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لﺎﺳ
ﺷ
ﺰﻧﺎ هرود ،ﻢﻫدود ﻞﺴﻠﺴﻣ هرﺎﻤﺷ ،مﺖﺼﺷ
ود و ،م رﺎﻬﺑ1396
ﻲﻳوراد نﺎﻫﺎﻴﮔ ﻪﻣﺎﻨﻠﺼﻓ
ﺗ ﻲﺳرﺮﺑﺄﻲﺒﻠﻗ ﻪﺘﻜﺳ نارﺎﻤﻴﺑ باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ناﺰﻴﻣ ﺮﺑ عﺎﻨﻌﻧ ﺲﻧﺎﺳا قﺎﺸﻨﺘﺳا ﺮﻴﺛ رد ﺶﺨﺑ
نﺎﺘﺳرﺎﻤﻴﺑ ﻲﺒﻠﻗ هﮋﻳو ﺖﺒﻗاﺮﻣنﺎﺟﺮﻴﺳ ﺮﻬﺷ يﺎﻫ
ﻲﻠﻋﻲﻈﻋاو ﺮﺒﻛا
1
يﺰﻳرﺎﭘ ارﺎﺳ ،
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*، يﺪﻴﺣو ﺎﺿﺮﻴﻠﻋ
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ﺮﮕﻧاﻮﺗ ﻦﻴﺴﺣ ،
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1 - رﺎﻳدﺎﺘﺳا، ﻫﻴﺄت ﻤﻠﻋﻲ هوﺮﮔ شزﻮﻣآ رﺎﺘﺳﺮﭘ،ي ﻲﻳﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ هﺪﻜﺸﻧاد ،دﺰﻳ ﺰﻛﺮﻣ تﺎﻘﻴﻘﺤﺗ ﺖﺒﻗاﺮﻣيﺎﻫ
يرﺎﺘﺳﺮﭘ و ﻲﻳﺎﻣﺎﻣ رد ،دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد هداﻮﻧﺎﺧ ﺖﻣﻼﺳ ،دﺰﻳ ناﺮﻳا
2 - ﻮﺠﺸﻧادي ﺳﺎﻨﺷرﺎﻛﻲ ﺪﺷرا رﺎﺘﺳﺮﭘي ﺖﺒﻗاﺮﻣﺎﻫي وﻳ،هﮋ هﺪﻜﺸﻧاد رﺎﺘﺳﺮﭘ
ي و ،دﺰﻳ ﻲﻳﺎﻣﺎﻣﺰﻛﺮﻣ تﺎﻘﻴﻘﺤﺗ
ﺖﺒﻗاﺮﻣيﺎﻫ يرﺎﺘﺳﺮﭘ و ﻲﻳﺎﻣﺎﻣ رد ﻼﺳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد هداﻮﻧﺎﺧ ﺖﻣ
،دﺰﻳ ،دﺰﻳ ناﺮﻳا
3 - ﻴﻫ ﻮﻀﻋ ،يزﺎﺳوراد ياﺮﺘﻛدﺄ،ﻲﻤﻠﻋ ت ،ﻲﻳوراد نﺎﻫﺎﻴﮔ تﺎﻘﻴﻘﺤﺗ ﺰﻛﺮﻣ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ
،دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ،دﺰﻳناﺮﻳا
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- رﺎﻳدﺎﺘﺳا، ﻫﻴﺄت ﻤﻠﻋﻲ هوﺮﮔ شزﻮﻣآ رﺎﺘﺳﺮﭘ،ي ﺪﻜﺸﻧاد ،دﺰﻳ ﻲﻳﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ هﺰﻛﺮﻣ تﺎﻘﻴﻘﺤﺗ ﺖﺒﻗاﺮﻣيﺎﻫ
يرﺎﺘﺳﺮﭘ و ﻲﻳﺎﻣﺎﻣ رد ،دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد هداﻮﻧﺎﺧ ﺖﻣﻼﺳ ،دﺰﻳ ناﺮﻳا * :ﻪﺒﺗﺎﻜﻣ سردآدﺰﻳ، ﺧ ﻪﻴﺋﺎﻔﺻنﺎﺑﺎﻴ ،ﻲﺣﻼﻓ رﺎﺴﻤﻴﺗ ﺧنﺎﺑﺎﻴ ،ﻲﻠﻋﻮﺑ دﺰﻳ ﻲﻳﺎﻣﺎﻣ و يرﺎﺘﺳﺮﭘ هﺪﻜﺸﻧاد
ﻦﻔﻠﺗ ﺮﺑﺎﻤﻧ و :38241751 )035(
:ﻚﻴﻧوﺮﺘﻜﻟا ﺖﺴﭘ
sparizi66@gmail.com
:ﺖﻓﺎﻳرد ﺦﻳرﺎﺗ25/3/95 :ﺐﻳﻮﺼﺗ ﺦﻳرﺎﺗ 3/7/95
هﺪﻴﻜﭼ
:ﻪﻣﺪﻘﻣ ﺶﻨﻛاو باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ﻞﺜﻣ ﻲﻧاور يﺎﻫ ضراﻮﻋ زا ﻲﻜﻳ ﻲﺒﻠﻗ ﻪﺘﻜﺳﻲﻣ ﻲﻓﺮﻃ زا .ﺪﺷﺎﺑﻲﻧﺎﻣرد ﻪﺤﻳار ﻲﻳﺎﻫﺪﻨﻳاﺮﻓ زا ﻲﻜﻳ
ﻞﻤﻜﻣ ﺐﻃ رد ﻪﻛ ﺖﺳاﻲﻣ ﻪﺟﻮﺗ درﻮﻣ نارﺎﻤﻴﺑ ﻲﻧاور ﺖﻣﻼﺳ ﻆﻔﺣ ﺖﻬﺟ.ﺪﺷﺎﺑ
:فﺪﻫ ﻪﻌﻟﺎﻄﻣ ﻦﻳا فﺪﻫ ﺎﺑﺗ ﻲﺳرﺮﺑﺄﻲﺒﻠﻗ ﻪﺘﻜﺳ نارﺎﻤﻴﺑ باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ﺮﺑ عﺎﻨﻌﻧ ﺲﻧﺎﺳا قﺎﺸﻨﺘﺳا ﺮﻴﺛ .ﺪﺷ مﺎﺠﻧا
:ﻲﺳرﺮﺑ شور ﻪﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳاترﻮﺻ ﻲﻨﻴﻟﺎﺑ ﻲﻳﺎﻣزآرﺎﻛ .ﺖﻓﺮﮔ مﺎﺠﻧا70 فﺪﻫ ﺮﺑ ﻲﻨﺘﺒﻣ شور ﻪﺑ ﻲﺒﻠﻗ ﻪﺘﻜﺳ نارﺎﻤﻴﺑ زا ﺮﻔﻧ ﻪﻌﻟﺎﻄﻣ دراو
ﻊﻤﺟ راﺰﺑا .ﺪﻧﺪﺷ ﻢﻴﺴﻘﺗ هوﺮﮔ ود ﻪﺑ هدﺎﺳ ﻲﻓدﺎﺼﺗ ترﻮﺻ ﻪﺑ و ﺪﻧﺪﺷ تﺎﻋﻼﻃا يروآﻪﻣﺎﻨﺸﺳﺮﭘ دراﺪﻧﺎﺘﺳا
DASS-21 هوﺮﮔ ياﺮﺑ .دﻮﺑ
ﻪﺑ ﻪﺘﺸﻏآ يﺎﻫﺪﭘ زا ﻪﻠﺧاﺪﻣ2/0 ﻲﺳ و عﺎﻨﻌﻧ ﺲﻧﺎﺳا ﻲﺳﻲﻣ ﻞﺼﺘﻣ ﻪﻨﻴﺳ ﺖﻤﺴﻗ ﻪﺑ ﻪﻛ ،ﻦﻴﻟﺎﺳ لﺎﻣﺮﻧ يﺎﻫﺪﭘ زا لﺮﺘﻨﻛ هوﺮﮔ ياﺮﺑﺷ ،ﺪﻧﺪ
تﺪﻣ20 ﻘﻴﻗد.ﺪﺷ هدﺎﻔﺘﺳا زور رد ﻪ ﻊﻤﺟ زا ﺲﭘهداد يروآمﺮﻧ دراو ﺎﻫ راﺰﻓا
SPSS 21 ﺪﺷنﻮﻣزآ زا هدﺎﻔﺘﺳا ﺎﺑ و ﻲﺗ ،ﺎﻛ روﺬﺠﻣ يﺎﻫ
و ﻪﻳﺰﺠﺗ درﻮﻣ ﻞﻘﺘﺴﻣ .ﺖﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ
:ﺞﻳﺎﺘﻧ ﺐﻴﺗﺮﺗ ﻪﺑ ﻪﻠﺧاﺪﻣ و لﺮﺘﻨﻛ هوﺮﮔ داﺮﻓا ﻦﺳ ﻦﻴﮕﻧﺎﻴﻣ48/11±62/57 و53/10±94/54 رد ﻲﻧﺎﻣرد ﻪﺤﻳار مﺎﺠﻧا زا ﺲﭘ .دﻮﺑ هوﺮﮔ
ﻲﻨﻌﻣ ﺶﻫﺎﻛ لﺮﺘﻨﻛ هوﺮﮔ و ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ ﻪﺑ ﺖﺒﺴﻧ نارﺎﻤﻴﺑ باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ﺢﻄﺳ ،ﻪﻠﺧاﺪﻣ.داد نﺎﺸﻧ ار ىراد
ﻪﺠﻴﺘﻧ:يﺮﻴﮔ ﺎﺑ ﻲﻣ ﻲﺒﻠﻗ ﻪﺘﻜﺳ نرﺎﻤﻴﺑ رد عﺎﻨﻌﻧ ﺲﻧﺎﺳا ﺎﺑ ﻪﻠﺧاﺪﻣ ،ﻪﻌﻟﺎﻄﻣ ﻦﻳا زا ﻞﺻﺎﺣ ﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ و ﻲﮔدﺮـﺴﻓا ﺶﻫﺎـﻛ ﺚﻋﺎﺑ ﺪﻧاﻮﺗ
ﺖﻴﻌﻗﻮﻣ رد ﻦﻳاﺮﺑﺎﻨﺑ ،دﻮﺷ باﺮﻄﺿاﻲﻣ ﻪﻴﺻﻮﺗ نآ زا هدﺎﻔﺘﺳا ﻲﻨﻴﻟﺎﺑ يﺎﻫ.دﻮﺷ
ﻞﮔ:نﺎﮔژاو ،عﺎﻨﻌﻧ ﺲﻧﺎﺳا ،باﺮﻄﺿا درﺎﻛﻮﻴﻣ سﻮﺘﻛارﺎﻔﻧا ،ﻲﮔدﺮﺴﻓا، ﻲﻧﺎﻣرد ﻪﺤﻳار
55
قﺎﺸﻨﺘﺳا ﺮﻴﺛﺄﺗ ﻲﺳرﺮﺑ...
ﻪﻣﺪﻘﻣ
يرﺎﻤﻴﺑﻊﻳﺎﺷ زا ﻲﻜﻳ ﻲﻗوﺮﻋ ﻲﺒﻠﻗ يﺎﻫ و گﺮﻣ ﺖﻠﻋ ﻦﻳﺮﺗ
ﻲﻣ نﺎﻬﺟ رد ﺮﻴﻣرﻮﺸﻛ رد ﻪﻛ يرﻮﻃ ﻪﺑ ﺪﺷﺎﺑ لﺎﺣ رد يﺎﻫ
ﻪﻌﺳﻮﺗ28 ﺷ ار ﺎﻫﺮﻴﻣ و گﺮﻣ زا ﺪﺻردﻲﻣ ﻞﻣﺎ دﻮﺷ]1[ .
يرﺎﻤﻴﺑ زوﺮﺑ ﺶﻫﺎﻛ ﻢﻏﺮﻴﻠﻋ تﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ،ﺮﻧوﺮﻛ قوﺮﻋ يﺎﻫ
لﺎﺳ ﻲﻃ رد ﻲﺒﻠﻗ ﻪﺘﻜﺳ زوﺮﺑ ﺶﻫﺎﻛ مﺪﻋ ﺮﮕﻧﺎﻴﺑيﺎﻫ1971 ﺎﺗ
2006 ﻲﻣ ﺪﺷﺎﺑ]2[يرﺎﻤﻴﺑ ﺰﻴﻧ ناﺮﻳا رد .ﻲﺒﻠﻗ يﺎﻫ - ﻲﻗوﺮﻋ
ﻢﻬﻣ زا ﻲﻜﻳ ﻲﺘﺷاﺪﻬﺑ تﻼﻀﻌﻣ ﻦﻳﺮﺗﻲﻣ بﻮﺴﺤﻣ ﻪﻛ اﺮﭼ ،دﻮﺷ
ﻪﻧﻮﮔ ﻪﺑ ؛ﺖﺳا ﺶﻳاﺰﻓا لﺎﺣ رد نآزا ﻲﺷﺎﻧ ﺮﻴﻣو گﺮﻣ ﻪﻛ يا
ﺖﺳا هﺪﺷ ﻪﺘﺧﺎﻨﺷ ناﺮﻳا رد ﺮﻴﻣ و گﺮﻣ ﺖﻠﻋ ﻦﻴﻟوا]4 ،3
[ .
عﻮﻴﺷ
يرﺎﻤﻴﺑيﺎﻫ قوﺮﻋ ﺮﻧوﺮﻛ و ضراﻮﻋ ﺎﻬﻧآ رد ﺐﺒﺳ ﻪﻌﻣﺎﺟ
گﺮﻣ و ﺮﻴﻣ و ﻲﻧاﻮﺗﺎﻧ و زا ﻲﮔدﺎﺘﻓارﺎﻛ ﺶﺨﺑ ﻲﻌﻴﺳو زا يﺎﻫوﺮﻴﻧ
ﺪﻟﻮﻣ
رﻮﺸﻛ ﺑهﮋﻳﻮ رد ﻦﻳﺮﺘﻬﺑ لﺎﺳيﺎﻫ ﻲﻫدزﺎﺑ ﻲﻠﻐﺷ و رد
ﺶﻫﺎﻛ ﺖﻳﺎﻬﻧ
ﺪﻴﻟﻮﺗ و ﺶﻳاﺰﻓا ﻪﻨﻳﺰﻫيﺎﻫ ﻲﻧﺎﻣرد هﺪﺷ ﺖﺳا]5[.
ﻪﺘﻜﺳ ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﻴﺑ ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ ﺖﻴﻌﺿو ﻲﺳرﺮﺑ
رﺎﻤﻴﺑ ﻦﻳا نوﺰﻓا زور ﺶﻳاﺰﻓا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻲﺒﻠﻗ ﺮﺑ نآ تاﺮﺛا و ي
.دراد يرﺎﻴﺴﺑ ﺖﻴﻤﻫا يو هداﻮﻧﺎﺧ و رﺎﻤﻴﺑ ﻲﮔﺪﻧز هﻮﻴﺷ ﻞﻛ
ﻲﻣ يﺎﻤﻴﺑ ﻦﻳا رﺎﭼد ﻪﻛ يدﺮﻓ تاﺮﻴﻴﻐﺗ رﺎﭼد ﺖﺳا ﻦﻜﻤﻣ دﻮﺷ
شزرا ،رﺎﻛ ،ﻲﮔداﻮﻧﺎﺧ ﻂﺑاور رد ﻞﻣﺎﻛ و ﻲﻤﺴﺟ ﻲﻳﺎﻧاﻮﺗ ،ﺎﻫ
ﻲﻋﻮﻧ ﻪﺑ ﻪﻛ دﻮﺷ دﻮﺧ زا ﺖﺒﻗاﺮﻣ ﻲﻳﺎﻧاﻮﺗ ﻦﻴﻨﭽﻤﻫ و ﻲﻋﺎﻤﺘﺟا
دﻮﺷ لﺰﻟﺰﺗ رﺎﭼد يو ﻲﻣﻮﻤﻋ ﺖﻣﻼﺳ ]6[ﺎﺑ .
ﻪﺟﻮﺗ ﻪﺑ ﻲﺗاﺮﻴﻴﻐﺗ
ﻪﻛ
ﺪﻧور رد يرﺎﺟ ﮔﺪﻧزﻲ داﺮﻓا ﺲﭘ زا ﻪﺘﻜﺳ ﻲﺒﻠﻗ خر ﻲﻣ،ﺪﻫد
ﻲﮔدﺮﺴﻓا ﻢﺋﻼﻋ
و باﺮﻄﺿا ﻦﻴﺑ نارﺎﻤﻴﺑ ﺲﭘ زا ﻪﺘﻜﺳ ﻲﺒﻠﻗ
ﻊﻳﺎﺷ رﺎﻴﺴﺑ
ﺖﺳا]7[ تﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ سﺎﺳاﺮﺑ ﻪﻛ يرﻮﻃ ﻪﺑ .
45 -20 و ﻲﮔدﺮﺴﻓا ﻢﻳﻼﻋ نارﺎﻤﻴﺑ ﺪﺻرد50 ﻢﻳﻼﻋ ﺪﺻرد
ﻲﻣ ﻪﺑﺮﺠﺗ ار باﺮﻄﺿا ﺪﻨﻨﻛ]9-7[ ناﺮﻳا رد ﻪﻌﻟﺎﻄﻣ ﻚﻳ رد .42
و باﺮﻄﺿا ﻢﻳﻼﻋ ياراد يﺮﺘﺴﺑ ﻲﺒﻠﻗ ﻪﺘﻜﺳ نارﺎﻤﻴﺑ ﺪﺻرد31
ﺪﻧدﻮﺑ ﻲﮔدﺮﺴﻓا ﻢﻳﻼﻋ ياراد نﺎﻧآ زا ﺪﺻرد]10
[.
ﺮﺑ ﻪﻛ ﺖﺳا نﺎﻣرد زا ﺖﻴﻌﺒﺗ ﺶﻫﺎﻛ ﻢﻬﻣ ﻞﻣاﻮﻋ زا ﻲﮔدﺮﺴﻓا
ﻲﻣ نﺎﻧآ ﻲﺒﻃ تﻼﻜﺸﻣ هﺮﻃﺎﺨﻣ ﻪﺑ ار نﺎﻧآ ﺖﻣﻼﺳ و ﺪﻳاﺰﻓا
ﻲﻣ نﺎﻧآ سردوز گﺮﻣ ﺚﻋﺎﺑ ﺖﻳﺎﻬﻧ رد و ﻪﺘﺧاﺪﻧا دﻮﺷ]11[
.
ﻪﻄﻴﺣ زا يرﺎﻴﺴﺑ ﻪﻛ ﺖﺳا هداد نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣﻴﻔﻴﻛ يﺎﻫ ﺖ
ﻲﻨﻌﻣ ﻲﮕﺘﺴﺒﻤﻫ ناور ﺖﻣﻼﺳ ﺎﺑ ﻲﮔﺪﻧزدراد يراد، ﻦﻳاﺮﺑﺎﻨﺑ
و ﻪﺘﺷاﺬﮔ ﺮﺛا ﺎﻬﻧآ ﻲﮔﺪﻧز ﺖﻴﻔﻴﻛ ﺮﺑ نارﺎﻤﻴﺑ رد ناور ﺖﻣﻼﺳ
ﻲﻣ نﻮﮔﺎﻧﻮﮔ دﺎﻌﺑا رد ﺎﻬﻧآ دﺮﻜﻠﻤﻋ لﻼﺘﺧا ﺐﺟﻮﻣﻮﺷ د]12[ .
رد ﻲﮔدﺮﺴﻓا و باﺮﻄﺿا لﺮﺘﻨﻛ و ناور ﺖﺷاﺪﻬﺑ ﻆﻔﺣ ﻦﻳاﺮﺑﺎﻨﺑ
.دراد يدﺎﻳز ﺖﻴﻤﻫا نارﺎﻤﻴﺑ ﻦﻳا
شور نﻮﻨﻛﺎﺗ ﻞﻤﻜﻣ ﺐﻃ ناﻮﻨﻋ ﻪﺑ ﻲﺗوﺎﻔﺘﻣ ﻲﻳورادﺮﻴﻏ يﺎﻫ
يرﺎﻤﻴﺑ رد ﻲﮔدﺮﺴﻓا و باﺮﻄﺿا ﺶﻫﺎﻛ ياﺮﺑ ﻂﻳاﺮﺷ و ﺎﻫ
ﻲﻣ ﻪﻠﻤﺟ نآ زا ﻪﻛ ﺖﺳا هﺪﺷ ﻲﺳرﺮﺑ ﻒﻠﺘﺨﻣ ژﺎﺳﺎﻣ ﻪﺑ ناﻮﺗ
ﻲﻧﺎﻣرد]13[ ﻲﺷزرو تﺎﻨﻳﺮﻤﺗ ،]14[ يرﺎﺸﻓ و ﻲﻧزﻮﺳ ﺐﻃ ،
]15[ ﻲﻧﺎﻣرد ﻲﻘﻴﺳﻮﻣ ،]16[ ﺎﮔﻮﻳ و]17[ زا ﻲﺧﺮﺑ .دﺮﺑ مﺎﻧ ار
شور ﻦﻳاﺖﻳدوﺪﺤﻣ يﺪﻨﻣدﻮﺳ ﻦﻴﻋ رد ﺎﻫ ار دﻮﺧ صﺎﺧ يﺎﻫ
ﻲﻣ ﺮﻈﻧ ﻪﺑ نﺎﻴﻣ ﻦﻳا زا ﺎﻣا .ﺪﻧراد
ﻲﻧﺎﻣرد ﻪﺤﻳار ﻪﻛ ﺪﺳر
ياﺮﺟا ﺖﻴﻠﺑﺎﻗ و ﺮﺘﻤﻛ ﺖﻳدوﺪﺤﻣ زا ﻪﻛ ﺖﺳا ﻲﺷور ﻲﻗﺎﺸﻨﺘﺳا
و ﺖﻴﻌﺿو ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ و ﺖﺳا رادرﻮﺧﺮﺑ يﺮﺗﻻﺎﺑ
وﺪﺤﻣﺖﻳد و هدﺎﺳ شور ﻚﻳ ناﻮﻨﻋ ﻪﺑ ﻲﺒﻠﻗ نارﺎﻤﻴﺑ صﺎﺧ يﺎﻫ
.دﺮﻴﮕﺑ راﺮﻗ ﻲﻧﺎﻣرد ﺰﻛاﺮﻣ رد ﻊﻴﺳو هدﺎﻔﺘﺳا درﻮﻣ ﻪﻨﻳﺰﻫ ﻢﻛ
ﻦﻏور زا هدﺎﻔﺘﺳا ﻚﻴﻨﻜﺗ ،ﻲﻧﺎﻣرد ﻪﺤﻳار ﻞﻣﺎﺷ ،نﺎﻫﺎﻴﮔ راﺮﻓ يﺎﻫ
ﺲﻧﺎﺳاﻲﻣ ﻲﻧاورو ﻲﻤﺴﺟ ﻲﺘﻣﻼﺳ ﺖﻬﺟ ،ﺎﻫ ﺪﺷﺎﺑ]18[ .زا ﻲﻜﻳ
هدﺎﻔﺘﺳا ﻲﻧﺎﻣرد ﻪﺤﻳار رد نآ ﺲﻧﺎﺳا زا ﻪﻛ ﻲﻳوراد نﺎﻫﺎﻴﮔ
ﻲﻣﻲﻣ عﺎﻨﻌﻧ ،دﻮﺷﺮﺑ هوﻼﻋ ﻪﻛ ﺪﺷﺎﺑ ﺶﻫﺎﻛ رد ﺶﻘﻧ يﺎﻔﻳا
ﻲﻣ ،باﺮﻄﺿا ﻢﻴﻈﻨﺗ و نﻮﺧرﺎﺸﻓ ،ﺾﺒﻧ ﺶﻫﺎﻛ ﺚﻋﺎﺑ ﺪﻧاﻮﺗ
ﺐﻠﻗ نﺎﺑﺮﺿﻮﺷ د]19[ .رد يدﺎـﻳز تﺎـﻌﻟﺎﻄﻣ ﺮﻴﺛﺄﺗ صﻮـﺼﺧ
ﺶﻫﺎــﻛ ،ﺶـﻣارآ و ﻲـﺘﺣار يراﺮﻗﺮﺑ رد ﻲﻧﺎﻣرد ﻪﺤﻳار
ﺖﺳا ﻪﺘﻓﺮﮔ مﺎﺠﻧا درد ﻦﻴﻜــﺴﺗ و باﺮﻄــﺿا]22-19[ .
مﺎـﺠﻧا ﻲـﺒﻠﻗ نارﺎـﻤﻴﺑ يور ﺮـﺑ تﺎﻌﻟﺎﻄﻣ ﻦـﻳا زا يداﺪﻌﺗ
اﺮﻤﻫ ﻪﺑ ار ﻲﺗوﺎﻔﺘﻣ ﺞﻳﺎـﺘﻧ ﻪـﻛ ﻪـﺘﻓﺮﮔﻪﺘﺷاد ه ﻦﻳا ﻦﻳاﺮﺑﺎﻨﺑ ،ﺪﻧا
و ﻲﮔدﺮﺴﻓا ﺮﺑ عﺎﻨﻌﻧ هﺎﻴﮔ ﺲﻧﺎﺳا تاﺮﺛا ﻲﺳرﺮﺑ فﺪﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣ
ﻲﻣ ﻲﺒﻠﻗ ﻪﺘﻜﺳ نارﺎﻤﻴﺑ رد باﺮﻄﺿا.ﺪﺷﺎﺑ
شور و داﻮﻣﺎﻫ
ﻪﻌﻟﺎﻄﻣ درﻮﻣ ﻪﻌﻣﺎﺟ .دﻮﺑ ﻲﻨﻴﻟﺎﺑ ﻲﻳﺎﻣزآرﺎﻛ عﻮﻧ زا ﻪﻌﻟﺎﻄﻣ ﻦﻳا
دﻮﺧ يﺮﺘﺴﺑ لوا زور ﻪﻛ ﻲﺒﻠﻗ ﻪﺘﻜﺳ ﺺﻴﺨﺸﺗ ﺎﺑ ﻲﻧارﺎﻤﻴﺑ ﻞﻣﺎﺷ
ﺶﺨﺑ رد ارﻲﺳﻲﺳنﺎﺘﺳرﺎﻤﻴﺑ ﻮﻳ رد نﺎﺟﺮﻴﺳ نﺎﺘﺳﺮﻬﺷ يﺎﻫ
لﺎﺳ1394 ﻲﻣﺪﻨﻧارﺬﮔ، ﻲﻣ ﻞﻴﻜﺸﺗ .ﺪﻧداد70 نارﺎﻤﻴﺑ زا ﺮﻔﻧ
ﻪﺑ و ﺪﻧﺪﺷ ﻪﻌﻟﺎﻄﻣ دراو فﺪﻫ ﺮﺑ ﻲﻨﺘﺒﻣ شور ﻪﺑ ﻲﺒﻠﻗ ﻪﺘﻜﺳ
56
لﺎﺳ ،ﻲﻳوراد نﺎﻫﺎﻴﮔ ﻪﻣﺎﻨﻠﺼﻓ
ﺷ
ﺰﻧ
ﺎ
هرود ،ﻢﻫ
د
ود ،م
ﻞﺴﻠﺴﻣ هرﺎﻤﺷ ﺖﺼﺷ ود و ،م رﺎﻬﺑ1396
ﻲﻈﻋاونارﺎﻜﻤﻫ و
يﺎﻫرﺎﻴﻌﻣ .ﺪﻧﺪﺷ ﻢﻴﺴﻘﺗ هوﺮﮔ ود ﻪﺑ هدﺎﺳ ﻲﻓدﺎﺼﺗ ترﻮﺻ
ﻦﻴﺑ ﻦﺳ ﻞﻣﺎﺷ ﻪﻌﻟﺎﻄﻣ ﻪﺑ دورو 80 ﺎﺗ20 ندﻮﺑ ﻞﺠﺴﻣ ،لﺎﺳ
ﻜﺳ ﺺﻴﺨﺸﺗ ﻼﺘﺑا ،ﺺﺼﺨﺘﻣ ﻚﺷﺰﭘ ﺺﻴﺨﺸﺗ سﺎﺳا ﺮﺑ ﻲﺒﻠﻗ ﻪﺘ
دورو وﺪﺑ رد يﻮﻳر ﻲﺒﻠﻗ ﺎﻴﺣا مﺪﻋ ،لوا رﺎﺑ ياﺮﺑ ﻲﺒﻠﻗ ﻪﺘﻜﺳ ﻪﺑ
تﻼﻜﺸﻣ ﺎﻳ ﺎﻣﺰﮔا ،ﻚﻳژﺮﻟآ ﺖﻴﻨﻳر ﻪﻘﺑﺎﺳ ﻦﺘﺷاﺪﻧ ،ﺲﻧاژروا ﻪﺑ
مﺪﻋ ،ﻲﻳﺎﻳﻮﺑ لﻼﺘﺧا دﻮﺟو مﺪﻋ ،ﻢﺳآ ﻞﺜﻣ هﺪﺷ ﻪﺘﺧﺎﻨﺷ ﻲﺴﻔﻨﺗ
ﻨﻛ يﺮﺴﻣ ﺎﻳ ﻲﺒﻃ لﻼﺘﺧا ﻦﺘﺷاﺪﻧ ،عﺎﻨﻌﻧ يﻮﺑ ﻪﺑ ﺖﻴﺳﺎﺴﺣ لﺮﺘ
ﻪﺑ ﻼﺘﺑا مﺪﻋ ،صﺎﺨﺷا و نﺎﻜﻣ و نﺎﻣز ﻪﺑ ندﻮﺑ هﺎﮔآ ،هﺪﺸﻧ
درد ﻦﺘﺷاﺪﻧ و ﻲﺗﺎﻴﺣ ﻢﺋﻼﻋ تﺎﺒﺛ ،هﺪﺷ ﻪﺘﺧﺎﻨﺷ ﻲﻧاور يرﺎﻤﻴﺑ
ﺖﻛﺮﺷ زا .دﻮﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﻴﻤﻜﺗ و ﻪﺒﺣﺎﺼﻣ نﺎﻣز رد نﺎﮔﺪﻨﻨﻛ
ﺖﻳﺎﺿر.ﺪﺷ ﺖﻓﺎﻳرد ﻲﺒﺘﻛ ﻪﻣﺎﻧ ﻊﻤﺟهداد يروآ ﻖﻳﺮﻃ زا ﺎﻫ
ﻋﻼﻃا ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﻴﻤﻜﺗ ،نارﺎﻤﻴﺑ ﺎﺑ ﻪﺒﺣﺎﺼﻣ و ﻚﻴﻓاﺮﮔﻮﻣد تﺎ
ﻦﻳﺪﺑ .دﻮﺑ باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ﺶﺠﻨﺳ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻪﻛ ترﻮﺻ
و ﻪﻌﻟﺎﻄﻣ عوﺮﺷ رد نﻮﻣزآ هوﺮﮔ رد30 ﺮﻫ نﺎﻳﺎﭘ زا ﺪﻌﺑ ﻪﻘﻴﻗد
ﺸﺳﺮﭘ ،ﻪﻠﺧاﺪﻣ زا ﺖﺑﻮﻧ ﻪﻣﺎﻨ
DASS-21 هوﺮﮔ رد .ﺪﺷ ﻞﻴﻤﻜﺗ
ﻪﻣﺎﻨﺸﺳﺮﭘ ،لﺮﺘﻨﻛ
DASS و هدﺎﻔﺘﺳا ﻪﻠﺧاﺪﻣ هوﺮﮔ ﺎﺑ ﻪﺑﺎﺸﻣ
ﺷ ﻞﻴﻤﻜﺗ نارﺎﻤﻴﺑ دﻮﺧ ﻂﺳﻮﺗ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺮﻛذ ﻪﺑ مزﻻ ﻦﻴﻨﭽﻤﻫ ؛ﺪ
ﻲﻟاﻮﺘﻣ رﻮﻃ ﻪﺑ ﺮﺼﻋﺮﻫ زور ﺞﻨﭘ تﺪﻣ ﻪﺑ ﻪﻠﺧاﺪﻣ مﺎﺠﻧا ﻪﻛ ﺖﺳا
ﻦﻳﺮﺧآ زا ﺪﻌﺑ و لوا ﺖﺑﻮﻧ زا ﻞﺒﻗ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻞﻴﻤﻜﺗ و مﺎﺠﻧا
ﻲﺸﺨﺑ ود ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﻳا ﻪﻛ ﺖﺳا ﺮﻛذ ﻪﺑ مزﻻ .ﺪﺷ مﺎﺠﻧا ﺖﺑﻮﻧ
،تﻼﻴﺼﺤﺗ ،ﺲﻨﺟ ،ﻦﺳ) ﻚﻴﻓاﺮﮔﻮﻣد تﺎﻋﻼﻃا ﻞﻣﺎﺷ و
(ﻞﻫﺎﺗ ﺖﻴﻌﺿو و لﺎﻐﺘﺷا ﺖﻴﻌﺿو و21 ناﺰﻴﻣ و ﺖﺳا ﻪﻠﻤﺟ
ًﻼﺻا) ترﻮﺻ ﻪﺑ داﺮﻓا رد تﻼﻤﺟ قﺪﺻ (دﺎﻳز و ﻂﺳﻮﺘﻣ ،ﻢﻛ ،
حﺮﺷ ﻦﻳﺪﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﻳا رد ﺎﻫرﺎﻴﻌﻣ زﺎﻴﺘﻣا .ﺪﺷ هﺪﻴﺠﻨﺳ
ﻲﻣًﻼﺻا :ﺪﺷﺎﺑ زﺎﻴﺘﻣا ﺎﺑ ﻢﻛ ،ﺮﻔﺻ زﺎﻴﺘﻣا ﺎﺑ
ﺎﺑ ﻂﺳﻮﺘﻣ ،ﻚﻳ
ﻲﻣ ﻪﺳزﺎﻴﺘﻣا ﺎﺑ دﺎﻳز ،ودزﺎﻴﺘﻣا) هﺮﻤﻧ .ﺪﺷﺎﺑ4 -5نﺎﺸﻧ ( هﺪﻨﻫد
) و ﻒﻴﻔﺧ باﺮﻄﺿا6-7نﺎﺸﻧ ()و ﻂﺳﻮﺘﻣ باﺮﻄﺿا هﺪﻨﻫد8 ﻪﺑ
نﺎﺸﻧ (ﻻﺎﺑ رد ﻪﻣﺎﻨﺸﺳﺮﭘ ﻦﻳا ﻲﻳﺎﻳﺎﭘ .ﺖﺳاﺪﻳﺪﺷ باﺮﻄﺿا هﺪﻨﻫد
ﻲﮔدﺮﺴﻓا ياﺮﺑ ﺪﻬﺸﻣ ﺮﻬﺷ ﻲﻣﻮﻤﻋ ﺖﻴﻌﻤﺟ ﻪﻧﻮﻤﻧ ﻚﻳ رد ناﺮﻳا
7/0، باﺮﻄﺿا6/0 سﺮﺘﺳا و
6/6 ﺖﺳا هﺪﺷ شراﺰﮔ]23[ .
ﻮﻣ تﺎﻌﻟﺎﻄﻣ رد ﺰﻴﻧ نآ ﻲﻳاور و ﻲﻳﺎﻳﺎﭘﺗ درﺄ ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ ﺪﻴﻳ
]24[رﻮﻳﺮﻬﺷ رد ﻪﻛ دﻮﺑ ترﻮﺻ ﻦﻳا ﻪﺑ هرﺎﺼﻋ ﻪﻴﻬﺗ هﻮﺤﻧ . هﺎﻣ
ﻞﮔ نﺎﻣز ﺰﻴﻤﺗ ﺲﭙﺳ و ﻪﻴﻬﺗ مزﻻ راﺪﻘﻣ ﻪﺑ عراﺰﻣ زا عﺎﻨﻌﻧ ﻲﻫد
ﻚﺸﺧ ﻪﻳﺎﺳ رد و ﻪﺘﺴﺷ
ﺷعﺎﻨﻌﻧ .ﺪ و ﺪﺷ دﺮﺧ هﺪﺷ ﻚﺸﺧ يﺎﻫ
تﺪﻣ ﻪﺑ48 ﻞﻜﻟا و بآ رد ﺖﻋﺎﺳ96 ﺖﺒﺴﻧ ﺎﺑ ﺪﺻرد50 ﻪﺑ
50 هدﺎﻔﺗﺎﺳ ﺎﺑ ﺲﭙﺳ .ﺪﺷ هﺪﻧارﺬﮔ ﻲﻓﺎﺻ زا ﺪﻌﺑ و ﺪﺷ هﺪﻧﺎﺴﻴﺧ
ﻒﻟﺪﻳﺎﻫ لﺪﻣ يرﺎﺗور هﺎﮕﺘﺳد زا4000 زا ﻞﻜﻟا و بآ ،ﻲﻧﺎﻤﻟآ
يﺎﻣد رد رﻮﻓ هﺎﮕﺘﺳدد رد هﺪﺷ ﻪﻴﻬﺗ هرﺎﺼﻋ ﺪﻌﺑ .ﺪﻧﺪﺷ اﺪﺟ ﻢﻫ
50 ﻲﺘﻧﺎﺳ ﻪﺟرد ﻆﻴﻠﻐﺗ و هداد راﺮﻗ داﺮﮔﺷ ﻪﺑ ﻪﻠﺧاﺪﻣ شور .ﺪ
ﺎﻫﺪﭘ زا ﻪﻠﺧاﺪﻣ هوﺮﮔ رد ﻪﻛ دﻮﺑ ترﻮﺻ ﻦﻳا ﻪﺑ ﻪﺘﺸﻏآ ي2/0
و عﺎﻨﻌﻧ ﺲﻧﺎﺳا ﻲﺳ ﻲﺳ لﺎﻣﺮﻧ يﺎﻫﺪﭘ زا لﺮﺘﻨﻛ هوﺮﮔ ياﺮﺑ
ﻲﻣ ﻞﺼﺘﻣ ﻪﻨﻴﺳ ﺖﻤﺴﻗ ﻪﺑ ﻪﻛ ،ﻦﻴﻟﺎﺳﺷ تﺪﻣ ،ﺪﻧﺪ20 رد ﻪﻘﻴﻗد
ﺪﺷ هدﺎﻔﺘﺳا زور]33[ .ﻪﻣﺎﻨﺸﺳﺮﭘ ﻪﻠﺧاﺪﻣ مﺎﺠﻧا زا ﺲﭘ
DASS-21 تﺪﻣ ﻪﺑ ﺮﮕﺸﻫوﮋﭘ ﻂﺳﻮﺗ5 زا ﺪﻌﺑ ﻲﻟاﻮﺘﻣ زور
ﻊﻤﺟ زا ﺲﭘ ﺖﻳﺎﻬﻧ رد .ﺪﺷ ﻞﻴﻤﻜﺗ ﺮﻬﻇ ﻪﻳﺰﺠﺗ ،تﺎﻋﻼﻃا يروآ
هداد ﻞﻴﻠﺤﺗ وشور ﺎﺑ ﺎﻫ ﺎﺑ ﻲﻃﺎﺒﻨﺘﺳا و ﻲﻔﻴﺻﻮﺗ يرﺎﻣآ يﺎﻫ
مﺮﻧ ﻚﻤﻛ راﺰﻓا
SPSS ﻪﺨﺴﻧ21 هداد .ﺪﺷ مﺎﺠﻧا زا هدﺎﻔﺘﺳا ﺎﺑ ﺎﻫ
نﻮﻣزآرﺎﻣآ يﺎﻫ ي
t نﻮﻣزآ و ﻞﻘﺘﺴﻣchi-square ﻪﻳﺰﺠﺗ درﻮﻣ
ﻲﻨﻌﻣ ﺢﻄﺳ .ﺪﻨﺘﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ و يراد5 ﺪﺻرد ﻲﻨﻌﻣ رد راد
.ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ اﻳﻦ ﻪﻟﺎﻘﻣ ﺘﻧﻴﻪﺠ ﺎﭘﻳنﺎﻧﻪﻣﺎ ﺳﺎﻨﺷرﺎﻛ ﻲﺪﺷرا
يرﺎﺘﺳﺮﭘ هﺎﮕﺸﻧاد ﻬﺷﻴﻗوﺪﺻﺪﻳ ﻲدﺰ ﺎﺑ ﺪﻛ قﻼﺧا
ir.ssu.rec.1394.100 ﻣﻲﺪﺷﺎﺑ و رد ﺰﻛﺮﻣ ﺖﺒﺛ ﺎﻣزآرﺎﻛﻲﻳيﺎﻫ
ﻟﺎﺑﻴﻨ ﻲاﻳناﺮ ﺎﺑ ﺪﻛ
IRCT2015121325500N1 ﺖﺒﺛ هﺪﺷ
ﺖﺳا.
ﺞﻳﺎﺘﻧ
ﻪﺘﻓﺎﻳ ﻞﻴﻠﺤﺗنﻮﻣزآ زا هدﺎﻔﺗﺎﺳ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳا يﺎﻫ
chi-square ﻲﻨﻌﻣ فﻼﺘﺧاهوﺮﮔ ﻦﻴﺑ رد ار يراد يﺎﻫ
ﺖﻛﺮﺷزا هﺪﻨﻨﻛ ﻲﮔﮋﻳو ﺮﻈﻧ ﻪﺑ .داﺪﻧ نﺎﺸﻧ ﻚﻴﻓاﺮﮔﻮﻣد يﺎﻫ
دﻮﺑ لﺮﺘﻨﻛ و نﻮﻣزآ هوﺮﮔ ندﻮﺑ نﺎﺴﻤﻫ ﺮﮕﻧﺎﻴﺑ ﺞﻳﺎﺘﻧ ﻲﺗرﺎﺒﻋ
لوﺪﺟ) هرﺎﻤﺷ1.(
زا ﺪﻌﺑ و ﻞﺒﻗ باﺮﻄﺿا هﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ ﺖﻬﺟ
نﻮﻣزآ زا ﻪﻠﺧاﺪﻣ
sample t test Independent.ﺪﺷ هدﺎﻔﺘﺳا
ﻲﻨﻌﻣ ﺶﻫﺎﻛ ﺚﻋﺎﺑ ﻪﻠﺧاﺪﻣ داد نﺎﺸﻧ ﺞﻳﺎﺘﻧ ﻦﻴﮕﻧﺎﻴﻣ رد يراد
) ﺖﺳا هﺪﺷ باﺮﻄﺿا هﺮﻤﻧ001/0
P= هرﺎﻤﺷ لوﺪﺟ) (2.(
57
قﺎﺸﻨﺘﺳا ﺮﻴﺛﺄﺗ ﻲﺳرﺮﺑ...
هرﺎﻤﺷ لوﺪﺟ1- د يﺎﻫﺮﻴﻐﺘﻣ ﻰﻧاواﺮﻓ ﻊﻳزﻮﺗنﻮﻣزآو لﺮﺘﻨﻛ هوﺮﮔ ودرد ﮓﻴﻓاﺮﮔﻮﻣ
هوﺮﮔﺎﻫ
ﻚﻴﻓاﺮﮔﻮﻣد ﻲﮔﮋﻳو
لﺮﺘﻨﻛ (ﻲﻧﺎﻣرد ﻪﺤﻳار) نﻮﻣزآ
P-value
داﺪﻌﺗ ﺪﺻ رد داﺪﻌﺗ ﺪﺻرد
ﺲﻨﺟ
نز 16 7/45 16 7/45
999/0 دﺮﻣ 19 3/54 19 3/54
ﻞﻫﺎﺗ
دﺮﺠﻣ 4 4/11 2 7/5
673/0 ﻞﻫﺎﺘﻣ 31 6/88 33 3/94
تﻼﻴﺼﺤﺗ
ﻢﻠﭙﻳد ﺮﻳز 20 1/57 22 9/62
264/0
ﻢﻠﭙﻳد
5 3/14 9 7/25
ﻲﻧادرﺎﻛ 6 1/17 3 6/8
ﺲﻧﺎﺴﻴﻟ 3 6/8 0 0/0
ﺲﻧﺎﺴﻴﻟ قﻮﻓ 1 9/2 1 9/2
يرﺎﻤﻴﺑ ﻪﻘﺑﺎﺳ
دراد 17 6/48 15 9/42
811/0 دراﺪﻧ 18 4/51 20 1/57
ﻞﻐﺷ ﺮﻴﻐﺘﻣ
ﻞﻏﺎﺷ 21 60 19 3/54
809/0 رﺎﻜﻴﺑ 14 40 16 9/42
ﻦﺳ ﺮﻴﻐﺘﻣ
داﺪﻌﺗ ﻦﻴﮕﻧﺎﻴﻣ رﺎﻴﻌﻣ فاﺮﺤﻧا
لﺮﺘﻨﻛ 35 62/57 48/11
311/0
(ﻲﻧﺎﻣرد ﻪﺤﻳار) نﻮﻣز
آ
35 94/54 53/10
هرﺎﻤﺷ لوﺪﺟ2- ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ و ﻞﺒﻗ نﻮﻣزآ و لﺮﺘﻨﻛ هوﺮﮔ رد باﺮﻄﺿا تاﺮﻴﻴﻐﺗ ناﺰﻴﻣ ﻪﺑ طﻮﺑﺮﻣ ﺞﻳﺎﺘﻧ
رﺎﻴﻌﻣ فاﺮﺤﻧ
ا
ﻴ
ﮕﻧﺎﻴﻣ
ﻦ
N
هوﺮﮔ ﺮﻴﻐﺘﻣ
76/3 42/20 35 ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ لﺮﺘﻨﻛ باﺮﻄﺿا
28/3 41/19 35 ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ
76/3 00/21 35 ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ نﻮﻣزآ باﺮﻄﺿا
28/3 63/12 35 ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ
ﺗ ﻲﺳرﺮﺑ رﻮﻈﻨﻣ ﻪﺑ هداد ﻞﻴﻠﺤﺗﺄ ﺰﻴﻧ ﻲﮔدﺮﺴﻓا ﺮﺑ ﻪﻠﺧاﺪﻣ ﺮﻴﺛ
رد ﻲﮔدﺮﺴﻓا هﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﻪﻛ داد نﺎﺸﻧ مﺎﺠﻧا زا ﺪﻌﺑ هوﺮﮔ ود
ﻲﻨﻌﻣ يرﺎﻣآ فﻼﺘﺧا ﻪﻠﺧاﺪﻣ) ﺪﻨﺘﺷاد يراد001/0P= لوﺪﺟ) .(
هرﺎﻤﺷ 3.(
85
لﺎﺳ ،ﻲﻳوراد نﺎﻫﺎﻴﮔ ﻪﻣﺎﻨﻠﺼﻓ
ﺷ
ﺰﻧ
ﺎ
هرود ،ﻢﻫ
د
ود ،م
ﻞﺴﻠﺴﻣ هرﺎﻤﺷ ﺖﺼﺷ ود و ،م رﺎﻬﺑ1396
ﻲﻈﻋاونارﺎﻜﻤﻫ و
هرﺎﻤﺷ لوﺪﺟ3- ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ و ﻞﺒﻗ نﻮﻣزآ و لﺮﺘﻨﻛ هوﺮﮔ رد ﻲﮔدﺮﺴﻓا تاﺮﻴﻴﻐﺗ ناﺰﻴﻣ ﻪﺑ طﻮﺑﺮﻣ ﺞﻳﺎﺘﻧ
رﺎﻴﻌﻣ فاﺮﺤﻧ
ا
ﻦﻴﮕﻧﺎﻴﻣ N هوﺮﮔ ﺮﻴﻐﺘﻣ
07/3 48/16 35 ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ لﺮﺘﻨﻛ ﻓاﻲﮔدﺮﺴ
60/3 76/16 35 ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ
43/4 80/15 35 ﻪﻠﺧاﺪﻣ زا ﻞﺒﻗ نﻮﻣزآ ﻲﮔدﺮﺴﻓا
27/3 41/12 35 ﻪﻠﺧاﺪﻣ زا ﺪﻌﺑ
ﺚﺤﺑ
ﺗ ﻲﺳرﺮﺑ فﺪﻫ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳاﺄ ﺮﺑ عﺎﻨﻌﻧ ﺲﻧﺎﺳا قﺎﺸﻨﺘﺳا ﺮﻴﺛ
.ﺖﻓﺮﮔ مﺎﺠﻧا ﻲﺒﻠﻗ ﻪﺘﻜﺳ نارﺎﻤﻴﺑ باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ناﺰﻴﻣ
ﻪﺘﻓﺎﻳ ﻪﻛ داد نﺎﺸﻧ ﺶﻫوﮋﭘ ﻦﻳا ىﺎﻫ ﺲﻧﺎﺳا ﺎﺑ ﻲﻧﺎﻣرد ﻪﺤﻳار
ﻲﻨﻌﻣ ﺶﻫﺎﻛ ﺐﺒﺳ عﺎﻨﻌﻧ نارﺎﻤﻴﺑ رد باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا راد
ﻲﻣ ﻲﺒﻠﻗ ﻪﺘﻜﺳﺪﻫاﻮﺷ .دﻮﺷ
نﺎﺸﻧ ﻲﻣﺪﻨﻫد عﻮﻗو ﻪﺘﻜﺳ ﻲﺒﻠﻗ ﻪﺑ
ناﻮﻨﻋ ،هﺪﻤﻋ سﺮﺘﺳا ﻚﺴﻳر زوﺮﺑ ﻢﺋﻼﻋ ﻲﮔدﺮﺴﻓا و باﺮﻄﺿا
ﻲﻣ ﺶﻳاﺰﻓا ﺮﺑاﺮﺑ ﺪﻨﭼ نارﺎﻤﻴﺑ رد ار ﺪﻫد]26 ،25[ تﺎﻌﻟﺎﻄﻣ .
هداد نﺎﺸﻧ ﻲﻠﺒﻗﺮﻄﺧ باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ﻪﻛ ﺪﻧا ثداﻮﺣ
ﻲﺒﻠﻗ ﻪﺘﻜﺳ لﺎﺒﻧد ﻪﺑ ار ﻲﺒﻠﻗ قوﺮﻋ5 -2 نارﺎﻤﻴﺑ زا ﺮﺘﺸﻴﺑ ﺮﺑاﺮﺑ
ﺮﻄﺧ ﺚﻋﺎﺑ باﺮﻄﺿا يﻻﺎﺑ ﺢﻄﺳ ،ﺖﺳا بﺮﻄﻀﻣﺮﻴﻏ گﺮﻣ
رد ﻲﻧﺎﻬﮔﺎﻧ ﻲﻣ ﻲﺒﻠﻗ نارﺎﻤﻴﺑ.دﻮﺷ ﺰﻴﻧ ﻲﮔدﺮﺴﻓا لﻼﺘﺧا رد 15 -
20 ﺪﺻرد ﺖﺳا ﻪﺘﺷاد دﻮﺟو ﻲﺒﻠﻗ ﻪﺘﻜﺳ لﺎﺒﻧد ﻪﺑ نارﺎﻤﻴﺑ]28 ،
27[.
ﻦﻴﺑ ﻲﻣﻮﻤﻋ ﺖﻴﻌﻤﺟ رد ﻲﮔدﺮﺴﻓا عﻮﻴﺷ ﻲﻠﻛ رﻮﻃ ﻪﺑ25 -
6 ﻲﻣ ﺪﺻرد ﺪﺷﺎﺑ]22[ . ﻪﺑ نﺎﻳﻼﺘﺒﻣ رد نآ زوﺮﺑ ﻪﻛ ﻲﻟﺎﺣ رد
يرﺎﻤﻴﺑﺑ ،ﻲﻤﺴﺟ يﺎﻫ ﻦﻴﺑ يﺮﺘﺴﺑ نارﺎﻤﻴﺑ هﮋﻳﻮ50 - 5 ﺪﺻرد
ﻲﻣ ﺪﺷﺎﺑ]23[ .
ﻲﮔدﺮﺴﻓا نﺎﻣرد ﺖﻬﺟ يدﺪﻌﺘﻣ يﺎﻫوراد ﻪﻜﻨﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ
ﻲﻳﺎﻴﻤﻴﺷ يﺎﻫوراد ﻪﻛ ﻲﻳﺎﺠﻧآ زا ،دراد دﻮﺟو نارﺎﻤﻴﺑ باﺮﻄﺿا و
اﻮﺧﺎﻧ ضراﻮﻋ ﻻﻮﻤﻌﻣور و ﺪﻧراد هاﺮﻤﻫ ﻪﺑ يدﺎﻳز ﻪﺘﺳ ﻲﻧﺎﻣرد نا
ًﺎﺒﻳﺮﻘﺗ ﺰﻴﻧ ﺖﻗو ﻲﺷور نﺎﻫﺎﻴﮔ زا هدﺎﻔﺘﺳا ،ﺖﺳا ﻪﻨﻳﺰﻫﺮﭘ و ﺮﻴﮔ
نﺎﻣرد ناﻮﻨﻋ ﻪﺑ ﺎﻳ نﺎﻣرد ﺖﻬﺟﻲﻣ ﻞﻤﻜﻣ يﺎﻫ رﺎﻴﺴﺑ ﺪﻧاﻮﺗ
ﺪﺷﺎﺑ ﺪﻨﻤﺷزرا]30 - 28[ﻨﻌﻧ ﻲﻳرواد نﺎﻫﺎﻴﮔ ﻦﻳا زا ﻲﻜﻳ .
ﺎ
ﻲﻣﺗ صﻮﺼﺧرد ﺰﻴﻧ ﻲﻠﺒﻗ تﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ .ﺪﺷﺎﺑﺄ ﺮﺑ هﺎﻴﮔ ﻦﻳا ﺮﻴﺛ
ﻲﺑ ﺖﺳا هﺪﺷ هداد نﺎﺸﻧ نﺎﻳﻮﺠﺸﻧاد ﻲﺑاﻮﺧ]31[ﺗ ﻦﻴﻨﭽﻤﻫ .ﺄ ﺮﻴﺛ
يور ار يرﺎﻣزر و سودﻮﺧﻮﻄﺳا ،عﺎﻨﻌﻧ هﺎﻴﮔ ﻪﺳ ﻪﺤﻳار ﻲﺒﻴﻛﺮﺗ
ﻣ يرﺎﺘﺳﺮﭘ نﺎﻳﻮﺠﺸﻧاد باﺮﻄﺿا و سﺮﺘﺳاﺆ ﺖﺳا هدﻮﺑ ﺮﺛ]32[ .
ﻲﻨﺴﺤﻣ ﻪﻌﻟﺎﻄﻣ ردﺗ ﻲﺳرﺮﺑ رﻮﻈﻨﻣ ﻪﺑ ﻪﻛ نارﺎﻜﻤﻫ و دﺮﻓﺄ ﺮﻴﺛ
ﻲﺑ و ﻲﺗﺎﻴﺣ ﻢﻳﻼﻋ ﺮﺑ عﺎﻨﻌﻧ ﻪﺤﻳارﻲﻤﻈﻧ نارﺎﻤﻴﺑ رد ﻲﺒﻠﻗ يﺎﻫ
ﺪﻧدﻮﺑ هداد مﺎﺠﻧا ﻲﺒﻠﻗ ﻪﺘﻜﺳ، ﺪﻨﭼﺮﻫ داد نﺎﺸﻧ ﺞﻳﺎﺘﻧ
زوﺮﺑ
ﻲﺑﻲﻤﻈﻧيﺎﻫ
ﻲﺒﻠﻗ رد ﻪﻠﺧاﺪﻣ هوﺮﮔ ﺮﺘﻤﻛ زا هوﺮﮔ لﺮﺘﻨﻛ دﻮﺑ ﺎﻣا
فﻼﺘﺧا
نﺎﻧآ رادﺎﻨﻌﻣ .دﻮﺒﻧ ﻦﻴﻨﭽﻤﻫ فﻼﺘﺧا يرادﺎﻨﻌﻣ ﻦﻴﺑ ود
هوﺮﮔ
زا ﺮﻈﻧ ﻢﺋﻼﻋ هﺪﻫﺎﺸﻣ ﻲﺗﺎﻴﺣ ﻧﺸﺪ ]33[ ﻲﻔﺠﻧ ﻪﻌﻟﺎﻄﻣ رد .
ﺖﻟودﺗ ﻲﺳرﺮﺑ رﻮﻈﻨﻣ ﻪﺑ ﻪﻛ نارﺎﻜﻤﻫ و دﺎﺑآﺄ ﺮﺑ ﺎﻨﻌﻧ هرﺎﺼﻋ ﺮﻴﺛ
هدﺎﻔﺘﺳا ﻪﻛ داد نﺎﺸﻧ ﺞﻳﺎﺘﻧ و ﺪﻧدﻮﺑ هداد مﺎﺠﻧا نارﺎﻤﻴﺑ ﻲﮔدﺮﺴﻓا
ﻲﻣ هﺎﻴﮔ ﻦﻳا هرﺎﺼﻋ زارﺎﻤﻴﺑ ياﺮﺑ ﻲﻧﺎﻣرد شور ناﻮﻨﻋ ﻪﺑ ﺪﻧاﻮﺗ نا
ﺮﻴﮔ راﺮﻗ هدﺎﻔﺘﺳا درﻮﻣ هدﺮﺴﻓاﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﻪﻛ د
ﺰﻴﻧ ﺮﺿﺎﺣ
ﺗﺄﺪﻴﻳﻲﻣ عﻮﺿﻮﻣ ﻦﻳا هﺪﻨﻨﻛ ﺪﺷﺎﺑ]34[ ﻪﻌﻟﺎﻄﻣ رد ﻦﻴﻨﭽﻤﻫ .
ﺎﻜﻳﺮﻣآ رد نارﺎﻜﻤﻫ و يﺮﻔﺟ ﻪﻛ زا هدﺮﺴﻓا نارﺎﻤﻴﺑ نﺎﻣرد ياﺮﺑ
ﺲﻧﺎﺳا60 نﺎﺸﻧ ﺞﻳﺎﺘﻧ ﺪﻧدﻮﺑ هدﺮﻛ هدﺎﻔﺘﺳا عﺎﻨﻌﻧ ﻪﻠﻤﺟ زا هﺎﻴﮔ
ﻲﻣ ﻞﻤﻜﻣ ترﻮﺻ ﻪﺑ نﺎﻣرد ﻦﻳا داد ﻢﻳﻼﻋ ﺶﻫﺎﻛ رد ﺪﻧاﻮﺗ
ﺪﺷﺎﺑ ﺮﺛﺆﻣ ﻲﮔدﺮﺴﻓا ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﻴﺑ]35[ ﻦﻤﺸﻳﺮﻓ ﻪﻌﻟﺎﻄﻣ رد .
نﺎﺸﻧ ﺞﻳﺎﺘﻧ ﺰﻴﻧ نارﺎﻜﻤﻫ وﻣ تاﺮﺛا هﺪﻨﻫد ﺶﻫﺎﻛ ﺮﺑ ﻪﺤﻳار ﺖﺒﺜ
دﻮﺑ ﻲﻗوﺮﻋ ﻲﺒﻠﻗ نارﺎﻤﻴﺑ باﺮﻄﺿا و ﻲﮔدﺮﺴﻓا ]36[ ﻦﻴﻨﭽﻤﻫ .
ﻪﺘﻓﺎﻳﺎﺑ ﺶﻫوﮋﭘ ﻦﻳا يﺎﻫ ﻌﻟﺎﻄﻣﻪ ﺮﺛا ﺮﺑ ﻲﻨﺒﻣ نارﺎﻜﻤﻫ و ﻲﺳﺎﻴﻗ
ﻪﻧﺎﺸﻧ ﺶﻫﺎﻛ رد ﻲﻗﺎﺸﻨﺘﺳا ﻲﻧﺎﻣرد ﻪﺤﻳار ﻲﺸﺨﺑ باﺮﻄﺿا يﺎﻫ
ﺖﺳا ﻮﺴﻤﻫ ﺰﻴﻧ ﺮﮔرﺎﺜﻳا و زﺎﺒﻧﺎﺟ نﺎﻳﻮﺠﺸﻧاد]37[.
ﻢﺴﻴﻧﺎﻜﻣ ﻪﺘﻜﺳ زا ﺲﭘ ﻲﮔدﺮﺴﻓا ﻦﻴﺑ ﻪﻄﺑار ﻲﻟﺎﻤﺘﺣا يﺎﻫ
ﻪﻛ ﻲﻤﺴﻴﻧﺎﻜﻣ ﭻﻴﻫ زﻮﻨﻫ :نآ زا ﻲﺷﺎﻧ راﻮﮔﺎﻧ يﺎﻫﺪﻣﺎﻴﭘ و ﻲﺒﻠﻗ
ﺮﻴﻣ و گﺮﻣ ﺮﻄﺧ ﺶﻳاﺰﻓا و ﻪﺘﻜﺳ زا ﺲﭘ ﻲﮔدﺮﺴﻓا ﻪﻄﺑار ﺪﻧاﻮﺘﺑ
ﺪﻳﺎﻤﻧ ﻦﻴﻴﺒﺗ ﻲﺑﻮﺧ ﻪﺑ ار] ﺖﺳا هﺪﺸﻧ ﻪﺘﺧﺎﻨﺷ38 ﺎﻣا .[
ﻢﺴﻴﻧﺎﻜﻣﻲﻣ ﻪﻛ ﺖﺳا حﺮﻄﻣ يرﺎﻴﺴﺑ هﻮﻘﻟﺎﺑ يﺎﻫﻧآ ناﻮﺗ رد ار ﺎﻬ
ﺖﺴﻳز و يرﺎﺘﻓر ﻪﻟﻮﻘﻣ ودﻪﺘﺳد ﻲﺘﺧﺎﻨﺷﻲﻣ يﺪﻨﺑ] ﺪﻨﻨﻛ40 ،
39.[ ﻦﻴﻨﭽﻤﻫ و ﻲﮔدﺮﺴﻓا ﺶﻫﺎﻛ رد عﺎﻨﻌﻧ ﻪﺤﻳار ﻖﻴﻗد ﻢﺴﻴﻧﺎﻜﻣ
59
قﺎﺸﻨﺘﺳا ﺮﻴﺛﺄﺗ ﻲﺳرﺮﺑ...
ﺖﺒﻗاﺮﻣ ﺶﺨﺑ رد هﺪﺷ يﺮﺘﺴﺑ ﻲﺒﻠﻗ نارﺎﻤﻴﺑ باﺮﻄﺿا هﮋﻳو يﺎﻫ
ﺸﻣ نﺎﺘﺳرﺎﻤﻴﺑ قﺎﺸﻨﺘﺳا مﺎﮕﻨﻫ دراد لﺎﻤﺘﺣا ﻲﻟو ﺖﺴﻴﻧ ﺺﺨ
لﻮﻜﻟﻮﻣ ،ﻪﺤﻳار ﻢﺘﺴﻴﺳ ﻪﺑ ﻲﻳﺎﻳﻮﺑ ﻢﺘﺴﻴﺳ ﻖﻳﺮﻃ زا نآ يﺎﻫ
ﺰﻐﻣ رد ﻚﻴﺒﻤﻴﻟ تاﺮﺛا ﻚﻴﺒﻤﻴﻟ ﻢﺘﺴﻴﺳ ﻚﻳﺮﺤﺗ ﻖﻳﺮﻃ زا و ﻞﻘﺘﻨﻣ
و ﻲﺑاﺮﻄﺿاﺪﺿ ﻲﻣ لﺎﻤﻋا ار دﻮﺧ ﻲﺸﺨﺒﻣارآ] ﺪﻨﻛ41 ﻦﻴﻨﭽﻤﻫ .[
ﻲﺋﻮﻛﺰﺳ ،ﻦﭘﺮﺗﻮﻧﻮﻣ ﺪﻨﻧﺎﻣ يﺮﺛﺆﻣ داﻮﻣ دﻮﺟوﻦﭘﺮﺗﺎﻫ و
ﻫﺪﻴﺋﻮﻧﻼﻓ ﻲﺒﺼﻋ ﻢﺘﺴﻴﺳ ﺮﺑ ﺲﻧﺎﺳا ﻦﻳا ﺮﺘﺸﻴﺑ ﺮﻴﺛﺄﺗ ﺚﻋﺎﺑ ﺎ
هﺪﻧﺮﻴﮔﺮﺑ و يﺰﻛﺮﻣ ﺚﻋﺎﺑ ﻖﻳﺮﻃ ﻦﻳا زا و هﺪﺷ ﻦﻴﭘزﺎﻳدوﺰﻨﺑ يﺎﻫ
ﻲﻣ ﻲﺑاﺮﻄﺿا ﺪﺿ ﺮﺛا ﺖﻳﻮﻘﺗ] دﻮﺷ41ﺲﻧﺎﺳا .[ زا ﺎﻳ ﻦﻏور يﺎﻫ
ﻲﻣ و هﺪﺷ بﺬﺟ طﺎﺨﻣ ﻖﻳﺮﻃﻢﻳﺰﻧآ يور ﺮﺑ ﺪﻨﻧاﻮﺗلﺎﻧﺎﻛ ،ﺎﻫ و ﺎﻫ
هﺪﻧﺮﻴﮔﻣ ﻚﻳﺮﺤﺗ ﻪﺑ ﺮﺠﻨﻣ و ﻪﺘﺷاﺬﮔ ﺮﺛا ﻲﻧﻮﻳ يﺎﻫ ﻦﻴﻜﺴﺗ ،ﺰﻐ
ﺰﻐﻣ نﻮﺧ نﺎﻳﺮﺟ ﺶﻳاﺰﻓا و ﻲﮔدﺮﺴﻓا ﺪﺿ تاﺮﺛا ،باﺮﻄﺿا
] ﺪﻧﻮﺷ42ﻦﻏور ﻦﻳا ﻦﻴﻨﭽﻤﻫ .[ زا ﺪﻧردﺎﻗ ،ﺲﻔﻨﺗ ﻖﻳﺮﻃ زا ﺎﻫ
ﻲﻧﻮﺧ ﺪﺳ- هﺪﻧﺮﻴﮔ ﺎﺑ و هدﺮﻛ رﻮﺒﻋ يﺰﻐﻣ ﻲﺒﺼﻋ ﻢﺘﺴﻴﺳ يﺎﻫ
] ﺪﻧﻮﺷ ﻞﻤﻋ دراو يﺰﻛﺮﻣ42 دراد دﻮﺟو لﺎﻤﺘﺣا ﻦﻳا ﻦﻳاﺮﺑﺎﻨﺑ .[
شور زا ﻲﺧﺮﺑ ﻪﻛ ﻖﻳﺮﻃ زا ﻞﻤﻜﻣ ﺐﻃ يﺎﻫو باﺮﻄﺿا ﺶﻫﺎﻛ
ﻲﮔدﺮﺴﻓا و باﺮﻄﺿا ﺶﻫﺎﻛ ﻪﺑ ردﺎﻗ ﻚﻴﺗﺎﭙﻤﺳ ﻢﺘﺴﻴﺳ بﻮﻛﺮﺳ
.ﺪﻨﺷﺎﺑ
ﻪﺠﻴﺘﻧيﺮﻴﮔ
ﻲﺑ ،ﻲﻤﺟﺎﻬﺗ ﺮﻴﻏ شور ﻚﻳ ﻲﻧﺎﻣرد ﻪﺤﻳار و نﺎﺳآ ،ﺮﻄﺧ
ﻲﻣ ﻪﺘﻓﺮﻳﺬﭘ نارﺎﻤﻴﺑ ﻂﺳﻮﺗ ﻲﺑﻮﺧ ﻪﺑ ﻪﻛ ﻊﻳﺮﺳ ﻪﺑ ﺞﻳﺎﺘﻧ .دﻮﺷ
عﺎﻨﻌﻧ ﺎﺑ ﻲﻧﺎﻣرد ﻪﺤﻳار ﻪﻛ داد نﺎﺸﻧ ،ﺶﻫوﮋﭘ ﻦﻳا زا هﺪﻣآ ﺖﺳد
ﻲﻣﻮﻨﻋ ﻪﺑ ﺪﻧاﻮﺗ و ﻲﮔدﺮﺴﻓا ﺶﻫﺎﻛ رد ﻲﻧﺎﻣرد شور ﻚﻳ نا
.دﺮﻴﮔ راﺮﻗ هدﺎﻔﺘﺳا درﻮﻣ ﻲﺒﻠﻗ ﻪﺘﻜﺳ نﺎﻤﻴﺑ باﺮﻄﺿا
ﻲﻧادرﺪﻗ و ﺮﻜﺸﺗ
ﺪﻴﻬﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﺸﻫوﮋﭘ ﺖﻧوﺎﻌﻣ زا ﻪﻠﻴﺳﻮﻨﻳﺪﺑ
و ﺮﻜﺸﺗ ،ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﻲﻟﺎﻣ نﺎﺒﻴﺘﺸﭘ ناﻮﻨﻋ ﻪﺑ ،دﺰﻳ ﻲﻗوﺪﺻ
ﻲﻣ ﻲﻧادرﺪﻗ.دﻮﺷ
ﻊﺑﺎﻨﻣ
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62
لﺎﺳ ،ﻲﻳوراد نﺎﻫﺎﻴﮔ ﻪﻣﺎﻨﻠﺼﻓ
ﺷ
ﺰﻧ
ﺎ
هرود ،ﻢﻫ
د
ود ،م
ﻞﺴﻠﺴﻣ هرﺎﻤﺷ ﺖﺼﺷ ود و ،م رﺎﻬﺑ1396
ﻲﻈﻋاونارﺎﻜﻤﻫ و
Study the Effect of Inhalation of Peppermint Oil on Depression and
Anxiety in Patients with Myocardial Infarction who are Hospitalized
in Intensive Care Units of Sirjan
Vaezi AA (Ph.D.)1, Parizi S (M.Sc. Student)2*, Vahidi AR (Pharm.D.)3, Tavangar H (Ph.D.)1
1- Department of Nursing, School of Nursing & Midwifery, Research Center for Nursing &
Midwifery Care in Family Health, Shahid Sadughi University of Medical Science, Yazd,
Iran
2- Department of Critical Care Nursing, School of Nursing & Midwifery, Research Center
for Nursing & Midwifery Care in Family Health, Shahid Sadughi University of Medical
Science, Yazd, Iran
3- Academic Member, Medicinal Plant Research Center, Shahid Sadughi University of
Medical Science, Yazd, Iran
*Corresponding author: Department of Critical Care Nursing, School of Nursing &
Midwifery, Research Center for Nursing & Midwifery Care in Family Health, Shahid
Sadughi University of Medical Science, Yazd, Iran
Tel: +98-35-38241751
E-mail: Sparizi66@gmail.com
Abstract
Background: A psychological reaction such as depression and anxiety is a complication of a
heart attack. The aromatherapy is one of the processes in Complementary medicine to maintain
mental health of diseases.
Objective: This study aimed to investigate the effect of inhalation of essential oil on depression
and anxiety in patients with acute myocardial infarction.
Methods: This Clinical trial study was conducted in 70 heart attack patients by purposive
sampling method and randomly divided in two groups (Intervention and control) who were
hospitalized in intensive care units of Sirjan in year 2015. Data were collected by self-report
DASS-21 questionnaires. In intervention group 0.2 ml of peppermint oil mixed with 2 ml of
Normal saline and in control group 2 ml of normal Saline was poured on a gas and attached with
clamp to the collar of patients for 20 minutes and inhaled it for 5 days. Before and after the
intervention patients completed DASS-21 questionnaire. After collecting the data Inter to SPSS 21
software and using chi-square tests, t-test were analyzed.
Results: The age of control and intervention groups was 57.62±11.48, 54.94±10.53 respectively.
After aromatherapy in the intervention group in comparative of before intervention and control
group, the level of anxiety and depression in patients significantly showed decreased (P=0.001).
Conclusion: According to the results of this study, treatment with peppermint oil can reduce
depression and anxiety in patients with myocardial infarction, so its use is recommended in
clinical situations.
Keywords: Anxiety, Aromatherapy, Depression, Myocardial infarction, Peppermint oil
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