺸﻧاد يﺮﯿﮔدﺎﯾ ناﺰﯿﻣ ﺮﺑ ار ﯽﻧاﺮﻨﺨﺳ
ﯽﺒﺳﺎﻨﻣ شور ار ﯽﻧاﺮﻨﺨﺳ ،يراددﺎﯾ ﻪﻨﯿﻣز رد ﺎﻣا ﺪﻨﺘﺴﻧاد ﺖﺒﺜﻣ ﺪﻨﺘﺴﻧاﺪﻧ ] 25 [ . ﺎﻘﺗرا رد ﻪﺘﺒﻟا ترﺎﻬﻣ ي
رﺪﻘﭼ ﺮﻫ يرﺎﺘﺳﺮﭘ ﯽﻨﯿﻟﺎﺑ يﺎﻫ
سﻮﻤﻠﻣ و ﯽﻨﯿﻋ شزﻮﻣآ ﺖﺳا ﺮﺗﺪﯿﻔﻣ ﺪﺷﺎﺑ ﺮﺗ
. يدﺎﺒﻋ رد نارﺎﮑﻤﻫ و
ﻪﺴﯾﺎﻘﻣ ﻦﯿﺑ ار يراد ﯽﻨﻌﻣ توﺎﻔﺗ هدﺮﺸﻓ حﻮﻟ و ﯽﻧاﺮﻨﺨﺳ شزﻮﻣآ ي
ﯽﻣ ﺮﺗﺪﯿﻔﻣ ار ﯽﻨﯿﻋ شور ﺎﻣا ﺪﻨﺘﻓﺎﯿﻧ شور ود ﻦﯾا ﺪﻨﻧاد
] 26 [ .
ﻪﻌﻟﺎﻄﻣ رد ﯽﺑﺮﺠﺗ ﻪﻤﯿﻧ ي ﺎﻘﺑ ناﻮﯾا
ﺑ ﻪﮐ نارﺎﮑﻤﻫ و ﯽﺳرﺮﺑ ﻪ
ﺮﯿﺛﺄﺗ
شزﻮﻣآ ﺮﺑ
،ﯽﻫﺎﮔآ شﺮﮕﻧ و دﺮﮑﻠﻤﻋ ﺶﻧاد نازﻮﻣآ ﺮﺘﺧد ﻊﻄﻘﻣ
ﯽﯾﺎﻤﻨﻫار ﺮﻬﺷ لﺎﺨﻠﺧ رد درﻮﻣ ﻢﮐ ﯽﻧﻮﺧ ﺮﻘﻓ زا ﺲﭘ ﺖﺧادﺮﭘ ﻦﻫآ
ﺞﯾﺎﺘﻧ ﯽﻧاﺮﻨﺨﺳ ﻪﻌﻟﺎﻄﻣ
فﻼﺘﺧا يرﺎﻣآ ﯽﻨﻌﻣ يراد ﻦﯿﺑ ار تاﺮﻤﻧ
،ﯽﻫﺎﮔآ شﺮﮕﻧ و دﺮﮑﻠﻤﻋ رد ود هوﺮﮔ ﺪﻌﺑ زا ﻪﻠﺧاﺪﻣ ﺎﺑ ﻪﮐ داﺪﻧ نﺎﺸﻧ
ﻪﻌﻟﺎﻄﻣ ﺞﯾﺎﺘﻧ ي
ﻢﻫ هﺪﺷ مﺎﺠﻧا دراﺪﻧ ﯽﻧاﻮﺧ
. ياﺮﺟا ﻪﻣﺎﻧﺮﺑ ي ﯽﺷزﻮﻣآ
ﺪﻨﻠﺑ تﺪﻣ و هدﺎﻔﺘﺳا زا شور يﺎﻫ شزﻮﻣآ ﻒﻠﺘﺨﻣ ﺖﺷاﺪﻬﺑ
هﮋﯾو ﻪﺑ
شزﻮﻣآ يﺎﻫ ﻪﻧﺎﺳر
،يا ياﺮﺑ يﺎﻘﺗرا
،ﯽﻫﺎﮔآ شﺮﮕﻧ و دﺮﮑﻠﻤﻋ ﺶﻧاد
نازﻮﻣآ رد طﺎﺒﺗرا شزﻮﻣآ ﺎﺑ ﺶﯿﭘ دﺎﻬﻧ ﺪﺷ ] 27 [ .
ﻪﺠﯿﺘﻧ يﺮﯿﮔ
نارﺎﺘﺳﺮﭘ يﺮﯿﮔدﺎﯾ ﺢﻄﺳ يﺎﻘﺗرا ﺮﮕﻧﺎﯿﺑ ،ﻖﯿﻘﺤﺗ ﺞﯾﺎﺘﻧ ﻪﻨﯿﻣز رد
ي
ﺖﺳا ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا .
ﺢﻄﺳ يﺎﻘﺗرا ﯽﺳرﺮﺑ دﻮﺟو ﻦﯾا ﺎﺑ
ﻪﻨﯿﻣز رد يﺮﯿﮔدﺎﯾ شور ﺮﮕﯾد ﺎﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا ي
ﯽﺷزﻮﻣآ يﺎﻫ
لوﺪﺟ 1:
ﻪﻠﺣﺮﻣ ﻪﺳ رد يﺮﯿﮔدﺎﯾ حﻮﻄﺳ رﺎﯿﻌﻣ فاﺮﺤﻧا و ﻦﯿﮕﻧﺎﯿﻣ نﻮﻣزآ ي
يرﺎﻣآ نﻮﻣزآ
Repeated Measures ANOVA
p value
نﻮﻣزآ ﺲﭘ زا ﺲﭘ 4 ﻪﺘﻔﻫ
±SD Mean
نﻮﻣزآ ﺲﭘ
±SD Mean
نﻮﻣزآ ﺶﯿﭘ
±SD Mean
ﺢﻄﺳ يﺮﯿﮔدﺎﯾ 9/
1 27± / 7
7/67±14/ 4/17± /164 ﺶﻧاد
57/±15/ 69/±19/ 4/53±12/ ﻢﻬﻓ
001 /0 p<
6/33±16/ 6/53±16/ 33/±14/ دﺮﺑرﺎﮐ
19/ 3± /401 21/ 1± 33/ 12/03±28/ حﻮﻄﺳ ﻊﻤﺟ
ﻄﺳ ﺮﺑ ﯽﻧاﺮﻨﺨﺳ شور ﻪﺑ ﯽﯾاﻮﻫ لﺎﻘﺘﻧا و داﺪﻣا شزﻮﻣآ ﺮﯿﺛﺄﺗ ﯽﺳرﺮﺑ نارﺎﺘﺳﺮﭘ يﺮﯿﮔدﺎﯾ حﻮ
21
ﯽﻣ ﺮﻈﻧ ﻪﺑ ﺪﯿﻔﻣ ﯽﻘﯿﻔﻠﺗ شزﻮﻣآ و يزﺎﺠﻣ شزﻮﻣآ ﺪﻨﻧﺎﻣ ﺞﯾﺎﺘﻧ ﺎﺗ ﺪﺳر
ﻪﺑ شور ﺮﮕﯾد ﺎﺑ هﺪﻣآ ﺖﺳد دﻮﺷ ﻪﺴﯾﺎﻘﻣ ﺎﻫ
. ﯽﻧادرﺪﻗ و ﺮﮑﺸﺗ
ﺎﮑﻤﻫ زا هﺪﮑﺸﻧاد ﯽﻤﻠﻋ تﺄﯿﻫ يﺎﻀﻋا ير ﻪﯿﻘﺑ يرﺎﺘﺳﺮﭘ ي
ا ...
) ﺞﻋ ( و
حﺮﻃ ﻦﯾا مﺎﺠﻧا رد ﻪﮐ ﺐﺨﺘﻨﻣ نﺎﺘﺳرﺎﻤﯿﺑ مﺮﺘﺤﻣ نارﺎﺘﺳﺮﭘ و ﻦﯿﻟﻮﺌﺴﻣ ﻣ ﯽﻣ ﻞﻤﻌﺑ ﯽﻧادرﺪﻗ و ﺮﮑﺸﺗ لﺎﻤﮐ ﺪﻧدﻮﻤﻧ يرﺎﯾ ار ﺎ ﺪﯾآ
.
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