ﻪﯾرﺪﯿﺣ ﺖﺑﺮﺗ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﻠﺠﻣ هرود 6 هرﺎﻤﺷ . 1 رﺎﻬﺑ . ﯽﺸﻫوﮋﭘ ﻪﻟﺎﻘﻣ 1397
ﯽﯾﺎـﺳرﺎﻧ ﻪـﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ رد يﺪﻣآرﺎﮐدﻮﺧ و ﯽﺘﺒﻗاﺮﻣدﻮﺧ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣاﻮﻋ ﯽﺒﻠﻗ
نﺎﻤﯿﭘ ﻦﯿﺷﻮﻧ ﯽﻬﻟاﺪﺒﻋ ﻪﺑﻮﺒﺤﻣ ،1
ﺪﻤﺣا هداز هﺮﻫز ،2
* 3
1 . ناﺮﯾا ،ﺪﻬﺸﻣ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد .ﺖﺷاﺪﻬﺑ هﺪﮑﺸﻧاد ،ﯽﺘﺷاﺪﻬﺑ مﻮﻠﻋ تﺎﻘﯿﻘﺤﺗ ﺰﮐﺮﻣ ،ﺖﻣﻼﺳ ءﺎﻘﺗرا و شزﻮﻣآ هوﺮﮔ
2 . ﯽﻣﻮﻤﻋ ﺖﺷاﺪﻬﺑ هوﺮﮔ
، ناﺮﯾا ،ﻪﯾرﺪﯿﺣ ﺖﺑﺮﺗ ،ﻪﯾرﺪﯿﺣ ﺖﺑﺮﺗ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد
3.
،ﯽﻣﻮﻤﻋ ﺖﺷاﺪﻬﺑ هوﺮﮔ ناﺮﯾا ،ﻪﯾرﺪﯿﺣ ﺖﺑﺮﺗ ،ﻪﯾرﺪﯿﺣ ﺖﺑﺮﺗ ﯽﮑﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﺖﺷاﺪﻬﺑ هﺪﮑﺸﻧاد
:ﺖﻓﺎﯾرد ﺦﯾرﺎﺗ :شﺮﯾﺬﭘ ﺦﯾرﺎﺗ
هﺪﯿﮑﭼ
ﻪﻨﯿﻣز :فﺪﻫ و
ﺖﺳا ﯽﻨﻣﺰﻣ يرﺎﻤﯿﺑ ﺐﻠﻗ ﯽﯾﺎﺳرﺎﻧ نﺎـﯾﺎﭘ ﺎﺗ ﯽﺘﺒﻗاﺮﻣدﻮﺧ يﺎﻫرﺎﺘﻓر ﻪﺑ نآ ﻪﺑ نﺎﯾﻼﺘﺒﻣ ﻪﮐ
ﺖﻬﺟ رﺎﻤﯿﺑ ﻖﯾﻮﺸﺗ و ﺎﻫرﺎﺘﻓر ﻦﯾا ﯽﯾﺎﺳﺎﻨﺷ اﺬﻟ .ﺪﻧراد زﺎﯿﻧ ﺮﻤﻋ ﺢﯿﺤـﺻ مﺎﺠﻧا رد ﺖﯿﻟﻮﺌﺴﻣ لﻮﺒﻗ و ﺖﮐرﺎﺸﻣ
نآ ﻞـﻣاﻮﻋ ﯽـﺳرﺮﺑ ،فﺪـﻫ ﺎـﺑ ﺮـﺿﺎﺣ ﻪـﻌﻟﺎﻄﻣ .ﺪـﺷ ﺪﻫاﻮﺧ يرﺎﻤﯿﺑ ضراﻮﻋ لﺮﺘﻨﮐ ﻪﺑ ﺮﺠﻨﻣ ﺎﻫ ﻂﺒﺗﺮـﻣ
ﺎـﺑ
ﯽﺘﺒﻗاﺮﻣدﻮﺧ و
ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ رد يﺪﻣآرﺎﮐدﻮﺧ ﺒﻠﻗ ﯽﯾﺎﺳرﺎﻧ
ﯽ .ﺖﺳا ﻪﺘﻓﺮﮔ مﺎﺠﻧا
شور :ﺎﻫ
سرﺪـﻣ ﺪﯿﻬـﺷ نﺎﺘـﺳرﺎﻤﯿﺑ رد يﺮﺘـﺴﺑ ﯽـﺒﻠﻗ نارﺎـﻤﯿﺑ ﺖﮐرﺎﺸﻣ ﺎﺑ ﯽﻌﻄﻘﻣ ﯽﻔﯿﺻﻮﺗ ﻪﻌﻟﺎﻄﻣ ﻦﯾا
لﺎﺳ رد ﺮﻤﺷﺎﮐ نﺎﺘﺳﺮﻬﺷ 1396
مﺮـﻓ زا هدﺎﻔﺘـﺳا ﺎـﺑ و ﻪﺒﺣﺎـﺼﻣ ﻖـﯾﺮﻃ زا ﺎـﻫ هداد يروآ ﻊﻤﺟ .ﺪﺷ مﺎﺠﻧا
ﺎـﻫ هداد ﻞﯿﻠﺤﺗ .ﺪﯾدﺮﮔ مﺎﺠﻧا ﺎﯾﺎﭘ و اور ﯽﺘﺒﻗاﺮﻣ دﻮﺧ و يﺪﻣآرﺎﮐدﻮﺧ ﻪﻣﺎﻨﺸﺳﺮﭘ و ﮏﯿﻓاﺮﮔﻮﻣد تﺎﻋﻼﻃا ﺎـﺑ
راﺰﻓا مﺮﻧ و ﻪﻧﺎﮔﺪﻨﭼ ﯽﻄﺧ نﻮﯿﺳﺮﮔر زا هدﺎﻔﺘﺳا ﻪﺨﺴﻧ
SPSS18 نﺎﻨﯿﻤﻃا ﺢﻄﺳ و 95
.ﺪﺷ مﺎﺠﻧا %
:ﺞﯾﺎﺘﻧ
ﺖﮐﺮـﺷ داﺮـﻓا ﯽﻨـﺳ ﻦﯿﮕﻧﺎﯿﻣ هﺪـﻨﻨﮐ
56 /8 73 ± / 58 لﺎـﺳ و يﺪـﻣآرﺎﮐدﻮﺧ هﺮـﻤﻧ ﻂـﺳﻮﺘﻣ .دﻮـﺑ
ﺐﯿﺗﺮﺗ ﻪﺑ ﺶﻫوﮋﭘ يﺎﻫﺪﺣاو ﯽﺘﺒﻗاﺮﻣدﻮﺧ 24
/8 35 ± / 16 و 21 /8 11 ± / 31 ﺶﯾاﺰـﻓا داد نﺎـﺸﻧ ﺞﯾﺎـﺘﻧ .دﻮﺑ
ﻪـﻄﺑار ندﻮـﺑ يرﺎﮕﯿﺳ و ﻦﺳ ﻪـﻄﺑار ﯽﻨﯿـﺸﻧ يﺮﻬـﺷ و تﻼﯿـﺼﺤﺗ ناﺰـﯿﻣ و سﻮـﮑﻌﻣ ي
ﺎـﺑ ﻢﯿﻘﺘـﺴﻣ ي
) ﺪﻨﺘـﺷاد ﯽﺘﺒﻗاﺮﻣدﻮـﺧ و يﺪﻣآرﺎﮐدﻮﺧ 0001
/0 P<
ﻪـﻄﺑار ﯽﺘﺒﻗاﺮﻣدﻮـﺧ و يﺪـﻣآرﺎﮐدﻮﺧ ﻦﯿـﺑ ﻦﯿـﻨﭽﻤﻫ .(
ﯽﻨﻌﻣ ﻢﯿﻘﺘﺴﻣ ) ﺖﺷاد دﻮﺟو يراد
0001 /0 P<
، 86 /0
= .( r
ﻪﺠﯿﺘﻧ :يﺮﯿﮔ
ﺑ رادرﻮﺧﺮﺑ ﯽﯾﻻﺎﺑ يﺪﻣآرﺎﮐ دﻮﺧ زا ﯽﺘﺒﻗاﺮﻣ دﻮﺧ يﺎﻫرﺎﺘﻓر مﺎﺠﻧا رد نارﺎﻤﯿﺑ ﻪﮑﻨﯾا ﻪﺑ ﻪﺟﻮﺗ ﺎ
نارﺎـﻤﯿﺑ رد ﯽـﺘﺒﻗاﺮﻣ دﻮـﺧ و يﺪـﻣآرﺎﮐدﻮﺧ ﺮﺑ ﺮﺛﻮﻣ ﻞﻣاﻮﻋ دﻮﺷ ﯽﻣ دﺎﻬﻨﺸﯿﭘ ،ﺪﻧدﺮﮐ ﻞﻤﻋ ﻒﯿﻌﺿ و ﺪﻧدﻮﺒﻧ دﺮﯿﮔ ترﻮﺻ مزﻻ تﺎﻣاﺪﻗا ﻞﻣاﻮﻋ ﻦﯾا ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﺖﻬﺟ و ﻪﺘﻓﺮﮔ راﺮﻗ يﺮﺘﺸﯿﺑ ﯽﺳرﺮﺑ درﻮﻣ
.ﻠﮐ ﯿ ﺪ هژاو ﺎﻫ :
آرﺎﮐدﻮﺧ ــــــــــــﻣ
،يﺪ
ﺐﻠﻗ ﯽﺋﺎﺳرﺎﻧ ،ﯽﺘﺒﻗاﺮﻣدﻮﺧ
ﻣﺎﻤﺗ ﯽ قﻮﻘﺣ ﻧ اﺮـﺑ ﺮـﺸ ي
ﮑـﺷﺰﭘ مﻮـﻠﻋ هﺎﮕﺸﻧاد ﯽ
ﻪــﯾرﺪﯿﺣ ﺖــﺑﺮﺗ ظﻮــﻔﺤﻣ
.ﺖﺳا
ﻪﻣﺪﻘﻣ ﺎﺳرﺎﻧ ﯽﯾ ﺒﻠﻗ ﯽ ﺎﺷ زا ﻊﯾ ﺮﺗ ﻦﯾ ﺒﻠﻗ تﻻﻼﺘﺧا ﯽ
ﻗوﺮﻋ و ﯽ ﻪـﺑ و هدﻮـﺑ
ناﻮﻨﻋ ﮏﯾ ،ﻦﻣﺰـﻣ لﻼﺘـﺧا ـﭘ
ﺶﯿ حﺮـﻄﻣ هﺪـﻨﻨﮐ ناﻮﺗﺎـﻧ و هﺪـﻧور
ﻣ ﯽ ) ﺪﺷﺎﺑ 1 ﺎﺳرﺎﻧ .(
ﯽﯾ ﺒﻠﻗ ﯽ ـﺷ زا عﻮﯿ ﻻﺎـﺑ ﯽﯾ ﺎﻫرﻮـﺸﮐ رد ﻢـﻫ ي
ﻪﻌﺳﻮﺗ ﻪﺘﻓﺎﯾ ﺎﻫرﻮﺸﮐ رد ﻢﻫ و ي
ـﻣ رادﻮـﺧﺮﺑ ﻪﻌـﺳﻮﺗ لﺎﺣ رد ﯽ
) ﺪﺷﺎﺑ 2 .(
ﺮﺑ قوﺮـﻋ و ﺐـﻠﻗ ﻦـﻤﺠﻧا زا هﺪـﻣآ ﺖـﺳﺪﺑ رﺎـﻣآ ﻖـﺒﻃ
ﺮﻣآ ﺎﮑﯾ دوﺪﺣ ﻪﻧﻻﺎﺳ 250000
ﺑ رﺎﻤﯿ ﻘﺘﺴﻣ ضراﻮﻋ زا ﻢﯿ
و ﺎﯾ ﻏ ﺮﯿ ﻘﺘﺴﻣ
ﻢﯿ ﺷﺎﻧ ﯽ ﺎﺳرﺎﻧ زا ﯽﯾ ﺒﻠﻗ ﯽ زا ار دﻮﺧ نﺎﺟ ﻣ ﺖﺳد
ﯽ و ﺪﻨﻫد
ﻣ و گﺮﻣ ﺮﯿ ﺷﺎﻧ ﯽ ﺎﺳرﺎﻧ زا ﯽﯾ ﺒﻠﻗ ﯽ رد 40 ﻪﺘـﺷﺬﮔ لﺎﺳ 6
ﺮـﺑاﺮﺑ
اﺰﻓا ﺶﯾ ﺘﻓﺎﯾ ﻪ ) ﺖﺳا 3 ا رد .(
ناﺮﯾ ﺎﻫرﺎﻣآ ﻖﺒﻃ ي
ﻮﺟﻮﻣ د ﻪﻟﺎـﺳ ﺮﻫ
ﺑ يرﺎﻤﯿ ﺎﻫ ي ﺒﻠﻗ ﯽ دوﺪﺣ تﻮﻓ ﺐﺒﺳ 150
ـﻣﺮﻔﻧ راﺰﻫ ﯽ
) دﻮـﺷ 4 .(
ﻼﺘﺒﻣ داﺪﻌﺗ نﺎﯾ
ﺎﺳرﺎﻧ ﻪﺑ ﯽﯾ ﻧﺎـﻘﺘﺣا ﯽ ـﺒﻠﻗ ﯽ لﺎـﺳ رد 1388
رد 18
دوﺪﺣ رد رﻮﺸﮐ نﺎﺘﺳا 2
/ 3 رد ﺮﻔﻧ ﺪﺼﮑﯾ ﻌﻤﺟ ﺮﻔﻧ ﺖـﯿ ﻪـﮐ هدﻮـﺑ
56 نارﺎﮑﻤﻫ ونﺎﻤﯿﭘ ﯽﺒﻠﻗ نارﺎﻤﯿﺑرد يﺪﻣآرﺎﮐدﻮﺧ و ﯽﺘﺒﻗاﺮﻣدﻮﺧ
ا ﻦﯾ دوﺪﺣ داﺪﻌﺗ 8
/ 2 ﻻﺎﺑ ﻦﺳ ﺮﻔﻧ ي
50 دوﺪﺣ و لﺎﺳ 4
/ 0 رد ﺮـﻔﻧ
ﻨﺳ ﻦﯿ ﺑ ﻦﯿ 45 - 15 اﺮﻗ لﺎﺳ ر ﻣ و ﺪﻨﺘﺷاد ﻦﯿﮕﻧﺎﯿ
گﺮـﻣ ﻦـﺳ 7
/ 65
ﺎــﻫ لﺎــﺳ ﺪــﺻرد و لﺎــﺳ ي
ﺮــﻤﻋ ﻪــﺘﻓر ﺖــﺳد زا 7
/ 1 هدﻮــﺑ
ﺖﺳا ) 5 .(
ﺖﯿﻌﺒﺗ ﺎﻫرﺎﺘﻓر زا ي
ﺘﺒﻗاﺮﻣ دﻮﺧ ﯽ
ﻼﺘﺒﻣ رد نﺎـﯾ ﺑ ﻪـﺑ يرﺎـﻤﯿ ﺎـﻫ ي
ﻤﻫا زا ﻦﻣﺰﻣ ﺖﯿ
اﺰﺴﺑ ﯽﯾ ﺑ و ﺖﺳا رادرﻮﺧﺮﺑ نارﺎﻤﯿ
ﻣ ﯽ ﺎـﺑ ،ﺪﻨﻧاﻮﺗ
ﺎﻫ ترﺎﻬﻣ ﺐﺴﮐ ي
ﺎـﺳآ ﺮـﺑ ،دﻮـﺧ زا ﺖـﺒﻗاﺮﻣ
،ﺶﯾ ﺎـﻧاﻮﺗ ﯽﯾ ﺎـﻫ ي
دﺮــﮑﻠﻤﻋ ي اﺮﻓ و يﺎﻫﺪــﻨﯾ ﺑ يرﺎــﻤﯿ ﺛﺎــﺗ دﻮــﺧ ﺮﯿ
) ﺪﻨــﺷﺎﺑ راﺬــﮔ 6
.(
ﺑ نارﺎﻤﯿ ﺎﺳرﺎﻧ ﻪﺑ ﻼﺘﺒﻣ ﯽﯾ
ﺒﻠﻗ ﯽ ﻧ ﻦﻣﺰﻣ ﺰﯿ ﺑ ﺐﻗاﻮﻋ ﺖﻠﻋ ﻪﺑ ، يرﺎﻤﯿ
ﻐﺗ ﺎﺑ ،نﺎﻣرد و ﺮﯿﯿ
ﻧ رد يﺎﻫزﺎﯿ ﺘﺒﻗاﺮﻣ دﻮﺧ ﯽ
دﻮـﺑ ﺪـﻨﻫاﻮﺧ ﻪﺟاﻮﻣ
اﺮﺑ و ي ﺑ تﻼﮑـﺸﻣ ﺎـﺑ ﻪﻬﺟاﻮﻣ يرﺎـﻤﯿ
ﻧ زﺎـﯿ ﺎـﻫرﺎﺘﻓر ﻪـﺑ ي
دﻮـﺧ
ﺘﺒﻗاﺮﻣ ﯽ ) ﺪﻧراد 7 .(
دﻮﺧ ﺘﺒﻗاﺮﻣ ﯽ ﺎﺳرﺎﻧ رد ﯽﯾ ﺒﻠﻗ ﯽ دراﻮﻣ ﺮﺑ ي ﺪـﻣ نﻮﭼ ﺖﯾﺮﯾ ژر ﻢـﯾ
اﺬﻏ ﯽﯾ وراد و
،ﯽﯾ دوﺪـﺤﻣ ﺖﯾ رد ﺖـﻓﺎﯾ ﺪـﺳ ﻢﯾ ﺎﻣ و ،تﺎـﻌﯾ زﻮـﺗ ﻦﯾ
ﺎﭘ ،ﻢﻈﻨﻣ شزرو ،ﻪﻧازور ﺶﯾ
ﺎﻫ ﻪﻧﺎﺸﻧ ، ﻢﺋﻼﻋ ي
ﺪﺸﺗ ﺪﯾ ﺑ يرﺎﻤﯿ و
ﻤﺼﺗ و ﻮﺠﺘﺴﺟ ﻢﯿ
ﮔ يﺮﯿ ﻧﺎﻣرد ﺐﺳﺎﻨﻣ تﺎﻣاﺪﻗا ﺖﻬﺟ ﯽ
ﻣ ﺖﻟﻻد ﯽ
) ﺪﻨﮐ 8 ﺘﺒﻗاﺮﻣدﻮﺧ . ( ﯽ
ﻣﻮـﻤﻋ ﺖﻣﻼـﺳ دﻮـﺒﻬﺑ ﻪـﺑ ﺮـﺠﻨﻣ ﯽ
ﺑ ،رﺎـﻤﯿ
ﺎﻘﺗرا ،ﺖﺒﻗاﺮﻣ ﺪﻧور رد ﻪﻧﻻﺎﻌﻓ ﺖﮐﺮﺷ ي
ﮐ ﺖﯿﻔﯿ ﮔﺪﻧز ﯽ ﺎﻬﻧرد و ﺖﯾ
ﺰﻫ ﺶﻫﺎﮐ ﻪﻨﯾ
ﺎﻫ ي ﻧﺎﻣرد ﯽ ﻣ ﯽ ) دﻮﺷ 9 ﻔﻠﺘﺨﻣ ﻞﻣاﻮﻋ .(
ﯽ ﺒﻗ زا ﻞـﯿ :
ﺪــﻣآرﺎﮐدﻮﺧ
،ي ﻫﺎــﮔآ
،ﯽ دﺮــﻓ تادﺎــﻘﺘﻋا ،شﺮــﮕﻧ
،ي ﺎــﻫرﺎﺠﻨﻫ ي
ﻋﺎــﻤﺘﺟا ﯽ ﭘ ﺲــﻔﻧ ﻪــﺑ دﺎــﻤﺘﻋا و ﯽﯾﻮﮕــﺸﯿ
هﺪــﻨﻨﮐ ﺎــﻫ ي ﺎــﻫرﺎﺘﻓر ي
ﺘﺒﻗاﺮﻣدﻮﺧ ﯽ
ﺑ رد نارﺎﻤﯿ ﺎﺳرﺎﻧ ﯽﯾ ﺒﻠﻗ ﯽ ﻣ ﯽ ﺧﺮﺑ .ﺪﺷﺎﺑ ﯽ
ﻞـﻣاﻮﻋ
ﺪﻣآرﺎﮐدﻮﺧ ،ﻪﻠﻤﺟ زا
،ي ﻤﻃا و دﺎﻤﺘﻋا نﺎﻨﯿ
ﺎﻧاﻮﺗ ﻪﺑ ﯽﯾ ﺎﻫ ي دﺮـﻓ ي
ﻠﻤﻋ مﺎﺠﻧا رد ﯽ
ﭘ صﺎﺧ ﺶﯿ ﻧ زﺎﯿ ﻐﺗ ﻢﻬﻣ ﺮﯿﯿ ) ﺖﺳا رﺎﺘﻓر 10
رد و (
ﭘ ﺶﯿ ﺑ ﯽﻨﯿ ﺶـﻘﻧ ﺎـﻬﻧآ لﺮـﺘﻨﮐ ﺖـﻬﺟ ﺐﺳﺎﻨﻣ راﺰﺑا ﻖﻠﺧ و ثداﻮﺣ
ﺳﺎﺳا ﯽ ا ﺎـﻔﯾ ـﻣ ﯽ ) ﺪـﻨﮐ 11 ﺗرﻮـﺻ رد .(
ﯽ ﺢﻄـﺳ زا ﺺﺨـﺷ ﻪـﮐ
ﺪﻣآرﺎﮐدﻮﺧ ي
ﺑ ﯽﯾﻻﺎ ﻣ ،ﺪﺷﺎﺑ رادرﻮﺧﺮﺑ ﯽ
ﺑ ﺪـﻧاﻮﺗ يرﺎـﻤﯿ ﻦﻣﺰـﻣ
ﺘﻧ رد و هدﻮﻤﻧ لﺮﺘﻨﮐ ار دﻮﺧ
،ﻪﺠﯿ ﻘﻓﻮﻣ لﺎـﻤﺘﺣا ﻪﺑ ﺖـﯿ
ﺑ يﺮﺘـﺸﯿ
ﺖﺳد ﺪﺑﺎﯾ ) 12 .(
ﺞﯾﺎﺘﻧ ﺮﻗﺎﺑ ﻪﻌﻟﺎﻄﻣ ي
ﺮﺑ نارﺎﮑﻤﻫ و ور
ي ﺑ نارﺎـﻤﯿ ﺎـﺳرﺎﻧ ﯽﯾ ﺐـﻠﻗ
ﻣ نﺎﺸﻧ ﯽ ﺪﻣآرﺎﮐدﻮﺧ ﻪﭼﺮﻫ ﻪﮐ ﺪﻫد ي
ﺑ نارﺎﻤﯿ ﺮﺗﻻﺎﺑ ﺢﻄﺳ رد ي
ﺎﺑ ﻪﺑ ﻪﺟﻮﺗ ﺎﺴﻣ
ﻞﯾ ﭘ
،ﺖﻔﮕﺸﯿ فﺪـﻫ ﺎـﺑ ﺮـﺿﺎﺣ ﻪـﻌﻟﺎﻄﻣ ﯽـﺳرﺮﺑ
ﻞﻣاﻮﻋ ﻂﺒﺗﺮﻣ ﺎﺑ ﯽﺘﺒﻗاﺮﻣدﻮﺧ و
ﻼﺘـﺒﻣ نارﺎـﻤﯿﺑ رد يﺪﻣآرﺎﮐدﻮﺧ
.ﺖﺳا ﻪﺘﻓﺮﮔ مﺎﺠﻧا ﯽﺒﻠﻗ ﯽﯾﺎﺳرﺎﻧ ﻪﺑ شور ﺎﻫ
ﺖﮐرﺎﺸﻣ ﺎﺑ ﯽﻌﻄﻘﻣ ﯽﻔﯿﺻﻮﺗ ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد يﺮﺘﺴﺑ ﯽﺒﻠﻗ نارﺎﻤﯿﺑ
لﺎﺳ رد ﺮﻤﺷﺎﮐ نﺎﺘﺳﺮﻬﺷ سرﺪﻣ ﺪﯿﻬﺷ نﺎﺘﺳرﺎﻤﯿﺑ 1396
مﺎﺠﻧا
تﻮﻠﯾﺎـﭘ ي ﻪﻌﻟﺎﻄﻣ ﮏﯾ تﺎﻋﻼﻃا زا ﻪﻧﻮﻤﻧ ﻢﺠﺣ دروآﺮﺑ ياﺮﺑ .ﺪﺷ ﻪﯿﻟوا ﻢﺠﺣ ﺎﺑ 10
رد .ﺪـﺷ هدﺎﻔﺘﺳا ﺮﻔﻧ ﻪـﻌﻟﺎﻄﻣ
تﻮﻠﯾﺎـﭘ ﻦﯿﮕﻧﺎـﯿﻣ
هﺮﻤﻧ ي يﺪﻣآرﺎﮐادﻮﺧ 85
/ 8 77± / 17 ﻪﺑ ﺖﺳد ﺪﻣآ . ﺎـﺑ هدﺎﻔﺘـﺳا
زا لﻮﻣﺮﻓ ﻢﺠﺣ ﻪﻧﻮﻤﻧ ياﺮﺑ دروآﺮﺑ ﻦﯿﮕﻧﺎﯿﻣ و ﺎﺑ رد ﺮـﻈﻧ ﻦﺘﻓﺮـﮔ
يﺎﻄﺧ ﻖﻠﻄﻣ 1 / 1،
ﻢﺠﺣ ﻪﻧﻮﻤﻧ 250 ﺮﻔﻧ دروآﺮﺑ ﺪﺷ .
ﺐﻠﻗ ﯽﯾﺎﺳرﺎﻧ ﻪﺑ نﺎﯾﻼﺘﺒﻣ .ﺪﺷ مﺎﺠﻧا نﺎﺳآ شور ﻪﺑ يﺮﯿﮔ ﻪﻧﻮﻤﻧ ﻪـﺑ دورو يﺎﻫرﺎﯿﻌﻣ ﻪﻠﻤﺟ زا يرﺎﻤﯿﺑ ﻪﺑ ءﻼﺘﺑا لﺎﺳ ﮏﯾ ﻞﻗاﺪﺣ و و ﻪـﻌﻟﺎﻄﻣ رد ﺖﮐرﺎﺸﻣ ﻪﺑ ﻞﯾﺎﻤﺗ مﺪﻋ و ﻪﻌﻟﺎﻄﻣ مﺪـﻋ
رﺎﯿـﺷﻮﻫ ي
ﺦﺳﺎﭘ رد ﯽـﻣ ﻞﯿﮑﺸﺗ جوﺮﺧ يﺎﻫ رﺎﯿﻌﻣ ار تﻻاﻮﺳ ﻪﺑ ﯽﻫد .ﺪـﻧداد
ﺎـﺑ و نﺎﮔﺪـﻨﻨﮐ ﺖﮐرﺎﺸﻣ ﺎﺑ ﻪﺒﺣﺎﺼﻣ ﻖﯾﺮﻃ زا ﺎﻫ هداد يروآ ﻊﻤﺟ يﺪـﻣآرﺎﮐدﻮﺧ ﻪﻣﺎﻨﺸﺳﺮﭘ و ﮏﯿﻓاﺮﮔﻮﻣد تﺎﻋﻼﻃا مﺮﻓ زا هدﺎﻔﺘﺳا ﮏﯿﻓاﺮﮔﻮﻣد تﺎﻋﻼﻃا مﺮﻓ .ﺪﯾدﺮﮔ مﺎﺠﻧا ﺎﯾﺎﭘ و اور ﯽﺘﺒﻗاﺮﻣ دﻮﺧ و و ﻦﺳ يﺎﻫ ﺮﯿﯿﻐﺘﻣ يوﺎﺣ ﺲﻨﺟ
.دﻮﺑ
ناﻮﯿﻟﺎﺳ ﯽﺒﻠﻗ نارﺎﻤﯿﺑ يﺪﻣآرﺎﮐدﻮﺧ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺮﻈﻧ زا ناﺮﯾا رد
ﺖـﺳا ﻪـﺘﻓﺮﮔ راﺮـﻗ ﯽـﺳرﺮﺑ درﻮﻣ نآ ﯽﯾﺎﯾﺎﭘ و ﯽﯾاور )
13 ( . ﻦـﯾا
ﻪﻣﺎﻨــﺸﺳﺮﭘ ﺮــﺑ ﻞﻤﺘــﺸﻣ
13 ﻪــﯿﻧﺎﯿﺑ ناﺰــﯿﻣ ﻪــﮐ ﺪــﺷﺎﺑ ﯽــﻣ
ﺪﻣآرﺎﮐدﻮﺧ ي
يا ﻪـﺟرد ﺞﻨﭘ تﺮﮑﯿﻟ ﻒﯿﻃ رد ار رﺎﻤﯿﺑ زا
0 ﺎـﺗ 4؛
0 ،(مراﺪﻧ نﺎﻨﯿﻤﻃا ﻼﺻا) 1
،(ﻢﮐ) 2 ﻣ )
،(ﻂﺳﻮﺘ 3 و (دﺎﯾز) 4 ﯽﻠﯿﺧ)
.ﺪﻫد ﯽﻣ راﺮﻗ ﯽﺑﺎﯾزرا درﻮﻣ (دﺎﯾز ﻦﯿـﺑ ﻪﻣﺎﻨـﺸﺳﺮﭘ ﻦﯾا ﻞﮐ هﺮﻤﻧ
52 - 0 هﺪﺷ كرد يﺪﻣآرﺎﮐدﻮﺧ هﺪﻨﻫد نﺎﺸﻧ ﺮﺗﻻﺎﺑ تاﺮﻤﻧ و ﺖﺳا
.ﺪﺷﺎﺑ ﯽﻣ ﺮﺘﻬﺑ ﻦﯾا رد
راﺰﺑا 19 - 0 ،ﻒﯿﻌﺿ يﺪﻣآرﺎﮐدﻮﺧ تاﺮﻤﻧ
38 - 20 ،ﻂــﺳﻮﺘﻣ يﺪــﻣآرﺎﮐدﻮﺧ 52
- 39 بﻮــﺧ يﺪــﻣآرﺎﮐدﻮﺧ
دﻮﺷ ﯽﻣ بﻮﺴﺤﻣ .
ﻨﺸﺳﺮﭘ ﻪﻣﺎ تﺎـﻌﻟﺎﻄﻣ رد و ناﺮـﯾا رد ﻪـﮐ ﯽﺘﺒﻗاﺮﻣدﻮﺧ يﺎﻫرﺎﺘﻓر
يوﺎﺣ ،ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ هدﺎﻔﺘﺳا درﻮﻣ ﻒﻠﺘﺨﻣ 12
ﺦﺳﺎﭘ و لاﻮﺳ
57 نارﺎﮑﻤﻫ ونﺎﻤﯿﭘ ﯽﺒﻠﻗ نارﺎﻤﯿﺑرد يﺪﻣآرﺎﮐدﻮﺧ و ﯽﺘﺒﻗاﺮﻣدﻮﺧ
( ﺖﻗو ، 2 ) ﻢﮐ ﯽﻠﯿﺧ ،(
3 ) تﺎﻗوا ﯽﻫﺎﮔ ،(
4 ) ﺮﺘﺸﯿﺑ تﺎﻗوا
،(
5 ) ﻪﺸﯿﻤﻫ (
ﯽﻣ راﺮﻗ ﯽﺑﺎﯾزرا درﻮﻣ .ﺪﻫد
سﺎـﯿﻘﻣ ﻦـﯾا ﻞـﮐ هﺮـﻤﻧ عﻮﻤﺠﻣ ﻦﯿـﺑ
12 - 60 ﺖـﯾﺎﻋر هﺪـﻨﻫد نﺎـﺸﻧ ﺮـﺗ ﻦﯿﯾﺎـﭘ تاﺮﻤﻧ و ﺖﺳا ﻒﯿﻌـﺿ
ﺪـﺷﺎﺑ ﯽـﻣ نارﺎﻤﯿﺑ يﻮﺳ زا ﯽﺘﺒﻗاﺮﻣ دﻮﺧ يﺎﻫرﺎﺘﻓر )
14 ( . ﻖـﺒﻃ)
ﺮﻈﻧ 12 - 28 ﯽﺘﺒﻗاﺮﻣدﻮﺧ ﻒﯿﻌﺿ
، 29 - 44 ،ﻂـﺳﻮﺘﻣ ﯽﺘﺒﻗاﺮﻣدﻮﺧ
45 - 60 ﯽﺘﺒﻗاﺮﻣ دﻮﺧ بﻮﺧ
(دﻮﺷ ﯽﻣ بﻮﺴﺤﻣ .
ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﯾا و يﺮﻗﺎـﺑ ﻪﻌﻟﺎﻄﻣ رد ﺎﻫ
هدﺎﻔﺘـﺳا درﻮـﻣ نارﺎـﮑﻤﻫ
خﺎﺒﻧوﺮﮐ ﺎﻔﻟآ شور ﻪﺑ نآ ﯽﯾﺎﯾﺎﭘ رﻮﻄﻨﯿﻤﻫ و ﯽﯾاور و ﻪﺘﻓﺮﮔ راﺮﻗ = 89 / 0 ﺖﺳا هﺪﺷ ﺪﯿﯾﺎﺗ )
13 (.
ﺪـﻌﺑ ﯽﻧورد ﯽﯾﺎﯾﺎﭘ ،ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد
،راﺰﺑا ﯽﺘﺒﻗاﺮﻣدﻮﺧ 94
/ 0 ،راﺰـﺑا يﺪﻣآرﺎﮐدﻮﺧ ﺪﻌﺑ ﯽﻧورد ﯽﯾﺎﯾﺎﭘ ،
95 / 0 ،راﺰﺑا ﻞﮐ ﯽﻧورد ﯽﯾﺎﯾﺎﭘ و 97
/ 0 ﺪـﻣآ ﺖﺳد ﻪﺑ .
هداد ﻞـﯿﻠﺤﺗ
راﺰـﻓا مﺮـﻧ و ﻪـﻧﺎﮔﺪﻨﭼ ﯽـﻄﺧ نﻮﯿﺳﺮﮔر زا هدﺎﻔﺘﺳا ﺎﺑ ﺎﻫ SPSS
ﻪﺨﺴﻧ 18 نﺎﻨﯿﻤﻃا ﺢﻄﺳ و 95
ﺪﺷ مﺎﺠﻧا % .
ﺞﯾﺎﺘﻧ ﻪﻌﻟﺎﻄﻣ ﻦﯾا رد 250
نﺎﺘـﺳرﺎﻤﯿﺑ رد ﺐـﻠﻗ ﯽﯾﺎﺳرﺎﻧ نارﺎﻤﯿﺑ زا ﺮﻔﻧ
.ﺪـﻨﺘﻓﺮﮔ راﺮـﻗ ﯽـﺳرﺮﺑ درﻮـﻣ ﺮﻤـﺷﺎﮐ نﺎﺘـﺳﺮﻬﺷ سرﺪﻣ ﺪﯿﻬﺷ هﺪــﻨﻨﮐ ﺖﮐﺮــﺷ داﺮــﻓا ﯽﻨــﺳ ﻦﯿﮕﻧﺎــﯿﻣ 56
/ 8 73± / 58 لﺎــﺳ .دﻮــﺑ
لوﺪﺟ رد ﻪﻌﻟﺎﻄﻣ رد هﺪﻨﻨﮐ ﺖﮐﺮﺷ داﺮﻓا ﮏﯿﻓاﺮﮔﻮﻣد يﺎﻬﯿﮔﮋﯾو 1
.ﺖﺳا هﺪﺷ شراﺰﮔ زا يﺪــﻣآرﺎﮐدﻮﺧ و ﯽﺘﺒﻗاﺮﻣدﻮـﺧ ﻦﯿـﺑ ﻪــﻄﺑار ﻦﯿـﯿﻌﺗ رﻮـﻈﻨﻣ ﻪـﺑ ﯽﮕﺘﺴﺒﻤﻫ ﺞﯾﺎﺘﻧ .ﺪﺷ هدﺎﻔﺘﺳا نﻮﺳﺮﯿﭘ ﯽﮕﺘﺴﺒﻤﻫ ﺐﯾﺮﺿ ﻢﯿﻘﺘﺴﻣ
ﯽﻨﻌﻣ و داد نﺎﺸﻧ نارﺎﻤﯿﺑ ﯽﺘﺒﻗاﺮﻣدﻮﺧ و يﺪﻣآرﺎﮐدﻮﺧ ﻦﯿﺑ يراد
) 86 / 0 ،r=
0001 / 0
<
.( P
زا يﺪـﻣآرﺎﮐدﻮﺧ و ﯽﺘﺒﻗاﺮﻣدﻮـﺧ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣاﻮﻋ ﯽﺳرﺮﺑ ﺖﻬﺟ .ﺪــﺷ هدﺎﻔﺘــﺳا ﻪــﻧﺎﮔﺪﻨﭼ ﯽــﻄﺧ نﻮﯿــﺳﺮﮔر زا ﻞــﺻﺎﺣ ﺞﯾﺎــﺘﻧ
ﺢﻄـﺳ ،ﻦـﺳ ﻞـﻣاﻮﻋ ﻪـﮐ داد نﺎـﺸﻧ ﯽﻄﺧ نﻮﯿﺳﺮﮔر ،تﻼﯿـﺼﺤﺗ
مﺪﻋ ﺎﯾ فﺮﺼﻣ و ﺖﻧﻮﮑﺳ ﻞﺤﻣ ﯽﺘﺒﻗاﺮﻣدﻮـﺧ ﺮﺑ رﺎﮕﯿﺳ فﺮﺼﻣ
) ﺪﻨﺘـﺷاد ﺮﯿﺛﺎـﺗ يﺪﻣآرﺎﮐدﻮﺧ و 0001
/ 0
<
.( P رد ﻪـﮐ يرﻮـﻃ ﻪـﺑ
هوﺮﮔ ﯽﻨﺳ 50 ، ﯽﺘﺒﻗاﺮﻣدﻮـﺧ هﺮـﻤﻧ ﻂﺳﻮﺘﻣ ،ﺮﺗﻻﺎﺑ و لﺎﺳ 73
/ 3
زا ﺮﺘﻤﮐ ﯽﻨﺳ هوﺮﮔ زا ﺮﺘﻤﮐ ﺪﺣاو 50
هوﺮﮔ رد ﻦﯿﻨﭽﻤﻫ .دﻮﺑ لﺎﺳ ،ﯽﺘﺒﻗاﺮﻣدﻮـﺧ هﺮـﻤﻧ ﻂـﺳﻮﺘﻣ ،ﺮﺗﻻﺎـﺑ و ﻢﻠﭙـﯾد ﯽﻠﯿﺼﺤﺗ ﺢﻄﺳ ﺎﺑ
73 / 6 ﺖﻧﻮﮑـﺳ ﻞـﺤﻣ ﻦﯿـﺑ ﻪﺴﯾﺎﻘﻣ رد .دﻮﺑ ﻞﺑﺎﻘﻣ هوﺮﮔ زا ﺮﺘﺸﯿﺑ
ﺘﺒﻗاﺮﻣدﻮـﺧ هﺮـﻤﻧ ﻂـﺳﻮﺘﻣ ،ﯽﯾﺎﺘـﺳور ﻪـﺑ ﺖﺒﺴﻧ يﺮﻬﺷ ﯽ
28 / 7
هﺮـﻤﻧ ﻂـﺳﻮﺘﻣ يرﺎﮕﯿﺳ ﺮﯿﻏ ﻪﺑ ﺖﺒﺴﻧ يرﺎﮕﯿﺳ هوﺮﮔ رد و ﺪﺣاو ﯽﺘﺒﻗاﺮﻣدﻮﺧ 71
/ 3 .دﻮﺑ ﺮﺘﻤﮐ ﺪﺣاو
لوﺪﺟ 1 ﯽﮔﮋﯾو . ﻪﻌﻟﺎﻄﻣ رد نﺎﮔﺪﻨﻨﮐ ﺖﮐﺮﺷ ﮏﯿﻓاﺮﮔﻮﻣد يﺎﻫ
ﺮﯿﻐﺘﻣ (ﺪﺻرد) داﺪﻌﺗ
زا ﺮﺘﻤﮐ ﻦﺳ 50 لﺎﺳ
50 ﺮﺘﺸﯿﺑ و لﺎﺳ )
4 / 50 ( 124
) 6 / 49 ( 122
ﺖﯿﺴﻨﺟ نز
دﺮﻣ )
8 / 52 ( 130
) 2 / 47 ( 116
ﺢﻄﺳ تﻼﯿﺼﺤﺗ ﻢﻠﭙﯾد زا ﺮﺗ ﻦﯿﯾﺎﭘ
ﺮﺗﻻﺎﺑ و ﻢﻠﭙﯾد )
4 / 76 ( 188
) 6 / 23 ( 58
ﻞﻐﺷ ﻪﺘﺴﺸﻧزﺎﺑ
ﻞﻏﺎﺷ راد ﻪﻧﺎﺧ )
7 / 18 ( 46
) 1 / 41 ( 101
) 2 / 40 ( 99
ﺖﻧﻮﮑﺳ ﻞﺤﻣ ﺮﻬﺷ
ﺎﺘﺳور )
2 / 60 ( 148
) 4 / 39 ( 97
ﺖﯿﻌﺿو رﺎﮕﯿﺳ يرﺎﮕﯿﺳ
يرﺎﮕﯿﺳﺮﯿﻏ )
22 ( 54
) 78 ( 192
ﺖﯿﻌﺿو دﺎﯿﺘﻋا دﺎﺘﻌﻣ
ﻢﻟﺎﺳ )
8 / 2 ( 7
) 2 / 97 ( 239
يﺪﻣآرﺎﮐدﻮﺧ ياﺮﺑ ﯽﻄﺧ نﻮﯿﺳﺮﮔر لﺪﻣ شزاﺮﺑ زا ﻞﺻﺎﺣ ﺞﯾﺎﺘﻧ ﺮـﺗ ﻦـﺴﻣ هوﺮﮔ رد يﺪﻣآرﺎﮐدﻮﺧ هﺮﻤﻧ ﻂﺳﻮﺘﻣ ﻪﮐ داد نﺎﺸﻧ ﻢﻫ ناﻮﺟ ﻪﺑ ﺖﺒﺴﻧ ،ﺮﺗ
79 / 5 ﺎـﺑ داﺮـﻓا رد ﻦﯿـﻨﭽﻤﻫ .دﻮـﺑ ﺮـﺘﻤﮐ ﺪﺣاو
يﺪـﻣآرﺎﮐدﻮﺧ هﺮﻤﻧ ﻂﺳﻮﺘﻣ ،ﺮﺗﻻﺎﺑ ﯽﻠﯿﺼﺤﺗ ﺢﻄﺳ 28
/ 8 ﺮﺘـﺸﯿﺑ
ﻪﻘﻄﻨﻣ رد .دﻮﺑ ﻞﺑﺎﻘﻣ هوﺮﮔ زا ﻣ ،يﺮﻬـﺷ ﺖﻧﻮﮑﺳ ي
هﺮـﻤﻧ ﻂـﺳﻮﺘ
يﺪــﻣآرﺎﮐدﻮﺧ 31
/ 5 داﺮــﻓا رد و ﯽﯾﺎﺘــﺳور زا ﺮﺘــﺸﯿﺑ ﺪــﺣاو
،هﺮﻤﻧ ﻂﺳﻮﺘﻣ يرﺎﮕﯿﺳ 66
/ 1 .دﻮـﺑ يرﺎﮕﯿﺳ هوﺮﮔ زا ﺮﺘﻤﮐ ﺪﺣاو
و يﺪــﻣآرﺎﮐدﻮﺧ ﺎــﺑ دﺎــﯿﺘﻋا ﺖﯿﻌــﺿو ،ﻞﻐــﺷ يﺎــﻫﺮﯿﻐﺘﻣ ﻦﯿــﺑ ﯽﻨﻌﻣ طﺎﺒﺗرا ،ﯽﺘﺒﻗاﺮﻣدﻮﺧ زا ﻞـﺻﺎﺣ ﺞﯾﺎـﺘﻧ .ﺪﻣﺎﯿﻧ ﺖﺳد ﻪﺑ يراد
لوﺪﺟ رد ﻪﻧﺎﮔﺪﻨﭼ ﯽﻄﺧ نﻮﯿﺳﺮﮔر 2
هﺪﺷ شراﺰﮔ .ﺖﺳا
58 نارﺎﮑﻤﻫ ونﺎﻤﯿﭘ ﯽﺒﻠﻗ نارﺎﻤﯿﺑرد يﺪﻣآرﺎﮐدﻮﺧ و ﯽﺘﺒﻗاﺮﻣدﻮﺧ لوﺪﺟ
2 . ﻪﻧﺎﮔﺪﻨﭼ ﯽﻄﺧ نﻮﯿﺴﮔر لﺪﻣ شزاﺮﺑ زا ﻞﺻﺎﺣ ﺞﯾﺎﺘﻧ
ﺮﯿﻐﺘﻣ ﯽﻧﻮﯿﺳﺮﮔر ﺐﯾﺮﺿ
نﺎﻨﯿﻤﻃا ﻪﻠﺻﺎﻓ P 95
%
ﯽﺘﺒﻗاﺮﻣدﻮﺧ ﯽﻨﺳ هوﺮﮔ
50 ﺮﺘﺸﯿﺑ و لﺎﺳ
زا ﺮﺘﻤﮐ 50 لﺎﺳ 73
/ 3 -
- 0001
/ 0
<
- )
11 / 2 - ، 35 / 5 -(
-
تﻼﯿﺼﺤﺗ ﺢﻄﺳ ﺮﺗﻻﺎﺑ و ﻢﻠﭙﯾد
ﻢﻠﭙﯾد زا ﺮﺘﻤﮐ 73
/ 6
- 0001
/ 0
<
- )
75 / 8 ، 71 / 4 (
-
ﺖﻧﻮﮑﺳ ﻞﺤﻣ يﺮﻬﺷ
ﯽﯾﺎﺘﺳور 28
/ 7
- 0001
/ 0
<
- )
71 / 8 ، 85 / 5 (
-
رﺎﮕﯿﺳ ﺖﯿﻌﺿو يرﺎﮕﯿﺳ
يرﺎﮕﯿﺳﺮﯿﻏ 71
/ 3 -
- 0001
/ 0
<
- )
09 / 2 - ، 33 / 5 -(
-
يﺪﻣآرﺎﮐدﻮﺧ ﯽﻨﺳ هوﺮﮔ
50 ﺮﺘﺸﯿﺑ و لﺎﺳ
ﺮﺘﻤﮐ زا 50 لﺎﺳ 79
/ 5 -
- 0001
/ 0
<
- )
31 / 4 - ، 27 / 7 -(
-
تﻼﯿﺼﺤﺗ ﺢﻄﺳ ﺮﺗﻻﺎﺑ و ﻢﻠﭙﯾد
ﻢﻠﭙﯾد زا ﺮﺘﻤﮐ 28
/ 8
- 0001
/ 0
<
- )
13 / 10 ، 43 / 6 (
-
ﺖﻧﻮﮑﺳ ﻞﺤﻣ يﺮﻬﺷ
ﯽﯾﺎﺘﺳور 31
/ 5
- 0001
/ 0
<
- )
62 / 6 ، 92 / 3 (
-
رﺎﮕﯿﺳ ﺖﯿﻌﺿو يرﺎﮕﯿﺳ
يرﺎﮕﯿﺳﺮﯿﻏ 66
/ 1 -
- 0001
/ 0
<
- )
18 / 0 - ، 13 / 3 -(
-
ﺚﺤﺑ هﺮـﻤﻧ ﻦﯿﮕﻧﺎـﯿﻣ ﻦﯿـﺑ ﻪـﮐ داد نﺎـﺸﻧ ﻪـﻌﻟﺎﻄﻣ ﻦـﯾا زا ﻞﺻﺎﺣ ﺞﯾﺎﺘﻧ و ﻢﯿﻘﺘﺴﻣ ﯽﮕﺘﺴﺒﻤﻫ ﯽﺘﺒﻗاﺮﻣدﻮﺧ هﺮﻤﻧ ﻦﯿﮕﻧﺎﯿﻣ ﺎﺑ يﺪﻣآرﺎﮐدﻮﺧ ﯽﯾﻮﮕـﺸﯿﭘ ﻞﻣاﻮﻋ ﻦﯾﺮﺘﻤﻬﻣ زا ﯽﮑﯾ ﻪﮐ اﺮﭼ .دراد دﻮﺟو يرادﺎﻨﻌﻣ ،رﺎﺘﻓر هﺪﻨﻨﮐ ﺎـﺑ ﻂﺒﺗﺮـﻣ ﺪـﯾﺎﻘﻋ .ﺖـﺳا هﺪـﺷ كرد يﺪﻣآرﺎﮐدﻮﺧ
ﻞﯿﮑـﺸﺗ و ﺪـﻧراﺬﮔ ﯽـﻣ ﺮـﺛا ﺎـﻫوزرآ و فاﺪـﻫا ﺮﺑ ،يﺪﻣآرﺎﮐدﻮﺧ ﺎﯿﭘ هﺪــﻨﻫد ــﻣ
ياراد ﻪــﮐ يداﺮــﻓا .ﺪﻨــﺷﺎﺑ ﯽــﻣ نﺎــﺴﻧا رﺎــﺘﻓر يﺎﻫﺪ
و ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد ار يﺮﺗﻻﺎﺑ فاﺪﻫا ،ﺪﻨﺷﺎﺑ يﺮﺘﺸﯿﺑ يﺪﻣآرﺎﮐدﻮﺧ رد و ﻪﺘﺸﮔ ﺮﺗﺪﻬﻌﺘﻣ رد .دﻮـﺷ ﯽـﻣ ﺮـﺗ بﻮـﻠﻄﻣ ﺎﻬﻧآ رﺎﺘﻓر ﻪﺠﯿﺘﻧ
ﺎـﻬﻧآ رﺎﺘﻓر ﻪﺠﯿﺘﻧ ،ﺪﻧراد ﯽﻨﯿﯾﺎﭘ يﺪﻣآرﺎﮐدﻮﺧ ﻪﮐ يداﺮﻓا ﻪﮐ ﯽﻟﺎﺣ ﺖﺴﯿﻧ ﺐﺳﺎﻨﻣ
) 15 ( ) نارﺎـﮑﻤﻫ و يﺮﻗﺎـﺑ ﻖـﯿﻘﺤﺗ ﺞﯾﺎﺘﻧ . 1392
ﺎـﺑ (
) دراد ﯽﻧاﻮﺨﻤﻫ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﻪﺠﯿﺘﻧ 13
.(
نارﺎـﮑﻤﻫ و هدازﺎﺒﯿﮑﺷ )
1390 ناﻮـﻨﻋ ﺖـﺤﺗ يا ﻪـﻌﻟﺎﻄﻣ رد ﺰـﯿﻧ (
ﺎﺑ هﺪﺷ كرد ﻊﻧاﻮﻣ و يﺪﻣآرﺎﮐدﻮﺧ ﻦﯿﺑ طﺎﺒﺗرا يﺎﻫرﺎﺘﻓردﺮﮑﻠﻤﻋ
ﺎﺑ يﺪﻣآرﺎﮐدﻮﺧ ﻦﯿﺑ ﻪﮐ ﺪﻨﺘﻓﺎﯾرد ﯽﺘﺑﺎﯾد نارﺎﻤﯿﺑ رد ﯽﺘﺒﻗاﺮﻣدﻮﺧ ﻫ ﯽﺘﺒﻗاﺮﻣدﻮﺧ ﻤ
دراد دﻮـﺟو يراد ﯽـﻨﻌﻣ و ﻢﯿﻘﺘﺴﻣ ﯽﮕﺘﺴﺒ )
16 ( .
ﻪـﻌﻟﺎﻄﻣ رد ﺎﻣا Chlebowy
) نارﺎـﮑﻤﻫ و 2006
( ﻦﯿـﺑ يراد ﯽـﻨﻌﻣ
ﺪـﯾدﺮﮕﻧ هﺪﻫﺎـﺸﻣ يﺪـﻣآرﺎﮐدﻮﺧ و ﯽـﺘﺒﻗاﺮﻣ دﻮﺧ )
17 ( ﺮـﻈﻧ ﻪـﺑ .
ﯽﻣ رد ﻪﮐ ﯽﺗوﺎﻔﺗ ﺪﺳر ﻞـﯿﻟد ﻪـﺑ دراد دﻮـﺟو تﺎـﻌﻟﺎﻄﻣ ﻦﯾا ﺞﯾﺎﺘﻧ
ﻒـﻠﺘﺨﻣ ﺶﻫوﮋـﭘ ﻪﻌﻣﺎﺟ و توﺎﻔﺘﻣ ﺶﺠﻨﺳ يﺎﻫراﺰﺑا زا هدﺎﻔﺘﺳا
59 نارﺎﮑﻤﻫ ونﺎﻤﯿﭘ ﯽﺒﻠﻗ نارﺎﻤﯿﺑرد يﺪﻣآرﺎﮐدﻮﺧ و ﯽﺘﺒﻗاﺮﻣدﻮﺧ
ﮓﻨﻫﺮﻓ ﺎﺑ .ﺪﺷﺎﺑ دﻮﺧ صﺎﺧ يﺎﻫ ﺖـﺤﺗ ار نارﺎـﻤﯿﺑ ﯽﺘﺒﻗاﺮﻣدﻮـﺧ و يﺪـﻣآرﺎﮐدﻮﺧ يدﺪﻌﺘﻣ ﻞﻣاﻮﻋ ﺮـﺿﺎﺣ ﻖﯿﻘﺤﺗ رد ﻪﮐ تﻼﯿﺼﺤﺗ ﻪﻠﻤﺟزا ،ﺪﻫد ﯽﻣ راﺮﻗ دﻮﺧ ﺮﯿﺛﺎﺗ ــﺿ يﺪـﻣآرﺎﮐدﻮﺧ هﺮــﻤﻧ ﻪـﮐ ﺪــﯾدﺮﮔ ﺺﺨـﺸﻣ ﺎــﺑ داﺮـﻓا رد ﻒﯿﻌ
.ﺖﺳا ﺮﺘﻤﮐ تﻼﯿﺼﺤﺗ ﻖﯿﻘﺤﺗ ﻪﺠﯿﺘﻧ
sullivan ) نارﺎﮑﻤﻫ و 2006
،(
و يﺪـﻣآرﺎﮐدﻮﺧ ﻦﯿـﺑ رادﺎـﻨﻌﻣ يرﺎـﻣآ طﺎﺒﺗرا ﺪﯾﻮﻣ ﺰﯿﻧ ﻦﯿﻨﭽﻤﻫ ﺢﻄـﺳ و ﯽـﺘﺒﻗاﺮﻣ دﻮـﺧ ﻦﯿﺑ ﻦﯿﻨﭽﻤﻫ .ﺪﺷﺎﺑ ﯽﻣ تﻼﯿﺼﺤﺗ ﺢﻄﺳ ﻪـﺑ ﻦـﯾا .ﺖﺷاد دﻮﺟو يرادﺎﻨﻌﻣ ﻪﻄﺑار ﻖﯿﻘﺤﺗ ﻦﯾا رد تﻼﯿﺼﺤﺗ ﭘ ﺐﺟﻮﻣ ﺪﻧاﻮﺗ ﯽﻣ دﻮﺧ ﻪﺑﻮﻧ ﯽﺘﻣﻼـﺳ ﺖﻬﺟ زا بﻮﻠﻄﻣﺎﻧ يﺎﻫﺪﻣﺎﯿ
ﻪـﯾارا ﻪـﺑ ﻮﺟدﺪـﻣ دﺎـﻤﺘﻋا و نﺎﻨﯿﻤﻃا ﻪﺑ و هﺪﺷ ﺖﻓﺎﯾرد تﺎﻣﺪﺧ و و ﻞـﻣﺎﻌﺗ و ﺪـﯾﺎﻤﻧ دراو ﻞـﻠﺧ ،ﯽﻧﺎـﻣرد ﯽﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ نﺎﮔﺪﻨﻨﮐ ﻞـﺘﺨﻣ ار رﺎـﻤﯿﺑ و ﯽﻧﺎـﻣرد ﯽﺘـﺷاﺪﻬﺑ نﺎـﻨﮐرﺎﮐ ﻪﯾﻮﺳ ود طﺎﺒﺗرا دزﺎﺳ ) 18 ( ﺮـﯿﻐﺘﻣ ﮏـﯾ ناﻮـﻨﻋ ﻪـﺑ ﺪﻧاﻮﺗ ﯽﻣ ﻦﺳ ﺮﯿﻐﺘﻣ هوﻼﻋ ﻪﺑ .
ﻪﻨﯿﻣز ار نارﺎـﻤﯿﺑ ﯽـﺘﺒﻗاﺮﻣ دﻮﺧ ناﻮﺗ و يﺪﻣآرﺎﮐدﻮﺧ ﺢﻄﺳ ،يا يﺪـﻣآرﺎﮐدﻮﺧ ﺢﻄﺳ ﻦﯾﺮﺘﻬﺑ ﺶﻫوﮋﭘ ﻦﯾا رد .ﺪﻫدراﺮﻗ ﺮﯿﺛﺎﺗ ﺖﺤﺗ ﻪـﻌﻟﺎﻄﻣ ﻪـﻄﺑار ﻦـﯾا رد .ﺪـﺷ هﺪﻫﺎـﺸﻣ ﺮﺘﻤﮐ ﻦﯿﻨﺳ ﺎﺑ نارﺎﻤﯿﺑ رد
) نارﺎــﮑﻤﻫ وKing 2001
ناﻮــﻨﻋ ﺎــﺑ (
"
ﻞــﻣاﻮﻋ طﺎــﺒﺗرا ﯽــﺳرﺮﺑ
ﻠﻗ ﯽـﺸﺨﺒﻧاﻮﺗ ﻪـﺑ ﺶﯾاﺮﮔ ﺎﺑ ﯽﻧاور و ﯽﻋﺎﻤﺘﺟا ،يدﺮﻓ ﯽـﺒ
"
نﺎـﺸﻧ
ﺮــﯾز نارﺎــﻤﯿﺑ داد 65
ﻪــﺑ ﺖﺒــﺴﻧ يﺮﺗﻻﺎــﺑ يﺪــﻣآرﺎﮐدﻮﺧ لﺎــﺳ
يﻻﺎــﺑ نارﺎــﻤﯿﺑ 65
ﺪــﻧراد لﺎــﺳ )
19 (.
Rieg ﻪــﮐ ﺖــﺳا ﺪــﻘﺘﻌﻣ
،ﻢﻟﺎــﺳ دﺮــﻓ ﮏــﯾ رد دﻮــﺧ زا ﺖــﺒﻗاﺮﻣ يﺎــﻫزﺎﯿﻧ و ﺎــﻫ يﺪــﻨﻤﻧاﻮﺗ ﺖﺳا توﺎﻔﺘﻣ ﯽﻨﺳ ﺪﺷر ﺢﻄﺳ ﺎﺑ ﺐﺳﺎﻨﺘﻣ )
20 (.
دﻮـﺧ و يﺪـﻣآرﺎﮐ دﻮـﺧ تاﺮـﻤﻧ ﺎـﺑ ﺖﻧﻮﮑـﺳ ﻞـﺤﻣ ﻦﯿﺑ ﻦﯿﻨﭽﻤﻫ ﯽﺘﺒﻗاﺮﻣ رادﺎـﻨﻌﻣ طﺎـﺒﺗرا ي
ﻪـﻌﻟﺎﻄﻣ رد .ﺖـﺷاد دﻮـﺟو Artinian
) 2002 دﻮـﺑ ﻪﺑﺎﺸﻣ ﺞﯾﺎﺘﻧ ﺰﯿﻧ ( )
21 (.
Dashiff ) 2007 ﻪـﻌﻟﺎﻄﻣ رد (
ﺮﺘﺘﺣار ﯽﺳﺮﺘﺳد ﺖﻠﻋ ﻪﺑ ،ﺎﺘﺳور ﻦﯿﻨﮐﺎﺳ ﻪﮐ ﺪﻨﮐ ﯽﻣ رﺎﻬﻇا دﻮﺧ هﺪـﻨﻫد ﻪﯾارا ﺰﮐاﺮﻣ ﻪﺑ
ﺖـﺻﺮﻓ ،ﯽﺘﻣﻼـﺳ و ﯽﺘـﺷاﺪﻬﺑ تﺎﻣﺪـﺧ ي
دﻮـﺧ ناﻮﺗ ﺢﻄﺳ و ﻪﺘﺷاد يرﺎﻤﯿﺑ نﺎﻣرد و لﺮﺘﻨﮐ ياﺮﺑ يﺮﺘﺸﯿﺑ دﻮﺑ ﺪﻫاﻮﺧ ﺮﺘﻬﺑ ﺎﺘﺳور ﻦﯿﻨﮐﺎﺳ ﻪﺑ ﺖﺒﺴﻧ ﺎﻬﻧآ رد ﯽﺘﺒﻗاﺮﻣ )
22 ( .
زا ﺖﯾدوﺪﺤﻣ ﻪﻠﻤﺟ ﯽـﻣ ﺮـﺿﺎﺣ ﻪـﻌﻟﺎﻄﻣ يﺎـﻫ
ﺖﯿﻌـﺿو ﻪـﺑ ناﻮـﺗ
ﯽﻣ ﻪﮐ دﺮﮐ هرﺎﺷا ﺶﻫوﮋﭘ درﻮﻣ يﺎﻫﺪﺣاو ﯽﻧاور ﯽﺣور ﺖﺴﻧاﻮﺗ
ﺎﭘ هﻮﺤﻧ ﺮﺑ ﻂـﺳﻮﺗ ﻂﯾاﺮـﺷ ﻦﯾا ﻪﮐ ﺪﺷﺎﺑ راﺬﮔﺮﯿﺛﺎﺗ نﺎﻧآ ﯽﯾﻮﮕﺨﺳ
ﻊﻤﺟ هﻮﺤﻧ ﻦﯿﻨﭽﻤﻫ .دﻮﺒﻧ لﺮﺘﻨﮐ ﻞﺑﺎﻗ ﺮﮕﺸﻫوﮋﭘ زا تﺎﻋﻼﻃا يروآ
.ﺖﺳا هدﻮﺑ رﺎﻤﯿﺑ ﺎﺑ ﻪﺒﺣﺎﺼﻣ ﻖﯾﺮﻃ شور ،تﺎـﻘﯿﻘﺤﺗ سﺎـﺳا ﺮـﺑ
شراﺰﮔدﻮﺧ دﻮـﺧ ﯽﺳرﺮﺑ ياﺮﺑ يدﺎﻤﺘﻋا ﻞﺑﺎﻗ شور ﻪﺸﯿﻤﻫ ﯽﻫد
ﮋﭘ ،ﺶﻫوﮋـﭘ ﻦﯾا رد ﻪﮑﻨﯾا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺎﻣا ،ﺖﺴﯿﻧ ﯽﺘﺒﻗاﺮﻣ ﺮﮕـﺸﻫو
ﯽـﻣ ﺐﺒـﺳ ﺮـﻣا ﻦﯿـﻤﻫ ،ﺖﺳا هدﻮﺒﻧ ﯽﻧﺎﻣرد هوﺮﮔ ﻮﻀﻋ ﺎـﺗ دﻮـﺷ
تﻻاﻮﺳ ﻪﺑ يا ﻪﻧﺎﻗدﺎﺻ ﺦﺳﺎﭘ يدﺎﯾز ﺪﺣ ﺎﺗ نارﺎﻤﯿﺑ ﺪﻨﻫﺪﺑ
) 2 (.
ﻪﺠﯿﺘﻧ يﺮﯿﮔ
نارﺎــﻤﯿﺑ يﺪـﻣآرﺎﮐ دﻮـﺧ و ﯽـﺘﺒﻗاﺮﻣ دﻮــﺧ ناﻮـﺗ ﻪـﮐ ﯽﯾﺎـﺠﻧآ زا ﻪـﺋارا ﻢﯿـﺗ دﻮـﺷ ﯽـﻣ دﺎﻬﻨﺸﯿﭘ .دﻮﺑ ﻂﺳﻮﺘﻣ ﺪﺣ رد ﺐﻠﻗ ﯽﯾﺎﺳرﺎﻧ ﯽﺘــﺷاﺪﻬﺑ تﺎﻣﺪــﺧ هﺪــﻨﻫد دﻮــﺧ زا ﺖــﺒﻗاﺮﻣ يﺎــﻫرﺎﺘﻓر،ﯽﻧﺎﻣرد
ﻮﺠﺘﺴﺟ ار ﺐﺳﺎﻨﻣ رﺎﺘﻓر ياﺮﺟا ﻊﻧاﻮﻣ ،هدﺮﮐ ﯽﺑﺎﯾزرا ار نارﺎﻤﯿﺑ دﺮﯿﮔ ترﻮﺻ مزﻻ تﺎﻣاﺪﻗا ﻊﻧاﻮﻣ ﻦﯾا ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﺖﻬﺟ و هدﻮﻤﻧ .
ﺮﮑﺸﺗ ﯽﻧادرﺪﻗ و
و ﺮﮑﺸﺗ ﺐﺗاﺮﻣ نﺎﯾﺎﭘ رد ﻞـﯿﻟد ﻪﺑ ﺶﻫوﮋﭘ يﺎﻫ ﻪﻧﻮﻤﻧ زا ﯽﻧادرﺪﻗ
ﺤﻣ ﻦﯿﻟﻮﺌـﺴﻣ زا و ﺶﻫوﮋـﭘ رد ﺖﮐﺮﺷ و يرﺎﮑﻤﻫ ﻞـﯿﻟد ﻪـﺑ مﺮـﺘ
ددﺮﮔ ﯽﻣ مﻼﻋا ،ﻖﯿﻘﺤﺗ ﻦﯾا مﺎﺠﻧا ﻪﻨﯿﻣز رد تﺪﻋﺎﺴﻣ و ﯽﻫاﺮﻤﻫ .
ﻊﻓﺎﻨﻣ دﺎﻀﺗ نﺎﮔﺪﻨـﺴﯾﻮﻧ ﻂـﺳﻮﺗ ﯽﻌﻓﺎـﻨﻣ ضرﺎـﻌﺗ ﻪﻧﻮﮔ ﭻﯿﻫ ﺶﻫوﮋﭘ ﻦﯾا رد
ﺖﺳا هﺪﺸﻧ شراﺰﮔ .
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The study of related factors with self-care and self-efficacy in heart failure patients
Nooshin Peyman1, Mahbubeh Abdollahi2, Zohre Zadehahmad3*
1. Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Science, Mashhad, Iran
2. Department of Public Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
3. Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Corresponding author: [email protected] Received:
Accepted:
Abstract
Background & Aim:
Heart failure is a chronic disease that requires self- care behaviors until the end of life. Therefore, identifying these behaviors and encouraging the patient to participate and have the responsibility for doing them rightly, will lead to control of the disease complications. This study is designed to investigate related factors with self-care and self-efficacy in patients with heart failure.
Methods: This is a cross-sectional descriptive-analytic study that was
done in Shahid Modarres hospital in Kashmar in 2016. Data collection was conducted through an interview using three-part questioner:
demographic information, self-efficacy and self-care in patients with heart failure. Multiple linear regression was used to examine the factors affected on self-efficacy and self-care. Data analysis was done in 95%
confidence level using SPSS version 16.
Results: The mean of age was 57.83±8.56. Mean score of self-efficacy
and self-care was 16.35 ± 8.24 and 31.11 ± 8.21, respectively. The results show age increasing and being a smoker, had negative relationship and higher education and being urban had positive effect on self-care and self-efficacy (P<0.0001). Also, there was a significant direct relationship between self-care and self-efficacy (r=0.86, P<0.0001).
Conclusion: Considering that patients did not have high self-efficacy in
performing their self-care behaviors and poorly performed, it is recommended that the factors affecting self-efficacy and self-care in the examined patients are further investigated and measures are taken to deal with these factors.
Keywords:
Self-efficacy, Self-care, Heart Failure
©2018 Torbat Heydariyeh University of Medical Sciences.
All rights reserved.
Journal of Torbat Heydariyeh University of Medical Sciences
2018;Volume 6, No.1: 55-61 Original article
How to Cite this Article: Peyman N, Abdollahi M, Zadehahmad Z. The study of related factors with self-care and self-efficacy in heart failure patients. Journal of Torbat Heydariyeh University of Medical Sciences. 2018;6(1):55-61.
