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‫ﻧﺸﺮﻳﻪ ﺧﺒﺮي ﭘﻮﻳﺶ داﻧﺶﭘﮋوﻫﺎن‬
‫ﻣﻌﺎوﻧﺖ ﭘﮋوﻫﺸﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺳﺎل دوازدﻫﻢ ﺷﻤﺎره‬
‫‪18‬‬
‫ﭘﺎﻳﻴﺰ ‪1389‬‬
‫„ زﻳﺮ ﻧﻈﺮ ‪:‬‬
‫ﻣﻌﺎون ﭘﮋوﻫﺸﻲ داﻧﺸﮕﺎه‪ :‬دﻛﺘﺮ ﺣﺴﻦ ﺷﺎﻛﺮي‬
‫ﻣﺪﻳﺮ ﭘﮋوﻫﺶ‪ :‬دﻛﺘﺮ ﻏﻼﻣﺮﺿﺎ آذري‬
‫ﺳﺮدﺑﻴﺮ و ﻣﺪﻳﺮ اﺟﺮاﻳﻲ‪ :‬اﻟﻬﺎم ﻓﺮﺟﻲ‬
‫ﺻﻔﺤﻪآراﻳﻲ‪ :‬آرش ﻓﻜﺮي‬
‫ﭼﺎپ و ﺻﺤﺎﻓﻲ‪ :‬ﮔﺮاﻓﻴﻚ ﻋﺮﺷﻴﺎ ـ ﺟﺎپ ﻛﺎرﻳﺴﺎ‬
‫ﺗﻴﺮاژ‪ 200 :‬ﻧﺴﺨﻪ‬
‫ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬
‫ﻧﺸﺎﻧﻲ ـ ﺗﻬﺮان‪ ،‬اوﻳﻦ‪ ،‬ﺑﻠﻮار داﻧﺸﺠﻮ‪ ،‬ﺧﻴﺎﺑﺎن ﻛﻮدﻛﻴﺎر‪ ،‬داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻛﺪ ﭘﺴﺘﻲ‪1985713834 :‬‬
‫ﺗﻠﻔﻦ‪ 22180013 :‬ـ ‪22180005‬‬
‫‪www.uswr.ac.ir‬‬
‫ﺑﺎ ﺗﺸﻜﺮ از ﻫﻤﻜﺎري ﻛﻠﻴﻪ ﻫﻤﻜﺎران ﻣﺤﺘﺮم ﻣﻌﺎوﻧﺖ ﭘﮋوﻫﺸﻲ اﻋﻢ از‪:‬‬
‫دﻓﺘﺮ ﭘﮋوﻫﺸﻲ ـ ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي ـ اﻧﺘﺸﺎرات ـ رواﺑﻂ ﺑﻴﻦاﻟﻤﻠﻞ‬
‫ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎت ـ اﻣﻮر ﻣﺎﻟﻲ و ﻛﺎرﭘﺮدازي‬
‫ﺑﺴﻤﻪ ﺗﻌﺎﻟﻲ‬
‫ﻫ‪‬ﻞْ ﻳﺴ‪‬ﺘَﻮِي اﻟﱠﺬ‪‬ﻳﻦَ ﻳﻌ‪‬ﻠَﻤ‪‬ﻮنَ و‪ ‬اﻟﱠﺬ‪‬ﻳﻦَ ﻻ ﻳﻌ‪‬ﻠَﻤ‪‬ﻮنَ‬
‫»آﻳﺎ ﺻﺎﺣﺒﺎن ﻋﻠﻢ و داﻧﺶ ﺑﺎ آﻧﺎن ﻛﻪ ﻧﻤﻲداﻧﻨﺪ ﻳﻜﺴﺎن ﻫﺴﺘﻨﺪ‪«.‬‬
‫ﭘﻴﺸﮕﻔﺘﺎر‬
‫ارزش و ﻣﻘﺎم ﻋﻠﻢ و ﻣﻌﻠﻢ ﻳﻚ ارزش ذاﺗﻲ اﺳﺖ و ﻋﺎرﺿﻲ ﻧﻴﺴﺖ‪ .‬اﻳﻦ ﮔﻮﻧﻪ ﻧﻴﺴﺖ ﻛـﻪ در ﺑﺨـﺸﻲ‬
‫از ﺟﻬــﺎن ﻳــﺎ در ﻣﻘﻄﻌــﻲ از ﺗــﺎرﻳﺦ ارزش داﺷــﺘﻪ ﺑﺎﺷــﺪ و در ﺟــﺎي دﻳﮕــﺮ ﻧــﻪ! ﺣﺘــﻲ اﻣــﺮوز واﻟﻴــﺎن و‬
‫ﺳﻴﺎﺳﺖﻣﺪاران ﻛﺸﻮرﻣﺎن و ﺳﺎﻳﺮ ﻣﻤﺎﻟﻚ اﮔﺮ ﺑﺨﻮاﻫﻨﺪ ﺑﺎ ﻳﻚ ﺑﺤﺚ اﺛﺒﺎﺗﻲ ﺑﻪ ارزش و اﻫﻤﻴﺖ ﻛﺸﻮرﺷﺎن‬
‫در ﻣﺠﺎﻣﻊ ﺟﻬﺎﻧﻲ ﺑﺒﺎﻟﻨﺪ و اﻓﺘﺨﺎر ﻛﻨﻨﺪ اﺳﺎﻣﻲ داﻧﺸﻤﻨﺪان و اﺳﺘﺎدان ﮔﺬﺷﺘﻪ را ﺑﻪ ﻣﻴﺎن ﻣﻲآورﻧﺪ‪ ،‬ﻧﻪ ذﺧـﺎﻳﺮ‬
‫ﻣﺎدي و اﻗﺘﺼﺎدي ﺧﻮد را‪.‬‬
‫ﺧﻮﺷﺎ ﺑﻪ ﺣﺎل اﺳﺎﺗﻴﺪ و ﻣﺤﻘﻘﻴﻦ داﻧﺸﮕﺎه ﻛﻪ ﺷﻐﻠـﺸﺎن؛ ﻣـﺼﺪاق ﺿـﺮباﻟﻤﺜـﻞ ﻳـﻚ ﺗﻴـﺮ و دوﻧـﺸﺎن‬
‫اﺳﺖ؛ ﺣﺘﻲ ﺑﻪ ﺷﺮط اﻧﺠﺎم وﻇﻴﻔﻪ‪ ،‬ﻧﻪ دو ﻧﺸﺎن ﻛﻪ ﺻﺪ ﻧﺸﺎن ﻣﻲﺗﻮان زد‪ .‬ﺷﻐﻞ اﻳﻦ ﻋﺰﻳﺰان دو وﻳﮋﮔﻲ ﺑﺎرز‬
‫دارد‪ ،‬ﻳﻜﻲ ﺗﻌﻠﻴﻢ و دﻳﮕـﺮي ﺗﻌﻠـﻢ ﻛـﻪ ﻫـﺮدو از ﺟﻨﺒـﻪﻫـﺎي ﻋﺒـﺎدي و ﻣﻘـﺪس ﻫـﺴﺘﻨﺪ‪ .‬آﻧـﺎن ﻳـﺎ در ﺣـﺎل‬
‫ﻳﺎدﮔﺮﻓﺘﻦ ﻣﻄﺎﻟﺐ و ﻣﻮﺿﻮﻋﺎت ﺟﺪﻳﺪ ﻫﺴﺘﻨﺪ و ﺧﻮد را را از ﺗﺎرﻳﻜﻲ ﺟﻬﻞ ﻣﻲرﻫﺎﻧﻨـﺪ و ﻳـﺎ در ﺣـﺎل ﻳـﺎد‬
‫دادن‪ ،‬ﭘﮋوﻫﺶ و ﻛﺸﻒ ﻣﺴﺎﺋﻞ ﺟﺪﻳﺪﻧﺪ و دﻳﮕﺮان را ﺑﻪ زﻻل ﻣﻌﺮﻓﺖ رﻫﻨﻤـﺎ ﻣـﻲﺷـﻮﻧﺪ و ﺑـﺎري از دوش‬
‫ﺟﺎﻣﻌﻪ و ﻣﺎم ﻣﻴﻬﻦ ﺑﺮ ﻣﻲدارﻧﺪ‪ .‬ﺑﺮونداد ﻛﺎر آﻧﻬﺎ ﭼﻮن ﺻﺪﻗﻪ ﺟﺎرﻳﻪاي اﺳﺖ ﻛﻪ ﺛﻮاب ﻓـﺮاواﻧﺶ ﻋﺎﻳـﺪ و‬
‫واﺻﻞ ﺷﺪه و ﺧﻮاﻫﺪ ﺷﺪ‪ .‬ﺷﺎﻳﺪ ﺑﻪ ﻫﻤﻴﻦ دﻟﻴﻞ اﺳﺖ ﻛﻪ اﻣﺎم ﺻﺎدق )ع( ﻣﻲﻓﺮﻣﺎﻳﺪ‪ :‬ﻣﻼﺋﻜﻪ ﺑﺎﻟﻬﺎي ﺧﻮد را‬
‫ﺑﺮاي ﻃﺎﻟﺐ ﻋﻠﻢ ﻣﻲﮔﺴﺘﺮاﻧﻨﺪ و ﻣﻮﺟﻮدات زﻣﻴﻦ و آﺳﻤﺎن‪ ،‬ﺣﺘﻲ ﻣﺎﻫﻴﺎن درﻳﺎ ﺑﺮاي او اﺳـﺘﻐﻔﺎر ﻣـﻲﻛﻨﻨـﺪ‪،‬‬
‫ﻓﻀﻴﻠﺖ ﻋﺎﻟﻢ ﺑﺮ ﻋﺎﺑﺪ ﻫﻤﺎﻧﻨﺪ ﻣﺎه ﺷﺐ ﭼﻬﺎرده ﺑﺮ ﺑﻘﻴﻪ ﺳﺘﺎرﮔﺎن اﺳﺖ‪.‬‬
‫در ﭘﺎﻳﻴﺰ ﻫﺮ ﺳﺎل‪ ،‬ﻫﻤﺰﻣﺎن ﺑﺎ اﻋﻼم ﻧﺘﺎﻳﺞ ارزﺷﻴﺎﺑﻲ ﻓﻌﺎﻟﻴﺖﻫﺎي ﭘﮋوﻫﺸﻲ داﻧﺸﮕﺎهﻫﺎي ﻋﻠﻮم ﭘﺰﺷـﻜﻲ‬
‫ﻛﺸﻮر‪ ،‬ﻣﻌﺎوﻧﺖ ﺗﺤﻘﻴﻘﺎت و ﻓﻨﺎوري اﻗﺪام ﺑـﻪ ﭼـﺎپ و اﻧﺘـﺸﺎر اﻳـﻦ ﻓﻌﺎﻟﻴـﺖﻫـﺎ در ﻗﺎﻟـﺐ ﺧﺒﺮﻧﺎﻣـﻪ ﭘـﻮﻳﺶ‬
‫ﻣﻲﻛﻨﺪ‪ .‬اﻳﻦ ﺧﺒﺮﻧﺎﻣﻪ ﻛﻪ در ﭘﻴﺶ روي ﺷﻤﺎﺳﺖ ﺗﻼشﻫﺎي ﻫﻤﻜﺎران اﻋﻢ از اﺳﺎﺗﻴﺪ‪ ،‬ﻣﺤﻘﻘﺎن‪ ،‬ﻣـﺪﻳﺮﻳﺖ و‬
‫ﻛﺎرﺷﻨﺎﺳﺎن ﭘﮋوﻫﺶ‪ ،‬ﻣﺪﻳﺮﻳﺖ و ﻛﺎرﺷﻨﺎﺳﺎن اﻧﺘﺸﺎرات و ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي‪ ،‬ﻛﺎرﺷﻨﺎس رواﺑﻂ ﺑﻴﻦاﻟﻤﻠـﻞ و‬
‫رواﺑﻂ داﻧﺸﮕﺎﻫﻲ ﺣﻮزهي ﻣﻌﺎوﻧﺖ ﺗﺤﻘﻴﻘﺎت و ﺗﻌﺎﻣﻞ ﺳﺎﻳﺮ ﻣﺪﻳﺮان ﺳﺘﺎدي اﺳـﺖ ﻛـﻪ در ﺳـﺎل ‪ 88‬اﻧﺠـﺎم‬
‫ﺷﺪه‪ ،‬در ﺑﻬﺎر ‪ 88‬ارزﺷﻴﺎﺑﻲ ﺷـﺪه و زﻣـﺴﺘﺎن ‪ 89‬ﮔـﺰارش ﻣـﻲﺷـﻮد‪ .‬ﻗﻄﻌـﺎ ﺑـﺪون ﻫﻤﻜـﺎري‪ ،‬ﻣـﺴﺎﻋﺪت و‬
‫ﻫﻤﻔﻜﺮي ﻫﻤﻪي ارﻛﺎن داﻧﺸﮕﺎه ﻛﺎرﻫﺎي ﭘﮋوﻫﺸﻲ اﻋﻢ از ﺗﺤﻘﻴﻖ‪ ،‬ﺗـﺎﻟﻴﻒ و اﻧﺘـﺸﺎر اﻣﻜـﺎن اﻧﺠـﺎم و ﺑـﺮوز‬
‫ﭘﻴﺪا ﻧﺨﻮاﻫﺪ ﻛﺮد‪ .‬ﭘﺲ ﺟﺎ دارد از ﻛﻠﻴﻪ ﻫﻤﻜﺎران داﻧﺸﮕﺎه ﺑﻪ وﻳﮋه رﻳﺎﺳﺖ ﻣﺤﺘﺮم داﻧﺸﮕﺎه‪ ،‬ﻫﻴﺌﺖ رﺋﻴﺴﻪ و‬
‫ﻫﻤﻪ ﻛﺎرﻛﻨﺎن داﻧﺸﮕﺎه ﺑﻪ ﺧﺎﻃﺮ ﻫﻤﺮاﻫﻲِﺷﺎن و ﺗﻮﻓﻴﻘﻲ ﻛﻪ ﺑﻪ دﺳﺖ آﻣﺪه ﺗﺸﻜﺮ و ﻗﺪرداﻧﻲ ﻛﻨﻴﻢ‪ .‬آرزوي‬
‫ﺗﻮﻓﻴﻘﺎت ﺑﻴﺸﺘﺮ ﺟﻬﺖ ﺧﺪﻣﺖ در اﻳﻦ راه ﺻﻮاب را ﺑﺮاي ﺧﻮد و ﺳﺎﻳﺮ ﻫﻤﻜﺎراﻧﻢ دارم‪.‬‬
‫دﻛﺘﺮ ﺣﺴﻦ ﺷﺎﻛﺮي‬
‫ﺳﺮﭘﺮﺳﺖ ﻣﻌﺎوﻧﺖ ﺗﺤﻘﻴﻘﺎت و ﻓﻨﺎوري‬
‫زﻣﺴﺘﺎن ‪89‬‬
‫دﻓﺘﺮ اﺷﺎﻋﻪ ﻳﺎﻓﺘـﻪﻫـﺎ زﻳـﺮ ﻣﺠﻤﻮﻋـﻪ ﻣﻌﺎوﻧـﺖ ﺗﺤﻘﻴﻘـﺎت و ﻓﻨـﺎوري داﻧـﺸﮕﺎه ﻋﻠـﻮم‬
‫ﺑﻬﺰﻳﺴﺘﻲ وﺗﻮاﻧﺒﺨﺸﻲ ﺑﻪ ﻣﻨﻈﻮر ﺳﺎﻣﺎﻧﺪﻫﻲ و ﻧﻈﺎمﻣﻨﺪﻛﺮدن ﭘﮋوﻫﺶ ﻣﻨﻄﺒﻖ ﺑﺮ ﻣﺒﺎﻧﻲ روش‬
‫ﺗﺤﻘﻴﻖ‪ ،‬ارﺗﻘﺎء ﻛﻴﻔﻲ وﻛﻤﻲ ﭘﮋوﻫﺸﻬﺎ‪ ،‬ﺑﺮاﺳﺎس اوﻟﻮﻳﺘﻬﺎ و ﻧﻴـﺎز ﺳـﻨﺠﻲ ﻣـﺸﻜﻼت وﻛـﻢ‬
‫ﻛﺮدن ﻣﻮاﻧﻊ وﻣﺸﻜﻼت ﻓﺮاروي اﻣﺮ ﺗﺤﻘﻴﻖ اﻋﻀﺎي ﻫﻴﺎت ﻋﻠﻤﻲ و ﭘﮋوﻫﺸﮕﺮان داﻧﺸﮕﺎه‬
‫ﺑﻪ اراﻳﻪ راﻫﺒﺮدﻫﺎ و ﺗﺴﻬﻴﻼﺗﻲ ﺑﺮاي رﺳﻴﺪن ﺑﻪ اﻳﻦ ﻫﺪف ﻣﻲﭘﺮدازد‪.‬‬
‫دراﻳﻦ واﺣﺪ‪ ،‬ﮔﺰارش ﻧﻬﺎﻳﻲ ﺗﺤﻘﻴﻘﺎت ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ داﻧـﺸﮕﺎه ﺑﺮاﺳـﺎس ﭼـﻚ ﻟﻴـﺴﺖ‬
‫ﻣﻮرد ﺗﺄﻳﻴﺪ ﻣﻌﺎوﻧﺖ ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮارﮔﺮﻓﺘﻪ ودرﺻﻮرت ﻛﺎﻣﻞ ﺑﻮدن ﺑـﺼﻮرت ﻣﺠﻤﻮﻋـﻪ‬
‫ﺻﺤﺎﻓﻲ ﺷﺪه و دﻳﺴﻜﺖ ﺣﺎوي اﻃﻼﻋﺎت ودادهﻫﺎ در اﻳﻦ دﻓﺘﺮ ﻧﮕﻬﺪاري ﻣﻲﮔﺮدد‪.‬‬
‫ﻋﻤﻠﻜــﺮد ﺳــﺎﻻﻧﻪ ﻣﻌﺎوﻧــﺖ ﺗﺤﻘﻴﻘــﺎت وﻓﻨــﺎوري و زﻳــﺮ ﻣﺠﻤﻮﻋــﻪﻫــﺎي آن ﺷــﺎﻣﻞ‪ :‬واﺣــﺪ‬
‫ﺑــﻴﻦاﻟﻤﻠــﻞ‪ ،‬ﻣﺮﻛــﺰ ﺗﺤﻘﻴﻘــﺎت ﺳــﻮء ﻣــﺼﺮف ﻣــﻮاد‪ ،‬ﻣﺮﻛــﺰ ﺗﺤﻘﻴﻘــﺎت ﺳــﺎﻟﻤﻨﺪي‪ ،‬ﻣﺮﻛــﺰ‬
‫ﺗﺤﻘﻴﻘﺎت و ﺗﻮاﻧﺒﺨﺸﻲ اﻋﺼﺎب واﻃﻔﺎل‪ ،‬ﮔﺮوه ﭘﮋوﻫﺸﻲ رﻓﺎه اﺟﺘﻤﺎﻋﻲ‪ ،‬ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘـﺎت‬
‫ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﻲ ﻣﺆﺛﺮﺑﺮﺳﻼﻣﺖ‪ ،‬ﻛﺘﺎﺑﺨﺎﻧﻪ واﻧﺘﺸﺎرات داﻧﺸﮕﺎه درﭘﺎﻳﺎن ﻫﺮﺳـﺎل در ﻧـﺸﺮﻳﻪ‬
‫ﭘﻮﻳﺶ داﻧﺶ ﭘﮋوﻫﺎن ﺑﻪ اﻃﻼع ﭘﮋوﻫﺸﮕﺮان ﻋﺰﻳﺰ درﻣﺠﻤﻮﻋـﻪ ﻫـﺎي ﻣﺨﺘﻠـﻒ داﻧـﺸﮕﺎﻫﻲ‬
‫رﺳﺎﻧﺪه ﻣﻲﺷﻮد‪.‬‬
‫ﺑﻪ ﻣﻨﻈﻮر ﺑﻬﺮهﻣﻨﺪي از ﻧﻈﺮات ﺳﺎزﻧﺪه ﺷﻤﺎ از ﻃﺮﻳﻖ اﻳـﻦ آدرس‪[email protected] :‬‬
‫ﺑﺎ ﻣﺎ درﺗﻤﺎس ﺑﺎﺷﻴﺪ‪.‬‬
‫ﺑﺎ اﺣﺘﺮام‬
‫دﻓﺘﺮ اﺷﺎﻋﻪ ﻳﺎﻓﺘﻪﻫﺎ‬
‫ﻓﻬﺮﺳﺖ ﻣﻄﺎﻟﺐ‬
‫ﻋﻨﻮان‬
‫ﺻﻔﺤﻪ‬
‫• ﻋﻤﻠﻜﺮد ﻣﻌﺎوﻧﺖ ﭘﮋوﻫﺸﻲ در ﻳﻚ ﻧﮕﺎه ‪................................................................................‬‬
‫‪1‬‬
‫• ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ در دﺳﺖ اﺟﺮا در ﺳﺎل ‪........................................................................ 88‬‬
‫‪7‬‬
‫• ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ در ﺳﺎل ‪.............................................................................. 88‬‬
‫‪14‬‬
‫• ﭼﻜﻴﺪه ﻓﺎرﺳﻲ ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ در ﺳﺎل ‪....................................................... 88‬‬
‫‪19‬‬
‫• ﭼﻜﻴﺪه اﻧﮕﻠﻴﺴﻲ ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ در ﺳﺎل ‪..................................................... 88‬‬
‫‪120‬‬
‫• ﻛﺎرﮔﺎﻫﻬﺎي آﻣﻮزﺷﻲ ﺑﺮﮔﺰار ﺷﺪه ‪........................................................................................‬‬
‫‪192‬‬
‫• ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ﻧﺸﺮﻳﺎت داﺧﻞ ﻛﺸﻮر‪..........................................................................‬‬
‫‪195‬‬
‫• ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ﻧﺸﺮﻳﺎت ﺧﺎرج از ﻛﺸﻮر ‪.....................................................................‬‬
‫‪211‬‬
‫• رواﺑﻂ ﺑﻴﻦاﻟﻤﻠﻞ‪....................................................................................................................‬‬
‫‪220‬‬
‫• ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي ‪..................................................................................................................‬‬
‫‪231‬‬
‫• اﻧﺘﺸﺎرات ‪.............................................................................................................................‬‬
‫‪233‬‬
‫• ﮔﺰارش ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺗﻮاﻧﺒﺨﺸﻲ اﻋﺼﺎب اﻃﻔﺎل ‪.................................................................‬‬
‫‪239‬‬
‫• ﺟﺪول ﻋﻤﻠﻜﺮد ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎت و ﮔﺮوه ﭘﮋوﻫﺸﻲ رﻓﺎه اﺟﺘﻤﺎﻋﻲ ‪...........................................‬‬
‫‪240‬‬
‫• ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺳﻮ ﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد ‪.....................................................................‬‬
‫؟؟؟‬
‫• اوﻟﻮﻳﺘﻬﺎي ﭘﮋوﻫﺸﻲ ﺳﺎل ‪.................................................................................................. 88‬‬
‫‪253‬‬
‫• راﻫﻨﻤﺎي ﻧﺤﻮه ﺗﺪوﻳﻦ ﮔﺰارش ﻧﻬﺎﻳﻲ ﺗﺤﻘﻴﻖ ‪..........................................................................‬‬
‫‪267‬‬
‫• راﻫﻨﻤﺎي ﻧﮕﺎرش ﭼﻜﻴﺪه ﻣﻘﺎﻟﻪ و ﺗﻬﻴﻪ ﭘﻮﺳﺘﺮ ‪.........................................................................‬‬
‫‪276‬‬
‫ﻋﻤﻠﻜﺮد ﻣﻌﺎوﻧﺖ ﭘﮋوﻫﺸﻲ در ﻳﻚ ﻧﮕﺎه‬
‫‪1‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫•‬
‫ﺗﻌﺪاد ﺟﻠﺴﺎت ﺑﺮﮔﺰار ﺷﺪه ﺷﻮراي ﭘﮋوﻫﺶ داﻧﺸﮕﺎه‪9 :‬‬
‫•‬
‫ﺗﻌﺪاد ﻃﺮﺣﻬﺎي ﻣﺼﻮب ﺷﻮراي ﭘﮋوﻫﺶ داﻧﺸﮕﺎه‪50 :‬‬
‫•‬
‫ﺗﻌﺪاد ﻃﺮﺣﻬﺎي داراي اوﻟﻮﻳﺖ ﭘﮋوﻫﺸﻲ‪50 :‬‬
‫ﻣﻴﺰان اﻋﺘﺒﺎر ﻃﺮﺣﻬﺎي ﺗﺤﻘﻴﻘﺎﺗﻲ ﻣﺼﻮب در ﺳﺎل ‪88‬‬
‫ﻋﻨﻮان‬
‫ﻃﺮﺣﻬﺎي ﻣﺴﺘﻘﻞ‬
‫ﺗﻌﺪاد‬
‫‪11‬‬
‫اﻋﺘﺒﺎر‬
‫‪546/650/000‬‬
‫ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎﺗﻲ‬
‫‪9‬‬
‫‪863/290/000‬‬
‫ﮔﺮوﻫﻬﺎي آﻣﻮزﺷﻲ‬
‫‪13‬‬
‫‪369/900/000‬‬
‫اﻋﺘﺒﺎر ﺑﺨﺸﻲ‬
‫‪3‬‬
‫‪52/000/000‬‬
‫ﭼﻨﺪ ﻣﺮﻛﺰي‬
‫‪-‬‬
‫‪0‬‬
‫داﻧﺸﺠﻮﻳﻲ‬
‫‪4‬‬
‫‪23/000/000‬‬
‫ﺗﺤﻘﻴﻘﺎت ﺑﺎﻟﻴﻨﻲ‬
‫‪7‬‬
‫‪131/900/000‬‬
‫ﻣﺮﻛﺰ ﻣﻄﺎﻟﻌﺎت و ﺗﻮﺳﻌﻪ آﻣﻮزش‬
‫‪3‬‬
‫‪32/200/000‬‬
‫ﺟﻤﻊ‬
‫‪50‬‬
‫‪2/019/940/000‬‬
‫وﺿﻌﻴﺖ ﻃﺮﺣﻬﺎي ﺗﺤﻘﻴﻘﺎﺗﻲ در ﺳﺎل ‪88‬‬
‫ﻋﻨﻮان‬
‫ﻃﺮﺣﻬﺎي ﻣﺴﺘﻘﻞ‬
‫ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ‬
‫‪8‬‬
‫دردﺳﺖ اﺟﺮا‬
‫‪33‬‬
‫ﻣﺼﻮب‬
‫‪11‬‬
‫ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎﺗﻲ‬
‫‪11‬‬
‫‪66‬‬
‫‪9‬‬
‫ﮔﺮوﻫﻬﺎي آﻣﻮزﺷﻲ‬
‫‪8‬‬
‫‪44‬‬
‫‪13‬‬
‫اﻋﺘﺒﺎر ﺑﺨﺸﻲ‬
‫‪-‬‬
‫‪1‬‬
‫‪3‬‬
‫ﭼﻨﺪ ﻣﺮﻛﺰي‬
‫‪7‬‬
‫‪9‬‬
‫‪-‬‬
‫داﻧﺸﺠﻮﻳﻲ‬
‫‪-‬‬
‫‪6‬‬
‫‪4‬‬
‫ﺗﺤﻘﻴﻘﺎت ﺑﺎﻟﻴﻨﻲ‬
‫‪-‬‬
‫‪5‬‬
‫‪7‬‬
‫ﻣﺮﻛﺰ ﻣﻄﺎﻟﻌﺎت و ﺗﻮﺳﻌﻪ آﻣﻮزش‬
‫‪-‬‬
‫‪3‬‬
‫‪3‬‬
‫ﺟﻤﻊ‬
‫‪34‬‬
‫‪167‬‬
‫‪50‬‬
‫اﻋﺘﺒﺎر ﺗﺨﺼﻴﺺ ﻳﺎﻓﺘﻪ ﺑﺮاي ﻃﺮﺣﻬﺎي ﻣﺼﻮب‪ 2/019/940/000 :‬رﻳﺎل‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪2‬‬
‫•‬
‫ﺗﻌﺪاد ﺟﻠﺴﺎت ﺑﺮﮔﺰار ﺷﺪه ﻛﻤﻴﺘﻪ اﺧﻼق در ﭘﮋوﻫﺶ‪3 :‬‬
‫•‬
‫ﺗﻌﺪاد ﻃﺮﺣﻬﺎي ﺗﺎﺋﻴﺪ ﺷﺪه در ﻛﻤﻴﺘﻪ اﺧﻼق در ﭘﮋوﻫﺶ‪17 :‬‬
‫•‬
‫ﻃﺮﺣﻬﺎي ﺗﺤﻘﻴﻘﺎﺗﻲ ﻣﺼﻮب در ﻛﻤﻴﺘﻪ اﺧﻼق ﺳﺎل ‪88‬‬
‫ﻋﻨﻮان‬
‫ﻃﺮﺣﻬﺎي ﻣﺴﺘﻘﻞ‬
‫ﺗﻌﺪاد‬
‫‪3‬‬
‫ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎﺗﻲ‬
‫‪5‬‬
‫ﮔﺮوﻫﻬﺎي آﻣﻮزﺷﻲ‬
‫‪3‬‬
‫اﻋﺘﺒﺎر ﺑﺨﺸﻲ‬
‫‪-‬‬
‫ﭼﻨﺪ ﻣﺮﻛﺰي‬
‫‪-‬‬
‫داﻧﺸﺠﻮﻳﻲ‬
‫‪-‬‬
‫ﺗﺤﻘﻴﻘﺎت ﺑﺎﻟﻴﻨﻲ‬
‫‪6‬‬
‫ﻣﺮﻛﺰ ﻣﻄﺎﻟﻌﺎت و ﺗﻮﺳﻌﻪ آﻣﻮزش‬
‫‪-‬‬
‫ﺟﻤﻊ‬
‫‪17‬‬
‫آﻣﻮزش در ﭘﮋوﻫﺶ‬
‫ﺗﻌﺪاد ﻛﺎرﮔﺎﻫﻬﺎي ﺑﺮﮔﺰار ﺷﺪه ﺗﻮﺳﻂ ﻛﻤﻴﺘﻪ ﺗﺤﻘﻴﻘﺎت داﻧﺸﺠﻮﻳﻲ‪2 :‬‬
‫ﺗﻌﺪاد ﻛﺎرﮔﺎﻫﻬﺎي ﺑﺮﮔﺰار ﺷﺪه ﺗﻮﺳﻂ واﺣﺪ آﻣﻮزش در ﭘﮋوﻫﺸﻲ‪7 :‬‬
‫ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ﺳﺎل ‪88‬‬
‫ﻋﻨﻮان‬
‫ﻣﻘﺎﻻت ﻋﻠﻤﻲ ـ ﭘﮋوﻫﺸﻲ داﺧﻠﻲ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫‪97‬‬
‫اﻳﻨﺪﻛﺲ ﻧﺸﺪه‬
‫‪7‬‬
‫ﻛﻞ‬
‫‪104‬‬
‫ﺧﺎرﺟﻲ‬
‫‪58‬‬
‫‪2‬‬
‫‪60‬‬
‫‪3‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻓﻬﺮﺳﺖ ﻃﺮحﻫﺎي ﻣﺼﻮب در ﺷﻮراي ﭘﮋوﻫﺸﻲ ﺳﺎل ‪88‬‬
‫ردﻳﻒ‬
‫‪1‬‬
‫‪2‬‬
‫ﻃﺮح‬
‫ﻣﺠﺮي‬
‫ﺟﻠﺴﻪ‬
‫واﺣﺪ‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺷﻨﺎﺳﺎﻳﻲ اﺛﺮ درﻣـﺎن اﻟﺤـﺎﻗﻲ ﺑـﺎ ﮔﺎﺑـﺎﭘﻨﺘﻴﻦ درد ﻛﻨﺘـﺮل ﻋﻼﺋـﻢ دﻛﺘﺮ ﻋﻠﻲ‬
‫ﻣﺎﻧﻴﺎي ﺣﺎد در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل دو ﻗﻄﺒﻲ‬
‫ﻧﺎﻇﺮي‬
‫اﻟﮕﻮي ﻣﺼﺮف داروﻫﺎي ﺿﺪ رواﻧﭙﺮﻳﺸﻲ و ﻣﺘﻐﻴﺮﻫﺎي واﺑـﺴﺘﻪ‬
‫دﻛﺘﺮ‬
‫ﺑﻪ آن در ﺑﻴﻤﺎرﺳﺘﺎن رواﻧﭙﺰﺷﻜﻲ رازي‬
‫آرش‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﻣﻴﺮاب‬
‫ﺑﺎﻟﻴﻨﻲ‬
‫ﺑﺎﻟﻴﻨﻲ‬
‫ﻫﺰﻳﻨﻪ‬
‫‪22,500,000‬‬
‫‪19,700,000‬‬
‫زاده‬
‫‪3‬‬
‫‪4‬‬
‫‪5‬‬
‫ﺑﺮرﺳﻲ اﺛﺮ داروي آﻓﺮودﻳﺖ ﺑﺮ روي ﻋﻤﻠﻜﺮد ﺟﻨﺴﻲ ﺑﻴﻤﺎران دﻛﺘﺮ اﻣﻴﺪ‬
‫اﺳﻜﻴﺰوﻓﺮﻧﻴﻚ ﻣﺮد‬
‫رﺿﺎﻳﻲ‬
‫ﺗﻌﻴﻴﻦ ﺷﻴﻮع اﺧـﺘﻼﻻت ﻋﻤﻠﻜـﺮد ﺟﻨـﺴﻲ در ﻣـﺮدان ﻣﺒـﺘﻼ ﺑـﻪ‬
‫ﻣﺤﻤﺪ‬
‫اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻣﺮﻛﺰ درﻣﺎن ﺳﺮﭘﺎﻳﻲ ﻛﺎﻣﺮاﻧﻲ‬
‫ﻋﺰﻳﺰي‬
‫ﺑﺮرﺳـﻲ ارﺗﺒـﺎط ﺑـﻴﻦ ﺑﻴـﻨﺶ و ﻧﻈﺮﻳـﻪ ذﻫـﻦ در ﺑﻴﻤـﺎران‬
‫اﺳـﻜﻴﺰوﻓﺮﻧﻴﻚ ﺑـﺎ ﻋﻼﺋـﻢ ﻣﺜﺒـﺖ و ﻣﻨﻔـﻲ ﺑـﺴﺘﺮي در ﻣﺮﻛـﺰ‬
‫آﻣﻮزﺷﻲ درﻣﺎﻧﻲ رواﻧﭙﺰﺷﻜﻲ رازي‬
‫‪6‬‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان ﺷﻴﻮع و ﻫـﻢ ﺑـﻮدي ﺳـﻮء ﻣـﺼﺮف ﺣـﺸﻴﺶ ﺑـﺎ‬
‫اﺧﺘﻼل اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ و ﺗﺎﺛﻴﺮ آن ﺑﺮ ﺷﺪت ﻋﻼﺋﻢ رواﻧﭙﺮﻳﺸﻲ در‬
‫ﺑﻴﻤﺎران ﺑﺴﺘﺮي در ﻣﺮﻛﺰ آﻣﻮزﺷﻲ درﻣﺎﻧﻲ رواﻧﭙﺰﺷﻜﻲ رازي‬
‫‪7‬‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺑﺮرﺳﻲ راﺑﻄﻪ ﺑﻴﻦ ﻃﺮﺣﻮاره ﻫﺎي ﻧﺎﺳﺎزﮔﺎر اوﻟﻴﻪ و ﻫـﺪﻳﺎن ﻫـﺎ‬
‫در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺳﻜﻴﺰوﻓﺮﻧﻴﺎي ﺑﺴﺘﺮي در ﺑﺨﺶ ﻓﻌﺎل ﻣﺮﻛﺰ‬
‫رواﻧﭙﺰﺷﻜﻲ رازي‬
‫ﺟﻤﻊ‬
‫ﺑﺎﻟﻴﻨﻲ‬
‫)‪2(88/3/25‬‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺑﺎﻟﻴﻨﻲ‬
‫ﻣﺼﻄﻔﻲ‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺣﻴﺪري‬
‫ﺑﺎﻟﻴﻨﻲ‬
‫ﻣﻬﺪي‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺷﻴﺨﻨﺎ‬
‫ﺑﺎﻟﻴﻨﻲ‬
‫ﻣﺮﻳﻢ ﻋﺮب‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﮔﻞ‬
‫ﺑﺎﻟﻴﻨﻲ‬
‫‪22,400,000‬‬
‫‪21,900,000‬‬
‫‪11,000,000‬‬
‫‪15,000,000‬‬
‫‪19,400,000‬‬
‫‪131,900,000‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪4‬‬
‫ﻓﻬﺮﺳﺖ ﻃﺮﺣﻬﺎي ﻣﺼﻮب در ﺷﻮراي ﭘﮋوﻫﺸﻲ ﺳﺎل ‪88‬‬
‫ردﻳﻒ‬
‫‪1‬‬
‫ﻃﺮح‬
‫ﻣﺠﺮي‬
‫ﺟﻠﺴﻪ‬
‫واﺣﺪ‬
‫ﻫﺰﻳﻨﻪ‬
‫اﺛـﺮ ﺑﺨـﺸﻲ آﻣﻮزﺷـﻲ ﮔﺮوﻫــﻲ ﺑﺮﻧﺎﻣـﻪ اﻓـﺰاﻳﺶ ﻣﻬﺎرﺗﻬــﺎي دادﺧﻮاه‪/‬رﺣﻤﺎن‬
‫ﻣﻘﺎﺑﻠﻪ زوجﻫﺎ ﺑﺮ ﻛﻴﻔﻴﺖ ارﺗﺒﺎط زوجﻫﺎي ﻧﺎﺳﺎزﮔﺎر‬
‫ﺑﺮوي اوزوﻧﻲ‬
‫داﻧﺸﺠﻮﻳﻲ ‪4/000/000‬‬
‫دوﺟﻲ‬
‫‪ 2‬ﺑﺮرﺳﻲ وﻳﮋﮔﻴﻬﺎي روان ﺳﻨﺠﻲ ﻧﺴﺨﻪ ﻓﺎرﺳﻲ اﺑﺰار ﻣﺼﺎﺣﺒﻪ‬
‫ﺑﺎﻟﻴﻨﻲ ﺳﺎﺧﺘﺎر ﻳﺎﻓﺘﻪ ﺑـﺮ اﺳـﺎس ‪ DSM IV‬ﺑـﺮاي اﺧـﺘﻼﻻت‬
‫ﺷﺨﺼﻴﺖ‬
‫ﻣﺰﻳﻨﺎﻧﻲ‪/‬وﻳﺪا‬
‫ﻣﺒﺸﺮ‬
‫‪ 3‬ﺑﺮرﺳﻲ اﺛﺮ ﺗﺤﺮﻳﻜﺎت وﺳﺘﻴﺒﻮﻻر ﺑﺮ اﻳﺴﺘﺎدن‬
‫دﻛﺘﺮﺳﻴﺪﻋﻠﻲ‬
‫ﺳﺎﻛﻦ ﻛﻮدﻛﺎن ﻓﻠﺞ ﻣﻐﺰي ‪ 3‬ﺗﺎ ‪ 10‬ﺳﺎل‬
‫ﺣﺴﻴﻨﻲ ‪ /‬ﺑﻬﺎره‬
‫داﻧﺸﺠﻮﻳﻲ ‪10/000/000‬‬
‫داﻧﺸﺠﻮﻳﻲ ‪5/000/000‬‬
‫زﻳﻨﺎل زاده(‬
‫‪ 4‬ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺤﻴﻄﻲ ﻣﺸﺎرﻛﺖ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ‬
‫ﺑﻪ ﻓﻠﺞ ﻣﻐﺰي ﭘﻴﺶ دﺑﺴﺘﺎن ﺷﻬﺮ ﺗﻬﺮان‬
‫ﺟﻤﻊ‬
‫دﻛﺘﺮ رﺻﺎﻓﻴﺎﻧﻲ‬
‫‪/‬زﻫﺮا ﻧﻮﺑﺨﺖ‬
‫داﻧﺸﺠﻮﻳﻲ ‪4/000/000‬‬
‫‪23/000/000‬‬
‫ﻃﺮحﻫﺎي ﭘﮋوﻫﺸﻲ در ﺳﺎل ‪1388‬‬
‫•‬
‫ﻋﻨﺎوﻳﻦ ﻃﺮﺣﻬﺎي در دﺳﺖ اﺟﺮا‬
‫•‬
‫ﻋﻨﺎوﻳﻦ ﻃﺮﺣﻬﺎي ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ‬
‫•‬
‫ﭼﻜﻴﺪة ﻓﺎرﺳﻲ و اﻧﮕﻠﻴﺴﻲ ﻃﺮﺣﻬﺎي ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ‬
‫‪7‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ در دﺳﺖ اﺟﺮا در داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ وﺗﻮاﻧﺒﺨﺸﻲ‬
‫)ﻃﺮﺣﻬﺎي آزاد ‪(88‬‬
‫ردﻳﻒ‬
‫‪1‬‬
‫‪2‬‬
‫ﻋﻨﻮان ﻃﺮح‬
‫ﺑﺮرﺳﻲ اﺛـﺮ ‪ ACTIVE‬ﺑـﺮ ﻣﺒﻨـﺎي ﻫﻤـﺎﻫﻨﮕﻲ ‪ SENSORY_MOTOR‬اﻧـﺪام‬
‫ﻓﻮﻗﺎﻧﻲ ﺑﺮ‪...‬‬
‫ﺑﺮرﺳﻲ و ﺗﺤﻠﻴﻞ ﺣﻘﻮق اﻗﺘﺼﺎدي و اﺟﺘﻤﺎﻋﻲ در ﻧﻈﺎم ﺟﻤﻬﻮري اﺳـﻼﻣﻲ اﻳـﺮان‬
‫از دﻳﺪﮔﺎه ﺗﺌﻮري ﻋﺪاﻟﺖ اﺟﺘﻤﺎﻋﻲ ﺟﺎن راوﻟﺰ و اﺳﻨﺎد ﺑﻴﻦ اﻟﻤﻠﻠﻲ ﺣﻘﻮق ﺑﺸﺮي‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‬
‫ﺣﻤﺰه زﻳﻨﺎﻟﻲ‬
‫ﺑﺮرﺳﻲ و ﻣﻴﺰان اﺛﺮﺑﺨﺸﻲ راه اﻧﺪازي ﭘﺎﻳﮕﺎه ﺗﺤﻘﻴﻘـﺎت ﺟﻤﻌﻴﺘـﻲ در ﻣﻨﻄﻘـﻪ ‪2‬‬
‫‪3‬‬
‫ﺷﻬﺮداري ﺗﻬﺮان ﺑﺮ اﻓﺰاﻳﺶ ﺗﻮان ﺟﺎﻣﻌﻪ ﻣﻮرد ﻧﻈﺮ در اﻧﺠﺎم ﻃﺮﺣﻬـﺎي ﻣﺤﻠـﻲ ﻣﺴﻌﻮد ﻓﻼﺣﻲ ﺧﺸﻜﻨﺎب‬
‫ﺗﺤﻘﻴﻘﺎﺗﻲ ﻣﺒﺘﻨﻲ ﺑﺮ ﺟﺎﻣﻌﻪ‬
‫‪4‬‬
‫‪5‬‬
‫‪6‬‬
‫‪7‬‬
‫‪8‬‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ اﻳﺠﺎد ﭘﺎﻳﮕﺎه ﺗﺤﻘﻴﻘـﺎت ﺑـﺎﻟﻴﻨﻲ ﺑـﺮ ﻛﻤﻴـﺖ و ﻛﻴﻔﻴـﺖ ﺗﺤﻘﻴﻘـﺎت‬
‫ﺑﺎﻟﻴﻨﻲ ﻣﺮﻛﺰ آﻣﻮزش درﻣﺎﻧﻲ رواﻧﭙﺰﺷﻜﻲ رازي‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ روي ﺳﻄﺢ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﻣﺒـﺘﻼ‬
‫ﺑﻪ دﻳﺎﺑﺖ ﻧﻮع ‪2‬‬
‫ﺑﺮرﺳــﻲ ﻣﻘﺎﻳــﺴﻪاي وﻳﮋﮔﻴﻬــﺎي ﻣﻄﻠــﻮب اﻋــﻀﺎي ﻫﻴــﺎت ﻋﻠﻤــﻲ از دﻳــﺪﮔﺎه‬
‫داﻧﺸﺠﻮﻳﺎن و اﺳﺎﺗﻴﺪ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ اﺧﺘﻼﻻت اﺳﻜﻠﺘﻲ ﻋﻀﻼﻧﻲ و ﻋﻮاﻣﻞ ﺷﻐﻠﻲ ﻣﺮﺗﺒﻂ ﺑﺎ آن در‬
‫ﻛﺎرﻛﻨﺎن ﺗﻴﻢ ﺗﻮاﻧﺒﺨﺸﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺷﻨﺎﺳﺎﻳﻲ ﺗﻔﺎوت ﻛﻴﻔﻴﺖ زﻧـﺪﮔﻲ ﺑﻴﻤـﺎران ﻣﺒـﺘﻼ ﺑـﻪ ﺑـﺪﺧﻴﻤﻲﻫـﺎي ﺧـﻮﻧﻲ ﺑـﺎ‬
‫اﺧﺘﻼل اﻓﺴﺮدﮔﻲ اﺳﺎﺳﻲ در ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﺑﻴﻤﺎران ﺑﺎ اﻓﺴﺮدﮔﻲ ﻓﺮوﻧﺸﺎﻧﮕﺎن‬
‫ﻣﺴﻌﻮد ﻓﻼﺣﻲ ﺧﺸﻜﻨﺎب‬
‫ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‬
‫ﻣﺤﻤﺪﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫ﻧﺮﮔﺲ ارﺳﻼﻧﻲ‬
‫اﻣﻴﺪ رﺿﺎﻳﻲ‬
‫ﺗﻌﻴﻴﻦ رواﻳﻲ و اﻋﺘﺒﺎر ﻣﻘﺪﻣﺎﺗﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﭘـﻴﺶ ﻏﺮﺑـﺎﻟﮕﺮي دﻧـﻮر‪ 2‬و ﺑﺮرﺳـﻲ‬
‫‪9‬‬
‫ﻗﺎﺑﻠﻴﺖ ﺗﻮاﻧﻤﻨﺪي آن در ﻣﻘﺎﻳﺴﻪ ﺑﺎ آزﻣﻮن دﻧﻮر ‪ 2‬در ﻛﻮدﻛﺎن ‪ 6-0‬ﺳﺎﻟﻪ ﺷﻬﺮ‬
‫ﺳﻬﻴﻼ ﺷﻬﺸﻬﺎﻧﻲ‬
‫ﺗﻬﺮان‬
‫‪10‬‬
‫اﺛﺮ ﺑﻮﭘﺮوﭘﻴﻮن ﺑﺮ ﺑﺮﺧﻲ ﻛﺎرﻛﺮدﻫﺎي اﺟﺮاﻳﻲ ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ‬
‫ﺣﺎﻣﺪ ﻣﺤﻤﺪي‬
‫ﺑﺮرﺳﻲ اﺧﺘﻼﻻت ﻛﺮوﻣـﻮزوﻣﻲ ﺳـﺎب ﺗﻠﻮﻣﺮﻳـﻚ در ‪20‬ﺑﻴﻤـﺎر ﻋﻘـﺐ ﻣﺎﻧـﺪه‬
‫‪11‬‬
‫ذﻫﻨﻲ ﺑﺎ ﻋﻠﺖ ﻧـﺎ ﻣـﺸﺨﺺ ﺑـﺎ اﺳـﺘﻔﺎده از روش ﻫﻴﺒﺮﻳﺪاﺳـﻴﻮن ﻓﻠﻮرﺳـﺎﻧﺲ در‬
‫ﺟﺎ)‪(FISH‬‬
‫ﻓﺮﺧﻨﺪه ﺑﻬﺠﺘﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪8‬‬
‫ردﻳﻒ‬
‫‪12‬‬
‫‪13‬‬
‫ﻋﻨﻮان ﻃﺮح‬
‫ﻃﺮاﺣﻲ و ﺳﺎﺧﺖ اﺑﺰار ﺗﺤﻘﻴﻘﺎﺗﻲ اﻧﺪازهﮔﻴﺮي زﻣﺎن واﻛﻨﺶ‪.‬‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﻓﺮﻫﺎد ﻃﺒﺎﻃﺒﺎﻳﻲ‬
‫ﻣﺸﻜﻼت اﺟﺘﻤﺎﻋﻲ اﻳﺮان از دﻳـﺪﮔﺎه ﻣـﺪﻳﺮان ﻛﺎرﺷﻨﺎﺳـﺎن و ﺻـﺎﺣﺐ ﻧﻈـﺮان‬
‫ﻣﺮوﺋﻪ واﻣﻘﻲ‬
‫ﻣﺴﺎﺋﻞ اﺟﺘﻤﺎﻋﻲ‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ارﺗﻔﺎع ﭘﺎﺷﻨﻪ روي ﺷﺎﺧﺼﻬﺎي ﺗﻌﺎدﻟﻲ ﭘﻮﻳﺎ ﺑﺎ اﺳـﺘﻔﺎده از ﺳﻴـﺴﺘﻢ‬
‫‪14‬‬
‫ﺗﻌﺎدﻟﻲ ﺑﺎﻳﻮدﻛﺲ در دﺧﺘﺮان داﻧﺸﺠﻮي داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨـﺸﻲ‬
‫ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‬
‫و داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ اﻳﺮان‬
‫‪15‬‬
‫ﺗﺄﺛﻴﺮ ﺗﻤﺮﻳﻨﺎت اﺻﻼﺣﻲ ﺑﺮ ﺻﺤﺖ ﺳﺎﺧﺘﺎر ﺑﺪﻧﻲ اﻓﺮاد ﻧﺎﺑﻴﻨﺎ ﭘﺴﺮ )‪(12-18‬‬
‫ﻧﺎزﻳﻼ اﻛﺒﺮ ﻓﻬﻴﻤﻲ‬
‫ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ در دﺳﺖ اﺟﺮا )ﮔﺮوﻫﻬﺎي آﻣﻮزﺷﻲ(‬
‫ﻋﻨﻮان ﻃﺮح‬
‫ردﻳﻒ‬
‫‪16‬‬
‫ﺑﺮرﺳﻲ وﻳﮋﮔﻴﻬﺎي زﺑﺎﻧﻲ ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي ﭘﻴﺶ دﺑﺴﺘﺎﻧﻲ‬
‫‪17‬‬
‫ﺗﻬﻴﻪ ﻓﺮﻫﻨﮓ ﺗﻮﺻﻴﻔﻲ واژهﻫﺎي ﻛﺎردرﻣﺎﻧﻲ‬
‫‪18‬‬
‫ﻓﺮﻫﻨﮓ ﺟﺎﻣﻊ آﺳﻴﺐﺷﻨﺎﺳﻲ ﮔﻔﺘﺎر‬
‫‪19‬‬
‫‪20‬‬
‫ﻫﻨﺠﺎرﻳــﺎﺑﻲ آزﻣــﻮن آﻧــﺪرهري در داﻧــﺸﺠﻮﻳﺎن داﻧــﺸﮕﺎه ﻋﻠــﻮم ﺑﻬﺰﻳــﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺑﺮرﺳﻲ راﺑﻄﻪ ﺟﺪاﻳﻲ ﻣﻮﻗﺖ روزاﻧـﻪ در ﮔﺬﺷـﺘﻪ و ﺳـﺒﻚﻫـﺎي دﻟﺒـﺴﺘﮕﻲ در‬
‫ﺑﺮوز ﻧﺸﺎﻧﻪﻫﺎيﻣﺮﺿﻲ ﻛﻮدﻛﺎن ﻛﻼس اوﻟﻲﺑﻪ ﻣﻬﺪرﻓﺘـﻪ و ﻛﻮدﻛـﺎﻧﻲ ﻛـﻪ ﺑـﻪ‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﻳﻮﻧﺲ ﻟﻄﻔﻲ‬
‫ﻋﻠﻲﺣﺴﻴﻦ ﺳﺎزﻣﻨﺪ‬
‫رﺿﺎ ﻧﻴﻠﻲﭘﻮر‬
‫ﺣﺠﺖ اﻻﺳﻼم ﻫﺎدي‬
‫ﺑﻬﺮاﻣﻲ‬
‫ﺳﻴﺎﻣﻚ ﻃﻬﻤﺎﺳﺒﻲ‬
‫ﻣﻬﺪ ﻧﺮﻓﺘﻪاﻧﺪ‬
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‫ﺑﺮرﺳﻲ ارﺗﺒﺎط ﺑـﻴﻦ ﻣﻴـﺰان ﺗﻔﻜـﺮ ﻗﻄﻌـﻲ ﻧﮕـﺮ و ﺳـﻼﻣﺖ رواﻧـﻲ‪ ،‬رﺿـﺎﻣﻨﺪي‬
‫زﻧﺎﺷﻮﻳﻲ در زوﺟﻴﻦ ﺗﻬﺮاﻧﻲ‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان رﺷﺪ رواﻧﻲ ـ اﺟﺘﻤﺎﻋﻲ و ﻛـﺎرﻛﺮد ﻫﻮﺷـﻲ ﻛﻮدﻛـﺎن ﻧﺎﺷـﻨﻮاي‬
‫ﺷﺪﻳﺪ و ﻋﻤﻴﻖ ﭘﻴﺶ از دﺑﺴﺘﺎن ﺑﻪ دﻧﺒﺎل ﺗﻮاﻧﺒﺨﺸﻲ ﺷﻨﻮاﻳﻲ‬
‫ﻣﻘﺎﻳﺴﻪ ﻓﺸﺎر در ﻣﺮاﻗﺒﻴﻦ ﺑﻴﻤﺎران اﺳﻜﻴﺰوﻓﺮﻧﻴﻚ ﺑـﺎ ﻣـﺮاﻗﺒﻴﻦ ﺑﻴﻤـﺎران ﻧﺎرﺳـﺎﻳﻲ‬
‫ﻛﺎﻣﻞ ﻛﻠﻴﻪ‬
‫ﺗﺄﺛﻴﺮ اﺟﺮاي ﻧﻤﺎﻳﺶ رواﻧﻲ ﮔﺮوﻫﻲ ﺑـﺮ ﻣﻴـﺰان اﻋﺘﻤـﺎد ﺑـﻪ ﻧﻔـﺲ اﻓـﺴﺮدﮔﻲ و‬
‫وﺿﻌﻴﺖ رواﻧﻲ ﺑﻴﻤﺎران رواﻧﻲ ﻣﺰﻣﻦ‬
‫ﺑﺮرﺳﻲ ﻃﺮح ﭘﻲ اﻣﺪ ﺗﺤﺼﻴﻞ در رﺷﺘﻪ ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ )ﻣﻘﻄﻊ ﻛﺎرﺷﻨﺎﺳﻲ‬
‫ارﺷﺪ( در ﻛﺸﻮر اﻳﺮان ﺑﺮ اﺳﺎس روﻳﻜﺮداﺳﺘﺮاﺗﮋﻳﻚ ـ ﺳﺎل ‪1385‬‬
‫ﺳﻴﺪﺟﻼل ﻳﻮﻧﺴﻲ‬
‫ﻣﺮﻳﻢ ﻣﺤﻤﻮديراد‬
‫ﺳﻮﺳﻦ اﻓﻘﻪ‬
‫اﺑﻮﻟﻔﻀﻞ رهﮔﻮي‬
‫ﻧﻴﻜﺘﺎ ﺣﺎﺗﻤﻲزاده‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان رﺿﻴﺖ ﺷﻐﻠﻲ اﻋﻀﺎ ء ﻫﻴﺌﺖ ﻋﻠﻤﻲ ﺷﺎﻏﻞ در داﻧﺸﮕﺎه در داﻧـﺸﮕﺎه‬
‫ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ وﺗﻮاﻧﺒﺨﺸﻲ وﺗﻌﻴﻴﻦ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ ان در ﺳﺎل ﺗﺤﺼﻴﻠﻲ ‪86-87‬‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان اﻋﻤﺎل ﻓﺸﺎرﭘﺪﻫﺎي ارﺗﺰ ﻣﻴﻠﻮاﻛﻲ در وﺿﻌﻴﺘﻬﺎي ﻧﺸﺴﺘﻪ‪ ،‬اﻳـﺴﺘﺎده‬
‫و ﺧﻮاﺑﻴﺪه در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﻛﺎﻳﻔﻮزﺷﻮﺋﺮﻣﻦ‬
‫ﺑﺮرﺳﻲ ﻛﺎرﻛﺮد ﺧﺎﻧﻮاده و ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﻣـﺎدران داراي ﻛـﻮدك ﻣﺒـﺘﻼ ﺑـﻪ‬
‫ﻓﻠﺞ ﻣﻐﺰي ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻣﺮﻛﺰ آﻣﻮزﺷﻲ‪ ،‬ﭘﮋوﻫﺸﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺻﺒﺎ‬
‫ﺑﺮرﺳﻲ روﻧﺪ ﺷﻴﻮع اﺧﺘﻼﻻت ﺑﻴﻨﺎﻳﻲ در ﻳﻚ دﻫﻪ دراﻳﺮان و ﺷﻨﺎﺳﺎﻳﻲ ﻋﻮاﻣـﻞ‬
‫ﺧﻄﺮ اﺣﺘﻤﺎﻟﻲ آن‬
‫ﺗﻌﻴﻴﻦ رﺷﺪ ارﺗﺒﺎط ﺷﻔﺎﻫﻲ ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي ﺷﺪﻳﺪ ﺗﺎ ﻋﻤﻴﻖ ‪ 6‬ﺗﺎ ‪ 7‬ﺳـﺎﻟﻪ ﭘـﺲ‬
‫از درﻳﺎﻓﺖ ﺗﻮاﻧﺒﺨﺸﻲ ﺷﻨﻮاﻳﻲ و ﮔﻔﺘﺎر درﻣﺎﻧﻲ ﺑﻄﻮر ﻣﺘﻤﺮﻛﺰ و ﻏﻴﺮﻣﺘﻤﺮﻛﺰ‬
‫ﺑﺮرﺳﻲ ﻣﺤﺘﻮاي ﻛﺘﺐ درﺳـﻲ ﺣﺮﻓـﻪ وﻓـﻦ دوره راﻫﻨﻤـﺎﻳﻲ ﺗﺤـﺼﻴﻠﻲ از ﻧﻈـﺮ‬
‫وﺟﻮد ﻣﻔﺎﻫﻴﻢ ﺗﻮاﻧﺒﺨﺸﻲ و اﻣﻮزﺷﻲ و ﭘﻴﺸﮕﻴﺮي از ﻣﻌﻠﻮﻟﻴﺖ ﻫﺎ‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﻛﻴﺎن ﻧﻮروزي ﺗﺒﺮﻳﺰي‬
‫وﻫﺎب ﻛﺎﺷﺎﻧﻲ‬
‫ﻓﻴﺮوزه ﺳﺎﺟﺪي‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﻧﻌﻴﻤﻪ داﻧﺸﻤﻨﺪان‬
‫آذري‬
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‫ﺑﺮرﺳﻲ ﺗﻮاﻧﺒﺨﺸﻲ در اﻳﺮان از ﻗﺮن ﭘﻨﺠﻢ ﻫﺠﺮي ﺗﺎ ﺣﻤﻠﻪ ﻣﻐﻮل‬
‫ﺳﻮزان ﮔﻮﻳﺮي‬
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‫ﻣﺪﻟﺴﺎزي ارﺗﺰ ﻋﻨﻜﺒﻮﺗﻲ و ﻧﻴﻤﻪ ﻣﺘﺤﺮك‬
‫ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‬
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‫ﺑﺮرﺳﻲ راﺑﻄﻪ ﺑﻴﻦ ﺧﻼﻗﻴﺖ و ﻣﻴﺰان اﺑﺘﻜﺎر و ﻧﻮاوري ﺷﻐﻠﻲ ﻛﺎرﻛﻨـﺎن ﺳـﺎزﻣﺎن‬
‫ﺑﻬﺰﻳﺴﺘﻲ ﺧﺮاﺳﺎن رﺿﻮي‬
‫ﺑﺮرﺳــﻲ ﻛﻮﺗــﺎه ﻣــﺪت وﺳــﺎﻳﻞ ﺣﻔﺎﻇــﺖ ﺷــﻨﻮاﻳﻲ در ﻛــﺎﻫﺶ اﻇﻄــﺮاب در‬
‫ﻛﺎرﮔﺮان ﻣﺮﻛﺰ ﺗﻬﻴﻪ ﻏﺬا ‪)CATERING‬در ﻳﻚ ﺧﻂ ﻫﻮاﭘﻴﻤﺎﻳﻲ ﺗﺠﺎري‬
‫ﺑﺮرﺳﻲ ارﺗﺒﺎط ﺑﻴﻦ ژن ﺳﺮوﺗﻴﻦ ﺗﺮاﻧﺴﭙﻮرﺗﺮو ﭘﺎﺳﺦ ﺑﻪ داروي ﺿـﺪ اﻓـﺴﺮدﮔﻲ‬
‫ﺳﻴﺘﺎﻟﻮﭘﺮام در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼل اﻓﺴﺮدﮔﻲ ﻋﻤﺪه در ﺟﻤﻌﻴﺖ اﻳﺮان‬
‫ﻗﺎﺳﻢ ﺳﺎزﮔﺎر‬
‫ﻟﺤﻤﻲ‬
‫ﻛﻴﻤﻴﺎ ﻛﻬﺮﻳﺰي‬
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‫ﺗﺄﺛﻴﺮ ‪ rolling sling‬ﺑﺮ ﻧﻴﻤﻪ در رﻓﺘﮕﻲ و درد ﺷﺎﻧﻪ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي‬
‫زﻫﺮه ﺳﺮﻓﺮاز‬
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‫ﺑﺮرﺳﻲ اﺛﺮ ﻟﻴﺰر در درﻣﺎن ﺳﻨﺪرم ﻣﻴﻮﻓﺎﺷﻴﺎ ل و اﺛﺮ آن ﺑﺮ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‬
‫ﻟﻴﻠﻲ ﺷﺎﻫﻘﻠﻲ‬
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‫ﻣﻘﺎﻳﺴﻪ وﺗﺄﺛﻴﺮ ﻣﻮﺳﻴﻘﻲ ﺳﻨﺘﻲ اﻳﺮان ﺑﺮ ﺗﻐﻴﻴﺮات اﻣﻮاج ﻣﻐﺰي‬
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‫ﺑﺮرﺳﻲ ﻧﻘﺶ ﺗﻌﺎﻣﻠﻲ ﺗﺼﻮر ﺑﺪﻧﻲ و وﺿﻌﻴﺖ ﺑﺎروري ﺑﺎ ﺗﺤﻮل رواﻧﻲ اﺟﺘﻤﺎﻋﻲ‬
‫در ﻣﺮدان ﺷﻬﺮ ﺗﻬﺮان‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ آﻏﺎزﮔﺮ واﺟﻲ ﺑﺮ ﺳﺮﻋﺖ ﻧﺎﻣﻴﺪن ﺗـﺼﺎوﻳﺮ درز ﻛﻮدﻛـﺎن ﻟﻜﻨﺘـﻲ‬
‫‪ 3‬ﺗﺎ ‪ 8‬ﺳﺎل‬
‫ﺑﺮرﺳﻲ ﻣﻘﺎﻳﺴﻪاي وﻳﮋﮔﻴﻬﺎي زﺑﺎﻧﻲ ﺳﺎﻟﻤﻨﺪان ﻃﺒﻴﻌﻲ ﺷﻬﺮ ﺗﻬﺮان‬
‫دارﻳﻮش ﻧﺴﺒﻲ ﺗﻬﺮاﻧﻲ‬
‫اﺻﻐﺮ دادﺧﻮاه‬
‫ﻋﻠﻲ ﺟﻬﺎن‬
‫ﻋﻠﻲ ﺧﺪام‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ در دﺳﺖ اﺟﺮا در داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫)ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎت(‬
‫ردﻳﻒ‬
‫ﻋﻨﻮان ﻃﺮح‬
‫ﻣﺠﺮي ﻃﺮح‬
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‫ﺑﺮرﺳﻲ درد در ﺳﺎﻟﻤﻨﺪان ﺗﺤﺖ ﭘﻮﺷﺶ ﻣﺮاﻛﺰ ﻧﮕﻬﺪاري اﺳﺘﺎن ﺗﻬﺮان‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان ﻫﻤﺒﺴﺘﮕﻲ ﺷﺎﺧﺼﻬﺎي ﻏﺮﺑﺎﻟﮕﺮي ﺗﻐﺬﻳﻪ ﺑﺎ ﺷﺎﺧﺼﻬﺎي ﺗﻐﺬﻳـﻪاي‬
‫آﻧﺘﺮوﭘﻮﻣﺘﺮﻳﻚ و آزﻣﺎﻳﺸﮕﺎﻫﻲ در ﺳﺎﻟﻤﻨﺪان آﺳﺎﻳﺸﮕﺎه ﺧﻴﺮﻳﻪ ﻛﻬﺮﻳـﺰك در‬
‫ﺳﺎل ‪) 1384‬ﻣﺸﺎرﻛﺘﻲ ﻛﻬﺮﻳﺰك(‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
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‫ﺑﺮرﺳﻲ ﻣﻴﺰان اﺳﺘﻔﺎده از ﺣﻤﺎﻳﺖ ﻛﻨﻨﺪهﻫﺎي ﻣﻔﺼﻠﻲ در ﺗﻌﺎدل ﺳﺎﻟﻤﻨﺪان‬
‫ﺗﺄﺛﻴﺮ ﺗﻮاﻧﺒﺨﺸﻲ ﺣﺎﻓﻈﻪ و ﺗﻮﺟﻪ در ﻛﺎﻫﺶ ﻧﻘﺎﻳﺺ ﺣﺎﻓﻈﻪ ﺳـﺎﻟﻤﻨﺪان ﻣﺒـﺘﻼ ﺑـﻪ‬
‫دﻣﺎﻧﺲ آﻟﺰاﻳﻤﺮ‬
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‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺳﻼﻣﺖ ﺳﺎﻟﻤﻨﺪان در اﺳـﺘﺎن ﻗـﻢ و اراﺋـﻪ راﻫﻜﺎرﻫـﺎي ﺑﻬﺒـﻮد‬
‫)ﻣﺸﺎرﻛﺘﻲ داﻧﺸﮕﺎه ﻗﻢ(‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺸﺎرﻛﺖ در ﮔﺮوﻫﻬـﺎي ﺣﻤـﺎﻳﺘﮕﺮ ﺑـﺮ ﺳـﻼﻣﺖ ﻣﻌﻨـﻮي و ﻓـﺸﺎر‬
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‫ﻣﺮاﻗﺒﺘﻲ‪ ،‬ﻣﺮاﻗﺒﻴﻦ ﻋـﻀﻮ ﺧـﺎﻧﻮاده ﺳـﺎﻟﻤﻨﺪان ﻣﺒـﺘﻼ ﺑـﻪ آﻟﺰاﻳﻤـﺮ ﻋـﻀﻮ اﻧﺠﻤـﻦ‬
‫آﻟﺰاﻳﻤﺮ اﻳﺮان در ﺳﺎل ‪)1385‬ﻣﺸﺎرﻛﺘﻲ ﺑﺎ اﻧﺠﻤﻦ آﻟﺰاﻳﻤﺮ(‬
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‫ﺑﺮرﺳﻲ اﭘﻴﺪﻣﻴﻮﻟﻮژﻳﻚ ﺻـﺮع در ﺳـﺎﻟﻤﻨﺪان و ﻣﻘﺎﻳـﺴﻪ ﺑـﺎ ﺻـﺮع ﺳـﺎﻳﺮ ﺳـﻨﻴﻦ‬
‫)ﻣﻄﺎﻟﻌﻪ ‪ 100‬ﻣﻮرد ﺻﺮع ﺑﻴﻤﺎران ﺑﺎﻻﺗﺮ از ‪ 60‬ﺳﺎل(‬
‫ﺗﻌﻴﻴﻦ ﺷﺎﺧﺼﻬﺎي آﺳﻴﺐﭘﺬﻳﺮي در ﺳﺎﻟﻤﻨﺪان )ﻣﺮور ﺳﻴﺴﺘﻤﺎﺗﻴﻚ آﺳﻴﺐﭘـﺬﻳﺮي‬
‫در ﺳﺎﻟﻤﻨﺪان و ﻣﺘﺪﻫﺎي ﻣﺨﺘﻠﻒ ﻏﺮﺑﺎﻟﮕﺮي ﺳﺎﻟﻤﻨﺪان آﺳﻴﺐﭘﺬﻳﺮ(‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺮاﻛﻢ اﺳﺘﺨﻮان در ﺑﻴﻤﺎران ﺳﺎﻟﻤﻨﺪ ﻣﺒﺘﻼ ﺑﻪ ﺗﻨﮕـﻲ ﻛﺎﻧـﺎل ﻧﺨـﺎع‬
‫و ﻣﻘﺎﻳﺴﻪ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ و ﺷﺪت درد در آﻧﻬﺎ )ﺑﻴﻤﺎران ﺑﺎ و ﺑﺪون اﺳﺘﻮﭘﺮوز(‬
‫ﺗﻌﻴــﻴﻦ ﻣﺸﺨــﺼﺎت رواﻧــﺴﻨﺠﻲ ﻧــﺴﺨﻪ ﻓﺎرﺳــﻲ آزﻣــﻮن ﻳــﺎدﮔﻴﺮي )ﺣﺎﻓﻈــﻪ(‬
‫ﺷﻨﻴﺪاري ـ ﻛﻼﻣﻲ ري در ﺳﺎﻟﻤﻨﺪان‬
‫ﺗﻌﻴﻴﻦ رواﺋﻲ و اﻋﺘﺒﺎر ﻣﻘﺪﻣﺎﺗﻲ آزﻣﻮن ﻏﺮﺑـﺎﻟﮕﺮي دﻧـﻮر ‪ 2‬در ﻛﻮدﻛـﺎن ‪0-6‬‬
‫ﺳﺎﻟﻪ ﺷﻬﺮ ﺗﻬﺮان )ﻓﺎز اول(‬
‫ﺑﺮرﺳﻲ راﻫﻬﺎي ارﺗﻘﺎ ﺳـﻄﺢ ﺗﻜﺎﻣـﻞ ﻛﻮدﻛـﺎن اﻳﺮاﻧـﻲ )ﻓـﺎز‪ :1‬ﺗـﺪوﻳﻦ ﺑﺮﻧﺎﻣـﻪ‬
‫ﭘﻴﺸﻨﻬﺎدي ﺟﺎﻣﻊ ارﺗﻘﺎ ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ( )ﻣﺸﺎرﻛﺘﻲ ﺑﺎ ﺷﻬﻴﺪ ﺑﻬﺸﺘﻲ(‬
‫ﻓﺮﺷﺎد ﺷﺮﻳﻔﻲ‬
‫وﺣﻴﺪ ﻧﺠﺎﺗﻲ‬
‫ﻣﻬﺪي اﻣﻴﻨﻲ‬
‫وﺣﻴﺪ ﻧﺠﺎﺗﻲ‬
‫ﻓﺮﺣﻨﺎز ﻣﺤﻤﺪي‬
‫ﺷﺎﻫﺒﻼﻏﻲ‬
‫ﺷﻬﺎب ﻃﺒﺎﻃﺒﺎﻳﻲ‬
‫ﻓﺪاي وﻃﻦ‬
‫ﺳﻠﻤﺎن روﻏﻨﻲ‬
‫زﻫﺮا ﺟﻌﻔﺮي‬
‫ﺳﻬﻴﻼ ﺷﻬﺸﻬﺎﻧﻲ‬
‫روﺷﻨﻚ واﻣﻘﻲ‬
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‫ﻫﻨﺠﺎرﻳﺎﺑﻲ آزﻣﻮن درك ﺷﻨﻴﺪاري)آزﻣﻮن ژﺗﻮﻧﻲ( در ﻛﻮدﻛﺎن و ﺑﺰرﮔﺴﺎﻻن‬
‫ﻓﺮﻳﺒﺎ ﻳﺎدﮔﺎري‬
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‫ﺑﺮرﺳﻲ ﻣﻬﺎرت ﻧﺎﻣﻴﺪن اﺳﺎﻣﻲ و اﻓﻌﺎل در ﻛﻮدﻛﺎن ﻃﺒﻴﻌﻲ ﺗـﻚ زﺑﺎﻧـﻪ ﻓﺎرﺳـﻲ‬
‫زﺑﺎن ‪ 3‬اﻟﻲ ‪ 6‬ﺳﺎﻟﻪ‬
‫رﺿﺎ ﻧﻴﻠﻲﭘﻮر‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫اﺑﺰارﻫﺎي واج ﺷﻨﺎﺧﺘﻲ و ﻣﻌﻨﺎﻳﻲ در اﺷـﻌﺎر ﻛﻮدﻛـﺎن ﺧﺮدﺳـﺎل ﻓﺎرﺳـﻲ زﺑـﺎن‬
‫ﺗﻚ زﺑﺎﻧﻪ‬
‫ﺑﺮرﺳﻲ رﺷﺪ ﻓﺮاﻳﻨﺪﻫﺎي زﺑﺎن ﺷﻨﺎﺧﺖ در ﻛﻮدﻛﺎن ﻓﺎرﺳﻲ زﺑﺎن ﺑﺪو ﺗﻮﻟﺪ ﺗﺎ ‪6‬‬
‫ﺳﺎل اﺳﺘﺎن ﺗﻬﺮان ﺑﺮ اﺳﺎس آزﻣﻮن ﻧﻴﻮﺷﺎ‬
‫ﺑﺮرﺳﻲ ﻣﻘﺎﻳﺴﻪاي ﺳﺎﺧﺘﺎر ﺷﺨـﺼﻴﺘﻲ ﻣﺒﺘﻼﻳـﺎن ﺑـﻪ اﻳـﺪز ﺷﻬﺮﺳـﺘﺎن ﺗﻬـﺮان در‬
‫ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﮔﺮوه ﮔﻮاه‬
‫ﻣﺠﺮي ﻃﺮح‬
‫داﻧﺎي ﻃﻮﺳﻲ‬
‫ﻋﺸﺎﻳﺮي‬
‫آزادي آزادﻣﻨﺶ‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان آﮔﺎﻫﻲ و ﻧﮕﺮش داﻧﺸﺠﻮﻳﺎن ﺗﺮم آﺧﺮ رﺷﺘﻪﻫـﺎي ﺗﻮاﻧﺒﺨـﺸﻲ و‬
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‫دﺳــﺘﻴﺎري اﻃﻔــﺎل در ﺧــﺼﻮص ﻣﺪاﺧﻠــﻪ زودرس در اﺧــﺘﻼﻻت ﺗﻜــﺎﻣﻠﻲ‬
‫اﻣﻴﺮ ﺷﻴﺎﻧﻲ‬
‫ﻛﻮدﻛﺎن زﻳﺮ ﻳﻜﺴﺎل‬
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‫ﻣﻘﺎﻳﺴﻪ ﻣﻴﺰان و ﺷﺪت ﻧﺸﺎﻧﻪﻫﺎي آﺳﻴﺐﺷﻨﺎﺳﻲ رواﻧﻲ ﺑﻴﻦ ﻣﺮدان ﺟﻮان ﺷﺎﻏﻞ‬
‫و ﺑﻴﻜﺎر در ﺷﻬﺮ ﺗﻬﺮان‬
‫ﺳﺎﺧﺖ ﻣﻘﻴﺎس درﺟـﻪﺑﻨـﺪي ﺟﻬـﺖ ﺗـﺸﺨﻴﺺ اﻓﺘﺮاﻗـﻲ اﺧـﺘﻼﻻت ‪ ADHD‬و‬
‫ﺳﻠﻮك در دﺑﺴﺘﺎﻧﻬﺎي ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻓﺮﺑﺪ ﻓﺪاﻳﻲ‬
‫ﺻﺪر اﻟﺴﺎدات‬
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‫ﻣﺮوري ﺑﺮ دﻳﺪﮔﺎه ﻫﺎو ﻧﻈﺮﻳﻪﻫﺎي رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
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‫ﻓﻘﺮ وﺣﻘﻮق‬
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‫ﺑﺮرﺳﻲ ﺑﺮﻧﺎﻣﻪﻫﺎ وروﺷﻬﺎي ﺗﻮاﻧﻤﻨﺪﺳﺎزي )ﻣﻘﺘﺪر ﺳﺎزي(‬
‫ﻧﻌﻤﺖاﷲ ﺑﺎﺑﺎﻳﻲ‬
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‫ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ ﺗﺎبآوري ﺟﻮاﻧﺎن اﻳﺮاﻧﻲ در ﺑﺮاﺑﺮ اﻧﺤﺮاﻓﺎت اﺟﺘﻤﺎﻋﻲ‬
‫ﻧﻌﻤﺖاﷲ ﺑﺎﺑﺎﻳﻲ‬
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‫ﺑﺮ ﻧﺎﻣﻪﻫﺎي اﺟﺘﻤﺎع ﻣﺤﻮر‬
‫ﺳﻌﻴﺪ ﻣﺪﻧﻲ‬
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‫ﺗﺪوﻳﻦ ﺷﺎﺧﺺﻫﺎي ﺗﺤﻠﻴﻞ وﺿﻌﻴﺖ ﻣﺸﻜﻼت اﺟﺘﻤﺎﻋﻲ اوﻟﻮﻳﺖدار اﻳﺮان‬
‫ﺣﺴﻦ رﻓﻴﻌﻲ‬
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‫ﺗﺪوﻳﻦ ﺳﻨﺪ ﻣﻠﻲ ﭘﻴﺸﮕﻴﺮي از آﺳﻴﺐﻫﺎي اﺟﺘﻤﺎﻋﻲ‬
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‫ارزﻳﺎﺑﻲ اﺧﺘﻼﻻت رواﻧﻲ ﻣﻌﺘﺎدان ﺑﻪ ﺗﺮﻳﺎك و ﻣﺸﺘﻘﺎﺗﺶ در اﺳﺘﺎن آذرﺑﺎﻳﺠﺎن‬
‫ﻏﺮﺑﻲ اﻳﺮان در ﺳﺎل ‪83-84‬‬
‫ﺑﺮرﺳﻲ ﺷﻴﻮهﻫﺎي درﻣﺎ ن ﻣﻌﺘﺎدﻳﻦ وﭘﻴﺸﮕﻴﺮي از اﻋﺘﻴﺎ د در اﻳﺮان و ﻛﺸﻮرﻫﺎي‬
‫اروﭘﺎي ﻏﺮﺑﻲ‬
‫روش ﺗﺤﻘﻴﻖ در ﺳﻮء ﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد‬
‫ﺑﺮرﺳﻲ ﺷﻴﻮهﻫﺎي ﻣﻘﺎﺑﻠﻪ ﺑـﺎ اﺳـﺘﺮس وارﺗﺒـﺎط ان ﺑـﺎ وﺿـﻌﻴﺖ ﺳـﻼﻣﺖ رواﻧـﻲ‬
‫ﺧﺎﻧﻮادهﻫﺎي ﻣﻌﺘﺎدﻳﻦ ﺳﺮﭘﺎﺋﻲ واﺣﺪﻫﺎي ﺧﻮد ﻣﻌﺮف اﺳﺘﺎن ﮔﻴﻼن‬
‫ﻣﻴﺮ ﻃﺎﻫﺮﻣﻮﺳﻮي‬
‫ﺣﻤﺰه زﻳﻨﺎﻟﻲ‬
‫روﺷﻨﻚ واﻣﻘﻲ‬
‫ﺑﺎﺑﻚ ﺣﻘﻲﭘﻮر‬
‫ﺣﺴﻦ ﺣﺴﻴﻨﻲ‬
‫ﺣﺴﻦ رﻓﻴﻌﻲ‬
‫ﺑﻬﻤﻦ اﻛﺒﺮي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫ردﻳﻒ‬
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‫ﺗﻬﻴﻪ ﻣﺠﻤﻮﻋﻪ آﻣﻮزﺷﻲ ﺑﺮاي ﺗﺮﺑﻴﺖ ﻛﺎرﺷﻨﺎﺳﺎن ﭘﻴﺸﮕﻴﺮي‬
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‫ﺗﺪوﻳﻦ ﻧﻈﺎم ﺟﺎﻣﻊ آﻣﺎري ﺷﺎﺧﺺﻫﺎي ﺣﻮزه ﻛﺎﻫﺶ ﺗﻘﺎﺿﺎ)ﻓﺎز اول(‬
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‫ﻣﺠﺮي ﻃﺮح‬
‫ﻓﺮﻫﺎد ﻃﺎرﻣﻴﺎن‬
‫ﻓﻬﻴﻤﻪ ﻗﺒﻴﺘﻲ‬
‫ﺳﺎﺧﺖ و ﻫﻨﺠﺎرﻳﺎﺑﻲ ﻣﻘﻴﺎس ﺷﺎﺧﺺ ﺷـﺪت اﻋﺘﻴـﺎد در ﺑـﻴﻦ ﻣﻌﺘـﺎدﻳﻦ ‪18-73‬‬
‫ﺳﺎل ﺳﺮاﺳﺮ ﻛﺸﻮر‬
‫اراﺋــﻪ ﻣــﺪاﺧﻼت رواﻧــﻲ آﻣﻮزﺷــﻲ از ﻃﺮﻳــﻖ ﺳــﺎزﻣﺎﻧﻬﺎي ﻏﻴــﺮ دوﻟﺘــﻲ ﺟﻬــﺖ‬
‫رﺑﺎﺑﻪ ﻧﻮري ﻗﺎﺳﻢآﺑﺎدي‬
‫ﻛﺎﻫﺶ ﺗﻘﺎﺿﺎ‬
‫ﭘﻴﻤﺎﻧﻪ ﺷﻴﺮﻳﻦ ﺑﻴﺎن‬
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‫ﭘﻴﺸﮕﻴﺮي از ﻋﻮد اﻋﺘﻴﺎد‬
‫ﻣﻬﺮداد اﺣﺘﺮاﻣﻲ‬
‫‪79‬‬
‫ارزﺷﻴﺎﺑﻲ ﻓﻌﺎﻟﻴﺘﻬﺎي ﻛﺎﻫﺶ زﻳﺎن در زﻧﺪان‬
‫اﻳﺮج اﺳﻤﺎﻋﻴﻠﻲ‬
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‫ﺗﺪوﻳﻦ وارزﻳﺎﺑﻲ روش درﻣﺎن ﺟﺎﻣﻊ )اﻣـﻮزش ﮔﺮوﻫـﻲ(ﭘﻴـﺸﮕﻴﺮي از ﻋـﻮد و‬
‫ﺑﻬﺒﻮد ﻋﻤﻠﻜﺮد ﺷﺨﺼﻲ و اﺟﺘﻤﺎﻋﻲ در ﺑﻴﻤﺎران ﺳﻮء ﻣﺼﺮف ﻛﻨﻨﺪه ﻣﻮاد‬
‫ﺑﺮرﺳﻲ راﺑﻄـﻪ ﺳـﺮﻣﺎﻳﻪ اﺟﺘﻤـﺎﻋﻲ ﭘﻴﻮﻧـﺪي )درون ﮔﺮوﻫـﻲ( واﺗـﺼﺎﻟﻲ)ﺑـﺮون‬
‫ﮔﺮوﻫﻲ( ﺑﺎ ﻣﺼﺮف ﻣﻮاد در داﻧﺶ اﻣﻮزان دﺑﻴﺮﺳﺘﺎﻧﻲ‬
‫ﻧﻮروﺑﻴﻮﻟﻮژي اﻋﺘﻴﺎد‬
‫ﺑﺮرﺳﻲ ﻫﻨﺠﺎرﻫﺎي ﻣﻮﺟﻮد در ﻣﻴﺎن ﺧﺮده ﻓﺮﻫﻨﮕﻬﺎ )ﻗـﻮﻣﻲ‪ ،‬ﻣـﺬﻫﺒﻲ‪ ،‬ﻧـﮋادي(‬
‫درﺑﺎره اﺳﺘﻔﺎده از ﻣﻮاد‬
‫ﺷﻨﺎﺳﺎﻳﻲ ارﺗﺒﺎﻃﺎت ﻧﻮروﻓﻴﺰوﻟﻮژي ﻣﺪارﻫﺎي ﻋﺼﺒﻲ ﺣﺎﻟﺘﻬﺎي ﻫﻴﺠﺎﻧﻲ ﻣﻨﻔﻲ و‬
‫ﻋﻮد در ﻣﻌﺘﺎدان ﺑﻪ ﻣﻮاد ﻣﺨﺪر ﺑﺎ اﺳﺘﻔﺎده از ‪fmri‬‬
‫ﮔﺮوه درﻣﺎﻧﻲ اﻋﺘﻴﺎد‬
‫ﺑﺮرﺳﻲ اﺛﺮ ﺑﺨﺸﻲ ﻋﺼﺎره ﮔﻴﺎه ﺷﻘﺎﻳﻖ وﺣﺸﻲ در درﻣـﺎن ﻧﮕﻬﺪارﻧـﺪه ﺑﻴﻤـﺎران‬
‫ﻣﻌﺘﺎد ﺑﻪ ﺗﺮﻳﺎك‬
‫ﻓﺮاﺗﺤﻠﻴﻞ ﭘﮋوﻫﺸﻬﺎي ﺣﻮزه ﻛﺎﻫﺶ اﺳﻴﺐ ودرﻣﺎن اﻧﺠﺎم ﺷﺪه در ﺣﻮزه اﻋﺘﻴﺎد‬
‫ﺑﺮرﺳﻲ ﺷﻴﻮع ﭘﻠـﻲ ﻣﻮرﻓﻴـﺴﻢﻫـﺎي ﺗـﻚ ﻧﻮﻛﻠﺌـﻮ ﺋﻴـﺪي ‪ snps‬در زن رﺳـﭙﺘﻮر‬
‫اﭘﻴﻮﺋﻴﺪ ﻣﻮ در ﻣﻌﺘﺎدﻳﻦ ﺑﻪ ﻣﻮاد اﻓﻴﻮﻧﻲ ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑـﻪ ﻣﺮﻛـﺰ ﻣﻌﺘـﺎدﻳﻦ ﺧـﻮد‬
‫ﻣﻌﺮف ﺷﻬﺮﺳﺘﺎن اروﻣﻴﻪ‬
‫ارزﻳﺎﺑﻲ اﺛﺮ ﺑﺨﺸﻲ ﺟﺰوات اﻣﻮزش و ﭘﺮورش در ﺗﻐﻴﻴﺮ داﻧـﺶ داﻧـﺶ اﻣـﻮزان‬
‫ﺑﻪ ﻣﻮاد اﻋﺘﻴﺎدآور‬
‫ﻧﮕﺮش ﻧﺴﺒﺖ ﺑﻪ ﻣﻮاد راﺑﻄﻪ ﻋﻮاﻣﻞ ﭘﻴﺶ ﺑﻴﻦ )ﺧﻄﺮ ـ ﺣﻔﺎﻇﺖﻛﻨﻨﺪه( ﺑﺎ آن در‬
‫دﺧﺘﺮان ﻣﻘﻄﻊ دﺑﻴﺮﺳﺘﺎن ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻣﻘﺎﻳﺴﻪ ﺳﺒﻚ زﻧﺪﮔﻲ‪ ،‬ﺳﺒﻚ ﻓﺮزﻧـﺪﭘﺮوري‪ ،‬ﺗﺮﺗﻴـﺐ ﺗﻮﻟـﺪ وﻋـﺰت ﻧﻔـﺲ در‬
‫اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد و اﻓﺮاد ﻋﺎدي در ﺷﻬﺮ ﺗﻬﺮان‬
‫وﻛﻴﻞ ﻧﻈﺮي‬
‫ﭼﻨﮕﻴﺰ اﻳﺮاﻧﭙﻮر‬
‫ﻏﻼﻣﺮﺿﺎ آذري‬
‫ﺻﻼحاﻟﺪﻳﻦ ﻗﺎدري‬
‫ﻣﺤﻤﺪ ﺣﺴﻦ ﻓﺮﻫﺎدي‬
‫ﻣﺮﺳﺪه ﺳﻤﻴﻌﻲ‬
‫ﻫﺪاﻳﺖ ﺻﺤﺮاﺋﻲ‬
‫ﻛﺮﻳﻢ ﻣﻬﺮي‬
‫ﺟﻤﻴﻠﻪ ﻣﺎل ﺑﻴﻦ‬
‫اﻛﺒﺮ ﻣﻴﺮﺟﺎﻧﻲ اﻗﺪم‬
‫ﻫﺎﺟﺮ ﻣﻬﺎﺟﺮ داراﺑﻲ‬
‫ﻋﻠﻲ ﺣﺴﻴﻨﻴﺎﻳﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫ﺗﻬﻴﻪ ﺑﺴﺘﻪ اﻣﻮزﺷﻲ ﭘﻴﺸﮕﻴﺮي از اﻋﺘﻴﺎد ﻣﺒﻨﻲ ﺑﺮ اﺟﺘﻤﺎﻋﺎت ﻛﻮﭼﻚ‬
‫ﻣﻄﺎﻟﻌﻪ ﻓﺮاﻳﻨﺪ اﻏﺎز ﺑﻪ ﺳﻮء ﻣﺼﺮف ﻣﻮاد اﺑﺘﻼ ﺑﻪ واﺑﺴﺘﮕﻲ و درﻣﺎن ان در ﺷﻬﺮ‬
‫ﺗﻬﺮان‬
‫ﺑﺮرﺳﻲ اﺛﺮ اﻛﺴﺘﻴـﺴﻲ)‪ (mdma‬ﺑـﺮ ﺣﺎﻓﻈـﻪ ﻓـﻀﺎﻳﻲ‪ ،‬ﺳـﻴﺘﻮﭘﺎﺗﻮﻟﻮژي و ﻣـﺮگ‬
‫ﺳﻠﻮﻟﻲ ﻫﻴﭙﻮﻛﺎﻣﭗ ﻣﻮش ﺻﺤﺮاﺋﻲ ﻧﺮ ﺑﺎﻟﻎ‬
‫ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﻌﺘﺎدان ﮔﻤﻨﺎم در اﻳﺮان‬
‫ﺑﺮرﺳﻲ راﺑﻄﻪ ﭘﺎﻳﮕﺎه ﻫﻮﻳﺖ ورواﺑﻂ وﻟﻲ ـ ﻓﺮزﻧﺪي در زﻧﺎن ﻣﻌﺘﺎد و ﻏﻴﺮ ﻣﻌﺘﺎد‬
‫اﺳﺘﺎن ﺗﻬﺮان‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﺳﻌﻴﺪ ﺟﻬﺎﻧﺸﺎﻫﻲ ﻓﺮد‬
‫ﺟﻠﻴﻞ ﻳﺎري‬
‫ﻣﻬﺪي ﻣﻬﺪيزاده‬
‫اﻛﺒﺮ ﻋﻠﻲ ورديﻧﻴﺎ‬
‫رﺣﻢ ﺧﺪا ﺟﻮادي‬
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‫ﺟﺮم اﻧﮕﺎري ﻳﺎ ﺟﺮم زداﺋﻲ اﻋﺘﻴﺎد‬
‫ﻣﺤﻤﺪ رﺿﺎ ﻫﺎدي‬
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‫ﺑﺮرﺳﻲ ﻫﺰﻳﻨﻪ اﺛﺮ ﺑﺨﺸﻲ ﮔﺮوه ﺗﻮﻟﺪي دوﺑﺎره در ﺳﻢ زداﻳﻲ و ﺗﺮك ﻣﻌﺘﺎدان‬
‫ﻣﺮﺗﻀﻲ ﻣﺤﻤﺪي‬
‫ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ در دﺳﺖ اﺟﺮا در داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫)ﻃﺮﺣﻬﺎي ﻣﺸﺎرﻛﺘﻲ(‬
‫ردﻳﻒ‬
‫‪99‬‬
‫ﻋﻨﻮان ﻃﺮح‬
‫ﺗﺪوﻳﻦ ﺷﺎﺧﺺﻫﺎي ﺗﺤﻠﻴﻞ وﺿﻌﻴﺖ ﻣﺸﻜﻼت اﺟﺘﻤﺎﻋﻲ اوﻟﻮﻳﺖدار اﻳﺮان‬
‫‪ 100‬ﺑﺮرﺳﻲ و ﺷﻨﺎﺧﺖ وﺿﻊ ﻣﻮﺟﻮد ﻧﻈﺎم ﺟﺎﻣﻊ رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻮاﻧﺒﺨﺸﻲ ﻓﺸﺮده ﺑﺎ داروﻫـﺎي ﺗﺤﺮﻳـﻚ ﻛﻨﻨـﺪه ﺳﻴـﺴﺘﻢ ﻋـﺼﺒﻲ‬
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‫ﻣﺮﻛﺰي ﺑﺮ ﻋﻤﻠﻜﺮد ﺣﺴﻲ ﺣﺮﻛﺘﻲ رﻓﺘﺎري و ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ رواﻧﻲ ـ اﺟﺘﻤﺎﻋﻲ و ﺟـﺴﻤﺎﻧﻲ ﻣـﺪدﺟﻮﻳﺎن ﻣﺮﻛـﺰ ﻣـﺸﺎوره و‬
‫‪ 102‬ﻣﺮاﻗﺒﺖ ﭘﺲ از ﺧﺮوج ﺑﻪ ﻣﻨﻈﻮر ﻃﺮاﺣﻲ ﺳﻴﺴﺘﻢ ﺗﺸﺨﻴﺼﻲ ﻣﺪاﺧﻠـﻪاي ﺟﻬـﺖ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ رواﻧﻲ ـ اﺟﺘﻤﺎﻋﻲ‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﺣﺴﻦ رﻓﻴﻌﻲ‬
‫ﻣﺮﻳﻢ ﺷﺮﻳﻔﻴﺎن ﺛﺎﻧﻲ‬
‫رﺿﺎ ﺳﻠﻤﺎن روﻏﻨﻲ‬
‫ﻋﻠﻴﺮﺿﺎ ﺟﺰاﻳﺮي‬
‫‪ 103‬ﺷﺎﺧﺺﻫﺎي رواﻧﺸﻨﺎﺧﺘﻲ ﺧﻄﺮﺳﺎز در ﺗﺎﺧﻴﺮ رﺷﺪي دوران ﻃﻔﻮﻟﻴﺖ‬
‫اﺻﻐﺮ دادﺧﻮاه‬
‫‪ 104‬ﺑﺮرﺳﻲ ﻣﺪلﻫﺎي ﺑﻴﺎن ﻋﺎﻃﻔﻲ ﻛﻮدﻛﺎن دﺑﺴﺘﺎﻧﻲ‬
‫اﺻﻐﺮ دادﺧﻮاه‬
‫‪ 105‬ارزﻳﺎﺑﻲ ﻫـﻮﻳﺖ ﻣﻠﻲ‬
‫ﻣﺮﺗﻀﻲ ﺧﻮاﺟﻮي‬
‫‪ 106‬ﺗﻌﻴﻴﻦ اوﻟﻮﻳﺘﻬﺎي ﭘﮋوﻫﺸﻲ ﺳﺎزﻣﺎن ﺑﻬﺰﻳﺴﺘﻲ‬
‫ﺣﺒﻴﺐ ﻣﺴﻌﻮدي ﻓﺮﻳﺪ‬
‫‪ 107‬ﻃﺮاﺣﻲ ﺷﺒﻜﻪ ﺧﺪﻣﺎت ﺳﺎﻟﻤﻨﺪي در اﻳﺮان‬
‫ﻓﺮﻳﺒﺎ ﺗﻴﻤﻮري‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ در ﺳﺎل ‪88‬‬
‫ردﻳﻒ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪي ﺗﺼﻮر از ﺧﺪا‪ ،‬ﻣﻌﻨﻮﻳﺖ و وﺿﻌﻴﺖ ﻫﻮﻳﺖ در ﺟﻮاﻧﺎن ‪ 24‬ﺗﺎ‬
‫اﻓﺴﺎﻧﻪ ﺟﻮادزاده‬
‫‪ 30‬ﺳﺎﻟﻪي ﺑﻬﻨﺠﺎر و ﺳﻮء ﻣﺼﺮفﻛﻨﻨﺪهي ﻣﻮاد ﻣﺨﺪر‪ ،‬روانﮔﺮدان و اﻟﻜﻞ‬
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‫ارزﻳﺎﺑﻰ ﺳﺮﻳﻊ وﺿﻌﻴﺖ ﺳﻮء ﻣﺼﺮف و واﺑﺴﺘﮕﻰ ﺑﻪ ﻣﻮاد در اﻳﺮان‬
‫‪3‬‬
‫ﺷﻨﺎﺳﺎﻳﻲ ﻋﻮارض اﻋﺘﻴﺎد در زﻧﺎن داراي ﻫﻤﺴﺮان ﻣﻌﺘﺎد ‪com‬‬
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‫ﺗﻌﻴﻴﻦ وﻳﮋﮔﻲﻫﺎي ﻣﺪارس ﻣﺘﻮﺳﻄﻪ آﺳﻴﺐﭘﺬﻳﺮ از ﻧﻈﺮ ﮔﺮاﻳﺶ ﺑﻪ ﻣـﻮاد ﻣﺨـﺪر‬
‫در ﺷﻬﺮﺗﻬﺮان‬
‫ﻣﻘﺎﻳﺴﻪ ﺗﺄﺛﻴﺮ ارﺗﺰ ﻋﻤﻠﻜﺮدي ﺑﺎ و ﺑﺪون ﺗﺤﻤﻞ وزن از ﻧﺎﺣﻴﻪ ﺗﺎﻧـﺪون ﭘـﺎﺗﻼر در‬
‫درﻣﺎن ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﭘﺎرﮔﻲ ﺗﺎﻧﺪون آﺷﻴﻞ‬
‫ﺑﺮرﺳﻲ اﻟﮕﻮ‪ ،‬ﻛﻴﻔﻴﺖ‪ ،‬اﺧـﺘﻼﻻت واﺑـﺴﺘﻪ و ﻣﻴـﺰان ﺧـﻮاب آﻟـﻮدﮔﻲ در اﻓـﺮاد‬
‫ﺳﺎﻟﻤﻨﺪ ﻣﺮاﺟﻌﻪﻛﻨﻨﺪه ﺑﻪ ﺳﺎزﻣﺎن ﺑﺎزﻧﺸﺴﺘﮕﻲ‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮﺑﺮﻧﺎﻣﻪ آﻣـﻮزش ﺑﻬﺪاﺷـﺖ درارﺗﻘـﺎء ﺳـﻼﻣﺖ ﺗﻐﺬﻳـﻪاي ﺳـﺎﻟﻤﻨﺪان‬
‫آﺳﺎﻳﺸﮕﺎه ﻛﻬﺮﻳﺰك ﺗﻬﺮان‬
‫ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣـﻪ راﻫﺒـﺮدي ‪ 5‬ﺳـﺎﻟﻪ‪ 1382-1386‬و ﻋﻤﻠﻜـﺮد ﻣﺮﻛـﺰ ﺗﺤﻘﻴﻘـﺎت‬
‫ژﻧﺘﻴﻚ‬
‫ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ ﻛﻮدﻛﺎن ﻓﺎرﺳﻲ زﺑﺎن ﻋﺎدي ‪2-4‬ﺳﺎﻟﻪ ﺷﻬﺮﺗﻬﺮان‬
‫ﻃﺮاﺣــﻲ اوﻟﻴــﺔ آزﻣــﻮن درك ﺷــﻨﻴﺪاري واﮋﮔــﺎن و ﻣﻄﺎﻟﻌــﺔ آزﻣﺎﻳــﺸﻲ آن در‬
‫ﻛﻮدﻛﺎن ‪ 2‬ﺗﺎ ‪ 10‬ﺳﺎل ﻓﺎرﺳﻲ زﺑﺎن‬
‫ﺑﺮرﺳﻲ اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ اﺳـﺘﺎن ﺳﻴـﺴﺘﺎن و ﺑﻠﻮﭼـﺴﺘﺎن در ﺟﻬـﺖ‬
‫ﺗﺸﺨﻴﺺ ژﻧﻬﺎي ﺷﻨﺎﺧﺘﻪ ﺷﺪه و ﻧﺎﺷﻨﺎﺧﺘﻪ ژﻧﺘﻴﻜﻲ ﺳﻨﺪرﻣﻲ و ﻏﻴﺮ ﺳﻨﺪرﻣﻲ‬
‫ﻧﻴﺎزﺳﻨﺠﻲ آﻣﻮزش ﺑﺮاي رﺷﺘﻪﻫﺎي ﺑﻠﻨﺪﻣﺪت داﻧﺸﮕﺎﻫﻲ ﻣﺮﺑـﻮط ﺑـﻪ اﻋﺘﻴـﺎد در‬
‫اﻳﺮان‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان آﮔـﺎﻫﻲ‪ ،‬ﻧﮕـﺮش و ﻋﻤﻠﻜـﺮد ﻣـﺎدران ﺷـﻴﺮده ﻣﺮاﺟﻌـﻪﻛﻨﻨـﺪه ﺑـﻪ‬
‫ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ درﻣﺎﻧﻲ ﺷﻬﺮ ﺗﻬﺮان در زﻣﻴﻨﻪي اﻧﺠﺎم ﺗﻤﺮﻳﻨﺎت ورزﺷﻲ‬
‫ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﺗﻨﻴﺪﮔﻲآور در ﻣـﺎدران ﻛﻮدﻛـﺎن ﺑـﺴﺘﺮي در ﺑﻴﻤﺎرﺳـﺘﺎن ﻓـﻮق‬
‫ﺗﺨﺼﺼﻲ ﺑﻌﺜﺖ ﻫﻤﺪان در ﺳﺎل ‪1387‬‬
‫ﺷﻬﺸﻬﺎﻧﻲ‬
‫ﻫﻮﻣﺎن ﻧﺎرﻧﺠﻰﻫﺎ‬
‫روﻳﺎ ﻧﻮري‬
‫ﻣﺮﺟﺎن ﭘﺸﺖ ﻣﺸﻬﺪي‬
‫ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‬
‫ﺳﻴﺪﻛﺎﻇﻢ ﻣﻠﻜﻮﺗﻲ‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫ﺳﻴﻤﺎ ﻗﺎﺳﻤﻲ‬
‫ﺣﺴﻴﻦ ﻧﺠﻢ آﺑﺎدي‬
‫ﻃﺎﻫﺮه ﺳﻴﻤﺎ ﺷﻴﺮازي‬
‫ﻓﺮﻳﺒﺎ ﻳﺎدﮔﺎري‬
‫ﺣﺴﻴﻦ ﻧﺠﻢ آﺑﺎدي‬
‫ﻓﺎﻃﻤﻪ رﺧﺸﺎﻧﻲ‬
‫ﻣﺤﻤﻮد ﺗﻮﻛﻠﻲ‬
‫ﺳﻴﻤﺎ ﻗﺎﺳﻤﻲ‬
‫ﻃﻴﺒﻪ ﺣﺴﻦ ﺗﻬﺮاﻧﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
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‫ﻣﺠﺮي ﻃﺮح‬
‫ﻋﻨﻮان ﻃﺮح‬
‫اﻛﺒﺮ ﻋﻠﻴﻮردي ﻧﻴﺎ‬
‫ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﻌﺘﺎدان ﮔﻤﻨﺎم در اﻳﺮان‬
‫ﻧﻴﺎزﺳﻨﺠﻲ آﻣﻮزﺷﻲ و زﻣﻴﻨﻪﻳﺎﺑﻲ ﻣﺸﻜﻼت رواﻧﻲ اﺟﺘﻤﺎﻋﻲ داﻧﺶ آﻣﻮزان‪ ،‬ﺑـﻪ‬
‫ﻣﻨﻈﻮر ﻃﺮاﺣﻲ ﻣﺤﺘﻮاي آﻣﻮزﺷﻲ ﺑﺮﻧﺎﻣﻪ ﺟﺎﻣﻊ ﻣﻬﺎرتﻫﺎي زﻧﺪﮔﻲ‬
‫ﺑﺮرﺳﻲ ﺗﻔﺎوت ﻛﺎرﻛﺮدﻫﺎي ﺷﻨﺎﺧﺘﻲ ﻗﻄﻌﻪ ﭘﻴﺸﺎﻧﻲ ﻣﻐﺰ در ﺳﺎﻟﻤﻨﺪان ﺑﺎ ﻓﻌﺎﻟﻴـﺖ‬
‫ﻓﻴﺰﻳﻜﻲ ﻣﺘﻔﺎوت‬
‫ﺗﻌﻴﻴﻦ ﻣﺸﺨﺼﺎت رواﻧﺴﻨﺠﻲ ﻧﺴﺨﻪ ﻓﺎرﺳﻲ آزﻣﻮن ﻳﺎدﮔﻴﺮي )ﺣﺎﻓﻈﻪ( ﺷﻨﻮاﻳﻲ ـ‬
‫ﻛﻼﻣﻲ ري در ﺳﺎﻟﻤﻨﺪان‬
‫ﺑﺮرﺳﻲ ﻓﺎﻛﺘﻮرﻫﺎي ﺷﻐﻠﻲ و ﻏﻴﺮﺷﻐﻠﻲ ﻣﺆﺛﺮ در اﻳﺠﺎد ﺣﺎدﺛﻪ ﺷﻐﻠﻲ دﺳﺖ‬
‫اﻧﻄﺒﺎق و اﺳﺘﺎﻧﺪاردﺳﺎزي ﭘﺮﺳﺸﻨﺎﻣﻪﻫـﺎي آزﻣـﻮن ﻏﺮﺑـﺎﻟﮕﺮي ﺗﻜـﺎﻣﻠﻲ ﺳـﻨﻴﻦ و‬
‫ﻣﺮاﺣﻞ )‪ (ASQ‬در ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ‬
‫ﺑﺮرﺳــﻲ ﺳــﻄﺢ ﺳــﺮﻣﻲ وﻳﺘــﺎﻣﻴﻦ ‪ Folate,B12‬و ﻏﻠﻈــﺖ‬
‫رﻳﺤﺎﻧﻪ ﻧﻴﻚﭘﺮور ﻓﺮد‬
‫وﺣﻴﺪﻧﺠﺎﺗﻲ‬
‫زﻫﺮا ﺟﻌﻔﺮي‬
‫ﻣﺮﻳﻢ ﻣﻘﺼﻮديﭘﻮر‬
‫روﺷﻨﻚ واﻣﻘﻲ‬
‫‪Homocystein,‬‬
‫‪Methylmalonic acid‬در اﻓﺮاد ﺳﺎﻟﻤﻨﺪ ﺳﺎﻟﻢ ﺗﻬﺮاﻧﻲ‬
‫ﻛﺎرﺑﺮد ﺷﻴﻮهﻫﺎي ﻣﺪدﻛﺎري در ﻛﺎر ﺑﺎ ﻣﺸﻜﻞ اﻋﺘﻴﺎدو ﻓﺮد ﻣﻌﺘﺎد‬
‫ﻣﻘﺎﻳﺴﻪ ﺳﺒﻚ زﻧﺪﮔﻲ‪ ،‬ﺳﺒﻚ ﻓﺮزﻧـﺪﭘﺮوري‪ ،‬ﺗﺮﺗﻴـﺐ ﺗﻮﻟـﺪ و ﻋـﺰت ﻧﻔـﺲ در‬
‫اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد و اﻓﺮاد ﻋﺎدي در ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻫﻨﺠﺎرﻳﺎﺑﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎﻧﺎت ﺷﻨﺎﺧﺘﻲ ‪CERQ‬در ﺳﺎﻟﻤﻨﺪان ﺷﻬﺮ ﺗﻬﺮان‬
‫و راﺑﻄﻪ آن ﺑﺎ ﻋﻮاﻣﻞ ﻓﺮدي‪ ،‬ﺧﺎﻧﻮادﮔﻲ و اﺟﺘﻤﺎﻋﻲ‬
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‫ﭘﺮﺳﺘﺎري اﻋﺘﻴﺎد‬
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‫ﺗﺪوﻳﻦ ﺑﺴﺘﻪ اراﺋﻪ ﺧﺪﻣﺎت ﺳﻼﻣﺘﻲ ﺑﻪ ﺳـﺎﻟﻤﻨﺪان در ﺑﻼﻳـﺎ ﺑـﺮ اﺳـﺎس ﺗﺠﺮﺑﻴـﺎت‬
‫زﻟﺰﻟﻪﻫﺎي ﺑﻢ و زرﻧﺪ‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫ﻏﻨﭽﻪ راﻫﺐ‬
‫ﻋﻠﻲ ﺣﺴﻴﻨﻴﺎن‬
‫اﺻﻐﺮدادﺧﻮاه‬
‫ﺣﻤﻴﺪرﺿﺎ ﺧﺎﻧﻜﻪ‬
‫ﻋﻠﻲ اردﻻن‬
‫ﺑﺮرﺳﻲ ﻛﻮدﻛﺎن ‪ 1-6‬ﺳﺎﻟﻪ ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻣﻐﺰي ﻣﺮاﺟﻌـﻪ ﻛﻨﻨـﺪه ﺑـﻪ ﻣﺮﻛﺰﺟـﺎﻣﻊ‬
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‫ﺗﻮاﻧﺒﺨﺸﻲ اﺳﻤﺎ‪ ،‬از ﻧﻈـﺮ ﻧـﻮع ﻓﻠـﺞ ﻣﻐـﺰي‪ ،‬اﺧـﺘﻼﻻت ﻫﻤـﺮاه و ﻋﻮاﻣـﻞ ﻣـﺆﺛﺮ‬
‫ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫ﭘﺮﻳﻨﺎﺗﺎل و ﻧﺌﻮﻧﺎﺗﺎل در ﺳﺎﻟﻬﺎي ‪1386-87‬‬
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‫ﺑﺮرﺳﻲ اﺛﺮات ﺳﻤﻴﺖ ﻣﺮﻓﻴﻦ ﺑﺮ ﻛﺸﺖ ﺳﻠﻮﻟﻬﺎي ﻋﺼﺒﻲ‬
‫ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ ﻣﻮﻓﻘﻴﺖ ﺳﻢزداﻳﻲ و ﭘﻴﺸﮕﻴﺮي از ﻋﻮد در ﻣـﺮاﺟﻌﻴﻦ ﺑـﻪ‬
‫ﻣﺮاﻛﺰ ﺧﻮد ﻣﻌﺮف ﺑﻬﺰﻳﺴﺘﻲ ‪ 83‬ﺗﺎ ‪85‬‬
‫ﻣﻄﺎﻟﻌﻪ‪ ،‬ﺗﻌﺮﻳﻒ و ﻣﻔﻬﻮمﺳﺎزي ﻧﻴﺎزﻫﺎي وﻳﮋه‪ ،‬ﺷﻨﺎﺳﺎﻳﻲ ﮔﺮوهﻫﺎي ﺑـﺎ ﻧﻴﺎزﻫـﺎي‬
‫وﻳﮋه و ﺗﻌﻴﻴﻦ اوﻟﻮﻳﺖﻫﺎي ﺗﺤﻘﻴﻘﺎﺗﻲ اﻳﻦ ﮔﺮوه‬
‫ﻋﻠﻲ ﻣﺤﻤﺪ ﺷﺮﻳﻔﻲ‬
‫ﻫﻮﻣﻦ ﺷﺮﻳﻔﻲ‬
‫ﻋﻠﻲ ﻓﺮﻫﻮدﻳﺎن‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ردﻳﻒ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫ﺳﻨﺠﺶ ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ در ﺗﻬﺮان‬
‫ﺑﺮرﺳﻲ اﻋﺘﺒﺎر ﻣﻌﻴﺎري و ﺗﻜﺮارﭘـﺬﻳﺮي روشﻫـﺎي ﺑـﺎﻟﻴﻨﻲ اﻧـﺪازهﮔﻴـﺮي ﻗـﻮس‬
‫ﻛﻒ ﭘﺎ‬
‫ﺑﺮرﺳﻲ ﻃﻮل ﺑﺮﺧﻲ از ﻋﻀﻼت زاﻧﻮ و ﻣﭻ ﭘﺎ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﺳـﻨﺪروم درد‬
‫ﭘﺎﺗﻠﻮﻓﻤﻮرال در داﻣﻨﻪ ﺳﻨﻲ ‪ 18-40‬ﺳﺎل‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ روي اﺑﻌﺎد ﻣﺨﺘﻠﻒ ﺳﻄﺢ ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ‬
‫در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ دﻳﺎﺑﺖ ﻧﻮع دو‬
‫آﻣﻮزش ﭘﻴﺸﮕﻴﺮي از ﺳﻮء ﻣﺼﺮف ﻣﻮاد در ﻣﻬﺪﻫﺎي ﻛﻮدك‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻠـﻪ آﻣﻮزﺷـﻲ ﺑـﺮ ﺳـﻼﻣﺖ رواﻧـﻲ و ﺧﻮدﻛﺎرآﻣـﺪي داﻧـﺶ‬
‫آﻣﻮزان دﺧﺘﺮ‬
‫ﺑﺮرﺳﻲ اﺛﺮ ﺗﻤﺮﻳﻨﺎت ﻓﻌﺎل ﻣﺒﺘﻨﻲ ﺑﺮ ﻫﻤﺎﻫﻨﮕﻲ ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ اﻧﺪام ﻓﻮﻗـﺎﻧﻲ ﺑـﺮ‬
‫ﺳﺮﻋﺖ و ﻣﻴﺰان ﺑﻬﺒﻮدي ﺷﻴﺮﺧﻮاران ﻣﺒﺘﻼ ﺑﻪ ﺿﺎﻳﻌﺎت ﺷﺒﻜﻪ ﺑﺮاﻛﻴﺎل‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﻣﻴﺮﻃﺎﻫﺮﻣﻮﺳﻮي‬
‫ﻣﻬﻴﺎرﺻﻠﻮاﺗﻲ‬
‫اﻓﺴﻮن ﻧﻮدﻫﻲ‬
‫ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‬
‫ﻓﺎﻃﻤﻪ ﺧﺰاﺋﻠﻲ‬
‫ﻣﻬﺸﻴﺪ ﻧﻮري‬
‫ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‬
‫ﻣﺴﻌﻮدﻋﺮب‬
‫ﻫﻨﺠﺎرﻳﺎﺑﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﺨﺒـﺮ ـ ﻣﺤـﻮر اﻓـﺖ ﺷـﻨﺎﺧﺘﻲ ﺳـﺎﻟﻤﻨﺪان )‪ (IQCODE‬و‬
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‫آزﻣﻮن ﻛﻮﺗﺎه ﺷﻨﺎﺧﺘﻲ )‪ (AMTS‬در ﺟﻤﻌﻴﺖ ﺳﺎﻟﻤﻨﺪان و ﺗﻌﻴﻴﻦ ﻫﻤﺒﺴﺘﮕﻲ آن‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫ﺑﺎ آزﻣﻮن ﻣﻌﺎﻳﻨﻪ ﻣﺨﺘﺼﺮوﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ)‪(MMSE‬‬
‫ﺑﺮرﺳﻲ ﻓﺮاواﻧﻲ آﻟﻮدﮔﻲ ﺑﻪ وﻳﺮوس‪HIV ،‬ﻫﭙﺎﺗﻴﺖ ‪ B ،C‬و ﻣﻴﻜـﺮوب ﺗﺮﻳﭙﻮﻧﻤـﺎ‬
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‫ﭘﺎﻟﻴــﺪوم در ﻣﻌﺘــﺎدان ﺗﺰرﻳﻘــﻲ دﺳــﺘﮕﻴﺮ ﺷــﺪه در ﺳــﺎلﻫــﺎي ‪ 84-85‬در ﺣــﻴﻦ‬
‫دﺳﺘﮕﻴﺮي و ﻫﻨﮕﺎم ﺗﺮﺧﻴﺺ‬
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‫آﻣﻮزش ﺟﺎﻣﻊ ﻣﺪاﺧﻼت درﻣﺎﻧﻲ ﻏﻴﺮداروﻳﻲ درﺳﻮءﻣﺼﺮف ﻣﻮاد‬
‫ﻣﻴﻨﻮ ﻣﺤﺮز‬
‫ﻣﺤﻤﺪرﺿﺎ ﺟﻬﺎﻧﻲ‬
‫ﺟﻮاد ﻋﻼﻗﻪ ﺑﻨﺪراد‬
‫اﻟﮕﻮي رﻓﺘﺎر ﻣﻄﺎﻟﻌﻪ و رﻓﺘﺎر اﻃﻼع ﻳـﺎﺑﻲ داﻧـﺸﺠﻮﻳﺎن و اﻋـﻀﺎي ﻫﻴـﺎت ﻋﻠﻤـﻲ‬
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‫داﻧــﺸﮕﺎه ﻋﻠــﻮم ﺑﻬﺰﻳــﺴﺘﻲ و ﺗﻮاﻧﺒﺨــﺸﻲ در اﺳــﺘﻔﺎده از ﻣﻨــﺎﺑﻊ ﻛﺘــﺎﺑﻲ و ﻣﻨــﺎﺑﻊ‬
‫ﻣﺮﺿﻴﻪ ﮔﻠﭽﻴﻦ‬
‫اﻟﻜﺘﺮوﻧﻴﻜﻲ‬
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‫اﺳﺘﺎﻧﺪاردﻛﺮدن ﭘﺮﺳﺸﻨﺎﻣﻪ ﭘﻨﺞ ﻋﺎﻣﻠﻲ ﺷﺨﺼﻴﺖ ﻧﺌﻮ )ﻓـﺮم ﻛﻮﺗـﺎه( در ﺟﻤﻌﻴـﺖ‬
‫ﺑﺰرﮔﺴﺎل اﺳﺘﺎن ﺗﻬﺮان‬
‫ﻣﻨﻮﭼﻬﺮازﺧﻮش‬
‫ﺑﺮرﺳﻲ ﭼﺎﻟﺸﻬﺎي زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي ﺑـﺮ اﺳـﺎس ﺗﺠـﺎرب و ﻧﻴﺎزﻫـﺎي‬
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‫آﻧﺎن و ﻣﺮاﻗﺒﺖ ﻛﻨﻨﺪﮔﺎن ﺧـﺎﻧﻮادﮔﻲ و ﺗـﺪوﻳﻦ ﺑﺮﻧﺎﻣـﻪ راﻫﺒـﺮدي اﺛـﺮﺑﺨﺶ در‬
‫ارﺗﻘﺎء زﻧﺪﮔﻲ آﻧﺎن‬
‫اﺻﻐﺮ داﻟﻮﻧﺪي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫ﻣﺮور ﻧﻈﺎمدار ﻣﻄﺎﻟﻌﺎت ﻣﺮﺑﻮط ﺑﻪ ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ در اﻳـﺮان در ﻳـﻚ دﻫـﻪي‬
‫اﺧﻴﺮ‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺳﻮء ﻣﺼﺮف ﻣﻮاد ﻧﻴﺮوزا و ﻣـﻮاد اﻋﺘﻴـﺎدآور در ﺑﺎﺷـﮕﺎهﻫـﺎي‬
‫ﺑﺪﻧﺴﺎزي ﺗﻬﺮان‬
‫ﺑﺮرﺳــﻲ اﭘﻴــﺪﻣﻴﻮﻟﻮژي اﺳــﺘﻌﺪاد اﻋﺘﻴــﺎد در ﻧﻮﺟﻮاﻧــﺎن دﺑﻴﺮﺳــﺘﺎﻧﻲ ﭼﻬــﺎر ﻣﻨﻄﻘــﻪ‬
‫ﻛﺸﻮر‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﻣﺮوﺋﻪ واﻣﻘﻲ‬
‫ﻫﻮﻣﻦ اﻧﮕﻮراﻧﻲ‬
‫رﻗﻴﻪ وﺣﺪت‬
‫ﺑﺮرﺳــﻲ ﻣﻴــﺰان ﻫﻤﺒــﺴﺘﮕﻲ ﺑــﻴﻦ دو روش ﺳــﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿــﻲ ﺷــﻜﻤﻲ و‬
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‫ﭘﺮﻳﻨﺌﻮﻣﺘﺮي ﺟﻬﺖ ارزﻳﺎﺑﻲ ﻋﻤﻠﻜـﺮد ﻋـﻀﻼت ﻛـﻒ ﻟﮕـﻦ در اﻓـﺮاد ﻣﺒـﺘﻼ ﺑـﻪ‬
‫اﻣﻴﺮﻣﺴﻌﻮدﻋﺮب‬
‫ﺑﻲاﺧﺘﻴﺎري ادرار اﺳﺘﺮﺳﻲ‬
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‫ﺑﺮرﺳﻲ ﻣﻴﺰان رﺿـﺎﻳﺘﻤﻨﺪي از ﺗﻤﺮﻳﻨـﺎت ﺛﺒـﺎﺗﻲ در ﺑﻴﻤـﺎران ﻣﺒـﺘﻼ ﺑـﻪ ﻛﻤـﺮدرد‬
‫ﻣﻜﺎﻧﻴﻜﻲ ﻣﺰﻣﻦ ﻏﻴﺮ اﺧﺘﺼﺎﺻﻲ‬
‫‪49‬‬
‫ﻃﺮاﺣﻲ ﻧﻈﺎم ﺟﺎﻣﻊ رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬
‫‪50‬‬
‫ﺗﺪوﻳﻦ روﺷﻬﺎي ﺗﺤﻘﻴﻖ در ﺳﻮﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد‬
‫‪51‬‬
‫اﻟﮕﻮﻫﺎي ﻓﺮﻫﻨﮕﻲ ﺑﻴﺎﻧﮕﺮ اﻓﺴﺮدﮔﻲ در زﻧﺎن ﺟﻤﻬﻮري اﺳﻼﻣﻲ اﻳﺮان و ﻣﻄﺎﻟﻌـﻪ‬
‫ﻣﻘﺎﻳﺴﻪ اﺳﺘﻔﺎده از اﺑﺰارﻫﺎي ارزﻳﺎﺑﻲ اﻓﺴﺮدﮔﻲ در اﻳﺮان و ﺳﻮﺋﺪ‬
‫ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‬
‫ﻣﺮﻳﻢ ﺷﺮﻳﻔﻴﺎن ﺛﺎﻧﻲ‬
‫ﺣﺴﻦ رﻓﻴﻌﻲ‬
‫آﻣﻨﻪ ﺳﺘﺎره ﻓﺮوزان‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻮاﻧﺒﺨـﺸﻲ ﻓـﺸﺮده ﻫﻤـﺮاه ﺑـﺎ داروﻫـﺎي ﺗﺤﺮﻳـﻚ ﻛﻨﻨـﺪه ﺳﻴـﺴﺘﻢ‬
‫‪52‬‬
‫ﻋﺼﺒﻲ ﻣﺮﻛﺰي ﺑـﺮ ﻋﻤﻠﻜـﺮد ﺣـﺴﻲ‪ ،‬ﺣﺮﻛﺘـﻲ‪ ،‬ﺷـﻨﺎﺧﺘﻲ و ﻓﻌﺎﻟﻴﺘﻬـﺎي روزﻣـﺮه‬
‫زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي ﺗﺤﺖ ﺣـﺎد »راﻫﻜﺎرﻫﻬـﺎ و راﻫﺒﺮدﻫـﺎي ﻧـﻮﻳﻦ در‬
‫رﺿﺎﺳﻠﻤﺎن روﻏﻨﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي«‬
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‫ﺑﺮرﺳــﻲ ﻧــﻮاﺣﻲ ﻛﺪﻛﻨﻨــﺪه ژن ﻛﻠﺮﺗﻴﻜــﻮﻟﻴﻦ در ‪ 50‬ﺑﻴﻤــﺎر ﻣﺒــﺘﻼ ﺑــﻪ ﺑﻴﻤــﺎري‬
‫اﺳﻜﻴﺰواﻓﻜﺘﻴﻮ ﺑﺎ ﻣﻌﻴﺎرﻫﺎي ﺗﺸﺨﻴﺼﻲ ‪DSM-IV-TR‬‬
‫ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﺸﺎﻧﮕﺎن ﻣﺨﺘﺼﺮ‪ :‬اﻣﻜﺎﻧﺎت رواﻧﺴﻨﺠﻲ ﺑﺎ ﺑﻴﻤﺎران رواﻧﭙﺰﺷﻜﻲ اﻳﺮاﻧﻲ‬
‫ﻣﻴﻨﺎ اوﺣﺪي‬
‫ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‬
‫ﺑﺮرﺳﻲ ﺷﻴﻮع ﺳﻨﺪروم ﻣﺘﺎﺑﻮﻟﻴﻚ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑـﻪ اﺳـﻜﻴﺰوﻓﺮﻧﻴﺎ ﺑـﺴﺘﺮي در‬
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‫ﻣﺮﻛﺰ آﻣﻮزﺷﻲ درﻣـﺎﻧﻲ رواﻧﭙﺰﺷـﻜﻲ رازي ﺗﺤـﺖ درﻣـﺎن ﺑـﺎ داروﻫـﺎي آﻧﺘـﻲ‬
‫ﺳﺎﻳﻜﻮﺗﻴﻚ ﺗﻴﭙﻴﻚ و ﻏﻴﺮ ﺗﻴﭙﻴﻚ‬
‫اﻋﺘﺒﺎرﻳﺎﺑﻲ ورواﺳﺎزي اﺳﺘﺎﻧﺪاردﻛﺮدن ﻣﻘﻴﺎس ﺧﻮدارزﻳﺎﺑﻲ اﺷﺘﻐﺎل ﺑﺮﭘﺎﻳﻪ ﻣـﺪل‬
‫اﺷﺘﻐﺎل آدﻣﻲ‬
‫آﻧﻮﻣﻲ اﺟﺘﻤﺎﻋﻲ ﺑﺮرﺳﻲ در ﭼﻬﺎرﺷﻬﺮ‬
‫اﻣﻴﺪرﺿﺎﻳﻲ‬
‫ﺟﻼل ﻳﻮﻧﺴﻲ‬
‫ﻣﺴﻌﻮد ﻛﻮﺛﺮي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ردﻳﻒ‬
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‫ﻋﻨﻮان ﻃﺮح‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺮﺟﻤﺎن داﻧﺶ)اﻧﺘﻘﺎل ﻳﺎﻓﺘﻪﻫﺎي ﭘﮋوﻫـﺸﻲ( در داﻧـﺸﮕﺎه ﻋﻠـﻮم‬
‫ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻣﺠﺮي ﻃﺮح‬
‫ﻣﺤﻤﺪﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
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‫ﻣﺮورﻣﻄﺎﻟﻌﺎت ﻣﺮﺗﺒﻂ ﺑﺎ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي اﺟﺘﻤﺎﻋﻲ ﺳﻼﻣﺖ دراﻳﺮان ﺑﺮﻣﺒﻨﺎي ﻣﺪل‬
‫ﺣﻤﻴﺮا ﺳﺠﺎدي‬
‫‪60‬‬
‫ﺑﺮرﺳﻲ اﺧﺘﻼﻻت زﺑﺎﻧﻲ وﻧﻴﺎزﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺰرﮔﺴﺎﻻن داراي آﺳﻴﺐ ﻣﻐﺰي‬
‫رﺿﺎ ﻧﻴﻠﻲﭘﻮر‬
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‫ﺑﺮرﺳﻲ راﻫﻬﺎي ارﺗﻘﺎء ﺳﻄﺢ ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ‬
‫روﺷﻨﻚ واﻣﻘﻲ‬
‫ﻋﻠﻴﺮﺿﺎ ﻣﺮﻧﺪي‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺮاﻛﻢ اﺳﺘﺨﻮان درﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع‬
‫رﺿﺎ ﺳﻠﻤﺎن روﻏﻨﻲ‬
‫ارزﻳﺎﺑﻲ ﺗﺄﺛﻴﺮ اﻓﺰاﻳﺶ ارﺗﻔﺎع ﭘﺎﺷـﻨﻪ ﭘـﺎ ﺗﺎﺣﺪاﺳـﺘﺎﻧﺪارد ﺑـﺮروي اﻟﮕـﻮي ﺗﻌـﺎدل‬
‫ﺳﻴﺪﻣﺤﻤﺪاﺑﺮاﻫﻴﻢ‬
‫ﻛﻠﻲ ﺑﺪن‬
‫ارزﻳﺎﺑﻲ ﻛﻴﻔﻴﺖ زﻧـﺪﮔﻲ ﻣـﺎدران ﻛﻮدﻛـﺎن ﺑـﺎ ﻣﻌﻠﻮﻟﻴـﺖ ﻓﻠـﺞ ﻣﻐـﺰي ﺑـﺎ اراﺋـﻪ‬
‫راﻫﻜﺎرﻫﺎي ارﺗﻘﺎء‬
‫ﺑﺮرﺳﻲ اﺛﺮﮔﻴﺎه داروﻳﻲ ژﻳﻨﮕﻮ در درﻣﺎن اﺧﺘﻼﻻت ﺷـﻨﺎﺧﺘﻲ ﺑﻴﻤـﺎران ﻣﻮﻟﺘﻴﭙـﻞ‬
‫اﺳﻜﻠﺮوزﻳﺲ‬
‫ﻣﻮﺳﻮي‬
‫اﺻﻐﺮدادﺧﻮاه‬
‫ﻋﻠﻲ دﻟﻴﺮي ﻫﻤﭙﺎ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﭼﻜﻴﺪه ﻓﺎرﺳﻲ ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ ﭘﺎﻳﺎن ﻳﺎﻓﺘﻪ در ﺳﺎل ‪88‬‬
‫ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪي ﺗﺼﻮر از ﺧﺪا‪ ،‬ﻣﻌﻨﻮﻳﺖ و وﺿﻌﻴﺖ ﻫﻮﻳﺖ در ﺟﻮاﻧﺎن ‪ 24‬ﺗﺎ ‪ 30‬ﺳﺎﻟﻪي ﺑﻬﻨﺠـﺎر‬
‫و ﺳﻮء ﻣﺼﺮفﻛﻨﻨﺪهي ﻣﻮاد ﻣﺨﺪر‪ ،‬روانﮔﺮدان و اﻟﻜﻞ‬
‫اﻓﺴﺎﻧﻪ ﺟﻮادزاده ﺷﻬﺸﻬﺎﻧﻲ‬
‫اﻳﻦ ﭘﮋوﻫﺶ‪ ،‬ﻗﺎﺑﻠﻴﺖ ﭘﻴﺶﺑﻴﻨﻲ ﺳﻮءﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﺑﻪ ﺳﻴﮕﺎر‪ ،‬ﻣﻮاد روانﮔﺮدان و اﻟﻜﻞ را ﺗﻮﺳﻂ‬
‫ﻣﺘﻐﻴﺮﻫﺎي وﺿﻌﻴﺖ ﻫﻮﻳﺖ‪ ،‬ﻣﻌﻨﻮﻳﺖ و ﺗﺼﻮر از ﺧﺪا در ﺟﻮاﻧﺎن ‪ 24‬ﺗﺎ ‪ 30‬ﺳﺎﻟﻪ ﺑﺮرﺳﻲ ﻣﻲﻛﻨﺪ‪ .‬ﺑـﺎ ﻛﻤـﻚ‬
‫ﻧﺘﺎﻳﺞ اﻳﻦ ﭘﮋوﻫﺶ ﻣﺸﺨﺺ ﻣﻲﺷﻮد ﻛﻪ ﺗﻘﻮﻳﺖ ﻣﻌﻨﻮﻳﺖ و ﻧﻴﺰ ﻫﻮﻳﺖ اﻓﺮاد در ﺳﻨﻴﻦ ﭘﻴﺶ از ﺟﻮاﻧﻲ ﺗﺎ ﭼـﻪ‬
‫اﻧﺪازه ﻣﻲﺗﻮاﻧﺪ در ﭘﻴﺶﮔﻴﺮي از ﺳﻮءﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﺑﻪ اﻳﻦ ﻣﻮاد ﺗﺄﺛﻴﺮﮔﺬار ﺑﺎﺷﺪ‪ .‬ﺑـﻪ اﻳـﻦ ﻣﻨﻈـﻮر دو‬
‫ﻣﺮﺣﻠﻪي ﻛﻴﻔﻲ ﺑﺎ روش ﭘﺪﻳﺪارﺷﻨﺎﺳﺎﻧﻪ و ﻛﻤﻲ ﺑﺎ روش ﻋﻠﻲ ـ ﻣﻘﺎﻳﺴﻪاي اﻧﺠﺎم ﺷـﺪه اﺳـﺖ‪ .‬در ﻣﺮﺣﻠـﻪي‬
‫ﻛﻴﻔﻲ‪ ،‬ﻣﺤﺘﻮاي ‪ 40‬ﻣﺼﺎﺣﺒﻪ ﺑﺎ ﺟﻮاﻧﺎن ﺷﻬﺮ ﺗﻬـﺮان ﻣـﻮرد ﺗﺤﻠﻴـﻞ ﻗـﺮار ﮔﺮﻓـﺖ و ﻣﺆﻟﻔـﻪﻫـﺎي ﻣﻌﻨﻮﻳـﺖ از‬
‫دﻳﺪﮔﺎه اﻳﻦ ﺟﻮاﻧﺎن ﺑﻪ دﺳﺖ آﻣﺪ‪ .‬ﺳﭙﺲ ﺑﺎ ﻃﺮاﺣﻲ ﭘﺮﺳـﺶﻧﺎﻣـﻪي ﻣﻌﻨﻮﻳـﺖ و اﻋﺘﺒﺎرﻳـﺎﺑﻲ اوﻟﻴـﻪي آن‪ ،‬ﺑـﺎ‬
‫آﻟﻔﺎي ﻛﺮوﻧﺒﺎخ ‪ 0/976‬ﻓﺮم ﻧﻬﺎﻳﻲ ﭘﺮﺳﺶﻧﺎﻣﻪ ﺗﺪوﻳﻦ ﺷﺪ‪ .‬در ﻣﺮﺣﻠﻪي ﻛﻤﻲ‪ 332 ،‬ﺟﻮان در ﭘـﺎركﻫـﺎي‬
‫ﺷﻬﺮ ﺗﻬﺮان ﭘﺮﺳﺶﻧﺎﻣﻪي ﻣﻌﻨﻮﻳـﺖ و ﭘﺮﺳـﺶﻧﺎﻣـﻪي ﮔـﺴﺘﺮشﻳﺎﻓﺘـﻪي ﺳـﻨﺠﺶ ﻋﻴﻨـﻲ ﭘﺎﻳﮕـﺎه ﻫﻮﻳـﺖ ﻣـﻦ‬
‫)‪ ،(EOM-EIS-2‬را ﺗﻜﻤﻴﻞ ﻧﻤﻮدﻧﺪ‪.‬‬
‫ﺑﺮاي ﺗﺤﻠﻴﻞ دادهﻫﺎي آﻣﺎري از روش ﺗﺤﻠﻴﻞ رﮔﺮﺳﻴﻮن ﻟﺠﺴﺘﻴﻚ در ﻧﺮماﻓﺰار ‪ spss‬اﺳﺘﻔﺎده ﻛـﺮدﻳﻢ‪.‬‬
‫ﻧﺘﺎﻳﺞ ﻧﺸﺎندﻫﻨﺪهي اﻳﻦ ﺑﻮد ﻛﻪ ﻫﻮﻳﺖ ﻛﻠﻴـﺸﻪاي و ﻣﻌﻨﻮﻳـﺖ ﻧﻘـﺶ ﻣﻌﻨـﺎداري در ﻛـﺎﻫﺶ ﺳﻮءﻣـﺼﺮف و‬
‫واﺑﺴﺘﮕﻲ ﺑﻪ ﺳﻴﮕﺎر دارﻧﺪ‪ .‬ﻫﻢﭼﻨﻴﻦ ﻣﻌﻨﻮﻳﺖ و ﻫﻮﻳـﺖ دﺳـﺖﻳﺎﻓﺘـﻪ ﻣﻌﻨـﺎداري در ﻛـﺎﻫﺶ ﺳﻮءﻣـﺼﺮف و‬
‫واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد روانﮔﺮدان و اﻟﻜﻞ اﻳﻔﺎ ﻣﻲﻛﻨﻨﺪ‪ .‬ﻣﻌﻨﺎدار ﺷـﺪن ﻫﻮﻳـﺖ ﻛﻠﻴـﺸﻪاي ﻧـﺸﺎندﻫﻨـﺪهي ﺗـﺄﺛﻴﺮ‬
‫ﻣﺜﺒﺖ ﺧﺎﻧﻮاده و دروﻧﻲ ﺷﺪن ارزشﻫﺎي ﺧﺎﻧﻮادﮔﻲ و اﻃﺮاﻓﻴـﺎن از دوران ﻛـﻮدﻛﻲ ﻣـﻲﺑﺎﺷـﺪ‪ .‬ﻫـﻢﭼﻨـﻴﻦ‬
‫ﭘﺮداﺧﺘﻦ ﺑﻪ ﻣﺴﺎﻳﻞ ﻣﻌﻨﻮي ﻣﺎﻧﻨﺪ ﺑﺎور ﺑﻪ ﺧـﺪا و داﺷـﺘﻦ ارﺗﺒـﺎط ﺑـﺎ او و داﺷـﺘﻦ ﻣﻌﻨـﺎ و ﻫـﺪف در زﻧـﺪﮔﻲ‬
‫ﻣﻲﺗﻮاﻧﺪ ﻣﺎﻧﻊ ﺑﺮوز رﻓﺘﺎر ﭘﺮﺧﻄﺮ ﺳﻮءﻣﺼﺮف ﻣﻮاد ﻣﺨﺘﻠﻒ ﺷﻮد‪ .‬در ﻋﻴﻦ ﺣﺎل ﻛﻪ دﺳﺖﻳﺎﺑﻲ ﺑﻪ ﻫﻮﻳﺖ ﻛﻪ‬
‫ﺑﺎ اﻛﺘﺸﺎف و ﺗﺤﻘﻴﻖ ﺧـﻮد ﻧﻮﺟـﻮان ﺣﺎﺻـﻞ ﻣـﻲﺷـﻮد‪ ،‬ﻧﻴـﺰ ﻧﻘـﺶ ﺑـﺎرزي در ﻛـﺎﻫﺶ واﺑـﺴﺘﮕﻲ ﺑـﻪ ﻣـﻮاد‬
‫روانﮔﺮدان واﻟﻜﻞ اﻳﻔﺎ ﻣﻲﻛﻨﺪ‪ .‬اﻳﻦ ﻣﻮﺿﻮع اﻫﻤﻴﺖ اﻳﺠﺎد اﻧﮕﻴﺰه ﺑﺮاي ﻳـﺎﻓﺘﻦ ﻫـﺪف و ﻣﻌﻨـﺎ در زﻧـﺪﮔﻲ‬
‫ﺗﻮﺳﻂ ﺧﻮد ﻧﻮﺟﻮان را ﻧﺸﺎن ﻣﻲدﻫﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻣﻌﻨﻮﻳﺖ‪ ،‬ﺗﺼﻮر از ﺧﺪا‪ ،‬ﻣﻮاد روانﮔﺮدان‪ ،‬اﻟﻜﻞ‪ ،‬ﺟﻮان‪ ،‬ﻫﻮﻳﺖ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ارزﻳﺎﺑﻰ ﺳﺮﻳﻊ وﺿﻌﻴﺖ ﺳﻮء ﻣﺼﺮف و واﺑﺴﺘﮕﻰ ﺑﻪ ﻣﻮاد در اﻳﺮان ﺳﺎل ‪1386‬‬
‫ﻫﻮﻣﺎن ﻧﺎرﻧﺠﻰﻫﺎ‬
‫ارزﻳﺎﺑﻲ ﺳﺮﻳﻊ وﺿﻌﻴﺖ ﺳﻮءﻣﺼﺮف ﻣﻮاد ﺑﺮاي ﺷﻨﺎﺳﺎﻳﻲ ﭘﺪﻳﺪهﻫﺎي ﭘﻨﻬﺎن ﺑﺎ ﺗﻐﻴﻴﺮات ﺳﺮﻳﻊ ﻧﻈﻴﺮ اﻋﺘﻴﺎد‬
‫ﺻﻮرت ﻣﻲﮔﻴﺮد‪.‬‬
‫ﺣﺠﻢ ﻧﻤﻮﻧﻪ‪ 7769 :‬ﻧﻔﺮ)‪ 1246‬از ﻣﺮاﻛﺰ درﻣﺎﻧﻲ‪ 580 ،‬از زﻧﺪاﻧﻬﺎ‪ ،‬و ‪ 5943‬از ﺧﻴﺎﺑﺎن(‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺗﻌﺪاد ﻣﻌﺘـﺎدان ﻛـﺸﻮر ﺣـﺪود ‪ 1/200/000‬ﻧﻔـﺮ ﺑـﺮآورد ﮔﺮدﻳـﺪ‪ 94/8 .‬درﺻـﺪ ﻣـﺮد و ‪5/2‬‬
‫درﺻﺪ زن‪ 44/6 .‬درﺻﺪ زﻳﺮ ‪ 29‬ﺳﺎل ﺑﻮدﻧﺪ‪ .‬ﻣﻴﺎﻧﮕﻴﻦ ﺳﻨﻲ ﻣﻌﺘﺎدان ﻛﺸﻮر ‪ 32,59‬ﺳﺎل ﺑـﻮد‪ 34/6 .‬درﺻـﺪ‬
‫در ﮔﺮوه ﻛﺎرﮔﺮان ﺳﺎده و ﻣﺎﻫﺮ ﺑﻮدﻧﺪ‪ .‬ﺑﺎﻻﺗﺮﻳﻦ ﻣﻴﺰان ﻣﻮاد ﻣﺼﺮﻓﻲ در ﻛﺸﻮر ﺗﺮﻳـﺎك)‪ 34‬درﺻـﺪ( ﺑـﻮد‪.‬‬
‫روش ﻏﺎﻟﺐ دودي)‪ 58‬درﺻﺪ( ﺑﻮد‪ .‬ﻣﻴﺎﻧﮕﻴﻦ ﺳﻦ ﺷﺮوع ﻣﺼﺮف ﻣﻮاد در ﻛﺸﻮر ‪ 22/78‬ﺳﺎل ﺑﻮد‪.‬‬
‫اوﻟﻴﻦ ﻣﻜﺎن ﻣﺼﺮف ﻣﻨﺰل دوﺳﺘﺎن )‪ 33/2‬درﺻﺪ( ﺑﻮد‪ 45/1 .‬درﺻﺪ ﻣﻌﺘﺎدان ﺑﻪ ﭘﻴﺸﻨﻬﺎد دوﺳﺘﺎن ﺧـﻮد‬
‫ﻣﺼﺮف ﻣﻮاد را آﻏﺎز ﻛﺮدهاﻧﺪ‪ 55/1) .‬درﺻﺪ( ﻫﻴﭻ واﻗﻌﻪ ﻣﺸﺨﺼﻲ در اوﻟﻴﻦ ﺗﺠﺮﺑﻪ ﻣﺼﺮف ﻧﺪاﺷﺘﻨﺪ‪.‬‬
‫ﻣﻬﻤﺘﺮﻳﻦ دﻟﻴـﻞ اوﻟـﻴﻦ ﻣـﺼﺮف ﻛﻨﺠﻜـﺎوي )‪22/8‬درﺻـﺪ( ﺑـﻮده‪ 25/2 .‬درﺻـﺪ ﺗﺰرﻳﻘـﻲﻫـﺎ در ﺳـﺎل‬
‫ﮔﺬﺷﺘﻪ ﺗﺰرﻳﻖ ﻣﺸﺘﺮك داﺷﺘﻨﺪ‪ .‬ﻋﻠﺖ اوﻟـﻴﻦ ﺗﺰرﻳـﻖ ﻧﻴـﺰ در اﻛﺜﺮﻳـﺖ ﻣﻌﺘـﺎدان ﻛـﺸﻮر ﻟـﺬت ﺑﻴـﺸﺘﺮ)‪37/3‬‬
‫درﺻﺪ( ذﻛﺮ ﺷﺪه‪ .‬ﺷﺎﻳﻌﺘﺮﻳﻦ ﻣﻜﺎﻧﻬﺎي ﺗﺰرﻳﻖ ﻧﻴﺰ ﻣﻨﺰل دوﺳـﺘﺎن )‪ 34/6‬درﺻـﺪ( و ﻣﻨـﺰل ﺧـﻮد ﻓـﺮد)‪54/7‬‬
‫درﺻﺪ( ذﻛﺮ ﺷﺪ‪.‬‬
‫ﺣﺪود ‪ 41/9‬درﺻﺪ ﻣﻌﺘﺎدان ﺳﺎﺑﻘﻪ ﺑﻴﺶ ﻣﺼﺮﻓﻲ ﻣﻮاد را ذﻛﺮ ﻛـﺮدهﻧـﺪ‪ 38/5 .‬درﺻـﺪ آﻧـﺎن در ﺳـﺎل‬
‫ﮔﺬﺷﺘﻪ دﺳﺘﮕﻴﺮ ﺷﺪهاﻧﺪ و ‪ 30/5‬درﺻﺪ آﻧﺎن ﻧﻴﺰ ﺑﻪ زﻧﺪان رﻓﺘﻪﻧﺪ‪ .‬ﺷﺎﻳﻌﺘﺮﻳﻦ ﺟﺮم اﻳﻦ اﻓـﺮاد ﻣـﺼﺮف ﻣـﻮاد‬
‫)‪ 27/9‬درﺻﺪ( و ﺧﺮﻳﺪ و ﻓﺮوش ﻣﻮاد )‪ 9/3‬درﺻﺪ( ﺑﻮده اﺳﺖ‪.‬‬
‫‪ 74/9‬درﺻﺪ ﻣﻌﺘﺎدان در ﺳﺎل ﮔﺬﺷﺘﻪ اﻗﺪام ﺑﻪ درﻣﺎن ﻛﺮدهﻧﺪ‪ .‬اوﻟﻴﻦ ﻣﻜﺎن ﺑـﺮاي درﻣـﺎن‪ ،‬ﻣﻨـﺰل ﺧـﻮد‬
‫ﻓﺮد )‪50/7‬درﺻﺪ( ﺑﻴﺎن ﺷﺪه‪.‬ﻣﻴﺎﻧﮕﻴﻦ ﻫﺰﻳﻨﻪ ﻛﺮد ﺑﺮاي درﻣﺎن در ﻃﻮل ﻳﻚ ﺳﺎل ‪ 175910‬ﺑﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻣﺎده ﻏﺎﻟﺐ‪ :‬ﻣﺎدهاي اﺳﺖ ﻛﻪ ﻓﺮد اﮔﺮ ﭘﻮل ﻣﺤﺪودي داﺷﺘﻪ ﺑﺎﺷﺪ ﺗﺮﺟﻴﺢ ﻣﻴﺪﻫﺪ آن را ﺑﺨﺮد‪.‬‬
‫ﻣﺎده در ﺣﺎل ﺣﺎﺿﺮ‪ :‬ﻛﻠﻴﻪ ﻣﻮادي ﻛﻪ ﻓﺮد ﭼﻪ ﺑﻪ ﻋﻨﻮان ﻣﺎده اﺻﻠﻲ ﭼﻪ ﺑﻪ ﻋﻨﻮان ﻣﺎده ﻓﺮﻋﻲ ﻫﻤﺰﻣﺎن ﻣـﻮرد‬
‫ﺳﻮء ﻣﺼﺮف ﻗﺮار ﻣﻴﺪﻫﺪ‪.‬‬
‫ﻛﺎرﮔﺮ ﺳﺎده‪ :‬اﻳﻦ ﻛﺎرﮔﺮان ﻛﺎر ﺑﺪﻧﻲ زﻳﺎدي دارﻧﺪ آﻣﻮزش ﺑﺮاي اراﺋﻪ ﺧـﺪﻣﺎت آﻧﻬـﺎ ﻧﻴـﺎز ﻧﻴـﺴﺖ ﻣﺎﻧﻨـﺪ‪:‬‬
‫آﺑﭙﺎش‪ ،‬واﻛﺴﻲ‪ ،‬ﺣﻤ‪‬ﺎل‪ ،‬راﻧﻨﺪه آﺳﺎﻧﺴﻮر و‪...‬‬
‫ﻛﺎرﮔﺮ ﻣﺎﻫﺮ‪ :‬اﻳﻦ ﻛﺎرﮔﺮان ﻧﻴﺰ ﻛﺎر ﺑﺪﻧﻲ دارﻧﺪ و دورهﻫﺎي آﻣﻮزﺷﻲ ﻏﻴﺮداﻧـﺸﮕﺎﻫﻲ ﺑـﺮاي آﻧـﺎن ﺗﻌﺮﻳـﻒ‬
‫ﺷﺪه اﺳﺖ‪ .‬ﻣﺎﻧﻨﺪ‪ :‬ﻛﻔﺎش‪ ،‬ﺑﺎﻏﺒﺎن‪ ،‬آراﻳﺸﮕﺮ‪ ،‬ﻟﻮﻟﻪﻛﺶ و‪...‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺷﻨﺎﺳﺎﻳﻲ ﻋﻮارض اﻋﺘﻴﺎد در زﻧﺎن داراي ﻫﻤﺴﺮان ﻣﻌﺘﺎد‬
‫روﻳﺎ ﻧﻮري‬
‫ﻃﺮح ﻣﺴﺌﻠﻪ‪ :‬ﺷﻨﺎﺳﺎﻳﻲ ﻋﻮارض زﻧﺪﮔﻲ ﺑﺎ ﻫﻤﺴﺮ ﻣﻌﺘﺎد و ﻋﻮاﻣﻞ زﻣﻴﻨـﻪﺳـﺎز اﻳـﻦ ﻋـﻮارض از اﻫﻤﻴـﺖ‬
‫واﻓﺮي ﺑﺮﺧﻮردار اﺳﺖ ﻫﻤﭽﻨﻴﻦ ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ ﺗﺎبآوري در ﺑﺮاﺑﺮ اﻳﻦ ﻋﻮارض در زﻧﺎن ﺗﺎبآور‬
‫ﻣﻲﺗﻮاﻧﺪ ﻳﺎري رﺳﺎن اﻳﻦ زﻧﺎن در ﻣﻌﺮض آﺳﻴﺐ ﺑﺎﺷﺪ‪.‬‬
‫روش‪ :‬ﻧﻮع ﻣﻄﺎﻟﻌﻪ در اﻳﻦ ﺗﺤﻘﻴﻖ ﺗﺤﻠﻴﻠﻲ ﮔﺬﺷﺘﻪ ﻧﮕﺮ )ﻣﻮرد ـ ﺷﺎﻫﺪي( ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻋﻮارض ﺳﺆﻣـﺼﺮف ﻣـﻮاد‪ ،‬ﺧﻴﺎﻧـﺖ ﺟﻨـﺴﻲ و ﻋـﺎﻃﻔﻲ‪ ،‬ﺧـﺸﻮﻧﺖ ﻓﻴﺰﻳﻜـﻲ‪ ،‬اﻓـﺖ وﺿـﻌﻴﺖ‬
‫اﻗﺘﺼﺎدي‪ ،‬اﺧﺘﻼل در ﻋﻤﻠﻜﺮد ﺟﻨﺴﻲ و اﻓﻜﺎر و اﻗﺪام ﺑﻪ ﺧﻮدﻛﺸﻲ در ﻣﻴﺎن زﻧﺎن ﻫﻤﺴﺮ ﻣﻌﺘـﺎد ﺑـﺎ ﺗﻔـﺎوت‬
‫ﻣﻌﻨﺎداري ﻧﺴﺒﺖ ﺑﻪ زﻧﺎن ﺷﻮﻫﺮ ﺳﺎﻟﻢ ﻣﺸﺎﻫﺪه ﻣﻲﺷﻮد‪ .‬ﻣﺼﺮف ﻣﻮاد ﺑﻪ ﻣﻌﻨﺎي ﻋﺪم ﺗﺎبآوري ﺗﻌﻴﻴﻦ ﺷﺪ‪.‬‬
‫ﺳﻄﺢ درآﻣﺪ ﺧﺎﻧﻮاده ﻣﻌﺘﺎد ﭘﺎﺋﻴﻦﺗﺮ ﻣﻲﺑﺎﺷﺪ‪ .‬زﻧﺎن ﺷﻮﻫﺮ ﻣﻌﺘﺎد از ﺛﺒﺎت ﻫﻴﺠﺎﻧﻲ و وﻇﻴﻔـﻪﺷﻨﺎﺳـﻲ ﻛﻤﺘـﺮي‬
‫ﻧﺴﺒﺖ ﺑﻪ زﻧﺎن ﻫﻤﺴﺮ ﺳﺎﻟﻢ ﺑﺮﺧﻮردارﻧﺪ‪ .‬در زﻧﺎن ﻫﻤﺴﺮ ﻣﻌﺘﺎد‪ ،‬اﺿـﻄﺮاب و اﻓـﺴﺮدﮔﻲ ﺑﻴـﺸﺘﺮ اﺳـﺖ‪ ،‬زﻧـﺎن‬
‫ﻫﻤــﺴﺮ ﻣﻌﺘــﺎد از ﻋــﺰت ﻧﻔــﺲ ﻛﻤﺘــﺮي ﺑﻬــﺮه ﺑــﺮدهاﻧــﺪ‪ .‬ﺗــﺎبآوري در‪ 135‬ﻧﻔــﺮ از زﻧــﺎن ﻫﻤــﺴﺮ ﻣﻌﺘــﺎد ﺑــﺎ‬
‫وﻳﮋﮔﻲﻫﺎي دﻣﻮﮔﺮاﻓﻴـﻚ آﻧﻬـﺎ ارﺗﺒـﺎﻃﻲ ﻧـﺪارد‪ ،‬وﺿـﻌﻴﺖ اﻗﺘـﺼﺎدي ﭘـﺪري زن و ﺻـﻔﺎت ﺷﺨـﺼﻴﺘﻲ ﺑـﺎ‬
‫ﺗﺎبآوري ارﺗﺒﺎط ﻧﺪارد‪ .‬زﻧﺎﻧﻲ ﻛﻪ ﻣﻮرد ﺧﺸﻮﻧﺖ ﻗﺮار ﻣﻲﮔﻴﺮﻧﺪ در ﺑﺮاﺑـﺮ ﻋـﻮارض ﻧﺎﺷـﻲ از زﻧـﺪﮔﻲ ﺑـﺎ‬
‫ﻫﻤﺴﺮ ﻣﻌﺘﺎد ﺗﺎبآور ﻧﺒﻮدﻧﺪ ﻫﻢ ﭼﻨﻴﻦ ﻫﻤﺴﺮان ﻣﺮداﻧﻲ ﻛﻪ ﻣﺼﺮف ﺗﻮأﻣﺎن ﭼﻨﺪ ﻣﺎده را داﺷﺘﻪاﻧﺪ‪ ،‬ﻧﻴﺰ ﻏﻴـﺮ‬
‫ﺗﺎبآور ﺑﻮدﻧﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬آﻧﭽﻪ ﻛﻪ ﻋﺎﻣﻞ ﻋﺪم ﺗﺎبآوري زﻧﺎن ﻫﻤﺴﺮ ﻣﻌﺘﺎد ﻣـﻲﺷـﻮد رﻓﺘﺎرﻫـﺎي ﺷـﺪﻳﺪ اﻋﺘﻴـﺎدي ﻫﻤـﺴﺮ‬
‫اﺳﺖ و وﻳﮋﮔﻲ ﺷﺨﺼﻴﺘﻲ ﻳﺎ وﺿﻌﻴﺖ اﻗﺘﺼﺎدي ﭘﺪري زن ﻧﻤﻲﺗﻮاﻧـﺪ ﻣـﺎﻧﻌﻲ ﺑـﺮاي آﺳـﻴﺐ وارده ﺑـﻪ زﻧـﺎن‬
‫ﺷﻮد‪.‬‬
‫ﻛﻠﻴﺪواژهﻫﺎ‪ :‬ﺗﺎبآوري‪ :‬ﺗﺎبآوري ﺑﻪ زﺑﺎن ﺳﺎده ﻋﺒﺎرت اﺳﺖ از ﺗﻄـﺎﺑﻖ ﻣﺜﺒـﺖ در واﻛـﻨﺶ ﺑـﻪ ﺷـﺮاﻳﻂ‬
‫ﻧﺎﮔﻮار‪ ،‬ﮔﺎرﻣﺰي و ﻣﺎﺳﺮن‪ (1991) 1‬ﺗﺎبآوري را ﭼﻨـﻴﻦ ﺗﻌﺮﻳـﻒ ﻣـﻲﻛﻨﻨـﺪ؛ »ﻓﺮاﻳﻨـﺪ‪ ،‬ﺗﻮاﻧـﺎﻳﻲ‪ ،‬ﻳـﺎ ﭘﻴﺎﻣـﺪ‬
‫ﺳﺎزﮔﺎري ﻣﻮﻓﻘﻴﺖآﻣﻴﺰ‪ ،‬ﻋﻠﻲ رﻏﻢ ﺷﺮاﻳﻂ ﭼﺎﻟﺶاﻧﮕﻴﺰ و ﺗﻬﺪﻳﺪ ﻛﻨﻨﺪه«‪.‬‬
‫اﺧﺘﻼﻻت ﻋﻤﻠﻜﺮد ﺟﻨﺴﻲ‪ :‬اﺧﺘﻼل در ﺗﻤﺎﻳﻞ ﺟﻨﺴﻲ‪ ،‬ﻋﺪم ﻟﺬت ﺟﻨﺴﻲ‪ ،‬اﺧﺘﻼل در ارﮔﺎﺳﻢ‬
‫‪1- Masren‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺗﻌﻴﻴﻦ وﻳﮋﮔﻲﻫﺎي ﻣﺪارس ﻣﺘﻮﺳﻄﻪ آﺳﻴﺐﭘﺬﻳﺮ از ﻧﻈﺮ ﮔﺮاﻳﺶ ﺑﻪ ﻣﻮاد ﻣﺨﺪر در ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻣﺮﺟﺎن ﭘﺸﺖﻣﺸﻬﺪي‬
‫ﺗﺤﻘﻴــﻖ ﺣﺎﺿــﺮ ﺑــﻪ ﺑﺮرﺳــﻲ آن دﺳــﺘﻪ از وﻳﮋﮔﻴﻬــﺎي ﻣــﺪارس ﻛــﻪ ﺑــﺎ ﮔــﺮاﻳﺶ ﺑــﻪ ﻣــﺼﺮف ﻣــﻮاد در‬
‫داﻧﺶآﻣﻮزان ﻣﻘﻄﻊ ﻣﺘﻮﺳﻄﻪ ارﺗﺒﺎط دارد‪ ،‬ﭘﺮداﺧﺘﻪ اﺳﺖ‪.‬‬
‫اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻘﻄﻌﻲ و از ﻧﻮع ﺗﻮﺻﻴﻔﻲ ـ ﺗﺤﻠﻴﻠﻲ اﺳـﺖ ﻛـﻪ در آن ﺗﻌـﺪاد ‪ 168‬ﻣﺪرﺳـﻪ ﻣﺘﻮﺳـﻄﻪ ﺷـﻬﺮ‬
‫ﺗﻬﺮان ﺷﺎﻣﻞ دﺑﻴﺮﺳﺘﺎن‪ ،‬ﻫﻨﺮﺳﺘﺎن و ﻛﺎرداﻧﺶ ﺑﻪ ﻋﻨﻮان ﺣﺠﻢ ﻧﻤﻮﻧﻪ )واﺣﺪ ﻣﺪرﺳﻪ( در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷـﺪ‪ .‬در‬
‫ﻫﺮ ﻣﺪرﺳﻪ ﻧﻴﺰ ﺗﻌﺪاد ‪ 20‬داﻧﺶ آﻣﻮز ﺑﻪ ﻋﻨﻮان ﺣﺠﻢ ﻧﻤﻮﻧﻪ )واﺣﺪ داﻧﺶآﻣـﻮزي( اﻧﺘﺨـﺎب ﮔﺮدﻳـﺪ)‪1111‬‬
‫دﺧﺘﺮ و ‪ 1374‬ﭘﺴﺮ(‪ .‬روش ﻧﻤﻮﻧﻪﮔﻴﺮي ﺷـﺎﻣﻞ ﻧﻤﻮﻧـﻪﮔﻴـﺮي ﭼﻨـﺪ ﻣﺮﺣﻠـﻪاي ﺑـﻮد‪ .‬در اﺑﺘـﺪا ﻛﻠﻴـﻪ ﻣﻨـﺎﻃﻖ‬
‫آﻣﻮزﺷﻲ ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﻲ از ﺷﻤﺎل‪ ،‬ﻏـﺮب‪ ،‬ﺟﻨـﻮب‪ ،‬ﺷـﺮق و ﻣﺮﻛـﺰ ﺗﻬـﺮان اﻧﺘﺨـﺎب ﺷـﺪﻧﺪ ﺳـﭙﺲ ﺑـﺎ‬
‫اﺳﺘﻔﺎده از ﻟﻴﺴﺖ ﻣﺪارس ﻣﻘﻄﻊ ﻣﺘﻮﺳﻄﻪ و ﻫﻨﺮﺳﺘﺎنﻫﺎي اﻳﻦ ﻣﻨﺎﻃﻖ و ﺑـﺎ ﺗﻮﺟـﻪ ﺑـﻪ ﺗﻌـﺪاد ﻣـﺪارس در ﻫـﺮ‬
‫ﻣﻨﻄﻘﻪ ﻧﻤﻮﻧﻪ ﻣﻮردﻧﻈﺮ ﺑﺎ اﺳﺘﻔﺎده از ﺟﺪول اﻋﺪاد ﺗﺼﺎدﻓﻲ اﻧﺘﺨﺎب ﺷﺪﻧﺪ‪.‬‬
‫اﺑﺰارﻫــﺎي ﭘــﮋوﻫﺶ ﺷــﺎﻣﻞ ﻣﻘﻴــﺎس ﺧﻄﺮﭘــﺬﻳﺮي ﻧﻮﺟﻮاﻧــﺎن اﻳﺮاﻧــﻲ‪ ،‬ﭘﺮﺳــﺶﻧﺎﻣــﻪ ارﺗﺒــﺎط ﺑــﺎ ﻣﺪرﺳــﻪ‪،‬‬
‫ﭘﺮﺳﺶﻧﺎﻣﻪ اﻃﻼﻋﺎت ﻣﺪرﺳﻪ و ﻣﺸﺎﻫﺪه ﻧﺎﻣﻪ ﭘﺮﺳﺶﮔﺮ ﺑﻮد‪ .‬در ﻓﺎز اول ﺗﺤﻘﻴﻖ ﻛﻠﻴﻪ داﻧﺶآﻣـﻮزان ﻣﻘﻄـﻊ‬
‫ﻣﺘﻮﺳﻄﻪ و ﻫﻨﺮﺳﺘﺎنﻫﺎي ﺷﻬﺮ ﺗﻬﺮان ﺟﻤﻌﻴﺖ آﻣﺎري را ﺗﺸﻜﻴﻞ ﻣﻲدادﻧﺪ‪ .‬در ﻓﺎز دوم ﻣﺪارﺳﻲ ﻛﻪ در زﻳـﺮ‬
‫ﻣﻘﻴﺎسﻫﺎي ﻣﺼﺮف ﻣﻮاد و اﻟﻜﻞ ﭘﺮﺳﺶﻧﺎﻣﻪ رﻓﺘﺎر ﺧﻄﺮ ﻧﻮﺟﻮاﻧﺎن ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤﺮات داﻧﺶآﻣـﻮزان آﻧﻬـﺎ در‬
‫ﭼﺎرك ﺑﺎﻻ و ﭘﺎﻳﻴﻦ ﺑﺎﺷﺪ در ﻃﺮح ﺑﺎﻗﻲ ﻣﺎﻧﺪه و ﻧﺘﺎﻳﺞ ﺑﺎ اﺳﺘﻔﺎده از آزﻣـﻮن ‪ t‬دو ﻧﻤﻮﻧـﻪاي و آزﻣـﻮن ﻛـﺎي‬
‫ﻣﻮرد ﺗﺤﻠﻴﻞ ﻗﺮار ﮔﺮﻓﺘﻨﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ ﻧﺸﺎن داد ﮔﺮاﻳﺶ ﺑﻪ اﻟﻜﻞ)‪ (P= 0.00‬و ﻣﻮاد )‪ (P=0.00‬در ﭘـﺴﺮان ﺑـﻴﺶ از دﺧﺘـﺮان ﺑـﻮد وﻟـﻲ‬
‫ﮔﺮاﻳﺶ ﺑﻪ ﺳﻴﮕﺎر ﺗﻔﺎوﺗﻲ ﻧﺪاﺷﺖ‪ .‬زﻧﺪه ﺑﻮدن ﭘﺪر ﺑﺎ ﮔﺮاﻳﺶ ﻛﻤﺘﺮ ﺑﻪ ﺳﻴﮕﺎر)‪ (P= 0.04‬و ﻣﻮاد )‪(P= 0.018‬‬
‫ﻫﻤﺮاه ﺑﻮد‪ .‬ﮔﺮاﻳﺶ ﺑﻪ ﺳﻴﮕﺎر‪ ،‬ﻣﻮاد و اﻟﻜﻞ در ﻛﺴﺎﻧﻲ ﻛﻪ واﻟﺪﻳﻦ آﻧﻬﺎ ازدواج ﻣﺠـﺪد داﺷـﺘﻨﺪ ﺑـﺎﻻﺗﺮ‬
‫)ازدواج ﻣﺠﺪد ﭘـﺪر‪ ،P=0.001 :‬ازدواج ﻣﺠـﺪد ﻣـﺎدر‪ (P=0.001 :‬ﺑـﻮد‪ .‬ﺑـﺎ اﻓـﺰاﻳﺶ ﺗﺤـﺼﻴﻼت واﻟـﺪﻳﻦ‬
‫ﮔﺮاﻳﺶ ﺑﻪ ﺳﻴﮕﺎر و اﻟﻜﻞ اﻓﺰاﻳﺶ ﻣﻲﻳﺎﻓﺖ‪ .‬در زﻣﻴﻨﻪ ﮔﺮاﻳﺶ ﺑﻪ ﺳﻴﮕﺎر در ﻣﻮرد ﺗﺤﺼﻴﻼت ﭘـﺪر ﺗﻔـﺎوت‬
‫ﺑﻴﻦ دو ﮔﺮوه ﺑﻲﺳﻮاد ﺑﺎ ﮔﺮوه ﻓﻮق ﻟﻴﺴﺎﻧﺲ و ﺑﺎﻻﺗﺮ ﺑﻮد)‪ (P=0.22‬و در ﻣﻮرد ﺗﺤﺼﻴﻼت ﻣـﺎدر در ﮔـﺮوه‬
‫داراري ﺗﺤﺼﻴﻼت دﻛﺘﺮا ﺑﻴﺸﺘﺮﻳﻦ ﮔﺮاﻳﺶ ﻣﺸﺎﻫﺪه ﺷﺪ )‪ .(P= 0.00‬در ﻣﻮرد ﮔﺮاﻳﺶ ﺑـﻪ اﻟﻜـﻞ در زﻣﻴﻨـﻪ‬
‫ﺗﺤﺼﻴﻼت واﻟﺪﻳﻦ ﺗﻔﺎوت ﺑﻴﻦ ﮔﺮوه دﻳﭙﻠﻢ و زﻳﺮ دﻳﭙﻠﻢ ﺑﺎ ﮔﺮوه ﻟﻴﺴﺎﻧﺲ و ﺑـﺎﻻﺗﺮ ﺑـﻮد )ﺗﺤـﺼﻴﻼت ﭘـﺪر‪:‬‬
‫‪ ،P= 0.007 ،F=4.07‬ﺗﺤﺼﻴﻼت ﻣﺎدر‪ .(P= 0.000 :‬ﮔﺮاﻳﺶ ﺑﻪ ﺳﻴﮕﺎر و اﻟﻜﻞ ﺑﺮ ﺣﺴﺐ درآﻣﺪ ﺧـﺎﻧﻮاده‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻧﻴﺰ ﺗﻔﺎوت داﺷﺖ‪ .‬ﮔﺮوﻫﻲ ﻛﻪ درآﻣﺪ ﺧﺎﻧﻮاده آﻧﻬﺎ ﺑﺎﻻي ‪ 700‬ﻫﺰار ﺗﻮﻣﺎن در ﻣﺎه ﺑـﻮد‪ ،‬ﮔـﺮاﻳﺶ ﺑﻴـﺸﺘﺮي‬
‫ﺑﻪ ﺳﻴﮕﺎر و اﻟﻜﻞ ﻧﺴﺒﺖ ﺑﻪ ﺳﺎﻳﺮ ﮔﺮوهﻫﺎ داﺷﺘﻨﺪ)ﺳـﻴﮕﺎر‪ ،P= 0.000 :‬اﻟﻜـﻞ‪ .(P=.000 :‬ﻣـﺼﺮف ﺳـﻴﮕﺎر‪،‬‬
‫ﻣﻮاد و اﻟﻜﻞ در ﺧﺎﻧﻮاده ﺑﺎ ﮔﺮاﻳﺶ ﺑﺎﻻﺗﺮ ﺑـﻪ ﻫـﺮ ﺳـﻪ اﻳـﻦ ﻣـﻮاد ﻫﻤـﺮاه ﺑـﻮد )ﺳـﻴﮕﺎر‪ ،P= 0.000 :‬اﻟﻜـﻞ‪:‬‬
‫‪ ،P= 0.000‬ﻣﻮاد‪.(P=0.000 :‬‬
‫ﮔﺮاﻳﺶ ﺑﻪ ﻣﻮارد ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺑﺮ ﺣﺴﺐ ﭘﺎﻳﻪ ﺗﺤﺼﻴﻠﻲ ﺗﻔﺎوتﻫﺎﻳﻲ را ﻧﺸﺎن داد‪ .‬در ﮔﺮاﻳﺶ ﺑـﻪ ﻣـﻮاد‪،‬‬
‫در ﻣﻌﺪل درﺳﻲ ﺳﺎل اول ﺑﻴﻦ دو ﮔﺮوه ﻛﻢ ﺧﻄﺮ و ﭘﺮﺧﻄﺮ ﺗﻔﺎوت ﻣﻌﻨﺎدار وﺟﻮد داﺷـﺖ)‪ .(P= 0.032‬از‬
‫ﻧﻈﺮ وﺟﻮد ﻣﺸﺮوﻃﻲ در ﺳﺎلﻫﺎي اول ﺗﺎ ﭼﻬﺎرم و ﮔﺮاﻳﺶ ﺑﻪ ﻣﺼﺮف ﺳﻴﮕﺎر‪ ،‬ﻣﻮاد و اﻟﻜـﻞ‪ ،‬ﻧﻴـﺰ ﺑـﻴﻦ ﺳـﻪ‬
‫ﮔﺮوه ﻣﻮرد ﻣﻄﺎﻟﻌﻪ )ﻛﻢ ﺧﻄﺮ‪ ،‬ﻣﺘﻮﺳﻂ‪ ،‬ﭘﺮﺧﻄﺮ( ﺗﻔﺎوﺗﻲ ﺑﺪﺳﺖ ﻧﻴﺎﻣـﺪ‪ .‬ﻓﺎﻛﺘﻮرﻫـﺎي ﻣـﺮﺗﺒﻂ ﺑـﺎ ﻣﺘﻐﻴﺮﻫـﺎي‬
‫ﻣﺸﺎور و ﺟﻠﺴﺎت اوﻟﻴﺎ و ﻣﺮﺑﻴﺎن ﻧﻘﺶ ﭼﻨﺪاﻧﻲ در ﮔﺮاﻳﺶ ﻧﺪاﺷﺖ‪ ،‬ﺑﺠﺰ ﻳـﻚ اﺳـﺘﺜﻨﺎ ﻛـﻪ ﻧـﺸﺎن داد ﺗﻌـﺪاد‬
‫ﺷﺮﻛﺖﻛﻨﻨﺪﮔﺎن در اﻳﻦ ﺟﻠﺴﺎت ﺑﺎ ﮔﺮاﻳﺶ ﺑﻪ ﻣﻮاد ارﺗﺒﺎط دارد)‪.(P= 0.015‬‬
‫در زﻣﻴﻨﻪ ﻣﺘﻐﻴﺮﻫﺎي ﻣﺮﺑﻮط ﺑﻪ ﻓﻀﺎي اﻃﺮاف ﻣﺪرﺳﻪ ﻧﺘﺎﻳﺞ ﻧﺸﺎن داد ﺗﻮزﻳﻊ ﻓﺮاواﻧـﻲ ﻣﻨﻄﻘـﻪ ﺷـﻬﺮي ﺑـﺮ‬
‫ﺣﺴﺐ ﺳﻪ ﮔﺮوه از ﻧﻈﺮ ﮔﺮاﻳﺶ ﺑﻪ ﺳﻴﮕﺎر و اﻟﻜﻞ ﻣﻌﻨﺎدار ﺑﻮد‪ .‬ﮔﺮاﻳﺶ ﺑـﻪ ﺳـﻴﮕﺎر در ﻣﻨـﺎﻃﻖ ﺑـﺎ وﺿـﻌﻴﺖ‬
‫اﻗﺘﺼﺎدي ﺑﻬﺘﺮ‪ ،‬ﺑﻴﺸﺘﺮ ﻣﺸﺎﻫﺪه ﺷﺪ)‪ .(P=.009‬در ﺣﺎﻟﻴﻜـﻪ ﮔـﺮاﻳﺶ ﺑـﻪ اﻟﻜـﻞ در ﻣﻨـﺎﻃﻖ ﻣﺮﻓـﻪﺗـﺮ و ﻣﻨﻄﻘـﻪ‬
‫ﻣﻬﺎﺟﺮﻧﺸﻴﻦ )ﻣﻨﻄﻘﻪ ‪ (5‬ﺑﻴﺸﺘﺮ ﺑﻮد )‪ .(P=.0000‬ﺗﻮزﻳﻊ ﻓﺮاواﻧﻲ ﻣﻮﻗﻌﻴﺖ ﻣﻜﺎﻧﻲ ﻣﺪرﺳﻪ ﻓﻘﻂ در ﮔـﺮاﻳﺶ ﺑـﻪ‬
‫ﻣﻮاد ﻣﻌﻨﺎدار ﺑﻮد‪ .‬ﺑﻪ اﻳﻦ ﺗﺮﺗﻴﺐ ﻛﻪ ﻣﺪارس واﻗﻊ در ﺑﺰرﮔﺮاه و ﺧﻴﺎﺑﺎن اﺻﻠﻲ ﺑﻴﺸﺘﺮﻳﻦ ﮔـﺮوه ﭘﺮﺧﻄـﺮ را از‬
‫ﻧﻈــﺮ ﮔــﺮاﻳﺶ ﺑــﻪ ﻣــﻮاد داﺷــﺘﻨﺪ )‪ .(p=.003‬از ﻧﻈــﺮ ﺷــﻠﻮﻏﻲ‪ ،‬ﮔــﺮوه ﭘﺮﺧﻄــﺮ از ﻧﻈــﺮ ﮔــﺮاﻳﺶ ﺑــﻪ ﺳــﻴﮕﺎر‬
‫)‪ (P= 0.037‬و اﻟﻜﻞ )‪ (P= 0.002‬در ﻣﻨﺎﻃﻖ ﺧﻠـﻮتﺗـﺮي واﻗـﻊ ﺑﻮدﻧـﺪ‪ .‬ﻫﻤﭽﻨـﻴﻦ ﮔـﺮوه ﭘﺮﺧﻄـﺮ از ﻧﻈـﺮ‬
‫ﮔﺮاﻳﺶ ﺑﻪ اﻟﻜﻞ )‪ (P= 0.004‬و ﺳﻴﮕﺎر)‪ (P= 0.030‬ﻣﺮﻓﻪﺗﺮ از دو ﮔﺮوه دﻳﮕﺮ ﺑﻮدﻧﺪ ﻛﻪ ﺑﺎ ﻧﺘﺎﻳﺞ ﻣﺮﺑﻮط ﺑﻪ‬
‫درآﻣﺪ ﻣﺎﻫﺎﻧﻪ ﺑﺎﻻﺗﺮ از ‪ 700‬ﻫﺰار ﺗﻮﻣﺎن ﻫﻤﺎﻫﻨﮓ اﺳﺖ‪ .‬ﻣﻨﻄﻘﻪ زﻧﺪﮔﻲ ﮔﺮوه ﻛﻢ ﺧﻄﺮ از ﻧﻈﺮ ﮔﺮاﻳﺶ ﺑـﻪ‬
‫اﻟﻜﻞ از دو ﮔﺮوه دﻳﮕﺮ)ﻣﺘﻮﺳﻂ و ﭘﺮﺧﻄﺮ( ﻗﺪﻣﺖ ﺑﻴﺸﺘﺮي داﺷـﺖ )‪ .(P= 0.009‬ﻓﺎﺻـﻠﻪ ﺑـﺎ ﻧﺰدﻳـﻚﺗـﺮﻳﻦ‬
‫ﻛﻼﻧﺘﺮي و ﻣﻮﻗﻌﻴﺖ ﻛﺎرﺑﺮي ﻣﺪرﺳﻪ در ﮔـﺮاﻳﺶ ﺗﻔـﺎوﺗﻲ اﻳﺠـﺎد ﻧﻜـﺮد‪ .‬ﻧﺘـﺎﻳﺞ ﻧـﺸﺎن داد وﺳـﺎﻳﻞ ﻛﻤـﻚ‬
‫آﻣﻮزﺷﻲ و اﻣﻜﺎﻧﺎت رﻓﺎﻫﻲ ﻣﺪرﺳﻪ در دو ﮔﺮوه ﭘﺮ ﺧﻄﺮ و ﻛﻢ ﺧﻄﺮ از ﻧﻈﺮ ﮔﺮاﻳﺶ ﺑـﻪ ﺳـﻴﮕﺎر‪ ،‬ﻣـﻮاد‪ ،‬و‬
‫اﻟﻜﻞ ﺗﻔﺎوﺗﻲ ﻧﺪاﺷﺖ‪.‬‬
‫از ﻟﺤﺎظ ارﺗﺒﺎط ﺑﺎ ﻣﺪرﺳﻪ در اﻳﻦ ﺗﺤﻘﻴﻖ ﻣـﺸﺨﺺ ﺷـﺪ ﻛـﻪ اﺑﻌـﺎد ﻣﺨﺘﻠـﻒ ارﺗﺒـﺎط ﺑـﺎ ﻣﺪرﺳـﻪ‪ ،‬ﺗـﺄﺛﻴﺮ‬
‫ﻳﻜﺴﺎﻧﻲ ﺑﺮ ﮔﺮاﻳﺶﻫﺎي ﺧﻄﺮﭘﺬﻳﺮ داﻧﺶ آﻣﻮزان ﻧﺪارﻧﺪ‪ .‬ﺗﻌﻠﻖ ﺑﻪ ﻣﺪرﺳﻪ در ﺑﻴﻦ داﻧﺶ آﻣﻮزان ﻛـﻢ ﺧﻄـﺮ‬
‫)ﺳـﻴﮕﺎر‪ ،P= 0.007 :‬اﻟﻜـﻞ‪ (P= 0.019 :‬و ﺗﻌﻬـﺪ )ﺳـﻴﮕﺎر‪ ،P=0.002 :‬اﻟﻜـﻞ‪ (P= 0.094 :‬و ارﺗﺒـﺎط ﺑـﺎ‬
‫ﻫﻤﺴﺎﻻن در ﻣﺪرﺳﻪ )اﻟﻜﻞ‪ (P= 0.018 :‬در ﺑﻴﻦ داﻧﺶآﻣﻮزان ﭘﺮﺧﻄﺮ ﺑﺎﻻﺗﺮ از ﺳﺎﻳﺮﻳﻦ اﺳـﺖ‪ .‬در ﺗﺤﻘﻴـﻖ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺣﺎﺿﺮ ﻣﺸﺨﺺ ﺷﺪ ﻛﻪ در ﮔﺮاﻳﺶ ﺑﻪ اﻟﻜﻞ‪ ،‬ﻧﻮﺟﻮاﻧﺎن ﺧﻄﺮﭘﺬﻳﺮ ﺑﻪﻃﺮز ﻣﻌﻨـﻲ داري از ﻣﻴـﺎﻧﮕﻴﻦ ﺑـﺎﻻﺗﺮي‬
‫ﻧﺴﺒﺖ ﺑﻪ ﻧﻮﺟﻮاﻧﺎن ﻛﻢ ﺧﻄﺮ در ارﺗﺒﺎط ﺑﺎ ﻫﻤﺴﺎﻻن در ﻣﺪرﺳﻪ ﺑﺮﺧﻮردار ﺑﻮدﻧﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﻮء ﻣﺼﺮف‪ ،‬ﺳﻴﮕﺎر‪ ،‬ﻣﻮاد ﻣﺨﺪر و روان ﮔﺮدان‪ ،‬اﻟﻜﻞ‪ ،‬ﮔﺮاﻳﺶ‪ ،‬ﻧﻮﺟﻮاﻧﺎن‪ ،‬ﻣﺪرﺳﻪ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻣﻘﺎﻳﺴﻪ ﺗﺄﺛﻴﺮ ارﺗﺰ ﻋﻤﻠﻜﺮدي ﺑﺎ و ﺑﺪون ﺗﺤﻤﻞ وزن از ﻧﺎﺣﻴﻪ ﺗﺎﻧـﺪون ﭘـﺎﺗﻼر در درﻣـﺎن ﺑﻴﻤـﺎران‬
‫ﻣﺒﺘﻼ ﺑﻪ ﭘﺎرﮔﻲ ﺗﺎﻧﺪون آﺷﻴﻞ‬
‫ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‬
‫ﻫﺪف‪ :‬ﭘﺎرﮔﻲ ﺗﺎﻧﺪون آﺷﻴﻞ ﻳﻚ ﻋﺎرﺿﻪ ﻧﺎﺗﻮان ﻛﻨﻨﺪه ﺑﻮده و ‪ 11-18‬درﺻﺪ ﻛﻞ ﭘﺎرﮔﻴﻬﺎي ﺗﺎﻧﺪوﻧﻲ‬
‫را ﺑﻪ ﺧﻮد اﺧﺘﺼﺎص ﻣﻲدﻫﺪ‪ .‬ﻫﺪف اﻳﻦ ﻣﻄﺎﻟﻌﻪ‪ ،‬ﺑﺮرﺳـﻲ و ﻣﻘﺎﻳـﺴﻪ ﺗـﺄﺛﻴﺮ ﺑـﺮﻳﺲ ﻋﻤﻠﻜـﺮدي ﺑـﺎ و ﺑـﺪون‬
‫ﺗﺤﻤﻞ وزن از ﺗﺎﻧﺪون ﭘﺎﺗﻼ ﺑﺮ ﻗﺪرت ﭘﻼﻧﺘﺎر ﻓﻠﻜﺸﻦ‪ ،‬ﻣﻴﺰان رﺿﺎﻳﺘﻤﻨﺪي و ﻣﺤﻴﻂ ﻛﺎف ﺑﻴﻤـﺎران ﻣﺒـﺘﻼ ﺑـﻪ‬
‫ﭘﺎرﮔﻲ ﺗﺎﻧﺪون آﺷﻴﻞ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫روش ﺑﺮرﺳﻲ‪ :‬در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺷﺒﻪ ﺗﺠﺮﺑﻲ ﺗﻌﺪاد ‪ 17‬ﺑﻴﻤﺎر ﺑﺎ ﭘﺎرﮔﻲ ﺗﺎﻧﺪون آﺷﻴﻞ وارد ﺗﺤﻘﻴﻖ ﺷـﺪﻧﺪ‬
‫ﻛﻪ ‪ 3‬ﻧﻔﺮ آﻧﻬﺎ در ﻣﺮاﺣﻞ ﭘﻴﮕﻴﺮي ﺣﺬف و ﺗﻨﻬﺎ ‪ 14‬ﻧﻔﺮ ﻣﻄﺎﻟﻌـﻪ را ﺑـﻪ ﭘﺎﻳـﺎن رﺳـﺎﻧﺪﻧﺪ‪ .‬اﻳـﻦ اﻓـﺮاد ﺑـﻪ ﻃـﻮر‬
‫اﺗﻔﺎﻗﻲ در دو ﮔﺮوه ﺗﻘﺴﻴﻢﺑﻨﺪي ﺷﺪﻧﺪ‪ .‬ﻣﻴﺰان رﺿـﺎﻳﺘﻤﻨﺪي‪ ،‬ﻗـﺪرت ﭘﻼﻧﺘـﺎر ﻓﻠﻜـﺸﻦ و ﻧﻴـﺰ ﻣﺤـﻴﻂ ﻛـﺎف‬
‫ﺑﻴﻤﺎران اﻧﺪازهﮔﻴﺮي ﺷﺪ‪ .‬از آزﻣﻮﻧﻬﺎي ﺗﻲ ﻣﺴﺘﻘﻞ؛ اﺳﻤﻴﺮوﻧﻮف ﻛﻮﻟﻤﻮﮔﺮوف و اﺧﺘﻼف ﻣﻴﺎﻧﮕﻴﻨﻬـﺎ ﺑـﺮاي‬
‫ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ دادهﻫﺎ ﺑﺎ ﻧﺮم اﻓﺰار‪ SPSS 13‬اﺳﺘﻔﺎده ﮔﺮدﻳﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در ﻫﺮ ﮔﺮوه ﺗﻔﺎوت ﻣﻘﺪار ﻣﺤﻴﻂ ﻛﺎف و ﻗﺪرت ﭘﻼﻧﺘﺎر ﻓﻠﻜﺸﻦ در دو ﻣﺮﺣﻠﻪ ﻗﺒﻞ و ﺑﻌـﺪ از‬
‫ﻣﺪاﺧﻠﻪ از ﻧﻈﺮ آﻣﺎري ﻣﻌﻨﺎدار ﺷﺪه ﺑﻮد )‪ (P<0.05‬وﻟﻲ ﺑﻴﻦ دو ﮔﺮوه ﺗﻔﺎوﺗﻲ از ﻧﻈـﺮ آﻣـﺎري در ﺗـﺄﺛﻴﺮ ﺑـﺮ‬
‫ﻣﺘﻐﻴﻴﺮﻫﺎ دﻳﺪه ﻧﺸﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺑﺮ اﺳﺎس ﻧﺘﺎﻳﺞ ﺗﺤﻘﻴﻖ ﻣﻲﺗﻮن ﮔﻔﺖ؛ ﻫﺮ دو ﻧﻮع ارﺗﺰ ﺑﺮ اﻓﺰاﻳﺶ ﻗﺪرت ﭘﻼﻧﺘﺎر ﻓﻠﻜـﺸﻦ‬
‫و ﻧﻴﺰ ﻛﺎﻫﺶ ﺣﺠﻢ ﻛﺎف ﺑﻴﻤﺎران ﻣﺆﺛﺮ ﺑﻮدهاﻧﺪ وﻟﻲ ﻫﻴﭻ ﺗﻔﺎوﺗﻲ ﺑﻴﻦ ارﺗﺰﻫﺎ از ﻧﻈﺮ ﻣﻴﺰان ﺗﺄﺛﻴﺮ ﺑﺮ ﻣﺘﻐﻴﻴﺮﻫـﺎ‬
‫وﺟﻮد ﻧﺪاﺷﺖ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﭘﺎرﮔﻲ ﺗﺎﻧﺪون آﺷﻴﻞ‪ ،‬ﺑﺮﻳﺲ ﻋﻤﻠﻜﺮدي‪ ،‬ﻛﺎف؛ ﭘﻼﻧﺘﺎر ﻓﻠﻜﺸﻦ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ اﻟﮕﻮ‪ ،‬ﻛﻴﻔﻴﺖ‪ ،‬اﺧﺘﻼﻻت واﺑﺴﺘﻪ و ﻣﻴﺰان ﺧﻮاب آﻟﻮدﮔﻲ در اﻓﺮاد ﺳﺎﻟﻤﻨﺪ ﻣﺮاﺟﻌﻪ ﻛﻨﻨـﺪه‬
‫ﺑﻪ ﺳﺎزﻣﺎن ﺑﺎزﻧﺸﺴﺘﮕﻲ‬
‫ﺳﻴﺪﻛﺎﻇﻢ ﻣﻠﻜﻮﺗﻲ‪ ،‬ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫زﻣﻴﻨﻪ‪ :‬ﺳﺎﻟﻤﻨﺪان از وﺿﻌﻴﺖ ﺧﻮاب ﺧﻮد ﺑﻴﺶ از ﺟﻮاﻧﺎن ﺷﻜﺎﻳﺖ ﻣﻲﻛﻨﻨﺪ ﻛﻪ ﺗﻐﻴﻴﺮ اﻟﮕﻮي ﺧـﻮاب ـ‬
‫ﺑﻴﺪاري ﺑﺎ اﻓﺰاﻳﺶ ﺳﻦ و اﺑﺘﻼ ﺑﻪ ﺑﻴﻤﺎريﻫﺎي رواﻧﻲ و ﺟﺴﻤﻲ ﮔﻮﻧـﺎﮔﻮن را ﻣـﻲﺗـﻮان از ﻋﻠـﻞ آن داﻧـﺴﺖ‪.‬‬
‫ﻫﺪف از اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﻲ ﻣﻘﺪﻣﺎﺗﻲ اﻟﮕﻮ و اﺧﺘﻼﻻت ﺧﻮاب در ﺳﺎﻟﻤﻨﺪان اﺳﺖ‪.‬‬
‫روش اﺟﺮا‪ :‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﻴﻔﻲ ـ ﺗﺤﻠﻴﻠﻲ اﺳﺖ‪ 390 .‬ﻧﻔـﺮ از ﺳـﺎﻟﻤﻨﺪان ﻣﺮاﺟﻌـﻪ ﻛﻨﻨـﺪه ﺑـﻪ ﺳـﺎزﻣﺎن‬
‫ﺑﺎزﻧﺸﺴﺘﮕﻲ ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﻴﺮي آﺳﺎن اﻧﺘﺨﺎب و ﭘﺲ از اﺧﺬ رﺿﺎﻳﺖ ﻛﺘﺒـﻲ ﺗﺤـﺖ ﺑﺮرﺳـﻲ ﺑـﺎ ﺷـﺎﺧﺺ‬
‫ﻛﻴﻔﻴﺖ ﺧﻮاب ﭘﻴﺘﺴﺒﻮرگ‪ ،‬ﻣﻘﻴﺎس ﺧﻮاب اﭘﻮرث و ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳـﻼﻣﺖ ﻋﻤـﻮﻣﻲ ﻗـﺮار ﮔﺮﻓﺘﻨـﺪ‪.‬دادهﻫـﺎ ﺑـﺎ‬
‫اﺳﺘﻔﺎده از آﻣﺎرﺗﻮﺻﻴﻔﻲ و آزﻣﻮنﻫﺎي ﻛﺎي اﺳﻜﻮﺋﺮ‪ ،‬ﺗﻲ ﺗﺴﺖ‪ ،‬آﻧﺎﻟﻴﺰ وارﻳﺎﻧﺲ ﻳـﻚ ﻃﺮﻓـﻪ و رﮔﺮﺳـﻴﻮن‬
‫ﻟﺠﺴﺘﻴﻚ ﺗﺤﻠﻴﻞ ﺷﺪﻧﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻧﺘﺎﻳﺞ ﻧﺸﺎن داد ﻛﻪ اﻛﺜﺮ آزﻣﻮدﻧﻲﻫﺎ در ﮔﺴﺘﺮه ﺳﻨﻲ ‪ 75-60‬ﺳﺎل‪ ،‬ﺑﺎ ﺳـﻮاد و ﻣﺘﺄﻫـﻞ ﺑـﻮده وﺑـﺎ‬
‫ﺧﺎﻧﻮاده زﻧﺪﮔﻲ ﻣﻲﻛﻨﻨﺪ‪ .‬ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤﺮه ﺧﻮاب آﻧﻬﺎ ‪ 8/4‬و ‪ %87‬از آﻧﻬـﺎ ﺑـﺎﻻي ﻧﻘﻄـﻪ ﺑـﺮش ﻗـﺮار داﺷـﺘﻨﺪ‪.‬‬
‫ﺷﺎﻳﻌﺘﺮﻳﻦ اﺧﺘﻼﻻت ﺧﻮاب ﻋﺒﺎرت ﺑﻮدﻧﺪ از ﺧﺮوﭘﻒ ﻛﺮدن )‪ ،(%26/7‬ﺑﻲ ﺧﻮاﺑﻲ )‪ ،(%30/5‬ﺧﻮاب ﻛﻤﺘﺮ‬
‫از ‪ 6‬ﺳﺎﻋﺖ )‪ (%47/4‬و ﺑﻴﺪاري ﻣﻜﺮر )‪ %30 .(%48/5‬از آزﻣﻮدﻧﻲﻫـﺎ ﻧﻴـﺰ از ﺧـﻮاب آﻟـﻮدﮔﻲ ﺧﻔﻴـﻒ ﺗـﺎ‬
‫ﺷﺪﻳﺪ ﺷﻜﺎﻳﺖ داﺷﺘﻨﺪ‪ .‬آزﻣﻮن رﮔﺮﺳﻴﻮن ﻟﺠﺴﺘﻴﻚ ﻧﺸﺎن داد ﻛﻪ از ﻣﻴﺎن ﻋﻮاﻣﻞ ﺑﺮرﺳﻲ ﺷﺪه ﺗﻨﻬﺎ ﺳﻼﻣﺖ‬
‫روان ﺑﺎ ﺧﻮاب آﻟﻮدﮔﻲ ارﺗﺒﺎﻃﻲ ﻣﻌﻨﻲدار دارد )‪.(OR= 1.8‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺷﻴﻮع اﺧﺘﻼﻻت ﺧﻮاب در ﺳﺎﻟﻤﻨﺪان ﺑﻪ ﻧﻈﺮ ﻣﻲرﺳﺪ ﻛﻪ در ارزﻳﺎﺑﻲ ﻋﻨﺎﺻـﺮ‬
‫ﻣﺆﺛﺮ ﺑﺮ ﺧﻮاب ﺑﺎﻳﺪ ﺑﻪ ﭘﺎراﻣﺘﺮﻫﺎي زﻧﺪﮔﻲ روزاﻧﻪ و ﺷﻴﻮه ﻏﺎﻟـﺐ زﻧـﺪﮔﻲ ﺳـﺎﻟﻤﻨﺪان ﻧﻴـﺰ ﺗﻮﺟـﻪ ﻛـﺮد و از‬
‫آﻧﺠﺎ ﻛﻪ ﻧﺘﺎﻳﺞ اﻳﻦ ﺗﺤﻘﻴﻖ ﺗﻨﻬﺎ ﺑﻪ ﺳﺎﻟﻤﻨﺪان ﻃﺒﻘﻪ ﻣﺘﻮﺳﻂ ﺳﺎﻛﻦ ﺷﻬﺮﻫﺎي ﺑﺰرگ ﺗﻌﻤﻴﻢﭘﺬﻳﺮ اﺳـﺖ‪ ،‬اﻧﺠـﺎم‬
‫ﺗﺤﻘﻴﻘﺎت ﻣﺸﺎﺑﻪ در ﺳﺎﻟﻤﻨﺪان روﺳﺘﺎﻳﻲ و ﻧﻴﺰ در ﺳﻄﺢ ﻛﺸﻮري ﺗﻮﺻﻴﻪ ﻣﻲﺷﻮد‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ آﻣﻮزش ﺑﻬﺪاﺷﺖ ﺗﻐﺬﻳﻪ در ارﺗﻘﺎي ﺳﻼﻣﺖ ﺗﻐﺬﻳﻪاي ﺳﺎﻟﻤﻨﺪان آﺳﺎﻳﺸﮕﺎه ﻛﻬﺮﻳﺰك‬
‫ﺗﻬﺮان‬
‫ﺳﻴﻤﺎ ﻗﺎﺳﻤﻲ‬
‫زﻣﻴﻨﻪ ﺗﺤﻘﻴﻖ‪ :‬ﺳﺎﻟﻤﻨﺪي ﺑﻪ ﻋﻨﻮان دورهاي از زﻧﺪﮔﻲ ﺗﻠﻘﻲ ﻣﻲﮔﺮدد ﻛﻪ ﺑﺎ ﺗﻐﻴﻴﺮاﺗـﻲ در ﻣﺘﺎﺑﻮﻟﻴـﺴﻢ و‬
‫ﺳﻮﺧﺖ و ﺳﺎز ﺑﺪن ﻫﻤﺮاه ﻣﻲﺑﺎﺷﺪ‪ .‬اﻳﻦ ﺗﻐﻴﻴﺮات ﺳﺎﻟﻤﻨﺪان را ﻣﺴﺘﻌﺪ ﺑﺮوز ﺳﻮء ﺗﻐﺬﻳﻪ ﻣـﻲﻧﻤﺎﻳـﺪ‪ ،‬ﭼﻨﺎﻧﭽـﻪ‬
‫ﻃﻲ ﺑﺮرﺳﻲﻫﺎ ‪ %3-13‬از ﺳﺎﻟﻤﻨﺪان ﺟﺎﻣﻌﻪ ﻣﺒﺘﻼ ﺑﻪ ﺳﻮء ﺗﻐﺬﻳﻪ ﻣﻲﺑﺎﺷﻨﺪ و اﻳﻦ ﻣﻴـﺰان در ﺳـﺎﻟﻤﻨﺪان ﺳـﺎﻛﻦ‬
‫آﺳﺎﻳﺸﮕﺎه ﺑﻴﻦ ‪ % 30-60‬ﻣﻲﺑﺎﺷﺪ‪ .‬در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺗﺄﺛﻴﺮ آﻣﻮزش ﺑﻪ ﻛﺎرﻛﻨﺎن ﭘﺰﺷﻜﻲ ـ ﺑﻬﺪاﺷﺘﻲ و ﻣﺮاﻗﺒـﺎن‬
‫ﺳﺎﻟﻤﻨﺪان ﺑﺮ وﺿﻌﻴﺖ ﺗﻐﺬﻳﻪاي ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ آﺳﺎﻳﺸﮕﺎه ﻛﻬﺮﻳﺰك ﺷﻬﺮ ﺗﻬﺮان در ﻣﺪت ﭼﻬﺎر ﻣـﺎه ﻣـﻮرد‬
‫ارزﻳﺎﺑﻲ ﻗﺮار ﮔﺮﻓﺖ‪.‬‬
‫ﻣﻮاد و روشﻫﺎ‪ 192 :‬ﻧﻔﺮ ﺳﺎﻟﻤﻨﺪ از ﺳﺎﻟﻤﻨﺪان ﻋﻼﻗـﻪﻣﻨـﺪ ﺑـﻪ ورود ﺑـﻪ ﻣﻄﺎﻟﻌـﻪ )‪ 50‬ﻣـﺮد و ‪ 142‬زن(‬
‫ﺳﺎﻛﻦ در آﺳﺎﻳﺸﮕﺎه ﺧﻴﺮﻳﻪ ﻛﻬﺮﻳﺰك ﻛﻪ ‪ 65‬ﺳﺎل و ﺑﻴـﺸﺘﺮ ﺳـﻦ داﺷـﺘﻨﺪ و ﺑـﻪ ﺑﻴﻤـﺎري ﻛﺒـﺪي و ﻛﻠﻴـﻮي‬
‫ﭘﻴﺸﺮﻓﺘﻪ ﻣﺒﺘﻼ ﻧﺒﻮدﻧﺪ و ﺳﺎﺑﻘﻪ ﻋﻤﻞ ﺟﺮاﺣﻲ در ﻳﻚ ﻣﺎه ﻗﺒﻞ از ﺷﺮوع ﻣﻄﺎﻟﻌـﻪ ﻧﺪاﺷـﺘﻨﺪ‪ ،‬ﺑـﻪ ﻃـﻮر ﺗـﺼﺎدﻓﻲ‬
‫اﻧﺘﺨﺎب و ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺘﻨﺪ‪ .‬در اﻳﻦ اﻓﺮاد آزﻣﺎﻳﺸﺎت ﻫﻤﻮﮔﻠﻮﺑﻴﻦ‪ ،‬ﻫﻤﺎﺗﻮﻛﺮﻳﺖ‪ ،‬ﻟﻴﭙﻮﭘﺮوﺗﺌﻴﻦ ﻛـﻢ‬
‫ﺗﺮاﻛﻢ ﺳﺮم‪ ،‬ﻟﻴﭙﻮﭘﺮوﺗﺌﻴﻦ ﭘﺮ ﺗﺮاﻛﻢ ﺳﺮم‪ ،‬ﻗﻨـﺪ ﺧـﻮن ﻧﺎﺷـﺘﺎ و ‪ 1CRP‬ﻗﺒـﻞ و ﭘـﺲ از ﻣﺪاﺧﻠـﻪ اﻧـﺪازهﮔﻴـﺮي‬
‫ﮔﺮدﻳﺪ‪ .‬ﻫﻤﭽﻨﻴﻦ اﺑﺰارﻫﺎي ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﻐﺬﻳﻪ ‪ 2MNA‬ﺑﺮرﺳـﻲ ﻣﺨﺘـﺼﺮ ﺷـﻨﺎﺧﺘﻲ ‪ ،3MMSE‬ﺑﺮرﺳـﻲ‬
‫وﺿﻌﻴﺖ ﻓﻌﺎﻟﻴﺖﻫﺎي روزﻣﺮه زﻧـﺪﮔﻲ‪ 4‬و ﺑﺮرﺳـﻲ ﺧﻄـﺮ زﺧـﻢ ﺑـﺴﺘﺮ ‪ Norton‬ﺗﻮﺳـﻂ ﻛﺎرﺷﻨﺎﺳـﺎن ﺗﻐﺬﻳـﻪ‬
‫ارزﻳﺎﺑﻲ ﮔﺮدﻳﺪ‪ .‬ﺳﭙﺲ ﺗﻤﺎم ﻛﺎرﻛﻨﺎن و ﻣﺮاﻗﺒﺎن ﭘﺰﺷﻜﻲ ـ ﺑﻬﺪاﺷﺘﻲ آﺳﺎﻳﺸﮕﺎه ﻛﻬﺮﻳﺰك ﺑـﻪ ﻣـﺪت ‪ 3‬روز‬
‫در ﻳﻚ ﻛﺎرﮔﺎه آﻣﻮزﺷﻲ ﺗﺤﺖ آﻣﻮزش ﻗﺮار ﮔﺮﻓﺘﻨﺪ و ﭘﺲ از ﮔﺬﺷﺖ ﭼﻬﺎر ﻣﺎه ﻣﺠﺪداً ﺗﻤﺎم آزﻣﺎﻳﺸﺎت‬
‫ﭘﺎراﻛﻠﻴﻨﻴﻜﻲ و ﺗﺴﺖﻫﺎي ﺑﺎﻟﻴﻨﻲ ﻓﻮق اﻧﺠﺎم ﮔﺮدﻳﺪ‪ .‬ﺑﻌﺪ از ورود اﻃﻼﻋﺎت‪ ،‬ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ آﻣﺎري ﺑـﺎ ﻧـﺮم‬
‫اﻓﺰار آﻣﺎري ‪ SPSS‬اﻧﺠﺎم ﮔﺮﻓﺖ‪.‬‬
‫‪1- C.Reactive protein‬‬
‫‪2- Mini Nutrition Assessment‬‬
‫‪3- Mini Mental state Examiniation‬‬
‫‪4- Activities of dialy Living‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻳﺎﻓﺘﻪﻫﺎي ﺗﺤﻘﻴﻖ‪ :‬ﺑﻄﻮر ﻛﻠﻲ ﺑﺮ اﺳﺎس ﻳﺎﻓﺘﻪﻫﺎي ﺣﺎﺻـﻞ از اﻳـﻦ ﺗﺤﻘﻴـﻖ و ﺑـﺮ اﺳـﺎس اﺑـﺰار ﺑﺮرﺳـﻲ‬
‫‪ %35/9 ،MNA‬از ﺳﺎﻟﻤﻨﺪان ﻗﺒﻞ از آﻣﻮزش دﭼﺎر ﺳﻮء ﺗﻐﺬﻳﻪ ﺑﺴﻴﺎر ﺷﺪﻳﺪ ﺑﻮدهاﻧﺪ ﻛﻪ اﻳﻦ ﻣﻴـﺰان ﭘـﺲ از‬
‫از آﻣﻮزش ﺑﻪ ‪ %18/3‬ﻛﺎﻫﺶ ﻳﺎﻓﺘﻪ اﺳﺖ‪ .‬ﭘﺲ از آﻣﻮزش ﻣﻴﺎﻧﮕﻴﻦ آﻟﺒﻮﻣﻴﻦ از ‪ 3/98‬ﺑﻪ ‪ ،4/11‬ﻫﻤﻮﮔﻠـﻮﺑﻴﻦ‬
‫از ‪ 12/7‬ﺑﻪ ‪ ،13/03‬ﻫﻤﺎﺗﻮﻛﺮﻳﺖ از ‪ 37/86‬ﺑﻪ ‪ 38/8‬و ﻟﻴﭙﻮﭘﺮوﺗﺌﻴﻦ ﻛﻢ ﺗﺮاﻛﻢ ﺳﺮم‪ 1‬از ‪ 135/13‬ﺑﻪ ‪146/25‬‬
‫و ﻗﻨﺪ ﺧﻮن ﻧﺎﺷﺘﺎء‪ 2‬از ‪ 81/92‬ﺑﻪ ‪ 95/8‬اﻓﺰاﻳﺶ ﻳﺎﻓﺖ و اﺧﺘﻼف ﻣﻌﻨﻲدار ﺑـﻮد‪ .‬ﻣﻴـﺎﻧﮕﻴﻦ ﻟﻴﭙـﻮ ﭘـﺮوﺗﺌﻴﻦ ﭘـﺮ‬
‫ﺗﺮاﻛﻢ ﺳﺮم‪ 3‬از ‪ 43/84‬ﺑﻪ ‪ 42/85‬رﺳﻴﺪ و اﺧﺘﻼف ﻣﻌﻨﻲدار ﻧﺒﻮد‪ .‬وﺿﻌﻴﺖ ﺗﻐﺬﻳﻪ ﺑﺎ ﺳﻦ‪ ،‬اﺧﺘﻼل در دﻫﺎن‪،‬‬
‫اﺧﺘﻼل در ﺑﻠﻊ‪ ،‬ﻣﺼﺮف داروﻫﺎي ﻣﻮرد ﻧﻈﺮ‪ ،‬وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ اﻓﺮاد‪ ،‬وﺿﻌﻴﺖ اﻣﺘﻴﺎز ‪ ADL‬اﻓـﺮاد در ﻏـﺬا‬
‫ﺧﻮردن و اﻣﺘﻴﺎز ﻧﻮرﺗﻮن‪ ،‬راﺑﻄﻪ ﻣﻌﻨﻲدار داﺷﺖ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺑﺮ اﺳﺎس ﻳﺎﻓﺘﻪﻫﺎي ﺣﺎﺻﻞ از ﭘﮋوﻫﺶ ﻣﻲﺗـﻮان ﻧﺘﻴﺠـﻪ ﮔﺮﻓـﺖ ﻛـﻪ آﻣـﻮزش در ﺑﻬﺒـﻮد‬
‫ﺷﺎﺧﺺﻫﺎي ﺗﻐﺬﻳﻪاي از ﺟﻤﻠﻪ آﻟﺒﻮﻣﻴﻦ‪ ،‬ﻫﻤﻮﮔﻠﻮﺑﻴﻦ و ﻫﻤﺎﺗﻮﻛﺮﻳﺖ ﻣﺆﺛﺮ ﺑﻮده و در ﻛﺎﻫﺶ ﺗﻌﺪاد اﻓﺮاد ﺑﺎ‬
‫ﺳﻮء ﺗﻐﺬﻳﻪ ﺷﺪﻳﺪ و ﻣﺘﻮﺳﻂ ﻧﻴﺰ ﻣﺆﺛﺮ ﺑﻮده اﺳﺖ‪ ،‬ﭘﻴﺸﻨﻬﺎد ﻣﻲﮔﺮدد‪ ،‬ﺑﺮﻧﺎﻣﻪﻫـﺎي آﻣـﻮزش ﺗﻐﺬﻳـﻪ ﺑـﺼﻮرت‬
‫ﻣﺴﺘﻤﺮ و ﻫﻤﺮاه ﺑﺎ ﻣﺪاﺧﻠﻪ در رژﻳﻢ ﻏﺬاﻳﻲ اﻓﺮاد‪ ،‬اراﺋﻪ ﮔﺮدد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﺎﻟﻤﻨﺪي‪ ،‬ﺗﻐﺬﻳﻪ‪ ،‬آﻣﻮزش ﺑﻬﺪاﺷﺖ‬
‫‪1 - Low Density Lipoprotein‬‬
‫‪2 - Fosting Blood Suger‬‬
‫‪3 - High Desity Lipoprotein‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪ راﻫﺒﺮدي ﭘﻨﺠﺴﺎﻟﻪ ‪1382-1386‬و ﻋﻤﻠﻜﺮد ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ژﻧﺘﻴﻚ‬
‫ﺣﺴﻴﻦ ﻧﺠﻢآﺑﺎدي‬
‫ﻳــﻚ ﻣﻄﺎﻟﻌــﻪ ﺗﻮﺻــﻴﻔﻲ از ارزﻳــﺎﺑﻲ اﻫــﺪاف ﻋﻴﻨــﻲ ﺑﺮﻧﺎﻣــﻪ راﻫﺒــﺮدي ﭘﻨﺠــﺴﺎﻟﻪ )‪ (1382-1386‬ﻣﺮﻛــﺰ‬
‫ﺗﺤﻘﻴﻘﺎت ژﻧﺘﻴﻚ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﻣﻲﺑﺎﺷﺪ ﻛﻪ ﻫﺪف اﺻﻠﻲ آن ﺗﻌﻴـﻴﻦ ﻧﻘـﺎط ﻗـﻮت و‬
‫ﺿﻌﻒ‪ ،‬اﻫﺪاف ﺗﻌﺮﻳﻒ ﺷﺪه در ﺑﺮﻧﺎﻣﻪ راﻫﺒﺮدي ﭘﻨﺠﺴﺎﻟﻪ اول ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﺑﺎ اﺳﺘﻔﺎده از ﻧﺘﺎﻳﺞ ﺣﺎﺻـﻠﻪ ﺑﺮﻧﺎﻣـﻪ راﻫﺒـﺮدي ﭘﻨﺠـﺴﺎﻟﻪ دوم ﻣﺮﻛـﺰ ﺗﺤﻘﻴﻘـﺎت ژﻧﺘﻴـﻚ داﻧـﺸﮕﺎه ﻋﻠـﻮم‬
‫ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺎزﻧﮕﺮي ﺧﻮاﻫﺪ ﺷﺪ‪ .‬ﺑﺪﻳﻦ ﻣﻌﻨﻲ ﻛﻪ ﻧﻘﺎط ﺿﻌﻔﻲ ﻛﻪ در ﻃﻮل ﺑﺮﻧﺎﻣﻪ اول ﻣـﺸﺨﺺ‬
‫ﮔﺮدﻳﺪه از ﺑﺮﻧﺎﻣﻪ راﻫﺒﺮدي ﺣﺬف و ﻳﺎ ﺑﺎ اراﺋﻪ راﻫﻜﺎرﻫﺎي ﻣﻨﺎﺳﺐ ﻧﺴﺒﺖ ﺑﻪ رﻓﻊ آﻧﻬـﺎ اﻗـﺪام ﺧﻮاﻫـﺪ ﺷـﺪ‪.‬‬
‫ﻫﻤﭽﻨﻴﻦ ﻧﻘﺎط ﻗﻮﺗﻲ ﻛﻪ در ﻃﻮل ﺑﺮرﺳﻲ و ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ارزﻳﺎﺑﻲﻫﺎي اﻧﺠـﺎم ﺷـﺪه در ﻃـﻲ ﭘﻨﺠـﺴﺎل )‪-1386‬‬
‫‪ (1382‬ﺗﻮﺳﻂ ﻣﻌﺎوﻧﺖ ﺗﺤﻘﻴﻘـﺎت و ﻓﻨـﺎوري وزارت ﺑﻬﺪاﺷـﺖ درﻣـﺎن و آﻣـﻮزش ﭘﺰﺷـﻜﻲ اﻧﺠـﺎم ﺷـﺪه‪،‬‬
‫ﺗﻘﻮﻳﺖ ﺧﻮاﻫﺪ ﺷﺪ‪.‬‬
‫اﻳﻦ ارزﺷﻴﺎﺑﻲ ﺑﺮ اﺳﺎس اﻫﺪاف ﺑﺮﻧﺎﻣﻪ راﻫﺒﺮدي ﻧﺸﺎن داد ﻛﻪ‪:‬‬
‫‪ 71/4 (1‬درﺻﺪ اﻛﺜﺮﻳﺖ اﻋﻀﺎي ﻫﻴﺎت ﻋﻠﻤﻲ ﻣﻴﺰان دﺳﺘﺮﺳﻲ ﺑﻪ اﻫﺪاف را ﻣﻄﻠﻮب اﻋﻼم ﻧﻤﻮدهﻧﺪ‪.‬‬
‫‪ 64/3 (2‬درﺻﺪ داﻧﺸﺠﻮﻳﺎن ﻓﻘﻂ اﻫﺪاف را ﺑﺮ اﺳﺎس ﻧﻴﺎزﻫﺎي ﺧﻮد ﻣﻲداﻧﻨﺪ‪ .‬ﻛـﻪ اﻳـﻦ ﻧـﺸﺎن دﻫﻨـﺪه‬
‫اﻳﻦ اﺳﺖ ﻛﻪ در ﺗﺪوﻳﻦ ﺑﺮﻧﺎﻣﻪ راﻫﺒﺮدي ﻣﻲﺑﺎﻳﺴﺖ از اﻳﻦ ﻣﺨﺎﻃﺒﺎن ﻧﻴﺰ اﺳﺘﻔﺎده ﻣﻲﮔﺮدﻳﺪ‪.‬‬
‫‪ (3‬ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ژﻧﺘﻴﻚ درﺧﺼﻮص ﺗﻮﻟﻴﺪ داﻧﺶ از رﺷﺪ ﻣﻘﺎﻻت ﺣـﺪود ‪ 81/8‬درﺻـﺪ ﺑﺮﺧـﻮدار‬
‫ﺑﻮده اﺳﺖ‪.‬‬
‫‪ (4‬در ﻣﻮرد ﺗﺮﺑﻴﺖ ﻧﻴﺮوﻫﺎي ﻣﺘﺨـﺼﺺ و ﭘﮋوﻫـﺸﮕﺮ‪ ،‬ﻋﻠﻴـﺮﻏﻢ وﺟـﻮد ﻣـﺸﻜﻼت دوره ﻛﺎرﺷﻨﺎﺳـﻲ‬
‫ارﺷﺪ و در ﺳﺎل ‪ 1386‬رﺷﺘﻪ ‪ PhD‬ژﻧﺘﻴﻚ اﻧﺴﺎﻧﻲ ﻣﺤﻘﻖ ﮔﺮدﻳﺪ‪.‬‬
‫ﻋﺪم ﺗﺤﻘﻖ ﺑﻌﻀﻲ از اﻫﺪاف ﻋﻴﻨﻲ ﺑﻪ دو ﮔﺮوه ﻃﺒﻘﻪﺑﻨﺪي ﻣﻲﮔﺮدد‪:‬‬
‫‪ -1‬ﻣﻮاﻧﻊ و ﻣﺸﻜﻼت ﺧﺎرج از ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ژﻧﺘﻴﻚ ﻛﻪ ﺷﺎﻣﻞ‪:‬‬
‫‪ o‬ﻋﺪم ﺗﻨﺎﺳﺐ ﺳـﺮﻋﺖ رﺷـﺪ آﻣﻮزﺷـﻲ و ﭘﮋوﻫـﺸﻲ ﻣﺮﻛـﺰ ﺗﺤﻘﻴﻘـﺎت ﻣﺘﻨﺎﺳـﺐ ﺑـﺎ واﮔـﺬاري ﻓـﻀﺎ‬
‫وﺗﺠﻬﻴﺰات ﻇﺮف ﭘﻨﺞ ﺳﺎل ﮔﺬﺷﺘﻪ‬
‫‪ o‬ﺗﻐﻴﻴﺮ ﺳﻴﺎﺳﺖﻫﺎي داﻧﺸﮕﺎه در ﺧﺼﻮص ﺧﺪﻣﺎت رﺳﺎﻧﻲ ﺑﻪ ﺑﻴﻤﺎران‬
‫‪ -2‬ﻋﻤﻠﻴﺎﺗﻲ ﻧﺒﻮدن ﺑﻌﻀﻲ از اﻫﺪاف ﻋﻴﻨﻲ ﺗﻌﻴﻴﻦ ﺷﺪه در ﺑﺮﻧﺎﻣﻪ اﺳﺘﺮاﺗﮋﻳﻚ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ ﻛﻮدﻛﺎن ﻓﺎرﺳﻲ زﺑﺎن ﻋﺎدي ‪ 2-4‬ﺳﺎﻟﻪ ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻃﺎﻫﺮه ﺳﻴﻤﺎ ﺷﻴﺮازي‬
‫ﻫﺪف‪ :‬ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ ﺑﻪ ﻣﻌﻨﺎي ﺗﻐﻴﻴﺮاﺗﻲ اﺳﺖ ﻛﻪ ﻛﻮدﻛﺎن ﺑﻪ ﻫﻨﮕﺎم ﺑﻴﺎن ﻛﻠﻤﺎت در ﻧﺤـﻮه ﺗﻠﻔـﻆ‬
‫آن اﻳﺠﺎد ﻣﻲﻛﻨﻨﺪ ﺗﺎ ﺑﻴﺎن آنﻫﺎ ﺑﺮاي اﻳﺸﺎن راﺣﺖﺗﺮ ﺷﻮد‪ .‬اﻳﻦ ﭘﺰوﻫﺶ ﺑﺎ ﻫﺪف ﺑﺮرﺳﻲ ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ‬
‫ﻛﻮدﻛﺎن ﻋﺎدي ﻓﺎرﺳﻲ زﺑﺎن ‪ 2-4‬ﺳﺎﻟﻪ ﺻﻮرت ﮔﺮﻓﺖ‪.‬‬
‫روش ﭘﮋوﻫﺶ‪ :‬اﻳﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﻣﻘﻄﻌﻲ‪ ،‬و ﺗﻮﺻﻴﻔﻲ ـ ﺗﺤﻠﻴﻠﻲ اﺳﺖ‪ .‬آزﻣﻮدﻧﻲﻫﺎي اﻳﻦ ﭘـﮋوﻫﺶ‬
‫ﺗﻌﺪاد‪ 128‬دﺧﺘﺮ و ﭘﺴﺮ ‪ 24-48‬ﻣﺎﻫﻪ ﺗﻚ زﺑﺎﻧﻪ ﻓﺎرﺳﻲ زﺑﺎن و ﻓﺎﻗﺪ ﻫﺮ ﻧﻮع اﺧﺘﻼل ﺷﺪﻳﺪ ﺷﻨﻮاﻳﻲ‪ ،‬ﺑﻴﻨـﺎﻳﻲ‪،‬‬
‫ﺟﺴﻤﺎﻧﻲ‪ ،‬ذﻫﻨﻲ‪ ،‬ﮔﻔﺘﺎر و زﺑﺎن‪ ،‬ﻋﺎﻃﻔﻲ ـ رواﻧﻲ‪ ،‬و ﺳﺎﺧﺘﺎري و ﻛﺎرﻛﺮدي در ﺗﻮﻟﻴﺪ ﻛﻨﻨـﺪهﻫـﺎي ﮔﻔﺘـﺎري‬
‫ﻫﺴﺘﻨﺪ ﻛﻪ ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﻲ ﺳﺎده از ﻣﻬﺪﻛﻮدكﻫﺎي ﻣﻨﺎﻃﻖ ﻣﺨﺘﻠﻒ ﺷﻬﺮ ﺗﻬﺮان اﻧﺘﺨـﺎب ﺷـﺪﻧﺪ‪ .‬اﺑـﺰار‬
‫اﻳﻦ ﭘﺰوﻫﺶ‪ ،‬آزﻣﻮن ﻣﺤﻘﻖ ﺳﺎﺧﺘﻪ ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ‪ ،‬ﻣﺘـﺸﻜﻞ از ‪ 43‬واژه ﻳـﻚ ﺗـﺎ ﭼﻬـﺎر ﻫﺠـﺎﻳﻲ ﺷـﺎﻣﻞ‬
‫ﺗﻤﺎم واجﻫﺎي زﺑﺎن ﻓﺎرﺳﻲ اﺳﺖ ﻛﻪ ﺗﻮﺳﻂ آن ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ ﻛﻮدﻛـﺎن در ﭘـﻨﺞ ﻣﻘﻮﻟـﻪ ﺳـﺎﺧﺖ ﻫﺠـﺎ‪،‬‬
‫ﺟﺎﻧﺸﻴﻨﻲ‪ ،‬ﻫﻤﮕﻮﻧﻲ ﻛﺎﻣﻞ‪ ،‬ﺟﺎﺑﺠﺎﻳﻲ‪ ،‬و ﺳﺎﻳﺮ ﻓﺮاﻳﻨﺪﻫﺎ ﺟﻤﻊآوري و ﺑﺮرﺳﻲ ﻣﻲﺷﻮد‪ .‬دادهﻫـﺎي ﺑـﻪ دﺳـﺖ‬
‫آﻣﺪه‪ ،‬ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮم اﻓﺰار آﻣﺎري ‪ SPSS 11,5‬و آزﻣﻮنﻫـﺎي آﻣـﺎري ﺗـﻲ ﻣـﺴﺘﻘﻞ و ﻣـﻦ وﻳﺘﻨـﻲ ﺑـﺮاي‬
‫ﻣﻘﺎﻳﺴﻪ دو ﮔﺮوه ﺟﻨﺴﻲ‪ ،‬و ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮنﻫﺎي آﻣﺎري آﻧﺎﻟﻴﺰ وارﻳﺎﻧﺲ ﻳﻜﻄﺮﻓﻪ و ﻛﺮوﺳـﻜﺎل واﻟـﻴﺲ‬
‫ﺑﺮاي ﻣﻘﺎﻳﺴﻪ ﮔﺮوهﻫﺎي ﺳﻨﻲ ﺗﺤﻠﻴﻞ ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در ﻫﻴﭽﻴﻚ از ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ‪ ،‬ﺗﻔﺎوت ﻣﻌﻨﺎداري ﺑﻴﻦ دﺧﺘﺮﻫﺎ و ﭘـﺴﺮﻫﺎ ﻣـﺸﺎﻫﺪه ﻧـﺸﺪ‪ .‬اﻣـﺎ‬
‫ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ ﺑﺎ اﻓﺰاﻳﺶ ﺳﻦ روﻧﺪ رو ﺑﻪ ﻛﺎﻫﺶ ﻧﺸﺎن دادهﻧﺪ‪ .‬در واﻗـﻊ ﮔـﺮوهﻫـﺎي ﺳـﻨﻲ ﻣﺨﺘﻠـﻒ در‬
‫ﺗﻤﺎم ‪ 27‬ﻓﺮاﻳﻨﺪ واﺟﻲ ﻣﻮرد ﺑﺮرﺳﻲ ﺑﻪ ﺟﺰ ﻓﺮاﻳﻨﺪﻫﺎي ﻛـﺎﻫﺶ ﻫﺠـﺎ‪ ،‬اﻓـﺰاﻳﺶ ﻫﻤﺨـﻮان‪ ،‬دوﮔﺎﻧـﻪ ﺳـﺎزي‪،‬‬
‫ﺟﺎﻧﺸﻴﻨﻲ ﺧﻴﺸﻮﻣﻲ‪ ،‬ﺟﺎﻧﺸﻴﻨﻲ ﻏﻠﺖ‪ ،‬ﺟﺎﻧﺸﻴﻨﻲ ﻣﺮﻛﺐ‪ ،‬ﺟﺎﺑﺠﺎﻳﻲ‪ ،‬و ﺳﺎﻳﺮ ﻣﻮارد ﺗﻔﺎوت ﻣﻌﻨﺎدار ﻧﺸﺎن دادﻧﺪ‬
‫)‪.(P value< 0.05‬‬
‫ﺑﺤﺚ و ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻧﺘﺎﻳﺞ اﻳﻦ ﺗﺤﻘﻴﻖ ﺣﺎﻛﻲ از آن اﺳﺖ ﻛﻪ ﺗﻔﺎوت ﺟﻨﺴﻲ ﺗـﺄﺛﻴﺮي ﺑـﺮ ﭼﮕـﻮﻧﮕﻲ‬
‫ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ ﻧﺪارد‪ .‬اﻣﺎ ﺑﺎ اﻓﺰاﻳﺶ ﺳﻦ ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ رو ﺑﻪ ﻛﺎﻫﺶ ﻣﻲروﻧﺪ‪ ،‬ﻛﻪ ﻣﻲﺗﻮاﻧـﺪ ﻧـﺸﺎﻧﮕﺮ‬
‫ﺗﺴﻠﻂ ﺑﻴﺸﺘﺮ ﻛﻮدﻛﺎن ﮔﺮوهﻫﺎي ﺳﻨﻲ ﺑﺎﻻﺗﺮ ﺑﺮ ﻧﺤﻮه ﺗﻠﻔﻆ ﻟﻐﺎت ﺑﺎﺷﺪ‪ .‬ﭘﮋوﻫﺶﻫـﺎي آﺗـﻲ در ﮔـﺮوهﻫـﺎي‬
‫ﺳﻨﻲ ﺑﺎﻻﺗﺮ ﻣﻲﺗﻮاﻧﺪ ﺳﻦ اﺗﻤﺎم ﻫﺮ ﻳﻚ از ﻓﺮاﻳﻨﺪﻫﺎ را ﻧﺸﺎن دﻫﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻓﺮاﻳﻨﺪﻫﺎي واﺟﻲ‪ ،‬ﺳﺎﺧﺖ ﻫﺠﺎ‪ ،‬ﺟﺎﻧﺸﻴﻨﻲ‪ ،‬ﻫﻤﮕﻮﻧﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻃﺮاﺣﻲ اوﻟﻴﺔ آزﻣﻮن درك ﺷﻨﻴﺪاري واﮋﮔﺎن و ﻣﻄﺎﻟﻌﺔ آزﻣﺎﻳﺸﻲ آن در ﻛﻮدﻛﺎن ‪ 2‬ﺗﺎ ‪ 10‬ﺳﺎل‬
‫ﻓﺎرﺳﻲ زﺑﺎن‬
‫ﻓﺮﻳﺒﺎ ﻳﺎدﮔﺎري‬
‫ﻣﻘﺪﻣﻪ‪ :‬آﺳﻴﺐ در رﺷﺪ درك ﺷﻨﻴﺪاري ـ ﻛﻼﻣﻲ ﻣﻲﺗﻮاﻧﺪ ﺻﺪﻣﺎت ﺷﺪﻳﺪي ﺑﺮ رﺷﺪ ﮔﻔﺘﺎر ﻛﻮدﻛﺎن‬
‫وارد ﺳﺎزد‪ .‬ﺑﺮاي ردﻳﺎﺑﻲ ﻫﺮﮔﻮﻧﻪ اﺧﺘﻼل در اﻳﻦ ﻓﺮآﻳﻨﺪ ﻧﻴﺎز ﺑـﻪ وﺟـﻮد آزﻣـﻮنﻫـﺎﻳﻲ اﺳـﺖ ﻛـﻪ ﺑـﻪ رﺷـﺪ‬
‫درك ﻛﻼﻣﻲ ﺣﺴﺎس ﺑﻮده و ﻗﺎدر ﺑﻪ ﺗﺸﺨﻴﺺ ﻫﻨﺠﺎر از ﻧﺎﻫﻨﺠﺎر ﺑﺎﺷﺪ‪ .‬ﺑﺎﺗﻮﺟﻪ ﺑﻪ ﻋﺪم وﺟﻮد ﻣﻘﻴـﺎس وﻳـﺎ‬
‫آزﻣﻮن رﺷﺪ درك ﺷﻨﻴﺪاري ـ ﻛﻼﻣﻲ‪ ،‬ﻣﺤﻘﻘﺎن ﺑـﺮ آن ﺷـﺪﻧﺪ ﻛـﻪ ﺑـﻪ ﺗـﺪوﻳﻦ ﻳـﻚ آزﻣـﻮن رﺷـﺪ درك‬
‫ﺷﻨﻴﺪاري واژﮔﺎن در زﺑﺎن ﻓﺎرﺳﻲ ﺑﭙﺮدازﻧﺪ‪.‬‬
‫روش ﭘﮋوﻫﺶ‪ :‬اﻳﻦ ﭘﮋوﻫﺶ ﺑﺎ روش ﻣـﺸﺎﻫﺪهاي ﺗﻮﺻـﻴﻔﻲ و ﻣﻘﻄﻌـﻲ در ﺳـﻪ ﻣﺮﺣﻠـﻪ اﻧﺠـﺎم ﮔﺮﻓﺘـﻪ‬
‫اﺳﺖ‪ .‬اﺑﺘﺪا ﺑﺮاي ﺗﺸﻜﻴﻞ ﺑﺎﻧﻚ واژه‪ ،‬ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎﻳﻲ ﺑﺮاي ﻣﻘﻄﻊ ﻣﻬـﺪ ﻛـﻮدك و دﺑـﺴﺘﺎن ﻃﺮاﺣـﻲ ﺷـﺪ و‬
‫ﺗﻌﺪاد ‪ 4‬ﭘﮋوﻫـﺸﮕﺮ ﺑـﺎ اﺳـﺘﻔﺎده از اﻳـﻦ ﭘﺮﺳـﺸﻨﺎﻣﻪﻫـﺎ ﺑـﻪ ﻣـﺸﺎﻫﺪهي وﺿـﻌﻴﺖ درك ﻛﻼﻣـﻲ ﻛﻮدﻛـﺎن از‬
‫ﮔﻔﺘﻪﻫﺎي اﻃﺮاﻓﻴﺎن و ﻧﺤﻮهي واﻛﻨﺶ آﻧﺎن در ﻣﻬﺪﻛﻮدكﻫﺎ و دﺑﺴﺘﺎنﻫﺎي ﻧﺰدﻳﻚ ﻣﺤﻞ ﻛﺎر ﻳـﺎ زﻧـﺪﮔﻲ‬
‫ﺧﻮد ﭘﺮداﺧﺘﻨﺪ‪.‬ﺟﻤﻌﺎ ‪ 7‬ﭘﺴﺮ و ‪ 12‬دﺧﺘﺮ در ﻣﻬﺪﻛﻮدك و داﻧﺶ آﻣﻮزان دﺑـﺴﺘﺎﻧﻲ ﺷـﺎﻣﻞ ‪ 3‬ﭘﺎﻳـﻪي اول‪3 ،‬‬
‫ﭘﺎﻳﻪي دوم‪ 3 ،‬ﭘﺎﻳﻪي ﺳﻮم‪ 3 ،‬ﭘﺎﻳﻪي ﭼﻬﺎرم و ‪ 2‬ﭘﺎﻳﻪي ﭘﻨﺠﻢ )ﻳﻌﻨﻲ ﻛﻮدﻛﺎن ‪ 2‬ﺗﺎ ‪ 10‬ﺳﺎﻟﻪ( ﻣـﻮرد ﻣـﺸﺎﻫﺪه‬
‫ﻗﺮار ﮔﺮﻓﺘﻨﺪ و ‪ 5814‬ﮔﻔﺘﻪي ﺑﺰرﮔﺴﺎﻻن ﻛﻪ ﻛﻮدﻛﺎن ﻧﺴﺒﺖ ﺑﻪ آنﻫﺎ درك ﻧﺸﺎن داده ﺑﻮدﻧﺪ ﺟﻤـﻊآوري‬
‫ﮔﺮدﻳﺪ‪ .‬ﺑﺪﻳﻦ ﺗﺮﺗﻴﺐ ﻣﺠﻤﻮﻋﻪي وﺳﻴﻌﻲ از واژﮔﺎن ﺑﻪ دﺳﺖ آﻣﺪ ﻛﻪ ﺑﺎ دﺳﺘﻪﺑﻨـﺪي و ﺗﻨﻈـﻴﻢ دادهﻫـﺎي ﺑـﻪ‬
‫دﺳﺖ آﻣﺪه از اﻳﻦ ﻣﺮﺣﻠﻪ‪ ،‬ﮔﺮوهﻫﺎي اﺳﻢ‪ ،‬ﻓﻌﻞ و ﺻﻔﺖ ﻣﺸﺨﺺ ﮔﺮدﻳﺪ‪ .‬ﭘﺲ از آن ﺳﻮاﻻت آزﻣﻮن ﺑـﻪ‬
‫ﺗﻔﻜﻴﻚ ﮔﺮوه ﺳﻨﻲ ﺗﺪوﻳﻦ ﺷﺪه و ﺑـﺮاي ﻫـﺮ ﺳـﻮال ﺗـﺼﻮﻳﺮ رﻧﮕـﻲ در زﻣﻴﻨـﻪي ﺳـﻔﻴﺪ ﺗﻬﻴـﻪ ﮔﺮدﻳـﺪ ﻛـﻪ‬
‫ﭘﺮﺳﺸﮕﺮان ﺑﺎ دﻓﺘﺮﭼﻪ ﺳﻮاﻻت و دﻓﺘﺮﭼﻪ ﺗﺼﺎوﻳﺮ ﺑﻪ ﻣﻬـﺪ ﻛـﻮدكﻫـﺎ و ﻣـﺪارس اﺑﺘـﺪاﻳﻲ ﻛـﻪ ﺑـﺮ اﺳـﺎس‬
‫ﻧﻤﻮﻧﻪﮔﻴﺮي ﺗﺼﺎدﻓﻲ از ﻣﻨﺎﻃﻖ ﻏﺮب‪ ،‬ﺟﻨﻮب‪ ،‬ﻣﺮﻛﺰ و ﺷﻤﺎل اﻧﺘﺨﺎب ﺷﺪه ﺑﻮد ﻣﺮاﺟﻌﻪ و از ﻫﺮ ﮔﺮوه ﺳﻨﻲ‬
‫‪ 10‬ﻧﻔﺮ را ﺑﻪ ﺷﻜﻞ ﺗﺼﺎدﻓﻲ ﺳﺎده از ﻛﻮدﻛﺎن ﻃﺒﻴﻌﻲ اﻧﺘﺨـﺎب ﻛـﺮده و روي ﻫـﺮ آزﻣـﻮدﻧﻲ ﺳـﻮاﻻت ﺳـﻪ‬
‫ﮔﺮوه ﺳﻨﻲ ﺷﺎﻣﻞ ﻫﻤﺎن ﮔﺮوه و ﮔﺮوه ﻗﺒﻞ و ﺑﻌﺪ ﮔﺮﻓﺘﻪ ﺷﺪ و ﺳﭙﺲ ﻧﺘﺎﻳﺞ ﺣﺎﺻﻠﻪ ﺗﺤﻠﻴﻞ‪ ،‬درﺻـﺪﮔﻴﺮي و‬
‫ﺑﻪ ﻟﺤﺎظ ﺳﻄﺢ دﺷﻮاري ﺗﻨﻈﻴﻢ ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻧﺘﺎﻳﺞ اﻳﻦ ﭘﮋوﻫﺶ در ﻣﺠﻤﻮع ﻧﺸﺎن دﻫﻨﺪهي وﺿﻌﻴﺖ رﺷﺪ درك واژﮔﺎن در ﻛﻮدﻛﺎن ‪-10‬‬
‫‪ 2‬ﺳﺎﻟﻪي ﻓﺎرﺳﻲ زﺑﺎن اﺳﺖ‪.‬ﺑﺮ اﺳﺎس ﻳﺎﻓﺘﻪﻫﺎي اﻳﻦ ﭘﮋوﻫﺶ‪ ،‬اﻳﻦ واژهﻫﺎ ﻛﻪ در دو ﺑﺨﺶ درك ﺷﻨﻴﺪاري‬
‫و درك ﻣﻌﻨﺎﻳﻲ ﺗﻨﻈﻴﻢ ﮔﺮدﻳﺪهاﻧﺪ‪ ،‬داراي ﺳﻴﺮ رﺷـﺪ وﺣـﺴﺎﺳﻴﺖﻫـﺎي زﻣـﺎﻧﻲ ﻣﺘﻔـﺎوﺗﻲ ﻫـﺴﺘﻨﺪ‪ .‬ﻫﻤﭽﻨـﻴﻦ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻳﺎﻓﺘﻪﻫﺎي ﺟﺎﻧﺒﻲ ﻧﺸﺎن دﻫﻨﺪهي اﻫﻤﻴﺖ ﺗﻔﻜﻴﻚ اﺳﺎﻣﻲ‪ ،‬اﻓﻌﺎل و ﺻﻔﺎت اﺳﺖ ﻛﻪ ﺑﺎﻳﺪ در اﺳﺘﺎﻧﺪاردﺳـﺎزي‬
‫ﻣﻮرد ﺗﻮﺟﻪ ﻗﺮارﮔﻴﺮد‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺣﺎﺻﻞ اﻳﻦ ﭘﮋوﻫﺶ‪ ،‬ﺗﻬﻴـﻪي ﻓـﺮم اوﻟﻴـﻪي آزﻣـﻮن درك ﺷـﻨﻴﺪاري واژﮔـﺎن در زﺑـﺎن‬
‫ﻓﺎرﺳﻲ اﺳﺖ ﻛﻪ ﺷﺎﻣﻞ ﺳﻮاﻻت ﻣﻨﺎﺳﺐ ﺳﻨﻴﻦ ‪ 2‬ﺗﺎ ‪ 10‬ﺳﺎل اﺳﺖ‪ .‬اﻳﻦ ﺳﻮاﻻت ﺑﺎ ﺳﻠﺴﻠﻪ ﻣﺮاﺗـﺐ ﺳـﺎده ﺑـﻪ‬
‫ﭘﻴﭽﻴﺪه ﺗﻨﻈﻴﻢ ﺷﺪه اﺳﺖ ﺑﻪ ﻃﻮري ﻛﻪ ﻣﻲﺗﻮاﻧﺪ در ﺗﺪوﻳﻦ ﻓﺮم ﻧﻬﺎﻳﻲ ﺑﺮاي اﺳﺘﺎﻧﺪاردﺳﺎزي آزﻣـﻮن ﻣـﻮرد‬
‫اﺳﺘﻔﺎده ﻗﺮار ﮔﻴﺮد‪.‬‬
‫ﻛﻠﻴﺪواژهﻫﺎ‪ :‬درك ﺷﻨﻴﺪاري واژﮔﺎن‪ ،‬ﻛﻮدﻛﺎن ‪ 2-10‬ﺳﺎﻟﻪ‪ ،‬ﻓﺎرﺳﻲ زﺑﺎن‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ اﺳﺘﺎن ﺳﻴﺴﺘﺎن و ﺑﻠﻮﭼﺴﺘﺎن در ﺟﻬﺖ ﺗﺸﺨﻴﺺ ژﻧﻬـﺎي‬
‫ﺷﻨﺎﺧﺘﻪ ﺷﺪه و ﻧﺎﺷﻨﺎﺧﺘﻪ ژﻧﺘﻴﻜﻲ ﺳﻨﺪرﻣﻲ و ﻏﻴﺮ ﺳﻨﺪرﻣﻲ‬
‫ﺣﺴﻴﻦ ﻧﺠﻢآﺑﺎدي ـ ﻓﺎﻃﻤﻪ رﺧﺸﺎﻧﻲ‬
‫زﻣﻴﻨﻪ ﺗﺤﻘﻴﻖ‪ %1 :‬ﺗﺎ ‪ %3‬از ﻫﺮ ﺟﻤﻌﻴﺘﻲ ﺑﻪ ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ )‪ (MR‬ﻣﺒﺘﻼ ﻫﺴﺘﻨﺪ‪ .‬ﻳـﻚ ﺗﻌﺮﻳـﻒ از‬
‫‪ MR‬ﺑﻪ ﺿﺮﻳﺐ ﻫﻮﺷﻲ ﻛﻤﺘﺮ از ‪ 70‬اﻃﻼق ﻣﻲﺷـﻮد‪ .‬اﺗﻴﻮﻟـﻮژي ‪ MR‬ﻣﺘﻨـﻮع اﺳـﺖ و ﺷـﺎﻣﻞ ﻧﺎﻫﻨﺠﺎرﻳﻬـﺎي‬
‫ﻛﺮوﻣﻮزوﻣﻲ‪ ،‬ﺳﻨﺪرمﻫﺎﻳﻲ ﺑﺎ ﻧﺎﻫﻨﺠﺎرﻳﻬﺎي ﺷﻨﺎﺧﺘﻪ ﺷﺪه‪ ،‬ﺳﻨﺪرمﻫﺎي ﺗﻚ ژﻧـﻲ و ﻧﺎﻫﻨﺠﺎرﻳﻬـﺎي ﺳـﺎﺧﺘﻤﺎن‬
‫ﻣﻐﺰ و ﻓﺎﻛﺘﻮرﻫﺎي ﻣﺤﻴﻄﻲ ﻣﺆﺛﺮ ﻣﻲﺑﺎﺷﺪ‪ .‬اﺗﻴﻮﻟﻮژي ژﻧﺘﻴﻜﻲ ﺗﻘﺮﻳﺒﺎً ‪ 2/3‬از ﻣﻮارد را ﺗﺸﻜﻴﻞ ﻣﻲدﻫﺪ ﺗﺨﻤﻴﻦ‬
‫زده ﻣﻲﺷﻮد ﻛﻪ ‪ 1/4‬ﻣﻮارد ژﻧﺘﻴﻜﻲ ﻣﺮﺑﻮط ﺑﻪ ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ اﺗﻮزوﻣﻲ ﻣﻐﻠﻮب ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫اﻳﻦ ﻧﻮع از ﻋﻘﺐ اﻓﺘﺎدﮔﻲﻫﺎي ذﻫﻨﻲ را ﺑﻴﺸﺘﺮ در ﺧﺎﻧﻮادهﻫﺎﻳﻲ ﺑﺎ ازدواج ﺧﻮﻳﺸﺎوﻧﺪي ﻛﻪ ﭘﺪر و ﻣـﺎدر‬
‫ﺣﺎﻣﻞ ژن ﻋﻘﺐ اﻓﺘﺎدﮔﻲ ذﻫﻨﻲ ﻫﺴﺘﻨﺪ‪ ،‬ﻣﻲﺑﻴﻨﻴﻢ ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ اﺗـﻮزوﻣﻲ ﻣﻐﻠـﻮب ﻧﻴـﺰ ﻣﺎﻧﻨـﺪ دﻳﮕـﺮ‬
‫اﻧﻮاع ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ در ﻫﺮ دو ﺷﻜﻞ ﺳﻨﺪروﻣﻴﻚ و ﻏﻴﺮ ﺳﻨﺪروﻣﻴﻚ وﺟﻮد دارﻧﺪ‪.‬‬
‫ﺗــﺎﻛﻨﻮن ﻓﻘــﻂ ‪ 12‬ﺟﺎﻳﮕــﺎه ژﻧــﻲ ﻣﺨﺘﻠــﻒ و ‪ 5‬ﻣــﻮرد ژن ﺑــﺮاي ﻋﻘــﺐ ﻣﺎﻧــﺪﮔﻲ اﺗــﻮزوﻣﻲ ﻣﻐﻠــﻮب‬
‫ﻏﻴﺮﺳﻨﺪرﻣﻲ ﺷﻨﺎﺳﺎﻳﻲ ﮔﺮدﻳﺪه ﺷﺪه اﺳﺖ‪.‬‬
‫‪ 7‬ﺟﺎﻳﮕﺎه ژﻧﻲ ﻫﻤﺮاه ﺑﺎ ﻣﻴﻜﺮوﺳﻔﺎﻟﻲ ﻫﺴﺘﻨﺪ ﻛﻪ اﻳﻦ ﺟﺎﻳﮕﺎهﻫﺎي ژﻧﻲ ﻋﺒﺎرﺗﻨﺪ از ‪MCPH1-MCPH6‬‬
‫و ﺟﺎﻳﮕﺎه ‪ARFGEF2‬‬
‫ﻫﺪف‪ :‬ﻫﺪف اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﻲ ‪ 50‬ﺧﺎﻧﻮاده ﻋﻘﺐ ﻣﺎﻧﺪه ذﻫﻨﻲ ﺑﺮاي ﺳـﻨﺪرم ‪ X‬ﺷـﻜﻨﻨﺪه)‪ (Fragile X‬و‬
‫ﻧﻘﺺﻫﺎي ﻛﺮوﻣﻮزوﻣﻲ و ﻫﻤﭽﻨﻴﻦ ﻣﺸﻜﻼت ﻣﺘﺎﺑﻮﻟﻴﻜﻲ و ﻧﻴﺰ ﺑﺮرﺳﻲ ﻋﻠﺖ ﻣﻴﻜﺮوﺳﻔﺎﻟﻲ در ﺟﻤﻌﻴﺖ ﻣﺒﺘﻼ‬
‫ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣﻮاد و روشﻫﺎ‪ :‬از ‪ 50‬ﺧﺎﻧﻮادهﻫﺎي درﮔﻴﺮ ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ ﺑﺎ ﺗﻜﻤﻴﻞ ﻓﺮم رﺿﺎﻳﺖ ﻧﺎﻣـﻪ و رﺳـﻢ‬
‫ﺷﺠﺮهﻧﺎﻣﻪ ﻧﻤﻮﻧﻪ ﺧﻮن ﮔﺮﻓﺘﻪ ﺷﺪ‪ .‬ﺳﭙﺲ آزﻣﺎﻳـﺸﺎت ﻣﻮﻟﻜـﻮﻟﻲ )‪ Southern Blot‬و‪ (PCR‬و ﺳـﻴﺘﻮژﻧﺘﻴﻚ‬
‫اﻧﺠﺎم ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬درﻣﺠﻤﻮع ﻧﺘﺎﻳﺞ آزﻣﺎﻳﺸﺎت ﻣﺸﺨﺺ در ﻳﻚ ﻣﻮرد ﺑﻪ ﻋﻠﺖ ﻧﺎﻫﻨﺠـﺎري ﻛﺮوﻣـﻮزوﻣﻲ و درﻳـﻚ‬
‫ﻣﻮرد ﺑﻪ ﻋﻠﺖ ﻋﺪم درﻣﺎن ﺑﻴﻤﺎري ﻣﺘﺎﺑﻮﻟﻴﻚ ‪ CPT1‬دﭼﺎر ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ ﮔﺮدﻳﺪه اﺳﺖ‪ .‬ﻫﻴﭽﻜـﺪام‬
‫از ‪ 50‬ﺧﺎﻧﻮاده‪ ،‬ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪرم ‪ X‬ﺷﻜﻨﻨﺪه ﻧﺒﻮدﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬در ﺑﻴﻦ ‪ 50‬ﺧﺎﻧﻮاده ﺑﺮرﺳﻲ ﺷﺪه‪ 20 ،‬ﺧﺎﻧﻮاده ﻣﺒﺘﻼ ﺑـﻪ ﻣﻴﻜﺮوﺳـﻔﺎﻟﻲ ﺑﻮدﻧـﺪ ﻛـﻪ ﺑـﺎ ﺑﺮرﺳـﻲ‬
‫ﺟﺎﻳﮕﺎهﻫﺎي ژﻧﻲ ‪ 3 :MCPH‬ﺧﺎﻧﻮاده ﺑﻪ ﺟﺎﻳﮕﺎه ژﻧﻲ‪ 1 ،MCPH1‬ﺧﺎﻧﻮاده ﺑﻪ ﺟﺎﻳﮕﺎه ژﻧﻲ ‪ ،MCPH6‬ﻳﻚ‬
‫ﺧﺎﻧﻮاده ﺑﻪ ﺟﺎﻳﮕﺎه ژﻧﻲ‪ MCPH5‬و ﻳﻚ ﺧﺎﻧﻮاده ﺑﻪ ﺟﺎﻳﮕﺎه ژﻧﻲ‪ MCPH2‬ﭘﻴﻮﺳﺘﮕﻲ ﻧﺸﺎن دادﻧﺪ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺳﭙﺲ ﺧﺎﻧﻮادهﻫﺎي ﭘﻴﻮﺳﺘﻪ ﺷﺪه ﺑﻪ ﺟﺎﻳﮕﺎهﻫﺎي ژﻧـﻲ ‪ MCPH5‬و‪ MCPH1‬ﺑـﻪ وﺳـﻴﻠﻪ روش ﺗﻌﻴـﻴﻦ ﺗـﻮاﻟﻲ‬
‫ﺑﺮاي ژﻧﻬﺎي ﻣﺮﺑﻮﻃﻪ ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺘﻨﺪ ﻛﻪ ﺣﺎﺻﻞ آن ﺷﻨﺎﺳﺎﻳﻲ دو ﺟﻬﺶ ﺟﺪﻳﺪ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻋﻘﺐ ﻣﺎﻧﺪﮔﻲ ذﻫﻨﻲ‪ ،MCPH ،‬ﻣﻴﻜﺮوﺳﻔﺎﻟﻲ‪ ،‬ﺑﻴﻤﺎرﻳﻬﺎي ﻣﺘﺎﺑﻮﻟﻴﻚ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻧﻴﺎزﺳﻨﺠﻲ آﻣﻮزﺷﻲ ﻣﺮﺗﺒﻂ ﺑﺎ رﺷﺘﻪﻫﺎي ﺑﻠﻨﺪ ﻣﺪت داﻧﺸﮕﺎﻫﻲ اﻋﺘﻴﺎد در اﻳﺮان‬
‫ﻣﺤﻤﻮد ﺗﻮﻛﻠﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﻛﺎرﺷﻨﺎﺳﺎن ﺣﻴﻄﻪ ﭘﻴﺸﮕﻴﺮي و درﻣﺎن ﻣﻮاد‪ ،‬در ﻧﻈـﺎم ﻣﺒـﺎرزه ﺑـﺎ ﻣـﻮاد‪ ،‬ﺗـﺄﺛﻴﺮ ﻓﺮاواﻧـﻲ ﺑـﺮ اﺛـﺮ‬
‫ﺑﺨﺸﻲ و ﻋﻤﻠﻜﺮد ﻣﺠﻤﻮﻋﻪ ﻧﻈﺎم ﻣﻘﺎﺑﻠﻪ ﺑﺎ ﺳﻮء ﻣﺼﺮف ﻣﻮاد دارﻧـﺪ‪ .‬از اﻳـﻦ رو‪ ،‬اﺟـﺮاي ﭘـﮋوﻫﺶﻫـﺎﻳﻲ ﺑـﺎ‬
‫ﻫﺪف ﻧﻴﺎزﺳﻨﺠﻲ آﻣﻮزﺷﻲ اﻳﻦ اﻓﺮاد ﺿﺮورت ﻣﻲﻳﺎﺑﺪ‪ .‬ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﻧﻴﺎزﺳﻨﺠﻲ آﻣﻮزﺷﻲ ﻣـﺮﺗﺒﻂ‬
‫ﺑﺎ رﺷﺘﻪﻫﺎي ﺑﻠﻨﺪ ﻣﺪت داﻧﺸﮕﺎﻫﻲ اﻋﺘﻴﺎد در اﻳﺮان اﻧﺠﺎم ﺷﺪ‪.‬‬
‫روش‪ :‬ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺷﺎﻣﻞ دو ﺑﺨﺶ ﺑﻮد‪ .‬ﺑﺨﺶ ﻧﺨﺴﺖ ﺑﺤﺚ ﻣﺘﻤﺮﻛﺰ ﮔﺮوﻫﻲ ﻣﺘﺸﻜﻞ از ﻣـﺴﺌﻮﻟﻴﻦ‬
‫ﺳﺘﺎدي ﺣﻴﻄﻪ ﻣﻮاد ﻣﺨﺪر‪ ،‬ﻛﺎرﺷﻨﺎﺳﺎن داراي ﺗﺠﺮﺑﻪ اﻳﻦ ﺣﻴﻄﻪ‪ ،‬ﻣﺴﺌﻮﻟﻴﻦ داﻧﺸﮕﺎهﻫﺎ ﺑﻮد‪ .‬ﻫﻤﭽﻨﻴﻦ ﺑﻪ روش‬
‫ﭘﻴﻤﺎﻳﺸﻲ و ﺑﺎ اﺳﺘﻔﺎده از ﭘﺮﺳﺸﻨﺎﻣﻪ‪ ،‬دﻳﺪﮔﺎه ‪ 52‬ﻧﻔﺮ ﻛﺎرﺷﻨﺎس در ﺣﻴﻄﻪ ﭘﻴﺸﮕﻴﺮي و درﻣﺎن ﻣـﺼﺮف ﻣـﻮاد‬
‫ﻣﻮرد ﺳﻨﺠﺶ و ارزﻳﺎﺑﻲ ﻗـﺮار ﮔﺮﻓـﺖ‪ .‬اﻋـﻀﺎي ﺟﺎﻣﻌـﻪ ﺗﺤﻘﻴـﻖ ﺑـﻪ روش ﺗﻤـﺎم ﺷـﻤﺎري از ﻛـﻞ ﺳـﺎزﻣﺎن‬
‫ﺑﻬﺰﻳﺴﺘﻲ اﺳﺘﺎن ﺗﻬﺮان ﮔﺰﻳﻨﺶ ﺷـﺪﻧﺪ‪ .‬ﺧـﺼﻮﺻﻴﺎت ﭘﺎﻳـﻪ ﺷـﺎﻣﻞ ﺳـﻦ‪ ،‬ﺟـﻨﺲ‪ ،‬ﺳـﻄﺢ ﺗﺤـﺼﻴﻼت‪ ،‬ﺳـﺎﺑﻘﻪ‬
‫ﮔﺬراﻧﺪن دورهﻫﺎي آﻣﻮزﺷﻲ‪ ،‬و ﻧﻴﺎزﻫﺎي آﻣﻮزﺷﻲ اﻓﺮاد ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺖ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در ﺑﺨﺶ ﻛﻴﻔﻲ‪ ،‬راه اﻧﺪازي رﺷﺘﻪﻫﺎي ﺑﻠﻨﺪ ﻣﺪت داﻧﺸﮕﺎﻫﻲ اﻋﺘﻴﺎد در اﻳﺮان ﻛﺎﻣﻼ ﺿﺮوري ﺗﻠﻘـﻲ‬
‫ﻣﻲﺷﻮد‪ ،‬اﻣﺎ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ آﻧﻜﻪ ﺗﺼﻮﻳﺐ رﺷﺘﻪ ﺟﺪﻳﺪ داﻧﺸﮕﺎﻫﻲ ‪ 2-3‬ﺳﺎل ﺑﻪ ﻃﻮل ﻣﻲاﻧﺠﺎﻣﺪ‪ ،‬ﺑﻪ ﻋﻨﻮان اﻗﺪام‬
‫ﻋﻤﻠﻴﺎﺗﻲ‪ ،‬ﺑﺎ اﺳﺘﻔﺎده از ﺗﻌﺪﻳﻞ اﻫﺪاف آﻣﻮزﺷﻲ ﻳﻚ دوره ﺑﻠﻨﺪ ﻣﺪت داﻧـﺸﮕﺎﻫﻲ‪ ،‬و ﺑـﺎ اﺳـﺘﻔﺎده از ﺗﺰرﻳـﻖ‬
‫ﺣﺪود ‪ %40‬ﻣﺤﺘﻮاي درﺳﻲ ﻣﺮﺑﻮط ﺑﻪ اﻋﺘﻴﺎد ﺑـﻪ رﺷـﺘﻪﻫـﺎي ﻣﻮﺟـﻮد‪ ،‬ﮔـﺮاﻳﺶﻫـﺎي اﻋﺘﻴـﺎد در رﺷـﺘﻪﻫـﺎي‬
‫ﻣﻮﺟﻮد ﺣﺎﺻﻞ ﺷﻮد‪ .‬رﺷﺘﻪﻫـﺎي ﮔﺮاﻳـﺸﻲ اﻋﺘﻴـﺎد ﭘﻴـﺸﻨﻬﺎدي ﺷـﺎﻣﻞ ﻣﻘـﺎﻃﻊ ﺗﺤـﺼﻴﻠﻲ ﻛﺎرﺷﻨﺎﺳـﻲ ارﺷـﺪ‪،‬‬
‫ﺗﺨﺼﺺ ﭘﺰﺷﻜﻲ‪ ،‬ﻓﻠﻮﺷﻴﭗ رواﻧﭙﺰﺷﻜﻲ و دورهﻫﺎي ‪ PhD‬ﺑﻮد‪ .‬ﺷﺮﻛﺖ ﻛﻨﻨﺪﮔﺎن ﻣﻌﺘﻘـﺪ ﺑﻮدﻧـﺪ ﻛـﻪ اﮔـﺮ‬
‫ﭼﻪ رﺷﺘﻪﻫﺎي ﺑﻠﻨﺪ ﻣﺪت داﻧﺸﮕﺎﻫﻲ اﻋﺘﻴﺎد ﺟﻨﺒﻪﻫﺎي آﻣﻮزش ﺑﺎﻟﻴﻨﻲ و ﭘﮋوﻫﺸﻲ را ﺷـﺎﻣﻞ ﺷـﻮﻧﺪ‪ ،‬اﻣـﺎ وﺟـﻪ‬
‫ﻏﺎﻟﺐ اﻳﻦ رﺷﺘﻪﻫﺎ ﭘﮋوﻫﺸﻲ ﺑﺎﺷﺪ‪ .‬ﺣﻤﺎﻳﺖ ﭘﻴﮕﻴﺮ ﻣﺪﻳﺮان و ﻣﺴﺌﻮﻟﻴﻦ ﺳﺘﺎد ﻣﺒﺎرزه ﺑﺎ ﻣﻮاد ﻣﺨﺪر و ﺑﺮﺧـﻲ از‬
‫وزارﺗﺨﺎﻧﻪﻫﺎ و ﺳﺎزﻣﺎنﻫﺎي ﻣﺮﺑﻮط‪ ،‬در راه اﻧﺪازي رﺷﺘﻪﻫﺎي ﺑﻠﻨﺪ ﻣﺪت داﻧﺸﮕﺎﻫﻲ اﻋﺘﻴـﺎد در اﻳـﺮان ﻧﻘـﺶ‬
‫ﻛﻠﻴﺪي دارد‪ .‬ﻫﻤﭽﻨﻴﻦ ﺗﺨﺼﻴﺺ اﻋﺘﺒﺎر وﻳﮋه ﺗﻮﺳﻂ ﺳـﺎزﻣﺎنﻫـﺎي ﺣﻤﺎﻳـﺖ ﻛﻨﻨـﺪه در ﺟﻬـﺖ راه اﻧـﺪازي‬
‫رﺷﺘﻪﻫﺎي ﺑﻠﻨﺪ ﻣﺪت داﻧﺸﮕﺎﻫﻲ اﻋﺘﻴﺎد در اﻳﺮان ﺿﺮوري ﻋﻨﻮان ﺷﺪ‪ .‬در ﺑﺨﺶ ﻛﻤﻲ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿـﺮ‪ ،‬ﻫـﻴﭻ‬
‫ﻳﻚ از اﻓﺮاد ﻓﺎﻗﺪ ﻧﻴﺎز آﻣﻮزﺷﻲ ﻧﺒﻮده اﺳﺖ‪ .‬ﺣﺪاﻗﻞ و ﺣﺪاﻛﺜﺮ ﻧﻴﺎزﻫﺎي آﻣﻮزﺷﻲ ﺑﺮاﺑـﺮ ‪ 1-7‬و ﻣﻴـﺎﻧﮕﻴﻦ و‬
‫اﻧﺤــﺮاف ﻣﻌﻴــﺎر ﻧﻴﺎزﻫــﺎي آﻣﻮزﺷــﻲ ﺑــﻪ ﺗﺮﺗﻴــﺐ ‪ 3/6‬و ‪ 2/1‬ﺑــﻮد‪ .‬از ﺑــﻴﻦ ‪ 45‬ﻧﻔــﺮ‪ 30 ،‬ﻧﻔــﺮ )‪ (%66‬ﺧﻮاﻫــﺎن‬
‫ﺑﺮﮔﺰاري دورهﻫﺎي آﻛﺎدﻣﻴﻚ در ﺣﻴﻄـﻪ اﻋﺘﻴـﺎد ﺑﻮدﻧـﺪ‪ 19 .‬ﻧﻔـﺮ )‪ (%42/2‬ﺧﻮاﻫـﺎن ﺑﺮﮔـﺰاري دورهﻫـﺎي‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫آﻣﻮزﺷﻲ ﻛﻮﺗﺎه ﻣﺪت از ﻗﺒﻴﻞ ﻛﺎرﮔﺎهﻫﺎي آﻣﻮزﺷﻲ ﺑﻮدﻧﺪ‪ .‬ﺑﻴﺸﺘﺮﻳﻦ ﻧﻴﺎزﻫﺎي آﻣﻮزﺷﻲ ﺑﻪ ﺗﺮﺗﻴﺐ ﻣﺮﺑﻮط ﺑﻪ‬
‫ﺑﺨﺶﻫﺎي درﻣﺎن‪ ،‬ﻣﺸﺎوره‪ ،‬ﻛﻠﻴﺎت‪ ،‬ﭘﻴﺸﮕﻴﺮي‪ ،‬ﭘﮋوﻫﺶ و ﻛﺎﻫﺶ آﺳﻴﺐ ﺑـﻪ ﺗﺮﺗﻴـﺐ در ‪32 ،(%78/8) 41‬‬
‫)‪ (%42/3) 22 ،(%50) 26 ،(%57/7) 30 ،(%61/5‬و ‪ 5‬ﻧﻔﺮ )‪ (%9/6‬ﮔﺰارش ﺷﺪ‪ 34 .‬ﻧﻔﺮ )‪ (%65/4‬ﻋﻼرﻏـﻢ‬
‫ﻣﻮارد ﻓﻮق در ﺳﺎﻳﺮ ﻣﻮارد ﻣﺘﻔﺮﻗﻪ ﻧﻴﺎزﻫﺎي آﻣﻮزﺷﻲ را ﮔﺰارش ﻧﻤﻮدﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬در ﺑﺨﺶ ﻛﻴﻔﻲ‪ ،‬ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺿﺮورت راه اﻧﺪازي رﺷﺘﻪ درازﻣﺪت اﻋﺘﻴـﺎد در ﻛـﺸﻮر‬
‫را ﻧﺸﺎن داد‪ ،‬اﻣﺎ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺷﺮاﻳﻂ ﻣﻮﺟﻮد‪ ،‬ﺑﻪ ﺿﺮورت اﻳﺠﺎد ﮔﺮاﻳﺶﻫﺎي ﺗﺨﺼـﺼﻲ اﻋﺘﻴـﺎد در وﺿـﻌﻴﺖ‬
‫ﻓﻌﻠﻲ اﺷﺎره ﻛﺮد‪ .‬ﻫﻤﭽﻨﻴﻦ اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﺿﺮورت ﭘﺸﺘﻴﺒﺎﻧﻲ ﻣﺎﻟﻲ ﺳﺘﺎد ﻣﺒﺎرزه ﺑﺎ ﻣﻮاد ﻣﺨﺪر‪ ،‬ﺳـﺎزﻣﺎنﻫـﺎي‬
‫ﻣﺮﺗﺒﻂ و وزارﺗﺨﺎﻧﻪﻫﺎي ﻣﺮﺗﺒﻂ اﺷﺎره ﻧﻤـﻮد‪ ،‬و ﺑـﺮ اﻣﻜـﺎن ﺳـﻨﺠﻲ از داﻧـﺸﮕﺎهﻫـﺎي ﺑـﺰرگ ﺗﺄﻛﻴـﺪ ﻧﻤـﻮد‪.‬‬
‫ﻫﻤﭽﻨﻴﻦ در ﺑﺨﺶ ﻛﻤﻲ‪ ،‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻳﺎﻓﺘﻪﻫﺎي ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻛﻪ ‪ %66‬اﻓﺮاد ﺧﻮاﻫﺎن راه اﻧﺪازي ﻳﻚ دوره‬
‫آﻛﺎدﻣﻴﻚ ﺳﻮء ﻣﺼﺮف ﻣﻮاد در داﻧﺸﮕﺎهﻫﺎي ﻛﺸﻮر ﻣﻲﺑﺎﺷـﻨﺪ‪ ،‬و ﻓـﺮاوانﺗـﺮﻳﻦ ﻧﻴـﺎز آﻣﻮزﺷـﻲ ﺟﻤﻌﻴـﺖ‬
‫ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ در ﺣﻴﻄﻪ درﻣﺎن )‪ (%78/8‬و ﭘﺲ از آن ﻣﺸﺎوره )‪ (%61/5‬ﻣﻲﺑﺎﺷﺪ‪ ،‬ﺳﺎزﻣﺎن ﺑﻬﺰﻳـﺴﺘﻲ‪،‬‬
‫وزارت ﺑﻬﺪاﺷﺖ‪ ،‬درﻣﺎن و آﻣﻮزش ﭘﺰﺷﻜﻲ و ﺳﺘﺎد ﻣﺒـﺎرزه ﺑـﺎ ﻣـﻮاد ﻣﺨـﺪر آﻣـﻮزش ﻛﺎرﺷﻨﺎﺳـﺎن ﺣﻴﻄـﻪ‬
‫اﻋﺘﻴﺎد را‪ ،‬ﺧﺼﻮﺻﺎ در ﺑﺨﺶﻫﺎﻳﻲ از ﻗﺒﻴﻞ درﻣﺎن ﺟﺪيﺗﺮ ﺗﻠﻘﻲ ﻧﻤﺎﻳﻨﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻧﻴﺎزﺳﻨﺠﻲ‪ ،‬آﻣﻮزش‪ ،‬ﺳﻮء ﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﻣﻮاد‪ ،‬آﻣﻮزش‪ ،‬ﻛﺎﻫﺶ آﺳﻴﺐ‪ ،‬ﭘﻴﺸﮕﻴﺮي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﻣﻴﺰان آﮔﺎﻫﻲ‪ ،‬ﻧﮕﺮش‪ ،‬و ﻋﻤﻠﻜﺮد ﻣﺎدران ﺷﻴﺮده ﻣﺮاﺟﻌـﻪﻛﻨﻨـﺪه ﺑـﻪ ﻣﺮاﻛـﺰ ﺑﻬﺪاﺷـﺘﻲ و‬
‫درﻣﺎﻧﻲ ﺷﻬﺮ ﺗﻬﺮان در زﻣﻴﻨﻪي اﻧﺠﺎم ﻓﻌﺎﻟﻴﺖﻫﺎي ﻓﻴﺰﻳﻜﻲ‬
‫ﺳﻴﻤﺎ ﻗﺎﺳﻤﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﻓﻮاﻳﺪ اﻧﺠﺎم ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ و ورزش در ﺣﻔﻆ و ارﺗﻘﺎء ﺳﻼﻣﺖ ﺑﻪ وﻳﮋه ﺑﺮاي زﻧـﺎن در ﺗﻤـﺎم‬
‫دوران ﻋﻤﺮ‪ ،‬ﻛـﺎﻣﻼً ﺷـﻨﺎﺧﺘﻪ ﺷـﺪه اﺳـﺖ‪ .‬از ﻃـﺮف دﻳﮕـﺮ ﻣﻨـﺎﻓﻊ ﺟـﺴﻤﻲ‪ ،‬رواﻧـﻲ‪ ،‬ﻋـﺎﻃﻔﻲ‪ ،‬اﺟﺘﻤـﺎﻋﻲ و‬
‫اﻗﺘﺼﺎدي ﺗﻐﺬﻳﻪ ﺑﺎ ﺷﻴﺮ ﻣﺎدر ﻧﻴﺰ ﻛﺎﻣﻼً روﺷﻦ اﺳﺖ‪ .‬ﺑﺮ ﻃﺒﻖ ﻧﺘﺎﻳﺞ ﺣﺎﺻﻠﻪ از ﺗﺤﻘﻴﻘﺎت ﻣﻮﺟﻮد ﺳﺎزﮔﺎري و‬
‫ﺗﻨﺎﺳﺐ ورزش و ﺷﻴﺮدﻫﻲ ﻛﺎﻣﻼً ﺛﺎﺑﺖ ﺷﺪه اﺳﺖ‪.‬‬
‫ﻫﺪف‪ :‬ﻫﺪف از اﻧﺠﺎم اﻳﻦ ﭘﮋوﻫﺶ‪ ،‬ﺑﺮرﺳﻲ آﮔﺎﻫﻲ‪ ،‬ﻧﮕﺮش و ﻋﻤﻠﻜﺮد ﻣﺎدران ﺷﻴﺮده در زﻣﻴﻨﻪ اﻧﺠﺎم‬
‫ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ و ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ اﻧﺠﺎم ورزش در آﻧﺎن ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣﻮاد و روشﻫﺎ‪ :‬ﺑﺪﻳﻦ ﻣﻨﻈﻮر ‪ 200‬ﻣﺎدر ﺷﻴﺮده ﻣﺮاﺟﻌﻪﻛﻨﻨﺪه ﺑﻪ ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ درﻣﺎﻧﻲ ﺷـﻬﺮ ﺗﻬـﺮان‬
‫از ‪ 5‬ﻣﺮﻛﺰ ﺑﻪ ﻃﻮر ﺗﺼﺎدﻓﻲ اﻧﺘﺨﺎب و از ﻃﺮﻳﻖ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﺎﺧﺘﻪ ﺷﺪه‪ ،‬آﮔﺎﻫﻲ‪ ،‬ﻧﮕﺮش و ﻋﻮاﻣﻞ ﻣـﺆﺛﺮ ﺑـﺮ‬
‫اﻧﺠﺎم ورزش در آﻧﺎن ﺑﺮرﺳﻲ ﮔﺮدﻳﺪ‪ .‬در راﺑﻄﻪ ﺑﺎ ﺑﺮرﺳﻲ ﻋﻤﻠﻜﺮد‪ ،‬از ﭘﺮﺳـﺸﻨﺎﻣﻪ ﺟـﺎﻣﻊ ﻓﻌﺎﻟﻴـﺖ ﻓﻴﺰﻳﻜـﻲ‬
‫ﺳﺎزﻣﺎن ﺑﻬﺪاﺷﺖ ﺟﻬﺎﻧﻲ اﺳﺘﻔﺎده ﮔﺮدﻳـﺪ‪ ،‬ﻛـﻪ در ﺳـﻪ ﺣﻴﻄـﻪ ﻛـﺎر‪ ،‬ورزش و اوﻗـﺎت ﻓﺮاﻏـﺖ و از ﺟـﺎﺋﻲ‬
‫ﺑﻪﺟﺎﻳﻲ رﻓﺘﻦ‪ ،‬ﻣﻴﺰان ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ را ارزﻳﺎﺑﻲ ﻣﻲﻛﻨﺪ‪ .‬ﭘﺲ از ﺟﻤﻊآوري اﻃﻼﻋﺎت‪ ،‬دادهﻫﺎ ﺑﺎ ﻧﺮماﻓـﺰار‬
‫آﻣﺎري ‪ SPSS‬ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﮔﺮدﻳﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺑﺮاﺳﺎس دادهﻫﺎي ﺣﺎﺻﻞ از اﻳﻦ ﭘﮋوﻫﺶ‪ %74/5 ،‬از ﻣﺎدران داراي آﮔﺎﻫﻲ ﺧـﻮب و ‪%80/5‬‬
‫داراي ﻧﮕﺮش ﻣﺜﺒﺖ ﻧﺴﺒﺖ ﺑﻪ اﻧﺠﺎم ورزش در ﺷـﻴﺮدﻫﻲ ﺑﻮدﻧـﺪ‪ .‬از ﻧﻈـﺮ اﻧﺠـﺎم ورزش ﺗﻨﻬـﺎ ‪ %14‬از آﻧـﺎن‬
‫ﻧﻮﻋﻲ ﻓﻌﺎﻟﻴﺖ ورزﺷﻲ را اﻧﺠﺎم ﻣﻲدادﻧﺪ‪ .‬در ﻣﻮرد اﻧﺠﺎم ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ‪ %58 ،‬از ﻧﻤﻮﻧﻪﻫﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ‬
‫ﻣﺘﻮﺳﻂ در ﻣﺠﻤﻮع ﻓﻌﺎﻟﻴﺖﻫﺎي اﻧﺠﺎم ﺷﺪه در ﻫﺮ ﺳﻪ ﺣﻴﻄﻪ داﺷـﺘﻨﺪ‪ .‬ﻫﻤﭽﻨـﻴﻦ در اﻳـﻦ ﺑﺮرﺳـﻲ ﻣـﺸﺨﺺ‬
‫ﮔﺮدﻳﺪه ﻣﻴﺎﻧﮕﻴﻦ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻣﺎدران ﺷﻴﺮده ﻣﻮرد ﺑﺮرﺳﻲ در ﺣﻴﻄﻪ ﻛﺎر‪ 38 ،‬دﻗﻴﻘـﻪ در روز‪ ،‬در ﻣـﻮرد‬
‫از ﺟﺎﻳﻲ ﺑﻪ ﺟﺎﻳﻲ رﻓﺘﻦ ﺑﺎ اﺳﺘﻔﺎده از دوﭼﺮﺧﻪ ﻳﺎ ﻗﺪم زدن‪ 15 ،‬دﻗﻴﻘﻪ در روز و در راﺑﻄﻪ ﺑـﺎ اﻧﺠـﺎم ﻓﻌﺎﻟﻴـﺖ‬
‫ورزﺷﻲ ﻓﻘﻂ ‪ 5‬دﻗﻴﻘﻪ در روز ﺑﻮد‪.‬‬
‫از ﻣﻬﻤﺘﺮﻳﻦ ﻋﻠﻞ ورزشﻧﻜﺮدن‪ ،‬ﺑﻪ ﺗﺮﺗﻴﺐ‪ ،‬ﻧﺪاﺷﺘﻦ وﻗﺖ ﻛﺎﻓﻲ‪ ،‬داﺷﺘﻦ ﻓﺮزﻧﺪ ﺧﺮدﺳﺎل‪ ،‬ﻋـﺪم اﻫﻤﻴـﺖ ﺑـﻪ‬
‫ورزش و ﻛﻤﺒﻮد ﻓﻀﺎﻫﺎي ورزﺷﻲ ﺑﺮاي ﺧﺎﻧﻢﻫﺎ ذﻛﺮ ﺷﺪه اﺳﺖ‪.‬‬
‫ﺑﺤﺚ و ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻫﺮ ﭼﻨﺪ ﻛـﻪ اﻛﺜﺮﻳـﺖ ﻣـﺎدران ﺷـﻴﺮده ﻣـﻮرد ﻣﻄﺎﻟﻌـﻪ داراي آﮔـﺎﻫﻲ ﺧـﻮب و‬
‫ﻧﮕﺮش ﻣﺜﺒﺖ ﻧﺴﺒﺖ ﺑﻪ ﻓﻮاﺋﺪ اﻧﺠﺎم ورزش در دوران ﺷﻴﺮدﻫﻲ ﺑﻮدﻧـﺪ وﻟـﻲ ﻣﻴـﺰان اﻧﺠـﺎم ورزش در آﻧـﺎن‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺴﻴﺎر ﻣﺤﺪود ﺑﻮد‪ .‬ﺑﻴﺶ از ﻧﻴﻤﻲ از ﻧﻤﻮﻧﻪﻫﺎي ﭘﮋوﻫﺶ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ در ﺣﺪ ﻣﺘﻮﺳـﻂ داﺷـﺘﻨﺪ وﻟـﻲ اﻳـﻦ‬
‫رﻗﻢ ﻣﺮﺑﻮط ﺑﻪ ﻛﻞ ﻓﻌﺎﻟﻴﺖﻫﺎي اﻧﺠﺎم ﺷـﺪه در ﺣﻴﻄـﻪ ﻛـﺎر و ﺟﺎﺑـﻪﺟـﺎﻳﻲ و ورزش ﻣـﻲﺑﺎﺷـﺪ و ﺑﻴـﺸﺘﺮ آن‬
‫ﻣﺮﺑﻮط ﺑﻪ ﻓﻌﺎﻟﻴﺖﻫﺎي ﺣﻴﻄﻪ ﻛﺎر اﺳﺖ و ﻣﻴﺰان ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜـﻲ ﻛـﻪ ﺻـﺮﻓﺎً در ﺣﻴﻄـﻪ ورزش اﻧﺠـﺎم ﺷـﺪه‬
‫ﺑﺎﺷﺪ‪ ،‬ﺑﺴﻴﺎر ﭘﺎﻳﻴﻦ ﺑﻮد‪.‬‬
‫ﻟﺬا ﺗﻮﺻﻴﻪ ﻣﻲﮔﺮدد ﻛﻪ ﻛﺎرﻛﻨﺎن ﺑﻬﺪاﺷﺘﻲ ﺑﻪ وﻳﮋه در ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ درﻣﺎﻧﻲ‪ ،‬ﻣﺎدران را ﺑـﻪ اﻧﺠـﺎم و‬
‫ﺗﺪاوم ﻫﺮ دوي اﻳﻦ رﻓﺘﺎرﻫـﺎي ﺑﻬﺪاﺷـﺘﻲ ﻳﻌﻨـﻲ ورزش و ﺷـﻴﺮدﻫﻲ ﺗـﺸﻮﻳﻖ ﻛﻨﻨـﺪ و ﺑﺮﻧﺎﻣـﻪﻫـﺎي ورزﺷـﻲ‬
‫ﻛﻮﺗﺎهﻣﺪت ﺑﺮاي ﻣﺎدران ﺷﻴﺮده در ﻣﺮاﻗﺒﺖﻫﺎي دوران ﭘﺲ از زاﻳﻤﺎن و ﺷـﻴﺮدﻫﻲ ﮔﻨﺠﺎﻧـﺪه ﺷـﻮد‪ .‬اﻧﺠـﺎم‬
‫ﺗﺤﻘﻴﻘﺎت ﺑﻌﺪي در زﻣﻴﻨﻪ ﺗﺄﺛﻴﺮ ﻣﺪلﻫﺎي آﻣﻮزش ﺑﻬﺪاﺷﺖ ﺑﺮ اﻧﺠﺎم ورزش در ﻣﺎدران ﺷﻴﺮده‪ ،‬ﺿﺮوري ﺑﻪ‬
‫ﻧﻈﺮ ﻣﻲرﺳﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺷﻴﺮدﻫﻲ‪ ،‬ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ‪ ،‬آﮔﺎﻫﻲ‪ ،‬ﻧﮕﺮش‪ ،‬ﻋﻤﻠﻜﺮد‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﺗﻨﻴﺪﮔﻲآور در ﻣﺎدران ﻛﻮدﻛﺎن ﺑـﺴﺘﺮي در ﺑﻴﻤﺎرﺳـﺘﺎن ﻓـﻮق ﺗﺨﺼـﺼﻲ ﺑﻌﺜـﺖ‬
‫ﻫﻤﺪان در ﺳﺎل ‪1387‬‬
‫ﻃﻴﺒﻪ ﺣﺴﻦ ﺗﻬﺮاﻧﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﻳﻜﻲ از ﺗﻐﻴﻴﺮات ﻣﻬﻢ در ﺧﺎﻧﻮاده‪ ،‬ﺑﺴﺘﺮي ﺷﺪن ﻛـﻮدك در ﺑﻴﻤﺎرﺳـﺘﺎن اﺳـﺖ‪ ..‬ﺑـﺎ ﺗﻮﺟـﻪ ﺑـﻪ‬
‫واﺑﺴﺘﮕﻲ ﻛﻮدك در اﻣﺮ ﻣﺮاﻗﺒﺖ ﺑﻪ واﻟﺪﻳﻦ و ﺑﺨـﺼﻮص ﻣـﺎدر‪ ،‬ﺗﻨﻴـﺪﮔﻲ و اﺿـﻄﺮاب ﻣـﺎدر‪ ،‬ﻛـﻮدك را‬
‫ﺗﺤﺖ ﺗﺄﺛﻴﺮ ﻗﺮار ﻣﻲدﻫﺪﻛﻪ روﻧﺪ درﻣﺎن ﻛﻮدك را ﻣﺨﺘﻞ ﻣﻲﻧﻤﺎﻳﺪ‬
‫ﻣﻮاد و روشﻫـﺎ‪ :‬ﻫـﺪف از اﻳـﻦ ﭘـﮋوﻫﺶ ﺗﻮﺻـﻴﻔﻲ ﻣﻘﻄﻌـﻲ ﺑﺮرﺳـﻲ ﻋﻮاﻣـﻞ ﺗﻨﻴـﺪﮔﻲآور ﻣـﺎدران‬
‫ﻛﻮدﻛﺎن ﺑﺴﺘﺮي در ﺑﻴﻤﺎرﺳﺘﺎن ﻣـﻲﺑﺎﺷـﺪ‪.‬ﺗﻌـﺪاد ﺟﺎﻣﻌـﻪ ﭘـﮋوﻫﺶ ﺷـﺎﻣﻞ ﻛﻠﻴـﻪ ﻣـﺎدران ﻛﻮدﻛـﺎن ﺑـﺴﺘﺮي‬
‫درﺑﺨﺶ ﻛﻮدﻛﺎن ﺑﻴﻤﺎرﺳﺘﺎن ﺑﻌﺜﺖ و ﻧﻤﻮﻧﻪﻫﺎ ﺑﻪ ﺗﻌﺪاد ‪ 225‬ﻧﻔﺮازﺑﻴﻦ آﻧﻬﺎ ﺑﻪ روش ﻧﻤﻮﻧـﻪﮔﻴـﺮي ﺗـﺼﺎدﻓﻲ‬
‫ﺳﺎده ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺘﻨﺪ اﺑﺰار ﺟﻤﻊآوري اﻃﻼﻋﺎت ﭘﺮﺳﺸﻨﺎﻣﻬﺎي دو ﻗﺴﻤﺘﻲ ﺑـﻮد ﻛـﻪ ﻗـﺴﻤﺖ اول‬
‫آن اﻃﻼﻋﺎت دﻣﻮﮔﺮاﻓﻴﻚ واﺣﺪﻫﺎي ﻣﻮرد ﭘﮋوﻫﺶ و ﻗﺴﻤﺖ دوم ﺳﻮاﻻت ﻣﺮﺑﻮط ﺑﻪ ﻋﻮاﻣﻞ ﺗﻨﻴﺪﮔﻲآور‬
‫در ﭼﻬﺎر ﺣﻴﻄﻪ ﻋﻮاﻣﻞ ﻣﺮﺑﻮط ﺑﻪ ﻛﻮدك ﻋﻮاﻣﻞ ﻣﺤﻴﻄﻲ ﻋﻮاﻣﻞ اﻗﺘﺼﺎدي ـ اﺟﺘﻤﺎﻋﻲ وﻋﻮاﻣﻞ ﻣﺮﺑـﻮط ﺑـﻪ‬
‫ﻛﺎرﻛﻨﺎن ﻣﻲﺑﺎﺷﺪ‪ .‬روش ﮔﺮدآوري اﻃﻼﻋﺎت از ﻃﺮﻳﻖ ﻣﺼﺎﺣﺒﻪ ﺑﺎ ﻣﺎدران و ﺧﻮا ﻧﺪن و ﺗﻜﻤﻴﻞ ﭘﺮﺳـﺸﻨﺎﻣﻪ‬
‫ﺗﻮﺳﻂ ﭘﮋوﻫﺸﮕﺮان ﺑﺮ اﺳﺎس ﭘﺎﺳﺨﻬﺎي ﻣﺎدران اﻧﺠﺎم ﮔﺮﻓﺖ‪.‬ﺑـﻪ ﻣﻨﻈـﻮر ﺗﺠﺰﻳـﻪ و ﺗﺤﻠﻴـﻞ دادهﻫـﺎ از آﻣـﺎر‬
‫ﺗﻮﺻﻴﻔﻲ و اﺳﺘﻨﺒﺎﻃﻲ )آﻧﺎﻟﻴﺰ وارﻳﺎﻧﺲ ﻳﻚ ﻃﺮﻓﻪ و آزﻣﻮن ﺗﻲ( اﺳﺘﻔﺎده ﮔﺮددﻳﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻳﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد در ﺑﻴﻦ ﻋﻮاﻣﻞ ﺗﻨﻴﺪﮔﻲآور در ﻣﺎدران ﻛﻮدﻛﺎن ﺑﺴﺘﺮي در ﺑﻴﻤﺎرﺳﺘﺎن؟ ﻧﺘﺎﻳﺞ‬
‫ﻧﺸﺎن داد از ﺑﻴﻦ ‪ 225‬ﭘﺎﺳﺦ ﺑﻪ ﺳﻮاﻻت ﺣﻴﻄﻪ ﺗﻨﻴﺪﮔﻲآور ﻣﺮﺑﻮط ﺑﻪ ﻛﻮدك در ﻣﺎدران ﻛﻮدﻛـﺎن ﺑـﺴﺘﺮي‬
‫ﺑﻴﺸﺘﺮﻳﻦ در ﺻﺪ )‪(84‬ﻣﺮﺑﻮط ﺑﻪ ﺗﻨﻴﺪﮔﻲ ﺧﻴﻠﻲ زﻳـﺎد ﻣﺮﺑـﻮط ﺑـﻪ ﮔﺰﻳﻨـﻪ ﺗـﺮس از ﻣـﺮگ ﻛـﻮدك‪ ،‬ﺣﻴﻄـﻪ‬
‫اﻗﺘﺼﺎدي اﺟﺘﻤﺎﻋﻲ)‪ (%82/7‬در ارﺗﺒﺎط ﺑﺎ ﻋﺪم اﻣﻜﺎن ﺗﺎﻣﻴﻦ ﺳﺎﻳﺮ ﻓﺮزﻧﺪان ﺑـﻪ ﻋﻠـﺖ ﺑﻴﻤـﺎري ﻛـﻮدك‪ ،‬در‬
‫ﺣﻴﻄﻪ ﻣﺤﻴﻄﻲ )‪ (56‬ﻣﺮﺑﻮط ﺑﻪ ﮔﺰﻳﻨﻪ وﺟـﻮد ﺑﻮﻫـﺎي ﻧـﺎﻣﻄﺒﻮع در ﺑﺨـﺶ‪ ،‬در ﺣﻴﻄـﻪ ﻣﺮﺑـﻮط ﺑـﻪ ﻛﺎرﻛﻨـﺎن‬
‫ﺑﻴﺸﺘﺮﻳﻦ درﺻﺪ )‪(65/3‬ﻣﺮﺑﻮط ﺑﻪ ﻣﻮرد ﺑﺪون ﺗﻨﻴﺪﮔﻲ در ﮔﺰﻳﻨﻪ ﺳﭙﺮدن ﻣﺴﺌﻮﻟﻴﺖ ﺟﻤﻊآوري ﻧﻤﻮﻧـﻪ ادرار‬
‫و ﻣﺪﻓﻮع ﺑﻪ ﻣﺎدران ﺗﻮﺳﻂ ﭘﺮﺳﺘﺎران ﺑﻮد‪.‬‬
‫ﻫﻤﭽﻨﻴﻦ ﻳﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد ﺑﻴﻦ ﻋﻮاﻣﻞ ﺗﻨﻴﺪﮔﻲآور ﻣﺎدران ﻛﻮدﻛﺎن ﺑـﺴﺘﺮي وﺳـﻦ ﻣـﺎدر‪ ،‬ﺷـﻐﻞ ﻣـﺎدر‪،‬‬
‫ﺳﻦ ﻓﺮزﻧﺪ ارﺗﺒﺎط آﻣﺎري ﻣﻌﻨﻲ داري وﺟﻮد دارد )‪ (p≤0/001‬اﻣﺎ ﺑﻴﻦ ﺗﺤـﺼﻴﻼت ﻣـﺎدر‪ ،‬وﺿـﻌﻴﺖ ﺗﺄﻫـﻞ‬
‫ﻣﺎدر‪ ،‬ﺗﻌﺪاد ﺳﺎﻟﻬﺎي ازدواج ﻣﺎدر‪ ،‬ﺟﻨﺲ و رﺗﺒﻪ ﺗﻮﻟﺪ ﻛـﻮدك‪ ،‬ﭼﮕـﻮﻧﮕﻲ ﭘـﺬﻳﺮش و ﻣﺤـﻞ ﺳـﻜﻮﻧﺖ ﺑـﺎ‬
‫ﻋﻮاﻣﻞ ﺗﻨﻴﺪﮔﻲآور راﺑﻄﻪ آﻣﺎري ﻣﻌﻨﻲ دا ر ﭘﻴﺪا ﻧﺸﺪ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻧﺘﺎﻳﺞ و ﻛﺎرﺑﺮدﻫﺎ‪ :‬ﺑﺮ اﺳﺎس ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﻪ ﻧﻈﺮ ﻣﻴﺮﺳﺪ ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﻨﺴﺠﻢﺗـﺮي در زﻣﻴﻨـﻪ آﻣـﻮزش‬
‫ﭘﺮﺳﻨﻞ ﭘﺮﺳﺘﺎري و ﭘﺰﺷﻜﺎن در زﻣﻴﻨﻪ ﻧﺤﻮه ﺑﺮﺧﻮرد ﺑﺎ ﻣـﺎدران ﻛﻮدﻛـﺎن ﺑـﺴﺘﺮي ﻓـﺮاﻫﻢ ﺷـﻮد‪ .‬ﻧﺘـﺎﻳﺞ اﻳـﻦ‬
‫ﭘﮋوﻫﺶ ﻣﻲﺗﻮاﻧﺪ زﻣﻴﻨﻪ را ﺑﺮاي ﭘﮋوﻫﺶﻫﺎي ﺑﻌﺪي ﭘﺮﺳﻨﻞ ﺑﻬﺪاﺷﺘﻲ ﺑﻪ ﻣﻨﻈـﻮر ﺷـﻨﺎﺧﺖ دﻗﻴـﻖﺗـﺮ ﻋﻮاﻣـﻞ‬
‫ﺗﻨﻴﺪﮔﻲآور در ﻣﺎدران در ﻫﻨﮕﺎم ﺑﺴﺘﺮي ﺷﺪن ﻛﻮدك و ﺗﺄﺛﻴﺮ آن ﺑﺮ روﻧﺪ ﺑﻬﺒﻮدي ﻛﻮدك ﻓـﺮاﻫﻢ ﻛﻨـﺪ‪،‬‬
‫و ﺑﺎ ﺷﻨﺎﺧﺖ اﻳﻦ ﻋﻮاﻣﻞ راﻫﻬﺎي ﺳﺎزﮔﺎري و ﻛﻤﻚ ﺑﻪ آﻧﻬﺎ را ﺑـﻪ ﻧﺤـﻮ ﺑﻬﺘـﺮي اﺟـﺮا ﻧﻤﺎﻳﻨـﺪ و ﮔـﺎمﻫـﺎي‬
‫ﻣﺆﺛﺮﺗﺮي در اﻳﻦ زﻣﻴﻨﻪ ﺑﺮ داﺷﺘﻪ ﺷﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻋﻮاﻣﻞ ﺗﻨﻴﺪﮔﻲآور‪ ،‬ﻣﺎدران‪ ،‬ﻛﻮدك ﺑﺴﺘﺮي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﻌﺘﺎدان ﮔﻤﻨﺎم در اﻳﺮان‬
‫اﻛﺒﺮ ﻋﻠﻴﻮرديﻧﻴﺎ‬
‫اﻳﻦ ﺗﺤﻘﻴﻖ ﻋﻼوه ﺑﺮ ﺗﻮﺻﻴﻒ ﻧﺴﺒﺘﺎً ﺟﺎﻣﻊ از وﺿﻌﻴﺖ اﻋﺘﻴﺎد و ﻧﮕﺮش ﻧﺴﺒﺖ ﺑﻪ اﻋﺘﻴﺎد ﺑـﻪ ﻣـﻮاد ﻣﺨـﺪر‬
‫در ﻣﻴﺎن اﻋﻀﺎي اﻧﺠﻤﻦ ﻣﻌﺘﺎدان ﮔﻤﻨﺎم‪ ،‬ﺑﻪ دﻧﺒﺎل ﺗﺒﻴﻴﻦ ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﻲ ﻣﺆﺛﺮ ﺑﺮ ﺗﻐﻴﻴﺮات ﻧﮕﺮش ﻧـﺴﺒﺖ ﺑـﻪ‬
‫اﻋﺘﻴﺎد ﺑﻪ ﻣﻮاد ﻣﺨﺪر در ﻣﻴﺎن اﻋﻀﺎي اﻧﺠﻤﻦ ﻣﻌﺘﺎدان ﮔﻤﻨﺎم ﺑﻮده اﺳﺖ ﺗﺎ از اﻳﻦ ﻃﺮﻳﻖ ﺑﺘﻮاﻧﺪ ﺳﻬﻢ ﻫﺮﻳﻚ‬
‫از ﻣﺘﻐﻴﺮﻫﺎي ﻣﺴﺘﻘﻞ را ﺷﻨﺎﺳﺎﻳﻲ و ﺗﻌﻴﻴﻦ ﻧﻤﺎﻳﺪ‪ .‬ﺑﺎ اﻳﻦ زﻣﻴﻨﻪ روشﺷﻨﺎﺳﻲ ﻛﻪ ﺟﺎﻣﻌﻪ آﻣﺎري ﺗﺤﻘﻴﻖ را ﻛﻠﻴﻪ‬
‫اﻋﻀﺎي اﻧﺠﻤﻦ ﻣﻌﺘﺎدان ﮔﻤﻨﺎم در اﻳﺮان ﺗﺸﻜﻴﻞ ﻣﻲدﻫﺪ‪ .‬اﺑﺘﺪا ﺗﺼﻮﻳﺮي روﺷﻦ از وﺿﻌﻴﺖ آﺳﻴﺐ ﺷﻨﺎﺧﺘﻲ‬
‫اﻋﺘﻴﺎد ﺑﻪ ﻣﻮاد ﻣﺨﺪر در ﻣﻴﺎن اﻋﻀﺎي اﻧﺠﻤﻦ ﻣﻌﺘﺎدان ﮔﻤﻨﺎم ﺑﻪ ﻟﺤﺎظ ﻣﻴﺰان‪ ،‬ﺷﺪت و ﻧـﻮع اﻋﺘﻴـﺎد ﺑـﻪ ﻣـﻮاد‬
‫ﻣﺨﺪر اراﺋﻪ ﺷﺪه و ﺳﭙﺲ ﻧﻮع ﻧﮕﺮش آﻧﺎن در راﺑﻄﻪ ﻣﺘﻐﻴﺮﻫﺎي ﺗﺤﻘﻴﻖ ﻣﻮرد ﺑﺮرﺳﻲ و ﺗﺤﻠﻴﻞ ﻗـﺮار ﮔﺮﻓﺘـﻪ‬
‫اﺳﺖ‪ .‬ازاﻳﻦ رو‪ ،‬در اﻳﻦ ﭘﮋوﻫﺶ ﻣﻬﻤﺘﺮﻳﻦ ﻣﺘﻐﻴﺮﻫﺎي ﺗﺤﻘﻴﻖ در ﻳﻚ ﭼﻬﺎرﭼﻮب ﻧﻈﺮي ﻛﻪ ﺑﻪﻟﺤﺎظ ﻧﻈﺮي‬
‫ﻣﺒﺘﻨﻲ ﺑﺮ ﺟﻮاﻧﺒﻲ از ﻧﻈﺮﻳﻪﻫﺎي ﻣﺮﺑﻮط ﺑﻪ ﻛﻨﺘﺮل اﺟﺘﻤﺎﻋﻲ‪ ،‬ﺧﻮد ﻛﻨﺘﺮﻟﻲ‪ ،‬ﻋﺰت ﻧﻔﺲ و ﺣﻤﺎﻳـﺖ اﺟﺘﻤـﺎﻋﻲ‬
‫ﻣﻲﺑﺎﺷﺪ‪ ،‬اﻧﺘﺨﺎب ﮔﺮدﻳﺪه و ﺳﭙﺲ ﺑـﺎ اﺳـﺘﻔﺎده از دادهﻫـﺎي ﺟﻤـﻊآوري ﺷـﺪه از ﻃﺮﻳـﻖ ﭘﺮﺳـﺸﻨﺎﻣﻪ‪ ،‬ﻣـﺪل‬
‫ﺗﺤﻠﻴﻠﻲ ﺗﺤﻘﻴﻖ ﻣﻮرد آزﻣﻮن ﺗﺠﺮﺑﻲ ﻗﺮار ﮔﺮﻓﺘﻪ اﺳﺖ‪ .‬روش ﻣﻄﺎﻟﻌﻪ در اﻳﻦ ﭘﮋوﻫﺶ روش ﭘﻴﻤﺎﻳﺸﻲ ﺑـﻮده‬
‫اﺳﺖ و ﺟﻬﺖ اﻧﺪازهﮔﻴـﺮي ﻣﺘﻐﻴﺮﻫـﺎي ﻣـﻮرد ﻣﻄﺎﻟﻌـﻪ در اﻳـﻦ ﭘـﮋوﻫﺶ از ﻣـﺼﺎﺣﺒﻪ و ﭘﺮﺳـﺸﻨﺎﻣﻪ اﺳـﺘﻔﺎده‬
‫ﮔﺮدﻳﺪ‪ .‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ دادهﻫﺎي ﺗﺤﻘﻴﻖ و ﺑﺮ اﺳﺎس ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮات ﻛﻠﻲ ﻣﺘﻐﻴﺮﻫﺎي اﻟﮕﻮي ﺗﺤﻠﻴﻠﻲ ﺗﺤﻘﻴﻖ ﺑـﺮ‬
‫روي ﻣﺘﻐﻴﺮ واﺑﺴﺘﻪ‪ ،‬ﻣﺘﻐﻴﺮﻫﺎي ﺑﺎور و ﭘﻴﻮﻧﺪ ﺑﺎ اﻧﺠﻤـﻦ )‪ (-0/26‬ﻗـﻮيﺗـﺮﻳﻦ و ﻣﻬـﻢﺗـﺮﻳﻦ ﭘـﻴﺶﺑﻴﻨـﻲﻛﻨﻨـﺪه‬
‫ﻧﮕﺮش ﻧﺴﺒﺖ ﺑﻪ ﻣﻮاد ﻣﺨﺪر ﻣـﻲﺑﺎﺷـﻨﺪ‪ .‬ﺑﻌـﺪ از اﻳـﻦ دو ﻣﺘﻐﻴـﺮ‪ ،‬ﺑـﻪ ﺗﺮﺗﻴـﺐ ﺧﻮﻳـﺸﺘﻨﺪاري )ﺧـﻮدﻛﻨﺘﺮﻟﻲ(‬
‫)‪ ،(-0/23‬ﭘﻴﻮﺳﺘﮕﻲ )‪ ،(-0/13‬ﻋﺰت ﻧﻔﺲ )‪ (-0/05‬و ﺣﻤﺎﻳﺖ اﺟﺘﻤﺎﻋﻲ )‪ (-0/003‬ﺑﻴـﺸﺘﺮﻳﻦ ﺗـﺄﺛﻴﺮ را ﺑـﺮ‬
‫روي ﻧﮕﺮش ﻧﺴﺒﺖ ﺑﻪ ﻣﻮاد ﻣﺨﺪر داﺷﺘﻪاﻧﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬اﻧﺠﻤﻦ ﻣﻌﺘﺎدان ﮔﻤﻨﺎم‪ ،‬ﺣﻤﺎﻳﺖ اﺟﺘﻤﺎﻋﻲ‪ ،‬ﺧﻮدﻛﻨﺘﺮﻟﻲ‪ ،‬ﮔﺮاﻳﺶ ﺑﻪ ﻣﻮاد ﻣﺨﺪر‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻧﻴﺎز ﺳﻨﺠﻲ آﻣﻮزﺷﻲ و زﻣﻴﻨﻪﻳﺎﺑﻲ ﻣﺸﻜﻼت رواﻧﻲ اﺟﺘﻤﺎﻋﻲ داﻧﺶ آﻣﻮزان‪ ،‬ﺑـﻪ ﻣﻨﻈـﻮر ﻃﺮاﺣـﻲ‬
‫ﻣﺤﺘﻮاي آﻣﻮزﺷﻲ ﺑﺮﻧﺎﻣﻪ ﺟﺎﻣﻊ ﻣﻬﺎرتﻫﺎي زﻧﺪﮔﻲ‬
‫رﻳﺤﺎﻧﻪ ﻧﻴﻚ ﭘﺮور ﻓﺮد‬
‫ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺟﻬﺖ زﻣﻴﻨﻪ ﻳﺎﺑﻲ و اﺳﺘﺨﺮاج ﻣﺸﻜﻼت رواﻧﻲ ـ اﺟﺘﻤﺎﻋﻲ داﻧﺶآﻣﻮزان ﻣﻘﻄﻊ اﺑﺘﺪاﻳﻲ‬
‫ﺑﻪ ﻣﻨﻈﻮر ﻃﺮاﺣﻲ ﻣﺤﺘﻮاي آﻣﻮزﺷﻲ ﺑﺮﻧﺎﻣﻪ ﺟﺎﻣﻊ ﻣﻬﺎرتﻫـﺎي زﻧـﺪﮔﻲ‪ ،‬در ﺳـﻪ ﺑﺨـﺶ ‪ -1‬ﻣـﺮور ﻣﻨـﺎﺑﻊ و‬
‫ﻣﺤﺘﻮاي آﻣﻮزﺷﻲ ﻣﻌﺘﺒﺮ و راﻳﺞ دﻧﻴﺎ ‪ -2‬ﭘﮋوﻫﺶ ﻛﻴﻔﻲ و ‪ -3‬ﭘﮋوﻫﺶ ﻛﻤﻲ ﺑﻪ اﺟﺮا در آﻣﺪ‪ .‬ﺑﺨﺶ ﻛﻴﻔـﻲ‬
‫ﺑﺎ اﺟﺮاي ﺑﺤﺚﻫﺎي ﮔﺮوﻫﻲ ﻣﺘﻤﺮﻛﺰ ﺑﺮاي ﮔﺮوهﻫﺎي ﻣﻌﻠﻤﺎن‪ ،‬واﻟﺪﻳﻦ و داﻧﺶ آﻣﻮزان ﻣﻘﻄﻊ اﺑﺘـﺪاﻳﻲ )در‬
‫ﻣﺠﻤﻮع ‪ 82‬ﮔﺮوه( در ﺷﺶ اﺳﺘﺎن‪ :‬اﺻﻔﻬﺎن‪ ،‬ﺗﻬﺮان‪ ،‬ﺳﻴﺴﺘﺎن و ﺑﻠﻮﭼﺴﺘﺎن‪ ،‬ﺧﺮاﺳـﺎن ﺟﻨـﻮﺑﻲ‪ ،‬ﺧﻮزﺳـﺘﺎن و‬
‫ﻫﺮﻣﺰﮔﺎن ﺑﻪ اﺟﺮا در آﻣﺪ‪ .‬ﻧﻤﻮﻧﻪﮔﻴﺮي از اﺳﺘﺎنﻫﺎي ﻣﻨﺘﺨﺐ ﺑﻪ ﺻﻮرت ﻣﻨﻄﻘﻪاي و ﺑـﺎ در ﻧﻈـﺮ ﮔـﺮﻓﺘﻦ در‬
‫دﺳﺘﺮس ﺑـﻮدن و ﺟﻬـﺖ اﻧﺘﺨـﺎب ﮔـﺮوهﻫـﺎ ﺑـﺮاي اﺟـﺮاي ﺑﺤـﺚﻫـﺎي ﮔﺮوﻫـﻲ ﻣﺘﻤﺮﻛـﺰ در اﺳـﺘﺎنﻫـﺎ از‬
‫ﻧﻤﻮﻧﻪﮔﻴﺮي ﺗﺼﺎدﻓﻲ اﺳﺘﻔﺎده ﺷﺪ‪ .‬دادهﻫﺎ ﺷﻨﺎﺳﻪ ﮔﺬاري و ﻃﺒﻘﻪﺑﻨﺪي ﮔﺸﺖ‪ .‬در ﺗﺤﻠﻴﻞ ﻛﻴﻔﻲ؛ ﺗـﺸﺎﺑﻬﺎت‪،‬‬
‫ﺗﻀﺎدﻫﺎ وﺗﻔﺎوتﻫﺎي دادهﻫﺎي ﮔﺮوهﻫﺎي ﻣﻌﻠﻤﺎن‪ ،‬واﻟﺪﻳﻦ و داﻧﺶ آﻣﻮزان ﻣﻘﺎﻳﺴﻪ ﺷﺪﻧﺪ‪ .‬در اﻳﻦ ﺑﺨﺶ از‬
‫ﻣﺼﺎﺣﺒﻪﻫﺎي ﻋﻤﻴﻖ ﺑﺮاي اﺳﺘﺨﺮاج ﻧﻈﺮات ﻣﺘﺨﺼﺼﻴﻦ اﺳﺘﻔﺎده ﺷﺪ‪.‬‬
‫ﺑﻪ ﻣﻨﻈﻮر اﻋﺘﺒﺎر ﺑﺨﺸﻴﺪن ﺑﻪ ﻳﺎﻓﺘﻪﻫﺎي ﺑﺨﺶ ﻛﻴﻔﻲ‪ ،‬ﭘﺮﺳـﺸﻨﺎﻣﻪﻫـﺎﻳﻲ ﺑـﺮاي ﮔـﺮوه ﻣﻌﻠﻤـﺎن‪ ،‬واﻟـﺪﻳﻦ و‬
‫داﻧﺶ آﻣﻮزان ﻃﺮاﺣﻲ ﮔﺸﺖ ﺗﺎ ﻣﺸﺨﺺ ﮔﺮدد آﻳﺎ ﻣﺸﻜﻼت ﻣﻄﺮح ﺷﺪه در ﺑﺤﺚﻫﺎي ﮔﺮوﻫﻲ ﻣﺘﻤﺮﻛـﺰ‬
‫ﻣﻌﺮف ﺟﺎﻣﻌﻪ ﻣﻲﺑﺎﺷﺪ ﻳﺎ ﻧﻪ؟ روش ﻧﻤﻮﻧﻪﮔﻴﺮي از اﺳﺘﺎنﻫﺎي ﻣﻨﺘﺨـﺐ ﺑـﻪ ﺻـﻮرت ﻣﻨﻄﻘـﻪاي و ﺑـﺎ در ﻧﻈـﺮ‬
‫ﮔﺮﻓﺘﻦ در دﺳﺘﺮس ﺑﻮدن و ﻧﺤﻮه اﻧﺘﺨﺎب ﻣﺪارس ﺟﻬﺖ اﺟﺮاي ﭘﺮﺳـﺸﻨﺎﻣﻪﻫـﺎ در اﺳـﺘﺎنﻫـﺎ‪ ،‬ﻧﻤﻮﻧـﻪﮔﻴـﺮي‬
‫ﺗﺼﺎدﻓﻲ ﺑﻮد‪ .‬اﺳﺘﺎنﻫﺎي ﻣﻨﺘﺨﺐ ﺷﺎﻣﻞ ﻳﺎزده اﺳﺘﺎن‪ :‬اﺻﻔﻬﺎن‪ ،‬اﻳﻼم‪ ،‬آذرﺑﺎﻳﺠﺎن ﺷﺮﻗﻲ‪ ،‬ﺗﻬﺮان‪ ،‬ﺧﻮزﺳـﺘﺎن‪،‬‬
‫ﺧﺮاﺳﺎن رﺿﻮي‪ ،‬ﺳﻤﻨﺎن‪ ،‬ﺳﻴﺴﺘﺎن و ﺑﻠﻮﭼﺴﺘﺎن‪ ،‬ﻛﺮﻣﺎن‪ ،‬ﻣﺎزﻧﺪران و ﻫﺮﻣﺰﮔﺎن ﺑـﻮد‪ .‬ﺣﺠـﻢ ﻧﻤﻮﻧـﻪ ﺑـﺮآورد‬
‫ﺷﺪه ﺑﺮاي ﻫﺮ ﮔﺮوه )داﻧﺶ آﻣﻮزان‪ ،‬ﻣﻌﻠﻤﺎن و واﻟﺪﻳﻦ( ‪ 3000‬ﻧﻔـﺮ ﺑـﻮد‪ .‬در ﻛـﻞ در اﻳـﻦ ﭘـﮋوﻫﺶ ﺗﻌـﺪاد‬
‫‪ 2905‬ﻧﻔﺮ داﻧﺶ آﻣﻮز‪2228 ،‬ﻣﻌﻠﻢ و ‪2147‬واﻟﺪ ﺷﺮﻛﺖ داﺷﺘﻨﺪ‪ .‬اﻋﺘﺒﺎر ﻣﺤﺘﻮاﻳﻲ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎ ﺑﺎ روش آﻟﻔﺎ‬
‫ﻛﺮوﻧﺒﺎخ ﺑﺮاي ﭘﺮﺳﺸﻨﺎﻣﻪ واﻟﺪﻳﻦ ‪ ،0/8906‬ﺑﺮاي ﭘﺮﺳـﺸﻨﺎﻣﻪ ﻣﻌﻠﻤـﺎن ‪ 0/8606‬و ﭘﺮﺳـﺸﻨﺎﻣﻪ داﻧـﺶ آﻣـﻮزان‬
‫‪ 0/9006‬ﺑﺪﺳﺖ آﻣﺪ‪ .‬در ﺗﺤﻠﻴﻞ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎ از روشﻫـﺎي آﻣـﺎري ﺗﻮﺻـﻴﻔﻲ‪ ،‬ﺟـﺪول و درﺻـﺪ ﻓﺮاواﻧـﻲ‬
‫اﺳﺘﻔﺎده ﺷﺪ‪ .‬ﻧﺘﺎﻳﺞ ﻛﻠﻲ زﻳﺮ ﺑﻪ دﺳﺖ آﻣﺪ‪:‬‬
‫‪ -1‬درﺳﻄﺢ ﻓﺮدي ﻣﺪاﺧﻼت ﻣﻲﺑﺎﻳﺴﺖ ﻣﺘﻤﺮﻛﺰ ﺑﺮ ﻣﺸﻜﻼت ﻋـﺎﻃﻔﻲ‪ ،‬رﻓﺘـﺎري‪ ،‬آﻣـﻮزش ﺷـﻬﺮوﻧﺪي و‬
‫ارزﺷﻲ ﺑﺎﺷﺪ‪ .‬ﺑﺪﻳﻬﻲ اﺳﺖ ﻛﻪ ﻣﺸﻜﻼت ﻣﻄﺮح ﺷـﺪه در ﺳـﻄﺢ ﻓـﺮدي از ﺟﺎﻧـﺐ ﺳﻴـﺴﺘﻢ آﻣـﻮزش و‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﭘﺮورش‪ ،‬اﻗﺘﺼﺎدي و رﺳﺎﻧﻪاي ﺗﺸﺪﻳﺪ ﻣﻲﺷﻮد‪ .‬اﺻﻼح اﻟﮕﻮﻫﺎي ﺑﺮﻧﺎﻣﻪرﻳـﺰي در ﺳـﻄﺢ ﭘﻴـﺸﮕﻴﺮي ﺑـﺎ‬
‫ﻫﻤﺎﻫﻨﮕﻲﻫﺎي دﺳﺘﮕﺎهﻫﺎي ذي رﺑﻂ ﻻزم و ﺿﺮوري اﺳﺖ‪.‬‬
‫‪ -2‬ﺗﺄﺛﻴﺮات ﺑﺮﺧﺎﺳﺘﻪ از ورود ﺗﻜﻨﻮﻟـﻮژي ﻧﻈﻴـﺮ ﻣـﺎﻫﻮاره‪ ،‬ﻣﻮﺑﺎﻳـﻞ و ﻏﻴـﺮه از دﻟﻤـﺸﻐﻮﻟﻲﻫـﺎي واﻟـﺪﻳﻦ و‬
‫ﻣﻌﻠﻤﺎن ﺑﻮد ﻛﻪ ﻧﻴﺎزﻣﻨﺪ ﻃﺮاﺣﻲ اﻗﺪاﻣﺎت ﻣﺪاﺧﻠﻪاي ﭘﻴﺸﮕﻴﺮاﻧﻪ اﺳﺖ‪.‬‬
‫‪ -3‬ﻳﺎﻓﺘﻪﻫﺎ ﺑﻪ اﻳﻦ ﻧﻜﺘﻪ اﺷﺎره دارﻧﺪ ﻛﻪ ﺑﺮﻧﺎﻣﻪﻫﺎي ارﺗﻘﺎﻳﻲ ﭘﻴﺸﮕﻴﺮاﻧﻪ ﻣﻮﺟﻮد ﻧﻴﺎزﻣﻨﺪ ﺗﻘﻮﻳـﺖ و ﺗﺨﺼـﺼﻲ‬
‫ﻧﻤﺎﻳﻲ اﺳﺖ ﺗﺎ ﺑﺘﻮان ﺑﺎ ﺳﻴﺮ ﺷﻴﻮع و ﺑﺮوز ﻣﺸﻜﻼت ﻣﻮﺟﻮد ﻳﺎ آﺗﻲ ﮔﺎم ﺑﻪ ﮔﺎم ﻳـﺎ ﺣﺘـﻲ ﺟﻠـﻮﺗﺮ از آن‬
‫ﺣﺮﻛﺖ ﻛﺮد‪ .‬در اﻳﻦ راﺳﺘﺎ ﻣﻌﻠﻤﺎن و واﻟﺪﻳﻦ ﺑﻪ ﺑﺮﻧﺎﻣﻪﻫﺎي آﻣﻮزﺷﻲ رواﻧـﻲ ـ اﺟﺘﻤـﺎﻋﻲ ﺑـﺮاي داﻧـﺶ‬
‫آﻣﻮزان ﺗﺄﻛﻴﺪ داﺷﺘﻪ و ﻳﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد ﻛﻪ ﺑـﻪ ﺑﺮﻧﺎﻣـﻪﻫـﺎي آﻣـﻮزش ﻓﺮزﻧـﺪ ﭘـﺮوري ﺑـﺮاي واﻟـﺪﻳﻦ و‬
‫آﻣﻮزش ﺑﻠﻮغ و ﻣﺴﺎﺋﻞ ﺟﻨﺴﻲ ﺑـﺮاي ﻫـﺮ ﺳـﻪ ﮔـﺮوه ﻣﺨﺎﻃـﺐ داﻧـﺶ آﻣـﻮزان‪ ،‬واﻟـﺪﻳﻦ و ﻣﻌﻠﻤـﺎن از‬
‫ﺗﻘﺎﺿﺎﻫﺎي واﻟﺪﻳﻦ و ﻣﻌﻠﻤﺎن اﺳﺖ‪ .‬ﺳﻴﺴﺘﻢ آﻣﻮزش و ﭘﺮورش در زﻣﻴﻨﻪ ﻧﻤﺮه ﻣﺤﻮري داﻧﺶ آﻣﻮزان و‬
‫ﺧﻼء ﺑﺮﻧﺎﻣﻪﻫﺎي آﻣﻮزﺷﻲ رواﻧﻲ ـ اﺟﺘﻤﺎﻋﻲ ﺑﺮاي داﻧـﺶ آﻣـﻮزان‪ ،‬واﻟـﺪﻳﻦ و ﻣﻌﻠﻤـﺎن ﻧﻴﺎزﻣﻨـﺪ ﺑﺮﻧﺎﻣـﻪ‬
‫رﻳﺰيﻫﺎي ﻣﻨﺴﺠﻢ اﺳﺖ‪.‬‬
‫‪ -4‬از ﺳﺎﻳﺮ ﻧﺘﺎﻳﺞ اﻳﻦ ﭘﮋوﻫﺶ ﻣﺸﺨﺺ ﺷﺪ‪ ،‬در ﺗﺪوﻳﻦ و ﺗﺠﺪﻳـﺪ ﻧﻈـﺮ ﻣﺤﺘـﻮاي آﻣﻮزﺷـﻲ ﻣﻬـﺎرتﻫـﺎي‬
‫زﻧﺪﮔﻲ؛ ﺑﻪ ﻣﻬﺎرتﻫﺎي ﺣﻞ ﺗﻌﺎرض‪ ،‬ﻣﻘﺎﺑﻠﻪ ﺑﺎ ﻫﻴﺠﺎﻧﺎت ﻣﻨﻔﻲ)ﻣﺨـﺼﻮﺻﺎً ﻛﻨﺘـﺮل ﺧـﺸﻢ و ﺣـﺴﺎدت(‬
‫ارﺗﺒﺎﻃﺎت ﺑﻴﻦ ﻓﺮدي‪ ،‬ﻣﻬﺎرت ﺧﻮدآﮔﺎﻫﻲ )ﺗﻘﻮﻳﺖ اﻋﺘﻤﺎد ﺑﻪ ﻧﻔﺲ و ﺗﺼﻮﻳﺮ ﺧﻮد(‪ ،‬اﺻﻮل ﺷـﻬﺮوﻧﺪي‬
‫و ﻣﺴﻮوﻟﻴﺖﻫﺎي ﻓﺮدي ﺑﻴﺸﺘﺮ ﭘﺮداﺧﺘﻪ ﺷﻮد‪.‬‬
‫‪ -5‬ﭘﮋوﻫﺶ در زﻣﻴﻨﻪ ﻣﺼﺎدﻳﻖ رﻓﺘﺎري داﻧﺶ آﻣﻮزان اﻃﻼﻋﺎت ﺟﺎﻣﻌﻲ را ﺑﺮاي ﺗـﺪوﻳﻦ ﮔـﺮان ﺑـﻪ ﻣﻨﻈـﻮر‬
‫ﻃﺮاﺣﻲ ﻛﺘﺐ آﻣﻮزﺷﻲ داﻧﺶ آﻣﻮزان‪ ،‬ﻓﺮاﻫﻢ ﻛﺮده اﺳﺖ‪.‬‬
‫ﻛﻠﻴﺪواژهﻫﺎ‪ :‬ﺑﺮﻧﺎﻣﻪ ﻣﻬﺎرتﻫﺎي زﻧﺪﮔﻲ‪ ،‬ﻧﻴﺎزﺳﻨﺠﻲ‪ ،‬ﺑﺮﻧﺎﻣﻪﻫﺎي ﭘﻴﺸﮕﻴﺮاﻧﻪ‪ ،‬آﺳـﻴﺐ و ﻣـﺸﻜﻞ اﺟﺘﻤـﺎﻋﻲ‪،‬‬
‫داﻧﺶآﻣﻮز‪ ،‬ﻣﻌﻠﻤﺎن‪ ،‬واﻟﺪﻳﻦ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﺗﻔﺎوت ﻛﺎرﻛﺮدﻫﺎي ﺷﻨﺎﺧﺘﻲ ﻗﻄﻌﺔ ﭘﻴﺸﺎﻧﻲ ﻣﻐﺰ در ﺳﺎﻟﻤﻨﺪان ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻣﺘﻔﺎوت‬
‫وﺣﻴﺪ ﻧﺠﺎﺗﻲ‬
‫ﺳﺎﺑﻘﻪ و ﻫﺪف‪ :‬ﻋﻠﻲ رﻏـﻢ ﻛـﺎﻫﺶ ﻋﻤﻠﻜـﺮدﻫـﺎي ﺷـﻨﺎﺧﺘﻲ و ﺗﻮاﻧـﺎﻳﻲﻫـﺎي ﺣﺮﻛﺘـﻲ در ﺳـﺎﻟﻤﻨﺪان‪،‬‬
‫ﻳﺎﻓﺘﻪﻫﺎي اﺧﻴﺮ ﻧﺸﺎن داده اﺳﺖ ﻛﻪ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜـﻲ و ورزش ﻣـﻲﺗﻮاﻧـﺪ ﻣﻨﺠـﺮ ﺑـﻪ ﺣـﺪاﻗﻞ رﺳـﺎﻧﺪن زوال‬
‫ﺷﻨﺎﺧﺘﻲ ﻣﻨﺘﺞ از ﺳﺎﻟﻤﻨﺪي ﮔﺮدد‪ .‬ﻫﺪف از اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻌﻴﻴﻦ ﺗﻔﺎوت ﻛﺎراﻳﻲ ﻋﻤﻠﻜﺮدﻫﺎي ﺷـﻨﺎﺧﺘﻲ ﻗﻄﻌـﺔ‬
‫ﭘﻴﺸﺎﻧﻲ در ﺳﺎﻟﻤﻨﺪان ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻣﺘﻔﺎوت اﺳﺖ‪.‬‬
‫روش‪ :‬ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻳﻚ ﺗﺤﻘﻴﻖ ﻛﺎرﺑﺮدي از ﻧﻮع ﻣﻘﻄﻌﻲ ﻣﻘﺎﻳﺴﻪاي ﻣـﻲﺑﺎﺷـﺪ ﻛـﻪ ﺑـﺮ روي ‪ 75‬ﻧﻔـﺮ‬
‫اﻓﺮاد ﺑﺎﻻي ‪ 60‬ﺳﺎل اﻧﺠﺎم ﮔﺮﻓﺖ‪ .‬در اﻳﻦ از آزﻣﻮن ﻳﺎل ﺑﺮاي ارزﻳﺎﺑﻲ ﻣﻴﺰان ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻓـﺮد اﺳـﺘﻔﺎده‬
‫ﺷــﺪ‪ .‬از آن آزﻣــﻮنﻫــﺎي اﺧﺘــﺼﺎﺻﻲ ﻛــﺎرﻛﺮدﻫــﺎي ﺷــﻨﺎﺧﺘﻲ ﻟــﻮب ﻓﺮوﻧﺘــﺎل ﺷــﺎﻣﻞ آزﻣــﻮن اﺳــﺘﺮوپ‪،‬‬
‫وﻳﺴﻜﺎﻧﺴﻴﻦ و ﻋﻤﻠﻜﺮد ﻣﺪاوم ﺑﻪ ﺻﻮرت ﻣﺒﺘﻨـﻲ ﺑـﺮ راﻳﺎﻧـﻪ اﻧﺠـﺎم ﮔﺮﻓـﺖ‪ .‬ﺑـﺮاي ﺗﺤﻠﻴـﻞ دادهﻫـﺎ از آﻧـﺎﻟﻴﺰ‬
‫وارﻳﺎﻧﺲ ﻳﻚ ﻃﺮﻓﻪ ﺟﻬﺖ ﻣﻘﺎﻳﺴﻪ دادهﻫﺎي ﺳﻪ ﮔﺮوه ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻛﻢ‪ ،‬ﻣﺘﻮﺳﻂ و زﻳﺎد اﺳﺘﻔﺎده ﺷﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻳﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد ﻛﻪ ﺗﻌﺪاد ﺧﻄﺎﻫﺎي ﺑﻴﻦ ﺳﻪ ﮔﺮوه ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻣﺘﻔﺎوت در ﻣﺮﺣﻠـﺔ اول و‬
‫ﺳﻮم آزﻣﻮن ﺑﺎ ﻳﻜﺪﻳﮕﺮ ﺗﻔﺎوت ﻣﻌﻨﻲدار ﻧﺸﺎن داده اﺳﺖ‪) .‬آﻣﺎرة ﭘﻲ در ﻫﺮ دو ﻣﺮﺣﻠﻪ ‪ (0/002‬زﻣﺎن ﭘﺎﺳﺦ‬
‫ﺑﻴﻦ ﺳﻪ ﮔﺮوه در ﻣﺮﺣﻠﺔ اول و ﺳﻮم آزﻣﻮن ﺑﺎ ﻳﻜﺪﻳﮕﺮ ﺗﻔﺎوت ﻣﻌﻨﻲدار ﻧﺸﺎن داد‪) .‬ﻣﻘـﺎدﻳﺮ آﻣـﺎرة ﭘـﻲ ﺑـﻪ‬
‫ﺗﺮﺗﻴﺐ ‪ 0/041‬و ‪ (0/006‬ﻣﻘﺎﻳﺴﺔ ﻣﻴﺎﻧﮕﻴﻦﻫﺎ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ در ﮔﺮوهﻫﺎي ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﺑﻴﺸﺘﺮ ﺗﻌﺪاد‬
‫ﺧﻄﺎﻫﺎ و زﻣﺎن ﭘﺎﺳﺦ ﻛﻤﺘﺮ اﺳﺖ‪.‬‬
‫ﻛــﺎراﻳﻲ آزﻣــﻮن وﻳﺴﻜﺎﻧــﺴﻴﻦ در ﺳــﻪﮔــﺮوه ﻣــﻮرد ﺑﺮرﺳــﻲ ﺗﻔــﺎوت در ﻃﺒﻘــﺎت ﺗﻜﻤﻴــﻞ ﺷــﺪه و ﺧﻄــﺎي‬
‫درﺟﺎﻣﺎﻧﺪﮔﻲ و ﭘﺎﺳﺦﻫﺎي ﺻﺤﻴﺢ ﻣﻌﻨﻲ داري ﻧﺸﺎن ﻧﺪاد‪) .‬ﻣﻘﺎدﻳﺮ آﻣﺎرة ﭘﻲ ﺑﻪ ﺗﺮﺗﻴﺐ ‪ 0/785 ،0/457‬و ‪(0/149‬‬
‫در آزﻣﻮن ﻋﻤﻠﻜﺮد ﻣﺪاوم ﺗﻔﺎوت ﻣﻌﻨﻲ داري در ﺧﻄﺎي درﺟﺎﻣﺎﻧﺪﮔﻲ و ﺗﻌﺪاد ﺧﻄﺎﻫﺎي آزﻣﻮن ﻧﺸﺎن‬
‫داده ﻧﺸﺪ‪) .‬ﻣﻘﺎدﻳﺮ آﻣﺎرة ﭘﻲ ﺑﻪ ﺗﺮﺗﻴﺐ ‪ 0/102‬و ‪ (0/130‬وﻟﻴﻜﻦ زﻣﺎن ﭘﺎﺳـﺦ ﺑـﻴﻦ ﺳـﻪ ﮔـﺮوه ﺑـﺎ ﻳﻜـﺪﻳﮕﺮ‬
‫ﺗﻔﺎوت ﻣﻌﻨﻲدار ﻧﺸﺎن داده اﺳﺖ‪) .‬ﻣﻘﺪار آﻣـﺎرة ﭘـﻲ ‪ (0/000‬ﻣﻘﺎﻳـﺴﺔ ﻣﻴـﺎﻧﮕﻴﻦﻫـﺎ ﻧـﺸﺎن ﻣـﻲدﻫـﺪ ﻛـﻪ در‬
‫ﮔﺮوهﻫﺎي ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﺑﻴﺸﺘﺮ زﻣﺎن ﭘﺎﺳﺦ ﻛﻤﺘﺮ اﺳﺖ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬در ﻣﻄﺎﻟﻌﺔ ﺣﺎﺿﺮ ﺳﻮدﻣﻨﺪي ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ در ﻋﻤﻠﻜﺮد اﺟﺮاﻳﻲ ﺷـﻨﺎﺧﺘﻲ ﻧـﺸﺎن داده ﺷـﺪ‪.‬‬
‫در اﻳﻦ ﻣﻴﺎن زﻣﺎن ﻋﻜﺲ اﻟﻌﻤﻞ‪ ،‬ﻣﻬﺎر و ﺗﻮﺟﻪ اﻧﺘﺨﺎﺑﻲ )آزﻣﻮن اﺳﺘﺮوپ( و ﺗﻮﺟـﻪ ﻣـﺪاوم و اﻧﺘﺨـﺎﺑﻲ )آزﻣـﻮن‬
‫ﻋﻤﻠﻜﺮد ﻣﺪاوم( در ﺳﺎﻟﻤﻨﺪان ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻛﺎراﻳﻲ ﺑﺎﻻﺗﺮي دارد‪ .‬وﻟﻲ ﻛﺎراﻳﻲ ﺳﺎﻟﻤﻨﺪان در ﺑﺮﻧﺎﻣﻪرﻳـﺰي‬
‫و ﺗﺼﻤﻴﻢﮔﻴﺮي )آزﻣﻮن وﻳﺴﻜﺎﻧﺴﻴﻦ( در ﺳﻪ ﮔﺮوه ﺑﺎ ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﻣﺘﻔﺎوﺗﻴﻜﺴﺎن ﻧﺸﺎن داده ﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﺎﻟﻤﻨﺪ‪ ،‬ﻗﻄﻌﺔ ﭘﻴﺸﺎﻧﻲ ﻣﻐﺰ‪ ،‬ﻋﻤﻠﻜﺮدﻫﺎي ﺷﻨﺎﺧﺘﻲ‪ ،‬ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺗﻌﻴﻴﻦ ﻣﺸﺨﺼﺎت رواﻧﺴﻨﺠﻲ ﻧﺴﺨﻪ ﻓﺎرﺳﻲ آزﻣﻮن ﻳﺎدﮔﻴﺮي )ﺣﺎﻓﻈـﻪ( ﺷـﻨﻮاﻳﻲ ـ ﻛﻼﻣـﻲ ري در‬
‫ﺳﺎﻟﻤﻨﺪان‬
‫زﻫﺮا ﺟﻌﻔﺮي‬
‫ﻣﻘﺪﻣﻪ‪ :‬آزﻣﻮن ﻳﺎدﮔﻴﺮي ﺷﻨﻮاﻳﻲ ـ ﻛﻼﻣﻲ ري )‪ ،(RAVLT‬آزﻣﻮن ﻧﻮروﺳﺎﻳﻜﻮﻟﻮژﻳﻚ راﻳﺠﻲ اﺳﺖ‬
‫ﻛﻪ ﺗـﻮان ﻳـﺎدﮔﻴﺮي و ﺣﺎﻓﻈـﻪ ﻛﻼﻣـﻲ را ﻣـﻮرد ارزﻳـﺎﺑﻲ ﻗـﺮار ﻣـﻲدﻫـﺪ‪ .‬در ﻣﻄﺎﻟﻌـﻪ ﺣﺎﺿـﺮ‪ ،‬ﻣﺸﺨـﺼﺎت‬
‫رواﻧﺴﻨﺠﻲ ﻧﺴﺨﻪ ﻓﺎرﺳﻲ اﻳﻦ آزﻣﻮن در ﺟﻤﻌﻴﺖ ﺳﺎﻟﻤﻨﺪان ﺗﻌﻴﻴﻦ ﮔﺮدﻳﺪ‪.‬‬
‫روش ﻛﺎر‪ :‬ﻣﻮاد آزﻣﻮن از ﺑﻴﻦ ﺧﺰاﻧﻪاي از ﻛﻠﻤﺎت راﻳﺞ و ﺑﺎ ﻓﺮاواﻧﻲ وﻗﻮع ﺑﺎﻻ در دو ﻧﺴﺨﻪ ﻣﺘﻔﺎوت‬
‫ﺑﺮ اﺳﺎس ﻣﻌﻴﺎر ﻟﺰاك )‪ (2004‬ﺗﻬﻴﻪ ﺷﺪ‪ .‬ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ‪ ،‬از ﻣﺮداد ﺗﺎ ﺑﻬﻤﻦ ﻣﺎه ﺳﺎل ‪ 1387‬ﺑﻪ ﻃـﻮر ﺗـﺼﺎدﻓﻲ‬
‫ﻃﺒﻘﻪاي روي ‪ 250‬ﺳﺎﻟﻤﻨﺪ ﺳﺎﻟﻢ و ‪ 100‬ﺳﺎﻟﻤﻨﺪ ﻣﺒﺘﻼ ﺑﻪ دﻣﺎﻧﺲ آﻟﺰاﻳﻤﺮ در ﻣﺤﺪوده ﺳﻨﻲ ‪ 60‬ﺗﺎ ‪ 80‬ﺳﺎل از‬
‫ﻫﺮ دو ﺟﻨﺲ در ﺳﻪ ﺳﻄﺢ ﺗﺤﺼﻴﻼت ﻣﻘﺪﻣﺎﺗﻲ‪ ،‬ﻣﺘﻮﺳﻄﻪ و داﻧﺸﮕﺎﻫﻲ اﻧﺠﺎم ﺷﺪ‪ .‬ﺳـﺎﻟﻤﻨﺪان ﺳـﺎﻟﻢ از ﺑـﻴﻦ‬
‫اﻓﺮاد ﺑﺪون ﺳﺎﺑﻘﻪ ﻣﺸﻜﻼت ﭘﺰﺷﻜﻲ ﻳﺎ ﻫﺮ ﮔﻮﻧﻪ ﺑﻴﻤﺎري ﻳﺎ ﻋﺎﻣﻞ ﺗﺄﺛﻴﺮﮔﺬار ﺑـﺮ ﺳـﻼﻣﺖ ﺷـﻨﺎﺧﺘﻲ اﻧﺘﺨـﺎب‬
‫ﺷﺪﻧﺪ‪ .‬ﺳﺎﻟﻤﻨﺪان ﻣﺒﺘﻼ ﺑﻪ آﻟﺰاﻳﻤﺮ ﻧﻴﺰ ﻛﺴﺎﻧﻲ ﺑﻮدﻧﺪ ﻛﻪ ﺑﻴﻤﺎري آﻧﻬﺎ ﻗـﺒﻼ ﺗﻮﺳـﻂ روان ﭘﺰﺷـﻚ‪ ،‬ﺗـﺸﺨﻴﺺ‬
‫ﻗﻄﻌﻲ داده ﺑﻮد و ﻧﺘﻴﺠﻪ ‪ MMSE‬و ‪ DSM-IV‬آﻧﻬﺎ ﻏﻴﺮ ﻃﺒﻴﻌﻲ ﺑﻮد‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در ﺑﺮرﺳﻲ رواﻳﻲ ﻫﻤﮕﺮا‪ ،‬ﺑﻴﻦ ﭼﻬﺎر ﻣﺮﺣﻠﻪ از ﻧﺘﺎﻳﺞ آزﻣﻮن ري ﺑﺎ اﻣﺘﻴـﺎز زﻳﺮآزﻣـﻮن ﺣﺎﻓﻈـﻪ‬
‫ﻣﻨﻄﻘــﻲ وﻛــﺴﻠﺮ‪ ،‬ﻫﻤﺒــﺴﺘﮕﻲ ﻣﺜﺒــﺖ ﻣﻌﻨــﺎداري ﻣــﺸﺎﻫﺪه ﺷــﺪ )‪ .(p < 0/001 ،r > 0/346‬ﺑﺮرﺳــﻲ رواﻳــﻲ‬
‫ﺗﻔﻜﻴﻜﻲ ﺑﺎ ﻣﻘﺎﻳﺴﻪ اﻣﺘﻴﺎزات آزﻣﻮن ﺑﻴﻦ دو ﮔﺮوه ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻢ و ﺳﺎﻟﻤﻨﺪان ﻣﺒﺘﻼ ﺑـﻪ آﻟﺰاﻳﻤـﺮ‪ ،‬اﺧـﺘﻼف‬
‫ﻣﻌﻨﺎدار ﻧﺘﺎﻳﺞ آﻧﻬﺎ در ﻛﻠﻴﻪ ﻣﺮاﺣﻞ آزﻣﻮن را ﻧﺸﺎن داد )‪ .(p < 0/001‬ﺑﺎ رﺳﻢ ﻣﻨﺤﻨﻲ راك‪ ،‬ﺣـﺴﺎﺳﻴﺖ ‪97‬‬
‫درﺻﺪ و وﻳﮋﮔﻲ ‪ 100‬درﺻﺪ ﺑﺮاي ﻣﺮﺣﻠﻪ ﻣﻴﺎﻧﮕﻴﻦ آزﻣﻮن ﺑﻪ دﺳﺖ آﻣﺪ )‪ .(p < 0/001‬ﺑـﺎ اﻧﺠـﺎم آزﻣـﻮن‬
‫ﻫﻤﺒﺴﺘﮕﻲ ﭘﻴﺮﺳﻮن‪ ،‬ﺑﻴﻦ اﻣﺘﻴﺎزات دو ﻧﺴﺨﻪ ﻣﺘﻔﺎوت آزﻣﻮن ﻛﻪ ﺑﺎ ﻓﺎﺻﻠﻪ دو ﻣـﺎه از ﻳﻜـﺪﻳﮕﺮ روي ‪ 35‬ﻧﻔـﺮ‬
‫از ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻢ ﺗﻜﻤﻴﻞ ﺷﺪه ﺑﻮدﻧﺪ‪ ،‬ﻫﻤﺒﺴﺘﮕﻲ ﻣﺜﺒﺖ ﺑﺎﻻﻳﻲ ﻣﺸﺎﻫﺪه ﺷـﺪ )‪ .(p < 0/001 ،r > 0/730‬در‬
‫ﺗﺤﻠﻴﻞ آﻣـﺎري‪ ،‬ﺑـﻴﻦ ﮔـﺮوهﻫـﺎي ﺳـﻨﻲ و ﻫﻤﭽﻨـﻴﻦ دو ﺟـﻨﺲ در اﻛﺜـﺮ ﺑﺨـﺶﻫـﺎي آزﻣـﻮن ري و ﺳـﻄﺢ‬
‫ﺗﺤﺼﻴﻼت در ﻛﻠﻴﻪ ﻣﺮاﺣﻞ آن‪ ،‬ﺗﻔﺎوت ﻣﻌﻨﺎداري وﺟﻮد داﺷﺖ )‪.(p <0/01‬‬
‫ﻧﺘﻴﺠـﻪﮔﻴـﺮي‪ :‬ﻧـﺴﺨﻪ ﻓﺎرﺳـﻲ آزﻣـﻮن ﻳـﺎدﮔﻴﺮي ﺷـﻨﻮاﻳﻲ ـ ﻛﻼﻣـﻲ ري از رواﻳـﻲ و اﻋﺘﺒـﺎر ﺧـﻮﺑﻲ‬
‫ﺑﺮﺧﻮردار اﺳﺖ‪ ،‬و ﻣﻲﺗﻮاﻧﺪ ﺑﺮاي ارزﻳﺎﺑﻲ و اﻇﻬﺎرﻧﻈﺮ ﻧﺴﺒﺖ ﺑﻪ وﺿﻌﻴﺖ ﺣﺎﻓﻈﻪ ﻛﻮﺗـﺎه ﻣـﺪت و ﻋﻤﻠﻜـﺮد‬
‫ﻳﺎدﮔﻴﺮي در ﺳﺎﻟﻤﻨﺪان و ﺷﻨﺎﺳﺎﻳﻲ اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ دﻣﺎﻧﺲ آﻟﺰاﻳﻤﺮ ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار ﮔﻴﺮد‪.‬‬
‫ﻛﻠﻴﺪ واژﻫﺎ‪ :‬آزﻣﻮن ﻳﺎدﮔﻴﺮي ﺷﻨﻮاﻳﻲ ﻛﻼﻣﻲ ري‪ ،‬ﺣﺎﻓﻈﻪ‪ ،‬ﻳﺎدﮔﻴﺮي‪ ،‬ﺳﺎﻟﻤﻨﺪي‪ ،‬آﻟﺰاﻳﻤﺮ‪ ،‬رواﻧﺴﻨﺠﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﻓﺎﻛﺘﻮرﻫﺎي ﺷﻐﻠﻲ و ﻏﻴﺮﺷﻐﻠﻲ ﻣﺆﺛﺮ در اﻳﺠﺎد ﺣﺎدﺛﻪ ﺷﻐﻠﻲ دﺳﺖ‬
‫ﻣﺮﻳﻢ ﻣﻘﺼﻮديﭘﻮر‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬ارزﻳﺎﺑﻲ ﻓﺎﻛﺘﻮرﻫﺎي ﺷﻐﻠﻲ و ﻏﻴﺮ ﺷﻐﻠﻲ در ﻛﺎرﮔﺮان دﭼﺎر ﺣﺎدﺛﻪ ﺷﻐﻠﻲ دﺳﺖ‬
‫ﻣﻮاد و روش‪ :‬ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﺻﻮرت ﻣﻄﺎﻟﻌﻪ ﻣﻮرد ﺷﺎﻫﺪي ﻃﺮاﺣﻲ ﺷﺪ‪ 90 .‬ﻛﺎرﮔﺮ ﺻﻨﻌﺘﻲ دﭼﺎر ﺣﺎدﺛـﻪ‬
‫ﺷﻐﻠﻲ دﺳﺖ ﺑﻪ ﺻﻮرت ﺗﺼﺎدﻓﻲ از ﻛﺎرﺧﺎﻧﻪﻫﺎي اﻃﺮاف ﺗﻬﺮان اﻧﺘﺨﺎب ﺷﺪﻧﺪ‪ 8 .‬ﻣـﻮرد از ﻣﻄﺎﻟﻌـﻪ ﺣـﺬف‬
‫ﺷﺪﻧﺪ‪ 82 .‬ﻣﻮرد ﺑﺎ ﺣﺎدﺛﻪ دﺳﺖ ﺑﺎ ‪ 83‬ﻛﺎرﮔﺮ ﺻﻨﻌﺘﻲ ﻛﻪ ﺑﻪ ﻋﻨﻮان ﺷﺎﻫﺪ اﻧﺘﺨﺎب ﺷﺪه ﺑﻮدﻧﺪ‪ ،‬از ﻧﻈﺮ ﺟﻨﺲ‬
‫و ﻧﻮع ﺷﻐﻞ ‪ match‬ﺷﺪﻧﺪ‪.‬‬
‫ﭘﺮﺳﺸﻨﺎﻣﻪاي در ﻣﻮرد ﻓﺎﻛﺘﻮرﻫﺎي ﺷﻐﻠﻲ و ﻏﻴـﺮ ﺷـﻐﻠﻲ ﺑـﺮاي ﻫﺮﻛـﺪام از ﻣﻮردﻫـﺎ و ﺷـﺎﻫﺪﻫﺎ ﺗﻮﺳـﻂ‬
‫ﭘﺮﺳﺸﮕﺮ ﭘﺮ ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺑﺎ اﺳﺘﻔﺎده از ﻣﺪل رﮔﺮﺳﻴﻮن ﭼﻨﺪ ﻣﺘﻐﻴﺮي‪ ،‬ﻋﻮاﻣﻞ ﺧﻄﺮ در ﺑﺮوز ﺣﺎدﺛﻪ ﺷـﻐﻠﻲ دﺳـﺖ ﺑـﺪﻳﻦ‬
‫ﺗﺮﺗﻴﺐ ﺗﻌﻴﻴﻦ ﺷﺪﻧﺪ‪ :‬داﺷﺘﻦ ﺷﻴﻔﺖ ﻛﺎري از ﻧﻮع ﮔﺮدﺷـﻲ‪ ،‬ﻛـﺎر در ﺳـﺎﻋﺖ اوﻟﻴـﻪ ﺻـﺒﺢ و ﻛـﺎرﻛﺮدن ﺑـﻪ‬
‫ﺻﻮرت اﻧﻔﺮادي‪ ،‬و ﻋﻮاﻣﻞ ﻣﺤﺎﻓﻈﺖ ﻛﻨﻨﺪه ﺑﺪﻳﻦ ﺗﺮﺗﻴﺐ ﺗﻌﻴﻴﻦ ﺷـﺪﻧﺪ‪ :‬ﺗﺠﻬﻴـﺰ اﺑـﺰار ﺑـﻪ وﺳـﺎﻳﻞ ﺣﻔﺎﻇـﺖ‬
‫ﻓﺮدي ﻳﺎ در اﺧﺘﻴﺎر داﺷﺘﻦ آن‪ .‬ﺑﺎ آزﻣﻮن ‪ Univariate‬ﻛـﻪ ﺑـﺎ دﺳـﺘﻮر ‪ Chi square‬اﻧﺠـﺎم ﺷـﺪ‪ ،‬ﻋـﻼوه ﺑـﺮ‬
‫ﻣﻮارد ﻓﻮق اﺳﺘﻔﺎده از وﺳﺎﻳﻞ ﺣﻔﺎﻇﺖ ﻓﺮدي و ﻧﻴﺰ آﻣﻮزش اﻳﻤﻨﻲ ﻫﻢ ﺑﻪ ﻋﻨﻮان ﻓﺎﻛﺘﻮرﻫﺎي ﻣﺤـﺎﻓﻆ ﺑـﺮاي‬
‫ﺣﺎدﺛﻪ ﺷﻐﻠﻲ دﺳﺖ از ﻧﻈﺮ آﻣﺎري ﻣﻌﻨﺎدار ﺑﻮدﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻣﻬﻤﺘﺮﻳﻦ ﻣﻮارد در ﭘﻴﺸﮕﻴﺮي از ﺣﺎدﺛﻪ ﺷﻐﻠﻲ دﺳﺖ‪ ،‬در اﺧﺘﻴﺎر ﻗـﺮار دادن و ﻳـﺎ ﺗﺠﻬﻴـﺰ‬
‫اﺑﺰار ﺑﻪ وﺳﺎﻳﻞ اﻳﻤﻨﻲ و اﺳﺘﻔﺎده از آﻧﻬﺎﺳﺖ و ﻧﻴﺰ آﻣﻮزش اﻳﻤﻨﻲ در ﭘﻴﺸﮕﻴﺮي اﻫﻤﻴﺖ دارد‪ .‬در ﻛـﺎرﮔﺮان‬
‫اﻳﺮاﻧﻲ داﺷﺘﻦ راﺑﻄﻪ ﺑﻴﺸﺘﺮ ﺑﺎ ﻫﻤﻜﺎران ﺑﻪ ﻋﻨﻮان ﻳﻚ راﺑﻄﻪ ﺣﻤﺎﻳﺘﻲ‪ ،‬ﻓﺎﻛﺘﻮر ﻣﺤﺎﻓﻈﻲ ﺑـﺮاي ﺣﺎدﺛـﻪ ﺷـﻐﻠﻲ‬
‫دﺳﺖ اﺳﺖ‪ .‬ﻛﺎر ﻛﺮدن در ﺳﺎﻋﺎت اوﻟﻴﻪ ﺻﺒﺢ ﺑﺎﻳﺪ ﺑﺎ دﻗﺖ ﺑﻴﺸﺘﺮي ﺑﺮاي ﭘﻴﺸﮕﻴﺮي از وﻗﻮع ﺣﺎدﺛﻪ ﺑﺎﺷﺪ و‬
‫ﻧﻜﺎت اﻳﻤﻨﻲ ﺣﺘﻤﺎً ﺑﺎ دﻗﺖ ﺑﻴـﺸﺘﺮي رﻋﺎﻳـﺖ ﺷـﻮد‪ .‬داﺷـﺘﻦ ﺷـﻴﻔﺖ ﻛـﺎري ﺛﺎﺑـﺖ ﺑـﺮاي ﻛـﺎرﮔﺮان ﺟﻬـﺖ‬
‫ﭘﻴﺸﮕﻴﺮي از ﺣﺎدﺛﻪ دﺳﺖ ﺑﻬﺘﺮ از ﺷﻴﻔﺖ ﻛﺎري ﮔﺮدﺷﻲ اﺳﺖ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺣﺎدﺛﻪ دﺳﺖ‪ ،‬ﺷﻐﻠﻲ‪ ،‬ﺷﻴﻔﺖ ﻛﺎري‪ ،‬وﺳﺎﻳﻞ ﺣﻔﺎﻇﺖ ﻓﺮدي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫اﻧﻄﺒﺎق و اﺳﺘﺎﻧﺪاردﺳﺎزي ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي آزﻣﻮن ﻏﺮﺑﺎﻟﮕﺮي ﺗﻜﺎﻣﻠﻲ ﺳـﻨﻴﻦ و ﻣﺮاﺣـﻞ )‪ (ASQ‬در‬
‫ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ‬
‫روﺷﻨﻚ واﻣﻘﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﺗﺸﺨﻴﺺ ﺑﻪ ﻣﻮﻗﻊ و ﻣﺪاﺧﻠﻪ زودرش راﻫﻬﺎي ﻣﺆﺛﺮي ﺑﺮاي ارﺗﻘﺎء ﻣﻬﺎرﺗﻬﺎي ﺷﻨﺎﺧﺘﻲ ﻛﻮدﻛﺎن‬
‫ﻣﺒﺘﻼ ﺑﻪ ﺗﺄﺧﻴﺮﻫـﺎي ﺗﻜـﺎﻣﻠﻲ ﻫـﺴﺘﻨﺪ ﻛـﻪ ﻣﻨـﺎﻓﻊ زﻳـﺎدي را از ﻧﻘﻄـﻪ ﻧﻈـﺮ ﻓـﺮدي‪ ،‬ﺧـﺎﻧﻮادﮔﻲ‪ ،‬ﺗﺤـﺼﻴﻠﻲ و‬
‫آﻛﺎدﻣﻴﻚ‪ ،‬اﻗﺘﺼﺎدي و اﺟﺘﻤﺎﻋﻲ ﺑﺪﻧﺒﺎل دارد‪ .‬از آﻧﺠﺎﻳﻲ ﻛﻪ ارزﻳﺎﺑﻲﻫﺎي ﺗﺨﺼﺼﻲ ﻛﻮدﻛﺎن ﭘﺮﻫﺰﻳﻨﻪاﻧـﺪ‬
‫و ﻣﻌﻤﻮﻻً ﺑﺎ ﻓﺎﺻﻠﻪﻫﺎي زﻣﺎﻧﻲ ﻣﻨﻈﻢ اﻧﺠﺎم ﻧﻤﻲﺷﻮﻧﺪ‪ ،‬ﺑﺮﺧـﻲ راهﺣـﻞ را در ﺳـﭙﺮدن ارزﻳـﺎﺑﻲ و ﻏﺮﺑـﺎﻟﮕﺮي‬
‫ﺗﻜﺎﻣﻠﻲ ﺑﻪ دﺳﺖ واﻟﺪﻳﻦ ﻣﻲﺑﻴﻨﻨﺪ‪ ،‬ﺑﻪ ﻃﻮري ﻛﻪ ﺗﻤﺎﻳﻞ روزاﻓﺰوﻧﻲ ﺑﺮاي ﺗﻮﻟﻴﺪ واﺳﺘﻔﺎده از ﭘﺮﺳﺸﻨﺎﻣﻪﻫـﺎﻳﻲ‬
‫ﻛﻪ ﺻﺮﻓﺎً ﺑﺮ ﮔﺰارش واﻟﺪﻳﻦ ﺗﻜﻴﻪ دارﻧﺪ‪ ،‬ﺑﻪ وﺟﻮد آﻣﺪه اﺳﺖ‪.‬‬
‫ﻋﻼوه ﺑﺮ ﻣﻘﺮون ﺑـﻪ ﺻـﺮﻓﻪ ﺑـﻮدن‪ ،‬ﺑﻬـﺮهﮔﻴـﺮي از ﻣـﺴﺎﻋﺪت واﻟـﺪﻳﻦ ﺟﻬـﺖ ﺗﻜﻤﻴـﻞ ﭘﺮﺳـﺸﻨﺎﻣﻪﻫـﺎي‬
‫ﻏﺮﺑﺎﻟﮕﺮ‪ ،‬ﺻﺤﺖ و دﻗﺖ ارزﻳﺎﺑﻲﻫﺎي ﺗﻜﺎﻣﻠﻲ را ﺑﻪ دﻟﻴﻞ ﺗﻨﻮع ﺑﻴﺸﺘﺮ رﻓﺘﺎرﻫﺎي ﻛﻮدك در ﻣﻨـﺰل اﻓـﺰاﻳﺶ‬
‫ﻣﻲدﻫﺪ‪.‬‬
‫ﻣﺰﻳﺖ دﻳﮕﺮ آزﻣﻮنﻫﺎي ﻣﺒﺘﻨـﻲ ﺑـﺮ ﮔـﺰارش واﻟـﺪﻳﻦ )‪ (Parent-Report‬اﻧﻌﻄـﺎفﭘـﺬﻳﺮي آنﻫﺎﺳـﺖ‪.‬‬
‫ﻏﺎﻟﺒﺎًاﻳﻦ ﮔﻮﻧﻪ آزﻣﻮنﻫﺎ را ﻣﻲﺗﻮان در اﻧـﻮاع ﻣﺤـﻴﻂﻫـﺎ ﻣﺎﻧﻨـﺪ ﺧﺎﻧـﻪ‪ ،‬ﻣﻬـﺪي ﻛـﻮدك‪ ،‬آﻣـﺎدﮔﻲ و ﺣﺘـﻲ‬
‫ﻛﻠﻴﻨﻴﻚ ﺑﻜﺎر ﺑﺮد‪.‬‬
‫آزﻣﻮن ﻏﺮﺑﺎﻟﮕﺮي ﺗﻜـﺎﻣﻠﻲ ‪ (Ages & Stages Questionnaire) ASQ‬ﻛـﻪ ﻳـﻚ آزﻣـﻮن ﻣﺒﺘﻨـﻲ ﺑـﺮ‬
‫ﺷﻮاﻫﺪ اﺳﺖ‪ ،‬ﻧﻴﺰ واﺟﺪ ﭼﻨﻴﻦ وﻳﮋﮔﻲﻫﺎﻳﻲ اﺳﺖ‪ .‬ﻟﺬا ﺑﺮا ﺗﻮﺟﻪ ﺑﻪ ﻣﺰاﻳﺎي ﻓﻮق اﻟﺬﻛﺮ آزﻣﻮن ‪ ، ASQ‬و ﻧﻴﺰ‬
‫ﺑﺎ ﺗﻮﺟﻪ اﻳﻨﻜﻪ ﺗﺎﻛﻨﻮن ﻫﻨﻮز ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ از ﻧﻈﺮ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ ﻣﻮرد ﻏﺮﺑﺎﻟﮕﺮي ﻣﻨﻈﻢ و ﻫﻤـﺎﻫﻨﮕﻲ‬
‫ﻗﺮار ﻧﮕﺮﻓﺘﻪ ﻳﻜﻲ از ﻋﻠﻞ آن ﻓﻘﺪان آزﻣﻮن اﺳﺘﺎﻧﺪارد ﺷﺪه ﺑﻮده اﺳﺖ‪ ،‬در ﺗﺤﻘﻴﻖ ﺣﺎﺿﺮ ﮔﺮوه ﻣﺤﻘﻘﻴﻦ ﺑﺮ‬
‫آن ﺷﺪﻧﺪ اﻳﻦ اﺑﺰار ﻏﺮﺑﺎﻟﮕﺮي را ﺑﺮاي ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ اﺳﺘﺎﻧﺪارد ﻧﻤﺎﻳﻨﺪ‪.‬‬
‫روش‪ :‬ﻧﻮع ﻣﻄﺎﻟﻌﻪ‪ ،‬ﺗﻮﺳﻌﻪاي از ﻧﻮع ﻣﻘﻄﻌﻲ )‪ (Cross-Sectional‬ﺑﺮاي ﺗﻌﻴﻴﻦ اﻋﺘﺒﺎر و رواﻳﻲ آزﻣﻮن‬
‫ﻏﺮﺑﺎﻟﮕﺮي ﻣﻲﺑﺎﺷﺪ‪ .‬ﺟﺎﻣﻌﻪ آﻣﺎري ﻛﻠﻴﻪ ﻛﻮدﻛﺎن ‪ 4-60‬ﻣﺎﻫﻪ ﺟﺎﻣﻌﻪ اﻳﺮاﻧﻲ ﻣﻲﺑﺎﺷﻨﺪ‪.‬‬
‫ﺑﺮاي اﻧﺠﺎم اﻳﻦ ﺗﺤﻘﻴﻖ‪ ،‬اﺑﺘﺪا ﻛﻤﻴﺘﻪ ﻣﺸﺘﺮﻛﻲ ﺷﺎﻣﻞ ﻛﺎرﺷﻨﺎﺳﺎن ﻧﻤﺎﻳﻨـﺪه دﺳـﺘﮕﺎهﻫـﺎي ﻣﺨﺘﻠـﻒ ﻣﺎﻧﻨـﺪ‬
‫ﺳﺎزﻣﺎن آﻣﻮزش و ﭘﺮورش ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﺋﻲ‪ ،‬دﻓﺘﺮ ﺳﻼﻣﺖ ﺟﻤﻌﻴﺖ و ﺧﺎﻧﻮاده وزارت ﺑﻬﺪاﺷﺖ درﻣﺎن و‬
‫آﻣــﻮزش ﭘﺰﺷــﻜﻲ‪ ،‬ﭘﮋوﻫــﺸﻜﺪه ﻛﻮدﻛــﺎن اﺳــﺘﺜﻨﺎﺋﻲ‪ ،‬داﻧــﺸﮕﺎه ﻋﻠــﻮم ﺑﻬﺰﻳــﺴﺘﻲ و ﺗﻮاﻧﺒﺨــﺸﻲ و ﻳﻮﻧﻴــﺴﻒ‬
‫ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﻨﻴﻦ و ﻣﺮاﺣﻞ )‪ (ASQ‬را ﺑﻪ ﻋﻨﻮان ﻳﻜﻲ از ﻣﻨﺎﺳﺐﺗﺮﻳﻦ آزﻣﻮنﻫﺎي ﻣﻮﺟﻮد ﻏﺮﺑﺎﻟﮕﺮي ﺗﻜﺎﻣﻠﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﻧﺘﺨﺎب و ﺑﺎ ﻣﺴﺎﻋﺪت ﻳﻮﻧﻴﺴﻒ ﺧﺮﻳﺪاري ﻧﻤﻮدﻧﺪ‪ .‬اﻳﻦ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻃﻲ ﻳﻚ ﻛﺎرﮔـﺎه ﻣـﺸﻮرﺗﻲ دو روزه ﺑـﺎ‬
‫ﺷﺮﻛﺖ اﺳﺎﺗﻴﺪ ﺻﺎﺣﺒﻨﻈﺮان ﻣﺨﺘﻠﻒ در ﺣﻴﻄﻪ ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن ﺑﺎ ﺳﺎﻳﺮ آزﻣـﻮنﻫـﺎي ﻏﺮﺑـﺎﻟﮕﺮي ﻣﻘﺎﻳـﺴﻪ و‬
‫ﻣﻮرد ﺗﺎﺋﻴﺪ ﺟﻬﺖ اﺳﺘﺎﻧﺪاردﺳﺎزي ﺑﺮاي ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ ﻗﺮار ﮔﺮﻓﺖ‪.‬‬
‫ﺑﺪﻳﻦ ﻣﻨﻈﻮر اﺑﺘﺪا ﭘﺮﺳﺸﻨﺎﻣﻪ و راﻫﻨﻤﺎي آن در ﮔﺮوهﻫﺎي ﺳﻨﻲ و ﺣﻴﻄﻪﻫﺎي ﺗﻜـﺎﻣﻠﻲ ﻣﺨﺘﻠـﻒ ﺗﺮﺟﻤـﻪ‬
‫ﮔﺮدﻳﺪ‪ .‬ﺳﭙﺲ ﺗﺮﺟﻤﻪ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎ ﺗﻮﺳﻂ ﻣﺘﺨﺼﺼﺎن ﻣﻮﺿﻮﻋﻲ ﺑـﺎ ﻧـﺴﺨﻪ اﺻـﻠﻲ ﻣﻘﺎﻳـﺴﻪ و اﺻـﻼح ﺷـﺪ‪.‬‬
‫دراﻳﻦ ﻣﺮﺣﻠﻪ در ﻧﺸﺴﺖﻫﺎي ﻣﺘﻌﺪد ﻛﻤﻴﺘﻪ ﻣﺸﺘﺮك اﺻﻼح و اﻧﻄﺒﺎق ﮔﻮﻳﻪﻫﺎي ﻧﺎﻣﻨﺎﺳـﺐ از ﻧﻈـﺮ زﺑـﺎﻧﻲ و‬
‫ﻓﺮﻫﻨﮕﻲ اﻧﺠﺎم ﺷﺪ و ﺳﭙﺲ ﻫﺮ ﻧﻮع ﺧﻄﺎﻳﻲ در ﺗﺮﺟﻤﻪ و ﺗﻄﺒﻴﻖ ﻛﻪ ﻣﻤﻜﻦ ﺑﻮد ﻣﻨﺠـﺮ ﺑـﻪ ﺗﻔـﺎوتﻫـﺎﻳﻲ در‬
‫ﻣﻌﻨﺎي ﺳﻮاﻻت اوﻟﻴﻪ ﮔﺮدد‪ ،‬ﺷﻨﺎﺳﺎﻳﻲ و رﻓﻊ ﮔﺮدﻳﺪ‪.‬‬
‫ﭘﺲ از آن ﻓﺮم اﻃﻼﻋﺎت دﻣﻮﮔﺮاﻓﻴﻚ‪ ،‬ﻓﺮم اﻃﻼﻋﺎت ﺳﺎﺑﻘﻪ ﭘﺰﺷﻜﻲ و دﺳﺘﻮراﻟﻌﻤﻞ اﺟﺮاي ﭘﺮﺳﺸﻨﺎﻣﻪ‬
‫ﺑﺎ ﻛﻤﻚ دﺳﺘﻮراﻟﻌﻤﻞ ﻧﺴﺨﻪ زﺑﺎن اﺻﻠﻲ‪ ،‬ﺗﻮﺳﻂ ﻛﻤﻴﺘﻪ ﻣﺸﺘﺮك ﺗﺪوﻳﻦ ﮔﺸﺖ‪.‬‬
‫ﺑﻪ ﻣﻨﻈﻮر ﺗﻌﻴﻴﻦ ﺷﻔﺎﻓﻴﺖ ﮔﻮﻳﻪﻫﺎ‪ ،‬ﺷﻨﺎﺳﺎﻳﻲ ﮔﻮﻳﻪﻫﺎي ﻣﺒﻬﻢ و ﻧـﺎﻗﺺ و ﺷﻨﺎﺳـﺎﻳﻲ ﻣـﺸﻜﻼت اﺟﺮاﻳـﻲ‪،‬‬
‫آزﻣﻮن ﺑﻪ ﺻﻮرت ﭘﻴﺶ ﺗﺠﺮﺑﻲ )‪ (Pre-tryout‬اﺟﺮا ﮔﺮدﻳﺪ‪ .‬آزﻣﻮن ﭘﻴﺶ ﺗﺠﺮﺑـﻲ ﺑـﺮ روي ﻧﻤﻮﻧـﻪاي ‪100‬‬
‫ﻧﻔﺮه از واﻟﺪﻳﻦ ﻛﻮدﻛﺎن واﺟﺪ ﺷﺮاﻳﻂ ﺷﺪ و ﻣﻮارد اﺷﻜﺎل ﻣﺸﺨﺺ و اﺻﻼح ﮔﺮدﻳﺪ‪.‬‬
‫اﺟﺮاي ﺗﺠﺮﺑﻲ )‪ (tryout‬ﺑﻪ ﻣﻨﻈﻮر ﺗﺤﻠﻴﻞ ﮔﻮﻳﻪﻫﺎي ﻫﺮ ﺧﺮده آزﻣﻮن‪ ،‬ﺗﻌﻴﻴﻦ درﺟﻪ دﺷـﻮاري ﻳـﺎ ﺑﻬـﺮه‬
‫ﺳﻨﻲ‪ ،‬ﺿﺮﻳﺐ ﺗﺸﺨﻴﺺ و ﺳﺎﻳﺮ ﻋﻤﻠﻴﺎن روانﺳﻨﺠﻲ ﻣﻮرد ﻧﻴﺎز در ﻣﺮﺣﻠﻪ ﺑﻌﺪي اﻧﺠﺎم ﺷﺪ‪ .‬ﺑﻪ اﻳﻦ ﺗﺮﺗﻴﺐ ﻛﻪ‬
‫آزﻣﻮن ﺑﺮ روي ﻧﻤﻮﻧﻪاي ﺑﺎ ﺣﺠﻢ ‪ 550‬ﻧﻔﺮ در ﺗﻬﺮان‪ ،‬ﺑﻪ ﺻـﻮرت ﻧﻤﻮﻧـﻪ در دﺳـﺘﺮس )ﻳﻌﻨـﻲ ﻣـﺮاﺟﻌﻴﻦ ﺑـﻪ‬
‫ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ ـ درﻣﺎﻧﻲ و ﻣﻬﺪﻛﻮدكﻫﺎ در ﭼﻬـﺎر ﻣﻨﻄﻘـﻪ اﺻـﻠﻲ ﺷـﻬﺮ اﺟـﺮا ﺷـﺪ‪ .‬در اﻳـﻦ ﻣﺮﺣﻠـﻪ ﻓـﺮم‬
‫اﻃﻼﻋﺎت دﻣﻮﮔﺮاﻓﻴﻚ و ﻧﻴﺰ ﻓﺮم اﻃﻼﻋﺎت ﺳﺎﺑﻘﻪ ﭘﺰﺷﻜﻲ ﻛﻮدﻛﺎن ﻧﻴﺰ ﺗﻜﻤﻴﻞ ﮔﺮدﻳﺪ‪.‬‬
‫ﺿﻤﻨﺎً ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺗﺠﺮﺑﻴﺎت ﺑﻪ دﺳﺖ آﻣﺪه در اﻳﻦ ﻣﺮﺣﻠـﻪ اوﻻً ﻓﻮرﻣـﺖ ﻇـﺎﻫﺮي ﭘﺮﺳـﺸﻨﺎﻣﻪ ﺳـﺎدهﺗـﺮ و‬
‫ﻣﻨﺴﺠﻢﺗﺮ ﺷﺪ‪ ،‬ﺗـﺎ از ﻗﺎﺑﻠﻴـﺖ اﺟـﺮاي ﺑﻬﺘـﺮي ﺑﺮﺧـﻮردار ﺑﺎﺷـﺪ دوﻣـﺎً ﺗـﺼﻤﻴﻢ ﮔﺮﻓﺘـﻪ ﺷـﺪ ﻓـﺮم اﻃﻼﻋـﺎت‬
‫دﻣﻮﮔﺮاﻓﻴﻚ و ﻧﻴﺰ ﻓﺮم اﻃﻼﻋﺎت ﺳﺎﺑﻘﻪ ﭘﺰﺷﻜﻲ‪ ،‬ﺑﻪ ﻋﻠﺖ ﻣﻌﻨﻲدار ﻧﺒﻮدن اﻛﺜﺮ ﻳﺎﻓﺘﻪﻫـﺎ‪ ،‬در ﻣﺮﺣﻠـﻪ اﺟـﺮاي‬
‫ﻛﺸﻮري ﺣـﺬف ﮔـﺮدد‪ .‬در ﻣﺮﺣﻠـﻪ اﺟـﺮاي ﻛـﺸﻮري‪ 80 ،‬ﻧﻔـﺮ )ﺣـﺪاﻗﻞ ﻳـﻚ ﭘﺰﺷـﻚ ﻋﻤـﻮﻣﻲ و ﻳـﻚ‬
‫ﻛﺎرﺷﻨﺎس از ﻫﺮ اﺳﺘﺎن( ﺷﺎﻏﻞ در داﻧﺸﮕﺎﻫﻬﺎي ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺳﺮاﺳﺮ ﻛﺸﻮر‪ ،‬ﻃﻲ ﻳﻚ ﻛﺎرﮔﺎه ‪ 2‬روزه در‬
‫ﺧﺼﻮص آزﻣﻮن و ﻣﺮاﺣﻞ اﺟﺮاﻳﻲ ﻛﺎر آﻣﻮزش دﻳﺪﻧﺪ‪ .‬ﺳﭙﺲ اﺟﺮاي ﻧﻬﺎﻳﻲ ﺑﺮ روي ﻳﻚ ﻧﻤﻮﻧﻪ ﻛﻮدﻛـﺎن‬
‫‪ 4‬ﺗﺎ ‪ 60‬ﻣﺎﻫﻪ اﻳﺮاﻧﻲ ﺑﺎ ﺣﺠﻢ ‪ 11000‬ﻧﻔﺮ در ﺷﻬﺮﻫﺎي ﻣﻨﺘﺨﺐ از ﺳﺮاﺳﺮ ﻛﺸﻮر اﻧﺠﺎم ﺷـﺪ‪ .‬اﻳـﻦ ﻣﺮﺣﻠـﻪ ﺑـﻪ‬
‫ﻣﻨﻈﻮر ﺗﻌﻴﻴﻦ اﻋﺘﺒﺎر و ﺧﻄﺎي ﻣﻌﻴﺎر اﻧﺪازهﮔﻴﺮي‪ ،‬رواﻳﻲ‪ ،‬وﻳﮋﮔﻲ‪ ،‬ﺣﺴﺎﺳﻴﺖ و ﺗﻌﻴﻴﻦ ﻧﻘﺎط ﺑﺮش اﻧﺠﺎم ﺷﺪ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻧﺘﺎﻳﺞ‪ :‬ﺑﺮاي ﺑﺮآورد اﻋﺘﺒﺎر ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﻨﻴﻦ و ﻣﺮاﺣﻞ از روش ﻣﺤﺎﺳﺒﻪ آﻟﻔﺎي ﻛﺮوﻧﺒﺎخ ﺑﺮاي ‪ 30‬ﺳﺆال‬
‫ﭘﺮﺳﺸﻨﺎﻣﻪ اﺳﺘﻔﺎده ﺷﺪ ﻛﻪ ﭘﺲ از ﺣﺬف ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎﻳﻲ ﻛﻪ ﺑﻪ ﻃﻮر ﻧـﺎﻗﺺ ﺗﻜﻤﻴـﻞ ﺷـﺪه ﺑﻮدﻧـﺪ‪ ،‬ﺿـﺮﻳﺐ‬
‫آﻟﻔﺎي ﻣﺤﺎﺳﺒﻪ ﺷﺪه ﺑﺮاي ‪ 482‬ﭘﺮﺳـﺸﻨﺎﻣﻪ ﺑﺎﻗﻴﻤﺎﻧـﺪه‪ 0/79 ،‬ﺑـﻪ دﺳـﺖ آﻣـﺪ‪ .‬ﺟﻬـﺖ ﺑﺮرﺳـﻲ رواﻳـﻲ ﺳـﺎزه‬
‫ﭘﺮﺳﺸﻨﺎﻣﻪ از ﻣﺪل ﺗﺤﻠﻴﻞ ﻋﺎﻣﻠﻲ ﺑﺎ روش ﺗﺤﻠﻴﻞ ﻣﺆﻟﻔﻪﻫﺎي اﺻﻠﻲ و ﭼﺮﺧﺶ وارﻳﻤﺎﻛﺲ اﺳﺘﻔﺎده ﺷﺪ‪.‬‬
‫ﻻزم ﺑﻪ ذﻛﺮ اﺳﺖ ﺑﻪ اﻧﺪازه )‪ 0/765 (KMO‬ﺑﻮد ﻛﻪ ﺑﻴﺎﻧﮕﺮ ﻛﻔﺎﻳﺖ ﻧﻤﻮﻧﻪﺑﺮداري در ﭘـﮋوﻫﺶ ﺣﺎﺿـﺮ‬
‫اﺳﺖ‪.‬‬
‫اﻛﺜﺮ ﺳﺆالﻫﺎي ﭘﺮﺳﺸﻨﺎﻣﻪ ﺑﺎ ‪ 5‬ﻋﺎﻣﻞ اﺳﺘﺨﺮاج ﺷﺪه ﻫﻤﺒﺴﺘﮕﻲ ﻣﻌﻨﺎداري داﺷﺘﻨﺪ و ﻣﺠﻤﻮﻋﻪ ﺳﺆالﻫﺎي‬
‫ﻫﻤﺒﺴﺘﻪ ﺑﺎ ﻫﺮ ﻳﻚ از ﻋﺎﻣﻞﻫﺎ ﺗﺎ ﺣﺪ زﻳﺎدي ﺑﺎ ﺳﺆالﻫﺎي ﻣﺮﺑﻮط ﺑﻪ ﺣﻴﻄـﻪﻫـﺎي ﭘـﻨﺞﮔﺎﻧـﻪ داراي ﻫﻤﭙﻮﺷـﻲ‬
‫ﺑﻮدﻧﺪ‪ ،‬ﻛﻪ اﻳﻦ ﻧﺸﺎن دﻫﻨﺪه رواﻳﻲ ﺳﺎزه ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﺿﺮﻳﺐ آﻟﻔﺎي ﻛﺮوﻧﺒﺎخ ﺑﻪ ﻋﻨﻮان ﺷﺎﺧﺺ ‪ Reliability‬ﺑﺮاي ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﻨﻴﻦ و ﻣﺮاﺣﻞ ﺑﺮاي ﻫﺮ ﻛﺪام‬
‫از زﻳﺮﮔﺮوهﻫﺎي ‪ 19‬ﮔﺎﻧﻪ ﺳﻨﻲ‪ ،‬زﻳﺮ ﮔﺮوهﻫﺎي ﺟﻨﺴﻴﺘﻲ و ﻫﻤﭽﻨﻴﻦ ﻛﻞ ﮔﺮوه ﻧﻤﻮﻧﻪ ﻣﺤﺎﺳﺒﻪ ﺷﺪ‪ .‬ﻛﻤﺘـﺮﻳﻦ‬
‫و ﺑﻴﺸﺘﺮﻳﻦ آن ﺑﻪ ﺗﺮﺗﻴﺐ ﻣﺮﺑﻮط ﺑﻪ ﮔﺮوه ﺳﻨﻲ ‪ 18‬ﻣـﺎﻫﮕﻲ )‪ (0/7590‬و ‪ 36‬ﻣـﺎﻫﮕﻲ )‪ (0/8576‬و ﺿـﺮﻳﺐ‬
‫ﻛﻞ ‪ 0/8014‬ﺑﻮد‪ .‬ﻻزم ﺑﻪ ذﻛﺮ اﺳﺖ ﻛﻪ ﺑﺮاي ﺗﻌﻴـﻴﻦ ‪ Validity‬اﺑﺘـﺪا اﻧـﺪازه )‪ (KMO‬ﺗﻌﻴـﻴﻦ ﮔﺮدﻳـﺪ ﻛـﻪ‬
‫ﺑﺮاي ‪ 0/865‬ﺑﻮد ﻛﻪ ﺑﻴﺎﻧﮕﺮ ﻛﻔﺎﻳﺖ ﻧﻤﻮﻧﻪﺑﺮداري در ﭘﮋوﻫﺶ ﺣﺎﺿﺮ اﺳﺖ‪ .‬ﻫﻤﭽﻨﻴﻦ ﺳـﻄﺢ ﻣﻌﻨـﺎدار ﺑـﻮدن‬
‫ﻣﺸﺨﺼﻪ آزﻣﻮن ﻛﺮوﻳﺖ ﺑﺎرﺗﻠﺖ ﻛﻮﭼﻜﺘﺮ از ‪ 0/001‬ﺑﻮد‪ .‬ﺑﻪ اﻳﻦ ﺗﺮﺗﻴﺐ ﻋﻼوه ﺑﺮ ﻛﻔﺎﻳـﺖ ﻧﻤﻮﻧـﻪﺑـﺮداري‪،‬‬
‫اﺟﺮاي ﺗﺤﻠﻴﻞ ﺑﺮ ﭘﺎﻳﻪ ﻣﺎﺗﺮﻳﺲﻫﺎي ﻫﻤﺒﺴﺘﮕﻲ ﺑﻴﻦ ﻣﻮاد ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﻴﺰ ﻗﺎﺑﻞ ﺗﻮﺟﻴﻪ اﺳﺖ‪.‬‬
‫ﺑﺎرﻫﺎي ﻋﺎﻣﻠﻲ اﻛﺜﺮ ﺳﺆالﻫﺎ )ﻫﻤﺒﺴﺘﮕﻲ ﺳﺆال ﺑﺎ ﻋﺎﻣﻞﻫﺎي اﺳﺘﺨﺮاج ﺷﺪه( در ﺗﻤﺎﻣﻲ ﻣﻮارد ﻣﺜﺒﺖ‪ ،‬در‬
‫ﭘﻨﺠﺎه درﺻﺪ ﻣﻮارد ﺑﻴﺶ از ‪ 0/4‬و در ﺑﻘﻴﻪ ﻣﻮارد ﺑﺎﻻﺗﺮ از ‪ 0/2‬ﺑﻮد ﻛﻪ اﻳﻦ ﻧﺸﺎن دﻫﻨﺪه رواﻳـﻲ ﺳـﺎزه ﻗﺎﺑـﻞ‬
‫ﻗﺒﻮل ﺑﺮاي ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﻮرد ﻧﻈﺮ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻋﻼوه ﺑﺮ ﻣﻮارد ﻓﻮق اﻟﺬﻛﺮ‪ ،‬ﻧﻘﺎط ﺑﺮش در ﺣﻴﻄﻪﻫﺎي ﺗﻜﺎﻣﻠﻲ ﭘﻨﺞﮔﺎﻧﻪ ﺟﻬﺖ ﮔﺮوهﻫﺎي ﺳﻨﻲ ﻣﺨﺘﻠﻒ‬
‫ﻧﻴﺰ در ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ ﺗﻌﻴـﻴﻦ ﮔﺮدﻳـﺪ‪ .‬در اﻛﺜـﺮ ﮔـﺮوهﻫـﺎي ﺳـﻨﻲ ﻧﻘـﺎط ﺑـﺮش در ﺣﻴﻄـﻪ ﺣـﻞ ﻣـﺴﺌﻠﻪ در‬
‫ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ ﺑﺎﻻﺗﺮ ﺑﻮد و در ﺳﺎﻳﺮ ﺣﻴﻄﻪﻫﺎ از اﻟﮕﻮي ﺧﺎﺻﻲ ﭘﻴﺮوي ﻧﻤﻲﻛﺮد‪ .‬ﺑﻪ ﻃﻮري ﻛـﻪ در ﺑﺮﺧـﻲ‬
‫ﻣﻮارد ﺑﺎﻻﺗﺮ‪ ،‬در ﻣﻮاردي ﭘﺎﻳﻴﻦﺗﺮ و ﻣﻮاردي ﻧﻴﺰ ﺑﺮاي ﺑﺎ ﻧﻘﺎط ﺑﺮش ﺧﺎرﺟﻲ ﺑﻮد‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬آزﻣﻮن ﻓﺎرﺳﻲ ‪ ASQ‬ﺑﺮاي ﻏﺮﺑﺎﻟﮕﺮي اﺧﺘﻼﻻت ﺗﻜـﺎﻣﻠﻲ در ﻛﻮدﻛـﺎن اﻳﺮاﻧـﻲ داراي‬
‫اﻋﺘﺒﺎر و رواﻳﻲ ﻣﻨﺎﺳﺐ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪواژهﻫﺎ‪ :‬ﻏﺮﺑﺎﻟﮕﺮي‪ ،‬ﺗﻜﺎﻣﻞ‪ ،‬واﻟﺪﻳﻦ‪ ،‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﻨﻴﻦ و ﻣﺮاﺣﻞ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﺳﻄﺢ ﺳﺮﻣﻲ وﻳﺘﺎﻣﻴﻦ ‪ ،B12‬ﻓﻮﻻت و ﻏﻠﻈـﺖ ﻫﻤﻮﺳﻴـﺴﺘﺌﻴﻦ و اﺳـﻴﺪ ﻣﺘﻴـﻞ ﻣﺎﻟﻮﻧﻴـﻚ در‬
‫ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻢ ﺗﻬﺮاﻧﻲ‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫زﻣﻴﻨﻪ‪ :‬از آﻧﺠﺎﺋﻴﻜﻪ ﺟﺬب ﻛﻮﺑﺎﻻﻣﻴﻦ اﻏﻠﺐ در ﺳﺎﻟﻤﻨﺪان ﻛﺎﻫﺶ ﻣﻲﻳﺎﺑﺪ ﻛﻤﺒﻮد وﻳﺘـﺎﻣﻴﻦ ‪ B12‬ﻳﻜـﻲ‬
‫از ﻣﺸﻜﻼت ﺷﺎﻳﻊ در اﻳﻦ اﻓﺮاد اﺳﺖ‪ .‬ﺗﺤﻘﻴﻘﺎت اﺧﻴﺮ ﻧﺸﺎن ﻣﻴﺪﻫﻨﺪ ﻛﻪ ﻣﻴﺰان ﻧﺎﻛﺎﻓﻲ وﻳﺘﺎﻣﻴﻦ ‪ B12‬ﻣﻤﻜـﻦ‬
‫اﺳﺖ ﺧﻄـﺮ اﺑـﺘﻼ ﺑـﻪ ﺑﻴﻤـﺎريﻫـﺎي آﺗﺮواﺳـﻜﻠﺮوﺗﻴﻚ و ﻧﻮرودژﻧﺮاﺗﻴـﻮ را اﻓـﺰاﻳﺶ دﻫـﺪ‪ .‬در ﺣـﺎل ﺣﺎﺿـﺮ‬
‫ﺻﺎﺣﺒﻨﻈﺮان ﻣﺘﻌﺪد ﺗﻐﺬﻳﻪ ﺗﻮﺻﻴﻪ ﺑﻪ ﻣﻮﻧﻴﺘﻮرﻳﻨﮓ وﺿـﻌﻴﺖ ‪ B12‬در ﺳـﺎﻟﻤﻨﺪان و ﺗﻌﻴـﻴﻦ اﻓـﺮاد در ﻣﻌـﺮض‬
‫ﺧﻄــﺮ در ﻣﺮاﺣــﻞ اوﻟﻴــﻪ ﻣــﻲﻧﻤﺎﻳﻨــﺪ‪ .‬ﻫــﺪف ﻣﻄﺎﻟﻌــﻪ ﺣﺎﺿﺮﺑﺮرﺳــﻲ وﺿــﻌﻴﺖ ‪ B12‬و اﺳــﻴﺪ ﻓﻮﻟﻴــﻚ و‬
‫ﻣﺘﺎﺑﻮﻟﻴﺖﻫﺎي آﻧﻬﺎ و ارﺗﺒﺎط اﺣﺘﻤﺎﻟﻲ آﻧﻬﺎ ﺑﺎ وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ در ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻢ اﻳﺮاﻧﻲ اﺳﺖ‪.‬‬
‫روشﻫﺎ‪ :‬ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﻪ ﺻﻮرت ﻣﻘﻄﻌﻲ ﺑﺮ روي ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻢ اﻧﺠﺎم ﺷﺪ‪ .‬ﺗﻌـﺪاد ‪ 232‬ﺳـﺎﻟﻤﻨﺪ ﺑـﺎ‬
‫ﻣﺤﺪوده ﺳﻨﻲ ‪ 65‬ﺗﺎ ‪ 90‬ﺳﺎل و ﻣﻴﺎﻧﮕﻴﻦ ‪ 73‬ﺳﺎل ﺑﻪ روش ﻧﻤﻮﻧـﻪﮔﻴـﺮي در دﺳـﺘﺮس و ﺑـﺮ اﺳـﺎس ﺿـﻮاﺑﻂ‬
‫ورود ﺑﻪ ﻣﻄﺎﻟﻌﻪ اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﻣﺸﺨﺼﺎت دﻣﻮﮔﺮاﻓﻴﻚ‪ ،‬ﺳﻄﻮح ﻫﻤﻮﺳﻴﺴﺘﺌﻴﻦ‪ ،‬ﻓـﻮﻻت و وﻳﺘـﺎﻣﻴﻦ ‪B12‬‬
‫ﺑﺮ اﺳﺎس ﻣﺼﺎﺣﺒﻪ و ﻣﻌﺎﻳﻨﻪ‪ ،‬ﭘﺮﺳﺸﻨﺎﻣﻪ و ﻧﻤﻮﻧﻪﮔﻴﺮي ﺧﻮن و اﻧﺠﺎم آزﻣﺎﻳﺶﻫﺎي ﻻزم ﮔﺮدآوري ﺷﺪﻧﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻣﺘﻐﻴﺮﻫﺎ در ‪ 232‬ﺳﺎﻟﻤﻨﺪ ﺷﺎﻣﻞ ‪ 102‬ﻣﺮد )‪ (%44‬و ‪ 130‬زن )‪ (%56‬ﻣﻮرد ارزﻳﺎﺑﻲ ﻗـﺮار ﮔﺮﻓﺘﻨـﺪ‪.‬‬
‫ﻣﻴﺎﻧﮕﻴﻦ ﻣﻘﺪار ‪ B12‬ﺳﺮم ‪ 295‬ﭘﻴﻜﻮﮔﺮم در ﻣﻴﻠﻲ ﻟﻴﺘﺮ ﺑﺎ اﻧﺤﺮاف ﻣﻌﻴﺎر ‪ 170‬ﺑﻮد‪ 10 .‬درﺻﺪ ﻣـﻮارد ﻣﻘـﺪار‬
‫‪ B12‬ﻛﻤﺘﺮ از ‪ 119‬و ‪ 18‬درﺻﺪ ﻣﻘﺎدﻳﺮ ﻛﻤﺘـﺮ از ‪ 160‬ﭘﻴﻜـﻮﮔﺮم در ﻣﻴﻠـﻲ ﻟﻴﺘـﺮ داﺷـﺘﻨﺪ‪ .‬ﻛﻤﺒـﻮد ‪ B12‬ﺑـﺎ‬
‫اﻓﺰاﻳﺶ ﺳﻦ ﺗﺸﺪﻳﺪ ﻣﻲﻳﺎﻓﺖ )‪ (p=0.000‬وﻟﻲ اﻳﻦ ﻛﻤﺒﻮد ﺑـﺎ ﺟـﻨﺲ ارﺗﺒـﺎﻃﻲ ﻧﺪاﺷـﺖ )‪ .(p=0.85‬ﻣﻘـﺪار‬
‫ﻣﻴﺎﻧﮕﻴﻦ ﻓﻮﻻت ﺳﺮم ‪ 8‬ﻧﺎﻧﻮﮔﺮم در ﻣﻴﻠﻲ ﻟﻴﺘﺮ ﺑﺎ اﻧﺤﺮاف ﻣﻌﻴﺎر ‪ 4/9‬ﺑﻮد و ‪ 9/5‬درﺻﺪ اﻓﺮاد ﻣﻘـﺎدﻳﺮ ﻓـﻮﻻت‬
‫ﻛﻤﺘﺮ از ﻧﺮﻣﺎل داﺷﺘﻨﺪ ﻛﻪ ﺑﺎ ﺳﻦ )‪ (p=0.06‬و ﺟﻨﺲ )‪(p=0.31‬ارﺗﺒﺎﻃﻲ ﻣﻌﻨﻲدار ﻧﺪاﺷﺖ‪ .‬ﻣﻴـﺎﻧﮕﻴﻦ ﻣﻘـﺪار‬
‫ﻫﻤﻮﺳﻴﺴﺘﺌﻴﻦ )‪ 19/3 (Hcy‬ﻣﻴﻜﺮوﻣﻮل در ﻟﻴﺘﺮ ﺑـﺎ اﻧﺤـﺮاف ﻣﻌﻴـﺎر ‪ 7/1‬ﺑـﻮد‪ .‬ﻣﻘـﺪار ‪ Hcy‬در ‪ 33/6‬درﺻـﺪ‬
‫اﻓﺮاد ﺑﺎﻻﺗﺮ از ‪ 20‬و در ‪ 67‬درﺻﺪ اﻓﺮاد ﺑﺎﻻﺗﺮ از ‪ 15‬ﻣﻴﻜﺮوﻣﻮل در ﻟﻴﺘﺮ ﺑﻮد و ارﺗﺒﺎط ﻣﻌﻨﻲ دار ﺑـﺎ اﻓـﺰاﻳﺶ‬
‫ﺳﻦ در ﮔﺮوهﻫﺎي ﺳﺎﻟﻤﻨﺪ ﻧﺪاﺷﺖ )‪ 42/2 .(p=0.23‬درﺻﺪ ﻣﺮدﻫﺎ و ‪ 27/7‬درﺻﺪ زنﻫـﺎ ﻣﻘـﺎدﻳﺮ ﺑـﺎﻻﺗﺮ از‬
‫‪ 15‬ﻣﻴﻜﺮوﻣﻮل در ﻟﻴﺘـﺮ ‪ Hcy‬داﺷـﺘﻪاﻧـﺪ ﻛـﻪ ﺑـﺎ ‪ p=0.005‬از ﻧﻈـﺮ آﻣـﺎري ﻧﻴـﺰ ﻣﻌﻨـﻲدار ﺑـﻮد‪ .‬ﺑـﻴﻦ ﻣﻘـﺪار‬
‫ﻫﻤﻮﺳﻴــﺴﺘﺌﻴﻦ ﺑــﺎ وﻳﺘــﺎﻣﻴﻦ ‪ B12‬ارﺗﺒــﺎط آﻣــﺎري ﻣﻌﻨــﻲدار و ﻣﻌﻜــﻮس وﺟــﻮد داﺷــﺘﻪ اﺳــﺖ )‪ r=-0.33‬و‬
‫‪ .(p=0.000‬ارﺗﺒﺎط آﻣﺎري ﻣﻌﻨﻲدار و ﻣﻌﻜﻮﺳﻲ ﻧﻴﺰ ﺑﻴﻦ ﻣﻘـﺪار ﻫﻤﻮﺳﻴـﺴﺘﺌﻴﻦ و اﺳـﻴﺪ ﻓﻮﻟﻴـﻚ در ﻣﻄﺎﻟﻌـﻪ‬
‫ﺣﺎﺿﺮ ﻣﺸﺎﻫﺪه ﺷﺪ )‪ r=-0.20‬و ‪ 38 .(p=0.002‬ﻣﻮرد از ‪ 232‬ﻓﺮد ﺳـﺎﻟﻤﻨﺪ ﺗﺤـﺖ ﻣﻄﺎﻟﻌـﻪ )‪ 16/4‬درﺻـﺪ(‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫داراي اﺧﺘﻼل ﺧﻔﻴﻒ رواﻧﺸﻨﺎﺧﺘﻲ ﺑﺮ اﺳﺎس ﺗﺴﺖ ‪ MMSE‬ﺑﻮدﻧـﺪ وﻟـﻲ ﻫـﻴﭻ ﻣـﻮردي از اﺧـﺘﻼل ﺷـﺪﻳﺪ‬
‫دﻳﺪه ﻧﺸﺪ‪ .‬ﺣﺪاﻗﻞ ‪ 28‬ﻣﻮرد از ‪ 38‬ﻣﻮرد ﻓﻮق ﻛﻪ ﻣﻌﺎدل ‪ 12/1‬درﺻﺪ ﺗﻌـﺪاد ﻛـﻞ اﻓـﺮاد ﻣـﻲﮔـﺮدد دﭼـﺎر‬
‫ﻛﻤﺒﻮد ‪ B12‬ﺑﻮدﻧﺪ )‪ 6 .(p=0.000‬ﻧﻔﺮ از ‪ 38‬ﻧﻔﺮ )‪ 15/8‬درﺻﺪ( ﺳﺎﻟﻤﻨﺪ دﭼﺎر اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ ﺧﻔﻴﻒ ﻛﻪ‬
‫ﻣﻌﺎدل ‪ 2/6‬درﺻﺪ از ﻛﻞ ﻣﻮارد را ﺗﺸﻜﻴﻞ ﻣﻲداد داراي ﻛﻤﺒﻮد اﺳﻴﺪ ﻓﻮﻟﻴﻚ ﺑﻮدﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻧﺘﺎﻳﺞ اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ ﺷﻴﻮع ﻫﻴﭙﺮﻫﻤﻮﺳﻴﺴﺘﺌﻴﻨﻤﻲ و ﻛﻤﺒـﻮد ‪ B12‬و ﻓـﻮﻻت‬
‫و اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ در ﺳﺎﻟﻤﻨﺪان ﻛﻤﺘﺮ از ﻛـﺸﻮرﻫﺎي ﭘﻴـﺸﺮﻓﺘﻪ ﻧﻴـﺴﺖ و ﺑـﻪ ﻧﻈـﺮ ﻣـﻲرﺳـﺪ ﺷـﻴﻮع ‪ B12‬ﺑـﻪ‬
‫ﺻﻮرت ﻛﻤﺒﻮد ﻋﻤﻠﻲ )‪ (functional‬از اﻳﻦ ﻛﺸﻮرﻫﺎ ﺑﻴﺸﺘﺮ ﺑﺎﺷﺪ‪ .‬ﭘﻴﺸﻨﻬﺎد ﻣـﺎ اﻳـﻦ اﺳـﺖ ﻛـﻪ از ﺗﺮﻛﻴﺒـﺎت‬
‫ﻣﻜﻤﻞ ﺑﻪ ﺧﺼﻮص وﻳﺘﺎﻣﻴﻦﻫﺎي ﮔﺮوه ‪ B‬در ﺳﺎﻟﻤﻨﺪان ﺑﻪ ﺻﻮرت ﻣﻨﻈﻢ ﺑﻪ ﺷﻜﻞ داروﺋـﻲ ﻳـﺎ در ﻏـﺬاﻫﺎي‬
‫ﺗﻘﻮﻳﺖ ﺷﺪه اﺳﺘﻔﺎده ﮔﺮدد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻫﻤﻮﺳﻴﺴﺘﺌﻴﻦ‪ ،‬وﻳﺘﺎﻣﻴﻦ ‪ ،B12‬ﻓﻮﻻت‪ ،‬ﺳﺎﻟﻤﻨﺪ‪ ،‬ﻋﻤﻠﻜﺮد ﺷﻨﺎﺧﺘﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻛﺎرﺑﺮد ﺷﻴﻮهﻫﺎي ﻣﺪدﻛﺎري در ﻛﺎر ﺑﺎ ﻣﺸﻜﻞ اﻋﺘﻴﺎد و ﻓﺮد ﻣﻌﺘﺎد‬
‫ﻏﻨﭽﻪ راﻫﺐ‬
‫اﻋﺘﻴﺎد ﺑﻪ ﻣﻮاد ﻣﺨﺪر ﻣﺸﻜﻠﻲ اﺳﺖ ﭼﻨﺪ ﺟﺎﻧﺒﻪ ﻛﻪ در ﺑﺮرﺳﻲ ﺳﺒﺐ ﺷﻨﺎﺳﻲ و ﭘﻮﻳﺎﻳﻲ آن اﺑﻌﺎد زﻳﺴﺘﻲ‪،‬‬
‫رواﻧﻲ‪ ،‬اﺟﺘﻤﺎﻋﻲ‪ ،‬اﻗﺘﺼﺎدي‪ ،‬ﺳﻴﺎﺳﻲ و ﻓﺮﻫﻨﮕﻲ ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﻣﻲﮔﻴﺮﻧﺪ‪ .‬اﻣﺮوزه اﻋﺘﻴﺎد ﺑﻪ ﻣﻮاد ﻣﺨـﺪر‬
‫در ﺟﻬﺎن ﭼﻨﺎن ﮔﺴﺘﺮده اﺳﺖ ﻛﻪ ﻣﻴﻠﻴﻮﻧﻬﺎ ﻧﻔﺮ را واﺑﺴﺘﻪ ﻧﻤﻮده و در وﺿﻌﻴﺖ زﻳـﺴﺘﻲ‪ ،‬رواﻧـﻲ و اﺟﺘﻤـﺎﻋﻲ‬
‫آﻧﻬﺎ ﻣﺸﻜﻞ اﻳﺠﺎد ﻛﺮده اﺳﺖ ‪ .‬ﻣﺼﺮف ﺑﻲروﻳﻪ و روزاﻓﺰون ﻣﻮاد ﻣﺨﺪر در اﻳﺮان ﻧﻴـﺰ ﺑـﻪ ﻋﻨـﻮان ﻳﻜـﻲ از‬
‫ﺑﺰرﮔﺘﺮﻳﻦ ﻣﺸﻜﻼت ﻗﺮن ﺣﺎﺿﺮ در اﻳـﻦ ﻛـﺸﻮر ﺗﻠﻘـﻲ ﻣـﻲﮔـﺮدد و زﻳﺎﻧﻬـﺎي ﻧﺎﺷـﻲ از آن در زﻣﻴﻨـﻪﻫـﺎي‬
‫ﺧﺎﻧﻮادﮔﻲ‪ ،‬اﺟﺘﻤﺎﻋﻲ و اﻗﺘﺼﺎدي ﺑﺴﻴﺎر ﺳﻨﮕﻴﻦ اﺳﺖ‪ ،‬ﺑﻪ ﻫﻤﻴﻦ دﻟﻴﻞ ﭘﺮداﺧﺘﻦ ﺑﻪ ﭘﺪﻳﺪه اﻋﺘﻴﺎد و ﻓﺮد ﻣﻌﺘـﺎد‬
‫ﺑﻪ ﺻﻮرت ﻋﻠﻤﻲ در ﺟﺎﻣﻌﻪ‪ ،‬از اﺑﻌﺎد ﮔﻮﻧﺎﮔﻮن اﻣﻜﺎن دﺳﺘﻴﺎﺑﻲ ﺑـﻪ راﻫﻬـﺎي ﻣـﺆﺛﺮ در ﺣـﻞ اﻳـﻦ ﻣـﺸﻜﻞ را‬
‫ﻫﻤﻮار ﻣﻲﺳﺎزد‪.‬‬
‫ﻫﺪف از ﻧﮕﺎرش اﻳﻦ ﻣﺠﻤﻮﻋﻪ‪ ،‬اراﺋﻪ راﻫﻜﺎرﻫﺎي درﻣﺎن اﺟﺘﻤﺎﻋﻲ ﺑﺮاي ﻣﺪدﻛﺎران اﺟﺘﻤﺎﻋﻲ در ﻛـﺎر‬
‫ﺑﺎ ﭘﺪﻳﺪه اﻋﺘﻴﺎد و ﻓﺮد ﻣﻌﺘﺎد اﺳﺖ‪ .‬ﻣﺪدﻛﺎران اﺟﺘﻤﺎﻋﻲ ﺑﺎ ﺷﻨﺎﺧﺖ در ﻣﻮرد واﻗﻌﻴﺘﻬﺎي ﺑﻮﻣﻲ ﺟﺎﻣﻌﻪ‪،‬ﺑﻪ اراﺋﻪ‬
‫راﻫﻜﺎرﻫﺎي ﻣﺆﺛﺮ ﻫﻤﺨﻮان ﺑﺎ وﺿﻌﻴﺖ ﺑﻮﻣﻲ ﺟﺎﻣﻌﻪ ﺑﺮاي ﺣﻞ ﻣﺸﻜﻞ اﻋﺘﻴﺎد ﻣﻲﭘﺮدازﻧﺪ ﺑﻪ ﻫﻤـﻴﻦ دﻟﻴـﻞ در‬
‫ﺑﺨﺸﻲ از ﻛﺘﺎب ﺑﻪ اراﺋﻪ ﮔﺰارﺷﻲ از وﺿﻌﻴﺖ ﻣﺼﺮف ﻣﻮاد ﻣﺨﺪر و ﺗﺎرﻳﺨﭽﻪ آن در اﻳﺮان ﭘﺮداﺧﺘـﻪ ﺷـﺪه‬
‫اﺳﺖ‪ .‬اراﺋﻪ راﻫﻜﺎرﻫﺎي درﻣﺎﻧﻲ و ﺑﺎزﺗﻮاﻧﻲ ﺑﺪون ﺗﻮﺟﻪ ﺑﻪ ﻋﻠـﻞ اﺳـﺘﻔﺎده از ﻣـﻮاد ﻣﺨـﺪر و ﺷـﻨﺎﺧﺖ ﺗـﺄﺛﻴﺮ‬
‫اﺳﺘﻔﺎده از ﻣﻮادﻣﺨﺪر ﺑﺮ اﺑﻌﺎد ﮔﻮﻧﺎﮔﻮن زﻧﺪﮔﻲ ﻓﺮدي‪ ،‬اﺟﺘﻤﺎﻋﻲ و ﺧﺎﻧﻮادﮔﻲ ﻓـﺮد اﻣﻜـﺎن ﭘـﺬﻳﺮ ﻧﻴـﺴﺖ‪،‬‬
‫ﺑﻨﺎﺑﺮاﻳﻦ در ﺑﺨﺸﻲ دﻳﮕﺮي از اﻳﻦ ﻧﻮﺷﺘﺎر ﺑـﻪ ﻣﻌﺮﻓـﻲ ﻋﻮاﻣـﻞ ﻣـﺆﺛﺮ در ﮔـﺮاﻳﺶ ﺑـﻪ ﺳـﻮء ﻣـﺼﺮف ﻣـﻮاد و‬
‫ﻋﻮارض ﻧﺎﺷﻲ از آن ﭘﺮداﺧﺘﻪ ﺷﺪه اﺳـﺖ و در ﺑﺨـﺶ دﻳﮕـﺮ راﻫﻜﺎرﻫـﺎي درﻣﺎﻧﻬـﺎي ﻓـﺮدي‪ ،‬ﮔﺮوﻫـﻲ و‬
‫ﺟﺎﻣﻌﻪاي ﻣﺪدﻛﺎري اﺟﺘﻤﺎﻋﻲ در ﻛﺎر ﺑﺎ ﭘﺪﻳﺪه اﻋﺘﻴﺎد و ﻓﺮد ﻣﻌﺘﺎد اراﺋﻪ ﺷﺪه اﺳﺖ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻣﻘﺎﻳﺴﻪ ﺳﺒﻚ زﻧﺪﮔﻲ‪ ،‬ﺳﺒﻚ ﻓﺮزﻧﺪﭘﺮوري‪ ،‬ﺗﺮﺗﻴﺐ ﺗﻮﻟﺪ و ﻋﺰت ﻧﻔﺲ در اﻓﺮاد واﺑﺴﺘﻪ ﺑـﻪ ﻣـﻮاد و‬
‫اﻓﺮاد ﻋﺎدي در ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻋﻠﻲ ﺣﺴﻴﻨﻴﺎن‬
‫ﻫﺪف‪ :‬ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ ﺳﺒﻚ زﻧﺪﮔﻲ‪ ،‬ﺳﺒﻚ ﻓﺮزﻧـﺪﭘﺮوري‪ ،‬ﻋـﺰت ﻧﻔـﺲ و‬
‫ﺗﺮﺗﻴﺐ ﺗﻮﻟﺪ در اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد و ﻋﺎدي ﺷﻬﺮ ﺗﻬﺮان اﺳﺖ‪.‬‬
‫روش‪ :‬ﺑﺮاي ﻧﻴﻞ ﺑﻪ ﻫﺪف ﻓﻮق‪ ،‬ﭘﺮﺳﺸﻨﺎﻣﻪ اﻃﻼﻋﺎت ﺟﻤﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ‪ ،‬ﻣﻘﻴـﺎس ﭘﺎﻳـﻪاي آدﻟـﺮي ﺑـﺮاي‬
‫ﻣﻮﻓﻘﻴﺖ ﺑﻴﻦ ﻓﺮدي ـ ﻓﺮم ﺑﺰرﮔﺴﺎﻻن )‪ ،(BASIS-A‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﺒﻚ ﻓﺮزﻧﺪﭘﺮوري ادراك ﺷﺪه ﻣﻜﻠﻮن و‬
‫ﻣﺮرل و ﭘﺮﺳﺸﻨﺎﻣﻪ ﻋﺰت ﻧﻔﺲ ﻛﻮﭘﺮاﺳﻤﻴﺖ ﺑﺮ روي ‪ 404‬ﻧﻔﺮ از اﻓﺮاد ﻋﺎدي ﺷﻬﺮ ﺗﻬﺮان اﺟﺮا ﺷـﺪ و ﻧﺘـﺎﻳﺞ‬
‫ﺑﺎ ﻧﺮم اﻓﺰار ‪ SPSS‬ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﮔﺮدﻳﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻳﺎﻓﺘﻪﻫﺎي ﭘﮋوﻫﺶ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ ﺗﻔﺎوت ﺑﻴﻦ دو ﮔﺮوه واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد و ﻋـﺎدي در ﺗﻌﻠـﻖ ـ‬
‫ﻋﻼﻗﻪ اﺟﺘﻤﺎﻋﻲ‪ ،‬ﺗﻮﺟﻪ ﻃﻠﺒﻲ و ﻣﺤﺘﺎط ﺑﻮدن ﻣﻌﻨﺎدار اﺳﺖ و در دو ﺳﺒﻚ ﺳﺎزش و رﻳﺎﺳﺖ ﻃﻠﺒﻲ ﻣﻌﻨـﺎدار‬
‫ﻧﻴﺴﺖ‪ .‬ﻫﻤﭽﻨﻴﻦ ﮔﺮوه ﻋﺎدي در ﺳﺒﻚ ﺗﻌﻠﻖ ـ ﻋﻼﻗﻪ اﺟﺘﻤﺎﻋﻲ و ﺗﻮﺟـﻪ ﻃﻠﺒـﻲ ﻣﻴـﺎﻧﮕﻴﻦ ﺑـﺎﻻﺗﺮي دارد‪ ،‬در‬
‫ﺣﺎﻟﻲ ﻛﻪ در ﺳﺒﻚ ﻣﺤﺘـﺎط ﺑـﻮدن ﻣﻴـﺎﻧﮕﻴﻦ ﮔـﺮوه واﺑـﺴﺘﻪ ﺑـﻪ ﻣـﻮاد ﺑـﺎﻻﺗﺮ اﺳـﺖ‪ .‬ﺑـﻪ ﻟﺤـﺎظ ﺳـﺒﻚﻫـﺎي‬
‫ﻓﺮزﻧﺪﭘﺮوري ادراك ﺷﺪه ﺑﻴﻦ اﻓﺮاد واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد و اﻓﺮاد ﻋﺎدي ﺗﻔﺎوت ﻣﻌﻨﺎدار وﺟـﻮد ﻧﺪاﺷـﺖ‪ .‬ﺗﻔـﺎوت‬
‫ﺑﻴﻦ دو ﮔﺮوه در ﺗﻤﺎم اﻧﻮاع ﻋﺰت ﻧﻔﺲ )ﺧﺎﻧﻮادﮔﻲ‪ ،‬ﺗﺤﺼﻴﻠﻲ‪ ،‬اﺟﺘﻤﺎﻋﻲ و ﻛﻠﻲ( ﻣﻌﻨﺎدار اﺳﺖ‪ .‬ﺑﻴﻦ اﻓـﺮاد‬
‫واﺑﺴﺘﻪ ﺑﻪ ﻣﻮاد و ﻋﺎدي در ﺗﺮﺗﻴﺐ ﺗﻮﻟﺪ )ﻓﺮزﻧﺪان اول‪ ،‬ﻓﺮزﻧـﺪان وﺳـﻂ‪ ،‬ﻓﺮزﻧـﺪان آﺧـﺮ و ﺗـﻚ ﻓﺮزﻧـﺪان(‬
‫ﺗﻔﺎوت ﻣﻌﻨﺎدار وﺟﻮد دارد‪ .‬ﻫﻤﭽﻨﻴﻦ در اﻳﻦ ﭘﮋوﻫﺶ ﺑﻴﻦ ﻋﺰت ﻧﻔـﺲ ﻛﻠـﻲ اﻓـﺮاد داراي ﺳـﺒﻚ زﻧـﺪﮔﻲ‬
‫ﻣﺨﺘﻠﻒ ﺗﻔﺎوت ﻣﻌﻨﺎدار وﺟﻮد داﺷﺖ‪ .‬ﺑﻴﻦ اﻓﺮاد داراي رﺗﺒﻪ ﺗﻮﻟﺪ ﻣﺘﻔﺎوت ﺑﻪ ﻟﺤﺎظ ﺳﺒﻚ زﻧﺪﮔﻲ ﺗﻔـﺎوت‬
‫ﻣﻌﻨﺎدار وﺟﻮد ﻧﺪاﺷﺖ‪.‬‬
‫ﺑﺎ اﻧﺠﺎم ﺗﺤﻠﻴﻞ رﮔﺮﺳﻴﻮن ﻟﺠﺴﺘﻴﻚ ﻧﻴﺰ ﻧﺘﺎﻳﺞ زﻳﺮ ﺑﻪ دﺳﺖ آﻣﺪ‪ :‬از ﻣﺆﻟﻔﻪﻫﺎي ﺳﺒﻚ زﻧﺪﮔﻲ‪ ،‬ﻓﻘﻂ ﺳـﺒﻚ‬
‫زﻧﺪﮔﻲ ﺗﻌﻠﻖ ـ ﻋﻼﻗﻪ اﺟﺘﻤﺎﻋﻲ ﺑﻪ ﻃﻮر ﻣﻌﻨﺎداري ‪ %19‬وارﻳﺎﻧﺲ را ﺗﺒﻴﻴﻦ ﻣﻲﻛﻨﺪ‪ .‬ﺑﻘﻴﻪ ﺳﺒﻚﻫﺎ‪ ،‬ﺑـﻪ ﺗﺮﺗﻴـﺐ‬
‫ﺗﻮﺟﻪ ﻃﻠﺒـﻲ )‪ ،(%13‬رﻳﺎﺳـﺖ ﻃﻠﺒـﻲ )‪ ،(%12‬ﻣﺤﺘـﺎط ﺑـﻮدن )‪ (%8‬و ﺳـﺎزش )‪ (%6‬و ﻛـﻞ ﻣﺆﻟﻔـﻪﻫـﺎ )‪(%56‬‬
‫وارﻳﺎﻧﺲ را ﺗﺒﻴﻴﻦ ﻣﻲﻛﻨﻨﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ ﺗﺤﻠﻴﻞ ﻣﺴﻴﺮ در ﻣﻮرد واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد ﻧﻴﺰ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ ﺳـﺒﻚ ﺗﻌﻠـﻖ ـ ﻋﻼﻗـﻪ اﺟﺘﻤـﺎﻋﻲ راﺑﻄـﻪ‬
‫ﻣﻨﻔﻲ و ﻧﺴﺒﺘﺎً ﻗﻮي ﺑﺎ واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد و ﺳﻮء ﻣﺼﺮف ﻣـﻮاد دارد‪ .‬ﺳـﺒﻚ ﺳـﺎزش ﻧﻴـﺰ ارﺗﺒـﺎط ﻧـﺎﭼﻴﺰي ﺑـﺎ‬
‫واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد دارد اﻣﺎ ﺑﺎ ﺳﻮء ﻣﺼﺮف ﻣﻮاد ارﺗﺒﺎط آن ﺑﻴﺸﺘﺮ اﺳﺖ‪ .‬ﺳﺒﻚ ﺗﻮﺟﻪ ﻃﻠﺒﻲ ﺑـﺎ واﺑـﺴﺘﮕﻲ ﺑـﻪ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﻮاد راﺑﻄﻪ ﻧﺴﺒﺘﺎً ﻗﻮي و ﺑﺎ ﺳﻮء ﻣﺼﺮف ﻣﻮاد راﺑﻄﻪ ﻧـﺎﭼﻴﺰي دارد‪ .‬راﺑﻄـﻪ آن ﺑـﺎ واﺑـﺴﺘﮕﻲ ﺑـﻪ ﻣـﻮاد راﺑﻄـﻪ‬
‫ﻣﻌﻜﻮس اﺳﺖ‪ .‬ﻋﺰت ﻧﻔﺲ ﺑﺎ واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد راﺑﻄﻪ ﻣﻌﻜﻮس و ﻧﺴﺒﺘﺎً ﭘﺎﻳﻴﻨﻲ دارد در ﺣـﺎﻟﻲ ﻛـﻪ ﺑـﺎ ﺳـﻮء‬
‫ﻣﺼﺮف ﻣﻮاد راﺑﻄﻪ اﻧﺪﻛﻲ دارد‪ .‬ﺑﻪ ﻃﻮر ﻛﻠﻲ ‪ %12‬ﻣﺘﻐﻴﺮﻫﺎي ﻣﺮﺗﺒﻂ ﺑﺎ واﺑﺴﺘﮕﻲ ﺑﻪ ﻣـﻮاد و ‪ %7‬ﻣﺘﻐﻴﺮﻫـﺎي‬
‫ﻣﺮﺗﺒﻂ ﺑﺎ ﺳﻮء ﻣﺼﺮف ﻣﻮاد را ﺳﺒﻚﻫﺎي زﻧﺪﮔﻲ و ﻋﺰت ﻧﻔﺲ ﺗﺸﻜﻴﻞ ﻣﻲدﻫﻨﺪ‪.‬‬
‫در ﻣﺠﻤﻮع ﺑﻪ ﻧﻈﺮ ﻣﻲرﺳﺪ ﻛﻪ ﺳﺒﻚﻫﺎي زﻧﺪﮔﻲ ﺗﻌﻠﻖ ـ ﻋﻼﻗﻪ اﺟﺘﻤـﺎﻋﻲ‪ ،‬ﺗﻮﺟـﻪ ﻃﻠﺒـﻲ‪ ،‬ﻣﺤﺘـﺎط ﺑـﻮدن‪،‬‬
‫ﻋﺰت ﻧﻔﺲ و ﺗﺮﺗﻴﺐ ﺗﻮﻟﺪ ﺑﻪ ﻋﻨﻮان ﻋﻮاﻣﻞ ﺧﻄﺮﺳﺎز واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد ﻫﺴﺘﻨﺪ‪ .‬ﻫﻤﭽﻨﻴﻦ ﺳﺒﻚﻫﺎي زﻧﺪﮔﻲ‬
‫ﺳﺎزش و رﻳﺎﺳﺖ ﻃﻠﺒﻲ ارﺗﺒﺎط ﭼﻨﺪاﻧﻲ ﺑﺎ واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد ﻧﺪارﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻳﺎﻓﺘﻪﻫﺎي اﻳﻦ ﭘﮋوﻫﺶ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ ﻫﻤﺎﻧﻄﻮر ﻛﻪ آدﻟﺮ ﭘﻴﺸﻨﻬﺎد ﻛـﺮده اﺳـﺖ ﺳـﺒﻚ‬
‫زﻧﺪﮔﻲ و ﻋﺰت ﻧﻔﺲ و ﺗﺮﺗﻴﺐ ﺗﻮﻟﺪ در اﻓﺮاد ﻋﺎدي و واﺑـﺴﺘﻪ ﺑـﻪ ﻣـﻮاد ﺗﻔـﺎوت ﻣﻌﻨـﺎدار دارد‪ .‬اﻣـﺎ ﺳـﺒﻚ‬
‫ﻓﺮزﻧﺪﭘﺮوري ادراك ﺷﺪه ﺑﺮﺧﻼف ﻧﻈﺮ آدﻟﺮ ﭼﻨﻴﻦ ﺗﻔﺎوﺗﻲ را ﻧﺸﺎن ﻧﺪاده اﺳـﺖ‪ .‬ﺑﻨـﺎﺑﺮاﻳﻦ ﭼﻨﺎﻧﭽـﻪ ﺑﺘـﻮان‬
‫ﺳﺒﻚ زﻧﺪﮔﻲ اﻓﺮاد ـ ﻛﻪ اﻟﺒﺘﻪ وﻳﮋﮔﻲﻫﺎي ﺷﺨﺼﻴﺘﻲ اﻓﺮاد اﺳﺖ ـ را ﺗﻐﻴﻴﺮ داد و ﺟﻨﺒﻪﻫﺎي ﻣﺨﺘﻠـﻒ ﻋـﺰت‬
‫ﻧﻔﺲ را اﻓﺰاﻳﺶ داد و ﻧﻴﺰ ﺗﺮﺗﻴﺐ ﺗﻮﻟﺪ اﻓﺮاد را در ﺗﺮﺑﻴﺖ آﻧﻬﺎ در ﻧﻈﺮ ﮔﺮﻓﺖ‪ ،‬ﺷﺎﻳﺪ ﺑﺘﻮان از واﺑـﺴﺘﮕﻲ ﺑـﻪ‬
‫ﻣﻮاد ﻳﺎ ﺳﻮء ﻣﺼﺮف آن ﭘﻴﺸﮕﻴﺮي ﻧﻤﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﺒﻚ زﻧﺪﮔﻲ‪ ،‬ﺳﺒﻚ ﻓﺮزﻧﺪ ﭘﺮوري ادراك ﺷﺪه‪ ،‬ﻋﺰت ﻧﻔﺲ‪ ،‬ﺗﺮﺗﻴﺐ ﺗﻮﻟﺪ‪ ،‬واﺑﺴﺘﮕﻲ ﺑـﻪ‬
‫ﻣﻮاد‪ ،‬ﺳﻮء ﻣﺼﺮف ﻣﻮاد‪ ،‬اﻋﺘﻴﺎد‪ ،‬آدﻟﺮ‪ ،‬ﺗﻬﺮان‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻫﻨﺠﺎرﻳﺎﺑﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎﻧﺎت ﺷﻨﺎﺧﺘﻲ )‪ (CERQ‬در ﺳﺎﻟﻤﻨﺪان ﺷﻬﺮ ﺗﻬﺮان و راﺑﻄﻪ آن ﺑـﺎ‬
‫ﻋﻮاﻣﻞ ﻓﺮدي‪ ،‬ﺧﺎﻧﻮادﮔﻲ و اﺟﺘﻤﺎﻋﻲ‬
‫اﺻﻐﺮ دادﺧﻮاه‬
‫اﻣﺮوزه ﺑـﻪ روﺷـﻨﻲ ﻣـﺸﺨﺺ ﺷـﺪه اﺳـﺖ ﻛـﻪ ﺗﻨﻈـﻴﻢ ﻫﻴﺠـﺎﻧﻲ ﻧﻘـﺶ ﻣﻬﻤـﻲ در ﺳـﺎزﮔﺎري ﺑـﺎ وﻗـﺎﻳﻊ‬
‫اﺳﺘﺮسآور زﻧﺪﮔﻲ ﺑﺎزي ﻣﻲﻛﻨﻨﺪ‪ .‬ﺑﺴﻴﺎري از ﻣﻮﺿﻮﻋﺎت ﻣﻮرد ﻣﻄﺎﻟﻌﻪ روانﺷﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ از ﻗﺒﻴـﻞ اﻓﻜـﺎر‬
‫و ﺧﺎﻃﺮات ﭘﺮﻳﺸﺎنﻛﻨﻨﺪه و اﺷﺘﻐﺎﻻت ذﻫﻨﻲ ﺑﺎدوام‪ ،‬در اﺻﻞ در ﺣﻴﻄـﻪ ﺷـﻨﺎﺧﺖ ﻗـﺮار دارد و ﻧﻈﺮﻳـﻪﻫـﺎي‬
‫ﻣﺘﻌﺪدي ﻣﺎﻧﻨﺪ دﻳﺪﮔﺎه روانﺗﺤﻠﻴﻠﮕﺮاﻧﻪ آﺳﻴﺐﺷﻨﺎﺳﻲرواﻧﻲ در اواﺧﺮ ﻗﺮن ﮔﺬﺷﺘﻪ‪ ،‬ﺑـﻪ ﻣﻨﻈـﻮر ﺗﻔـﺴﻴﺮ اﻳـﻦ‬
‫ﭘﺪﻳﺪهﻫﺎ ﺗـﻼش ﻣـﻲﻛـﺮده اﺳـﺖ‪ .‬ﺗﻨﻈـﻴﻢ ﻫﻴﺠﺎﻧـﺎت اﻧـﺴﺎﻧﻬﺎ )‪ (Emotion Regulation‬ﺑـﻪ ﺷـﻨﺎﺧﺖﻫـﺎ ﻳـﺎ‬
‫ﻓﺮآﻳﻨﺪﻫﺎي ﺷـﻨﺎﺧﺘﻲ اﻧﻬـﺎ ﺑـﺴﺘﮕﻲ دارد ﻛـﻪ در ﺷـﻨﺎﺧﺖ اﺣـﺴﺎﺳﺎت ﻳـﺎري رﺳـﺎﻧﺪه و از ﻏـﺮق ﺷـﺪن در‬
‫ﻫﻴﺠﺎﻧﺎت ﺟﻠﻮﮔﻴﺮي ﻣﻲﻛﻨﺪ‪ .‬ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎﻧﺎت از ﻃﺮﻳﻖ ﺷﻨﺎﺧﺖ‪ ،‬ﺑﻪ ﻃﻮر ﭘﻴﭽﻴﺪهاي ﺑﺎ زﻧﺪﮔﻲ اﻧﺴﺎن ارﺗﺒﺎط‬
‫ﻳﺎﻓﺘﻪ اﺳﺖ‪.‬اﻳﻦ ﭘﮋوﻫﺶ ﺑﻪ ﻣﻨﻈﻮر ﻫﻨﺠﺎرﻳﺎﺑﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﻨﺠﺶ راﻫﺒﺮدﻫﺎي ﺷـﻨﺎﺧﺘﻲ ﻫﻴﺠﺎﻧـﺎت )‪(CERQ‬‬
‫اﻧﺠﺎم ﺷﺪه اﺳﺖ‪ .‬اﻧﺪازهﮔﻴﺮي ﻧﺎﻣﻨﺎﺳﺐ و ﻧﺎﻛﺎﻓﻲ ﻣﻲﺗﻮاﻧﺪ ﻫﺮ ﭘﮋوﻫﺶ ﻋﻠﻤـﻲرا ﻧـﺎروا و ﺑـﻲاﻋﺘﺒـﺎر ﺳـﺎزد‪.‬‬
‫ﺑﺴﻴﺎري از اﻧﺘﻘﺎدﻫﺎﻳﻲ ﻛﻪ ﺑﺮ ﻧﻈﺮﻳﻪﻫﺎ و ﻳﺎﻓﺘﻪﻫـﺎي ﻋﻠـﻮمرﻓﺘـﺎري وارد ﺷـﺪه ﻣﺘﻤﺮﻛـﺰ ﺑـﺮ وﻳﮋﮔﻴﻬـﺎي اﺑـﺰار‬
‫ﺳﻨﺠــﺸﻲ اﺳــﺖ ﻛــﻪ ﭘﺪﻳــﺪهﻫــﺎ و ﻣﻮﺿــﻮﻋﺎت آن را ﻣــﻮرد ﻣﻄﺎﻟﻌــﻪ و ﺑﺮرﺳــﻲ ﻗــﺮار ﻣــﻲدﻫــﺪ‪ .‬ﺑــﺎ وﺟــﻮد‬
‫دﺷﻮارﻳﻬﺎﻳﻲﻛﻪ در زﻣﻴﻨﻪﻫﺎي ﻣﺨﺘﻠـﻒ ﻋﻠـﻮماﻧـﺴﺎﻧﻲ و رﻓﺘـﺎري از ﺟﻤﻠـﻪروانﺷﻨﺎﺳـﻲ‪ ،‬ﺑـﺮاي دﺳـﺘﻴﺎﺑﻲ ﺑـﻪ‬
‫اﻧﺪازهﮔﻴﺮيﻫﺎي روا و ﻣﻌﺘﺒﺮ وﺟﻮد دارد‪ ،‬ﭘﻴﺸﺮﻓﺘﻬﺎي ﻗﺎﺑﻞﻣﻼﺣﻈﻪاي‪ ،‬ﺑﻮﻳﮋه در ﻛـﺸﻮرﻫﺎي ﺗﻮﺳـﻌﻪﻳﺎﻓﺘـﻪ‪،‬‬
‫ﻧﺼﻴﺐ اﻳﻦ ﻋﻠﻮم ﮔﺮدﻳﺪهاﺳﺖ‪ .‬ﻓﺮآﻳﻨﺪﻫﺎي ﺷﻨﺎﺧﺘﻲ را ﻣﻲﺗﻮان ﺑﻪ دو ﮔﺮوه ﻓﺮآﻳﻨـﺪﻫﺎي ﻧﺎآﮔﺎﻫﺎﻧـﻪ )ﺑـﺮاي‬
‫ﻣﺜﺎل‪ ،‬ﻓﺮاﻓﻜﻨﻲ ﻳﺎ اﻧﻜﺎر( و ﻓﺮآﻳﻨﺪﻫﺎي آﮔﺎﻫﺎﻧﻪ )ﺳﺮزﻧﺶ ﺧﻮد‪ ،‬ﺳﺮزﻧﺶ دﻳﮕﺮان‪ ،‬ﻧﺸﺨﻮار ﻓﻜﺮي و ﻓﺎﺟﻌﻪ‬
‫ﭘﻨﺪاري( ﺗﻘﺴﻴﻢ ﻛﺮد‪ .‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳـﻨﺠﺶ راﻫﺒﺮدﻫـﺎي ﺷـﻨﺎﺧﺘﻲ ﻫﻴﺠﺎﻧـﺎت )‪ (CERQ‬ﺑـﺮ ﻣﻘﻮﻟـﻪ دوم ﻳﻌﻨـﻲ‬
‫ﺧﻮدﺗﻨﻈﻴﻤﻲ ﻣﺆﻟﻔﻪﻫﺎي ﺷﻨﺎﺧﺘﻲ و آﮔﺎﻫﺎﻧﻪ ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎن ﻣﺘﻤﺮﻛﺰ اﺳﺖ‪.‬‬
‫ﺟﺎﻣﻌﻪ آﻣﺎرى اﻳﻦ ﭘﮋوﻫﺶ از ﻫﻤﻪ زﻧﺎن و ﻣﺮدان ﺳﺎﻟﻤﻨﺪ ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻛﺎﻧﻮنﻫﺎي ﺟﻬـﺎن دﻳـﺪﮔﺎن‬
‫ﺷــﻬﺮ ﺗﻬــﺮان ﺗــﺸﻜﻴﻞ ﺷــﺪ‪ .‬در اﺑﺘــﺪا ﺑــﺎ ﻛﻠﻴــﻪ ﻣﺮاﻛــﺰ و ﻓﺮﻫﻨﮕــﺴﺮاﻫﺎ ﻫﻤــﺎﻫﻨﮕﻲ ﻻزم اﻧﺠــﺎم ﮔﺮﻓــﺖ و از‬
‫ﻣﻴﺎن‪20‬ﻛﺎﻧﻮن ﺟﻬﺎﻧﺪﻳﺪﮔﺎن ﺗﻬﺮان ‪ 500‬ﻧﻔـﺮ درﻧﻤﻮﻧـﻪ ﺷـﺮﻛﺖ ﻛﺮدﻧـﺪ‪ .‬در ﻧﻬﺎﻳـﺖ اﻃﻼﻋـﺎت ‪ 338‬ﻧﻔـﺮ از‬
‫اﻓﺮدي ﻛﻪ ﺑﻪ ﻣﺮاﻛﺰ ﻣﺮاﺟﻌﻪ ﻛﺮده ﺑﻮدﻧﺪ‪ ،‬از ﻃﺮﻳﻖ ﻛﺪ ﻣﺸﺨﺺ و وارد ﺷﺪ‪.‬‬
‫ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ دادهﻫﺎي ﺑﻪ دﺳﺖ آﻣﺪه ﺿﺮﻳﺐ اﻋﺘﺒﺎر ﻛﻞ ﻣﺠﻤﻮﻋﻪ ‪ 36‬ﺳﺆاﻟﻲ ﻛﻪ ﺑﺮ ﭘﺎﻳﻪ آﻟﻔﺎي ﻛﺮوﻧﺒـﺎخ‬
‫ﺑﺮآورد ﺷﺪه ﺑﺮاﺑﺮ ﺑﺎ ‪ 0/798‬ﺑﻪ دﺳﺖ آﻣﺪ‪ ،‬اﻣﺎ ﮔﻮﻳﻪﻫـﺎي ‪12 ،32 ،30 ،29 ،8 ،6 ،31 ،7 ،5‬داراي ﺿـﺮﻳﺐ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻫﻤﺒﺴﺘﮕﻲ ﺿﻌﻴﻒ ﺑﻮد ﻛﻪ اﻳﻦ ‪ 9‬ﺳﻮال در ﻏﺎﻟﺐ ﺧﺮده ﻣﻘﻴﺎس »ﭘﺬﻳﺮش روﻳـﺪادﻫﺎي ﻣﻨﻔـﻲ«‪ ،‬و ﺑـﻪ ﻋﻨـﻮان‬
‫ﻋﺎﻣﻞ ﻫﺸﺘﻢ در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﺪ‪.‬‬
‫ﭘﺲ از ﭼﻨﺪﻳﻦ ﺑﺎر اﺟﺮاي ﺗﺤﻠﻴﻞ ﻋﺎﻣﻠﻲ و اﺳـﺘﺨﺮاج ﻋﺎﻣﻠﻬـﺎي ﻣﺘﻌـﺪد و ﻣﻘﺎﻳـﺴﻪ ﻋﺎﻣﻠﻬـﺎي اﺳـﺘﺨﺮاج‬
‫ﺷﺪه ﺑﺎ ﺳﺎﺧﺘﺎر ﻧﻈﺮي ﻣﻘﻴـﺎس و ﻣﺒـﺎﻧﻲ ﻧﻈـﺮي ﻣﻮﺟـﻮد ﺗـﺼﻤﻴﻢ ﮔﺮﻓﺘـﻪ ﺷـﺪ ﻛـﻪ ﺗﻌـﺪاد ‪ 7‬ﻋﺎﻣـﻞ ﺑـﺎ روش‬
‫وارﻳﻤﺎﻛﺲ اﺳﺘﺨﺮاج ﺷﻮد و ﻋﺎﻣﻞ ﻫﺸﺘﻢ ﻳﻚ زﻳﺮ ﻣﻘﻴﺎس ﺟﺪاﮔﺎﻧـﻪ ﺑﺎﺷـﺪ‪ .‬ﻧﺘـﺎﻳﺞ ﺣﺎﺻـﻞ از اﻋﺘﺒـﺎر ﻳـﺎﺑﻲ‬
‫ﭘﺮﺳﺸﻨﺎﻣﻪ »راﻫﺒﺮدﻫﺎي ﺷﻨﺎﺧﺘﻲ ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎﻧﺎت« ﻛﻪ ﺑﺮ ﭘﺎﻳﻪ دو روش ﻫﻤﺴﺎﻧﻲ دروﻧـﻲ و آﻟﻔـﺎي ﻛﺮوﻧﺒـﺎخ‬
‫ﺑﺪﺳﺖ آﻣﺪ ﻧﺸﺎن ﻣﻴﺪﻫﺪ ﻛﻪ ﻣﺠﻤﻮﻋﻪ ﺧﺮده ﻣﻘﻴﺎﺳﻬﺎي ﭘﺮﺳﺸﻨﺎﻣﻪ از دﻗﺖ‪ ،‬اﻋﺘﻤﺎد ﭘﺬﻳﺰي؛ ﻗﺎﺑﻠﻴﺖ ﺗﻜﺮار و‬
‫ﭘﺎﻳﺎﻳﻲ ﻣﻨﺎﺳﺒﻲ ﺑﺮﺧﻮردار اﺳﺖ‪ .‬ﺑﮕﻮﻧﻪاي ﻛﻪ ﻣﻴﺘﻮان ﺑﻪ ﻧﺘـﺎﻳﺞ ﺣﺎﺻـﻞ از آن در اﻧـﺪازهﮔﻴـﺮي راﻫﺒﺮدﻫـﺎي‬
‫ﺳﺎزﮔﺎري ﺷﻨﺎﺧﺘﻲ اﻓﺮاد و ﻧﻴﺰ ﻣﻄﺎﻟﻌﺎت و ﭘﮋوﻫﺸﻬﺎي آﺗﻲ در زﻣﻴﻨﻪﻫﺎي واﺑﺴﺘﻪ اﻋﺘﻤﺎد ﻛﺮد‪.‬‬
‫ﺑﻪ ﻃﻮر ﻛﻠﻲ ﻧﺘﺎﻳﺞ اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺣﺎﻛﻲ از آن اﺳـﺖ ﻛـﻪ اﺳـﺘﻔﺎده از راﻫﺒﺮدﻫـﺎي ﻏﻴﺮاﻧﻄﺒـﺎﻗﻲ و ﻣﻨﻔـﻲ‬
‫ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎن ﻧﻈﻴﺮ ﻣﻘﺼﺮ داﻧﺴﺘﻦ ﺧﻮد‪ ،‬ﺗﻤﺮﻛﺰ ﺑﺮ ﺗﻔﻜﺮ‪ ،‬ﻣﺼﻴﺒﺖ ﺑﺎر ﺗﻠﻘـﻲ ﻛـﺮدن‪ ،‬ﻣﻘـﺼﺮ داﻧـﺴﺘﻦ ﺧـﻮد‬
‫ﻣﻲﺗﻮاﻧﺪ ﺑﻪ ﻣﺜﺎﺑﺔ ﻳﻜﻲ از ﻋﻮاﻣﻞ ﻣﺮﺗﺒﻂ ﺑﺎ ﻫﻴﺠﺎﻧﺎت ﺷﻨﺎﺧﺘﻲ ﺳﺎﻟﻤﻨﺪان اﻳﺮاﻧﻲ ﺗﻠﻘﻲ ﺷﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎﻧﺎت‪ ،‬ﺗﻨﻈﻴﻢ ﻫﻴﺠﺎﻧﺎت ﺷﻨﺎﺧﺘﻲ‪ ،‬ﺳﺎﻟﻤﻨﺪان‪ ،‬ﻫﻨﺠﺎرﻳﺎﺑﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﭘﺮﺳﺘﺎري اﻋﺘﻴﺎد‬
‫ﺣﻤﻴﺪرﺿﺎ ﺧﺎﻧﻜﻪ‬
‫ﻣﺸﻜﻼت رﻓﺘﺎري اﻧﺴﺎنﻫﺎ ﻫﻤﻮاره از ﭘﻴﭽﻴﺪﮔﻲ ﺧﺎﺻﻲ ﺑﺮﺧﻮردار ﺑﻮده اﺳﺖ ﻛﻪ در اﺑﻌﺎد ﮔﺴﺘﺮده ﺑـﺮ‬
‫ﻋﻤﻠﻜﺮد ﺧﺎﻧﻮاده‪ ،‬اﺟﺘﻤﺎع و ﺧﻮد ﻓﺮد ﺗﺄﺛﻴﺮﮔﺬار ﻣﻲﺑﺎﺷﺪ‪ .‬اﻣﺮوزه ﺑﺎ اﺗﻜﺎ ﺑﻪ داﻧـﺶ ارزﺷـﻤﻨﺪ ﻣﻮﺟـﻮد ﻛـﻪ‬
‫ﻣﻴﺮاث ﻧﺴﻠﻬﺎي ﮔﺬﺷﺘﻪ و ﻓﻌﻠﻲ اﺳﺖ و ﺗﻴﺰﺑﻴﻨﻲ و دﻗﺖ روﺷﻬﺎ و اﺑﺰار ﻋﻠﻤـﻲ‪ ،‬ﻣﻌﻤﺎﻫـﺎي ﺑـﺴﻴﺎري از ﺟﻤﻠـﻪ‬
‫ﻋﻠﻞ ﺑﺮوز ﺑﻴﻤﺎرﻳﻬﺎ‪ ،‬رﻣﺰ و راز ﺳﻼﻣﺖ‪ ،‬ﻃﻮل ﻋﻤﺮ و ‪ ....‬ﺑﻪ ﻣﺴﺎﺋﻠﻲ ﻗﺎﺑﻞ ﺣـﻞ ﺗﻐﻴﻴـﺮ ﻳﺎﻓﺘـﻪ اﺳـﺖ‪ .‬از ﻃﺮﻓـﻲ‬
‫ﮔﺴﺘﺮش ﻋﻠﻮم رواﻧﺸﻨﺎﺧﺘﻲ ﻛﻪ درك و ﻓﻬﻢ ﻣﺎ را از ﻋﻠﻞ رﻓﺘﺎر از اﻳﻦ ﻣﻨﻈﺮ ﺷﻜﻞ ﻣﻲدﻫﺪ‪ ،‬ﻣﺎﻫﻴـﺖ ﻋـﺎﻟﻢ‬
‫درون اﻧﺴﺎن را آﺷﻜﺎر ﻣﻲﺳﺎزد‪ .‬ﭘﺪﻳﺪهﻫﺎﻳﻲ ﻣﺎﻧﻨﺪ اﺿﻄﺮاب‪ ،‬اﻓﺴﺮدﮔﻲ‪ ،‬اﺳﺘﺮس‪،‬ﺑﻴﻤﺎري رواﻧـﻲ‪ ،‬اﻋﺘﻴـﺎد و‬
‫‪ ...‬دﻳﮕﺮ ﻧﺎﺷﻲ از ﻧﻔﻮذ ارواح ﺷﻴﻄﺎﻧﻲ ﺗﻠﻘﻲ ﻧﻤﻲﺷﻮﻧﺪ ﺑﻠﻜﻪ ﺑﺎ ﺑﻜﺎرﮔﻴﺮي ﺷـﻴﻮهﻫـﺎي ﻣـﺆﺛﺮ درﻣـﺎﻧﮕﺮي ﺑـﻪ‬
‫اﺧﺘﻼﻻﺗﻲ ﻗﺎﺑﻞ ﭘﻴﺸﮕﻴﺮي و درﻣﺎن ﺗﺒﺪﻳﻞ ﮔﺮدﻳﺪه اﻧﺪ‪.‬‬
‫ﺳﻮءﻣﺼﺮف ﻣﻮاد ﻣﺨﺪر از ﺟﻤﻠﻪ ﺑﺎرزﺗﺮﻳﻦ آﺳﻴﺐﻫﺎي اﺟﺘﻤﺎﻋﻲ اﺳﺖ ﻛﻪ ﻣﻲﺗﻮاﻧﺪ ﺑﻨﻴـﺎن ﻓﺮﻫﻨﮕـﻲ –‬
‫اﺟﺘﻤﺎﻋﻲ ﻳﻚ ﻛﺸﻮر را ﺳﺴﺖ ﻧﻤﻮده و ﭘﻮﻳﺎﻳﻲﻫﺎي اﻧﺴﺎﻧﻲ آن را ﺑﻪ ﺧﻄـﺮ ﺑﻴﺎﻧـﺪازد و ﺷـﻨﺎﺧﺖ ﺻـﺤﻴﺢ و‬
‫دﻗﻴﻖ از اﻳﻦ ﻣﺸﻜﻞ ﻣﻲﺗﻮاﻧﺪ راﻫﻜﺎرﻫﺎي ﻣﺆﺛﺮ ﻣﻘﺎﺑﻠﻪاي را ﻓﺮاﻫﻢ آورد‪ .‬ﺑﻨﺎﺑﺮاﻳﻦ ﻛﺘﺎب ﺣﺎﺿـﺮ ﺑـﺎ در ﻧﻈـﺮ‬
‫ﮔﺮﻓﺘﻦ ﻧﻴﺎز ﺑﻪ ﻫﻤﺎﻫﻨﮕﻲ اﻋﻀﺎء ﻛﺎدر درﻣﺎﻧﻲ ﺑﻬﺪاﺷـﺘﻲ ﺑـﻪ ﺧـﺼﻮص ﭘﺮﺳـﺘﺎران در ﺳـﺎﺧﺘﺎر ﺳﻴـﺴﺘﻢﻫـﺎي‬
‫درﻣﺎﻧﻲ و ﺣﻤﺎﻳﺘﻲ در ﻣﻘﺎﺑﻠﻪ ﺑﺎ ﻣﺸﻜﻼت ﻣﺘﻌﺪد و ﭘﻴﭽﻴﺪه اﻳﻦ ﮔﺮوه از ﻣﺪدﺟﻮﻳﺎن و ﺗﻮﺟﻪ ﺑـﻪ ﻧﻴـﺎز ﺟﺎﻣﻌـﻪ‬
‫در ﺗﺎﻣﻴﻦ ﻣﻨﺎﺑﻊ ﻋﻠﻤﻲ و ﻋﻤﻠﻲ‪ ،‬ﮔـﺮدآوري ﺷـﺪه و ﺑـﺎ اﺳـﺘﻨﺎد ﺑـﻪ آﺧـﺮﻳﻦ ﻳﺎﻓﺘـﻪﻫـﺎي ﺗﺨﺼـﺼﻲ در ﻛﻠﻴـﻪ‬
‫زﻣﻴﻨﻪﻫﺎي ﻣﺮﺗﺒﻂ ﺑﺎ ﻣﻌﻀﻞ اﻋﺘﻴﺎد و ﺳﻮء ﻣﺼﺮف ﻣﻮاد ﻣﺨﺪر ﻛﻪ ﻣﻮرد ﻧﻴﺎز داﻧﺸﺠﻮﻳﺎن و ﻛﺎدر ﭘﺮﺳﺘﺎري و‬
‫ﺳﺎﻳﺮ ﻛﺎرﻛﻨﺎن ﺑﻬﺪاﺷﺘﻲ درﻣﺎﻧﻲ ﻣﻲﺑﺎﺷﻨﺪ‪ ،‬ﺑﻪ رﺷﺘﻪ ﺗﺤﺮﻳﺮ درآﻣﺪه اﺳﺖ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺗﺪوﻳﻦ ﺑﺴﺘﻪ اراﺋﻪ ﺧﺪﻣﺎت ﺳﻼﻣﺘﻲ ﺑﻪ ﺳﺎﻟﻤﻨﺪان در ﺑﻼﻳﺎ ﺑﺮ اﺳﺎس ﺗﺠﺮﺑﻴﺎت زﻟﺰﻟﻪﻫﺎي ﺑﻢ و زرﻧﺪ‬
‫ﻋﻠﻲ اردﻻن‪ ،‬ﻛﻮروش ﻫﻼﻛﻮﻳﻲ ﻧﺎﻳﻴﻨﻲ‪ ،‬ﻓﺮﻳﺒﺎ ﺗﻴﻤﻮري‬
‫ﻳﻜﻲ از ﺑﺎرزﺗﺮﻳﻦ ﺗﻐﻴﻴﺮات دﻣﻮﮔﺮاﻓﻴﻚ ﻗﺮن ﺑﻴﺴﺖ و ﻳﻜﻢ ﺳﺎﻟﺨﻮردﮔﻲ ﺟﻤﻌﻴـﺖ اﺳـﺖ‪ .‬ﭘـﻴﺶ ﺑﻴﻨـﻲ‬
‫ﻣﻲﺷﻮد درﺻﺪ اﻓﺮاد ‪ 60‬ﺳﺎل ﺑﻪ ﺑﺎﻻ در ﺟﻬﺎن ﺑﻴﻦ ﺳﺎﻟﻬﺎي ‪ 2000‬و ‪ 2050‬دو ﺑﺮاﺑﺮ ﺷﻮد ﻳﻌﻨﻲ از ‪10‬درﺻﺪ‬
‫ﺑﻪ ‪ 21‬درﺻﺪ رﺳﻴﺪه و ﺟﻤﻌﻴﺖ آﻧﻬﺎ از ‪ 600‬ﻣﻴﻠﻴﻮن ﺑﻪ دو ﻣﻴﻠﻴﺎرد ﺑﺮﺳﺪ‪ ،‬در ﺳـﺎل ‪ 2025‬ﺣـﺪود ‪15‬درﺻـﺪ‬
‫ﺟﻤﻌﻴﺖ ﺟﻬﺎن ﺳﺎﻟﻤﻨﺪان ﺑﺎﻻي ‪ 60‬ﺳﺎل ﺧﻮاﻫﻨﺪ ﺑﻮد‪ .‬ﻛﺸﻮر اﻳﺮان ﻓـﺎز ﮔـﺬار دﻣﻮﮔﺮاﻓﻴـﻚ ﺧـﻮد را ﻃـﻲ‬
‫ﻛﺮده اﺳﺖ‪ ،‬در ﺳﺎل ‪ 75‬ﺟﻤﻌﻴﺖ ﺳﺎﻟﻤﻨﺪان ‪ 7,7‬درﺻﺪ ﺗﺨﻤﻴﻦ زده ﺷﺪه اﺳﺖ‪ .‬اﻳﺮان ﻛـﺸﻮري اﺳـﺖ ﻛـﻪ‬
‫در ﻣﻌﺮض وﻗﻮع ﺑﻼﻳﺎي ﻃﺒﻴﻌﻲ ﺑﺨـﺼﻮص زﻟﺰﻟـﻪ و ﺗﻐﻴﻴـﺮات آب و ﻫـﻮاﻳﻲ ﻗـﺮار دارد‪ .‬ﺗﻨﻬـﺎ در ﻗـﺮن ‪20‬‬
‫ﻣﻴﻼدي‪ ،‬ﺣﺪود ‪ 20‬زﻟﺰﻟﻪ ﺑـﺰرگ در اﻳـﺮان روي داده اﺳـﺖ ﻛـﻪ ﻣﻨﺠـﺮ ﺑـﻪ ﻣـﺮگ ﺣـﺪود ‪ 140000‬ﻧﻔـﺮ‪،‬‬
‫ﺗﺨﺮﻳﺐ روﺳﺘﺎﻫﺎ و ﺷﻬﺮﻫﺎي ﻣﺘﻌﺪد و آﺳﻴﺐ ﻗﺎﺑﻞ ﺗﻮﺟﻪ اﻗﺘﺼﺎدي ﺷﺪه اﺳﺖ‪ .‬ﺗﺠﺮﺑﻪ زﻟﺰﻟﻪ ﺑﻢ و زرﻧﺪ ﻧﺸﺎن‬
‫داد ﻛﻪ ﺑﺮﻧﺎﻣﻪ وﻳﮋهاي ﺑﺮاي ﮔﺮوه آﺳﻴﺐﭘﺬﻳﺮ ﺳﺎﻟﻤﻨﺪ وﺟـﻮد ﻧـﺪارد و اراﺋـﻪ ﺧـﺪﻣﺎت ﺑـﻪ اﻳـﻦ زﻳـﺮ ﮔـﺮوه‬
‫ﺟﻤﻌﻴﺘﻲ در ﻗﺎﻟﺐ اراﺋﻪ ﺧﺪﻣﺎت ﺑﻪ ﺗﻤﺎﻣﻲ ﺟﻤﻌﻴﺖ ﻣﻮرد ﻧﻈﺮ ﺑﻮده اﺳﺖ‪ .‬ﻫﺪف اﺟﺮاي اﻳﻦ ﭘﺮوژه‪ ،‬ﻃﺮاﺣﻲ‬
‫ﻣﺪل اراﺋﻪ ﺧﺪﻣﺎت ﺳﻼﻣﺖ ﺑﻪ ﺳﺎﻟﻤﻨﺪان در ﺑﻼﻳﺎ ﺑﺮ اﺳﺎس ﺗﺠﺮﺑﻴﺎت زﻟﺰﻟﻪﻫﺎي ﺑﻢ و زرﻧﺪ ﺑﻮد‪.‬‬
‫اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﭘﺲ از اﻧﺠﺎم ﭘﺎﻳﻠﻮت در ‪ 4‬ﻓﺎز اﺻﻠﻲ اﻧﺠﺎم ﮔﺮﻓﺖ‪ :‬در ﻓﺎز ‪ 1‬ﺑﺮرﺳﻲ ﻣﺘـﻮن ﮔـﺴﺘﺮدهاي ﺑـﻪ‬
‫ﻣﻨﻈﻮر ﺷﻨﺎﺧﺖ ﺑﺮﻧﺎﻣﻪﻫﺎي ﺳﺎﻳﺮ ﻛﺸﻮرﻫﺎ و ﺳﺎزﻣﺎﻧﻬﺎي ﺑﻴﻦ اﻟﻤﻠﻠﻲ ﻣﺮﺗﺒﻂ ﺑﺎ اراﺋـﻪ ﺧـﺪﻣﺎت در ﺑﻼﻳـﺎ اﻧﺠـﺎم‬
‫ﮔﺮﻓﺖ و ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﺮﺗﺒﻂ ﺑﺎ ﺳﺎﻟﻤﻨﺪان اﺳﺘﺨﺮاج ﺷﺪ‪ .‬در ﻓﺎز ‪ 2‬ﺣﻴﻄـﻪﻫـﺎي اﺻـﻠﻲ ﻧﻴﺎزﻫـﺎي ﺳـﺎﻟﻤﻨﺪان ﺑـﺎ‬
‫اﻧﺠﺎم ﻣﻄﺎﻟﻌﻪ ﻛﻴﻔﻲ ﺑﻪ روش‪ FGD‬در ﻣﻨﻄﻘﻪ زﻟﺰﻟﻪ زده ﺑﻢ ﺗﻌﻴﻴﻦ ﮔﺸﺖ‪ .‬در ﻓﺎز ‪ 3‬ﻳﻚ ﻣﻄﺎﻟﻌﻪ ﭘﻴﻤﺎﻳـﺸﻲ ﺑـﺎ‬
‫اﺳﺘﻔﺎده از ﻳﺎﻓﺘﻪﻫﺎي ﻣﻄﺎﻟﻌﻪ ﻛﻴﻔﻲ ﺑﻤﻨﻈﻮر ﺑﺮرﺳـﻲ وﺿـﻌﻴﺖ و ﻧﻴﺎزﻫـﺎي ﺳـﺎﻟﻤﻨﺪان در زﻟﺰﻟـﻪ ﻫـﺮ ﻳـﻚ از‬
‫ﻣﻨﺎﻃﻖ ﺑﻢ و زرﻧﺪ اﻧﺠﺎم ﺷﺪ‪ .‬ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﻴﺮي ﺧﻮﺷﻪاي ‪ 210‬ﺳﺎﻟﻤﻨﺪ از ﻫﺮ ﻳﻚ از ﻣﻨـﺎﻃﻖ ﺑـﻢ و زرﻧـﺪ‬
‫ﺑﺮرﺳﻲ ﺷﺪﻧﺪ‪ .‬ﻧﺮم اﻓـﺰار ‪ SATATA 8.0‬ﺑـﺎ درﻧﻈـﺮ ﮔـﺮﻓﺘﻦ ‪ Complex sampling design‬ﺑـﺮاي آﻧـﺎﻟﻴﺰ‬
‫اﺳﺘﻔﺎده ﺷﺪ‪ .‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﺑﻪ روش ﻣﺼﺎﺣﺒﻪ رودررو ﺗﻜﻤﻴﻞ ﺷﺪ‪ .‬در ﻓﺎز ‪ 4‬ﺑﺮ اﺳﺎس ﺷـﻮاﻫﺪ ﺑﺪﺳـﺖ آﻣـﺪه از‬
‫ﻓﺎزﻫﺎي ﭘﻴﺸﻴﻦ ﺑﺴﺘﻪ ﭘﻴﺸﻨﻬﺎدي اراﺋﻪ ﺧﺪﻣﺎت ﺑﻪ ﺳﺎﻟﻤﻨﺪان در ﺑﻼﻳـﺎ ﺑـﺎ ﺗﺄﻛﻴـﺪ ﺑـﺮ زﻟﺰﻟـﻪ ﺗـﺪوﻳﻦ ﺷـﺪ‪ .‬ﺑـﺴﺘﻪ‬
‫ﭘﻴﺸﻨﻬﺎدي اراﻳﻪ ﺧﺪﻣﺎت ﺷﺎﻣﻞ دو ﺑﺨﺶ ﻋﻤﺪه ﺑﺮاي آﻣﺎدﮔﻲ ﺳﺎزﻣﺎﻧﻲ و ﻓﺮدي ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﺎﻟﻤﻨﺪي‪ ،‬زﻟﺰﻟﻪ‪ ،‬ﻧﻴﺎزﺳﻨﺠﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﻛﻮدﻛﺎن ‪ 1-6‬ﺳﺎﻟﻪ ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻣﻐﺰي ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻣﺮﻛﺰﺟﺎﻣﻊ ﺗﻮاﻧﺒﺨـﺸﻲ اﺳـﻤﺎ‪ ،‬از‬
‫ﻧﻈﺮ ﻧﻮع ﻓﻠﺞ ﻣﻐﺰي‪ ،‬اﺧﺘﻼﻻت ﻫﻤﺮاه و ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﭘﺮﻳﻨﺎﺗﺎل و ﻧﺌﻮﻧﺎﺗﺎل در ﺳﺎﻟﻬﺎي ‪1386-87‬‬
‫ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‪ ،‬ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‪ ،‬ﻧﻴﻠﻮﻓﺮ ﺳﻠﻴﻤﺎﻧﻲ‪ ،‬اﻛﺒﺮ ﺑﻴﮕﻠﺮﻳﺎن‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﻓﻠﺞ ﻣﻐﺰي ﻳﻚ آﻧﺴﻔﺎﻟﻮﭘﺎﺗﻲ اﺳﺘﺎﺗﻴﻚ و ﻏﻴﺮ ﭘﻴﺸﺮوﻧﺪه و ﻳﻜﻲ از ﺷﺎﻳﻌﺘﺮﻳﻦ اﺧﺘﻼﻻت ﺣﺮﻛﺘـﻲ ـ‬
‫وﺿﻌﻴﺘﻲ در دوران ﻛﻮدﻛﻲ اﺳﺖ ﻛﻪ ﺑﻪ ﻋﻠﺖ ﺑـﺮوز ﺿـﺎﻳﻌﻪ در ﻣﻐـﺰ در ﺣـﺎل رﺷـﺪ‪ ،‬ﺗﻘﺮﺑﻴـﺎ در ‪ 2-2/5‬ازﻫـﺮ‬
‫‪ 1000‬ﺗﻮﻟﺪ زﻧﺪه اﺗﻔﺎق ﻣﻲاﻓﺘﺪ‪ .‬ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﻣﻤﻜﻦ اﺳﺖ ﻃﻴﻒ وﺳﻴﻌﻲ از اﺧﺘﻼﻻت ﺣﺮﻛﺘـﻲ ـ ﭘﻮﺳـﭽﺮال‪،‬‬
‫ﻫﻤﺎﻫﻨﮕﻲ‪ ،‬ﺣﺴﻲ و ﻫﻮﺷﻲ را در ﻃﻮل زﻧﺪﮔﻲ ﺧﻮد ﺗﺠﺮﺑﻪ ﻛﻨﻨﺪ‪ .‬اﻳﻦ آﺳﻴﺐ ﻣﻐـﺰي در ﻣﻐـﺰ در ﺣـﺎل ﺗﻜﺎﻣـﻞ‬
‫رخ ﻣﻴﺪﻫﺪ و ﺗﻤﺎم ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻣﻐﺰي از آﺳﻴﺐ ﻣﻐﺰي ﺑﺎ ﺷـﺪت ﮔﻮﻧـﺎﮔﻮن رﻧـﺞ ﻣـﻲﺑﺮﻧـﺪ و ﻣﻌﻤـﻮﻻً‬
‫راﻫﻬﺎي ﺣﺮﻛﺘﻲ را ﮔﺮﻓﺘﺎر ﻣﻲﺳﺎزد‪ .‬ﺑﺤﺚ ﮔﺴﺘﺮدهاي در زﻣﻴﻨﻪ ﭼﻨـﺪ ﻋـﺎﻣﻠﻲ ﺑـﻮدن اﻳـﻦ ﺑﻴﻤـﺎري وﺟـﻮد دارد‬
‫ﻛﻪ ﺑﻌﻀﻲ از اﻳﻦ ﻋﻮاﻣﻞ ﺑﻪ رﺷﺪ و ﺗﻜﺎﻣﻞ ﻣﻐﺰ در زﻧﺪﮔﻲ داﺧﻞ رﺣﻤﻲ ﺑﺮ ﻣﻲﮔﺮدد‪.‬‬
‫ﻫﺪف از اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﻲ اﻧﻮاع‪ ،‬اﺧﺘﻼﻻت ﻫﻤﺮاه و ﻓﺎﻛﺘﻮرﻫﺎي ﺧﻄـﺮ ﻣـﺆﺛﺮ در اﻳﺠـﺎد ﻓﻠـﺞ ﻣﻐـﺰي‬
‫ﻛﻮدﻛﺎن ﺑﻪ دﻟﻴﻞ ﺷﻨﺎﺧﺖ ﻋﻮاﻣﻞ و ﻣﺸﻜﻼت در ﺟﻬﺖ ﭘﻴﺸﮕﻴﺮي از ﺑﺮوز آﻧﻬﺎ ﺑﻮد‪.‬‬
‫ﻣﻮاد و روش ﺗﺤﻘﻴﻖ‪ :‬دراﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻮرد ـ ﺷﺎﻫﺪي‪ ،‬ﺗﻤﺎم ﻛﻮدﻛﺎن ارﺟﺎع ﺷﺪه از ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ ـ‬
‫درﻣﺎﻧﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺷﻬﻴﺪ ﺑﻬﺸﺘﻲ )ﻣﻨﺎﻃﻖ ﺷﺮق و ﺷﻤﺎل ﺗﻬـﺮان( ﺑـﻪ ﻣﺮﻛـﺰ ﺗﻮاﻧﺒﺨـﺸﻲ اﺳـﻤﺎ در‬
‫ﻃﻲ دو ﺳﺎل ‪ ،1386 -1387‬داراي ﻓﻠﺞ ﻣﻐﺰي از ﻧﻈﺮ ﻧﻮع‪ ،‬اﺧﺘﻼﻻت ﻫﻤـﺮاه و ﻋﻮاﻣـﻞ ﻣـﺆﺛﺮ در ﺑـﺮوز ﺑـﻪ‬
‫ﻫﻤﺮاه ﮔﺮوه ﺷﺎﻫﺪ ﻫﻤﺴﺎن ﺷﺪه‪ ،‬ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﻗﺮار ﮔﺮﻓﺘﻨﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ‪ 112‬ﻛﻮدك در ﮔﺮوه ﻣﻮرد و ‪ 113‬ﻧﻔﺮ در ﮔﺮوه ﺷـﺎﻫﺪ ﻣـﻮرد ﺑﺮرﺳـﻲ ﻗـﺮار‬
‫ﮔﺮﻓﺘﻨﺪ‪.‬در ﮔﺮوه ﻛﻮدﻛﺎن ﺑﺎ ﻓﻠﺞ ﻣﻐﺰي ‪ 90‬ﻧﻔﺮ )‪80,4‬در ﺻﺪ( داراي ﻓﻠﺞ ﻣﻐﺰي ﻧﻮع اﺳﭙﺎﺳﺘﻴﻚ و ‪ 20‬ﻧﻔﺮ‬
‫)‪ 17‬در ﺻﺪ( داراي اﻧﻮاع ﻏﻴﺮ اﺳﭙﺎﺳﺘﻴﻚ و ‪ 2‬ﻧﻔﺮ )‪ 1,8‬در ﺻﺪ( داراي ﻧﻮع ﻣﺨﺘﻠﻂ ﺑﻮدﻧﺪ‪.‬‬
‫از ﻧﻈﺮ اﺧﺘﻼﻻت ﻫﻤﺮاه در اﻳﻦ ﮔﺮوه ‪ 8‬ﻧﻔﺮ )‪ 7,2‬در ﺻﺪ( داراي ﻛﻢ ﺗﻮاﻧﻲ ذﻫﻨـﻲ‪ 8 ،‬ﻧﻔـﺮ )‪ 7,2‬در ﺻـﺪ(‬
‫داراي ﻛﺎﻫﺶ ﺷﻨﻮاﻳﻲ‪ 18 ،‬ﻧﻔﺮ )‪ 16,1‬در ﺻﺪ( داراي اﻧﺤﺮاف ﭼﺸﻢ‪ 37 ،‬ﻧﻔﺮ )‪ 33‬در ﺻﺪ( داراي اﺧﺘﻼل‬
‫در ﮔﻔﺘﺎر و زﺑﺎن و ‪ 34‬ﻧﻔﺮ )‪ 30,4‬در ﺻﺪ( داراي ﺻﺮع ﺑﻮدﻧﺪ‪.‬‬
‫ﻋﻮاﻣﻞ اﺻﻠﻲ در ﺑﺮوز ﻓﻠﺞ ﻣﻐﺰي ﻋﺒﺎرت ﺑﻮدﻧﺪ از‪ :‬ﺗﻮﻟـﺪ ﻧـﺎرس )‪ ،(OR = 22,1‬ﺗـﺸﻨﺞ ﻧـﻮزادي )‪=37,35‬‬
‫‪ ،(OR‬ﺗﺸﻨﺞ ﭘﺲ از ﻧﻮزادي )‪ ،(OR = 8,14‬ﻧﻤﺮه آﭘﮕﺎر ﭘﺎﻳﻴﻦ در دﻗﻴﻘﻪ ﺑﻴـﺴﺘﻢ )‪ ،(OR =13,94‬وزن ﻛـﻢ‬
‫ﻫﻨﮕﺎم ﺗﻮﻟﺪ )‪ ،(OR = 5,67‬وزن ﺧﻴﻠﻲ ﻛﻢ ﺣـﻴﻦ ﺗﻮﻟـﺪ )‪ ،(OR =25,27‬ﺣـﺎﻣﻠﮕﻲ ﭼﻨـﺪ ﻗﻠـﻮﻳﻲ )‪=13,14‬‬
‫‪ ،(OR‬و ﭘﺎرﮔﻲ زودرس ﭘﺮدﻫﻬﺎي آﻣﻨﻴﻮن )‪.(OR =4,92‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺤﺚ و ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺗﻮﻟﺪ ﻧﺎرس‪ ،‬آﻧﺴﻔﺎﻟﻮﭘﺎﺗﻲ ﻫﻴﭙﻮﻛﺴﻴﻚ ـ اﺳـﻜﻤﻴﻚ و آﺳﻔﻴﻜـﺴﻲ ﭘﺮﻳﻨﺎﺗـﺎل‪ ،‬و وزن‬
‫ﻛﻢ ﺣﻴﻦ ﺗﻮﻟﺪ ﻣﺆﺛﺮﺗﺮﻳﻦ ﻋﻮاﻣﻞ در ﺑﺮوز ﻓﻠﺞ ﻣﻐﺰي در اﻳﻦ ﮔﺮوه ﺑﻮدﻧﺪ‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻓﻠﺞ ﻣﻐﺰي‪ ،‬اﻧﻮاع ﻓﻠﺞ ﻣﻐﺰي‪ ،‬اﺧﺘﻼﻻت ﻫﻤﺮاه‪ ،‬ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﭘﺮﻳﻨﺎﺗﺎل و ﻧﺌﻮﻧﺎﺗﺎل‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ اﺛﺮات ﺳﻤﻴﺖ ﻣﺮﻓﻴﻦ ﺑﺮ ﻛﺸﺖ ﺳﻠﻮﻟﻬﺎي ﻋﺼﺒﻲ‬
‫ﻋﻠﻲﻣﺤﻤﺪ ﺷﺮﻳﻔﻲ‬
‫زﻣﻴﻨــﻪ و ﻫــﺪف‪ :‬آﭘﻮﭘﺘــﻮز ﻧﻘــﺶ ﻣﻬﻤــﻲ در ﺗﻜﺎﻣــﻞ ﻣﻐــﺰ ﺑﻄــﻮر ﻃﺒﻴﻌــﻲ و ﻫﻤﭽﻨــﻴﻦ در ﺑﻴﻤﺎرﻳﻬــﺎي‬
‫ﻧﻮرودژﻧﺮاﺗﻴﻮ دارد‪ .‬ﻣﺸﺨﺺ ﮔﺮدﻳﺪه اﺳﺖ ﻛﻪ اوﭘﻴﻮﺋﻴﺪﻫﺎ ﻣﻮﺟﺐ اﻟﻘﺎ ﻣﺮگ ﺳﻠﻮﻟﻲ در اﻧـﻮاع ﻣﺘﻌـﺪدي از‬
‫ﺳﻠﻮﻟﻬﺎ ﺷﺎﻣﻞ ﺳﻠﻮﻫﺎي اﻳﻤﻨﻲ و ﺳﻠﻮﻟﻬﺎي ﻋﺼﺒﻲ وﻟﻲ ﻣﻜﺎﻧﻴﺰم دﻗﻴﻖ آن ﻧﺎﻣـﺸﺨﺺ اﺳـﺖ‪ .‬در اﻳـﻦ ﻣﻄﺎﻟﻌـﻪ‬
‫ﻗﺼﺪ ﺑﺮ اﻳﻦ اﺳﺖ ﻛﻪ اﺛﺮ ﻣـﺮﻓﻴﻦ ﺑـﺮ آﭘﻮﭘﺘـﻮز در ﺳـﻠﻮﻟﻬﺎي ﻋـﺼﺒﻲ ‪ PC12‬و ﻧﻘـﺶ اﺣﺘﻤـﺎﻟﻲ دﺧﺎﻟـﺖ ژن‬
‫ﺧﺎﻧﻮاده ‪ BCl2‬ﺷﺎﻣﻞ ژن آﭘﻮﭘﺘﻮز دﻫﻨﺪه ‪ BAx‬و آﻧﺘﻲآﭘﻮﭘﺘﻮزي ‪ Bcl2‬ﺑﺮرﺳﻲ ﮔﺮدد‪.‬‬
‫ﻣﻮاد و روﺷﻬﺎ‪ :‬از روﺷﻬﺎي ‪ MTT‬ﺟﻬﺖ اﻧﺪازهﮔﻴﺮي ﻣﻴﺰان ﺣﻴـﺎت ﺳـﻠﻮﻟﻬﺎ و ﻧﺮدﺑـﺎن ‪ DNA‬ﺟﻬـﺖ‬
‫ﻣﻄﺎﻟﻌﻪ ﻗﻄﻌﻪ ﻗﻄﻌﻪ ﺷﺪن ‪ DNA‬و اﻳﻤﻨﻮﺑﻼت ﺟﻬﺖ ﻣﻄﺎﻟﻌﻪ ﻣﻠﻜﻮﻟﻬﺎي ﭘﺮوﺗﺌﻴﻨﻲ ﺳﻴﮕﻨﺎﻟﻴﻨﮓ ﺷـﺎﻣﻞ ‪ Bax‬و‬
‫‪ Bcl2‬ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار ﮔﺮﻓﺖ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در ﺳﻠﻮﻟﻬﺎي ‪ PC12‬ﻏﻠﻈـﺖﻫـﺎي ﻣﺨﺘﻠـﻒ ﻣـﻮرﻓﻴﻦ )‪ 1-0,1‬ﻣﻴﻠـﻲ ﻣـﻮﻻر( ﺑﻤـﺪت ‪ 72‬و ‪96‬‬
‫ﺳﺎﻋﺖ‪ ،‬ﻣﻮﺟﺐ ﻣﺮگ ﺳﻠﻮﻟﻲ ﮔﺮدﻳﺪﻛﻪ ﺑﻮﺳـﻴﻠﻪ ﺗـﺴﺖ ‪ MTT‬ﺗﻌﻴـﻴﻦ ﮔﺮدﻳـﺪ‪ .‬ﻣـﻮرﻓﻴﻦ )‪ 1‬ﻣﻴﻠـﻲ ﻣـﻮﻻر(‬
‫ﺗﻮاﻧﺴﺖ ﺑﻌﺪ از ‪ 96‬ﺳﺎﻋﺖ ﻣﻮﺟﺐ ﻣﺮگ ﺳﻠﻮﻟﻬﺎي ‪ PC12‬ﺷﻮد ﻛﻪ اﻳﻦ ﻣﺮگ واﺑﺴﺘﻪ ﺑﻪ ﻏﻠﻈﺖ ﻣﻴﺒﺎﺷﺪ‪ .‬در‬
‫ﺣﺎﻟﻴﻜﻪ ﺑﻌﺪ از ‪ 72‬ﺳﺎﻋﺖ ﺗﻴﻤﺎر ﻛﺮدن ﻣﺮگ ﺳﻠﻮﻟﻲ ﻣﻌﻨﻲ داري ﻣﺸﺎﻫﺪه ﻧﺸﺪ‪.‬‬
‫اﻧﻜﻮﺑﻪ ﻛﺮدن ﺳﻠﻮﻟﻬﺎي ‪ PC12‬ﺑﻤﺪت ‪ 96‬ﺳﺎﻋﺖ ﺑﺎ ﻣـﻮرﻓﻴﻦ )‪ 1‬ﻣﻴﻠـﻲ ﻣـﻮﻻر( ﻣﻮﺟـﺐ ﻗﻄﻌـﻪ ﻗﻄﻌـﻪ ﺷـﺪن‬
‫‪ DNA‬ﻣﻲﺷﻮد‪.‬‬
‫در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻴﺰان دو ﭘﺮوﺗﺌﻴﻦ ‪ Bax‬و ‪ Bcl2‬ﺑﺎ روش وﺳﺘﺮن ﺑﻼت ﺳﻨﺠﻴﺪه ﺷﺪ‪ .‬ﻧﺘﺎﻳﺞ ﻧﺸﺎن داد ﻛـﻪ‬
‫در ﺣﻀﻮرﻏﻠﻈﺖ ﻳﻚ ﻣﻴﻠﻲ ﻣﻮﻻر ﻣﺮﻓﻴﻦ ﺑﻪ ﻣﺪت ‪ 96‬ﺳﺎﻋﺖ‪ ،‬ﻣﻴـﺰان ﭘـﺮوﺗﺌﻴﻦ ‪ Bax‬در ﻣﻘﺎﻳـﺴﻪ ﺑـﺎ ﮔـﺮوه‬
‫ﻛﻨﺘﺮل ﺑﻄﻮر ﻣﻌﻨﻲ داري اﻓﺰاﻳﺶ ﻣﻲﻳﺎﺑﺪ )‪ .(P<0.01‬اﻳﻦ در ﺣـﺎﻟﻲ اﺳـﺖ ﻛـﻪ ﻣـﺮﻓﻴﻦ ﺑـﺮ ﭘـﺮوﺗﺌﻴﻦ ‪Bcl-2‬‬
‫ﺗﺄﺛﻴﺮي ﻣﻬﻤﻲ ﻧﺪاﺷﺘﻪ و ﻣﻴﺰان اﻳﻦ ﭘﺮوﺗﺌﻴﻦ در ﺳﻠﻮﻟﻬﺎي درﻣﺎن ﺷﺪه ﺑﺎ ﻣﺮﻓﻴﻦ و ﮔﺮوه ﻛﻨﺘﺮل ﺗﻔﺎوت ﻣﻌﻨـﻲ‬
‫داري را ﻧﺸﺎن ﻧﻤﻲدﻫﺪ‪.‬‬
‫ﺗﻮﺳﻂ رﻧﮓآﻣﻴﺰي ‪ Hoechst 33342‬ﺳﻠﻮلﻫﺎ ﺗﺤﺖ ﺗﻴﻤﺎر ﻣﺮﻓﻴﻦ در ﻏﻠﻈﺖ ‪ 1‬ﻣﻴﻠﻲ ﻣﻮﻻر ﺑـﻪ ﻣـﺪت‬
‫‪ 96‬ﺳﺎﻋﺖ ﻧﺸﺎن داده ﺷﺪ ﻛﻪ ﺗﻌﺪاد ﺳﻠﻮﻟﻬﺎي اﭘﭙﺘـﻮزي در ﻧـﺴﺒﺖ ﺑـﻪ ﮔـﺮوه ﻛﻨﺘـﺮل‪ ،‬اﻓـﺰاﻳﺶ ﻣﻌﻨـﻲداري‬
‫دارﻧﺪ‪(P< 0.05) .‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬در ﺧﺎﺗﻤﻪ ﺷﺎﻳﺪ ﺑﺘﻮان ﭼﻨﻴﻦ ﻧﺘﻴﺠﻪﮔﻴﺮي ﻛﺮد ﻛﻪ ﻣﺮﻓﻴﻦ ﻣﻮﺟﺐ اﻟﻘﺎ ﻣﺮگ ﺑﺮﻧﺎﻣـﻪرﻳـﺰي‬
‫ﺷﺪه ﻳﺎ آﭘﻮﭘﺘﻮز ﺳﻠﻮﻟﻬﺎي ﻋﺼﺒﻲ ﮔﺮدﻳـﺪ ﻛـﻪ از ﻃﺮﻓـﻲ ﺑﺎﻗﻄﻌـﻪ ﻗﻄﻌـﻪ ﺷـﺪن ‪ DNA‬و از ﻃـﺮف دﻳﮕـﺮ ﺑـﺎ‬
‫اﻓﺰاﻳﺶ ﺑﻴﺎن ﭘﺮوﺗﺌﻴﻦ ‪ Bax‬و ﻫﻤﭽﻨﻴﻦ رﻧﮓ آﻣﻴﺰي ﻫﻮﺧﺴﺖ ﻫﺴﺘﻪ ﺳﻠﻮل ﺗﺎﺋﻴﺪ ﮔﺮدﻳﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬آﭘﻮﭘﺘﻮز‪ ،‬ﻣﺮﻓﻴﻦ‪ ،‬ﺳﻤﻴﺖ‪ ،‬ﺳﻠﻮل ﻋﺼﺒﻲ ‪.PC12‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ ﻣﻮﻓﻘﻴﺖ ﺳﻢ زداﻳﻲ و ﭘﻴﺸﮕﻴﺮي از ﻋﻮد در ﻣﺮاﺟﻌﻴﻦ ﺑﻪ ﻣﺮاﻛﺰ ﺧﻮد ﻣﻌﺮف‬
‫ﺑﻬﺰﻳﺴﺘﻲ ﺑﻴﻦ ﺳﺎلﻫﺎي ‪85-83‬‬
‫ﻫﻮﻣﻦ ﺷﺮﻳﻔﻲ‬
‫ﭘﺲزﻣﻴﻨﻪ‪ :‬ﻣﻮﻓﻘﻴﺖ در ﺳﻢ زداﻳﻲ ﺳﻮء ﻣﺼﺮف ﻣﻮاد ﻣﺨﺪر ﺑﻪ ﻋﻨﻮان ﻳﻜﻲ از ﺷﺎﺧﺺﻫﺎي اﺛﺮ ﺑﺨﺸﻲ‬
‫درﻣﺎن اﻋﺘﻴﺎد و ﻛﺎراﻳﻲ درﻣﺎن ﻣﻮرد ﺗﻮﺟﻪ ﻣﻲﺑﺎﺷﺪ‪ .‬در اﻳـﻦ ﻣﻄﺎﻟﻌـﻪ ﻣـﺎ درﺻـﺪد ﺑـﻮدﻳﻢ ﺗـﺎ ﺗـﺄﺛﻴﺮ ﻋﻮاﻣـﻞ‬
‫ﻣﺨﺘﻠﻒ را ﺑﺮ ﺗﺮك ﻣﻮاد ﻣﺨﺪر در ﭼﻬﺎر ﮔﺮوه‪ :‬دﻣﻮﮔﺮاﻓﻴﻚ‪ ،‬ﻓﺮدي و اﺟﺘﻤﺎﻋﻲ‪ ،‬واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد ﻣﺨﺪر‬
‫و ﻋﻮاﻣﻞ درﻣﺎﻧﻲ در ﻏﺎﻟﺐ دو ﮔﺮوه اﺻﻠﻲ ﻋﻮاﻣﻞ ﻓﺮدي و ﻋﻮاﻣﻞ درﻣﺎﻧﻲ در ﻣﺮاﺟﻌﻴﻦ ﺳﺎﻟﻬﺎي ‪ 83‬ﺗـﺎ ‪85‬‬
‫ﺑﻪ ﻛﻠﻴﻨﻴﻜﻬﺎي درﻣﺎن ﺳﻮء ﻣﻮاد ﻣﺨﺪر را ﺑﺮرﺳﻲ ﻧﻤﺎﻳﻴﻢ‪.‬‬
‫روش ﻛﺎر‪ :‬ﻣﻄﺎﻟﻌﻪ ﻓﻮق ﻳﻚ ﻣﻄﺎﻟﻌﻪ ﻛﻤﻲ‪ ،‬ﺗﻮﺻﻴﻔﻲ ﺑـﻮده اﺳـﺖ‪ .‬در اﺑﺘـﺪاي ﭘـﮋوﻫﺶ ﻳـﻚ ﻣﻄﺎﻟﻌـﻪ‬
‫ﻛﻴﻔﻲ ﺑﺎ اﺳﺘﻔﺎده از روشﻫﺎﻳﻲ ﻣﺎﻧﻨﺪ ﻣﺸﺎﻫﺪه و ﺑﺤﺚ ﮔﺮوﻫﻲ ﻣﺘﻤﺮﻛﺰ ﺑﺎ درﻣﺎﻧﮕﺮان و ﻣﺮاﺟﻌﻴﻦ ﺑـﻪ ﻣﺮاﻛـﺰ‬
‫ﺧﻮد ﻣﻌﺮف دوﻟﺘﻲ و ﺧﺼﻮﺻﻲ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان اﻧﺠﺎم ﮔﺮﻓﺖ‪ .‬در ﻃﻲ اﻧﺠـﺎم اﻳـﻦ ﻃـﺮح در ﻣﺠﻤـﻮع‬
‫‪ 1372‬ﻧﻔﺮ از ‪ 10‬ﻣﺮﻛﺰ درﻣﺎن ﺑﺎزﺗﻮاﻧﻲ ﺳﺮﭘﺎﻳﻲ دوﻟﺘﻲ و ﺧﺼﻮﺻﻲ ﺳﺎزﻣﺎن ﺑﻬﺰﻳﺴﺘﻲ ﻛﺸﻮر ﻣﻮرد ﺑﺮرﺳـﻲ‬
‫ﻗﺮار ﮔﺮﻓﺘﻨﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺣﺪود ‪ %95/2‬ﻣﺮاﺟﻌﻪﻛﻨﻨـﺪﮔﺎن را ﻣـﺮدان و ﺣـﺪود ‪ %4/8‬آﻧﻬـﺎ را زﻧـﺎن ﺗـﺸﻜﻴﻞ ﻣـﻲدﻫﻨـﺪ‪.‬‬
‫‪ %20/1‬از ﻣﺮاﺟﻌﻴﻦ در زﻣﺎن ﻣﺮاﺟﻌﻪ ﺑﻴﺶ از ﻳﻚ ﻣﺎده ﻣﺼﺮف ﻣـﻲﻛﺮدﻧـﺪ‪ .‬ﺑﻴـﺸﺘﺮﻳﻦ ﻧـﻮع ﻣـﺎده ﻣـﺼﺮﻓﻲ‬
‫ﺗﺮﻳﺎك ﺑﺎ ‪ %34/3‬ﺑـﻮد و ﺑﻌـﺪ از آن ﻛـﺮاك ﺑـﺎ ‪ %31/8‬ﺑـﻮد‪ %74/7 .‬ﻣـﺮاﺟﻌﻴﻦ ﺳـﺎﺑﻘﺔ اﻗـﺪام ﺑـﻪ ﺗـﺮك در‬
‫ﮔﺬﺷﺘﻪ را داﺷﺘﻨﺪ و ‪ %24/3‬آﻧﻬﺎ ﻫﺮﮔﺰ اﻗﺪام ﺑﻪ ﺗﺮك ﻧﻜﺮده ﺑﻮدﻧﺪ‪ %76/1 .‬ﻣـﺮاﺟﻌﻴﻦ ﺑﻌـﺪ از ﻣﺮاﺟﻌـﻪ ﺑـﺎر‬
‫اول در دوران ﺳﻢ زداﻳﻲ دﻳﮕﺮ ﺑﻪ درﻣﺎﻧﮕﺎهﻫﺎي ﺳﻢزداﻳﻲ ﻣﺮاﺟﻌـﻪ ﻧﻜﺮدﻧـﺪ‪ %13/4 .‬آﻧﻬـﺎ ﻳﻜﺒـﺎر و ‪%8/4‬‬
‫دوﺑﺎر ﻣﺮاﺟﻌـﻪ ﻛﺮدﻧـﺪ‪ .‬در ﻣﺠﻤـﻮع ‪ %26/5‬ﻣـﺮاﺟﻌﻴﻦ از درﻣـﺎن ﻧﮕﻬﺪارﻧـﺪه از ﻣﺘـﺎدون اﺳـﺘﻔﺎده ﻧﻤﻮدﻧـﺪ‪.‬‬
‫‪ %25/5‬ﻣﺮاﺟﻌﻴﻦ ﺑﻪ ﻣﺮاﻛﺰ دوﻟﺘـﻲ از ﻣﺘـﺎدون اﺳـﺘﻔﺎده ﻧﻤﻮدﻧـﺪ‪ ،‬درﺣﺎﻟﻴﻜـﻪ در ﻣﺮاﻛـﺰ ﺧـﺼﻮﺻﻲ ﺣـﺪود‬
‫‪ %45/5‬ﻣﺮاﺟﻌﻴﻦ از ﻣﺘﺎدون اﺳﺘﻔﺎده ﻛﺮدهﻧﺪ‪ .‬در ﻣﺮاﻛﺰ دوﻟﺘﻲ در ارزﻳﺎﺑﻲ ﺳﻴﺮ درﻣﺎن ﻣﺸﺨﺺ ﮔﺮدﻳﺪ ﻛـﻪ‬
‫در ‪ 4/7‬درﺻﺪ ﻣﻮارد ﺳﻴﺮ درﻣﺎن ﺑﻪ ﻃﻮر ﻛﺎﻣـﻞ )ﻣﻄـﺎﺑﻖ ﭘﺮوﺗﻜـﻞ( اﻧﺠـﺎم ﮔﺮدﻳـﺪه اﺳـﺖ‪ .‬وﺿـﻌﻴﺖ ﺳـﻴﺮ‬
‫درﻣﺎن در ‪ 4/1‬در ﺻﺪ از ﻣﻮارد ﻧﺎ ﻣﻌﻠﻮم اﺳﺖ‪ .‬در ﻣﺮاﻛﺰ ﺧﺼﻮﺻﻲ ﻧﻴـﺰ در ‪ 1‬درﺻـﺪ ﻣـﻮارد ﺳـﻴﺮ درﻣـﺎن‬
‫ﻛﺎﻣﻞ ﺑﻮده اﺳﺖ‪ ،‬در ‪ 42/1‬درﺻﺪ از ﻣﻮارد ﻣﺸﺨﺺ ﺷﺪه اﺳﺖ ﻛﻪ ﺑﻴﻤﺎران ﺳﻴﺮ درﻣﺎن را رﻫﺎ ﻧﻜـﺮدهاﻧـﺪ‪،‬‬
‫در ﺣﺪود ‪ 57‬درﺻﺪ از ﻣﻮاردﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﺮاي ﺳﻢ زداﻳﻲ و ﭘﻴﺸﮕﻴﺮي از ﻋﻮد ﺗﻜﻤﻴﻞ ﻳـﺎ ﻋـﺪم ﺗﻜﻤﻴـﻞ‬
‫ﺳﻴﺮ درﻣﺎن ﻣﺸﺨﺺ ﻧﻴﺴﺖ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻓﺮاﻳﻨﺪ درﻣﺎن اﻋﺘﻴﺎد ﻳﻜـﻲ از ﻣﻬﻤﺘـﺮﻳﻦ ﻋﻮاﻣـﻞ ﺗﻌﻴـﻴﻦ ﻛﻨﻨـﺪه در ﻣﻮﻓﻘﻴـﺖ ﺳـﻢ زداﻳـﻲ‬
‫ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪﮔﺎن اﺳﺖ و ﺗﺄﺛﻴﺮ ﻳﻜﺴﺎن اﻳﻦ ﻋﻮاﻣﻞ در ﮔﺮوهﻫـﺎي ﻣﺨﺘﻠـﻒ دﻣﻮﮔﺮاﻓﻴـﻚ ﻣـﺸﺨﺺ اﺳـﺖ‪.‬‬
‫اﻟﺒﺘﻪ ﻧﻘﺺ ﻓﺮاﮔﺮد ﺛﺒﺖ اﻗﺪاﻣﺎت درﻣﺎﻧﻲ ﻳﻜﻲ از ﻣﻬﻢﺗﺮﻳﻦ ﻋـﻮاﻣﻠﻲ اﺳـﺖ ﻛـﻪ ﺗـﺄﺛﻴﺮ ﻓﺮاﻳﻨـﺪ درﻣـﺎن را ﺑـﺮ‬
‫ﻣﻮﻓﻘﻴﺖ درﻣﺎن و ﭘﻴﺸﮕﻴﺮي از ﻋﻮد دﭼﺎر اﺑﻬﺎم ﻣﻲﻧﻤﺎﻳﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﻢزداﻳﻲ‪ ،‬ﻣﻮاد ﻣﺨﺪر‪ ،‬درﻣﺎن اﻋﺘﻴﺎد‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﻄﺎﻟﻌﻪ‪ ،‬ﺗﺄﻟﻴﻒ و ﻣﻔﻬﻮمﺳﺎزي ﻧﻴﺎزﻫﺎي وﻳﮋه‪ ،‬ﺷﻨﺎﺳـﺎﻳﻲ ﮔـﺮوهﻫـﺎي ﺑـﺎ ﻧﻴﺎزﻫـﺎي وﻳـﮋه و ﺗﻌﻴـﻴﻦ‬
‫اوﻟﻮﻳﺖﻫﺎي ﺗﺤﻘﻴﻘﺎﺗﻲ اﻳﻦ ﮔﺮوه‬
‫ﻋﻠﻲ ﻓﺮﻫﻮدﻳﺎن‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪف ﺷﻨﺎﺳﺎﻳﻲ ﻛﻠﻴﻪ ﮔﺮوهﻫﺎي ﻫـﺪف ﮔـﺮوه ﭘﮋوﻫـﺸﻲ رواﻧـﺸﻨﺎﺳﻲ و‬
‫ﻧﻴﺎزﻫﺎي وﻳﮋه در اﺑﻌﺎد رواﻧﻲ‪ ،‬اﺟﺘﻤﺎﻋﻲ‪ ،‬ﻣﻌﻨﻮي و ﺟﺴﻤﺎﻧﻲ آﻧﻬﺎ ﻃﺮاﺣﻲ ﮔﺮدﻳﺪ‪.‬‬
‫ﻣﻮاد و روش‪ :‬اﻳﻦ ﭘﮋوﻫﺶ ﻛﻴﻔﻲ ﺑﺎ روش ﻧﻈﺮﻳﻪ زﻣﻴﻨﻪاي )ﺗﺌﻮري ﮔﺮاﻧـﺪد( اﺟـﺮا ﺷـﺪ‪ .‬اﻳـﻦ ﻣﻄﺎﻟﻌـﻪ‬
‫اﺑﺘﺪا ﭘﺲ از ﺑﺮرﺳﻲ و ﻣﻄﺎﻟﻌﺔ ﻣﺘﻮن و ﻧﻮﺷﺘﺠﺎت ﻣﻮﺟﻮد در ﺳﺮاﺳﺮ دﻧﻴـﺎ ‪ 10‬ﮔـﺮوه ﺑـﻪ ﻋﻨـﻮان اﻓـﺮاد داراي‬
‫ﻧﻴﺎزﻫﺎي وﻳﮋه ﻣﻨﻈﻮر ﺷﺪه و ‪ 100‬ﻧﻔﺮ ﻛﻪ ﻳﺎ ﺧﻮدﺷﺎن واﺟﺪ اﻳﻦ ﻣﻼكﻫﺎ ﺑﻮده و ﻳـﺎ در ﺗﻤـﺎس ﻧﺰدﻳـﻚ ﺑـﺎ‬
‫اﻳﻦ اﻓﺮاد ﺑﻮده و از ﻣﺸﻜﻼت آﻧﻬﺎ آﮔﺎﻫﻲ ﻛﺎﻣﻞ داﺷﻨﺪ‪ ،‬ﺑﺮاﺳـﺎس ﻧﻤﻮﻧـﻪﮔﻴـﺮي ﻫﺪﻓﻤﻨـﺪ ﺗـﺎ زﻣـﺎن اﺷـﺒﺎع‬
‫ﻧﻈﺮي دادهﻫﺎ ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﻗﺮار ﮔﺮﻓﺘﻨﺪ‪ .‬اﻳﻦ ﮔﺮوهﻫﺎ ﺷﺎﻣﻞ‪ -1 :‬ﻛﻮدﻛﺎن؛ ‪ -2‬ﺳﺎﻟﻤﻨﺪان؛ ‪ -3‬اﻓﺮاد ﻣﺒﺘﻼ ﺑـﻪ‬
‫ﻧﺎﺗﻮاﻧﻲﻫﺎي ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ؛ ‪ -4‬ﺑﻴﻤﺎران ﺷﺪﻳﺪ رواﻧﭙﺰﺷـﻜﻲ و ﻋﻘـﺐﻣﺎﻧـﺪهﻫـﺎي ذﻫﻨـﻲ؛ ‪ -5‬اﻓـﺮاد داراي‬
‫ﻧﻴﺎزﻫﺎي ﺧﺎص ﭘﺰﺷﻜﻲ؛ ‪ -6‬ﻣﺼﺮف ﻛﻨﻨﺪﮔﺎن ﻣﻮاد؛ ‪ -7‬زﻧﺪاﻧﻴﺎن؛ ‪ -8‬اﻓﺮادي ﻛﻪ ﺗﺤﺖ ﺷﺮاﻳﻂ اﺟﺘﻤـﺎﻋﻲ‬
‫ﺑﻪ ﺣﺎﺷﻴﻪ راﻧﺪه ﺷﺪهاﻧﺪ )اﻗﻠﻴﺖﻫﺎ(؛ ‪ -9‬اﻓﺮادي ﻛﻪ در ﻃﺒﻘﺎت ﭘﺎﻳﻴﻦ اﻗﺘﺼﺎدي اﺟﺘﻤﺎﻋﻲ ﻗﺮار دارﻧﺪ؛ و ‪-10‬‬
‫زﻧﺎن ﺑﺎردار ﻣﻲﺑﺎﺷﻨﺪ‪ .‬ﺑﻪ ﻣﻨﻈﻮر ﺟﻤﻊآوري دادهﻫﺎ از روش ﻣﺼﺎﺣﺒﺔ ﻧﻴﻤﻪﺳﺎﺧﺘﺎر ﻳﺎﻓﺘﻪ اﺳﺘﻔﺎده ﺷﺪ و ﺳﭙﺲ‬
‫ﺑﺎ روش ﻛﺪﮔﺬاري اﺳﺘﺮاس و ﻛﻮرﺑﻴﻦ ﻳﺎ ﻣﻘﺎﻳﺴﻪ ﻣﺪاوم ﺗﺤﻠﻴﻞ ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻣﻬﻤﺘﺮﻳﻦ ﺣﻮزهﻫﺎي اﺳﺘﺨﺮاج ﺷﺪه از ﻣﺸﻜﻼت و ﻧﻴﺎزﻫﺎي وﻳـﮋه ﮔـﺮوهﻫـﺎي ﻣـﻮرد ﺑﺮرﺳـﻲ‬
‫ﻋﺒﺎرت ﺑﻮدﻧﺪ از‪ :‬ﺧﺎﻧﻮاده‪ ،‬آﻣﻮزش )ﻓﻀﺎ و اﻣﻜﺎﻧﺎت(‪ ،‬ﺗﻔﺮﻳﺤﺎت و ﺳﺮﮔﺮﻣﻲ‪ ،‬ﺟﺎﺑﺠـﺎﻳﻲ و ﺣﻤـﻞ و ﻧﻘـﻞ‪،‬‬
‫ﺑﻨﺎﻫﺎ و ﻓﻀﺎﻫﺎ )ﻣﻨﺎزل و اﻣﺎﻛﻦ ﻋﻤﻮﻣﻲ(‪ ،‬ﻣﺸﺎرﻛﺖ اﺟﺘﻤﺎﻋﻲ و اﺷﺘﻐﺎل‪ ،‬ﺧـﺪﻣﺎت درﻣـﺎﻧﻲ و ﺗﻮاﻧﺒﺨـﺸﻲ‪ ،‬و‬
‫ﻧﮕﺮش ﺳﺎﻳﺮ اﻓﺮاد ﺑﻪ ﻣﺸﻜﻼت آﻧﻬﺎ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻧﺘﺎﻳﺞ اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﻃﻮر ﻛﻠﻲ ﺣﺎﻛﻲ از آن ﺑﻮد ﻛﻪ ﻋﺒﺎرت »ﻧﻴﺎزﻫﺎي وﻳﮋه« در ارﺗﺒﺎط ﺑﺎ‬
‫ﻧﺎﺗﻮاﻧﻲ ﻣﻌﻨﺎ ﻣﻲﻳﺎﺑﺪ و در واﻗﻊ‪ ،‬ﻧﺎﺗﻮاﻧﻲ ﻣﺤﺼﻮل وﻳﮋﮔﻲﻫﺎي ﻓﺮد و ﻣﻮاﻧﻌﻲ اﺳﺖ ﻛﻪ ﺗﻮﺳﻂ اﺟﺘﻤﺎع اﻳﺠﺎد‬
‫ﺷﺪه اﺳﺖ‪ .‬ﺑﻨﺎﺑﺮاﻳﻦ ﻫﺮ ﻓـﺮدي در ﺻـﻮرت ﻋـﺪم ﺗﻮﺟـﻪ ﺑـﻪ ﻧﻴﺎزﻫـﺎﻳﺶ در ﻫﻨﮕـﺎم ﻃﺮاﺣـﻲ و ﺷـﻜﻞدﻫـﻲ‬
‫اﻣﻜﺎﻧﺎت ﺟﺎﻣﻌﻪ‪ ،‬ﻣﻲﺗﻮاﻧﺪ دﭼﺎر ﻧﺎﺗﻮاﻧﻲ و ﺑﺎﻟﻄﺒﻊ داراي ﻧﻴﺎزﻫﺎي وﻳﮋه ﺗﻠﻘﻲ ﮔﺮدد‪ .‬ﻧﻴﺎزﻫـﺎي اﻳـﻦ ﮔـﺮوهﻫـﺎ‬
‫ﺑﺴﺘﻪ ﺑﻪ اﻳﻨﻜﻪ اﻳﻦ اﻓﺮاد در ﺷﺮاﻳﻂ ﻋﺎدي ﻳﺎ اﺿﻄﺮاري ﺑﺎﺷﻨﺪ‪ ،‬ﻣﺘﻔﺎوت اﺳﺖ‪ .‬ﻫﻤﭽﻨﻴﻦ اﻳـﻦ ﻧﻴﺎزﻫـﺎ ﺑـﺴﺘﻪ ﺑـﻪ‬
‫ﺳﻦ و ﺟﻨﺲ آﻧﺎن ﻧﻴﺰ ﻣﻲﺗﻮاﻧـﺪ ﻣﺘﻔـﺎوت ﺑﺎﺷـﺪ‪ .‬اﻣـﺎ در ﻣﺠﻤـﻮع در راه ﺑﺮﻃـﺮف ﻛـﺮدن آن ﻧﻴﺎزﻫـﺎ ﻣﻮاﻧـﻊ‬
‫ﻣﺘﻌﺪدي ﺑﻪ ﭼﺸﻢ ﻣﻲﺧﻮرد ﻛﻪ ﻋﻤﺪﺗﺎً ﺗﻮﺳﻂ ﺑﺸﺮ اﻳﺠﺎد ﺷﺪهاﻧﺪ‪ .‬ﺑﺮﺧﻲ از اﻳﻦ ﻣﻮاﻧﻊ ﻋﺒﺎرﺗﻨﺪ از ﺧﺪﻣﺎت و‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺳﻴﺴﺘﻢﻫﺎي ﻧﺎﻛﺎرآﻣـﺪ‪ ،‬ﺳﻴﺎﺳـﺘﮕﺬاريﻫـﺎي ﺗﺒﻌـﻴﺾآﻣﻴـﺰ‪ ،‬ﻧﮕـﺮشﻫـﺎي اﺟﺘﻤـﺎﻋﻲ‪ ،‬ﺑﺮﭼـﺴﺐﻫـﺎ و ﻏﻴـﺮه‪.‬‬
‫درﺻﻮرﺗﻲ ﻛﻪ اﺳﺒﺎب و ﻧﻈﺎمﻫﺎي ﻋﻤﻮﻣﻲ ﺟﺎﻣﻌﻪ ﻫﻤﭽﻮن ﻣﻜﺎنﻫﺎ و ﻣﺤﻴﻂﻫﺎي ﻓﻴﺰﻳﻜﻲ‪ ،‬ﻣﺴﻜﻦ‪ ،‬اﻳـﺎب و‬
‫ذﻫﺎب‪ ،‬ﻓﺮﺻﺖﻫﺎي آﻣﻮزﺷﻲ و ﺷﻐﻠﻲ‪ ،‬ﻫﻤﭽﻨﻴﻦ زﻧﺪﮔﻲ ﻓﺮﻫﻨﮕﻲ اﺟﺘﻤـﺎﻋﻲ ﺷـﺎﻣﻞ ﺗـﺴﻬﻴﻼت ورزﺷـﻲ و‬
‫ﺗﻔﺮﻳﺤﻲ‪ ،‬ﻣﻨﻄﺒﻖ ﺑﺎ ﻧﻴﺎزﻫﺎي وﻳﮋة اﻓﺮاد در دﺳﺘﺮس ﻫﻤﮕﺎن ﻗﺮار ﮔﻴﺮد‪ ،‬ﻣﻲﺗﻮاﻧـﺪ ﺑـﻪ ﺑﺮﭼﻴـﺪه ﺷـﺪن ﺗﻤـﺎﻣﻲ‬
‫ﻣﻮاﻧﻊ ﻣﺸﺎرﻛﺖ اﻓﺮاد ﻧﺎﺗﻮان در ﻫﻤﻪ زﻣﻴﻨﻪﻫﺎ ﺑﻴﻨﺠﺎﻣﺪ و آﻧﻬﺎ ﻧﻴﺰ ﻗﺎدر ﺧﻮاﻫﻨﺪ ﺑـﻮد ﺗـﺎ ﺑـﻪ ﻳـﻚ زﻧـﺪﮔﻲ ﺑـﺎ‬
‫ﻛﻴﻔﻴﺖ ﺑﻬﺘﺮ و ﻣﺴﺎوي ﺑﺎ دﻳﮕﺮان دﺳﺖ ﭘﻴﺪا ﻛﻨﻨﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻧﻴﺎزﻫﺎيوﻳﮋه‪ ،‬ﮔﺮوهﻫﺎي ﺧﺎص‪ ،‬ﻧﺎﺗﻮاﻧﻲ‪ ،‬ﺑﺎزﺗﻮاﻧﻲ اﺟﺘﻤﺎعﻣﺤﻮر‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺳﻨﺠﺶ ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ در ﺗﻬﺮان‬
‫ﻣﻴﺮﻃﺎﻫﺮ ﻣﻮﺳﻮي‬
‫اﻧﺠﺎم ﭘﮋوﻫﺶﻫﺎي ﻋﻠﻤﻲ در ﺟﻬﺎن اﻣﺮوز دﻳﮕـﺮ ﺑـﻪ ﺗﻮﺟﻴـﻪ ﻧﻴـﺎز ﻧـﺪارد‪ .‬درﺳـﺖ اﺳـﺖ ﻛـﻪ از ﻣﻨﻈـﺮ‬
‫روشﺷﻨﺎﺳﻲ در آﻏﺎز دﺳﺖ ﻳﺎزﻳﺪن ﺑﻪ ﻫﺮ ﭘﮋوﻫﺸﻲ‪ ،‬ﺑﻴﺎن اﻫﻤﻴﺖ و ﺿﺮورت آن اﻟﺰاﻣﻲ ﺗﻠﻘـﻲ ﻣـﻲﺷـﻮد‪،‬‬
‫ﻟﻴﻜﻦ ﻧﻔﺲ اﻧﺠﺎم ﺗﺤﻘﻴﻖ ﺑﻪ وﻳﮋه ﭘﮋوﻫﺶﻫﺎي ﻋﻠﻤﻲ داراي اﻫﻤﻴﺘﻲ اﺳﺖ ﻛﻪ ﺑﺪﻳﻬﻲ ﻣﺤﺴﻮب ﻣـﻲﮔـﺮدد‪.‬‬
‫دﻟﻴﻞ اﻳﻦ اﻣﺮ آن اﺳﺖ ﻛﻪ ﺑﺸﺮﻳﺖ ﭘﻨﺎه ﺟﻮي ﻋﺼﺮ ﺣﺎﺿﺮ ﺑﻪ دوران داﻧﺎﻳﻲ ﮔﺎم ﻧﻬـﺎده اﺳـﺖ‪ .‬ﻋـﺼﺮي ﻛـﻪ‬
‫وﻳﮋﮔﻲﻫﺎي آن در ﺳﺎﻟﻨﺎﻣﻪ زﻧﺪﮔﻲ ﻧﻮع اﻧﺴﺎن ﺑﻲ ﺳﺎﺑﻘﻪ و ﺑـﻲ ﻣﺎﻧﻨـﺪ اﺳـﺖ‪ .‬روزﮔـﺎري ﺑـﺮاي ﻧـﺸﺎن دادن‬
‫اﻫﻤﻴﺖ اﻧﻘﻼب ﺻﻨﻌﺘﻲ ﻣﺪﻋﻲ ﻣﻲﺷﺪﻧﺪ ﻛﻪ اﮔﺮ ﺗﻤﺎﻣﻲ دﺳﺘﺎوردﻫﺎي اﻧﺴﺎن ﺗﺎ ﻗﺒـﻞ از اﻧﻘـﻼب ﺻـﻨﻌﺘﻲ در‬
‫ﻛﻔﻪ ﺗﺮازوﻳﻲ ﻧﻬﺎده ﺷﻮد و ﺑﻪ ﻛﻒ آﻣﺪهﻫﺎﻳﻲ ﻛﻪ از اﻧﻘﻼب ﺻﻨﻌﺘﻲ ﺑﻪ ﺑﻌﺪ درﻛﻔـﻪ دﻳﮕـﺮ آن ﺗـﺮازو ﻗـﺮار‬
‫ﮔﻴﺮد‪ ،‬ﻛﻔﻪ دوم دهﻫﺎ ﺑﺮاﺑﺮ ﺳﻨﮕﻴﻦﺗﺮ ﺧﻮاﻫﺪ ﺷﺪ‪ .‬اﻣﺎ اﻣﺮوزه ﺑﺎ ﭘﻴﺪاﻳﺶ ﺻـﻨﻌﺖ ﻫﻮﺷـﻤﻨﺪ ﺑﺎﻳـﺪ ﮔﻔـﺖ ﻛـﻪ‬
‫ﺗﻤﺎﻣﻲ دﺳﺘﺎوردﻫﺎي ﮔﺬﺷﺘﻪ ﺑﺸﺮي ﺑﺎ ﻳﺎﻓﺘﻪﻫﺎي ﺳﻪ دﻫﻪ اﺧﻴﺮ ﻗﺎﺑﻞ ﻣﻘﺎﻳﺴﻪ ﻧﻴﺴﺖ‪.‬‬
‫در ﭼﻨﻴﻦ ﺣﺎل و ﻫﻮا و ﺷﺮاﻳﻄﻲ‪ ،‬ﺟﻮاﻣﻊ ﺑﺸﺮي ﺑﺮ ﻛﻨﺎر از ﺳﻄﺢ ﺗﻮﺳﻌﻪ آﻧﻬﺎ دﻳﺮ ﻳﺎ زود ﺑﺎﻳﺪ ﺧﻮد را ﺑـﺎ‬
‫اﻟﺰاﻣﺎت دﻧﻴﺎي ﭘﺮ ﺷﺮ و ﺷﻮري ﻛﻪ ﻣﺪﺗﻲ اﺳـﺖ از راه رﺳـﻴﺪه‪ ،‬ﻫﻤﮕـﺎم ﺳـﺎزﻧﺪ‪ .‬ﺑـﺪﻳﻬﻲ اﺳـﺖ ﻛـﻪ ﭼﻨـﻴﻦ‬
‫ﻫﻤﮕﺎم ﺳﺎزي‪ ،‬زﻣﺎﻧﻲ ارزﺷﻤﻨﺪ و ﻗﺎﺑﻞ ﺗﻮﺟﻴﻪ اﺳﺖ ﻛﻪ ﺑﺎ ﺣﻔﻆ ﻫﻮﻳﺖ و ﻛﻴﺴﺘﻲ ﻫﺮ ﺟﺎﻣﻌﻪ و ﺑﺎ ﻋﻨﺎﻳـﺖ ﺑـﻪ‬
‫وﻳﮋﮔﻲﻫﺎي ﺧﺎص ﺗﺎرﻳﺨﻲ و ﻓﺮﻫﻨﮕﻲ آن ﺗﻮأم ﺷﻮد‪ .‬ﻫﻤﮕﺎﻣﻲ ﺿﺮوري ﭘﻴﺶ ﮔﻔﺘﻪ ﭼﻨﺎﻧﭽﻪ ﺑﻪ ﺗﺄﺧﻴﺮ اﻓﺘـﺪ‬
‫و ﻳﺎ ﺗﺤﻘﻖ ﻧﻴﺎﺑﺪ زﻳﺎنﻫﺎي ﮔﻮﻧﺎﮔﻮن و ﻋﻈﻴﻤـﻲ ﺑـﻪ ﺟﺎﻣﻌـﻪ ﺗﺤﻤﻴـﻞ ﺧﻮاﻫـﺪ ﺷـﺪ و ﺳـﺮﻋﺖ دﮔﺮﮔـﻮﻧﻲﻫـﺎ‬
‫آﻧﭽﻨﺎن ﺑﺎور ﻧﻜﺮدﻧﻲ اﺳﺖ ﻛﻪ ﺟﺒﺮان آن ﺗﻌﻠﻴﻖ ﺑﻪ ﻣﺤﺎل ﺧﻮاﻫﺪ ﮔﺮدﻳﺪ‪ .‬ﻋﺼﺮي ﻛﻪ ﺑـﺎ وﻳﮋﮔـﻲﻫـﺎي ﺑـﺎﻻ‬
‫ﻣﻌﺮﻓــﻲ ﻣــﻲﺷــﻮد را ﺟﻬــﺎﻧﻲ ﺳــﺎزي)‪ (Globalization‬ﮔﻔﺘــﻪﻧــﺪ‪ .‬ﺟﻬــﺎﻧﻲﺳــﺎزي ﮔﻮﻳــﺎي ﻣﺠﻤﻮﻋــﻪاي از‬
‫ﻓﺮاﻳﻨﺪﻫﺎي ﭘﻴﭽﻴﺪه و ﻣﺘﻨﺎﻗﺾ و در ﻋﻴﻦ ﺣﺎل ﺑﻪ ﻫﻢ ﭘﻴﻮﺳﺘﻪ و واﺑﺴﺘﻪ اﺳﺖ‪.‬‬
‫ﻓﺮاﻳﻨﺪﻫﺎي ﻳﺎد ﺷﺪه از ﻳﻚ ﺳﻮ ﺣﺎوي ﻇﺮﻓﻴﺖﻫﺎي واﻗﻌﺎً ﺑﻲ ﻣﺎﻧﻨﺪي اﺳﺖ ﻛﻪ ﻗﺎدرﻧﺪ ﭼﻬـﺮه ﺟﻬـﺎن را‬
‫ﺑﻪ درﺳﺘﻲ ﺗﻐﻴﻴﺮ دﻫﻨﺪ و ﺑﺮ آﻻم ﺑﺸﺮي ﻧﻘﻄﻪي ﭘﺎﻳﺎن ﻧﻬﻨﺪ‪ .‬اﻣﺎ از ﺳﻮي دﻳﮕﺮ آﻧﮕﺎه ﻛﻪ ﺟﻬﺎﻧﻲﺳﺎزي ﺑﺎ ﻧﻈﺎم‬
‫ﻗﺪرت‪ ،‬آﻧﻬﻢ ﻗﺪرﺗﻲ ﻛﻪ ﺷﺪﻳﺪاً ﻧﺎﻫﻤﮕﻮن ﺗﻮزﻳﻊ ﺷـﺪه اﺳـﺖ و ﺑﺮﺧـﻲ از ﺟﻮاﻣـﻊ ﺟﻬـﺎﻧﻲ را ﻓـﻮق اﻟﻌـﺎده‬
‫ﻗﺪرﺗﻤﻨﺪ ﺳﺎﺧﺘﻪ ﭘﻴﻮﻧﺪ ﻣﻲﺧﻮرد ﺑﻪ ﻓﺮﻫﻨﮓ ﻣﺼﺮف ﺑﻲ ﭘﺎﻳﺎن و رﻗﺎﺑﺖ ﻣﺮﮔﺒﺎر ﺑﺪل ﻣﻲﺷﻮد و ﻇﺮﻓﻴﺖﻫﺎي‬
‫ﺟﻬﺎﻧﻲﺳﺎزي ﺗﻮان ﺗﺨﺮﻳﺒﻲ ﺑﻲ ﻧﻈﻴﺮي ﺑﻪ دﺳﺖ ﻣﻲآورد ﻛـﻪ ﺗﺨﺮﻳـﺐ ﻣﺤـﻴﻂ زﻳـﺴﺖ‪ ،‬اﻳـﻦ ﺗﻨﻬـﺎ ﺧﺎﻧـﻪي‬
‫ﻣﺸﺘﺮك ﻧﻮع اﻧﺴﺎن و ﺗﺨﺮﻳﺐ رواﺑﻂ‪ ،‬ﻓﻀﻴﻠﺖﻫﺎ و ارزشﻫﺎي اﺟﺘﻤﺎﻋﻲ ﻧﻤﻮﻧﻪﻫﺎي آن اﺳﺖ‪ .‬ﺑﺮﻛﻨﺎر از دو‬
‫روﻳﻪ ﻣﺘﻀﺎد ﺟﻬﺎﻧﻲﺳﺎزي ﻛﻪ ﻳﻜﻲ ﻣﺜﺒﺖ و دﻳﮕﺮي ﻣﻨﻔﻲ اﺳﺖ‪ ،‬ﭼﻨﻴﻦ ﻣﻘﺪر ﮔﺮدﻳﺪه اﺳـﺖ ﻛـﻪ ﺟﻤﻌﻴـﺖ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺟﻬﺎن در ﭘﺮﺗﻮ ﺟﻬﺎﻧﻲﺳﺎزي ﺑﻪ ﻳﻜﺪﻳﮕﺮ ﺑﭙﻴﻮﻧﺪﻧﺪ و ﺑﻪ ﻫﻢ ﺑﻴﺶ از ﮔﺬﺷﺘﻪ واﺑﺴﺘﻪ ﺷﻮﻧﺪ و ﻫﺮ ﻓـﺮد ﻋـﻀﻮي‬
‫از دﻫﻜﺪه ﺟﻬﺎﻧﻲ ﮔﺮدد)‪.(Albrow,1993: 49-248‬‬
‫روﻳﻪ ﻣﻨﻔﻲ ﺟﻬﺎﻧﻲﺳﺎزي ﺑﺎ ﭘﻴﻮﻧﺪ ﺧﻮردن آن ﺑﻪ ﻧﻈﺎم ﻗﺪرت ﻧﺎﻫﻤﮕﻮن ﻓﻬﺮﺳﺘﻲ از ﻣﺴﺎﻳﻞ و ﻣـﺸﻜﻼت‬
‫را ﻓﻌﺎل ﻣﻲﺳﺎزد‪ .‬ﻗﻄﺒﻲ ﺷﺪن ﺷﺪﻳﺪ ﺟﻮاﻣﻊ ﻛﻪ در آﻧﻬﺎ اﻗﻠﻴﺘﻲ اﻓﺴﺎﻧﻪاي ﺛﺮوﺗﻤﻨﺪاﻧﺪ و اﻛﺜﺮﻳﺖ روز ﺑﻪ روز‬
‫ﻓﻘﻴﺮﺗﺮ ﻣﻲﺷﻮﻧﺪ‪ ،‬ﻋﻤﻴﻖﺗﺮ ﺷﺪن ﻓﻘﺮ ﺑﺎ ﺟﻨﺒﻪﻫﺎ و اﺑﻌﺎد ﺟﺪﻳﺪ‪ ،‬ﮔﺴﺘﺮده ﺷﺪن و ﻋﻤﻖ ﻣﻔﻬﻮم ﻣﺤﺮوﻣﻴـﺖ ﻛـﻪ‬
‫ﻧﻪ ﺗﻨﻬﺎ ﻓﻘﺮا ﻛﻪ ﮔﺮوهﻫﺎي اﺟﺘﻤﺎﻋﻲ دﻳﮕﺮ را در ﻣﻘﺎم ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﺳﺎﻳﺮ ﮔﺮوهﻫـﺎ در ﺑـﺮ ﻣـﻲﮔﻴـﺮد‪ ،‬ﮔـﺴﺘﺮش‬
‫اﻧﺰﺟﺎر‪ ،‬ﻧﻔﺮت و ﺑﻴﮕﺎﻧﻪ ﺳﺘﻴﺰي‪ ،‬ﻓﺮد ﮔﺮاﻳﻲ ﻣﻔﺮط‪ ،‬ﺧﻮد ﻣﺤﻮري‪ ،‬اﺣﺴﺎس ﻋﻤﻴﻖ ﻣﻮرد ﻇﻠﻢ واﻗـﻊ ﺷـﺪن‪،‬‬
‫ﻛﻨﺎر ﮔﺬاﺷﺘﻦ و ﺑﻪ ﺣﺴﺎب ﻧﻴﺎوردن‪ ،‬ﺗﻨﻬﺎ ﺑﺮﺧﻲ از ﻣﻮارد آن ﻓﻬﺮﺳﺖ ﺑﻠﻨﺪ ﺑﺎﻻﺳﺖ‪ .‬ﺟﻬﺎﻧﻲﺳﺎزي ﺑـﻪ دﻟﻴـﻞ‬
‫ﻧﻜﺎت ﻣﻨﻔﻲ ﻳﺎد ﺷﺪه از ﻳﻚ ﺳﻮ و ﻇﺮﻓﻴﺖﻫـﺎي ﻣﺜﺒـﺖ ﻣـﺴﺘﺘﺮ در آن و ﺗـﺄﺛﻴﺮ ﻧﺎﻣﺘﻌـﺎدل ﺑـﺮ ﺗﻤـﺎﻣﻲ وﺟـﻮه‬
‫زﻧﺪﮔﻲ ﺑﻪ ﻧﺎﭼﺎر ﺑﻪ اﻧﻮاع ﻣﺨﺘﻠﻒ ﺗﻘﺴﻴﻢ ﺷﺪه اﺳﺖ ﻛﻪ ﺟﻬﺎﻧﻲﺳﺎزي از ﺑﺎﻻ ﻳـﺎ از درﻳﭽـﻪ اﻗﺘـﺼﺎد ﻳﻜـﻲ از‬
‫آﻧﻬﺎﺳﺖ ﻛﻪ ﻣﺴﺌﻮل ﺟﻨﺒﻪﻫﺎي ﻣﻨﻔﻲ اﻳﻦ ﻣﻔﻬﻮم اﺳﺖ‪ .‬ﺟﻬﺎﻧﻲﺳﺎزي از ﺑﺎﻻ ﺑﺎ دﺳﺘﻮراﻟﻌﻤﻞﻫﺎﻳﻲ ﻧﻴـﺰ ﻫﻤـﺮاه‬
‫اﺳﺖ‪ .‬دوﻟﺖﻫﺎ ﺑﺎﻳﺪ ﻛﻮﭼﻚ و ﻛﻮﭼﻜﺘﺮ ﺷﻮﻧﺪ و ﻣﻴﺪان را ﺑﻪ ﺑﺨﺶ ﺧـﺼﻮﺻﻲ و ﻧﻬﺎدﻫـﺎي ﻣـﺮدم ﻣـﺪار و‬
‫ﻣﺮدم ﻣﺤﻮر واﮔﺬارﻧﺪ و ﺑﺮ ﺑﺮﻧﺎﻣﻪرﻳـﺰي و ﻧﻈـﺎرت‪ ،‬ﺗﺄﻛﻴـﺪ ﺑﻴـﺸﺘﺮي روا دارﻧـﺪ‪ .‬ﻗﻴﻤـﺖﻫـﺎ ﺑﺎﻳـﺪ ﺑـﺎ ﺳـﺎز و‬
‫ﻛﺎرﻫﺎي ﺑﺎزار ﺗﻌﻴﻴﻦ ﺷﻮﻧﺪ و ﻧﺮخﻫﺎي ﺗﺮﺟﻴﺤﻲ ﻟﻐﻮ ﺷﻮﻧﺪ‪ ،‬ﻳﺎراﻧﻪﻫﺎ ﻗﻄﻊ ﺷﺪه‪ ،‬ﻣﺮزﻫﺎ ﺑﻪ روي ﮔﺮدش آزاد‬
‫ﻛﺎﻻ ﺑﺎز ﺷﻮﻧﺪ‪ ،‬ﻣﺰﻳﺖﻫﺎي ﮔﻤﺮﻛﻲ و ﻋﻮارض ﺑﻪ ﭘﺎﻳﺎن رﺳﻨﺪ و در ﻳﻚ ﻛﻼم ﺳﻴﺎﺳﺖ اﻧﻄﺒﺎق ﺳﺎﺧﺘﺎري و‬
‫ﻳﺎ ﺳﻴﺎﺳﺖ ﺗﻌﺪﻳﻞ ﺑﺎ ﻗﺪرت اﺟﺮا ﺷﻮد‪ .‬ﭼﻨﻴﻦ ﻧﻜﺎﺗﻲ ﻋﻮاﻣﻞ ﻣﺤﺮك و ﻣﺴﺒﺐ ﺷﻜﻞﮔﻴﺮي ﺟﻬﺎﻧﻲﺳـﺎزي از‬
‫ﭘﺎﻳﻴﻦ ﺑﻪ ﺣﺴﺎب ﻣﻲآﻳﻨﺪ‪.‬‬
‫در ﭼﻨﻴﻦ ﺷﺮاﻳﻄﻲ ﻣﻬﻨﺪﺳﻲ اﺟﺘﻤﺎﻋﻲ اﻫﻤﻴﺘﻲ ﺑﻲ ﻣﺎﻧﻨﺪ ﻳﺎﻓﺘﻪ و ﻣـﺪﻳﺮﻳﺖ ﮔـﺬار اﺟﺘﻤـﺎﻋﻲ ﻣﺮﻛـﺰ ﺛﻘـﻞ‬
‫ﻣﻬﻨﺪﺳﻲ ﭘﻴﺶ ﮔﻔﺘﻪ اﺳﺖ‪ .‬ﻟﻴﻜﻦ ﻣﻬﻨﺪﺳﻲ اﺟﺘﻤﺎﻋﻲ ﺗﻨﻬﺎ در ﺳﺎﻳﻪ داﻧﺶ ﻣﺤﻮري و ﻋﻤﻮﻣﻴﺖ ﻳﺎﻓﺘﻦ داﻧـﺎﻳﻲ‬
‫ﺑﻪ درﺳﺘﻲ ﺑﻪ اﺟﺮا در ﻣﻲآﻳﺪ و درﻣﺎن دردﻫﺎي اﺟﺘﻤﺎﻋﻲ ﺑﻪ ﺷﻤﺎر ﻣﻲرود‪.‬‬
‫ﻣﻔﻴﺪ ﺧﻮاﻫﺪ ﺑﻮد ﺗﺎ ﺑﺎ ﻣﻌﺮﻓﻲ و ﻣﺮور ﺑﺮﺧﻲ از ﻣﻔﺎﻫﻴﻤﻲ ﻛﻪ اﻣﺮوز رواﺟـﻲ ﺗـﺎم و ﺗﻤـﺎم ﻳﺎﻓﺘـﻪاﻧـﺪ و در‬
‫ﭘﺎﻳﺎن ﻗﺮن ﺑﻴﺴﺘﻢ و آﻏﺎز ﻗﺮن ﺑﻴﺴﺖ و ﻳﻜﻢ از دﻧﻴﺎي ﻣﺪرﺳﻪاي ﺑﻪ ﻋﺮﺻﻪﻫـﺎي ﻛـﺎر و زﻧـﺪﮔﻲ روزﻣـﺮه ره‬
‫ﮔﺸﻮدهاﻧﺪ ﻣﺮورﮔﺮدد ﺗﺎ ﻣﺸﺨﺺ ﺷﻮد ﻛﻪ داﻧﺎﻳﻲ ﻋﻠﻴﺮﻏﻢ ﻣﻬـﻢ ﺑـﻮدن در ﺗﻤـﺎﻣﻲ ﻗـﺮون و اﻋـﺼﺎر ﺑـﻪ ﭼـﻪ‬
‫ﺟﺎﻳﮕﺎه رﻓﻴﻌﻲ دﺳﺖ ﻳﺎﻓﺘﻪ و ﭼﮕﻮﻧﻪ ﻣﺤﻮر ﻣﻬﻢ زﻧﺪﮔﻲ اﺟﺘﻤﺎﻋﻲ ﮔﺮدﻳﺪه اﺳﺖ‪ .‬اﻣﺮوز ﻣﻨﺰﻟـﺖ داﻧـﺎﻳﻲ ﺑـﺎ‬
‫ﻫﻴﭻ زﻣﺎن دﻳﮕﺮ ﻗﺎﺑﻞ ﻣﻘﺎﻳﺴﻪ ﻧﻴﺴﺖ‪ .‬اﻫﺪاف داﻧﺎﻳﻲ ﻣﺤﻮر در ﺗﻤﺎﻣﻲ ﭘﺮوژهﻫﺎ و ﺑﺮﻧﺎﻣﻪ ﻫﺎ‪ ،‬ﺗﺠـﺎرت داﻧـﺎﻳﻲ‬
‫ﻣﺤﻮر‪ ،‬داﻧﺎﻳﻲ ﺿﺮورت ﻣﺮدم ﺳﺎﻻري وﺳﻴﺎﺳﺖ ﻓـﺮا ﻣـﺪرن‪ ،‬ﺿـﺮورت ﺷـﻴﻮع داﻧـﺎﻳﻲ در ﺗﻤـﺎﻣﻲ اﺑﻌـﺎد و‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫زﻣﻴﻨﻪﻫﺎ‪ ،‬ﻣﺪﻳﺮﻳﺖ داﻧﺎﻳﻲ ﻣﺤﻮر ﺑﻲ ﻣﺮز‪ ،‬ﺗﻮاﻧﻤﻨﺪﺳﺎزي داﻧﺎﻳﻲ ﻣﺤﻮر و ﺳﻮاد آﻣﻮزي ﻣﺠﺪد ﺗﻤﺎﻣﻲ ﻃﺒﻘﺎت‬
‫ﺑﺮ اﺳﺎس داﻧﺎﻳﻲ ﻣﺤﻮري ﺗﻨﻬﺎ ﻧﻤﻮﻧﻪﻫﺎﻳﻲ از ﻣﻔﺎﻫﻴﻢ و ﺿـﺮورتﻫـﺎي ﻳـﺎد ﺷـﺪه اﺳـﺖ‪ .‬اﻳـﻦ ﻣﻔـﺎﻫﻴﻢ ﻧـﺸﺎن‬
‫ﻣﻲدﻫﺪ درﻣﺪﺗﻲ ﺑﺲ ﻛﻮﺗﺎه ﻛﻪ در ﺳﺎﻟﻨﺎﻣﻪ زﻧـﺪﮔﻲ اﻧـﺴﺎﻧﻲ ﺑـﻪ ﭼـﺸﻢ ﺑـﺮ ﻫـﻢ زدﻧـﻲ ﻣـﻲﻣﺎﻧـﺪ داﻧـﺶ ﺑـﻪ‬
‫ﺿﺮورﺗﻲ ﺑﺮاي ﻳﻜﺎﻳﻚ اﻧﺴﺎنﻫﺎ و ﺟﻮاﻣﻊ ﺗﺒﺪﻳﻞ ﺷﺪه اﺳﺖ‪ .‬ﻟﻴﻜﻦ ﻋﻤﻖ ﻣﺴﺄﻟﻪ در اﻳﻦ واﻗﻌﻴﺖ ﻧﻬﻔﺘﻪ اﺳـﺖ‬
‫ﻛﻪ ﺟﻬﺎﻧﻲﺳﺎزي ﻧﻴﺰ ﺧﻮد ﻣﺤﺼﻮل دﮔﺮﮔﻮﻧﻲﻫﺎي ﻋﻠﻤـﻲ اﺳـﺖ‪» .‬ﭼـﺮا ﻛـﻪ ﺑـﺪون اﻧﻘـﻼب اﻟﻜﺘﺮوﻧﻴـﻚ‪،‬‬
‫اﺧﺘﺮاع رﻳﺰ ﭘﺮدازﻧﺪهﻫﺎ و ارﺗﺒﺎﻃﺎت ﻣﺎﻫﻮارهاي ﻛﻪ ﭘﺎﻳﻪﻫﺎي ﻓﻨﻲ ﺟﻬﺎﻧﻲﺳـﺎزي اﻧـﺪ‪ ،‬ﺑـﻪ ﻛـﻒ ﻧﻤـﻲآﻣـﺪ و‬
‫ﺗﻜﻨﻮﻟﻮژي اﻃﻼﻋﺎت و ﺗﻜﻨﻮﻟﻮژي ﻫﻮﺷﻤﻨﺪ ﺑﻪ ﺧﺎﻧﻪﻫﺎي اﻛﺜﺮﻳﺖ ﻣـﺮدم ﺟﻬـﺎن ﺣﺘـﻲ در دور اﻓﺘـﺎدهﺗـﺮﻳﻦ‬
‫ﻧﻘﺎط و ﻧﺰد ﺗﻬﻴﺪﺳﺖﺗﺮﻳﻦ ﻣﺮدﻣﺎن راه ﻧﻤﻲﻳﺎﻓﺖ‪ .‬آن ﮔﺎه ﻛـﻪ دﻳﺠﻴﺘـﺎﻟﻲ ﻛـﺮدن اﻃﻼﻋـﺎت از ﻃﺮﻳـﻖ زﺑـﺎن‬
‫ﻣﺸﺘﺮك ﻛﺪﻫﺎ از ﻃﺮﻳﻖ ﻛﺎﻣﭙﻴﻮﺗﺮﻫﺎي دﻳﺠﻴﺘﺎﻟﻲ ﻣﻤﻜﻦ ﮔﺮدﻳﺪ‪ ،‬ﺻﺪا‪ ،‬اﻧﻮاع دادهﻫﺎ و ﺗﺼﻮﻳﺮ وﻳﺪﺋﻮﻳﻲ ﺑـﻪ‬
‫ﺟﺮﻳﺎنﻫﺎي اﺻﻠﻲ اﻃﻼﻋﺎت دﻳﺠﻴﺘﺎﻟﻲ ﺷﺪه ﺑﺪل ﮔﺮدﻳﺪ ﻛﻪ ﻗﺎﺑﻞ ذﺧﻴﺮه ﻛﺮدن‪ ،‬دﺳﺘﻜﺎري و ﺑﻪ ارزانﺗﺮﻳﻦ‬
‫ﺷﻜﻞ ﻗﺎﺑﻞ اﻧﺘﻘﺎل ﻫﺴﺘﻨﺪ‪ .‬از ﺳﻮي دﻳﮕﺮ ﻣﺤﺎﺳـﺒﻪ اﻟﻜﺘﺮوﻧﻴﻜـﻲ و ﺻـﻨﻌﺖ و ارﺗﺒﺎﻃـﺎت ﻣـﺎﻫﻮارهاي در ﻫـﻢ‬
‫ادﻏﺎم ﺷﺪه و ﺻﻨﻌﺖ اﻃﻼﻋﺎت ﺟﻬﺎﻧﻲ را ﺷﻜﻞ ﺑﺨﺸﻴﺪﻧﺪ‪ ،‬اﻣﺮي ﻛﻪ ﺗﻨﻬﺎ در دو دﻫﻪ ﮔﺬﺷـﺘﻪ ﻣﻤﻜـﻦ ﺷـﺪه‬
‫اﺳﺖ« )‪.(2006: 39،Piran‬‬
‫ﻣﺮور اراﺋﻪ ﺷﺪه‪ ،‬ﺗﻨﻬﺎ ﻛﻮﺷﺸﻲ در ﺟﻬـﺖ ﺗﺄﻛﻴـﺪ ﺑـﺮ ﻧﻘـﺶ داﻧـﺎﻳﻲ و ﻣﻌﺮﻓـﻲ ﻋـﺼﺮ ﺣﺎﺿـﺮ ﻳـﺎ ﻋـﺼﺮ‬
‫ﺟﻬﺎﻧﻲﺳﺎزي اﺳﺖ و ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ ﭘﮋوﻫﺶ ﻋﻠﻤﻲ ﺑﻪ ﻃﻮر ﻋﺎم ﺳﺘﻮن ﻓﻘﺮات دﺳﺘﺎوردﻫﺎي ﭘﻴﺶ ﮔﻔﺘـﻪ‬
‫اﺳﺖ‪ .‬ﺑﺪون دﺳﺖ ﻳﺎزﻳﺪن ﺑﻪ ﭘﮋوﻫﺶ داﻳﻤﻲ در ﺗﻤﺎﻣﻲ اﺑﻌﺎد و زﻣﻴﻨﻪﻫﺎي ﻫﻴﭻ ﻳﻚ از دﺳﺘﺎوردﻫﺎي ﻣـﺮور‬
‫ﺷﺪه ﻛﻪ ﺗﻨﻬﺎ ﻧﻤﻮﻧﻪاي ﺑـﺲ ﻛﻮﭼـﻚ اﻧـﺪ‪ ،‬ﻣﻤﻜـﻦ ﻧﻤـﻲﮔﺮدﻳـﺪ‪ .‬ﺑﻴﻬـﻮده ﻧﻴـﺴﺖ ﻛـﻪ ﻛـﺸﻮرﻫﺎي ﺳـﺮآﻣﺪ‬
‫ﺟﻬﺎﻧﻲﺳﺎزي و ﻛﺸﻮرﻫﺎي ﺗﻮاﻧﻤﻨﺪ درﺻﺪ ﻗﺎﺑﻞ ﺗﻮﺟﻬﻲ از ﺑﻮدﺟﻪﻫﺎي ﺳﺎﻟﻴﺎﻧﻪ ﺧﻮد را آن ﻫﻢ ﺑﺮ ﭘﺎﻳﻪ ﺗﻮﻟﻴﺪ‬
‫ﻧﺎﺧﺎﻟﺺ ﻣﻠﻲ ﺑﻪ ﭘﮋوﻫﺶ اﺧﺘﺼﺎص ﻣﻲدﻫﻨﺪ و ﻫﺮ روز ﺑﺮ آن ﻣﻲاﻓﺰاﻳﻨـﺪ‪ .‬ﻟـﻴﻜﻦ اﻳـﻦ ﻫﻤـﻪ ﻣـﺎﺟﺮا ﻧﻴـﺴﺖ‪.‬‬
‫ﺟﻬﺎﻧﻲﺳﺎزي ﻫﻤﺎﻧﮕﻮﻧﻪ ﻛﻪ اﺷﺎره ﺷﺪ ﺑﺎ ﺟﻨﺒﻪﻫﺎ و اﺑﻌﺎد ﻣﻨﻔﻲ ﻣﺘﻌﺪدي ﻫﻤﺮاه اﺳﺖ ﻛﻪ ﺑﺪون در ﻧﻈﺮ ﮔﺮﻓﺘﻦ‬
‫آﻧﻬﺎ و ﺑﺪون ﻳﺎﻓﺘﻦ راه ﺣﻠﻲ ﺑﺮاي ﻳﻜﺎﻳﻚ آﻧﻬﺎ‪ ،‬ﻣﺸﻜﻼت ﻋﻈﻴﻤﻲ از راه ﻣﻲرﺳﻨﺪ و ﺟﻬﺎﻧﻲﺳﺎزي ﺧﻮد ﺑﻪ‬
‫ﻣﻌﻀﻠﻲ ﺟﺪي ﺑﺪل ﻣﻲﮔﺮدد‪ .‬ﺧﻮد ﻣﺤﻮري‪ ،‬دﻳﮕﺮ ﺳﺘﻴﺰي‪ ،‬ﺗﻔﺎوت ﺳﺘﻴﺰ‪ ،‬ﻗﺒﻴﻠﻪﮔﺮاﻳﻲ ﻓﺮا ﻣـﺪرن‪ ،‬از ﺟﻤﻠـﻪ‬
‫ﭼﻨﻴﻦ ﻣﺴﺎﻳﻞ ﻣﻨﻔﻲ اﺳﺖ‪.‬‬
‫ﺑﺎ ﻋﻨﺎﻳﺖ ﺑﻪ اﺑﻌﺎد ﻣﻨﻔﻲ ﻣﺮور ﺷﺪه و ﺑﺎ ﺗﻮﺟﻪ ﺑـﻪ ﻛﻮﭼـﻚ ﺷـﺪن ﺿـﺮوري دوﻟـﺖﻫـﺎ‪ ،‬ﺑﺤـﺚ ﺳـﺮﻣﺎﻳﻪ‬
‫اﺟﺘﻤﺎﻋﻲ)‪(Social Capital‬ﻛﻪ ﺑﺮاي ﻧﺨﺴﺘﻴﻦ ﺑﺎر و ﺑﻪ ﺷﻜﻠﻲ ﻣﺘﻔﺎوت ﺣﺪود ﻧﻮد ﺳﺎل ﭘـﻴﺶ ﺑـﻪ ﻛـﺎر رﻓﺘـﻪ‬
‫اﺳﺖ‪ ،‬ﺑﻪ ﻳﻜﺒﺎره ﺑﺎ ﺷﺪﺗﻲ ﻫﺮ ﭼﻪ ﺗﻤﺎمﺗﺮ ﻣﻄﺮح ﺷﺪه و از دﻧﻴﺎي ﻣﺤﺪود ﻣﺪرﺳﻪاي ﺑﻪ ﻋﺮﺻﻪﻫـﺎي زﻧـﺪﮔﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫راه ﻳﺎﻓﺘﻪ اﺳﺖ‪ .‬ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ ﻛﻪ در دﻫﻪ ﭘﻴﺶ ﺣﻼل ﺗﻤﺎﻣﻲ ﻣﺸﻜﻼت ﺗﻠﻘﻲ ﻣﻲﺷﺪ‪ ،‬ﺧﻮد ﻣﻲﺗﻮاﻧـﺪ ﺑـﻪ‬
‫ﺟﺮﻳﺎنﻫﺎي ﻣﺘﻀﺎد و ﻣﻨﻔﻲ اي ﻣﻨﺠﺮ ﮔﺮدد ﻛﻪ ﺗﺤﺖ ﻋﻨﻮان زﻳﺎنﻫﺎي ﺳـﺮﻣﺎﻳﻪ اﺟﺘﻤـﺎﻋﻲ درﻣـﺘﻦ ﭘـﮋوﻫﺶ‬
‫ﺣﺎﺿﺮ ﻣﻌﺮﻓﻲ ﺷﺪهﻧﺪ‪.‬‬
‫ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ ﺑﻪ ﺧﻮﺑﻲ ﻗﺎدر اﺳﺖ ﺗﺎ اﻧﺴﺠﺎم اﺟﺘﻤﺎﻋﻲ ﻗﻮﻣﻲ ـ ﮔﺮوﻫﻲ را ارﺗﻘﺎء ﺑﺨﺸﺪ و در ﻋﻴﻦ ﺣـﺎل‬
‫اﻧﺴﺠﺎم اﺟﺘﻤﺎﻋﻲ ﻋﺎم را ﺑﻪ ﺧﻄـﺮ اﻧـﺪازد‪ .‬ﺧﻮﺷـﺒﺨﺘﺎﻧﻪ اﻣـﺮوزه روﻳـﺎ ﭘـﺮدازيﻫـﺎﻳﻲ ﻛـﻪ ﺑـﺎ ﺑﺤـﺚ ﺳـﺮﻣﺎﻳﻪ‬
‫اﺟﺘﻤﺎﻋﻲ ﺑﻪ ﻋﻨﻮان ﺣﻼل ﺗﻤﺎﻣﻲ آﻻم ﺑﺸﺮي ﺷﻜﻞ ﮔﺮﻓﺘﻪ ﺑﻮد‪ ،‬رﻧﮓ ﺑﺎﺧﺘﻪ و دﻳﺪي واﻗﻊ ﻧﮕـﺮ ﻛـﻪ ﻧﻜـﺎت‬
‫ﻣﺜﺒﺖ را ﺑﺎ ﻋﻨﺎﻳﺖ ﺑﻪ ﺟﻨﺒﻪﻫﺎي ﻣﻨﻔﻲ ﻣﻲﻧﮕﺮد ﺟﺎﻧﺸﻴﻦ آن ﺷﺪه اﺳﺖ‪.‬‬
‫ﻟﻴﻜﻦ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺗﺤﻮﻻت ﻋﺮﺻﻪ ﺳﻴﺎﺳﺖ و اﻗﺘﺼﺎد و دﮔﺮﮔﻮﻧﻲ ﻧﻘﺶ دوﻟـﺖﻫـﺎ‪ ،‬ﮔـﺴﺘﺮش ﺷﻬﺮﻧـﺸﻴﻨﻲ و‬
‫ﻇﻬﻮر ﻛﻼن ﺷﻬﺮﻫﺎ و رﺷﺪ ﺑﻲ روﻳـﻪ ﻣـﺴﺎﺋﻞ و ﻣـﺸﻜﻼت ﺷـﻬﺮي ﺿـﺮورت ﺷـﻜﻞﮔﻴـﺮي و ﻓﻌـﺎل ﺷـﺪن‬
‫ﻧﻬﺎدﻫﺎي ﻣﺮدم ﻣﺪار و ﻣﺮدم ﻣﺤـﻮر و ﺣﻴـﺎﺗﻲ ﺷـﺪن ﻣـﺸﺎرﻛﺖ اﺟﺘﻤـﺎﻋﻲ‪ ،‬ﻣﻔﻬـﻮم اﻋﺘﻤـﺎد ﻛـﻪ ﻛﻠﻴـﺪ واژه‬
‫ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ اﺳﺖ‪ ،‬اﻫﻤﻴﺘﻲ ﺑﻲ ﻧﻈﻴﺮ ﻳﺎﻓﺘﻪ اﺳﺖ‪ .‬ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ ﭼﻨﺎﻧﭽﻪ ﺑﻪ درﺳـﺘﻲ ﺷـﻨﺎﺧﺘﻪ و ﻣـﻮرد‬
‫اﺳﺘﻔﺎده ﻗﺮار ﮔﻴﺮد ﺳﺒﺐ ارﺗﻘﺎء اﻋﺘﻤﺎد ﺑﻪ ﻧﻬﺎدﻫﺎي ﻋﻤﻮﻣﻲ ﺑﻪ وﻳﮋه دوﻟﺖﻫـﺎ ﻣـﻲﮔـﺮدد‪ .‬ﭘـﮋوﻫﺶ ﺳـﺮﻣﺎﻳﻪ‬
‫اﺟﺘﻤﺎﻋﻲ در ﻛﻼن ﺷﻬﺮ ﺗﻬﺮان ﺑﺎ ﭼﻨﻴﻦ ﻫﺪﻓﻲ ﺑﻪ ﻓﺮﺟﺎم رﺳﻴﺪه اﺳﺖ‪.‬‬
‫ﻓﺮاﻳﻨﺪ اﺟﺮاي ﭘﮋوﻫﺶ‬
‫ﭘﮋوﻫﺶ ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ در ﺷﻬﺮ ﺗﻬـﺮان‪ ،‬ﭘـﺲ از اﻧﺠـﺎم ﻃـﺮح »ﺳـﻨﺠﺶ ﺳـﺮﻣﺎﻳﻪ اﺟﺘﻤـﺎﻋﻲ دراﻳـﺮان« و‬
‫»ﺳﻨﺠﺶ ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ ﺟﻮاﻧﺎن در اﻳﺮان« ﺗﻮﺳﻂ اﻋـﻀﺎي ﮔـﺮوه ﭘﮋوﻫـﺸﻲ ﻓﻌﻠـﻲ ﺑـﺎ ﭘﻴـﺸﻨﻬﺎد ﻣﻌﺎوﻧـﺖ‬
‫ﺑﺮﻧﺎﻣﻪرﻳﺰي ﺷﻬﺮداري ﺗﻬﺮان ﺑﺎ اﻧﻌﻘﺎد ﻗﺮارداد و ﻫﻤﻜﺎري ﻣﻌﺎوﻧﺖ ﭘﮋوﻫﺸﻲ داﻧﺸﮕﺎه ﺗﻬﺮان در ﺳﺎل ‪1387‬‬
‫ﺑﻪ ﻓﺮﺟﺎم رﺳﻴﺪه و ﻣﺮاﺣﻞ زﻳﺮ را ﻃﻲ ﻛﺮده اﺳﺖ‪:‬‬
‫ ﺗﺸﻜﻴﻞ ﻛﻤﻴﺘﻪ ﻋﻠﻤﻲ ﭘﮋوﻫﺶ ﺟﻬﺖ ﺳﺎزﻣﺎﻧﺪﻫﻲ ﻋﻠﻤﻲ و اﺟﺮاﻳﻲ‬‫ ﺗﺸﻜﻴﻞ ﮔﺮوه ﺷﻨﺎﺳﺎﻳﻲ‪ ،‬ﺟﺴﺘﺠﻮ و ﻣﺮور ﻣﻨﺎﺑﻊ‬‫ ﺗﺪوﻳﻦ ﭼﺎرﭼﻮب ﻧﻈﺮي ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺗﺠﺎرب ﭘﮋوﻫﺸﻲ ﻗﺒﻠﻲ و ﻣﻨـﺎﺑﻊ ﺟﺪﻳـﺪ در ارﺗﺒـﺎط ﺑـﺎ ﻛـﻼن ﺷـﻬﺮ‬‫ﺗﻬﺮان‬
‫ اﺻﻼح و ﺗﺪوﻳﻦ ﻧﻬﺎﻳﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ‬‫ اﺟﺮاي ﻛﺎر ﻣﻴﺪاﻧﻲ و اﻧﺠﺎم ﭘﻴﻤﺎﻳﺶ ﺗﻮﺳﻂ ﻣﺮﻛﺰ »ﻣﻄﺎﻟﻌـﺎت ﻣﻠـﻲ و ﺳـﻨﺠﺶ اﻓﻜـﺎر ﻋﻤﻮﻣﻴــ ﺗﻴـﺮ ﻣـﺎه‬‫‪1387‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ آﻣﻮزش ﭘﺮﺳﺸﮕﺮان‬‫ اﻧﺠﺎم آزﻣﻮن ﻣﻘﺪﻣﺎﺗﻲ و ﺳﻨﺠﺶ رواﻳﻲ و ﭘﺎﻳﺎﻳﻲ اﺑﺰار اﻧﺪازه ﮔﻴﺮي‬‫ ﺗﺸﻜﻴﻞ ﮔﺮوهﻫﺎي ﻧﻈﺎرت ﺑﺮ اﺟﺮاي ﻛﺎر ﭘﺮﺳﺸﮕﺮي و ﻋﻤﻠﻴﺎت ﻣﻴﺪاﻧﻲ‬‫ ﺑﺎزﺑﻴﻨﻲ ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎ‬‫ ﻛﺪﮔﺬاري و ورود اﻃﻼﻋﺎت‬‫ ﭘﺮدازش اﻃﻼﻋﺎت‬‫ ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﻳﺎﻓﺘﻪﻫﺎ‬‫ اراﺋﻪ ﮔﺰارش ﻧﻬﺎﻳﻲ‬‫در اﺟﺮاي ﻣﺮاﺣﻞ ﻣﺨﺘﻠﻒ ﺗﻼش ﮔﺮدﻳﺪه ﺗﺎ ﻣﻮﺿﻮع ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺷﺮاﻳﻂ ﻛـﻼن ﺷـﻬﺮ‬
‫ﺗﻬﺮان ﺑﺎ ﻧﻜﺎت ﻣﻨﺪرج در ﺟﺎﻣﻌﻪﺷﻨﺎﺳﻲ ﺷﻬﺮي و ﺑﺮﻧﺎﻣﻪرﻳﺰي ﺷﻬﺮي ﺗﺤﻠﻴﻞ ﮔﺮدﻧﺪ‪.‬‬
‫ﻻزم ﺑﻪ ﻳﺎدآوري اﺳﺖ ﺑﺎ ﺗﻮﺟﻪ ﺑـﻪ اﻫﻤﻴـﺖ ﻣﻮﺿـﻮع ﺳـﺮﻣﺎﻳﻪ اﺟﺘﻤـﺎﻋﻲ‪ ،‬ﻃـﻲ ﺑﺮﻧﺎﻣـﻪ ﭼﻬـﺎرم ﺗﻮﺳـﻌﻪ‬
‫اﻗﺘﺼﺎدي‪ ،‬اﺟﺘﻤﺎﻋﻲ‪ ،‬ﻓﺮﻫﻨﮕﻲ و در ﻗﺎﻟﺐ ﻣﺎده ‪ ،98‬دوﻟﺖ ﻣﻜﻠﻒ ﮔﺮدﻳﺪه ﺳـﻨﺠﺶ ﺳـﺮﻣﺎﻳﻪ اﺟﺘﻤـﺎﻋﻲ در‬
‫اﻳﺮان را در ﻃﻮل اﻳﻦ ﺑﺮﻧﺎﻣﻪ اﻧﺠﺎم داده و راﻫﻜﺎرﻫﺎي ﺗﻘﻮﻳﺖ و ﮔﺴﺘﺮش آن را ﭘﻲ ﺟـﻮﻳﻲ ﻧﻤﺎﻳـﺪ‪ .‬در اﻳـﻦ‬
‫راﺳﺘﺎ‪ ،‬ﺑﺎ ﺣﻤﺎﻳﺖ ﺳﺎزﻣﺎن ﻣﺪﻳﺮﻳﺖ و ﺑﺮﻧﺎﻣﻪرﻳﺰي ﺳﺎﺑﻖ و داﻧﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ و ﺗﻮاﻧﺒﺨـﺸﻲ ﭘﮋوﻫـﺸﻲ‬
‫ﻛﺸﻮري در ﺳﺎل ‪ 1386‬ﺗﻮﺳﻂ اﻋﻀﺎي ﮔﺮوه ﭘﮋوﻫﺶ ﻓﻌﻠﻲ ﺑﻪ ﻓﺮﺟـﺎم رﺳـﻴﺪه اﺳـﺖ‪ .‬ﺑـﻪ ﻣﻨﻈـﻮر رﻋﺎﻳـﺖ‬
‫ﺗﺄﻛﻴﺪ ﻗﺎﻧﻮﻧﮕﺰار ﺑـﺮ اﺑﺰارﺳـﺎزي واﺣـﺪ و ﻓـﺮاﻫﻢ ﺷـﺪن اﻣﻜـﺎن ﻣﻘﺎﻳـﺴﻪ ﻧﺘـﺎﻳﺞ در راﺳـﺘﺎي ارﺗﻘـﺎء ﺳـﺮﻣﺎﻳﻪ‬
‫اﺟﺘﻤﺎﻋﻲ‪ ،‬ازﻣﺒﺎﻧﻲ ﻧﻈﺮي و روﺷﻲ ﻣﺸﺘﺮك ﻣﺘﻨﺎﺳﺐ ﺑﺎ ﺷﺮاﻳﻂ ﻛﻼن ﺷﻬﺮ ﺗﻬﺮان اﺳﺘﻔﺎده ﺷﺪه اﺳﺖ‪.‬‬
‫ﻻزم ﻣﻲداﻧﺪ از ﺑﺬل ﺗﻮﺟﻪ ﺟﻨﺎب آﻗﺎي دﻛﺘﺮ ﻣﺤﻤﺪرﺿﺎ واﻋﻆ ﻣﻬﺪوي و ﻫﻤﻜﺎري ﻣﻌﺎوﻧﺖ ﭘﮋوﻫﺸﻲ‬
‫داﻧﺸﮕﺎه ﺗﻬﺮان ﺗﻼش ﻣﺴﺘﻤﺮ و ﻣﺴﺎﻋﻲ ارزﺷﻤﻨﺪ اﻋﻀﺎي ﻣﺤﺘﺮم ﮔﺮوه ﭘﮋوﻫﺶ ﺗﺸﻜﺮ و ﻗﺪرداﻧﻲ ﺷﻮد‪.‬‬
‫ﻣﻨﺎﺳـــﺒﺖ دارد از ﻣﺮﻛـــﺰ ﻣﻄﺎﻟﻌـــﺎت و اﻓﻜﺎرﺳـــﻨﺠﻲ ﺑـــﻪ وﻳـــﮋه ﺟﻨـــﺎب آﻗـــﺎي دﻛﺘـــﺮ ﻃـــﺎﻫﺮي و‬
‫ﺳﺮﻛﺎر ﺧﺎﻧﻢ ﺳﻤﺎﻧﻪ ﭘﺎﻟﻴﺰﺑﺎن ﻛﻪ ﺑﻪ ﻫﻤﺮاه ﺳﺎﻳﺮ ﻫﻤﻜﺎران ﻣﺴﺌﻮﻟﻴﺖ اﺟـﺮاي ﭘﻴﻤـﺎﻳﺶ در ﺷـﻬﺮ ﺗﻬـﺮان را ﺑـﺮ‬
‫ﻋﻬﺪه داﺷﺘﻪ و ﺟﻨﺎب آﻗﺎي ﻋﻠﻲ ﺧﺮاﺳﺎﻧﻲ زاده ﺑﻪ ﻣﻨﻈﻮر اﻧﺠﺎم ﭘﺮدازش دادهﻫـﺎ ﺳﭙﺎﺳـﮕﺰاري و ﻗـﺪرداﻧﻲ‬
‫ﺷﻮد‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ اﻋﺘﺒﺎر ﻣﻌﻴﺎري و ﺗﻜﺮارﭘﺬﻳﺮي روشﻫﺎي ﺑﺎﻟﻴﻨﻲ اﻧﺪازهﮔﻴﺮي ﻗﻮس ﻛﻒ ﭘﺎ‬
‫ﻣﻬﻴﺎر ﺻﻠﻮاﺗﻲ‪ ،‬رزﻳﺘﺎ ﻫﺪاﻳﺘﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﺗﺌﻮريﻫﺎي ﺑﺴﻴﺎري ﺑﻪ ﺑﺮرﺳﻲ راﺑﻄﻪ ﺳﺎﺧﺘﺎر و ﻋﻤﻠﻜﺮد ﭘﺎ در اﻧﺴﺎن ﭘﺮداﺧﺘﻪاﻧﺪ‪ .‬در ﺣﺎﻟﻲ ﻛـﻪ‬
‫ﺑﻴﺶ از ‪ 20‬روش اﻧﺪازهﮔﻴﺮي ﻗﻮس ﻛﻒ ﭘﺎ در ﻣﻄﺎﻟﻌﺎت ﺑـﺎﻟﻴﻨﻲ وﺟـﻮد دارد ﺑﺮرﺳـﻲﻫـﺎي ﻣﺤـﺪودي در‬
‫ﺧﺼﻮص ﻣﻌﺮﻓﻲ ﺗﻜﺮارﭘﺬﻳﺮﺗﺮﻳﻦ و ﻣﻌﺘﺒﺮﺗﺮﻳﻦ روش وﺟﻮد دارد‪.‬‬
‫روش ﺑﺮرﺳﻲ‪ :‬ﺳﺎﺧﺘﺎر ﻗﻮس ﻃﻮﻟﻲ داﺧﻠﻲ در ‪ 120‬ﻛـﻮدك و ﺑﺰرﮔـﺴﺎل ﺑـﻪ ﺻـﻮرت اﻧـﺪازهﮔﻴـﺮي‬
‫ﺑﺎﻟﻴﻨﻲ ﻗﻮس ﻃﻮﻟﻲ داﺧﻠﻲ و ﭘﺮﻳﻨﺖ ﭘﺎ و رادﻳﻮﮔﺮاﻓﻲ ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺖ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺗﻜﺮارﭘﺬﻳﺮي اﻳﻨﺘﺮ و اﻳﻨﺘﺮا ﺑﺮاي ﺗﻤﺎم اﻧﺪازه ﮔﻴﺮيﻫﺎ ﺑﻪ ﺟﺰ وﻟﭙﻦ در ﺣﺪ ﺧﻮب ﺗﺎ ﻋـﺎﻟﻲ ﺑـﻮد‪.‬‬
‫ﻣﻴﺰان ﺗﻮاﻓﻖ ﺑﻴﻦ اﻧﺪازه ﮔﻴﺮيﻫﺎي ﺑﺎﻟﻴﻨﻲ و رادﻳـﻮﮔﺮاﻓﻲ ﺑـﺎ اﺳـﺘﻔﺎده از ﺿـﺮﻳﺐ ﻛﺎﭘـﺎ ﻣـﻮرد ﺑﺮرﺳـﻲ ﻗـﺮار‬
‫ﮔﺮﻓﺖ‪ .‬در ﻫﺮ دو ﮔﺮوه ﻛﻮدﻛﺎن و ﺑﺰرﮔﺴﺎﻻن ﺷﺎﺧﺺﻫﺎي ﺗﺮاﻧﻜﻴﺘﺪ‪ ،‬اﺳـﺘﺄﻫﻠﻲ‪ ،‬ﺑـﺮوﻛﻦ و زاوﻳـﻪ ﻗـﻮس‬
‫ﺗﻮاﻓﻖ ﻧﺰدﻳﻜﺘﺮي ﺑﺎ ﺷﺎﺧﺺﻫﺎي رادﻳﻮﮔﺮاﻓﻲ ﻗﻮس ﻛﻒ ﭘﺎ داﺷﺘﻨﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬روﺷﻬﺎي ﻣﺬﻛﻮر ﻣﻲﺗﻮاﻧﻨﺪ ﺟﺎﻳﮕﺰﻳﻦ روﺷﻬﺎي رادﻳﻮﮔﺮاﻓﻲ اﻧﺪازهﮔﻴﺮي ﻗﻮس ﻛﻒ ﭘـﺎ‬
‫ﮔﺮدﻧﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﺎﺧﺘﺎر ﭘﺎ‪ ،‬ﺗﻜﺮار ﭘﺬﻳﺮي‪ ،‬اﻋﺘﺒﺎر‪ ،‬ﻛﻒ ﭘﺎي ﺻﺎف‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﻃﻮل ﺑﺮﺧﻲ از ﻋﻀﻼت زاﻧﻮ و ﻣﭻ ﭘﺎ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﺳـﻨﺪروم درد ﭘـﺎﺗﻠﻮﻓﻤﻮرال در‬
‫داﻣﻨﻪ ﺳﻨﻲ ‪ 18-40‬ﺳﺎل‬
‫اﻓﺴﻮن ﻧﻮدﻫﻲ ﻣﻘﺪم‪ ،‬روﺷﻨﻚ ﻛﺸﺎورز‬
‫ﺳﻨﺪروم درد ﭘﺎﺗﻠﻮ ﻓﻤﻮرال ﻳﻚ ﻋﻠﺖ ﺷﺎﻳﻊ درد ﻗﺪام زاﻧﻮ ﻣـﻲﺑﺎﺷـﺪ‪ .‬اﻳـﻦ ﺷـﺮاﻳﻂ ﻣـﻲﺗﻮاﻧـﺪ ﺣﺎﺻـﻞ‬
‫ﻓﺎﻛﺘﻮرﻫــﺎي ﻏﻴﺮﻃﺒﻴﻌــﻲ ﻋــﻀﻼﻧﻲ و ﺑﻴﻮﻣﻜــﺎﻧﻴﻜﻲ ﺑﺎﺷــﺪ ﻛــﻪ ﺣﺮﻛــﺖ ﭘــﺎﺗﻼ در داﺧــﻞ ﻧــﺎودان ﺗﺮوﻛﻠــﻪ ار‬
‫اﺳﺘﺨﻮان ران را ﺗﻐﻴﻴﺮ داده ﻣﻨﺠﺮ ﺑﻪ اﻓﺰاﻳﺶ ﻓﺸﺎرﻫﺎي ﺗﻤﺎﺳﻲ ﭘﺎﺗﻠﻮﻓﻤﻮرال ﮔﺮدد ﻛﻪ ﻣﻲﺗﻮاﻧﺪ ﻣﻨﺠﺮ ﺑﻪ درد‬
‫و اﺧﺘﻼل ﻋﻤﻠﻜﺮدي ﮔﺮدد ‪ .‬اﺧﺘﻼﻻﺗﻲ ﻣﺜﻞ ﻛﺎﻫﺶ اﻧﻌﻄﺎف ﭘﺬﻳﺮي ﺑﺮﺧﻲ ﻋﻀﻼت اﻧﺪام ﺗﺤﺘﺎﻧﻲ از ﺟﻤﻠﻪ‬
‫اﺧﺘﻼﻻت ﻣﻬﻤﻲ اﺳﺖ ﻛﻪ در درﻣﺎن ﻛﻨﺴﺮواﺗﻴﻮ ﺳﻨﺪروم درد ﭘﺎﺗﻠﻮ ﻓﻤﻮرال در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﻣﻲﺷﻮد‪.‬‬
‫ﻫﺪف از اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻣﻘﺎﻳﺴﻪ ﻃﻮل ﺑﺮﺧﻲ از ﻋﻀﻼت اﻧﺪام ﺗﺤﺘﺎﻧﻲ ﺑﻴﻦ اﻓﺮاد ﺑـﺎ و ﺑـﺪون ﺳـﻨﺪروم درد‬
‫ﭘﺎﺗﻠﻮ ﻓﻤﻮرال ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣﻮاد و روشﻫﺎ‪ :‬ﭘﺎﻧﺰده ﺑﻴﻤﺎر ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪروم درد ﭘﺎﺗﻠﻮ ﻓﻤﻮرال و ﭘﺎﻧﺰده ﻓﺮد ﺳﺎﻟﻢ ﻛﻪ ﺑﺮ اﺳﺎس ﺳﻦ‬
‫و ﺟﻨــﺴﻴﺖ ﺟــﻮر ﺷــﺪه ﺑﻮدﻧــﺪ در اﻳــﻦ ﻣﻄﺎﻟﻌــﻪ ﺷــﺮﻛﺖ ﻛﺮدﻧــﺪ‪ .‬ﻃــﻮل ﻋــﻀﻼت ﻛﻮادرﻳــﺴﭙﺲ و‬
‫ﮔﺎﺳﺘﺮوﻛﻨﻤﻴﻮس و ﺳﻮﻟﺌﻮس ﺑﺎ اﺳﺘﻔﺎده از ﻳﻚ ﮔﻮﻧﻴﺎﻣﺘﺮ اﺳﺘﺎﻧﺪارد در ﻫﺮ دو ﮔﺮوه اﻧﺪازه ﮔﺮﻓﺘﻪ ﺷﺪﻧﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻃﻮل ﻋﻀﻼت ﮔﺎﺳﺘﺮوﻛﻨﻤﻴﻮس و ﺳﻮﻟﺌﻮس ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪروم درد ﭘﺎﺗﻠﻮ ﻓﻤـﻮرال ﺑﻄـﻮر‬
‫ﻣﻌﻨﻲ داري ﻛﻤﺘﺮ از اﻓﺮاد ﺳﺎﻟﻢ ﺑﻮد)‪ (P<0/05‬در ﺣﺎﻟﻴﻜﻪ دو ﮔﺮوه ﻫﻴﭽﮕﻮﻧﻪ ﺗﻔﺎوت ﻣﻌﻨﻲ داري از ﻧﻈـﺮ‬
‫ﻃﻮل ﻋﻀﻠﻪ ﻛﻮادرﻳﺴﭙﺲ ﻧﺪاﺷﺘﻨﺪ‪(P>0/05).‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻧﺘﺎﻳﺞ اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻋﻀﻼت ﮔﺎﺳﺘﺮوﻛﻨﻤﻴﻮس و ﺳﻮﻟﺌﻮس ﺑﻴﻤﺎران ﻣﺒـﺘﻼ ﺑـﻪ‬
‫ﺳﻨﺪروم درد ﭘﺎﺗﻠﻮ ﻓﻤﻮرال داراي اﻧﻌﻄﺎفﭘﺬﻳﺮي ﻛﻤﺘﺮي ﻧﺴﺒﺖ ﺑﻪ اﻓﺮاد ﺳﺎﻟﻢ ﻣﻲﺑﺎﺷﻨﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻋﻀﻼت ﮔﺎﺳﺘﺮوﻛﻨﻤﻴﻮس و ﺳﻮﻟﺌﻮس و ﻛﻮادرﻳﺴﭙﺲ‪ ،‬ﺳﻨﺪروم درد ﭘﺎﺗﻠﻮ ﻓﻤـﻮرال‪ ،‬ﻃـﻮل‬
‫ﻋﻀﻼﻧﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ روي اﺑﻌﺎد ﻣﺨﺘﻠﻒ ﺳﻄﺢ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ‬
‫دﻳﺎﺑﺖ ﻧﻮع دو‬
‫ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‪ ،‬ﻛﺎﻣﺮان ﻋﺰﺗﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ورزش ﻳﻜﻲ از ﻣﻬﻤﺘﺮﻳﻦ اﺟﺮاء درﻣﺎﻧﻲ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ دﻳﺎﺑﺖ ﻧـﻮع دو ﻣـﻲﺑﺎﺷـﺪ‪ .‬ﺑـﺎ اﻳـﻦ‬
‫وﺟﻮد‪ ،‬ﻣﻄﺎﻟﻌـﺎت اﻧـﺪﻛﻲ درﺑـﺎره ﺑﺮرﺳـﻲ ﺗـﺄﺛﻴﺮ ﻣـﺪاﺧﻼت ﻓﻴﺰﻳـﻮﺗﺮاﭘﻲ ﺷـﺎﻣﻞ ﻣﺪاﻟﻴﺘـﻪﻫـﺎي ﺿـﺪ درد و‬
‫ﺑﺮﻧﺎﻣﻪﻫﺎي ﺗﺮﻛﻴﺒﻲ ﺗﻘﻮﻳﺘﻲ و ﻫﻮازي اﻳﻦ ﺑﻴﻤﺎران اﻧﺠﺎم ﺷﺪه اﺳﺖ‪.‬‬
‫اﻫﺪاف‪ :‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ روي اﺑﻌﺎد ﻣﺨﺘﻠـﻒ ﺳـﻄﺢ ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ در ﺑﻴﻤـﺎران‬
‫ﻣﺒﺘﻼ ﺑﻪ دﻳﺎﺑﺖ ﻧﻮع دو‪.‬‬
‫ﺑﻴﻤﺎران و روشﻫﺎ‪ :‬ﺗﻤﺎﻣﻲ ﺑﻴﻤﺎران ﺷﺮاﻳﻂ ورود ﺑﻪ ﺗﺤﻘﻴﻖ ﺣﺎﺿﺮ را داﺷﺘﻨﺪ‪ .‬اﻳﻦ ﺑﻴﻤﺎران ﺑﻪ ﺻـﻮرت‬
‫ﺗـﺼﺎدﻓﻲ در دو ﮔـﺮوه ﻛﻨﺘـﺮل )ﺗﻌـﺪاد‪ ،65 :‬ﺳـﻦ‪56/29±9/6 :‬و وزن‪ (76/06± 7/13 :‬و ﮔـﺮوه ﻣﺪاﺧﻠـﻪ‬
‫)ﺗﻌﺪاد=‪ ،65 :‬ﺳﻦ‪ 58/47±7/42 :‬وزن‪ (74/61±6/22 :‬ﻗﺮار ﮔﺮﻓﺘﻨﺪ‪ .‬ﺗﻤﺎﻣﻲ ﺑﻴﻤﺎران در ﮔـﺮوه ﻣﺪاﺧﻠـﻪ ‪30‬‬
‫دﻗﻴﻘﻪ ﻣﺪاﻟﻴﺘﻪﻫﺎي ﺿﺪ درد‪ ،‬ﻛﺸﺶ و ﺗﻤﺮﻳﻨﺎت ﻗﺪرﺗﻲ و ﻫﻮازي را ‪ 3‬ﺑﺎر در ﻫﻔﺘﻪ و ﺑﻪ ﻣـﺪت ‪ 3‬ﻣـﺎه اﻧﺠـﺎم‬
‫دادﻧﺪ‪ .‬ﮔﺮوه ﻛﻨﺘﺮل درﻣﺎﻧﻲ درﻳﺎﻓﺖ ﻧﻤﻲﻧﻤﻮد‪ .‬ﻫﻤﻪ ﺑﻴﻤﺎران ﻗﺒﻞ و ﺑﻌﺪ از درﻣـﺎن ﭘﺮﺳـﺸﻨﺎﻣﻪ ‪ SF-36‬را ﭘـﺮ‬
‫ﻣﻲﻧﻤﻮدﻧﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻣﺘﻐﻴﺮﻫﺎي دﻣﻮﮔﺮاﻓﻴﻚ و اﺑﻌﺎد ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﻗﺒﻞ از درﻣﺎن ﺑﻴﻦ دو ﮔـﺮوه ﻛﻨﺘـﺮل و ﻣﺪاﺧﻠـﻪ‬
‫اﺧﺘﻼف ﻣﻌﻨﻲ داري را ﻧﺸﺎن ﻧﺪادﻧﺪ‪ .‬ﻧﺘـﺎﻳﺞ ﺑـﻪ دﺳـﺖ آﻣـﺪه از آزﻣـﻮن وﻳﻠﻜﻠﻜـﺴﻮن ﺑـﻪ ﻣﻨﻈـﻮر ﻣﻘﺎﻳـﺴﻪ‬
‫ﻣﻴﺎﻧﮕﻴﻦ ﻣﺘﻐﻴﺮﻫﺎي اﺑﻌﺎد ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﻗﺒـﻞ و ﺑﻌـﺪ از درﻣـﺎن ﻧـﺸﺎن داد ﻛـﻪ ﺑـﻪ دﻧﺒـﺎل اﻧﺠـﺎم ﻣـﺪاﺧﻼت‬
‫ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ‪ ،‬ﻋﻤﻠﻜﺮد ﺟـﺴﻤﺎﻧﻲ‪ ،‬ﻣﺤـﺪودﻳﺖ در ﻧﻘـﺶ ﺟـﺴﻤﺎﻧﻲ‪ ،‬درد‪ ،‬ﺳـﻼﻣﺖ ﻛﻠـﻲ‪ ،‬ﻧﻴـﺮوي زﻧـﺪﮔﻲ‪،‬‬
‫ﻋﻤﻠﻜﺮد اﺟﺘﻤﺎﻋﻲ‪ ،‬ﺧﻼﺻﻪ ﺳﻼﻣﺖ ﺟﺴﻤﺎﻧﻲ‪ ،‬ﺧﻼﺻﻪ ﺳﻼﻣﺖ رواﻧﻲ و ﻧﻤﺮه ﻛﻞ اﺧﺘﻼف ﻣﻌﻨـﻲ داري را‬
‫ﻧﺸﺎن دادﻧﺪ‪ .(p<0/05) .‬از ﻃﺮﻓﻲ ﺗﻨﻬﺎ ﻣﺘﻐﻴﺮﻫﺎي ﻣﺤـﺪودﻳﺖ در ﻧﻘـﺶ ﻋـﺎﻃﻔﻲ‪ ،‬ﺳـﻼﻣﺖ روان در ﮔـﺮوه‬
‫ﻣﺪاﺧﻠﻪ ﺑﻌﺪ از درﻣﺎن ﺗﻔﺎوت ﻣﻌﻨﻲداري را ﻧﺸﺎن ﻧﺪادﻧﺪ )‪.(p>0/05‬‬
‫اﻣﺎ در ﮔﺮوه ﻛﻨﺘﺮل ﺗﻐﻴﻴﺮات ﻣﻌﻨﻲداري ﻣﺸﺎﻫﺪه ﻧﺸﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ورزش ﻣﻨﻈﻢ و ﺗﺤﺖ ﻧﻈﺮ ﻣﻤﻜﻨﺴﺖ روي اﺑﻌﺎد ﺑﺨﺼﻮص اﺑﻌﺪ ﺟﺴﻤﺎﻧﻲ ﻣﺆﺛﺮ ﺑﺎﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬دﻳﺎﺑﺖ‪ ،‬ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‪ ،‬ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫آﻣﻮزش ﭘﻴﺸﮕﻴﺮي از ﺳﻮء ﻣﺼﺮف ﻣﻮاد در ﻣﻬﺪﻫﺎي ﻛﻮدك‬
‫ﻓﺎﻃﻤﻪ ﺧﺰاﺋﻠﻲ‬
‫ﻣﺼﺮف ﻣﻮاد اﻋﺘﻴﺎدآور ﻳﻚ ﻣﺸﻜﻞ زﻳﺴﺘﻲ‪ ،‬رواﻧﻲ‪ ،‬اﺟﺘﻤﺎﻋﻲ و ﺣﺘـﻲ ﻣﻌﻨـﻮي اﺳـﺖ و در اﻳﺠـﺎد آن‬
‫ﻋﻮاﻣﻞ ﻣﺘﻌﺪدي ﻣﻮﺛﺮ ﻫﺴﺘﻨﺪ ﻛﻪ در ﺗﻌﺎﻣﻞ ﺑﺎ ﻳﻜﺪﻳﮕﺮ ﺑﺮ ﻫﻢ اﺛﺮ ﻣﻲﮔﺬارﻧـﺪ و ﻣﻮﺟـﺐ ﻣـﻲﺷـﻮﻧﺪ ﻓـﺮد ﺑـﻪ‬
‫ﺳﻮي ﻣﺼﺮف ﻣﻮاد اﻋﺘﻴﺎدآور ﺳﻮق ﭘﻴﺪا ﻛﻨﻨﺪ‪ .‬آﺷﻨﺎﻳﻲ ﺑﺎ اﻳﻦ ﻋﻠﻞ ﻣﻮﺟﺐ ﻣـﻲﮔـﺮدد ﻛـﻪ در ﺑﺮﻧﺎﻣـﻪﻫـﺎي‬
‫ﭘﻴﺸﮕﻴﺮاﻧﻪ ﺑﺮاي ﻛﺎﻫﺶ ﻳﺎ رﻓﻊ آﻧﻬﺎ )ﺣﺘﻲ ﻗﺒﻞ از دوران ﻣﺪرﺳﻪ( اﻗﺪام ﺷﻮد‪.‬‬
‫ﭘﻴﺸﮕﻴﺮي ﻓﺮآﻳﻨﺪ ﻓﻌﺎﻟﻲ اﺳﺖ ﻛﻪ اﻓﺮاد و ﺳﻴﺴﺘﻢﻫﺎ را ﺑﺮاي روﻳﺎروﻳﻲ ﺑﺎ ﮔﺬارﻫﺎ و ﭼﺎﻟﺶﻫﺎي زﻧﺪﮔﻲ‬
‫ﻣﻘﺘﺪر ﻣﻲﺳﺎزد‪ .‬ﭘﮋوﻫﺸﮕﺮان درﻳﺎﻓﺘﻪاﻧﺪ ﻛـﻪ ﻋﻮاﻣـﻞ ﺧﻄـﺮ اﺣﺘﻤـﺎل ﺑـﺮوز ﻣـﺸﻜﻼت رﻓﺘـﺎري در ﺟﻮاﻧـﺎن‬
‫اﻓﺰاﻳﺶ ﻣﻲدﻫﺪ‪ .‬آﺷﻨﺎﻳﻲ ﺑﺎ اﻳﻦ ﻋﻮاﻣﻞ ﺧﻄﺮ‪ ،‬اوﻟﻴﻦ ﻗﺪم ﺑﺮاي ﺷﻨﺎﺧﺖ اﺑﺰار ﻣﻮﺛﺮ ﭘﻴﺸﮕﻴﺮي اﺳﺖ‪ .‬ﺑﻪ ﻫﻤﺎن‬
‫ﻧﺴﺒﺖ ﺑﻌﻀﻲ ﻋﻮاﻣﻞ ﻣﺤﺎﻓﻆ ﻣﻲﺗﻮاﻧﻨﺪ آﻧﻬﺎ را از ﻣﺸﻜﻼت ﻣﺤﻔﻮظ ﻧﻤﺎﻳﻨﺪ‪ .‬اﮔﺮ ﻣﺎ ﺑﺘﻮاﻧﻴﻢ ﻋﻮاﻣـﻞ ﻣﺤـﺎﻓﻆ‬
‫را ﻛﻪ ﻣﻮﺟﺐ ﺣﻔﻆ ﻛﻮدﻛﺎن در دوره رﺷﺪ ﻣﻲﺷﻮد اﻓﺰاﻳﺶ دﻫﻴﻢ ﻣﻲﺗﻮاﻧﻴﻢ از اﻳﻦ ﻣـﺸﻜﻼت ﭘﻴـﺸﮕﻴﺮي‬
‫ﻧﻤﺎﻳﻴﻢ‪.‬‬
‫آﻣﻮزش ﻣﻮاد ﺑﺮاي ﻛﻮدﻛﺎن ﭘﻴﺶ دﺑﺴﺘﺎن ﺿﺮوري ﺑﻪ ﻧﻈﺮ ﻧﻤﻲرﺳﺪ وﻟﻲ ﻧﮕﺮشﻫﺎ و ﻋﺎدات آﻣﻮﺧﺘـﻪ‬
‫ﺷﺪه ﻛﻮدﻛﻲ ﻣﻲﺗﻮاﻧﺪ در ﺗﺼﻤﻴﻢﮔﻴﺮي آﻧﻬﺎ در آﻳﻨﺪه اﺛﺮ ﻣﻬﻤﻲ داﺷﺘﻪ ﺑﺎﺷﺪ‪.‬‬
‫ﻣﺮوري ﺑﺮ ﻣﻨﺎﺑﻊ ﻣﺮﺑﻮط ﺑﻪ ﺑﺮﻧﺎﻣﻪﻫﺎي ﭘﻴﺸﮕﻴﺮي از ﺳﻮءﻣﺼﺮف ﻣﻮاد ﻧﻴﺰ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ اﻳﻦ ﺑﺮﻧﺎﻣﻪﻫﺎ‬
‫ﺑﺎﻳﺪ ﻗﺒﻞ از ﺳﻦ ﻣﺪرﺳﻪ ﺷﺮوع ﺷﻮد‪ .‬زﻳﺮا ﻛﻮدﻛﺎن در ﺳﻨﻴﻦ ﭘﺎﻳﻴﻦ ﻣﻮاد ﺷﻴﻤﻴﺎﻳﻲ را ﻣﻲﺷﻨﺎﺳـﻨﺪ‪ .‬ﻛﻮدﻛـﺎن‬
‫ﺳﻪ ﺗﺎ ﭼﻬﺎر ﺳﺎﻟﻪ ﻫﻨﻮز آﻣﺎدﮔﻲ آﻣﻮزش واﻗﻌﻴﺖﻫﺎي ﭘﻴﭽﻴﺪه درﺑﺎره اﻟﻜﻞ وﺳﺎﻳﺮ ﻣﻮاد را ﻧﺪارﻧـﺪ اﻣـﺎ آﻧﻬـﺎ‬
‫ﻧﻤﻲﺗﻮاﻧﻨﺪ ﻣﻬﺎرتﻫﺎي ﺣﻞ ﻣـﺴﺌﻠﻪ و ﺗـﺼﻤﻴﻢﮔﻴـﺮي را ﻛـﻪ ﻣﻮﺟـﺐ اﻣﺘﻨـﺎع از ﻣـﺼﺮف ﻣـﻮاد و اﻟﻜـﻞ در‬
‫ﺳﺎلﻫﺎي ﻧﻮﺟﻮاﻧﻲ ﻣﻲﮔﺮدد‪ ،‬ﻳﺎد ﺑﮕﻴﺮﻧﺪ‪.‬‬
‫اﻳﻦ ﻣﺠﻤﻮﻋﻪ آﻣﻮزﺷﻲ ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻫﻤﻴﺖ و ﺿﺮورت ﺗﻮﺟﻪ ﺑﻪ ﺳﻼﻣﺖ و ارﺗﻘﺎي ﺳـﻼﻣﺖ ﻛﻮدﻛـﺎن و‬
‫ﻣﺼﻮنﺳﺎزي آﻧﻬﺎ در ﺑﺮاﺑﺮ ﺧﻄﺮات ﻣﺼﺮف ﻣﻮاد اﻋﺘﻴﺎد آور در ﺳﺎلﻫـﺎي ﻧﻮﺟـﻮاﻧﻲ‪ ،‬ﺑـﺮاي اوﻟـﻴﻦ ﺑـﺎر در‬
‫اﻳـﺮان ﺗﻬﻴـﻪ و ﺗـﺪوﻳﻦ ﺷــﺪه اﺳـﺖ و ﻫـﺪف آن اﻓـﺰاﻳﺶ داﻧــﺶ و ﻣﻬـﺎرت ﻛﺎرﺷﻨﺎﺳـﺎن ﻣـﺮﺗﺒﻂ در زﻣﻴﻨــﻪ‬
‫ﭘﻴﺸﮕﻴﺮي از ﻣﺼﺮف ﻣﻮاد اﻋﺘﻴﺎدآور در ﻣﻬﺪﻫﺎي ﻛﻮدك و ﭘﻴﺶدﺑـﺴﺘﺎﻧﻲﻫـﺎي و ﺑـﻪ ﻛـﺎرﮔﻴﺮي و اﻧﺘﻘـﺎل‬
‫داﻧﺶ و ﻣﻬﺎرتﻫﺎي روﻳﻜﺮد اﺟﺘﻤﺎع ﻣﺤﻮر اﺳﺖ‪.‬‬
‫در ﻗﺴﻤﺖ ﻣﺒﺎﻧﻲ ﻧﻈـﺮي ﻣﺮاﺣـﻞ رﺷـﺪ رواﻧـﻲ اﺟﺘﻤـﺎﻋﻲ در ﻛﻮدﻛـﺎن‪ ،‬ﺳـﻼﻣﺖ و ارﺗﻘـﺎي ﺳـﻼﻣﺖ‪،‬‬
‫ﻣﺼﺮف ﻣﻮاد اﻋﺘﻴﺎدآور و راﻫﻬﺎي ﭘﻴـﺸﮕﻴﺮي از آن‪ ،‬ﺗـﺎبآوري وﻧﻘـﺶ آن در ارﺗﻘـﺎي ﺳـﻼﻣﺖ‪ ،‬اﻗﺘـﺪار‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫اﻓﺰاﻳﻲ و ﻧﻘﺶ آن د رارﺗﻘﺎي ﺳﻼﻣﺖ ﻛﻮدﻛﺎن‪ ،‬دﻟﺒﺴﺘﮕﻲ وﻧﻘﺶ آن در ارﺗﻘـﺎي ﺳـﻼﻣﺖ ﻛﻮدﻛـﺎن و در‬
‫ﻗﺴﻤﺖ ﻣﺒـﺎﻧﻲ ﻋﻤﻠـﻲ ﭘﻴـﺸﮕﻴﺮي از ﻣـﺼﺮف ﻣﻮاداﻋﺘﻴـﺎدآور‪ ،‬ﻣﻬـﺎرتﻫـﺎي زﻧـﺪﮔﻲ ﺑـﺮاي ﻣـﺼﻮنﺳـﺎزي‬
‫ﻛﻮدﻛﺎن‪ ،‬اﻧﻮاع ﺑﺎزﻳﻬﺎ و ﻧﻘـﺶ آن در ﻣـﺼﻮن ﺳـﺎزي ﻛﻮدﻛـﺎن و ﻣﻬـﺎرت واﻟـﺪي ﺟﻬـﺖ ﻣـﺼﻮنﺳـﺎزي‬
‫ﻛﻮدﻛﺎن ﺷﺮح داده ﻣﻲﺷﻮد‪ .‬در ﻗﺴﻤﺖ ﭘﻴﻮﺳﺖﻫﺎ ﻧﻴﺰ ﺑﺎ ﭼﮕﻮﻧﮕﻲ ﺑﺮﻧﺎﻣﻪرﻳﺰي ﺑﺎ روﻳﻜﺮد اﺟﺘﻤﺎع ﻣﺤـﻮر‪،‬‬
‫اﻫﺪاف آﻣﻮزﺷﻲ و ﻧﺤﻮه آﻣﻮزش‪ ،‬آﺷﻨﺎﻳﻲ ﺑﺎ ﻣﻬﺎرتﻫﺎي ﺗﺴﻬﻴﻠﮕﺮي آﺷﻨﺎ ﻣﻲﺷﻮﻳﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﻼﻣﺖ و ارﺗﻘﺎي ﺳﻼﻣﺖ ـ ﭘﻴﺸﮕﻴﺮي از اﻋﺘﻴﺎد ـ دﻟﺒﺴﺘﮕﻲ ـ ﺗﺎبآوري ـ اﻗﺘـﺪاراﻓﺰاﻳﻲ‬
‫ـ ﻣﻬﺎرتﻫﺎي زﻧﺪﮔﻲ ـ اﺟﺘﻤﺎعﻣﺤﻮر‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻠﻪ آﻣﻮزﺷﻲ ﺑﺮ ﺳﻼﻣﺖ رواﻧﻲ و ﺧﻮدﻛﺎرآﻣﺪي داﻧﺶ آﻣﻮزان دﺧﺘﺮ‬
‫ﻣﻬﺸﻴﺪ ﻧﻮري‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬اﺧﺘﻼﻻت روان ﺷﻨﺎﺧﺘﻲ ﻳﻜﻲ از ﻋﻮاﻣـﻞ ﻣﻬـﻢ ﻛـﺎﻫﺶ ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ در ﺟﻮاﻣـﻊ‬
‫ﻛﻨﻮﻧﻲ اﺳﺖ ﺑﺮاﺳﺎس ﮔﺰارش ﺳﺎزﻣﺎن ﺟﻬﺎﻧﻲ ﺑﻬﺪاﺷﺖ از ﻫﺮ ﭼﻬﺎر ﻧﻔﺮ ﻳﻚ ﻧﻔﺮ ﻳﺎ ﺑﻪ ﻋﺒـﺎرت دﻳﮕـﺮ ‪%25‬‬
‫از ﺟﻤﻌﻴﺖ ﺟﻬﺎن از اﺧﺘﻼﻻت ﻋﺼﺒﻲ ـ رواﻧﻲ رﻧﺞ ﻣـﻲﺑﺮﻧـﺪ‪ .‬در اﻳـﺮان ﻧﻴـﺰ ﺷـﻴﻮع اﺧـﺘﻼﻻت رواﻧـﻲ ﺑـﻪ‬
‫ﺻﻮرت ﻛﻠﻲ در ﺟﻤﻌﻴﺖ ﺑﺎﻻي ‪ 15‬ﺳﺎل ﻛﺸﻮر ‪ %21‬ﮔﺰارش ﺷﺪه اﺳﺖ‪ .‬ﺷﺎﻳﺪ ﺗﺼﻮر ﺷﻮد ﻛﻪ اﺧـﺘﻼﻻت‬
‫وﻣﺸﻜﻼت رواﻧﻲ ﻣﺮﺑﻮط ﺑﻪ ﺟﻤﻌﻴﺖ ﺑﺰرﮔﺴﺎل اﺳﺖ اﻣﺎ ﺷﻮاﻫﺪ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ آﻣﺎر اﺑﺘﻼي ﻛﻮدﻛـﺎن و‬
‫ﻧﻮﺟﻮاﻧﺎن ﻧﻪ ﺗﻨﻬﺎ ﻛﻤﺘﺮ از ﺑﺰرﮔﺴﺎﻻن ﻧﻴﺴﺖ ﺑﻠﻜﻪ در ﺑﺮﺧﻲ ﻣﻮارد ﺑﻴﺸﺘﺮ ﻧﻴﺰ ﻣﻲﺑﺎﺷـﺪ و اﻛﺜـﺮ اﺧـﺘﻼﻻت و‬
‫ﻣﺸﻜﻼت رواﻧﻲ ﺑﺰرﮔﺴﺎﻻن رﻳﺸﻪ در دوران ﻛﻮدﻛﻲ و ﻧﻮﺟﻮاﻧﻲ آﻧﺎن دارد‪.‬‬
‫ﻫﺪف از اﻳﻦ ﭘﮋوﻫﺶ‪ :‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻠﻪ آﻣﻮزﺷﻲ در ﺑﻬﺪاﺷﺖ رواﻧﻲ و ﺧـﻮد ﻛﺎراﻣـﺪي داﻧـﺶ‬
‫اﻣﻮزان دﺧﺘﺮ ﺑﻮده اﺳﺖ‪.‬‬
‫ﻣﻮاد و روش‪ :‬ﺑـﺮاي اﻳـﻦ ﻣﻨﻈـﻮر از ﺑـﻴﻦ ﻣـﺪارس راﻫﻨﻤـﺎﻳﻲ دﺧﺘﺮاﻧـﻪ ﻣﻨﻄﻘـﻪ ﻳـﻚ ﺗﻬـﺮان ﺑـﻪ روش‬
‫ﻃﺒﻘﻪﺑﻨﺪي ﺗﺼﺎدﻓﻲ ‪ 18‬ﻣﺪرﺳﻪ و از ﺑﻴﻦ داﻧﺶ آﻣﻮزان ‪ 125‬داﻧﺶ آﻣﻮز را ﺑﻪ ﻋﻨﻮان ﮔﺮوه ﻣﺪاﺧﻠـﻪ و ‪125‬‬
‫داﻧﺶ آﻣﻮز ﺑﻪ ﻋﻨﻮان ﮔﺮوه ﻣﻘﺎﻳﺴﻪ اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺳﭙﺲ ﺑـﻪ ﮔـﺮوه ﻣﺪاﺧﻠـﻪ آﻣـﻮزش داده ﺷـﺪ و ﮔـﺮوه‬
‫ﻣﻘﺎﻳﺴﻪ ﺑﻪ ﺑﺮﻧﺎﻣﻪﻫﺎي ﻋﺎدي ﺧﻮد اداﻣﻪ ﻣﻲدادﻧﺪ‪ .‬ﺑﺎ اﺳﺘﻔﺎده از ﭘﺮﺳﺸﻨﺎﻣﻪ اﻃﻼﻋﺎﺗﻲ و ﺑـﺎ اﺳـﺘﻔﺎده از آزﻣـﻮن‬
‫ﺧﻮدﻛﺎرآﻣﺪي ﻋﻤﻮﻣﻲ ‪ 1 GSE‬و آزﻣﻮن ﺳﻼﻣﺖ ﻋﻤﻮﻣﻲ)‪ (GHQ-28‬ﻳﻚ ﭘﻴﺶ آزﻣﻮن و ﭘـﺲ آزﻣـﻮن‬
‫ﺻﻮرت ﮔﺮﻓﺖ‪ .‬ﺑﺮاي ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﻧﺘﺎﻳﺞ از آزﻣﻮنﻫﺎي آﻣﺎري ‪ t‬زوﺟﻲ و ﻣﺴﺘﻘﻞ و ﻛﺎي دو و ﺿﺮﻳﺐ‬
‫ﻫﻤﺒﺴﺘﮕﻲ اﺳﭙﻴﺮﻣﻦ اﺳﺘﻔﺎده ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ ﺑـﻴﻦ ﻣﺘﻐﻴﺮﻫـﺎي دﻣﻮﮔﺮاﻓﻴـﻚ و زﻣﻴﻨـﻪاي در دو ﮔـﺮوه ﻣﺪاﺧﻠـﻪ و ﻣﻘﺎﻳـﺴﻪ‬
‫ﺗﻔــﺎوت ﻣﻌﻨــﻲ داري وﺟــﻮد ﻧــﺪارد و ﻫﻤﭽﻨــﻴﻦ در ﻣﻴــﺰان اﻓــﺴﺮدﮔﻲ‪ ،‬ﻋﻤﻠﻜــﺮد اﺟﺘﻤــﺎﻋﻲ‪ ،‬اﺿــﻄﺮاب‪،‬‬
‫ﺟﺴﻤﺎﻧﻲﺳﺎزي و ﺧﻮد ﻛﺎرآﻣﺪي داﻧﺶ آﻣﻮزان ﻗﺒﻞ از ﻣﺪاﺧﻠـﻪ آﻣﻮزﺷـﻲ ﺗﻔـﺎوت ﻣﻌﻨـﻲ داري از ﻟﺤـﺎظ‬
‫آﻣﺎري وﺟﻮد ﻧﺪاﺷﺖ‪ ،‬ﻟـﻴﻜﻦ ﭘـﺲ از اﻧﺠـﺎم ﻣـﺪاﺧﻼت آﻣﻮزﺷـﻲ ﻣﻴـﺰان اﻓـﺴﺮدﮔﻲ و اﺿـﻄﺮاب داﻧـﺶ‬
‫آﻣــﻮزان ﻛــﺎﻫﺶ ﻳﺎﻓﺘــﻪ‪ ،‬ﻋﻤﻠﻜــﺮد اﺟﺘﻤــﺎﻋﻲ و ﻣﻴــﺰان ﺧــﻮد ﻛﺎرآﻣــﺪي آﻧــﺎن ﻧﻴــﺰ ﺑﻬﺒــﻮد ﻳﺎﻓﺘــﻪ و ﻣﻴــﺰان‬
‫ﺟﺴﻤﺎﻧﻲﺳﺎزي ﻧﻴﺰ در داﻧﺶ آﻣﻮزان ﻛﺎﻫﺶ ﻧﺸﺎن ﻣﻲدﻫﺪ‪ .‬ﻧﺘﺎﻳﺞ اﻳﻦ ﺗﺤﻘﻴﻖ ﻫﻤﺴﻮ ﺑﺎ ﻧﺘﺎﻳﺞ ﺗﺤﻘﻴﻘﺎﺗﻲ ﺑـﻮد‬
‫ﻛﻪ در آﻣﺮﻳﻜﺎ و ﻛﺎﻧﺎدا و ﺳﺎﻳﺮ ﻧﻘﺎط ﺟﻬﺎن ﺻﻮرت ﮔﺮﻓﺘﻪ اﺳﺖ‪.‬‬
‫‪1- General Self Efficacy‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺗﺸﺨﻴﺺ و ﻣﺪاﺧﻠﻪ ﺑﻪ ﻣﻮﻗﻊ ﻣﻲﺗﻮاﻧﺪ از ﭘﻴﺸﺮﻓﺖ اﺧﺘﻼﻻت رواﻧﻲ و ازﻣﺎن آن ﺑﻜﺎﻫﺪ و‬
‫ﻣﻮﺟﺐ اﻓﺰاﻳﺶ ﺳﻼﻣﺖ رواﻧﻲ و ﺧﻮدﻛﺎرآﻣﺪي داﻧﺶ آﻣﻮزان و در ﻧﺘﻴﺠﻪ ﺑﻬﺒـﻮد ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ آﻧـﺎن‬
‫ﮔﺮدد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﻼﻣﺖ رواﻧﻲ‪ ،‬ﺧﻮد ﻛﺎرآﻣﺪي‪ ،‬ﻣﺪاﺧﻠﻪ آﻣﻮزﺷﻲ‪ ،‬داﻧﺶ آﻣﻮزان‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ اﺛﺮ ﺗﻤﺮﻳﻨﺎت ﻓﻌﺎل ﻣﺒﺘﻨﻲ ﺑﺮ ﻫﻤﺎﻫﻨﮕﻲ ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ اﻧﺪام ﻓﻮﻗﺎﻧﻲ ﺑﺮ ﺳـﺮﻋﺖ و ﻣﻴـﺰان‬
‫ﺑﻬﺒﻮدي ﺷﻴﺮﺧﻮاران ﻣﺒﺘﻼ ﺑﻪ ﺿﺎﻳﻌﺎت ﺷﺒﻜﻪ ﺑﺮاﻛﻴﺎل‬
‫ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‪ ،‬اﻣﻴﺮﻣﺴﻌﻮد ﻋﺮب‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﺿﺎﻳﻌﺎت ﺷﺒﻜﻪ ﺑﺮاﻛﻴﺎل ﻫﻤﻮاره ﺑﻌﻨـﻮان ﻳﻜـﻲ از ﻣﻬﻤﺘـﺮﻳﻦ ﺿـﺎﻳﻌﺎت وارده ﺑـﻪ ﺟﻨـﻴﻦ ﻫﻨﮕـﺎم‬
‫زاﻳﻤﺎن ﻣﻮرد ﺗﻮﺟﻪ ﻣﺤﻘﻘﻴﻦ ﺑﻮده اﺳﺖ‪ .‬در اﻳﻦ ﺿﺎﻳﻌﻪ ﺑﺪﻟﻴﻞ ﺑﻲ ﺣﺮﻛﺘـﻲ ﻣـﺪاوم و ﻋـﺪم ﻓﻌﺎﻟﻴـﺖ ﻣﻨﺎﺳـﺐ‬
‫اﻧﺪام‪ ،‬اﻧﺪام ﻣﺒﺘﻼ ﺑﻪ ﺣﺎﻟﺖ ﻏﻴﺮ ﻣﺘﻘﺎرن و آوﻳﺰان ﻗﺮار ﮔﺮﻓﺘﻪ و رﻓﻠﻜﺴﻬﺎي ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛـﺎن ﺗﺤـﺖ ﺷـﻌﺎع‬
‫ﻗﺮار ﻣﻲﮔﻴﺮد ﻛﻪ اﻳﻦ اﻣﺮ روﻧﺪ ﺗﻜﺎﻣﻞ ﺣﺮﻛﺎت اﻧﺪام را ﺑﻪ ﺗﺎﺧﻴﺮ ﻣﻲاﻧـﺪازد‪ .‬اﻣـﺮوزه ﺗﻮاﻧﺒﺨـﺸﻲ ﺳـﺮﻳﻊ ﺑـﻪ‬
‫ﻣﻨﻈﻮر ﺑﺮﮔﺸﺖ ﻫﺮ ﭼﻪ ﺳﺮﻳﻌﺘﺮ ﻓﺮد آﺳﻴﺐ دﻳﺪه ﺑﻪ ﻓﻌﺎﻟﻴﺘﻬﺎي ﻓﺎﻧﻜﺸﻨﺎل و ﻃﺒﻴﻌﻲ و روزﻣـﺮه ﺑـﺴﻴﺎر ﺗﻮﺻـﻴﻪ‬
‫ﻣﻲﺷﻮد‪ .‬اﺧﻴﺮاً در ﺗﻮاﻧﺒﺨﺸﻲ ﻣﺤﻘﻘﻴﻦ ﺗﻮﺟﻪ ﺑﻴﺸﺘﺮي ﺑﺮ ﺗﻤﺮﻳﻨﺎت ﻓﻌﺎل ﺑﻮﻳﮋه ﺗﻤﺮﻳﻨﺎت ﻣﺒﺘﻨﻲ ﺑـﺮ ﻫﻤـﺎﻫﻨﮕﻲ‬
‫ﺳﻴﺴﺘﻤﻬﺎي ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ ﻛـﻪ ﺑﺎﻋـﺚ ﺗﺤﺮﻳـﻚ ﺳﻴـﺴﺘﻢ ﺣـﺲ ﻋﻤﻘـﻲ و ﺗﺤﺮﻳـﻚ ﮔﻴﺮﻧـﺪهﻫـﺎي دوك‬
‫ﻋﻀﻼﻧﻲ و ﺑﻜﺎرﮔﻴﺮي ﻓﻌﺎل ﻋﻀﻼت اﻧﺪام ﻣﻲﺷﻮد دارﻧﺪ ﺗﺎ ﺑﺘﻮان ﺣﺮﻛﺎت اﻳﻦ ﻣﻔﺎﺻﻞ را ﻫﺮ ﭼـﻪ ﺳـﺮﻳﻌﺘﺮ‬
‫و ﺑﻬﺘﺮ ﺑﻪ وﺿﻌﻴﺖ اوﻟﻴﻪ ﻳﺎ ﻣﺸﺎﺑﻪ آن ﺑﺮﮔﺮداﻧﺪ‪ .‬ﺑﺎ اﻳﻦ وﺟﻮد ﺗﺎﻛﻨﻮن در ﻫﻴﭻ ﺗﺤﻘﻴﻘﻲ ﺗـﺄﺛﻴﺮ اﻳـﻦ ﺗﻤﺮﻳﻨـﺎت‬
‫در درﻣﺎن و ﻣﻴﺰان ﺑﻬﺒﻮدي ﺿﺎﻳﻌﺎت ﺷﺒﻜﻪ ﺑﺮاﻛﻴﺎل ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﻧﮕﺮﻓﺘﻪ اﺳـﺖ‪ .‬ﻫـﺪف از اﻧﺠـﺎم اﻳـﻦ‬
‫ﺗﺤﻘﻴﻖ ﺑﺮرﺳﻲ اﺛﺮ ﺗﻤﺮﻳﻨﺎت ﻓﻌﺎل اﻧﺪام ﻓﻮﻗﺎﻧﻲ ﻣﺒﺘﻨﻲ ﺑﺮ ﻫﻤﺎﻫﻨﮕﻲ ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ ﻋﻀﻼت اﻧـﺪام ﻓﻮﻗـﺎﻧﻲ‬
‫ﺑﺮ ﻣﻴﺰان ﺑﻬﺒﻮدي ﻗﺎﺑﻠﻴﺘﻬﺎي ﺣﺮﻛﺘﻲ اﻧﺪام ﻓﻮﻗﺎﻧﻲ و ﻣﻘﺎﻳﺴﻪ آن ﺑﺎ درﻣﺎﻧﻬـﺎي ﻣﻌﻤـﻮل در ﻛﻮدﻛـﺎن ﻣﺒـﺘﻼ ﺑـﻪ‬
‫ﺿﺎﻳﻌﺎت ﺷﺒﻜﻪ ﺑﺮاﻛﻴﺎل ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣﻮاد و روﺷﻬﺎ‪ :‬ﺑﺮاي اﻧﺠﺎم اﻳﻦ ﺗﺤﻘﻴﻖ ﺗﺠﺮﺑﻲ‪ ،‬ﺗﻌﺪاد ‪ 20‬ﺷﻴﺮﺧﻮار ‪ 1-2‬ﻣﺎﻫﻪ ﻣﺒـﺘﻼ ﺑـﻪ ﺿـﺎﻳﻌﻪ ﺷـﺒﻜﻪ‬
‫ﺑﺮاﻛﻴﺎل ﺑﻪ ﺗﺸﺨﻴﺺ ﭘﺰﺷﻚ ﻣﺘﺨﺼﺺ و ﺑﺮ اﺳﺎس ﻣﻌﻴﺎرﻫﺎي اﻟﻜﺘﺮودﻳﺎﮔﻨﻮز اﻧﺘﺨﺎب ﺷﺪﻧﺪ‪ .‬ﺗﻨﻬﺎ ﻛﻮدﻛـﺎن‬
‫ﺑـﺎ ﺗـﺸﺨﻴﺺ )‪ Bearchial plexopathy (Block & Demyelination‬ﺟﻬـﺖ ورود ﺑـﻪ ﺗﺤﻘﻴـﻖ اﻧﺘﺨـﺎب‬
‫ﺷــﺪﻧﺪ‪ .‬روش ﻧﻤﻮﻧــﻪﮔﻴــﺮي ﺑــﺼﻮرت‪ Sample of Convenience‬ﺑــﻮد ﻛــﻪ اﻓــﺮاد در دو ﮔــﺮوه ﻛﻨﺘــﺮل‬
‫)درﻣﺎﻧﻬﺎي ﻣﻌﻤﻮل( و ﮔﺮوه آزﻣﺎﻳﺶ )ﺗﻤﺮﻳﻨﺎت اﻛﺘﻴﻮ ﺑﻪ ﻋﻼوه درﻣﺎن ﻣﻌﻤﻮل( ﺑﻄﻮر ﻣـﺴﺎوي )ﻫـﺮ ﮔـﺮوه‬
‫‪ 10‬ﻧﻔﺮ( ﺗﻘﺴﻴﻢ ﺷﺪﻧﺪ‪ .‬ﺑﺮﻧﺎﻣﻪ درﻣﺎﻧﻲ ﺑﺮاي ﮔﺮوه ﻛﻨﺘﺮل درﻣﺎﻧﻬﺎي ﻣﻌﻤﻮل )ﺣﺮﻛﺎت ﭘﺎﺳﻴﻮ آرام و ﻣﻼﻳـﻢ و‬
‫اﻟﻜﺘﺮوﺗﺮاﭘﻲ( و ﺑﺮاي ﮔﺮوه آزﻣﺎﻳﺶ ﺷﺎﻣﻞ ﻫﻤﺎن روﺷﻬﺎ ﺑـﻪ ﻋـﻼوه ﺗﻤﺮﻳﻨـﺎت اﻛﺘﻴـﻮ ﻣﺒﺘﻨـﻲ ﺑـﺮ ﻫﻤـﺎﻫﻨﮕﻲ‬
‫ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ ﺑﻮد‪ .‬در اﻟﻜﺘﺮودﻳﺎﮔﻨﻮز‪ ،‬زﻣﺎن ﺗﺎﺧﻴﺮي)‪ (latency‬و آﻣﭙﻠﻲ ﺗـﻮد در اﻋـﺼﺎب آﮔـﺰﻳﻼري‪،‬‬
‫رادﻳـﺎل‪ ،‬ﻣـﺪﻳﺎن و اوﻟﻨـﺎر ﺑـﺎ ﺛﺒـﺖ از ﻋـﻀﻼت دﻟﺘﻮﺋﻴـﺪ‪،Extensor Digitorum Communis (EDC) ،‬‬
‫)‪ Abductor Pollicis Brevis (APB‬و )‪ Adductor Digiti Minimi (ADM‬ﻗﺒـﻞ و ﺑﻌـﺪ از درﻣـﺎن در‬
‫ﻫﺮ دو ﮔﺮوه ﻣﻮرد ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ ﻗﺮار ﮔﺮﻓﺖ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻧﺘﺎﻳﺞ‪ :‬ﻧﺘﺎﻳﺞ ﻣﺮﺑﻮط ﺑﻪ آزﻣﻮن ‪ Paired t-test‬ﺟﻬﺖ ﺑﺮرﺳﻲ ﻣﻴﺰان ﺗﻐﻴﻴﺮات ﻣﺘﻐﻴﺮﻫﺎ ﺑﻌـﺪ از درﻣـﺎن در‬
‫ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﻣﻘﺎدﻳﺮ ﻗﺒﻞ از درﻣﺎن در ﮔﺮوه آزﻣﺎﻳﺶ ﻧﺸﺎن داد ﻣﻴﺰان ‪ Latency‬ﻋﺼﺐ ﺣﺮﻛﺘـﻲ آﮔـﺰﻳﻼري‪،‬‬
‫آﻣﭙﻠﻲ ﺗﻮد ﻋﺼﺐ ﺣﺮﻛﺘﻲ آﮔﺰﻳﻼري و آﻣﭙﻠﻲ ﺗﻮد ﻋـﺼﺐ ﺣﺮﻛﺘـﻲ رادﻳـﺎل ﭘـﺲ از دوره درﻣـﺎن ﺑﻄـﻮر‬
‫ﻣﻌﻨﻲ داري ﺗﻐﻴﻴﺮ داﺷﺘﻪ اﺳﺖ ﻛﻪ اﻳﻦ ﺗﻐﻴﻴﺮات در ﺟﻬﺖ ﺑﻬﺒﻮدي ﻓﻌﺎﻟﻴﺖ اﻋﺼﺎب و ﻋﻀﻼت ﻣﺮﺑﻮﻃﻪ ﺑﻮده‬
‫اﺳﺖ‪ .‬در ﮔﺮوه ﻛﻨﺘﺮل ﻧﻴﺰ اﺧﺘﻼف ﻣﻌﻨﻲ داري ﺑﻴﻦ ﻣﻴﺰان ‪ Latency‬ﻋﺼﺐ ﺣﺮﻛﺘﻲ آﮔـﺰﻳﻼري و آﻣﭙﻠـﻲ‬
‫ﺗﻮد ﻋﺼﺐ ﺣﺮﻛﺘﻲ آﮔﺰﻳﻼري ﻗﺒﻞ و ﭘﺲ از درﻣﺎن ﻧـﺸﺎن داده ﺷـﺪ‪ .‬در ﻫـﺮ دو ﮔـﺮوه ﻛﻠﻴـﻪ ﭘﺎراﻣﺘﺮﻫـﺎي‬
‫اﻟﻜﺘﺮودﻳﺎﮔﻨﻮز اﻋﺼﺎب ﺣﺴﻲ اﺧﺘﻼف ﻣﻌﻨﻲ داري را ﻧﺸﺎن ﻧﺪاد‪ .‬ﻧﺘﺎﻳﺞ آزﻣﻮن آﻧﺎﻟﻴﺰ ﻛﻮوارﻳـﺎﻧﺲ ﺟﻬـﺖ‬
‫ﻣﻘﺎﻳﺴﻪ ﻣﻴﺰان ﺗﻐﻴﻴﺮات ﻣﺘﻐﻴﺮﻫﺎ ﭘﺲ از درﻣـﺎن ﺑـﻴﻦ دو ﮔـﺮوه ﻧـﺸﺎن داد اﺧـﺘﻼف ﻣﻌﻨـﻲ داري ﺑـﻴﻦ ﻣﻴـﺰان‬
‫ﺗﻐﻴﻴﺮات ‪ Latency‬ﻋﺼﺐ ﺣﺮﻛﺘﻲ آﮔﺰﻳﻼري و آﻣﭙﻠﻲ ﺗـﻮد ﻋـﺼﺐ ﺣﺮﻛﺘـﻲ آﮔـﺰﻳﻼري ﺑـﻴﻦ دو ﮔـﺮوه‬
‫آزﻣﺎﻳﺶ و ﻛﻨﺘﺮل ﭘﺲ از درﻣﺎن وﺟﻮد دارد ﺑﻄﻮرﻳﻜﻪ اﻳـﻦ ﺗﻐﻴﻴـﺮات در ﮔـﺮوه آزﻣـﺎﻳﺶ ﺑـﺎرزﺗﺮ و ﺑﻴـﺸﺘﺮ‬
‫ﺑﻮده اﺳﺖ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬در ﻣﺠﻤﻮع ﻣﻲﺗﻮان ﻧﺘﻴﺠﻪ ﮔﺮﻓﺖ اﻧﺠﺎم ﺗﻤﺮﻳﻨـﺎت اﻛﺘﻴـﻮ ﻣﺒﺘﻨـﻲ ﺑـﺮ ﻫﻤـﺎﻫﻨﮕﻲ ﺣـﺴﻲ ـ‬
‫ﺣﺮﻛﺘﻲ ﻣﻲﺗﻮاﻧﺪ ﺑﻪ ﺑﻬﺒﻮدي ﻋﻀﻼت و اﻋﺼﺎب آﺳﻴﺐ دﻳﺪه ﺑﻄﻮر ﻣﺆﺛﺮي ﻛﻤﻚ ﻛﻨﺪ و ﺑـﻪ ﻋﻨـﻮان ﻳـﻚ‬
‫روش درﻣﺎﻧﻲ در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ اﻳﻦ ﺿﺎﻳﻌﻪ اﺳﺘﻔﺎده ﺷﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺿﺎﻳﻌﺎت ﺷﺒﻜﻪ ﺑﺮاﻛﻴﺎل‪ ،Erb-Deuschen ،‬ﻫﻤﺎﻫﻨﮕﻲ ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ‪ ،‬ﺗﻤﺮﻳﻦ درﻣﺎﻧﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻫﻨﺠﺎرﻳﺎﺑﻲ آزﻣﻮن ﻛﻮﺗﺎه ﺷﻨﺎﺧﺘﻲ )‪ (AMTS‬و ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﺨﺒﺮ ـ ﻣﺤﻮر اﻓﺖ ﺷـﻨﺎﺧﺘﻲ ﺳـﺎﻟﻤﻨﺪان‬
‫)‪ (IQCODE‬و ﺗﻌﻴﻴﻦ ﻫﻤﺒﺴﺘﮕﻲ آﻧﻬﺎ ﺑـﺎ آزﻣـﻮن ﻣﻌﺎﻳﻨـﻪ ﻣﺨﺘـﺼﺮ وﺿـﻌﻴﺖ ﺷـﻨﺎﺧﺘﻲ )‪ (MMSE‬در‬
‫ﺳﺎﻟﻤﻨﺪان ﺳﺎﻛﻦ ﺗﻬﺮان‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫ﺑﺎ اﻓﺰاﻳﺶ روزاﻓﺰون ﺟﻤﻌﻴﺖ ﺳﺎﻟﻤﻨﺪان در ﻛﺸﻮرﻫﺎي در ﺣﺎل ﺗﻮﺳﻌﻪ‪ ،‬از ﺟﻤﻠﻪ اﻳﺮان‪ ،‬و ﺑﺎ ﻋﻨﺎﻳـﺖ ﺑـﻪ‬
‫اﻳﻦ واﻗﻌﻴﺖ ﻛﻪ ﻣﻨﺎﺑﻊ ﻣﺎﻟﻲ و اﻧﺴﺎﻧﻲ در اﻳﻦ ﻛﺸﻮرﻫﺎ ﺑﺎ ﻣﺤﺪودﻳﺖ ﺷﺪﻳﺪ روﺑﺮوﺳﺖ‪ ،‬ﻣﻲﺗﻮان ﭘـﻴﺶ ﺑﻴﻨـﻲ‬
‫ﻛﺮد ﻛﻪ اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﻲ ﺑﻪ وﻳﮋه دﻣﺎﻧﺲ در آﻳﻨﺪهاي ﻧﺰدﻳﻚ ﺑﻪ ﻳﻜﻲ از ﻣﻌﻀﻼت ﺑﻬﺪاﺷﺘﻲ ﻋﻤﺪه آﻧﻬﺎ‬
‫ﺗﺒﺪﻳﻞ ﺧﻮاﻫﺪ ﺷﺪ‪ .‬از اﻳﻦ رو‪ ،‬ﺿﺮورت ﺗﺪارك اﺑﺰارﻫﺎﻳﻲ ﺑﺮاي ﻏﺮﺑﺎﻟﮕﺮي اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﻲ ﻛﻪ ﻋـﻼوه‬
‫ﺑﺮ ﻗﺎﺑﻞ اﻋﺘﻤﺎد ﺑﻮدن‪ ،‬ﻛﻮﺗﺎه‪ ،‬ﻓﺮﻫﻨﮓ ﻧﺎواﺑﺴﺘﻪ و داراي ﻛﺎرﺑﺮدي آﺳﺎن ﺑﺎﺷﻨﺪ‪ ،‬ﺑﻪ ﺷﺪت اﺣﺴﺎس ﻣﻲﺷـﻮد‪.‬‬
‫ﻫﺪف‪ :‬ﻫﺪف اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﻲ وﻳﮋﮔﻲﻫﺎي روان ﺳﻨﺠﻲ آزﻣﻮن ﻛﻮﺗﺎه ﺷـﻨﺎﺧﺘﻲ )‪ (AMT‬ﺗـﺪوﻳﻦ ﺷـﺪه‬
‫ﺗﻮﺳﻂ ﻫﺎدﻛﻴﻨﺴﻮن و ﭘﺮﺳﺸﻨﺎﻣﻪ ﻣﻨﺠﺮ ـ ﻣﺤﻮر اﻓﺖ ﺷﻨﺎﺧﺘﻲ ﺳـﺎﻟﻤﻨﺪان ﺗـﺪوﻳﻦ ﺷـﺪه ﺗﻮﺳـﻂ ﻳـﻮرم واﺟـﺪ‬
‫وﻳﮋﮔﻲﻫﺎي ﻓـﻮق در ﺳـﺎﻟﻤﻨﺪان ﺗﻬﺮاﻧـﻲ ﺑـﻮد‪ .‬ﺑـﺮاي ﭘﮋوﻫـﺸﮕﺮان ﻓـﻮق اﻳـﻦ ﺳـﻮال ﻣﻄـﺮح ﺑـﻮد ﻛـﻪ آﻳـﺎ‬
‫آزﻣﻮنﻫﺎي ﻓﻮق ﻣﻲﺗﻮاﻧﻨﺪ ﺟﺎﻳﮕﺰﻳﻦ ﻣﻨﺎﺳﺒﻲ ﺑﺮاي ﻣﻌﺎﻳﻨـﻪ ﻣﺨﺘـﺼﺮ وﺿـﻌﻴﺖ ﺷـﻨﺎﺧﺘﻲ )‪ (MMSE‬ﺗـﺪوﻳﻦ‬
‫ﺷﺪه ﺗﻮﺳﻂ ﻓﻮﻟﺴﺘﺎﻳﻦ ﻛﻪ ﻗﺒﻼً در اﻳﺮان ﻫﻨﺠﺎرﻳﺎﺑﻲ و اﺳـﺘﺎﻧﺪاردﺳـﺎزي ﺷـﺪه ﺑﺎﺷـﻨﺪ؟ روش و ﻣـﻮاد؛ ﺑـﺮاي‬
‫ﭘﺎﺳﺦ ﺑﻪ اﻳﻦ ﺳﻮال آزﻣﻮنﻫﺎي ‪ MMSE‬و ‪ AMT‬و ‪ IQCODE‬ﺑﺮاي ‪ 101‬ﺑﻴﻤﺎر ﺳﺎﻟﻤﻨﺪ ﻛـﻪ ﺑـﺎ ﺗﻮﺟـﻪ ﺑـﻪ‬
‫ﻣﻌﻴﺎرﻫﺎي راﻫﻨﻤﺎي ﺗﺸﺨﻴﺼﻲ و آﻣﺎري اﻧﺠﻤـﻦ رواﻧﭙﺰﺷـﻜﻲ اﻣﺮﻳﻜـﺎ )‪ (DSM-IV‬و ﻣﻘﻴـﺎس ﺗﺒـﺎﻫﻲ ﻫﻤـﻪ‬
‫ﺟﺎﻧﺒﻪ )‪ (GDS‬ﻣﺒﺘﻼ ﺑﻪ دﻣﺎﻧﺲ ﺗﺸﺨﻴﺺ داده ﺷﺪه ﺑﻮدﻧﺪ و ‪ 104‬ﺳﺎﻟﻤﻨﺪ ﻓﺎﻗﺪ اﺧﺘﻼل ﺷـﻨﺎﺧﺘﻲ ﻫﻤﺘﺎﺳـﺎزي‬
‫ﺷﺪه اﺟﺮا ﮔﺮدﻳﺪ و دادهﻫﺎ ﭘﺲ از ﺟﻤﻊ آوري‪ ،‬ﺗﻮﺳﻂ ﻧﺮم اﻓﺰار ﻧﺴﺨﻪ ‪ SPSS 13‬ﺗﺤﻠﻴﻞ ﮔﺮدﻳﺪ‪ .‬ﻳﺎﻓﺘﻪﻫـﺎ‪:‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد ﻛﻪ آزﻣﻮن ﻛﻮﺗﺎه ﺷﻨﺎﺧﺘﻲ ﺑﺮاي ﻏﺮﺑﺎﻟﮕﺮي اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﻲ در ﻧﻤﻮﻧﻪ ﻓﻮق از رواﻳـﻲ و‬
‫ﭘﺎﻳﺎﻳﻲ ﻛﺎﻓﻲ ﺑﺮﺧﻮردار ﺑﻮده )‪ ( α =0/905‬و ﻧﻤﺮات آن ﺑـﺎ ﻧﻤـﺮات ﻣﻌﺎﻳﻨـﻪ ﻣﺨﺘـﺼﺮ ﺷـﻨﺎﺧﺘﻲ ﻫﻤﺒـﺴﺘﮕﻲ‬
‫ﺑﺎﻻﻳﻲ داﺷﺖ )‪ p= 000.0‬در ﺳﻄﺢ ‪ .(%1‬ﻧﻘﻄﻪ ﺑﺮش اﻳﺪهآل ﺑﺮاي آن ﻧﻤﺮه ‪ 6‬ﺑﺎ ﺣـﺴﺎﺳﻴﺖ ‪ %99‬و وﻳﮋﮔـﻲ‬
‫‪ %85‬ﺗﻌﻴﻴﻦ ﺷﺪ‪ .‬ﻣﺤﺎﺳﺒﻪ ﻣﻴﺰان ﺣﺴﺎﺳﻴﺖ‪ ،‬وﻳﮋﮔﻲ و ﻧﻘﻄﻪ ﺑﺮش ‪ IQCODE‬ﺑﻪ دﻟﻴﻞ ﻋﺪم ﻫﻤﻜﺎري ﻣﻄﻠﻌﺎن‬
‫آﺷﻨﺎ ﺑﻪ وﺿﻌﻴﺖ ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻢ ﻣﻴﺴﺮ ﻧﮕﺮدﻳﺪ وﻟﻲ ﺗﺤﻠﻴﻞ دادهﻫﺎ ﻧـﺸﺎن داد ﻛـﻪ اﻳـﻦ آزﻣـﻮن در ﺑﻴﻤـﺎران‬
‫دﭼﺎر دﻣﺎﻧﺲ از رواﻳﻲ ﻗﺎﺑﻞ ﺗﻮﺟﻬﻲ)‪ ( α =0/927‬ﺑﺮﺧﻮردار ﺑﻮده و ﻫﻤﺒﺴﺘﮕﻲ آن ﻧﻴﺰ ﺑﺎ ﻧﻤـﺮات ‪MMSE‬‬
‫ﺑﺎﻻﺳﺖ )‪ p= 000.0‬در ﺳﻄﺢ ‪ .(%1‬ﻧﺘﻴﺠﻪﮔﻴـﺮي‪ :‬ﻣﻄﺎﻟﻌـﻪ ﻓـﻮق ﻧـﺸﺎن داد ﻛـﻪ وﻳﮋﮔـﻲﻫـﺎي روان ﺳـﻨﺠﻲ‬
‫‪ AMTS‬ﻣﻄﻠﻮب و اﻳﻦ آزﻣﻮن ﺟﺎﻳﮕﺰﻳﻦ ﻣﻨﺎﺳﺒﻲ ﺑﺮاي آزﻣـﻮن ﻃـﻮﻻﻧﻲﺗـﺮ و ﭘﻴﭽﻴـﺪهﺗـﺮ ‪ MMSE‬اﺳـﺖ‪.‬‬
‫ﺗﻮﺻﻴﻒ دﻗﻴﻖﺗﺮ وﻳﮋﮔﻲﻫﺎي روان ﺳﻨﺠﻲ ‪ IQCODE‬ﺑﻪ ﺗﺤﻘﻴﻘﺎت ﺑﻴﺸﺘﺮ ﻧﻴﺎزﻣﻨﺪ اﺳﺖ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺗﻬﺮان‪ ،‬ﻣﻌﺎﻳﻨﻪ ﻣﺨﺘﺼﺮ وﺿﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ‪ ،‬آزﻣﻮن ﻛﻮﺗﺎه ﺷﻨﺎﺧﺘﻲ‪ ،‬ﭘﺮﺳـﺸﻨﺎﻣﻪ ﻣﺨﺒـﺮ‪ ،‬ﻣﺤـﻮر‬
‫اﻓﺖ ﺷﻨﺎﺧﺘﻲ ﺳﺎﻟﻤﻨﺪان‪ ،‬اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ‪ ،‬ﻫﻨﺠﺎرﻳﺎﺑﻲ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﻓﺮاواﻧﻲ آﻟﻮدﮔﻲ ﺑﻪ وﻳﺮوس‪HIV ،‬ﻫﭙﺎﺗﻴﺖ ‪ B ،C‬و ﻣﻴﻜﺮوب ﺗﺮﻳﭙﻮﻧﻤﺎ ﭘﺎﻟﻴﺪوم در ﻣﻌﺘﺎدان‬
‫ﺗﺰرﻳﻘﻲ دﺳﺘﮕﻴﺮ ﺷﺪه در ﺳﺎلﻫﺎي ‪ 84-85‬در ﺣﻴﻦ دﺳﺘﮕﻴﺮي و ﻫﻨﮕﺎم ﺗﺮﺧﻴﺺ‬
‫ﻣﻴﻨﻮ ﻣﺤﺮز ـ ﻣﺤﻤﺪرﺿﺎ ﺟﻬﺎﻧﻲ‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬در ﻃﻮل ﺳﺎﻟﻬﺎي اﺧﻴﺮ ﻛﺸﻮر اﻳﺮان‪ ،‬ﻧﻈﻴﺮ ﺳﺎﻳﺮ ﻛﺸﻮرﻫﺎي ﺟﻬﺎن‪ ،‬ﺷﺎﻫﺪ ﮔﺴﺘﺮش روز‬
‫اﻓﺰون اﻋﺘﻴﺎد ﺑﻮده اﺳﺖ‪ .‬اﻓﺰاﻳﺶ ﺷﻴﻮع اﻋﺘﻴﺎد و وﺟﻮد رﻓﺘﺎرﻫﺎي ﭘﺮﺧﻄﺮ ﻧﻈﻴﺮ ﺗﺰرﻳﻖ ﻣﻮاد ﻣﺨﺪر ﻣﻲﺗﻮاﻧـﺪ‬
‫ﻣﻨﺠﺮ ﺑﻪ اﺷﺎﻋﻪ ﺑﺮﺧﻲ ﻋﻔﻮﻧﺖﻫﺎي ﻣﺰﻣﻦ از ﻗﺒﻴﻞ‪ ، HIV‬ﻫﭙﺎﺗﻴﺖ ‪ B, C‬ﮔﺮدد‪ .‬ﻣﻄﺎﻟﻌـﻪ زﻳـﺮ ﺟﻬـﺖ ﺑﺮرﺳـﻲ‬
‫ﺷــﻴﻮع اﻳــﻦ ﻋﻔﻮﻧــﺖﻫــﺎ در ﻣﻴــﺎن ﻣﻌﺘــﺎدان ﺗﺰرﻳﻘــﻲ اﻧﺠــﺎم ﺷــﺪه اﺳــﺖ‪ .‬در اﻳــﻦ ﻣﻄﺎﻟﻌــﻪ ﻣﻘﻄﻌــﻲ ‪Cross‬‬
‫)‪ (Sectional‬در ﻣﺠﻤﻮع ‪ 499‬ﻧﻔﺮ ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮا ﮔﺮﻓﺘﻨﺪ ﻛﻪ ﺷﻴﻮع ﻋﻔﻮﻧـﺖﻫـﺎي ‪HCV , HBV ,HIV‬‬
‫و ‪ VDRL‬ﺑﻪ ﺗﺮﺗﻴﺐ ﺑﺮاﺑﺮ ‪ 80/0 ،5/8 ،24/4‬و ‪ 1/9‬درﺻﺪ ﺑﻮد‪.‬‬
‫ﻣﻮاد و روش‪ :‬ﭘﺲ از ﺑﺮرﺳﻲ ﻣﺸﺨﺼﺎت دﻣﻮﮔﺮاﻓﻴﻚ و ﻋﻮاﻣﻞ ﺧﻄﺮ‪ ،‬ارﺗﺒﺎط اﻳﻦ ﻋﻮاﻣﻞ ﺑـﺎ ﻫﺮﻳـﻚ‬
‫از ﻋﻔﻮﻧﺘﻬﺎي ﻓﻮق ﺑﺎ اﻧﺠﺎم آﻧﺎﻟﻴﺰﻫﺎي دو ﻣﺘﻐﻴﺮه و ﭼﻨﺪ ﻣﺘﻐﻴﺮه ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺖ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در ﻧﻬﺎﻳﺖ در ﻣﻮرد ‪ ،HIV‬ﺷﺮح ﺣﺎل ﻣﺼﺮف اﭘﻴﻮﺋﻴـﺪ در زﻧـﺪان )‪ (OR=2.11, CI 1.26-3.53‬و‬
‫ﺳﻦ ﺑﺎ ﻋﻔﻮﻧﺖ ‪ HIV‬ارﺗﺒﺎط ﻣﻌﻨـﻲدار داﺷـﺘﻪاﻧـﺪ )‪ .(P<0.05‬در ﻣـﻮرد‪ ،HBV‬ﺷـﺮح ﺣـﺎل ﺗﻤـﺎس ﺟﻨـﺴﻲ‬
‫)‪ (OR=2.94, CI 1.20-7.21‬و ﺳــﻦ ارﺗﺒـــــﺎط ﻣﻌﻨــﻲ داري ﺑــﺎ ﻋﻔﻮﻧــﺖ ﻣــﺰﻣﻦ ﻫﭙﺎﺗﻴــﺖ ‪ B‬داﺷــﺘﻪاﻧــﺪ‬
‫)‪ .(P≤0.05‬در ﻣﻮرد ‪ ،HCV‬ﺳــﺎﺑﻘﻪ زﻧﺪاﻧﻲ ﺑﻮدن)‪ ،(OR=4.35, CI 1.88-10.08‬ﺳﻦ اوﻟﻴﻦ ﺗﺰرﻳﻖ )‪25‬‬
‫ﺳﺎل و ﻛﻤﺘﺮ( )‪ (OR=2.72, CI=1.09-6.82‬و ﺳﺎﺑﻘﻪ ﺧﺎﻟﻜﻮﺑﻲ )‪ (OR=2.33, CI 1.05-5.17‬ﺑﺎ ﻋﻔﻮﻧﺖ‬
‫ﻫﭙﺎﺗﻴﺖ ‪ C‬ارﺗﺒﺎط ﻣﻌﻨﻲ داري داﺷﺘﻪاﻧﺪ )‪.(P<0.05‬‬
‫در ﻣﻮرد ﺷﻴﻮع ﺳﺮﻣﻲ ﺳﻴﻔﻴﻠﻴﺲ ﻫﻴﭻ ارﺗﺒﺎط ﻣﻌﻨﻲ داري ﺑﻴﻦ ﻋﻮاﻣﻞ دﻣﻮﮔﺮاﻓﻴﻚ و ﺗﻤﺎس ﺟﻨـﺴﻲ ﺑـﺎ‬
‫‪ VDRL‬ﺑﺪﺳﺖ ﻧﻴﺎﻣﺪ )‪ .(P>0.10‬ﻫﻤﭽﻨﻴﻦ ﻫﻴﭻ ارﺗﺒﺎط ﻣﻌﻨﻲ داري ﺑﻴﻦ ﻧﻮع ﻣﺎده ﻣﺼﺮﻓﻲ و ﺳﺎلﻫﺎي ﺳﻮء‬
‫ﻣﺼﺮف ﻣﻮاد ﺑﺎ ﻋﻔﻮﻧﺖ ﻫﺎي‪ ،HIV‬ﻫﭙﺎﺗﻴﺖ ‪ B,C‬ﻳﺎﻓﺖ ﻧﺸﺪ )‪.(P>0.10‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺑﺎ اﻧﺠﺎم آزﻣﺎﻳﺶ‪ HIV Ab‬ﻗﺒﻞ و ﺑﻌﺪ از ﺗﺮﺧﻴﺺ از زﻧـﺪان و ﻫﻤﭽﻨـﻴﻦ آزﻣـﺎﻳﺶ ‪P24‬‬
‫‪ Ag‬ﺑﻌﺪ از ﺗﺮﺧﻴﺺ‪ ،‬ﻣﻴﺰان ﺑﺮوز )‪ %16/8 (95% CI 7.6-31.6‬در ﺳﺎل ﺑﺪﺳﺖ آﻣﺪ‪.‬‬
‫ﻣﻄﺎﻟﻌﺎت ﻛﺎﻣﻞﺗﺮ ﺑﺎ در ﻧﻈﺮ ﮔﺮﻓﺘﻦ ﮔﺮوهﻫﺎي ﻛﻨﺘﺮل از ﺟﺎﻣﻌﻪ ﺟﻬﺖ ﻣﻘﺎﻳﺴﻪ ﻋﻔﻮﻧﺖﻫﺎي ﻓﻮق ﺑﺎ ﻣﺮاﻛـﺰي‬
‫ﻧﻈﻴﺮ زﻧﺪان ﻳﺎ ﺑﺎزﭘﺮوري ﭘﻴﺸﻨﻬﺎد ﻣﻲﮔﺮدد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻓﺮاواﻧﻲ‪ ،HIV ،‬ﻫﭙﺎﺗﻴﺖ ‪ ،B‬ﻫﭙﺎﺗﻴﺖ ‪ ،C‬ﺗﺮﭘﻮﻧﻤﺎ ﭘﺎﻟﻴﺪوم‪ ،‬ﻣﻌﺘﺎد ﺗﺰرﻳﻘﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫آﻣﻮزش ﺟﺎﻣﻊ ﻣﺪاﺧﻼت درﻣﺎﻧﻲ ﻏﻴﺮداروﻳﻲ در ﺳﻮء ﻣﺼﺮف ﻣﻮاد ﻧﻮﺟﻮاﻧﺎن‬
‫ﺟﻮاد ﻋﻼﻗﻤﻨﺪراد‬
‫ﻫﺪف از ﺗﺪوﻳﻦ اﻳﻦ ﺑﺴﺘﻪ آﻣﻮزﺷﻲ ارﺗﻘﺎء ﺳﻄﺢ داﻧﺶ و ﻣﻬﺎرتﻫﺎي آﻣﻮزﺷـﻲ ﻣﺪرﺳـﻴﻦ ﻣـﺪاﺧﻼت‬
‫ﻏﻴﺮداروﻳﻲ در درﻣﺎن واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد ﻣﺨﺪر و ﺑﻬﺒﻮد ﺷﺎﻳﺴﺘﮕﻲ ﻇﺮﻓﻴﺖﻫـﺎي آﻧـﺎن و ﻧﻬﺎﻳﺘـﺎً اﻓـﺰاﻳﺶ اﺛـﺮ‬
‫ﺑﺨﺶ آﻣﻮزﺷﻲ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻫﻤﭽﻨﻴﻦ اﻳﻦ ﺑﺴﺘﻪ آﻣﻮزﺷﻲ ﻣﻲﺗﻮاﻧﺪ ﺑﻌﻨﻮان ﻳﻚ دﺳﺘﻨﺎﻣﻪ ﺑﻪ ﻣﻨﻈﻮر آﻣﻮزش ﻓﻨـﻲ ﺑـﻪ ﻣـﺸﺎوران ﺑﺎﺷـﺪ‪.‬‬
‫اﺳﺘﻔﺎده از ﻣﺪاﺧﻼت ﻏﻴﺮداروﻳﻲ در ﻣﺰاﻛﺰ درﻣﺎﻧﻲ ﺳﻮءﻣﺼﺮف ﻣﻮاد ﺑﻪ ﻣﻨﻈﻮر ارﺗﻘـﺎء ﻛﻴﻔﻴـﺖ درﻣـﺎﻧﻲ و‬
‫اﺛﺮﺑﺨﺶ ﺣﺪاﻛﺜﺮ درﻣﺎن اﺟﺘﻨﺎب ﻧﺎﭘﺬﻳﺮ اﺳﺖ‪ .‬ﭘﻴﭽﻴﺪﮔﻲ ﺑﻴﻤﺎري اﻋﺘﻴﺎد ﺳﺒﺐ ﺷﺪه ﺗـﺎ روﻳﻜﺮدﻫـﺎي ﺟـﺎﻣﻊ‬
‫ﻣﺘﻌﺪد درﻣﺎﻧﻲ ﻣﻮرد ﻧﻴﺎز ﺑﺎﺷﺪ‪ .‬ﺑﺎ وﺟﻮد اﺳﺘﻔﺎده از ﻣﺪاﺧﻼت رواﻧـﺸﻨﺎﺧﺘﻲ و اﺟﺘﻤـﺎﻋﻲ درﻛﻨـﺎر اﻗـﺪاﻣﺎت‬
‫ﭘﺰﺷﻜﻲ و رواﻧﭙﺰﺷﻜﻲ ﻛﻤﺎﻛﺎن ﻣﻴﺰان ﻣﻮﻓﻘﻴﺖ درﻣﺎن ﻗﺎﺑﻞ ﻣﻼﺣﻈﻪ ﻣﻄﻠﻮب ﻧﻴﺴﺖ‪ .‬در ﺑﺮرﺳﻲﻫﺎ ﻣﺸﺨﺺ‬
‫ﮔﺮدﻳﺪه ﻳﻜﻲ از ﻋﻮاﻣﻞ ﻧﺎﻛﺎرآﻣﺪي درﻣﺎن‪ ،‬ﻋﺪم آﻣﻮزش و ﺗﺮﺑﻴﺖ ﺻﺤﻴﺢ ﻧﻴﺮوﻫﺎي ﺗﺨﺼﺼﻲ ﻣﺪاﺧﻠﻪﮔﺮ‬
‫در ﻣﻘﺎﺑﻠﻪ ﺑﺎ اﻋﺘﻴﺎد اﺳﺖ‪ .‬ﻳﻜﻲ دﻳﮕﺮ از اﻫﺪاف ﺗﺪوﻳﻦ اﻳﻦ ﺑﺴﺘﻪ آﻣﻮزﺷﻲ در زﻣﻴﻨﻪ ﻣﺪاﺧﻼت رواﻧﺸﻨﺎﺧﺘﻲ‬
‫در درﻣﺎن ﺳﻮءﻣﺼﺮف ﻣﻮاد‪ ،‬ﺗﻬﻴﻪ ﺧﻂﻣﺸﻲ واﺣﺪ آﻣﻮزﺷﻲ در زﻣﻴﻨﻪ ﺑﻌﻀﻲ ﻣﺪاﺧﻼت ﻏﻴﺮداروﻳﻲ‪ ،‬اﻳﺠﺎد‬
‫ﻫﻤﺎﻫﻨﮕﻲ و ﻳﻜﭙﺎرﭼﻪ ﻛﺮدن آﻣﻮزش ﻣﺪاﺧﻼت و اﻗﺪاﻣﺎت رواﻧﻲ اﺟﺘﻤﺎﻋﻲ ﺑﺮاﺳـﺎس اﺻـﻮل وﻳﺎﻓﺘـﻪﻫـﺎي‬
‫ﭘﮋوﻫﺶ اﺳﺖ‪ .‬ﺑﻪ دﻟﻴﻞ ﺗﻌﺪد و ﺗﻨﻮع روﻳﻜﺮدﻫﺎي ﻣﺸﺎوره و ﻣﺪاﺧﻼت ﻏﻴﺮ داروﻳﻲ‪ ،‬ﻫﻤﭽﻨـﻴﻦ در ﭘـﺎرهاي‬
‫ﻣﻮارد ﻧﺎآﮔﺎﻫﻲ و ﻛﺎرﺑﺮد ﻏﻠﻂ و ﻧﺎﺑﺠﺎي ﺗﻜﻨﻴﻚﻫﺎي ﻣﺸﺎوره و روان درﻣﺎﻧﻲ‪ ،‬ﻛﺎرآﻣﺪي اﻳـﻦ ﻣـﺪاﺧﻼت‬
‫در ﺣﺪ ﻣﻄﻠﻮب و ﻗﺎﺑﻞ اﻧﺘﻈﺎر ﻧﻴـﺴﺖ‪ .‬از اﻳـﻦ رو ﺑـﻪ ﻣﻨﻈـﻮر اﻓـﺰاﻳﺶ ﻛﺎرآﻣـﺪي و اﺛﺮﺑﺨـﺸﻲ ﺑﺮﻧﺎﻣـﻪﻫـﺎي‬
‫آﻣﻮزﺷــﻲ در ﺧــﺼﻮص ﻣــﺪاﺧﻼت ﻏﻴﺮداروﻳــﻲ‪ ،‬ﺿــﺮوري اﺳــﺖ درك ﺻــﺤﻴﺢ و واﺣــﺪي از اﺧــﺘﻼل‬
‫ﺳﻮءﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد‪ ،‬ارزﻳﺎﺑﻲ ﻛﻠﻲ ﺷﺎﻣﻞ ﻏﺮﺑﺎﻟﮕﺮي‪ ،‬ارزﻳﺎﺑﻲ اوﻟﻴﻪ در ﻫﻤـﻪ ﺣﻴﻄـﻪﻫـﺎ و ﻃـﺮح‬
‫درﻣﺎن‪ ،‬ﻣﻬﺎرتﻫﺎي ﻣﺼﺎﺣﺒﻪ و اﺻﻮل ﻣﺸﺎوره و درﻣﺎن ﻣـﻮﺛﺮ‪ ،‬داﻧـﺶ درﻣـﺎن‪ ،‬ﻧﻈـﺎم ارﺟـﺎع‪ ،‬ﻫﻤـﺎﻫﻨﮕﻲ و‬
‫ﻣﺴﺘﻨﺪ ﺳﺎزي‪ ،‬آﻣﺎدﮔﻲ ﺣﺮﻓﻪاي از ﻧﻈﺮ ﻧﮕﺮش و ارزش‪ ،‬ﻣﺸﺎوره ﮔﺮوﻫـﻲ‪ ،‬ﺧـﺎﻧﻮادﮔﻲ‪ ،‬زوج و آﻣـﻮزش‬
‫ﻣﺮاﺟﻊ‪ ،‬آﻣﻮزش ﻣﻬﺎرتﻫﺎي زﻧﺪﮔﻲ‪ ،‬ﺧﺎﻧﻮاده و اﺟﺘﻤﺎع‪ ،‬ﻣﻄﺎﺑﻘﺖ درﻣﺎن ﺑﺎ ﺑﻴﻤﺎر و ﻧﺤﻮه ﻛﺎرﺑﺮد ﻣـﺸﺎوره‬
‫و ﻣﺪاﺧﻼت روانﺷﻨﺎﺧﺘﻲ اراﺋﻪ ﮔﺮدد‪ .‬ﻫﻤﭽﻨﻴﻦ ﺑﺎﻳﺪ ﺗﻮﺟﻪ داﺷﺖ آﻣـﻮزش اﺳـﺘﻔﺎده اﻳـﻦ ﻣـﺪاﺧﻼت ﺑﺎﻳـﺪ‬
‫ﺑﺮاﺳﺎس ﻣﻼﺣﻈﺎت اﺟﺘﻤﺎﻋﻲ ـ ﻓﺮﻫﻨﮕﻲ ﻫﺮ ﻣﻨﻄﻘﻪ و اﻗﻠﻴﻢ اراﺋﻪ ﮔﺮدد‪.‬‬
‫اﻳﻦ ﺑﺴﺘﻪ آﻣﻮزﺷﻲ ﻣﻲﺗﻮاﻧﺪ راﻫﻨﻤﺎ ﻣﻨﺎﺳﺒﻲ ﺑﺮاي ﻣﺪرﺳﻴﻦ‪ ،‬ﻣﺮﺑﻴﺎن و ﻛﻠﻴﻪ آﻣﻮزش دﻫﻨﺪﮔﺎﻧﻲ ﺑﺎﺷﺪ ﻛﻪ‬
‫ﺧﻮاﻫﺎن اراﺋﻪ آﻣﻮزش ﻣﻮﺛﺮ در زﻣﻴﻨـﻪ اﺳـﺘﻔﺎده از ﻣـﺼﺎﺣﺒﻪ اﻧﮕﻴﺰﺷـﻲ‪ ،‬آﻣـﻮزش ﻣﻬـﺎرتﻫـﺎي اﺟﺘﻤـﺎﻋﻲ‪،‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻣﺪاﺧﻼت ﺧﺎﻧﻮادهﻣﺪار و درﻣﺎنﻫﺎي ﭼﻨﺪ ﺳﻴﺴﺘﻤﻲ در ﻧﻮﺟﻮاﻧﺎن ﺳﻮءﻣﺼﺮف ﻛﻨﻨﺪه ﻣﻮاد ﻫـﺴﺘﻨﺪ‪ .‬در اﻳـﻦ‬
‫ﺑﺴﺘﻪ آﻣﻮزﺷﻲ ﺳﻌﻲ ﺷﺪه ﺗﺎ ﺑﺮ ﺑﻌﻀﻲ ﺟﻨﺒـﻪﻫـﺎي ﻣـﺪاﺧﻼت ﻏﻴﺮداروﻳـﻲ ﻧﻮﺟﻮاﻧـﺎن ﻣﺎﻧﻨـﺪ ﻧﺤـﻮه ارﺗﺒـﺎط‪،‬‬
‫ﻣﻬﺎرتﻫﺎي اﺟﺘﻤﺎﻋﻲ ﻣﻬﻢ در ﻧﻮﺟﻮاﻧﺎن‪ ،‬رواﺑﻂ ﺧﺎﻧﻮادﮔﻲ ﺗﺎﻛﻴﺪ ﺑﻴﺸﺘﺮي ﮔﺮدد‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﻟﮕﻮي رﻓﺘﺎر ﻣﻄﺎﻟﻌﻪ و رﻓﺘﺎر اﻃﻼعﻳﺎﺑﻲ داﻧﺸﺠﻮﻳﺎن و اﻋﻀﺎي ﻫﻴﺎت ﻋﻠﻤﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ‬
‫و ﺗﻮاﻧﺒﺨﺸﻲ در اﺳﺘﻔﺎده از ﻣﻨﺎﺑﻊ ﻛﺘﺎﺑﻲ و ﻣﻨﺎﺑﻊ اﻟﻜﺘﺮوﻧﻴﻜﻲ‬
‫ﻣﺮﺿﻴﻪ ﮔﻠﭽﻴﻦ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﻫﺪف از اﻳﻦ ﭘﮋوﻫﺶ ﺣﺎﺿﺮ‪ ،‬ﺑﺮرﺳﻲ رﻓﺘﺎر اﻃـﻼع ﻳـﺎﺑﻲ وﻣﻄﺎﻟﻌـﻪ از ﺟﻤﻠـﻪ ﻫـﺪف و اﻧﮕﻴـﺰه‬
‫ﺟﺴﺘﺠﻮي اﻃﻼﻋﺎت‪ ،‬ﻣﻬﺎرﺗﻬـﺎي ﺟـﺴﺘﺠﻮ‪ ،‬اﺳـﺘﻔﺎده از ﻣﻨـﺎﺑﻊ اﻃﻼﻋـﺎﺗﻲ ﻛﺘـﺎﺑﻲ و اﻟﻜﺘﺮوﻧﻴﻜـﻲ و ﻣﻨـﺎﺑﻊ و‬
‫اﻣﻜﺎﻧﺎت ﻣﻮﺟﻮددر ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨـﺸﻲ ﺗﻮﺳـﻂ داﻧـﺸﺠﻮﻳﺎن و اﻋـﻀﺎي‬
‫ﻫﻴﺎت ﻋﻠﻤﻲ اﺳﺖ ﺗﺎ درﻣﺠﻤﻮﻋﻪﺳﺎزي ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي ﻣﻮرد ﺗﻮﺟﻪ ﻗﺮار ﮔﻴﺮد‪.‬‬
‫روش اﺟﺮا‪ :‬روش ﭘﮋوﻫﺶ از ﻧﻮع ﺗﻮﺻﻴﻔﻲ و ﭘﻴﻤﺎﻳﺸﻲ اﺳﺖ ﻛﻪ ﺑـﺎ اﺳـﺘﻔﺎده از‪ 2‬ﭘﺮﺳـﺸﻨﺎﻣﻪ ﺳـﺎزﻣﺎن‬
‫ﻳﺎﻓﺘﻪ ﺑﺮاي دو ﮔﺮوه ﻣﻮرد ﭘﮋوﻫﺶ اﻧﺠﺎم ﺷﺪه اﺳﺖ‪.‬ﺟﺎﻣﻌﻪ آﻣﺎري ﺷﺎﻣﻞ ‪ 114‬ﻧﻔﺮ اﻋﻀﺎي ﻫﻴﺎت ﻋﻠﻤـﻲ و‬
‫‪ 224‬ﻧﻔﺮ داﻧﺸﺠﻮﻳﺎن ﻣﻘﺎﻃﻊ ﺗﺤﺼﻴﻠﻲ ﻛﺎرﺷﻨﺎﺳﻲ‪ ،‬ﻛﺎرﺷﻨﺎﺳﻲ ارﺷﺪ و دﻛﺘﺮا ﻛﻠﻴﻪ رﺷﺘﻪﻫﺎ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻳﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ رﻓﻊ ﻧﻴﺎزﻫﺎي ﭘﮋوﻫﺸﻲ ﺑـﺮاي ﻫﻴـﺎت ﻋﻠﻤـﻲ و داﻧـﺸﺠﻮﻳﺎن ﻣﻬـﻢﺗـﺮﻳﻦ‬
‫اﻧﮕﻴﺰه و ﻫﺪف ﻣﻲﺑﺎﺷﺪ ﺑﻪ ﻃﻮرﻳﻜﻪ ‪ %91/2‬ﻫﻴﺎت ﻋﻠﻤﻲ و ‪ %86/2‬داﻧﺸﺠﻮﻳﺎن آن را در اوﻟﻮﻳـﺖ اﻧﺘﺨـﺎب‬
‫ﻛﺮدهاﻧﺪ‪ .‬از ﻃﺮﻓﻲ ﻣﺠﻤﻮﻋﻪ ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي در ﺣﺪ ﻛﻤﻲ اﻣﻜﺎﻧـﺎت ﺑـﺮاي ﺑـﺮآورد ﻧﻴـﺎزﻫـﺎي اﻃﻼﻋـﺎﺗﻲ‬
‫ﻫﻴﺎت ﻋﻠﻤﻲ ﺑﺎ ﻣﻴﺎﻧﮕﻴﻦ ‪ 3/15‬و داﻧﺸﺠﻮﻳﺎن ﺑﺎ ﻣﻴﺎﻧﮕﻴﻦ ‪ 3/26‬دارد و اﻣﻜﺎﻧﺎت ﻣﻮﺟﻮد در ﺳﺎﻳﺖ ﻧﻴﺰ در ﺣﺪ‬
‫ﻣﺘﻮﺳﻂ ﭘﺎﺳﺨﮕﻮي ﻧﻴﺎز اﻃﻼﻋﺎﺗﻲ ﻫﻴﺎت ﻋﻠﻤﻲ ﺑـﺎ ﻣﻴـﺎﻧﮕﻴﻦ ‪ 3/29‬و داﻧـﺸﺠﻮﻳﺎن ﺑـﺎ ‪ 3/37‬اﺳـﺖ‪ .‬از ﻃـﺮف‬
‫دﻳﮕﺮ ﺑﻴﺸﺘﺮﻳﻦ ﻣﻨﺎﺑﻊ ﭘﺮ اﺳﺘﻔﺎده ﺑﺮاي ﺗﺤﻘﻴﻘـﺎت ﺗﻮﺳـﻂ دو ﮔـﺮوه در اوﻟﻮﻳـﺖ اول ﻛﺘـﺎب ﺑـﻮده اﺳـﺖ ﺑـﻪ‬
‫ﻃﻮرﻳﻜﻪ ‪ %82/5‬ﻫﻴﺎت ﻋﻠﻤﻲ و ‪ %76‬داﻧﺸﺠﻮﻳﺎن آن را اﻧﺘﺨﺎب ﻛﺮدهاﻧﺪ‪ .‬در ﻣـﻮرد ﭘﺎﻳﮕﺎﻫﻬـﺎي اﻃﻼﻋـﺎﺗﻲ‬
‫ﻧﻴﺰ اﻛﺜﺮﻳﺖ دو ﮔﺮوه ﺑﺎ ﭘﺎﻳﮕﺎﻫﻬﺎ آﺷﻨﺎ ﻫﺴﺘﻨﺪ و ﭘﺮ اﺳـﺘﻔﺎدهﺗـﺮﻳﻦ آﻧﻬـﺎ ﭘﺎﻳﮕـﺎه ‪ Elsevier‬ﻣـﻲﺑﺎﺷـﺪ‪ .‬ﻧﺘـﺎﻳﺞ‬
‫ﻫﻤﭽﻨﻴﻦ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ داﻧﺸﺠﻮﻳﺎن و ﻫﻴﺎت ﻋﻠﻤﻲ در ﺣﺪ ﻛﻤﻲ ﺑﺎ ﻣﻬﺎرﺗﻬﺎي ﺟـﺴﺘﺠﻮ اﻃﻼﻋـﺎت آﺷـﻨﺎ‬
‫ﻫﺴﺘﻨﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻣﻬﺎرﺗﻬﺎي ﺟﺴﺘﺠﻮ‪ ،‬رﻓﺘﺎر اﻃﻼعﻳـﺎﺑﻲ‪ ،‬اﻟﮕـﻮي ﻣﻄﺎﻟﻌـﻪ‪ ،‬ﻣﻨـﺎﺑﻊ اﻟﻜﺘﺮوﻧﻴﻜـﻲ‪ ،‬ﻣﻨـﺎﺑﻊ ﭼـﺎﭘﻲ‪،‬‬
‫ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي‪ ،‬داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫اﺳﺘﺎﻧﺪاردﻛﺮدن ﭘﺮﺳﺸﻨﺎﻣﻪ ﭘﻨﺞ ﻋﺎﻣﻠﻲ ﺷﺨﺼﻴﺖ ﻧﺌﻮ )ﻓﺮم ﻛﻮﺗﺎه( در ﺟﻤﻌﻴﺖ ﺑﺰرﮔﺴﺎل اﺳﺘﺎن ﺗﻬﺮان‬
‫ﻣﻨﻮﭼﻬﺮ ازﺧﻮش‬
‫ﻫﺪف‪ :‬ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف اﺳﺘﺎﻧﺪارد ﻛﺮدن ﭘﺮﺳـﺸﻨﺎﻣﻪ ﭘـﻨﺞ ﻋـﺎﻣﻠﻲ ﻧﺌـﻮ )ﻣـﻚ ﻛـﺮي و ﻛﺎﺳـﺘﺎ‪،‬‬
‫‪ (1992‬در ﺟﺎﻣﻌﻪ اﻳﺮاﻧﻲ ﺑﻮد‪.‬‬
‫ﻣﻮاد و روش‪ :‬ﮔﺮوه ﻧﻤﻮﻧﻪ ‪ 1963‬ﻧﻔﺮ )‪ 1009‬زن و ‪ 954‬ﻣﺮد( از ﺷﻬﺮوﻧﺪان اﺳﺘﺎن ﺗﻬـﺮان ﺑـﻮد ﻛـﻪ ﺑـﺎ‬
‫روش ﻧﻤﻮﻧﻪﺑﺮداري ﭼﻨﺪ ﻣﺮﺣﻠﻪاي اﻧﺘﺨﺎب ﺷﺪﻧﺪ‪ .‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﭘﻨﺞ ﻋﺎﻣﻠﻲ ﻧﺌﻮ ﺑﺎ ‪ 60‬ﺳـﺆال در ﻣﻘﻴـﺎس ﭼﻬـﺎر‬
‫درﺟﻪاي ﻟﻴﻜﺮت‪ ،‬ﭘﻨﺞ ﻋﺎﻣﻞ اﺻﻠﻲ‪ ،‬روانرﻧﺠﻮرﺧﻮﻳﻲ‪ ،‬ﺑﺮوﻧﮕﺮاﻳﻲ‪ ،‬ﺑﺎز ﺑﻮدن ﻧﺴﺒﺖ ﺑﻪ ﺗﺠﺮﺑﻪ‪ ،‬ﻣﻘﺒﻮﻟﻴـﺖ و‬
‫ﺑﺎوﺟﺪان ﺑﻮدن را اﻧﺪازهﮔﻴﺮي ﻣﻲﻛﻨﺪ‪ .‬ﺗﺤﻠﻴﻞ دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﺗﺤﻠﻴـﻞ ﻋـﺎﻣﻠﻲﺗﺄﻳﻴـﺪي‪ ،‬ﺗﺤﻠﻴـﻞﻋـﺎﻣﻠﻲ‬
‫اﻛﺘﺸﺎﻓﻲ‪ ،‬ﺿﺮﻳﺐ ﻫﻤﺒﺴﺘﮕﻲ ﭘﻴﺮﺳﻮن و ﺗﺤﻠﻴﻞ وارﻳﺎﻧﺲ اﻧﺠﺎم ﺷﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻧﺘﺎﻳﺞ ﺗﺤﻠﻴﻞ ﻋﺎﻣﻠﻲ ﺗﺄﻳﻴﺪي ﺑﺮاي ﺗﻌﻴﻴﻦ رواﻳﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﺸﺎن داد ﻛﻪ ﻋﺎﻣﻞ روانرﻧﺠﻮرﺧﻮﻳﻲ‬
‫و ﺑﺎوﺟﺪان ﺑﻮدن )ﺑﺎ ‪ 12‬ﮔﻮﻳﻪ اﺻﻠﻲ( از رواﻳﻲ ﻋﺎﻣﻠﻲ ﻣﻨﺎﺳﺐ ﺑﺮﺧﻮردار و ﺿﺮﻳﺐ ﻫﻤﮕﻮﻧﻲ دروﻧـﻲ آﻧﻬـﺎ‬
‫ﺑﻪ ﺗﺮﺗﻴﺐ ﺑﺮاﺑﺮ ﺑﺎ ‪ 0/79‬و ‪ 0/78‬اﺳﺖ‪ .‬ﻋﺎﻣﻞ ﺑﺮوﻧﮕﺮاﻳﻲ ﺑﺎ ﺣـﺬف ‪ 3‬ﮔﻮﻳـﻪ‪ ،‬ﺑـﺎز ﺑـﻮدن ﻧـﺴﺒﺖ ﺑـﻪ ﺗﺠﺮﺑـﻪ و‬
‫ﻣﻘﺒﻮﻟﻴﺖ ﻫﺮ ﻛﺪام ﺑﻌﺪ از ﺣﺬف ‪ 6‬ﮔﻮﻳﻪ‪ ،‬ﺑﻪ دﻟﻴﻞ ﻫﻤﺒﺴﺘﮕﻲ ﺿﻌﻴﻒ ﺑﺎ ﻧﻤﺮه ﻛﻞ و ﻧﻴﺰ ﺑﺎر ﻋﺎﻣﻠﻲ و ﺿﺮﻳﺐ‬
‫ﺗﻌﻴﻴﻦ ﻧﺎﻣﻨﺎﺳﺐ‪ ،‬ﺑﺎ دادهﻫﺎ ﺑﺮازش ﻣﻨﺎﺳـﺐ ﺑـﻪ دﺳـﺖ آرودﻧـﺪ و رواﻳـﻲ ﻋـﺎﻣﻠﻲ آﻧﻬـﺎ ﺗﺄﻳﻴـﺪ ﺷـﺪ‪ .‬ﺿـﺮاﻳﺐ‬
‫ﻫﻤﮕﻮﻧﻲ اﻳﻦ ﺳﻪ ﻋﺎﻣﻞ ﺑﻪ ﺗﺮﺗﻴﺐ ﺑﺮاﺑـﺮ ﺑـﺎ ‪762,0‬؛ ‪ 572,0‬و ‪ 554,0‬ﺑـﻪ دﺳـﺖ آﻣـﺪ‪ .‬ﺿـﺮاﻳﺐ ﺑﺎزآزﻣـﺎﻳﻲ‬
‫ﻋﺎﻣﻠﻬﺎ ﻧﻴﺰ ﺑﺎ ﻓﺎﺻﻠﻪ ﻳﻚ ﻣﺎه ﺑﻪ ﺗﺮﺗﻴﺐ ﺑﺮاﺑﺮ ﺑﺎ ‪ 62,0 ،66,0 ،81,0 ،69,0‬و ‪ 73,0‬ﺑـﻪدﺳـﺖ آﻣـﺪ‪ .‬ﻫﻤﺒـﺴﺘﮕﻲ‬
‫ﺑﻴﻦ ﭘﻨﺞ ﻋﺎﻣﻞ ﺷﺨﺼﻴﺖ ﺑﺎ ﻣﻘﻴﺎﺳﻬﺎي ﺑﺮوﻧﮕﺮاﻳﻲ و رواﻧﺠﻮرﺧﻮﻳﻲ ﭘﺮﺳـﺸﻨﺎﻣﻪ ﺷﺨـﺼﻴﺘﻲ آﻳﺰﻧـﻚ )‪ (1964‬و‬
‫ﻣﻘﻴﺎﺳﻬﺎي ادواريﺧﻮﻳﻲ‪ ،‬ﺧﻠﻖ اﺳﺘﻮار‪ ،‬ﺑﺮوﻧﮕﺮاﻳﻲ و رواﻧﺠﻮرﺧـﻮﻳﻲ ﭘﺮﺳـﺸﻨﺎﻣﻪ ‪16‬ﻋـﺎﻣﻠﻲ ﻛﺘـﻞ )ﻛﺘـﻞ و‬
‫دﻳﮕﺮان‪ (1993 ،‬از ﻟﺤﺎظ آﻣﺎري ﻣﻌﻨﺎدار ﺑﻮد و رواﻳﻲ ﻫﻤﮕﺮاي ﻋﺎﻣﻠﻬﺎ را ﺗ‪Ĥ‬ﻳﻴـﺪ ﻛـﺮد‪ .‬رواﻳـﻲ ﻋـﺎﻣﻠﻲ دو‬
‫ﻣﻘﻴﺎس ﺑﺮوﻧﮕﺮاﻳﻲ و روانرﻧﺠﻮرﺧﻮﻳﻲ در ﻫﺮ ﺳﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺑﺎ اﺟﺮاي ﺗﺤﻠﻴﻞﻋﺎﻣﻠﻲ اﻛﺘﺸﺎﻓﻲ ﺷﺶ ﻣﻘﻴـﺎس‬
‫و اﺳﺘﺨﺮاج دو ﻋﺎﻣﻞ ﺑﺮوﻧﮕﺮاﻳﻲ و روانرﻧﺠﻮرﺧﻮﻳﻲ ﺗـﺄﻳﻴﺪ ﺷـﺪ‪ .‬ﻣﻘﺎﻳـﺴﻪ ﻣﻴﺎﻧﮕﻴﻨﻬـﺎي دو ﺟـﻨﺲ در ﭘـﻨﺞ‬
‫ﻋﺎﻣﻞ ﻧﺸﺎن داد ﻛﻪ ﻣﺮدان در ﻣﻘﻴﺎﺳﻬﺎي روانرﻧﺠﻮرﺧﻮﻳﻲ‪ ،‬ﺑﺮوﻧﮕﺮاﻳـﻲ و ﺑﺎوﺟـﺪان ﺑـﻮدن ﻧﻤـﺮه ﺑـﺎﻻﺗﺮي‬
‫دارﻧﺪ‪ .‬اﻣﺎ در ﮔﺮوه زﻧﺎن ﻣﻴﺎﻧﮕﻴﻦ ﻣﻘﻴﺎﺳﻬﺎي ﺑﺎزﺑﻮدن ﻧﺴﺒﺖ ﺑـﻪ ﺗﺠﺮﺑـﻪ و ﻣﻘﺒﻮﻟﻴـﺖ ﺑﻴـﺸﺘﺮ از ﻣـﺮدان اﺳـﺖ‪.‬‬
‫ﺟﺪول ﺗﺒﺪﻳﻞ ﻧﻤﺮهﻫﺎي ﺧﺎم ﺑﻪ ﻧﻤﺮهﻫﺎي اﺳﺘﺎﻧﺪارد ﺑﻪ ﺗﻔﻜﻴﻚ دو ﮔﺮوه زن و ﻣﺮد ﺗﺪوﻳﻦ ﺷﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻫﺮﭼﻨﺪ اﻳﻦ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺑﺎ ‪ 45‬ﮔﻮﻳﻪ ﻣﻲﺗﻮاﻧﺪ اﻧﺪازه ﻧﺴﺒﺘﺎً ﻣﻨﺎﺳﺒﻲ از ﭘﻨﺞ ﻋﺎﻣﻞ در ﻓﺮﻫﻨﮓ‬
‫اﻳﺮاﻧﻲ ﺑﻪ دﺳﺖ دﻫﺪ‪ ،‬اﻣﺎ ﺑﻪ ﻣﻨﻈﻮر ﺟﺎﻣﻌﻴﺖ ﺑﺨﺸﻴﺪن ﺑﻪ آن ﺑﺎﻳـﺪ ﺑـﺮ ﭘﺎﻳـﻪ ﻣﺆﻟﻔـﻪﻫـﺎي ﻓﺮﻫﻨﮕـﻲ و ﺳـﺎﺧﺘﺎر‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﺟﺘﻤﺎﻋﻲ ﻛﺸﻮر ﺑﻪ ﺗﻌﺪاد ﮔﻮﻳﻪﻫﺎي ﺳﻪ ﻣﻘﻴﺎس ﺑﺮوﻧﮕﺮاﻳﻲ‪ ،‬ﺑﺎزﺑﻮدن ﻧﺴﺒﺖ ﺑـﻪ ﺗﺠﺮﺑـﻪ و ﻣﻘﺒﻮﻟﻴـﺖ اﻓـﺰوده‬
‫ﺷﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﭘﻨﺞ ﻋﺎﻣﻞ ﺑﺰرگ‪ ،‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﭘﻨﺞ ﻋﺎﻣﻠﻲ ﻧﺌﻮ‪ ،‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﺷﺨﺼﻴﺘﻲ آﻳﺰﻧـﻚ‪ ،‬ﭘﺮﺳـﺸﻨﺎﻣﻪ‬
‫‪16‬ﻋﺎﻣﻠﻲ ﻛﺘﻞ‪ ،‬رواﻳﻲ‪ ،‬اﻋﺘﺒﺎر‪ ،‬اﺳﺘﺎﻧﺪاردﺳﺎزي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﭼﺎﻟﺸﻬﺎي زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي ﺑـﺮ اﺳـﺎس ﺗﺠـﺎرب و ﻧﻴﺎزﻫـﺎي آﻧـﺎن‪ ،‬ﻣـﺮاﻗﺒﻴﻦ‬
‫ﺧﺎﻧﻮادﮔﻲ و ﻣﺮاﻗﺒﻴﻦ رﺳﻤﻲ و ﺗﺪوﻳﻦ ﺑﺮﻧﺎﻣﻪ راﻫﺒﺮدي اﺛﺮ ﺑﺨﺶ در ارﺗﻘﺎء زﻧﺪﮔﻲ آﻧﺎن‬
‫اﺻﻐﺮ داﻟﻮﻧﺪي‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﺳﻜﺘﻪ ﻣﻔﺰي از ﻋﻠﺘﻬﺎي ﻣﺮگ و ﻧﺎﺗﻮاﻧﻲ راﻳﺞ در اروﭘـﺎ و آﺳـﻴﺎ ﻣﺤـﺴﻮب ﻣـﻲﺷـﻮد‪ ،‬و از ﻫـﺮ‬
‫‪ 100000‬ﻧﻔﺮ ﺟﻤﻌﻴﺖ ‪ 638-183‬ﻧﻔﺮ ﺑﻪ ﺳﻜﺘﻪ ﻣﻔﺰي ﻣﺒﺘﻼ ﻣـﻲﺷـﻮﻧﺪ‪ .‬ﺳـﻜﺘﻪ ﻣﻔـﺰي ﻳـﻚ رﺧـﺪاد ﺗﻬﺪﻳـﺪ‬
‫ﻛﻨﻨﺪه زﻧﺪﮔﻲ اﺳﺖ ﻛـﻪ ﺑـﺎ ﻣـﺸﻜﻼت ﺟـﺴﻤﻲ‪ ،‬رواﻧـﻲ‪ ،‬اﺟﺘﻤـﺎﻋﻲ و اﻗﺘـﺼﺎدي ﻫﻤـﺮاه اﺳـﺖ‪.‬ﺑﻨـﺎﺑﺮﻳﻦ ﺑـﻪ‬
‫ﻣﻄﺎﻟﻌﺎﺗﻲ ﻧﻴﺎز اﺳﺖ ﻛﻪ ﺑﺮ اﺳﺎس ﺗﺠﺮﺑﻪ ﻓﺮاﻳﻨﺪ ﺑﻬﺒﻮدي را ﻛﻤﻚ ﻛﻨﺪ‪ ،.‬آﻧﻬﺎ‬
‫ﻫﺪف ﻣﻄﺎﻟﻌﻪ‪ :‬ﺗﻮﺿﻴﺢ و ﺗﺸﺮﻳﺢ ﭼﺎﻟﺸﻬﺎي زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻔﺰي ﺑﺮ اﺳﺎس ﺗﺠﺎرب و ﻧﻴﺎزﻫـﺎي‬
‫آﻧﺎن‪ ،‬ﻣﺮاﻗﺒﻴﻦ ﺧﺎﻧﻮادﮔﻲ و ﻣﺮاﻗﺒﻴﻦ رﺳﻤﻲ و ﺗﺪوﻳﻦ ﺑﺮﻧﺎﻣﻪ راﻫﺒﺮدي اﺛﺮ ﺑﺨﺶ در ارﺗﻘﺎء زﻧﺪﮔﻲ آﻧﺎن‬
‫اﻧﺠﺎم اﻳﻦ ﭘﮋوﻫﺶ از ﻣﻄﺎﻟﻌﻪ ﻛﻴﻔﻲ ﺑﺎروﻳﻜﺮد ﺗﺌﻮري زﻣﻴﻨـﻪاي اﺳـﺘﻔﺎده ﺷـﺪه‪ ،‬ﻛـﻪ ﻳـﻚ روش ﺑـﺮاي‪:‬‬
‫روش ﻣﻄﺎﻟﻌﻪ‪ :‬ﺑﺮرﺳﻲ زﻳﺮﺑﻨﺎي ﻓﺮاﻳﻨﺪﻫﺎي اﺟﺘﻤﺎﻋﻲ در رواﺑﻂ اﻧﺴﺎﻧﻲ ﻣـﻲﺑﺎﺷـﺪ و از ﻣـﺸﺎﻫﺪه و ﻣـﺼﺎﺣﺒﻪ‬
‫ﻧﻴﻤﻪ ﺳﺎﺧﺘﺎر ﻳﺎﻓﺘﻪ ﺑﺮاي ﺟﻤﻊآوري دادهﻫﺎ اﺳﺘﻔﺎده ﺷﺪه اﺳﺖ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻣﻔﺎﻫﻴﻢ اﺳﺘﺨﺮاج ﺷﺪه ﺷﺎﻣﻞ ﻫﻔﺖ ﭼﺎﻟﺶ ﻋﻤﺪه در زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﻣﻴﺒﺎﺷﺪ‪ :‬اﺧﺘﻼل ﻋﻤﻠﻜﺮد‬
‫ﻓﻴﺰﻳﻜﻲ‪ ،‬ﻣﺸﻜﻼت رواﻧﻲ‪ ،‬اﺟﺘﻤﺎﻋﻲ‪ ،‬ﻛﻤﺒﻮد ﺧﺪﻣﺎت و ﻣﺮاﻛﺰ ﻣﺮاﻗﺒﺘﻲ و ﺗﻮاﻧﺒﺨـﺸﻲ‪ ،‬ﻛﻤﺒـﻮد ﺣﻤﺎﻳﺘﻬـﺎي‬
‫ﻣﺎﻟﻲ واﻗﺘﺼﺎدي‪ ،‬ﻛﻤﺒﻮد ﻣﺸﺎوره وﺑﺮﻧﺎﻣﻪﻫﺎي اﻣﻮزﺷﻲ و ﻣﻜﺎﻧﻴﺴﻤﻬﺎي ﺳﺎزﮔﺎري ﻧﺎﻛﺎﻓﻲ‬
‫ﺑﺤﺚ‪ :‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻳﻚ روﻳﻜﺮد ﻛﻠﻲ ﺑﻪ ﻣﺴﺎﺋﻞ و ﻣﺸﻜﻼت زﻧﺪﮔﻲ ﺑﻌـﺪ از اﺳـﺘﺮوك ﻧﮕـﺎه ﻣﻴﻜﻨـﺪ‬
‫ﺗﻔﺎوت اﺻﻠﻲ ﻳﺎﻓﺘﻪﻫﺎي اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ دﻳﮕﺮ ﻓﻘﺪان ﻳﻚ ﺑﺮﻧﺎﻣﻪ ﺟﺎﻣﻊ ﺗﺮﺧﻴﺺ وﻛﻤﺒﻮد ﺷﺒﻜﻪﻫﺎي ﺣﻤﺎﻳـﺖ‬
‫اﺟﺘﻤﺎﻋﻲ در اﻳﺮان ﻣﻴﺒﺎﺷﺪ‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي و ﺗﻮﺻﻴﻪ‪ :‬ﺑﺎ اﺟﺮاي اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑـﺎ ﻫﻤﻜـﺎري ﺑﻴﻤـﺎران و ﻣـﺮاﻗﺒﻴﻦ ﺧـﺎﻧﻮادﮔﻲ و ﻣـﺮاﻗﺒﻴﻦ‬
‫رﺳﻤﻲ آﻧﺎن ﻣﺸﺨﺺ ﺷﺪ ﻛﻪ ﺑﻴﻤﺎران و ﺧﺎﻧﻮادهﻫﺎي آﻧﺎن ﻣﺸﻜﻼت ﻣﺘﻔﺎوﺗﻲ را ﺗﺠﺮﺑﻪ ﻛﺮدهاﻧﺪ و ﻫﻤﭽﻨﻴﻦ‬
‫راﻫﻜﺎرﻫﺎ و ﺗﻮﺻﻴﻪﻫﺎﻳﻲ را داﺷﺘﻪاﻧﺪ‪.‬ﻣﺴﺌﻮﻟﻴﻦ ﺑﺎﻳﺪ ﺣﻤﺎﻳﺘﻬﺎي ﻣـﺎﻟﻲ و اﺟﺘﻤـﺎﻋﻲ را اﻓـﺰاﻳﺶ دﻫﻨـﺪ‪.‬ﻧﻴـﺎز ﺑـﻪ‬
‫ﺳﺎزﻣﺎﻧﺪﻫﻲ و ﮔﺴﺘﺮش ﻣﺮاﻛﺰ ﻧﻮﺗﻮاﻧﻲ و ﻧﻮﺷﺘﻦ ﭘﺮوﺗﻜﻞ ﻧﻮﺗﻮاﻧﻲ ﺳﻜﺘﻪ ﻣﻔﺰي ﻣﻲﺗﻮاﻧﺪ‪ ،‬ﺗﻴﻢ ﺗﻮاﻧﺒﺨـﺸﻲ را‬
‫ﻫﻤﺎﻫﻨﮓ و ﺧﺪﻣﺎت ﺗﻮاﻧﺒﺨﺸﻲ را ﻣﺆﺛﺮﺗﺮ ﻧﻤﺎﻳﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬زﻧﺪﮔﻲ ﭘﺲ از ﺳﻜﺘﻪ ﻣﻐﺰي‪ ،‬ﺗﺠﺎرب‪ ،‬ﭼﺎﻟﺶﻫـﺎ‪ ،‬ﺑﻴﻤـﺎر ﺳـﻜﺘﻪ ﻣﻐـﺰي‪ ،‬ﻣﺮاﻗﺒـﺖﻛﻨﻨـﺪﮔﺎن‬
‫ﺧﺎﻧﻮادﮔﻲ و رﺳﻤﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﺮور ﻧﻈﺎمدار ﻣﻄﺎﻟﻌﺎت ﻣﺮﺑﻮط ﺑﻪ ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ در ﻳﻚ دﻫﻪي اﺧﻴﺮ‬
‫ﻣﺮوﺋﻪ واﻣﻘﻲ‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬اﻧﺠﺎم ﻣﻄﺎﻟﻌﺎت ﻣﺘﻌﺪد ﻣﺮﺗﺒﻂ ﺑﺎ ﻛﻮدﻛﺎن ﺧﻴﺎﺑـﺎﻧﻲ در اﻳـﺮان و ﻟـﺰوم ﺳﻴﺎﺳـﺘﮕﺰاري و‬
‫ﺑﺮﻧﺎﻣﻪرﻳﺰي ﻣﺒﺘﻨﻲ ﺑﺮ ﺷﻮاﻫﺪ ﻋﻠﻤﻲ‪ ،‬اﺳﺘﻔﺎده از ﭘﮋوﻫـﺸﻬﺎي ﻣﻮﺟـﻮد و ﻫﺪﻓﻤﻨـﺪ ﻧﻤـﻮدن ﻣﻄﺎﻟﻌـﺎت آﺗـﻲ را‬
‫ﺿﺮوري ﻣﻲﺳﺎزد‪ .‬ﻟﺬا اﻳﻦ ﭘﮋوﻫﺶ ﺑﺮ آن اﺳﺖ ﺗﺎ ﺑﺎ ﻃﺒﻘﻪﺑﻨﺪي ﭘﮋوﻫﺸﻬﺎي ﻣﺮﺗﺒﻂ ﺑﺎ ﻛﻮدﻛﺎن ﺧﻴﺎﺑـﺎﻧﻲ ﺑـﻪ‬
‫ﺟﻤﻊﺑﻨﺪي از اﻃﻼﻋﺎت و ﻧﺘﺎﻳﺞ اﻳﻦ ﭘﮋوﻫﺸﻬﺎ‪ ،‬ﻧﻘﺎط ﻗﻮت و ﺿﻌﻒ آﻧﻬﺎ و اراﺋﻪ ﺧﻄـﻮط راﻫﻨﻤـﺎ ﺑـﻪ ﻣﻨﻈـﻮر‬
‫ﻛﺎرﺑﺮدي ﺳﺎﺧﺘﻦ و ارﺗﻘﺎئ ﻛﻤﻲ و ﻛﻴﻔﻲ ﭘﮋوﻫﺸﻬﺎي آﻳﻨﺪه دﺳﺖ ﻳﺎﺑﺪ‪.‬‬
‫ﻣﻮاد و روش‪ :‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﻣﻄﺎﻟﻌﺎت ﺗﻮﺻﻴﻔﻲ اﺳـﺖ و ﺑـﺎ ﺗﻮﺟـﻪ ﺑـﻪ روش اﺟـﺮا ﻣﻄﺎﻟﻌـﻪ ﻣـﺮور‬
‫ﻧﻈﺎﻣﺪار ﻳﺎ ﺳﻴﺴﺘﻤﺎﺗﻴﻚ ﺗﻠﻘﻲ ﻣﻴﮕﺮدد‪ .‬در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ‪ 51‬ﭘﮋوﻫﺶ ﻣﺮﺗﺒﻂ ﺑـﺎ ﻛﻮدﻛـﺎن ﺧﻴﺎﺑـﺎﻧﻲ ﺷـﺎﻣﻞ ‪47‬‬
‫ﻣﻄﺎﻟﻌﻪي ﻛﻤﻲ و ‪ 4‬ﻣﻄﺎﻟﻌﻪي ﻛﻴﻔﻲ ﻣـﻮرد ارزﻳـﺎﺑﻲ ﻛﻴﻔﻴـﺖ ﻗـﺮار ﮔﺮﻓﺘـﻪ و در ﻧﻬﺎﻳـﺖ دادهﻫـﺎي ‪ 41‬ﺳـﻨﺪ‬
‫ﭘﮋوﻫﺸﻲ ﺑﺮ اﺳﺎس ﺳﺌﻮاﻻت ﻣﻄﺎﻟﻌﻪ ﻃﺒﻘﻪﺑﻨﺪي و ﺗﻮﺻﻴﻒ و ﺗﺤﻠﻴﻞ ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻣﺘﺎآﻧﺎﻟﻴﺰ )ﻣﻴﺎﻧﮕﻴﻦ وزﻧﻲ( دادهﻫﺎي ﻣﻄﺎﻟﻌﺎت ﻧﺸﺎن داد ﻛﻪ ‪ %90/6‬ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ را ﭘﺴﺮان‬
‫و ‪ %9/4‬آﻧﻬﺎ را دﺧﺘﺮان ﺗﺸﻜﻴﻞ ﻣﻴﺪﻫﻨﺪ‪ %82/9 .‬ﻛﻮدﻛﺎن ﺑﻴﺴﻮاد ﺑﻮده ﻳﺎ ﺗﺤﺼﻴﻼت زﻳﺮ دﺑﻴﺮﺳﺘﺎن داﺷﺘﻪ و‬
‫‪ % 85‬ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ ﺑﺎ ﺧﺎﻧﻮادهي ﺧﻮد ارﺗﺒﺎط داﺷﺘﻪﻧﺪ‪ %80/18 .‬ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ ﺑﻪ ﻛﺎر اﺷﺘﻐﺎل دارﻧﺪ‬
‫و ‪ %85/3‬ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ داراي ﺧﺎﻧﻮادهﻫﺎي ﺑﺎ ﺑﻌﺪ ‪ 5‬ﻧﻔـﺮ و ﺑـﺎﻻﺗﺮ ﻣﻴﺒﺎﺷـﻨﺪ‪ .‬ﭘـﺪران ‪ %91/3‬ﻛﻮدﻛـﺎن و‬
‫‪ %85/5‬ﻣﺎدران اﻳـﻦ ﻛﻮدﻛـﺎن ﺑﻴـﺴﻮاد ﺑـﻮده ﻳـﺎ داراي ﺳـﻮاد ﻛﻤﺘـﺮ از دﺑﻴﺮﺳـﺘﺎن ﻣﻴﺒﺎﺷـﻨﺪ و‪ %23/3‬ﭘـﺪران‬
‫ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ ﺑﻴﻜﺎر ﻫﺴﺘﻨﺪ‪ %80/9 .‬ﺧﺎﻧﻮادهﻫﺎي ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ داراي درآﻣﺪ زﻳﺮ ‪ 100‬ﻫﺰار ﺗﻮﻣـﺎن‬
‫در ﻣﺎه ﻫﺴﺘﻨﺪ‪ .‬واﻟﺪﻳﻦ‪ %29/3‬ﻛﻮدﻛﺎن ﻃﻼق ﮔﺮﻓﺘﻪ ﻳﺎ ﺑﺪون ﻃﻼق رﺳﻤﻲ از ﻳﻜﺪﻳﮕﺮ ﺟﺪا ﺷﺪهﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴـﺮي‪ :‬ﻣﻄﺎﻟﻌـﺎت ﻣﺮﺑـﻮط ﺑـﻪ ﻛﻮدﻛـﺎن ﺧﻴﺎﺑـﺎﻧﻲ در اﻳـﺮان در ﻳـﻚ دﻫـﻪي اﺧﻴـﺮ ﻋﻤـﺪﺗﺎ ﺑـﺮ‬
‫ﻣﺸﺨﺼﺎت ﺟﻤﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ‪ ،‬ﻋﻮاﻣﻞ ﻣﺮﺗﺒﻂ ﺑﺎ ﺧﻴﺎﺑﺎﻧﻲ ﺷﺪن و ﭘﻴﺎﻣﺪﻫﺎي ﺧﻴﺎﺑﺎﻧﻲ ﺷﺪن ﻛﻮدﻛـﺎن ﻣﺘﻤﺮﻛـﺰ‬
‫ﺑﻮده اﺳﺖ‪ .‬ﻣﻄﺎﻟﻌﺎت ﻏﺎﻟﺒﺎ ﺗﻮﺻﻴﻔﻲ ﺑﻮده و ﻣﻄﺎﻟﻌـﺎت ﺗﺤﻠﻴﻠـﻲ از ﺿـﻌﻔﻬﺎي روش ﺷـﻨﺎﺧﺘﻲ ﻗﺎﺑـﻞ ﺗـﻮﺟﻬﻲ‬
‫ﺑﺮﺧﻮردارﻧﺪ‪ .‬ﻳﺎﻓﺘﻪﻫﺎي ﺟﻤﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ اﻏﻠﺐ ﺑﺮداﺷﺘﻬﺎي اوﻟﻴﻪ در ﻣﻮرد ﻛﻮدﻛـﺎن ﺧﻴﺎﺑـﺎﻧﻲ‬
‫ﻣﻄﺎﺑﻘﺖ دارد‪ ،‬اﻣﺎ در ﻣﻮرد ﻋﻠﻞ‪ ،‬ﭘﻴﺎﻣﺪﻫﺎ و ﭼﮕﻮﻧﮕﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ﺑﻪ دﻟﻴﻞ ﻛﻤﺒﻮد ﻣﻄﺎﻟﻌﺎت ﻳـﺎ ﺿـﻌﻒ‬
‫روش ﺷﻨﺎﺧﺘﻲ ﻣﻄﺎﻟﻌﺎت ﻧﻤﻴﺘﻮان اﻇﻬﺎر ﻧﻈﺮ ﻧﻤﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬اﻳﺮان‪ ،‬ﻛﻮدﻛﺎن ﺧﻴﺎﺑﺎﻧﻲ‪ ،‬ﻣﺮور ﻧﻈﺎم دار‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺳﻮء ﻣﺼﺮف ﻣﻮاد ﻧﻴﺮوزا و ﻣﻮاد اﻋﺘﻴﺎدآور در ﺑﺎﺷﮕﺎهﻫﺎي ﺑﺪﻧﺴﺎزي ﺗﻬﺮان‬
‫ﻫﻮﻣﻦ اﻧﮕﻮراﻧﻲ‬
‫ﻫﺪف‪ :‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺎ ﻫﺪف ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺳﻮﻣﺼﺮف اﺳﺘﺮوﺋﻴﺪﻫﺎي آﻧﺎﺑﻮﻟﻴﻚ )ﺗﺮﻛﻴﺒﺎت ﻧﻴﺮوزا( و‬
‫ﻣﻮاد اﻋﺘﻴﺎدآور در ورزﺷﻜﺎران ﻣﺮد در ﺑﺎﺷﮕﺎهﻫﺎي ﺑﺪﻧﺴﺎزي ﺷﻬﺮ ﺗﻬﺮان و ﻫﻤﭽﻨﻴﻦ ارزﻳﺎﺑﻲ ﺗـﺄﺛﻴﺮ ﻋﻮاﻣـﻞ‬
‫ﻣﺨﺘﻠﻒ ﻧﻈﻴﺮ ﺷﺮاﻳﻂ اﻗﺘﺼﺎدي‪ ،‬اﺟﺘﻤﺎﻋﻲ اﻓﺮاد و وﺿﻴﻌﺖ دﻣﻮﮔﺮاﻓﻴﻚ ﺑﺎﺷﮕﺎهﻫﺎي ﺑﺪﻧـﺴﺎزي و ﻫﻤﭽﻨـﻴﻦ‬
‫ﺷﺮاﻳﻂ روﺣﻲ ـ رواﻧﻲ و ﺗﺼﻮﻳﺮﺑﺪﻧﻲ اﻓﺮاد ﺑﺮ ﻣﺼﺮف اﻳﻦ ﮔﻮﻧﻪ ﺗﺮﻛﻴﺒﺎت در ﺳﺎل ‪ 1386‬در ﺑﺎﺷـﮕﺎهﻫـﺎي‬
‫ﺑﺪﻧﺴﺎزي ﺷﻬﺮ ﺗﻬﺮان ﺻﻮرت ﮔﺮﻓﺖ‪.‬‬
‫روش اﺟﺮا‪ :‬اﺑﺘﺪا ﺑﺎ اﻧﺠﺎم دادن ﻳﻚ ﻣﻄﺎﻟﻌﻪ اﻛﺘﺸﺎﻓﻲ ﻳﺎ ﻣﺸﺎﻫﺪه ﻣﺸﺎرﻛﺘﻲ در ﺑﺎﺷﮕﺎهﻫﺎي ﺑﺪﻧﺴﺎزي و‬
‫ﻣﺼﺎﺣﺒﻪ ﺑﻲ ﺳﺎﺧﺘﺎر ﺑﺎ اﻓﺮاد ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ اﻳﻦ ﺑﺎﺷﮕﺎﻫﻬﺎ ﺑﻪ ﻧﻤﺎﻳﻲ از ﻣﺼﺮف اﻳﻦ داروﻫﺎ دﺳـﺖ ﻳـﺎﻓﺘﻴﻢ‪.‬‬
‫)ﻧﺘﺎﻳﺞ ﻣﺸﺎﻫﺪه ﻣﺸﺎرﻛﺘﻲ در ﺿﻤﻴﻤﻪ ﻣﻮﺟﻮد اﺳﺖ( ﺑﺎ اﺗﻜﺎ ﺑﻪ ﻳﺎﻓﺘﻪﻫﺎي ﺣﺎﺻﻞ از ﻣﻄﺎﻟﻌﻪ اوﻟﻴﻪ‪ ،‬ﺗﺠﺮﺑﻪﻫـﺎي‬
‫ذﻫﻨــﻲ ﻣﺤﻘــﻖ و ﻣــﺮور ﻣﻨــﺎﺑﻊ ﻣﻮﺟــﻮد‪ ،‬ﭘــﻴﺶ ﻓﺮﺿــﻬﺎﻳﻲ را ﺗﻨﻈــﻴﻢ ﻧﻤــﻮده ﻛــﻪ ﻣﺒﻨــﺎي ﺗــﺪوﻳﻦ ﺳــﻮاﻻت و‬
‫ﻓﺮﺿﻴﻪﻫﺎي ﺗﺤﻘﻴﻖ ﺷﺪﻧﺪ‪ .‬در ﻣﺮﺣﻠﻪ اول ﺑﺎ روش ﻧﻤﻮﻧـﻪﮔﻴـﺮي ﺗـﺼﺎدﻓﻲ ﺑﺎﺷـﮕﺎﻫﻬﺎي ﺑﺪﻧـﺴﺎزي در ﺷـﻬﺮ‬
‫ﺗﻬﺮان اﻧﺘﺨﺎب ﺷﺪه و در ﻣﺮﺣﻠﻪ ﺑﻌﺪ ﺑﺎ روش ﺗﺼﺎدﻓﻲ از ﻣﻴﺎن ﻣﺮاﺟﻌﻴﻦ ﺑـﻪ ﺑﺎﺷـﮕﺎﻫﻬﺎ‪ ،‬ﺗﻌـﺪاد ﻧﻤﻮﻧـﻪﻫـﺎ را‬
‫ﮔﺰﻳﻨﺶ ﻛﺮدﻳﻢ‪ .‬در واﻗـﻊ ﻣﻄﺎﻟﻌـﻪ در دو ﺑﺨـﺶ ﺗﻮﺻـﻴﻔﻲ و ﺗﺤﻠﻴﻠـﻲ اﻧﺠـﺎم ﺷـﺪ‪ .‬در ﺑﺨـﺶ ﺗﻮﺻـﻴﻔﻲ ﺑـﻪ‬
‫ﭘﺮﺳﺶﻫﺎﻳﻲ ﻛﻪ وﺿﻌﻴﺖ ﻣﺼﺮف داروﻫﺎي ﻧﻴﺮوزا را در ﺑﺎﺷﮕﺎﻫﻬﺎي ﺑﺪﻧﺴﺎزي ﺗﻬـﺮان ﻣـﺪ ﻧﻈـﺮ ﻗـﺮار داده‬
‫ﺑﻮد ﭘﺎﺳﺦ داده ﺷﺪ ﻛﻪ ﭘﻴﺮو اﻫﺪاف ﺗﻮﺻﻴﻔﻲ ﺗﻨﻈﻴﻢ ﺷﺪه ﺑﻮدﻧﺪ و در ﺑﺨﺶ ﺗﺤﻠﻴﻠﻲ ﺑﺎ ﺗـﺪوﻳﻦ ﻓﺮﺿـﻴﻪ ﻛـﻪ‬
‫ﻣﺒﻨﻲ ﺑﺮ اﻫﺪاف ﺗﺤﻠﻴﻠﻲ ﺗﻨﻈﻴﻢ ﺷﺪهاﻧﺪ‪ ،‬ﺑﻪ دﻧﺒﺎل ﻋﻮاﻣﻞ ﻣﺮﺗﺒﻂ ﺑﺎ ﻣﺼﺮف اﻳﻦ داروﻫﺎ در ﻣﻴﺎن ورزﺷـﻜﺎران‬
‫ﺑﻮدﻳﻢ‪ .‬ﭘﺮﺳﺸﻨﺎﻣﻪ را ﻛﻪ اﺑﺰار اﺻﻠﻲ اﻳﻦ ﺗﺤﻘﻴﻖ اﺳﺖ ﺑـﺎ ﻣﺠﻤﻮﻋـﻪاي از ﺳـﻮالﻫـﺎي ﺳـﺎﺧﺘﺎر ﻳﺎﻓﺘـﻪ و ﻧﻴﻤـﻪ‬
‫ﺳﺎﺧﺘﺎرﻳﺎﻓﺘﻪ و ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎي اﺳﺘﺎﻧﺪارد ﺷـﺪه ﺳـﻼﻣﺖ روان و ﺗـﺼﻮﻳﺮ ﺑـﺪﻧﻲ را در ﺟﺎﻣﻌـﻪ ﻧﻤﻮﻧـﻪ ﺗﻜﻤﻴـﻞ‬
‫ﻛﺮدﻳﻢ‪ .‬ﭘﺲ از اﺳﺘﺨﺮاج دادهﻫﺎ در ﻗﺎﻟﺐ ﺟﺪاول و ﻧﻤﻮدارﻫﺎ و ﺷﺎﺧﺺﻫﺎي ﻋـﺪدي ﺑـﻪ ﺗﻮﺻـﻴﻒ دادهﻫـﺎ‬
‫ﭘﺮداﺧﺘﻴﻢ‪ .‬ﺳﭙﺲ در ﺑﺨﺶ ﺗﺤﻠﻴﻞ دادهﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از آزﻣﻮﻧﻬﺎي ﭘﺎراﻣﺘﺮﻳﻚ ﺗﻲ‪ ،‬آﻧـﻮوا و آزﻣﻮﻧﻬـﺎي ﺑـﻲ‬
‫ﭘﺎراﻣﺘﺮﻳﻚ ﻛﺎي دو‪ ،‬ﺗﻮﺳﻂ ﻧﺮم اﻓﺰار اس‪ .‬ﭘﻲ‪ .‬اس‪ .‬اس ﻧﺘﺎﻳﺞ ﺑﻪ ﺑﺤﺚ ﮔﺬاﺷﺘﻪ ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺗﻤﺎﻣﻲ ﻧﻤﻮﻧﻪﻫﺎ ﻣﺮد ﺑﻮدﻧﺪ )‪ 930‬ﻧﻔﺮ‪ (%100 ،‬ﻣﺤﺪوده ﺳﻨﻲ در ﻧﻤﻮﻧﻪﻫﺎ ‪ 14-56‬ﺳﺎل ﺑﻮد‪ ،‬ﻛﻪ‬
‫ﻣﻴﺎﻧﮕﻴﻦ و اﻧﺤﺮاف ﻣﻌﻴﺎر آن ﺑﺮاﺑﺮ ‪ -25/7/+7/1‬ﺳﺎل ﮔﺰارش ﺷﺪ‪ .‬ﻣﺼﺮف اﺳـﺘﺮوﺋﻴﺪﻫـﺎ در ‪ 155‬ﻧﻔـﺮ )‪/7‬‬
‫‪ (%16‬ﮔﺰارش ﺷﺪ‪ .‬ﻣﺼﺮف ﻣﻜﻤﻞﻫـﺎي ﻣﺠـﺎز در ‪ 543‬ﻧﻔـﺮ )‪ (%58 /4‬ﮔـﺰارش ﺷـﺪ‪ 246 .‬ﻧﻔـﺮ )‪(%26 /5‬‬
‫ﻣﺼﺮف ﻛﻨﻨﺪهﻫﺎي ﻣﻮاد ﻏﻴﺮ ﻗﺎﻧﻮﻧﻲ ﻫﺴﺘﻨﺪ‪ .‬ﺷﺎﻳﻌﺘﺮﻳﻦ ﻣﺎده ﻏﻴﺮ ﻗـﺎﻧﻮﻧﻲ ﻣـﻮرد ﺳـﻮء ﻣـﺼﺮف آﻣﻔﺘـﺎﻣﻴﻦﻫـﺎ‬
‫ﺑﻮدﻧﺪ‪ 148 .‬ﻧﻔﺮ )‪ (%15 /9‬ﺳﻴﮕﺎر ﻣﺼﺮف ﻣﻲﻛﺮدهاﻧﺪ‪ 133 .‬ﻧﻔﺮ )‪ (%14 /3‬اﻟﻜﻞ ﻣﺼﺮف ﻣﻲﻛﺮدهاﻧﺪ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﺼﺮف ﻣﻮاد ﻏﻴﺮﻗﺎﻧﻮﻧﻲ )اﻋﺘﻴﺎدآور( ﺑﺎ ﺳﻄﺢ ﺗﺤﺼﻴﻼت‪ ،‬درآﻣﺪ‪ ،‬ﺑﻌﺪ ﺧﺎﻧﻮر و ﺑﻪ ﻣﻨﻈـﻮر ﺗﻔـﺮﻳﺢ‪ ،‬ﺑﺎﺷـﮕﺎه‬
‫داري و اﻓﺰاﻳﺶ اﻋﺘﻤﺎد ﺑﻪ ﻧﻔﺲ ﻫﻤﺒﺴﺘﮕﻲ ﻣﻌﻨﻲ داري را ﻧﺸﺎن داد‪ ،‬اﻣﺎ ﺑﺎ ﺳﻦ‪ ،‬ﻃﻮل ﻣﺪت ﺳﺎﺑﻘﻪ ورزﺷﻲ‪،‬‬
‫ﺗﻌﺪاد ﻣﺮﺑﻲ‪ ،‬ﺧﺼﻮﺻﻴﺎت ﺑﺎﺷﮕﺎه )ﻣﺴﺎﺣﺖ‪ ،‬ﻫﺰﻳﻨﻪ(‪ ،‬ﺳﻼﻣﺖ ﻋﻤﻮﻣﻲ‪ ،‬ﺷﻐﻞ‪ ،‬وﺿـﻌﻴﺖ ﻣـﺴﻜﻦ‪ ،‬وﺿـﻌﻴﺖ‬
‫ﺗﺄﻫﻞ و ﻫﻤﭽﻨﻴﻦ ﺳﻼﻣﺖ روان و ﺗﺼﻮﻳﺮ ﺑﺪﻧﻲ ﻫﻤﺒﺴﺘﮕﻲ ﻣﻌﻨﻲ داري را ﻧﺸﺎن ﻧﺪاد‪ .‬اﻓﺰون ﺑﺮ اﻳﻦ ﻧﻜﺘﻪ ﻣﻬﻢ‬
‫آﻧﺴﺖ ﻛﻪ ﺑﻴﻦ ﻣـﺼﺮف اﺳـﺘﺮوﺋﻴﺪﻫﺎي آﻧﺎﺑﻮﻟﻴـﻚ و ﻣـﻮاد ﻏﻴﺮﻗـﺎﻧﻮﻧﻲ )اﻋﺘﻴـﺎدآور( ارﺗﺒـﺎط وﺟـﻮد دارد و‬
‫ﻣﺼﺮف ﻛﻨﻨﺪﮔﺎن آﻧﺎﺑﻮﻟﻴﻚ اﺳﺘﺮوﺋﻴﺪ )داروﻫﺎي ﻧﻴـﺮوزا( ﺑـﻴﺶ از دﻳﮕـﺮان ﺑـﻪ ﻣـﺼﺮف ﻣـﻮاد ﻏﻴﺮﻗـﺎﻧﻮﻧﻲ‬
‫)ﺗﺮﻛﻴﺒﺎت اﻋﺘﻴﺎدآور( روي ﻣﻲآورﻧﺪ‪ .‬ﺑﻴﻦ ﻋﻮاﻣﻞ ﻣﺨﺘﻠﻒ ﻓﻘﻂ ﺳﻄﺢ ﻣﺎﻫﺎﻧﻪ درآﻣﺪ و ﻣﺪت ﻋـﻀﻮﻳﺖ در‬
‫ﺑﺎﺷﮕﺎه ﺑﺮ ﻣﺼﺮف اﺳﺘﺮوﻳﻴﺪ آﻧﺎﺑﻮﻟﻴﻚ ﺗﺄﺛﻴﺮ دارد‪ .‬ﺑﻴﻦ وﺿﻌﻴﺖ ﺗﺄﻫﻞ ـ ﺳﻄﺢ ﺗﺤﺼﻴﻼت ـ وﺿﻌﻴﺖ ﻣﺴﻜﻦ‬
‫ـ ﺟﻠﺐ ﺗﻮﺟﻪ دوﺳﺘﺎن و اﻃﺮاﻓﻴﺎن ـ ورزش ﺑﻪ ﻫﺪف ﺑﺎﺷﮕﺎه داري و ﻣـﺼﺮف اﺳـﺘﺮوﻳﻴﺪ اﻧﺎﺑﻮﻟﻴـﻚ ارﺗﺒـﺎط‬
‫وﺟﻮد ﻧﺪارد‪.‬ﺑﻴﻦ ورزش ﺑﻪ ﻣﻨﻈﻮر ﺗﻨﺎﺳﺐ اﻧﺪام‪ ،‬ارﺗﻘﺎئ ﺳـﻼﻣﺖ روان و ﺑﻬﺒـﻮد ﺗـﺼﻮﻳﺮ ﺑـﺪﻧﻲ و ﻣـﺼﺮف‬
‫اﺳﺘﺮوﺋﻴﺪﻫﺎي آﻧﺎﺑﻮﻟﻴﻚ ارﺗﺒﺎط ﻣﻌﻨﺎداري وﺟﻮد ﻧﺪارد؛ اﻣـﺎ ﺑـﻴﻦ ﺷـﻐﻞ‪ ،‬ورزش ﺑـﻪ ﻣﻨﻈـﻮر ﻛـﺴﺐ اﻋﺘﺒـﺎر‬
‫اﺟﺘﻤﺎﻋﻲ ﺑﻴﺸﺘﺮ‪ ،‬ﺗﻘﻮﻳﺖ اﻋﺘﻤﺎد ﺑﻪ ﻧﻔـﺲ‪ ،‬ﻛـﺴﺐ ﻋﻨـﻮان ﻗﻬﺮﻣـﺎﻧﻲ و ورزش ﺑـﻪ ﻫـﺪف ﺗﻔـﺮﻳﺢ و ﻣـﺼﺮف‬
‫آﻧﺎﺑﻮﻟﻴﻚ اﺳﺘﺮوﺋﻴﺪﻫﺎ ارﺗﺒﺎط آﻣﺎري وﺟﻮد دارد‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴـﺮي‪ :‬ﻣﻄﺎﻟﻌـﻪ ﺣﺎﺿـﺮ ﺷـﻴﻮع ﻗﺎﺑـﻞ ﺗﻮﺟـﻪ ﻣـﺼﺮف ﻣـﻮاد ﻏﻴﺮﻗـﺎﻧﻮﻧﻲ )ﻣـﻮاد ﻣﺨـﺪر(‪ ،‬آﻧﺎﺑﻮﻟﻴـﻚ‬
‫اﺳﺘﺮوﺋﻴﺪﻫﺎ را در ورزﺷﻜﺎران ﺑﺎﺷﮕﺎهﻫﺎي ﺑﺪﻧﺴﺎزي ﻧﺸﺎن ﻣﻲدﻫﺪ‪ .‬ﺧﺼﻮﺻﻴﺎت ﻣـﺮﺗﺒﻂ ﺑـﺎ ﻣـﺼﺮف ﻣـﻮاد‬
‫ﻣﺨﺪر و آﻧﺎﺑﻮﻟﻴﻚ اﺳﺘﺮوﺋﻴﺪﻫﺎ ﺑـﻪ ﻋﻨـﻮان ﺗﺮﻛﻴﺒـﺎت ﻧﻴـﺮوزا ﺷـﺎﻣﻞ ﺑﺮﺧـﻲ از ﺧـﺼﻮﺻﻴﺎت دﻣﻮﮔﺮاﻓﻴـﻚ‪،‬‬
‫اﻧﮕﻴﺰهﻫﺎي ورزﺷﻲ ﺑﻮد‪ .‬ﻣﻬﻢﺗﺮ از ﺳﺎﻳﺮ ﻳﺎﻓﺘﻪﻫﺎ اﻳﻦ ﻣﺴﺌﻠﻪ ﻛﻪ ﻣﺼﺮف ﻣﻮاد ذﻛﺮ ﺷﺪه در ﺑﺴﻴﺎري از ﻣـﻮارد‬
‫ﺑﺎ ﻳﻜﺪﻳﮕﺮ ﻫﻤﺮاه اﺳﺖ‪ ،‬ﺑﻪ ﻧﺤﻮي ﻛﻪ وﺟﻮد ﻳﻜﻲ اﺣﺘﻤﺎل دﻳﮕﺮي را در ﺟﻤﻌﻴﺖ اﻓﺰاﻳﺶ ﻣﻲدﻫـﺪ ﻟـﺬا ﺑـﺎ‬
‫ﻛﻨﺘﺮل ﻣﺼﺮف داروﻫﺎي ﻧﻴﺮوزاﻳﻲ ﻧﻈﻴﺮ آﻧﺎﺑﻮﻟﻴﻚ اﺳﺘﺮوﺋﻴﺪ در ﺑﺎﺷﮕﺎهﻫﺎ ﻣﻲﺗﻮان آﻣـﺎر ﺳﻮﻣـﺼﺮف ﻣـﻮاد‬
‫ﻏﻴﺮﻗﺎﻧﻮﻧﻲ و ﺗﺮﻛﻴﺒﺎت اﻋﺘﻴﺎدآور را ﻛﺎﻫﺶ داد‪ .‬ﺷﺎﻳﻊﺗﺮﻳﻦ ﻣﻮاد ﻏﻴﺮﻣﺠﺎز ﻣﻮرد ﻣﺼﺮف آﻣﻔﺘﺎﻣﻴﻦﻫـﺎ ﺑـﻮد‪،‬‬
‫ﻛﻪ در ﻣﻄﺎﻟﻌﺎت ﭘﻴﺸﻴﻦ ﻛﺎﻧﺎﺑﻴﺲ و ﺣﺸﻴﺶ ﺑﻮده اﺳﺖ ﻛﻪ اﻳﻦ اﻣﺮ ﻣﻲﺗﻮاﻧﺪ ﺑﻪ ﻋﻠﺖ آﺷﻨﺎﻳﻲ ﺑﻴﺸﺘﺮ اﻓـﺮاد ﺑـﺎ‬
‫ﺑﺮﺧﻲ وﻳﮋﮔﻲﻫﺎي آﻣﻔﺘﺎﻣﻴﻦﻫﺎ در ورزش ﻧﻈﻴﺮ ﻛﺎﻫﺶ ﻣﻴﺰان ﺧﺴﺘﮕﻲ و اﻓﺰاﻳﺶ اﻧﮕﻴـﺰش و ﻏﻴـﺮه ﺑﺎﺷـﺪ‪.‬‬
‫در زﻣﻴﻨﻪ ﻣﺼﺮف ﻣﻮاد ﻧﻴﺮوزا در ﺑﻴﻦ ورزﺷﻜﺎران‪ ،‬ﺑﺎﻳﺪ ﺑﻪ ﻣﺴﺎﻳﻞ ﻣﺨﺘﻠﻔﻲ اﺷﺎره ﻛﺮد‪ .‬ﻧﺨﺴﺖ آﻧﻜﻪ ﺑﺮﺧﻲ‬
‫از ورزﺷﻜﺎران ﻛﻪ ﺑﻪ دﻟﻴﻞ ﻣﺸﺎرﻛﺖ در رﻗﺎﺑﺖﻫﺎي ورزﺷﻲ‪ ،‬از ﻣﻮاد ﻧﻴﺮوزا اﺳﺘﻔﺎده ﻣﻲﻛﻨﻨـﺪ‪ ،‬از آﮔـﺎﻫﻲ‬
‫و ﻧﮕﺮش ﻧﺎﻗﺼﻲ ﻧﻴﺰ در ﺣﻴﻄﻪ اﺛﺮات اﺣﺘﻤﺎﻟﻲ ﺟﺎﻧﺒﻲ اﻳﻦ ﻣﻮاد ﺑﺮﺧﻮردارﻧﺪ و در اﻳﻦ زﻣﻴﻨﻪ اﺣﺘﻤـﺎﻻ ﺗﺤـﺖ‬
‫ﺗﺄﺛﻴﺮ دوﺳﺘﺎن و ﻣﺮﺑﻴﺎن ﻣﻲﺑﺎﺷﻨﺪ‪ ،‬دﻳﮕﺮ آﻧﻜﻪ ﻣﺴﺌﻠﻪ دﺳﺘﺮﺳﻲ ﺣﺎﺋﺰ اﻫﻤﻴـﺖ ﻣـﻲﺑﺎﺷـﺪ؛ ﺑـﻪ ﻋﺒـﺎرت دﻳﮕـﺮ‪،‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫داروﻫﺎي ﻧﻴﺮوزا ﺑﻪ ﺳﺎدﮔﻲ در ﺑﺎﺷﮕﺎهﻫﺎ و ﺗﻮﺳﻂ ﻣﺮﺑﻴﺎن و در ﺑﺮﺧﻲ از ﻓﺮوﺷﮕﺎهﻫﺎ در اﺧﺘﻴﺎر اﻳـﺸﺎن ﻗـﺮار‬
‫ﻣﻲﮔﻴﺮد‪ .‬ﺟﻠﻮﮔﻴﺮي از ﺗﺒﻠﻴﻐﺎت در اﻳﻦ زﻣﻴﻨﻪ و اﻃﻼع رﺳﺎﻧﻲ از ﻃﺮﻳﻖ رﺳـﺎﻧﻪﻫـﺎي ﺟﻤﻌـﻲ ﺣـﺎﺋﺰ اﻫﻤﻴـﺖ‬
‫وﻳﮋه اﺳﺖ‪ .‬ﺑـﺮ اﺳـﺎس ﻣﻄﺎﻟﻌـﻪ ﺣﺎﺿـﺮ‪ ،‬اﻧﮕﻴـﺰه ورزﺷـﻲ و ﻣـﺼﺮف داروﻫـﺎي اﺳـﺘﺮوﺋﻴﺪ و‪ ...‬ﺑـﺎ ﻳﻜـﺪﻳﮕﺮ‬
‫ﻫﻤﺒﺴﺘﮕﻲ ﻧﺸﺎن ﻣﻲدادﻧﺪ‪ .‬در زﻣﻴﻨﻪ ارﺗﺒﺎط ﺑﻴﻦ ﻣﺼﺮف ﻣﻮاد ﻧﻴﺮوزا و اﻧﮕﻴﺰه ورزش‪ ،‬ﺑﺎﻳﺪ ﻋﻨﻮان ﻧﻤﻮد ﻛـﻪ‬
‫آن دﺳﺘﻪ از ورزﺷﻜﺎران ﻛﻪ در ﺗﻜﺎﭘﻮي ﻳﺎﻓﺘﻦ راﻫـﻲ ﻫـﺴﺘﻨﺪ ﻛـﻪ ﻣﻮﺟـﺐ ﺑﺮﺗـﺮي اﻳـﺸﺎن در رﻗﺎﺑـﺖﻫـﺎي‬
‫ورزﺷﻲ ﺷﻮد‪ ،‬ﻣﺤﺘﻤﻼ ﺑﻪ ﻣﻴﺰان ﺑﻴﺸﺘﺮي از آﻧﺎﺑﻮﻟﻴﻚ اﺳﺘﺮوﺋﻴﺪﻫﺎ اﺳﺘﻔﺎده ﻣـﻲﻧﻤﺎﻳﻨـﺪ‪ .‬اﻳـﻦ اﺣﺘﻤـﺎل وﺟـﻮد‬
‫دارد ﻛﻪ ﮔﺮاﻳﺶ ﺑﻪ ﻣﺼﺮف داروﻫﺎي ﻧﻴﺮوزا ﺑﺎ ﺷﻮق ﻗﻬﺮﻣﺎﻧﻲ‪ ،‬ﻛﺴﺐ ﺳﻮد اﻗﺘـﺼﺎدي و اﻋﺘﺒـﺎر اﺟﺘﻤـﺎﻋﻲ‪،‬‬
‫داﺷﺘﻦ ﺷﻜﻞ ﺑﺪﻧﻲ ﺑﻬﺘﺮ و ﺗﻨﺎﺳﺐ اﻧﺪام‪ ،‬ﺑﻪ رخ ﻛﺸﻴﺪن ﻗـﺪرت و ﺗﻨﺎﺳـﺐ اﻧـﺪام ﺧـﻮد ﺑـﻪ دوﺳـﺘﺎن ارﺗﺒـﺎط‬
‫داﺷﺘﻪ ﺑﺎﺷﺪ و درﺿﻤﻦ اﻓﺮادي ﻛﻪ اﻋﺘﻤﺎد ﺑﻪ ﻧﻔﺲ ﻛﻤﺘـﺮي ﺑـﻪ وﻳـﮋه درﺑـﺎره ﻇـﺎﻫﺮ ﺧـﻮد دارﻧـﺪ ﺑﻴـﺸﺘﺮ ﺑـﻪ‬
‫ﻣﺼﺮف اﻳﻦ ﺗﺮﻛﻴﺒﺎت روي ﻣﻲآورﻧﺪ‪.‬‬
‫ﻛﻠﻴﺪواژهﻫﺎ‪ :‬آﻧﺎﺑﻮﻟﻴﻚ اﺳﺘﺮوﺋﻴﺪ‪ ،‬ﻣﻮاد ﻣﺨﺪر‪ ،‬ﻣﻮاد ﻧﻴﺮوزا‪ ،‬داروﻫﺎي ﻏﻴﺮﻗﺎﻧﻮﻧﻲ‪ ،‬ﺑﺎﺷﮕﺎهﻫﺎي ﺑﺪﻧﺴﺎزي‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ اﭘﻴﺪﻣﻴﻮﻟﻮژي اﺳﺘﻌﺪاد اﻋﺘﻴﺎد در ﻧﻮﺟﻮاﻧﺎن دﺑﻴﺮﺳﺘﺎﻧﻲ ﭼﻬﺎر ﻣﻨﻄﻘﻪ ﻛﺸﻮر‬
‫رﻗﻴﻪ وﺣﺪت‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬اﻋﺘﻴﺎد و واﺑـﺴﺘﮕﻲ ﺑـﻪ ﻣـﻮاد ﺗﻨﻬـﺎ در ﺑﺨـﺶ ﻛـﻮﭼﻜﻲ از اﺷـﺨﺎص ﻛـﻪ ﺑـﻪ ﻣـﺼﺮف‬
‫داروﻫﺎي اﻋﺘﻴﺎدآور ﻣﻲﭘﺮدازﻧﺪ روي ﻣﻲدﻫﺪ‪ .‬اﻳﻦ ﻧﺸﺎن ﻣﻲدﻫﺪ ﻛﻪ ﺗﻔﺎوت ﻗﺎﺑﻞ ﻣﻼﺣﻈﻪاي در اﺳﺘﻌﺪاد و‬
‫آﻣﺎدﮔﻲ ﺷﺨﺼﻲ ﺑﻪ ﻣﻮاد وﺟﻮد دارد ﻛﻪ ﺑﻨﻴﺎن آن اﺑﺘﺪا در درون ﻧﻈﺎم ﺧﺎﻧﻮاده و ﺳﭙﺲ در اﺟﺘﻤﺎع رﻳﺨﺘـﻪ‬
‫ﻣﻲﺷﻮد‪ .‬ﭘﮋوﻫﺶ ﺣﺎﺿﺮ‪ ،‬ﻋﻼوه ﺑﺮ رواﺳﺎزي ﭘﺮﺳﺸﻨﺎﻣﻪ اﺳﺘﻌﺪاد اﻋﺘﻴﺎد ﺑﺮاي ﻧﻮﺟﻮاﻧﺎن دﺑﻴﺮﺳﺘﺎﻧﻲ اﻳﺮان‪ ،‬ﺑـﺎ‬
‫ﺗﻌﻴﻴﻦ ﻣﻴﺰان ﺷﻴﻮع اﺳﺘﻌﺪاد اﻋﺘﻴﺎد و ﻣﺸﺨﺺ ﻧﻤـﻮدن ﺑﺮﺧـﻲ ﻋﻮاﻣـﻞ زﻣﻴﻨـﻪ ﺳـﺎز‪ ،‬ﺳـﻌﻲ ﻛـﺮده ﺳـﻬﻤﻲ در‬
‫ﻫﺪاﻳﺖ ﺑﺮﻧﺎﻣﻪﻫﺎي ﻛﺎﻫﺶ ﺗﻘﺎﺿﺎ داﺷﺘﻪ ﺑﺎﺷﺪ‪.‬‬
‫ﻣــﻮاد و روش‪ :‬ﺟﺎﻣﻌــﻪ ﻣــﻮرد ﻣﻄﺎﻟﻌــﻪ را داﻧــﺶآﻣــﻮزان دﺧﺘــﺮ و ﭘــﺴﺮ ﺳــﺎﻟﻬﺎي اول‪ ،‬دوم و ﺳــﻮم‬
‫دﺑﻴﺮﺳﺘﺎﻧﻬﺎي اﻳﺮان ﺗﺸﻜﻴﻞ ﻣﻲدﻫﻨﺪ ﻛﻪ ﺳﻦ ﺑﻴﻦ ‪ 14‬ﺗﺎ‪ 20‬ﺳﺎل دارﻧﺪ‪ .‬ﻧﻤﻮﻧﻪ ﻣﻮرد ﻣﻄﺎﻟﻌﻪ‪ 5884‬داﻧﺶآﻣـﻮز‬
‫از ‪ 5‬ﻣﺮﻛﺰ اﺳﺘﺎﻧﻬﺎي اﻳﺮان)اروﻣﻴﻪ‪ ،‬ﺗﻬﺮان‪ ،‬اﻫﻮاز‪ ،‬ﻣﺸﻬﺪ و زﻧﺠﺎن( ﺑﻮدﻧﺪ ﻛﻪ ﺑﻪ روش ﻧﻤﻮﻧﻪﮔﻴﺮي ﺗﺼﺎدﻓﻲ‬
‫ﻃﺒﻘﻪاي اﻧﺘﺨﺎب ﺷﺪﻧﺪ‪ .‬اﺑﺰار ﮔﺮدآوري اﻃﻼﻋﺎت وﻳﺮاﺳﺖ ﺟﺪﻳـﺪ ﭘﺮﺳـﺸﻨﺎﻣﻪ ‪ ASQ-AV‬ﺑـﻮد‪ .‬دادهﻫـﺎي‬
‫ﺣﺎﺻﻞ از ﻧﻤﻮﻧﻪ ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺑﻮﺳﻴﻠﻪ آزﻣﻮﻧﻬﺎي آﻣﺎري ‪ t‬ﺗﺴﺖ ﮔﺮوﻫﻬﺎي ﻣﺴﺘﻘﻞ‪ ،‬ﺗﺤﻠﻴـﻞ وارﻳـﺎﻧﺲ ﻳـﻚ‬
‫ﻃﺮﻓﻪ‪ ،‬ﺗﺤﻠﻴﻞ رﮔﺮﺳﻴﻮن ﭼﻨﺪ ﻣﺘﻐﻴﺮي‪ ،‬ﻫﻤﺒـﺴﺘﮕﻲ‪ ،‬ﺗﺤﻠﻴـﻞ ﻋـﺎﻣﻠﻲ اﻛﺘـﺸﺎﻓﻲ و ﺗﺤﻠﻴـﻞ ﻣـﺴﻴﺮ )ﻣـﺪل ﻳـﺎﺑﻲ‬
‫ﻣﻌﺎدﻻت ﺳﺎﺧﺘﺎري( ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﺷﺪﻧﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬در ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﻳﺎﻓﺘﻪ ﺷﺪ‪ ،‬ﺷﻴﻮع اﺳﺘﻌﺪاد اﻋﺘﻴﺎد در داﻧﺶ آﻣﻮزان دﺑﻴﺮﺳـﺘﺎﻧﻲ اﻳـﺮان ‪%3/4‬‬
‫اﺳﺖ‪ .‬زﻳﺎد ﺑﻮدن ﺗﻌﺪاد دوﺳﺘﺎن‪ ،‬دوﺳﺘﺎن ﺳﻴﮕﺎري‪ ،‬رﺷﺘﻪ ﺗﺤﺼﻴﻠﻲ و ﺗﺠﺮﺑﻪ ﻣﺼﺮف ﺳﻴﮕﺎر در ﺳﻨﻴﻦ ﭘﺎﻳﻴﻦ‬
‫ﻣﺘﻐﻴﺮﻫﺎي ﻣﺆﺛﺮ در اﺳﺘﻌﺪاد اﻋﺘﻴﺎد ﻣﺤﺴﻮب ﻣﻲﺷﻮﻧﺪ‪ .‬ﻣﺎدران ﺷﺎﻏﻠﻲ ﻛﻪ وﺿﻌﻴﺖ ﺗﺤﺼﻴﻠﻲ ﺧـﻮب اﻳﺠـﺎد‬
‫ﻛﺮده و ﻣﻮﺟﺐ ﭘﻴﺸﺮﻓﺖ ﺗﺤﺼﻴﻠﻲ ﻓﺮزﻧﺪان ﻣﻲﺷﻮﻧﺪ در ﻛـﺎﻫﺶ اﺳـﺘﻌﺪاد اﻋﺘﻴـﺎد ﻓﺮزﻧﺪاﻧـﺸﺎن ﻣـﺆﺛﺮ واﻗـﻊ‬
‫ﻣﻲﺷﻮﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻳﺎﻓﺘﻪﻫﺎي ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﻪ اﻫﻤﻴﺖ ﺧﺎﻧﻮاده و ﻫﻤﺴﺎﻻن در ﺷﻜﻞﮔﻴﺮي اﺳﺘﻌﺪاد اﻋﺘﻴﺎد‬
‫ﺗﺄﻛﻴﺪ ﻧﻤﻮده و اﻳﻦ ﻳﺎﻓﺘﻪﻫﺎ اﻃﻼﻋﺎت ﺑﺴﻴﺎر ﻣﻔﻴـﺪي ﺑـﺮاي ﻫـﺪاﻳﺖ ﺑﺮﻧﺎﻣـﻪﻫـﺎي ﻛـﺎﻫﺶ ﺗﻘﺎﺿـﺎي ﻣـﻮاد در‬
‫ﻧﻮﺟﻮاﻧﺎن اراﺋﻪ ﻣﻲدﻫﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬اﺳﺘﻌﺪاد اﻋﺘﻴﺎد‪ ،‬اﭘﻴﺪﻣﻴﻮﻟﻮژي‪ ،‬ﻧﻮﺟﻮاﻧﺎن دﺑﻴﺮﺳﺘﺎﻧﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﻣﻴﺰان ﻫﻤﺒﺴﺘﮕﻲ ﺑﻴﻦ دو روش ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﺷﻜﻤﻲ و ﭘﺮﻳﻨﺌﻮﻣﺘﺮي ﺟﻬﺖ ارزﻳـﺎﺑﻲ‬
‫ﻋﻤﻠﻜﺮد ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ در اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﺑﻲ اﺧﺘﻴﺎري ادرار اﺳﺘﺮﺳﻲ‬
‫اﻣﻴﺮ ﻣﺴﻌﻮد ﻋﺮب‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬ﺑﻲاﺧﺘﻴﺎري ادرار اﺳﺘﺮﺳﻲ ﺷﺎﻳﻊﺗﺮﻳﻦ اﺧﺘﻼﻻت ﻛـﻒ ﻟﮕـﻦ ﻣﺤـﺴﻮب ﻣـﻲﺷـﻮد ﻛـﻪ‬
‫ﻣﻄﺎﺑﻖ ﺑﺎ آﺧﺮﻳﻦ ﺗﻌﺮﻳﻒ اﺳﺘﺎﻧﺪارد ﺟﺎﻣﻌﻪي ﺑـﻴﻦاﻟﻤﻠﻠـﻲ ﻛﻨﺘـﺮل ادرار ﻳـﻚ ﺗـﺮاوش ﻏﻴـﺮ ارادي ادرار ﺑـﻪ‬
‫ﻫﻨﮕﺎم ﻓﻌﺎﻟﻴﺖﻫﺎﻳﻲ اﺳﺖ ﻛﻪ ﻓﺸﺎر داﺧﻞ ﺷﻜﻤﻲ را اﻓـﺰاﻳﺶ ﻣـﻲدﻫـﺪ‪ .‬ﻋـﻀﻼت ﻛـﻒ ﻟﮕـﻦ ﻛـﻪ ﻗﺎﻋـﺪه‬
‫ﺣﻔﺮهي ﺷﻜﻤﻲ ـ ﻟﮕﻨﻲ را ﺗﺸﻜﻴﻞ ﻣﻲدﻫﻨﺪ ﻧﻘﺶ ﻣﻬﻤﻲ در ﺳﺎﭘﻮرت اﺣﺸﺎي ﻟﮕﻨﻲ و ﻛﻨﺘﺮل ادرار دارﻧـﺪ‪.‬‬
‫اﮔﺮﭼﻪ ﻋﻮاﻣﻞ ﻣﺘﻌﺪدي در ﺑﻲ اﺧﺘﻴﺎري ادرار ﻧﻘﺶ دارﻧﺪ‪ ،‬اﺧﺘﻼل در ﻋﻤﻠﻜﺮد ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ ﺑﻌﻨﻮان‬
‫ﻳﻜﻲ از ﻣﻬﻤﺘﺮﻳﻦ ﻋﻮاﻣﻞ ﻣﻮرد ﺗﻮﺟﻪ ﻣﺤﻘﻘﻴﻦ در اﻳﻦ زﻣﻴﻨﻪ ﺑﻮده اﺳﺖ‪ .‬از اﻳﻨﺮو ارزﻳﺎﺑﻲ ﻗﺪرت و ﻋﻤﻠﻜـﺮد‬
‫ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ ﺑﺎ اﺳﺘﻔﺎده از روﺷﻬﺎي ﭘﺎﻳﺎ و ﻣﻌﺘﺒﺮ ﺟﻬﺖ ﺗﻌﻴـﻴﻦ ﺗﻐﻴﻴـﺮات در ﻗـﺪرت و ﻋﻤﻠﻜـﺮد اﻳـﻦ‬
‫ﻋﻀﻼت در ﻃﻮل ﻳﻚ ﺑﺮﻧﺎﻣﻪي در ﻣﺎﻧﻲ‪ ،‬ﺑـﺴﻴﺎر اﻫﻤﻴـﺖ دارد‪ .‬ﭘﺮﻳﻨﺌـﻮﻣﺘﺮي از ﻃﺮﻳـﻖ اﻧـﺪازهﮔﻴـﺮي ﻓـﺸﺎر‬
‫داﺧﻞ واژﻳﻨﺎل و ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﺷﻜﻤﻲ ﺑﺎ اﻧﺪازهﮔﻴﺮي ﻣﻴﺰان ﺟﺎﺑﺠﺎﻳﻲ ﻗﺎﻋﺪه ﻣﺜﺎﻧﻪ در ﺣـﻴﻦ اﻧﻘﺒـﺎض‬
‫ﺑﻪ ﻋﻨﻮان دو روش ﻣﻌﺘﺒﺮ و ﻏﻴﺮ ﺗﻬﺎﺟﻤﻲ ﻫﺴﺘﻨﺪ ﻛﻪ ﺟﻬﺖ ارزﻳﺎﺑﻲ دو ﺟﻨﺒﻪ ﻣﺨﺘﻠﻒ از ﻋﻤﻠﻜـﺮد ﻋـﻀﻼت‬
‫ﻛﻒ ﻟﮕﻦ ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار ﻣﻲﮔﻴﺮﻧﺪ‪ .‬در ﻃﻮل اﻧﻘﺒﺎض ارادي اﻳﻦ ﻋﻀﻼت اﺳﺘﻔﺎده ﻣﻲﺷﻮد ﻛﻪ ﺑـﻮده و‬
‫ﻛﺎرﺑﺮد آن آﺳﺎن و ﺳﺮﻳﻊ ﻣﻲﺑﺎﺷﺪ‪ .‬اﮔﺮﭼﻪ ﻣﻄﺎﻟﻌﺎت ﮔﺬﺷﺘﻪ ﻫﻤﺒـﺴﺘﮕﻲ ﻗﺎﺑـﻞ ﺗـﻮﺟﻬﻲ را ﺑـﻴﻦ روشﻫـﺎي‬
‫ﻟﻤﺲ دﺳﺘﻲ و ﭘﺮﻳﻨﺌﻮﻣﺘﺮي‪ ،‬ﻟﻤﺲ واژﻳﻨﺎل و ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﭘﺮﻳﻨﺌﺎل و ﺳـﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿـﻲ ﺷـﻜﻤﻲ‪،‬‬
‫ﭘﺮﻳﻨﺌﻮﻣﺘﺮي و ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﭘﺮﻳﻨﺌـﺎل‪ ،‬ﮔـﺰارش ﻛـﺮدهاﻧـﺪ ﺗـﺎﻛﻨﻮن ﻣﻄﺎﻟﻌـﻪ ﻣـﺴﺘﻘﻴﻤﻲ در ﺧـﺼﻮص‬
‫ﻣﻘﺎﻳﺴﻪي ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﺷﻜﻤﻲ و ﭘﺮﻳﻨﺌﻮﻣﺘﺮي ﺑﻪ ﻋﻨﻮان دو روش ﭘﺎﻳﺎ و ﺳﺎدهي ﺑﺎﻟﻴﻨﻲ ﻛﻪ ﻫـﺮ ﻛـﺪام‬
‫ﺟﻨﺒﻪي ﻣﺘﻔﺎوﺗﻲ از ﻋﻤﻠﻜﺮد ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ را ارزﻳﺎﺑﻲ ﻣﻲﻛﻨﻨﺪ‪ ،‬دراﻓﺮاد ﻣﺒﺘﻼ ﺑـﻪ ﺑـﻲ اﺧﺘﻴـﺎري ادرار‬
‫اﺳﺘﺮﺳﻲ در ﺑﻴﻦ ﻣﻄﺎﻟﻌﺎت ﻳﺎﻓﺖ ﻧﺸﺪ‪ .‬ﻫﺪف از اﻧﺠﺎم اﻳﻦ ﻃﺮح ﺑﺮرﺳﻲ ﺗﻜﺮارﭘﺬﻳﺮي و ﻣﻴﺰان ﻫﻤﺒﺴﺘﮕﻲ دو‬
‫روش ﭘﺮﻳﻨﺌﻮﻣﺘﺮي و ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﺷﻜﻤﻲ در ارزﻳﺎﺑﻲ ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣﻮاد و روﺷﻬﺎ‪ 28 :‬زن ﻏﻴﺮﺑﺎردار ﻣﺒﺘﻼ ﺑﻪ ﺑﻲ اﺧﺘﻴﺎري ادرار اﺳﺘﺮﺳﻲ ﺑﻴﻦ ‪ 20‬ﺗـﺎ ‪ 50‬ﺳـﺎل ﻛـﻪ ﺗﻮﺳـﻂ‬
‫ﻳﻚ ﻣﺘﺨﺼﺺ ﺑﻲ اﺧﺘﻴﺎري ادرار زﻧﺎن اﻧﺘﺨﺎب ﺷﺪه ﺑﻮدﻧﺪ در اﻳﻦ ﺗﺤﻘﻴﻖ ﺷﺮﻛﺖ داﺷﺘﻨﺪ‪ .‬ﻗﺒﻞ از ﺑﺮرﺳـﻲ‬
‫ﻣﻴﺰان ﻫﻤﺒﺴﺘﮕﻲ دو روش ﻣﻮرد ﻣﻄﺎﻟﻌﻪ اﺑﺘﺪا ﺳﻄﺢ ﺗﻜﺮارﭘﺬﻳﺮي اﻧﺪازهﻫﺎي ﺑﺪﺳﺖ آﻣﺪه ﺗﻮﺳﻂ آزﻣﻮﻧﮕﺮ‬
‫درﻳﻚ ﻧﻤﻮﻧﻪ ‪ 20‬ﻧﻔﺮي ﺑﻪ اﻧﺠﺎم رﺳﻴﺪ‪ .‬ﺗﻤﺎﻣﻲ ﻣﺮاﺣﻞ آزﻣﻮن‪ ،‬ﻣﺸﺎﺑﻪ ﻣﺮﺣﻠﻪ اﺻﻠﻲ ﺗﺤﻘﻴﻖ ﺑﻮد‪.‬‬
‫ﺣﺪاﻛﺜﺮ ﻓﺸﺎر داﺧﻞ واژﻳﻨﺎل ﺗﻮﺳﻂ ﭘﺮﻳﻨﺌﻮﻣﺘﺮي و ﻣﻴﺰان ﺟﺎﺑﺠﺎﻳﻲ ﻗﺎﻋﺪه ﻣﺜﺎﻧﻪ در ﺳﻮﻧﻮﮔﺮاﻓﻲ ﺷﻜﻤﻲ‬
‫در ﺣﻴﻦ اﻧﻘﺒﺎض ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ اﻧﺪازهﮔﻴﺮي ﺷﺪ و ﻣﻴﺰان ﻫﻤﺒﺴﺘﮕﻲ ﺑﻴﻦ دو روش ﻣﺤﺎﺳﺒﻪ ﺷﺪ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻧﺘﺎﻳﺞ ﺣﺎﺻﻠﻪ از آزﻣﻮن ﺿﺮﻳﺐ ﻫﻤﺒﺴﺘﮕﻲ ‪ Pearson‬و رﺳﻢ ‪ Scatterogram‬ﻣﺎ ﺑـﻴﻦ دو ﻣﺘﻐﻴـﺮ‬
‫ﻣﻮرد ﺑﺮرﺳﻲ ﻧﺸﺎن داد ارﺗﺒﺎط ﻣﻌﻨﻲدار آﻣﺎري ﺑﻴﻦ ﻣﻴﺰان ﺟﺎﺑﺠﺎﻳﻲ ﻗﺪاﻣﻲ ـ ﺧﻠﻔﻲ ﻗﺎﻋﺪهي ﻣﺜﺎﻧﻪ ﺛﺒﺖ ﺷﺪه‬
‫در ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﺷﻜﻤﻲ ﺑﺎ ﻣﻘﺎدﻳﺮ ﺣﺪاﻛﺜﺮ ﻓﺸﺎر داﺧـﻞ واژن ﺣﺎﺻـﻠﻪ از ﭘﺮﻳﻨﺌـﻮﻣﺘﺮي وﺟـﻮد دارد‪.‬‬
‫)‪(r =0.72, R2=0.52, P<0.0001, 95% CI for r: 0.47 to 0.86‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬در ﻣﺠﻤﻮع دو روش ﭘﺮﻳﻨﺌﻮﻣﺘﺮي و ﺳـﻮﻧﻮﮔﺮاﻓﻲ ﺷـﻜﻤﻲ از ﺗﻜﺮارﭘـﺬﻳﺮي ﺑـﺎﻻ ﺟﻬـﺖ‬
‫ﺑﺮرﺳﻲ ﻋﻤﻠﻜﺮد ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ ﺑﺮﺧﻮرداﻧﺪ و ﻫﻤﺒﺴﺘﮕﻲ ﻗﺎﺑﻞ ﻗﺒﻮﻟﻲ ﺑـﻴﻦ اﻳـﻦ دو روش وﺟـﻮد دارد‪.‬‬
‫ﻟﺬا ﻣﻲﺗﻮان از ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻋﺮﺿﻲ ﺷﻜﻤﻲ ﺑﻪ ﻋﻨﻮان ﻳﻚ روش ﻛﺎﻣﻼ ﻏﻴﺮ ﺗﻬﺎﺟﻤﻲ‪ ،‬ﻣﻌﺘﺒﺮ و ﺗﻜﺮارﭘﺬﻳﺮ ﺑﻪ‬
‫ﺟﺎي اﻧﺪازهﮔﻴﺮي ﻣﺴﺘﻘﻴﻢ ﻓﺸﺎر داﺧﻞ واژﻳﻨﺎل در ﺑﺮرﺳﻲ و اﻧﺪازهﮔﻴﺮي ﻗﺪرت ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ ﺑﻮﻳﮋه‬
‫در اﻓﺮادي ﻛﻪ ﻗﺮار دادن ﭘﺮﻳﻨﺌﻮﻣﺘﺮ در داﺧﻞ واژن ﺑﺮاي آﻧﻬﺎ ﻧﺎﺧﻮﺷﺎﻳﻨﺪ اﺳﺖ اﺳﺘﻔﺎده ﻛﺮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ‪ ،‬ﺳﻮﻧﻮﮔﺮاﻓﻲ ﺷﻜﻤﻲ‪ ،‬ﺑﻲ اﺧﺘﻴﺎري ادرار‪Perineometry ،‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﻣﻴﺰان رﺿﺎﻳﺖﻣﻨﺪي از ﺗﻤﺮﻳﻨﺎت ﺛﺒﺎﺗﻲ در ﺑﻴﻤﺎران ﻣﺒـﺘﻼ ﺑـﻪ ﻛﻤـﺮدرد ﻣﻜـﺎﻧﻴﻜﻲ ﻣـﺰﻣﻦ‬
‫ﻏﻴﺮاﺧﺘﺼﺎﺻﻲ‬
‫ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﻣﻄﺎﻟﻌﺎت اﻧﺪﻛﻲ درﺑﺎره درك و رﺿﺎﻳﺖﻣﻨﺪي ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﻛﻤﺮ درد ﻣﺰﻣﻦ ﺑﻌﺪ از اﻧﺠـﺎم‬
‫ﺗﻤﺮﻳﻨﺎت ﺛﺒﺎﺗﻲ و ﻳﺎ درك ﻛﻠﻲ اﻧﻬﺎ از ﺑﺮﻧﺎﻣﻪ درﻣﺎﻧﻲ اﻧﺠﺎم ﺷﺪه‪ ،‬ﺻﻮرت ﮔﺮﻓﺘﻪ اﺳﺖ‪.‬‬
‫اﻫﺪاف‪ :‬ﺑﺮرﺳﻲ ﻣﻴﺰان رﺿﺎﻳﺖﻣﻨﺪي از ﺗﻤﺮﻳﻨﺎت ﺛﺒـﺎﺗﻲ در ﺑﻴﻤـﺎران ﻣﺒـﺘﻼ ﺑـﻪ ﻛﻤـﺮدرد ﻣﻜـﺎﻧﻴﻜﻲ ﻣـﺰﻣﻦ‬
‫ﻏﻴﺮاﺧﺘﺼﺎﺻﻲ‬
‫ﺑﻴﻤﺎران و روشﻫﺎ‪ :‬اﺑﺘﺪا ﻳـﻚ ﻣﻄﺎﻟﻌـﻪ ﻣﺘـﺪوﻟﻮژﻳﻚ ﺑـﻪ ﻣﻨﻈـﻮر ﺗﻌﻴـﻴﻦ ﭘﺮﺳـﺸﻨﺎﻣﻪ و ﺑﺮرﺳـﻲ اﻋﺘﺒـﺎر‬
‫ﻣﺤﺘﻮاﺋﻲ و ﺗﻜﺮارﭘﺬﻳﺮي در دﻓﻌﺎت آزﻣﻮن آن ﺻﻮرت ﮔﺮﻓـﺖ‪ .‬اﻳـﻦ ﺗﺤﻘﻴـﻖ روي ﺑﻴﻤـﺎراﻧﻲ)ﺗﻌـﺪاد‪،43 :‬‬
‫ﺳﻦ‪ ،23/94±6/47 :‬ﻗﺪ‪176/84± 8/83 :‬و وزن‪ (74/42± 6/5 :‬اﻧﺠﺎم ﺷـﺪ ﻛـﻪ در ﻳـﻚ ﻣﻄﺎﻟﻌـﻪ ‪ RCT‬ﺑـﻪ‬
‫ﻣﻨﻈﻮر ﺑﺮرﺳﻲ اﺛﺮات ﺑﺮﻧﺎﻣﻪ ﺗﻤﺮﻳﻨﺎت ﺛﺒﺎﺗﻲ ﺗﺤﺖ ﻧﻈﺮ ﺑﻪ ﻣﺪت ‪ 4‬ﻫﻔﺘﻪ ﺷﺮﻛﺖ ﻛﺮده ﺑﻮدﻧﺪ‪ .‬در ﭘﺎﻳـﺎن اﻳـﻦ‬
‫ﻣﻄﺎﻟﻌﻪ ‪ RCT‬ﻳﻚ ﻧﻤﻮﻧﻪ از ﭘﺮﺳﺸﻨﺎﻣﻪ رﺿﺎﻳﺖﻣﻨﺪي در اﺧﺘﻴﺎر آﻧﻬﺎ ﻗﺮار ﻣﻲﮔﺮﻓﺖ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﺗﻮزﻳـﻊ ﻣﺘﻐﻴﺮﻫـﺎي دﻣـﻮﮔﺮاﻓﻴﻜﻲ ﻧﺮﻣـﺎل ﺑـﻮد)‪ 53/5 .(p>0/43‬در ﺻـﺪ از ﺑﻴﻤـﺎران ﺷـﻐﻞ ﻛـﻢ‬
‫ﺗﺤﺮك و ‪ 58/1‬درﺻﺪ از آﻧﻬﺎ ﺳﺎﺑﻘﻪ ﻓﻌﺎﻟﻴﺖ ورزﺷﻲ داﺷﺘﻨﺪ‪ .‬ﻫﻤﭽﻨﻴﻦ ﻣﺤﻞ درد ‪ 46/5‬درﺻﺪ از ﺑﻴﻤـﺎران‬
‫وﺳﻂ ﻛﻤﺮ و وﺳﻌﺖ درد آﻧﻬﺎ ‪ 65/2‬درﺻﺪ ﺗﻨﻬﺎ در ﻧﺎﺣﻴﻪ ﻛﻤﺮ ﺑﻮد‪ .‬درﺻﺪ ﺗﻮاﻓـﻖ ﻣﺘﺨﺼـﺼﻴﻦ ﺑـﻪ ﻣﻨﻈـﻮر‬
‫ارزﻳﺎﺑﻲ اﻋﺘﺒﺎر ﻣﺤﺘﻮاﺋﻲ در ﻣﻮرد ﺗﻤﺎﻣﻲ ﺳﻮاﻻت ﺑـﻴﻦ ‪ 74‬درﺻـﺪ ﺑـﺮاي ﻣﻴـﺰان ﺗﻜـﺮار ورزشﻫـﺎ و ‪98/5‬‬
‫درﺻﺪ ﺑﺮاي ﻛﺎﻫﺶ درد ﻣﺘﻐﻴﺮ ﺑﻮد‪ ICC .‬و‪ SEM‬ﺑﻪ ﺗﺮﺗﻴـﺐ ‪ 0/82‬و ‪ 0/47‬ﺑﻮدﻧـﺪ‪ .‬درد ﺑﻴﻤـﺎران ﺑـﻪ دﻧﺒـﺎل‬
‫اﻧﺠﺎم ﺗﻤﺮﻳﻨﺎت ﺛﺒﺎﺗﻲ ﻛﺎﻫﺶ ﻣﻌﻨﻲ داري )‪ (p<0/001‬را ﻧﺸﺎن داد در ﺣﺎﻟﻴﻜﻪ ﻧﻤـﺮات ﻣﻘﻴـﺎس ‪Oswestry‬‬
‫و ‪ Quebec‬ﺑﻴﺎﻧﮕﺮ اﻓﺰاﻳﺶ ﻣﻌﻨﻲ داري )‪ (p<0/002‬ﺑﻮد‪ .‬ﻣﻴﺎﻧﮕﻴﻦ و اﻧﺤـﺮاف ﻣﻌﻴـﺎر ﻧﻤـﺮه ﻛﻠـﻲ ﺑـﻪ دﺳـﺖ‬
‫آﻣﺪه از ﭘﺮﺳﺸﻨﺎﻣﻪ رﺿﺎﻳﺖﻣﻨﺪي ‪ 16±4/07‬ﺑﻮد‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬اﻧﺠﺎم ﺗﻤﺮﻳﻨﺎت ﺛﺒﺎﺗﻲ ﺑﺎﻋﺚ رﺿﺎﻳﺖﻣﻨﺪي ﺑﻴﻤﺎران ﻣﺒـﺘﻼ ﺑـﻪ ﻛﻤـﺮدرد ﻣﻜـﺎﻧﻴﻜﻲ ﻣـﺰﻣﻦ‬
‫ﻣﻲﮔﺮدد‪ .‬ﻛﻪ ﻣﻤﻜﻦ اﺳﺖ ﻣﺮﺑﻮط ﺑﻪ ﻛﺎﻫﺶ درد و اﻓﺰاﻳﺶ ﻋﻤﻠﻜﺮد اﻳﻦ ﺑﻴﻤﺎران ﺑﻪ دﻧﺒﺎل اﻧﺠﺎم ﺗﻤﺮﻳﻨـﺎت‬
‫ﺛﺒﺎﺗﻲ ﺑﺎﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻛﻤﺮدرد‪ ،‬رﺿﺎﻳﺖﻣﻨﺪي‪ ،‬ﻋﻤﻠﻜﺮد‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻃﺮاﺣﻲ ﻧﻈﺎم ﺟﺎﻣﻊ رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬
‫ﻣﺮﻳﻢ ﺷﺮﻳﻔﻴﺎنﺛﺎﻧﻲ‬
‫اﻳﻦ ﮔﺰارش ﻃﺒﻖ اﺻﻮل اﺳﺘﺎﻧﺪارد ﺗﺪوﻳﻦ ﺧﻼﺻﻪي ﻣـﺪﻳﺮﻳﺘﻲ ﻳـﺎ اﺟﺮاﻳـﻲ )‪ (executive summary‬و ﺑـﺎ‬
‫رﻋﺎﻳﺖ ﻣﻮارد زﻳﺮ ﺻﻮرت ﮔﺮﻓﺘﻪ اﺳﺖ‪:‬‬
‫ ﻣﺸﺨﺺ ﺑﻮدن ﻣﺨﺎﻃﺒﺎن و اوﻟﻮﻳﺖ ﻧﻴﺎزﻫﺎي ﻣﺪﻳﺮﻳﺘﻲ آﻧﻬﺎ‬‫ ﻓﺸﺮده ﻛﺮدن ﮔﺰارش ﺑﻪ ﺣﺪاﻛﺜﺮ ده ﺻﻔﺤﻪ‬‫ ﺗﺄﻛﻴﺪ و ﻣﺤﺪود ﻛﺮدن ﻣﻄﺎﻟﺐ ﻓﻘﻂ ﺑﻪ ﺗﻮﺻﻴﻪﻫﺎي اﺟﺮاﻳﻲ ﺑﺮاي ﺗﺼﻤﻴﻢﮔﻴﺮي ﻣﺨﺎﻃﺒﺎن‬‫ ﺑﻴﺎن رﺋﻮس و ﺧﻼﺻﻪي ﺗﺤﻘﻴﻘﺎت اﻧﺠﺎم ﺷﺪه‬‫ ارﺟﺎع دﻗﻴﻖ ﺑﻪ ﺗﺤﻘﻴﻘﺎت اﻧﺠﺎم ﺷﺪه در ﭼﻬﺎرﭼﻮب ﭘﺮوژه‬‫اﻳﻦ ﺧﻼﺻﻪي اﺟﺮاﻳﻲ‪ ،‬ﭼﻜﻴﺪهي ده ﻣﻄﺎﻟﻌـﻪي اﻧﺠـﺎم ﺷـﺪه در اﻳـﻦ ﭘـﺮوژه و ﮔـﺰارش ﻧﻬـﺎﻳﻲ »ﺑﺮرﺳـﻲ و‬
‫ارزﺷﻴﺎﺑﻲ اﻃﻼﻋﺎت و ﻳﺎﻓﺘﻪﻫﺎ‪ ،‬ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ و ﻧﺘﻴﺠﻪﮔﻴﺮي« از ﻃﺮح ﭘﮋوﻫﺸﻲ »ﻃﺮاﺣﻲ ﻧﻈﺎم ﺟـﺎﻣﻊ رﻓـﺎه‬
‫اﺟﺘﻤﺎﻋﻲ در اﻳﺮان« اﺳﺖ‪ .‬اﻳﻦ ﻃﺮح ﭘﮋوﻫﺸﻲ ﻛـﻪ در ﺳـﺎل ‪ ،1378‬اﺑﺘـﺪا در اﺑﻌـﺎدي ﻣﺤـﺪود در داﻧـﺸﮕﺎه‬
‫ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ آﻏﺎز ﺷﺪ و در ﺳﺎل ‪ 1381‬ﺑﺎ اﺑﻌﺎدي ﮔﺴﺘﺮدهﺗﺮ اداﻣـﻪ ﻳﺎﻓـﺖ و در ﺳـﺎل ‪1382‬‬
‫ﭘﺎﻳﺎن ﮔﺮﻓﺖ‪ ،‬ﺑﺎ ﻫﻤﻜﺎري ﺟﻤﻌﻲ از ﭘﮋوﻫﺸﮕﺮان و ﻛﺎرﺷﻨﺎﺳﺎن ﻣﻮﺿﻮﻋﺎت زﻳﺮ را ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار داد‪:‬‬
‫‪ -1‬ﻛﻠﻴﺎت و ﻣﺒﺎﻧﻲ ﻧﻈﺮي و ﻣﺪﻳﺮﻳﺘﻲ ﻃﺮاﺣﻲ ﻧﻈﺎم رﻓﺎه‪،‬‬
‫‪ -2‬ﻧﻈﺎم رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در ﻛﺸﻮرﻫﺎي ﺻﻨﻌﺘﻲ‪،‬‬
‫‪ -3‬ﺷﻴﻮهﻫﺎي ارزﺷﻴﺎﺑﻲ ﺳﻴﺎﺳﺖﻫﺎي رﻓﺎه اﺟﺘﻤﺎﻋﻲ در ﺳﻄﺢ ﺑﻴﻦاﻟﻤﻠﻠﻲ‪،‬‬
‫‪ -4‬ﺑﺮرﺳﻲ اﻧﺘﻘﺎدي و ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﺳﺎزﻣﺎﻧﻬﺎي ﻣﺴﺌﻮل رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‪،‬‬
‫‪ -5‬دﻳﺪﮔﺎﻫﻬﺎ‪ ،‬ﻗﻮاﻧﻴﻦ و ﺑﺮﻧﺎﻣﻪﻫﺎي ﺣﻮزهي رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ ﭘﺲ از اﻧﻘﻼب اﺳﻼﻣﻲ‪،‬‬
‫‪ -6‬ﭘﻴﺸﻴﻨﻪي ﺑﺮﻧﺎﻣﻪرﻳﺰي رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‪،‬‬
‫‪ -7‬ﺗﻮازيﻫﺎ و ﺗﺪاﺧﻞﻫﺎي وﻇﺎﻳﻒ ﺳﺎزﻣﺎنﻫﺎي ﺗﺄﻣﻴﻦ و رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‪،‬‬
‫‪ -8‬ﺑﺮرﺳﻲ اﻃﻼﻋﺎت و ﻳﺎﻓﺘﻪﻫﺎي ﺗﺤﻘﻴﻘﺎﺗﻲ ﭘﻴﺸﻴﻦ‪ ،‬ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ و ﻧﺘﻴﺠﻪﮔﻴﺮي‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪97‬‬
‫اﻳﻦ ﻣﻮﺿﻮﻋﺎت‪ ،‬در ﻗﺎﻟﺐ ﻳﺎزده ﮔﺰارش ﺑﺎ ﻋﻨـﺎوﻳﻦ زﻳـﺮ اﻧﺠـﺎم و در ﺳـﺎﻟﻬﺎي ‪ 1381‬و ‪ 1382‬ﺑـﻪ ﻣﻌﺎوﻧـﺖ‬
‫ﭘﮋوﻫﺸﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ اراﺋﻪ ﺷﺪه اﺳﺖ‪:‬‬
‫ ﮔﺰارش ﺷﻤﺎره ﻳﻚ‪ :‬رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در اﺳﺘﺮاﻟﻴﺎ‬‫ ﮔﺰارش ﺷﻤﺎره دو‪ :‬رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در اﻧﮕﻠﺴﺘﺎن‬‫ ﮔﺰارش ﺷﻤﺎره ﺳﻪ‪ :‬رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در ﻓﺮاﻧﺴﻪ‬‫ ﮔﺰارش ﺷﻤﺎره ﭼﻬﺎر‪ :‬رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در اﻳﺎﻻت ﻣﺘﺤﺪهي آﻣﺮﻳﻜﺎ‬‫ ﮔﺰارش ﺷﻤﺎره ﭘﻨﺞ‪ :‬رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در ﻛﺸﻮرﻫﺎي اﺳﻜﺎﻧﺪﻳﻨﺎوي‬‫ ﮔﺰارش ﺷﻤﺎره ﺷﺶ‪ :‬ﺑﺮرﺳﻲ ﻧﻈﺮﻳﻪﻫﺎ و دﻳﺪﻣﺎﻧﻬﺎي رﻓﺎه اﺟﺘﻤﺎﻋﻲ‪ :‬ﻣﺸﻜﻞ اﺟﺘﻤﺎﻋﻲ و رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬‫ ﮔﺰارش ﺷﻤﺎره ﻫﻔﺖ‪ :‬ﻧﻈﺎم ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪﻫﺎي رﻓﺎه اﺟﺘﻤﺎﻋﻲ )ﺑﺮرﺳﻲ ﺗﻄﺒﻴﻘﻲ(‬‫ ﮔﺰارش ﺷﻤﺎره ﻫﺸﺖ‪ :‬ﺑﺮرﺳﻲ ﺳﺎزﻣﺎﻧﻬﺎي ﺑﺨﺶ ﺑﻬﺰﻳﺴﺘﻲ و رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬‫ ﮔﺰارش ﺷﻤﺎره ﻧﻪ‪ :‬ﺑﺮرﺳﻲ رﻓﺎه اﺟﺘﻤﺎﻋﻲ در ﻗﻮاﻧﻴﻦ‪ ،‬ﻟﻮاﻳﺢ و ﻃﺮﺣﻬﺎي ﭘﻴﺸﻨﻬﺎدي ﺳﺎزﻣﺎﻧﻬﺎي ﻣﺨﺘﻠـﻒ‬‫اﻳﺮان‬
‫ ﮔﺰارش ﺷﻤﺎره ده‪ :‬ﺗﺤﻠﻴﻞ اﻃﻼﻋﺎت ﺟﻤﻊآوري ﺷﺪه از ﺑﺮرﺳﻲ ﺳﺎزﻣﺎﻧﻬﺎي رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬‫ ﮔﺰارش ﺷﻤﺎره ﻳﺎزده‪ :‬ﮔـﺰارش ﻧﻬـﺎﻳﻲ )ﺑﺮرﺳـﻲ و ارزﺷـﻴﺎﺑﻲ اﻃﻼﻋـﺎت و ﻳﺎﻓﺘـﻪﻫـﺎ‪ ،‬ﺗﺠﺰﻳـﻪ و ﺗﺤﻠﻴـﻞ‬‫ﻧﺘﻴﺠﻪﮔﻴﺮي(‬
‫ﻣﺨﺎﻃﺒﺎن اﺻﻠﻲ اﻳﻦ ﺧﻼﺻﻪي اﺟﺮاﻳﻲ‪ ،‬ﺳﺎزﻣﺎن ﻣﺪﻳﺮﻳﺖ و ﺑﺮﻧﺎﻣﻪرﻳﺰي ﻛﺸﻮر‪ ،‬ﺳﺎزﻣﺎنﻫﺎي ﻣـﺴﺌﻮل اراﺋـﻪ‬
‫ﺧﺪﻣﺎت رﻓﺎه و ﺗﺄﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ در ﻛﺸﻮر‪ ،‬ﻣﺠﻠﺲ ﺷﻮراي اﺳﻼﻣﻲ و رﻳﺎﺳﺖ داﻧـﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﻫﺴﺘﻨﺪ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻮاﻧﺒﺨﺸﻲ ﻓﺸﺮده ﻫﻤﺮاه ﺑﺎ داروﻫﺎي ﺗﺤﺮﻳﻚ ﻛﻨﻨـﺪه ﺳﻴـﺴﺘﻢ ﻋـﺼﺒﻲ ﻣﺮﻛـﺰي ﺑـﺮ‬
‫ﻋﻤﻠﻜﺮد ﺣﺴﻲ‪ ،‬ﺣﺮﻛﺘﻲ‪ ،‬ﺷﻨﺎﺧﺘﻲ و ﻓﻌﺎﻟﻴﺘﻬﺎي روزﻣﺮه زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي ﺗﺤـﺖ ﺣـﺎد‪.‬‬
‫»راﻫﻜﺎرﻫﻬﺎ و راﻫﺒﺮدﻫﺎي ﻧﻮﻳﻦ در ﺗﻮاﻧﺒﺨﺸﻲ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي‬
‫رﺿﺎ ﺳﻠﻤﺎن روﻏﻨﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬ﻣﻄﺎﻟﻌﺎت ﺗﺠﺮﺑﻲ در دﻫﻪ اﺧﻴﺮ ﻧﺸﺎن دادهاﻧﺪ ﻛﻪ ﺑﺮﺧﻲ از داروﻫﺎ در روزﻫﺎ و ﻫﻔﺘﻪﻫﺎي ﺑﻌـﺪ از‬
‫ﺣﻤﻠﻪ ﺳﻜﺘﻪ ﻣﻐﺰي ﺑﺎﻋﺚ ﺑﻬﺒﻮد ﻋﻤﻠﻜﺮد و اﻓﺰاﻳﺶ ﺳﺮﻋﺖ ﺑﺎزﺗﻮاﻧﻲ ﺷﺪه وﺑﺮﺧﻲ دﻳﮕﺮ اﻳﻦ روﻧـﺪ را ﻛﻨـﺪ‬
‫ﻣﻴﻜﻨﻨﺪ‪ .‬اﺳﺘﺮاﺗﮋي ﺗﺮﻛﻴﺐ داروﻫﺎ ﻣﺆﺛﺮ در ﺳﻴﺮ ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺎ ﻫﺪف رﺳﻴﺪن ﺑﻪ ﻳﻚ درﻣـﺎن ﻛـﺎﻣﻠﺘﺮ در ﭘـﻲ‬
‫ﺳﻜﺘﻪ ﻣﻐﺰي را ﺗﻮاﻧﺒﺨﺸﻲ داروﻳﻲ ﮔﻮﻳﻨﺪ‪.‬‬
‫روش ﻣﻄﺎﻟﻌﻪ‪ :‬دراﻳﻦ ﻣﻄﺎﻟﻌـﻪ ﻛﻨﺘـﺮل ﺷـﺪه‪ ،‬دو ﺳـﻮﻳﻪ ﻛـﻮر و ﺗـﺼﺎدﻓﻲ از ﺑﻬﻤـﻦ ﻣـﺎه ‪ 1385‬ﻟﻐﺎﻳـﺖ‬
‫ﺷﻬﺮﻳﻮر ‪ ،1387‬ﺑﻪ ﻃﻮر آﻳﻨﺪه ﻧﮕﺮ ﺗﻌﺪاد ‪ 78‬ﺑﻴﻤﺎر ﺳﻜﺘﻪ ﻣﻐﺰي وارد اﻳﻦ ﺗﺤﻘﻴﻖ ﮔﺮدﻳﺪﻧﺪ‪ ..‬ﺑﻴﻤﺎران واﺟـﺪ‬
‫ﺷﺮاﻳﻂ ورود ﺑﻪ ﻣﻄﺎﻟﻌﻪ از ﻣﻴﺎن ‪ 953‬ﺑﻴﻤﺎر ﺳﻜﺘﻪ ﻣﻐﺰي در ﺑﻴﻤﺎرﺳﺘﺎﻧﻬﺎي ﺷﻬﺮ ﺗﻬﺮان و ﺷﻬﺮ ﻗـﻢ اﻧﺘﺨـﺎب و‬
‫ﺟﻬﺖ اﻧﺠﺎم ﻣﺪاﺧﻼت داروﻳﻲ وﻓﻴﺰﻳﻮﺗﺮاﭘﻲ ﺑﻪ ﺑﻴﻤﺎرﺳﺘﺎن ﺗﻮاﻧﺒﺨﺸﻲ رﻓﻴﺪه‪ ،‬ﺑﺨﺶ ﻓﻴﺰﻳـﻮﺗﺮاﭘﻲ ﺑﻴﻤﺎرﺳـﺘﺎن‬
‫ﻣﻴﻼد و ﻛﻠﻴﻨﻜﻬﺎي ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ ﺧﺼﻮﺻﻲ ﺷﻬﺮ ﻗﻢ ارﺟﺎع ﮔﺮدﻳﺪﻧﺪ‪.‬‬
‫ﺑﻴﻤﺎران وارد ﺷﺪه ﺑﻪ ﻣﻄﺎﻟﻌﻪ ﺑﻄﻮر ﻛﺎﻣﻼ ﺗـﺼﺎدﻓﻲ ﺑـﻪ ﻳﻜـﻲ از ﭼﻬـﺎر ﮔـﺮوه درﻣـﺎﻧﻲ )ﮔـﺮوه درﻣـﺎﻧﻲ‬
‫درﻳﺎﻓﺖﻛﻨﻨﺪه رﻳﺘﺎﻟﻴﻦ ﺑﻪ ﻫﻤﺮاه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ‪ ،‬ﮔﺮوه درﻣﺎﻧﻲ درﻳﺎﻓﺖ ﻛﻨﻨﺪه ﻣﺎدوﭘﺎر ﺑـﻪ ﻫﻤـﺮاه ﻓﻴﺰﻳـﻮﺗﺮاﭘﻲ‪،‬‬
‫ﮔﺮوه درﻣﺎﻧﻲ درﻳﺎﻓﺖ ﻛﻨﻨﺪه ﻫﻤﺰﻣـﺎن داروي ﻣﺎدوﭘـﺎر و رﻳﺘـﺎﻟﻴﻦ ﺑـﻪ ﻫﻤـﺮاه ﻓﻴﺰﻳـﻮﺗﺮاﭘﻲ‪ ،‬ﮔـﺮوه درﻣـﺎﻧﻲ‬
‫درﻳﺎﻓﺖ ﻛﻨﻨﺪه ﭘﻼﺳﺒﻮ ﺑﻪ ﻫﻤﺮاه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ( ﺗﻘﺴﻴﻢ ﻣﻲﺷﺪﻧﺪ‪.‬‬
‫دوز ﻣﺼﺮﻓﻲ ﺑﺮاي داروي رﻳﺘﺎﻟﻴﻦ ‪ 20‬ﻣﻴﻠﻲ ﮔـﺮم در روز و دوز داروي ﻣﺎدوﭘـﺎر ‪ 125 mg‬روزاﻧـﻪ ﺑـﻪ‬
‫ﻣﺪت ‪ 2‬ﻫﻔﺘﻪ ‪ 30-45‬دﻗﻴﻘﻪ ﻗﺒﻞ از ﺷﺮوع ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ ﺗﻌﺮﻳﻒ ﺷﺪ‪ .‬ﺗﻤﺎم ﺑﻴﻤﺎران ﺣـﺪاﻗﻞ ‪ 30‬دﻗﻴﻘـﻪ ﺑـﻪ‬
‫ﻣﺪت ‪ 6‬روز در ﻫﻔﺘﻪ ﻋﻼوه ﺑﺮ ﺑﺮﻧﺎﻣﻪﻫﺎي روﺗﻴﻦ ﺗﻮاﻧﺒﺨﺸﻲ‪ ،‬ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ درﻳﺎﻓﺖ ﻣﻲﻛﺮدﻧﺪ‪ .‬ﺑﻴﻤـﺎران ﭘـﺲ‬
‫ازدرﻳﺎﻓﺖ ‪ 15‬روز ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ از ﻛﻠﻴﻨﻴﻚ ﺗﻮاﺑﻨﺨﺸﻲ ﺗﺮﺧﻴﺺ و ﺟﻬﺖ ارزﻳﺎﺑﻲﻫﺎ و ﺗﻜﻤﻴـﻞ ﭘﺮﺳـﺸﻨﺎﻣﻪﻫـﺎ‬
‫در روزﻫﺎي ‪ 90‬و ‪ 180‬ﺷﺮوع ﻣﻄﺎﻟﻌﻪ ﻣﺠﺪد ﺑﻪ ﻛﻠﻴﻨﻴﻚ ﻣﺮاﺟﻌﻪ ﻣﻲﻛﺮدﻧﺪ‪.‬‬
‫از ﻛﻞ ﺑﻴﻤﺎران )‪ 953‬ﺑﻴﻤﺎر( ﺑﺮرﺳﻲ ﺷﺪه ﺟﻬﺖ ورود ﺑﻪ ﻣﻄﺎﻟﻌﻪ اﺻﻠﻲ ﺗﻌﺪاد ‪ 632‬ﺑﻴﻤـﺎر ﺑـﻪ ﻋﻠـﺖ‬
‫ﻓﺎﺻﻠﻪ زﻣﺎﻧﻲ زﻳﺎد ﺑﻴﻦ ﺣﻤﻠﻪ ﺳﻜﺘﻪ ﻣﻐﺰي ﺗﺎ ﻣﺮاﺟﻌﻪ ﺟﻬﺖ ﻣﻄﺎﻟﻌﻪ ﻛﻪ ﺑﻴﺶ از ‪ 6‬ﻣﺎه ﺑﻮد از ﻣﻄﺎﻟﻌـﻪ ﺧـﺎرج‪،‬‬
‫‪ 24‬ﺑﻴﻤﺎر ﺑﻪ ﻋﻠﺖ ﺑﻴﻤﺎرﻳﻬﺎي ﺷﺪﻳﺪ ﻫﻤﺮاه ﻛﻪ ﺗﺤﻤﻞ ﺗﻮاﻧﺒﺨﺸﻲ و داروﻫﺎي رﻳﺘﺎﻟﻴﻦ و ﻣﺎدوﭘﺎر را ﻧﺪاﺷـﺘﻪ از‬
‫ﻣﻄﺎﻟﻌﻪ ﺧﺎرج ﺷﺪﻧﺪ‪(%22/4) 181 ،‬ﺑﻴﻤﺎر در ‪ 6‬ﻣﺎه ﺑﻌـﺪ از ﺣﻤﻠـﻪ ﻓـﻮت ﻧﻤﻮدﻧـﺪ و ﻧﺘﻮاﻧـﺴﺘﻨﺪ وارد ﻣﻄﺎﻟﻌـﻪ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪99‬‬
‫ﮔﺮدﻧﺪ و ‪ 16‬ﺑﻴﻤﺎر ﺑﻪ ﻋﻠﺖ ﻋﺪم رﺿﺎﻳﺖ ﺧﻮدﺷﺎن و ﻳﺎ ﻫﻤﺮاه آﻧﻬﺎ ﺣﺎﺿﺮ ﺑﻪ ورود ﺑﻪ ﻣﻄﺎﻟﻌﻪ ﻧﮕﺮدﻳﺪﻧـﺪ‪ .‬از‬
‫ﺑﻴﻤﺎراﻧﻲ ﻛﻪ ﺗﻤﺎﻳﻞ ﺑﻪ ﺷﺮﻛﺖ در ﻣﻄﺎﻟﻌﻪ را داﺷﺘﻨﺪ ﻓﺮم رﺿﺎﻳﺖ ﻧﺎﻣﻪ اﻣﻀﺎء ﺷﺪه ﻛﺴﺐ ﮔﺮدﻳﺪ‪.‬‬
‫ﭘﺮﺳــﺸﻨﺎﻣﻪﻫــﺎي دﻣﻮﮔﺮاﻓﻴــﻚ‪Geriatric ،Mini-Mental State Examination ،Fugl-Meyer ،‬‬
‫‪ Modified Rankin Scale ،Index.Barthel ،Depression Scale‬و ‪National Institutes of Health‬‬
‫‪ stroke scale‬ﺟﻬﺖ ﺑﺮرﺳﻲ ﻣﻴﺰان اﺧﺘﻼﻻت ﺣﺮﻛﺘﻲ‪ ،‬ﺷﻨﺎﺧﺘﻲ‪ ،‬اﻓـﺴﺮدﮔﻲ‪ ،‬ﻓﻌﺎﻟﻴـﺖ روزﻣـﺮه زﻧـﺪﮔﻲ و‬
‫ﻣﻴﺰان ﻣﻌﻠﻮﻟﻴﺖ اﺳﺘﻔﺎده ﮔﺮدﻳﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺗﻤﺎم ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي در ﻃﻮل دوره درﻣـﺎن و ﭘﻴﮕﻴـﺮي ‪ 6‬ﻣﺎﻫـﻪ رﺷـﺪ ﻗﺎﺑـﻞ ﺗـﻮﺟﻬﻲ در‬
‫ﺑﻬﺒﻮدي اﺧﺘﻼﻻت ﺣﺮﻛﺘﻲ‪ ،‬ﺷﻨﺎﺧﺘﻲ‪ ،‬اﻓﺴﺮدﮔﻲ‪ ،‬ﻓﻌﺎﻟﻴﺖﻫﺎي روزﻣﺮه زﻧﺪﮔﻲ را ﻧﺸﺎن دادﻧـﺪ‪ .‬اﻳـﻦ ﻣﻴـﺰان‬
‫ﺑﻬﺒﻮدي در ﮔﺮوﻫﻬﺎي درﻳﺎﻓﺖ ﻛﻨﻨﺪه دارو از ﻧﻈﺮ ﺑﺎﻟﻴﻨﻲ ﻣﺸﻬﻮد ﺑﻮد وﻟﻲ از ﻧﻈﺮ آﻣﺎري ﺗﻔﺎوت ﻣﻌﻨـﺎداري‬
‫ﺑﻴﻦ ﭼﻬﺎر ﮔﺮوه درﻣﺎﻧﻲ وﺟﻮد ﻧﺪاﺷﺖ‪ ،‬ﺑﻄﻮري ﻛﻪ ﻣﻴﺰان ﺑﻬﺒـﻮدي اﺧـﺘﻼﻻت ﺷـﻨﺎﺧﺘﻲ ﺑـﺪﻧﺒﺎل ﺳـﻜﺘﻪ در‬
‫اﻧﺘﻬﺎي روز ‪ 180‬ﭘﻴﮕﻴﺮي ﺑﻴﻦ ﭼﻬﺎر ﮔﺮوه ﺑﻪ ﻳﻚ ﻧﺴﺒﺖ اﻓﺰاﻳﺶ داﺷﺖ)‪ .(P=0.47‬ﻣﻴﺰان ‪ P-VALUE‬در‬
‫اﻧﺘﻬــﺎي روز ‪180‬ﭘﻴﮕﻴــﺮي ﺑــﻴﻦ ﭼﻬــﺎر ﮔــﺮوه در ﺷــﺎﺧﺺ‪Modified ،Barthel.Index ، Fugl-Meyer‬‬
‫‪ Rankin Scale‬و‪ National Institutes of Health stroke scale‬ﺑـﻪ ﺗﺮﺗﻴـﺐ‪ 0/46 ،0/03 ،0/63‬و ‪0/19‬‬
‫ﺑﻮد‪.‬‬
‫ﻣﻴــﺰان ﺑﻬﺒــﻮدي اﺧــﺘﻼﻻت ﺧﻠﻘــﻲ و اﻓــﺴﺮدﮔﻲ ﻗﺎﺑــﻞ ارزﻳــﺎﺑﻲ ﺑــﺎ ﺷــﺎﺧﺺ ‪) GDS‬ﻣﻌﻴــﺎر اﻓــﺴﺮدﮔﻲ‬
‫ﺳﺎﻟﻤﻨﺪان( ﺑﻪ ﻃﻮر ﻣﻌﻨﻲ داري در ﮔﺮوه درﻣﺎﻧﻲ درﻳﺎﻓﺖ ﻛﻨﻨﺪه ﻫﻤﺰﻣﺎن داروي ﻣﺎدوﭘـﺎر و رﻳﺘـﺎﻟﻴﻦ ﺑﻴـﺸﺘﺮ‬
‫ﺑﻮد‪.(P= 0.004) .‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﻌﻨﻲدار ﺑﻮدن ﻣﻴﺰان ﺑﻬﺒﻮدي اﺧﺘﻼﻻت ﺧﻠﻘﻲ و اﻓﺴﺮدﮔﻲ در ﮔﺮوه درﻣﺎﻧﻲ‬
‫درﻳﺎﻓﺖ ﻛﻨﻨﺪه ﻫﻤﺰﻣﺎن داروي ﻣﺎدوﭘﺎر و رﻳﺘﺎﻟﻴﻦ‪ ،‬ﺗﺮﻛﻴﺐ داروﻳﻲ ﻓﻮق ﺑﺮ ﺗﻮاﻧﺒﺨﺸﻲ ﺑﻴﻤﺎران ﻣـﺆﺛﺮ اﺳـﺖ‬
‫و اﻳﻦ روش ﺗﻮاﻧﺒﺨﺸﻲ داروﻳﻲ ﺑﺎ ﻟﺤـﺎظ ﻛـﺮدن دوز ﺑـﺎﻻﺗﺮ داروﻫـﺎ‪ ،‬اﺳـﺘﻔﺎده از داروﻫـﺎ در ﻣـﺪت زﻣـﺎن‬
‫ﺑﻴﺸﺘﺮ‪ ،‬ﻣﺪاﺧﻠﻪ داروﺋﻲ زود ﻫﻨﮕﺎم و در ﻓﺎز ﺗﺤﺖ ﺣﺎد ﺑﻌﺪ از ﺳﻜﺘﻪ ﻣﻐﺰي ﻣﻲﺗﻮاﻧﺪ ﺑﺮ اﺧﺘﻼﻻت ﺣﺮﻛﺘﻲ‪،‬‬
‫ﺷﻨﺎﺧﺘﻲ‪ ،‬ﻓﻌﺎﻟﻴﺖ روزﻣﺮه زﻧﺪﮔﻲ و ﻣﻴﺰان ﻣﻌﻠﻮﻟﻴﺖ ﺑﻴﻤﺎران ﺗﺄﺛﻴﺮ ﺑﺴﺮاﻳﻲ داﺷﺘﻪ ﺑﺎﺷﺪ‪ .‬ﻫﻤﭽﻨﻴﻦ ﺑﺎ ﺗﻮﺟـﻪ ﺑـﻪ‬
‫ﻣﺤﺪود ﻳﺖ ﺷﺪﻳﺪ در ورود ﺑﻴﻤﺎران در ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﻛﻪ ﻧﺎﺷﻲ از ﻣﺸﻜﻼت ورود ﺑﻴﻤﺎران و ﻋـﺪم وﺟـﻮد‬
‫ﻣﺮاﻛﺰ ﺑﺴﺘﺮي ﺗﻮاﻧﺒﺨﺸﻲ ﺑﻌﺪ از ﻗﺎز ﺣﺎد ﻣﻴﺒﺎﺷﺪ‪ ،‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻗﻮﻳﺎً ﺗﻮﺻﻴﻪ ﻣﻲﻛﻨﺪ ﻛﻪ ﺳﻴـﺴﺘﻢ ﺛﺒـﺖ ﺑﻴﻤـﺎران‬
‫ﺳﻜﺘﻪ ﻣﻐﺰي و ﻣﺮاﻛﺰ ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺴﺘﺮي‪ ،‬ﺳﺮﭘﺎﻳﻲ و ﻳﺎ روزاﻧﻪ ﺟﻬﺖ ﺑﻴﻤﺎران ﺳﻜﺘﻪ ﻣﻐﺰي در ﻓﺎز ﺗﺤﺖ ﺣﺎد‬
‫ﺗﺎﺳﻴﺲ و ﺗﺠﻬﻴﺰ ﮔﺮدد‪.‬‬
‫‪100‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﻧﻮاﺣﻲ ﻛﺪﻛﻨﻨﺪه ژن ﻛﻠﺮﺗﻴﻜﻮﻟﻴﻦ در ‪ 50‬ﺑﻴﻤﺎر ﻣﺒﺘﻼ ﺑﻪ ﺑﻴﻤﺎري اﺳﻜﻴﺰواﻓﻜﺘﻴﻮ ﺑﺎ ﻣﻌﻴﺎرﻫﺎي‬
‫ﺗﺸﺨﻴﺼﻲ ‪DSM-IV-TR‬‬
‫ﻣﻴﻨﺎ اوﺣﺪي‬
‫ﻣﻘﺪﻣﻪ‪ :‬اﺧﺘﻼل اﺳﻜﻴﺰواﻓﻜﺘﻴﻮاﺧﺘﻼﻟﻲ اﺳـﺖ ﻛـﻪ ﻓـﺮد ﻫـﻢ ﻋﻼﺋـﻢ اﺧـﺘﻼل ﺧﻠﻘـﻲ )ﻋـﺎﻃﻔﻲ( ﻫﻤﺎﻧﻨـﺪ‬
‫اﻓﺴﺮدﮔﻲ و ﻣﺎﻧﻴﺎ و ﻫﻢ ﻋﻼﺋﻤﻲ از اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ را در زﻣﺎن ﻳﻜﺴﺎن ﻳﺎ ﻓﻮاﺻﻞ زﻣﺎﻧﻲ ﻧﺰدﻳﻚ ﻧﺸﺎن ﻣﻲدﻫﺪ‪.‬‬
‫ﺷﺎﻧﺲ از اﻳﺠﺎد اﺧﺘﻼل اﺳﻜﻴﺰواﻓﻜﺘﻴﻮ ‪ 1‬در ‪ 200‬ﻣﻲﺑﺎﺷﺪ ﻛﻪ ﻣﻌﻤﻮﻻً در اواﺧﺮ ﻧﻮﺟﻮاﻧﻲ ﻳﺎ اواﻳـﻞ ﺟـﻮاﻧﻲ‬
‫ﺷﺮوع ﻣﻲﺷﻮد و زنﻫﺎ ﺑﻴﺸﺘﺮ از ﻣﺮدﻫﺎ ﻣﺘﺤﻤﻞ اﺧﺘﻼل اﺳﻜﻴﺰواﻓﻜﺘﻴﻮ ﻣﻲﺷﻮﻧﺪ‪ .‬ﻛﻠﺮﺗﻴﻜﻮﻟﻴﻦ ﻳﻚ ﭘـﺮوﺗﺌﻴﻦ‬
‫ﭼﺎﭘﺮوﻧﻲ اﺗﺼﺎل ﺷﻮﻧﺪه ﺑﻪ ﻛﻠﺴﻴﻢ‪ ،‬ﺑﺎ وزن ﻣﻮﻟﻜﻮﻟﻲ ‪ 46‬ﻛﻴﻠﻮ داﻟﺘـﻮن ﻣـﻲﺑﺎﺷـﺪ ﻛـﻪ در اﻛﺜﺮﻳـﺖ ﮔﻮﻧـﻪﻫـﺎ‬
‫وﺟﻮد دارد اﻳﻦ ﭘﺮوﺗﺌﻴﻦ ﻫﻤﻮﺳﺘﺎز ‪ Ca 2+‬درون ﺳﻠﻮﻟﻲ و ﻇﺮﻓﻴﺖ ذﺧﻴﺮ ‪ Ca 2+‬درون ﺷﺒﻜﻪ آﻧﺪوﭘﻼﺳﻤﻲ‬
‫را ﺗﻨﻈﻴﻢ ﻣﻲﻛﻨﺪ ﻛﻠﺮﺗﻴﻜﻮﻟﻴﻦ ﻫﻤﭽﻨﻴﻦ ﻳﻚ ﭼﺎﭘﺮون ﻣﻮﻟﻜﻮﻟﻲ ﻣﻬﻢ در ﻛﻨﺘﺮل ﻛﻴﻔﻴﺖ ﻣـﺴﻴﺮﻫﺎي ﺗﺮﺷـﺤﻲ‬
‫ﻣﻲﺑﺎﺷﺪ‪ .‬ژن ﻛﻠﺮﺗﻴﻜﻮﻟﻴﻦ اﻧﺴﺎﻧﻲ ﺷﺎﻣﻞ ‪ 9‬اﮔﺰون و ‪ 8‬اﻳﻨﺘﺮون اﺳﺖ و ﺑﺮ روي ﻛﺮوﻣﻮزوم ‪ 19‬در ﻟﻮﻛـﻮس‬
‫‪ 19p 13.3-19p13.2‬ﻗﺮار دارد‪.‬‬
‫روشﻛﺎر‪ :‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮ روي ‪ 70‬ﺑﻴﻤﺎر اﻳﺮاﻧﻲ ﻏﻴﺮﺧﻮﻳﺸﺎوﻧﺪ ﺑﺎ اﺧﺘﻼل اﺳﻜﻴﺰواﻓﻜﺘﻴﻮ ﻛـﻪ ﺑـﻪ ﻣﺮﻛـﺰ‬
‫رواﻧﭙﺰﺷﻜﻲ رازي ﺗﻬﺮان‪ ،‬اﻳﺮان ﻣﺮاﺟﻌﻪ ﻛﺮده ﺑﻮدﻧﺪ و ﺑﺎ اﺳﺘﻔﺎده از ‪ DSMVI-TR‬ارزﻳـﺎﺑﻲ ﺷـﺪﻧﺪ و ‪300‬‬
‫ﻛﻨﺘﺮل ﻛﻪ ﺑﻪ ﻃﻮر ﺗﺼﺎدﻓﻲ ﺑﻪ ﻋﻨﻮان دﻫﻨﺪه ﺧﻮن اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺳﭙﺲ ‪ DNA‬ژﻧـﻮﻣﻲ از ﺧـﻮن ﻣﺤﻴﻄـﻲ‬
‫آنﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﭘﺮوﺗﻜﻮلﻫﺎي اﺳﺘﺎﻧﺪار اﺳﺘﺨﺮاج ﺷﺪ‪ .‬ﺗﻤﺎم ﺗﻮاﻟﻲ ﻛﺪﻛﻨﻨﺪه )ازﻣﺮز اﻳﻨﺘﺮون‪ /‬اﮔـﺰون( و‬
‫ﻧﺎﺣﻴﻪ ﺗﻨﻈﻴﻤﻲ از ژن ﻛﻠﺮﺗﻴﻜﻮﻟﻴﻦ ﺑﻪ وﺳﻴﻠﻪ ﺗﻜﻨﻴﻚ ﺟﻬﺶﻳﺎﺑﻲ ‪ SSCA‬ﺑﺮرﺳﻲ ﺷـﺪ‪ .‬ﺳـﭙﺲ ﺑـﺎ اﺳـﺘﻔﺎده از‬
‫روش ‪ PCR-SSCA‬ﻣﻮرد ﺑﺮرﺳﻲ ﻗﺮار ﮔﺮﻓﺖ و ﻧﻤﻮﻧﻪﻫﺎﻳﻲ ﻛﻪ ﻳﺎ ﭘﺮاﻳﻤﺮ ﻳﻜﺴﺎن ﺗﻜﺜﻴﺮ ﺷﺪﻧﺪ اﻣـﺎ اﻟﮕـﻮي‬
‫ﻣﺘﻔﺎوﺗﻲ داﺷﺘﻨﺪ ﺗﻌﻴﻴﻦ ﺗﻮاﻟﻲ ﺷﺪﻧﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬در ﻏﺮﺑﺎﻟﮕﺮي ‪ 70‬ﺑﻴﻤﺎر ﻏﻴﺮﺧﻮﻳﺸﺎوﻧﺪ اﺳﻜﻴﺰواﻓﻜﺘﻴﻮﻣﺎ ﺟﻬﺶﻫﺎي ﺟﺪﻳـﺪي در ﻣﻮﻗﻌﻴـﺖﻫـﺎي‬
‫‪ C>T- 205‬و در اﮔــﺰون ‪ (c:682 C>T,pro228ser)5‬در دو ﺑﻴﻤــﺎر ﻏﻴﺮﺧﻮﻳــﺸﺎوﻧﺪ اﺳــﻜﻴﺰواﻓﻜﺘﻴﻮ ﭘﻴــﺪا‬
‫ﻛﺮدﻳﻢ‪ .‬و اﻳﻦ ﺟﻬﺶﻫﺎ ﻣﺨﺘﺺ ﺑﻴﻤـﺎري ﺑﻮدﻧـﺪ و در ﻫﻴﭽﻜـﺪام از ﺟﻤﻌﻴـﺖ ‪ 300‬ﻧﻔـﺮي ﻛﻨﺘـﺮل ﻣـﺸﺎﻫﺪه‬
‫ﻧﺸﺪ)‪. (OR=17.6‬‬
‫ﺑﺤﺚ‪ :‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺟﻬﺶﻫﺎﻳﻲ ﻛﻪ ﻣﺎ ﮔﺰارش ﻛﺮدﻳﻢ و ﻣﻄﺎﻟﻌﺎت ﻋﻤﻠﻜﺮدي و ‪ Linkage‬ﻛـﻪ ﺑـﺮ روي‬
‫اﻳﻦ ژن ﺻﻮرت ﮔﺮﻓﺘﻪ ﺑﻮد ﻣﺎ ﺑﺮاي ﺑـﺎر ژن ﻛﻠﺮﺗﻴﻜـﻮﻟﻴﻦ را ﺑـﻪ ﻋﻨـﻮان ﻛﺎﻧﺪﻳـﺪ ﻣﻨﺎﺳـﺒﻲ در اﺗﻴﻮﭘـﺎﺗﻮﻟﻮژي‬
‫اﺧﺘﻼل اﺳﻜﻴﺰواﻓﻜﺘﻴﻮ ﻣﻌﺮﻓﻲ ﻣﻲﻛﻨﻴﻢ و ﻋﻮاﻗﺐ اﻳـﻦ ﺟﻬـﺶﻫـﺎ ﺟـﺎ دارد ﻛـﻪ در ﻣﻄﺎﻟﻌـﺎت آﻳﻨـﺪه ﻣـﻮرد‬
‫ﺑﺮرﺳﻲ ﻗﺮار ﮔﻴﺮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ ‪ :‬ﻛﻠﺮﺗﻴﻜﻮﻟﻴﻦ‪ ،‬اﺳﻜﻴﺰواﻓﻜﺘﻴﻮ‪ ،‬ﺟﻬﺶ‪ ،‬ﻣﺎﻧﻴﺎ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﺸﺎﻧﮕﺎن ﻣﺨﺘﺼﺮ‪ :‬اﻣﻜﺎﻧﺎت رواﻧﺴﻨﺠﻲ ﺑﺎ ﺑﻴﻤﺎران رواﻧﭙﺰﺷﻜﻲ اﻳﺮاﻧﻲ‬
‫ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‬
‫ﻫﺪف‪ :‬ﻫﺪف ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺳﻨﺠﺶ اﻣﻜﺎﻧـﺎت رواﻧـﺴﻨﺠﻲ ﭘﺮﺳـﺸﻨﺎﻣﻪ ﻧـﺸﺎﻧﮕﺎن ﻣﺨﺘـﺼﺮ )‪ (BSI‬در‬
‫ﻧﻤﻮﻧﻪاي از ﺑﻴﻤﺎران اﻓﺴﺮده ﺑﻬﺒﻮد ﻳﺎﻓﺘﻪ ﺑﻮد‪.‬‬
‫روش‪ 354 :‬ﺑﻴﻤﺎر از ﻃﺮﻳﻖ ﻣﺼﺎﺣﺒﻪ ﺳﺎﺧﺘﺎر ﻳﺎﻓﺘﻪ ﺑﺮاي اﺧﺘﻼﻻت ‪ (SCID) DSM-IV‬ﺟﻬﺖ اﻃﻤﻴﻨﺎن‬
‫از ﺑﻬﺒﻮدي ﻛﺎﻣﻞ از اﺧﻴﺮﺗﺮﻳﻦ اﭘﻴﺴﻮد ﻣﺸﺨﺺ اﻓﺴﺮدﮔﻲ ﻣﻮرد ارزﻳﺎﺑﻲ ﻗﺮار ﮔﺮﻓﺘﻨﺪ و ﭼﻨﺪﻳﻦ ﺳﻨﺠﻪ ﺧﻮد‬
‫ﮔﺰارﺷﻲ از ﺟﻤﻠﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﺸﺎﻧﮕﺎن ﻣﺨﺘﺼﺮ ‪ BSI‬را ﺗﻜﻤﻴﻞ ﻛﺮدﻧﺪ‪.‬اﻳﻦ ﭘﮋوﻫﺶ اﺧﺘـﺼﺎص ﺑـﻪ ﮔـﺰارش‬
‫آﻣﺎر ﺗﻮﺻﻴﻔﻲ ﻣﺤﺎﺳﺒﻪ ﺷﺪه ﺑﺮاي اﻳﻦ ﻣﻘﻴﺎس و ﺗﺤﻠﻴﻞ ﻋﺎﻣﻞ ﺗﺎﺋﻴﺪي ﺑﺮاي ارزﻳﺎﺑﻲ ﺑﺮازش ﺳـﺎﺧﺘﺎر ﻋـﺎﻣﻠﻲ‬
‫ﻣﻔﺮوض ‪ BSI‬دارد‪ .‬ﻫﻤﭽﻨﻴﻦ ﺿﺮاﻳﺐ آﻟﻔﺎي ﻛﺮوﻧﺒﺎخ ﺑﺮاي ارزﻳﺎﺑﻲ اﻋﺘﺒﺎر دروﻧﻲ ﺷﺎﺧﺺ ﺷﺪت ﻛﻠـﻲ و‬
‫‪ 9‬زﻳﺮ ﻣﻘﻴﺎس ﮔﺰارش ﻣﻲﺷﻮد‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺷﺎﺧﺺ ﺑﺮازش در ﻣﺪل ‪9‬ﻋﺎﻣﻠﻲ ﺑﺮ ﻣﺪل ﺗﻚ ﻋﺎﻣﻠﻲ ﺑﺮﺗﺮي داﺷـﺖ ﻛـﻪ ﻧـﺸﺎن دﻫﻨـﺪه ﺟـﻮر‬
‫ﺑﻮدن ﻣﺪل ‪9‬ﻋﺎﻣﻠﻲ ﺑﺎ دادهﻫﺎي ﻣﺸﺎﻫﺪه ﺷﺪه ﺑﻮد‪.‬دادﻫﺎي ﻣﺸﺎﻫﺪه ﺷﺪه آﻟﻔﺎي ﻛﺮوﻧﺒـﺎخ را ﺑـﺮاي ﺷـﺎﺧﺺ‬
‫ﺷﺪت ﻛﻠﻲ ﺑﺎﻻ و ﺑﻪ اﻧﺪازه اﻋﺘﺒﺎرزﻳﺮﻣﻘﻴﺎسﻫﺎ ﻧﺸﺎن داد‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﭘﺮﺳﺸﻨﺎﻣﻪ ﻧﺸﺎﻧﮕﺎن ﻣﺨﺘﺼﺮ ﻣﻌﺘﺒﺮ و اﺑﺰار ﻣﻨﺎﺳﺒﻲ ﺑﺮاي ﭘﮋوﻫﺶﻫﺎي ﻣﺮﺑـﻮط ﺑـﻪ ﻧﺘـﺎﻳﺞ و‬
‫ارزﻳﺎﺑﻲ روﻧﺪ درﻣﺎن و ﻛﺎر ﺑﺎﻟﻴﻨﻲ در اﻳﻦ ﺟﻤﻌﻴﺖ ﺑﺎﻟﻴﻨﻲ اﺳﺖ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻧﺸﺎﻧﮕﺎن‪ ،‬ﭘﺮﺳﺸﻨﺎﻣﻪ‪ ،‬رواﻧﺴﻨﺠﻲ‪ ،‬ﺗﺤﻠﻴﻞ ﻋﺎﻣﻠﻲ‪ ،‬رواﻳﻲ‪ ،‬اﻋﺘﺒﺎر‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺮرﺳﻲ ﺷﻴﻮع ﺳﻨﺪروم ﻣﺘﺎﺑﻮﻟﻴﻚ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑـﻪ اﺳـﻜﻴﺰوﻓﺮﻧﻴﺎ ﺑـﺴﺘﺮي در ﻣﺮﻛـﺰ آﻣﻮزﺷـﻲ‬
‫درﻣﺎﻧﻲ رواﻧﭙﺰﺷﻜﻲ رازي ﺗﺤﺖ درﻣﺎن ﺑﺎ داروﻫﺎي آﻧﺘﻲ ﺳﺎﻳﻜﻮﺗﻴﻚ ﺗﻴﭙﻴﻚ و ﻏﻴﺮ ﺗﻴﭙﻴﻚ‬
‫اﻣﻴﺪ رﺿﺎﺋﻲ‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﻳﻚ ﺑﻴﻤﺎري رواﻧﻲ اﺳﺖ ﻛﻪ ﻛﺎﻫﺶ ﻃﻮل ﻋﻤﺮ اﻳـﻦ اﻓـﺮاد را ﻧﻤـﻲﺗـﻮان‬
‫ﺗﻨﻬﺎ ﺑﺎ ﻋﻮاﻣﻞ رﻓﺘﺎري ﺗﻮﺟﻴﻪ ﻛﺮد‪ .‬ﻣﻄﺎﻟﻌﺎت اﭘﻴﺪﻣﻴﻮﻟﻮژﻳﻚ ﻧﺸﺎن دادهاﻧـﺪ ﻛـﻪ ﺷـﻴﻮع ﺑﻴﻤـﺎر ﻳﻬـﺎي ﻗﻠﺒـﻲ ـ‬
‫ﻋﺮوﻗﻲ در اﻓﺮاد اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﺑﻴﺸﺘﺮ اﺳﺖ‪ .‬ﺑﺮ اﺳﺎس ﺑﺮﺧﻲ ﮔﺰارشﻫﺎ‪ ،‬ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ ﻛﻪ ﺷﺎﻣﻞ ﮔﺮوﻫﻲ‬
‫از ﻋﻮاﻣﻞ ﺧﻄﺮﺳﺎز ﺑﻴﻤﺎرﻳﻬﺎي ﻗﻠﺒﻲ ﻋﺮوﻗﻲ ﻣﺜﻞ ﭼﺎﻗﻲ دور ﻛﻤﺮ‪ ،‬ﭘﺮﻓﺸﺎري ﺧﻮن‪ ،‬ﻣﻘﺎوﻣـﺖ ﺑـﻪ اﻧـﺴﻮﻟﻴﻦ و‬
‫دﻳﺲ ﻟﻴﭙﻴﺪﻣﻲ اﺳﺖ؛ در اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﺑﻴﺸﺘﺮ دﻳﺪه ﻣﻲﺷﻮد‪ .‬اﻃﻼﻋﺎت ﻣﻮﺟﻮد ﻧـﺸﺎن ﻣـﻲدﻫﻨـﺪ‬
‫ﻛﻪ اﺻﻮﻻً ﻋﻮاﻣﻞ ﻣﺨﺘﻠﻒ ژﻧﺘﻴﻜﻲ‪ ،‬ﻣﺤﻴﻄﻲ و داروﻫﺎ در اﻳﺠﺎد‪ .‬ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ در اﻳﻦ ﺑﻴﻤﺎران ﻣﺆﺛﺮﻧـﺪ‪.‬‬
‫ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻳﻦ ﻣﺴﺄﻟﻪ ﻛﻪ ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ در اﻳﻦ ﺑﻴﻤﺎران ﻣﻨﺠﺮ ﺑﻪ اﻓﺰاﻳﺶ ﻣﻮرﺗﺎﻟﻴﺘﻲ‪ ،‬ﻣﻮرﺑﻴﺪﻳﺘﻲ و ﺣﺘـﻲ‬
‫ﻫﺰﻳﻨﻪﻫﺎي درﻣﺎﻧﻲ ﻣﻲﺷﻮد و ﺗﺎ ﻛﻨﻮن در اﻳﻦ زﻣﻴﻨﻪ ﺗﻨﻬﺎ ﻳﻚ ﻣﻄﺎﻟﻌﻪ و آن ﻫﻢ ﺑﺎ ﺣﺠـﻢ ﻧﻤﻮﻧـﻪ ﻣﺤـﺪود در‬
‫ﻛﺸﻮرﻣﺎن اﻧﺠﺎم ﺷﺪه اﺳﺖ‪ ،‬در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮ آن ﺷﺪﻳﻢ ﺗﺎ ﺷﻴﻮع ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ و ﻋﻮاﻣﻞ دﺧﻴﻞ در آن‬
‫را در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﺑﺴﺘﺮي در ﻳﻜﻲ از ﻣﺮاﻛﺰ درﻣﺎﻧﻲ ﺷﻬﺮﺗﻬﺮان ﺑﺮرﺳﻲ ﻛﻨﻴﻢ‪.‬‬
‫ﻣﻮاد و روش‪ :‬ﺗﻌﺪاد ‪ 370‬ﺑﻴﻤﺎر ﻣﺒﺘﻼ ﺑﻪ اﺳـﻜﻴﺰوﻓﺮﻧﻴﺎ ﺑـﺎ ﺗﻮﺟـﻪ ﺑـﻪ ﻣﻌﻴـﺎر ‪ DSM-IV-TR‬از ﺑﻴﻤـﺎران‬
‫ﺑﺴﺘﺮي در ﺑﺨﺸﻬﺎي ﻣﺨﺘﻠﻒ ﺑﻴﻤﺎرﺳﺘﺎن رواﻧﭙﺰﺷﻜﻲ رازي ﺑﺼﻮرت ﭘﻲ آﻳﻨﺪ ﻧﻤﻮﻧـﻪﮔﻴـﺮي ﺷـﺪه و از ﻫﻤـﻪ‬
‫ﺑﻴﻤﺎران ﻓﻮق ﻧﻤﻮﻧﻪ ﺧﻮن ﺻﺒﺢ ﭘﺲ از ﺣﺪاﻗﻞ ‪ 10‬ﺳﺎﻋﺖ ﻧﺎﺷﺘﺎﻳﻲ ﺑﺮاي ﺗﻌﻴﻴﻦ ﺳﻄﺢ ﻗﻨـﺪ ﺧـﻮن و ﭘﺮوﻓﺎﻳـﻞ‬
‫ﭼﺮﺑﻲ اﺧﺬ ﺷﺪ‪ .‬اﻃﻼﻋﺎت ﺗﻦ ﺳﻨﺠﻲ ﺷﺎﻣﻞ دور ﻛﻤﺮ‪ ،‬ﻗﺪ‪ ،‬وزن‪ ،‬و دور ﺑﺎﺳﻦ ﺗﻮﺳﻂ ﭘﺮﺳﺘﺎر اﻣﻮزش دﻳـﺪه‬
‫اﻧﺪازهﮔﻴﺮي و ﺟﻤﻊآوري ﺷﺪه و در ﭘﺮﺳﺶ ﻧﺎﻣﻪ ﻃـﺮح وارد ﮔﺮدﻳـﺪ‪ .‬ﻫﻤﭽﻨـﻴﻦ ﻓـﺸﺎر ﺧـﻮن ﻃﺒـﻖ ﻣﻌﻴـﺎر‬
‫‪ WHO‬و ﺳﺎﻳﺮ رﻳﺴﻚ ﻓﺎﻛﺘﻮرﻫﺎي اﺻﻠﻲ ﻗﻠﺒﻲ ﺷﺎﻣﻞ ﺳﻴﮕﺎر ﻛﺸﻴﺪن‪ ،‬ﺳﺎﺑﻘﻪ ﻓﺎﻣﻴﻠﻲ ﺑﻴﻤﺎري ﻋﺮوق ﻛﺮوﻧـﺮ‬
‫ﻧﻴﺰ ﻣﻮرد ﭘﺮﺳﺶ ﻗﺮار ﮔﺮﻓﺘﻨﺪ‪ .‬اﻃﻼﻋﺎت ﺟﻤﻊآوري ﺷﺪه ﺗﻮﺳـﻂ ﻧـﺮم اﻓـﺰار ‪ SPSS‬آﻧـﺎﻟﻴﺰ ﺷـﺪه و ﺷـﻴﻮع‬
‫ﺳﻨﺪروم ﻣﺘﺎﺑﻮﻟﻴﻚ و اﺟﺰاء آن ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺳﻦ‪ ،‬ﺟﻨﺲ و ﻧﻮع داروﻫﺎي ﻣﺼﺮﻓﻲ ﺗﻌﻴﻴﻦ ﮔﺮدﻳﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺷﻴﻮع ﻛﻠﻲ ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ در ﺑﻴﻤﺎران ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﺑـﺎ اﺳـﺘﻔﺎده از ﻣﻌﻴﺎرﻫـﺎي ‪IDF, ATP-‬‬
‫‪ III A , ATP-III‬ﺑﻪ ﺗﺮﺗﻴﺐ ‪ % 14) % 27‬در آﻗﺎﻳﺎن و‪ %47‬در ﺧﺎﻧﻢ ﻫﺎ(‪ % 18) % 38 ،‬در آﻗﺎﻳﺎن و ‪ % 66‬در‬
‫ﺧﺎﻧﻢﻫﺎ(‪ ،‬و ‪ % 18)% 39‬در آﻗﺎﻳﺎن و ‪ % 69‬در ﺧﺎﻧﻢ ﻫﺎ(‪ ،‬ﺑﻮد‪.‬‬
‫ﺑﻴﻤﺎران اﺳﻜﻴﺰوﻓﺮﻧﻴﻚ ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ ﻣﺴﻦﺗﺮ‪ ،‬ﺑﻴﺸﺘﺮ از ﺟﻨﺲ زن ﺑﻮده‪ ،‬و ﻧﻤﺎﻳﻪ ﺗﻮده ﺑﺪﻧﻲ‬
‫)‪ (BMI‬ﺑﺎﻻﺗﺮ و ﺳﻄﺢ ﻗﻨﺪ ﺧﻮن ﺑﺎﻻﺗﺮي داﺷﺘﻨﺪ ﻛﻪ از ﻧﻈﺮ آﻣﺎري ﻣﻌﻨﺎدار ﺑﻮد‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻫﻤﭽﻨﻴﻦ‪ ،‬در اﻳﻦ ﮔﺮوه از ﺑﻴﻤﺎران ﺷﻴﻮع دﻳﺎﺑﺖ و ﭘﺮ ﻓﺸﺎري ﺧﻮن ﻧﻴﺰ ﺑﻪ ﻃـﻮر ﻣﻌﻨـﺎ داري ﺑـﺎﻻﺗﺮ وﻟـﻲ‬
‫ﺷﻴﻮع ﻣﺼﺮف ﺳﻴﮕﺎر ﻛﻤﺘﺮ ﺑﻮد‪ .‬در اﻳﻦ آﻧﺎﻟﻴﺰ آﻣﺎري راﺑﻄﻪ ﻣﻌﻨﺎ داري ﻣـﺎﺑﻴﻦ ﺷـﻴﻮع ﺳـﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴـﻚ و‬
‫ﻧﻮع داروي آﻧﺘﻲ ﺳﺎﻳﻜﻮﺗﻴﻚ ﻣﺼﺮﻓﻲ )‪ FGA‬ﻳﺎ ‪ (SGA‬ﻳﺎﻓﺖ ﻧﺸﺪ‪.‬‬
‫ﺗﻘﺮﻳﺒﺎً ‪ % 40‬ﺑﻴﻤﺎران ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ ﺑﻮدﻧﺪ ﻛﻪ ﺷﻴﻮع آن در اﻳﻦ ﺟﻤﻌﻴـﺖ ‪% 30‬‬
‫ﺑﻴﺶ از ﺷﻴﻮع اﻳﻦ ﺳﻨﺪرم در ﺟﺎﻣﻌﻪ اﺳﺖ‪ .‬ﻫﻤﭽﻨﻴﻦ‪ ،‬ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻳﻚ در ﺧﺎﻧﻢﻫﺎ )‪ (% 31‬ﻧﺴﺒﺖ ﺑﻪ آﻗﺎﻳـﺎن‬
‫ﺑﻴﺶ از ‪ 4‬ﺑﺮاﺑﺮ ﺷﺎﻳﻌﺘﺮ ﺑﻮد و و اﻳﻦ ﻧﺘﺎﻳﺞ ﺗﺎﻳﻴﺪي ﺑﺮ ﻟﺰوم ﻏﺮﺑﺎﻟﮕﺮي ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ در ﺑﻴﻤﺎران ﻣﺒـﺘﻼ ﺑـﻪ‬
‫اﺳﻜﻴﺰوﻓﺮﻧﻲ اﺳﺖ‪ .‬اﻳﻦ ﻧﺘﺎﻳﺞ ﻣﻮﻳﺪ ﻟﺰوم ﺗﺤﺖ ﻧﻈـﺮ ﮔـﺮﻓﺘﻦ و ﻣـﺪﻳﺮﻳﺖ دﻗﻴـﻖ ﻋﻮاﻣـﻞ ﺧﻄﺮﺳـﺎز ﺳـﻨﺪرم‬
‫ﻣﺘﺎﺑﻮﻟﻴﻚ در اﻳﻦ ﺟﻤﻌﻴﺖ در ﻣﻌﺮض ﺧﻄﺮ‪ ،‬ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﺷﻴﻮع ﺑﻴﺸﺘﺮ ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﺑﻪ ﻣﺎ ﻫﺸﺪار ﻣـﻲدﻫـﺪ ﺗـﺎ‬
‫ﺑﺮرﺳﻲﻫﺎﻳﻲ از اﻳﻦ ﻧﻈﺮ ﻗﺒﻞ از ﺷﺮوع درﻣﺎن و ﺣﻴﻦ درﻣﺎن ﺑﺮاي اﻳﻦ ﺑﻴﻤﺎران اﻧﺠـﺎم ﺷـﻮد‪ .‬وزن اﻳـﺸﺎن ﺑـﻪ‬
‫ﻃﻮر ﻣﺴﺘﻤﺮ ﭘﺎﻳﺶ و ﻋﻮاﻣﻠﻲ ﭼﻮن ﻓﺸﺎر ﺧﻮن‪ ،‬ﻗﻨﺪﺧﻮن ﻧﺎﺷـﺘﺎ و ﭘﺮوﻓﺎﻳـﻞ ﭼﺮﺑـﻲﻫـﺎي ﺧـﻮن‪ ،‬ﺗﺤـﺖ ﻧﻈـﺮ‬
‫ﺑﺎﺷﻨﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬اﺳﻜﻴﺰوﻓﺮﻧﻲ‪ ،‬ﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ‪ ،‬ﺑﻴﻤﺎريﻫﺎي ﻗﻠﺒﻲ ـ ﻋﺮوﻗﻲ‪ ،‬ﭼﺎﻗﻲ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﻋﺘﺒﺎرﻳﺎﺑﻲ و رواﺳﺎزي واﺳﺘﺎﻧﺪارد ﻛﺮدن ﻣﻘﻴﺎس ﺧﻮدارزﻳـﺎﺑﻲ اﺷـﺘﻐﺎل ﺑـﺮ ﭘﺎﻳـﻪ ﻧﻈﺮﻳـﻪ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﻣﺪل اﺷﺘﻐﺎل آدﻣﻲ)ﻓﺎزﻳﻜﻢ(‬
‫ﺳﻴﺪﺟﻼل ﻳﻮﻧﺴﻲ‬
‫ﻫﺪف اﻳﻦ ﻣﻄﺎﻟﻌﻪ اﻧﺪازهﮔﻴﺮي اﻋﺘﺒﺎر‪ ،‬رواﻳﻲ و ﻛﺎرﺑﺮد ﻣﻘﻴﺎس ﺧﻮد ارزﻳﺎﺑﻲ ﻛﺎري ﺑﻮد‪ 366 .‬ﻧﻮﺟـﻮان‬
‫داﻧﺶ آﻣﻮز ﺷﺎﻣﻞ ‪ 157‬ﭘﺴﺮ و ‪ 198‬دﺧﺘﺮ ﻛﻪ در ﺳﻨﻴﻦ ﺑﻴﻦ ‪ -12‬ﺗـﺎ ‪ 15‬ﺳـﺎل ﺑﻮدﻧـﺪ در اﻳـﻦ ﻣﻄﺎﻟﻌـﻪ ﺑـﺮاي‬
‫ﭘﺎﺳﺦدﻫﻲ ﺑﻪ ﻣﻘﻴﺎس ﺣﻀﻮر ﻳﺎﻓﺘﻨﺪ‪ .‬آزﻣﻮدﻧﻲﻫﺎ در ﻣﺮاﻛﺰ ﺗﻮاﻧﺒﺨـﺸﻲ ﺗﻬـﺮان زﻧـﺪﮔﻲ ﻣـﻲﻛﺮدﻧـﺪ وﻳـﺎ ﺑـﻪ‬
‫دﻟﻴﻠﻤﺸﻜﻼت رﻓﺘﺎري و رواﻧﻲ ﺑﻪ ﻣﺮاﻛﺰ ﻣﺸﺎوره ﻣﺮاﺟﻌﻪ ﻛﺮده ﺑﻮدﻧـﺪ‪ .‬ﻣﻘﻴـﺎس داراي دو ﺑﺨـﺶ ﻓـﺮدي و‬
‫ﻣﺤﻴﻄﻲ اﺳﺖ‪ .‬ﻧﺘﺎﻳﺞ ﻧﺸﺎن داد ﻛﻪ ﻣﻘﻴﺎس داراي اﻋﺘﺒﺎر دروﻧﻲ ﺧﻮﺑﻲ اﺳـﺖ )ﺑﺨـﺶ ﻓـﺮدي‪ %79 :‬و ﺑﺨـﺶ‬
‫ﻣﺤﻴﻄﻲ ‪ .(%87‬ﺗﺤﻠﻴﻞ ﻋﻠﻤﻞ ﺗﺎﻳﻴﺪي ﻧﺸﺎن از وﺟﻮد ﭼﻬﺎر ﺧﺮده ﻣﻘﻴﺎس در اﻳﻦ آﻣﻮن ﻣﻴﺪﻫﺪ ﻛـﻪ ﻗـﺎدر ﺑـﻪ‬
‫اﻧﺪازهﮔﻴﺮي ﺻﻔﺎت ﻣﻜﻨﻮن ﻣﺮﺑﻮط ﺑﻪ ﺧﻮد ارزﻳﺎﺑﻲ ﻛﺎري اﺳﺖ‪.‬‬
‫ﻫﻤﭽﻨﻴﻦ رواﻳﻲ ﻫﻤﮕﺮاي ﻣﻘﻴﺎس ﻣﻮرد اﻧﺪازهﮔﻴـﺮي ﻗـﺮار ﮔﺮﻓـﺖ‪ .‬ﻧﺘـﺎﻳﺞ ﻧـﺸﺎن داد ﻛـﻪ اﻳـﻦ آزﻣـﻮن‬
‫داراي رواﻳﻲ ﻫﻤﮕﺮاي ﺧﻮﺑﻲ ﺑﺎ ﺳﺎﻳﺮ ﻣﻘﻴﺎسﻫﺎ ﻣﺜﻞ اﺣﺘﺮام ﺑﻪ ﻧﻔﺲ و ﻋﺎدﺗﻬﺎي ﻣﻄﺎﻟﻌﻪ اﺳﺖ‪.‬‬
‫در ﻛﻞ اﻳﻦ ﻣﻘﻴﺎس ﻗﺎدر ﺑﻪ اﻧﺪازهﮔﻴﺮي ﺗﻮاﻧﻤﻨﺪيﻫﺎ و ارزشﻫﺎي داﻧﺶ آﻣﻮزان ﺑﺮ اﺳـﺎس ﻣـﺪل ﻛـﺎر‬
‫اﻧﺴﺎﻧﻲ اﺳﺖ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬اﻋﺘﺒﺎر‪ ،‬رواﻳﻲ‪ ،‬ﺧﻮد ارزﻳﺎﺑﻲ اﺷﺘﻐﺎل‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ آﻧﻮﻣﻲ اﺟﺘﻤﺎﻋﻲ در ﭼﻬﺎر ﺷﻬﺮ‬
‫ﻣﺴﻌﻮدﻛﻮﺛﺮي‬
‫ﻧﻈﺎم اﺟﺘﻤﺎﻋﻲ اﻳﺮان ﺑﻪ ﺳﺮﻋﺖ در ﺣﺎل ﺗﻐﻴﻴﺮ اﺳﺖ‪ .‬اﻳﻦ ﺗﻐﻴﻴﺮات ﻫﻤﺰﻣـﺎن از ﺷـﺮاﻳﻂ داﺧﻠـﻲ‪ /‬ﻣﻠـﻲ و‬
‫ﺑﻴﻦاﻟﻤﻠﻠﻲ )ﺟﻬﺎﻧﻲﺷﺪن( ﻣﺘﺄﺛﺮ اﺳﺖ‪ .‬ﺗﺤﻠﻴﻠﻲ ﻫﻤﻪﺟﺎﻧﺒـﻪ از آنﭼـﻪ در ﺣـﺎل رخ دادن اﺳـﺖ ﺑﺎﻳـﺪ ﺑـﻪ اﻳـﻦ‬
‫ﺟﻨﺒﻪﻫﺎي ﻫﻤﺰﻣﺎن ﻣﻠّﻲ و ﻓﺮاﻣﻠّﻲ ﺗﻮﺟﻪ ﻛﺎﻓﻲ داﺷﺘﻪ ﺑﺎﺷـﺪ‪ .‬از ﻳـﻚ ﺳـﻮ‪ ،‬ﺗﺤـﻮﻻت ﻧﻈـﺎم ﺳﻴﺎﺳـﻲ اﻳـﺮان و‬
‫ﺗﻼش آن ﺑﺮاي دﺳﺘﻴﺎﺑﻲ ﺑﻪ ﺛﺒﺎت و اﺳﺘﻘﺮار در ﻧﺰدﻳﻚ ﺑﻪ ﺳﻪ دﻫﻪ‪ ،‬ﺑﺪون ﺷﻚ‪ ،‬ﺑﺮ ﻧﻈﺎم اﺟﺘﻤﺎﻋﻲ و ﻧﺤـﻮه‬
‫ﺛﺒﺎت و ﻧﻈﻢ آن ﺗﺄﺛﻴﺮ ﺑﻪ ﺳﺰاﻳﻲ داﺷﺘﻪ اﺳـﺖ‪ .‬ﺑـﻪ ﻧﺤـﻮي ﻛـﻪ‪ ،‬ﺑـﺪون ﺗﻮﺟـﻪ ﺑـﻪ اﻳـﻦ ﺗﺤـﻮﻻت‪ ،‬ﺗـﻀﺎدﻫﺎ و‬
‫ﻛﺸﺎﻛﺶﻫﺎي داﺧﻠﻲ و ﺧﺎرﺟﻲ ﻧﻈﺎم ﺳﻴﺎﺳﻲ اﻳﺮان ﻧﻤﻲﺗﻮان ﺑﻪ درك روﺷﻨﻲ از ﺗﺤﻮﻻت ﻧﻈﺎم اﺟﺘﻤـﺎﻋﻲ‬
‫اﻳﺮان و ﻣﺴﺎﺋﻞ آن رﺳﻴﺪ‪ .‬از دﻳﮕﺮ ﺳﻮ‪ ،‬ﺗﺤﻮﻻت ﻧﻈﺎم ﺟﻬﺎﻧﻲ ﻛﻪ از آن ﺑﻪ ﻋﻨﻮان ﺟﻬﺎﻧﻲﺷﺪن ﻳﺎد ﻣﻲﺷـﻮد‪،‬‬
‫از ﻧﻈﺮ ﺳﻴﺎﺳﻲ‪ ،‬ﻓﺮﻫﻨﮕﻲ و اﻗﺘﺼﺎدي ﺷﺮاﻳﻄﻲ ﺗﺎزه را ﻓﺮاﻫﻢ آورده اﺳﺖ ﻛﻪ ﺑﺪون ﺗﺮدﻳـﺪ ﺑـﻪ ﺗﻐﻴﻴﺮاﺗـﻲ در‬
‫ﻧﻈﺎم ﺳﻴﺎﺳﻲ‪ ،‬ﻓﺮﻫﻨﮕﻲ و اﻗﺘﺼﺎدي ﻣﺎ ﻣﻨﺠﺮ ﺧﻮاﻫﺪ ﺷﺪ‪ .‬ﺑﺎ اﻳـﻦ ﺣـﺎل‪ ،‬ﻧﺒﺎﻳـﺪ از دﻳﮕـﺮ ﻋﻮاﻣـﻞ‪ ،‬ﻧﻈﻴـﺮ ﺗﻐﻴﻴـﺮ‬
‫ﺷﺎﺧﺺﻫﺎي ﺟﻤﻌﻴﺘﻲ )رﺷﺪ ﺟﻤﻌﻴﺖ‪ ،‬ﻣﻬﺎﺟﺮت(‪ ،‬ﻓﺮﻫﻨﮕـﻲ )رﺷـﺪ آﻣـﻮزش و ﺗﻮﻟﻴـﺪ ﻛﺎﻻﻫـﺎ و ﺧـﺪﻣﺎت‬
‫ﻓﺮﻫﻨﮕﻲ( و ﺷﻬﺮﻧﺸﻴﻨﻲ ﻛﻪ ﺑﻪﺳﺮﻋﺖ ﭼﻬﺮه ﺟﺎﻣﻌﺔه ﻣﺎ را دﮔﺮﮔﻮن ﻛﺮده اﺳﺖ‪ ،‬ﻏﺎﻓـﻞ ﻣﺎﻧـﺪ )ﺑـﺮاي ﻧﻤﻮﻧـﻪ‬
‫ﻧﻚ‪ .‬ﻃﺎﻟﻘﺎﻧﻲ و دﻳﮕﺮان ‪.(1384‬‬
‫در ﺑﻌﺪ داﺧﻠﻲ‪ ،‬ﭘﺲ از ﭘﺎﻳﺎن ﺟﻨﮓ دو ﺟﺮﻳﺎن ﻧﻮﺳﺎزي‪) 1‬ﻧﻮﺳﺎزي اﻗﺘـﺼﺎدي در آﻏـﺎز دﻫـﺔ دوم و ﺑـﻪ‬
‫دﻧﺒﺎل آن ﻧﻮﺳﺎزي ﺳﻴﺎﺳﻲ در آﻏﺎز دﻫﺔ ﺳﻮم(‪ ،‬ﻧﻈﺎم اﺟﺘﻤﺎﻋﻲ را دﮔﺮﮔـﻮن ﻛـﺮدهاﻧـﺪ‪ ،‬و اﻳـﻦ دﮔﺮﮔـﻮﻧﻲ‬
‫آﺛﺎر و ﭘﻴﺎﻣﺪﻫﺎي ﻣﻨﻔﻲ ﻧﻴﺰ ﺑﻪ ﻫﻤﺮاه داﺷﺘﻪ اﺳﺖ )ﻛﻮﺛﺮي ‪ .(1381:1‬ﻳﻜﻲ از اﻳـﻦ آﺛـﺎر و ﭘﻴﺎﻣـﺪﻫﺎي ﻣﻨﻔـﻲ‬
‫اﻓﺰاﻳﺶ ﭘﺘﺎﻧﺴﻴﻞ آﻧﻮﻣﻲ‪) 2‬رﻓﻴﻊﭘﻮر ‪ (1379‬در ﻧﻈﺎم اﺟﺘﻤﺎﻋﻲ اﻳـﺮان اﺳـﺖ‪ .‬در اﻳـﻦ ﺗﺤﻘﻴـﻖ ﻛﻮﺷـﺶ ﺷـﺪه‬
‫اﺳﺖ ﺗﺎ از ﻣﻔﻬﻮم آﻧﻮﻣﻲ اﺟﺘﻤﺎﻋﻲ ﺑﺮاي ﺗﻮﺿﻴﺢ ﺷﺮاﻳﻂ اﺟﺘﻤﺎﻋﻲ اﻳـﺮان در ﺣـﺎل ﺣﺎﺿـﺮ ﺑﻬـﺮه ﺟـﻮﻳﻴﻢ و‬
‫ﻧﺸﺎن دﻫﻴﻢ ﻛﻪ اﻳﻦ ﻣﻔﻬﻮم ﺗﺎ ﭼﻪ اﻧﺪازه ﻣﻲﺗﻮاﻧﺪ در ﻓﻬﻢ اﻳﻦ ﺷﺮاﻳﻂ ﻣﻔﻴﺪ واﻗـﻊ ﺷـﻮد و ﺑﺮﺧـﻲ از زواﻳـﺎي‬
‫ﻧﻈﺎم اﺟﺘﻤﺎﻋﻲ ﻣﺎ را آﺷﻜﺎر ﺳﺎزد‪.‬‬
‫‪1‬ـ در اﻳﻨﺠﺎ از دو واژه ﻧﻮﺳﺎزي و ﺗﻮﺳﻌﻪ ﺑﻪ ﻋﻨﻮان واژهﻫﺎي ﻣﻌﺎدل اﺳﺘﻔﺎده ﻣﻲﺷﻮد‪.‬‬
‫‪2‬ـ ﻣﺎ ﺑﻪ دﻻﻳﻞ ﻣﺨﺘﻠﻒ‪ ،‬واژه آﻧﻮﻣﻲ را ﺑﺪون ﺑﺮﮔﺰﻳﺪن ﻫﺮ ﮔﻮﻧﻪ ﻣﻌﺎدﻟﻲ در ﻣﺘﻦ ﺑﻪ ﻛﺎر ﺑﺮدهاﻳﻢ‪ .‬دﻻﻳﻞ اﻳﻦ ﻛﺎرﺑﺮد را در ﻣﺘﻦ ﺗﻮﺿﻴﺢ دادهاﻳﻢ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ذﻛﺮ اﻳﻦ ﻧﻜﺘﻪ ﺧﺎﻟﻲ از ﻓﺎﻳﺪه ﻧﻴﺴﺖ ﻛﻪ آﻧﻮﻣﻲﺗﻨﻬﺎ ﻣﺴﺄﻟﻪاي ﺧﺎص ﺟﺎﻣﻌﻪ اﻳﺮان ﻧﻴﺴﺖ‪ ،‬و ﻫﻤـﺎنﮔﻮﻧـﻪ‬
‫ﻛﻪ ﺑﺮﺧﻲ از ﺗﺤﻘﻴﻘﺎت ﻧﺸﺎن ﻣﻲدﻫﻨـﺪ )اﺗـﺴﻠﻨﺪر و ﻫﻤﻜـﺎران ‪1999‬؛ ﻣـﻚﻛ‪‬ـﻲ ‪ (2002‬ﻣـﺴﺄﻟﻪ ﺑـﺴﻴﺎري از‬
‫ﻛﺸﻮرﻫﺎي اروﭘﺎي ﺷﺮﻗﻲ و در ﺣﺎل ﺗﻮﺳﻌﻪ ﻛﻪ در ﻳﻜﻲ دو دﻫـﻪ ﭘﺎﻳـﺎﻧﻲ ﻗـﺮن ﺑﻴـﺴﺘﻢ ﺗﺤـﻮﻻت ﺳﻴﺎﺳـﻲ و‬
‫اﺟﺘﻤﺎﻋﻲ ﺑﺰرﮔﻲ را ﭘﺸﺖ ﺳﺮ ﮔﺬراﻧﺪهاﻧﺪ‪ ،‬ﻧﻴﺰ ﻫﺴﺖ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺮﺟﻤﺎن داﻧﺶ )اﻧﺘﻘﺎل ﻳﺎﻓﺘﻪﻫﺎي ﭘﮋوﻫﺸﻲ( در داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻣﺤﻤﺪﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫ﻣﻘﺪﻣﻪ‪ :‬اﻣﺮوزه ﺟﻮاﻣﻊ از داﻧﺸﮕﺎه ﻫﺎ اﻧﺘﻈﺎر ﭘﺎﺳﺦ ﺑﻪ ﻧﻴﺎزﻫﺎﻳﺸﺎن را داﺷﺘﻪ و اﻳﻦ اﻣـﺮ از ﻃﺮﻳـﻖ اﻧﺘﻘـﺎل و‬
‫ﺗﺒﺎدل داﻧﺶ ﺑﻴﻦ داﻧﺸﮕﺎه‪ ،‬ﺑﻌﻨﻮان ﺗﻮﻟﻴﺪ ﻛﻨﻨﺪه داﻧﺶ و ﺳﺎزﻣﺎنﻫﺎ و اﺟﺘﻤﺎع ﺑﻌﻨﻮان درﻳﺎﻓﺖ ﻛﻨﻨـﺪه داﻧـﺶ‪،‬‬
‫اﻣﻜﺎن ﭘﺬﻳﺮ ﻣﻲﺑﺎﺷﺪ‪ .‬ﻳﻜﻲ از ﻣﻬﻤﺘﺮﻳﻦ ﺑﺨﺶﻫـﺎي اﻧﺘﻘـﺎل داﻧـﺶ‪ ،‬ﺗﺮﺟﻤـﺎن ﻳﺎﻓﺘـﻪﻫـﺎي ﭘﮋوﻫـﺸﻲ ﺑـﻪ زﺑـﺎن‬
‫ﻣﺨﺎﻃﺒﺎن و ذﻳﻨﻔﻌﺎن ﻣﻲﺑﺎﺷﺪ ﻛﻪ ﭘﮋوﻫﺶ ﺑﺎ ﻫـﺪف ﺑﺮرﺳـﻲ اﻳـﻦ وﺿـﻌﻴﺖ در داﻧـﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ اﻧﺠﺎم ﺷﺪه اﺳﺖ‪.‬‬
‫روش اﻧﺠﺎم ﻛﺎر‪ :‬اﻳﻦ ﭘﮋوﻫﺶ از ﻧﻮع ﻣﻄﺎﻟﻌـﺎت ارزﺷـﻴﺎﺑﻲ ﻋﻤﻠﻜـﺮد ﺑـﻮده ﻛـﻪ ﺑـﺎ روش ﺗﻮﺻـﻴﻔﻲ ـ‬
‫ﻣﻘﻄﻌﻲ اﻧﺠﺎم ﺷﺪه اﺳﺖ‪ .‬ﺟﺎﻣﻌﻪ ﭘﮋوﻫﺶ ﺷﺎﻣﻞ ﻛﻠﻴﻪ اﻋﻀﺎي ﻫﻴﺌﺖ ﻋﻠﻤﻲ داﻧﺸﮕﺎه ﺑﻮده ﻛـﻪ ﻧﻤﻮﻧـﻪ ﻣـﻮرد‬
‫ﻣﻄﺎﻟﻌﻪ ‪ 40‬ﻧﻔﺮ از اﻳﻦ اﻓﺮاد ﻛﻪ ﺣﺎﺿﺮ ﺑﻪ ﻣﺸﺎرﻛﺖ در ﭘﮋوﻫﺶ ﺑﻮدهاﻧﺪ‪ ،‬ﻣﻲﺑﺎﺷﺪ‪ .‬اﺑـﺰار ﺗﺤﻘﻴـﻖ ﭘﺮﺳـﺸﻨﺎﻣﻪ‬
‫ﺗﺮﺟﻤﺎن داﻧﺶ داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺗﻬﺮان ﻫﻤﺮاه ﺑﺎ ﺗﻐﻴﻴﺮات ﺑﻮده ﻛﻪ اﻋﺘﺒﺎر و اﻋﺘﻤﺎد ﻋﻠﻤـﻲ آن ﻣﺠـﺪدا‬
‫ﻣﺤﺎﺳﺒﻪ ﺷﺪه )آﻟﻔﺎي ‪ (%94‬اﺳﺖ‪.‬‬
‫ﻳﺎﻓﺘــﻪﻫــﺎ‪ %47 :‬از ﺷــﺮﻛﺖ ﻛﻨﻨــﺪﮔﺎن ﺧــﺎﻧﻢ‪ ،‬ﻧﻴﻤ ـﻲ از اﻓــﺮاد در ﻣﻘﻄــﻊ ﺗﺤــﺼﻴﻠﻲ دﻛﺘــﺮي‪ %68 ،‬از‬
‫ﺷﺮﻛﺖﻛﻨﻨﺪﮔﺎن اﻋﻀﺎي ﻫﻴﺌﺖ ﻋﻠﻤﻲ‪ ،‬ﺳﺎﺑﻘﻪ ﻛﺎر اﻓﺮاد ‪ %53‬ﺑﺎﻻﺗﺮ از ده ﺳﺎل و ﺑﻴﺶ از ‪ %85‬اﻓـﺮاد داراي‬
‫ﻛﺎرﻫﺎي ﭘﮋوﻫﺸﻲ ﺑﻮده و ﺑﻴﺶ از ‪ %70‬ﻧﻤﻮﻧﻪ ﻫﺎ ﺑﺎ ﻣﺮاﻛﺰ دﻳﮕﺮي ﻏﻴﺮ از ﻣﺤﻞ ﻛﺎر ﺧـﻮد ﻣـﺮﺗﺒﻂ ﺑـﻮدهاﻧـﺪ‪.‬‬
‫ﻣﻴﺎﻧﮕﻴﻦ ﺣﺎﺻﻞ از ﺳﻮاﻻت ﺑﺨﺶ ﺷﻨﺎﺳﺎﻳﻲ ﻧﻴﺎز ﻣﺨﺎﻃﺒﺎن و ﺗﺒـﺪﻳﻞ آن ﺑـﻪ ﭘـﺮوژه ﻫـﺎي ﺗﺤﻘﻴﻘـﺎﺗﻲ)‪.(2,78‬‬
‫ﻣﻴﺎﻧﮕﻴﻦ ﺣﺎﺻﻞ از ﺳﻮاﻻت ﺑﺨﺶ ﺗﻮﻟﻴﺪ ﺷﻮاﻫﺪ ﻗﺎﺑﻞ اﺳﺘﻔﺎده در ﺗﺼﻤﻴﻢ ﮔﻴﺮيﻫﺎ )‪ .(2,87‬ﻣﻴﺎﻧﮕﻴﻦ ﺣﺎﺻﻞ‬
‫از ﺳﻮاﻻت ﺑﺨﺶ ﻛـﺎرﺑﺮد ﻧﺘـﺎﻳﺞ ﭘـﮋوﻫﺶ ﻫـﺎ ﺗﻮﺳـﻂ ﻛـﺎرﺑﺮان ﻧﻬـﺎﻳﻲ)‪ (2,62‬و در ﻧﻬﺎﻳـﺖ ﻣﻴـﺎﻧﮕﻴﻦ ﻛـﻞ‬
‫)‪.(2,75‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻳﺎﻓﺘﻪ ﻫﺎي اﻳﻦ ﭘﮋوﻫﺶ ﻧﺸﺎن داد ﺗﻔﺎوت ﭼﻨﺪاﻧﻲ در اﻧﺘﻘﺎل و ﺗﺮﺟﻤـﺎن داﻧـﺶ ﺑـﻴﻦ زن و‬
‫ﻣﺮد و ﺳﺎﺑﻘﻪ ﻛﺎر و اﻧﺠﺎم ﭘﮋوﻫﺶ وﺟﻮد ﻧﺪاﺷﺘﻪ اﺳﺖ‪ .‬ﻫﻤﭽﻨﻴﻦ ﻣﻴﺎﻧﮕﻴﻦ ﻛﻞ ﺗﺮﺟﻤﺎن داﻧـﺶ در داﻧـﺸﮕﺎه‬
‫در ﺣﺪ ﻣﺘﻮﺳﻂ ﺑﻮده و از وﺿﻌﻴﺖ ﻣﻨﺎﺳﺐ و اﻳﺪه آل ﺗﺮﺟﻤﺎن داﻧﺶ ﭘﺎﻳﻴﻦ ﺗﺮ ﺑـﻮده اﺳـﺖ‪ .‬اﻳـﻦ اﻣـﺮ ﺑﻴـﺎﻧﮕﺮ‬
‫ﻋﺪم اﻧﺘﻘﺎل ﻣﻨﺎﺳﺐ ﻳﺎﻓﺘﻪﻫﺎي ﭘﮋوﻫﺸﻲ اﺳﺖ ﻛﻪ ﺑﺎ رﻓﻊ ﻣﻮاﻧﻊ و اراﺋﻪ راﻫﺒﺮدﻫﺎي ﻣﻨﺎﺳﺒﻲ ﻫﻤﭽـﻮن‪ ،‬ﺗـﺸﻮﻳﻖ‬
‫ﭘﮋوﻫﺸﮕﺮان ﺑﻪ اﻧﺘﻘﺎل ﻳﺎﻓﺘﻪ ﻫﺎي ﭘﮋوﻫﺸﻲ ﺧﻮد ﺑﻪ ﻛﺎرﺑﺮان‪ ،‬ﻣﻲﺗﻮان ﺗﺮﺟﻤﺎن داﻧـﺶ در داﻧـﺸﮕﺎه را ارﺗﻘـﺎء‬
‫ﺑﺨﺸﻴﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺗﺮﺟﻤﺎن داﻧﺶ‪ ،‬اﻧﺘﻘﺎل داﻧﺶ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﺮور ﻣﻄﺎﻟﻌﺎت ﻣﺮﺗﺒﻂ ﺑﺎ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي اﺟﺘﻤﺎﻋﻲ ﺳﻼﻣﺖ در ﺗﻬﺮان ﺑﺮ ﻣﺒﻨـﺎي ﻣـﺪل ﺳـﺎزﻣﺎن‬
‫ﺟﻬﺎﻧﻲ ﺑﻬﺪاﺷﺖ‬
‫ﺣﻤﻴﺮا ﺳﺠﺎدي‬
‫زﻣﻴﻨــﻪ و ﻫــﺪف‪ :‬ﻃــﻲ ﺳــﺎﻟﻬﺎي اﺧﻴــﺮ ﺗﻌﻴــﻴﻦ ﻛﻨﻨــﺪهﻫــﺎي اﺟﺘﻤــﺎﻋﻲ ﺳــﻼﻣﺖ از ﭘﻴﭽﻴــﺪهﺗــﺮﻳﻦ و‬
‫ﺑﺤﺚاﻧﮕﻴﺰﺗﺮﻳﻦ ﻣﻮﺿﻮﻋﺎت در ﺣﻴﻄﻪ ﺳﻴﺎﺳﺘﮕﺬاري ﺳﻼﻣﺖ ﺑﻮدهاﻧﺪ‪ .‬ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي اﺟﺘﻤﺎﻋﻲ ﺳـﻼﻣﺖ‪،‬‬
‫ﺷﺮاﻳﻂ اﺟﺘﻤﺎﻋﻲ ﻫﺴﺘﻨﺪ ﻛﻪ ﻣﺮدم در آن زﻧﺪﮔﻲ و ﻛﺎر ﻣﻲﻛﻨﻨﺪ و ﺑﺮ ﺳﻼﻣﺖ ﻓﺮد‪ ،‬ﻣﺤﻠـﻪ‪ ،‬ﺟﺎﻣﻌـﻪ و ﺣﺘـﻲ‬
‫اﻟﮕﻮي ﺳﻼﻣﺘﻲ ﺗﺄﺛﻴﺮ ﻣﻲﮔﺬارﻧﺪ‪ .‬ﻫﺪف اﺻﻠﻲ ﻣﻄﺎﻟﻌﻪ ﺣﺎﺿﺮ ﺑﺮرﺳﻲ ﻣﻄﺎﻟﻌﺎت ﻣﺮﺑﻮط ﺑـﻪ وﺿـﻌﻴﺖ ﭼﻬـﺎر‬
‫ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه ﺳﺎﺧﺘﺎري اﺟﺘﻤﺎﻋﻲ ﺳﻼﻣﺖ ﺷﺎﻣﻞ درآﻣـﺪ‪ ،‬ﺟﻨـﺴﻴﺖ‪ ،‬آﻣـﻮزش و ﻗﻮﻣﻴـﺖ در دورهي زﻣـﺎﻧﻲ‬
‫‪ 1385-1379‬و راﺑﻄﻪي اﻳﻦ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎ ﺑﺎ وﺿﻌﻴﺖ ﺳﻼﻣﺖ در اﻳﺮان و ﻣﺴﺘﻨﺪﺳـﺎزي ﻧﺘـﺎﻳﺞ ﺣﺎﺻـﻞ از‬
‫اﻳﻦ ﻣﻄﺎﻟﻌﺎت در ﭼﺎرﭼﻮب ﻣﺪل ﺳﺎزﻣﺎن ﺟﻬﺎﻧﻲ ﺑﻬﺪاﺷﺖ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣﻮاد و روش‪ :‬در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺗﻮﺻﻴﻔﻲ )ﻣﺮوري( اﺳﻨﺎد ﻣﻮﺟﻮد در زﻣﻴﻨﻪ ﻋﻮاﻣﻞ اﺟﺘﻤﺎﻋﻲ )ﺳﺎﺧﺘﺎري(‬
‫ﻣﺮﺗﺒﻂ ﺑﺎ ﺳﻼﻣﺖ در ﺣﻴﻄﻪ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي درآﻣﺪ‪ ،‬آﻣﻮزش‪ ،‬ﺟﻨﺴﻴﺖ و ﻗﻮﻣﻴﺖ ﺑﺎ‪ 28‬ﻛﻠﻴﺪ واژه ﺟـﺴﺘﺠﻮ‬
‫ﺷﺪﻧﺪو ‪ 124392‬ﻋﻨﻮان ﺟﻤﻊآوري ﺷﺪ‪.‬ﭘﺲ از ﻋﺒﻮر از ﭼﻨﺪ ﻣﺮﺣﻠﻪ ﻏﺮﺑﺎل‪ ،‬اﻃﻼﻋﺎت ‪ 267‬ﭘﮋوﻫﺶ در ﺳﻪ‬
‫دﺳﺘﻪ ﺳﻼﻣﺖ ﺟـﺴﻤﻲ‪ ،‬رواﻧـﻲ اﺟﺘﻤـﺎﻋﻲ و ﻫـﺮدو ﻃﺒﻘـﻪﺑﻨـﺪي و ﺗﻮﺻـﻴﻒ ﺷـﺪ‪ .‬در اﻳـﻦ ﭘـﮋوﻫﺶ از ﻧـﺮم‬
‫اﻓﺰارﻫﺎي ‪ Excel, RM‬و ‪ Spss‬اﺳﺘﻔﺎده ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫـﺎ‪ :‬از ‪ 267‬ﻣﻄﺎﻟﻌـﻪ اﻛﺜﺮﻳـﺖ ﻣﻄﺎﻟﻌـﺎت اﻧﺠـﺎم ﺷـﺪه ﻣﻘﺎﻟـﻪ ﺑﻮدﻧـﺪ )‪165‬ﻣﻄﺎﻟﻌـﻪ(‪ 63,7 .‬درﺻـﺪ‬
‫ﻣﻄﺎﻟﻌﺎت ﺗﻮﺳﻂ داﻧﺸﮕﺎهﻫﺎي ﻋﻠﻮم ﭘﺰﺷﻜﻲ و ‪ 12,7‬درﺻﺪ ﺗﻮﺳﻂ داﻧﺸﮕﺎهﻫﺎي ﻏﻴﺮ ﭘﺰﺷﻜﻲ ﻣﻨﺘﺸﺮ ﺷﺪﻧﺪ‪.‬‬
‫ﻣﻄﺎﻟﻌﺎت ﻣﺮﺗﺒﻂ ﺑﻴﺸﺘﺮدر ﺳﺎل ‪ 1385‬اﻧﺠـﺎم ﺷـﺪه ﺑـﻮد )‪23,2‬درﺻـﺪ( و ﻛﻤﺘـﺮﻳﻦ اﺳـﻨﺎد ﻣﺮﺑـﻮط ﺑـﻪ ﺳـﺎل‬
‫‪1381‬ﺑﻮد )‪ 8,6‬درﺻﺪ(‪ .‬ﻧﻮع ﺑﻴﺸﺘﺮ ﻣﻄﺎﻟﻌﺎت ﻣﻘﻄﻌﻲ ﺑﻮده )‪ 53,6‬درﺻﺪ( و ﺑﻴﺸﺘﺮ ﻣﻄﺎﻟﻌﺎت در ﺷﻬﺮﻫﺎ و ﻳـﺎ‬
‫ﻣﻨﺎﻃﻖ ﺷﻬﺮي )‪ 60,3‬درﺻﺪ( اﻧﺠﺎم ﺷﺪه ﺑـﻮد‪.‬روش ﻧﻤﻮﻧـﻪﮔﻴـﺮي در ‪ 41,9‬درﺻـﺪ ﻣﻄﺎﻟﻌـﺎت اﺣﺘﻤـﺎﻟﻲ و‬
‫‪ 21,3‬درﺻﺪ ﺗﻤﺎم ﺷﻤﺎري ذﻛﺮﺷﺪه ﺑﻮد‪ 66,7.‬درﺻﺪ ﻣﻄﺎﻟﻌﺎت ﺑﺮ روي ﺟﻤﻌﻴﺖ ﻋﻤـﻮﻣﻲ و ‪ 34,5‬درﺻـﺪ‬
‫ﺑﺮ روي ﺑﻴﻤﺎر ﺑﺴﺘﺮي و ﻳﺎ ﺳﺮﭘﺎﻳﻲ اﻧﺠﺎم ﺷﺪه ﺑـﻮد‪ 39.‬درﺻـﺪ اﻓـﺮاد ﻣـﻮرد ﻣﻄﺎﻟﻌـﻪ ﺑﺰرﮔـﺴﺎل‪ 21 ،‬درﺻـﺪ‬
‫ﻛﻮدك‪ 38,6 ،‬ﻛﻮدك و ﺑﺰرﮔﺴﺎل ﺑﻮدﻧﺪ‪ 21,7.‬درﺻﺪ ﻣﻄﺎﻟﻌﺎت ﺑﺮ روي زﻧﺎن و ‪ 74,5‬درﺻﺪ ﺑﺮ روي ﻫﺮ‬
‫دو ﺟﻨﺲ اﻧﺠﺎم ﺷﺪه ﺑﻮد‪ 47,2.‬درﺻﺪ ﻣﻄﺎﻟﻌﺎت ﺑـﻪ ﺳـﻼﻣﺖ ﺟـﺴﻤﻲ و ‪ 22,8‬درﺻـﺪ ﺑـﻪ ﺳـﻼﻣﺖ رواﻧـﻲ‬
‫اﺟﺘﻤﺎﻋﻲ ﭘﺮداﺧﺘﻪ ﺑﻮدﻧﺪ‪ 160 .‬ﻣﻄﺎﻟﻌﻪ داراي ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه ﺟﻨﺴﻴﺖ‪ 149 ،‬ﺳﻨﺪ ﺗﻌﻴـﻴﻦ ﻛﻨﻨـﺪه آﻣـﻮزش‪98 ،‬‬
‫ﺳﻨﺪ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه درآﻣﺪ و ‪ 15‬ﺳﻨﺪ داراي ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه ﻗﻮﻣﻴﺖ ﺑﻮد‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫در ﻃﺒﻘﻪ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه ﺟﻨﺴﻴﺖ در دوران ﻛﻮدﻛﻲ‪ ،‬ﺗﻔﺎوت ﺑﻴﻦ دوﺟﻨﺲ در ﻣﻮرد وزن و ﻗـﺪ ﻧـﻮزادي‪،‬‬
‫ﻣﺮگ و ﻣﻴﺮ ﻧﻮزادي‪ ،‬ﻛﻢ وزﻧﻲ ﻫﻨﮕﺎم ﺗﻮﻟﺪ و ﺳﻮء ﺗﻐﺬﻳﻪ ﻣـﺸﺎﻫﺪه ﺷـﺪ اﻣـﺎ در ﻣـﻮرد ﭘﻮﺳـﻴﺪﮔﻲ دﻧـﺪان‪،‬‬
‫اﺧﺘﻼل ﺑﻴﻨﺎﻳﻲ و ﺷﻨﻮاﻳﻲ ﺗﻔﺎوت ﻣﻌﻨﺎدار ﻧﺒﻮد‪.‬در زﻧﺎن اﻣﻴﺪ ﺑﻪ زﻧﺪﮔﻲ ﺑﻴـﺸﺘﺮ‪ ،‬ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ ﭘـﺎﻳﻴﻦﺗـﺮ و‬
‫ﺳﻮء ﺗﻐﺬﻳﻪ ﻧﻴﺰ ﺑﻴﺸﺘﺮ ﺑﻮد اﻣﺎ در ﻣﺮدان ﻣﺮگ ﺑﻪ دﻧﺒﺎل ﺣﻮادث راﻧﻨﺪﮔﻲ ﺑﻴـﺸﺘﺮ ﺑـﻮد‪ .‬ﺑـﺮوز اﻧﻔـﺎرﻛﺘﻮس در‬
‫ﻣﺮدان ﺑﻴﺸﺘﺮ ﺑﻮد‪ ،‬اﻣﺎ زﻧﺎن دﻳﺮﺗﺮ ﺑﻪ ﻣﺮاﻛﺰ درﻣﺎﻧﻲ ﻣﺮاﺟﻌـﻪ ﻣـﻲﻛﺮدﻧـﺪ و رﻳـﺴﻚ ﻣـﺮگ زودرس ﺑﻌـﺪ از‬
‫ﺳﻜﺘﻪ در آﻧﺎن ﺑﻴﺸﺘﺮ ﺑﻮد‪ .‬ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﺎت در ﻣﻮرد ﺗﻔﺎوت ﺑﻴﻦ دو ﺟﻨﺲ در رﻳﺴﻚ ﻓﺎﻛﺘﻮرﻫﺎي ﺑﻴﻤﺎرﻳﻬﺎي‬
‫ﻗﻠﺒﻲ ﻋﺮوﻗﻲ‪ ،‬ﭘﺮﻓﺸﺎري ﺧﻮن‪ ،‬ﺑﻴﻤﺎرﻳﻬﺎي ﻋﻔﻮﻧﻲ‪ ،‬اﻧﮕﻠﻲ‪ ،‬ﺗﻨﻔﺴﻲ و ﭼﺸﻤﻲ ﻣﺸﺎﺑﻪ ﻧﺒﻮدﻧﺪ‪ .‬در ﻣﻮرد ﺳﻼﻣﺖ‬
‫روان‪ ،‬ﺑﻴﻤﺎرﻳﻬﺎ و اﺧﺘﻼﻻت رواﻧﻲ ﻧﻴﺰ ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﺎت ﻣـﺸﺎﺑﻪ ﻧﺒﻮداﻣـﺎ اﻗـﺪام ﺑـﻪ ﺧﻮدﻛـﺸﻲ در زﻧـﺎن ﺑﻴـﺸﺘﺮ‬
‫ﮔﺰارش ﺷﺪه ﺑﻮد‪.‬‬
‫در ﻃﺒﻘﻪ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه درآﻣﺪ ﺗﻘﺮﻳﺒﺎ ﻫﻤﻪي ﻣﻄﺎﻟﻌﺎت ﻓﺮاواﻧﻲ ﺑﺎﻻﺗﺮ ﻣﺸﻜﻼت ﺳﻼﻣﺖ در ﮔﺮوﻫﻬﺎي ﺑﺎ‬
‫درآﻣﺪ ﭘﺎﻳﻴﻦﺗﺮ و‪ /‬ﻳﺎراﺑﻄﻪي ﻣﻌﻨـﺎدار ﻣﻴـﺎن درآﻣـﺪ و وﺿـﻌﻴﺖ ﺳـﻼﻣﺖ اﻓـﺮاد را ﻧـﺸﺎن دادﻧـﺪ‪ ،‬ﺑﻄﻮرﻳﻜـﻪ‬
‫راﺑﻄﻪي ﻣﻌﻜﻮس ﻣﻴﺎن درآﻣﺪ ﺧﺎﻧﻮارﻫﺎ و اﻟﮕﻮي ﻣﺼﺮف ﻣﻮاد ﻏﺬاﻳﻲ و‪/‬ﻳﺎ ﻛﺎﻟﺮي ﻣﺼﺮﻓﻲ ﺧﺎﻧﻮار‪ ،‬راﺑﻄـﻪ‬
‫ﻣﻌﻨﺎدار ﻣﻴﺎن وﺿﻌﻴﺖ درآﻣﺪي و ﺳﻮئ ﺗﻐﺬﻳﻪ و ﭼﺎﻗﻲ‪ ،‬ﻧﻮع زاﻳﻤـﺎن‪ ،‬ﺣـﺎﻣﻠﮕﻲ ﻧﺎﺧﻮاﺳـﺘﻪ‪ ،‬ﻓﺎﺻـﻠﻪي ﻣﻴـﺎن‬
‫ﺣﺎﻣﻠﮕﻲﻫﺎ‪ ،‬زاﻳﻤﺎن در ﻣﺤـﻞ ﻣﻨﺎﺳـﺐ و ﺷـﺎﺧﺺ ‪ BMI‬زﻧـﺎن ﺑـﺎردار‪ ،‬ﺳـﺒﻚ زﻧـﺪﮔﻲ ﻣـﺮﺗﺒﻂ ﺑـﺎ ﭘـﻮﻛﻲ‬
‫اﺳﺘﺨﻮان‪ ،‬ﺷـﺎﺧﺺ ﺟﻤﺠﻤـﻪ ﺟﻮاﻧـﺎن‪ ،‬رﻓﺘـﺎر ﺑﻬﺪاﺷـﺘﻲ‪ ،‬ﻣﻔﻬـﻮم ﺳـﻼﻣﺖ و درك ﻛﻨﺘـﺮل ﺳـﻼﻣﺖ‪ ،‬وزن‬
‫ﻛﻮدك‪ ،‬ﻣﺮگ ﻧﻮزادان و ﻣﻴﺰان ‪ dmft‬ﻣـﺸﺎﻫﺪه ﺷـﺪ‪.‬اﺑـﺘﻼ ﺑـﻪ ﺑﻴﻤـﺎريﻫـﺎي ﮔﻮارﺷـﻲ و ﺳـﻮئ ﺗﻐﺬﻳـﻪ در‬
‫ﮔﺮوهﻫﺎي ﺑﺎ درآﻣﺪ ﻛﻤﺘـﺮ‪ ،‬ﺑﻴـﺸﺘﺮ ﺑـﻮد‪ .‬در ﻣﻄﺎﻟﻌـﺎت ﺳـﻼﻣﺖ رواﻧـﻲ و درآﻣـﺪ ﻧﻴـﺰ ﻓﺮاواﻧـﻲ ﻧـﺸﺎﻧﻪﻫـﺎ و‬
‫اﺧﺘﻼﻻت رواﻧﻲ در ﮔﺮوهﻫﺎي ﻛﻢ درآﻣﺪ و‪/‬ﻳﺎ راﺑﻄﻪ ﻣﻌﻨﺎدار ﻣﻴﺎن ﺳﻼﻣﺖ رواﻧﻲ و درآﻣﺪ ﻣـﺸﺎﻫﺪه ﺷـﺪ‪.‬‬
‫ﻓﺮاواﻧﻲ ﺧﻮدﻛﺸﻲ در ﮔﺮوهﻫﺎي ﻛﻢ درآﻣـﺪ ﺑـﺎﻻﺗﺮ ﺑـﻮده و ﻣﻴـﺎن وﺿـﻌﻴﺖ درآﻣـﺪ و ﺷـﻴﻮع ﺧﻮدﻛـﺸﻲ‬
‫راﺑﻄﻪي ﻣﻌﻨﺎدار وﺟﻮد داﺷﺖ‪.‬‬
‫در ﻃﺒﻘﻪ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه آﻣﻮزش‪ ،‬ﺗﻘﺮﻳﺒﺎً ﺗﻤﺎﻣﻲ ﻣﺪاﺧﻼت آﻣﻮزﺷﻲ اﻧﺠـﺎم ﺷـﺪه ﻣـﺆﺛﺮ ﺑﻮدﻧـﺪ‪ .‬در ﻣـﻮرد‬
‫ﺗﺤﺼﻴﻼت و ﺑﻬﺪاﺷﺖ ﺑﺎروري ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﺎت ﻧـﺸﺎن دادﻛـﻪ ﺑـﺎ اﻓـﺰاﻳﺶ ﺳـﻄﺢ ﺗﺤـﺼﻴﻼت ﻣـﺎدر ﺷـﺎﻧﺲ‬
‫ﻣﺮاﻗﺒﺖ ﭘﺲ از زاﻳﻤﺎن‪ ،‬ﻣﺤﻞ ﻣﻨﺎﺳﺐ زاﻳﻤﺎن‪ ،‬زاﻳﻤﺎن ﺑﺎ ﻛﻤـﻚ ﻓـﺮد ﻣﻨﺎﺳـﺐ‪ ،‬ﺗﻌـﺪاد ﻣﺮاﻗﺒـﺖ ﺑـﺎرداري و‬
‫ﺳﺰارﻳﻦ و اﺳﺘﻔﺎده از ﻓﻮرﺳﭙﺲ‪ ،‬ﺗﻤﺎﻳﻞ ﺑﻪ ﺗﻐﺬﻳﻪ ﺑﺎ ﺷﻴﺮ ﻣﺎدر اﻓﺰاﻳﺶ و زاﻳﻤﺎن ﻃﺒﻴﻌﻲ‪ ،‬زاﻳﻤﺎن ﻓﺮزﻧـﺪ ﺳـﻮم‬
‫و ﺑﺎﻻﺗﺮ‪ ،‬ﺑﺎرداري ﻧﺎﺧﻮﺳﺘﻪ‪ ،‬زاﻳﻤﺎن اول در ﺳﻦ ﻛﻤﺘﺮ از ‪ 18‬ﺳﺎل ﻛﺎﻫﺶ ﻣﻲﻳﺎﺑﺪ‪ .‬ﻫﻤﭽﻨﻴﻦ ﺷﻴﻮع ﻧـﻮزادان‬
‫ﻛﻢوزن در ﻣﺎدران ﺑﺎ ﺗﺤﺼﻴﻼت ﭘﺎﻳﻴﻦﺗﺮ ﺑﻴﺸﺘﺮ ﺑﻮد‪ .‬در ﺿﻤﻦ راﺑﻄﻪ ﻣﻌﻨﺎدار ﺑـﻴﻦ ﺗﺤـﺼﻴﻼت ﻣـﺎدر و وزن‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻛﻮدك‪ ،‬ﺑﺎرداري ﻧﺎ ﺧﻮاﺳﺘﻪ‪ ،‬زﻣﺎن ﺷﺮوع ﺗﻐﺬﻳﻪ ﻛﻤﻜﻲ‪ ،‬وﺿﻊ ﺗﻐﺬﻳﻪ ﻣﺎدر و ﻋﻔﻮﻧﺖ ﺳﻴﺘﻮﻣﮕﺎﻟﻮ وﻳـﺮوس‬
‫در ﻣﺎدر ﻣﺸﺎﻫﺪه ﺷﺪ‪ .‬ﺑﻴﻦ ﺳﻄﺢ ﺗﺤﺼﻴﻼت ﭘﺪر و ﻛﺎﻫﺶ ﻓﺮزﻧـﺪ ﺳـﻮم و ﺑﻴـﺸﺘﺮو ﺑـﺎرداري ﻧﺎﺧﻮاﺳـﺘﻪ ﻧﻴـﺰ‬
‫ارﺗﺒﺎط ﻣﻌﻨﺎدار ﻣﺸﺎﻫﺪه ﺷﺪ اﻣﺎ ارﺗﺒﺎط ﻣﻌﻨﺎدار اﻣﺎري ﺑﻴﻦ ﺗﺤﺼﻴﻼت ﻣﺎدر وﻣﺪت زﻣﺎن ﺗﻐﺬﻳﻪ ﺑﺎ ﺷـﻴﺮ ﻣـﺎدر‬
‫وﻳﮋﮔﻲﻫﺎي ﻳﺎﺋﺴﮕﻲ ﺑﺪﺳﺖ ﻧﻴﺎﻣﺪ‪ .‬ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﺎت راﺑﻄﻪ ﻣﻌﻨﺎدار آﻣﺎري ﻣﻌﻜـﻮس ﺑـﻴﻦ ﺳـﻄﺢ ﺗﺤـﺼﻴﻼت‬
‫)ﭘﺪر و ﻣﺎدر( و ﺳـﻮ ﺗﻐﺬﻳـﻪ ﻛﻮدﻛـﺎن‪ ،‬اﺿـﺎﻓﻪ وزن و ﭼـﺎﻗﻲ ﻧـﺸﺎن دادﻧـﺪ اﻣـﺎ در ﺳـﺎﻟﻤﻨﺪان راﺑﻄـﻪ ﺳـﻄﺢ‬
‫ﺗﺤﺼﻴﻼت ﺑﺎﻻﺗﺮ و ﭼﺎﻗﻲ را ﻣﺴﺘﻘﻴﻢ و ﻣﻌﻨﺎدار ﺑﻮد‪ .‬راﺑﻄﻪ ﻣﻌﻨـﺎدار آﻣـﺎري ﺑـﻴﻦ ﺗﺤـﺼﻴﻼت ﭘـﺪر و ﭼـﺎﻗﻲ‬
‫ﻛﻮدﻛﺎن ﻧﻴﺰ ﻧﺸﺎن داده ﺷﺪ‪ .‬ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﺎت ﺑﻴﻤﺎريﻫﺎي ﻗﻠﺒﻲ ﻋﺮوﻗـﻲ ﻧـﺸﺎن داد‪ ،‬ﻓﺮاواﻧـﻲ اﻓـﺮاد ﺑـﺎ ﺳـﻄﺢ‬
‫ﺗﺤﺼﻴﻼت ﭘﺎﻳﻴﻦ د ر ﻓﻮت ﺷﺪﮔﺎن اﻧﻔﺎرﻛﺘﻮس ﺣﺎد ﻗﻠﺒﻲ‪ ،‬ﺗﺎﺧﻴﺮ اﻳـﻦ ﺑﻴﻤـﺎران در ﻣﺮاﺟﻌـﻪ ﺑـﻪ ﺑﻴﻤﺎرﺳـﺘﺎن‪،‬‬
‫ﺑﺎﻻﺗﺮ ﺑﻮدن اﻧﺪازه ﻓﺸﺎرﺧﻮن ﺑﻴﺸﺘﺮ ﺑﻮده و اﺧﺘﻼف آﻣﺎري ﻣﻌﻨـﺎدار ﺑـﻮد‪ .‬در ﺑﻴﻤـﺎريﻫـﺎي ﻋﻔـﻮﻧﻲ اﻧﮕﻠـﻲ‬
‫ارﺗﺒﺎط ﻣﻌﻨﺎدار آﻣﺎري ﻣﻌﻜﻮس ﺑﻴﻦ ﺳﻄﺢ ﺗﺤﺼﻴﻼت )واﻟﺪﻳﻦ( و آﻟـﻮدﮔﻲ ﺑـﻪ ﺷـﭙﺶ ﺳـﺮ‪ ،‬اﻧﺘﺮوﺑﻴـﺎزﻳﺲ‪،‬‬
‫ﻋﻔﻮﻧﺖ ﻫﻠﻴﻜﻮ ﺑﺎﻛﺘﺮ و اﺑﺘﻼ ﺑﻪ واژﻳﻨﻮز ﺑﺎﻛﺘﺮﻳﺎﻳﻲ وﺟـﻮد داﺷـﺖ و ﻧﻴـﺰ ﺷـﻴﻮع آﻣﻴﺒﻴـﺎزﻳﺲ در ﺗﺤـﺼﻴﻼت‬
‫ﺑﺎﻻﺗﺮرا ﻛﻤﺘﺮ ﮔﺰارش ﻛﺮد‪ .‬ﻫﻤﭽﻨﻴﻦ ﺑﻴﺸﺘﺮﻳﻦ ﻓﺮاواﻧﻲ آﻟﻮدﮔﻲ ﺑﻪ آﺳﻜﺎرﻳﺲ را در اﻓﺮاد ﺑﻴﺴﻮاد ﮔﺰارش‬
‫ﺷﺪ اﻣﺎ ارﺗﺒﺎط ﻣﻌﻨﺎدار ﻧﺒﻮد‪ .‬ﻧﺘﺎﻳﺞ ﺳﻪ ﻣﻄﺎﻟﻌﻪ در زﻳﺮ ﮔـﺮوه ﺣـﻮادث و ﺗﺮوﻣـﺎ‪ ،‬راﺑﻄـﻪ ﺑـﻴﻦ ﺳـﻄﺢ ﺳـﻮاد و‬
‫ﺗﺮوﻣﺎ را ﻣﻌﻨﺎدار و ﻣﻌﻜﻮس ﻧﺸﺎن داد ﺑﻄﻮرﻳﻜﻪ ﺗﺮوﻣﺎي ﻧﺎﻓﺬ در ﺗﺤﺼﻴﻼت ﭘﺎﻳﻴﻦﺗـﺮ و ﺗﺮوﻣـﺎي ﺑﻼﻧـﺖ در‬
‫ﺗﺤﺼﻴﻼت ﺑﺎﻻﺗﺮ ﺑﻴﺸﺘﺮ ﺑﻮد‪ .‬ﻧﺘﺎﻳﺞ ﻣﻄﺎﻟﻌﺎت در ﻣﻮرد راﺑﻄﻪ ﺑﻴﻦ ﺗﺤﺼﻴﻼت و ﺳـﻼﻣﺖ روان ﻣـﺸﺎﺑﻪ ﻧﻴـﺴﺖ‬
‫اﻣﺎ در ﻣﻮرد اﻗﺪام ﺑﻪ ﺧﻮدﻛﺸﻲ ﻓﺮاواﻧﻲ در ﮔﺮوه ﺑﺎ ﺗﺤﺼﻴﻼت ﭘﺎﻳﻴﻦﺗﺮ ﺑﻴﺸﺘﺮ ﺑﻮد‪.‬‬
‫در ﻣﻮرد ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪه ﻗﻮﻣﻴﺖ ﻣﻄﺎﻟﻌﺎت ﺑﺴﻴﺎر ﻛﻢ ﺑﻮدو ﻧﺘﺎﻳﺞ ﺗﻔﺎوتﻫﺎي ﻗﻮﻣﻲ دروزن و ﻗﺪ ﻧـﻮزادان‪،‬‬
‫ﺷﻜﺎف ﻟﺐ و ﻛﺎم‪ ،‬ﻧﺎﻫﻨﺠﺎري ﻟﻮﻟﻪ ﻋﺼﺒﻲ ﻧﻮزادان و اﺳﻬﺎل‪ ،‬اﻟﮕﻮﻫﺎي ازدواج و رﻓﺘﺎر ﺑﺎروري‪ ،‬رﻓﺘﺎرﻫـﺎي‬
‫ﺑﻬﺪاﺷﺘﻲ ﻛﺎرﮔﺮان‪ ،‬ﭘﺮﻓﺸﺎري ﺧﻮن و ﻟﻴﺸﻤﺎﻧﻴﻮز ﺟﻠﺪي راﻧﺸﺎن داد‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻣﻄﺎﻟﻌﺎت ﻣﺮﺗﺒﻂ ﺑﺎ ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي ﺳﺎﺧﺘﺎري اﺟﺘﻤﺎﻋﻲ ﺳﻼﻣﺖ در ﻓﺎﺻﻠﻪ زﻣﺎﻧﻲ ﻣـﻮرد‬
‫ﻣﻄﺎﻟﻌﻪ ﺑﻴﺸﺘﺮ ﺗﻮﺻﻴﻔﻲ ﺑﻮده و ﻓﺮاواﻧﻲ ﻣﺘﻐﻴﺮﻫﺎي دﻣﻮﮔﺮاﻓﻴﻚ ذﻛﺮﺷﺪه ﺗﺎ ﺳﻨﺠﺶ راﺑﻄﻪ و ﺗﺤﻠﻴـﻞ ﻋﻠﻴـﺖ‪.‬‬
‫ﻫﻤﭽﻨﻴﻦ ﺗﻔﺎوت ﺳﻼﻣﺘﻲ در دو ﺟﻨﺲ‪ ،‬ﺳﻄﻮح ﻣﺘﻔﺎوت درآﻣﺪ و ﺗﺤـﺼﻴﻼت و ﻗﻮﻣﻴـﺖﻫـﺎي ﻣﺘﻔـﺎوت ﺑـﻪ‬
‫ﭼﺸﻢ ﻣﻲﺧﻮرد‪.‬‬
‫ﻛﻠﻴﺪواژهﻫﺎ‪ :‬ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي اﺟﺘﻤﺎﻋﻲ ﺳﻼﻣﺖ‪ ،‬ﺟﻨﺴﻴﺖ‪ ،‬درآﻣﺪ‪ ،‬آﻣﻮزش و ﻗﻮﻣﻴﺖ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ اﺧﺘﻼﻻت زﺑﺎﻧﻲ و ﻧﻴﺎزﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺰرﮔﺴﺎﻻن داراي آﺳﻴﺐ ﻣﻐﺰي ﺑﺮ ﺣـﺴﺐ ﻧـﻮع و‬
‫ﻣﺤﻞ ﺿﺎﻳﻌﻪ‬
‫رﺿﺎ ﻧﻴﻠﻲﭘﻮر‬
‫ﻫﺪف‪ :‬ﻫﺪف اﻳﻦ ﭘﮋوﻫﺶ ﺑﺮرﺳﻲ اﺧﺘﻼلﻫﺎي زﺑﺎﻧﻲ و ﻧﻴﺎزﻫـﺎي ﺗـﻮان ﺑﺨـﺸﻲ ﺑﻴﻤـﺎران دﭼـﺎر ﺳـﻜﺘﻪ‬
‫ﻣﻐﺰي ﺑﺮﺣﺴﺐ ﻧﻴﻤﻜﺮه و ﻟﻮب آﺳﻴﺐ دﻳﺪه وﺗﻌﻴﻴﻦ ﻧﻮع و ﻓﺮاواﻧﻲ ﻋﻠﺖ ﺿﺎﻳﻌﻪ و اﻧﻮاع اﺧﺘﻼلﻫﺎي زﺑـﺎﻧﻲ‬
‫در ﺟﻤﻌﻴﺖ ﻣﻮرد ﺑﺮرﺳﻲ ﺑﻮد‪.‬‬
‫ﻧﻮع و روش‪ :‬اﻳﻦ ﺑﺮرﺳﻲ ﺗﻮﺻﻴﻔﻲ ـ ﺗﺤﻠﻴﻠﻲ از ﻧﻮع ﻣﻘﻄﻌﻲ ﺑﻮد وﺟﺎﻣﻌﻪ ﻣﻮرد ﺑﺮرﺳﻲ ﺑﻴﻤﺎران دﭼـﺎر‬
‫ﺳﻜﺘﻪ ﻣﻐﺰي ﺑﻮد‪ .‬ﻧﻤﻮﻧﻪﮔﻴﺮي ﺑﻪ ﺷﻴﻮه در دﺳﺘﺮس از ﺑﻴﻦ ﺑﻴﻤﺎران ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻛﻠﻴﻨﻴﻚﻫﺎي واﺑﺴﺘﻪ ﺑـﻪ‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ وﺗـﻮان ﺑﺨـﺸﻲ ودي ﻛﻠﻴﻨﻴـﻚ ﺑﻴﻤﺎرﺳـﺘﺎن رﻓﻴـﺪه اﻧﺠـﺎم ﺷـﺪ‪ .‬دراﺑﺘـﺪا ﺑـﻪ ﻛﻤـﻚ‬
‫ﭘﺮﺳﺸﻨﺎﻣﻪ ﻋﻤﻮﻣﻲ اﻃﻼﻋﺎت دﻣﻮﮔﺮاﻓﻴﻚ ﺑﻴﻤﺎران ﺗﻜﻤﻴﻞ ﺷﺪ ودر ﺻﻮرت ﻣﻨﺎﺳﺐ ﺑﻮدن ﺑﻴﻤﺎر ﺑـﺎ اﻫـﺪاف‬
‫ﺗﺤﻘﻴﻖ ارزﻳﺎﺑﻲﻫﺎي ﺑﻌﺪي ﺗﺤﻘﻴﻖ اﺟﺮاﻣﻲ ﺷﺪ‪ .‬ﺑﻴﻤﺎر ﺑﺎ اﺑـﺰار ﻫـﺎو آزﻣـﻮنﻫـﺎي ﺗﺨﺼـﺼﻲ »آزﻣـﻮن زﺑـﺎن‬
‫ﭘﺮﻳﺸﻲ ﻓﺎرﺳﻲ«‪» ،‬آزﻣﻮن ﻧﺎﻣﻴﺪن ﻓﺎرﺳﻲ«‪» ،‬آزﻣﻮن ﻛﻨﺶﭘﺮﻳﺸﻲ« ﻣﻮرد ارزﻳﺎﺑﻲ ﻗـﺮار ﻣـﻲﮔﺮﻓـﺖ و ﻧﻤﻮﻧـﻪ‬
‫ﮔﻔﺘﺎر ﭘﻴﻮﺳﺘﻪ ﮔﺮدآوري و ﺑﺮاي ﺗﻌﻴﻴﻦ ﻧﻮع و ﺷﺪ ت اﺧﺘﻼلﻫﺎي زﺑﺎﻧﻲ آن ﻫﺎﻣﻮرد ﺗﺤﻠﻴـﻞ ﻗـﺮار ﮔﺮﻓـﺖ‪.‬‬
‫ﺑﺮاي ﺗﻌﻴﻴﻦ ﻧﻮع و ﻣﺤﻞ ﺿﺎﻳﻌﻪ از ‪ CT Scan‬ﻳﺎ ‪ MRI‬در دﺳﺘﺮس ﺑﻴﻤﺎر اﺳﺘﻔﺎده ﺷﺪ‪ .‬ﻧﻤﻮﻧـﻪ ﻣـﻮرد ﻣﻄﺎﻟﻌـﻪ‬
‫در ﻃﻮل ﻳﻚ ﺳﺎل وﻧﻴﻢ از ﻛﻠﻴﻨﻴﻚﻫﺎي داﻧﺸﮕﺎﻫﻲ ﺷـﺎﻣﻞ ‪ 71‬ﻧﻔـﺮزن وﻣـﺮد ﺑـﺮاي ﺗﺤﻠﻴـﻞ ﻣﻨﺎﺳـﺐ ﺑـﻮد و‬
‫ﺗﻌﺪادي ﺑﻪ دﻟﻴﻞ ﻋﺪم ﻫﻤﻜﺎري ﻳﺎ ﻣﺮاﺟﻌﻪ و ﻧﺎ ﻛﺎﻣﻞ ﺑﻮدن ارزﻳﺎﺑﻲﻫﺎ ﺣﺬف ﺷﺪﻧﺪ‪ .‬دادهﻫﺎي ﺑﺪﺳﺖ آﻣـﺪه‬
‫ﭘﺲ از ارزﻳﺎﺑﻲﻫﺎي اوﻟﻴﻪ ﺑﺎ اﺳﺘﻔﺎده از ﻧﺮم اﻓﺰار ‪ SPSS‬ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﺷﺪ و ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤﺮات زﺑﺎن ﺑﻴﺎﻧﻲ و‬
‫درﻛﻲ‪ ،‬ﻧﻤﺮه ﻧﺎﻣﻴﺪن‪ ،‬ﻛﻨﺶ ﭘﺮﻳﺸﻲ و ﮔﻔﺘﺎر ﭘﻴﻮﺳﺘﻪ ﺑﺮاي ﻫﺮﺑﻴﻤﺎر ﺑﺪﺳﺖ آﻣﺪ‪ .‬از ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤـﺮات ﺑﺪﺳـﺖ‬
‫آﻣﺪه اﺧﺘﻼلﻫﺎي زﺑﺎﻧﻲ ﺑﺮ ﺣﺴﺐ ﻧﻮع ﺿﺎﻳﻌﻪ‪ ،‬ﻟﻮب آﺳﻴﺐ دﻳﺪه و ﻣﺪت زﻣـﺎن ﭘـﺲ از ﺿـﺎﻳﻌﻪ ﺑﺮرﺳـﻲ و‬
‫ﻣﻘﺎﻳﺴﻪ ﺷﺪ‪ .‬اﻣﺘﻴﺎز ارزﻳﺎﺑﻲﻫﺎ ﺑﺮ ﻣﺒﻨﺎي ‪ 10‬ﻣﺤﺎﺳﺒﻪ و ﺑﻪ ﻋﻨﻮان ﻣﻌﻴﺎري ﺑﺮاي ﺗﻌﻴﻴﻦ ﺷﺪت اﺧﺘﻼل زﺑـﺎﻧﻲ ﺑـﻪ‬
‫ﻋﻤﻴﻖ‪ ،‬ﺷﺪﻳﺪ‪ ،‬ﻣﺘﻮﺳﻂ و ﺧﻔﻴﻒ اﺳﺘﻔﺎده ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﻳﺎﻓﺘﻪﻫﺎ ﻧﺸﺎن داد در ﺟﻤﻌﻴﺖ ﻣﻮرد ﺑﺮرﺳﻲ ﻣﺮدان )‪ (%65‬ﺑﻴﺸﺘﺮ از زﻧـﺎن )‪ (%35‬دﭼـﺎر ﺳـﻜﺘﻪ‬
‫ﻣﻐﺰي ﺷﺪهﻧﺪ‪ %40.‬ﺑﻴﻤﺎران داراي ﺗﺤﺼﻴﻼت داﻧﺸﮕﺎﻫﻲ و ‪ %30‬داراي ﺗﺤﺼﻴﻼت دﺑﻴﺮﺳـﺘﺎﻧﻲ و ﺗﻨﻬـﺎ ‪%13‬‬
‫ﺑﻴﻤﺎران ﺑﻴﺴﻮاد ﺑﻮدﻧﺪ‪ %69 .‬ﺑﻴﻤﺎران دﭼﺎر ﺳﻜﺘﻪ اﺳﻜﻴﻤﻴﻚ و ‪ %12‬ﻫﻤﻮرژﻳﻚ و ‪ %8‬در ﺻﺪ دﭼـﺎر ﺿـﺮﺑﻪ‬
‫ﺑﻮدﻧﺪ‪ .‬در ﺟﻤﻌﻴﺖ ﻣﻮرد ﺑﺮرﺳﻲ ‪ 69‬ﻧﻔﺮدرﻧﻴﻤﻜﺮه ﭼﭗ‪ ،‬در ﺣﺎﻟﻴﻜﻪ ‪ 1‬ﻧﻔﺮ در ﻧﻴﻤﻜﺮه راﺳـﺖ و ‪ 1‬ﻧﻔـﺮ ﻫـﻢ‬
‫ﺳﻜﺘﻪ دو ﻃﺮﻓﻪ داﺷﺘﻨﺪ‪ .‬ﺑﻴﻤﺎران ﻣﻮرد ﺑﺮرﺳﻲ ﺑﻪ ﺳﻪ ﮔﺮوه ﻗﺪاﻣﻲ‪ ،‬ﺧﻠﻔﻲ و ﻗـﺪاﻣﻲ ـ ﺧﻠﻔـﻲ ﺗﻘـﺴﻴﻢ ﺷـﺪﻧﺪ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻛﻪ ﺗﻮزﻳﻊ آنﻫﺎ ﺑﻪ ﻳﻚ ﻧﺴﺒﺖ ﻧﺒﻮد‪ %23 .‬داراي ﺿﺎﻳﻌﻪ ﻗﺪاﻣﻲ)ﻟﻮب ﭘﻴﺸﺎﻧﻲ(‪ %30 ،‬ﺿﺎﻳﻌﻪ ﺧﻠﻔـﻲ در ﻳـﻚ‬
‫ﻟﻮب و ﺑﻴﺶ از ﻳﻚ ﻟﻮب‪ ،‬و ‪ %38‬ﺿﺎﻳﻌﻪ ﻗـﺪاﻣﻲ ـ ﺧﻠﻔـﻲ ﺑـﺎ درﮔﻴـﺮي دو ﻟـﻮب )‪14‬ﻣـﻮرد( و ﺳـﻪ ﻟـﻮب‬
‫)‪10‬ﻣﻮرد( و ﭼﻬﺎرﻟﻮب )‪1‬ﻣﻮرد( ﺑﻮﻧﺪ‪ .‬ﺑﺮ اﺳـﺎس ﻧﺘـﺎﻳﺞ ﺑﺪﺳـﺖ آﻣـﺪه ﻣﻴـﺰان ﺷـﺪت اﺧـﺘﻼل زﺑـﺎﻧﻲ ‪%66‬‬
‫ﺑﻴﻤﺎران ﺧﻔﻴﻒ ﺗﺎ ﻣﺘﻮﺳﻂ‪ ،‬ﻳﻌﻨﻲ دﺳﺖ ﻛﻢ ﺣﺪود ﻧﻴﻤﻲ از ﻣﻬﺎرتﻫﺎي زﺑﺎﻧﻲ آنﻫﺎ ﺣﻔﻆ ﺷﺪه ﺑﻮد‪ ،‬و ‪%34‬‬
‫ﺑﻴﻤﺎران داراي اﺧﺘﻼل زﺑﺎﻧﻲ ﺷﺪﻳﺪ ﺗﺎ ﻋﻤﻴﻖ ﺑﻮدﻧﺪ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي و ﺑﺤﺚ‪ :‬ﻣﻴﺎﻧﮕﻴﻦ اﺧﺘﻼلﻫﺎي زﺑﺎﻧﻲ و راﺑﻄﻪ آنﻫﺎ ﺑﺎ ﻧﻮع و ﺟﺎﻳﮕﺎه ﺿﺎﻳﻌﻪ در ﺳﻪ ﮔـﺮوه‬
‫ﻗﺪاﻣﻲ‪ ،‬ﺧﻠﻔﻲ و ﻗﺪاﻣﻲ ـ ﺧﻠﻔﻲ ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ ﺷﺪ‪ .‬ﻣﻘﺎﻳـﺴﻪ ﻣﻴـﺎﻧﮕﻴﻦﻫـﺎ ﺣـﺎﻛﻲ ازوﺟـﻮد ﺗﻔـﺎوتﻫـﺎي‬
‫ﻓﺮدي و درﺟﺎت ﻣﺨﺘﻠﻒ ﺷﺪت اﺧﺘﻼل اﺳﺖ‪ .‬از آن ﺟﺎ ﻛﻪ راﺑﻄـﻪ ﻣﻬـﺎرتﻫـﺎي زﺑـﺎﻧﻲ ﺑـﺎ ﻣﺮاﻛـﺰ زﺑـﺎﻧﻲ‬
‫ﻣﻐﺰﺗﺎﺑﻊ ﻗﺎﻧﻮن »ﻫﻤﻪ ﻳﺎ ﻫﻴﭻ« ﻧﻴﺴﺖ و ﺑﺮاﺳﺎس ﻧﻈﺮﻳﻪﻫﺎي ﺟﺪﻳﺪ ﻧﻮروﺳﺎﻳﻨﺴﻦ )ﭘﺮور ﻣـﻮﻟﺮ ‪ (2004‬زﺑـﺎن ﺑـﻪ‬
‫ﺻﻮرت ﺷﺒﻜﻪﻫﺎي ﻋﺼﺒﻲ ودر ﺳﻄﻮح ﻣﺨﺘﻠﻒ ﻣﻐـﺰ ﺳـﺎزﻣﺎنﺑﻨـﺪي ﻣـﻲﺷـﻮد‪ ،‬آﺳـﻴﺐﭘـﺬﻳﺮي آن ﭘـﺲ از‬
‫ﺿﺎﻳﻌﺎت ﻛﺎﻧﻮﻧﻲ و در ﻧﺘﻴﺠﻪ اﺧﺘﻼلﻫﺎي زﺑﺎﻧﻲ ﻧﻴﺰ ﺗﺎﺑﻊ ﻫﻤﻴﻦ ﻗﺎﻧﻮن اﺳﺖ‪ ،‬اﺧـﺘﻼلﻫـﺎي زﺑـﺎﻧﻲ ﺑـﺮ ﺣـﺴﺐ‬
‫ﺷﺪت ﻗﺎﺑﻞ ﺑﺮرﺳﻲ وﻃﺒﻘﻪﺑﻨﺪي ﺷﺪﻧﺪ‪ .‬ﻧﻤﺮه ﻣﻴﺎﻧﮕﻴﻦ ﮔﺮوﻫﻲ ﺑﻴﻤﺎران داراي ﻳﻚ ﻧﻮع ﺿﺎﻳﻌﻪ ﻧﺸﺎن داد ﺑﻴﻦ‬
‫اﺧﺘﻼل زﺑﺎﻧﻲ وﻧﻮع ﺿﺎﻳﻌﻪ ﻫﻤﺒﺴﺘﮕﻲ ﻣﻄﻠﻖ وﺟﻮد ﻧﺪارد و ﻣﻴﺎﻧﮕﻴﻦﻫﺎي ﮔﺮوﻫﻲ در ﻫﻤﻪ ﻣﻮارد ﺑـﻪ ﻋﻨـﻮان‬
‫ﻣﻼك ﺗﺸﺨﻴﺺ اﻓﺘﺮاﻗﻲ ﻣﻌﻨﻲدار ﻧﻴﺴﺖ‪ .‬ﺑﻴﻤﺎران ﮔـﺮوهﻫـﺎي ﺳـﻪ ﮔﺎﻧـﻪ در اﻳـﻦ ﺑﺮرﺳـﻲ در ﻣﻬـﺎرتﻫـﺎي‬
‫ﻣﺨﺘﻠﻒ زﺑﺎن ﺑﻴﺎﻧﻲ ﺑﻴﺸﺘﺮﻳﻦ اﺧﺘﻼل را در ﻣﻬﺎرت »ﻧﺎم ﺑﺮدن« اﺷﺘﻨﺪ وﻣﻴـﺎﻧﮕﻴﻦ آنﻫـﺎ ﺑـﻪ ﺗﺮﺗﻴـﺐ‪،1/4 ،2/7‬‬
‫‪ 0/7‬ﺑﻮد‪ ،‬در ﺣﺎﻟﻴﻜﻪ در ﺳﺎﻳﺮ ﻣﻬﺎرتﻫﺎ ﻣﻴﺎﻧﮕﻴﻦﻫﺎ ﺑﻴﻦ ‪ %40‬ﺗﺎ ‪ %70‬در ﻧﻮﺳﺎن ﺑﻮد‪ .‬ﺑـﺎﻻﺗﺮﻳﻦ اﻣﺘﻴـﺎز در ﻫـﺮ‬
‫ﺳﻪ ﮔﺮوه در ﺗﻜﺮار ﻛﻠﻤﺎت ﺑﻮد‪ .‬ﻣﻘﺎﻳﺴﻪ ﻣﻴﺎﻧﮕﻴﻦ ﻣﻬﺎرت ﻫﺎدر ﻧﻴﻤﺮخ زﺑـﺎن درﻛـﻲ ﻧﻴـﺰ از ﻫﻤـﻴﻦ آﻫﻨـﮓ‬
‫ﺑﺮﺧﻮردارﺑﻮد‪ .‬درﻣﻴﺎﻧﮕﻴﻦ ﺷﺎﺧﺺﻫﺎي ﻧﻤﻮﻧﻪ ﮔﻔﺘـﺎر ﺗﻮﺻـﻴﻔﻲ ﻧﻴﺰﺗﻔـﺎوتﻫـﺎي ﻓـﺮدي در ﺷـﺪت اﺧـﺘﻼل‬
‫وﺟﻮد دارد‪ ،‬وﻟﻲ در ﺷﺎﺧﺺ ﻏﻨﺎي واژﮔﺎﻧﻲ ﺗﻔﺎوت ﮔﺮوﻫﻲ ﺑﻴﺸﺘﺮ ﭼﺸﻤﮕﻴﺮ اﺳﺖ و ﺑﻪ ﺗﺮﺗﻴﺐ ‪ ./64‬ﺑـﺮاي‬
‫ﮔﺮوه ﻗﺪاﻣﻲ‪ ./75 ،‬ﺑﺮاي ﺧﻠﻔﻲ و ‪ ./54‬در ﮔﺮوه ﺧﻠﻔﻲ ـ ﻗﺪاﻣﻲ ﺑﻮد‪ .‬ﻧﻴﻤﺮخ آزﻣﻮن ﻧﺎﻣﻴﺪن در ﮔـﺮوهﻫـﺎي‬
‫ﺳﻪ ﮔﺎﻧﻪ ﻧﻴﺰ ﻧﺸﺎن داد در ﻫﺮ ﺳﻪ ﮔﺮوه راﻫﻨﻤﺎﺋﻲ آواﺋـﻲ ﺑﻴـﺸﺘﺮ از راﻫﻨﻤـﺎﺋﻲ ﻣﻌﻨـﺎﺋﻲ در ﭘﺎﺳـﺨﮕﻮﺋﻲ ﻣـﺆﺛﺮ‬
‫اﺳﺖ ﻛﻪ ﺑﺮ اﺳﺎس ﻣﻼك ﺗﺸﺨﻴـﺼﻲ آزﻣـﻮن ﻣﻴﺘﻮاﻧـﺪ ﺣـﺎﻛﻲ ازﻋـﺪم وﺟـﻮد اﺧـﺘﻼل ﺷـﻨﺎﺧﺘﻲ ﺷـﺪﻳﺪ و‬
‫ﺳﻬﻮﻟﺖ دﺳﺘﺮﺳﻲ ﺑﻪ ﻣﺴﻴﺮ ﻣﻌﻨﺎﺋﻲ ﺑﺎﺷﺪ‪ .‬ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤـﺮات ﻛـﻨﺶ ﭘﺮﻳـﺸﻲ ﻧـﺸﺎن داد ﺑﻴﻤـﺎران داراي ﺿـﺎﻳﻌﻪ‬
‫ﻗﺪاﻣﻲ در ﻫﺮ ﭼﻬﺎرﻧﻮع ﺣﺮﻛﺖ ﻧﺴﺒﺖ ﺑﻪ دو ﮔﺮوه ﺧﻠﻔﻲ و ﻗﺪاﻣﻲ ـ ﺧﻠﻔﻲ ﻋﻤﻠﻜـﺮد ﺑـﺴﻴﺎر ﺿـﻌﻴﻒﺗـﺮي‬
‫داﺷﺘﻨﺪ‪ .‬ﺑﻴﻤﺎران داراي ﺿﺎﻳﻌﻪ ﻗﺪاﻣﻲ ـ ﺧﻠﻔﻲ در ﻣﺠﻤﻮع ﻧﺴﺒﺖ ﺑﻪ ﮔﺮوه ﺧﻠﻔﻲ ﻋﻤﻠﻜﺮد ﺿﻌﻴﻒﺗﺮ )‪ 59‬در‬
‫ﺑﺮاﺑﺮ ‪ ،(67‬وﻟﻲ در ﻣﻬﺎرتﻫﺎي ﺣﺮﻛﺘﻲ ﻣﻔﻬـﻮﻣﻲ از ﻫﻤـﻪ ﺿـﻌﻴﻔﺘﺮ ﺑﻮدﻧـﺪ )‪ 40‬در ﺑﺮاﺑـﺮ ‪ .(65‬در ﻣﺠﻤـﻮع‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ ﺗﻔﺎوتﻫﺎي ﺑﻪ دﺳﺖ آﻣﺪه ازﻧﺘﺎﻳﺞ ارزﻳﺎﺑﻲ ﮔﺮوهﻫـﺎي ﺳـﻪ ﮔﺎﻧـﻪ ﻣـﻲﺗﻮاﻧـﺪ ﻧﺎﺷـﻲ از ﺗﻔـﺎوتﻫـﺎي‬
‫ﻓﺮدي‪ ،‬ﻋﻠﺖ ﺷﻨﺎﺳﻲ‪ ،‬ﺷﺪت ﺿﺎﻳﻌﻪ و ﻣﺪت زﻣﺎن ﭘﺲ از ﺳﻜﺘﻪ ﻣﻐﺰي ﺑﺎﺷﺪ‪ .‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ارزﻳﺎﺑﻲﻫﺎي اﻧﺠـﺎم‬
‫ﺷﺪه ﺑﺮاي ﻫﺮ ﺑﻴﻤﺎر ﭘﻴﺸﻨﻬﺎداﺗﻲ ﺑﺮاي ﻧﻴﺎزﻫﺎي ﺗﻮان ﺑﺨﺸﻲ آنﻫﺎ اراﺋﻪ ﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬زﺑﺎن ﭘﺮﻳﺸﻲ‪ ،‬ﺳﻜﺘﻪ ﻣﻐﺰي‪ ،‬اﺧﺘﻼلﻫﺎي زﺑﺎﻧﻲ‪ ،‬ﻧﻴﺎزﻫﺎي ﺗﻮان ﺑﺨﺸﻲ‪ ،‬ﺿﺎﻳﻌﻪ ﻗﺪاﻣﻲ‪ ،‬ﺿﺎﻳﻌﻪ‬
‫ﺧﻠﻔﻲ‪ ،‬ﺿﺎﻳﻌﻪ ﻗﺪاﻣﻲ ـ ﺧﻠﻔﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺗﺪوﻳﻦ ﺑﺮﻧﺎﻣﻪ ﭘﻴﺸﻨﻬﺎدي ﺟﺎﻣﻊ ارﺗﻘﺎء ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ‬
‫روﺷﻨﻚ واﻣﻘﻲ ـ ﻋﻠﻴﺮﺿﺎ ﻣﺮﻧﺪي‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻳﻨﻜﻪ ﻓﻘﺪان ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﻠـﻲ ﺟـﺎﻣﻊ و راﻫﺒـﺮدي )اﺳـﺘﺮاﺗﮋﻳﻚ( در ﺣـﻮزه‬
‫ﺳﻼﻣﺖ و ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن در ﻛﺸﻮر ﻫﻤﻮاره ﻳﻜـﻲ از ﭼﺎﻟـﺸﻬﺎي ﻣﻬـﻢ و ﺟـﺪي اﻳـﻦ ﺣـﻮزه ﺑـﻮده اﺳـﺖ‪،‬‬
‫ﻫﺪف ﻃﺮح ﺣﺎﺿﺮ دﺳﺘﻴﺎﺑﻲ ﺑﻪ ﺳﻨﺪي ﻣﻜﺘﻮب ﻣﺤﺘﻮي ﺑﺮﻧﺎﻣﻪاي ﺟﺎﻣﻊ‪ ،‬ﺑﺮ ﭘﺎﻳﻪ ﺣﺪاﻛﺜﺮ ﺗﻮاﻓـﻖ ﻛﺎرﺷﻨﺎﺳـﻲ‬
‫ﻣﻴﺎن ﺻﺎﺣﺐ ﻧﻈﺮان و ﻣﺘﺨﺼﺼﻴﻦ ﻣﺮﺑﻮﻃﻪ و ﻣﺴﺌﻮﻟﻴﻦ اﺟﺮاﻳﻲ اﻳﻦ ﺣﻮزه‪ ،‬ﺑﺮاي ﻣﺪاﺧﻠﻪ ﺟﻬﺖ ارﺗﻘﺎء ﺳﻄﺢ‬
‫ﺗﻜﺎﻣﻞ وﺗﻜﺎﻣﻞ ﻃﺒﻴﻌﻲ ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ ﺑﻮده اﺳﺖ‬
‫ﻣﻮاد و روﺷﻬﺎ‪ :‬اﻳﻦ ﻳﻚ ﻣﻄﺎﻟﻌﻪ ﻛﻴﻔﻲ ﺑﻮد ﻛﻪ در ‪ 5‬ﻣﺮﺣﻠﻪ اﺻﻠﻲ اﺟﺮا ﮔﺮدﻳﺪ و ﺑﺘﺮﺗﻴﺐ ﭘﻴﺶ ﻧـﻮﻳﺲ‬
‫اوﻟﻴﻪ‪ ،‬ﭘﻴﺶ ﻧﻮﻳﺲ دوم‪ ،‬وﻳﺮاﻳﺶ اول‪ ،‬دوم و ﺳﻮم )ﻧﻬﺎﻳﻲ( ﺑﺮﻧﺎﻣﻪ ﺟﺎﻣﻊ ﺑﻪ دﺳﺖ آﻣﺪ‪ .‬در ﻣﺮاﺣﻞ ﭘﻨﺞ ﮔﺎﻧﻪ‬
‫اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻋﻤﺪﺗﺎ از دو روش دﻟﻔﻲ ﻳﺎ ﮔﻔﺖ و ﺷﻨﻮد ﻣﺘﻤﺮﻛﺰ ﮔﺮوﻫﻲ اﺳﺘﻔﺎده ﺷﺪ‪ .‬ﺟﺎﻣﻌـﻪ ﻣـﻮرد ﻣﻄﺎﻟﻌـﻪ‬
‫ﺻﺎﺣﺐ ﻧﻈﺮان و ﻣﺘﺨﺼﺼﻴﻦ و ﻣﺴﺌﻮﻟﻴﻦ اﺟﺮاﻳﻲ ﺣﻮزه ﺳﻼﻣﺖ و ﺗﻜﺎﻣﻞ ﻛﻮدﻛـﺎن در ﻛـﺸﻮر ﺑﻮدﻧـﺪ ﻛـﻪ‬
‫ﻣﻄﺎﺑﻖ اﺻﻮل ﺗﺤﻘﻴﻘﺎت ﻛﻴﻔﻲ ﺗﻼش ﮔﺮدﻳﺪ ﻛﻪ ﺑﻬﺘﺮﻳﻦ و آﮔﺎﻫﺘﺮﻳﻦ ﻧﻤﻮﻧﻪﻫﺎي واﺟـﺪ ﺷـﺮاﻳﻂ ﺑـﺮاي اﻳـﻦ‬
‫ﻣﻄﺎﻟﻌﻪ اﻧﺘﺨﺎب ﺷﻮﻧﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺳﻨﺪ ﻧﻬﺎﻳﻲ در ‪ 10‬ﻗﺴﻤﺖ اﺻﻠﻲ ﺷﺎﻣﻞ ﻋﻨﻮان‪ ،‬ﻣﻘﺪﻣﻪ‪ ،‬ﺗﺠـﺎرب ﺟﻬـﺎﻧﻲ‪ ،‬ﺗﻌـﺎرﻳﻒ‪ ،‬وﺿـﻌﻴﺖ‬
‫ﻣﻮﺟﻮد )ﺷﺎﻣﻞ ﺗﻮﺻﻴﻒ و ﺗﺤﻠﻴـﻞ وﺿـﻌﻴﺖ ﻣﻮﺟـﻮد(‪ ،‬اﻫـﺪاف ﻛﻠـﻲ و اﺧﺘـﺼﺎﺻﻲ‪ ،‬راﻫﺒﺮدﻫـﺎ‪ ،‬ﻓﻌﺎﻟﻴﺘﻬـﺎ‪،‬‬
‫ﮔﺮوﻫﻬﺎي ﻫﺪف و ﺑﺮﻧﺎﻣﻪﻫـﺎي اﺟﺮاﻳـﻲ ﺗﻨﻈـﻴﻢ ﮔﺮدﻳـﺪ‪ .‬اﻫـﺪاف اﺻـﻠﻲ ﺳـﻨﺪ ﺑـﺮ ﻛـﺎﻫﺶ ﺑـﺮوز و ﺷـﻴﻮع‬
‫اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‪ ،‬ﻛـﺎﻫﺶ ﺷـﻴﻮع و ﺷـﺪت ﻋـﻮارض و ﻣﻌﻠﻮﻟﻴﺘﻬـﺎي ﺣﺎﺻـﻠﻪ‪ ،‬ارﺗﻘـﺎء ﺳـﻄﺢ ﺗﻜـﺎﻣﻠﻲ در‬
‫ﻛﻮدﻛﺎن ﺳﺎﻟﻢ و ﻛﺎرآﻣﺪي ﻧﻈﺎم ﻣﻠﻲ ﭘﻴﺸﮕﻴﺮي و درﻣﺎن اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‪ ،‬ﺗﺄﻛﻴﺪ دارد‪.‬‬
‫ﺑﺤﺚ و ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻣﺠﺮﻳﺎن ﭘﻴﺸﻨﻬﺎد ﻣﻲﻛﻨﻨﺪ ﻛﻪ ﭼﻬﺎر وزارت اﺻﻠﻲ و ﻛﻠﻴﺪي در ﺣﻮزه ﺳـﻼﻣﺖ‬
‫و ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن در ﻛﺸﻮر‪ ،‬ﻳﻌﻨﻲ ﺑﻬﺪاﺷﺖ‪ ،‬درﻣﺎن و آﻣﻮزش ﭘﺰﺷﻜﻲ‪ ،‬رﻓﺎه و ﺗﺎﻣﻴﻦ اﺟﺘﻤﺎﻋﻲ‪ ،‬آﻣﻮزش‬
‫و ﭘﺮورش‪ ،‬و ﻋﻠﻮم‪ ،‬ﺗﺤﻘﻴﻘﺎت و ﻓﻨﺎوري‪ ،‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﻣﺎﻣﻮرﻳﺖ و وﻇﺎﻳﻒ ﻗﺎﻧﻮﻧﻲ ﺧﻮد‪ ،‬ﻫﺮﭼﻪ زودﺗﺮ ﺟﻬﺖ‬
‫ﻃﺮح ﻋﻤﻠﻴﺎﺗﻲ و ﭘﻴﺎدهﺳﺎزي اﻳﻦ ﺑﺮﻧﺎﻣﻪ در ﺳﻄﺢ ﻣﻠﻲ ﮔﺎﻣﻬﺎي ﺟﺪي و ﻣﺆﺛﺮ ﺑﺮدارﻧﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ارﺗﻘﺎء ﺗﻜﺎﻣﻞ‪ ،‬ﻛﻮدﻛﺎن‪ ،‬ﭘﻴﺸﮕﻴﺮي‪ ،‬ﺗﺸﺨﻴﺺ و ﻣﺪاﺧﻠﻪ زودرس‪ ،‬اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺮاﻛﻢ اﺳﺘﺨﻮان در ﺑﻴﻤﺎران ﺳﺎﻟﻤﻨﺪ ﻣﺒﺘﻼ ﺑﻪ ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع و ﻣﻘﺎﻳﺴﻪ ﻛﻴﻔﻴـﺖ‬
‫زﻧﺪﮔﻲ و ﺷﺪت درددر آﻧﻬﺎ )ﺑﻴﻤﺎران ﺑﺎ و ﺑﺪون اﺳﺘﺌﻮ ﭘﺮوز(‬
‫رﺿﺎ ﺳﻠﻤﺎن روﻏﻨﻲ‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎﻋﻲ ﻳﻜﻲ از ﺷﺎﻳﻊﺗﺮﻳﻦ ﻋﻠﻞ ﻧﺎﺗﻮاﻧﻲ در ﺳـﺎﻟﻤﻨﺪان ﺑـﻮده ﺑﺎﻋـﺚ ﺑـﺮوز‬
‫ﻋﺪم ﺗﺤﻤﻞ و ﺗﻮاﻧﺎﻳﻲ راه رﻓﺘﻦ ﻣﻲﺷﻮد‪ .‬ﻋﺪم اﻳـﺴﺘﺎدن و راه رﻓـﺘﻦ ﻳﻜـﻲ از دﻻﻳـﻞ ﻣﻬـﻢ ﻛـﺎﻫﺶ ﺗـﺮاﻛﻢ‬
‫اﺳﺘﺨﻮان در اﻧﺴﺎن ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻫﺪف از اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺮاﻛﻢ اﺳﺘﺨﻮان در ﺳﺘﻮن ﻓﻘﺮات و ران ﺑﻴﻤﺎران ﻣﺒـﺘﻼ ﺑـﻪ ﺗﻨﮕـﻲ‬
‫ﻛﺎﻧﺎل ﻧﺨﺎع و ﻣﻘﺎﻳﺴﻪ آن ﺑﺎ ﺟﻤﻌﻴﺖ ﻣﺸﺎﺑﻪ ﺳﺎﻟﻢ ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣــﻮاد و روش‪ :‬اﻳــﻦ ﻣﻄﺎﻟﻌــﻪ از ﻧــﻮع ﺗﺤﻠﻴﻠــﻲ و ﺑــﺼﻮرت ﻣﻘﻄﻌــﻲ در ﺷـﺶ ﻣــﺎه اول ﺳــﺎل ‪ 1387‬در‬
‫ﻛﻠﻴﻨﻴﻚﻫﺎي واﺑﺴﺘﻪ ﺑﻪ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺮ روي ‪ 87‬ﺑﻴﻤﺎر ﻣﺒﺘﻼ ﺑﻪ ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨـﺎﻋﻲ‬
‫اﻧﺠﺎم ﺷﺪ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ 87 :‬ﺑﻴﻤﺎر ﺑﺎ ﻟﻨﮕﺶ ﻋﺼﺒﻲ و ﺗﺸﺨﻴﺼﻲ ﺑﺎﻟﻴﻨﻲ ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع ﺑﺮرﺳﻲ ﺷﺪه و ‪ 77‬ﻧﻔﺮ واﺟـﺪ‬
‫ﺷﺮاﻳﻂ ﻣﻄﺎﻟﻌﻪ ﺑﻮده و ﺗﺤﺖ آزﻣﺎﻳﺸﺎت ‪ MRI , BMD‬ﻗﺮار ﮔﺮﻓﺘﻨـﺪ‪ .‬از ‪ 77‬ﻧﻔـﺮ ‪ 69‬ﻧﻔـﺮ زن و ‪ 8‬ﻧﻔـﺮ ﻣـﺮد‬
‫ﺑﻮدﻧﺪ‪ ،‬ﻣﻴﺎﻧﮕﻴﻦ ﺳﻨﻲ آن ‪ 68/6‬ﺳﺎل و ﻣﻴﺎﻧﮕﻴﻦ ‪ 63‬ﻧﻔﺮ )‪ (81/8%‬در ‪ MRI‬ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع داﺷﺘﻨﺪ‪.‬‬
‫از ‪ 63‬ﺑﻴﻤﺎر ﻣﺒﺘﻼ ﺑﻪ ‪ 13 ،LSS‬ﻧﻔﺮ )‪ (%20/6‬ﭘﻮﻛﻲ اﺳﺘﺨﻮان ﺳـﺘﻮن ﻓﻘـﺮات )‪ 26 ،(P = %98‬ﻧﻔـﺮ )‪(%41/2‬‬
‫ﻧﺮﻣﻲ اﺳﺘﺨﻮان ﺳﺘﻮن ﻓﻘﺮات )‪ 14 .(P =%26‬ﻧﻔﺮ )‪ (%22/2‬ﭘﻮﻛﻲ اﺳـﺘﺨﻮان ران و ‪ 30‬ﻧﻔـﺮ )‪ (%47/6‬ﻧﺮﻣـﻲ‬
‫اﺳﺘﺨﻮان ران داﺷﺘﻨﺪ‪.(P =%98) .‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬در ﻣﺠﻤﻮع راﺑﻄﻪ آﻣﺎري ﻣﻔﻬﻮم داري ﺑﻴﻦ ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع و ﭘﻮﻛﻲ اﺳـﺘﺨﻮان ﺳـﺘﻮن‬
‫ﻓﻘﺮات ﻳﺎ ران ﺑﻪ دﺳﺖ ﻧﻴﺎﻣﺪ‪ ،‬در ﻣﺠﻤﻮع ﺣﺪود ﻳﻚ ﭼﻬﺎرم از اﻳﻦ ﺑﻴﻤﺎران داراي ﭘﻮﻛﻲ اﺳﺘﺨﻮان ﺳـﺘﻮن‬
‫ﻓﻘﺮات ﺑﻮدﻧﺪ ﻛﻪ ﺑﺎ وﺿﻌﻴﺖ ﺗﺮاﻛﻢ ﺳﺎﻟﻤﻨﺪان اﻳﺮان ﺗﻄﺎﺑﻖ دارد و ﻫﻤﭽﻨﻴﻦ ﺑﻴﺶ از ‪ %70‬ﻣﻮارد ﺗﺮاﻛﻢ ﻏﻴـﺮ‬
‫ﻃﺒﻴﻌﻲ ﺳﺘﻮن ﻓﻘﺮات دارﻧﺪ‪ .‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ اﻳﻨﻜﻪ ﭘﺎرهاي از ورزﺷﻬﺎ و ﺣﺮﻛﺎت ﺳﺘﻮن ﻓﻘﺮات در ﺑﻴﻤﺎران ﻣﺒـﺘﻼ‬
‫ﺑﻪ ﭘﻮﻛﻲ اﺳﺘﺨﻮان ﻣﻤﻨﻮع ﺑﻮده و اﺣﺘﻤﺎل ﺑﺮوز ﺷﻜﺴﺘﮕﻲ را اﻓﺰاﻳﺶ ﻣـﻲدﻫـﺪ ﺗﻮﺟـﻪ ﺑـﻪ وﺿـﻌﻴﺖ ﺗـﺮاﻛﻢ‬
‫اﺳﺘﺨﻮان در درﻣﺎن ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ ﺑﻴﻤﺎران ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع اﻫﻤﻴﺖ دارد‪ .‬ﻫﻤﭽﻨﻴﻦ اﺣﺘﻤﺎﻻً درﻣـﺎن ﻫﻤﺰﻣـﺎن‬
‫ﭘﻮﻛﻲ اﺳﺘﺨﻮان و ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع ﺑﻪ وﺿﻌﻴﺖ درﻣﺎن اﻳﻦ ﺑﻴﻤﺎران ﺧﻮاﻫﺪ اﻓﺰود ﻛـﻪ ﻣـﻲﺗﻮاﻧـﺪ ﻣﻮﺿـﻮع‬
‫ﺑﺮاي ﭘﮋوﻫﺶﻫﺎي آﺗﻲ ﺑﺎﺷﺪ‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺳﺎﻟﻤﻨﺪي‪ ،‬ﺗﻨﮕﻲ ﻛﺎﻧﺎل ﻧﺨﺎع‪ ،‬ﭘﻮﻛﻲ اﺳﺘﺨﻮان‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ارزﻳﺎﺑﻲ ﺗﺄﺛﻴﺮ اﻓﺰاﻳﺶ ارﺗﻔﺎع ﭘﺎﺷﻨﻪ ﺑﺮ روي اﻟﮕﻮي ﺗﻌﺎدل ﻛﻠﻲ ﺑﺪن و ﻓﻌﺎﻟﻴﺖ ﻋـﻀﻼت ﺷـﻜﻢ در‬
‫دراز ﻣﺪت و ﻛﻮﺗﺎه ﻣﺪت‬
‫ﺳﻴﺪﻣﺤﻤﺪاﺑﺮاﻫﻴﻢ ﻣﻮﺳﻮي‬
‫ﻣﻘﺪﻣﻪ‪ :‬اﻓﺰاﻳﺶ ارﺗﻔﺎع ﭘﺎﺷﻨﻪ ﻣﻲﺗﻮاﻧﺪ ﺑﺮ ﻣﻴﺰان ﻓﻌﺎﻟﻴﺖ ﻋﻀﻼت اﻧﺪام ﺗﺤﺘﺎﻧﻲ و ﻧﻴﺰ ﺗﻌﺎدل اﻓـﺮاد ﺗـﺄﺛﻴﺮ‬
‫ﺑﮕﺬارد‪ .‬ﻫﺪف از اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ اﺳﺘﻔﺎده از ﭘﺎﺷـﻨﻪ ﺑـﺎ ارﺗﻔـﺎع اﺳـﺘﺎﻧﺪارد ﺑـﺮ روي ﻣﻴـﺰان ﻓﻌﺎﻟﻴـﺖ‬
‫ﻋﻀﻼت ﺷﻜﻤﻲ‪ ،‬ﻧﻴﺰ ﺗﻌﺎدل و ﻗﻄﺮ ﻋﻀﻼت در دﺧﺘﺮان ﺑﻮده اﺳﺖ‪.‬‬
‫ﻣﻮاد و روﺷﻬﺎ‪ :‬در اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﺷﺒﻪ ﺗﺠﺮﺑﻲ ‪ 48‬داﻧﺸﺠﻮي دﺧﺘﺮ ﺑﺎ ﻣﻴﺎﻧﮕﻴﻦ ﺳﻨﻲ‪ 22 ±4,87‬ﺳـﺎل و ﻗـﺪ‬
‫‪ 161 ±8,79‬ﺳﺎﻧﺘﻲ ﻣﺘﺮ در دو ﮔﺮوه ﺗﻘﺴﻴﻢ ﺑﻨﺪي ﺷﺪﻧﺪ‪ .‬در ﻳﻚ ﮔﺮوه دﺧﺘﺮاﻧﻲ ﺑﻮدﻧﺪ ﻛﻪ در ‪ 6‬ﻣﺎﻫﻪ اﺧﻴﺮ‬
‫از ﻛﻔﺸﻬﺎي ﺑﺎ ﭘﺎﺷﻨﻪ اﺳﺘﺎﻧﺪارد و در ﮔﺮوه دوم از ﻛﻔﺸﻬﺎي ﺑﺪون ﭘﺎﺷﻨﻪ اﺳﺘﻔﺎده ﻛﺮده ﺑﻮدﻧﺪ‪ .‬ﺑﺎ اﺳـﺘﻔﺎده از‬
‫دﺳﺘﮕﺎه ﺑﺎﻻﻧﺲ ﺑﺎﻳﻮدﻛﺲ‪ ،‬ﻣﻴﺰان ﺗﻌﺎدل ﻛﻠﻲ و ﻗﺪاﻣﻲ ـ ﺧﻠﻔﻲ و داﺧﻠﻲ ـ ﺧـﺎرﺟﻲ اﻧـﺪازهﮔﻴـﺮي ﺷـﺪ‪ .‬از‬
‫دﺳﺘﮕﺎه ‪ KEMG‬و ﺳﻮﻧﻮﮔﺮاﻓﻲ ﻧﻴﺰ ﺑﺮاي ﺛﺒﺖ ﻣﻴﺰان ﻓﻌﺎﻟﻴﺖ ﻋـﻀﻼت و ﻗﻄـﺮ ﻋـﻀﻼت ﺷـﻜﻤﻲ اﺳـﺘﻔﺎده‬
‫ﮔﺮدﻳﺪ‪ .‬از آﻣﺎرهﻫﺎي ﺗﻲ زوﺟﻲ‪ ،‬ﺗﻲ ﻣﺴﺘﻘﻞ و ﻧﻴﺰ آزﻣﻮن ﻟﻮن ﺑﺮاي ارزﻳﺎﺑﻲ دادهﻫﺎ اﺳﺘﻔﺎده ﺷﺪ‪.‬‬
‫ﻧﺘﺎﻳﺞ‪ :‬ﻣﻴﺰان ﺗﻌﺎدل و ﻣﻴﺰان ﻓﻌﺎﻟﻴﺖ ﻋﻀﻼت ﺷﻜﻤﻲ‪ ،‬اﻓﺮاد ﺷﺮﻛﺖ ﻛﻨﻨﺪه در دو ﮔﺮوه از ﻧﻈﺮ آﻣﺎري‬
‫اﺧﺘﻼف ﻣﻌﻨﺎداري داﺷﺘﻨﺪ‪.(P value<0.05) .‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻣﻴﺰان ﻓﻌﺎﻟﻴﺖ ﻋﻀﻼت و ﻧﻴﺰ ﻣﻴﺰان ﺗﻌـﺎدل اﻓـﺮاد اﺳـﺘﻔﺎده ﻛﻨﻨـﺪه از ﻛﻔـﺸﻬﺎي ﺑـﺎ ﭘﺎﺷـﻨﻪ‬
‫اﺳﺘﺎﻧﺪارد ﻧﺴﺒﺖ ﺑﻪ ﮔﺮوه دوم‪ ،‬ﻣﺘﻔﺎوت ﺑﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﺗﻌﺎدل‪ ،‬ﻓﻌﺎﻟﻴﺖ ﻋﻀﻼﻧﻲ‪ ،‬ارﺗﻔﺎع ﭘﺎﺷﻨﻪ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ارزﻳﺎﺑﻲ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﻣﺎدران ﻛﻮدﻛﺎن ﺑﺎ ﻣﻌﻠﻮﻟﻴﺖ ﻓﻠﺞ ﻣﻐﺰي )‪ :(CP‬ﻣﻄﺎﻟﻌﻪ ﻣﻘﺎﻳﺴﻪاي ﺑﺎ اراﺋـﻪ‬
‫راﻫﻜﺎرﻫﺎي ارﺗﻘﺎء‬
‫اﺻﻐﺮ دادﺧﻮاه‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬در اﻳﻦ ﺗﺤﻘﻴﻖ ﻫـﺪف ارزﻳـﺎﺑﻲ ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ؛ و ﺗﺒﻌـﺎت ﺑـﺎر ﺳـﻨﮕﻴﻦ ﻣﺮاﻗﺒـﺖ ﺑـﺮ‬
‫ﻣﺎدراﻧﻲ ﻛﻪ از ﻛﻮدك ﻓﻠﺞ ﻣﻐـﺰي ﺧـﻮد در ﻣﻨـﺰل ﻧﮕﻬـﺪاري ﻣﻴﻜﻨﻨـﺪ در ﻣﻘﺎﻳـﺴﻪ ﺑـﺎ ﻣـﺎدراﻧﻲ ﻛـﻪ داراي‬
‫ﻓﺮزﻧﺪاﻧﻲ ﺑﺎ ﻣﺸﻜﻼت ﺳﻼﻣﺘﻲ ﻣﻌﻤﻮﻟﻲ ﻫﺴﺘﻨﺪ ﻣﻲﺑﺎﺷﺪ‪ .‬ﺑﻌﺒﺎرت دﻳﮕﺮ ﻫﺪف درك ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ اﻳـﻦ‬
‫دو ﮔﺮوه و اراﻳﻪ راﻫﻜﺎرﻫﺎﻳﻲ ﺑﺎ ﺗﻮﺟﻪ ﺑـﻪ وﺿـﻌﻴﺖ ﺧـﺎص ﻣـﺎدران ﺟﻬـﺖ ارﺗﻘـﺎء ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ آﻧـﺎن‬
‫ﻣﻲﺑﺎﺷﺪ‪.‬‬
‫ﻣﻮاد و روش‪ :‬در ﻣﻄﺎﻟﻌﻪ ﻣﻘﻄﻌﻲ ـ ﻣﻘﺎﻳﺴﻪاي اﺑﺘﺪا ﺗﻌﺪاد ‪ 100‬ﻧﻔﺮ )ﺗﻌﺪاد ‪ 50‬ﻧﻔـﺮ ﻣـﺎدر داراي ﻓﺮزﻧـﺪ‬
‫ﻓﻠــﺞ ﻣﻐــﺰي و ‪ 50‬ﻧﻔــﺮ ﻣــﺎدر ﻛــﻪ داراي ﺑﻴﻤــﺎري ﻋــﺎدي و ﻣﻌﻤــﻮﻟﻲ ﻫــﺴﺘﻨﺪ( ﺑــﺼﻮرت ﺗــﺼﺎدﻓﻲ از ﺑــﻴﻦ‬
‫ﻣﺮاﺟﻌﻪﻛﻨﻨﺪﮔﺎن ﺑﻪ ﻣﺮاﻛﺰ درﻣﺎﻧﻲ واﺑﺴﺘﻪ ﺑﻪ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ اﻧﺘﺨﺎب؛ ﻃﺮح ﭘﮋوﻫـﺸﻲ‬
‫ﺗﻮﺿﻴﺢ و رﺿﺎﻳﺖ ﻧﺎﻣﻪ ﺷﺮﻛﺖ در ﭘﮋوﻫﺶ درﻳﺎﻓﺖ ﺷـﺪ‪ ..‬ﺑـﺎ اﺳـﺘﻔﺎده از ﭘﺮﺳـﺸﻨﺎﻣﻪ ‪ 36‬ﻣـﺎدهاي ﺳـﻨﺠﺶ‬
‫ﺳﻼﻣﺖ )‪ (SF-36‬ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﻣﺎدران ﺳﻨﺠﻴﺪه ﺷﺪه و از ﻃﺮﻳﻖ ﺳﻴﺴﺘﻢ ﻛﻼﺳـﺒﻨﺪي ﻋﻤﻠﻜـﺮد ﺣﺮﻛﺘـﻲ‬
‫)‪ (GMFCS‬ﻣﻴﺰان ﻣﻌﻠﻮﻟﻴﺖ ﺣﺮﻛﺘﻲ ﻛﻮدﻛﺎن ارزﻳﺎﺑﻲ ﮔﺮدﻳـﺪ‪ .‬ﭘـﺲ از ﺟﻤـﻊآوري اﻃﻼﻋـﺎت‪ ،‬ﺗﺠﺰﻳـﻪ و‬
‫ﺗﺤﻠﻴﻞ دادهﻫﺎ ﺑﺮاي ﭘﺎﺳﺨﮕﻮﻳﻲ ﺑﻪ ﺳﻮاﻻت ﭘﮋوﻫﺶ ﺻﻮرت ﮔﺮﻓﺖ‪.‬‬
‫ﻳﺎﻓﺘﻪﻫﺎ‪ :‬ﺑﺎﺳﺘﺜﻨﺎء ﺧﺮده ﻣﻘﻴﺎس ﻋﻤﻠﻜﺮد ﺟﺴﻤﻲ ‪ ،SF-36‬ﻣﻴﺎﻧﮕﻴﻦ ﻧﻤﺮهﻫﺎي ﺧـﺮده ﻣﻘﻴﺎﺳـﻬﺎي ‪SF-36‬‬
‫ﺑﻄﻮر ﻣﻌﻨﺎداري در ﻣﺎدران ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻣﻐﺰي ﻧﺴﺒﺖ ﺑﻪ ﺳﺎﻳﺮ آﻧﻬﺎ در ﮔﺮوه ﻣﻘﺎﻳﺴﻪ ﭘﺎﻳﻴﻦﺗـﺮ ﺑـﻮد‪.‬‬
‫ﺗﺤﻠﻴﻞ زﻳﺮ ﮔﺮوه ﻧﺸﺎن داد ﻛﻪ ﻧﻤﺮات ﻣﻘﻴﺎي ‪ SF-36‬در ﻣﺎدران ﻛﻮدﻛﺎﻧﻲ ﻛﻪ ﺣﺪاﻗﻞ ﻋﻤﻠﻜﺮد ﺣﺮﻛﺘﻲ را‬
‫دارﻧﺪ ﺑﻄﻮر ﻣﻌﻨﺎداري ﭘﺎﻳﻴﻦﺗﺮ اﺳﺖ‪ .‬ﻫﻤﻪ ﺧﺮده ﻣﻘﻴﺎﺳﻬﺎي ‪ SF-36‬ﺑﺎ ‪ GMFCS‬در ﺟﻬﺖ ﻣﻨﻔﻲ ﻫﻤﺒﺴﺘﮕﻲ‬
‫داﺷﺘﻨﺪ‪ GMFCS .‬ﺑﻄﻮر ﻣﻌﻨﺎداري ﺑﺎ ﺧﺮده ﻣﻘﻴﺎس »اﻳﻔﺎي ﻧﻘﺶ ﺟﺴﻤﻲ« در ‪ ( p<001/0) SF-36‬و ﺑﻄـﻮر‬
‫ﻣﺘﻮﺳﻂ ﺑﺎ ﺧﺮده ﻣﻘﻴﺎسﻫﺎي »اﻳﻔﺎي ﻧﻘﺶ ﻫﻴﺠﺎﻧﻲ« و »ﺳﻼﻣﺖ رواﻧﻲ« )‪ (p‘s 0/01‬و ﺑﻄﻮر ﺿﻌﻴﻒ ﺑﺎ ﺧﺮده‬
‫ﻣﻘﻴﺎسﻫﺎي »ﻋﻤﻠﻜﺮد ﺟﺴﻤﻲ« و »ﺳﻼﻣﺖ ﻋﻤﻮﻣﻲ« )‪ (p‘s 0/05‬ﻫﻤﺒﺴﺘﮕﻲ داﺷﺖ‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ﻳﺎﻓﺘﻪﻫﺎي اﻳﻦ ﻣﻄﺎﻟﻌﻪ ﻧﺸﺎن ﻣﻴﺪﻫﺪ ﻛﻪ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﻣﺎدراﻧﻲ ﻛﻪ ﻛﻮدك ﻣﺒﺘﻼ ﺑﻪ ﻓﻠـﺞ‬
‫ﻣﻐﺰي دارﻧﺪ ﻛﺎﻣﻼً از آﻧﻬﺎﻳﻲ ﻛﻪ ﻛﻮدﻛﻲ ﺑﺎ ﻣﺸﻜﻼت ﺧﻔﻴﻒﺗﺮ ﺳﻼﻣﺘﻲ دارﻧـﺪ ﻣﺘﻔـﺎوت اﺳـﺖ و ﺷـﺪت‬
‫ﻧﺎﺗﻮاﻧﻲ ﺣﺮﻛﺘﻲ ﻛﻮدك ﺑﺎ ﻛﺎﻫﺶ در رﻓﺎه رواﻧﺸﻨﺎﺧﺘﻲ و ﺟﺴﻤﻲ ﻣﺎدر ﻫﻤﺮاه اﺳﺖ‪ .‬از آﻧﺠﺎ ﻛـﻪ ﻣـﺎدر ﺑـﻪ‬
‫ﻋﻨﻮان ﻣﺮاﻗﺐ اﺻﻠﻲ‪ ،‬ﺑﺮاي ﻧﻴﺎزﻫﺎي ﻛﻮدك ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻣﻐﺰي اﺳﺖ اﮔﺮ ﻣﺎدر ﻣﻮﻓﻖ ﻧـﺸﻮد اﻳـﻦ ﻛـﻮدك‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﺳﺖ ﻛﻪ رﻧﺞ ﻣﻲﺑـﺮد‪ .‬ﺑﻨـﺎﺑﺮاﻳﻦ ﺗﻮﺟـﻪ ﺑﻴـﺸﺘﺮي ﺑﺎﻳـﺪ ﺻـﺮف ﻧﻴﺎزﻫـﺎي ﻣـﺎدر ﺷـﻮد‪ .‬ﺗﻮﺻـﻴﻪ ﻣـﻲﺷـﻮد ﻛـﻪ‬
‫اﺳﺘﺮاﺗﮋيﻫﺎي ﻣﻘﺎﺑﻠﻪ ﻣﺘﻔﺎوت در ﻣﺸﺎرﻛﺖ ﺑﺎ ﻣﺎدران ﺑﺮاي ﭘﺎﺳﺦ ﺑـﻪ ﻧﻴﺎزﻫـﺎي ﺗﻐﻴﻴـﺮ ﻳﺎﻓﺘـﻪ اﺟـﺮا ﺷـﻮدو ﺑـﻪ‬
‫ﻋﻼوه ﺑﺮﻧﺎﻣﻪﻫﺎي رواﻧﻲ ـ اﺟﺘﻤﺎﻋﻲ ﻣﺆﺛﺮو ﻗﺎﺑﻞ ﺗﺤﻤﻞ ﺑﺎﻳﺪ ﻃﺮاﺣﻲ ﺷـﺪه و ﺑـﺮاي ﻓـﺮاﻫﻢ آوردن ﺣﻤﺎﻳـﺖ‬
‫ﻻزم ﺑﺮاي ﻧﻴﺎزﻫﺎي وﻳﮋه ﻛﻮدك و ﺧﺎﻧﻮادهاش اﺟﺮا ﺷﻮد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‪ ،‬ﻣﺎدران ﻛﻮدﻛﺎن ﺑﺎ ﻣﻌﻠﻮﻟﻴﺖ ﻓﻠﺞ ﻣﻐﺰي‪ ،‬ﻛﻮدﻛﺎن ﺑﺎ ﻣﺸﻜﻼت ﺳﻼﻣﺘﻲ ﻛﻢ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺑﺮرﺳــﻲ اﺛــﺮ ﮔﻴــﺎه داروﻳــﻲ ژﻳﻨﮕــﻮ در درﻣــﺎن اﺧــﺘﻼﻻت ﺷــﻨﺎﺧﺘﻲ ﺑﻴﻤــﺎران دﭼــﺎر ﻣﻮﻟﺘﻴﭙــﻞ‬
‫اﺳﻜﻠﺮوزﻳﺲ‬
‫ﻋﻠﻲ دﻟﻴﺮي‬
‫زﻣﻴﻨﻪ و ﻫﺪف‪ :‬اﺧـﺘﻼﻻت ﺷـﻨﺎﺧﺘﻲ‪ ،‬ﺗﻘﺮﻳﺒـﺎً در ‪ %40‬ﺑﻴﻤـﺎران دﭼـﺎر ﻣﻮﻟﺘﻴﭙـﻞ اﺳـﻜﻠﺮوزﻳﺲ وﺟـﻮد‬
‫دارد‪.‬اﺧﺘﻼﻻت ﺷـﻨﺎﺧﺘﻲ ﻋﺎرﺿـﻪ ﻣﺨﺮﺑـﻲ در ﺑﻴﻤـﺎران ‪ MS‬اﺳـﺖ‪ ،‬ﭼـﺮا ﻛـﻪ ﻣﻨﺠـﺮ ﺑـﻪ ﻛـﺎﻫﺶ ﺗﻌـﺎﻣﻼت‬
‫اﺟﺘﻤﺎﻋﻲ ﻓﺮد ﻣﻲﺷﻮد‪.‬ﺑﺎ وﺟﻮد اﻫﻤﻴﺖ اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﻲ در ‪ ،MS‬ﮔﺰﻳﻨﻪﻫﺎي درﻣﺎﻧﻲ ﻣﺤـﺪود اﺳـﺖ‪ .‬در‬
‫اﻳﻦ ﻣﻄﺎﻟﻌﻪ‪ ،‬اﺛﺮ ژﻳﻨﮕﻮ ﺑﻴﻠﻮﺑﺎ در ﺑﻬﺒﻮد اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ »ﺗﻮﺟﻪ« در ﺑﻴﻤﺎران دﭼـﺎر ‪ MS‬ﻣـﻮرد ﻣﻄﺎﻟﻌـﻪ ﻗـﺮار‬
‫ﮔﺮﻓﺘﻪ اﺳﺖ‪.‬‬
‫ﻣﻮاد و روش‪ :‬اﻳﻦ ﻣﻄﺎﻟﻌﻪ‪ ،‬ﻳﻚ ﻛﺎرآزﻣﺎﻳﻲ دو ﺳﻮي ﻛﻮر ﺑﺎ اﻧﺘﺨﺎب ﺗـﺼﺎدﻓﻲ اﺳـﺖ‪.‬ﺑﻴﻤـﺎران در دو‬
‫ﮔﺮوه اﺻﻠﻲ و ﺷﺎﻫﺪ ﻗﺮار ﮔﺮﻓﺘﻪ‪ ،‬ﺑﻪ ﺑﻴﻤﺎران ﮔﺮوه اﺻﻠﻲ‪ ،‬روزاﻧﻪ ‪ 180‬ﻣﻴﻠﻲ ﮔﺮم ژﻳﻨﮕﻮ ﺳـﻪ ﺑـﺎر در روز و‬
‫ﺑﻪ ﻣﺪت ‪ 90‬روز و ﺑﻪ ﺑﻴﻤﺎران ﮔﺮوه ﺷﺎﻫﺪ‪ ،‬ﺑﻪ ﻫﻤﺎن ﻣﻴﺰان ﭘﻼﺳﺒﻮ داده ﺷﺪ‪ .‬ﺑﺮاي ﻫﺮ دو ﮔﺮوه ﻗﺒـﻞ و ﺑﻌـﺪ‬
‫از درﻣﺎن‪ ،‬آزﻣﻮن اﺳﺘﺮوپ اﺟﺮا ﮔﺮدﻳﺪ‪.‬‬
‫ﻳﺎﻓﺘـﻪﻫــﺎ‪ :‬در ﮔـﺮوه اﺻــﻠﻲ‪ n=26) ،‬ﻧﻔــﺮ( ﻧﺘـﺎﻳﺞ آزﻣــﻮن اﺳـﺘﺮوپ در ﻫــﺮ دو ﺑﺨـﺶ ﺑﻬﺒــﻮد زﻣــﺎن‬
‫ﭘﺎﺳـﺨﮕﻮﻳﻲ و ﻛـﺎﻫﺶ ﺧﻄـﺎ ﻣﻌﻨـﻲدار ﺑـﻮد )ﺳـﻄﺢ اﻃﻤﻴﻨـﺎن ‪ % 95‬و ‪ .(p < 0/05‬ﻧﺘـﺎﻳﺞ در ﮔـﺮوه ﺷـﺎﻫﺪ‬
‫)‪ n=26‬ﻧﻔﺮ( ﻣﻌﻨﻲدار ﻧﺒﻮد‪.‬‬
‫ﻧﺘﻴﺠﻪﮔﻴﺮي‪ :‬ژﻳﻨﮕﻮ ﺑﻴﻠﻮﺑﺎ ﺑﺮ ﺑﻬﺒﻮد اﺧﺘﻼل ﺷﻨﺎﺧﺘﻲ »ﺗﻮﺟﻪ« اﺛﺮ ﻣﻌﻨﻲدار دارد‪.‬‬
‫ﻛﻠﻴﺪ واژهﻫﺎ‪ :‬ﻣﻮﻟﺘﻴﭙﻞ اﺳﻜﻠﺮوزﻳﺲ‪ ،‬اﺧﺘﻼﻻت ﺷـﻨﺎﺧﺘﻲ‪ ،‬آزﻣـﻮن اﺳـﺘﺮوپ‪ ،‬ﺗﻮﺟـﻪ‪ ،‬داروﻫـﺎي ﮔﻴـﺎﻫﻲ‪،‬‬
‫ژﻳﻨﮕﻮ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
120
Title of Research: Review of Literature on Structural Social Determinants of Health
According to WHO Model
Author:
Background and object: during recent years social determinants of health had been the
most complex subject on the domain of health policy. The social determinants of health.
Are social condition that people live and work and they affect the personal health,
community health and social health and even the health pattern? The main object of this
study is to review the studies witch related to the status of four structural social
determinants of health including income, gender, education and ethnicity during 13791385 in Iran and the documentation of the result of these studies are according world
health organization model.
Material and methods: In this descriptive study (review), studies had been searched
with 28 keywords and those 124392 titles were collected. After passing several stages
of screening, information of 267 researches in 3 category of physical health,
sociomental health and both of them were classified and described in this research. R.
M, Excel & Spss software were used.
Results: The majority of studies were article (165 studies). 63.7 percent of studies were
published by the University Medical Science and 12.7 % by non-medical universities.
Related studies mostly was performed in 1385 (23.2%) and the lowest documents were
for 1381 (8.6%). The type of more studies was cross-sectional (53.6%) and most of
them had been done in cities or urban areas (60.3%). The sampling method of 41.9%
was probable and 21.3% was census. 66.2% of studies were on general population and
34.5% were on inpatient or out patient. 39% of peoples who had been studied were
adults and 21% were children, 38.4 were children and adults. 21.7% studies were on
women and 74.5% were for both gender. 47.2% of studies were about physical health
and 22.8% were about sociomental health. 160 studies had gender determinant, 149
studies had education determinant, 98 document income determinant and 15 documents
were about ethnicity determinant.
In the class of gender and health in childhood, the difference between two genders about
weight and height of newborn, infant mortality, low birth weight and malnutrition was
121
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
observed, but in dental caries, impaired vision and hearing, the deference was not
significant, about women the life expectancy index was more, quality of life was low
and there was more malnutrition but in men the death was more about driving accidents.
The incidence of infarction in men was more, but women referred to treatment centers
later and the risk of early death after stroke was higher in them. The result of studies
about difference between two genders in risk factors of cardiovascular disease,
hypertension, infectious and parasites disease, respiratory and eye were not similar.
About mental health, mental disease and disorders also the result of studies were not
similar but suicide attempting in woman was more reported.
In the income determinant almost all the studies showed the more frequency in health
problems is in the groups with lower income and it showed significant relation between
income and health status. Showed inverse relation between household income and food
consumption pattern and / or household calories consumption also, significant relation
between income status and malnutrition and obesity, type of delivery / unwanted
pregnancy, space between pregnancies , delivery at the appropriate place and BMI index
of pregnancy women , life style related to osteoporosis ,skull youth index, health
behavior, understanding the concept of health and control of health , weight of child,
neonatal mortality and rate of dmf was observed.Digestive disease and malnutrition was
more in groups with lower income.In the studies of mental health and income also the
frequency of symptoms and mental disorders in low income groups and significant
relationship between mental health and income was observed. The frequency of
attempted suicide in low income groups was higher and the relationship was significant.
In education determinant class , almost all educational interventions were
effective.About literacy and reproductive health , the result of studies showed that with
increasing in maternal education , the chance of postpartum care ,appropriate place for
delivery , delivery with the help of appropriate person , the number of care during
pregnancy , caesarian and using forceps and desire to breastfeeding increased and
natural delivery , pregnancy of third child and above ,unwanted pregnancy and
pregnancy under 18 years reduced. Also prevalence of LBW neonate of mothers with
lower education was higher there is a significant relation between maternal education
and child weight. Unwanted pregnancy, time to start secondary meals, maternal
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
122
nutrition status and cytomegalovirus infection in mothers was observed. Between father
education and third child and unwanted pregnancy was also significant relationship.
However statistical significant relationship between maternal education and the period
of breastfeeding and menopause featured was not found. The result of studies showed
inverse statistical significant relationship between level of education (parents) and child
malnutrition, overweight and obesity but in elderly the relationship between high
education level and obesity was direct and significant. Statistical significant relationship
between father education and child obesity was also shown. The result of studies about
cardiovascular disease showed that frequency of people with low educational level in
death due to acute heart infarction, delay in referring patient to hospital, the higher
blood pressure was more and statistical difference was significant. In parasitic infections
there was inverse statistical relation between level of education (parents) and hair
pediculus, entrobiosis, helicobacter infection, bacterial vaginosis and also prevalence of
amebas in high education was less reported. Ascaris infection was common in illiterate
people but there was not a significant relationship. The relationship between education
level and trauma was significant and reverse therefore penetrating trauma in the lower
education and blunt trauma in higher education was more. Results of studies about
mental health and education were not similar but the frequency of attempted suicide in
the group with lower education was higher.
In ethnicity determinant , there was a little studies and the result were showed the
ethnicity difference in weight and height of neonate cloven lips and palate ,
malformation of neurotic tube in neonate ,diarrhea ,the marriage pattern behavior of
reproductive health , health behavior in workers ,hypertension and leishmaniosis.
Conclusion: studies related to structural social determinants of health in the studied
period were more descriptive and frequency of some demographic variables mentioned
instead of measure of relation and analysis of causality. Also the health difference
between two genders, the different income, educational level and different ethnicity
observed.
Keywords: Social determinants of health, Gender, Income, Education, Ethnicity
123
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: A comparative study on knee and ankle muscle lengths between
persons with and without patellofemoral pain syndrome
Author: nodehi moghadam A, PhD PT, Keshavarz R, BS PT
Back ground: patellofemoral pain syndrome is a common cause of anterior knee pain.
this condition may arise from abnormal muscular and biomechanical factors , that alter
tracking of the patella within the femoral trachlear notch , contributing to increased
patellofemoral contact pressures that result in pain and dysfunction. Some impairments
such as limited flexibility of key lower extremity muscles may be important
impairments to consider in the conservative management of patellofemoral pain
syndrome.
The purpose of this study was to compare lower extremity muscle length between
persons with and without patellofemoral pain syndrome
Methods and measures: 15 patients with patellofemoral pain syndrome and 15 age
matched controls participated in the study. lower extremity muscle lengths (quadriceps ,
gastrocenmius and soleus muscles) were measured by a standard goniometer in both
groups.
Results: Patents with patellofemoral pain syndrome demonstrated significantly less
flexibility of the gastrocenmius and soleus muscles compared to healthy persons
(p<0.05). No differences existed in flexibility of the quadriceps muscles between
persons with and without patellofemoral pain syndrome (p>0.05).
Conclusion: This study suggest less flexibility of the gastrocenmius and soleus muscles
in patellofemoral pain syndrome patients that may be important to consider in the
conservative management of patellofemoral pain syndrome.
Keywords: quadriceps , gastrocenmius and soleus muscles, patellofemoral pain
syndrome, muscle length
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
124
Title of Research: A primary design of Auditory comprehension test and its pilot study
on 2-10 year old Farsi speaking normal children of Tehran
Author: Fariba Yadegari
Introduction: Understanding developmental norms of auditory comprehension is a
necessity for detecting auditory-verbal comprehension impairments in children. So the
authors aimed at investigating lexical auditory development of Farsi speaking children.
Methods: In this cross-sectional descriptive-analytic research, researchers first
observed auditory comprehension of four 2-5 year old normal children of adult’s childdirected utterances at available nurseries. Hence a great number of words were attained
which children comprehended. Then the data were classified into nouns, verbs and
adjectives. Using this data, auditory-verbal comprehension task items were made in 2
sections of subordinates and superordinates auditory comprehension. Colored pictures
were provided for each item. Referring to nurseries selected randomly from south, north
and centre of Tehran, thirty 2-5 year old normal children were tested by this task.
Correct response mean of subjects were analyzed using SPSS.10.
Results: This research revealed that there is a high positive correlation between
auditory-verbal comprehension and age (r=0.804,p=0.000). Also subordinate and
superordinate auditory comprehension of 2-3 year old children is lower than both 3-4
and 4-5 year old children (p<0.05).There was no significant difference between 3-4 and
4-5 year old children. Intragroup comparisons revealed no significant difference
between nouns, verbs and adjectives , but significant difference was seen between
subordinate and superordinate auditory comprehension in all age groups (p<0.05).
Conclusion: Auditory-verbal comprehension development is much faster at lower than
older ages and there is no prominent difference between word linguistic classes
including nouns, verbs and adjectives. Slower development of superordinate auditory
comprehension implies semantic hierarchical evolution of words.
Keywords: lexical auditory comprehension, Farsi language,2-5 year old children
125
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: A Stroke Study of an Urban Area of Iran: Risk Factors, Length of
Stay, Case Fatality and Discharge Destination
Author: Reza Salman Roghani
Background: The Iranian population is aging rapidly which causes huge medical
concern for health care of this population. This trend will lead to a rise in stroke
incidence in the future. The aim of this study was to investigate the epidemiologic
patterns, risk factors, length of hospitalization, hospital discharge destination, and casefatality of ischemic stroke patients from a city of Iran as well as analyses of interaction
of these factors.
Material and method: A Cross sectional, multihospital-based study performed on all
consecutively discharged and diagnosed, ischemic stroke patients in the city of Qom,
Iran between March 2006 and September 2007.
Results: 953 patients, 48.9% men and 51.1% women were included. The mean age was
68 ± 13.82 years. Hypertension was found in 64% of patients, followed by Diabetes
mellitus (36%), Heart disease (34%), hypercholesterolemia (32%), and smoking (20%).
The average length of stay was 7.7 days (95% CI, 7.2-8.2). Women had a significantly
longer length of stay compared to males (8.4 vs. 7, P=0.0075) and Patients with Heart
disease had a significantly longer length of stay (9 days, 95% CI, 7.8- 10, P=0.004).
Overall one month fatality rate was 15.3%.
Discussion and Conclusion: Hypertension and Diabetes mellitus are more frequent
than average global findings. One month case fatality was higher than European
countries but less than developing countries. The most interesting difference comparing
developed countries is the destination which should be addressed. We strongly
recommend for establishing a stroke registry, primary prevention and promoting rehab
facilities in Iran.
Keywords: Iran, Stroke, Outcomes, Risk Factors Analysis
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
126
Title of Research: A study of 1-6 years old children with cerebral palsy in Asma
Rehabilitation Center in terms of type, associated disorders and perinatal and neonatal
risk factors on 2007-2008
Author: Farin Soleiman, Hossein Karimi, Niloofar Soleimani, Akbar Biglarian
Background: Cerebral palsy is a group of static encephalopathy and nonprogressive
motor impairment syndromes in childhood that accured 2-2.5 per 1000 live births and
caused by lesions of the brain arising early in development and a heterogeneous group
of brain disorders with potentially different risk factors and causal pathways. The aim of
this study was evaluation of types and associated disorders of children with cerebral
palsy and perinatal and neonatal risk factors respect to prevention of them.
Methods: In this case-control study, all children who were referred from child-healthcare centers of Shahid Beheshti University (east and northern of Tehran province), to
Asma rehabilitation center during two years 2007–2008, with documented cerebral
palsy in terms of type, associated problems and risk factors were enrolled in the study,
with matched controls.
Results: During the study period, 112 in the case and 113 in the control group, were
studied. The types of cerebral palsy were; 90(80.4%) spastic, 20(17%) non-spastic and,
2(1.8%) mix. The associated disorders were; 8(7.2%) mental retardation, 8(7.2%)
hearing impairment, 18(16.1%) strabismus, 37(33%) speech and language dysfunction,
and 34(30.4%) seizure disorder.
The main factors associated with CP, were (odds ratios, confidence interval): preterm
delivery (22.11, 6.59-74.12), neonatal (33.84, 4.53-252.55) and postnatal (8.14, 2.3724.21) seizures, Apgar score of 0-3 at 20 minutes after birth (10.7, 4.68-24.47),LBW
(5.67, 3.03-10.63), VLBW (17.02, 3.81-75.95), multiple gestations (13.44, 1.71105.21), and PROM (4.92, 1.6-15.15).
Conclusion: Preterm birth, hypoxic-ischemic encephalopathy and perinatal asphyxia,
and low birth weight were the most powerful independent predictors of CP in this
population.
Keywords: Cerebral palsy (CP), type of cerebral palsy, associated disorder, perinatalneonatal risk factors.
127
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: A Study on Language Disorders of Adults Aphasics & their
Rehabilitation needs as they relate to etiology and lesion Site
Author: Reaz Nilipour
Introduction:The objectives of this research was to study language disorders and
rehabilitation needs of stroke aphasiacs as they relate to the hemisphere and site of the
lesion and to determine the prevalence of etiology and different types of language
disorders in the group under study.
Methods: This is a descriptive-analytic study with the aim to study the number of
available stroke patients with different etiologies during the period of this investigation
referred to university clinics and the Day clinic at Rofayde Hospital. The demographic
information of the referred subjects were obtained from a general questionnaire
prepared based on the objectives of this research. Language disorders of subjects were
evaluated by using the standard language tests: “Farsi Aphasia Test”, Farsi Naming
Test” and “Apraxia Test” as well as a sample of the descriptive speech. The lesion site
of each patient was determined based on the available CT scan and MRI provided by
each patient. The number of subjects in this study is comprised of 71 monolingual
Persian speaking men and women with their first incidence of stroke. The data of the
population under study were analyzed using SPSS software. The language disorders of
each patient were determined based on the mean scores obtained from their spoken
language skills, comprehension skills, Naming Test, Apraxia Test as well as the analysis
of each patient’s descriptive speech. The mean scores of each patient on each language
test were compared with the lesion site as well as the involved hemisphere. The severity
of each patient’s language disorders was determined and rated as deep, severe, moderate
and mild based on the mean scores from 1 to 10.
Findings: 65% of the subjects were male and 35% female with their first incidence of
stroke. With respect to the level of their education, 40% had higher education, 30% high
school education and only 13% were illiterate. As with etiology, 69% of the subjects
were victims of ischemic stroke, 12% hemoregic and 8% trauma. The hemispheric
involvement of 69 of the patients was left; and one with right and one with bilateral
involvement. With respect to the lesion, the patients were grouped in three groups of
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
128
anterior, posterior and anterior-posterior. With respect to the site of lesion, 23% of the
cases had anterior lesion with the involvement of frontal lobe, 30% with posterior lesion
and the involvement of one or more than one lobe, 38% with dorso-ventral lesion and
the involvement of two (14 case), three (10 cases) and four lobes (one case). Based on
the obtained results, the severity of the subjects were rated into a four scale measure
from deep to severe, moderate and mild. Based on this measure, 66% of the patient was
rated from mild to moderate and 34% between severe to deep. This difference indicates
that at least half of the language skills have been maintained in the mild to moderate
group and speaks to the issue of “all or none”.
Discussion: The mean scores of language disorders of each group of patients indicated
that since the susceptibility of language subsequent to lesion is not based on the law of
“all or none”, there was no significant relation between the type of lesion and disruption
of major language skills. The language disorders of patients with different lesion sites
can only be compared based on the severity measures. Since there is no absolute
relation between traditional language centers and major language skills, therefore, the
classification of major traditional language syndromes cannot be identified based on
these measures.
The findings of the assessments indicate that the differences between different groups
are indicative of the severity of the lesion, as well as individual differences such as
etiology, age and post-on-set time.
Keywords: aphasia, stroke, language disorders, rehabilitation needs, anterior lesion,
posterior lesion, anterior-posterior lesion
129
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: A survey on reading Pattern and Information seeking behavior of the
faculty member and the students of the Improvement and Rehabilitation Sciences
University
Author: Marzieh Golchin
Introduction: The purpose of this research is to investigate the information seeking
behavior and reading pattern such as: the aim and the stimulation of the searching
information, searching skills, using the book and non-book resources and the existing
facilities and resources of central library of the University by the faculty members and
the students, to cause attention to the collection building of the library.
Methodos: The research method is descriptive survey using 2 organized questionnaires
for 2 groups. The statistical society includes 114 faculty member and 224 students of
the different level s of the University.
Result: The findings show that the meeting of the research needs is the most important
aim and stimulation for both groups, so that 91.2% faculty member and 86.2% students
have chosen it.On one hand the central library collection has a law role for meeting the
information needs of the faculty with average of 3.15 and for students for 3.26. The
existing facilities of the University Site also are average in their opinion with average
3.29 for the faculty and 3.37 for the students.On the other hand, the most resources used
by the 2 groups is the book so that, 82.5 % of the faculty and 76% of the students have
chosen it. About the information databases the result show that the majority of the 2
groups are familiar with the data bases and the most used one is the Elsevier.Also
findings show that the faculty and the students have very low searching skills.
Keywords: searching skills, information seeking behavior, reading pattern,
Improvement and Rehabilitation University, central library
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
130
Title of Research: A Survey on serum B12, folate and homocysteine concentration in
healthy elderly Residents of Tehran
Author: Roshanak Vameghi
Background: Many Investigations have showed decreased absorption of cobalamine in
elderly and also mentioned cobalamin deficiency as a common problem in this
population. Hence, insufficient vitamin B-12 status may increase the incidence of
atherosclerotic
and
neurodegenerative
disorders,
recently
some
investigators
recommended for B-12 monitoring for determining subjects at risk in early stages of b12 deficiency.
Objective: The purpose of this study was to measure serum levels of B-12, folate and
their metabolites in healthy Iranian elderly and examines their probable roles in
cognitive dysfunction.
Method and material: This research was conducted as a cross-sectional study in
Tehran. A total of 232 people aged 65-90 years, with mean age of 73 years, were
recruited and assessed regarding demographic characteristics, homocysteine, folate, and
vitamin B12 and cognitive functions levels using interviews, questionnaires, clinical
examinations and blood samplings. Blood samples were gathered and analyzed
according to current standardized methods.
Results: Variables were assessed in 102 male (44%) and 140 female (56%) subjects.
Mean serum level of B-12 was 295 pg/ml (SD=±170). 10% of cases had B-12 levels
less than 119 and 18% values less than 160 pg/ml. B-12 deficiency increased with age
(p=0.000) but there was no relation to gender (p=0.85). Mean of folate level was 8
ng/ml (SD=±4.9). 9.5% of cases had folate levels below normal range without
significant relation to age (p=0.06) or sex (p=0.31). Mean of homocystein (Hcy)
concentration was 19.3 μmol/l (SD=±7.1). Hcy values were more than 20 μmol/l in
33.6% and more than 15 μmol/L in 67% of subjects with no increase by age (p=0.23).
42.2% of males and 27.7% of females had Hcy values more than 15 μmol/L (p=0.005).
Correlation coefficients (Pearson's r) between log Hcy and serum vitamin B12 and
folate, indicated an inverse correlation (r = -0.33, r = -0.20, p= 0.000, p=0.002
respectively). 38 cases (16.4%) had mild cognitive disorder on the basis of mini mental
131
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
status examination (MMSE) test. Nobody had severe cognitive abnormality but at least
28 of the 38 above mentioned cases (12.1% of total) had been cobalamin deficient
(p=0.000). 6 of 38 elderly subjects suffering from mild cognitive abnormality (15.8%)
were folate deficient.
Conclusion: Results of this study showed that incidence of hyperhomocysteinemia and
B12 - folate deficiency in elderly living in Tehran people seems to be functionally
higher than developed countries and regular use of vitamin B group as medication or as
fortified foods in these subjects must be considered as a useful strategy.
Keywords: Homocysteine, Vitamin B-12, Folate, Elderly, Cognitive function
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Title of Research: Comparing God image, Spirituality and Identity Status between 2430 Year Old Drug and Alcohol Abusers and not Abusers
Author: Afsane Javadzadeh Shahshahani
This research studies, if spirituality, God image and identity status would be able to
predict cigarette, drug and alcohol abuse or dependency between 24-30 year old people.
Two steps: phenomenological qualitative and causal- comparative quantitative methods
were done. 40 young were interviewed in first step and spirituality questionnaire was
the outcome of interviews content analysis. Pilot study of spirituality questionnaire
showed it was reliable (alpha=0/976). A sample of 332 young people from Tehran city
parks completed spirituality and EOM-EIS-2 questionnaire.
Logistic regression showed: foreclosure identity and spirituality had significant effect
on cigarette abuse and dependency, while spirituality and achievement identity had
significant effect on reduction of drug and alcohol abuse or dependency. It is concluded
that spirituality (God image, meaning of life and belief in God) and internalizing family/
parental values in childhood play an important role in abuse/ dependency reduction.
Also, exploration and commitment identity achievement has the same role. It shows
importance of parent's knowledge and training children/ adolescents to be explorers to
find their own aim toward spirituality and transcendence.
Keywords: spirituality, God image, drug, alcohol, youth, identity
133
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Title of Research: Comparison between perineometry and transabdominal ultrasound
for assessment of pelvic floor muscle contraction in patients with stress urinary
incontinence
Author: Amir Massoud Arab
Background and Introduction: Transabdominal (TA) ultrasound and perineometry
has been currently used to assess respectively lifting aspect and squeezing action of
pelvic floor muscles (PFM) function in women with stress urinary incontinence (SUI).
However, no study has directly compared these measurements. The purpose of this
study was to investigate the reliability and correlation between perineometry and TA
ultrasound as measurements of different aspect of PFM function.
Matherials & Methods: A total of 28 women with SUI participated in the study.
Vaginal squeeze pressure using a perineometer and bladder base movement on TA
ultrasound was measured. Pearson correlation coefficient and Scatterogram was
depicted to determine the correlation between variables. Intra-class correlation
coefficient (ICC) and Bland-Altman plot was used to assess reliability.
Results: Scatter diagram depicted significant correlation of TA ultrasound with vaginal
squeeze pressure (r =0.72, R2=0.52, p<0.0001). High reliability was found for
measurements.
Conclusion: TA ultrasound measurement may be an alternative measurement to
perineometry when assessing PFM function.
Keywords: Pelvic floor muscles, Perineometry, Transabdominal ultrasound, Stress
urinary incontinence, Vaginal Squeeze pressure, Reliability.
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Title of Research: Criterion validity and reliability of clinical measures for foot arches
Author: Salavati Mahyar, Hedayati Rozita
Introduction: Many theories have been advanced concerning the relationship between
structure and function in the human foot. There have been more than 20 methods of
measuring arch-height in clinical trials, yet few of these theories have been suggested to
the most reliable and valid ones.
Methods & Materials: Medial longitudinal arch structure was assessed by measuring
the medial longitudinal arch clinically and radiographically and by foot print parameters
in 120 adults and children. Intratester and intertester reliability estimation was good to
excellent for all measures except volpon foot print. The strengths of agreement between
anthropometric and radiographic parameters was assessed with kappa. The clinically
determined truncated arch index, staheli foot print, bruken index, and arch angle in
children and adult agreed most closely with the radiographic indices of medial
longitudinal arch.
Conclusion: Radiographic methods of measuring medial longitudinal arch can be
substituted by the mentioned methods.
Keywords: Foot structure, Reliability, Validity, Flat foot
135
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Cultural Explanatory Models of Depression among Iranian women
And Comparison between conceptualize depression among women in Iran and Sweden.
Author: Ameneh setareh forouzan, Solving Elklan
Background and Aim: As one of the globally most prevalent diseases and an important
cause of disability, depressive disorders are responsible for as many as one in every five
visits to primary care doctors. Cultural variations in clinical presentation sometimes
make it difficult to recognize the disorder, resulting in patients not being diagnosed and
not receiving appropriate treatment. To address this issue the main aim of this study is,
to explore how Iranian people in three ethnic groups understand, talk about and cope
with women depression.
Materials and Method: The multidisciplinary study has a cross-sectional exploratory
design and using qualitative methods of data collection by focus group discussion, indepth interviews with lay people, key informants including psychiatrists, psychologists
and female patients diagnosed with major depression. The qualitative research design
has been chosen because it is useful in transcultural psychiatry and psychology research
and facilitates obtaining in-depth knowledge of human realities and meanings as well as
revealing the phenomena under investigation. In addition, they are applied as relevant in
a new culture where an exploratory design is needed.
Study was performed during Oct 2005 to May 2008 in two phase, pilot and main phase.
Participants were selected from three locations in the north-western (Tabriz), western
(Ilam) and central parts (Tehran, capital city of Iran) of the country representing
Turkish, Kurdish and Farsi ethnicities, respectively under supervision (Dejman, et al.,
2006). Study groups in each location included: Diagnosed depressed women were
selected from the psychiatric hospitals (according to the hospital records) and the
private and state psychiatric clinics at the three study locations (31 patients in three
locations. After interview the selected patients completed the Hamilton test (approved
by the main investigator) to verify the diagnosis of major depression. The patients with
negative results on the Hamilton test were replaced by others showing positive results.
General (lay) population were selected from public healthcare centres according. Study
the groups from the normal population were stratified only on the basis of gender, level
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
136
of education (low educated; Illiterate to high-school diploma/ high educated; above
high-school diploma and ethnic background. In pilot study, one focus group discussion
(FGD) with lay women and 2 individual interviews with lay woman and man were
performed at each location (a total of 3 FGD, 25 participants and 6 individual
interviews) has been conducted, and in main phase, four FGDs were conducted for each
ethnic group (2 focus groups for men and 2 for women, classified by level of education,
amounting to a total of 12 FGDs with 38 men and 38 women participants. Key
informants including psychiatrists and psychologists were interviewed (5 persons in
each location; a total of 15 persons). The key persons were selected among the
psychiatrists and psychologists in the main psychiatric hospital in Ilam and Tabriz and
two psychiatric hospitals in Tehran. The analysis was conducted both manually by the
research team at each location and with the help of the NVivo 7.0 software program.
Data were analysed firstly by open coding by the research teams. The second level of
analysis entailed moving from codes to interpretation and reconstruction
Results: Our study showed that people in the three ethnic groups in Iran presented a
model in which the symptoms and causes of illness were viewed as a response to an
event in the social world (such as death of relatives, job, etc).
Conclusion: Depression was perceived as an illness, however, one with a temporary
nature. Family pressure and gender linked factors are believed to be among causes for
depression. Participants believed it is necessary to seek help, and beside consultations,
alternative help-seeking behaviours included inclination towards religion, family,
friends support, positive thinking, and distraction of social problems. Medication is
often chosen as the last resort. Stigma was mentioned as an important factor that makes
people avoid visiting psychiatrists.
Keywords: Ethnic group, women, depression, IraN
137
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Developing a comprehensive program for promotion of
development in Iranian children.
Author: Roshanak Vameghi, Seyed Alireza Marandi
Introduction: Since lack of comprehensive and strategic plans for promotion of health
and development in Iranian children, has always been an important and serious
challenge in this field of work, the main objective of the present study was to develop a
document encompassing a comprehensive plan, on the basis of maximal professional
consensus among experts and heads of related governmental and non-governmental
organizations for promoting the normal development of Iranian children.
Materials and Methods: This was a qualitative study which was carried out in five
main stages, during which the first pre-draft, second pre-draft, first, second and third
(final) drafts of the document were developed respectively, mainly utilizing the delphi
procedure and focus group discussions. The study population was the population of
experts and executive managers of governmental and non-governmental organizations
dealing with child health, care and development in the country. According to qualitative
study protocols, it was tried to choose the best and most knowledgeable people, meeting
the inclusion criteria, as the sample for this study.
Results: The final document consists of ten sections: title, introduction, international
experience, definitions, present situation (including situational description and analysis),
goals, strategies, activities, priority groups and executive plans. The main goals of the
document emphasize on the reduction in incidence and prevalence of developmental
disorders, reduction in prevalence and severity of resulting complications and
disabilities, promotion of developmental status in normal children and efficiency of the
national system for prevention and intervention for developmental disorders.
Discussion: The authors recommend that the four main ministries dealing with child
health, care and development in Iran, that is the ministries of Health, Welfare,
Education, and Higher Education and science, on behalf of their mission and legal
responsibilities, take serious and effective steps for implementing this plan, at the
national level.
Keywords: promotion of development, children, prevention, early detection and
intervention, developmental disorders.
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138
Title of Research: Developing of service package for elderly in disasters, based on
Bam and Zarand earthquakes' experiences
Author: Ali Ardalan, Kourosh Holakouie Naieni, Fariba Teimoori
Aging of the population is one of the most significant changes in 21st century. It is
predicted that between years 2000 and 2050 population of people aged 60 and over
being twice as present that means from 10% to 21%, and their responsible population
from 600 million to 2 billion, in the year 2025, 15% of world's population will be elders
over 60 years age. Iran passed its demographic transition phase; in year 1998 the
population of elders in in the country was estimated to be 7.7%. Iran is a country prone
to natural disasters, specially earthquake and weather change. Just in 20th century,
around 20 major earthquakes had been happen that caused 140,000 deaths, destruction
of many villages and cities, and considerable economic damage. The experience of Bam
and Zarand earthquakes showed that there is no special program for vulnerable elder
people in the country and service provision for this population subgroup was in the
framework of that for general population. The aim of conduction of this project was
designing a service provision model for elderly in disaster using the experiences of Bam
and Zarand earthquakes.
After pilot this study was conducted in four main phases: in phase one a wide literature
review was performed to understand programs in other countries and international
organizations that deal with providing service in disaster situations, and main programs
for elderly were retrieved. In phase two main categories of essential needs of elder
people in disaster using a qualitative study with FGD approach in Bam earthquake was
hitted area were determined. In phase three, using findings of phases one and two a
survey was designed and conducted to assess situation and needs of elders in each one
of Bam and Zarand earthquakes. With cluster sampling method, 210 elder from each
area including Bam and Zarand regions were assessed. Stata ver8.0 with complex
sampling design was used for analysis. Questionnaires were completed with face to face
interview method. In phase 4 according to evidences gained from previous phases the
proposed package for providing services for elderly in disaster with focus on earthquake
was developed. The proposed package for service provision for elderly consists of two
main sections for organizational and personal disaster preparation.
Keywords: Elderly, Earthquake, Need assessment.
139
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research:
Author: Feteme khazaeli parsa
Drug abuse is biological, psychological, social, and even spiritual problems, which is
caused by several factors. These factors interact with each other and altogether result in
drug abuse. Knowing these factors would be beneficial in prevention programs for
reducing or eliminating their risk (even for pre – school duration)
Prevention is a proactive process which empowers individuals and systems to meet the
challenges of life events and transitions by creating and reinforcing conditions that
promote healthy behaviors and life styles Research has shown that there are a number of
risk factors that increase the chances of adolescent problem behaviors. Understanding
these risk factors is the first step toward identifying effective means of prevention.
Equally important is the evidence that certain protective factors can help shield
youngsters from problems. If we can reduce risks while increasing protection
throughout the course of children’s development, we can prevent these problems and
promote healthy, pro-social growth
Drug education may seem unnecessary for preschoolers, but the attitudes and habits
learned in children early life can have an important bearing on decisions they make
later.
A survey on records of drug abuse prevention program indicates that these programs
should start before school age because children can determine chemical substances at an
early age. Three-and four-year-olds are not yet ready to learn complex facts about
alcohol and other drugs, but they can learn the decision-making and problem-solving
skills that they will need to refuse alcohol and other drugs later
Regarding the importance and necessity of paying attention to health promotion of
children and drug abuse programs, this education package is designed and prepared for
the first time in Iran. The goal of this package is increasing knowledge and skill of
experts in drug abuse prevention field in kindergarten and preschools. The package also
aims at implementing and transmitting knowledge and skill related to community based
approach.
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140
in theoretical foundation section, topic such as psychological-social development in
children, health and health promotion, drug abuse prevention and also resiliency,
attachment, empowerment and their corresponding in children health promotion will be
explain.
On the other hand, drug abuse prevention in children and life skill, different kind of
games and parenting skills and their roles in drug abuse prevention would be explained
in practical foundation section.
You can get acquainted with community based approach programming, educational
goals and methods and also facilitating skill in the enclosure section.
Keywords: Health & health promotion, Drug abuse prevention, Attachment-Resiliency,
Empowerment, Life skill, Community based
141
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Efficacy of interventional education on girl’s mental health and
general self efficacy
Author: Mahshid Nouri
Objectives: Psychological disorders are one of the most important factors to decrease
the quality of life. According to W.H.O. report 25 percent of world population are
suffering from psyco-neruis disease. In iran investigation shows that 21% disorders in
adulescents it may be thought that psychological disorders normally happened in adualts
but documents shows that children and youth are more succeptive for psychological
disorders and the root of these disorders are commonly in their childhood.
The aim of this research was to investigate the efficacy of interventional education on
girl’s mental health for this reason we have choosen 18 girl’s high schools from high
schools, 125 students as interventional group and 125 student as control group were
selected. With simple random sampling. Interventional group were educated until the
control group were doing their normal activities, then by using information &
demographic questionery, GHQ questionary, general self efficacy (G.S.E.)1, pre-test
and post-test were implemented.
Method: We used SPSS, mean, standard devision, chi 2 and t-test for data analyisis.
Findings: The resultes of the research showed that, there was no significant differences
between girls mentalhealth & self efficacy in interventional and control groups, before
intervention, but after it, results was indicated that mental health, self efficacy & social
functioning were significantly improved although, depression and somatozation shows
decline.
Results: Early intervention can prevent mentalhealth disorder and cronic mental
disorder and increase mental health & self efficacy in students and caused better quality
of life.
Keywords: mental health , self efficacy , interventional education , students
1-General Self Efficacy
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
142
Title of Research: Epidemiology of Addiction Susceptibility in High School
Adolescents in four Region of country
Author: Rogayeh Vahdat
Background & Aim: Addiction and drug dependence happens only among a small
number people who tend to use addictive drugs. This shows that there is a considerable
difference in personal susceptibility to drug dependence that its base is formed first in
family system and then in society. in this researches in addition addiction susceptibility
questionnaire valid for Iranian high- school teenagers , with specifying the amount of
prevalence of addiction susceptibility and identifying Some factors that make the floor
for this susceptibility , the research has tired to have some part in guiding the drug abuse
prevention programs.
Materials & Methods: The study population was boy and girl students in the first,
second and third grander of high- school in Iran at the age of between 14 and 20 years
old. The study sample was 5884 students from 5 Cities in Iran (Uremia, Tehran, Ahwaz,
Mashhad and Zenjan) Which were selected through stratified random sampling method.
The instrument for gathering the data was the new edition of ASQ–AV questionnaire.
The data obtained from the study sample were analyzed with t-test, ANOVA, multiple
regression, correlation, exploratory factor analysis and path analysis (SEM).
Results: Findings showed that the prevalence of addiction susceptibility among Iranian
high- school students is 3/4%. Having a lot of friends, smoking friends, the course of
study and smoking experienced in lower ages are effective variations in addiction
susceptibility. Working mothers who prepares a good educational situation and
contribute to their Childress’s improvement are efficient in decreasing the addiction
susceptibility of their children.
Conclusion: present study emphasizes the importance of family and peers in forming of
addiction susceptibility. The findings give useful information for guiding drug abuse
prevention programs among teenagers.
Keywords: addiction susceptibility, Epidemiology, High School Adolescents
143
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Evaluation of force enhancement (anabolic steroids) and substances
abuse in Tehran’s gyms
Author: Hooman Angoorani
Objective: This study was designed to evaluate the prevalence of Anabolic Steroids
(A.S) and illicit drug abuse among male bodybuilders in Tehran gyms and to assess the
effect of different factors such as demographic situation of the gyms , socio-economic
situations , psychological well being and body image of bodybuilders on the substance
abuse.
Methods: In a preliminary observational study, the basic idea for designating this study
was formed in some gyms in different geographical parts of Tehran. The results of this
study, researcher`s experience and literature review, all helped to outline the theories
and questions of this study. At first with random sampling, the gyms in Tehran were
selected and then samples were randomly selected among their bodybuilders. This study
consists of descriptive and analytic parts which evaluate the A.S and illicit drug abuse in
gyms and also effective factors for this abuse. In this study, the data was gathered based
on a designated questionnaire together with two other questionnaires prepared to assess
the body image and mental health and finally data were analyzed by SPSS software.
Results: Samples were all male bodybuilder within the age range of 14 to 56 years
(25/7+/-7/1). A.S abuse was reported in 155 bodybuilders (16/7%). Legal supplement
consumption was reported in 543 person (58/4%) and 246 bodybuilders were illicit drug
abusers. Amphetamine was reported as the most commonly abused illicit drug. 148
bodybuilders (15/9%) were cigarette smokers and 148 bodybuilders were alcohol
drinkers. Based on the results of this study, illicit drug abuse is related to education,
income, and numbers of family members, exercise to entertain, owning a gym and
increasing self confidence. A.S abusers are more prone to abuse the illicit drugs.
Monthly income and duration of going to the gym affect A.S abuse. Also A.S abuse is
related to job, exercise in order to obtain social acceptability, increasing self confidence,
exercise to entertain and for championship.
Conclusion: This study shows a high prevalence of A.S and illicit drug abuse among
bodybuilders in different gyms in Tehran. There is a relationship between A.S and illicit
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
144
drug abuse and demographic situation and the goals for bodybuilding. According to this
study, A.s abuse is an important precipitating factor for drug abuse; therefore, with
precise supervision on the gyms, it is possible to decrease the rate of drug abuse and
addiction. In this study, Amphetamine is the most commonly abused drug but in
previous studies cannabis and hashish were the most common ones. This can be due to
the point that bodybuilders are more familiar with some positive effects of amphetamine
on exercise. Poor knowledge about the side effects of these drugs, incorrect and
exaggerating propaganda on the positive effects of these substances and the availability
of different kinds of supplements, are among the effective factors for growing rate of
A.S and illicit drug abuse in the gyms.
Keywords: Anabolic steroids, substance abuse, illicit drugs, addictive, gyms
145
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Evaluation of difference of frontal lobe function in elderly with
different level of physical activity
Author: Vahid Nejati
Back ground and Goal: with respecting decrease of cognitive performance and motor
abilities in older adults, new findings show that physical activity and exercise can
reduce cognitive deterioration of aging. The purpose of this study is evaluation of the
differences of functions of frontal lobe in older adult with different level of physical
activity.
Method: In this cross sectional study we evaluate 75 older adults. We use the Yale
physical activity questioner for evaluation of level of physical activity and the Stroop
color- word test, Wisconsin Card Sorting Test and Continuous Performance Test for
evaluation of functions of frontal lobe. One way ANOVA is used for comparing groups
with different level of physical activity.
Result: Findings show that number of error in the first and the third step of Stroop test
were significantly different in different level of physical activity. (P Value in both of
them was 0.002) The reaction time in the first and the third step of Stroop test were
significantly different in different groups. (P Value in orderly was 0.041, 0.006).
Comparing mean shows that the group with higher physical activity has higher
performance in Stroop test.
Performance of Wisconsin Card Sorting Test in preservation errors, number of
categories and correct responses don’t show difference in three groups. (P Value in
orderly was 0.457, 0.785 and 0.149).
In Continuous Performance Test preservation error and number of errors don’t show
significant difference (P Value in orderly was 0.130, 0.102) but response time show
significant difference in three groups. (P= 0.000) comparing means show that in older
adults with higher level of physical activity response time is slower.
Conclusion: this study shows that there are correlation between physical activity level
and executive function. As mentioned above reaction time, inhibition and selective
attention have higher performance in older adults with higher level of physical activity.
Key words: Elderly, Inhibition of Response, frontal lobe functions, physical activity
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
146
Title of Research: Evaluation of effective factors on successful detoxification and
relapse prevention in self-introduced substance abuser at welfare organization addiction
clinics between2002 - 2004.
Author: Hooman Sharifi
Background: This study tries to measure the impact of multiple factors in the
effectiveness of drug treatment. Theses factors mainly contains; 1- personal factors
(demographic, socioeconomic, personal history of drug abuse factors), and 2- the
models and techniques of drug treatment. This study’s target population is the clients of
drug treatment outpatient clinics (public and private) in Tehran, with the time frame of
2004-2006.
Method: This study is a descriptive quantitative one, but in the first step and to have a
situational analysis to select our study method and design the questionnaire, we had to
conduct a limited qualitative study. So, we had about 10 focused groups and in-depth
interviews with kept informants. During this study the medical records of 1372 clients
in 10 outpatient clinics has been studied.
Findings: Demographically 92.5% of cases are male and 4.8 % of them are female,
about 20.1% of them are multi drug users. The most common drug abused among the
cases are: 1- opium (34.3%) and crack (with unknown formulation-31.8%) heroin
(5.7%), buproneurphin (1.5%).74.7% of the subjects mentioned at least one history of
detoxification attempt but 24.3% had no previous drug treatment attempt. 76.1% of
cases had no more than one visit in detoxification process and 13.4 % of them had more
than one and 8.4% had more than two visits during detoxification period. In about 25.5
% of cases in public outpatient and 45.5 % of cases in private clinic," methadone” has
been used for detoxification. In about 4.7 % of the cases in public outpatient clinics,
drug treatment implementations were based on” the national technical guides “. In
about4.1% of cases there is no registration of treatment plan and progression in drug
treatment process in the existing records. In 57% of cases there are some degrees of
ambiguity in the patients’ treatment steps but in 42.1 % of cases continuation of drug
process has been registered in details. In about 1 % of cases of private ‘OPTs” there is
an obvious accomplishment of drug treatment process.
147
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Conclusion: In all different demographic groups of outpatient drug treatment clinics’
clients’ drug treatment process has a dramatic effect on successful drug detoxification
and relapse prevention. Besides consistent weakness in registration of drug treatment
process in existing records makes an ambiguity and bias.
Keywords: Detoxification, Drug, Drug treatment
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148
Title of Research: Evaluation of the first strategic planning program from 2003 to 2007
(1382-1386)
Author: Hossein Najmabadi
This descriptive study was conducted to evaluate the objectives of the strategic plan for
the Genetics Research Center (GRC) of the University of Social Welfare and
Rehabilitation Sciences (USWR) from 2003 to 2007. the main objectives of this
evaluation was determine the strengths and weaknesses of the objectives defined during
the strategic planning sessions. The results of the study will be used to revise and
strengthen the second strategic plan for the next five years. This evaluation shows that
71.4% of the academic staff was statisfied with the progress we have made toward the
objectives. Also, 64.3% of the students believed that the objectives of the program had
been successfully achieved. In addition, knowledge production by the Genetics
Research Center increased by 81.8% through the publication of scienctific articles in
international journals. During this period, the GRC successfully estabilieshed a PhD
program in the area of Medical Genetics, which commenced in 2007. Finally, this study
found that internal and external factors prevented this center from_ accomplishing the
complete set of goals definied by the strategicplanning program. External factors
include budget limitations, lack proportional increases in the dudget, lack of adequate
laboratory space that had been requested in the strategic planning sessions and changes
in the University policy. The most obvious internal factor was poor advice from nonexecutive regarding of some of the objectives in this strategic plan.
149
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Investigating characteristics of the high schools vulnerable to drug
use
Author: Marjan Posht Mashhadi
This research studies those characteristics of school related to drug use tendency in high
school students.
This is a descriptive and cross sectional study. 168 high schools in Tehran selected as
school sample and in each school 20 students selected as student sample(including 1111
girls and 1374 boys). Sampling administered in two phases. At the first, all restrictions
of the city from five geographical areas including south, north, east, west and center
consisted in sampling. Then considering high schools in these areas and the number of
schools in each area, sample selection was administered randomly.
Instruments including Iranian Adolescence Risk behavior Scale(IARS),School
Connection Questionnaire(SCQ), school information questionnaire and questioner
observational notes were employed. In the first phase of sampling, statistical population
consisted of all high school students in Tehran. In the second phase, those schools
whose students scores laid on the first and forth quarters on the drug and alcohol use
subscales of TARS took as sample population. Data analyzed using two-tailed t student
and k square.
Tendency to drug(P= 0.00) and alcohol, P= 0.00) use was more among boys than girls
while no significant difference found between two sexes for cigarette. Having alive
father was associated with less tendency to cigarette(P= 0.04) and drug(P= 0.018).
Those students whose parents were remarried had more tendency to cigarette, alcohol
and drug (father remarried: P= 0.001; mother remarried: P= 0.001). The more was
parents education, the more was tendency to cigarette and alcohol. Tendency to
cigarette was statistically different among those whose fathers had no education at all
and those whose fathers education was at M.S level or higher(P=0.22). This tendency
was highest in those whose mothers had Ph.( P= 0.00). Difference on alcohol
dependency observed between those whose parents education were at high school or
less and those with academic education (father education: P= 0.007; mother education:
P= 0.000). Tendency to cigarette and alcohol was the most in those whose family
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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income were more than 700 thousands monthly (cigarette: P= 0.000, alcohol: P=.000).
Cigarette, alcohol and drug use in family was associated with more tendendy to all of
these substances (cigarette:, P= 0.000; alcohol: P= 0.000; drug,: P= 0.000).
Tendency to all substances mentioned showed differences according to educational
level. Drug dependency was statistically different between high risk and low risk groups
(P= 0.032). Failure in school achievement made no difference among high risk, low risk
and medium risk groups. Factors related to school consultant and meetings with parents
found to have no significant role in drug tendency except the numbers of attendants(P=
0.015).
Considering factors related to environment around school, results showed that
environment made difference in tendency to cigarette and alcohol. Tendency to cigarette
found to be more in w restrictions(P=.009). Dependency to alcohol was more in higher
economic restrictionsP=.0000). School situation had significant effects just in drug
dependency(p=.003). Schools situated beside highway and large streets belonged to
high risk grouphigh risk group in alcohol(P= 0.002) and cigarette(P= 0.037) was also
situated in restrictions with less population. High risk group was more wealthy than the
two other groups. High risk group in alcohol(P= 0.004) and cigarette( P= 0.030)
tendency have got monthly income of at least 700 thousands tomans. Low and medium
risk group in cigarette and alcohol tendency situated in older restriction(P= 0.009).
Distance from police station made no difference among groups. Results showed that
educational instruments and school recreational activities have not been significantly
different in high and low risk groups regarding tendency to cigarette, alcohol and drug.
Aspects of school connection had different effects on risk taking behaviors. Belonging
to school in low risk students(cigarette: P= 0.007, alcohol: P= 0.019) and
commitment(cigarette: P= 0.002, alcohol: P=0.094) and relations with peers in high risk
students( alcohol: P= 0.018) were higher than others. Results shows high risk
adolescents had higher mean in scores of relations with peers in school in alcohol
dependency.
Keywords: drug abuse, cigarette, drugs, alcohol, tendency, adolescents, school
151
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Investigating the toxic effects of Morphine on Neuronal cell culture
Author: Professor Ali Mohammad Sharifi
Introduction: Apoptosis play an important role in normal brain development and also
in various neurodegenerative disorders. Opiate has been known to induce programmed
cell death in various cell types such as immune and neuronal cells but the exact
mechanism is unclear.
Aim of the study: In this study we sought to investigate the effect of Morphine on
apoptosis in PC12 cell and the possible involvement of BCl2 gene family including proapoptotic Bax and anti apoptotic Bcl2 genes and also DNA fragmentation.
Methods: MTT assay was used for measurement of cell viability, and DNA ladder
experiment was used for detection of DNA fragmentation and western blotting was use
for immuno-detection of apoptotic signaling peptide molecules and finally Hoechst
33342 staining was also used for detection of nuclear fragmentation.
Results: Exposure of PC12 cell with 1 mM Morphine in 96 hours induced cell death
measured by MTT assay in a dose dependent manner. Morphine in concentration of
1mM elevate expression of pro-apoptotic Bax protein at 96 hours of exposure while
there was no change in Bcl2 anti-apoptotic preotein expression comparedto controls.
Morphine in concentration of 1mM could produce DNA fragmentation showing by
DNA ladder pattern a a hallmark of apoptosis. Hoeechst 33342 staining of the cells
exposed to I mM for 96 hrs showed higher nuclear fragmentation compared to controls.
Conclusion: It might be concluded that Morphine could cause PC12 cell death, in
which apoptosis play an important role possibly by DNA fragmentation, higher
expression of Bax pro-apoptotic protein.
Keywords: PC12 neuronal cell, Morphine, Toxicity, Apoptosis
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Title of Research: Knowledge Translation Status at The University of Social Welfare
& Rehabilitation
Author: Mohammad Ali Hosseini
Introduction: Nowadays universities are expected to be accountable for needs of their
societies. Knowledge transfer (KT) will address this through exchange of the knowledge
between universities and other organizations and public sector. KT seeks to ensure
sharing of knowledge between universities as the creators of knowledge and the wider
community as recipient of that knowledge. Translation of research findings in to the
language of audiences and stakeholders constitute a fundamental part of knowledge
transfer. The purpose of this research was to study the status of knowledge translation
and identifying its influencing factors in the University of Social Welfare &
Rehabilitation in Iran.
Method: This descriptive study was a performance evaluation with all research staff of
the university as its subject population. A sample of 40 researchers participated in this
study. Research tool was a questionnaire originally developed by KT committee of
another university (TUMS) that was modified for this study and its validity and
reliability was reassessed (alpha =94%).
Of participants 47%were female, 50% holding a PhD, 68% faculty members, 53%
having more than ten years job experience, 85% having a research experience and more
than 70% were connected to organizations other than their own.
Results: Findings showed that mean score of items related to users need assessment and
translation of it in to a research project was 2.78.Mean score of items related to the
production of reliable evidence for decision-making was 2.87.Mean score of items
regarding application of research findings by the end users was 2.62 and the total mean
was 2.75. There was no significant difference in KT regarding sex, job and research
experience.
Conclution: Results suggest that overall knowledge translation status in this university
has been moderate, being lower than the expected level. Therefore, the appropriate
transfer of research findings must be promoted through strategies that eliminate
obstacles and encourage researchers to produce and translate research information
available and accessible to stakeholders for use in practice, planning & policy-making.
Keywords: Knowledge Transfer, Knowledge Translation
153
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Need assessment and surveying of psycho-social problems of
students for preparing of curricula of Life Skills Education Program.
Author: Reyhaneh Nikparvar et al.
This study was implemented to explore the psycho- social problems of the primary
students. The main purpose of this research was providing the content of curricula of
Life Skills Education program. This research consisted of 3 parts: 1-Reviw of literature
of Life Skills curricula, 2-Qualitative study and 3-quantetive study.
Qualitative part was implemented through Focused Group Discussion for teachers,
parents and students (totally 82 groups) in 6 provinces: Isfahan, Tehran, Sistan va
Baluchestan, South Khorasan, Khoozestan & Hormozgan. The Method of sampling was
purposive sampling by considering availability, cluster and random sampling for
selecting groups in each province’s samples. The data was coded and categorized. In
qualitative analyses similarities, conflicts & differences in results of 3 groups (teachers,
parents and students) were compaired. At this point, depth interviews were used to
attain to professional notions.
Giving credibility to quantity results, some questionnaires were designed for teachers,
parents and students. The aims of these questionnaires were to identify whether the
proposed problems in focused group discussions were the representative of society or
not. The Method of sampling was cluster sampling by considering availability, and
random sampling for selecting groups of teachers, parents and students in each
province’s samples.11 chosen provinces are: Isfahan, Elam, East Azarbayjan, Tehran,
Sistan va Baluchestan, Khoozestan, Hormozgan, Semnan, Kerman, Khorasane Razavi
& Mazandaran. The Amount of estimated sample size of each groups of teachers,
parents and students were 3000. In general, the number of participates in this study
were: 2905 students, 2228 teachers & 2147 parents. The Cronbach’s α statistic was used
for content validity of questionnaires; 0/8906 for parent’s questionnaire, 0/8606 for
teacher’s questionnaire & 0/9006 for student’s questionnaire. In analyzing
questionnaires, descriptive statistics, tables and frequency percent were used to
characterize that every proposed problems in focused group discussions which were
also proposed as a problem in greater society. The results that come up were :
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
154
1. In individual levels, the interventions should be focused on emotional and
behavioral problems and value & citizenship education. It’s obvious that proposed
problems in individual level is strengthened by the educational system of ministry of
education, economic system & media. Correction of patterns of planning in
prevention levels is necessary. Also there should be accommodation with any related
organizations.
2. One of the worrying issues for parents & teachers was the effect of technology like
satellite, mobile etc that need to interventional and preventional programs.
3. The results suggested that in order to solve current or further problems, the present
preventional programs, should be strengthened and also specialized. The teachers
and parents emphasized on psycho – social training for students. Also the results
showed that teachers and parents demanded these training: Parenting and puberty &
sexual education for all 3 groups (teachers, parents and students). In addition, the
educational system should be changed its score – centered method for assessing the
performance of students and should be provided a great psycho- social trainings for
students, parents and teachers.
4. Other results of this study suggested some issues that in preparing and revising of
the content of life skills curricula. These issues should be paid attention more:
conflict resolution skill, copying with negative emotions (especially anger &
jealousy management), interpersonal relationship, self –awareness skill (increasing
self esteem and body image), personal responsibility and citizenship education.
5. The study was prepared the typical samples of student’s behavior which help the
authors of curricula.
Keywords: Life Skills Education Program- Need Assessment- Preventional ProgramsSocial problems & harms- Students- Teachers- Parents
155
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Occupational and non-occupational risk factors for being hand
injured in an occupational accident
Author: Maryam Maghsoudipour
Background: Several studies have investigated the association between occupational
and psychosocial risk factors and occupational hand injury but findings were
inconsistent.
Purpose: The aim of this study was evaluation of occupational and non-occupational
risk factors in workers with occupational hand trauma.
Materials and methods: It was designed as a case control study. Ninety industrial
workers with occupational hand trauma were selected from Tehran nearby factories,
randomly. Eight cases were excluded from the study. Eighty-two cases and 83 controls
matched for age, gender and also occupation, were included in the study. Working
circumstances were assessed using a detailed occupational questionnaire as well as nonoccupational factors. The questionnaire was filled for any of cases and controls.
Results: Multivariate logistic regression model was used to test the association between
occupational and non-occupational factors and hand injury risk. Adjusted for
confounding factors; risky factors for occupational hand trauma were defined as:
rotational shift work, working in the early hours in the morning, working alone; and the
protective factors were defined as: availability of safety equipment or having the
implement equipped by safety tools.
The results of univariate regression analyses defined that using safety equipment by the
worker and safety education are also statistically significant.
Conclusion: The most important factors in preventing occupational hand injury are
availability of safety equipment or having the implement equipped by safety tools.
Safety education and using safety equipment by the worker are also important in
prevention and should be mandatory. According to the Iranian workers having more
relationship with coworkers as a supportive relationship would be noticed as a
protective factor. Working earlier in the workday needs more attention to prevent the
accident and schedule for the constant shift works could be safer than rotational shift
works.
Keywords: hand injury, occupational , shift work , safety equipment
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
156
Title of Research: Osteoporosis incidence in elderly patient diagnosed as lumbar canal
stenosis & comparison of their pain severity & quality of life
Author: Reza salman Roghani
Background: Lumbar spinal stenosis (LSS) is one the common disability in older ages ,
leads to walking , intolerance. On the other hand bone mineral density (MBD) has close
relation to weight bearing such as ambulation.
Objective: To evaluate spine and femoral SMD in elderly patients with LSS.
Material and methods: A cross – sectional analytical study was done on 87 elderly
persons with walking intolerance who refered to uswr affiliated clinics in the second
third semester of 2009.
87 patients with neurologic clandication and clinical impression of LSS were evaluated
in whom 77 patients have inclusion criteria have not exclusion criteria , so were intered
the study after compete diseussion tacking written informed consent.
Results: Among 77 LSS patients , 69 were women 8 were men. The mean age was 68.6
mean body mass index was 29. Among these 77 patients , 63 (81.8%) have LSS in MRI.
Among these 63 patients, 13 (20.6%) have spine osteoporosis, 26 (41.2%) have spine
osteoporosis and 63 (47.6%) have femoral osteopenia (P=./98).
Discussion & Conclusion: There were not any meaningful correlation between 153 and
BMD but about one quarter of 153 patients had spinal osteoporosis & more than 70% of
them had abnormal spinal BMD. Considering the exercise contraindication (flexion &
hyper extent ion) in patients with spiral osteoporosis, conservative management,
physical therapy & exercise prescription for LSS patients in on the other hand
simultaneous therapy of 153 & osteoporosis in these patients may have more benefits
which has worth evaluate in the tutored studies.
Key words: spinal stenosis, Bone mineral density elderly.
157
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Psychometric Properties of Persian Version of the Rey AuditoryVerbal Learning Test (RAVLT) Among Aged People
Author: Dr. Zahra Jafari
Introduction: The Rey auditory verbal learning test (RAVLT) is a commonly used
neuropsychological measure that assesses verbal learning and memory. The
psychometric characteristics of Persian version of the RAVLT were determined among
aged people in this study.
Methods: Test items were selected from a pool of common and high frequency words
in two different versions according to Lezak (2004) criteria. Our study was done among
250 normal aged people and 100 Alzheimer type dementia patients with 60 to 80 years
old in three elementary, junior and academic literacy levels from both men and women
from 2008 Aug to 2009 Feb. Normal individuals were subjects without history of
medical problem or any other diseases or factors that can affect cognitive ability. The
Alzheimer group was included from patients with definite diagnosis of psychiatrist and
abnormal results of MMSE and DSM-IV tests.
Results: To determine convergent validity, positive significant correlation was revealed
between four parts of the test and logical sub test of Wechler memory scale (p< 0.001,
r> 0.346). Analyzing discriminant validity showed significant difference between
normal and Alzheimer groups in all parts of the test (p< 0.001). Roc curve exhibited
97% sensitivity and 100% specificity for Sum part of the Rey test (p<0.001). High
positive correlation was shown between results of two different Persian versions of the
Rey test by completing them for 35 normal aged persons with two months time delay
(p< 0.001, r> 0.730) that revealed good test reliability. Significant difference was shown
between age and sex groups in the most parts of the Rey test and literacy levels in all
parts of the test (p< 0. 01).
Conclusion: Persian version of the RAVLT has good validity and reliability and can
use to evaluate and interpret the situation of short term memory and learning
performance of aged people and identification of individuals that affected by Alzheimer
type dementia.
Key words: Rey auditory verbal learning test, memory, learning, aging, Alzheimer
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
158
Title of Research: Psychometric properties of the Brief Symptom Inventory in a
sample of recovered Iranian depressed patients
Author: Parvaneh Mohammadkhani
The purpose of this study was to evaluate the Brief Symptom Inventory properties in a
sample of recovered depressed patients in Iran. A total of 354 patients, assessed with
the Structured Clinical Interview for DSM-IV Disorders (SCID) to ensure that they had
fully recovered from their most recent index episode of depression, completed a series
of self-report measures, including the Brief Symptom Inventory (BSI). Descriptive
statistics for the BSI are presented, and confirmatory factor analysis was used to assess
the fit of the hypothesized factor structure. Cronbach alpha coefficients were calculated
for the full global severity index and each of its nine subscales to examine the internal
reliability of the scale. The fit indexes in the nine factorial model was superior to the
unifactorial model, which indicates a match between the proposed nine factorial model
and the observed data. Cronbach’s alpha was high for the global severity index as well
as for each of the subscales. Overall, the Brief Symptom Inventory was validated in this
sample, and can be employed as a tool in outcome and process research and practice
with this population.
Keywords: symptoms, inventory, psychometrics, factor analysis, reliability
159
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Rapid assessment situation of substance abuse and dependency in
Iran (2008)
Author: Hooman narenjiha
Introduction:This analysis provides the authorities and policymakers involved in the
realm of drugs in Iran with a description of the current status of addiction and enable
them to better design appropriate intervention methods based on the existing situation.
Methods: 7769 quantitative questioners (1246 cases from treatment centers, 580 from
prisons, and 5943 from streets) and Qualitative questioners were completed by addicts,
their families, key officials in the Judiciary and the Police Forces.
Findings: the total number of addicts was estimated as 1.200.000; 94.8 per cent were
men and 5.2 per cent women.
About 44.6 per cent of addicts were under 29 years of age .The highest rate of addiction
was in the age group of 25-29 (25.7%). The education level of 59.7 percent was under
high school, As for their occupation, 34.6 per cent were among simple or expert
workers, The most prevalent substance used was Opium (34%), prevalent method was
Smoking (58%), The mean age of initiating drug abuse in the country was 22.78. 45.1
per cent of addicts have initiated drug abuse with their friends’ suggestions. The most
significant reasons for first drug abuse were: Curiosity (22.8%). The reason for initial
injection was as more pleasure (37.3%), 38.5 per cent of them were arrested last year
and 30.5% were sentenced to jail. Their most prevalent crime was drug abuse (27.9%)
and drug dealing (9.3%).
Within last year, 74.9 per cent of addicts have undergone treatment. Their first treatment
place has been their own homes (50.7%), The mean cost for treatment in a year was
about 175910 Tomans.
Key Words:
Prevalent Substance: The substance for buying of which the person, even with a limited
amount of money, sets priority.
Existing Substance: All substances abused either as the prevalent or as the substitute.
Simple Worker: Workers with high physical activities .No education is required for
their services, e.g. shoe shiner, porter, etc.
Skilled Worker: Workers with certain amount of activities spending non-academic
training courses, e.g. shoe- maker, gardener, barber, plumber, etc.
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
160
Title of Research: Recognition of consequences of addiction between women with
addicted spouse
Author: Roya noori
Objectives: recognition of consequences of living with addicted spouse and the
examination of effective factors on resilience women who exposed to harm.
Methods: in a case-control study 150 women with addicted husbands were compared
with 150 no addicted. Study groups were not significantly different by means of gender,
age, martial status, educational level, marital duration and having child.
Findings: consequences of substance abuse, extra marital sexual, physical violence,
decline in economic status, sexual disorders and action of suicide were mostly seen in
women with addicted husbands. Substance abuse is an indicator of the lack of
resiliency. Women with addicted spouse are less conscious, emotional stable and self
confident. In this group anxiety and depression is more than others. Resiliency is not
related to demographic qualities, economic status of women's family and characteristics,
but is related to violence and poly-drug husbands.
Results: non resiliency in women with addicted husband is the consequence of hard
addictive behaviors of husbands.
Key words
Resiliency: Resilience is defined as a dynamic process that individuals exhibit positive
behavioral adaptation when they encounter significant adversity or trauma (Wikipedia,
2007)
Sexual disorders: sexual desire, sexual pleasure, Delayed orgasm and disparunia
161
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Evaluating frequency of infection with HIV, HBV, HCV and
Treponema Pallidum among arrested injection drug users in detention and discharge
time in Tehran, Iran, 2006
Author: Dr. Minoo Mohraz & Dr.MohammadReza Jahani
Aims & Godls: Like more countries in the world, addiction is expanding in Iran. In
regard to increasing addiction prevalence and high risk behaviors such as injection drug
use can cause some chronic infections such as HIV, HBV,and HCV. This study was
conducted to measure HIV, HBV, HCV and Syphilis prevalence and characterize
associated risk behaviors among injection drug users (IDU) upon detention in Tehran,
Iran.
Metod: A cross-sectional survey included 499 male IDU in 2006. HIV, HBV, HCV and
Syphilis prevalence were 24.4%, 5.8%, 80.0% and 1.9%, respectively.
Discussion : After recording demographic information and risk factors, we conducted
bivariate and multivariate logistic regression analyses to determine associations with
these infections. Factors independently associated with HIV infection included history
of using an opioid in jail (OR 2.11, 95% CI 1.26 –3.53) and older age. Factors
independently associated with HBV infection included history of sexual contact
(OR=2.94, 95% CI 1.20-7.21; P=0.02) and age (P≤0.05). Factors independently
associated with HCV infection included history of incarceration (OR 4.35, 95% CI
1.88-10.08), age of first injection ≤25 years (OR 2.72, 95% CI 1.09-6.82), and history of
tattooing (OR 2.33, 95% CI 1.05-5.17). We didn't observed any associations between
demographic characteristics, sexual behaviors inside or outside of jail and history of
STDs with syphilis seroprevalence (P>0.10). Also, there were not any significant
association between type of drugs and years of drug abuse with HIV, HBV, and HCV
infections (P>0.10).
Results : HIV antibody was tested at intake and discharge time while P24 Ag was done
only at discharge; annualized incidence rate was 16.8% (95% CI 7.6-31.6).
We propose other studies about these infections by considering control groups from
society to be compared with the centers such as prisons.
Keywords: Frequency, Hepatitis B, Hepatitis C, Treponema palidom, Injection Drug
User
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
162
Title of Research: Sleep patterns, sleep disturbances and sleepiness in the retired
Iranian elders
Author: Kazem Malakoti
Introduction: Older people complain of their sleep more than their younger
counterparts. Changes in sleep patterns and higher prevalence of physical and
psychiatric problems with increasing age can be mentioned as the causes. This study
intends to gather preliminary information regarding the sleep patterns and sleep related
disorders in a group of Iranian elderly.
Method and materials: In this descriptive- analytic study, 390 elderly presenting at
the. National Retirement Organization, who gave their consents to participate in the
study selected by easy sampling. Then, Pittsburgh Sleep Quality Index, Epworth Sleep
Scale and General Health Questionnaire- 15 were implemented for them. The gathered
data analyzed by using chi- square test, t- test, one-way analysis of variance and logistic
regression.
Results: Most of the subjects were in the age range of 60-75 years old, literate, and
married and lived with their families. Mean score for sleep quality was 8.4 and the
scores of 87% of the subjects were higher than the cut- point. Most prevalent sleep
disorders included snoring (26.7%), insomnia (30.5%), sleep duration less than 6 hours
(47.4%) and repeated awakenings (48.5%). 30% of the subjects, also complained of
mild to severe sleepiness. Sleepiness showed a significant correlation with the level of
mental health (OR= 1.8).
Conclusion: High prevalence of sleep problems in Iranian elderly points to the factors
relating to daily activities and life styles as the contributing causes. Hence the results of
this study only can be generalized to the middle class elderly residing in big cities,
further research on rural populations and in the national level recommended.
163
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Study and conceptualization of special needs, identification of
groups with special needs and research priorities in this group
Author: Farhoudian, A
Object: This study conducted to identify the target groups of research center for
psychology and special needs in psychological, social, spiritual and physical aspects.
Material and method: The study is a qualitative research with grounded theory
method. After reviewing the relevant literature, 10 groups were purposed as individuals
with special needs and 100 people were selected through a purposeful sampling. These
groups included: 1- children, 2- aged people, 3- people with a sensory motor disability,
4- psychiatric patients and mental retards, 5- people with special medical needs. 6Substance abusers, 7- prisoners, 8- marginated people or minorities, 9- people with low
socioeconomic status, 10- pregnant women. Data was collected in semi-structured
interviews and then was analyzed with Strauss & Corbin coding manner or continued
comparison.
Findings: Most important domains of special needs in our groups were: family,
education, amusement, movement and transportation, building and places (houses and
public places), social participation and occupation, treatment and rehabilitation services,
and people's attitude toward their problems.
Result: The results indicates that "special need" term is related to disability and,
disability often is due to one's characteristics and obstacles caused from society.
Therefore, without attending to all society members in developing services and
facilities, each person might be disabled and with the special needs. The needs of these
groups are different in variant circumstances (usual or critical). Also, they may be
different depend on sex and age. But there are several barriers in obviating the needs
and majority of them are occured by human such as non efficient systems and services,
discriminatory policies, prejudice attitudes, etc. in order to enhancing social
participation of disabled people and promoting their life styles as equal as other people,
the public systems such as places and buildings, houses, transportation, educational and
vocational opportunities and socio-cultural life (e.g. sport and amusement equipments)
should be available for all people in a equal way and proper to their abilities and needs.
Key words: special needs, special groups, disability, community based rehabilitation.
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
164
Title of Research: Study of Phonological Processes of 2-4 Year Old Farsi-Speaking
Children in Tehran
Author: Sima shirazi
Purpose. phonological processes are the changes children make in pronunciation while
uttering words. The present study aimed at investigating phonological processes of 2-4
year old Farsi-speaking children.
Methods. The subjects of this cross-sectional, descriptive-analytic study included 128
24-48 months old Farsi-speaking healthy boys and girls without any auditory, visual,
physical, mental, speech, language, emotional, functional and structural articulation
disorders. They were selected by simple random selection method from nurseries of
different areas of Tehran.
The research tool was a researcher-make phonological processes test composed of 43
one-to-four syllable words including all Farsi phonemes by which the categories of
syllable structure, substitution, complete assimilation, replacement and other processes
were analyzed. The data were analyzed by independent t. test and man-whitney test for
gender groups and one-way Anova and Kruskal-wallis tests for age groups comparison,
using SPSS (Ver. 11/5).
Findings. Results showed no significant difference between boys and girls.
Phonological processes showed a decrease trend by increasing age. In fact, different age
groups revealed significant difference (P Value < 0/05) in all 27 phonological processes
except for syllable reduction, consonant addition, duplication, nasal substitution, glide
substitution, affricative substitution and replacement.
Conclusion. The findings of the present research seems to reveal that gender has no
effect on phonological processes. But by increasing age, these processes decrease which
may reflect greater mastery of older children on pronunciation. Future research on older
age groups may show the age of end of these processes.
Key words. phonological processes, syllable structure, substitution, assimilation
165
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: Study of the level of knowledge, attitude and practice in breast
feeding mothers referring health and treatment centers of Tehran in performing sport
exercises
Author: Sima Ghasemi
Introduction: Benefits of physical activities and sport in maintenance and
improvement of health, especially in women is totally identified through the life. On the
other hand physical, mental, emotional, social and economic benefits of breast feeding
is totally proven. According to the results from the available researches, compatibility
and suitability of sport and lactation has been totally proven.
Objective: The objective from this research work is to study the knowledge, attitude
and practice in breast feeding mothers in the field of physical activities and effective
factors on exercises.
Materials and methods: To this end 200 breast feeding mothers referring health and
treatment centers of Tehran have been random selected from five centers through the
questionnaire and their knowledge, attitude and effective factors on exercise were
studied. Regarding practice, comprehensive physical activity questionnaire from World
Health organization was used evaluating the three fields of work, exercise, leisure time,
going from one place to another, level of physical activity. Data were analyzed using
SPSS Statistical software after being collected.
Findings: According to the data from this research work, 74.5% of mothers were highly
aware while 80.5% had positive attitude toward exercising during lactation. In term of
physical exercise only 14% were performing some type of sport activity. Regarding
physical activity, 58% of the subjects had average physical activity among the total
activities in all three fields. As well the study showed that the average physical activity
among lactating mothers in the field of work was 38 min per day, going from one place
to another using bicycle or walking for 15 min per day and 5 min per day of exercise in
the field of sport activities.
Among the most important factors of having no sport activity the reasons were having
no enough time, having small children, giving no importance to sport activities and lack
of exercise space for women respectively.
Conclusion: However most of breast feeding mothers in this study had high knowledge
and positive attitude toward the benefits of exercises during lactation, their activity level
was so limited. More than one second of the study subjects had average physical
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activities which are related to the total level of activities in the field of work,
displacement and exercise, and more allocated to the activities in the field of work while
physical activity as mere exercise was so low.
So it is recommended that health employees, especially those in health and treatment
centers should encourage mothers to perform and follow both health behaviors, namely
exercise and breast feeding and arrange short term exercise plans for lactating mothers
in post labor and lactation care services. Further researches on the effects of health
training models on exercises in lactating mothers seem to be necessary.
Key words: Breast feeding, physical activity, knowledge, attitude, practice
167
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Title of Research: Study on compare of life style, parenting style, self-esteem and birth
order between substance dependent and nondependent people in Tehran
Author: Ali Hosseinaei
Objective: This study aimed compare of life style, parenting style, birth order and selfesteem between substance dependent and non dependent people in Tehran.
Method: for this objective demographic questionnaire, Basic Adlerian Scale for
Interpersonal Success - Adults form (BASIS-A), Macloan and Merrell perceived
parenting style, and Coopersmith self-esteem questionnaire administered among 404
people in Tehran.
Results: findings show that belonging-social interest, wanting recognition and being
cautious life-styles is different between substance dependent and nondependent
individuals and going along and taking charge is not different. in belonging-social
interest and wanting recognition life-styles non-dependents and in being cautious life
style dependents have higher scores. perceived parenting style wasn't different between
dependents and non-dependents. Birth order (first child, middle child, last child
(benjamins), only child) was different between dependents and non-dependents. selfesteems (family, academic, social and general) was different in dependents and nondependents. In this study self-esteem was different between individuals with different
birth order and life styles was different between individuals with different birth order.
Logistic regressions show that belonging-social interest life style predict the substance
dependent and explain 19% of variance. Other life styles explain variances by: wanting
recognition 13%, taking charge 12%, being cautious 8%, going along 6%.
Path analysis show that belonging-social interest has a high and negative relationship
with substance dependence and substance abuse. Going along life style has low
relationship with substance dependence and high relationship with substance abuse.
Wanting recognition has high negative relationship with substance dependence and low
relationship with substance abuse. Self-esteem has low and negative relationship with
substance dependence and abuse. Totally, 12% of variables of substance dependence
and 7% of variables of substance abuse was life styles and self-esteem.
Outcomes : Results of this study suggested that belonging-social interest, wanting
recognition being cautious, life style self-esteem and birth order is substance
dependence and abuse risk factors. Going along and taking charge has low relationship
with substance dependent and abuse.
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This findings show that according to Adler theory life style, self-esteem and birth order
related to substance dependence and abuse but perceived parenting style was not related
to substance-related behaviors. Therefore, might be with change in life style, and selfesteem and attention to birth order, prevent substance dependence and abuse.
Key words: life style, perceived parenting style, self-esteem, birth order, substance
dependent, substance abuse, addiction, Adler, Tehran.
169
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Title of Research: surverey mothers of hospitalized child sterssors in besat hospital
Author:
Introduction: Hospitalization is a stressful experience both for child and its
parents.children for dependent on mothers so mother stress or anxity influence them as
well as disorder children well being.
Objective: The purpose of this study descriptive was to identify stressors in mothers
attending hospitalized children.225 mothers of child hospitalized was selected
randomly. Data collection tool was a questionnaire including two sections:the first part
including demographic characters of mothers and child and second part included four
categories include child categories, environmental categories, social-economic
categories and health professional’s categories, for measurement stressors agents in
mothers.Information collection completed with reading questionnaires for mothers
Analyses of data were done by descriptive statistics and deductive statistics (one way
ANOVA and T test).
ResultsResearch finding about child categories showed that most of (%84) related
extremely Item in fear of death in child question, in social-economic categories most of
them (%82/7) related extremely item in care of sibling by reason of child hospitalization
question, in environmental categories most of them (%65/3) related without stressor
item in child stool and urine sampling with mothers question and in health professional
most of them (%59/2) related extremely item in no enough explanation nursing about
inline procedures question. Result showed there was a significant correlation between
mothers of hospitalized and age of mothers, employment, and age of hospitalized child.
But wasn’t a significant correlation between stressors and mother education, marriage,
number of marriage, sex of child and grad of child admitting hospital.
Conclusion: finding results from this research indicated must provid education
planning better than now for health provider about relationship with mothers of
hospitalized children.This research can provided background for other research on aim
better understand stressors in mother of hospitalized children as well as well –being
and known these factors coping’s method and help with them better perform.
Key word : Mothers- Hospitalized child-stressors
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170
Title of Research: Systematic Review of Studies on Street children in Iran in recent
Decade
Author: Meroe Vameghi
Objective: Regarding the studies on street children and necessity of evidence based
decision making to use the results of studies and planning for purposive studies in future
seems a priority. This study tries to classify and evaluate these studies in Iran in recent
decade according to their strengths and weaknesses in order to use their results in policy
making and planning for street children.
Method: We used systematic review method in this study. By searching Iranian and
international databases, many universities and related organizations in Iran, we found 51
researches and after evaluating their quality by a researcher made quality evaluation
form, findings of 41 researches were classified, described and analyzed.
Findings: Meta analysis (weighted average) of results of studies shows that %90.6 of
street children are boys. %82.9 are illiterate or have an education level under high
school. %85 have relationship with their families and %85.3 are come from families
with more than 5 persons. %91.3 of their fathers and %85.5 of their mothers are
illiterate or have under high school education. %80.9 of their families have incomes less
than 1000,000 Rials and about %80.18 of children have a kind of job.
Conclusion: The studies reviewed are mainly focused on epidemiologic properties,
etiological factors and outcomes of problem of street children. Studies are mainly
descriptive and the rare analytic studies suffer from methodological problems. Some
findings of epidemiological properties of street children is in coordination with primary
percepts regarding them but because of the few sample size or methodological
weaknesses of analytical studies, obtaining net results about etiological factors,
outcomes and interventions’ evaluation is difficult.
Key Words: Iran, Street children, Systematic review
171
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: The challenges of life after stroke based on experiences of stroke
survivors, their family care givers and formal care givers and suggest a strategic plan for
better life
Author: Asghar Dalvandi
Background: Stroke is a major cause of disability, worldwide. It is a life threatening
and life-altering event, which leaves many physical and mental disabilities, thus
creating major social and economic burdens. Experiencing a stroke and its aftermath
can be devastating for patients and their families. In Iran many services are not available
for those who lack property; this may result in many difficulties and long-term problems
for stroke survivors and their family members who are usually the main caregivers in
Iranian cultural. Despite of its effect on their lives, little is known about how the
survivors perceive stroke in the Iranian context, therefore knowing more about this
process may enhance problem identification and problem solving.
Aim: To illuminate how stroke survivors experience and perceive life after stroke
Method: A grounded theory approach was recruited using semi-structured interviews
with 10 stroke survivors.
Results: The survivors perceived that inadequate social and financial support, lack of
an educational plan, lack of access to rehabilitative services, physical and psychological
problems led them to functional disturbances, poor socio-economical situation and life
disintegration. The core concept of life after stroke was functional disturbances.
Conclusions: The study shows the need to support the stroke survivors in their coping
process with their new situation by providing appropriate discharge plans, social and
financial support, social insurances and training programs for the stroke survivors and
their families.
Key words: life after stroke, stroke survivor, experiences, grounded theory, Iran
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172
Title of Research: The effect and comparative of functional brace with/without patellar
tendon bearing on treatment in patients with Achilles tendon rupture.
Author:
Background: There has been considerable debate regarding the best treatment of the
Achilles tendon rupture. One of the nonoperative treatment method for Achilles tendon
rupture is using the functional brace.
Objective:The goal of this study was the effect and comparative of the functional brace
with/without patellar tendon bearing on treatment in patients with Achilles tendon
rupture.
Methods: In this semi expremental study,17 patients with Achilles tendon rupture were
recruited, but 3 of them were lost to follow up and the remaining 14 patients that were
randomly allocated into 2 groups were available for examination.
Pain, plantar and dorsi flexion strength and the needed time for progressively increased
dorsi flexion position in orthoses to reach the neutral position, satisfaction, the
circumference of calf were measured. Data analysis has been done with Independent
T-Test , Smironov-Kolomogrov, Mean defference by SPSS13.
Findings: The difference of The pain and the plantar and dorsi flexion, satisfaction, the
circumference of calf in each group, before and after the intervention was significant
(p<0.05). But the defference between two groups after intervention in all variables was
not significant.
Conclusion: According to finding of this study, both orthoses are effective on
improvement of pain and the plantar flexion and dorsi flexion strength, satisfaction, and
also are effective in needed time to reach the neutral position and the circumference of
calf. But there is no difference between the effect of each orthosis on the variables.
Keywords: Achilles tendon rupture, functional brace, pain, satisfaction
173
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Title of Research: The Effect Of Health- Nutrition Education On Health Promotion In
Resident Elderly In KAHRIZAK In TEHRAN
Author: Sima GHasemi
Background: Aging is natural course of life which accompanied by changes of
metabolism. The changes susceptible elderly to malnutrition in researched was do in
this back ground about 3-13% of aged population involved to manlutrition that this rate
increased to 30-60% in institulized elderly .
In this study we assessed the effects of medical care staffs education on nutritionl
situation of elderly livid in KAHRIZAK cherity Foundation in TEHRAN during 4
months .
Material and Methods: 192 elderly which lived in KCF and equal or older than 65
satisfied in including to this study randomely .(50 males and 142 females )although for
inclusion they had not involved to an staged liver and renal disease and had not history
if surgery during one months before initiated of study . We checked HB,HCT ,LDL,
HDL, FBS, CRP, ALB ,Although assessed MNA\, MMSE , ADL, Norton sore before
and after educational intervention . Educational workshop operated for medical and
nursing staffs of KCF during 3 days. Clinical and para clinical assessments did 4
months, again, after that, and collected data entered to EXEL and analizied by SPSS
soft wares.
Finding: Before educational intervention 35.9% of elderly had very sever or sever
manlutrition that after intervention decreased to 18.3% mean of ALB , HB , HCT ,
LDL , F.B.S. , increased after invention and significant (p<0.05). Nutritional situation
correlated to age , mouth and sowallowing disorders , poly farmacy , cognitive
condition , ADL score in eating and Norton scores significant.
Conclusion: Base of this finding is concluded medical and nursing staffs nursing homes
has significant effects decrease of moderate and sever manlutrition in elderly .
Education in this instated have to continuse and not cross over like this study for
significant paraclinical improvements of nutritional indicators.
Key words: Aging , Nutrition , health education , MNA
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174
Title of Research: The Effect of Sensory-motor Exercise Therapy on Recovery of
Neonates with Obstetrical Brachial Plexus Palsy
Author: Hossein Karimi, Amir Masoud Arab
Introduction: Brachial plexus paralysis is one of the serious form of neonatal
morbidity which is called as Obstetrical Brachial Plexus Palsy (OBPP). Weakness of
upper extremity muscles such as deltoid, … is one of the most common and earliest
symptom of OBPP which disturb functional activity of upper limb. Because of muscular
paralysis, the arm is asymmetrical and is hanging beside the body. The upper roots are
usually most at risk. OBPP could result in long term motor and functional disturbance
of upper limb. During the past decades, the main focus has been placed on early
rehabilitation in OBPP and other disorders for better and earlier functional recovery. So
many investigators emphasized to early rehabilitation program in these disorders
although some type disorders might be automatically recovered. Lately advanced
rehabilitation program focus on active exercise therapy based on sensory-motor
integration in neuromuscular disorders. Considering the significance of sensory- motor
exercise therapy, no experimental study has directly investigated the effect of sensorymotor exercise therapy in patients with OBPP. The purpose of this study was to
investigate the efficacy of sensory- motor exercise therapy in the treatment of patients
with OBPP and compare it with those of a conventional method of treatment.
Matherials and Methods: 20 neonates with OBPP who are referred for physical
therapy intervention are selected. The patient population in this study is a sample of
convenience made up of neonates who are between ages 1-2 months. Patients were
included if the electrodiagnostic tests showed Bearchial plexopathy (Block &
Demyelination). Distal latency and amplitude of deltoid, extensor digitorum communis,
abductor pollicis brevis and adductor digiti minimi were measured before and after
treatment. The treatment regimens for control group consisted of the gentle passive
exercise. The experimental group patients were treated identically to the control group
but they also receive sensory- motor exercise therapy program.
Results: Paired t-test revealed significant difference in motor distal latency of axillary
nerve, amplitude of axillary nerve and amplitude of axillary nerve after treatment
sessions in experimental group compared with pre-treatment score. The results of paired
t-test also showed significant difference in motor distal latency of axillary nerve,
amplitude of axillary nerve after treatment sessions in control group. In the ANCOVA,
175
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
controlling for pre-test scores, significant difference was found between the two groups
in the after treatment sessions motor distal latency of axillary nerve, amplitude of
axillary nerve.
Conclusion: In conclusion, the application of sensory- motor exercise therapy program
combined with passive exercise produce significant improvement in the upper extremity
function in 20 neonates with OBPP.
Key Words: Brachial Plexus Palsy, Erb-Deuschen, Obsterical Brachial Palsy, Sensorymotor integration, Exercise therapy
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176
Title of Research: The effectiveness of Narcotics Anonymous (NA) programs in Iran
Author: Akbar Aliverdinia
This paper examines the effectiveness of Narcotics Anonymous (NA) programs in Iran.
The self-help movement has swept forward around the country and around the world.
To assess the impact of the narcotics anonymous 12 steps programs on respondents'
attitude toward drugs the randomly selected 581 respondents from who participated at
Narcotics Anonymous meetings in provinces of country were chosen by multistage
cluster sampling method. The respondents answering the questionnaire self- administers
method. Some independent variables such as attachment, commitment, social support,
belief, association with NA and self-control explained the variations of attitude toward
drugs as dependent variable.
Recent study confirms that weekly participation in Narcotics Anonymous 12-Step
programs, help people in recovery to maintain their abstinence from drug use. The
investigator examined an association between NA attendance and abstinence from drug
use. Results indicated that 12-Step attendance was associated with lower drug use.
Analyses also indicated that subjects who persisted in attending 12-Step programs over
time were significantly less likely to have used drugs than were subjects who dropped
out.
Keywords: Narcotics Anonymous, Association with NA, Self-Control, Attitude toward
Drugs.
177
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Title of Research: The evaluation of quality of life of mothers of children with cerebral
palsy: comparative study with recommendations for improvement
Author: Asghar Dadkhah, PhD.
Purpose: To evaluate the quality of life of mothers with children suffering from
cerebral palsy compared with those who have children with minor health problems.
Method: Forty mothers with a child suffering from cerebral palsy and 44 mothers with
a child suffering from minor health problems participated in a comparative study. The
Turkish version of the Medical Outcomes 36-Item Short Form Health Survey (SF-36)
was used to assess a mother’s quality of life. The severity of a child’s motor disability
was assessed using the Gross Motor Function Classification System (GMFCS).
Results: With the exception of the SF-36 physical functioning subscale, the mean
scores on the SF-36 subscales were significantly lower in mothers of children with CP
than those of the comparison group. The quality of life scores of mothers were
significantly correlated with the severity of a child’s motor disability (except physical
functioning subscale). Significant correlations were found between GMFCS and the role
physical; vitality; role emotional; and mental health subscales of the SF-36.
Conclusions: The quality of life profile of mothers of children with cerebral palsy is
different from those who have a child with minor health problems. Different coping
strategies and psychosocial programmes must be designed and implemented to decrease
the burden of care.
Keywords:. quality of life; mothers of children with cerebral palsy; mothers of children
withslight health problem
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178
Title of Research: The Evaluation of Satisfaction level of Stability training exercises in
patients with mechanical nonspecific chronic low back pain
Author: Karimi N, PT, PHD.
Background: There is limited evidence on chronic low back patients' perception and
satisfaction of the treatment with spinal stabilisation exercises and their overall
experience of the treatment program.
Objectives: To evaluate the satisfaction level of patients with mechanical nonspecific
chronic low back pain after participating in a Stability training program.
Patients and Methods: At first, a methodological study was designed to develop a
satisfaction questionnaire, and then content validity and test-retest reliability of it were
determined. All patients (n=43, age=23/94±6/47; height=176/84± 8/83; mass=74/42±
6/5) participated in a stability training program within a randomized controlled trial
(RCT). Finally they filled in satisfaction questionnaire.
Results: Distribution of demographic variables were normal (P>0/43). 53/5%of patients
had solitary type occupations. 58/1% had history of sport activities. Also, pain location
and extension in 46/5% and 65/2% were in lumbar region only. Content validity of
satisfaction questionnaire was between 74 and 98/5. ICC and SEM of questionnaire
were0/82 and 0/47 respectively. After stability training program, pain was decreased
(p<0/001) and functional ability was increased (p<0/002) significantly. Overall Score of
satisfaction questionnaire was 16±4/07.
Conclusions: Chronic mechanical low back patients were satisfied after participation in
stability training program. Pain reduction and better functional ability may be 2 factors
that relate to satisfaction of these patients.
Keywords: low back pain, satisfaction, function
179
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Title of Research: The evaluation of the demand for training in substance use in
employees of Welfare Organization, Tehran, Iran.
Author: Mahmod Tavakoli
Aim: The aim of this survey was the evaluation of the demand for training in substance
use in employees of Welfare Organization, Tehran, Iran.
Methods: This study had two parts: 1) qualitative, using FGDs, 2) survey as a
quantitative study. In the quantitative part, staff of the welfare organization that carries
out substance use care were surveyed. Questions on personal details and experience
related to the training courses were asked. Training needs were assessed through
questions concerning the need for further training. Questionnaire included both open
ended questions, and answers were coded to the fields of treatment, consultation, basics,
prevention, research, harm reduction and other training needs.
Results: According to the qualitative part, establishing of a academic degree in
substance use was belived to be essential, although the long duratio needed for
establishing it highlights the need for substance use included curret majors, including
40% of corriculum of the substance use. Master, speciality of MD, psychiatry
fellowships and PhD are different degees for the substance use academic majors.
Participants emphesize the need for research in such majors. The importance of
presidency of drug control from such academic degree establishment seems nesacary.
Financial resources should be spedifized for such great objectives. In quantitative part,
45.7% of the participants were female, 28.6% were physicians, with a job experience
between 6 months to 21 years. No one reported not having training needs, minimum and
maximum of training needs were 1-7, with a mean (SD) of 3.6 ± 2.1. 66% requested
academic major for substance use in the country. 42% of participants requested short
training courses such as workshops. The most frequent training need was treatment,
consultation, basics, prevention, research and harm reduction which was reported in 41
(78.8%), 32 (61.5%), 30 (57.7%), 26 (50%), 22 (42.3%) and 5 (9.6%) participants. 34
(65.4%) participants reported other training needs.
Conclusion: In qualitative part, the need for a substance use major in Iranian
universities were emphesized. The importance of financial resources was highlighted in
this regard. As 66% of welfare substance care staffs need an academic degree in
substance use, and the most frequent training needs were treatment (78.8%) and
consultation (61.5%), welfare organization, ministry of health and medical education
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180
and also presidency for drug control should emphasize more on training of their staffs,
specially in some specific fields.
Keywords: needs assessment- training needs- substance use- Welfare Organizationtreatment- prevention- harm reduction
181
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research: The impact of physical therapy interventions on different aspects of
health related quality of life in patients with type 2 diabetes.
Author: Nouraddin Karimi
Background: Exercise is one of the most important components of managing type 2
diabetes. However, Limited research has been conducted that investigates the effects of
a physical therapy intervention (including pain modalities and combined strength and
aerobic training programs) on health related quality of life in people with type 2
diabetes.
Objectives: investigate the impact of a 3 month physical therapy interventions on
different aspects of health related quality of life including physical functioning, role
limitation-physical, bodily pain, general health, vitality, social functioning, role
limitation- emotional, mental health, physical component summary, mental component
summary and total scores using SF-36 scale in subjects with type 2 diabetes.
Patients and Methods: All subjects met the inclusion criteria for type 2 diabetes in this
study. The patients were randomized to control group (n=65, age=56/29±9/6 mass=
76/06± 7/13) and physical therapy interventions group (n=65, age= 58/47±7/42;
mass=74/61±6/22). All patients in the latter group were given a training session and
received 30 minute pain modalities (IF, IR and kneading massage). Then stretching,
strength and endurance exercises with emphasizing on lower extremity were trained to
them during 3-4 sessions. The patients did the supervised exercises 3 times per week
during 3 month. The control group did not receive any treatment. All subjects were
given an SF-36 scale to fulfill pretest and posttest.
Results: There were no significant differences in the main parameters of demographic
and health related quality of life variables among groups at the baseline. At the end of
the rehabilitation program, In a within group comparison, the results of wilcoxon
analysis showed significant changes in physical functioning, role limitation-physical,
bodily pain, general health, vitality, social functioning, physical component summary
and total scores of SF-36 scale (P<0.05). But role limitation- emotional, mental
component summary scores were not significance (P>0.05). Also, there were no
significant changes in the control group.
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182
Conclusions: Regular supervised integrated exercise may be an effective intervention in
type II diabetic patients, which significantly improves quality of life especially physical
components in patients with type 2 diabetes.
Keywords: Diabetes, Quality of life, Physical therapy.
183
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Title of Research: The prevalence of metabolic syndrome among an Iranian cohort of
inpatients with schizophrenia on typical and atypical antipsychotics
Author: Omid Rezaei, M.D.
Background: Cardiovascular disease is an important cause among natural causes of
death in schizophrenic patients. The metabolic syndrome (MetS) has been associated
with an increased risk of morbidity and mortality due to cardiovascular disease. There
are limited if any data on prevalence of MetS in Iranian patients with schizophrenia.
Methods: Between Dec 2007 and May 2008, all consecutive patients with
schizophrenia hospitalized at our university psychiatry hospital were entered in the
study. The prevalence of Mets was evaluated based on the National Cholesterol
Education Program (NCEP) Adult Treatment Panel III (ATP-III), the adapted ATP-III
guidelines (ATP-III A), and the recently suggested criteria by International Diabetes
Federation (IDF).
Results: Of the study participants, 223 were men (59.9%) and 149 women (40.1%).
Overall prevalence of the Mets according to the different definitions were 27.4% (ATPIII), 37.6% (ATP-III A), and 38.7% (IDF) which was over 30% more than the
prevalence of MetS in the Iranian general population. The Mets was much more
prevalent in women which mainly related to the fact that women had central obesity
more frequently.
Conclusions: Our results confirm the high prevalence of MetS in schizophrenic
patients. These results clearly suggest the necessity for a careful monitoring and
management of metabolic risk factors in this high-risk population.
Key words: Schizophrenia, metabolic syndrome, cardiovascular disease, obesity.
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184
Title of Research: The study of syndromic and non-syndromic mental retardation in
Sistan and Baloochestan Province in order to identify known and unknown genes
Author: Hossein Najmabadi, Fatemeh Rakhshani
‫ج‬
Introduction: In all population studied mental retardation is among the most common
forms of genetic handicaps. With prevalence of 2 to 3% and lifetime costs varying
between one and two million US$, it is by far the most costly diagnosis in industrialized
countries.
However, very little is known so far about gene defects underlying this disorder, except
for X-linked forms of MR, where significant progress has been made.
Seven out of ten Non-Syndromic Autosomal Recessive Mental Retardation (NSARMR) loci are associated with microcephaly, including MCPH1-MCPH6 which
belong to the family of MCPH (autosomal recessive primary microcephaly),and
ARFGEF2. Based on MCPH heterogeneity studies in Pakistani and Indian population
MCPH5, MCPH2, MCPH3, MCPH1 are more common MCPH loci.
Object: The objective of this study was to investigate cause of MR in 50 families form
Sistan & Baloochestan province. Each family was subjected to complete clinical
examinations, karyotype abnormalities and Fragile-X syndrome Test.
Materials & Methods: We performed Homozygosity mapping by using STRs (Short
Tandem Repeats) markers for 7 microcephal families. In MCPH5 linked families, we
amplified entire ASPM gene In order to determine the mutations in this gene by using
sequencing method.
Results: Out of 20 families analyzed, Three families were linked to MCPH1, one
families linked to MCPH2, MCPH5 and MCPH6 locus sequencing for ASPM gene and
CENPJ gene revealed 2 novel mutations. Each of the families was Fragile X and one of
them had karyotype abnormalities.
Keywords: Mental Retardation, MCPH, Microcephaly, Metabolic disorders
185
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
Title of Research:
Author: Roshanak Vameghi
‫ج‬
Introduction: Early detection and intervention are effective ways for promoting
cognitive skills in children with developmental delays. These have many benefits in
personal, educational and academic, economic and social aspects.
Since specialized evaluations of children are expensive and are not usually performed in
regular sequences, some advise that developmental evaluation and screening be
performed by parents, such that there is an increasing tendency for production and
application of questionnaires that are based on parent’s reports. In addition to costeffectiveness, using of parent’s help for completing screener questionnaires increases
accuracy of developmental evaluations due to variations of child behaviors at home.
Another advantage of parent- report testing is flexibility, such that most are applicable
in different situations and environments (eg; home, day care center, preschool and even
clinics).
The ASQ (Ages and stages questionnaires) developmental screening test, an evidence
— based test, also has the characteristic mentioned before. Therefore, with
consideration of the advantages of the ASQ test and also the fact that Iranian children
are not being screened regularly for developmental disorders as yet, because of the lack
of standardized tests, the present researches decided standardize this screening tool for
Iranian children.
Methods: This is a cross- sectional study which aimed to the validity and reliability of
the ASQ Screening test. For performing this research, at first, the “Collaborative
Committee of Specialists” consisting of reperesentives from different organizations1
chose ASQ as one the most appropriate developmental screening test available. So ASQ
was bought by the UNICEF. Then ASQ was compared to other Screening tests by a
group of Iranian experts in child and was approved for standardization for Iranian
children.
The complete questionnaire and its manual were translated in to Persian (Farsi). Then,
the translated questionnaires were compared to the original version and modified by
related specialists.
In this step, the modification and adaptation of inappropriate items, in respect to
language and culture was performed and any mis- translations and mat- adjustments that
could result in differences in meaning of original items was detected and eliminated in
several sessions of the “Collaborative Committee”. Next, the demographic and past
medical history questionnaires and also guidelines for ASQ performance were
complicated based on original guide line by the collaborative committee.
* eg; Special Education Organization, Family and Public Health Office of Ministry of Health and Medical
Education, Research Institute of Exceptional Children, University of Social Welfare and Rehabilitation
Sciences, and Unicef.
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
186
In order to determine the degree of “clarity” of items, detection of ambiguous or
defective items and identification of practical problems, the test was carried out in the
pre- tryout phase on one hundred parents, after which the problematic issues were
detected and overcome.
The Try- out phase was carried out in the next step in order to analyze the facility index,
age quotient, the discrimination index and other necessary psychometric indices for
each item. In this phase, the test was carried out on 550 children in Tehran city
(convenient samples) who referred to health-care centers and day-care centers in four
main areas of the city. The demographic and medical history questionnaires were also
completed in this phase.
Mean while, based on the experiences achieved in this stage the appearance of the ASQ
questionnaire became simpler and more consistent, so that the practicality would
improve.
Also, it detected that the demographic and past medical history questionnaires be
omitted in the national performance stage, due to non- significance of most of the
results.
In the national performance stage, eighty people (at least one general physician and an
expert from each province) who were employed at medical science universities
throughout the country were trained during a 2- day workshop about the test and ways
to implement it. The national and final stage was carried out in 11000, 4- 60 monthsold children in selected cities throughout the country. This step was performed in order
to determine the validity, standard deviation, reliability, sensitivity, specificity, and cuttoff points of the test.
Results: In order to determine the validity of the ASQ, the alpha- Cronbach Coefficient
was calculated for thirty items of the questionnaire. After omission of incomplete
questionnaires, the alpha quotient was calculated as 0.79 for the 482 remaining
questionnaires. The factor- analysis method, with principle component analysis method
and Varimax Rotation were used for evaluation of the construct validity of the
questionnaires.
The KMO was 0.765, which meant that the sampling in this research was sufficient.
Most items of the ASQ questionnaire had significant correlation with the five extracted
factors and the package of correlated items with each of factors have a lot of
overlapping with items of
the five domains of ASQ. This is an indicator of the reliability of the questionnaire.
The alpha- Cronbach coefficient, as an index of reliability was calculated in terms of
nineteen different age groups, two gender groups and also for the total sample. The
lowest and highest reliability were detected in the 18-months age group (0.7590) and the
36-months age group (0.8576), respectively. The total reliability coefficient of the test
was calculated as 0.8014. In order to determine the validity of the test, at first, the KMO
was calculated which was 0.865, which meant that the sampling in the present research
was sufficient.
The significance of Bartlett test spherisity was also less than 0.001, so in addition to
sufficient sampling, the analysis based on correlation matrixes between questionnaires
items was explicable.
187
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
The correlation of items with the extracted factors (factor loading) were positive for all
of the items, were higher than 0.4 in 50% and higher than 0.2 in reminder of the items.
This indicated that the validity was acceptable for the questionnaire.
In addition to the above results mentioned above, the cut- off points were determined
for the five developmental domains in all age groups. The cut- off points were higher in
the problem- solving domain in Iranian children in most age groups.
No other specific pattern was detected in the cut- off points in other domains. In some
they were higher and in some they were lower! or the same as the original cut- off
points.
Conclusion:The Farsi (Persian) version of the ASQ has appropriate validity and
reliability for screening developmental disorder in Iranian children.
Keywords: Screening- Development- Parents- Ages & Stages Questionnaire
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
188
Title of Research:
Author: Dr.Ohadi
Introduction: Schizoaffective disorder is a condition in which there are symptoms of
mood (affect) disorders, like depression or mania, and symptoms of schizophrenia
present at the same time, or within a few days of each other. There is a 1 in 200 chance
of developing schizoaffective disorder, which usually begins in late adolescence or early
adulthood,. More women than men tend to suffer from schizoaffective disorder.
Caireticulin ‘is a 46-kDa Ca2+-binding chaperone found across a diverse range of
species. The protein is involved in the regulation of intracellular Ca2+ homeostasis and
endoplasmic reticulum (ER) Ca2+ storage capacity. Caireticulin is also an important
molecular chaperone involved in “quality control” within secretory pathways. The
human gene for CALRcontains nine exons and eight introns and exists in a single copy
on chromosome chromosome 19 at locus pl3.3p13.2.
Materials and Methods: Seventy unrelated Iranian patients with schizoaffective
disorder were recruited for the study from the Razi Psychiatric Center, Tehran, Iran.
Patients were assessed for schizoaffective criteria using DSM-IV-TR. Three hundred
unrelated Iranian controls were randomly selected as blood donors. Genomic DNA was
extracted from peripheral blood using a standard protocol.The entire coding
,intronic/exonic boundaries are the regulatory region of the CALR gene were Screend
by SSCA mutation detection technique. Samples displaying an altered PCR-SSCA
pattern were reamplified by PCR with the same set of primers, and the PCR prodUcts
were sequenced using an ABI PRISM terminator Cycle Sequencing.
Results: .If the screening of the gene in seventy independent cases of schizoaffective
disorder, we report novel germ-line mutations at positions -205 C>T and the conserved
exon 5 (c: 682 C>T, pro228ser) In two unrelated cases of sehizoaffective disorder.
These mutations .were disease specific, and, neither was detected in a control
population of 300 individuals (OR=17.6)
Conclusion: In an unprecedented finding, the present report of mutations in addition to
the linkage and functional evidence provide the CALR gene as a promising candidate in
the etiopathophysiology of shcizoaffective disorder. The consequences of these
mutations remain to be clarified in the future studies.
Key words: calreticulin, schizoaffective , mutation
‫ﻛﺎرﮔﺎﻫﻬﺎي آﻣﻮزﺷﻲ در ﺳﺎل ‪1388‬‬
‫ردﻳﻒ‬
‫‪1‬‬
‫ﻋﻨﻮان ﻛﺎرﮔﺎه‬
‫ﻧﺤﻮه ﺟﺴﺘﺠﻮي‬
‫‪Ovidsp‬‬
‫ﺗﻌﺪاد‬
‫ﺗﺎرﻳﺦ‬
‫ﺷﺮﻛﺖ‬
‫ﺑﺮﮔﺰاري‬
‫ﻛﻨﻨﺪﮔﺎن‬
‫‪88/4/30‬‬
‫‪28‬‬
‫ﺗﻌﺪاد‬
‫ﻣﺪرﺳﻴﻦ‬
‫‪1‬‬
‫‪2‬‬
‫ﻫﺎﻟﻪ‬
‫ﻣﺤﻤﺪزاده‬
‫ﻣﺮﺿﻴﻪ‬
‫آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﺘﺎﺑﺨﺎﻧﻪ دﻳﺠﻴﺘﺎل‬
‫ﭘﺰﺷﻜﻲ اﻳﺮان‬
‫ﻧﺎم‬
‫اﺳﺎﺗﻴﺪ‬
‫اﻣﺘﻴﺎز‬
‫ﺑﺎزآﻣﻮزي‬
‫‪88/7/29‬‬
‫‪23‬‬
‫‪1‬‬
‫ﮔﻠﭽﻴﻦ‬
‫)‪(scienceDirect‬‬
‫آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﺘﺎﺑﺨﺎﻧﻪ دﻳﺠﻴﺘﺎل‬
‫‪3‬‬
‫ﭘﺰﺷﻜﻲ اﻳﺮان‬
‫‪88/8/6‬‬
‫‪12‬‬
‫‪1‬‬
‫)‪(Scopus‬‬
‫آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﺘﺎﺑﺨﺎﻧﻪ دﻳﺠﻴﺘﺎل‬
‫‪4‬‬
‫ﭘﺰﺷﻜﻲ اﻳﺮان‬
‫‪88/8/11‬‬
‫‪11‬‬
‫‪1‬‬
‫)‪(Proquest‬‬
‫آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﺘﺎﺑﺨﺎﻧﻪ دﻳﺠﻴﺘﺎل‬
‫‪5‬‬
‫ﭘﺰﺷﻜﻲ اﻳﺮان‬
‫‪88/8/18‬‬
‫‪11‬‬
‫‪1‬‬
‫)‪(NursingConsult‬‬
‫آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﺘﺎﺑﺨﺎﻧﻪ دﻳﺠﻴﺘﺎل‬
‫‪6‬‬
‫ﭘﺰﺷﻜﻲ اﻳﺮان‬
‫‪88/9/28‬‬
‫‪10‬‬
‫‪1‬‬
‫)‪(Thieme,WileyBlacwell‬‬
‫‪7‬‬
‫ﻧﺤﻮه ﻋﻀﻮﻳﺖ و ﺟﺴﺘﺠﻮ در‬
‫‪INLM‬‬
‫‪88/11/5‬‬
‫‪17‬‬
‫‪1‬‬
‫ﻣﺮﺿﻴﻪ‬
‫ﮔﻠﭽﻴﻦ‬
‫ﻣﺮﺿﻴﻪ‬
‫ﮔﻠﭽﻴﻦ‬
‫ﻣﺮﺿﻴﻪ‬
‫ﮔﻠﭽﻴﻦ‬
‫ﻣﺮﺿﻴﻪ‬
‫ﮔﻠﭽﻴﻦ‬
‫آذر‬
‫اﻓﺘﺨﺎر‬
‫ﻣﺪرﺳﺎن‪ -1 :‬ﻣﺮﺿﻴﻪ ﮔﻠﭽﻴﻦ ﻛﺎرﺷﻨﺎس ارﺷﺪ اﻃﻼع رﺳﺎﻧﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪ -2‬ﻫﺎﻟﻪ ﻣﺤﻤﺪزاده ﻛﺎرﺷﻨﺎس اﻣﻮر ﻣﺸﺘﺮﻳﺎن ﻣﻮﺳﺴﻪ ﻧﺴﻴﻢ اﻳﻤﺎن‬
‫‪ -3‬آذر اﻓﺘﺨﺎر ﻛﺎرﺷﻨﺎس ارﺷﺪ ﻣﻮﺳﺴﻪ رز ﺳﻴﺴﺘﻢ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪192‬‬
‫ﻓﻬﺮﺳﺖ ﻛﺎرﮔﺎهﻫﺎي ﺑﺮﮔﺰار ﺷﺪه در ﺳﺎل ‪88‬‬
‫ردﻳﻒ‬
‫ﻋﻨﻮان ﻛﺎرﮔﺎه‬
‫ﻣﺪرس ﻛﺎرﮔﺎه‬
‫ﺧﺎﻧﻢ دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫ﻣﺮاﻗﺒﺖ‪ ،‬ارزﻳﺎﺑﻲ و‬
‫‪1‬‬
‫ﻣﺪاﺧﻠﻪ ﺗﻜﺎﻣﻠﻲ ﻧﻮزادان‬
‫در ‪NLCU‬‬
‫ﺧﺎﻧﻢ دﻛﺘﺮ ﻓﺎﻃﻤﻪ ﺑﺼﻴﺮ‬
‫آﻗﺎي دﻛﺘﺮ ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‬
‫آﻗﺎي دﻛﺘﺮ اﺣﻤﺪ ﻣﺪﻧﻲ‬
‫ﺧﺎﻧﻢدﻛﺘﺮﻣﻠﻴﺤﻪﻛﺪﻳﻮر‬
‫ﺧﺎﻧﻢ آﻳﺪا راورﻳﺎن‬
‫ﺗﺎرﻳﺦ ﺑﺮﮔﺰاري‬
‫آﻗﺎيدﻛﺘﺮﻣﺤﻤﺪ‬
‫ﻛﺎﻇﻤﻴﺎن‬
‫ﺧﺎﻧﻢ دﻛﺘﺮ ﭘﺮﻳﺴﺎ ﻣﺤﻘﻘﻲ‬
‫ﺧﺎﻧﻢ ﻋﻄﻴﻪ اﺷﺘﺮي‬
‫‪14‬و‪ 21‬اردﻳﺒﻬﺸﺖ ﻣﺎه ‪88‬‬
‫ﺧﺎﻧﻢ ﺷﺮﻳﻔﻪ ﻳﻮﻧﺴﻴﺎن‬
‫ﺧﺎﻧﻢ رﻳﺤﺎﻧﻪ ﻣﺤﻤﺪي‬
‫آﻗﺎي رﺑﺎﻧﻲ ﻧﻴﺎ‬
‫ﻛﺎرﺑﺮد آزﻣﻮنﻫﺎي‬
‫ﻏﺮﺑﺎﻟﮕﺮي اﺧﺘﻼﻻت‬
‫‪2‬‬
‫ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن و‬
‫اﻫﻤﻴﺖ ﻏﺮﺑﺎﻟﮕﺮي و‬
‫ﻣﺪاﺧﻠﻪ زودرس در‬
‫ﺧﺎﻧﻢ دﻛﺘﺮ ﺷﺎﻫﺰاده‬
‫ﺧﺎﻧﻢ دﻛﺘﺮﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ ﺧﺎﻧﻢ‬
‫ﻓﺎﺿﻠﻲ ـ دﻛﺘﺮ ﻋﺮﺷﻲ ـ‬
‫دﻛﺘﺮ واﻣﻘﻲ و ﺧﺎﻧﻢ دﻛﺘﺮ‬
‫ﺧﺎﻧﻢ دﻛﺘﺮ ﺳﺎﺟﺪي ـ‬
‫آذري و ﺧﺎﻧﻢ دﻛﺘﺮ ﺷﻬﺸﻬﺎﻧﻲ ﺧﺎﻧﻢ دﻛﺘﺮﻛﺪﻳﻮر ـ ﺧﺎﻧﻢ‬
‫‪17‬ﻟﻐﺎﻳﺖ ‪ 23‬اردﻳﺒﻬﺸﺖ ﻣﺎه‬
‫‪1388‬‬
‫دﻛﺘﺮ اﺷﺮﻓﻲ‬
‫ﻛﻮدﻛﺎن‬
‫‪3‬‬
‫ﺑﺮﻧﺎﻣﻪ اﺳﺘﺮاﺗﮋﻳﻚ ﻣﺮﻛﺰ‬
‫‪ 31 ،30 ،28 ،27‬ﺗﻴﺮ ﻣﺎه‬
‫ﺧﺎﻧﻢ دﻛﺘﺮ روﺷﻨﻚ واﻣﻘﻲ و ﺧﺎﻧﻢ دﻛﺘﺮ ﻣﻌﺼﻮﻣﻪ دژﻣﺎن‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫‪1388‬‬
‫‪ ،6 ،5 ،4 ،3‬ﻣﺮداد ﻣﺎه ‪1388‬‬
‫آﻣﻮزش ﻛﻨﺘﺮل و‬
‫‪4‬‬
‫ﻳﺎدﮔﻴﺮي ﺣﺮﻛﺘﻲ‬
‫‪(Motor control‬‬
‫)‪&Learning‬‬
‫ﺟﺴﺘﺠﻮي ﭘﻴﺸﺮﻓﺘﻪ ﻋﻠﻤﻲ‪،‬‬
‫‪5‬‬
‫آﻗﺎي دﻛﺘﺮ ﻋﻠﻲ ﺣﺴﻴﻨﻲ و آﻗﺎي ﺣﺴﻴﻦ ﺳﻮرﺗﺠﻲ‬
‫‪ 18‬ﻟﻐﺎﻳﺖ ‪ 21‬ﻣﺮداد ﻣﺎه ‪1388‬‬
‫ﻣﺪﻳﺮﻳﺖ ﻣﻨﺎﺑﻊ و اراﺋﻪ‬
‫ﻋﻠﻤﻲ‬
‫آﻗﺎي دﻛﺘﺮ رﺻﺎﻓﻴﺎﻧﻲ‪ ،‬آﻗﺎي ﺣﺴﻴﻦ ﺳﻮرﺗﺠﻲ‪ ،‬ﺧﺎﻧﻢ دﻛﺘﺮ‬
‫‪ 24 ،23 ،21 ،20‬آﺑﺎن ﻣﻼه‬
‫رﺑﺎب ﺻﺤﺎف و ﺳﺮﻛﺎر ﺧﺎﻧﻢ ﺣﺎﺟﻲ ﺣﻴﺪري‬
‫‪1388‬‬
‫ﻣﻘﺎﻻت در ﺳﺎل ‪1388‬‬
‫•‬
‫ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در داﺧﻞ ﻛﺸﻮر‬
‫•‬
‫ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ﺧﺎرج ﻛﺸﻮر‬
195
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ﻧﺸﺮﻳﺎت داﺧﻞ ﻛﺸﻮر‬
‫اﻳﻨﺪﻛﺲ‬
‫ﺗﺎرﻳﺦ‬
‫ﺷﺪه در‬
‫ﻣﺠﻠﻪ‬
ISI
Nov
2009
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
Arch
S. Shoja shafti
Z. Nicknam
P. Fallah
Early psychiatric
manifestation in a
patient with primary
progressive multiple
sclerosis
Quality of life
improvement in
hearing -impaired
elderly people after
wearing a hearing aid
Preclinical and phase
1 clinical safety of
setarud (IMOD TM ),
A Novel
immunomodulator
L.Zamani
ISI
ISI
IF: 0.472
July
2009
Sum
2009
Arch
y.lotfi
s.mehrkian
Others
DARU
P. Khairandish
Hr. khorram
khorshid
Others
ISI
IF: 0.472
Win
2009
DARU
ISI
IF: 0.341
2009
ISI
IF: 0.341
Suppl
2009
Iranian Journal of
Public Health
ISI
Win
2010
Iranian Journal of
environmental
health science &
Eng
Dec
2009
Iranian Journal of
Immunology
ISI
Iranian Journal of
Public Health
M.Mohraz
Hr. khorram
khorshid
Others
K.Mahammad
M.Karimlou
Others
a.ardalan
Gr. Masoomi
Hr. khankeh
Others
I.Alimohammadi
M.Azkhosh
Others
M.Mahdavi
Hr. khorram
khorshid
Others
O.Rezaei
scopus
Nov
dec 2009
Acta
A clinical trial on the
efficacy of IMOD in
AIDS patients
Socioeconomic Status
and Obesity
Relationship in NonMenopause Women
Aged 15-49 Years in
Tehran, Iran
Disaster health
management: Iran’s
progress and
challenges
Factors affecting road
traffic noise
annoyance among
white-collar
employees working in
Tehran
Immunogenicity of a
new HIV-1 DNA
construct in a
BALB/C mouse
model
Temporary strict
S.Hemmati maternal avoidance of
cows milk and
F.Sajedi
infantile colic
Others
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
Case Report
1
Original A
2
Original A
3
Original A
4
Original A
5
Report
A
6
Original A
7
Research.A
8
Original
Report
9
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
scopus
Sep
Oct 2009
Copernicus
July/ sep
2009
Copernicus
Oct/nov
2009
Copernicus
Spring /
Summer
2009
Copernicus
June 2009
Copernicus
June 2009
Copernicus
Dec
2009
Emro
Winter
2009
Copernicus
Winter
2010
196
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
n.daneshmandan
f.soleimani
R.Vameghi
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
oral communication
development in
severe to profound
Acta
hearing Impaired
children after
Others
receiving aural
habilitation
a. jalali
New variations in
the promoter
m.ohadi
regions of human
m. karimloo
Avicenna journal
DOCK 4 and
h. khorram
of Medical
RAP1A genes, and
khorshid
Biotechnology
coding regions of
RAP1A in sporadic
Others
breast Tumors
M.Manoochehri Lack of association
between tumor
M.Rahgozar
necrosis factorm.ohadi
alpha-308G/A
h. khorram
Avicenna journal
polymorphism and
khorshid
of Medical
risk of developing
Biotechnology
late-onset
alzheimers disease
Others
in an Iranian
population
Sadegh Hedayat
Iranian Journal
from the “
of Psychiatry and
F. Fadai
Descriptive
Behavioral
psychiatry “ viewSciences
point
v. alizad
Muscle Tonicity of
Iranian Journal
children with
f. sajedi
of child
spastic cerebral
Neurology
palsy: how effective
r. vameghi
is Swedish Massage
m.g.r. mirzaei
Effect of
Iranian Journal
Lamotrigine on
m.azimian
of child
prophylaxis of
r. vameghi
Neurology
pediatric classic
Others
migraine
f. sajedi
Motor
r. vameghi
developmental
Iranian Journal
delay in 7500
M.A.Mohseni
of child
Iranian infants:
v.
alizad
Neurology
prevalence and risk
S.Hemmati
factors
S.Shahshahanipour
a.basirnia
Prevalence of
mental disorders
a.farhoudian
Iranian Journal
among high- school
of Psychiatry
students in Iran: a
Others
systematic review
E.Keyhani
The diagnostic
K.kahrizi
value of utrophin in
Iranian Journal
Y.Shafeghati
mild
of
dystrophinopathy
H.Najmabadi
Pathology
(Becker muscular
M.Banan
dystrophy)
Others
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
Original
Report
10
Original A
11
Original A
12
Original
A
Research.A
13
14
Research.A
15
Research.A
16
Original
Article
17
Original
Article
18
‫‪197‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫‪19‬‬
‫‪Research.A‬‬
‫اﺛﺮﻫﺎي ﺣﺎد و ﻣﺎﻧﺪﮔﺎر‬
‫ﺗﻤﺮﻳﻦ ﻛﻮﺗﺎه ﻣﺪت‬
‫ﻫﻮازي ﺑﺮ ﻓﺎﻛﺘﻮرﻫﺎي‬
‫اﻧﻌﻘﺎدي ﻓﻴﺒﺮﻳﻨﻮﻟﻴﺰي و‬
‫اﻟﮕﻮي ﭼﺮﺑﻴﻬﺎ در زﻧﺎن‬
‫ﻳﺎﺋﺴﻪ‬
‫ﻃﺎﻫﺮه ﺟﻬﺎﻧﮕﺮد‬
‫‪20‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ‬
‫ﭘﺮي ﻧﺎﺗﺎل و ﻧﺌﻮﻧﺎﺗﺎل در‬
‫ﻛﻮدﻛﺎن ﺑﺎ ﻓﻠﺞ ﻣﻐﺰي‬
‫ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ‬
‫ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ درﻣﺎﻧﻲ‬
‫ﺷﻤﺎل و ﺷﺮق ﺗﻬﺮان‬
‫‪21‬‬
‫‪Research.A‬‬
‫ﻣﻄﺎﻟﻌﻪ ﺗﺸﺮﻳﺤﻲ‬
‫ﮔﻮﻧﺎﮔﻮﻧﻴﻬﺎي ﻃﺒﻴﻌﻲ‬
‫ﺣﻠﻘﻪ وﻳﻠﻴﺲ در ‪132‬‬
‫ﻧﻤﻮﻧﻪ ﺟﻨﻴﻦ ﻧﻮزاد و‬
‫ﺑﺎﻟﻎ‬
‫‪22‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﺳﻄﺢ ﺳﺮﻣﻲ‬
‫وﻳﺘﺎﻣﻴﻦ ‪B12 Folate‬و‬
‫ﻫﻤﻮﺳﻴﺴﺘﺌﻴﻦ در‬
‫ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻢ ﺗﻬﺮاﻧﻲ‬
‫‪23‬‬
‫‪Research.A‬‬
‫ﭘﻴﺶ ﺑﻴﻨﻲ رﺿﺎﻳﺖ‬
‫زﻧﺎﺷﻮﻳﻲ و ﺗﻔﻜﺮ ﻗﻄﻌﻲ‬
‫ﻧﮕﺮ در زوﺟﻴﻦ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﺑﺎﺑﻚ ﮔﻮﺷﻪ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻏﺪد درون رﻳﺰ و‬
‫ﻣﺘﺎﺑﻮﻟﻴﺴﻢ‬
‫ﺷﻬﺮﻳﻮر ‪88‬‬
‫‪scopus‬‬
‫ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫ﺣﺴﻴﻦ ﺳﻮرﺗﺠﻲ‬
‫داﻧﺸﻜﺪه ﭘﺰﺷﻜﻲ‬
‫ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺷﻬﺮﻳﻮر‪88‬‬
‫ﺗﻬﺮان‬
‫‪cas‬‬
‫ﻣﺠﻴﺪ دادﻣﻬﺮ‬
‫ﻋﻠﻲ ﻓﺘﺎح زاده‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫داﻧﺸﻜﺪه ﭘﺰﺷﻜﻲ‬
‫ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﺷﻬﺮﻳﻮر‪88‬‬
‫ﺗﻬﺮان‬
‫‪cas‬‬
‫ﻣﺴﻌﻮد وﻛﻴﻠﻲ‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم‬
‫ﭘﺰﺷﻜﻲ اﻳﺮان‬
‫ﺗﺎﺑﺴﺘﺎن‪88‬‬
‫‪Copernicus‬‬
‫ﺳﻴﺪﺟﻼل ﻳﻮﻧﺴﻲ‬
‫ﻓﺎﺿﻞ ﺑﻬﺮاﻣﻲ‬
‫روان ﺷﻨﺎﺳﺎن اﻳﺮاﻧﻲ ﺑﻬﺎر ‪88‬‬
‫ﺻﻤﺪ ﻗﺼﺎﺑﻲ‬
‫‪24‬‬
‫‪Research.A‬‬
‫ﺗﺄﺛﻴﺮآﻣﻮزش‬
‫ﺑﺮ‬
‫ﻛﻼﻣﻲ‬
‫ﺧﻮدآﻣﻮزي‬
‫ﻣﻌﺼﻮﻣﻪ‬
‫ﻛﺎﻫﺶ ﻧﺸﺎﻧﻪﻫﺎي‬
‫ﭘﻮرﻣﺤﻤﺪرﺿﺎي‬
‫ﺑﺮاﻧﮕﻴﺨﺘﮕﻲ در‬
‫ﺗﺠﺮﻳﺸﻲ‬
‫روان ﺷﻨﺎﺳﺎن اﻳﺮاﻧﻲ ﺑﻬﺎر ‪88‬‬
‫ﻛﻮدﻛﺎن داراي اﺧﺘﻼل‬
‫ﻧﺎرﺳﺎﻳﻲ ﺗﻮﺟﻪ‪ /‬ﻓﺰون‬
‫ﺳﻴﺪﻣﺤﻤﻮد ﻣﻴﺮزﻣﺎﻧﻲ‬
‫ﻛﻨﺸﻲ‬
‫‪Psych info‬‬
‫‪Psych info‬‬
‫‪198‬‬
‫ردﻳﻒ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻣﺤﻤﺪ ﺣﺪادي‬
‫‪25‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ارﺗﺰﻫﺎي‬
‫ﻧﻴﻤﻪ ﺳﺨﺖ و ﻧﺮم ﺑﺮ ﺳﻴﺪﻣﺤﻤﺪ اﺑﺮاﻫﻴﻢ‬
‫ﻛﻨﺘﺮل ﭘﺎﺳﭽﺮ ﺑﻴﻦ‬
‫ﻣﻮﺳﻮي‬
‫ﺳﻤﺖ‬
‫ﺳﻤﺖ درﮔﻴﺮ و‬
‫ﻧﺎدر ﻣﻌﺮوﻓﻲ‬
‫ﺳﺎﻟﻢ در ﺑﻴﻤﺎران ﺑﺎ ﺑﻲ ﻣﺤﻤﻮد ﺑﻬﺮاﻣﻲ زاده‬
‫ﺛﺒﺎﺗﻲ ﻋﻤﻠﻜﺮدي ﻣﭻ‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﭘﺎ و اﻓﺮاد ﺳﺎﻟﻢ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﻓﺎﻃﻤﻪ زارع زاده‬
‫‪26‬‬
‫‪Research.A‬‬
‫ﺑﺮرس ﺗﺄﺛﻴﺮ ﺑﺮﻳﺲ‬
‫ﻟﻮﻣﺒﻮﺳﺎﻛﺮال اﺻﻼح ﻣﺤﻤﺪﻋﻠﻲ ﻣﺮداﻧﻲ‬
‫ﺷﺪه ﺑﺮ ﻛﺎﻫﺶ ﻋﻼﺋﻢ ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‬
‫در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ‬
‫ﻣﺤﻤﻮد ﺑﻬﺮاﻣﻲ زاده‬
‫اﺳﭙﻮﻧﺪﻳﻠﻮﻻﻳﺰﻳﺲ‬
‫ﻛﻮﻣﺶ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Emro‬‬
‫‪copernicus‬‬
‫ﻧﺎزﻳﻼ اﻛﺒﺮ ﻓﻬﻴﻤﻲ‬
‫‪27‬‬
‫‪Research.A‬‬
‫‪28‬‬
‫‪Research.A‬‬
‫‪29‬‬
‫‪Research.A‬‬
‫ﺗﺄﺛﻴﺮ ﺗﻤﺮﻳﻦ درﻣﺎﻧﻲ ﺑﺮ‬
‫ﻧﺎﻫﻨﺠﺎريﻫﺎي اﺳﻜﻠﺘﻲ ﺣﺒﻴﺐ اﻟﻪ ﺟﺪﻳﺪي‬
‫ﻋﻀﻼﻧﻲ داﻧﺶ آﻣﻮزان‬
‫ﻧﺎﺑﻴﻨﺎي ﭘﺴﺮ )‪12-18‬‬
‫ﺳﺎﻟﻪ( ﻣﺠﺘﻤﻊ آﻣﻮزﺷﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻧﺎﺑﻴﻨﺎﻳﺎن ﺷﻬﻴﺪ ﻣﺤﺒﻲ‬
‫ﺗﻬﺮان‬
‫ﻛﻮﻣﺶ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫ﺷﻴﺮﺧﻮاران ﭘﺮﺧﻄﺮ‬
‫ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ‬
‫ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ ـ‬
‫درﻣﺎﻧﻲ ﺷﻤﺎل و ﺷﺮق‬
‫ﺗﻬﺮان و ﻋﻮاﻣﻞ ﻣﺆﺛﺮ‬
‫ﺑﺮ ﺗﺎﺧﻴﺮ ﺗﻜﺎﻣﻞ‬
‫ﺣﺮﻛﺘﻲ آﻧﺎن‬
‫ﻛﻮﻣﺶ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫روﺷﻨﻚ واﻣﻘﻲ‬
‫ﺣﻜﻴﻢ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫اﺻﻐﺮ دادﺧﻮاه‬
‫ﭼﮕﻮﻧﮕﻲ اﻧﺘﺸﺎر ﻧﺘﺎﻳﺞ ﺣﺴﻴﻦ ﻣﻠﻚ اﻓﻀﻠﻲ‬
‫ﺗﺤﻘﻴﻘﺎت ﻣﺮﺗﺒﻂ ﺑﺎ‬
‫آﻣﻨﻪ ﺳﺘﺎره ﻓﺮوزان‬
‫ﺳﻼﻣﺖ در‬
‫روزﻧﺎﻣﻪﻫﺎي ﻛﺜﻴﺮ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫اﻻﻧﺘﺸﺎر ﻛﺸﻮر ﺳﺎل‬
‫‪1384‬‬
‫ﺣﻜﻴﻢ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫‪Emro‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫‪30‬‬
‫‪Research.A‬‬
‫‪31‬‬
‫‪Research.A‬‬
‫‪32‬‬
‫‪Research.A‬‬
‫‪33‬‬
‫‪Research.A‬‬
‫‪199‬‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﻣﺤﻤﻮد ﺑﻬﺮاﻣﻲ زاده‬
‫ﺗﺄﺛﻴﺮ ارﺗﺰ ﭼﺪﻳﺪ‬
‫اﺻﻼح ﺷﺪه ﺑﺮ ﺑﻬﺒﻮد ﺳﻴﺪﻣﺤﻤﺪ ﻣﻮﺳﻮي‬
‫ﻓﻌﺎﻟﻴﺖﻫﺎي روزﻣﺮه و‬
‫ﺧﻄﺎط‬
‫و‬
‫ﻓﻌﺎﻟﻴﺖﻫﺎي ورزﺷﻲ‬
‫ﺳﻴﺪﻣﺤﻤﺪاﺑﺮاﻫﻴﻢ‬
‫ﺳﺮﮔﺮﻣﻲ ﺑﻴﻤﺎران ﻣﺒﺘﻼ‬
‫ﻣﻮﺳﻮي‬
‫ﺑﻪ ﭘﻼﻧﺘﺎر ﻓﺎﺷﻴﺎﺗﻴﺲ ﻣﺤﻤﺪرﺿﺎ ﻛﻴﻬﺎﻧﻲ‬
‫ﭘﺎﺳﺨﻬﺎي ﺷﻨﻮاﻳﻲ ﺳﺎﻗﻪ‬
‫ﻣﻐﺰ در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ‬
‫ﺑﻪ اﺗﻴﺴﻢ‬
‫ﻧﻴﻤﺎ رﺿﺎزاده‬
‫ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻣﺠﻠﻪ ﻋﻠﻤﻲ‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم‬
‫ﭘﺰﺷﻜﻲ ﮔﺮﮔﺎن‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫ﻣﺠﻠﻪ ﻋﻠﻤﻲ‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم‬
‫ﭘﺰﺷﻜﻲ ﮔﺮﮔﺎن‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫‪Emro‬‬
‫آرش ﻣﻴﺮاب زاده‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان و ﻋﻮاﻣﻞ‬
‫ﻣﺆﺛﺮ ﺑﺮ ﺗﻐﻴﻴﺮ ﺗﺸﺨﻴﺺ‬
‫ﻣﺤﻤﺪرﺿﺎ ﺧﺪاﻳﻲ‬
‫اﺧﺘﻼﻻت ﺧﻠﻘﻲ ﺑﻪ‬
‫ﮔﻠﻨﺎز ﻓﻴﺾ زاده‬
‫اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﭘﺲ از‬
‫ﻣﺮﺳﺪه ﺳﻤﻴﻌﻲ‬
‫ﺷﺶ ﺳﺎل‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻛﺘﺎﻳﻮن ﺧﻮﺷﺎﺑﻲ‬
‫‪34‬‬
‫‪35‬‬
‫‪36‬‬
‫‪Review.A‬‬
‫‪Research.A‬‬
‫ﺗﺄﺛﻴﺮ آﻣﻮزش ﺗﻐﺬﻳﻪ ﺑﻪ‬
‫ﻣﺎدران ﺑﺮ اﻟﮕﻮي‬
‫ﻏﺬاﻳﻲ ﻛﻮدﻛﺎن ﻧﻮﭘﺎي‬
‫‪ 12-30‬ﻣﺎﻫﻪ‬
‫ﻣﺸﻜﻼت ﻓﺮاروي‬
‫واﻟﺪﻳﻦ در ﭘﺮورش‬
‫ﻓﺮزﻧﺪان ﻛﻢ ﺷﻨﻮا‬
‫ﺑﺮرﺳﻲ وﻳﮋﮔﻴﻬﺎي‬
‫زﺑﺎﻧﻲ ﻛﻮدﻛﺎن ﻛﻢ‬
‫ﺷﻨﻮاي ﭘﻴﺶ دﺑﺴﺘﺎﻧﻲ‬
‫ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻣﻘﺎﻳﺴﻪ ﻳﺎﻓﺘﻪﻫﺎي دو‬
‫آزﻣﻮن ﭘﺘﺎﻧﺴﻴﻠﻬﺎي‬
‫ﻋﻀﻼﻧﻲ ﺑﺮاﻧﮕﻴﺨﺘﻪ‬
‫‪Research.A‬‬
‫دﻫﻠﻴﺰي و ﻛﺎﻟﺮﻳﻚ در‬
‫ﻣﺒﺘﻼﻳﺎن ﺑﻪ ﻛﻢﺷﻨﻮاﻳﻲ ﻧﺎﺷﻲ‬
‫از ﻧﻮﻳﺰ و اﻓﺮاد ﻫﻨﺠﺎر‬
‫ﻣﺠﻠﻪ ﻋﻠﻤﻲ‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم‬
‫ﭘﺰﺷﻜﻲ ﺷﻬﻴﺪ‬
‫ﺻﺪوﻗﻲ ﻳﺰد‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫رﻗﻴﻪ ﮔﺸﻤﺮد‬
‫زﻫﺮا ﻛﺎﺷﺎﻧﻲ ﻧﻴﺎ‬
‫ﻓﻴﺮوزه ﺳﺎﺟﺪي‬
‫ارﻣﻐﺎن داﻧﺶ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Emro‬‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﮔﻴﺘﺎ ﻣﻮﻟﻠﻲ‬
‫ﺷﻬﺮوز ﻧﻌﻤﺘﻲ‬
‫ﺷﻨﻮاﻳﻲﺷﻨﺎﺳﻲ‬
‫‪88‬‬
‫‪Copernicus‬‬
‫ﻳﻮﻧﺲ ﻟﻄﻔﻲ‬
‫ﻃﻠﻴﻌﻪ ﻇﺮﻳﻔﻴﺎن‬
‫ﺳﻌﻴﺪه ﻣﻬﺮﻛﻴﺎن‬
‫ﺷﻨﻮاﻳﻲﺷﻨﺎﺳﻲ‬
‫‪88‬‬
‫‪Copernicus‬‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﻓﺮﻳﻨﻮش ﻓﺨﺎرﻧﻴﺎ‬
‫زﻫﺮا ﺟﻌﻔﺮي‬
‫ﺷﻨﻮاﻳﻲﺷﻨﺎﺳﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫‪88‬‬
‫‪Copernicus‬‬
‫‪200‬‬
‫ردﻳﻒ‬
‫‪37‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫‪Research.A‬‬
‫ﺗﺄﺛﻴﺮ اﻣﻮزش ﻣﺪﻳﺮﻳﺖ‬
‫زﻣﺎن ﺑﺮ ﺗﻌﺎرض ﻛﺎر ـ‬
‫زﻧﺪﮔﻲ در ﭘﺮﺳﺘﺎران‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﭘﺮﻳﺴﺎ رﺳﻮﻟﻲ‬
‫ﺣﻤﻴﺪرﺿﺎ ﺧﺎﻧﻜﻪ‬
‫ﻣﺴﻌﻮد ﻓﻼﺣﻲ‬
‫ﺣﻴﺎت‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫‪Copernicus‬‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﻣﺤﻤﻮد ﺑﻬﺮاﻣﻲ زاده‬
‫ﻣﻘﺎﺑﺴﻪ ﺗﺄﺛﻴﺮ ارﺗﺰ‬
‫اﺻﻼح ﺷﺪه ﺑﺎ ارﺗﺰ‬
‫ﻋﻤﻠﻜﺮدي ﺑﺮ ﺑﻬﺒﻮد ﻣﺤﻤﺪﻋﻠﻲ ﻣﺮداﻧﻲ‬
‫درد ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ‬
‫ﻣﺤﻤﺪرﺿﺎ ﻛﻴﻬﺎﻧﻲ‬
‫ﭘﻼﻧﺘﺎر ﻓﺎﺷﻴﺎﺗﻴﺲ‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان‬
‫ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‬
‫از‬
‫رﺿﺎﻳﺖﻣﻨﺪي‬
‫ﻛﺎﻣﺮان ﻋﺰﺗﻲ‬
‫ﺗﻤﺮﻳﻨﺎت ﺛﺒﺎت ﺑﺪﻧﻲ در‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ‬
‫ﻛﻤﺮدرد ﻣﻜﺎﻧﻴﻜﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻣﺰﻣﻦ ﻏﻴﺮ اﺧﺘﺼﺎﺻﻲ‬
‫زﻫﺮا ﺟﻌﻔﺮي‬
‫ﭘﺎﻳﺎﻳﻲ و رواﻳﻲ آزﻣﻮن‬
‫ﺳﻨﺠﺶ رﺷﺪ ﺷﻨﻮاﻳﻲ‬
‫ﺣﺴﻦ ﻋﺸﺎﻳﺮي‬
‫زﺑﺎن و ﮔﻔﺘﺎر ﻧﻴﻮﺷﺎ در‬
‫ﺳﻌﻴﺪ ﻣﻼﻳﺮي‬
‫ﻛﻮدﻛﺎن ﺑﺪو ﺗﻮﻟﺪ ﺗﺎ ‪6‬‬
‫ﻓﺮﺷﻴﺪ ﻋﻼء اﻟﺪﻳﻨﻲ‬
‫ﺳﺎل ﻓﺎرﺳﻲ زﺑﺎن‬
‫ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‬
‫‪38‬‬
‫‪Research.A‬‬
‫‪39‬‬
‫‪Research.A‬‬
‫‪40‬‬
‫‪Research.A‬‬
‫‪41‬‬
‫‪Research.A‬‬
‫ﻧﺎﺑﺮاﺑﺮي در ﭘﺎﺳﺦدﻫﻲ‬
‫ﺧﺪﻣﺎت ﺳﻼﻣﺖ ﺑﻪ‬
‫ﻛﻮدﻛﺎن دﭼﺎر ﻧﺎﺗﻮاﻧﻲ‬
‫ﻧﻤﻮي‬
‫‪42‬‬
‫‪Research.A‬‬
‫راﺑﻄﻪ ﺳﺮﻣﺎﻳﻪ اﺟﺘﻤﺎﻋﻲ ﻣﺮﻳﻢ ﺷﺮﻳﻔﻴﺎن ﺛﺎﻧﻲ‬
‫و ﺳﻼﻣﺖ ﻣﺎدران‬
‫ﻣﺴﻌﻮد ﻛﺮﻳﻤﻠﻮ‬
‫‪43‬‬
‫‪Research.A‬‬
‫ﻓﺼﻠﻨﺎﻣﻪ داﻧﺸﮕﺎه‬
‫ﻋﻠﻮم ﭘﺰﺷﻜﻲ‬
‫ارﺗﺶ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Emro‬‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم‬
‫ﭘﺰﺷﻜﻲ ﻫﻤﺪان‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﭘﺎﻳﺶ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺷﺒﻨﻢ اﺻﻐﺮي‬
‫ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫اﺷﻜﺎن ﺧﻮاﺟﻪ دادي‬
‫رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺗﺄﺛﻴﺮ اﻣﻮزﺷﻬﺎي‬
‫ﻣﻬﺎرﺗﻬﺎي زﻧﺪﮔﻲ ﺑﺮ‬
‫اﻓﺰاﻳﺶ ﻣﻴﺰان‬
‫ﻣﺸﺎرﻛﺖ اﺟﺘﻤﺎﻋﻲ‬
‫ﻛﻮدﻛﺎن‬
‫ﺳﻴﺪ ﻋﻠﻲ ﺳﻴﻨﺎ رﺣﻴﻤﻲ‬
‫ﻟﻴﻼ ﺳﻠﻴﻤﺎﻧﻲ ﻧﻴﺎ‬
‫رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫‪201‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﺗﺪوﻳﻦ ﺳﻨﺪ ﻣﻠﻲ‬
‫ﻛﺎﻫﺶ و ﻛﻨﺘﺮل‬
‫آﺳﻴﺒﻬﺎي اﺟﺘﻤﺎﻋﻲ‬
‫‪1385-1384‬‬
‫روﺷﻨﻚ واﻣﻘﻲ‬
‫‪44‬‬
‫‪Research.A‬‬
‫‪45‬‬
‫‪Research.A‬‬
‫ﻧﻘﺶ ﻧﮕﺮش ﺑﻪ رﻓﺎه‬
‫اﺟﺘﻤﺎﻋﻲ در راﺑﻄﻪ‬
‫ﻫﻤﺪﻟﻲ و ﮔﺮاﻳﺶ‬
‫اﺟﺘﻤﺎﻋﻲ ﺑﺎ ﻋﺪاﻟﺖ‬
‫اﺟﺘﻤﺎﻋﻲ‬
‫‪46‬‬
‫‪Research.A‬‬
‫ﻧﻘﺶ ﺣﻤﺎﻳﺘﻬﺎي‬
‫اﺟﺘﻤﺎﻋﻲ در ﻛﻴﻔﻴﺖ‬
‫زﻧﺪﮔﻲ ﺳﺎﻟﻤﻨﺪان‬
‫‪47‬‬
‫‪Research.A‬‬
‫ﻋﻮاﻣﻞ ﺧﺎﻧﻮادﮔﻲ‬
‫ﻣﺮﺗﺒﻂ ﺑﺎ ﻛﻮدك‬
‫آزاري‬
‫‪48‬‬
‫‪Original A‬‬
‫رواﻳﻲ و ﭘﺎﻳﺎﻳﻲ آزﻣﻮن‬
‫ﺳﻨﺠﺶ رﺷﺪ ﺷﻨﺎﺧﺖ‪،‬‬
‫ارﺗﺒﺎط اﺟﺘﻤﺎﻋﻲ و‬
‫ﺣﺮﻛﺖ ﻧﻴﻮﺷﺎ در‬
‫ﻛﻮدﻛﺎن ﻓﺎرﺳﻲ زﺑﺎن‬
‫‪49‬‬
‫‪Original A‬‬
‫ﺗﺠﺮﺑﻪ ﺑﻴﺶ ﻣﺼﺮف‬
‫ﻏﻴﺮ ﻛﺸﻨﺪه ﻣﻮاد در‬
‫دوران زﻧﺪﮔﻲ در‬
‫ﺳﻮﻣﺼﺮف ﻛﻨﻨﺪﮔﺎن‬
‫ﻣﻮاد در اﻳﺮان‬
‫‪50‬‬
‫‪Research.A‬‬
‫ارزﻳﺎﺑﻲ ﻣﻴﺰان ﻧﺎﺗﻮاﻧﻲ‬
‫در ﺳﺎﻟﻤﻨﺪان ﺷﻬﺮ‬
‫ﺗﻬﺮان ﺳﺎل‪1386‬‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﺣﺴﻦ رﻓﻴﻌﻲ‬
‫رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﺑﻬﺎر‪88‬‬
‫‪Emro‬‬
‫ﺳﻌﻴﺪ ﻣﺪﻧﻲ‬
‫)ﻣﺪونﺳﺎزي ﻳﻚ ﺗﺠﺮﺑﻪ(‬
‫ﻣﺤﺴﻦ ﮔﻞ ﭘﺮور‬
‫ﺳﻌﻴﺪ ﻣﺪﻧﻲ‬
‫رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻓﺮدﻳﻦ ﻋﻠﻲ ﭘﻮر‬
‫ﺣﻤﻴﺮا ﺳﺠﺎدي‬
‫آﻣﻨﻪ ﻓﺮوزان‬
‫رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻣﺮﻳﻢ ﺧﺎك رﻧﮕﻴﻦ‬
‫ﻣﻨﺼﻮر ﻓﺘﺤﻲ‬
‫رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫زﻫﺮا ﺟﻌﻔﺮي‬
‫ﺳﻌﻴﺪ ﻣﻼﻳﺮي‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫رواﻧﭙﺰﺷﻜﻲ و‬
‫رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ‬
‫اﻳﺮان‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Emro‬‬
‫ﻫﻮﻣﺎن ﻧﺎرﻧﺠﻴﻬﺎ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫رواﻧﭙﺰﺷﻜﻲ و‬
‫رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ زﻣﺴﺘﺎن ‪88‬‬
‫اﻳﺮان‬
‫‪Emro‬‬
‫ﻣﺤﻤﺪرﺿﺎ ﺷﻬﺒﺎزي‬
‫ﻣﺠﻴﺪ ﻣﻴﺮﺧﺎﻧﻲ‬
‫ﻧﻴﻜﺘﺎ ﺣﺎﺗﻤﻲ زاده‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪202‬‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫‪51‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻧﻮع ﺳﻄﺢ‬
‫اﺗﻜﺎ و ﻧﻮع ﻣﻮﺿﻊ‬
‫ﺗﻮﺟﻪ ﺑﺮ ﺗﻌﺎدل ﻣﺮدان‬
‫ﺳﺎﻟﻤﻨﺪ ﺑﺎ ﺳﺎﺑﻘﻪ اﻓﺘﺎدن‬
‫ﻣﺤﺴﻦ ﺳﺮﺣﺪي‬
‫‪52‬‬
‫‪Research.A‬‬
‫ﻣﻘﺎﻳﺴﻪ ﻧﺘﺎﻳﺞ ﺣﺎﺻﻞ از‬
‫ﺟﺮاﺣﻲ ﺑﺎز و‬
‫ﻻﭘﺎراﺳﻜﻮﭘﻲ در‬
‫ﺳﺎﻟﻤﻨﺪان‬
‫‪53‬‬
‫‪Research.A‬‬
‫ارﺗﺒﺎط ﻧﻤﺮه ﺷﺎﺧﺺ‬
‫ﺑﺎرﺗﻞ در ﺑﺪو ﭘﺬﻳﺮش‬
‫ﺑﺎ ﻧﺘﺎﻳﺞ ﻛﻠﻴﻨﻴﻜﻲ‬
‫ﺑﻴﻤﺎران ﺳﺎﻟﻤﻨﺪ ﻫﻨﮕﺎم‬
‫ﺗﺮﺧﻴﺺ‬
‫‪54‬‬
‫‪Research.A‬‬
‫ﺗﺤﻠﻴﻞ ﺗﺠﺎرب ﺑﻴﻤﺎران اردﺷﻴﺮ اﻓﺮاﺳﻴﺎﺑﻲ ﻓﺮ‬
‫ﺳﺎﻟﻤﻨﺪ اﻳﺮاﻧﻲ از ﺳﻜﺘﻪ‬
‫ﻣﺴﻌﻮد ﻓﻼﺣﻲ‬
‫ﻗﻠﺒﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫‪55‬‬
‫‪Research.A‬‬
‫ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‬
‫ﺳﺎﻟﻤﻨﺪان ﻣﻨﻄﻘﻪ دو‬
‫ﺗﻬﺮان‬
‫‪56‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﺷﻴﻮع ﭘﺮﻓﺸﺎري‬
‫ﺧﻮن و دﻳﺎﺑﺖ در‬
‫ﺳﺎﻟﻤﻨﺪان آﺳﺎﻳﺸﮕﺎه‬
‫ﻛﻬﺮﻳﺰك‬
‫‪57‬‬
‫‪Research.A‬‬
‫ﻧﻘﺶ ﺣﻤﺎﻳﺘﻬﺎي‬
‫اﺟﺘﻤﺎﻋﻲ در ﻛﺎﻫﺶ‬
‫اﺿﻄﺮاب و اﻓﺴﺮدﮔﻲ‬
‫ﺳﺎﻟﻤﻨﺪان‬
‫‪58‬‬
‫‪Research.A‬‬
‫ﺑﻬﺪاﺷﺖ روان ﺳﺎﻟﻤﻨﺪ‬
‫در ﻗﺮان و ﺣﺪﻳﺚ‬
‫ﺷﻬﺮام اﺑﻮﻃﺎﻟﺒﻲ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺳﻴﺪ ﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫‪Emro‬‬
‫ﺑﻴﮋن ﺧﺮاﺳﺎﻧﻲ‬
‫اﺣﻤﺪﻋﻠﻲ اﻛﺒﺮي‬
‫ﻛﺎﻣﺮاﻧﻲ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺳﻌﻴﺪ ﺷﺎه ﺣﺴﻴﻨﻲ‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫رﺿﺎ ﻓﺪاي وﻃﻦ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫ﻓﺮدﻳﻦ ﻋﻠﻲ ﭘﻮر‬
‫ﺣﻤﻴﺮا ﺳﺠﺎدي‬
‫آﻣﻨﻪ ﺳﺘﺎره ﻓﺮوزان‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ و‬
‫زﻣﺴﺘﺎن ‪87‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻓﺮﺷﺎد ﺷﺮﻳﻔﻲ‬
‫اﺣﻤﺪﻋﻠﻲ اﻛﺒﺮي‬
‫ﻛﺎﻣﺮاﻧﻲ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺑﻬﺎر‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻓﺮدﻳﻦ ﻋﻠﻲ ﭘﻮر‬
‫ﺣﻤﻴﺮا ﺳﺠﺎدي‬
‫آﻣﻨﻪ ﺳﺘﺎره ﻓﺮوزان‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺑﻬﺎر‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻓﺎﺿﻞ ﺑﻬﺮاﻣﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺑﻬﺎر‪88‬‬
‫‪Emro‬‬
‫‪203‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫‪59‬‬
‫‪Research.A‬‬
‫ارﺗﺒﺎط وﺿﻴﻌﺖ‬
‫ﺷﻨﺎﺧﺘﻲ و ﺗﻮاﻧﺎﻳﻲ‬
‫ﻋﻤﻠﻜﺮدي در‬
‫ﺳﺎﻟﻤﻨﺪان آﺳﺎﻳﺸﮕﺎه‬
‫ﺧﻴﺮﻳﻪ ﻛﻬﺮﻳﺰك‬
‫ﻫﺎدي ﻛﺎﻇﻤﻲ‬
‫‪60‬‬
‫‪Research.A‬‬
‫‪61‬‬
‫‪Research.A‬‬
‫‪62‬‬
‫‪Research.A‬‬
‫‪63‬‬
‫‪Research.A‬‬
‫اﺛﺮ روﻏﻦ ﻣﺎﻫﻲ ﺑﺮ‬
‫ﺳﻄﺢ ﺳﺮﻣﻲ‬
‫ﻓﺮاﺳﻨﺠﻬﺎي ﻟﻴﭙﻴﺪي‬
‫ﻟﻴﭙﻮﭘﺮوﺗﺌﻴﻦ ‪A‬‬
‫آﭘﻮﻟﻴﭙﻮﭘﺮوﺗﻴﻦ ‪ A-1‬و‪B‬‬
‫ﻗﻨﺪ ﺧﻮن و اﻧﺴﻮﻟﻴﻦ‬
‫ﻧﺎﺷﺘﺎ و ﻣﻘﺎوﻣﺖ ﺑﻪ‬
‫اﻧﺴﻮﻟﻴﻦ در ﺳﺎﻟﻤﻨﺪان‬
‫آﺳﺎﻳﺸﮕﺎه ﻛﻬﺮﻳﺰك‬
‫اﺿﺎﻓﻪ وزن ﺑﻌﻨﻮان‬
‫ﻋﺎﻣﻞ ﻣﺤﺎﻓﻈﺘﻲ در‬
‫ﺑﺮاﺑﺮ وﻗﻮع زوال ﻋﻘﻞ‬
‫در ﺳﺎﻟﻤﻨﺪان ‪ 80‬ﺳﺎل و‬
‫ﺑﺎﻻﺗﺮ آﺳﺎﻳﺸﮕﺎه‬
‫ﻛﻬﺮﻳﺰك‬
‫ارﺗﺒﺎط ﺳﻨﺪرم‬
‫ﻣﺘﺎﺑﻮﻟﻴﻚ ﭘﺮوﺗﻴﻦ‬
‫واﻛﻨﺸﻲ ‪ C‬و ﺑﻴﻤﺎري‬
‫ﻣﺰﻣﻦ ﻛﻠﻴﻮي در‬
‫ﺳﺎﻟﻤﻨﺪان آﺳﺎﻳﺸﮕﺎه‬
‫ﻛﻬﺮﻳﺰك‬
‫ﺑﺮرﺳﻲ ﺗﻜﺮارﭘﺬﻳﺮي‬
‫ﻋﻤﻠﻜﺮد ﺗﻌﺎدﻟﻲ‬
‫ﺗﻜﻠﻴﻒ ﻣﻨﻔﺮد و‬
‫دوﮔﺎﻧﻪ ﺑﺎ اﺳﺘﻔﺎده از‬
‫ﺷﺎﺧﺺﻫﺎي ﺻﻔﺤﻪ‬
‫ﻧﻴﺮو در اﻓﺮاد ﺳﺎﻟﻤﻨﺪ‬
‫ﺳﺎﻟﻢ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﺳﻴﻤﺎ ﻗﺎﺳﻤﻲ‬
‫ﻓﺮﺷﺎد ﺷﺮﻳﻔﻲ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺗﺎﺑﺴﺘﺎن‪88‬‬
‫‪Emro‬‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺣﺴﻴﻦ ﻓﺨﺮزاده‬
‫اﺣﻤﺪﻋﻠﻲ اﻛﺒﺮي‬
‫ﻛﺎﻣﺮاﻧﻲ‬
‫رﺿﺎ ﻓﺪاي وﻃﻦ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺗﺎﺑﺴﺘﺎن‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻣﺮﻳﻢ ﻗﺎدر ﭘﻨﺎﻫﻲ‬
‫ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫رﺿﺎ ﻓﺪاي وﻃﻦ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺗﺎﺑﺴﺘﺎن‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺣﺴﻴﻦ ﻓﺨﺮزاده‬
‫اﺣﻤﺪﻋﻠﻲ اﻛﺒﺮي‬
‫ﻛﺎﻣﺮاﻧﻲ‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫رﺑﺎﺑﻪ ﺻﺤﺎف‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻛﻴﻮان دواﺗﮕﺮان‬
‫ﻣﮋﮔﺎن ﻣﻘﺪم‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﻣﻬﻴﺎر ﺻﻠﻮاﺗﻲ‬
‫ﭘﺎﻳﻴﺰ‪88‬‬
‫‪Emro‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪204‬‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫‪64‬‬
‫‪Research.A‬‬
‫‪65‬‬
‫‪Research.A‬‬
‫‪66‬‬
‫‪Research.A‬‬
‫‪67‬‬
‫‪Research.A‬‬
‫‪68‬‬
‫‪Review.A‬‬
‫‪69‬‬
‫‪Research.A‬‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ارزش ﺷﺎﺧﺺ اﻧﺪازه‬
‫دور ﻛﻤﺮ ﺟﻬﺖ‬
‫ﭘﻴﺸﮕﻮﻳﻲ ﻣﻘﺎوﻣﺖ ﺑﻪ‬
‫اﻧﺴﻮﻟﻴﻦ درﻣﻘﺎﻳﺴﻪ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺑﺎﺳﻨﺪرم ﻣﺘﺎﺑﻮﻟﻴﻚ در‬
‫ﺳﺎﻟﻤﻨﺪان ﺳﺎﻟﻤﻨﺪان‬
‫آﺳﺎﻳﺸﮕﺎه ﻛﻬﺮﻳﺰك‬
‫ﻣﻄﺎﻟﻌﻪ ﻣﻨﻄﻘﻪاي‬
‫آرش ﻣﻴﺮاب زاده‬
‫ﺟﻤﻌﻴﺖ ﺷﻨﺎﺧﺘﻲ و‬
‫ﻫﻤﻪ ﮔﻴﺮﺷﻨﺎﺳﻲ ﺑﺮﺧﻲ‬
‫اﺧﺘﻼﻻت رواﻧﭙﺰﺷﻜﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫در ﺷﻬﺮك اﻛﺒﺎﺗﺎن‬
‫ﺗﻬﺮان‬
‫اي‬
‫ﻣﻘﺎﻳﺴﻪ‬
‫ﺑﺮرﺳﻲ‬
‫ﻋﺒﺪاﷲ ﻗﺎﺳﻤﻲ‬
‫ﺗﺼﻮﻳﺮ ﺑﺪﻧﻲ زﻧﺎن‬
‫ﻳﺎﺋﺴﻪ ورزﺷﻜﺎر و ﻏﻴﺮ‬
‫ﻣﺮﻳﻢ ﻣﻮﻣﻨﻲ‬
‫ورزﺷﻜﺎر‬
‫ﻣﻘﺎﻳﺴﻪ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﻋﻠﻲ ﺣﺴﺎم زاده‬
‫ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ ﺧﺎﻧﻮاده ﺳﺎدات ﺑﺎﻗﺮ ﺳﻴﺪﻣﺪاح‬
‫ﺑﺎ ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ‬
‫ﻓﺮﺣﻨﺎز ﻣﺤﻤﺪي‬
‫ﺳﺮاﻫﺎي ﺳﺎﻟﻤﻨﺪان‬
‫ﻣﺴﻌﻮد ﻓﻼﺣﻲ‬
‫ﺧﺼﻮﺻﻲ و دوﻟﺘﻲ‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﺷﻬﺮ ﺗﻬﺮان‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﻓﺮﺷﺎد ﺷﺮﻳﻔﻲ‬
‫ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ ﻓﻌﺎﻟﻴﺖ‬
‫ﻓﻴﺰﻳﻜﻲ در ﺳﺎﻟﻤﻨﺪان‬
‫ﻣﻨﻄﻘﻪ ‪ 17‬ﺗﻬﺮان‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫ﭘﺎﻳﻴﺰ‪88‬‬
‫‪Emro‬‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫وﺣﻴﺪ ﻧﺠﺎﺗﻲ‬
‫راﻣﻴﻦ ﻛﺮدي‬
‫ﺳﺎﻟﻤﻨﺪ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Emro‬‬
‫ﻓﺎﻃﻤﻪ ﺷﻌﺎﻋﻲ‬
‫ﻳﻮﺳﻒ ﺷﺎﻫﻲ‬
‫ﺗﺄﺛﻴﺮ ﺳﻄﺢ ﺗﺤﺼﻴﻼت ﺳﻴﺪﻣﺤﻤﻮد ﻣﻴﺮزﻣﺎﻧﻲ‬
‫واﻟﺪﻳﻦ ﺑﺮ ﻣﻬﺎرﺗﻬﺎي‬
‫ﻣﻌﺼﻮﻣﻪ‬
‫اﺟﺘﻤﺎﻋﻲ و ﻣﺸﻜﻼت ﭘﻮرﻣﺤﻤﺪرﺿﺎي‬
‫رﻓﺘﺎري داﻧﺶ آﻣﻮزان‬
‫ﺗﺠﺮﻳﺸﻲ‬
‫ﻣﺒﺘﻼ ﺑﻪ ﻧﺸﺎﻧﮕﺎن داون‬
‫ﻣﺴﻌﻮد ﺻﺎﻟﺤﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫اﺻﻮل ﺑﻬﺪاﺷﺖ‬
‫رواﻧﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫‪205‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫‪70‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺑﺎزي‬
‫درﻣﺎﻧﻲ ﮔﺮوﻫﻲ ﺑﺮ‬
‫ﻣﻴﺰان اﻓﺴﺮدﮔﻲ‬
‫ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ‬
‫ﺳﺮﻃﺎن‬
‫اﻓﺴﺎﻧﻪ زارﻋﭙﻮر‬
‫‪71‬‬
‫‪Research.A‬‬
‫ارﺗﻘﺎ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‬
‫ﻣﺮدان ﺳﺎﻟﻤﻨﺪ‬
‫ﻛﻬﺮﻳﺰك ﺑﺮ اﺳﺎس‬
‫ﻣﺪاﺧﻠﻪ آﻣﻮزﺷﻲ‬
‫‪72‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﻓﺮآﻳﻨﺪﻫﺎي‬
‫واﺟﻲ ﻛﻮدﻛﺎن ﻓﺎرﺳﻲ‬
‫زﺑﺎن ‪ 2‬ﺗﺎ‪ 4‬ﺳﺎﻟﻪ‬
‫‪73‬‬
‫‪Research.A‬‬
‫ﻃﺮاﺣﻲ و ﺳﺎﺧﺖ‬
‫اﺳﭙﻠﻴﻨﺖ ﺟﺪﻳﺪ‬
‫ﻋﻨﻜﺒﻮﺗﻲ دﺳﺖ و‬
‫ﻣﻘﺎﻳﺴﻪ ﺗﺄﺛﻴﺮ آن ﺑﺮ‬
‫ﺑﻬﺒﻮدي ﻋﻤﻠﻜﺮد دﺳﺖ‬
‫ﺑﺎ اﺳﭙﻠﻴﻨﺖ ﻓﻠﺰي‬
‫ﻣﻌﻤﻮل‬
‫‪74‬‬
‫‪Review A‬‬
‫ﺗﺄﺛﻴﺮات ﻓﻴﺰﻳﻮﻟﻮژﻳﻚ‬
‫ﺗﻤﺮﻳﻨﺎت ﺑﺪﻧﻲ ﻣﻘﺎوﻣﺘﻲ‬
‫و اﺳﺘﻘﺎﻣﺘﻲ ﺑﺮ ﺑﻴﻤﺎران‬
‫ﻣﺒﺘﻼ ﺑﻪ ﺑﻴﻤﺎرﻳﻬﺎي ﻗﻠﺒﻲ‬
‫و ﻋﺮوﻗﻲ‬
‫‪75‬‬
‫‪Case Report‬‬
‫ﮔﺰارش ﻳﻚ ﻣﻮرد‬
‫ﺑﻴﻤﺎر ﻓﺎرﺳﻲ زﺑﺎن ﻣﺒﺘﻼ‬
‫ﺑﻪ ﻧﺸﺎﻧﮕﺎن ﻟﻬﺠﻪ‬
‫ﺧﺎرﺟﻲ‬
‫ﻣﺴﻌﻮد ﻓﻼﺣﻲ‬
‫زﻫﺮا ﻛﺎﺷﺎﻧﻲ ﻧﻴﺎ‬
‫اﻛﺒﺮ ﺑﻴﮕﻠﺮﻳﺎن‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﻋﻠﻮم ﭘﺰﺷﻜﻲ‬
‫ﻛﺮدﺳﺘﺎن‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫‪Emro‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻟﻴﻼ ﻗﻬﺮﻣﺎﻧﻲ‬
‫ﻣﻴﺮﻃﺎﻫﺮ ﻣﻮﺳﻮي‬
‫داﻧﺶ و ﺗﻨﺪرﺳﺘﻲ ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﻃﺎﻫﺮه ﺳﻴﻤﺎ ﺷﻴﺮازي‬
‫ﻧﻴﺮه ﻣﻬﺪي ﭘﻮر‬
‫ﺷﻬﺮﻳﻮر‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Copernicus‬‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫آذر ﻣﻬﺮي‬
‫ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‬
‫ﻣﺤﻤﻮد ﺑﻬﺮاﻣﻲ زاده‬
‫ﻣﺴﻌﻮد ﻛﺮﻳﻤﻠﻮ‬
‫رﺿﺎ وﻫﺎب ﻛﺎﺷﺎﻧﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Copernicus‬‬
‫ﻣﺤﻤﺪﻋﻠﻲ ﻣﺮداﻧﻲ‬
‫ﺳﻴﺪاﺑﺮاﻫﻴﻢ ﻣﻮﺳﻮي‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﻣﺤﻤﺪرﺿﺎ ﻧﻴﻜﻮ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Copernicus‬‬
‫رﺑﺎب ﺗﻴﻤﻮري‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺑﻬﺎر ‪88‬‬
‫‪Copernicus‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪206‬‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻣﻘﺎﻳﺴﻪ اﻟﮕﻮي ﻓﻌﺎﻟﻴﺖ‬
‫ﻋﻀﻠﻪ راﺳﺖ ﻛﻨﻨﺪه‬
‫ﺳﺘﻮن ﻓﻘﺮات در ﺣﻴﻦ‬
‫ﻋﻤﻞ ﭘﺎﻳﻴﻦ ﮔﺬاﺷﺘﻦ ﺑﺎر‬
‫ﻗﺒﻞ و ﺑﻌﺪ از ﺣﻔﻆ‬
‫ﻃﻮﻻﻧﻲ ﻣﺪت وﺿﻌﻴﺖ‬
‫ﻓﻠﻜﺴﻴﻮن ﻛﻤﺮدر اﻓﺮاد‬
‫ﺑﺎ ﺳﺎﺑﻘﻪ ﻛﻤﺮ درد‬
‫واﻓﺮاد ﺳﺎﻟﻢ‬
‫ﺗﺄﺛﻴﺮ آﻣﻮزش ﺧﻮد‬
‫ﻣﺮاﻗﺒﺘﻲ ﺑﺮ ﻛﻴﻔﻴﺖ‬
‫زﻧﺪﮔﻲ ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ‬
‫ﻧﺎرﺳﺎﻳﻲ ﻗﻠﺒﻲ‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻤﺮﻳﻨﺎت‬
‫ﻛﻠﻴﺪي ﻣﻔﺼﻞ ﺷﺎﻧﻪ ﺑﺮ‬
‫ﮔﺸﺘﺎور اﻳﺰوﻣﺘﺮﻳﻚ‬
‫ﺣﺮﻛﺎت ﻣﻔﺼﻞ‬
‫ﮔﻠﻨﻮﻫﻮﻣﺮال در زﻧﺎن‬
‫ﺟﻮان ﺳﺎﻟﻢ‬
‫ﺗﺎﻳﻴﺪ رواﻳﻲ ﺳﺎزه‬
‫ﻧﺴﺨﻪ ﻓﺎرﺳﻲ ﻣﺠﻤﻮﻋﻪ‬
‫آزﻣﻮن ارزﻳﺎﺑﻲ‬
‫ﺷﻨﺎﺧﺘﻲ ﻛﺎردرﻣﺎﻧﻲ‬
‫ﻟﻮﻧﺸﺘﻴﻦ )ﻟﻮﺗﻜﺎ(‬
‫ﻫﻼﻛﻮ ﻣﺤﺴﻨﻲ ﻓﺮ‬
‫‪76‬‬
‫‪Research.A‬‬
‫‪77‬‬
‫‪Research.A‬‬
‫‪78‬‬
‫‪Research.A‬‬
‫‪79‬‬
‫‪Research.A‬‬
‫‪80‬‬
‫‪Research.A‬‬
‫ﻣﻘﺎﻳﺴﻪ ﺣﺲ ﻋﻤﻘﻲ‬
‫ﻣﻔﺼﻞ ﺷﺎﻧﻪ ﺑﻴﻦ زﻧﺎن‬
‫واﻟﻴﺒﺎﻟﻴﺴﺖ و زﻧﺎن ﻏﻴﺮ‬
‫ورزﺷﮕﺎر‬
‫‪81‬‬
‫‪Research.A‬‬
‫ﻣﻘﺎﻳﺴﻪ ﺗﺄﺛﻴﺮ ارﺗﺰ‬
‫ﺑﻴﺤﺮﻛﺖ ﻛﻨﻨﺪه و‬
‫ﮔﭻﮔﻴﺮي ﺑﺮ راﺳﺘﺎي‬
‫ﻣﻔﺼﻞ ﻛﻒ ﭘﺎﻳﻲ ـ‬
‫اﻧﮕﺸﺘﻲ در ﺑﻴﻤﺎران‬
‫ﻫﺎﻟﻮﻛﺲ واﻟﮕﻮس‬
‫ﭘﺲ از ﻋﻤﻞ ﺟﺮاﺣﻲ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﻣﻬﻴﺎر ﺻﻠﻮاﺗﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺣﺒﻴﺐ اﻟﻪ رﺿﺎﻳﻲ ﻟﻮﻳﻪ‬
‫اﺻﻐﺮ داﻟﻮﻧﺪي‬
‫ﻣﺤﻤﺪ ﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫رﻗﻴﻪ ﻣﺤﻤﺪي‬
‫اﻓﺴﻮن ﻧﻮدﻫﻲ ﻣﻘﺪم‬
‫اﻣﻴﺮﻣﺴﻌﻮد ﻋﺮﺑﻠﻮ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫اﺷﺮف ﻛﺮﺑﻼﻳﻲ ﻧﻮري‬
‫زوﻳﺎ ﺷﻤﺲ اﻟﻤﻌﺎﻟﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Coperiucus‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫اﻓﺴﻮن ﻧﻮدﻫﻲ ﻣﻘﺪم‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﻣﻠﻮك ﻋﻴﻮﺿﻲ‬
‫ﺳﻴﺪﻣﺤﻤﺪاﺑﺮاﻫﻴﻢ‬
‫ﻣﻮﺳﻮي‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫رﺿﺎ وﻫﺎب ﻛﺎﺷﺎﻧﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺗﺎﺑﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫‪207‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫‪82‬‬
‫‪Research.A‬‬
‫‪83‬‬
‫‪Research.A‬‬
‫ﺗﺄﺛﻴﺮ اﻣﻮزش ﮔﺮوﻫﻲ‬
‫واﻟﺪﻳﻦ ﻛﻮدﻛﺎن ‪ 4‬ﺗﺎ‬
‫‪ 10‬ﺳﺎﻟﻪ ﻣﺒﺘﻼ ﺑﻪ‬
‫اﺧﺘﻼل ﻧﻘﺼﺎن ﺗﻮﺟﻪ ـ‬
‫ﺑﻴﺶ ﻓﻌﺎﻟﻲ ﺑﺮ‬
‫اﺧﺘﻼﻻت رﻓﺘﺎري‬
‫ﻓﺮزﻧﺪاﻧﺸﺎن‬
‫‪84‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ‬
‫ﻓﻌﺎﻟﻴﺖﻫﺎي ﺣﺮﻛﺘﻲ ﻋﻠﻲ ﺣﺴﻴﻦ ﺳﺎزﻣﻨﺪ‬
‫درﺷﺖ ﺑﺮ ﻓﺮاﻳﻨﺪ ﺗﻮﺟﻪ ﻫﻮﺷﻨﮓ ﻣﻴﺮزاﻳﻲ‬
‫داﻧﺶ آﻣﻮزان‬
‫ﭘﺴﺮﻣﺒﺘﻼﺑﻪ ﻧﺸﺎﻧﮕﺎن‬
‫ﻣﺴﻌﻮدﻛﺮﻳﻤﻠﻮ‬
‫داون‬
‫‪85‬‬
‫‪Research.A‬‬
‫‪86‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ آﻣﻮزش ﻣﺤﻤﺪ ﺳﻌﻴﺪ ﺧﺎﻧﺠﺎﻧﻲ‬
‫ﻧﺤﻮه ﻣﺮاﻗﺒﺖ از‬
‫ﻧﻴﻜﺘﺎ ﺣﺎﺗﻤﻲ زاده‬
‫ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻣﺤﻤﺪ ﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫ﻣﻐﺰي ﺑﺮﻛﻴﻔﻴﺖ‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫زﻧﺪﮔﻲ ﻣﺮاﻓﺒﻴﻦ‬
‫ﻣﻨﻮﭼﻬﺮ ارﺟﻤﻨﺪ‬
‫ﺧﺎﻧﻮادﮔﻲ آﻧﻬﺎ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫‪Copernicus‬‬
‫ﭘﺎرﺳﺎ ﻫﻮش ور‬
‫ﻓﺎﻃﻤﻪ ﺑﻬﻨﻴﺎ‬
‫ﻛﺘﺎﻳﻮن ﺧﻮﺷﺎﺑﻲ‬
‫ﻫﻮﺷﻨﮓ ﻣﻴﺮزاﻳﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫‪Copernicus‬‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫آزاده ﺳﺎداﺗﻲ‬
‫ﻣﻘﺎﻳﺴﻪ ﺑﺮﺧﻲ‬
‫ﻛﺎرﺑﺮد‬
‫ﺗﻮاﻧﺎﻳﻲﻫﺎي‬
‫ﻃﺎﻫﺮه ﺳﻴﻤﺎ ﺷﻴﺮازي‬
‫ﺷﻨﺎﺧﺘﻲ ﻛﻮدﻛﺎن‬
‫ﻋﺒﺎس ﭘﻮرﺷﻬﺒﺎز‬
‫ﻓﺎرﺳﻲ زﺑﺎن ﻛﻢ‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﺷﻨﻮاي ﺷﺪﻳﺪ ‪4‬ﺗﺎ ‪6‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺳﺎﻟﻪ ﺑﺎ ﻫﻤﺴﺎﻻن ﺷﻨﻮا‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫‪Copernicus‬‬
‫ﻧﺠﻮا ﻣﻮﺳﻮي‬
‫ﺗﺄﺛﻴﺮﺑﺎزيﻫﺎي‬
‫آﻣﻮزﺷﻲ ﺑﺮﻣﻴﺰان‬
‫ﻳﺎدﮔﻴﺮي ﺑﺮﺧﻲ‬
‫ازﻣﻔﺎﻫﻴﻢ رﻳﺎﺿﻲ در‬
‫داﻧﺶ آﻣﻮزان ﭘﺴﺮ ﻛﻢ‬
‫ﺗﻮان ذﻫﻨﻲ‬
‫آﻣﻮزشﭘﺬﻳﺮ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫‪Copernicus‬‬
‫آﺳﻴﻪ اﺧﻮاﺳﺖ‬
‫ﻫﺎدي ﺑﻬﺮاﻣﻲ‬
‫ﻣﻌﺼﻮﻣﻪ‬
‫ﭘﻮرﻣﺤﻤﺪرﺿﺎي‬
‫ﺗﺠﺮﻳﺸﻲ‬
‫اﻛﺒﺮ ﺑﻴﮕﻠﺮﻳﺎن‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫‪Copernicus‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪208‬‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫‪87‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ ﭘﻴﻮﺳﺘﮕﻲ ‪7‬‬
‫ﺟﺎﻳﮕﺎه ژﻧﻲ ﺑﺮاي‬
‫ﻧﺎﺷﻨﻮاﻳﻲ ﻏﻴﺮ ﺳﻨﺪرﻣﻲ‬
‫آﺗﻮزوﻣﻲ ﻣﻐﻠﻮب در‬
‫ﺧﺎﻧﻮادهﻫﺎي اﻳﺮاﻧﻲ‬
‫‪88‬‬
‫‪Research.A‬‬
‫‪89‬‬
‫‪Research.A‬‬
‫‪90‬‬
‫‪Research.A‬‬
‫‪91‬‬
‫‪Research.A‬‬
‫‪92‬‬
‫‪Research.A‬‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫راﻣﻚ ﺑﺪر‬
‫ﺑﻬﺎره ﺷﺠﺎع ﺻﻔﺎر‬
‫ﻧﻴﻠﻮﻓﺮ ﺑﺰاززادﮔﺎن‬
‫ﺧﺪﻳﺠﻪ ﺟﻼﻟﻮﻧﺪ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﻛﻴﻤﻴﺎ ﻛﻬﺮﻳﺰي‬
‫ﺣﺴﻴﻦ ﻧﺠﻢ آﺑﺎدي‬
‫ﺑﺮرﺳﻲ ﭘﺎﻳﺎﻳﻲ ﻧﺴﺨﻪ‬
‫ﺳﻨﺠﺶ‬
‫ﻓﺎرﺳﻲ ﻣﻘﻴﺎس‬
‫ﻣﺠﺘﺒﻲ ﻋﻈﻴﻤﻴﺎن‬
‫ﺷﺪت ﺧﺴﺘﮕﻲ در‬
‫ﻣﺎﻧﺪاﻧﺎ ﻓﻼح ﭘﻮر‬
‫اﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﻣﻮﻟﺘﻴﭙﻞ‬
‫ﻣﺴﻌﻮدﻛﺮﻳﻤﻠﻮ‬
‫اﺳﻜﻠﺮوزﻳﺲ‬
‫ﻣﻘﺎﺳﻴﻪ ﻧﻴﺎزﻫﺎي‬
‫ارﻣﻐﺎن ﻣﺤﻤﻮدﻳﺎن‬
‫راه‬
‫ﺗﻮﺟﻬﻲ ﻛﻨﺘﺮل‬
‫ﺑﻬﻨﺎم اﺧﺒﺎري‬
‫رﻓﺘﻦ در ورزﺷﻜﺎران‬
‫ﺳﺎﻟﻢ و ورزﺷﻜﺎران‬
‫ﻣﻬﻴﺎر ﺻﻠﻮاﺗﻲ‬
‫ﻣﺒﺘﻼ ﺑﻪ ﺑﻲ ﺛﺒﺎﺗﻲ‬
‫ﻋﻤﻠﻜﺮدي ﻣﭻ ﭘﺎ‬
‫ﻣﻘﺎﻳﺴﻪ اوﻟﺘﺮاﺳﻮﻧﻴﻚ‬
‫اﻣﻴﺪ رﺳﻮﻟﻲ‬
‫ﺗﻐﻴﻴﺮات ﺿﺨﺎﻣﺖ‬
‫ﻣﺤﺴﻦ اﻣﻴﺮي‬
‫ﻋﻀﻼت ﺷﻜﻢ در‬
‫وﺿﻴﻌﺘﻬﺎي ﻣﺨﺘﻠﻒ در‬
‫ﻛﻤﺮدرد‬
‫ﻣﺮدان ﻣﺒﺘﻼ ﺑﻪ‬
‫اﻣﻴﺮ ﻣﺴﻌﻮد ﻋﺮب ﻟﻮ‬
‫ﻣﺰﻣﻦ ﻏﻴﺮ اﺧﺘﺼﺎﺻﻲ و‬
‫ﻣﺮدان ﺳﺎﻟﻢ‬
‫ﻣﻘﺎﺳﻪ ﺗﺼﻮﻳﺮ ﺑﺪﻧﻲ‬
‫ﻋﺒﺪاﷲ ﻗﺎﺳﻤﻲ‬
‫ﻣﻌﻠﻮﻟﻴﻦ ورزﺷﻜﺎر‬
‫ﻣﺮﻳﻢ ﻣﻮﻣﻨﻲ‬
‫ﺑﺎﻣﻌﻠﻮﻟﻴﻦ و ﻏﻴﺮ‬
‫ﻣﻌﻠﻮﻟﻴﻦ ﻏﻴﺮ ورزﺷﻜﺎر ﺣﻤﻴﺮﺿﺎ ﺧﺎﻧﻜﻪ‬
‫ﻣﺮد‬
‫ﻣﻴﻨﺎ ﺣﺴﻴﻨﻲ‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان ﺗﺄﺛﻴﺮ‬
‫آﺳﻴﺐ ﺧﻔﻴﻒ ﺗﺎ‬
‫زﻫﺮه ﺳﺮﻓﺮاز‬
‫ﻣﺘﻮﺳﻂ ﺑﻴﻨﺎﻳﻲ و‬
‫ﻣﺴﻌﻮدﻛﺮﻳﻤﻠﻮ‬
‫ﺷﻨﻮاﻳﻲ ﺑﺮ ﻓﻌﺎﻟﻴﺘﻬﺎي‬
‫روزﻣﺮه زﻧﺪﮔﻲ و‬
‫ﻓﺎﻃﻤﻪ ﺑﻬﻨﻴﺎ‬
‫ﺗﻌﺎدل ﺳﺎﻟﻤﻨﺪان‬
‫اﻋﻈﻢ ﺷﺎﻫﻮراﻗﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫‪93‬‬
‫‪Research.A‬‬
‫‪94‬‬
‫‪Research.A‬‬
‫‪95‬‬
‫‪Original A‬‬
‫‪96‬‬
‫‪Research.A‬‬
‫‪97‬‬
‫‪Research.A‬‬
‫‪98‬‬
‫‪Research.A‬‬
‫‪209‬‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻣﻘﺎﻳﺴﻪ درك ﺗﺮﻛﻴﺒﺎت‬
‫اﺳﺘﻌﺎري ﺑﻴﻦ داﻧﺶ ﻃﺎﻫﺮه ﺳﻴﻤﺎ ﺷﻴﺮازي‬
‫آﻣﻮزان آﺳﻴﺐ دﻳﺪه‬
‫رﺿﺎﻧﻴﻠﻲ ﭘﻮر‬
‫ﺷﻨﻮاﻳﻲ ﺑﺎداﻧﺶ‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫آﻣﻮزان ﺷﻨﻮا در ﻣﻘﻄﻊ‬
‫ﻋﺒﺎس ﭘﻮرﺷﻬﺒﺎز‬
‫راﻫﻨﻤﺎﻳﻲ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫رﻳﺤﺎﻧﻪ ﻣﺤﻤﺪي‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻤﺮﻳﻨﺎت‬
‫اﺳﺘﻘﺎﻣﺘﻲ ـ ﻣﻘﺎوﻣﺘﻲ ﺑﺮ‬
‫ﻇﺮﻓﻴﺖ ﺑﺪﻧﻲ و‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺷﺎﺧﺺﻫﺎي ﺗﻦ ﺳﻨﺠﻲ‬
‫ﺑﻴﻤﺎران ﻗﻠﺒﻲ‬
‫ژن‬
‫اﻟﻘﺎ‬
‫ﺑﺮرﺳﻲ ﻣﻴﺰان‬
‫زﻫﺮا دﻳﻠﻤﻲ‬
‫ﮔﻠﻮﺑﻴﻦ ﺑﺎ ﻏﻠﻈﺘﻬﺎي‬
‫ﻣﻬﺪي ﺑﻨﺎن‬
‫ﻣﺨﺘﻠﻒ ﻫﻴﺪروﻛﺴﻲ‬
‫ﻛﻴﻤﻴﺎ ﻛﻬﺮﻳﺰي‬
‫اوره در رده ﺳﻠﻮﻟﻲ‬
‫ﺣﺴﻴﻦ ﻧﺠﻢ اﺑﺎدي‬
‫‪ K562‬ﺑﺎ ﻫﺪف درﻣﺎن‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺑﺘﺎ ﺗﺎﻻﺳﻤﻲ‬
‫ﺗﺰرﻳﻖ‬
‫ﻣﻄﺎﻟﻌﻪ اﺛﺮ‬
‫ﻣﻬﺪي ﻣﻬﺪوي‬
‫ﻫﻤﺰﻣﺎن اﻳﻨﺘﺮﻛﻮﻟﻴﻦ ‪-‬‬
‫ﺣﻤﻴﺪرﺿﺎ ﺧﺮم‬
‫‪ GM-CSF 15‬در‬
‫ﺧﻮرﺷﻴﺪ‬
‫اﻓﺰاﻳﺶ اﻳﻤﻨﻲ زاﻳﻲ‬
‫ﭘﻼﺳﻤﻴﺪ ﺑﻴﺎﻧﻲ ‪HIV-1-‬‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫‪P24-Nef‬در ﻣﺪل‬
‫ﻣﻮش ‪BALB/c‬‬
‫ﺗﻜﺮارﭘﺬﻳﺮي‬
‫ﺧﺪاﺑﺨﺶ ﺟﻮاﻧﺸﻴﺮ‬
‫ﺳﻄﺢ‬
‫اﻧﺪازهﮔﻴﺮي‬
‫ﻣﺤﻤﺪﻋﻠﻲ ﻣﺤﺴﻨﻲ‬
‫ﻣﻘﻄﻊ ﺿﺨﺎﻣﺖ و‬
‫ﻣﺤﺴﻦ اﻣﻴﺮي‬
‫ﭘﻬﻨﺎي ﻋﻀﻠﻪ ﻟﻮﻧﮕﻮس‬
‫ﻛﻮﻟﻲ ﺑﺎ اوﻟﺘﺮا‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺳﻮﻧﻮﮔﺮاﻓﻲ‬
‫ﻧﻘﺶ ﺗﻌﺪﻳﻞ ﻛﻨﻨﺪه‬
‫ﻣﻌﺼﻮﻣﻪ‬
‫ﺟﻨﺲ در ارﺗﺒﺎط ﺑﻴﻦ‬
‫ﭘﻮرﻣﺤﻤﺪرﺿﺎي‬
‫ﺳﺒﻚ اﺳﻨﺎد و ﭘﻴﺸﺮﻓﺖ‬
‫ﺗﺠﺮﻳﺸﻲ‬
‫ﺗﺤﺼﻴﻠﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﻣﺤﻤﺪرﺿﺎﻧﻴﻜﻮ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﻋﻠﻮم ﭘﺰﺷﻜﻲ‬
‫داﻧﺸﮕﺎه آزاد‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫‪Emro‬‬
‫ﻋﻠﻮم ﭘﺰﺷﻜﻲ‬
‫ﻣﺪرس‬
‫زﻣﺴﺘﺎن ‪88‬‬
‫‪Copernicus‬‬
‫ﻋﻠﻮم ﭘﺰﺷﻜﻲ‬
‫داﻧﺸﮕﺎه ﺑﺎﺑﻞ‬
‫ﺗﻴﺮ ‪88‬‬
‫‪Emro‬‬
‫ﻋﻠﻮم رﻓﺘﺎري‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫اﻳﻨﺪﻛﺲ ﻧﺸﺪه‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪210‬‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ‬
‫ﻣﺠﻠﻪ‬
‫ردﻳﻒ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫‪99‬‬
‫‪Research.A‬‬
‫‪100‬‬
‫‪Research.A‬‬
‫ﺗﺄﺛﻴﺮ ﻣﺮاﻗﺒﺖ ﭘﻴﮕﻴﺮ ﺑﺮ‬
‫ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺑﻴﻤﺎران‬
‫اﺳﻜﻴﺰوﻓﺮﻧﻴﻚ‬
‫ﺗﺮﺧﻴﺺ ﺷﺪه از‬
‫ﺑﻴﻤﻠﺮﺳﺘﺎن ﺳﻴﻨﺎ ﻫﻤﺪان‬
‫‪101‬‬
‫‪Research.A‬‬
‫ﻣﻴﺰان ﺷﻴﻮع ﻣﺸﻜﻼت‬
‫رﻓﺘﺎري داﻧﺶ آﻣﻮزان‬
‫ﻣﻘﻄﻊ اﺑﺘﺪاﻳﻲ ﺷﻬﺮ‬
‫ﺗﻬﺮان‬
‫‪102‬‬
‫‪Research.A‬‬
‫ﺑﺮرﺳﻲ اﺛﺮ ﺑﺨﺸﻲ روان‬
‫درﻣﺎﻧﮕﺮي ﺷﻨﺎﺧﺘﻲ ـ ﺳﻴﺪ ﺟﻼل ﻳﻮﻧﺴﻲ‬
‫رﻓﺘﺎري ﮔﺮوﻫﻲ و‬
‫ﻓﺮدي زﻧﺪاﻧﻴﺎن در‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫زﻧﺪان رﺟﺎﻳﻲ ﺷﻬﺮ‬
‫رواﻧﺸﻨﺎﺳﻲ ﻣﻌﺎﺻﺮ‬
‫ﺑﻬﺎر‪88‬‬
‫‪103‬‬
‫‪Research.A‬‬
‫راﺑﻄﻪ ﺑﻴﻦ ﺳﺒﻜﻬﺎي‬
‫ﻫﻮﻳﺖ و ادراك ﻋﻠﻴﺮﺿﺎ ﻣﺤﻤﺪي آرﻳﺎ‬
‫ﺻﻼﺣﻴﺖ ﺷﻨﺎﺧﺘﻲ ﺑﺎ‬
‫ﻋﻠﻮم رواﻧﺸﻨﺎﺧﺘﻲ‬
‫راﻫﺒﺮدﻫﺎي ﻣﻘﺎﺑﻠﻪ ﺑﺎ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺗﻨﻴﺪﮔﻲ در داﻧﺸﺠﻮﻳﺎن‬
‫داﻧﺸﮕﺎه اﻟﺰﻫﺮا‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫اﻳﻨﺪﻛﺲ ﺷﺪه‬
‫در‬
‫ﻣﺴﻌﻮد ﻓﻼﺣﻲ‬
‫ﺣﻤﻴﺪرﺿﺎ ﺧﺎﻧﻜﻪ‬
‫ﺗﺄﺛﻴﺮ ﻣﺮاﻗﺒﺖ در ﻣﻨﺰل‬
‫در ﭘﻴﺸﮕﻴﺮي از ﺑﺴﺘﺮي ﻓﺮﺣﻨﺎز ﻣﺤﻤﺪي‬
‫ﻣﺠﺪد ﻣﺪدﺟﻮﻳﺎن‬
‫ﻣﺤﻤﺪ ﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫ﺣﺎد‬
‫اﺳﻜﻴﺰوﻓﺮﻧﻴﻚ‬
‫اﺑﻮاﻓﻀﻞ رﻫﮕﻮي‬
‫ﭘﮋوﻫﺶ ﭘﺮﺳﺘﺎري‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫اﻳﻨﺪﻛﺲ ﻧﺸﺪه‬
‫ﻧﺎﻫﻴﺪ ﻏﻀﻨﻔﺮي‬
‫ﺣﻤﻴﺪرﺿﺎ ﺧﺎﻧﻜﻪ‬
‫ﻣﺴﻌﻮد ﻓﻼﺣﻲ‬
‫ﻣﻬﺪي رﻫﮕﺬر‬
‫ﭘﮋوﻫﺶ ﭘﺮﺳﺘﺎري زﻣﺴﺘﺎن‪88‬‬
‫اﻳﻨﺪﻛﺲ ﻧﺸﺪه‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﺑﺎﻗﺮ ﻏﺒﺎري‬
‫ﮔﻴﺘﺎ ﻣﻮﻟﻠﻲ‬
‫ﺳﺎﻳﺮﻳﻦ‬
‫ﭘﮋوﻫﺶ در ﺣﻴﻄﻪ‬
‫ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﻳﻲ‬
‫ﭘﺎﻳﻴﺰ ‪88‬‬
‫اﻳﻨﺪﻛﺲ ﻧﺸﺪه‬
‫ﻣﺤﻤﺪ ﺧﺪاﻳﺎري‬
‫اﻳﻨﺪﻛﺲ ﻧﺸﺪه‬
‫ﻓﺎﻃﻤﻪ ﻟﭽﻴﺎﻧﻲ‬
‫اﻳﻨﺪﻛﺲ ﻧﺸﺪه‬
211
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ﻧﺸﺮﻳﺎت ﺧﺎرج از ﻛﺸﻮر‬
‫اﻳﻨﺪﻛﺲ‬
‫ﺗﺎرﻳﺦ ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
ISI
IF: 5.393
July
2009
J Sex med
ISI
IF: 5.393
August
2009
J sex med
ISI
IF: 1.884
Oct 2009
Journal of
electromyography
and kinesiology
‫ﺷﺪه در‬
ISI
April
Pakistan journal of
June 2009 medical sciences
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
p.
mohammadkhani
k. khooshabi
a.s.forouzan
Others
p.
mohammadkhani
a.s.forouzan
k. khooshabi
Others
f. hashemirad
s. talebian
b. hatef
Association between
coerced anal sex and
psychopathology,
marital distress and
non-sexual violence
Are the predictors of
sexual violence the
same as those of non
sexual violence? A
Gender analysis
The relationship
between flexibility
and EMG activity
pattern of the erector
spinae muscles
during trunk flexion
– extension
The effects of
consecutive
supervised stability
training on postural
Balance in patients
with chronic low
back pain
Mutations in
LOXHD1, an
Evolutionarily
conserved
stereociliary protein,
disrupt hair cell
function in mice and
cause progressive
hearing loss in
humans
Human male
infertility caused by
mutations in the
CATSPER 1
channel protein
Identification of
mutation in
TRAPPC9, which
encodes the NIK –
and IKK-β-binding
protein in
nonsyndromic
autosomal-recessive
mental retardation
a.h.kahlaee
N. KARIMI
I. EBRAHIMI
A. M. Arab
Others
n. grillet
k. kahrizi
h. najmabadi
ISI
IF: 10.153
ISI
IF: 10.153
Sep
2009
April
2009
ISI
Dec 2009
IF: 10.153
The American
journal of human
genetic
The American
journal of human
genetics
The American
Journal of Human
Genetics
Others
r. matthew
k. kahrizi
h. najmabadi
Others
a.mir
k.kahrizi
h.najmabadi
Others
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
Original.R
1
Original.R
2
Research.A
3
Original.A
4
Research.A
5
Report
6
Report
7
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﻳﻨﺪﻛﺲ‬
‫ﺷﺪه در‬
ISI
IF: 10.153
ISI IF:
1.877
212
‫ﺗﺎرﻳﺦ ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
Feb
2010
The American
Journal of Human
Genetics
April
2009
laryngoscope
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
H.Odeh
h.najmabadi
Mutations in Grxcr1
Are The Basis for
Inner Ear
Dysfunction in the
Pirouette Mouse
Mutations in the first
MYTH4 domain of
MY015A are a
common cause of
DFNB3 Hearing
loss
A large deletion in
GPR98 causes type
IIC usher syndrome
in male and female
members of an
Iranian family
Fragile x syndrome
screening of families
with consanguineous
and nonconsanguineous
parents in the
Iranian population
Others
a. eliot shearer
k.kahrizi
h.najmabadi
others
ISI
IF: 5.713
April
2009
Journal of medical
genetics
n. hilgert
k. kahrizi
h. najmabadi
Others
ISI
IF: 1.782
Jul Aug
2009
European Journal of
Medical Genetics
a.r. pouya
f. behjati
k. kahrizi
h. najmabadi
Others
ISI
IF: 1
June
2009
ISI
IF: 2.029
Dec
2009
Hemoglobine
BMC Public Health
(2)v. hadavi
h. najmabadi
Others
D.Khorasani
H.R.Khankeh
Others
ISI
Journal of
Nov 2009
Neuroimmunology
IF: 3.159
m. zarifyeganeh
h. najmabadi
M.Karimlou
m. ohadi
Others
ISI
IF: 2.732
Jan
2010
European Journal of
Neurology
m.hasanzad
k.kahrizi
h.najmabadi
Others
International journal
of geriatric
psychiatry
Jan 2010 American Journal of
Medical Genetics
Part B
ISI
Nov 2009
IF: 2.128
ISI
IF: 3.932
k. malakouti
m. foroughan
Others
M.zarif yeganeh
A. mirabzadeh
h.r.khorram
khorshid
h. najmabadi
α-Thalassemia
mutations in Gilan
province, north Iran
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
Research.A
8
Case report
9
Report
10
Original A
11
Original A
12
The requirements
and challenges in
Research.A
preventing of road
traffic injury in Iran
A qualitative study
Skew in the human
caveolin 1 gene
upstream purine
complex
Research.A
homozygote
haplotype
compartment in
multiple sclerosis
Carrier frequency of
SMA by quantitative
Short
analysis of the SMN
communication
1 deletion in the
Iranian population
Sleep patterns, sleep
disturbances and
sleepiness in retired Research.A
Iranian elders
Novel Extreme
Brief
homozygote
haplotypes at the
human caveolin 1
gene upstream
13
14
15
16
17
213
‫اﻳﻨﺪﻛﺲ‬
‫ﺷﺪه در‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺗﺎرﻳﺦ ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
m. ohadi
purine complex in
sporadic alzheimers
disease
Others
ISI
IF: 3.932
ISI
IF: 2
Mar
2010
April
2009
American Journal of
Medical Genetics
Part B
M.Olad nabi
A.Mirabzadeh
G.Feizzadeh
h.r.khorram
khorshid
M.Karimlou
h. najmabadi
m. ohadi
others
a.m. arab
i. abdollahi
Manual Therapy
Others
s.shojashafti
ISI
Journal of Clinical
Feb 2010
Psychopharmacology
IF: 4.371
b.shahveisi
s.turkmen
m.garshasbi
Pubmed
May
2009
Plos Genetics
Others
t. jahangard
b. ghoosheh
ISI
Dec 2009
IF: 2.032
Maturitas
Others
M.Neishabury
H.Najmabadi
ISI
IF: 2.749
Feb
2010
Blood cells
Molecules
And Disease
Others
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
Novel mutations in
the calreticulin gene
core promoter and
Brief
coding sequence in communication
schizoaffective
disorder
Inter-and intraexaminer reliability
of single and
composites of
selected motion
palpation and pain
provocation tests for
sacroiliac joint
Olanzapine versus
haloperidol in the
management of
borderline
personality disorder
CA8 Mutations
cause a novel
syndrome
characterized by
ataxia and mild
mental retardation
with predisposition
to quadrupedal gait
The effect of short –
term aerobic training
on coagulation and
fibrinolytic factors
in sedentary healthy
postmenopausal
women
Frequency of
Positive XmnI G γ
polymorphism and
coinheritance of
common alpha
thalassemia
mutations do not
show statistically
significant
difference between
thalassemia major
and intermedia cases
with homozygous
IVSII-1 mutation
‫ردﻳﻒ‬
18
Original A
19
Research.A
20
Research.A
21
Research.A
22
Research.A
23
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﻳﻨﺪﻛﺲ‬
214
‫ﺗﺎرﻳﺦ ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
ISI
IF: 2.555
Mar
2010
American Journal of
Medical Genetics
Part A
ISI
IF: 2.793
June
2009
Spine
ISI
IF: 2.743
Jan 2010
Gait & Posture
‫ﺷﺪه در‬
ISI
IF: 2.743
ISI IF:
2.743
ISI
IF: 1.895
Apr
2009
Nov
2009
MAR
2010
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
M.Hildebrand
k.kahrizi
H.Najmabadi
Others
M.Salavati
M.Mazaheri
miRNA Mutations
Are Not a Common
Cause
of Deafness
Effect of dualtasking on postural
control in subjects
with nonspecific low
back pain
Postural sway in low
back pain: Effects of
dual tasks
Others
Gait & Posture
M.Mazaheri
M.Salavati
others
M.Salavati
others
H.Negahban
M.Salavati
Gait & Posture
others
J Orthop Sports Phys
Ther
L.Rahnama
M.Salavati
B.Akhbari
other
ISI
Dec 2009
Scientific Research
and Essays
M.karimlou
Others
m. chehrehrazi
a.m.arab
n. karimi
ISI
International Journal
DEC2009
of Urogynecotogy
IF: 2.375
m.zargham
Test–retest reliabty
of center of pressure
measures of postural
stability during quiet
standing in a group
with
musculoskeletal
disorders consisting
of low back pain,
anterior cruciate
ligament injury and
functional ankle
instability
The effects of dualtasking on postural
control in people
with unilateral
anterior cruciate
ligament injury
Attentional
demands and
postural control
in athletes with
and without
functional ankle
instability
Polychotomous
logistic model with
missing values
Assessment of
pelvic floor muscle
contraction in stress
urinary incontinent
women: comparison
between
transabdominal
ultrasound and
perineometry
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
Research.A
Research.A
‫ردﻳﻒ‬
24
25
Research.A
26
Research.A
27
Research.A
28
Research.R
29
Research.A
30
Original A
31
215
‫اﻳﻨﺪﻛﺲ‬
‫ﺷﺪه در‬
ISI
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺗﺎرﻳﺦ ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
Scandivian Journal
of Occupational
Dec 2009
Therapy
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
m. rassafiani
Is length of
experience an
appropriate criterion
to identify level of
expertise?
Original A
32
Research.A
33
Research.A
34
Original A
35
Research.A
36
Research.A
37
Research.A
38
Research.A
39
Research.A
40
M.Taghipourdarzi Reliability of quality
measures of
M.Salavati
ISI
movement in lumbar
2009
IF: 0.196
spine flexionothers
extension
radiography
Sh. Novin
Self – reported use
of emotional display
R.banerjee
rules in the
a. dadkhah
May
ISI
Social development
Netherlands and
2009
Iran: Evidence for
c. rieffe
Sociocultural
influence
S.Oveisi
Mothers attitude
toward corporal
Journal Of Family P.Mohammadkhani
ISI
Feb2010
punishment of
Violence
children in Qazvin
others
Iran
S.Oveisi
Primary prevention
of parent-child
p.
Child Abuse &
mohammadkhani conflict and abuse in
ISI
Mar2010
Neglect
Iranian mothers: A
randomizedothers
controlled trial
H.Narenjiha
Substancedependent
Jun
Traffic Injury
ISI
Professionals drivers
Prevention
2009
others
in Iran: a descriptive
study
H.Rafiey
Needle and syringe
Jul
sharing among
H.Narenjiha
ISI
Harm reduction J
2009
Iranian drug
others
injectors
d. khorasani
Post – crash
management of road
Hr. khankeh
traffic injury victims
May
BMC Emergency
in Iran,
pubmed
2009
Medicine
stakeholder’s views
Others
on current barriers
and potential
facilitators
The relationship
AM. Arab
between hip
abductor muscle
strength and
Chiropr actic
iliotibial band
Pubmed Jan 2010
thy&Osteopa
M.R.Norbakhsh
tightness in
individuals with low
back pain
Journal of Back and
Musculoskeletal
Rehabilitation
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫اﻳﻨﺪﻛﺲ‬
‫ﺷﺪه در‬
Pubmed
Pubmed
216
‫ﺗﺎرﻳﺦ ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
Oct 2009
The spine journal
2009
The Journal of
manual &
manipulative therapy
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
M. A. mohseni
Low back pain in
l100 pregnant
women: prevalence
and risk factors
Correlation of digital
palpation and
transabdominal
ultrasound for
assessment of pelvic
floor Muscle
contraction
Effect of acute and
chronic aerobic
training on plasma
GH isoforms
concentration in
pubertal and prepubertal male
athletes
Augmentation of
olanzapine by
fluphenazine
decanoate in poorly
responsive
schizophrenia
Olders people needs
following major
disasters: a
qualitative study of
Iranian elders
experiences of the
Bam earthquake
Service framework
for older people in
Japan: A guideline
for Asian countries
The application of
romberg exercises
on the falling state
of elderly persons in
nursing homes
Nutrition
educational program
and health
promotion in aged
people in Iran.
Psycho-social
factors on people
tendency to sexual
change in the city of
Tehran
Coping strategies in
Iranian families:
coping and severity
of behavioural
problems
Others
AM. Arab
RB. Behbahani
L. lorestani
Others
F.Zarrineh
M.Salavati
Scopus
Scopus
2009
July 2009
Journal of applied
sciences
Clinical
schizophrenia &
related psychoses
Others
s. shojashafti
A.Ardalan
F.Teimoori
Jan
2010
Ageing & society
Emro
May
2009
Middle East Journal
of Age and Aging
Emro
August
2009
Middle East Journal
of Age and Aging
Scopus
others
a. dadkhah
A. A. Akbari
kamrani
A. dadkhah
others
Emro
August
2009
Middle East Journal
of Age and Aging
August
2009
Middle East Journal
of family Medicine
s. Ghasemi
a. dadkhah
Others
a. kaldi
Emro
Others
s.d.mohammadi
Emro
Jan 2010
Middle East Journal
of family Medicine
a. dadkhah
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
Research.A
41
Research.A
42
Research.A
43
Original A
44
Research.A
45
Report
46
Research.A
47
Review A
48
Research.A
49
Research.A
50
217
‫اﻳﻨﺪﻛﺲ‬
‫ﺷﺪه در‬
Emro
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺗﺎرﻳﺦ ﻣﺠﻠﻪ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
Middle East Journal
July 2009
of nursing
‫ﻧﺎم ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
m. fallahi
The application of
recreational and
leisure activities an
schizophrenic
patients self care
Review
51
Gender inequality:
The role of social &
cultural factors in
the families of
gonbadekavous city
Research.A
52
Research.A
53
Research.A
54
a. dadkhah
A.Kaldi
Middle East Journal
of nursing
Emro
Feb2010
Emro
Middle East Journal
July 2009
of nursing
Others
m. eghlima
Copernicus
2009
Research journal of
biological sciences
a. dadkhah
M.Khorasani
M.Ebrahimi
B.Khorasani
m. Khorasani
Copernicus
2009
Research Journal of
Biological Sciences
2009
Research Journal of
Biological Sciences
b.khorasani
B.Khorasani
Copernicus
Copernicus
2009
Research Journal of
Biological Sciences
A.Gholizadeh
Pasha
M.Azimian
A.Shahvarughi
A.Dadkhah
M.Fallahpour
M.Karimlou
‫اﻳﻨﺪﻛﺲ‬
‫ﻧﺸﺪه‬
‫اﻳﻨﺪﻛﺲ‬
‫ﻧﺸﺪه‬
International Journal
of Nursing
July 2009
&Midwifery
2009
Law J
p.hassani
m. fallahi
Others
B.Mathews
M.Rassafiani
Others
Returning runaway
girls to rehabilitation
centers: Factors
related to social
problems
The effect of
interruption
Adjusting and
continuing of
warfarin on bleeding
after tooth extraction
The epidemiology of
mandibular fractures
in Qazvin province,
Iran a retrospective
study (1995-2005)
Effects of Two New
Risk Factors on
Perforated and NonPerforated
Appendicitis
Fatigue Severity
Scale: The
Psychometric
Properties of the
Persian-Version in
Patients with
Multiple Sclerosis
Perceived positive
effects of illness
following acute
myocardial
infraction
Teachers reporting
suspected child
sexual abuse: results
of a three state-study
Research A
55
Research A
56
Research A
57
Research.A
58
Research.A
59
‫رواﺑﻂ ﺑﻴﻦاﻟﻤﻠﻞ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪220‬‬
‫ﻋﻤﻠﻜﺮد دﻓﺘﺮ رواﺑﻂ ﺑﻴﻦ اﻟﻤﻠﻞ در ﺳﺎل ‪1388‬‬
‫‪ .1‬ﺗﻬﻴــﻪ ﻣﻘــﺪﻣﺎت و اﻧﺠــﺎم ﻛﻠﻴــﻪ اﻣــﻮر ﻣﺮﺑــﻮط ﺑــﻪ ‪ 23‬ﻧﻔــﺮ از اﻋــﻀﺎي ﻫﻴﺌــﺖ ﻋﻠﻤــﻲ و داﻧــﺸﺠﻮﻳﺎن در‬
‫ﻫﻤﺎﻳﺶﻫﺎي ﺧﺎرج از ﻛﺸﻮر‬
‫‪ .2‬اﻧﺠﺎم اﻣﻮر ﻣﺮﺑﻮط ﺑﻪ ﺻﺪور وﻳﺰا‪ ،‬اﻗﺎﻣﺖ‪ ،‬ﺑﻠﻴﻂ ﻫﻮاﭘﻴﻤﺎ و‪ ...‬ﺑﺮاي ‪ 1‬ﻣﻬﻤﺎن ﺧﺎرﺟﻲ داﻧﺸﮕﺎه ﺑﻪ ﻣﻨﻈﻮر‬
‫ﺑﺮﮔﺰاري ﻛﺎرﮔﺎه ﻛﺸﻮري ﭘﺮﺳﺘﺎري در ﺣﻮادث ﻏﻴﺮﻣﺘﺮﻗﺒﻪ‬
‫‪ .3‬ﻣﺸﺎرﻛﺖ در ﺑﺮﮔﺰاري ﻳﻚ ﻛﺎرﮔﺎه ﺑﺎ ﺣﻀﻮر ﻣﺪرس ﺧﺎرﺟﻲ‬
‫‪ .4‬ﺗﻬﻴﻪ ﻣﻘﺪﻣﺎت ﺳﻔﺮ دوم ﻫﺌﻴﺖ ﻋﺎﻟﻲ رﺗﺒﻪ داﻧـﺸﮕﺎه ﻛﻮﺋﻴﻨﺰﻟﻨـﺪ اﺳـﺘﺮاﻟﻴﺎ ﺑـﻪ اﻳـﺮان ﺟﻬـﺖ ﻫﻤﻜﺎرﻳﻬـﺎي‬
‫ﻋﻠﻤﻲ ـ آﻣﻮزﺷﻲ و ﭘﮋوﻫﺸﻲ‪ ،‬ﺗﺪارك ﺑﺮﻧﺎﻣﻪ ﻣـﺸﺘﺮك ‪ Ph.D‬و ﻧﻈـﺎرت ﺑﻴـﺸﺘﺮ ﺑـﺮ اﻣـﻮر داﻧـﺸﺠﻮﻳﺎن‬
‫ﺑﻮرﺳﻴﻪ‬
‫‪ .5‬ارﺗﺒﺎط ﻣﺴﺘﻤﺮ و ﭘﻴﻮﺳﺘﻪ ﺑﺎ ﻫﻤﺎﻫﻨﮓ ﻛﻨﻨﺪه داﻧﺸﮕﺎه ﻛﻮﺋﻴﻨﺰﻟﻨـﺪ اﺳـﺘﺮاﻟﻴﺎ‪ ،‬ﺳـﻔﺎرت اﺳـﺘﺮاﻟﻴﺎ در اﻳـﺮان‪،‬‬
‫رواﺑﻂ ﺑﻴﻦ اﻟﻤﻠﻞ وزارت ﺑﻬﺪاﺷﺖ‪ ،‬دﻓﺘﺮ آﻗﺎﻳﺎن دﻛﺘﺮﺣﺴﻦ زاده و دﻛﺘﺮ ﻧﻴﻜﻨﺎم ﺟﻬﺖ ﺟﻠﺴﻪ ﻣﺸﺘﺮك‬
‫ﻫﺌﻴﺖ ﻋﺎﻟﻲ رﺗﺒﻪ اﺳﺘﺮاﻟﻴﺎ ﺑﺎ ﻣﺴﺌﻮﻻن داﻧـﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ و ﭼﻨـﺪﻳﻦ داﻧـﺸﮕﺎه ﺑـﺰرگ اﻳـﺮان در‬
‫ﺗﻬﺮان و اﺻﻔﻬﺎن‬
‫‪ .6‬ﺗﻬﻴﺔ ﮔﺰارش ﺑﺎزدﻳﺪ ﻫﻴﺌﺖ ﻋﺎﻟﻲ رﺗﺒﻪ اﺳﺘﺮاﻟﻴﺎﻳﻲ از داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ‬
‫‪ .7‬ارﺳﺎل ﮔﺰارش ﺑﻪ داﻧﺸﮕﺎه ﻛﻮﺋﻴﻨﺰﻟﻨﺪ اﺳـﺘﺮاﻟﻴﺎ‪ ،‬رواﺑـﻂ ﺑـﻴﻦ اﻟﻤﻠـﻞ وزارت ﺑﻬﺪاﺷـﺖ‪ ،‬دﻓﺘـﺮ ﺧـﺪﻣﺎت‬
‫آﻣﻮزﺷﻲ اﻋﻀﺎي ﻫﻴﺌﺖ ﻋﻠﻤﻲ وزارت ﺑﻬﺪاﺷﺖ‪ ،‬وزارت ﻋﻠﻮم و ﻣﻌﺎوﻧﺎن داﻧﺸﮕﺎه‬
‫‪ .8‬ﺑﺎزﻧﮕﺮي دﺳﺘﻮراﻟﻌﻤﻞ ﺗﺸﻮﻳﻖ ﭼﺎپ ﻣﻘﺎﻻت در ﻣﺠﻼت ﻣﻌﺘﺒﺮ‬
‫‪ .9‬ﺑﺮرﺳﻲ ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ژورﻧﺎﻟﻬﺎي داﺧﻠﻲ‪ ،‬ﺧﺎرﺟﻲ و‪ ISI‬در ﺳﺎلﻫـﺎي ‪،2008 ،1388 ،1387‬‬
‫‪ 2009‬و‪2010‬‬
‫‪ .10‬ﻣﺤﺎﺳﺒﺔ ﭘﺎداش ﻣﻘﺎﻻت و ﭘﺮداﺧﺖ ﻣﺒﻠﻎ ‪ 288/525/000‬رﻳﺎل ﺑﻪ ‪ 64‬ﻋﻀﻮ ﻫﻴﺌﺖ ﻋﻠﻤـﻲ و ﻛﺎرﺷـﻨﺎس‬
‫ﺑﻪ ﻋﻨﻮان ﭘﺎداش ﻣﻘﺎﻟﻪ )‪ 63‬ﻣﻘﺎﻟﻪ ‪ 82 ،ISI‬ﻣﻘﺎﻟﻪ داﺧﻠﻲ و ‪ 42‬ﻣﻘﺎﻟﻪ ﺧﺎرﺟﻲ(‬
‫‪ .11‬ﺑﺮرﺳﻲ درﺧﻮاﺳﺖ ﺟﺪﻳﺪ آﻗﺎي دﻛﺘﺮ ﻛﻠﺪي ﺟﻬـﺖ اﺳـﺘﻔﺎده از دوره ﻓﺮﺻـﺖ ﻣﻄﺎﻟﻌـﺎﺗﻲ در ﻛـﺸﻮر‬
‫اﻳﺮﻟﻨﺪ و ﻃﺮح ﻣﻮﺿﻮع در ﺟﻠﺴﻪ ﻛﻤﻴﺘﻪ ﻓﺮﺻﺖ ﻣﻄﺎﻟﻌﺎﺗﻲ داﻧﺸﮕﺎه‬
‫‪ .12‬ﺗﻬﻴﻪ ﭘﻤﻔﻠﺖ‪ ،‬ﻓﻠﻮﭼﺎرتﻫﺎ و ﻧﻤﻮدارﻫﺎي ﻋﻤﻠﻜﺮد دﻓﺘﺮ رواﺑﻂ ﺑﻴﻦ اﻟﻤﻠﻞ‬
‫‪ .13‬اﻧﺠﺎم اﻣﻮر داﻧﺸﺠﻮﻳﺎن ﻓﺎرغ اﻟﺘﺤﺼﻴﻞ ﻣﺘﻘﺎﺿﻲ ﺗﺤﺼﻴﻞ و ﻛﺎر در ﺧﺎرج از ﻛﺸﻮر‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪221‬‬
‫‪ .14‬ﻫﻤﻜﺎري و ﻫﻤﺎﻫﻨﮕﻲ ﺑﺎ وزارت ﺑﻬﺪاﺷﺖ‪ ،‬دﻓﺘﺮ رﻳﺎﺳﺖ ﻣﺤﺘﺮم داﻧﺸﮕﺎه و داﻧﺸﮕﺎه ﻛﻮﺋﻴﻨﺰﻟﻨﺪ ﺟﻬـﺖ‬
‫ﻣﻌﺮﻓﻲ اﻋﻀﺎء ﻫﻴﺌﺖ ﺑﻠﻨﺪ ﭘﺎﻳﻪ اﻳﺮاﻧﻲ ﺑﻪ اﺳﺘﺮاﻟﻴﺎ در ﻣﺎه ﻣﺎرس‪ /‬آورﻳـﻞ‪ ،‬ﺗﻬﻴـﻪ دﻋﻮﺗﻨﺎﻣـﻪ ﺑـﺮاي آﻧﻬـﺎ و‬
‫اﺧﺬ ﻣﺠﻮز ﻫﻴﺌﺖ ﭘﻨﺞ ﻧﻔﺮه رﻳﺎﺳﺖ ﺟﻤﻬﻮري‬
‫‪ .15‬ﺗﻜﻤﻴﻞ و ﺗﺼﺤﻴﺢ ﭘﻮرﺗﺎل دﻓﺘﺮ رواﺑﻂ ﺑﻴﻦ اﻟﻤﻠﻞ و درج ﮔﺰارشﻫﺎ و آﻳﻴﻦ ﻧﺎﻣﻪﻫﺎي ﻣﺨﺘﻠﻒ در آن‬
‫‪ .16‬ﺗﻬﻴﻪ ﻣﻘﺪﻣﺎت ﺑﺮﮔﺰاري ﺟﻠﺴﻪ ﻣﺴﺌﻮﻟﻴﻦ واﺣﺪﻫﺎي ﭘﮋوﻫﺶ و ﺗﻬﻴﻪ ﺻﻮرت ﺟﻠﺴﻪ ﻣﺮﺑﻮط ﺑﻪ آن‬
‫‪ .17‬ﮔﺮدآوري و ﺗﺪوﻳﻦ ﮔﺰارش ﺳﻔﺮﻫﺎي اﻋﻀﺎي ﻫﺌﻴﺖ ﻋﻠﻤﻲ ﺷﺮﻛﺖ ﻛﻨﻨﺪه در ﻫﻤﺎﻳﺶﻫﺎي ﺧﺎرج از‬
‫ﻛﺸﻮر در ﺳﺎل ‪ 1388‬و درج در ﭘﻮرﺗﺎل رواﺑﻂ ﺑﻴﻦ اﻟﻤﻠﻞ‬
‫‪ .18‬ﭘﺮداﺧﺖ ﻫﺰﻳﻨﻪﻫﺎي ﺛﺒﺖ ﻧﺎم‪ ،‬روزاﻧﻪ و اﻗﺎﻣﺖ ‪ 13‬ﻧﻔﺮ از اﻋﻀﺎي ﻫﻴﺌـﺖ ﻋﻠﻤـﻲ و داﻧـﺸﺠﻮﻳﺎن ﺟﻬـﺖ‬
‫ﺷﺮﻛﺖ در ﻫﻤﺎﻳﺶﻫﺎي ﺧﺎرج از ﻛﺸﻮر‬
‫‪ .19‬ﻣﻌﺮﻓﻲ اﻋﻀﺎي ﻫﻴﺌﺖ ﻋﻠﻤﻲ ﺑﻪ ﺳﻔﺎرﺗﺨﺎﻧﻪﻫﺎي ﺧﺎرﺟﻲ ﺟﻬﺖ اﺧﺬ وﻳﺰا‬
‫‪ .20‬ارﺗﺒﺎط ﺗﻨﮕﺎﺗﻨﮓ ﺑﻪ ﺻﻮرت ﺣﻀﻮري و ﻏﻴﺮﺣﻀﻮري ﺑﺎ ﺳﻔﺎرت اﺳﺘﺮاﻟﻴﺎ ﺟﻬﺖ ﺻﺪور وﻳﺰاي اﻋﻀﺎء‬
‫ﻫﻴﺌﺖ ﺑﻠﻨﺪﭘﺎﻳﻪ اﻳﺮاﻧﻲ ﺑﻪ اﺳﺘﺮاﻟﻴﺎ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪222‬‬
‫ﻣﺠﻤﻮع ﻣﻘﺎﻻﺗﻲ ﻛﻪ ﻣﺸﻤﻮل درﻳﺎﻓﺖ ﭘﺎداش ﻣﻘﺎﻟﻪ ﺷﺪ‪:‬‬
‫‪ 187‬ﻣﻘﺎﻟﻪ‪:‬‬
‫‪ 63 -‬ﻣﻘﺎﻟﻪ ‪ISI‬‬
‫ ‪ 82‬ﻣﻘﺎﻟﻪ داﺧﻠﻲ‬‫‪ 42 -‬ﻣﻘﺎﻟﻪ ﺧﺎرﺟﻲ‬
‫ﺗﻔﻜﻴﻚ ﭘﺎداش ﻣﻘﺎﻻت ﺑﺮاﺳﺎس ﮔﺮوﻫﻬﺎي آﻣﻮزﺷﻲ ـ ﭘﮋوﻫﺸﻲ و اﻋﻀﺎء ﻫﻴﺌﺖ ﻋﻠﻤﻲ و‬
‫ﻛﺎرﺷﻨﺎﺳﺎن ﻓﻌﺎل ﻫﺮﮔﺮوه‬
‫ردﻳﻒ‬
‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﺤﻘﻖ‬
‫ﺗﻌﺪاد ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫ﻧﻮع ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ژﻧﺘﻴﻚ‬
‫‪1‬‬
‫دﻛﺘﺮ ﺣﺴﻴﻦ ﻧﺠﻢ آﺑﺎدي‬
‫‪ 11‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 10‬و ‪ 1‬داﺧﻠﻲ‬
‫‪2‬‬
‫دﻛﺘﺮ ﻛﻴﻤﻴﺎ ﻛﻬﺮﻳﺰي‬
‫‪ 10‬ﻣﻘﺎﻟﻪ‬
‫‪ISI 10‬‬
‫‪3‬‬
‫دﻛﺘﺮ ﺣﻤﻴﺪرﺿﺎ ﺧﺮم ﺧﻮرﺷﻴﺪ‬
‫‪ 10‬ﻣﻘﺎﻟﻪ‬
‫‪ 2 ،ISI 6‬داﺧﻠﻲ و ‪ 2‬ﺧﺎرﺟﻲ‬
‫‪4‬‬
‫دﻛﺘﺮ ﻣﻴﻨﺎ اوﺣﺪي‬
‫‪ 5‬ﻣﻘﺎﻟﻪ‬
‫‪ISI‬‬
‫‪5‬‬
‫دﻛﺘﺮ ﻓﺮﺧﻨﺪه ﺑﻬﺠﺘﻲ‬
‫‪ 4‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 2‬و ‪ 2‬داﺧﻠﻲ‬
‫‪6‬‬
‫دﻛﺘﺮ ﻣﺮﻳﻢ ﻧﻴﺸﺎﺑﻮري‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫‪ISI‬‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ارﺗﻮﭘﺪي ﻓﻨﻲ‬
‫‪7‬‬
‫دﻛﺘﺮ ﻣﺤﻤﻮد ﺑﻬﺮاﻣﻲ زاده‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫‪ 3‬داﺧﻠﻲ‬
‫‪8‬‬
‫دﻛﺘﺮ ﺳﻴﺪ ﻣﺤﻤﺪ اﺑﺮاﻫﻴﻢ ﻣﻮﺳﻮي‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ‬
‫‪9‬‬
‫دﻛﺘﺮ ﻣﻬﻴﺎر ﺻﻠﻮاﺗﻲ‬
‫‪ 11‬ﻣﻘﺎﻟﻪ‬
‫‪ 2 ،ISI 6‬داﺧﻠﻲ و ‪ 3‬ﺧﺎرﺟﻲ‬
‫‪10‬‬
‫دﻛﺘﺮ اﻣﻴﺮﻣﺴﻌﻮد ﻋﺮب‬
‫‪ 4‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 3‬و ‪ 1‬ﺧﺎرﺟﻲ‬
‫‪11‬‬
‫دﻛﺘﺮ ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 2‬و ‪ 1‬داﺧﻠﻲ‬
‫‪12‬‬
‫دﻛﺘﺮ ﻣﺤﻤﺪ ﻋﻠﻲ ﻣﺤﺴﻨﻲ‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫ﺧﺎرﺟﻲ‬
‫‪13‬‬
‫دﻛﺘﺮ اﻓﺴﻮن ﻧﻮدﻫﻲ ﻣﻘﺪم‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪14‬‬
‫دﻛﺘﺮ اﻳﺮج ﻋﺒﺪاﻟﻠﻬﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪15‬‬
‫دﻛﺘﺮ ﺑﻬﻨﺎم اﺧﺒﺎري‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫‪223‬‬
‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﺤﻘﻖ‬
‫ﺗﻌﺪاد ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫ﻧﻮع ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ رواﻧﭙﺰﺷﻜﻲ‬
‫‪16‬‬
‫دﻛﺘﺮ ﺳﻌﻴﺪ ﺷﺠﺎع ﺷﻔﺘﻲ‬
‫‪ 5‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 4‬و ‪ 1‬ﺧﺎرﺟﻲ‬
‫‪17‬‬
‫دﻛﺘﺮ ﺑﻴﮋن ﺧﺮاﺳﺎﻧﻲ‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫‪ 1‬داﺧﻠﻲ و ‪ 2‬ﺧﺎرﺟﻲ‬
‫‪18‬‬
‫دﻛﺘﺮ ﻛﺘﺎﻳﻮن ﺧﻮﺷﺎﺑﻲ‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 1‬و ‪ 2‬داﺧﻠﻲ‬
‫‪19‬‬
‫دﻛﺘﺮ ﻓﺮﺑﺪ ﻓﺪاﻳﻲ‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫ﺧﺎرﺟﻲ‬
‫‪20‬‬
‫دﻛﺘﺮ آرش ﻣﻴﺮاب زاده‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫ﺧﺎرﺟﻲ‬
‫‪21‬‬
‫دﻛﺘﺮ ذﺑﻴﺢ ا‪ ...‬اﺷﺘﺮي‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫ﺧﺎرﺟﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ‬
‫‪22‬‬
‫دﻛﺘﺮ اﺻﻐﺮ دادﺧﻮاه‬
‫‪ 9‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 1‬و ‪ 8‬ﺧﺎرﺟﻲ‬
‫‪23‬‬
‫دﻛﺘﺮ ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‬
‫‪ 9‬ﻣﻘﺎﻟﻪ‬
‫‪ 4 ،ISI 1‬داﺧﻠﻲ و‪ 4‬ﺧﺎرﺟﻲ‬
‫‪24‬‬
‫دﻛﺘﺮ ﻋﻠﻴﺮﺿﺎ ﺟﺰاﻳﺮي‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪25‬‬
‫دﻛﺘﺮ رﺑﺎﺑﻪ ﻏﻔﺎر ﺗﺒﺮﻳﺰي‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪26‬‬
‫دﻛﺘﺮ ﺷﻬﺒﺎز ﭘﻮرﻋﺒﺎس‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻋﻠﻮم ﺑﺎﻟﻴﻨﻲ‬
‫‪27‬‬
‫دﻛﺘﺮ ﻓﻴﺮوزه ﺳﺎﺟﺪي‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 1‬و‪ 2‬ﺧﺎرﺟﻲ‬
‫‪28‬‬
‫دﻛﺘﺮ ﻣﺠﺘﺒﻲ ﻋﻈﻴﻤﻴﺎن‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫‪ 1‬داﺧﻠﻲ و‪ 1‬ﺧﺎرﺟﻲ‬
‫‪29‬‬
‫دﻛﺘﺮ روﺷﻨﻚ واﻣﻘﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﮔﻔﺘﺎردرﻣﺎﻧﻲ‬
‫‪30‬‬
‫دﻛﺘﺮ ﻓﺮﻳﺒﺎ ﻳﺎدﮔﺎري‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪31‬‬
‫دﻛﺘﺮ رﺿﺎ ﻧﻴﻠﻲ ﭘﻮر‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪32‬‬
‫دﻛﺘﺮ ﻫﺎﺷﻢ ﺷﻤﺸﺎدي‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪33‬‬
‫دﻛﺘﺮ ﺣﻤﻴﺮا ﺳﺠﺎدي‬
‫‪34‬‬
‫دﻛﺘﺮ ﻋﻠﻴﺮﺿﺎ ﻛﻠﺪي‬
‫‪35‬‬
‫دﻛﺘﺮ ﺳﻴﺪ ﻣﺤﻤﻮد ﻣﻴﺮزﻣﺎﻧﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻋﻠﻮم ﭘﺎﻳﻪ‬
‫‪ 4‬ﻣﻘﺎﻟﻪ‬
‫‪ 1‬داﺧﻠﻲ و ‪ 3‬ﺧﺎرﺟﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﻳﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫ﺧﺎرﺟﻲ‬
‫‪224‬‬
‫ردﻳﻒ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﺤﻘﻖ‬
‫ﺗﻌﺪاد ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫ﻧﻮع ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫‪36‬‬
‫دﻛﺘﺮﻣﻌﺼﻮﻣﻪﭘﻮرﻣﺤﻤﺪرﺿﺎي ﺗﺠﺮﻳﺸﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪37‬‬
‫دﻛﺘﺮ ﮔﻴﺘﺎ ﻣﻮﻟﻠﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﭘﺮﺳﺘﺎري‬
‫‪38‬‬
‫دﻛﺘﺮ ﻣﺴﻌﻮد ﻓﻼﺣﻲ ﺧﺸﻜﻨﺎب‬
‫‪ 5‬ﻣﻘﺎﻟﻪ‬
‫‪ 2‬ﺧﺎرﺟﻲ و ‪ 3‬داﺧﻠﻲ‬
‫‪39‬‬
‫دﻛﺘﺮ ﺣﻤﻴﺪرﺿﺎ ﺧﺎﻧﻜﻪ‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫‪ ،ISI 1‬داﺧﻠﻲ و ‪ 1‬ﺧﺎرﺟﻲ‬
‫‪40‬‬
‫دﻛﺘﺮ ﺳﻴﺪ ﻣﺤﻤﺪﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫‪ 3‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪41‬‬
‫ﺧﺎﻧﻢ زﻫﺮا ﻛﺎﺷﺎﻧﻲ ﻧﻴﺎ‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪42‬‬
‫دﻛﺘﺮ ﻓﺮﺣﻨﺎز ﻣﺤﻤﺪي ﺷﺎﻫﺒﻼﻏﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪43‬‬
‫دﻛﺘﺮ ﻛﻴﺎن ﻧﻮروزي ﺗﺒﺮﻳﺰي‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻛﺎردرﻣﺎﻧﻲ‬
‫‪44‬‬
‫دﻛﺘﺮ ﻣﻬﺪي رﺻﺎﻓﻴﺎﻧﻲ‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 1‬و ‪ 1‬ﺧﺎرﺟﻲ‬
‫‪45‬‬
‫ﺧﺎﻧﻢ ﻧﺎزﻳﻼ اﻛﺒﺮﻓﻬﻴﻤﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ آﻣﺎر و ﻛﺎﻣﭙﻴﻮﺗﺮ‬
‫‪46‬‬
‫دﻛﺘﺮ ﻣﺴﻌﻮد ﻛﺮﻳﻤﻠﻮ‬
‫‪ 4‬ﻣﻘﺎﻟﻪ‬
‫‪ 1‬ﺧﺎرﺟﻲ و ‪ 3‬داﺧﻠﻲ‬
‫‪47‬‬
‫دﻛﺘﺮ ﻣﻬﺪي رﻫﮕﺬر‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫‪ISI‬‬
‫‪48‬‬
‫دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻧﺎﺷﻨﻮاﻳﺎن‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 1‬و ‪ 1‬داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻣﺸﺎوره‬
‫‪49‬‬
‫دﻛﺘﺮ ﺳﻴﺪ ﺟﻼل ﻳﻮﻧﺴﻲ‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪50‬‬
‫دﻛﺘﺮ ﻣﻨﻮﭼﻬﺮ ازﺧﻮش‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪51‬‬
‫ﺧﺎﻧﻢ ﻓﺎﻃﻤﻪ ﺷﻌﺎﻋﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪52‬‬
‫دﻛﺘﺮ ﻋﻠﻲ ﻓﺮﻫﻮدﻳﺎن‬
‫‪53‬‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺳﻮء ﻣﺼﺮف و واﺑﺴﺘﮕﻲ ﺑﻪ ﻣﻮاد‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺗﻮاﻧﺒﺨﺸﻲ اﻋﺼﺎب اﻃﻔﺎل‬
‫‪ 5‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 2‬و ‪ 3‬داﺧﻠﻲ‬
‫ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﻣﺴﺎﺋﻞ اﺟﺘﻤﺎﻋﻲ رواﻧﻲ ﺳﺎﻟﻤﻨﺪان‬
‫‪54‬‬
‫دﻛﺘﺮ زﻫﺮا ﺟﻌﻔﺮي‬
‫‪ 6‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪55‬‬
‫دﻛﺘﺮ ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫‪ 4‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 1‬و ‪ 3‬داﺧﻠﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫‪56‬‬
‫‪225‬‬
‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﺤﻘﻖ‬
‫دﻛﺘﺮ ﻋﻠﻲ اﻛﺒﺮي ﻛﺎﻣﺮاﻧﻲ‬
‫ﺗﻌﺪاد ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫ﻧﻮع ﻣﻘﺎﻻت ﭘﺎداش ﮔﺮﻓﺘﻪ‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫ﺧﺎرﺟﻲ‬
‫ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي اﺟﺘﻤﺎﻋﻲ ﺳﻼﻣﺖ‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫‪57‬‬
‫دﻛﺘﺮ آﻣﻨﻪ ﺳﺘﺎره ﻓﺮوزان‬
‫‪58‬‬
‫دﻛﺘﺮ ﺳﻴﺪ ﺟﻼل ﺻﺪراﻟﺴﺎدات‬
‫‪59‬‬
‫دﻛﺘﺮ ﻣﻴﺮﻃﺎﻫﺮ ﻣﻮﺳﻮي‬
‫‪60‬‬
‫ﺧﺎﻧﻢ دﻛﺘﺮ ﻧﻴﻜﺘﺎ ﺣﺎﺗﻤﻲ زاده‬
‫‪61‬‬
‫دﻛﺘﺮ رﺑﺎب ﺗﻴﻤﻮري‬
‫‪ISI‬‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻣﺪدﻛﺎري اﺟﺘﻤﺎﻋﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه ﭘﮋوﻫﺸﻲ رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﮔﺮوه آﻣﻮزﺷﻲ ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫‪ ISI 1‬و ‪ 1‬داﺧﻠﻲ‬
‫ﻛﺎرﺷﻨﺎﺳﺎن‬
‫‪ 2‬ﻣﻘﺎﻟﻪ‬
‫‪ 1‬ﺧﺎرﺟﻲ و ‪ 1‬داﺧﻠﻲ‬
‫داﻧﺸﺠﻮﻳﺎن‬
‫‪62‬‬
‫ﺧﺎﻧﻢ ﺷﻴﻤﺎ ﺷﻜﻴﺒﺎ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪63‬‬
‫ﺧﺎﻧﻢ آﺳﻴﻪ اﺧﻮاﺳﺖ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫‪64‬‬
‫آﻗﺎي ﻳﻮﺳﻒ ﺷﺎﻫﻲ‬
‫‪ 1‬ﻣﻘﺎﻟﻪ‬
‫داﺧﻠﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪226‬‬
‫ﻣﻬﻤﺎن ﺧﺎرﺟﻲ ﺳﺎل ‪ 88‬داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻋﻨﻮان ﻛﺎرﮔﺎه‬
‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‬
‫ﻛﺸﻮر‬
‫ﺗﺎرﻳﺦ‬
‫‪Prof. Aiko Yamamoto‬‬
‫ژاﭘﻦ‬
‫‪88/12/22‬ﺗﺎ‪88/12/23‬‬
‫ﺟﻬﺖ ﺗﺪرﻳﺲ ﻛﺎرﮔﺎه ﻛﺸﻮري ﭘﺮﺳـﺘﺎري‬
‫در ﺣﻮادث ﻏﻴﺮﻣﺘﺮﻗﺒﻪ‬
‫ﻓﻬﺮﺳﺖ اﻋﻀﺎء ﻫﻴﺌﺖ ﻋﻠﻤﻲ ﺷﺮﻛﺖ ﻛﻨﻨﺪه در ﻫﻤﺎﻳﺶﻫﺎي ﺧﺎرج از ﻛﺸﻮر ﺳﺎل ‪88‬‬
‫ردﻳﻒ‬
‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‬
‫‪1‬‬
‫دﻛﺘﺮ ﻋﻠﻲ ﻓﺮﻫﻮدﻳﺎن‬
‫‪2‬‬
‫دﻛﺘﺮ ﺣﺴﻦ ﺷﺎﻛﺮي‬
‫‪3‬‬
‫ﺧﺎﻧﻢ زﻫﺮا ﻣﺼﻠﻲ‬
‫ﻧﮋاد‬
‫داﻧﺸﮕﺎهﻣﺮﺑﻮﻃﻪ‬
‫ﻛﺸﻮر‪ /‬ﺷﻬﺮ‬
‫ﻣﺪت زﻣﺎن ﺳﻔﺮ‬
‫داﻧﺸﮕﺎه‬
‫اﻳﺘﺎﻟﻴﺎ‬
‫‪ 6‬روز‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺷﻬﺮ‬
‫‪ 88/1/12‬ﺗﺎ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻓﻠﻮراﻧﺲ‬
‫‪88/1/17‬‬
‫داﻧﺸﮕﺎه‬
‫ﺗﺮﻛﻴﻪ‬
‫‪ 7‬روز‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺷﻬﺮاﺳﺘﺎﻧﺒﻮ‬
‫‪ 88/3/22‬ﺗﺎ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ل‬
‫‪88/3/27‬‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫داﻧﺸﮕﺎه‬
‫‪4‬‬
‫دﻛﺘﺮ ﻣﻬﺸﻴﺪ ﻓﺮوﻏﺎن‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪5‬‬
‫‪6‬‬
‫‪7‬‬
‫دﻛﺘﺮ آرش ﻣﻴﺮاب‬
‫زاده‬
‫دﻛﺘﺮ ﻛﺘﺎﻳﻮن‬
‫ﺧﻮﺷﺎﺑﻲ‬
‫دﻛﺘﺮ ﭘﺮواﻧﻪ‬
‫ﻣﺤﻤﺪﺧﺎﻧﻲ‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻓﺮاﻧﺴﻪ‬
‫ﺷﻬﺮ ﭘﺎرﻳﺲ‬
‫ﻓﺮاﻧﺴﻪ‬
‫ﺷﻬﺮ ﭘﺎرﻳﺲ‬
‫ﻓﺮاﻧﺴﻪ‬
‫ﺷﻬﺮ ﭘﺎرﻳﺲ‬
‫ﻧﺮوژ‬
‫ﺷﻬﺮ اﺳﻠﻮ‬
‫ﻧﺮوژ‬
‫ﺷﻬﺮ اﺳﻠﻮ‬
‫ﻋﻨﻮان ﻛﻨﮕﺮه‬
‫ﻛﻨﮕﺮة ﺑﻴﻦ اﻟﻤﻠﻠﻲ درﻣﺎن در‬
‫ﻋﻠﻢ رواﻧﭙﺰﺷﻜﻲ‬
‫ﻛﻨﮕﺮة ﺟﻬﺎﻧﻲ ﻃﺐ ﻓﻴﺰﻳﻜﻲ‬
‫و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪ 7‬روز‬
‫ﻧﻮزدﻫﻤﻴﻦ ﻛﻨﮕﺮة اﻧﺠﻤﻦ‬
‫‪ 88/4/13‬ﺗﺎ‬
‫ﺑﻴﻦ اﻟﻤﻠﻠﻲ ﻃﺐ ﺳﺎﻟﻤﻨﺪي و‬
‫‪88/4/19‬‬
‫ﺳﺎﻟﻤﻨﺪﺷﻨﺎﺳﻲ‬
‫‪ 7‬روز‬
‫ﻧﻮزدﻫﻤﻴﻦ ﻛﻨﮕﺮة اﻧﺠﻤﻦ ﺑﻴﻦ‬
‫‪ 88/4/13‬ﺗﺎ‬
‫اﻟﻤﻠﻠﻲ ﻃﺐ ﺳﺎﻟﻤﻨﺪي و‬
‫‪88/4/19‬‬
‫ﺳﺎﻟﻤﻨﺪﺷﻨﺎﺳﻲ‬
‫‪ 7‬روز‬
‫ﻧﻮزدﻫﻤﻴﻦ ﻛﻨﮕﺮة اﻧﺠﻤﻦ ﺑﻴﻦ‬
‫‪ 88/4/13‬ﺗﺎ‬
‫اﻟﻤﻠﻠﻲ ﻃﺐ ﺳﺎﻟﻤﻨﺪي و‬
‫‪88/4/19‬‬
‫ﺳﺎﻟﻤﻨﺪﺷﻨﺎﺳﻲ‬
‫‪ 6‬روز‬
‫‪ 88/4/15‬ﺗﺎ‬
‫‪88/4/20‬‬
‫‪ 6‬روز‬
‫‪ 88/4/15‬ﺗﺎ‬
‫‪88/4/20‬‬
‫ﻳﺎزدﻫﻤﻴﻦ ﻛﻨﮕﺮة اروﭘﺎﻳﻲ‬
‫روان ﺷﻨﺎﺳﻲ‬
‫ﻳﺎزدﻫﻤﻴﻦ ﻛﻨﮕﺮة اروﭘﺎﻳﻲ‬
‫روان ﺷﻨﺎﺳﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ‬
‫‪8‬‬
‫دﻛﺘﺮ اﺻﻐﺮ دادﺧﻮاه‬
‫‪9‬‬
‫‪10‬‬
‫‪11‬‬
‫دﻛﺘﺮ اﻣﻴﺮ ﻣﺴﻌﻮد‬
‫ﻋﺮﺑﻠﻮ‬
‫دﻛﺘﺮ ﻣﺮﻳﻢ ﻣﻘﺼﻮدي‬
‫ﭘﻮر‬
‫دﻛﺘﺮ ﺳﻴﺪ ﻣﺤﻤﺪ‬
‫ﻋﻠﻲ ﺣﺴﻴﻨﻲ‬
‫‪227‬‬
‫داﻧﺸﮕﺎهﻣﺮﺑﻮﻃﻪ‬
‫ﻛﺸﻮر‪ /‬ﺷﻬﺮ‬
‫ﻣﺪت زﻣﺎن ﺳﻔﺮ‬
‫داﻧﺸﮕﺎه‬
‫ﻟﻴﺘﻮاﻧﻲ‬
‫‪ 7‬روز‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺷﻬﺮ‬
‫‪ 88/5/26‬ﺗﺎ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫وﻳﻠﻨﻴﻮس‬
‫‪88/6/1‬‬
‫اﺳﺘﺮاﻟﻴﺎ‬
‫‪ 7‬روز‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺷﻬﺮ ﺳﻴﺪﻧﻲ ‪ 88/7/7‬ﺗﺎ ‪88/7/9‬‬
‫داﻧﺸﮕﺎه‬
‫ﺗﺎﻳﻠﻨﺪ‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺷﻬﺮ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺑﺎﻧﻜﻮك‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻛﺮه ﺟﻨﻮﺑﻲ‬
‫ﻋﻨﻮان ﻛﻨﮕﺮه‬
‫ﭼﻬﺎردﻫﻤﻴﻦ ﻛﻨﻔﺮاﻧﺲ‬
‫اروﭘﺎﻳﻲ رواﻧﺸﻨﺎﺳﻲ رﺷﺪ‬
‫ﻛﻨﻔﺮاﻧﺲ اﻧﺠﻤﻦ ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ‬
‫اﺳﺘﺮاﻟﻴﺎ‬
‫‪ 7‬روز‬
‫ﻧﻮزدﻫﻤﻴﻦ ﻛﻨﮕﺮه ﺟﻬﺎﻧﻲ‬
‫‪ 88/8/3‬ﺗﺎ ‪88/8/9‬‬
‫ﻧﻮروﻟﻮژي‬
‫‪ 6‬روز‬
‫ﻫﻔﺘﻤﻴﻦ ﻛﻨﻔﺮاﻧﺲ ﺑﻴﻦ اﻟﻤﻠﻠﻲ‬
‫ﺷﻬﺮ ﺳﺌﻮل ‪ 88/8/6‬ﺗﺎ ‪88/8/9‬‬
‫ﭘﺮﺳﺘﺎري‬
‫ﭘﻨﺠﻤﻴﻦ ﻛﻨﻔﺮاﻧﺲ ﺑﻴﻦ اﻟﻤﻠﻠﻲ‬
‫‪12‬‬
‫دﻛﺘﺮ ﻣﻌﺼﻮﻣﻪ‬
‫داﻧﺸﮕﺎه‬
‫ﻫﻨﺪوﺳﺘﺎن‬
‫‪ 6‬روز‬
‫ﺷﻮراي ﺟﻬﺎﻧﻲ روان درﻣﺎﻧﻲ‬
‫ﭘﻮرﻣﺤﻤﺪرﺿﺎي‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺷﻬﺮ‬
‫‪ 88/10/14‬ﺗﺎ‬
‫و ﭼﻬﺎرﻣﻴﻦ ﻛﻨﻔﺮاﻧﺲ ﺑﻴﻦ‬
‫ﺗﺠﺮﻳﺸﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﭼﺎﻧﺪﻳﮕﺎر‬
‫‪88/10/19‬‬
‫اﻟﻤﻠﻠﻲ اﻧﺠﻤﻦ ﻳﻮﮔﺎ و‬
‫روان درﻣﺎﻧﻲ‬
‫‪13‬‬
‫‪14‬‬
‫دﻛﺘﺮ ﺣﻤﻴﺪرﺿﺎ‬
‫ﺧﺎﻧﻜﻪ‬
‫دﻛﺘﺮ ﻏﻼﻣﺮﺿﺎ‬
‫آذري‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫داﻧﺸﮕﺎه‬
‫ﺑﻬﺰﻳﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ژاﭘﻦ‬
‫ﺷﻬﺮ ﻛﻮﺑﻪ‬
‫آﻟﻤﺎن‬
‫ﺷﻬﺮ ﻣﻮﻧﻴﺦ‬
‫‪ 6‬روز‬
‫اوﻟﻴﻦ ﻛﻨﻔﺮاﻧﺲ ﺗﺤﻘﻴﻘﺎﺗﻲ‬
‫‪ 88/10/18‬ﺗﺎ‬
‫ﺟﺎﻣﻌﻪ ﺟﻬﺎﻧﻲ ﭘﺮﺳﺘﺎري‬
‫‪88/10/21‬‬
‫ﺣﻮادث‬
‫‪ 6‬روز‬
‫ﻛﻨﻔﺮاﻧﺲ ﺑﻴﻦ اﻟﻤﻠﻠﻲ‬
‫‪ 88/12/5‬ﺗﺎ‬
‫ﺗﺸﺨﻴﺺ زودﻫﻨﮕﺎم ﺑﻴﻤﺎري‬
‫‪88/12/10‬‬
‫و ﭘﻴﺸﮕﻴﺮي ‪2010‬‬
‫ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي‬
‫و‬
‫اﻧﺘﺸﺎرات داﻧﺸﮕﺎه‬
‫‪231‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻋﻤﻠﻜﺮد ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي داﻧﺸﮕﺎه در ﺳﺎل ‪88‬‬
‫ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺗﻮﺳﻌﻪ ﻛﻤﻲ و ﻛﻴﻔﻲ داﻧﺸﮕﺎه در ﺳﺎﻟﻬﺎي اﺧﻴﺮ ﺑﻮﻳﮋه درﺣﻮزه ﺗﺤﺼﻴﻼت ﺗﻜﻤﻴﻠﻲ و دوره ﻫـﺎي‬
‫ارﺷﺪ و دﻛﺘﺮي‬
‫و ﺗﻐﻴﻴــﺮ ﺗــﺼﺪي در ﺳﺮﭘﺮﺳــﺘﻲ ﻛﺘﺎﺑﺨﺎﻧــﻪ ﻣﺮﻛــﺰي و ﺿــﺮورت روزآﻣــﺪ ﺷــﺪن ﺧــﺪﻣﺎت ﻛﺘﺎﺑﺨﺎﻧــﻪاي در‬
‫داﻧﺸﮕﺎه‪ ،‬ﻣﺤﻮرﻫﺎي‬
‫زﻳﺮﺟﻬﺖ ﺳﺎل ‪ 88‬در ﺳﺮﻟﻮﺣﻪ ﻓﻌﺎﻟﻴﺖﻫﺎ ﻗﺮار ﮔﺮﻓﺖ‬
‫™ ﺗﻘﻮﻳﺖ و راه اﻧﺪازي واﺣﺪ ﻛﺘﺎﺑﺨﺎﻧﻪ اﻟﻜﺘﺮوﻧﻴﻚ )واﺣﺪ ﺳﻤﻌﻲ و ﺑﺼﺮي(‬
‫™ ﮔﺴﺘﺮش ﺧﺪﻣﺎت در ﺣﻮزه ﻣﻨﺎﺑﻊ دﻳﺠﻴﺘﺎل‬
‫™ ﺗﻮﺟﻪ ﺑﻪ ﮔﺴﺘﺮش ﻛﺘﺎﺑﺨﺎﻧﻪ ﺑﺎ ﺗﺄﻛﻴﺪ ﺑﺮ )‪ (THEMATIC‬ﺷﺪن و ﺗﺨﺼﺼﻲ ﺷﺪن )‪(SUBSPECIAL‬‬
‫™ ﭘﺎﺳﺨﮕﻮﻳﻲ ﻫﺮ ﭼﻪ ﻣﻨﺎﺳﺒﺘﺮ ﺑﻪ ﻧﻴﺎز دﭘﺎرﺗﻤﺎنﻫﺎي آﻣﻮزﺷﻲ و ﭘﮋوﻫﺸﻲ داﻧﺸﮕﺎه‬
‫™ ﺑﺮﮔﺰاري اوﻟﻴﻦ دوره ﺳﺎﻻﻧﻪ )آﺷﻨﺎﻳﻲ داﻧﺸﺠﻮﻳﺎن ﺟﺪﻳﺪاﻟﻮرودﺑﺎﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛـﺰي( و ﭼـﺎپ ﺑﺮوﺷـﻮر‬
‫ﻣﺮﺑﻮﻃﻪ‬
‫™ ﺗﻮﺟﻪ ﺑﻪ ﺑﺎزآﻣﻮزي ﻛﺎرﻛﻨﺎن و ﻛﺎرﺷﻨﺎﺳﺎن ﺷﺎﻏﻞ و اراﺋﻪ ﺗﺴﻬﻴﻼت در اﻳﻦ ﺧﺼﻮص‬
‫ﮔﺰارش ﻋﻤﻠﻜﺮد واﺣﺪﻫﺎي ﻣﺨﺘﻠﻒ ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي داﻧﺸﮕﺎه ﺑﻪ ﺷﺮح ذﻳﻞ ﻣﻲﺑﺎﺷﺪ‪:‬‬
‫ﺑﺨﺶ ﺳﻔﺎرﺷﺎت‬
‫ ﻫﻤﺎﻫﻨﮕﻲ‪ ،‬اﻃﻼع رﺳﺎﻧﻲ و ﺧﺮﻳﺪ ﺑﻴﺶ از ‪300‬ﻣﻴﻠﻴﻮن رﻳﺎل ﻛﺘﺎب از ﻧﻤﺎﻳﺸﮕﺎه ﺑﻴﻦ اﻟﻤﻠﻠﻲ ﻛﺘﺎب ﺗﻬﺮان‬‫ ﺧﺮﻳﺪ ‪ 600‬ﻋﻨﻮان ﻛﺘﺎب ﻓﺎرﺳﻲ‬‫ ﺧﺮﻳﺪ ‪ 400‬ﻋﻨﻮان ﻛﺘﺎب ﻻﺗﻴﻦ‬‫ﺑﺨﺶ ﺳﺎزﻣﺎﻧﺪﻫﻲ‬
‫ ﻓﻬﺮﺳﺖ ﻧﻮﻳﺴﻲ و ردهﺑﻨﺪي ‪ 300‬ﻋﻨﻮان ﻛﺘﺎب ﻻﺗﻴﻦ ﺑﺮ ﻣﺒﻨﺎي ردهﺑﻨﺪي ﻛﺘﺎﺑﺨﺎﻧﻪ ﻛﻨﮕﺮه و ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﻠﻲ‬‫ﭘﺰﺷﻜﻲ آﻣﺮﻳﻜﺎ‬
‫‪ -‬ﻓﻬﺮﺳﺖ ﻧﻮﻳﺴﻲ و ردهﺑﻨﺪي ‪ 550‬ﻋﻨﻮان ﻛﺘﺎب ﺑﺮ ﻣﺒﻨﺎي ﻛﺘﺎﺑﺨﺎﻧﻪ ﻛﻨﮕﺮه و ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﻠﻲ اﻳﺮان‬
‫‪232‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺑﺨﺶ ﻧﺸﺮﻳﺎت‬
‫ ﺗﻤﺪﻳﺪ اﺷﺘﺮاك ﺳﺎﻻﻧﻪ ‪ 60‬ﻋﻨﻮان ﻣﺠﻠﻪ ﻓﺎرﺳﻲ‬‫ ﺗﻤﺪﻳﺪ اﺷﺘﺮاك ﺳﺎﻻﻧﻪ ‪ 43‬ﻋﻨﻮان ﻣﺠﻠﻪ ﭼﺎﭘﻲ ﻻﺗﻴﻦ‬‫ﺑﺨﺶ ﺳﻤﻌﻲ و ﺑﺼﺮي )ﻛﺘﺎﺑﺨﺎﻧﻪ اﻟﻜﺘﺮوﻧﻴﻚ(‬
‫ ﺧﺮﻳﺪ‪ ،‬ورود اﻃﻼﻋﺎت و آﻣﺎدهﺳﺎزي ‪ 800‬ﻋﻨﻮان ﻟﻮح ﻓـﺸﺮده در ﺳـﺎل ‪ 88‬ﺑـﺮ ﻣﺒﻨـﺎي ﻛﺘﺎﺑﺨﺎﻧـﻪ ﻣﻠـﻲ و‬‫ﻛﺘﺎﺑﺨﺎﻧﻪ ﻛﻨﮕﺮه‬
‫ ﺧﺮﻳﺪ‪ ،‬ورود اﻃﻼﻋﺎت ‪ 2500‬ﻋﻨﻮان‪ E-BOOK‬در ﻣﻮﺿﻮﻋﺎت ﻣﺨﺘﻠﻒ )ﺗﺨﺼـﺼﻲ و ﻋﻤـﻮﻣﻲ( داراي‬‫ﻣﺠﻤﻮﻋﻪ ﻧﺴﺒﺘﺎً ﻏﻨﻲ ﺧﺼﻮﺻﺎً در زﻣﻴﻨﻪ ﺗﻮاﻧﺒﺨﺸﻲ ﻣﻲﺑﺎﺷﺪ‬
‫ اﻓﺰاﻳﺶ ‪100‬درﺻﺪي در ﻣﻨﺎﺑﻊ و ﻣﺮاﺟﻊ و ﻛﺘﺐ اﻟﻜﺘﺮوﻧﻴﻜﻲ‬‫ ﺗﺠﻬﻴﺰ ﻟﻮح ﻓﺸﺮده ﻫﺎي ﻣﻮﺟﻮد در ﻛﺘﺎﺑﺨﺎﻧﻪ ﺑﻪ ﻧﻮار اﻳﻤﻨﻲ ﺟﻬﺖ ﺑﺎﻻ ﺑﺮدن اﻓﺰاﻳﺶ ﺿﺮﻳﺐ اﻳﻤﻨـﻲ ﻣﻨـﺎﺑﻊ‬‫ﺳﻤﻌﻲ و ﺑﺼﺮي‬
‫ﺑﺨﺶ اﻃﻼع رﺳﺎﻧﻲ‬
‫ ﺑﺮﮔﺰاري ‪ 5‬ﻛﺎرﮔﺎه آﻣﻮزﺷﻲ آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﺘﺎﺑﺨﺎﻧﻪ دﻳﺠﻴﺘﺎل‬‫ ﺗﺎﻣﻴﻦ ‪22‬ﻋﻨﻮان ﺑﺎﻧﻜﻬﺎي اﻃﻼﻋﺎﺗﻲ دﻳﺠﻴﺘﺎل ﭘﺰﺷـﻜﻲ و اﺟﺘﻤـﺎﻋﻲ ﺑـﺮاي ﺳـﺎل ‪ 2010‬ﻛـﻪ از ﺟﻤﻠـﻪ اﻳـﻦ‬‫ﺑﺎﻧﻜﻬـــﺎ ﻣـــﻲﺗـــﻮان ﺑـــﻪ ‪،BLACKWELL ،OVID ،PROQUEST ،EBSCO ،OXFORD ،SPRINGER‬‬
‫‪ THOMSON ،JAMA ،WILEY ،ELSEVIER‬اﺷﺎره ﻛﺮد‪.‬‬
‫ﺑﺨﺶ ﻣﺮﺟﻊ‬
‫ ورود اﻃﻼﻋﺎت‪ ،‬آﻣﺎدهﺳﺎزي ‪ 125‬ﻋﻨﻮان ﭘﺎﻳﺎن ﻧﺎﻣﻪ ﻛﺎرﺷﻨﺎﺳﻲ ارﺷﺪ و دﻛﺘﺮي ﺑﻪ ﻫﻤﺮاه ﻓﺮم ‪ PDF‬آﻧﻬﺎ‬‫ ﺑﺨﺶﻫﺎي ﻣﺮﺟﻊ و ﻧﺸﺮﻳﺎت داﻧﺸﺠﻮﻳﺎن ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه از ﺳﺎﻳﺮ داﻧﺸﮕﺎﻫﻬﺎ را ﻫﻢ ﭘﺎﺳﺨﮕﻮ ﻣﻲﺑﺎﺷﻨﺪ‬‫ﻛﺘﺎﺑﺨﺎﻧﻪ ﻣﺮﻛﺰي ﭘﺎﺳﺨﮕﻮﻳﻲ روزاﻧﻪ ﺑﻴﺶ از ‪ 15‬ﻣﻮرد داﻧﺸﺠﻮﻳﺎن و ﻛﺎرﻛﻨﺎن ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه را ﺑـﺮ ﻋﻬـﺪه‬
‫دارد و ﺗﺴﻬﻴﻼﺗﻲ ﺟﻬﺖ ﻫﻤﻜﺎري ﺑﺎ داﻧﺸﺠﻮﻳﺎن و ﭘﮋوﻫﺸﮕﺮان ﺳﺎﻳﺮ داﻧـﺸﮕﺎﻫﻬﺎ در اﻳـﻦ ﻣﺠﻤﻮﻋـﻪ ﻓـﺮاﻫﻢ‬
‫ﻛﺮده اﺳﺖ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻋﻤﻠﻜﺮد اﻧﺘﺸﺎرات داﻧﺸﮕﺎه در ﺳﺎل ‪1388‬‬
‫ﻛﺘﺎﺑﻬﺎي ﭼﺎپ ﺷﺪه‪:‬‬
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‫ﺳﻨﺪروم داون )‪ (1‬ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ ـ دﻛﺘﺮ زﻫﺮا ﻣﻴﺮ ﺳﭙﺎﺳﻲ‪.‬‬
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‫ﻣﻌﺮﻓﻲ ارﺗﺰ ‪ RGO‬و ﻛﺎرﺑﺮدﻫﺎي آن ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﺳﻴﺪ اﺑﺮاﻫﻴﻢ ﻣﻮﺳﻮي ـ رﺿﺎ وﻫﺎب ﻛﺎﺷـﺎﻧﻲ ـ‬
‫ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‪.‬‬
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‫اﻋﺘﻴﺎد و آﺳﻴﺐ ﺷﻨﺎﺳﻲ ﺧﺎﻧﻮاده ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﺣﺒﻴﺐ آﻗﺎﺑﺨﺸﻲ‬
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‫آﻣﺎر ﺗﺤﻠﻴﻠﻲ ﺑﺎ ﻣﻌﺮﻓﻲ ﻧﺮماﻓﺰار‪ R‬ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘـﺮ ﻏﻼﻣﺮﺿـﺎ ﺟﻨـﺪﻗﻲ ـ ﻋﻠـﻲ ﺣﻤﻴـﺪيزاده ـ دﻛﺘـﺮ‬
‫ﻣﺴﻌﻮد ﻛﺮﻳﻤﻠﻮ‬
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‫ﭘﺮﺳـﺘﺎري اﻋﺘﻴـﺎد ـ ﺗـﺎﻟﻴﻒ‪ :‬دﻛﺘـﺮ ﺣﻤﻴﺪرﺿـﺎ ﺧﺎﻧﻜـﻪ ـ دﻛﺘـﺮ ﻛﻴـﺎن ﻧـﻮروزي ـ دﻛﺘـﺮ ﻓﻼﺣـﻲ ـ‬
‫اﺑﻮاﻟﻔﻀﻞ رهﮔﻮي ـ ﻣﺮﻳﻢ رﻧﺠﺒﺮ‪.‬‬
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‫ﺗﻤﻬﻴﺪات ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﺑﻲﺛﺒﺎﺗﻲ ﻋﻤﻠﻜﺮد ﻣﭻ ﭘﺎ ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﺑﻬﻨﺎم اﺧﺒﺎري ـ‬
‫دﻛﺘﺮﻣﻬﻴﺎر ﺻﻠﻮاﺗﻲ ـ ﻣﺎﺋﺪه ﺧﻠﻴﻔﻪ ﻟﻮ‪.‬‬
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‫اﻟﻜﺘﺮو ﺗﺮاﭘﻲ ـ ﮔﺮدآوري‪ :‬رزﻳﺘﺎ ﻫﺪاﻳﺘﻲ ـ دﻛﺘﺮ ﻧﻮراﻟﺪﻳﻦ ﻛﺮﻳﻤﻲ‪.‬‬
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‫ﻓﺮﻫﻨﮓ آﺳﻴﺐ ﺷﻨﺎﺳﻲ ﮔﻔﺘﺎر و زﺑﺎن )ﺗﺠﺪﻳﺪ ﭼﺎپ( ـ ﻣﺆﻟﻔﺎن‪ :‬دﻛﺘـﺮ ﻧﻴﻠـﻲﭘـﻮر ـ اﻛﺒـﺮ داروﻳـﻲ ـ‬
‫ﻣﺮﺗﻀﻲ ﻓﺮازي ـ دﻛﺘﺮ ﻫﺮوآﺑﺎدي ـ ﻃﺎﻫﺮه ﺳﻴﻤﺎ ﺷﻴﺮازي ـ دﻛﺘﺮ ﻟﻴﻠﻲ ﺣﻴﺎﺗﻲ‪.‬‬
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‫ﺣﺎﻓﻈﻪ و ﺷﻨﺎﺧﺖ در ﺳﺎﻟﻤﻨﺪي )ﺗﺠﺪﻳﺪ ﭼﺎپ( ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻋﻠﻲ اﻛﺒﺮ اﺣﻤﺪي ﻛﺎﻣﺮاﻧﻲ‪.‬‬
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‫اﻃﻼع رﺳﺎﻧﻲ ﻛﺘﺎﺑﺨﺎﻧﻪ ـ ﺗﺮﺟﻤﻪ‪ :‬ﻣﺮﺿﻴﻪ ﮔﻠﭽﻴﻦ‪.‬‬
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‫دﻣﺎﻧﺲ ﻣﺮاﻗﺒﺖ و ﺗﻮاﻧﺒﺨﺸﻲ ـ ﻣﺆﻟﻔﺎن‪ :‬دﻛﺘﺮ ﻣﺴﻌﻮد ﻓﻼﺣﻲ ـ ﻣﻨﻴﺮ ﻣﻈﺎﻫﺮي ـ ﺷﻴﻤﺎ ﻧﻈﺮي‬
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‫ﮔﺰﻳﺪه اﻣﺜﺎل و ﺣﻜﻢ در ﺿﺮب اﻟﻤﺜﻠﻬﺎي راﻳﺞ در زﺑﺎن ﻓﺎرﺳﻲ )ﺑـﺮاي ﻧﺎﺷـﻨﻮاﻳﺎن( ﺗـﺎﻟﻴﻒ‪ :‬ﻃـﺎﻫﺮه‬
‫ﻣﺤﻤﺪﭘﻮر‬
‫ﻛﺘﺎﺑﻬﺎي در دﺳﺖ ﭼﺎپ‪:‬‬
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‫ﺑﻴﻤﺎري ﻫﺎي ﺳﺘﻮن ﻓﻘﺮات و ارﺗﺰﻫﺎي آن ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻓﺮزاد ﺳﻌﺪﻟﻮ ـ ﻓﺎﻃﻤﻪ زارعزاده ـ‬
‫ﻣﻌﺼﻮﻣﻪ وﻳﺲ ﻛﺮﻣﻲ ـ رﺿﺎ وﻫﺎب ﻛﺎﺷﺎﻧﻲ ـ ﻣﺤﻤﺪﻋﻠﻲ ﻣﺮداﻧﻲ‪.‬‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺳﺘﻮن ﻓﻘﺮات ﮔﺮدﻧﻲ ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ اﺑﺮاﻫﻴﻢ ﻣﻮﺳﻮي ـ دﻛﺘﺮ اﺑﺮاﻫﻴﻤﻲ ﺗﻜﺎﻣﺠﺎﻧﻲ ـ ﻓﺎﻃﻤﻪ‬
‫ﺷﻤﺴﻲ ـ ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر‪.‬‬
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‫ارﺗﺰﻫﺎي ﺳﺘﻮن ﻓﻘﺮات ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ اﺑﺮاﻫﻴﻢ ﻣﻮﺳﻮي ـ ﻣﺤﻤﺪ ﺑﻬﺮاﻣﻲزاده ـ ﻣﺨﺘﺎر ﻋﺮاﺿﭙﻮر ـ‬
‫رﺿﺎ وﻫﺎب ﻛﺎﺷﺎﻧﻲ‪.‬‬
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‫روش ﭘﺮﻛﺘﻞ ﺑﺮاي ارزﻳﺎﺑﻲ ﻛﻴﻔﻲ ﺣﺮﻛﺎت ﻋﻤﻮﻣﻲ در دوره ﻧﻮزادي و ﺷﻴﺮﺧﻮاري ـ ﺗﺮﺟﻤﻪ‪:‬‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ ـ دﻛﺘﺮ واﻣﻘﻲ ـ دﻛﺘﺮ ﺷﻬﺸﻬﺎﻧﻲﭘﻮر ـ دﻛﺘﺮ ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‪.‬‬
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‫ﺗﻜﺎﻣﻞ و رﻓﺘﺎر ﻛﻮدﻛﺎن ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﺳﺎﺣﻞ ﻫﻤﺘﻲ ـ دﻛﺘﺮ ﺷﻬﺸﻬﺎﻧﻲ ـ دﻛﺘﺮ واﻣﻘﻲ ـ دﻛﺘﺮ‬
‫ﺳﻠﻴﻤﺎﻧﻲ ـ دﻛﺘﺮﺳﺎﺟﺪي ـ دﻛﺘﺮ داﻧﺸﻤﻨﺪان ـ اﻣﻴﺮﺷﻴﺎﻧﻲ ـ دﻛﺘﺮﻛﺮﻳﻤﻲ‪.‬‬
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‫ﻣﻘﺪﻣﻪاي ﺑﺮ ﻫﻴﺴﺘﻮﭘﺎﺗﻮﻟﻮژي ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ اﻟﻬﻪ ﻛﻴﻬﺎﻧﻲ ـ ﺑﺎ ﻫﻤﻜﺎري‪ :‬ﻓﺎﺳﻄﻤﻪ آﻗﺎﺧﺎﻧﻲ ﻣﻘﺪم ـ‬
‫ﺳﻤﻴﺮا ﺣﺬﻳﻔﻲ ـ ﺟﻼل ﻗﺮه ﺳﻮران‪.‬‬
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‫زﺑﺎن اﺷﺎره )‪ (1‬ـ ﮔﺮوه آﻣﻮزﺷﻲ ﺷﻨﻮاﻳﻲ ﺷﻨﺎﺳﻲ‪.‬‬
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‫زﺑﺎن اﺷﺎره )‪ (2‬ـ ﮔﺮوه آﻣﻮزﺷﻲ ﺷﻨﻮاﻳﻲ ﺷﻨﺎﺳﻲ‬
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‫زﺑﺎن اﺷﺎره )‪ (3‬ـ ﮔﺮوه آﻣﻮزﺷﻲ ﺷﻨﻮاﻳﻲ ﺷﻨﺎﺳﻲ‬
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‫زﺑﺎن اﺷﺎره )‪ (4‬ـ دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ و ﻫﻤﻜﺎران‪.‬‬
‫ﻛﺘﺎﺑﻬﺎي در دﺳﺖ داوري‬
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‫ﻛﺎرﺑﺮد اﺷﻌﻪ ﻣﺎوراء ﺑﻨﻔﺶ ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ اﻳﺮج ﻋﺒﺪاﻟﻬﻲ ـ دﻛﺘﺮ ﻣﺤﺴﻦ اﻣﻴﺮي‪.‬‬
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‫روان درﻣﺎﻧﻲ اﺟﺘﻤﺎع ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﺳﻌﻴﺪ ﺟﻬﺎﻧﺸﺎﻫﻲ ﻓﺮد‪.‬‬
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‫روﺷﻬﺎ و ﻓﻨﻮن ﻣﺪدﻛﺎري اﺟﺘﻤﺎﻋﻲ در ﭘﻴﺸﮕﻴﺮي و درﻣﺎن اﻋﺘﻴﺎد ‪ -‬ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻏﻨﭽﻪ راﻫﺐ ـ‬
‫دﻛﺘﺮ ﻣﺼﻄﻔﻲ اﻗﻠﻴﻤﺎ‪.‬‬
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‫ﺗﻤﺮﻳﻦ درﻣﺎﻧﻲ در ارﺗﻘﺎء ﺳﻼﻣﺖ ﺳﺎﻟﻤﻨﺪان ‪ -‬ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﺳﻴﺪ ﻋﻠﻲ ﺣﺴﻴﻨﻲ ‪.‬‬
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‫ﻓﻌﺎﻟﻴﺘﻬﺎي روز ﻣﺮه زﻧﺪﮔﻲ وﻳﮋه ﺿﺎﻳﻌﺎت ﻧﺨﺎﻋﻲ‪ -‬ﮔﺮد آوري‪ :‬زﻫﺮه ﺳﺮﻓﺮاز‪.‬‬
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‫ﻛﺎر درﻣﺎﻧﻲ در ﻛﻮدﻛﺎن ) راﻫﻨﻤﺎي واﻟﺪﻳﻦ(‪ -‬ﺗﺎﻟﻴﻒ‪ :‬ﻧﺎزﻳﻼ اﻛﺒﺮ ﻓﻬﻴﻤﻲ و ﻫﻤﻜﺎران‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻛﺘﺎﺑﻬﺎي داوري ﺷﺪه‪:‬‬
‫‪ -1‬ﻛﺘﺎب ﻣﺼﺎﺣﺒﻪ ﺑﺎﻟﻴﻨﻲ ﺳﺎﺧﺘﺎر ﻳﺎﻓﺘﻪ ﺑﺮاي اﺧﺘﻼﻻت ‪ DSM-IV‬ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‬
‫‪ -2‬ﻛﺘﺎب اﺧﺘﻼل ﻛﻤﺒﻮد ﺗﻮﺟﻪ ﺑﻴﺶ ﻓﻌﺎﻟﻲ در ﻣﺪرﺳﻪ ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‪.‬‬
‫‪ -3‬ﻛﺘﺎب ﭘﻴﺸﮕﻴﺮي از ﻋﻮد اﻓﺴﺮدﮔﻲ ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ ‪.‬‬
‫‪ -4‬ﻛﺘﺎب درﻣﺎن ﺷﻨﺎﺧﺘﻲ ﻣﺒﺘﻨﻲ ﺑﺮ ﺣﻀﻮر ذﻫﻦ ﺑﺮاي اﻓﺴﺮدﮔﻲ ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‪.‬‬
‫‪ -5‬ﻛﺘﺎب ﭼﻴﺮﮔﻲ ﺑﺮ اﻓﺴﺮدﮔﻲ راﻫﻨﻤﺎي ﻣﺮاﺟﻊ ‪ -‬ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‪.‬‬
‫‪ -6‬ﻛﺘﺎب ﭼﻴﺮﮔﻲ ﺑﺮ اﻓﺴﺮدﮔﻲ راﻫﻨﻤﺎي ﻣﺘﺨﺼﺼﺎن ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﭘﺮواﻧﻪ ﻣﺤﻤﺪﺧﺎﻧﻲ‪.‬‬
‫‪ -7‬ﻣﻌﻨﻮﻳﺖ‪ ،‬ﻣﺮاﻗﺒﺖ ﻣﻌﻨﻮي و ﻣﻌﻨﻮﻳﺖ درﻣﺎﻧﻲ ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻣﺴﻌﻮد ﻓﻼﺣﻲ ﺧﺸﻜﻨﺎب‪.‬‬
‫‪ -8‬زﻧﺪﮔﻲ ﺑﺎ آﻟﺰاﻳﻤﺮ ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻣﺴﻌﻮد ﻓﻼﺣﻲ ﺧﺸﻜﻨﺎب‪.‬‬
‫‪ -9‬ﺷﻨﻮاﻳﻲ و ﮔﻔﺘﺎر در ﻛﻮدﻛﺎن ‪ -‬ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻧﻌﻴﻤﻪ داﻧﺸﻤﻨﺪان‪.‬‬
‫‪ -10‬ﻓﻴﺰﻳﻮ ﻟﻮژي ﺳﻴﺴﺘﻢ ﺷﻨﻮاﻳﻲ ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻧﻌﻴﻤﻪ داﻧﺸﻤﻨﺪان‪.‬‬
‫‪ -11‬آﻣﻮزش ﮔﺎم ﺑﻪ ﮔﺎم ﻧﺎﺑﻴﻨﺎ‪ -‬ﻧﺎﺷﻨﻮا )ﺟﻠﺪ اول( ‪ -‬ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪ -12‬آﻣﻮزش ﮔﺎم ﺑﻪ ﮔﺎم ﻧﺎﺑﻴﻨﺎ‪ -‬ﻧﺎﺷﻨﻮا )ﺟﻠﺪ دوم( ‪ -‬ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪-13‬آﻣﻮزش ﮔﺎم ﺑﻪ ﮔﺎم ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي زﻳﺮ دو ﺳﺎل ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪-14‬آﻣﻮزش ﮔﺎم ﺑﻪ ﮔﺎم ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي ‪ 2-6‬ﺳﺎل )ﺟﻠﺪ اول( ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪-15‬آﻣﻮزش ﮔﺎم ﺑﻪ ﮔﺎم ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي ‪ 2-6‬ﺳﺎل )ﺟﻠﺪ دوم( ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪-16‬آﻣﻮزش ﮔﺎم ﺑﻪ ﮔﺎم ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي ‪ 2-6‬ﺳﺎل )ﺟﻠﺪ ﺳﻮم( ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪-17‬زﺑﺎن اﺷﺎره ﻓﺎرﺳﻲ)‪ (4‬ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪-18‬راﻫﻜﺎرﻫﺎي آﻣﻮزش و ﺗﻮاﻧﺒﺨﺸﻲ ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮا ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪-19‬آﻣﻮزش ﮔﺎم ﺑﻪ ﮔﺎم رﻳﺎﺿﻲ ﺑﻪ ﻛﻮدﻛﺎن ﻧﺎﺷﻨﻮا ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪ -20‬ﺗﻮاﻧﺒﺨﺸﻲ وﺳﺘﻴﺒﻮﻻر ـ ﺗﺮﺟﻤﻪ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪ -21‬ﻣﺸﺎوره ﺑﺎ ﻧﺎﺷﻨﻮاﻳﺎن و ﺧﺎﻧﻮاده آﻧﺎن ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪ Terminology Of Research -22‬ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻳﻮﻧﺲ ﻟﻄﻔﻲ‪.‬‬
‫‪ -23‬ﻓﻌﺎﻟﻴﺘﻬﺎﻳﻲ ﺟﻬﺖ ﺑﻬﺒﻮد اﺧﺘﻼﻻت ﺗﻌﺎدﻟﻲ در ﻛﻮدﻛﺎن ـ ﺗﺮﺟﻤﻪ‪ :‬ﻓﺎﻃﻤﻪ ﺑﻬﻨﻴﺎ‪.‬‬
‫‪ -24‬ﻗﺎﭼﺎق اﻧﺴﺎن ـ ﺗﺎﻟﻴﻒ‪ :‬دﻛﺘﺮ ﻫﺎدي ﻣﻌﺘﻤﺪي ـ ﻓﺮزاﻧﻪ ﻣﺴﺘﻮﻓﻲ زاده‪.‬‬
‫‪236‬‬
‫• ﺗﺸﻜﻴﻞ ﺟﻠﺴﻪ ﺷﻮراي ﻧﺸﺮ‪.‬‬
‫• راه اﻧﺪازي ﺳﺎﻳﺖ ﺟﺪﻳﺪ اﻧﺘﺸﺎرات‪.‬‬
‫• ﺷﺮﻛﺖ در ﺳﻤﻴﻨﺎر ﮔﻔﺘﺎردرﻣﺎﻧﻲ‪.‬‬
‫• ﺷﺮﻛﺖ در ﺳﻤﻴﻨﺎر ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻋﻤﻠﻜﺮد ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎت‬
‫‪239‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻋﻤﻠﻜﺮد ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت‬
‫ردﻳﻒ‬
‫‪1‬‬
‫‪2‬‬
‫‪3‬‬
‫‪4‬‬
‫‪5‬‬
‫‪6‬‬
‫ﺳﺎﻟﻤﻨﺪي‬
‫ﻋﻤﻠﻜﺮد‬
‫ﺗﻌﺪادﻃﺮﺣﻬﺎي ﻣﺼﻮب‬
‫درﻣﺮﻛﺰ‬
‫ﺗﻌﺪاد ﻣﻘﺎﻻت ﻣﻨﺘﺸﺮﺷﺪه‬
‫درﻣﺠﻼت ﻣﻌﺘﺒﺮ‬
‫ﺗﻌﺪادﻣﻘﺎﻻت اراﺋﻪ ﺷﺪه‬
‫درﻫﻤﺎﻳﺸﻬﺎي داﺧﻠﻲ‬
‫ﺗﻌﺪادﻣﻘﺎﻻت اراﺋﻪ ﺷﺪه‬
‫درﻫﻤﺎﻳﺸﻬﺎي ﺧﺎرج ازﻛﺸﻮر‬
‫ﺗﻌﺪادﻛﺎرﮔﺎه آﻣﻮزﺷﻲ‬
‫ﺗﻌﺪاد ﭘﺎﻳﺎن ﻧﺎﻣﻪ ﻣﻨﺘﺸﺮﺷﺪه ﺑﻪ‬
‫ﻧﺎم ﻣﺮﻛﺰ‬
‫ﺗﻌﻴﻴﻦ ﻛﻨﻨﺪهﻫﺎي‬
‫ﺳﻮءﻣﺼﺮف‬
‫ژﻧﺘﻴﻚ‬
‫‪3‬‬
‫‪-‬‬
‫‪2‬‬
‫‪7‬‬
‫‪10‬‬
‫‪14‬‬
‫‪4‬‬
‫‪1‬‬
‫‪5‬‬
‫‪9‬‬
‫‪1‬‬
‫‪1‬‬
‫‪3‬‬
‫‪2‬‬
‫‪-‬‬
‫‪5‬‬
‫‪3‬‬
‫‪4‬‬
‫‪-‬‬
‫اﺟﺘﻤﺎﻋﻲ ﺳﻼﻣﺖ‬
‫ﺗﻌﺪادﭘﺎﻳﺎن ﻧﺎﻣﻪﻫﺎﻳﻲ ﻛﻪ‬
‫‪7‬‬
‫اﻋﻀﺎي ﻣﺮﻛﺰ اﺳﺘﺎدﻣﺸﺎور ﻳﺎ‬
‫‪3‬‬
‫‪4‬‬
‫‪-‬‬
‫راﻫﻨﻤﺎي آن ﺑﻮدهاﻧﺪ‬
‫‪8‬‬
‫ﻛﺘﺐ ﻣﻨﺘﺸﺮﺷﺪه ﺑﻪ ﻧﺎم ﻣﺮﻛﺰ‬
‫‪-‬‬
‫‪-‬‬
‫‪1‬‬
‫ﮔﺮوه ﭘﮋوﻫﺸﻲ رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫ﻃﺮﺣﻬﺎي ﺗﺤﻘﻴﻘﺎﺗﻲ ﻣﺼﻮب‬
‫‪2‬‬
‫ﻃﺮﺣﻬﺎي در دﺳﺖ اﺟﺮا‬
‫‪13‬‬
‫ﻃﺮﺣﻬﺎي ﭘﺎﻳﺎنﻳﺎﻓﺘﻪ‬
‫‪4‬‬
‫ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه داﺧﻠﻲ‬
‫‪6‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪240‬‬
‫ﻋﻤﻠﻜﺮد ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺗﻮاﻧﺒﺨﺸﻲ اﻋﺼﺎب اﻃﻔﺎل‬
‫اوﻟﻮﻳﺖﻫﺎي ﭘﮋوﻫﺸﻲ ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺗﻮاﻧﺒﺨﺸﻲ اﻋﺼﺎب اﻃﻔﺎل‬
‫‪ .1‬ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ راﻫﻬﺎي ﻣﺪاﺧﻠﻪ زودرس در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫‪ .2‬ﺑﺮرﺳﻲ ﺷﻴﻮع اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ در ﻛﻮدﻛﺎن ‪ 5‬ـ ‪ 0‬ﺳﺎل در اﻳﺮان‬
‫‪ .3‬ﺗﻌﻴﻴﻦ رواﻳﻲ و اﻋﺘﺒﺎر ـ اﻳﺮاﻧﻲﺳﺎزي و اﺳﺘﺎﻧﺪارﺳﺎزي آزﻣﻮﻧﻬﺎي ﻏﺮﺑﺎﻟﮕﺮي ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن‬
‫‪ .4‬ﺑﺮرﺳﻲ اﻧﻮاع آﺳﻴﺐﺷﻨﺎﺳﻲ و راﻫﻬﺎي ﺗﺸﺨﻴﺼﻲ در اﺧﺘﻼﻻت ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن‬
‫‪ .5‬ﺑﺮرﺳﻲ ﻣﺪاﺧﻼت درﻣـﺎﻧﻲ ـ ﺗﻮاﻧﺒﺨـﺸﻲ در اﺧـﺘﻼﻻت ﺗﻜﺎﻣـﻞ ﻛﻮدﻛـﺎن و ﭼﮕـﻮﻧﮕﻲ ارﺗﻘـﺎء ﺳـﻄﺢ‬
‫ﺳﻼﻣﺖ آﻧﺎن )ﺳﻨﺪرم داون‪ ،‬ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ دﻳﺲ ﻛﻴﻨﺰي ـ ‪ cluttering‬و ‪(Stuttering‬‬
‫‪ .6‬ﺑﺮرﺳﻲ راﻫﻬﺎي ارﺗﻘﺎء ﺳﻄﺢ ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن ﻃﺒﻴﻌﻲ‬
‫‪ .7‬ﺟﺴﺘﺠﻮي راﻫﻬﺎي ارﺗﻘﺎء ﺳﻼﻣﺖ روان ﺑﺮاي واﻟﺪﻳﻦ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪرم داون‬
‫‪ .8‬ﺑﺮرﺳﻲ ﭘﺮوﺗﻜﻞ ﺗﻮاﻧﺒﺨﺸﻲ ﻣﺮﺣﻠﻪ ﺑﻪ ﻣﺮﺣﻠﻪ ﺑﺮاي ﻛﻮدﻛﺎن ﺑﺎ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫‪ .9‬ﺑﺮرﺳﻲ راﻫﻜﺎري درﻣﺎﻧﻲ ﺗﻮاﻧﺒﺨﺸﻲ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ دﻳﺲ ﻛﻴﻨﺰي ـ ‪ cluttering‬و ‪Stuttering‬‬
‫‪ .10‬ﺟﺴﺘﺠﻮي راﻫﻜﺎرﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ ﻧﻮﻳﻦ در اﺳﺘﺎﺗﻴﻚ ﭘﺮﻳﻔﺮال ﻧﻮروﭘﺎﺗﻲ‬
‫‪ .11‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ‪ ،‬رﻓﺘﺎري ﻛﻪ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﺑﻴﻤﺎرﻳﻬﺎي ﻣﺰﻣﻦ ﻧﺎﺗﻮان ﻛﻨﻨﺪه‬
‫‪ .12‬ﺑﺮرﺳﻲ ﻓﺮاواﻧﻲ ﺑﻴﻤﺎرﻳﻬﺎي ﻫﻤﺮاه در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼﻻت رﻓﺘﺎري ـ ﺣﺮﻛﺘﻲ و ﺣﺴﻲ‬
‫‪ .13‬ﺑﺮرﺳﻲ ﻣﺒﺎﻧﻲ ﻓﻴﺰﻳﻚ ﭘﺎﺗﻮﻟﻮژي اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫‪ .14‬اﺳﺘﺎﻧﺪاردﺳﺎزي اﺑﺪاﻋﺎت و اﺧﺘﺮاﻋﺎت وﺳﺎﻳﻞ ﺗﻮاﻧﺒﺨﺸﻲ در ﺗﻮاﻧﺒﺨﺸﻲ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن‬
‫‪ .15‬ﺑﺮرﺳﻲ ﺷﻴﻮع و ﻓﺮاواﻧﻲ و ﻋﻠﻞ اﻧﻮاع اﺧﺘﻼﻻت رواﻧﭙﺰﺷﻜﻲ در ﺧﺎﻧﻮاده ﻛﻮدﻛﺎن و ﻧﻮﺟﻮاﻧﺎن ﻣﺒﺘﻼ ﺑﻪ‬
‫اﺧﺘﻼل ﺗﻜﺎﻣﻠﻲ‬
‫‪ .16‬ﺑﺮرﺳﻲ ﻓﺎﻛﺘﻮرﻫﺎي ﻣﺆﺛﺮ در اﻳﺠﺎد اﺧﺘﻼﻻت رواﻧﭙﺰﺷﻜﻲ ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن‬
‫‪ .17‬ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺤﺼﻴﻠﻲ و اﺟﺘﻤﺎﻋﻲ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼﻻت رواﻧﭙﺰﺷﻜﻲ ﻛﻮدﻛﺎن‬
‫‪ .18‬ﺑﺮرﺳﻲ ﻣﺒﺎﻧﻲ اﻟﻜﺘﺮوﻓﻴﺰﻳﻮﻟﻮژﻳﻚ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻞ‪ CNS ،‬و ﭘﺮﻳﻮزال ﻧﺮوﭘﺎﺗﻲ‬
‫‪241‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻃﺮﺣﻬﺎي ﭘﮋوﻫﺸﻲ در دﺳﺖ اﺟﺮا ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺗﻮاﻧﺒﺨﺸﻲ اﻋﺼﺎب اﻃﻔﺎل‪88‬‬
‫ردﻳﻒ‬
‫ﻋﻨﻮان ﻃﺮح‬
‫ﻣﺠﺮي‬
‫ﻃﺮح‬
‫ﻧﺎﻇﺮ‬
‫ﻃﺮح‬
‫ﮔﺮوه‪/‬ﻣﺮ‬
‫ﻛﺰ‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﻣﺪت‬
‫ﺗﺎرﻳﺦ‬
‫ﺑﻮدﺟﻪ ﺗﺎرﻳﺦ‬
‫اﺟﺮاي‬
‫اﻧﻌﻘﺎد‬
‫ﻣﺼﻮب ﺗﺼﻮﻳﺐ‬
‫ﻃﺮح‬
‫ﻗﺮارداد‬
‫)ﻣﺎه(‬
‫ﻣﺮﻛﺰ‬
‫ﺳﺮﻛﺎر‬
‫‪66‬‬
‫دﻛﺘﺮ‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﻌﺎدل ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ‪/8/19 /6/16 5300‬‬
‫ﺧﺎﻧﻢ‬
‫‪ 15‬ﻣﺎه‬
‫ﺷﻬﺮام‬
‫ﻋﻤﻴﻖ ﺑﺎ اﻧﺠﺎم ارزﻳﺎﺑﻲﻫﺎي اﻟﻜﺘﺮوﻓﻴﺰﻳﻮﻟﻮژﻳﻚ و‬
‫ﺣﺎﺟﻲ‬
‫‪88‬‬
‫اﻋﺼﺎب ‪88 0000‬‬
‫اﺑﻮﻃﺎﻟﺒﻲ‬
‫رﻓﺘﺎري‪ ،‬و ﻣﻘﺎﻳﺴﻪ آن ﺑﺎ ﻛﻮدﻛﺎن ﻃﺒﻴﻌﻲ‬
‫ﺣﻴﺪري‬
‫اﻃﻔﺎل‬
‫ﻣﺮﻛﺰ‬
‫‪67‬‬
‫ﺗﻌﻴﻴﻦ رواﻳﻲ و ﭘﺎﻳﺎﻳﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‬
‫ﻛﻮدﻛﺎن ﺑﺎ ﻓﻠﺞ ﻣﻐﺰي‬
‫دﻛﺘﺮ‬
‫ﻣﻬﺪي‬
‫رﺻﺎﻓﻴﺎﻧﻲ‬
‫دﻛﺘﺮ ﺗﺤﻘﻴﻘﺎت‬
‫ﺣﺴﻦ ﺗﻮاﻧﺒﺨﺸﻲ ‪/2/27 /12/19 9415‬‬
‫‪18‬ﻣﺎه‬
‫‪88‬‬
‫رﻓﻴﻌﻲ اﻋﺼﺎب ‪87 5000‬‬
‫اﻃﻔﺎل‬
‫ﻣﻘﺎﻳﺴﻪ ﺗﺄﺛﻴﺮ ﺣﺮﻛﺖ درﻣﺎﻧﻲ ﺑﺎ ﻣﺤﺪودﻳﺖ‬
‫‪68‬‬
‫اﺟﺒﺎري و درﻣﺎن دودﺳﺘﻲ دﺳﺖ ـ ﺑﺎزو ﺑﺮ‬
‫ﻛﺎرﻛﺮد دﺳﺘﻲ ﻛﻮدﻛﺎن ‪ 4/5‬ﺗﺎ ‪ 10‬ﺳﺎﻟﻪ ﺑﺎ ﻓﻠﺞ‬
‫ﻣﻐﺰي ﻧﻴﻤﻪ ﺑﺪن‬
‫ﺑﺮرﺳﻲ راﻫﻬﺎي ارﺗﻘﺎ ﺳﻄﺢ ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن‬
‫‪69‬‬
‫اﻳﺮاﻧﻲ )ﻓﺎز‪ :1‬ﺗﺪوﻳﻦ ﺑﺮﻧﺎﻣﻪ ﭘﻴﺸﻨﻬﺎدي ﺟﺎﻣﻊ ارﺗﻘﺎ‬
‫ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن اﻳﺮاﻧﻲ(‬
‫)ﻣﺸﺎرﻛﺘﻲ ﺑﺎ ﺷﻬﻴﺪ ﺑﻬﺸﺘﻲ(‬
‫ﻣﺮﻛﺰ‬
‫دﻛﺘﺮ ﺳﻴﺪ‬
‫ﻋﻠﻲ‬
‫ﺣﺴﻴﻨﻲ‪،‬‬
‫ﺣﺴﻴﻦ‬
‫دﻛﺘﺮ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ‪/2/28 9749‬‬
‫ﻣﻬﺪي‬
‫اﻋﺼﺎب ‪88 0000‬‬
‫اﻃﻔﺎل‬
‫ﺧﺎﻧﻢ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ‪/000‬‬
‫روﺷﻨﻚ ﻛﺎﺷﺎﻧﻲ اﻋﺼﺎب ‪/000‬‬
‫واﻣﻘﻲ‬
‫‪12 88/5/5‬ﻣﺎه‬
‫رﺻﺎﻓﻴﺎﻧﻲ‬
‫ﺳﻮرﺗﺠﻲ‬
‫دﻛﺘﺮ‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﻧﻴﺎ‬
‫اﻃﻔﺎل‬
‫‪115‬‬
‫‪/12/13 /11/29‬‬
‫‪86‬‬
‫‪86‬‬
‫‪ 12‬ﻣﺎه‬
‫ﺑﺮرﺳﻲ اﻧﻮاع ﺳﺒﺐﺷﻨﺎﺳﻲ و اﺧﺘﻼﻻت ﻫﻤﺮاه‬
‫ﻛﻮدﻛﺎن ‪ 1-6‬ﺳﺎﻟﻪ ﺑﺎ ﻓﻠﺞ ﻣﻐﺰي ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه‬
‫‪70‬‬
‫ﺑﻪ ﺑﺨﺶ ﺗﻜﺎﻣﻞ ﻛﻮدك ﻣﺮﻛﺰ ﺟﺎﻣﻊ ﺗﻮاﻧﺒﺨﺸﻲ‬
‫اﺳﻤﺎ و ﻣﻘﺎﻳﺴﻪ ﺑﺎ ﻫﻤﺘﺎﻳﺎن ﺑﺎ ﺗﻜﺎﻣﻞ ﻃﺒﻴﻌﻲ ﺧﻮد‬
‫در ﺳﺎﻟﻬﺎي ‪86-87‬‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ‬
‫ﺳﻠﻴﻤﺎﻧﻲ‬
‫دﻛﺘﺮ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ‪/000‬‬
‫روﺷﻨﻚ اﻋﺼﺎب ‪/000‬‬
‫واﻣﻘﻲ‬
‫اﻃﻔﺎل‬
‫‪50‬‬
‫‪/12/8 /11/29‬‬
‫‪86‬‬
‫‪86‬‬
‫‪ 12‬ﻣﺎه‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪242‬‬
‫ﺑﺮرﺳﻲ اﺛﺮ ﺗﻤﺮﻳﻨﺎت اﻛﺘﻴﻮ ﺑﺮ ﻣﺒﻨﺎي ﻫﻤﺎﻫﻨﮕﻲ‬
‫‪71‬‬
‫ﺣﺴﻲ ‪ -‬ﺣﺮﻛﺘﻲ اﻧﺪام ﻓﻮﻗﺎﻧﻲ ﺑﺮ ﻣﻴﺰان ﺑﻬﺒﻮدي‬
‫ﺷﻴﺮﺧﻮاران ﻣﺒﺘﻼ ﺑﻪ ﺿﺎﻳﻌﺎت ﺷﺒﻜﻪ ﺑﺮاﻛﻴﺎل‬
‫دﻛﺘﺮ ﺣﺴﻴﻦ‬
‫دﻛﺘﺮ‬
‫ﻛﺮﻳﻤﻲ‬
‫ﺷﻬﺸﻬﺎﻧﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫اﻋﺼﺎب‬
‫اﻃﻔﺎل‬
‫‪4840‬‬
‫‪0000‬‬
‫‪83/9/9‬‬
‫‪/9/23‬‬
‫‪84‬‬
‫‪ 15‬ﻣﺎه‬
‫ﻣﺮﻛﺰ‬
‫ﺳﺮﻛﺎر‬
‫‪72‬‬
‫دﻛﺘﺮ‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﻌﺎدل ﻛﻮدﻛﺎن ﻛﻢ ﺷﻨﻮاي‬
‫ﺧﺎﻧﻢ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ‪/8/19 /6/16 5300‬‬
‫‪ 15‬ﻣﺎه‬
‫ﺷﻬﺮام‬
‫ﻋﻤﻴﻖ ﺑﺎ اﻧﺠﺎم ارزﻳﺎﺑﻲﻫﺎي اﻟﻜﺘﺮوﻓﻴﺰﻳﻮﻟﻮژﻳﻚ و‬
‫‪88‬‬
‫اﻋﺼﺎب ‪88 0000‬‬
‫ﺣﺎﺟﻲ‬
‫اﺑﻮﻃﺎﻟﺒﻲ‬
‫رﻓﺘﺎري‪ ،‬و ﻣﻘﺎﻳﺴﻪ آن ﺑﺎ ﻛﻮدﻛﺎن ﻃﺒﻴﻌﻲ‬
‫ﺣﻴﺪري‬
‫اﻃﻔﺎل‬
‫ﻣﺮﻛﺰ‬
‫‪73‬‬
‫ﺗﻌﻴﻴﻦ رواﻳﻲ و ﭘﺎﻳﺎﻳﻲ ﭘﺮﺳﺸﻨﺎﻣﻪ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‬
‫ﻛﻮدﻛﺎن ﺑﺎ ﻓﻠﺞ ﻣﻐﺰي‬
‫دﻛﺘﺮ‬
‫ﻣﻬﺪي‬
‫رﺻﺎﻓﻴﺎﻧﻲ‬
‫دﻛﺘﺮ ﺗﺤﻘﻴﻘﺎت‬
‫ﺣﺴﻦ ﺗﻮاﻧﺒﺨﺸﻲ ‪/2/27 /12/19 9415‬‬
‫‪18‬ﻣﺎه‬
‫‪88‬‬
‫رﻓﻴﻌﻲ اﻋﺼﺎب ‪87 5000‬‬
‫اﻃﻔﺎل‬
‫‪74‬‬
‫ﻣﻘﺎﻳﺴﻪ ﺗﺄﺛﻴﺮ ﺣﺮﻛﺖ درﻣﺎﻧﻲ ﺑﺎ ﻣﺤﺪودﻳﺖ‬
‫دﻛﺘﺮ ﺳﻴﺪ‬
‫اﺟﺒﺎري و درﻣﺎن دودﺳﺘﻲ دﺳﺖ ـ ﺑﺎزو ﺑﺮ‬
‫ﻋﻠﻲ‬
‫ﻛﺎرﻛﺮد دﺳﺘﻲ ﻛﻮدﻛﺎن ‪ 4/5‬ﺗﺎ ‪ 10‬ﺳﺎﻟﻪ ﺑﺎ ﻓﻠﺞ‬
‫ﺣﺴﻴﻨﻲ‪،‬‬
‫ﻣﻐﺰي ﻧﻴﻤﻪ ﺑﺪن‬
‫ﺣﺴﻴﻦ‬
‫ﻣﺮﻛﺰ‬
‫دﻛﺘﺮ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ‪/2/28 9749‬‬
‫ﻣﻬﺪي‬
‫اﻋﺼﺎب ‪88 0000‬‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ درﻣﺎن ﻳﻜﭙﺎرﭼﮕﻲ ﺣﺴﻲ ﺑﺮ‬
‫رﺻﺎﻓﻴﺎﻧﻲ‬
‫‪75‬‬
‫ﺑﺎ ﺗﺄﺧﻴﺮ ﺗﻜﺎﻣﻠﻲ‬
‫ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن ‪60-4‬ﻣﺎﻫﻪ‬
‫‪76‬‬
‫ﺳﺎﻛﻦ ﺷﻬﺮ ﻛﺮج ﺗﻮﺳﻂ آزﻣﻮن ﻏﺮﺑﺎﻟﮕﺮي‬
‫‪ ASQ‬درﺳﺎل ‪89‬‬
‫آﻗﺎي ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﻓﻄﻮره‬
‫اﻋﺼﺎب‬
‫ﻣﻴﺮزاﻳﻲ‬
‫ﭼﻲ‬
‫اﻃﻔﺎل‬
‫روﺷﻨﻚ‬
‫دﻛﺘﺮ‬
‫واﻣﻘﻲ‬
‫رﻫﮕﺬر‬
‫ﻣﻬﺎرتﻫﺎي ﺣﺮﻛﺘﻲ ﻇﺮﻳﻒ ﻛﻮدﻛﺎن ‪ 5-3‬ﺳﺎﻟﻪ ﻫﻮﺷﻨﮓ‬
‫‪12 88/5/5‬ﻣﺎه‬
‫اﻃﻔﺎل‬
‫ﺳﻮﺳﻮرﺗﺠﻲ‬
‫آﻗﺎي‬
‫ﺗﺤﻘﻴﻘﺎت‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫اﻋﺼﺎب‬
‫اﻃﻔﺎل‬
‫‪/3/19 /11/21 2000‬‬
‫‪0000‬‬
‫‪87‬‬
‫‪/12/24‬‬
‫‪88‬‬
‫‪88‬‬
‫‪ 10‬ﻣﺎه‬
‫‪243‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺟﺪول ﺷﺮﻛﺖ در ﻫﻤﺎﻳﺶﻫﺎي داﺧﻠﻲ ﺟﻬﺖ اراﺋﻪ ﻣﻘﺎﻟﻪ )ﺑﺼﻮرت ﭘﻮﺳﺘﺮ ﻳﺎ ﻣﻘﺎﻟﻪ( ‪1388‬‬
‫ردﻳﻒ‬
‫‪1‬‬
‫‪2‬‬
‫‪3‬‬
‫‪4‬‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻓﻠﺞ ﻣﻐﺰي و ﻋﻮاﻣﻞ ﻣﺆﺛﺮ در‬
‫ﺑﺮوزآن‬
‫روﺷﻬﺎي ارﺗﻘﺎي ﺗﻜﺎﻣﻞ‬
‫ﻛﻮدﻛﺎن‬
‫ﻧﻮﻳﺴﻨﺪه‬
‫ﻋﻨﻮان ﻫﻤﺎﻳﺶ‬
‫ﺗﺎرﻳﺦ‬
‫ﺑﺮﮔﺰاري‬
‫‪26‬ﻟﻐﺎﻳﺖ ‪30‬‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ ﻫﻤﺎﻳﺶ ﺳﺎﻻﻧﻪ اﻧﺠﻤﻦ ﭘﺰﺷﻜﺎن ﻛﻮدﻛﺎن اﻳﺮان اردﻳﺒﻬﺸﺖ ﻣﺎه‬
‫‪1388‬‬
‫دﻛﺘﺮ ﻓﻴﺮوزه‬
‫ﺳﺎﺟﺪي‬
‫‪26‬ﻟﻐﺎﻳﺖ ‪30‬‬
‫ﻫﻤﺎﻳﺶ ﺳﺎﻻﻧﻪ اﻧﺠﻤﻦ ﭘﺰﺷﻜﺎن ﻛﻮدﻛﺎن اﻳﺮان اردﻳﺒﻬﺸﺖ ﻣﺎه‬
‫‪1388‬‬
‫دﻛﺘﺮ روﺷﻨﻚ‬
‫واﻣﻘﻲ‬
‫ﺳﺎﺧﺖ و ﻫﻨﺠﺎرﻳﺎﺑﻲ آزﻣﻮن دﻛﺘﺮ ﻧﻴﻜﺘﺎ ﺣﺎﺗﻤﻲ‬
‫زاده‬
‫ﻏﺮﺑﺎﻟﮕﺮي اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫‪26‬ﻟﻐﺎﻳﺖ ‪30‬‬
‫دﻛﺘﺮ ﻓﻴﺮوزه‬
‫ﻛﻮدﻛﺎن ‪ 2 -0‬ﺳﺎﻟﻪ اﻳﺮاﻧﻲ در‬
‫ﻫﻤﺎﻳﺶ ﺳﺎﻻﻧﻪ اﻧﺠﻤﻦ ﭘﺰﺷﻜﺎن ﻛﻮدﻛﺎن اﻳﺮان اردﻳﺒﻬﺸﺖ ﻣﺎه‬
‫ﺳﺎﺟﺪي‬
‫ﺗﻬﺮان ﺑﺰرگ ‪(Iranian‬‬
‫‪1388‬‬
‫دﻛﺘﺮ ﺳﻬﻴﻼ‬
‫‪Developmental‬‬
‫‪Screening‬‬
‫ﺷﻬﺸﻬﺎﻧﻲ‬
‫)‪Test-IDST‬‬
‫دﻛﺘﺮ اﻧﻮﺷﻴﺮوان‬
‫ﻛﺎﻇﻢ ﻧﮋاد‬
‫دﻛﺘﺮ ﺳﻬﻴﻼ‬
‫ﺷﻬﺸﻬﺎﻧﻲ‬
‫دﻛﺘﺮ ﻧﺎدﻳﺎ آذري‬
‫‪26‬ﻟﻐﺎﻳﺖ ‪30‬‬
‫ﺗﻌﻴﻴﻦ رواﺋﻲ و اﻋﺘﺒﺎر آزﻣﻮن‬
‫دﻛﺘﺮ ﻓﻴﺮوزه‬
‫ﺳﺎﺟﺪي‬
‫ﻫﻤﺎﻳﺶ ﺳﺎﻻﻧﻪ اﻧﺠﻤﻦ ﭘﺰﺷﻜﺎن ﻛﻮدﻛﺎن اﻳﺮان اردﻳﺒﻬﺸﺖ ﻣﺎه‬
‫ﻏﺮﺑﺎﻟﮕﺮي دﻧﻮر )‪ (2‬در‬
‫روﺷﻨﻚ‬
‫دﻛﺘﺮ‬
‫‪1388‬‬
‫ﻛﻮدﻛﺎن ‪ 0-6‬ﺳﺎﻟﻪ ﺷﻬﺮ ﺗﻬﺮان‬
‫واﻣﻘﻲ‬
‫دﻛﺘﺮ اﻧﻮﺷﻴﺮوان‬
‫ﻛﺎﻇﻢ ﻧﮋاد‬
‫ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺑﻜﺎرﮔﻴﺮي‬
‫ﺗﺤﺮﻳﻜﺎت ﻫﻤﺰﻣﺎن ﺣﺴﻲ ﺑﺎ‬
‫‪5‬‬
‫روﺷﻬﺎي راﻳﺞ ﻛﺎردرﻣﺎﻧﻲ در دﻛﺘﺮ ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‬
‫ﺳﭙﻴﺪه ﻧﺎزي‬
‫رﺷﺪ ﻣﺮاﺣﻞ ﺣﺮﻛﺘﻲ و رﺷﺪ‬
‫ﺟﺴﻤﺎﻧﻲ ﺷﻴﺮﺧﻮاران ﺳﻨﺪرم‬
‫داون‬
‫‪26‬ﻟﻐﺎﻳﺖ ‪30‬‬
‫ﻫﻤﺎﻳﺶ ﺳﺎﻻﻧﻪ اﻧﺠﻤﻦ ﭘﺰﺷﻜﺎن ﻛﻮدﻛﺎن اﻳﺮان اردﻳﺒﻬﺸﺖ ﻣﺎه‬
‫‪1388‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪244‬‬
‫ﺟﺪول ﺷﺮﻛﺖ در ﻫﻤﺎﻳﺶﻫﺎي داﺧﻠﻲ ﺟﻬﺖ اراﺋﻪ ﻣﻘﺎﻟﻪ )ﺑﺼﻮرت ﭘﻮﺳﺘﺮ ﻳﺎ ﻣﻘﺎﻟﻪ( ‪1388‬‬
‫ردﻳﻒ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﻮﻳﺴﻨﺪه‬
‫‪6‬‬
‫‪Developmental Screening of‬‬
‫‪Children in Tehran City by‬‬
‫)‪*DDST II and ASQ (Oral‬‬
‫‪Shahshahani. S.‬‬
‫‪Sajedi. F.‬‬
‫‪Vameghi. R.‬‬
‫‪Azari. N.‬‬
‫‪Kazemnejad. A.‬‬
‫‪7‬‬
‫‪Effect of Swedish Massage on‬‬
‫‪Glycohemoglobin in Children‬‬
‫‪with Diabetes Mellitus‬‬
‫‪Sajedi.F.‬‬
‫‪Kashaninia. Z.‬‬
‫‪Hosainzadeh. S.‬‬
‫‪Abedini. A‬‬
‫‪8‬‬
‫ﺗﻜﺎﻣﻞ ﺷﻨﺎﺧﺘﻲ ﻛﻮدك‬
‫دﻛﺘﺮ روﺷﻨﻚ واﻣﻘﻲ‬
‫‪9‬‬
‫‪10‬‬
‫‪11‬‬
‫ﻣﺪاﺧﻼت زودﻫﻨﮕﺎم ﻛﻮدﻛﺎن و‬
‫ﻧﻮزادان ﭘﺮ ﺧﻄﺮ‬
‫رﺷﺪ در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪروم‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫‪18‬‬
‫ﻛﻮدﻛﺎن‬
‫ﻣﺎه ‪1388‬‬
‫ﻫﻔﺘﻤﻴﻦ ﻫﻤﺎﻳﺶ ﻛﺸﻮري ﭘﺮﺳﺘﺎري‬
‫‪ 12‬ﺗﺎ ‪ 16‬ﻣﻬﺮ‬
‫ﻛﻮدﻛﺎن‬
‫ﻣﺎه ‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﭙﻮزﻳﻮم اﺧﺘﻼﻻت ﺑﻠﻊ و‬
‫ﺗﻐﺬﻳﻪ در ﻧﻮزادان و ﻛﻮدﻛﺎن‬
‫‪ 11‬آﺑﺎن ‪1388‬‬
‫ﺳﻨﺪرم داون‬
‫اﺧﺘﻼﻻت ﭘﺰﺷﻜﻲ در ﻛﻮدك ﺑﺎ‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫دﻛﺘﺮ زﻫﺮا ﻣﻴﺮﺳﭙﺎﺳﻲ‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫ﻫﻔﺘﻤﻴﻦ ﻫﻤﺎﻳﺶ ﻛﺸﻮري ﭘﺮﺳﺘﺎري‬
‫‪ 12‬ﺗﺎ ‪ 16‬ﻣﻬﺮ‬
‫ﻛﻮدﻛﺎن‬
‫ﻣﺎه ‪1388‬‬
‫داون‬
‫‪13‬‬
‫‪17‬‬
‫ﻫﻔﺘﻤﻴﻦ ﻫﻤﺎﻳﺶ ﻛﺸﻮري ﭘﺮﺳﺘﺎري‬
‫‪ 12‬ﺗﺎ ‪ 16‬ﻣﻬﺮ‬
‫‪1388‬‬
‫دﻛﺘﺮ روﺷﻨﻚ واﻣﻘﻲ‬
‫ﺗﻐﺬﻳﻪ و ﻣﻜﻤﻞﻫﺎ در ﺳﻨﺪرم داون دﻛﺘﺮ ﺳﻬﻴﻼ ﺷﻬﺸﻬﺎﻧﻲ‬
‫‪16‬‬
‫ﻛﻮدﻛﺎن‬
‫ﻣﺎه ‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪12‬‬
‫‪15‬‬
‫ﻫﻔﺘﻤﻴﻦ ﻫﻤﺎﻳﺶ ﻛﺸﻮري ﭘﺮﺳﺘﺎري‬
‫‪ 12‬ﺗﺎ ‪ 16‬ﻣﻬﺮ‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن در ﺳﻨﺪرم داون دﻛﺘﺮ ﻓﻴﺮوزه ﺳﺎﺟﺪي‬
‫‪14‬‬
‫ﻋﻨﻮان ﻫﻤﺎﻳﺶ‬
‫ﺗﺎرﻳﺦ‬
‫ﺑﺮﮔﺰاري‬
‫ﺑﻠﻮغ و ﻣﺴﺎﺋﻞ ﻫﻴﺠﺎﻧﻲ در ﺳﻨﺪرم‬
‫داون‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﻣﺸﻜﻼت ارﺗﻮﭘﺪي در‬
‫ﻛﻮدﻛﺎن ﺳﻨﺪرم داون‬
‫ﻣﻬﺎرت ﺧﻮاﻧﺪن در ﻛﻮدﻛﺎن‬
‫ﺳﻨﺪرم داون‬
‫آﻣﻮزش ﻣﺒﺘﻨﻲ ﺑﺮ ﺧﺎﻧﻮاده‬
‫ﺗﻌﻴﻴﻦﻛﻨﻨﺪهﻫﺎي اﺟﺘﻤﺎﻋﻲ‬
‫*‬
‫ﺳﻼﻣﺖ‬
‫دﻛﺘﺮ ﺳﺎﺣﻞ ﻫﻤﺘﻲ‬
‫ﻣﺴﻌﻮد ﻏﺮﻳﺐ‬
‫رﺑﺎب ﺗﻴﻤﻮري‬
‫دﻛﺘﺮ ﻣﻬﺪي رﺻﺎﻓﻴﺎﻧﻲ‬
‫دﻛﺘﺮ ﺳﺎﺣﻞ ﻫﻤﺘﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫‪19‬‬
‫‪20‬‬
‫‪245‬‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﺣﻤﺎﻳﺖﻫﺎي ﺧﺎﻧﻮادﮔﻲ در ﺳﻨﺪرم‬
‫*‬
‫داون‬
‫وﻳﮋﮔﻴﻬﺎي ﺑﺮﻧﺎﻣﻪﻫﺎي ﻣﻮﻓﻖ‬
‫ﭘﻴﺸﮕﻴﺮي از اﻋﺘﻴﺎد در ﻣﺪارس‬
‫ﻧﻮﻳﺴﻨﺪه‬
‫دﻛﺘﺮ ﺳﺎﺣﻞ ﻫﻤﺘﻲ‬
‫دﻛﺘﺮ روﺷﻨﻚ واﻣﻘﻲ‬
‫ﺗﺸﺨﻴﺺ و ﻣﻮاﺟﻬﻪ ﺑﺎ ﺑﺤﺮان در‬
‫‪21‬‬
‫ﺧﺎﻧﻮادهﻫﺎي ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﻳﻲ‬
‫ﺗﻮﺳﻂ ﭘﺰﺷﻚ‬
‫دﻛﺘﺮ روﺷﻨﻚ واﻣﻘﻲ‬
‫ﻋﻨﻮان ﻫﻤﺎﻳﺶ‬
‫ﺗﺎرﻳﺦ‬
‫ﺑﺮﮔﺰاري‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر آﺷﻨﺎﻳﻲ ﺑﺎ ﻛﻮدﻛﺎن‬
‫‪ 2‬و ‪ 3‬اﺳﻔﻨﺪ ﻣﺎه‬
‫ﺳﻨﺪرم داون‬
‫‪1388‬‬
‫ﻧﺨﺴﺘﻴﻦ ﻛﻨﮕﺮه ﻛﺸﻮري ﭘﻴﺸﮕﻴﺮي‬
‫‪ 4‬ﺗﺎ ‪ 6‬اﺳﻔﻨﺪ‬
‫از ﺳﻮئ ﻣﺼﺮف ﻣﻮاد‬
‫ﻣﺎه ‪1388‬‬
‫اوﻟﻴﻦ ﺳﻤﻴﻨﺎر ﻋﻠﻤﻲ ﺧﺎﻧﻮاده و‬
‫‪ 27‬و ‪ 28‬ﺑﻬﻤﻦ‬
‫ﻛﻮدك اﺳﺘﺜﻨﺎﻳﻲ‬
‫ﻣﺎه ‪1388‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪246‬‬
‫ﺟﺪول ﻣﻘﺎﻻت ﭼﺎپ ﺷﺪه در ﻣﺠﻼت اﻳﻨﺪﻛﺲ در ﺳﺎﻳﺖﻫﺎي ﻣﻌﺘﺒﺮدر ﺳﺎل‪13 88‬‬
‫ردﻳﻒ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫‪Affiliation‬‬
‫رواﻳﻲ و ﭘﺎﻳﺎﻳﻲ »آزﻣﻮن‬
‫دﻛﺘﺮزﻫﺮا ﺟﻌﻔﺮي‬
‫‪PNRC‬‬
‫)‪(C.A‬‬
‫ﺳﻨﺠﺶ رﺷﺪ ﺷﻨﺎﺧﺖ‪ ،‬دﻛﺘﺮ ﺣﺴﻦ ﻋﺸﺎﻳﺮي‬
‫‪1‬‬
‫ارﺗﺒﺎط اﺟﺘﻤﺎﻋﻲ و‬
‫ﺣﺮﻛﺖ ﻧﻴﻮﺷﺎ « در‬
‫ﻛﻮدﻛﺎن ﻓﺎرﺳﻲ زﺑﺎن‬
‫ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﭘﺮي‬
‫ﻧﺘﺎل و ﻧﺌﻮﻧﺘﺎل در ﻛﻮدﻛﺎن‬
‫‪2‬‬
‫ﺳﻌﻴﺪ ﻣﻼﻳﺮي‬
‫دﻛﺘﺮ ﻓﺮﺷﻴﺪ‬
‫ﻋﻼءاﻟﺪﻳﻨﻲ‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫‬‫‪-‬‬
‫درﻣﺎﻧﻲ ﺷﻤﺎل و ﺷﺮق‬
‫ﺣﺴﻴﻦ ﺳﻮرﺗﺠﻲ‬
‫رواﻧﭙﺰﺷﻜﻲ و‬
‫ﺑﻬﺎر‬
‫رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ‬
‫‪1388‬‬
‫اﻳﺮان‬
‫‪VOL: 15‬‬
‫‪NO: 1‬‬
‫‪Copernicus‬‬
‫‪original‬‬
‫‪article‬‬
‫‬‫‪PNRC‬‬
‫)‪(C.A‬‬
‫ﺑﺎ ﻓﻠﺞ ﻣﻐﺰي ﻣﺮاﺟﻌﻪ‬
‫ﻛﻨﻨﺪه ﺑﻪ ﻣﺮاﻛﺰ ﺑﻬﺪاﺷﺘﻲ ـ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ و‬
‫ﺷﻤﺎره‬
‫ﭼﺎپ‬
‫ﻣﺤﻞ‬
‫اﻳﻨﺪﻛﺲ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫‪PNRC‬‬
‫ﻣﺠﻠﻪ داﻧﺸﻜﺪه‬
‫ﺷﻬﺮﻳﻮر‬
‫ﭘﺰﺷﻜﻲ داﻧﺸﮕﺎه‬
‫‪1388‬‬
‫ﺗﻬﺮان‬
‫‪EMBASE‬‬
‫‪VOL: 67‬‬
‫‪NO: 6‬‬
‫‪original‬‬
‫‪article‬‬
‫ﺗﻬﺮان‬
‫‪3‬‬
‫رواﻳﻲ و ﭘﺎﻳﺎﻳﻲ »آزﻣﻮن‬
‫دﻛﺘﺮزﻫﺮا ﺟﻌﻔﺮي‬
‫‪PNRC‬‬
‫)‪(C.A‬‬
‫ﺳﻨﺠﺶ رﺷﺪ ﺷﻨﻮاﻳﻲ‪،‬‬
‫دﻛﺘﺮ ﺣﺴﻦ ﻋﺸﺎﻳﺮي‬
‫_‬
‫زﺑﺎن و ﮔﻔﺘﺎر ﻧﻴﻮﺷﺎ« در‬
‫ﺳﻌﻴﺪ ﻣﻼﻳﺮي‬
‫_‬
‫ﻓﺼﻨﺎﻣﻪ ﭘﺎﻳﺶ‬
‫ﻛﻮدﻛﺎن ﺑﺪو ﺗﻮﻟﺪ ﺗﺎ ‪6‬‬
‫ﺳﺎل ﻓﺎرﺳﻲ زﺑﺎن‬
‫دﻛﺘﺮ ﻓﺮﺷﻴﺪ‬
‫ﻋﻼءاﻟﺪﻳﻨﻲ‬
‫دﻛﺘﺮ ﺷﺒﻨﻢ اﺻﻐﺮي‬
‫دﻛﺘﺮ ﺣﺴﻴﻦ ﻣﻠﻚ‬
‫اﻓﻀﻠﻲ‬
‫‪4‬‬
‫ﺑﻬﺎر‬
‫ﻧﺎﺑﺮاﺑﺮي در ﭘﺎﺳﺦدﻫﻲ‬
‫دﻛﺘﺮ ﻛﻮروش‬
‫ﺧﺪﻣﺎت ﺳﻼﻣﺖ ﺑﻪ‬
‫ﻫﻼﻛﻮﻳﻲ‬
‫ﻛﻮدﻛﺎن دﭼﺎر ﻧﺎﺗﻮاﻧﻲ‬
‫دﻛﺘﺮ ﺳﻴﺪ رﺿﺎ‬
‫ﻧﻤﻮي‬
‫ﻣﺠﺪزاده‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫دﻛﺘﺮ ﺳﻮزان اﻣﻴﺮ‬
‫ﺳﺎﻻري‬
‫‪1388‬‬
‫‪Copernicus‬‬
‫‪VOL: 8‬‬
‫‪NO: 2‬‬
‫_‬
‫‪original‬‬
‫‪article‬‬
‫_‬
‫ﭘﺎﻳﻴﺰ و‬
‫_‬
‫زﻣﺴﺘﺎن‬
‫_‬
‫_‬
‫‪PNRC‬‬
‫_‬
‫ﻓﺼﻠﻨﺎﻣﻪ ﻋﻠﻤﻲ‬
‫‪1387‬‬
‫ﭘﮋوﻫﺸﻲ رﻓﺎه‬
‫ﺳﺎل‬
‫اﺟﺘﻤﺎﻋﻲ‬
‫ﻫﺸﺘﻢ‬
‫ﺷﻤﺎره ‪30‬‬
‫و ‪31‬‬
‫‪EMRO‬‬
‫‪original‬‬
‫‪article‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ردﻳﻒ‬
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ﺗﺪوﻳﻦ ﺳﻨﺪ ﻣﻠﻲ ﻛﺎﻫﺶ و‬
‫‪5‬‬
‫ﻛﻨﺘﺮل آﺳﻴﺐﻫﺎي‬
‫اﺟﺘﻤﺎﻋﻲ ‪1385-1384‬‬
‫‪7‬‬
‫ﻧﻮﻳﺴﻨﺪﮔﺎن‬
‫‪Affiliation‬‬
‫دﻛﺘﺮ روﺷﻨﻚ‬
‫‪PNRC‬‬
‫)‪(C.A‬‬
‫دﻛﺘﺮ ﺣﺴﻦ رﻓﻴﻌﻲ‬
‫‪USWRS‬‬
‫واﻣﻘﻲ‬
‫دﻛﺘﺮﺳﻌﻴﺪ ﻣﺪﻧﻲ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
‫ﺗﺎرﻳﺦ و‬
‫ﺷﻤﺎره‬
‫ﭼﺎپ‬
‫ﻓﺼﻠﻨﺎﻣﻪ رﻓﺎه‬
‫‪1388‬‬
‫اﺟﺘﻤﺎﻋﻲ‬
‫ﺳﺎل ﻧﻬﻢ‬
‫‪USWRS‬‬
‫ﭘﺎﺳﺦﻫﺎي ﺷﻨﻮاﻳﻲ ﺳﺎﻗﻪ‬
‫ﻧﻴﻤﺎ رﺿﺎزاده‬
‫ﻣﻐﺰ در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ‬
‫دﻛﺘﺮ ﺣﺴﻴﻦ ﺷﺎره‬
‫ﺗﺎﺑﺴﺘﺎن‬
‫اﺗﻴﺴﻢ‬
‫ﻣﺤﺴﻦ اﺣﺪي‬
‫_‬
‫_‬
‫_‬
‫دﻛﺘﺮ ﺣﺴﻴﻦ ﻛﺮﻳﻤﻲ‬
‫‪PNRC‬‬
‫ﺷﻴﺮ ﺧﻮاران ﭘﺮﺧﻄﺮ‬
‫دﻛﺘﺮ ﻓﺮﻳﻦ ﺳﻠﻴﻤﺎﻧﻲ‬
‫‪PNRC‬‬
‫)‪(C.A‬‬
‫ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻣﺮاﻛﺰ‬
‫دﻛﺘﺮ روﺷﻨﻚ‬
‫ﺑﻬﺪاﺷﺘﻲ ـ درﻣﺎﻧﻲ ﺷﻤﺎل‬
‫واﻣﻘﻲ‬
‫ﻗﻬﻔﺮﺧﻲ‬
‫ﻣﺆﺛﺮ ﺑﺮﺗﺎﺧﻴﺮ ﺗﻜﺎﻣﻞ‬
‫ﻣﺠﻠﻪ ﻋﻠﻤﻲ‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم‬
‫ﭘﺰﺷﻜﻲ ﮔﺮﮔﺎن‬
‫‪PNRC‬‬
‫‪1388‬‬
‫دوره ‪11‬‬
‫‪EMRO‬‬
‫‪Copernicus‬‬
‫‪original‬‬
‫‪article‬‬
‫‪original‬‬
‫‪article‬‬
‫ﺷﻤﺎره ‪2‬‬
‫ﺗﺎﺑﺴﺘﺎن‬
‫ﺣﻜﻴﻢ‬
‫و ﺷﺮق ﺗﻬﺮان و ﻋﻮاﻣﻞ‬
‫ﻣﺤﻞ‬
‫اﻳﻨﺪﻛﺲ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
‫ﺑﻬﺎر‬
‫ﺷﻤﺎره ‪32‬‬
‫)ﻣﺪونﺳﺎزي ﻳﻚ ﺗﺠﺮﺑﻪ(‬
‫‪6‬‬
‫‪247‬‬
‫‪1388‬‬
‫‪EMRO‬‬
‫‪VOL: 12‬‬
‫‪NO: 2‬‬
‫دﻛﺘﺮ اﺻﻐﺮ دادﺧﻮاه ‪USWRS‬‬
‫‪original‬‬
‫‪article‬‬
‫ﺣﺮﻛﺘﻲ آﻧﺎن‬
‫‪8‬‬
‫‪9‬‬
‫‪MUSCLE TONICITY‬‬
‫‪OF CHILDREN‬‬
‫‪WITH SPASTIC‬‬
‫‪CEREBRAL PALSY:‬‬
‫‪HOW EFFECTIVE IS‬‬
‫‪SWEDISH‬‬
‫?‪MASSAGE‬‬
‫‪EFFECT OF‬‬
‫‪LAMOTRIGINE ON‬‬
‫‪PROPHYLAXIS OF‬‬
‫‪PEDIATRIC‬‬
‫‪CLASSIC‬‬
‫‪MIGRAINE‬‬
‫‪Alizad.V‬‬
‫‪USWRS‬‬
‫‪PNRC‬‬
‫)‪(C.A‬‬
‫‪Vameghi. R‬‬
‫‪PNRC‬‬
‫‪Sajedi. F‬‬
‫‪Mirzaei.‬‬
‫‪M.G.R.‬‬
‫‪Azimian. M.‬‬
‫‪Moezzi. M.‬‬
‫)‪(C.A‬‬
‫_‬
‫‪Vameghi. R.‬‬
‫‪PNRC‬‬
‫‪Iran J Child‬‬
‫‪Neurology‬‬
‫_‬
‫‪Iran J Child‬‬
‫‪Neurology‬‬
‫‪Rafieian‬‬‫‪Kopaei‬‬
‫‪Research Copernicus June2009‬‬
‫‪Article‬‬
‫‪ISC‬‬
‫_‬
‫‪June‬‬
‫‪2009‬‬
‫‪Copernicus‬‬
‫‪Original‬‬
‫‪Article‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
Original
Article
‫ﻣﺤﻞ‬
‫اﻳﻨﺪﻛﺲ‬
ISI
248
‫ﺗﺎرﻳﺦ و‬
‫ﺷﻤﺎره‬
‫ﭼﺎپ‬
2009
‫ﻧﺎم ﻣﺠﻠﻪ‬
Child:
care,health
and
development
Affiliation
‫ﻧﻮﻳﺴﻨﺪﮔﺎن‬
PNRC
(C.A)
Vameghi. R.
_
Hatamizadeh.N.
PNRC
Sajedi. F
PNRC
Shahshahani
pour. S.
_
Kazemnejad. A.
PNRC
_
Original
Report
SCOPUS
2009
Acta Medica
Iranica
_
PNRC
(C.A)
PNRC
_
Original
Report
SCOPUS
2009
Vol: 47
No: 6
Acta Medica
Iranica
_
_
PNRC
(C.A)
PNRC
PNRC
Research
Copernicus
Article
Dec
2009
Iran J Child
Neurology
(C.A)
_
_
PNRC
Original
Article
Apri
/Oct
Iranian
2008
EMRO
Rehabilitation
Copernicus Vol: 6
Journal
No: 7 &
8
PNRC
(C.A)
PNRC
PNRC
PNRC
PNRC
(C.A)
Case
Report
EMRO
Copernicus
2009
Iranian
Rehabilitation
Journal
_
_
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
Production of a
Native
Developmental
Screening Test: The
Iranian Experience
10
Naeimeh
Daneshmandan
Pedram
Borghei
Oral Communication
Development in
Severe to Profound
Hearing Impaired
Nasrin Yazdany
Children After
Receiving Aural
Farin Soleimani
Habilitation
Roshanak
Vameghi
Omid Rezaei
Somaye
Temporary Strict
Shahzamanian
Maternal Avoidance
Sahel Hemmati of Cow’s Milk and
Gorgani
Infant Colic
11
12
Firoozeh Sajedi
Sajedi. F
Vameghi. R.
Mohseni
Bandpei. M.A.
Alizad. V
Hemmati
Gorgani. S.
Shahshahani
pour. S.
Sahel Hemmati
Gorgani
Nasrin Amiri
Motor
Developmental
Delay In 7500
Iranian Infants:
Prevalence and Risk
Factors
Comparison of
Motor Skills in
Children with
Farin Soleimani
Developmental
Coordination
Asghar
Disorder and Normal
Dadkhah
Peers
Robab
Teymouri
Foreign Accent
Shahla
Syndrome in Iran:
Raghibdoust
Case Report
Golnaz
Modarresi
Ghavami
13
14
15
249
‫ﻧﻮع ﻣﻘﺎﻟﻪ‬
Original
Article
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﻣﺤﻞ‬
‫اﻳﻨﺪﻛﺲ‬
‫ﺗﺎرﻳﺦ و‬
‫ﺷﻤﺎره‬
‫ﭼﺎپ‬
‫ﻧﺎم ﻣﺠﻠﻪ‬
Apri
/Sep.
Iranian
2007
EMRO
Rehabilitation
Copernicus Vol: 5
Journal
No: 5 &
6
Original
Article
Apri
/Sep.
Iranian
2007
EMRO
Rehabilitation
Copernicus Vol: 5
Journal
No: 5 &
6
Original
Article
Apri
/Sep.
Iranian
2007
EMRO
Rehabilitation
Copernicus Vol: 5
Journal
No: 5 &
6
Affiliation
‫ﻧﻮﻳﺴﻨﺪﮔﺎن‬
PNRC
PNRC
PNRC
(C.A)
_
Alizad. V.
Vameghi. R.
_
_
_
USWR
USWR
USWR
(C.A)
USWR
(C.A)
USWR
USWR
USWR
Sajedi. F
Alaeddini. F.
Hadian Jazy.
M.
Beyki. M.
Abedi. A.
Soleimani. F.
Mousavi. M. E.
Salman
Roghani. R.
Dadkhah. A.
Harizuka. S.
Soleimani. F.
Hemmati
Gorgani. S.
‫ﻋﻨﻮان ﻣﻘﺎﻟﻪ‬
‫ردﻳﻒ‬
Swedish Massage
and Abnormal
Reflexes of Children
with Spastic Cerebral
Palsy
16
Efficacy of Prone
Lumbar Traction on
Chronic Discogenic
Low Back Pain and
Disability *
17
Dohsa Treatment to
Improve Balance in
Elderly People: an
Evaluation of an
Home-Based
Exercise Programme
18
‫اوﻟﻮﻳﺖﻫﺎي ﭘﮋوﻫﺸﻲ ﺳﺎل ‪1388‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪253‬‬
‫اوﻟﻮﻳﺘﻬﺎي داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺳﺎل ‪88‬‬
‫‪ .1‬ﻛﺎﻫﺶ و ﻛﻨﺘﺮل ﻣﺸﻜﻼت اﺟﺘﻤﺎﻋﻲ‬
‫‪.1‬‬
‫درﻣﺎن ﺣﻀﻮر ذﻫﻦ و ﺗﺄﺛﻴﺮ آن ﺑﺮ ﻛﺎﻫﺶ ﺗﻤﺎﻳﻞ ﺑﻪ ﻣﺼﺮف ﻣﻮاد در داﻧﺸﺠﻮﻳﺎن داﻧـﺸﮕﺎﻫﻬﺎي اﻳـﺮان‬
‫)ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪.2‬‬
‫ﺑﺮرﺳﻲ ﻧﻘﺶ ﻋﻮاﻣﻞ ﻓﺮﻫﻨﮕﻲ ـ اﺟﺘﻤﺎﻋﻲ و رﺳﺎﻧﻪﻫﺎ در ﺷﻨﺎﺧﺖ ﺑﻴﻤﺎرﻳﻬﺎي رواﻧﻲ در ﻣﻴـﺎن ﻣـﺮدم در‬
‫ﻛﺸﻮر )ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪.3‬‬
‫ﺑﺮرﺳﻲ آﺳﻴﺒﻬﺎي اﺟﺘﻤﺎﻋﻲ ﻛﻮدك‪ ،‬ﺧﺎﻧﻮاده و ﺳﺎﻟﻤﻨﺪان از دﻳﺪﮔﺎه ﭘﺮﺳﺘﺎري )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪.4‬‬
‫ﺑﺮرﺳﻲ ﻣﺸﻜﻼت رواﻧﻲ در ﮔﺮوﻫﻬﺎي وﻳﮋه آﺳﻴﺐ دﻳﺪه اﺟﺘﻤﺎﻋﻲ )ﻧﻮﺟﻮاﻧﺎن ﺑﺰﻫﻜﺎر‪ ،‬ﺧﺎﻧﻮادهﻫـﺎي‬
‫از ﻫﻢ ﮔﺴﻴﺨﺘﻪ‪ ،‬زﻧﺪاﻧﻴﺎن‪ ،‬زﻧﺎن وﻳﮋه( در اﻳﺮان )ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪.5‬‬
‫ﺑﺮرﺳﻲ راﺑﻄﻪ ﻧﺎﺑﺮاﺑﺮي ﺟﻨﺴﻴﺘﻲ واﻧﺤﺮاﻓﺎت اﺟﺘﻤﺎﻋﻲ )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ رﻓﺎه اﺟﺘﻤﺎﻋﻲ(‬
‫‪.6‬‬
‫اﺛﺮ ﻣﺸﺎوره اﻧﮕﻴﺰﺷﻲ ﻧﻈـﺎمﻣﻨـﺪ )‪ (SMC‬ﺑـﺮ اﻧﮕﻴـﺰه ﭘﻴـﺸﺮﻓﺖ ﺗﺤـﺼﻴﻠﻲ و ﻣﻴـﺰان اﺿـﻄﺮاب اﻣﺘﺤـﺎن‬
‫داﻧﺸﺠﻮﻳﺎن داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ وﺗﻮاﻧﺒﺨﺸﻲ )آزاد(‬
‫‪.7‬‬
‫ﺑﺮرﺳﻲ ﻧﮕﺮش رواﻧﭙﺰﺷـﻜﺎن ﻓـﺎرغ اﻟﺘﺤـﺼﻴﻞ ﺳـﺎﻟﻬﺎي ‪ 1381-88‬ﻧـﺴﺒﺖ ﺑـﻪ ﺷـﻴﻮه ‪ osce‬و آزﻣـﻮن‬
‫ﻣﺮﺳﻮم ﻣﺼﺎﺣﺒﻪ ﺑﺎﻟﻴﻨﻲ )ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪ .2‬ارﺗﻘﺎي ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‪ ،‬رﻓﺎه اﺟﺘﻤﺎﻋﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪ -1‬ﺧﺪﻣﺎت ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪ .1‬ﺑﺮرﺳﻲ ﻛﺎرﺑﺮد اﺳﺘﻔﺎده از روﺷﻬﺎي ﺑﻴﻮﻣﻜﺎﻧﻴﻚ در ﭘﻴـﺸﮕﻴﺮي از ﺿـﺎﻳﻌﺎت ورزﺷـﻲ در ﺳـﻄﺢ ﺷـﻬﺮ‬
‫ﺗﻬﺮان )ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .2‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻓﻴﺰﻳـﻮﺗﺮاﭘﻲ در ﺗـﻴﻢ ﺗﻮاﻧﺒﺨـﺸﻲ ﺑﻴﻤـﺎران ﻗﻠﺒـﻲ ـ رﻳـﻮي در ﺳـﻄﺢ ﺷـﻬﺮ ﺗﻬـﺮان )ﮔـﺮوه‬
‫ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .3‬ﺗــﺄﺛﻴﺮ روﺷــﻬﺎي روشﻫــﺎي ﻧــﻮﻳﻦ درﻣــﺎﻧﻲ ﻓﻴﺰﻳــﻮﺗﺮاﭘﻲ در ﺑﻴﻤﺎرﻳﻬــﺎ در ﺳــﻄﺢ ﺷــﻬﺮ ﺗﻬــﺮان ﮔــﺮوه‬
‫ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .4‬ﺑﺮرﺳﻲ اﺛﺮ ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ ﺑﺮ درﻣﺎنﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .5‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ روﺷﻬﺎي ﭘﻴﺸﮕﻴﺮي از ﺑﺮوز ﺻﺪﻣﺎت ﻋﻀﻼﻧﻲ اﺳﺘﺨﻮاﻧﻲ در ﺳﻄﺢ ﺷـﻬﺮ ﺗﻬـﺮان )ﮔـﺮوه‬
‫ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪254‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ .6‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻓﻴﺰﻳﻮ ﺗﺮاﭘﻲ ﺑﺮ آﺳﻴﺒﻬﺎي ورزﺷﻲ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .7‬ﺑﺮرﺳﻲ ﻣﻄﺎﻟﻌﺎت ﺑﻴﻦ اﻟﻤﻠﻠﻲ درﻣﺎﻧﻬﺎي ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .8‬ﺑﺮرﺳــﻲ روشﻫــﺎي ﻧــﻮﻳﻦ ارزﻳــﺎﺑﻲ در ﺑﻴﻤــﺎران ﻓﻴﺰﻳــﻮﺗﺮاﭘﻲ ﺷــﺪه در ﺳــﻄﺢ ﺷــﻬﺮ ﺗﻬــﺮان )ﮔــﺮوه‬
‫ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .9‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ارﮔﻮﻧﻮﻣﻴﻚ در زﻧﺪﮔﻲ و ﻛﺎر ﻣﻌﻠﻮﻟﻴﻦ ﺟﺴﻤﻲ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه‬
‫ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .10‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻮاﻧﺒﺨﺸﻲ در ﻛﺎرﮔﺮان دﭼﺎر آﺳﻴﺐ ﺷﻐﻠﻲ در ﺑﺎزﮔﺸﺖ ﺑﻪ ﻛﺎر ﻣﻮﻓـﻖ در ﺳـﻄﺢ ﺷـﻬﺮ‬
‫ﺗﻬﺮان )ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .11‬اراﺋﻪ اﻟﮕﻮي ﻛﻠﻴﻨﻴﻚ ﺗﻮاﻧﺒﺨـﺸﻲ ﻃـﺐ ﻛـﺎر در ﻣﺮاﻛـﺰ داﻧـﺸﮕﺎه و ﺑﺮرﺳـﻲ ارزﻳـﺎﺑﻲ ﻣﻴـﺰان ﺑـﺎزده و‬
‫ﻛﺎراﻳﻲ آن‪) .‬ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .12‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻠﻪ ارﮔﻮﻧﻮﻣﻴﻚ در ﻣﺤﻴﻂ ﻛﺎر ﺑـﺮاي ﻛـﺎﻫﺶ ﺑﻴﻤﺎرﻳﻬـﺎي ﻋـﻀﻼﻧﻲ ـ اﺳـﻜﻠﺘﻲ در‬
‫ﻣﺤﻴﻂ ﻛﺎر دﻓﺘﺮي در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .13‬آﻧﺎﻟﻴﺰ ﺷﻐﻠﻲ در ﻣﻌﻠﻮﻟﻴﻦ ﺑﺎ ﻫﺪف ﺑﻬﺒﻮد اﻳﺴﺘﮕﺎه ﻛﺎري در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان‪) .‬ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .14‬ارزﻳــﺎﺑﻲ ﻓﻴﺰﻳﻮﻟــﻮژﻳﻜﻲ ﮔــﺮوه ﺳــﺎﻟﻢ و ﻣﻌﻠــﻮل در ﺑــﺪو اﺳــﺘﺨﺪام و ﻣﻘﺎﻳــﺴﻪ دو ﮔــﺮوه در ﻣــﻮرد‬
‫اﻳﺴﺘﮕﺎﻫﻬﺎي ﻛﺎري ﻳﻜﺴﺎن )ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .15‬ﺑﺮرﺳﻲ ﻧﻘﺶ ارﮔﻮﻧﻮﻣﻲ در ﻛﺎﻫﺶ اﺳﺘﺮسﻫﺎي ﺷﻐﻠﻲ‪) .‬ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .16‬ﺑﺮرﺳﻲ ﺣﻮادث و ﺑﻴﻤﺎرﻳﻬﺎي ﻧﺎﺷﻲ از ﻛﺎر در ﺻﻨﺎﻳﻊ دﺳﺘﻲ‪) .‬ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .17‬اراﺋﻪ اﻟﮕﻮي ﺳﺎﻣﺎﻧﺪﻫﻲ ﻓﻀﺎﻫﺎي ﻓﻴﺰﻳﻜﻲ داﻧﺸﮕﺎﻫﻬﺎ و ﻣﺮاﻛﺰ آﻣـﻮزش ﻋـﺎﻟﻲ از دﻳـﺪﮔﺎه ارﮔﻮﻧـﻮﻣﻲ‬
‫)ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .18‬ﺑﺮرﺳﻲ اﻧﻮاع و ﻣﻴﺰان اراﺋﻪ ﺧﺪﻣﺎت ﺗﻮاﻧﺒﺨﺸﻲ ﺑﻪ ﻛﻢ ﺑﻴﻨﺎﻳﺎن در ﻣﺮاﻛﺰ دوﻟﺘﻲ‪) .‬ﮔﺮوه اﺧﺘﻼﻻت ﺑﻴﻨﺎﻳﻲ(‬
‫‪ .19‬ﻃﺮاﺣﻲ و ﺳﺎﺧﺖ ارﺗﺰ و ﭘﺮوﺗﺰﻫﺎي ﺟﺪﻳﺪ )ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫‪ .20‬ﻃﺮاﺣﻲ و ﺳﺎﺧﺖ ارﺗﺰﻫﺎي ﻣﻴﻮ اﻟﻜﺘﺮﻳﻚ )ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫‪ .21‬ﻣﻘﺎﻳﺴﻪ درﻣﺎﻧﻲ ارﺗﺰﻫﺎي ﭘﺎ )ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫‪ .22‬ﺑﺮرﺳﻲ ﻣﻘﺎﻳﺴﻪاي ﺑﺮﻳﺲ ﻋﻤﻠﻜﺮدي اﻳﺮاﻧﻲ ﺑﺎ ﻣـﺪل ‪ Donjoy‬ﺗﻌـﺎدل اﻳـﺴﺘﺎي ﺑﻴﻤـﺎران داراي ﭘـﺎرﮔﻲ‬
‫‪) Acl‬ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫‪ .23‬ﺑﺮرﺳﻲ ﺑﺮﻳﺲ ﻋﻤﻠﻜﺮدي اﻳﺮاﻧﻲ ﺑﺮ ﺣﺲ ﻋﻤﻘﻲ ورزﺷﻜﺎران داراي ﭘﺎرﮔﻲ ‪) Acl‬ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫‪ .24‬اﺳﺘﺎﻧﺪاردﺳﺎزي ﺑﺮﻳﺲ ﻋﻤﻠﻜﺮدي اﻳﺮاﻧﻲ )ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫‪ .25‬ﻃﺮاﺣﻲ و ﺳﺎﺧﺖ ﻣﺪل ﺟﺪﻳﺪ ‪) RGO‬ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫‪ .26‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ارﺗﺰ ‪ foot‬ﺑﺮ ﻛـﺎﻫﺶ ﻣﻴـﺰان ‪ inversion‬در اﻓـﺮاد داراي ‪ Lengthening‬ﺗﻴﺒﻴـﺎ ﺑـﻪ روش‬
‫اﻟﻴﺰاروف )ﮔﺮوه ارﺗﺰ ﭘﺮوﺗﺰ(‬
‫‪ .27‬ﻃﺮاﺣﻲ و ﺳﺎﺧﺖ وﺳﺎﻳﻞ در ارﺗﺒﺎط ﺑﺎ ﻣﻌﻠﻮﻟﻴﻦ )ﮔﺮوه ﻋﻠﻮم ﭘﺎﻳﻪ(‬
‫‪ .28‬ﺑﺮرﺳﻲ ﺷﺨﺼﻴﺖ ﺳﺎﻟﻤﻨﺪان ﻗﺒﻞ و ﺑﻌـﺪ از اﺳـﺘﻔﺎده از ﺳـﻤﻌﻚ در ﺷـﻬﺮ ﺗﻬـﺮان )ﮔـﺮوه آﻣﻮزﺷـﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .29‬ﺑﺮرﺳﻲ رﺷﺪ ﮔﻔﺘﺎر و زﺑﺎن در ﻛﻮدﻛﺎن داراي ﻛﺎﺷـﺖ ﺣﻠـﺰون در ﺷـﻬﺮ ﺗﻬـﺮان )ﮔـﺮوه آﻣﻮزﺷـﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .30‬ﺑﺮرﺳﻲ ﻧﻘﺶ آزﻣﻮﻧﻬﺎي اﻟﻜﺘﺮوﻓﻴﺰﻳﻮﻟﻮژﻳﻚ ﺷﻨﻮاﻳﻲ در ﺗﺸﺨﻴﺺ ﻧﺎﺷـﻨﻮاﻳﻲ در ﺷـﻬﺮ ﺗﻬـﺮان )ﮔـﺮوه‬
‫آﻣﻮزﺷﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .31‬ﺑﺮرﺳﻲ ﻛﺎرﺑﺮد ﻣﻮﺳﻴﻘﻲ در ﺗﻮاﻧﺒﺨﺸﻲ ﺷﻨﻮاﻳﻲ )ﮔﺮوه آﻣﻮزﺷﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .32‬ﺑﺮرﺳﻲ رﺷﺪ ﮔﻔﺘﺎر و زﺑﺎن در ﻛﻮدﻛﺎن داراي ﻛﺎﺷﺖ ﺣﻠﺰون )ﮔﺮوه آﻣﻮزﺷﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .33‬ارزﻳﺎﺑﻲ ﻣﻬﺎرﺗﻬﺎي زﺑﺎﻧﻲ ﻛﻮدﻛﺎن ﻛﺎﺷﺖ ﺣﻠﺰون ﺷﺪه )ﮔﺮوه آﻣﻮزﺷﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .34‬ﺑﺮرﺳﻲ ﺟﻨﺒﻪﻫﺎي رواﻧﺸﻨﺎﺧﺘﻲ ﻧﺎﺷﻨﻮاﻳﺎن درﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه آﻣﻮزﺷﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .35‬ﺑﺮرﺳﻲ اﺧـﺘﻼﻻت ﭘـﺮدازش ﺷـﻨﻴﺪاري ﻣﺮﻛـﺰي در ﺳـﺎﻟﻤﻨﺪان در ﺷـﻬﺮ ﺗﻬـﺮان )ﮔـﺮوه آﻣﻮزﺷـﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .36‬ﺑﺮرﺳﻲ ﺳﺮﮔﻴﺠﻪ و روﺷﻬﺎي ﺗﻮاﻧﺒﺨﺸﻲ ﻣﺆﺛﺮ ﺑـﺮ آن در ﺷـﻬﺮ ﺗﻬـﺮان )ﮔـﺮوه آﻣﻮزﺷـﻲ و ﺗﻮاﻧﺒﺨـﺸﻲ‬
‫ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .37‬ﺑﺮرﺳﻲ ﻋﻠﻞ وزوز ﮔﻮش و اﺛﺮات رواﻧﻲ‪ ،‬اﺟﺘﻤﺎﻋﻲ و ﺗﻮاﻧﺒﺨﺸﻲ آن در ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه آﻣﻮزﺷﻲ‬
‫و ﺗﻮاﻧﺒﺨﺸﻲ ﻧﺎﺷﻨﻮاﻳﺎن(‬
‫‪ .38‬ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﻛﻤﻲ و ﻛﻴﻔﻲ ﺧﺪﻣﺎت ﺗﻮاﻧﺒﺨـﺸﻲ در ﻣﺮاﻛـﺰ ﻋﺮﺿـﻪ ﻛﻨﻨـﺪه اﻳـﻦ ﺧـﺪﻣﺎت)ﮔـﺮوه‬
‫رواﻧﺸﻨﺎﺳﻲ و آﻣﻮزش ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﻳﻲ(‬
‫‪ .39‬ﻃﺮاﺣﻲ و ﺳﺎﺧﺖ دﺳﺘﮕﺎه ﺗﺤﺮﻳﻚ ﺳﻴﺴﺘﻢ ﺗﻌﺎدﻟﻲ ﻛﻮدﻛﺎن آﺳﻴﺐ دﻳﺪه ﻣﻐﺰي )ﮔﺮوه ﻛﺎر درﻣﺎﻧﻲ(‬
‫‪ .40‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ راه رﻓﺘﻦ در ارﺗﻔﺎع آب ﺑﺮ ﺗﻮاﻧﺎﻳﻲ راه رﻓﺘﻦ ﻛﻮدﻛﺎن ﻓﻠﺞ ﻣﻐﺰي در ﺳﻄﺢ ﺷـﻬﺮ ﺗﻬـﺮان‬
‫)ﮔﺮوه ﻛﺎر درﻣﺎﻧﻲ(‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ .41‬ﺑﺮرﺳﻲ اﺛﺮات ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺮ ﻓﺎﻛﺘﻮرﻫﺎي اﻧﺪازﻳﻪﮔﻴﺮي ‪ TMS‬در ﻛﻮدﻛﺎن داﻳﭙﻠﮋي اﺳﭙﺎﺗﻴﻚ در ﺷـﻬﺮ‬
‫ﺗﻬﺮان )ﮔﺮوه ﻛﺎر درﻣﺎﻧﻲ(‬
‫‪ .42‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ‪ Rolling sling‬ﺑﺮ درد و ﻧﻴﻤـﻪ دررﻓﺘﮕـﻲ ﺷـﺎﻧﻪ ﺑﻴﻤـﺎران ﺳـﻜﺘﻪ ﻣﻐـﺰي در ﺷـﻬﺮ ﺗﻬـﺮان‬
‫)ﮔﺮوه ﻛﺎر درﻣﺎﻧﻲ(‬
‫‪ .43‬ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﻓﻌﺎﻟﻴﺖ ﻋﻤﻠﻜﺮدي ﺑﻴﻤﺎران دﭼﺎر ﺿﺎﻳﻌﺎت اﻧﺪام ﻓﻮﻗﺎﻧﻲ در ﻛﻠﻴﻨﻴﻚﻫﺎي ﻛﺎردرﻣﺎﻧﻲ‬
‫ﺷﻬﺮ ﺗﻬﺮان ﺑﺎ ‪) DASH‬ﮔﺮوه ﻛﺎر درﻣﺎﻧﻲ(‬
‫‪ .44‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ روش آﻳﻨﻪ درﻣﺎﻧﻲ ﺑﺮ ﻋﻤﻠﻜﺮد ﺳﻜﺘﻪ ﻣﻐﺰي در ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻛﺎر درﻣﺎﻧﻲ(‬
‫‪ .45‬اﺛﺮﺑﺨﺸﻲ )ﻛﻴﻔﻴﺖ( ﺑﺮﻧﺎﻣﻪﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ و ﭘﺮوﺗﻜﻞﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ(‬
‫‪ .46‬ﺗﻬﻴﻪ ‪ Data base‬ﻣﻌﻠﻮﻟﻴﺘﻬﺎي اﻳﺮان )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ(‬
‫‪ .47‬ﻣﻄﺎﻟﻌﺎت در زﻣﻴﻨﻪﻫﺎي ﭘﻴﺸﮕﻴﺮي از ﻣﻌﻠﻮﻟﻴﺘﻬﺎ و آﺳﻴﺒﻬﺎ )ﮔﺮوه ﻋﻠﻮم ﭘﺎﻳﻪ(‬
‫‪ .48‬ﺑﺮرﺳﻲ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺗﻮاﻧﺠﻮﻳﺎن و ﻣﺮاﻗﺒﻴﻦ اﻳﺸﺎن در ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ(‬
‫‪ .49‬ﻣﻄﺎﻟﻌﻪ اﭘﻴﺪﻣﻴﻮﻟﻮژي و ﺑﺎر ﻣﻌﻠﻮﻟﻴﺘﻬﺎ در اﻳﺮان )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ(‬
‫‪ .50‬ﺑﺮرﺳﻲ رﺿﺎﻳﺖ ﻣﺸﺘﺮﻳﺎن از ﺧﺪﻣﺎت ﺗﻮاﻧﺒﺨﺸﻲ در اﺳﺘﺎن ﺗﻬﺮان )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ(‬
‫‪ .51‬ﺑﺮرﺳﻲ ﻣﻮاﻧﻊ و اﻧﻄﺒﺎق ﻣﺤﻮر ‪ CBR‬ﺑﺎ ﺗﻮﺟﻪ ﺑﻪ ﺗﻮﺳﻌﻪ ﺑﺎ ﺑﺨﺶ ﺟﺪﻳﺪ‪ ،‬ﺑﺎزﺑﻴﻨﻲ ﺑﺮﻧﺎﻣـﻪ ‪ CBR‬ﻃﺮاﺣـﻲ‬
‫ﻳﺎ ﺑﻪ روز ﻛﺮدن ‪ CBR‬ﺑﺎ ﻳﺎﻓﺘﻪﻫﺎي ﺟﺪﻳﺪ‪) .‬ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ(‬
‫‪ .52‬ﺑﺮرﺳﻲ ﺑﺮﻧﺎﻣﻪﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ ﺣﺮﻓﻪاي ﺑﺮاي ﻧﺎﺑﻴﻨﺎﻳﺎن در ﺳﺎزﻣﺎن ﺑﻬﺰﻳﺴﺘﻲ ﻛﺸﻮر و ﻣﻴﺰان ﻣﻮﻓﻘﻴﺖ در‬
‫اﺷﺘﻐﺎل‪) .‬ﮔﺮوه اﺧﺘﻼﻻت ﺑﻴﻨﺎﻳﻲ(‬
‫‪ .53‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ روﺷﻬﺎي ﻣﺨﺘﻠﻒ درﻣﺎﻧﻲ ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺮ ﻛﻴﻔﻴﺖ زﻧـﺪﮔﻲ ﺑﻴﻤـﺎران ﻋـﻀﻼﻧﻲ اﺳـﻜﻠﺘﻲ در‬
‫اﺳﺘﺎن ﺗﻬﺮان )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .54‬ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ اﺛﺮﺑﺨﺸﻲ روﺷـﻬﺎي ﻣﺨﺘﻠـﻒ ﺗﻮاﻧﺒﺨـﺸﻲ ﻗﻠﺒـﻲ در ﻳﻜـﻲ از ﻣﻨـﺎﻃﻖ ﻛـﺸﻮر )ﮔـﺮوه‬
‫ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .55‬ﺑﺮرﺳﻲ ﺷﻴﻮع اﻧﻮاع ﻛﻢ ﺷﻨﻮاﺋﻲﻫﺎ در ﻧﺎﺷﻨﻮاﻳﺎن در ﻳﻜﻲ از ﻣﻨﺎﻃﻖ ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .56‬ﺑﺮرﺳﻲ وﺟﻮد اﻧﻮاع روﺷﻬﺎي ارﺗﺒﺎﻃﻲ در ﻛﻮدﻛﺎن ﻧﺎﺷﻨﻮا در ﻳﻜـﻲ از ﻣﻨـﺎﻃﻖ ﺳـﻄﺢ ﻛـﺸﻮر )ﮔـﺮوه‬
‫ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .57‬ﺑﺮرﺳﻲ رﺷﺪ ﮔﻔﺘﺎر و زﺑﺎن در ﻛﻮدﻛﺎن ﺳﺨﺖ ﺷﻨﻮا در ﻳﻜﻲ از ﻣﻨﺎﻃﻖ ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .58‬ﺑﺮرﺳﻲ ﻋﻤﻠﻜﺮد ﺑﻴﻨﺎﺋﻲ در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻣﻐﺰي ﺗﻮﺳﻂ )‪ (MRI‬در ﺗﻬﺮان )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫‪ .59‬ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ اﺛﺮﺑﺨﺸﻲ روﺷﻬﺎي ﻣﺨﺘﻠﻒ ﺗﻮاﻧﺒﺨﺸﻲ اﻧﺪاﻣﻬﺎي ﺣﺮﻛﺘﻲ در ﻳﻜﻲ از ﻣﻨﺎﻃﻖ ﻛـﺸﻮر‬
‫)ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .60‬ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺮﺗﺒﻂ و ﻣﺆﺛﺮ ﺑﺮ ﺗﺎﺧﻴﺮ ﺗﻜﺎﻣﻠﻲ ﺷﻴﺮﺧﻮاران در ﻳﻜﻲ از ﻣﻨﺎﻃﻖ ﻛﺸﻮر )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .61‬ﺑﺮرﺳﻲ اﺛﺮﺑﺨﺸﻲ ﺗﻮاﻧﺒﺨﺸﻲ در ﺑﻴﻤﺎران ﺳﺎﻟﻤﻨﺪ ﻣﺒﺘﻼ ﺑﻪ ﺑﻴﻤﺎرﻳﻬﺎي ﻗﻠﺒﻲ ـ ﻋﺮوﻗﻲ )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .62‬ﺑﺮرﺳﻲ اﺛﺮﺑﺨﺸﻲ ﺗﻮاﻧﺒﺨﺸﻲ در ﺑﻴﻤﺎران ﺳﺎﻟﻤﻨﺪ ﻣﺒﺘﻼ ﺑﻪ ﺑﻴﻤﺎري اﺳـﻜﻠﺘﻲ در ﻳﻜـﻲ از ﻣﻨـﺎﻃﻖ ﻛـﺸﻮر‬
‫)ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .63‬ﻣﻄﺎﻟﻌﺎت ﻓﺮﻫﻨﮕﻲ و اﺟﺘﻤﺎﻋﻲ در ارﺗﺒﺎط ﺑﺎ ﺗﻮاﻧﺒﺨﺸﻲ ﮔﺮوﻫﻬﺎي ﻫﺪف )ﻣﻌﻠﻮﻟﻴﻦ‪ ،‬ﺳﺎﻟﻤﻨﺪان وآﺳﻴﺐ‬
‫دﻳﺪﮔﺎن اﺟﺘﻤﺎﻋﻲ( )ﮔﺮوه ﻋﻠﻮم ﭘﺎﻳﻪ(‬
‫‪ .64‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮات ﻓﻌﺎﻟﻴﺘﻬﺎي ذﻫﻨﻲ و ﺑﺪﻧﻲ ﺑﺮ روي ﻣﻌﻠﻮﻟﻴﻦ و ارزﻳﺎﺑﻲ ﻓﺎﻛﺘﻮرﻫﺎي ﻧﻮروﻟﻮژﻳﻚ ﭘﺲ از‬
‫اﻳﻦ ﻓﻌﺎﻟﻴﺘﻬﺎ )ﮔﺮوه ﻋﻠﻮم ﭘﺎﻳﻪ(‬
‫‪ .65‬ﻃﺮاﺣﻲ‪ ،‬اﺟﺮا و ارزﺷﻴﺎﺑﻲ اﻟﮕﻮﻫﺎي ﭘﺮﺳﺘﺎري ﺑﻪ ﻣﻨﻈﻮر ﺗﻮاﻧﻤﻨﺪﺳﺎزي ﺟﻤﻌﻴﺖﻫﺎي در ﻣﻌﺮض ﺧﻄـﺮ‬
‫)ﺳﺎﻟﻤﻨﺪان‪ ،‬ﻣﻌﻠﻮﻟﻴﺘﻬﺎ‪ ،‬زﻧﺎن و ﻛﻮدﻛﺎن( )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪ .66‬ﺑﺮرﺳﻲ اﺛﺮ ﺑﺨﺸﻲ ﻣـﺪاﺧﻼت ﺗﻮاﻧﺒﺨـﺸﻲ ﭘﺮﺳـﺘﺎري ﺟـﺎﻳﮕﺰﻳﻦ و ﻣﻜﻤـﻞ در ﻣﺒﺘﻼﻳـﺎن ﺑـﻪ اﺧـﺘﻼﻻت‬
‫ﺟﺴﻤﻲ‪ ،‬رواﻧﻲ و اﺟﺘﻤﺎﻋﻲ )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪ .67‬ﻃﺮح ﺗﺄﺛﻴﺮات ﺗﻤﺮﻳﻨﺎت ‪ SI‬ﺑﺮ روي ﻛﻮدﻛﺎن ﺑﺎ ﺗـﺸﺨﻴﺺ ‪ P.D.D‬ﺑـﺎ اﺧـﺘﻼل ‪ hyact‬ﺑـﺎرز در ﺳـﻄﺢ‬
‫ﺷﻬﺮ ﺗﻬﺮان )ﻣﺮﻛﺰ اﺳﻤﺎء(‬
‫‪ .68‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮات آراﻣﺴﺎزي ‪ play Room‬در ﻛﻮدﻛﺎن ‪ full stress‬ارﺟﺎع ﺷﺪه از ﺑﺨﺶ ﻛﺎردرﻣـﺎﻧﻲ‬
‫ﻛﻮدﻛﺎن ﺟﺴﻤﻲ )ﻣﺮﻛﺰ اﺳﻤﺎء( ﺑﺮرﺳﻲ ﻣﻴﺰان ﺳﻼﻣﺖ ﺟﺴﻤﻲ اﻓﺮاد ﻧﺎﺑﻴﻨﺎي ‪ 40‬ﺗﺎ ‪ 50‬ﺳﺎل در ﻣﻘﺎﻳﺴﻪ‬
‫ﺑﺎ اﻓﺮاد ﺑﻴﻨﺎ در اﺳﺘﺎن ﺗﻬﺮان‪) .‬ﮔﺮوه اﺧﺘﻼﻻت ﺑﻴﻨﺎﻳﻲ(‬
‫‪ .69‬ﺑﺮرﺳﻲ ﺷﺎﺧﺼﻬﺎي آﻣﺎدﮔﻲ ﺗﺤﺼﻴﻠﻲ درداﻧﺶ آﻣﻮزان اﻳﺮاﻧﻲ ) ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .70‬ﺷﻨﺎﺳﺎﻳﻲ اﺛﺮ درﻣﺎن اﻟﺤﺎﻗﻲ ﺑﺎ ﮔﺎﺑﺎﭘﻨﺘﻴﻨﺪرد ﻛﻨﺘﺮل ﻋﻼﺋﻢ ﻣﺎﻧﻴﺎي ﺣﺎد در ﻳﺒﻤﺎران ﻣﺒـﺘﻼ ﺑـﻪ اﺧـﺘﻼل دو‬
‫ﻗﻄﺒﻲ )ﭘﺎﻳﮕﺎه ﺗﺤﻘﻴﻘﺎت ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .71‬اﻟﮕﻮي ﻣﺼﺮف داروي ﺿﺪ رواﻧﭙﺮﻳﺸﻲ و ﻣﺘﻐﻴﺮﻫﺎي واﺑﺴﺘﻪ ﺑﻪ آن در ﺑﻴﻤﺎرﺳﺘﺎن رواﻧﭙﺰﺷﻜﻲ رازي‬
‫‪ .72‬ﺑﻬﻴﻨﻪﺳﺎزي وﻛﻮﭼﻚﺳﺎزي ﺑﺮﻳﺲ ﺗﺎﻳﻤﺮ اﻳﺮاﻧﻲ )ﭘﺎﻳﮕﺎه ﺗﺤﻘﻴﻘﺎت ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .73‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮﺗﻤﺮﻳﻨﺎت ﺛﺒﺎﺗﻲ ﺗﺤﺖ ﻧﻈﺮ روي ﺑﻴﻤـﺎران ورزﺷـﻜﺎر و ﻏﻴﺮورزﺷـﻜﺎر ﻣﺒـﺘﻼ ﺑـﻪ ﻛﻤـﺮدرد‬
‫ﻣﻜﺎﻧﻴﻜﻲ ﻣﺰﻣﻦ ﻏﻴﺮ اﺧﺘﺼﺎﺻﻲ )آزاد(‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ .74‬ﺑﺮرﺳﻲ ارﺗﺒﺎط ﺑﻴﻦ اﻧﺤﻨﺎﻫﺎي ﺳﺘﻮن ﻓﻘﺮات و درد ﻗﺪام زاﻧﻮ )ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .75‬ﺗﻌﻴﻴﻦ ﺗﺄﺛﻴﺮ ﻛﺮﺳﺖ ﻟﻮﻣﺒﻮﺳﺎﻛﺮال ﭘﻼﺳﺘﻴﻜﻲ اﺻﻼح ﺷﺪه ﺑﺮ ﻛﺎﻫﺶ ﻋﻼﺋـﻢ ﻣﺮﺑـﻮط ﺑـﻪ ﻛﻤـﺮدرد در‬
‫ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﭘﻮﻧﺪﻳﻠﻮﻻﻳﺰﻳﺲ )آزاد(‬
‫‪ .76‬ﺑﺮرﺳﻲ اﺛﺮ ﺗﺤﺮﻳﻜﺎت وﺳـﺘﻴﺒﻮﻻر ﺑـﺮ اﻳـﺴﺘﺎدن ﺳـﺎﻛﻦ ﻛﻮدﻛـﺎن ﻓﻠـﺞ ﻣﻐـﺰي ‪ 3‬ﺗـﺎ ‪ 10‬ﺳـﺎل )ﻛﻤﻴﺘـﻪ‬
‫ﺗﺤﻘﻴﻘﺎت داﻧﺸﺠﻮﻳﻲ(‬
‫‪ .77‬ﻣﻘﺎﻳﺴﻪ ﻋﻤﻠﻜﺮد ﻋﻀﻼت ﻛﻒ ﻟﮕﻦ در دو وﺿﻌﻴﺖ اﻳﺴﺘﺎده و ﺧﻮاﺑﻴﺪه د راﻓﺮاد ﻣﺒﺘﻼ ﺑﻪ ﺑﻲ اﺧﺘﻴﺎري‬
‫ادرار اﺳﺘﺮس و اﻓﺮاد ﺳﺎﻟﻢ )ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .78‬ﺗﺄﺛﻴﺮ ﺷﻴﺐ ﻛﻴﺒﻮرد ﻛﺎﻣﭙﻴﻮﺗﺮ ﺑـﺮ روي ﺣﺮﻛـﺎت اﻧـﺪام ﻓﻮﻗـﺎﺗﻲ در اﻳـﺴﺘﮕﺎﻫﻬﺎي ﻛـﺎري ﻣﺘﻔـﺎوت در‬
‫ﻛﺎرﻣﻨﺪان ﺗﺎﻳﭙﻴﺴﺖ ﺑﺪون ﺑﻴﻤﺎرﻳﻬﺎي ﻋﻀﻼﻧﻲ ـ اﺳﻜﻠﺘﻲ )ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .79‬ﺑﺮرﺳﻲ ارﺗﺒﺎط ﺑﻴﻦ ﻗﺪرت ﻋـﻀﻼت اﺑـﺪاﻛﺘﻮر ﻫﻴـﭗ و ﻛﻮﺗـﺎﻫﻲ اﻳﻠﻴﻮﺗﻴﺒﻴـﺎل ﺑﺎﻧـﺪ در اﻓـﺮاد ﻣﺒـﺘﻼ ﺑـﻪ‬
‫ﻛﻤﺮدرد ﻣﺰﻣﻦ ﻏﻴﺮ اﺧﺘﺼﺎﺻﻲ)ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪2‬ـ رﻓﺘﺎري ـ اﺟﺘﻤﺎﻋﻲ‬
‫‪ .1‬اﺛﺮﺑﺨﺸﻲ درﻣﺎن ﺷﻨﺎﺧﺘﻲ ـ رﻓﺘﺎري ﺑـﺮ ﻛـﺎﻫﺶ دردﻫـﺎي ﺑـﺪﻧﻲ ﺳـﺎﻟﻤﻨﺪان در ﺳـﻄﺢ ﻛـﺸﻮر )ﮔـﺮوه‬
‫رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .2‬ﺑﺮرﺳــﻲ راﻫﺒﺮدﻫــﺎي ﻳــﺎددﻫﻲ ـ ﻳــﺎدﮔﻴﺮي و ﻣﻴــﺰان ﻣﻮﻓﻘﻴــﺖ ﺗﺤــﺼﻴﻠﻲ داﻧــﺸﺠﻮﻳﺎن ﻛﺎرﺷﻨﺎﺳــﻲ و‬
‫ﻛﺎرﺷﻨﺎﺳــﻲ ارﺷــﺪ ﻛﺎردرﻣــﺎﻧﻲ در ﻧﻴﻤــﺴﺎل دوم ﺗﺤــﺼﻴﻠﻲ ‪ 87-86‬در داﻧــﺸﮕﺎه ﻋﻠــﻮم ﺑﻬﺰﻳــﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪ .3‬ﺑﺮرﺳﻲ اﺛﺮﺑﺨﺸﻲ ﺗﺮﻛﻴﺒﻲ از ﻣﻬﺎرتﻫـﺎي ﺣـﻞ ﻣـﺴﺌﻠﻪ‪ ،‬ﺟـﺮأت آﻣـﻮزي و اﺻـﻼح ﺳـﺒﻚ اﺳـﻨﺎد ﺑـﺮ‬
‫اﻓﺰاﻳﺶ ﺣﺲ ﺧﻮدﻛﺎرآﻣﺪي ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ اﻓﺴﺮدﮔﻲ اﺳﺎﺳﻲ در ﺳﻄﺢ ﻛﺸﻮر )ﮔـﺮوه رواﻧـﺸﻨﺎﺳﻲ‬
‫ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .4‬ﺑﺮرﺳﻲ ﺳﺒﻚﻫﺎي ﭘﺎﺳﺦ ﺑﻪ ﻓﺸﺎرﻫﺎي رواﻧﻲ و راﺑﻄﻪ آن ﺑﺎ ﻣـﺪت دوره اﻓـﺴﺮدﮔﻲ در ﺳـﻄﺢ ﻛـﺸﻮر‬
‫)ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .5‬ﺑﺮرﺳﻲ اﺛﺮﺑﺨﺸﻲ زوج درﻣﺎﻧﻲ ﺷﻨﺎﺧﺘﻲ ـ رﻓﺘﺎري در ﻛﺎﻫﺶ ﻣﺴﺎﺋﻞ زوﺟﻲ در ﺳﻄﺢ ﻛـﺸﻮر )ﮔـﺮوه‬
‫رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .6‬ﺑﺮرﺳــﻲ اﺛﺮﺑﺨــﺸﻲ درﻣــﺎن ﺷــﻨﺎﺧﺘﻲ ـ رﻓﺘــﺎري زوﺟــﻲ در ﻛــﺎﻫﺶ ﺧــﺸﻮﻧﺖ ﺧــﺎﻧﻮادﮔﻲ )ﮔــﺮوه‬
‫رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫‪ .7‬ﺑﺮرﺳﻲ اﺛﺮﺑﺨﺸﻲ ﺣﻀﻮر ذﻫﻦ ﻣﺒﺘﻨﻲ ﺑﺮ درﻣﺎن ﺷﻨﺎﺧﺘﻲ ﺑﺮ ﻛﺎﻫﺶ اﺳـﺘﺮسﻫـﺎي روزاﻧـﻪ و آﺷـﻔﺘﮕﻲ‬
‫ﻣﺮﺑﻮط ﺑﻪ ﺣﻮادث ﺑﺰرگ و ﻛﻮﭼﻚ زﻧﺪﮔﻲ در زﻧﺎن در ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .8‬ﺑﺮرﺳﻲ اﺛﺮﺑﺨﺸﻲ ﻛﺎﻫﺶ اﺳـﺘﺮس در ﮔﺮوﻫﻬـﺎي ﺳـﻨﻲ ﺟﻮاﻧـﺎن و ﺳـﺎﻟﻤﻨﺪان در ﺳـﻄﺢ ﺷـﻬﺮ ﺗﻬـﺮان‬
‫)ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .9‬ﺑﺮرﺳﻲ ﻣﻴﺰان ﺳﻼﻣﺖ روان اﻓﺮاد ﻧﺎﺑﻴﻨﺎ و ﻛﻢ ﺑﻴﻨﺎ ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻣﺮﻛﺰ ﻧﺎﺑﻴﻨﺎﻳﺎن ﺧﺰاﻧﻪ ﻗﺒﻞ و ﺑﻌـﺪ از‬
‫آﻣﻮزش دورهﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ‪).‬ﮔﺮوه اﺧﺘﻼﻻت ﺑﻴﻨﺎﻳﻲ(‬
‫‪ .10‬ﺑﺮرﺳﻲ ﭼﮕﻮﻧﮕﻲ اﻳﺠﺎد روشﻫﺎي ﺑﺮﻗﺮاري ﺗﻌﺎﻣﻞ ﻣﺜﺒﺖ ﺑـﻴﻦ داﻧـﺶ آﻣـﻮزان اﺳـﺘﺜﻨﺎﻳﻲ و ﻋـﺎدي در‬
‫ﻣﺪارس ﻋﺎدي در ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ و آﻣﻮزش ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﻳﻲ(‬
‫‪ .11‬ﻣﻘﺎﻳــﺴﻪ ﻣﻜﺎﻧﻴﺰﻣﻬــﺎي دﻓــﺎﻋﻲ در ﺑﻴﻤــﺎران رواﻧــﻲ و ﻛﻮدﻛــﺎن ﻋﻘــﺐ ﻣﺎﻧــﺪه آﻣــﻮزش ﭘــﺬﻳﺮ)ﮔــﺮوه‬
‫رواﻧﺸﻨﺎﺳﻲ و آﻣﻮزش ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﻳﻲ(‬
‫‪ .12‬ﺑﺮرﺳﻲ ﺗﻐﻴﻴﺮات ﺧﻠﻘﻲ ﭘﺲ از اﺳﺘﻔﺎده از ﻣﺤﺪودﻳﺖ درﻣﺎﻧﻲ در ﻛﻮدﻛﺎن ﻓﻠﺞ ﻣﻐﺰي ﻫﻤﻲ ﭘﻠـﮋي در‬
‫ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻛﺎر درﻣﺎﻧﻲ(‬
‫‪ .13‬ﺑﺮرﺳﻲ ﻣﺪاﺧﻼت ﻛﺎردرﻣﺎﻧﻲ ﺑﺮ اﺧﺘﻼﻻت ﺷﺨﺼﻴﺘﻲ و ﺧﻠﻘﻲ در ﺑﻴﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﺻﺮع )ﮔﺮوه ﻛـﺎر‬
‫درﻣﺎﻧﻲ(‬
‫‪ .14‬ﻧﻴﺎزﺳﻨﺠﻲ ﻣﺸﻜﻼت ﺷﺨﺼﻴﺘﻲ و ﺧﻠﻘـﻲ در ﺑﻴﻤـﺎران ﻣﺒـﺘﻼ ﺑـﻪ ﺻـﺮع در اﺳـﺘﺎن ﺗﻬـﺮان )ﮔـﺮوه ﻛـﺎر‬
‫درﻣﺎﻧﻲ(‬
‫‪ .15‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ داروﻫﺎي ﻧﻮﻳﻦ و ﻳﺎﻓﺘﻦ ﻛﺎرﺑﺮد ﻧﻮ ﺑـﺮاي داروﻫـﺎي راﻳـﺞ در ﺑﻴﻤـﺎران اﺳـﻜﻴﺰوﻓﺮﻧﻴﻚ و‬
‫اﺧﺘﻼﻻت ﺧﻠﻘﻲ ﻋﻤﺪه در اﺳﺘﺎن ﺗﻬﺮان )ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪ .16‬ﺑﺮرﺳﻲ ﭘﻴﮕﻴﺮي درﻣﺎن در ﺑﻴﻤﺎرﻳﻬﺎي ﻋﻤﺪه رواﻧﻲ در ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪ .17‬ﺑﺮرﺳﻲ ﻣﺸﻜﻼت رواﻧﻲ در ﻣﻌﻠﻮﻻن ﺟﺴﻤﻲ و ﻣﺒﺘﻼﻳﺎن ﺑﻪ ﺑﻴﻤﺎرﻳﻬﺎي ﺧﺎص و درﻣﺎن آﻧﻬـﺎ در اﺳـﺘﺎن‬
‫ﺗﻬﺮان ) ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪ .18‬ﺑﺮرﺳﻲ و ارزﻳﺎﺑﻲ ‪ ADHD‬و ﭼﮕﻮﻧﮕﻲ درﻣﺎن آن در ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪ .19‬ﺑﺮرﺳﻲ وا رزﻳﺎﺑﻲ اوﺗﻴﺴﻢ و درﻣﺎن ﻣﺆﺛﺮ آن در ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪ .20‬ﺑﺮرﺳﻲ ﺷﻴﻮع اوﺗﻴﺴﻢ در داﻧﺶ آﻣﻮزان اﻳﺮاﻧﻲ در ﻳﻜﻲ از ﻣﻨﺎﻃﻖ ﻛﺸﻮر )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .21‬ﺗﺪوﻳﻦ اﻟﮕﻮﻫﺎي ﺑﻮﻣﻲ ﻣﺒﺘﻨﻲ ﺑﺎ ﻓﺮﻫﻨﮓ اﻳﺮاﻧﻲ ﺑﺮاي ﺑﻬﺒﻮد ﻋﻤﻠﻜـﺮد ﺧـﺎﻧﻮاده در ﺳـﻄﺢ ﺷـﻬﺮ ﺗﻬـﺮان‬
‫)ﮔﺮوه ﻣﺸﺎوره(‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ .22‬ﺑﺮرﺳﻲ ﻣﻴـﺰان رﺿـﺎﻳﺖ زﻧﺎﺷـﻮﻳﻲ و ﺳـﻼﻣﺖ روان در ﺧـﺎﻧﻮادهﻫـﺎي ﻣﻌﻠـﻮﻟﻴﻦ‪ ،‬ﺟﺎﻧﺒـﺎزان و زوﺟـﻴﻦ‬
‫داﻧﺸﺠﻮ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻣﺸﺎوره(‬
‫‪ .23‬ﺗﺄﺛﻴﺮ آﻣﻮزش ﻣﻬﺎرﺗﻬﺎي زﻧﺪﮔﻲ ﺑﺮاي ﮔﺮوﻫﻬﺎي ﺳﻨﻲ ﻣﺨﺘﻠﻒ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻣﺸﺎوره(‬
‫‪ .24‬ﺷﻨﺎﺳﺎﻳﻲ ﻣﻮاﻧﻊ اﺟﺮاﻳﻲ ﺑﺮﻧﺎﻣﻪ آﻣﻮزش ﻣﻬﺎرﺗﻬﺎي زﻧـﺪﮔﻲ در آﻣـﻮزش و ﭘـﺮورش )ﮔـﺮوه ﻣـﺪﻳﺮﻳﺖ‬
‫اﺟﺘﻤﺎﻋﻲ(‬
‫‪ .25‬ﺑﺮرﺳﻲ راﺑﻄﻪ ﺳﻼﻣﺖ روان و ﺗﻔﻜﺮ ﻏﻴﺮﻣﻨﻄﻘﻲ در زوﺟﻴﻦ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻣﺸﺎوره(‬
‫‪ .26‬ﻣﺘﺎآﻧﺎﻟﻴﺰ اﺛﺮﺑﺨﺸﻲ روﺷﻬﺎي ﻣﺪاﺧﻠﻪﻫـﺎي ﻣـﺸﺎورهاي در ﻣـﺸﻜﻼت زوﺟـﻴﻦ و ﻋﻤﻠﻜـﺮد ﺧـﺎﻧﻮاده در‬
‫ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان)ﮔﺮوه ﻣﺸﺎوره(‬
‫‪ .27‬ﻃﺮاﺣﻲ و روان ﺳﻨﺠﻲ ﻣﻘﻴﺎس ارزﺷﻴﺎﺑﻲ آﻣﻮزﺷﻲ ﻣﺪرﺳﻴﻦ داﻧـﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ و ﺗﻮاﻧﺒﺨـﺸﻲ‬
‫)ﻣﺮﻛﺰ ﻣﻄﺎﻟﻌﺎت ﺗﻮﺳﻌﻪ(‬
‫‪ .28‬ﺗﻌﻴﻴﻦ ﺷﻴﻮع اﺧﺘﻼﻻت ﻋﻤﻠﻜﺮد ﺟﻨﺴﻲ در ﻣﺮدان ﻣﺒﺘﻼ ﺑﻪ اﺳﻜﻴﺰوﻓﺮﻧﻴﺎ ﻣﺮاﺟﻌﻪ ﻛﻨﻨﺪه ﺑﻪ ﻣﺮﻛﺰ درﻣﺎن‬
‫ﺳﺮﭘﺎﻳﻲ ﻛﺎﻣﺮاﻧﻲ )ﭘﺎﻳﮕﺎه ﺗﺤﻘﻴﻘﺎت ﺑﺎ ﻟﻴﻨﻲ(‬
‫‪ .29‬ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ وﺿﻌﻴﺖ ﺳﻼﻣﺖ ﺳﺎﻟﻤﻨﺪان اﻳﺮاﻧﻲ ﺑﺮ اﺳـﺎس دو ﻃـﺮح ﻣﻠـﻲ ﺳـﻼﻣﺖ و ﺑﻴﻤـﺎري در‬
‫اﻳﺮان )ﮔﺮوه آﻣﺎر(‬
‫‪ .30‬ﺑﺮرﺳﻲ ﻣﻴﺰان رﺿـﺎﻳﺖ داﻧـﺸﺠﻮﻳﺎن و اﺳـﺎﺗﻴﺪ دوره ﺗﺤـﺼﻴﺎت ﺗﻜﻤﻴﻠـﻲ از ﻋﻤﻠﻜـﺮد ﻣـﺪﻳﺮﻳﺖ اﻣـﻮر‬
‫آﻣﻮزﺷﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ وﺗﻮاﻧﺒﺨﺸﻲ )آزاد(‬
‫‪ .31‬اﺛﺮ ﺑﺨﺸﻲ ﻓﻌﺎلﺳﺎزي رﻓﺘﺎري و ﻗﺮارداد ﮔﺮوﻫﻲ و ﺣﻤﺎﻳﺖ ﺧﺎﻧﻮادﮔﻲ ﺑﺮ ﻛﺎﻫﺶ ﻧﺸﺎﻧﮕﺎن اﻓﺴﺮدﮔﻲ‬
‫ﻋﻼﺋﻢ اﺿﻄﺮاب و اﺳﺘﺮس زﻧﺎﺷﻮﻳﻲ در ﻳﺒﻤﺎران ﻛﺮوﻧﺮ ﻗﻠﺒﻲ )‪) (CHD‬آزاد(‬
‫‪ .32‬ﺑﺮرﺳﻲ وﻳﮋﮔﻴﻬﺎي روان ﺳﻨﺠﻲ ﻧﺴﺨﻪ ﻓﺎرﺳﻲ اﺑﺰار ﻣﺼﺎﺣﺒﻪ ﺑﺎﻟﻴﻨﻲ ﺳﺎﺧﺘﺎر ﻳﺎﻓﺘﻪ ﺑﺮ اﺳـﺎس ‪DSM IV‬‬
‫ﺑﺮاي اﺧﺘﻼﻻت ﺷﺨﺼﻴﺖ )ﻛﻤﻴﺘﻪ ﺗﺤﻘﻴﻘﺎت داﻧﺸﺠﻮﻳﻲ(‬
‫‪ .33‬ﺑﺮرﺳﻲ ﻣﻘﺎﻳﺴﻪاي ﻧﻴﺎزﻫﺎي ﺗﻮﺟﻬﻲ ﻛﻨﺘﺮل ﻓﻌﺎﻟﻴﺖ ﻋﻤﻠﻜﺮدي در ﺳـﺎﻟﻤﻨﺪان ﺑـﺎ و ﺑـﺪون ﺳـﺎﺑﻘﻪ زﻣـﻴﻦ‬
‫ﺧﻮردن )ﮔﺮوه ﻓﻴﺰﻳﻮﺗﺮاﭘﻲ(‬
‫‪ .34‬ﺗﻌﻴﻴﻦ ارﺗﺒﺎط ﻣﻴﺎن ﺳﻄﺢ ‪ CRP‬ﺳﺮﻣﻲ ﺑﺎ ﺷﺪت اﺧﺘﻼﻻت ﺷﻨﺎﺧﺘﻲ در ﺑﻴﻤﺎران ﻣﺒـﺘﻼ ﺑـﻪ اﺳـﻜﻴﺰوﻓﺮﻧﻴﺎ‬
‫)ﮔﺮوه رواﻧﭙﺰﺷﻜﻲ(‬
‫‪ .35‬ﺑﺮرﺳﻲ واﺻﻼح آﻧﺘﺮوﭘﻮﻣﺘﺮﻳﻚ ﻣﺒﻠﻤـﺎن ﻣﻄﺎﻟﻌـﺎﺗﻲ د رﻛﺘﺎﺑﺨﺎﻧـﻪ ﻣﺮﻛـﺰي داﻧـﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ‬
‫وﺗﻮاﻧﺒﺨﺸﻲ )ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫‪ .36‬ﺑﺮرﺳﻲ ارﺗﺒﺎط ﺑﻴﻦ ﻣﻴﺰان ﺗﻔﻜﺮ ﻗﻄﻌﻲ ﻧﮕﺮ‪ ،‬ﺳﻼﻣﺖ رواﻧﻲ و رﺿﺎﻣﻨﺪي زﻧﺎﺷﻮﻳﻲ در زوﺟﻴﻦ ﺗﻬﺮاﻧـﻲ‬
‫ﻓﺎز ‪) 2‬ﮔﺮوه ﻣﺸﺎوره(‬
‫‪3‬ـ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ‬
‫‪ .1‬اﺛﺮﺑﺨﺸﻲ ﻓﻨﻮن ﺷﻨﺎﺧﺘﻲ ـ رﻓﺘﺎري در ارﺗﻘﺎء ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺳﺎﻟﻤﻨﺪان ﻣﻘﻴﻢ ﺷﺒﺎﻧﻪ روزيﻫﺎ )ﺑﺎ ﻫـﺪف‬
‫ﺗﻌﻴﻴﻦ ﺧﻄﻮط راﻫﻨﻤﺎي اداره ﻣﺮاﻛﺰ ﺳﺎﻟﻤﻨﺪي اﻳﺮان( )ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .2‬ﺑﺮرﺳــﻲ ﻛﻴﻔﻴــﺖ زﻧــﺪﮔﻲ ﺳــﺎﻟﻤﻨﺪان ﻣﻘــﻴﻢ آﺳﺎﻳــﺸﮕﺎﻫﻬﺎ و ﻣﻨــﺎزل و اﻧﺠــﺎم ﻣــﺪاﺧﻼت رواﻧــﺸﻨﺎﺧﺘﻲ‬
‫ﺗﻮاﻧﺒﺨﺸﻲ ﺟﻬﺖ ارﺗﻘﺎء آن در ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .3‬ﺑﺮرﺳﻲ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺑﻴﻤﺎران رواﻧﻲ ﻣﺰﻣﻦ درﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .4‬ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ واﻟﺪﻳﻦ داراي ﻛﻮدﻛﺎن ﺑﺎ ﻧﻴﺎزﻫـﺎي وﻳـﮋه و راﻫﻜﺎرﻫـﺎي ارﺗﻘـﺎء در‬
‫ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ (‬
‫‪ .5‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﻮﺳﻴﻘﻲ در اﻳﻔﺎد ﻧﻘﺸﻬﺎي اﺟﺘﻤﺎﻋﻲ و ﻛﺎرآﻓﺮﻳﻨﻲ در ﻧﺎﺑﻴﻨﺎﻳﺎن‪) .‬ﮔﺮوه اﺧﺘﻼﻻت ﺑﻴﻨﺎﻳﻲ(‬
‫‪ .6‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻌﺎﻣﻼت ﺳﺎﻟﻤﻨﺪ و ﻛﻮدك ﺑﺮ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ آﻧﻬﺎ در ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .7‬ﺑﺮرﺳﻲ ‪ Social Determinants of Health‬در ﮔﺮوﻫﻬﺎي ﻫﺪف ﺗﻮاﻧﺒﺨﺸﻲ )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪ .8‬ﺗﺤﻘﻴﻘﺎت ﻣﺮﺗﺒﻂ ﺑﺎ ﻛﻴﻔﻴﺖ و ﺳﺒﻚ زﻧﺪﮔﻲ از دﻳﺪﮔﺎه ﭘﺮﺳﺘﺎري )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪ .9‬ﻣﺮور ﻣﻄﺎﻟﻌﺎت ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ در اﻳﺮان )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ رﻓﺎه اﺟﺘﻤﺎﻋﻲ(‬
‫‪ .10‬ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ارﺗﻘﺎء دﻫﻨﺪه ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ در اﻓﺮاد داراي ﻧﺎﺗﻮاﻧﻲ و ﮔﺮوﻫﻬﺎي ﻛﻢ دراﻣـﺪ )ﮔـﺮوه‬
‫ﻣﺪﻳﺮﻳﺖ رﻓﺎه اﺟﺘﻤﺎﻋﻲ(‬
‫‪ .11‬ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﺗﺎبآوري در ﺑﺮاﺑـﺮ اﻓـﺖ ﻛﻴﻔﻴـﺖ زﻧـﺪﮔﻲ در ﺧـﺎﻧﻮادهﻫـﺎي ﺑـﻲ ﺳﺮﭘﺮﺳـﺖ )ﮔـﺮوه‬
‫ﻣﺪﻳﺮﻳﺖ رﻓﺎه اﺟﺘﻤﺎﻋﻲ(‬
‫‪ .12‬ﺷﻨﺎﺳﺎﻳﻲ ﻋﻮاﻣﻞ واﺳﻂ در راﺑﻄﻪ ﺑﺎ ﺣﻤﺎﻳﺖ اﺟﺘﻤﺎﻋﻲ و ارﺗﻘﺎء ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ )ﮔﺮوه ﻣـﺪﻳﺮﻳﺖ رﻓـﺎه‬
‫اﺟﺘﻤﺎﻋﻲ (‬
‫‪ .13‬ﺑﺮرﺳﻲ اﺛﺮ داروي آﻓﺮودﻳﺖ ﺑﺮ روي ﻋﻤﻠﻜﺮد ﺟﻨﺴﻲ ﺑﻴﻤﺎران اﺳﻜﻴﺰوﻓﺮﻧﻴﻚ ﻣﺮد)ﭘﺎﻳﮕـﺎه ﺗﺤﻘﻴﻘـﺎت‬
‫ﺑﺎ ﻟﻴﻨﻲ(‬
‫‪ .14‬اﺛﺮﺑﺨﺸﻲ آﻣﻮزﺷﻲ ﮔﺮوﻫﻲ ﺑﺮﻧﺎﻣﻪ اﻓﺰاﻳﺶ ﻣﻬﺎرﺗﻬـﺎي ﻣﻘﺎﺑﻠـﻪ زوجﻫـﺎ ﺑـﺮ ﻛﻴﻔﻴـﺖ ارﺗﺒـﺎط زوجﻫـﺎي‬
‫ﻧﺎﺳﺎزﮔﺎر )ﻛﻤﻴﺘﻪ ﺗﺤﻘﻴﻘﺎت داﻧﺸﺠﻮﻳﻲ(‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ .15‬راﺑﻄﻪ ﻣﻴﻞ ﺟﻨﺴﻲ و ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ در اﻓﺴﺮدﮔﻲ‪ :‬آﻳﺎ ﺗﻔﺎوت ﺟﻨﺴﻲ ﺑﻴﻦ زﻧﺎن و ﻣﺮدان وﺟﻮد دارد؟‬
‫)ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪4‬ـ رﻓﺎه اﺟﺘﻤﺎﻋﻲ‬
‫‪ .1‬ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪ ﻛﺎرآﻓﺮﻳﻨﻲ ﻛﺸﻮر )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ رﻓﺎه اﺟﺘﻤﺎﻋﻲ(‬
‫‪ .2‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﺗﻐﻴﻴﺮات ﺟﻤﻌﻴﺘﻲ ﺑﺮ ﺑﺮﻧﺎﻣﻪﻫﺎي رﻓﺎه اﺟﺘﻤﺎﻋﻲ)ﮔﺮوه ﻣﺪﻳﺮﻳﺖ رﻓﺎه اﺟﺘﻤﺎﻋﻲ(‬
‫‪ .3‬ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ارﺗﻘـﺎء دﺳﺘﺮﺳـﻲ اﻓـﺮاد داراي ﻧـﺎﺗﻮاﻧﻲ ﺑـﻪ ﺧـﺪﻣﺎت ﻋﻤـﻮﻣﻲ )ﮔـﺮوه ﻣـﺪﻳﺮﻳﺖ رﻓـﺎه‬
‫اﺟﺘﻤﺎﻋﻲ(‬
‫‪ .3‬ارﺗﻘﺎء داﻧﺶ و ﻣﻬﺎرﺗﻬﺎي ﺣﺮﻓﻪاي‬
‫‪1‬ـ داﻧﺶ و ﻣﻬﺎرت ﺣﺮﻓﻪاي‬
‫‪ .1‬ﺑﺮرﺳﻲ ﻛﺎرﺑﺮد ارﮔﻮﻧﻮﻣﻲ در ارﺗﻘﺎء ﻛﻴﻔﻴﺖ آﻣﻮزش )ﻋﻤﻮﻣﻲ‪ ،‬ﻣﺪرﺳﻪ‪ ،‬ﻋﺎﻟﻲ( )ﮔﺮوه ارﮔﻮﻧﻮﻣﻲ(‬
‫‪ .2‬ﺑﺮرﺳﻲ ﻣﺸﻜﻼت داﻧﺸﺠﻮﻳﺎن ﻧﺎﺑﻴﻨﺎ در ﺣﻴﻦ ﺗﺤـﺼﻴﻞ و ﻣﻴـﺰان ﺗـﺄﺛﻴﺮ رﺷـﺘﻪﻫـﺎي اﻧﺘﺨـﺎﺑﻲ در اﺷـﺘﻐﺎل‬
‫اﻳﺸﺎن‪) .‬ﮔﺮوه اﺧﺘﻼﻻت ﺑﻴﻨﺎﻳﻲ(‬
‫‪ .3‬ﺗﺄﺛﻴﺮ آﻣﻮزش راﻫﺒﺮدﻫﺎي ﻣﻘﺎﺑﻠﻪاي ﺑﺮ ﺳـﻼﻣﺖ داﻧـﺸﺠﻮﻳﺎن و ﻛﺎرﻛﻨـﺎن داﻧـﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ )ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ و آﻣﻮزش ﻛﻮدﻛﺎن اﺳﺘﺜﻨﺎﻳﻲ(‬
‫‪ .4‬ﻧﻴﺎزﺳﻨﺠﻲ ﺗﻮاﻧﺠﻮﻳﺎن و ﻣﺪﻳﺮان و اراﺋﻪ دﻫﻨﺪﮔﺎن ﺗﻮاﻧﺒﺨﺸﻲ ﺑﻪ ﺗﻔﻜﻴﻚ اﻧﻮاع ﻣﻌﻠﻮﻟﻴﺖ اﺳﺘﺎﻧﻬﺎ‪ ،‬ﺷـﻬﺮ‬
‫و روﺳﺘﺎ و ﮔﺮوﻫﻬﺎي ﺳﻨﻲ )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ (‬
‫‪ .5‬ﭘﮋوﻫﺶﻫﺎي آﻣﻮزﺷﻲ در ﭘﺮﺳﺘﺎري )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪ .6‬اﺛﺮ آﻣﻮزش ﻧﻈﺮﻳﻪ ذﻫﻦ ﺑﺮ ﺑﻬﺒﻮد رﻓﺘﺎر اﻧﻄﺒﺎﻗﻲ داﻧﺶ آﻣﻮزان ﻋﻘﺐ ﻣﺎﻧﺪه ذﻫﻨﻲ )آزاد(‬
‫‪2‬ـ اﺑﺰارﺳﺎزي و اﺳﺘﺎﻧﺪادردﺳﺎزي اﺑﺰارﻫﺎ‬
‫‪ .1‬اﺳﺘﺎﻧﺪاردﺳــﺎزي ﻣﺠﻤﻮﻋــﻪ اﺑــﺰار ﺷــﻨﺎﺧﺘﻲ ﺑــﺮاي ﻛــﺎرﺑﺮد در ﺷــﺮاﻳﻂ رواﻧــﺸﻨﺎﺳﻲ ﺑــﺎﻟﻴﻨﻲ در ﺳــﻄﺢ‬
‫ﻛﺸﻮر)ﮔﺮوه رواﻧﺸﻨﺎﺳﻲ ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .2‬اﺑﺰارﺳﺎزي و ﺑﻮﻣﻲﺳﺎزي اﺑﺰارﻫﺎ در ﺣﻴﻄﻪ ﺗﻮاﻧﺒﺨﺸﻲ در ﺳﻄﺢ ﻛﺸﻮر )ﮔﺮوه ﻣﺪﻳﺮﻳﺖ ﺗﻮاﻧﺒﺨﺸﻲ(‬
‫‪ .3‬ﻃﺮاﺣﻲ اﺑـﺰار ارزﺷـﻴﺎﺑﻲ ﻋﻤﻠﻜـﺮد ﺑـﺎﻟﻴﻨﻲ داﻧـﺸﺠﻮﻳﺎن در ﻣﺮاﻛـﺰ ﺑـﺎﻟﻴﻨﻲ داﻧـﺸﮕﺎه ﻋﻠـﻮم ﺑﻬﺰﻳـﺴﺘﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫‪ .4‬ﻫﻨﺠﺎر ﻳﺎﺑﻲ آزﻣﻮن ﻋﻤﻠﻜﺮد ﺣﺴﻲ ﺷﻴﺮﺧﻮاران )‪ (TSFI‬در ﺷﻴﺮ ﺧﻮاران ‪ 4-18‬ﻣﺎﻫﻪ اﻳﺮاﻧﻲ در ﺳﻄﺢ‬
‫ﻛﺸﻮر )ﮔﺮوه ﺑﺎﻟﻴﻨﻲ(‬
‫‪ .5‬ﻫﻨﺠﺎرﻳﺎﺑﻲ آزﻣﻮﻧﻬﺎي ﻣﺮوري ﺑﺮاي ﮔﺮوﻫﻬﺎي ﺳﻨﻲ ﻣﺨﺘﻠﻒ در ﺳﻄﺢ ﺷﻬﺮ ﺗﻬﺮان )ﮔﺮوه ﻣﺸﺎوره(‬
‫‪ .6‬ﻃﺮاﺣــﻲ و اﻋﺘﺒﺎرﻳــﺎﺑﻲ اﺑﺰارﻫــﺎي اﺧﺘــﺼﺎﺻﻲ در ﺣــﻮزه ﻓﻌﺎﻟﻴﺘﻬــﺎي ﭘﺮﺳــﺘﺎري در ﺣﻴﻄــﻪ ﺳــﺎﻟﻤﻨﺪي‪،‬‬
‫ﺗﻮاﻧﺒﺨﺸﻲ )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪ .7‬ﻃﺮاﺣﻲ و اﻋﺘﺒﺎرﻳﺎﺑﻲ اﺑﺰارﻫﺎي اﻧﺪازهﮔﻴﺮي ﻣﻔﺎﻫﻴﻢ ﻣﺮﺗﺒﻂ ﺑﺎ ﭘﺮﺳﺘﺎري )ﮔﺮوه ﭘﺮﺳﺘﺎري(‬
‫‪ .8‬اﻋﺘﺒﺎرﻳﺎﺑﻲ ﺗﺴﺖ ‪ GM FM‬ﺑﺮ ﻣﻌﻠﻮﻟﻴﻦ در ﺷﻬﺮ ﺗﻬﺮان )ﻣﺮﻛﺰ اﺳﻤﺎء(‬
‫‪ .9‬ﺑﺮﮔــﺮدان‪ ،‬ﺑﺮرﺳــﻲ ﭘﺎﻳــﺎﻳﻲ و رواﻳــﻲ ﭘﺮﺳــﺸﻨﺎﻣﻪ ارزﻳــﺎﺑﻲ ﺟﺎﻣﻌــﻪ ﺗﺠﺮﺑــﻪ ﻓــﺮد از ﻟﻜﻨــﺖ )ﮔــﺮوه‬
‫ﮔﻔﺘﺎردرﻣﺎﻧﻲ(‬
‫‪3‬ـ آﻣﺎر‪:‬‬
‫‪ .1‬ﺗﺤﻠﻴﻞ دادهﻫﺎي رﺳﺘﻪاي‬
‫‪ .2‬ﺗﺤﻠﻴﻞ دادهﻫﺎي ﭼﻨﺪ ﻣﺘﻐﻴﺮه ﭘﻴﻮﺳﺘﻪ و ﮔﺴﺴﺘﻪ‬
‫‪ .3‬ﺗﺤﻠﻴﻞ ﻣﺪﻟﻬﺎي ﻋﻤﻮﻣﻲ ﺧﻄﻲ و ﻏﻴﺮﺧﻄﻲ‬
‫‪ .4‬ﺗﺤﻠﻴﻞ دادهﻫﺎي ﺑﻘﺎء ﻳﻚ ﻣﺘﻐﻴﺮه‬
‫‪ .5‬ﺗﺤﻠﻴﻞ دادهﻫﺎي ﺑﻘﺎء ﭼﻨﺪ ﻣﺘﻐﻴﺮه و ﺷﻜﻨﻨﺪﮔﻲﻫﺎ‬
‫‪ .6‬ﺗﺤﻠﻴﻞ دادهﻫﺎي ﻧﺎﻗﺺ‬
‫‪ .7‬ﺗﺤﻠﻴﻞ دادهﻫﺎي ﮔﻢ ﺷﺪه‬
‫‪ .8‬ﺗﺤﻠﻴﻞ دادهﻫﺎي آﻣﻴﺨﺘﻪ‬
‫‪ .9‬روﺷﻬﺎي ﭘﻴﺸﺮﻓﺘﻪ در اﭘﻴﺪﻣﻴﻮﻟﻮژي‬
‫‪ .10‬ﺑﺮﻧﺎﻣﻪﻧﻮﻳﺴﻲ ﻛﺎﻣﭙﻴﻮﺗﺮي در ﺣﻴﻄﻪ ﻫﺮ ﻳﻚ از ﻣﻮارد ﻣﺬﻛﻮر‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﻋﻨﺎوﻳﻦ ﻣﺮاﻛﺰ ﺗﺤﻘﻴﻘﺎت داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪1‬ـ ﮔﺮوه ﭘﮋوﻫﺸﻲ رﻓﺎه اﺟﺘﻤﺎﻋﻲ‪:‬‬
‫‪ .1‬ﺗﺪوﻳﻦ‪ ،‬اﺟﺮا و ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪ ﺗﻮاﻧﻤﻨﺪﺳﺎزي ﺳﺎزﻣﺎنﻫﺎي دوﻟﺘـﻲ و ﻏﻴﺮدوﻟﺘـﻲ ﻣـﺮﺗﺒﻂ ﺑـﺎ ﻛﻮدﻛـﺎن‬
‫ﺧﻴﺎﺑﺎﻧﻲ در اﻳﺮان‬
‫‪ .2‬ﺗﺪوﻳﻦ‪ ،‬اﺟﺮا و ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪ ﻣﺪاﺧﻠﻪ ﺳﺎزﻣﺎﻧﻬﺎي دوﻟﺘـﻲ و ﻏﻴﺮدوﻟﺘـﻲ در اﻳـﺮان ﺑـﺮاي ﺣﻤﺎﻳـﺖ از‬
‫زﻧﺎن و ﻛﻮدﻛﺎن در ﺑﻼﻳﺎي ﻃﺒﻴﻌﻲ‬
‫‪ .3‬ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺳﺎزﻣﺎﻧﻬﺎي ﻏﻴﺮدوﻟﺘﻲ ﻓﻌﺎل در ﺣﻮزهي رﻓﺎه اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬
‫‪ .4‬ﺗﺪوﻳﻦ ﻗﺎﻧﻮن ﺟﺎﻣﻊ ﻣﺒﺎرزه ﺑﺎ ﺗﺒﻌﻴﺾ و ﺑﻲ ﻋﺪاﻟﺘﻲ و ﻧﺎﺑﺮاﺑﺮيﻫﺎي اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬
‫‪ .5‬ﺗﺪوﻳﻦ‪ ،‬اﺟﺮا و ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪ ﺗﻮاﻧﻤﻨﺪﺳﺎزي اﺟﺘﻤﺎع ﻣﺤﻮردر ﻣﺤﻠﻪﻫﺎي ﺣﺎﺷﻴﻪ ﻧﺸﻴﻦ‬
‫‪ .6‬ﺗﺪوﻳﻦ ﺑﺴﺘﻪ آﻣﻮزﺷﻲ ﺗﻮﺳﻌﻪ و رﻓﺎه اﺟﺘﻤﺎﻋﻲ ﺟﻬﺖ ﻛﺎرﻛﻨﺎن و ارزﺷﻴﺎﺑﻲ وزارت رﻓﺎه‬
‫‪ .7‬ﻃﺮاﺣﻲ و ﺗﺎﺳﻴﺲ ﺑﺎﻧﻚ اﻃﻼﻋﺎﺗﻲ ﺟﺮاﺋﻢ اﻳﺮان‬
‫‪ .8‬ﺗﺪوﻳﻦ ﻗﺎﻧﻮن ﺗﺎﻣﻴﻦ رﻓﺎه در ﺑﻼﻳﺎي ﻃﺒﻴﻌﻲ‬
‫‪ .9‬ﺗﺪوﻳﻦ‪ ،‬اﺟﺮا و ارزﺷﻴﺎﺑﻲ ﺑﺮﻧﺎﻣﻪﻫﺎي آﻣﻮزﺷﻲ ﺷﻮراﻫﺎي اﺳﻼﻣﻲ ﺷﻬﺮ و روﺳﺘﺎ‬
‫‪ .10‬ﺑﺮرﺳﻲ وارزﻳﺎﺑﻲ ﻋﻤﻠﻜﺮد و ﺷﻮراﻫﺎي اﺳﻼﻣﻲ ﺷﻬﺮ و روﺳﺘﺎ )دوره اول و دوم( و اراﺋﻪ راﻫﻜﺎرﻫـﺎي‬
‫ﺗﻘﻮﻳﺖ ﻧﻈﺎم ﺷﻮراﻫﺎ‬
‫‪ .11‬ﺗﺪوﻳﻦ ﺷﺎﺧﺼﻬﺎ و ﮔﺰارش وﺿﻌﻴﺖ ﻣﺸﻜﻼت اﺟﺘﻤﺎﻋﻲ در اﻳﺮان‬
‫‪ .12‬ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﻛﻮدﻛﺎن ﺧﺎرج از ﻣﺪرﺳﻪ در اﻳﺮان‬
‫‪ .13‬ﻓﺮا ﺗﺤﻠﻴﻞ ﭘﮋوﻫﺸﻬﺎي اﻧﺠﺎم ﺷﺪه در ﺣﻮزه ﻓﻘﺮ‬
‫‪2‬ـ ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﺗﻮاﻧﺒﺨﺸﻲ اﻋﺼﺎب اﻃﻔﺎل‬
‫‪ .1‬ﺑﺮرﺳﻲ و ﻣﻘﺎﻳﺴﻪ راﻫﻬﺎي ﻣﺪاﺧﻠﻪ زودرس در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫‪ .2‬ﺑﺮرﺳﻲ ﺷﻴﻮع اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ در ﻛﻮدﻛﺎن ‪ 5‬ـ ‪ 0‬ﺳﺎل در اﻳﺮان‬
‫‪ .3‬ﺗﻌﻴﻴﻦ رواﻳﻲ و اﻋﺘﺒﺎر ـ اﻳﺮاﻧﻲﺳﺎزي و اﺳﺘﺎﻧﺪارﺳﺎزي آزﻣﻮﻧﻬﺎي ﻏﺮﺑﺎﻟﮕﺮي ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن‬
‫‪ .4‬ﺑﺮرﺳﻲ اﻧﻮاع آﺳﻴﺐﺷﻨﺎﺳﻲ و راﻫﻬﺎي ﺗﺸﺨﻴﺼﻲ در اﺧﺘﻼﻻت ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫‪ .5‬ﺑﺮرﺳﻲ ﻣﺪاﺧﻼت درﻣﺎﻧﻲ ـ ﺗﻮاﻧﺒﺨـﺸﻲ در اﺧـﺘﻼﻻت ﺗﻜﺎﻣـﻞ ﻛﻮدﻛـﺎن و ﭼﮕـﻮﻧﮕﻲ ارﺗﻘـﺎء ﺳـﻄﺢ‬
‫ﺳﻼﻣﺖ آﻧﺎن )ﺳﻨﺪرم داون‪ ،‬ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ دﻳﺲ ﻛﻴﻨﺰي ـ ‪ cluttering‬و ‪(Stuttering‬‬
‫‪ .6‬ﺑﺮرﺳﻲ راﻫﻬﺎي ارﺗﻘﺎء ﺳﻄﺢ ﺗﻜﺎﻣﻞ ﻛﻮدﻛﺎن ﻃﺒﻴﻌﻲ‬
‫‪ .7‬ﺟﺴﺘﺠﻮي راﻫﻬﺎي ارﺗﻘﺎء ﺳﻼﻣﺖ روان ﺑﺮاي واﻟﺪﻳﻦ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﺳﻨﺪرم داون‬
‫‪ .8‬ﺑﺮرﺳﻲ ﭘﺮوﺗﻜﻞ ﺗﻮاﻧﺒﺨﺸﻲ ﻣﺮﺣﻠﻪ ﺑﻪ ﻣﺮﺣﻠﻪ ﺑﺮاي ﻛﻮدﻛﺎن ﺑﺎ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫‪.9‬‬
‫ﺑﺮرﺳﻲ راﻫﻜﺎري درﻣﺎﻧﻲ ﺗﻮاﻧﺒﺨﺸﻲ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ دﻳﺲ ﻛﻴﻨﺰي ـ ‪ cluttering‬و ‪Stuttering‬‬
‫‪ .10‬ﺟﺴﺘﺠﻮي راﻫﻜﺎرﻫﺎي ﺗﻮاﻧﺒﺨﺸﻲ ﻧﻮﻳﻦ در اﺳﺘﺎﺗﻴﻚ ﭘﺮﻳﻔﺮال ﻧﻮروﭘﺎﺗﻲ‬
‫‪ .11‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ ﻣﺪاﺧﻼت ﺣﺴﻲ ـ ﺣﺮﻛﺘﻲ‪ ،‬رﻓﺘﺎري ﻛﻪ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ ﺑﻴﻤﺎرﻳﻬﺎي ﻣﺰﻣﻦ ﻧﺎﺗﻮان ﻛﻨﻨﺪه‬
‫‪ .12‬ﺑﺮرﺳﻲ ﻓﺮاواﻧﻲ ﺑﻴﻤﺎرﻳﻬﺎي ﻫﻤﺮاه در ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼﻻت رﻓﺘﺎري ـ ﺣﺮﻛﺘﻲ و ﺣﺴﻲ‬
‫‪ .13‬ﺑﺮرﺳﻲ ﻣﺒﺎﻧﻲ ﻓﻴﺰﻳﻚ ﭘﺎﺗﻮﻟﻮژي اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ‬
‫‪ .14‬اﺳﺘﺎﻧﺪاردﺳﺎزي اﺑﺪاﻋﺎت و اﺧﺘﺮاﻋﺎت وﺳﺎﻳﻞ ﺗﻮاﻧﺒﺨﺸﻲ در ﺗﻮاﻧﺒﺨﺸﻲ اﺧﺘﻼﻻت ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن‬
‫‪ .15‬ﺑﺮرﺳﻲ ﺷﻴﻮع و ﻓﺮاواﻧﻲ و ﻋﻠﻞ اﻧﻮاع اﺧﺘﻼﻻت رواﻧﭙﺰﺷﻜﻲ در ﺧﺎﻧﻮاده ﻛﻮدﻛـﺎن و ﻧﻮﺟﻮاﻧـﺎن ﻣﺒـﺘﻼ‬
‫ﺑﻪ اﺧﺘﻼل ﺗﻜﺎﻣﻠﻲ‬
‫‪ .16‬ﺑﺮرﺳﻲ ﻓﺎﻛﺘﻮرﻫﺎي ﻣﺆﺛﺮ در اﻳﺠﺎد اﺧﺘﻼﻻت رواﻧﭙﺰﺷﻜﻲ ﺗﻜﺎﻣﻠﻲ ﻛﻮدﻛﺎن‬
‫‪ .17‬ﺑﺮرﺳﻲ وﺿﻌﻴﺖ ﺗﺤﺼﻴﻠﻲ و اﺟﺘﻤﺎﻋﻲ ﻛﻮدﻛﺎن ﻣﺒﺘﻼ ﺑﻪ اﺧﺘﻼﻻت رواﻧﭙﺰﺷﻜﻲ ﻛﻮدﻛﺎن‬
‫‪ .18‬ﺑﺮرﺳﻲ ﻣﺒﺎﻧﻲ اﻟﻜﺘﺮوﻓﻴﺰﻳﻮﻟﻮژﻳﻚ اﺧﺘﻼﻟﺖ ﺗﻜﺎﻣﻞ‪ CNS ،‬و ﭘﺮﻳﻮزال ﻧﺮوﭘﺎﺗﻲ‬
‫‪ .19‬ﻣﻘﺎﻳﺴﻪ ﺗﺄﺛﻴﺮ ﺣﺮﻛﺖ درﻣﺎﻧﻲ ﺑﺎ ﻣﺤﺪودﻳﺖ اﺟﺒﺎري و درﻣﺎن دودﺳﺘﻲ دﺳﺖ‪ -‬ﺑﺎزو ﺑـﺮ ﻛﺎرﻛﺮدﻫـﺎي‬
‫دﺳﺘﻲ ﻛﻮدﻛﺎن ‪ 4/5‬ﺗﺎ ‪ 10‬ﺳﺎﻟﻪ ﻓﻠﺞ ﻣﻐﺰي ﻧﻴﻤﻪ ﺑﺪن‬
‫‪3‬ـ ﻣﺮﻛﺰ ﺗﺤﻘﻴﻘﺎت ﻣﺴﺎﻳﻞ اﺟﺘﻤﺎﻋﻲ و رواﻧﻲ ﺳﺎﻟﻤﻨﺪان‬
‫‪ .1‬ﺑﺮرﺳﻲ ﻋﻮاﻣﻞ ﻣﺆﺛﺮ ﺑﺮ ﺣﺎﻓﻈﻪ و ﺷﻨﺎﺧﺖ در ﺳﺎﻟﻤﻨﺪان‬
‫‪ .2‬ﺑﺮرﺳﻲ اﺧﺘﻼﻻت ﺗﻌﺎدﻟﻲ و ﺳﻘﻮط در ﺳﺎﻟﻤﻨﺪان‬
‫‪ .3‬اﺑﺰارﺳﺎزي و اﺳﺘﺎﻧﺪاردﺳﺎزي اﺑﺰارﻫﺎ در ﺳﺎﻟﻤﻨﺪان‬
‫‪ .4‬ﺑﺮرﺳﻲ اﺛﺮ ﺑﺨﺸﻲ ﺗﻮاﻧﺒﺨﺸﻲ در ﺑﻴﻤﺎران ﺳـﺎﻟﻤﻨﺪ دﭼـﺎر‪ CVA‬وﻃﺮاﺣـﻲ ﻣـﺪل ﺧـﺪﻣﺎت ﻣﺮاﻗﺒﺘـﻲ و‬
‫ﺗﻮاﻧﺒﺨﺸﻲ‬
‫‪ .5‬ﺗﻌﻴﻴﻦ رواﻳﻲ‪ ،‬ﭘﺎﻳﺎﻳﻲ و ﻫﻨﺠﺎرﻳﺎﺑﻲ دو آزﻣـﻮن‪ :‬ارزﻳـﺎﺑﻲ راه ـ رﻓـﺘﻦ ﻋﻤﻠﻜـﺮدي و ﺳـﺮﻋﺖ راه رﻓـﺘﻦ‬
‫ﺑﺮاي ﺷﻨﺎﺳﺎﻳﻲ ﺧﻄﺮ زﻣﻴﻦ ﺧﻮردن در ﺳﺎﻟﻤﻨﺪان اﻳﺮاﻧﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ .6‬ﻃﺮاﺣﻲ ﻣﺪل ﺧﺪﻣﺎت ﻣﺮاﻗﺒﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺳﺎﻟﻤﻨﺪان دﭼﺎر دﻣﺎﻧﺲ‬
‫‪ .7‬ﺑﺮرﺳﻲ ﭘﻴﺸﮕﻴﺮي و درﻣﺎن اﻓﺴﺮدﮔﻲ در ﺳﺎﻟﻤﻨﺪان‬
‫‪ .8‬ﺑﺮرﺳﻲ روشﻫﺎي ارﺗﻘﺎي ﻣﺸﺎرﻛﺖ اﺟﺘﻤﺎﻋﻲ ﺳﺎﻟﻤﻨﺪان‬
‫‪ .9‬ﺑﺮرﺳﻲ ﺗﺄﺛﻴﺮ آﻣﻮزش ﺑﻬﺪاﺷﺖ )ﺗﺼﺤﻴﺢ)‪ (Life stye‬ﺑﺮ ﻛﻴﻔﻴﺖ زﻧﺪﮔﻲ ﺳﺎﻟﻤﻨﺪان و ﺧﺎﻧﻮاده‬
‫‪ .10‬رواﻳﻲ و ﭘﺎﻳﺎﻳﻲ ﺳﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺑﺮاي اﻧﺪازهﮔﻴﺮي ﻃﺮح ﻓﻌﺎﻟﻴﺖ ﻓﻴﺰﻳﻜﻲ در ﺳﺎﻟﻤﻨﺪان اﻳﺮاﻧﻲ‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫راﻫﻨﻤﺎي ﺗﺪوﻳﻦ ﮔﺰارش ﻧﻬﺎﻳﻲ ﺗﺤﻘﻴﻖ‬
‫‪-1‬ﮔﺰارش ﻧﻬﺎﻳﻲ ﺑﻪ ﺻﻮرت ﻳﻚ رو در ﻛﺎﻏﺬ ‪ A4‬ﭼﺎپ ﺷﻮد‪.‬‬
‫‪-2‬ﮔﺰارش ﻧﻬﺎﻳـﻲ ﭘﺲ از ﺗﺄﻳﻴﺪ دﻓﺘﺮ ﭘﮋوﻫﺶ ﺑﻪ ﺻـﻮرت دو ﻧﺴﺨﻪ ﺻﺤﺎﻓﻲ ﺷﺪه ﺑﺎ ﺟﻠـﺪﮔﺎﻟﻴﻨﮕﻮرآﺑﻲ‬
‫ﺷﻤﺎره‪ 13‬ﻃﻼﻛﻮب ﺷﺪه و ﻳﻚ ﻟﻮح ﻓﺸﺮده )‪(CD‬ﻣﺤﺘﻮي‪ 5‬ﻓﺼﻞ ﻣﻄﺎﻟﻌﻪ ﺑﻪ ﺷﻜﻞ ﺟﺪاﮔﺎﻧـﻪ و‬
‫ﭼﻜﻴﺪه ﻓﺎرﺳﻲ و اﻧﮕﻠﻴﺴﻲ ﻛﻪ ﺣﺘﻤﺎ ﻋﻨﻮان‪ ،‬ﻧﺎم ﻣﺠﺮي و ﻛﻠﻴﺪ واژه ﻓﺎرﺳﻲ و اﻧﮕﻠﻴﺴﻲ داﺷـﺘﻪ‬
‫ﺑﺎﺷﺪ ﺑﺎ ﻓﺮﻣﺖ ‪ word‬وﺣﺪاﻛﺜﺮ ‪ 250‬ﻛﻠﻤﻪ در اﺧﺘﻴﺎر دﻓﺘﺮ ﭘﮋوﻫﺶ ﻗﺮار داده ﺷﻮد‪.‬‬
‫‪ -3‬ﺑﻪ ﺟﺰ ﺑﺨﺶ ﭼﻜﻴﺪه اﻧﮕﻠﻴﺴﻲ‪ ،‬ﺳﺎﻳﺮ ﺑﺨﺶﻫﺎي ﻣﺘﻦ ﮔﺰارش ﺑﻪ زﺑﺎن ﻓﺎرﺳﻲ ﺑﺎﺷﺪ‪.‬‬
‫‪ -4‬ﻣﻌﺎدل ﻓﺎرﺳﻲ واژهﻫﺎي اﻧﮕﻠﻴﺴﻲ ﻗﻴﺪ ﺷﺪه در ﻣﺘﻦ در ﭘﺎورﻗﻲ آورده ﺷﻮد‬
‫‪ -5‬ﺗﺎﻳﭗ ﺑﺎﻳﺪ ﺑﺎ اﺳﺘﻔﺎده از ﺑﺮﻧﺎﻣﻪ ‪ MS Word‬اﻧﺠﺎم ﺷﻮد‪.‬‬
‫ﻧﻮع ﺑﺮﻧﺎﻣﻪ ‪ office‬ﻣﻮرد اﺳﺘﻔﺎده‪Office 2000 :‬ﻳﺎ ‪Office xp‬‬
‫‪ -6‬از اﻃﺮاف ﻛﺎﻏﺬ )ﺑﺎﻻ‪،‬ﭘﺎﻳﻴﻦ‪،‬ﭼﭗ( ﻫﺮ ﻛﺪام‪ 2‬ﺳﺎﻧﺘﻴﻤﺘﺮ ﺣﺎﺷﻴﻪ و ﻓﻘـﻂ ﺑـﺮاي ﺳـﻤﺖ راﺳـﺖ ‪3‬‬
‫ﺳﺎﻧﺘﻴﻤﺘﺮ در ﻧﻈﺮ ﮔﺮﻓﺘﻪ ﺷﻮد‪.‬‬
‫‪ -7‬ﺷﻤﺎره ﺻﻔﺤﻪ در وﺳﻂ و ﭘﺎﻳﻴﻦ ﺻﻔﺤﻪ ﺑﻪ زﺑﺎن ﻓﺎرﺳﻲ درج ﺷﻮد‪.‬‬
‫‪ -8‬در ﺳﺮﺗﺎﺳﺮ ﻣﺘﻦ از ﻗﻠﻢ )ﻓﻮﻧﺖ( ﻓﺎرﺳﻲ ﻟﻮﺗﻮس و ﻗﻠﻢ )ﻓﻮﻧـﺖ( اﻧﮕﻠﻴـﺴﻲ‪Times New Roman‬‬
‫اﺳﺘﻔﺎده ﺷﻮد‪.‬‬
‫‪-9‬ﺑﺮاي ﻧﮕﺎرش ﻣﺘﻦ از ﻗﻠﻢ ﻓﺎرﺳﻲ ﺷﻤﺎره ‪ 14‬و ﻗﻠﻢ ﻻﺗﻴﻦ ﺷﻤﺎره ‪ 12‬اﺳﺘﻔﺎده ﺷﻮد‪ .‬ﻋﻨـﺎوﻳﻦ ﺑـﺎ ﺣـﺮوف‬
‫ﺿﺨﻴﻢ )‪ (Bold‬ﻧﮕﺎﺷﺘﻪ ﺷﻮﻧﺪ و در ﻫﺮ ﻣﻮرد ﻛﻪ ﻧﻴﺎز ﺑﻪ ﻋﻨﻮان ﻓﺮﻋﻲ ﺗـﺮي ﺑـﻮد‪ ،‬ﺷـﻤﺎره ﻗﻠـﻢ ﻋﻨـﻮان‬
‫ﻓﺮﻋﻲ ﺗﺮ ﻳﻚ ﺷﻤﺎره ﻛﻮﭼﻜﺘﺮ از ﻋﻨﻮان اﺻﻠﻲ ﺑﺎﺷﺪ‬
‫روي ﺟﻠﺪ ﮔﺰارش‪:‬‬
‫‪ -1‬ﻧﺸﺎن و ﻋﻨﻮان داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ در ﺑﺎﻻ و وﺳﻂ ﺻﻔﺤﻪ )در ﺻﻮرﺗﻲ ﻛﻪ ﻃﺮح‬
‫را ﺳﺎزﻣﺎن‪ ،‬داﻧﺸﮕﺎه ﻳﺎ ﻧﻬﺎد دﻳﮕﺮي ﻫﻢ ﺣﻤﺎﻳﺖ ﻣﺎﻟﻲ ﻛﺮده ﺑﺎﺷﺪ‪ ،‬ذﻛﺮ ﻧﺎم و ﻧﺸﺎن آن ﻧﻴﺰ ﺑﺎ ﻫﻤﺎﻫﻨﮕﻲ‬
‫داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺮ روي ﺟﻠﺪ اﻟﺰاﻣﻲ اﺳﺖ(‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ -2‬درج ﻋﺒﺎرت »ﮔﺰارش ﻧﻬﺎﻳﻲ ﺗﺤﻘﻴﻖ«‬
‫‪ -3‬درج ﻋﻨﻮان ﻛﺎﻣﻞ ﻃﺮح ﻣﻨﻄﺒﻖ ﺑﺎ ﻗﺮارداد ﭘﮋوﻫﺸﻲ‬
‫‪ -4‬ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﺠﺮي اﺻﻠﻲ ﻳﺎ ﻣﺠﺮﻳﺎن‬
‫‪ -5‬ﻧﺎم وﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻫﻤﻜﺎران اﺻﻠﻲ ﻃﺮح ﺑﻪ ﺗﺮﺗﻴﺐ ﻣﺸﺎرﻛﺖ ﻣﻨﻄﺒﻖ ﺑﺎ ﭘﺮوﭘـﻮزال ﭘﮋوﻫـﺸﻲ‬
‫ﺗﺎﻳﻴﺪ ﺷﺪه‬
‫‪ -6‬ﺳﺎل و ﻣﺎه اراﺋﻪ ﮔﺰارش ﻧﻬﺎﻳﻲ‬
‫‪ -7‬ﺷﻨﺎﺳﻪ ﻃﺮح )ﺷﻤﺎره ﻗﺮارداد(ﺑﻪ ﺻﻮرت ﻋﻤﻮدي در ﺳﻤﺖ ﭘﺎﻳﻴﻦ و ﭼﭗ ﺻﻔﺤﻪ‬
‫ﺻﻔﺤﻪ اول‪ :‬ﺻﻔﺤﻪ ﻋﻨﻮان‬
‫‪ -1‬ﻧﺸﺎن و ﻋﻨﻮان داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ در ﺑﺎﻻ و وﺳﻂ ﺻﻔﺤﻪ )در ﺻﻮرﺗﻲ ﻛﻪ ﻃـﺮح‬
‫را ﺳﺎزﻣﺎن‪ ،‬داﻧﺸﮕﺎه ﻳﺎ ﻧﻬﺎد دﻳﮕﺮي ﻫﻢ ﺣﻤﺎﻳﺖ ﻣﺎﻟﻲ و ﻳﺎ ﻧﻴﺮوي اﻧﺴﺎﻧﻲ ﻛﺮده ﺑﺎﺷﺪ‪ ،‬ذﻛﺮ ﻧـﺎم و ﻧـﺸﺎن آن‬
‫ﻧﻴﺰﺑﺎ ﻫﻤﺎﻫﻨﮕﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺮ روي ﺟﻠﺪ اﻟﺰاﻣﻲ اﺳﺖ(‬
‫‪ -2‬درج ﻋﺒﺎرت »ﮔﺰارش ﻧﻬﺎﻳﻲ ﺗﺤﻘﻴﻖ«‬
‫‪ -3‬درج ﻋﻨﻮان ﻛﺎﻣﻞ ﻃﺮح ﻣﻨﻄﺒﻖ ﺑﺎ ﻗﺮارداد ﭘﮋوﻫﺸﻲ‬
‫‪ -4‬ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﺠﺮي اﺻﻠﻲ ﻳﺎ ﻣﺠﺮﻳﺎن‬
‫‪ -5‬ﻧﺎم وﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻫﻤﻜﺎران اﺻﻠﻲ ﻃﺮح ﺑﻪ ﺗﺮﺗﻴﺐ ﻣﺸﺎرﻛﺖ ﻣﻨﻄﺒﻖ ﺑﺎ ﭘﺮوﭘـﻮزال ﭘﮋوﻫـﺸﻲ‬
‫ﺗﺎﻳﻴﺪ ﺷﺪه‬
‫‪ -6‬ﺳﺎل و ﻣﺎه اﺟﺮاي ﻃﺮح‬
‫‪ -7‬ﺳﺎل و ﻣﺎه اراﺋﻪ ﮔﺰارش ﻧﻬﺎﻳﻲ‬
‫ﺻﻔﺤﻪ دوم‪ :‬ﺳﺨﻦ ﻣﺠﺮي )اﺧﺘﻴﺎري(‬
‫دراﻳﻦ ﻗﺴﻤﺖ ﻣﺠﺮي ﺑﻪ ﻗﻠﻢ ﺧﻮد) ﻫﺮ آﻧﭽﻪ را در ﻣﻮرد ﻃﺮح ﻻزم ﻣﻲداﻧﺪ( ﺣﺪاﻛﺜﺮ در ﻳﻚ ﺻـﻔﺤﻪ‬
‫ﺑﻪ زﺑﺎن ﺳﺎده ﻣـﻲﻛﻨﺪ‪.‬‬
‫ﺻﻔﺤﻪ ﺳﻮم‪ :‬ﺳﭙﺎﺳﮕﺰاري )اﺧﺘﻴﺎري(‬
‫ﺣﺪاﻛﺜﺮ در ﻳﻚ ﺻﻔﺤﻪ از اﻓﺮاد و ﺳﺎزﻣﺎنﻫﺎي دوﻟﺘﻲ‪ ،‬ﻏﻴـﺮ دوﻟﺘـﻲ ﻳـﺎ ﺑـﻴﻦاﻟﻤﻠﻠـﻲ و داﻧـﺸﮕﺎﻫﻲ ﻛـﻪ در‬
‫ﻃﺮاﺣﻲ و اﺟﺮاي ﺗﺤﻘﻴﻖ ﻫﻤﻜﺎري ﻛﺮدهاﻧﺪ‪ ،‬ﺳﭙﺎﺳﮕﺰاري ﻣﻲﺷﻮد‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺻﻔﺤﻪ ﭼﻬﺎرم‪ :‬ﺳﺎﻳﺮ ﻫﻤﻜﺎران )اﺧﺘﻴﺎري(‬
‫ﺻﻔﺤﻪﻫﺎي ﭘﻨﺠﻢ ﺗﺎ ﻫﻔﺘﻢ‪ :‬ﻓﻬﺮﺳﺘﻬﺎ‬
‫در اﻳﻦ ﻗﺴﻤﺖ ﻓﻬﺮﺳﺖﻫﺎي ﮔﺰارش ﻧﻬـﺎﻳﻲ ﻫﻤـﺮاه ﺑـﺎ ﻓﻬﺮﺳـﺖ ﻣﻨـﺪرﺟﺎت‪ ،‬ﻓﻬﺮﺳـﺖ ﺟـﺪاول و‬
‫ﻓﻬﺮﺳﺖ ﺗﺼﺎوﻳﺮ و اﺷﻜﺎل ﺑﺎ درج ﺷﻤﺎره ﺻﻔﺤﻪ آﻧﻬﺎ ﻧﻮﺷﺘﻪ ﻣﻲ ﺷﻮد‪.‬‬
‫ﺻﻔﺤﻪ ﻫﺸﺘﻢ‪ :‬ﭼﻜﻴﺪه ﻓﺎرﺳﻲ‬
‫در آﻏﺎز ﭘﮋوﻫﺸﻨﺎﻣﻪ ﺧﻼﺻﻪ اي از ﻣﺮاﺣﻞ و ﻧﺘﺎﻳﺞ ﭘﮋوﻫﺶ ﻣﺸﺘﻤﻞ ﺑﺮ ﻋﻨـﻮان‪ ،‬ﻧـﺎم ﻣﺠـﺮي و ﻛﻠﻴـﺪ‬
‫واژه ﺣﺪاﻛﺜﺮ در ‪ 250‬ﻛﻠﻤﻪ آورده ﺷﻮد‪.‬‬
‫در ﭼﻜﻴﺪه ﮔﺰارش ﭘﮋوﻫﺸﻬﺎي ﺗﺠﺮﺑﻲ ﻧﻜﺎت زﻳﺮ درج ﺷﻮد‬
‫‪ -1‬ﻣﺴﺎﻟﻪ ﻣﻮرد ﭘﮋوﻫﺶ ﺣﺘﻲ اﻟﻤﻘﺪور در ﻳﻚ ﺟﻤﻠﻪ ﺑﺎﺷﺪ‬
‫‪ -2‬آزﻣﻮدﻧﻴﻬﺎ ﺑﺎ ذﻛﺮ وﻳﮋﮔﻴﻬﺎي ﺿﺮوري ﻣﺎﻧﻨﺪ ﺗﻌﺪاد‪ ،‬ﻧﻮع ‪،‬ﺟﻨﺲ و ﻣﺎﻧﻨﺪ اﻳﻨﻬﺎ‬
‫‪-3‬روش آزﻣﺎﻳﺸﻲ ﺷﺎﻣﻞ اﺑﺰارﻫﺎ و دﺳﺘﮕﺎﻫﻬﺎ‪ ،‬ﺷﻴﻮه ﺟﻤﻊآوري دادهﻫﺎ‪ ،‬ﻧﺎم آزﻣﻮﻧﻬﺎي آﻣـﺎري و‬
‫ﺳﺎﻳﺮ ﻣﻮارد ﺿﺮوري‬
‫‪ -4‬ﻳﺎﻓﺘﻪﻫﺎ ﺷﺎﻣﻞ ﺳﻄﺢ ﻣﻌﻨﻲ داري آﻣﺎري‬
‫‪ -5‬ﻧﺘﺎﻳﺞ و ﻛﺎرﺑﺮدﻫﺎ‬
‫در ﭼﻜﻴﺪه ﻣﻘﺎﻻت ﻧﻈﺮي ﻳﺎ ﻣﺮورو ﺑﺎز ﻧﮕﺮي )ﭘﮋوﻫﺸﻬﺎي ﻛﺘﺎﺑﺨﺎﻧﻪ اي(ﻧﻜﺎت زﻳﺮ درج ﺷﻮد‬
‫‪ -1‬ﻣﻮﺿﻮع ﻣﻘﺎﻟﻪ در ﻳﻚ ﺟﻤﻠﻪ‬
‫‪ -2‬ﻫﺪف ﻃﺮح و ﻣﻔﻬﻮم اﺻﻠﻲ ﻣﻘﺎﻟﻪ‬
‫‪ -3‬داﻣﻨﻪ ﭘﮋوﻫﺶ ﻳﻌﻨﻲ اﻳﻨﻜﻪ ﺗﻤﺎﻣﻲ ﭘﮋوﻫﺸﻬﺎي ﻣﺮﺑﻮط ﺑﻪ ﻣﻮﺿﻮع ﻣﻮرد ﺑﺎز ﻧﮕﺮي ﻗﺮار ﮔﺮﻓﺘﻪ ﻳﺎ‬
‫ﺗﻨﻬﺎ ﺑﺨﺶ ﻣﻌﻴﻨﻲ از ﭘﮋوﻫﺸﻬﺎ ﻣﺜﻼً آﻧﻬﺎﻳﻲ ﻛﻪ از ﻳﻚ زﻣﺎن ﻣﺸﺨﺺ ﺑﻪ ﺑﻌـﺪ اﻧﺠـﺎم ﺷـﺪهاﻧـﺪ‪،‬‬
‫ﻣﻮرد ﺑﺎزﻧﮕﺮي ﻗﺮار ﮔﺮﻓﺘﻪ اﻧﺪ‪ ،‬ﻣﻨﺎﺑﻊ ﻣﻮرد اﺳﺘﻔﺎده )ﻣﺜﻼً ﻣﺸﺎﻫﺪات ﻳﺎ آﺛﺎر ﻣﻜﺘﻮب(‬
‫‪ -4‬ﻧﺘﻴﺠﻪﮔﻴﺮي‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫ﺻﻔﺤﻪ ﻧﻬﻢ‪ :‬ﺷﻨﺎﺳﻨﺎﻣﻪ ﻋﻤﻮﻣﻲ ﻃﺮح‬
‫‪ -1‬درج ﻋﻨﻮان ﻛﺎﻣﻞ ﻃﺮح ﻣﻨﻄﺒﻖ ﺑﺎ ﻗﺮارداد ﭘﮋوﻫﺸﻲ‬
‫‪ -2‬ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ وآدرس ﭘﺴﺖ اﻟﻜﺘﺮوﻧﻴﻜﻲ ﻣﺠﺮي اﺻﻠﻲ‬
‫‪ -3‬ﻧﺎم ﺳﺎزﻣﺎنﻫﺎي ﭘﺸﺘﻴﺒﺎﻧﻲ ﻛﻨﻨﺪه‪ :‬در اﻳﻦ ﺑﺨﺶ ﻣﺠﺮي ﺑﺎﻳﺪ ﻛﻠﻴـﻪ ﺣﻤﺎﻳـﺖﻫـﺎي ﺻـﻮرت ﮔﺮﻓﺘـﻪ از‬
‫ﭘﮋوﻫﺶ ﺧﻮد را )ﺧﻮاه ﺑﻪ ﺻﻮرت ﺑﻮدﺟﻪ ﭘﮋوﻫﺸﻲ و ﺧﻮاه ﺑﻪ ﺻﻮرت ﺗﺠﻬﻴﺰات و ﻣﻮاد آزﻣﺎﻳﺸﮕﺎﻫﻲ و ﻳﺎ‬
‫ﻧﻴﺮوي اﻧﺴﺎﻧﻲ( اﻋﻼم ﻛﻨﺪ‬
‫‪ -4‬ﺷﻨﺎﺳﻪ ﻃﺮح)ﺷﻤﺎره ﻗﺮارداد(‬
‫‪ -5‬ﺗﺎرﻳﺦ ﺷﺮوع و ﺧﺎﺗﻤﻪ ﻃﺮح‬
‫‪ -6‬ﻧﺎﻇﺮ ﻃﺮح‬
‫‪ -7‬ﺑﻮدﺟﻪ ﻣﺼﻮب ﻃﺮح‬
‫ﻓﺼﻞ اول‪ :‬ﻣﻘﺪﻣﻪ‬
‫ﻗﺴﻤﺖ ﻣﻘﺪﻣﻪ ﻛﻪ ﺣﺪوداً ﺷﺎﻣﻞ ‪ 10‬درﺻﺪ از ﻛﻞ ﮔﺰارش ﻧﻬﺎﻳﻲ اﺳﺖ ﺑﺎﻳﺪ ﺷﺎﻣﻞ ﻣﻮارد زﻳﺮ ﺑﺎﺷﺪ‪:‬‬
‫‪ -1‬ورود ﺑﻪ ﻣﻮﺿﻮع‪ :‬در اﻳﻦ ﺑﺨﺶ ﭘﻴﺶ زﻣﻴﻨﻪ ﻣﻮﺿﻮع ﻣﻮرد ﺗﺤﻘﻴﻖ ﺗﻮﺿﻴﺢ داده ﻣﻲ ﺷﻮد‪.‬‬
‫‪-2‬ﻋﻠﺖ اﻧﺘﺨﺎب ﻣﻮﺿﻮع و ﺿﺮورت اﻧﺠﺎم ﻃﺮح ﺗﺤﻘﻴﻖ ﺗﻮﺿﻴﺢ داده ﺷﻮد‪.‬‬
‫‪-3‬ﺑﻴﺎن ﻣﺴﺌﻠﻪ‪ :‬ﺑﺎﻳﺪ ﺑﻪ روﺷﻨﻲ ﻣﺘﻐﻴﺮﻫﺎي ﻣﻮرد ﻣﻄﺎﻟﻌﻪ‪ ،‬ﻧﻮع ارﺗﺒﺎط ﻣﺘﻐﻴﺮﻫﺎ و ﺟﻬﺖ ﻫﺪف را ﻧﺸﺎن دﻫﺪ‪.‬‬
‫‪ -4‬اﻫﺪاف و ﻓﺮﺿﻴﺎت ﭘﮋوﻫﺶ ﻣﻄﺎﺑﻖ ﺑﺎ ﭘﺮﺳﺸﻨﺎﻣﻪ اوﻟﻴﻪ ﻃﺮح )ﭘﺮوﭘﻮزال( ﻧﻮﺷﺘﻪ ﺷﻮد‪،‬اﻳﻦ ﻗـﺴﻤﺖ‬
‫ﻣﺎﻧﻨﺪ ﭘﺮﺳﺸﻨﺎﻣﻪ اوﻟﻴﻪ ﻃﺮح ﺑﺎﻳﺪ واﺟﺪ اﻫﺪاف اﺻﻠﻲ ‪،‬اﻫﺪاف ﻓﺮﻋﻲ ‪،‬اﻫـﺪاف ﻛـﺎرﺑﺮدي و ﻓﺮﺿـﻴﺎت اوﻟﻴـﻪ‬
‫ﺑﺎﺷﺪ‬
‫‪ -5‬واژهﻫﺎي ﻛﻠﻴﺪي وﻣﺘﻐﻴﺮﻫﺎﻳﻲ را ﻛﻪ ﻣﺠﺮي ﻗـﺼﺪ اﻧـﺪازه ﮔﻴـﺮي آﻧﻬـﺎ را دارد ﺑـﻪ ﺻـﻮرت‬
‫ﻧﻈﺮي و ﻋﻤﻠﻴﺎﺗﻲ ﺗﻌﺮﻳﻒ ﺷﻮﻧﺪ‪.‬‬
‫‪ -6‬راﻫﺒﺮد ﭘﮋوﻫﺶ‪ :‬ﺑﺮﻧﺎﻣﻪﻫﺎ و ﺷﻴﻮهﻫﺎي ﺑﻜﺎر رﻓﺘﻪ در ﺗﺤﻘﻴﻖ ﺗﻮﺿﻴﺢ داده ﻣﻲ ﺷﻮﻧﺪ‪.‬‬
‫ﻓﺼﻞ دوم‪ :‬ﻣﺮور ﻣﻨﺎﺑﻊ و ﭘﻴﺸﻴﻨﻪ ﺗﺤﻘﻴﻖ‬
‫در اﻳﻦ ﻗﺴﻤﺖ ﺑﺎﻳﺪ ﺑﻪ ﮔﺴﺘﺮه و زﻣﻴﻨـﻪ ﻣﻮﺿـﻮع و ﻃـﺮح دﻳـﺪﮔﺎﻫﻬﺎي ﻛﻠـﻲ در ﻣـﻮرد ﺑﻨﻴﺎدﻫـﺎي ﻣﻮﺿـﻮع‬
‫ﭘﺮداﺧﺘﻪ ﺷﻮد‪.‬‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫اﻳﻦ ﺑﺨﺶ ﺑﺎﻳﺪ ﺑﻄﻮر واﺿﺢ ﺷﺎﻣﻞ اﻳﻦ اﺟﺰا ﺑﺎﺷﺪ‪:‬‬
‫‪ -1‬ﻣﺮور ﺑﺮ ﻧﻈﺮﻳﻪﻫﺎي ﻣﻮﺟﻮد‬
‫‪ -2‬ﻣﺮور ﺑﺮ ﺗﺤﻘﻴﻖﻫﺎﻳﻲ ﻛﻪ ﻧﻈﺮﻳﻪﻫﺎي ﻗﺒﻠﻲ را ﺗﺄﻳﻴﺪ ﻳﺎ رد ﻣﻲﻛﻨﻨﺪ‪ ،‬در اﻳﻦ ﻣﺮور ﺑﺎﻳﺪ اﺷﺎره ﻛﺎﻓﻲ‬
‫ﺑﻪ روش ﻣﻄﺎﻟﻌﺎت ﻣﺰﺑﻮر و ﻧﻘﺪ آﻧﻬﺎ ﺻﻮرت ﮔﻴﺮد ﺗﺎ زﻣﻴﻨﻪ را ﺑﺮاي ﻗﺴﻤﺖ ﺑﻌﺪي آﻣﺎده ﺳﺎزد‪.‬‬
‫‪ -3‬ﻃﺮح ﭼﺎرﭼﻮب ﻧﻈﺮي ﺗﺤﻘﻴﻖ ﺑﺮ ﭘﺎﻳـﻪ دو ﻗـﺴﻤﺖ ﻗﺒﻠـﻲ ﺑـﻪ ﮔﻮﻧـﻪاي ﻛـﻪ ﺷـﺒﻜﻪ ارﺗﺒـﺎﻃﻲ‬
‫ﺟﺪﻳﺪي ﻃﺮح ﺷﻮد ﻛﻪ ﻧﻘﺎط ﺿﻌﻒ ﺷﺒﻜﻪﻫﺎي ارﺗﺒﺎﻃﻲ ﻣﺒﺘﻨﻲ ﺑﺮ ﻧﻈﺮﻳﻪﻫﺎي ﻗﺒﻠﻲ را در ﺑﺮﻧﺪاﺷﺘﻪ‬
‫ﺑﺎﺷﺪ‪ .‬ﺑﺪﻳﻬﻲ اﺳﺖ اﻳﻦ ﭼﺎرﭼﻮب ﻫﻨﻮز ﺑﻪ ﻣﺤﻚ ﺗﺠﺮﺑﻪ )ﺗﺤﻘﻴﻖ ﺣﺎﺿﺮ( در ﻧﻴﺎﻣﺪه و ﺗﺤﻘﻴﻖ ﺣﺎﺿﺮ اﺳﺎﺳﺎً‬
‫ﺑﻪ ﻗﺼﺪ ﭘﺎﺳﺦ ﮔﻮﻳﻲ ﺑﻪ ﺳﺆاﻟﻬﺎي ﻣﻄﺮح در اﻳﻦ ﭼﺎرﭼﻮب ﻳﺎ آزﻣﻮدن ﻓﺮﺿـﻴﻪﻫـﺎي ﺑﺮﺧﺎﺳـﺘﻪ از آن اﻧﺠـﺎم‬
‫ﻣﻲ ﺷﻮد‪.‬‬
‫ﻓﺼﻞ ﺳﻮم‪ :‬روش ﺗﺤﻘﻴﻖ‬
‫‪ -1‬ﻧﻮع ﻣﻄﺎﻟﻌﻪ‬
‫‪-2‬ﺟﺎﻣﻌﻪ ﺗﺤﻘﻴﻖ )ﻣﻨﻈﻮر ﮔﺮوﻫﻲ اﺳﺖ ﻛﻪ ﻣﻮرد ﻣﻄﺎﻟﻌﻪ ﻗﺮار ﮔﺮﻓﺘﻪ وﺟﻤﻌﻴﺖ ﻧﻤﻮﻧﻪ از ﺑﻴﻦ آﻧﻬﺎ اﻧﺘﺨﺎب‬
‫ﺧﻮاﻫﺪ ﺷﺪ(‬
‫‪ -3‬ﻧﻤﻮﻧﻪ ﺗﺤﻘﻴﻖ و روش ﻧﻤﻮﻧﻪﮔﻴﺮي ﻛﻪ ﺑﺎﻳﺪ ﻧﻤﻮﻧﻪ اي ﻫﺮﭼﻪ ﻣﻌﺮﻓﺘﺮ از ﺟﺎﻣﻌﻪ ﻣﻮردﻣﻄﺎﻟﻌﻪ ﺑـﻪ دﺳـﺖ‬
‫دﻫﺪ‪ .‬ﺑﺎ ﻣﻄﺎﻟﻌﻪ اﻳﻦ ﺑﺨﺶ ﺧﻮاﻧﻨﺪه ﻣﻲ ﺗﻮاﻧﺪ درﺟﻪ ﺗﻌﻤﻴﻢ ﭘﺬﻳﺮي ﻧﺘﺎﻳﺞ درﺟﺎﻣﻌﻪ را درﻳﺎﺑﺪ‪.‬‬
‫‪ -4‬اﺑﺰار و روش ﺟﻤﻊآوري اﻃﻼﻋﺎت‪ :‬در ﮔﺰارش ﺗﺤﻘﻴـﻖ ﺑﺎﻳـﺪ ﻣـﻮاد آﻣﻮزﺷـﻲ‪ ،‬اﺑـﺰار ﻳـﺎ اﺑﺰارﻫـﺎي‬
‫ﻋﺮﺿﻪ ﺷﺪه ﺑﻪ آزﻣﻮدﻧﻲ ﺗﻌﺮﻳﻒ ﺷﻮﻧﺪ و در ﻣﻮرد ﻫﺮ اﺑﺰاري ﻣﻮارد زﻳﺮ ﻣﻌﻠﻮم ﺷﻮد‪:‬‬
‫• ﻧﺎم ﻛﺎﻣﻞ اﺑﺰار و ﻧﺎم ﻛﺴﺎﻧﻲ ﻛﻪ ﺑﺮاي اوﻟﻴﻦ ﺑﺎر اﺑﺰار را اﺳـﺘﺎﻧﺪارد ﻛـﺮده اﻧـﺪ )ﻧـﺎم ﻓﺎرﺳـﻲ در‬
‫ﮔﻴﻮﻣﻪ و ﻧﺎم اﻧﮕﻠﻴﺴﻲ ﺑﺎ ﺣﺮوف ﺑﺰرگ ﺷﺮوع ﺷﻮد(‬
‫• ﺟﻤﻌﻴﺖ )ﻣﻨﻈﻮر ﺟﻤﻌﻴﺖ ﻳﺎ ﺟﻤﻌﻴﺖﻫﺎﻳﻲ اﺳﺖ ﻛﻪ اﺑﺰار در ﻣﻮرد آﻧﻬﺎ اﺳﺘﺎﻧﺪارد ﺷﺪه اﺳﺖ‬
‫• ﻫﺪﻓﻬﺎي آزﻣﻮن )ﻣﻨﻈﻮر ﺻﻔﺖ ﻣﻜﻨﻮﻧﻲ اﺳﺖ ﻛﻪ آزﻣﻮن ﻣﻲ ﺳﻨﺠﺪ(‬
‫• ﺗﻮﺻﻴﻒ آزﻣﻮن‪ ،‬ﻣﻮاد آزﻣﻮن و ﻃﺮز ﻧﻤﺮه ﮔﺬاري‬
‫• ﺧــﻮاص روان ﺳــﻨﺠﺎﻧﻪ آزﻣــﻮن )ﭘﺎﻳــﺎﻳﻲ‪ ،‬رواﻳــﻲ‪ ،‬ﺣــﺴﺎﺳﻴﺖ‪ ،‬اﺧﺘــﺼﺎﺻﻴﺖ‪ ،‬ﺳــﺎﺧﺖ ﻋــﺎﻣﻠﻲ‬
‫آزﻣﻮن‪ ،‬و ﻧﻈﺎﻳﺮ آﻧﻬﺎ(‬
‫• زﻣﺎن ﻻزم ﺑﺮاي اﺟﺮاي آزﻣﻮن‬
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‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
‫‪ -5‬ﺗﻮﺿﻴﺢ دﻫﻴﺪ ﻛﻪ از ﭼﻪ روش ﻣﺤﺎﺳﺒﺎﺗﻲ اﺳﺘﻔﺎده ﺷﺪه و ﺷـﻴﻮهﻫـﺎي ﺟﻤـﻊ آوري دادهﻫـﺎ‬
‫ﺗﺸﺮﻳﺢ ﮔﺮدد‪.‬‬
‫‪ -6‬ﺷﺮح ﻣﺮاﺣﻞ اﺟﺮا و زﻣﺎن آزﻣﻮن ﺷﺪن ﻧﻤﻮﻧﻪﻫﺎ‬
‫‪ -7‬روش ﺗﺤﻠﻴﻞ اﻃﻼﻋﺎت ذﻛﺮ ﺷﻮد )ﻧﺮم اﻓﺰار ﻣﻮرد اﺳﺘﻔﺎده‪ ،‬ﻧﻮع ﺑﺮرﺳﻲ آﻣـﺎري و ﻧـﺎم آزﻣـﻮنﻫـﺎي‬
‫آﻣﺎري اﻧﺠﺎم ﺷﺪه ﺑﺮاي ﻫﺮ ﻣﺘﻐﻴﺮ‬
‫ﻓﺼﻞ ﭼﻬﺎرم‪ :‬ﻳﺎﻓﺘﻪﻫﺎي ﺗﺤﻘﻴﻖ‬
‫‪ -1‬ﻧﺘﺎﻳﺞ ﺗﺤﻘﻴـﻖ ﺧـﻮد را ﺑﺮﭘﺎﻳـﻪ ﺳـﻮاﻻت و ﻓﺮﺿـﻴﺎت ﺗﻮﺿـﻴﺢ دﻫﻴـﺪ و در ﻗـﺴﻤﺖ ﻓﺮﺿـﻴﺎت ﺑـﻪ دﻗـﺖ‬
‫آزﻣﻮﻧﻬﺎي آﻣﺎري را ﺷﺮح دﻫﻴﺪ‪.‬‬
‫‪ -2‬از ﻣﺘﻦ‪ ،‬ﺷﻜﻞ‪ ،‬ﻧﻤﻮدار و ﺟﺪول اﺳﺘﻔﺎده ﻛﻨﻴﺪ‬
‫‪ -3‬ﻣﺘﻦ ﻧﺒﺎﻳﺪ ﺗﻜﺮار اﻃﻼﻋﺎت داده ﺷﺪه در ﺟﺪول و ﻧﻤﻮدارﻫﺎ ﺑﺎﺷﺪ‪.‬‬
‫‪ -4‬ﺟﺪاول و ﻧﻤﻮدارﻫﺎ ﻧﻴﺰ ﻧﺒﺎﻳﺪ ﺗﻜﺮار اﻃﻼﻋﺎت داده ﺷﺪه در ﻣﺘﻦ ﺑﺎﺷﻨﺪ‪،‬ﻧﺎم ﺟﺪول ﺑﻪ ﺻﻮرت ﻛﺎﻣـﻞ در‬
‫ﺑﺎﻻي ﺟﺪول و ﻧﺎم ﻧﻤﻮدار ﺑﻪ ﺻـﻮرت ﻛﺎﻣـﻞ در ﭘـﺎﻳﻴﻦ آن ﻧﻮﺷـﺘﻪ ﺷـﻮد‪ .‬ﺗﻤـﺎﻣﻲ ﺟـﺪاول‪ ،‬ﻧﻤﻮدارﻫـﺎ‪،‬‬
‫اﺷﻜﺎل و ﺗﺼﺎوﻳﺮ ﺑﺎ ﺷﻤﺎره ﻣﺸﺨﺺ ﺷﻮﻧﺪ‪ .‬ﺟﺪاول ﺑﺎﻳﺪ ﺗﻮﺿﻴﺢ داﺷﺘﻪ ﺑﺎﺷﻨﺪ‪.‬‬
‫‪ -5‬ﻋﻨﻮان ﺟﺪاول و اﺷﻜﺎل ﺑﺎﻳﺪ ﺑﻪ ﺟﺪول ﻳﺎ ﺷﻜﻞ اﺳﺘﻘﻼل ﻛﺎﻣﻞ ﺑﺒﺨﺸﺪ‪ .‬ﺑﻪ ﻋﺒﺎرت دﻳﮕﺮ ﺑﺎﻳﺪ ﺑـﻪ ﺣـﺪي‬
‫ﻛﺎﻣﻞ ﺑﺎﺷﺪ ﻛﻪ ﺧﻮاﻧﻨﺪه ﻗﺎدر ﺑﺎﺷﺪ‪ ،‬ﺑﺪون ﻣﺮاﺟﻌﻪ ﺑﻪ ﻣﺘﻦ ﻣﻔﻬﻮم آﻧﻬﺎ را درك ﻛﻨﺪ‬
‫‪ -6‬ﭼﻨﺎﻧﭽﻪ از ﺟﺪول‪ ،‬ﻧﻤﻮدار‪ ،‬ﺷﻜﻞ ﻳﺎ ﺗﺼﻮﻳﺮي اﺳﺘﻔﺎده ﻣﻲ ﻛﻨﻴﺪ‪ ،‬ﻣﻨﺒﻊ آن را ذﻛﺮ ﻛﻨﻴﺪ‬
‫‪ -7‬ﺟﺪاول ﺑﺎﻳﺪ ﺣﺪاﻗﻞ داراي دو ﺳﺘﻮن ﺑﺎﺷﻨﺪ‪ .‬ﻫﺮ ﺳﺘﻮن ﻫﻤﻴﺸﻪ ﺑﺎﻳﺪ داراي ﻋﻨﻮان ﺑﺎﺷﺪ‪.‬‬
‫‪ -8‬در ﻧﻤﻮدارﻫﺎ ﻣﺤﻮرﻫﺎ ﻣﺸﺨﺺ ﺷﻮﻧﺪ‪.‬‬
‫ﻓﺼﻞ ﭘﻨﺠﻢ‪ :‬ﺑﺤﺚ و ﻧﺘﻴﺠﻪﮔﻴﺮي‬
‫اﻳﻦ ﺑﺨﺶ ﺑﻪ ﺑﺤﺚ و ﻧﺘﻴﺠﻪﮔﻴﺮي در ﻣﻮرد ﻳﺎﻓﺘﻪﻫﺎي ﺗﺤﻘﻴﻖ ﻣﻲ ﭘﺮدازد ﻛﻪ ﻧﺒﺎﻳﺪ ﺗﻜﺮار ﻓﺼﻞ ﻧﺘﺎﻳﺞ ﺑﺎﺷﺪ‬
‫‪ -1‬ﺑﺎﺗﻮﺟﻪ ﺑﻪ ﻓﺼﻞ دوم ﻛﻪ اراﻳﻪ ﻳﻚ ﻣﺪل اﺳﺖ‪ ،‬ﺑﺨﺶﻫﺎﻳﻲ از ﻣﺪل ذﻛﺮ ﺷﻮد ﻛﻪ ﺗﺄﻳﻴﺪ ﺷﺪه اﻧﺪ‪.‬‬
‫‪ -2‬ﻣﺪل ﺟﺪﻳﺪرا ﺑﺎ ﻣﺪلﻫﺎي ﻗﺪﻳﻤﻲ ﻣﻘﺎﻳﺴﻪ ﻛﻨﻴﺪ‬
‫‪ -3‬ﻧﻘﺎط ﻗﻮت و ﺿﻌﻒ ﺗﺤﻘﻴﻖ را ذﻛﺮ ﻛﻨﻴﺪ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫‪ -4‬ﺑﻪ ﻣﺤﺪودﻳﺖﻫﺎ‪ ،‬ﭘﻴﺎﻣﺪ و ﻛﺎرﺑﺮد ﻳﺎﻓﺘﻪﻫﺎي ﻣﻄﺎﻟﻌﻪ اﺷﺎره ﻧﻤﺎﻳﻴﺪ )از ﺟﻤﻠﻪ ﻛﺎرﺑﺮد وﭘﻴﺎﻣﺪﻫﺎي ﻣﻄﺎﻟﻌﻪ در‬
‫آﻳﻨﺪه(‬
‫‪ -5‬ﭘﻴﺸﻨﻬﺎد)ﭘﮋوﻫﺸﻲ و اﺟﺮاﻳﻲ( دﻫﻴﺪ‬
‫•‬
‫ﭘﻴﺸﻨﻬﺎد ﭘﮋوﻫﺸﻲ‪:‬‬
‫در اﻳﻦ ﻗﺴﻤﺖ آﻣﻮﺧﺘﻪﻫﺎ و دﻳﺪﮔﺎه ﺧﻮد را ﻧﺴﺒﺖ ﺑﻪ اﻳﻦ ﭘﺮوژه اﻋﻼم ﻛﺮده و ﻣﻬﻤﺘﺮﻳﻦ ﻧﺘﻴﺠﻪ اي را ﻛﻪ از‬
‫اﻳﻦ ﭘﺮوژه ﮔﺮﻓﺘﻪ اﻳﺪ‪ ،‬ﺗﻮﺿﻴﺢ دﻫﻴﺪ و اﮔﺮ ﺷﻤﺎ ﻣﻲ ﺧﻮاﺳﺘﻴﺪ دوﺑﺎره ﻫﻤـﻴﻦ ﭘـﺮوژه را ﭘﻴـﺸﻨﻬﺎد ﻛﻨﻴـﺪ‪ ،‬ﭼـﻪ‬
‫ﺗﻐﻴﻴﺮاﺗﻲ در آن ﻣﻲ دادﻳﺪ‪.‬‬
‫•‬
‫ﭘﻴﺸﻨﻬﺎد اﺟﺮاﻳﻲ)اﺧﺘﻴﺎري(‪:‬‬
‫در اداﻣﻪ ﺑﺎ ﺗﻮﺟـﻪ ﺑـﻪ ﻧﺘـﺎﻳﺞ ﺑـﻪ دﺳـﺖ آﻣـﺪه از ﻃـﺮح ﭘﻴـﺸﻨﻬﺎد ﺧـﻮد را ﺑـﺮاي اداﻣـﻪ ﻓﺮآﻳﻨـﺪ ﻛـﺎر‪ ،‬اﻧﺠـﺎم‬
‫ﭘﮋوﻫﺶﻫﺎي ﺗﻜﻤﻴﻠﻲ و ﻃﺮاﺣﻲ ﻣﺪاﺧﻼت ﺑﻌﺪي ذﻛﺮ ﻛﻨﻴﺪ‪.‬‬
‫ﻓﻬﺮﺳﺖ ﻣﻨﺎﺑﻊ ﺑﺮ اﺳﺎس ﺷﻴﻮه ﻣﻨﺒﻊ ﻧﻮﻳﺴﻲ ‪:APA‬‬
‫‪ -1‬ﻛﻠﻴﻪ ﻣﻨﺎﺑﻌﻲ را ﻛﻪ ﺑﺮاي ﺗﺪوﻳﻦ ﮔﺰارش ﻧﻬﺎﻳﻲ از آﻧﻬﺎ اﺳﺘﻔﺎده ﻛﺮده اﻳـﺪ‪ ،‬ﻣﻌﺮﻓـﻲ ﻛﻨﻴـﺪ )ﻛﺘـﺎب‪،‬‬
‫ﻣﻘﺎﻟﻪ‪ ،‬وب ﺳﺎﻳﺖ‪ ،‬داده‪ ،‬ﺑﺮﻧﺎﻣﻪ و ﻏﻴﺮه(‬
‫‪ -2‬ارﺗﺒﺎﻃﺎت ﺷﺨﺼﻲ )‪ (Personal Communication‬و آﺛﺎر زﻳﺮ ﭼﺎپ ‪(Work Submitted‬‬
‫‪ (for Publication‬را در ﻓﻬﺮﺳﺖ ﻣﻨﺎﺑﻊ درج ﻧﻜﻨﻴﺪ و ﻓﻘﻂ در داﺧﻞ ﭘﺮاﻧﺘﺰ در ﻣﺘﻦ ﺑﻪ آﻧﻬﺎ اﺷﺎره‬
‫ﻛﻨﻴﺪ‪.‬‬
‫‪ -3‬ﻓﻘـــﻂ آن دﺳـــﺘﻪ از ﻣﻨـــﺎﺑﻊ را در ﻓﻬﺮﺳـــﺖ ﻣﻨـــﺎﺑﻊ ﺑﮕﻨﺠﺎﻧﻴـــﺪ ﻛـــﻪ در ﻣـــﺘﻦ ﺑـــﻪ آﻧﻬـــﺎ اﺷـــﺎره‬
‫ﻛﺮده اﻳﺪ و ﺑﺎﻟﻌﻜﺲ‪ ،‬اﻃﻤﻴﻨﺎن ﺣﺎﺻﻞ ﻛﻨﻴﺪ ﻛﻪ ﻣﻨﺎﺑﻌﻲ ﻛﻪ در ﻣﺘﻦ ﺑـﻪ آﻧﻬـﺎ اﺷـﺎره ﻛـﺮده اﻳـﺪ‪ .‬در‬
‫ﻓﻬﺮﺳﺖ ﻣﻨﺎﺑﻊ ﮔﻨﺠﺎﻧﺪه اﻳﺪ‪.‬‬
‫‪ -4‬ﻛﻠﻴﻪ ﻣﻨﺎﺑﻌﻲ ﻛﻪ ﻣﻮرد اﺳﺘﻔﺎده ﻗﺮار داده اﻳﺪ‪ ،‬ﺑﺎﻳﺪ از اﺻﻞ ﻣﻨﺒﻊ ﻧﻘﻞ ﻗﻮل ﺷﺪه ﺑﺎﺷﻨﺪ و در ﻓﻬﺮﺳـﺖ‬
‫ﻣﻨﺎﺑﻊ ﺑﻪ ﻣﻨﺒﻊ اﺻﻠﻲ اﺷﺎره ﻛﻨﻴﺪ‪) .‬ﺑﻪ ﻃﻮر ﻣﺜﺎل‪ 1998 Katzung :‬ﺑﻪ ﻧﻘﻞ از ‪(1995 Pits et al,‬‬
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‫‪ -5‬در ﺳﺮﺗﺎﺳﺮ ﻣﺘﻦ ﻫﺮ ﺟﺎ ﻛﻪ از ﻛﺘﺎب‪ ،‬ﻣﻘﺎﻟﻪ‪ ،‬ﮔﺰارش ﺗﺤﻘﻴﻘـﻲ ﻳـﺎ ﭘﺎﻳـﺎن ﻧﺎﻣـﻪ اي اﺳـﺘﻔﺎده ﻛﺮدﻳـﺪ‪،‬‬
‫ﻫﻤﺎﻧﺠﺎ ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﻮﻟﻒ‪ ،‬ﺳﺎل اﻧﺘﺸﺎر اﺛﺮ و ﺷﻤﺎره ﺻﻔﺤﻪ را در ﭘﺮاﻧﺘﺰ ﺑﻨﻮﻳـﺴﻴﺪ‪ .‬ﺑـﺮاي ﻣﺜـﺎل )‬
‫دادﮔﺮان‪ (49: 1381،‬و) ﮔﻴـﺪﻧﺰ‪ (119 :1380 ،‬و ﺑـﺮاي ﻣﻨـﺎﺑﻊ اﻧﮕﻠﻴـﺴﻲ‪ (Beker , 2001:6 ) :‬و‬
‫)‪ .(Ritzer, 1988:22‬آﻧﮕﺎه در ﻓﻬﺮﺳﺖ ﻣﻨﺎﺑﻊ‪ ،‬ﻣﻨﺎﺑﻊ ﻫﺮ زﺑﺎن را ﺑﻪ ﺗﺮﺗﻴﺐ ﺣﺮوف اﻟﻔﺒﺎﻳﻲ ﺷـﺎﻣﻞ‬
‫ﻧﺎم وﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﻮﻟﻔﺎن و ﺳﺎل اﻧﺘﺸﺎر آﻧﻬﺎ ﺑﺮاي ﻫﺮ ﻣﻮﻟﻒ ﻣﺮﺗﺐ ﻛﺮده و ﻣﺸﺨﺼﺎت ﻛﺎﻣﻞ ﻫﺮ‬
‫ﻣﻨﺒﻊ را ﺑﻪ ﺻﻮرت زﻳﺮ ﺑﻨﻮﻳﺴﻴﺪ ‪:‬‬
‫اﻟﻒ( ﻣﻨﺎﺑﻊ ﻓﺎرﺳﻲ‪:‬‬
‫‪ -1‬دادﮔﺮان‪ ،‬ﺳﻴﺪ ﻣﺤﻤﺪ‪ .(1381) .‬ﻣﺒﺎﻧﻲ ارﺗﺒﺎﻃﺎت ﺟﻤﻌﻲ‪ .‬ﺗﻬﺮان‪ :‬اﻧﺘﺸﺎرات ﻓﻴﺮوزه‪.‬‬
‫‪ -2‬ﮔﻴﺪﻧﺰ‪ ،‬آﻧﺘﻮﻧﻲ‪ .(1380) .‬ﺟﻬﺎﻧﻲ ﺷﺪن‪ :‬ﻧﻴﺮوﻳﻲ ﻏﻴﺮ ﻗﺎﺑﻞ ﻣﻘﺎوﻣﺖ‪ .‬ﺗﺮﺟﻤﻪ اﺑﺮاﻫﻴﻢ ﺣﻘﻴﻘﻲ‪ ،‬ﻓﺼﻠﻨﺎﻣﻪ‬
‫ﭘﮋوﻫﺶ و ﺳﻨﺠﺶ‪ .‬ﺷﻤﺎره ‪ ، 25‬ﺑﻬﺎر ‪.1380‬‬
‫ب( ﻣﻨﺎﺑﻊ اﻧﮕﻠﻴﺴﻲ‪:‬‬
‫‪1-Beker ̦ T. (2001). Doing Social Research.London:McGraw –Hill.‬‬
‫‪2-Riter ̦ G .(1988). Sociological Theory. New York : Alfred.A. Knopf. Inc.‬‬
‫ﺿﻤﺎﻳﻢ ‪:‬‬
‫در اﻳﻦ ﺑﺨﺶ ﻳﻚ ﻧـﺴﺨﻪ از ﭘﺮﺳﺸﻨﺎﻣﻪﻫﺎ‪،‬ﻧﻤﻮﻧﻪ رﺿﺎﻳﺖ ﻧﺎﻣﻪ از آزﻣﻮدﻧﻲ‪ ،‬ﺗﺼﻮﻳﺮ ﮔﻮاﻫﻲ اﺧﺬ‬
‫ﺷﺪه ازﻛﻤﻴﺘﻪ اﺧﻼق در ﭘﮋوﻫﺶ و ﻫﺮ ﮔﻮﻧﻪ ﻣﺤﺼﻮﻟﻲ ﻣﺎﻧﻨﺪ ﻛﺘﺎب‪ ،‬ﻓﻴﻠﻢ‪ ،‬اﺳﻼﻳﺪ و ﻏﻴﺮه ﻛﻪ از‬
‫اﻳﻦ ﭘﺮوژه ﺑﻪ دﺳﺖ آﻣﺪه را ﺿﻤﻴﻤﻪ ﻛﻨﻴﺪ‪.‬‬
‫ﭼﻜﻴﺪه اﻧﮕﻠﻴﺴﻲ‪:‬‬
‫در اﻳﻦ ﺑﺨﺶ ﭼﻜﻴﺪه ﮔﺰارش ﻧﻬﺎﻳﻲ را ﺑﻪ زﺑﺎن اﻧﮕﻠﻴﺴﻲ ﺣﺘﻤﺎ ﺑﺎ ذﻛﺮ ﻋﻨﻮان‪ ،‬ﻧﺎم ﻣﺠﺮي و ﻛﻠﻴﺪ‬
‫واژه اﻧﮕﻠﻴﺴﻲ وﺣﺪاﻛﺜﺮدر ‪ 250‬ﻛﻠﻤﻪ ﻗﺮار دﻫﻴﺪ‬
‫ﺧﺒﺮﻧﺎﻣﻪ ﭘﮋوﻫﺸﻲ‬
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‫ﺻﻔﺤﻪ آﺧﺮ‪) :‬ﺑﺮﮔﺮدان ﻻﺗﻴﻦ ﺻﻔﺤﻪ اول(‬
‫‪ .1‬ﻧﺸـﺎن و ﻋﻨﻮان داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ در ﺑﺎﻻ و وﺳﻂ ﺻـﻔﺤﻪ )در ﺻـﻮرﺗﻲ‬
‫ﻛﻪ ﻃﺮح ﭘﻴﺸﻨﻬﺎدي از ﺳﻮي ﺳﺎزﻣﺎن داﻧﺸﮕﺎه ﻳﺎ ﻧﻬﺎد ﺧﺎﺻﻲ ﺑﺎﺷﺪ‪ ،‬ذﻛﺮ ﻧـﺎم و ﻧـﺸﺎن آن ﻧﻴـﺰ ﺑـﺎ‬
‫ﻫﻤﺎﻫﻨﮕﻲ داﻧﺸﮕﺎه ﻋﻠﻮم ﺑﻬﺰﻳﺴﺘﻲ و ﺗﻮاﻧﺒﺨﺸﻲ ﺑﺮ روي ﺟﻠﺪ اﻟﺰاﻣﻲ اﺳﺖ(‬
‫‪ .2‬درج ﻋﺒﺎرت »ﮔﺰارش ﻧﻬﺎﻳﻲ ﺗﺤﻘﻴﻖ«‬
‫‪ .3‬درج ﻋﻨﻮان ﻛﺎﻣﻞ ﻃﺮح ﻣﻨﻄﺒﻖ ﺑﺎ ﻗﺮارداد ﭘﮋوﻫﺸﻲ‬
‫‪ .4‬ﻧﺎم و ﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻣﺠﺮي اﺻﻠﻲ ﻳﺎ ﻣﺠﺮﻳﺎن‬
‫‪ .5‬ﻧﺎم وﻧﺎم ﺧﺎﻧﻮادﮔﻲ ﻫﻤﻜﺎران اﺻﻠﻲ ﻃﺮح ﺑﻪ ﺗﺮﺗﻴـﺐ ﻣـﺸﺎرﻛﺖ ﻣﻨﻄﺒـﻖ ﺑـﺎ ﭘﺮوﭘـﻮزال‬
‫ﭘﮋوﻫﺸﻲ ﺗﺎﻳﻴﺪ ﺷﺪه‬
‫‪ .6‬ﺳﺎل و ﻣﺎه اﺟﺮاي ﻃﺮح‬
‫‪ .7‬ﺳﺎل و ﻣﺎه اراﺋﻪ ﮔﺰارش ﻧﻬﺎﻳﻲ‬
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‫راﻫﻨﻤﺎي ﻧﮕﺎرش ﭼﻜﻴﺪه ﻣﻘﺎﻟﻪ‬
‫ﭼﻜﻴﺪه ﻣﻘﺎﻟﻪ ﺑﺎﻳﺪ داراي ﺑﺨﺶﻫﺎي زﻳﺮ ﺑﺎﺷﺪ‪:‬‬
‫ﻋﻨــﻮان‪ ،‬ﻧــﺎم و ﻧــﺎم ﺧــﺎﻧﻮادﮔﻲ ﻧﻮﻳ ـﺴﻨﺪه‪ ،‬ﻳ ـﺎ ﻧﻮﻳ ـﺴﻨﺪﮔﺎن )اﺳــﻢ اراﺋــﻪ ﻛﻨﻨــﺪه ﺑــﺎ ﻋﻼﻣــﺖ٭ ﻣــﺸﺨﺺ‬
‫ﺷﻮد(‪ ،‬ﺳﺎزﻣﺎن ﻣﺘﺒﻮع )ﻧﺎم و ﻧﺸﺎﻧﻲ ﺳﺎزﻣﺎن ﻳﺎ داﻧﺸﮕﺎﻫﻲ ﻛـﻪ ﭘـﮋوﻫﺶ در آن اﻧﺠـﺎم ﮔﺮﻓﺘـﻪ اﺳـﺖ(‪ ،‬ﻣـﺘﻦ‬
‫اﺻﻠﻲ ﺷﺎﻣﻞ‪ :‬زﻣﻴﻨﻪ و ﻫﺪف‪ ،‬روش ﻣﻄﺎﻟﻌﻪ‪ ،‬ﻳﺎﻓﺘﻪﻫﺎ‪ ،‬ﺑﺤﺚ و ﻧﺘﻴﺠﻪﮔﻴﺮي و ﺳﻪ ﺗﺎ ﻫﻔﺖ ﻛﻠﻤﻪ ﻛﻠﻴﺪي‬
‫Š ﺧﻼﺻﻪ ﻣﻘﺎﻟﻪ ﺑﺎﻳﺪ از ﺗﺤﻘﻴﻘﺎﺗﻲ ﻛﻪ در زﻣﺎن ارﺳﺎل‪ ،‬ﻧﺘﺎﻳﺞ آﻧﻬﺎ ﻛﺎﻣـﻞ ﺷـﺪه اﺳـﺖ ﺗﻬﻴـﻪ ﺷـﻮد )از ذﻛـﺮ‬
‫ﺟﻤﻼﺗﻲ ﻣﺎﻧﻨﺪ ﻧﺘﺎﻳﺞ ﺑﻌﺪاً اﻋﻼم ﻣﻲ ﺷﻮد ﺧﻮدداري ﺷﻮد(‪.‬‬
‫Š ﭼﻜﻴﺪه ﻣﻘﺎﻟﻪ ﺑﻪ زﺑﺎن ﻓﺎرﺳﻲ و ﺣﺪاﻛﺜﺮ در ‪ 320‬ﻛﻠﻤﻪ )ﺑﺪون اﺣﺘﺴﺎب ﻋﻨﻮان ﻣﻘﺎﻟـﻪ‪ ،‬ﻧـﺎم ﻧﻮﻳـﺴﻨﺪﮔﺎن و‬
‫آدرس و ﺑﺎ اﺣﺘﺴﺎب ﺣﺮوف رﺑﻂ و اﺿﺎﻓﻪ ﺑﻪ ﻋﻨـﻮان ﻛﻠﻤـﻪ ﻣـﺴﺘﻘﻞ( ﺑـﺮروي وب ﺳـﺎﻳﺖ ﻛﻨﮕـﺮه در‬
‫ﺑﺨﺶ ارﺳﺎل ﺧﻼﺻﻪ ﻣﻘﺎﻟﻪ ﺗﺎﻳﭗ ﺷﻮد‪.‬‬
‫Š در ﺻﻮرﺗﻲ ﻛﻪ ﻣﻘﺎﻟﻪ ﻳﺎ ﻗﺴﻤﺘﻲ از آن در ﻛﻨﮕﺮهﻫﺎي دﻳﮕﺮ اراﻳﻪ ﺷﺪه اﺳﺖ ﻟﻄﻔﺎً ﻋﻨﻮان‪ ،‬ﺗﺎرﻳﺦ و ﻣﻜـﺎن‬
‫ﺑﺮﮔﺰاري ﻛﻨﮕﺮه ﻣﺰﺑﻮر را ذﻛﺮ ﻓﺮﻣﺎﻳﻴﺪ‪.‬‬
‫راﻫﻨﻤﺎي ﺗﻬﻴﻪ ﭘﻮﺳﺘﺮ‪:‬‬
‫‪ -1‬اﺑﻌﺎد ﭘﻮﺳﺘﺮ ﺑﺎﻳﺪ ‪) 85‬ارﺗﻔﺎع( در ‪) 70‬ﻋﺮض( ﺳﺎﻧﺘﻴﻤﺘﺮ ﺑﺎﺷﺪ‪) .‬ارﺗﻔﺎع ﻣﺤﻞ ﻧﺼﺐ ﭘﻮﺳـﺘﺮﻫﺎ ‪ 90‬ﺳـﺎﻧﺖ‬
‫ﺑﻮده و اﻣﻜﺎن ﻧﺼﺐ ﭘﻮﺳﺘﺮﻫﺎي ﺑﺰرﮔﺘﺮ ﻧﻴﺴﺖ(‪.‬‬
‫‪ -2‬ﺟﻨﺲ ﭘﻮﺳﺘﺮ ﺑﻬﺘﺮ اﺳﺖ ﺑﻪ ﺻﻮرت ﭘﺮﻳﻨﺖ ﻃﻮﻟﻲ ﻫﻤﺮاه ﺑﺎ ﻟﻤﻴﻨﻨﺖ ﺑﺎﺷﺪ‪) .‬از ﺗﻬﻴﻪ ﭘﻮﺳﺘﺮ ﺑﺮ روي ﻛﺎﻏﺬ‬
‫‪ A4‬ﺧﻮدداري ﻓﺮﻣﺎﻳﻴﺪ(‪.‬‬
‫‪ -3‬زﺑﺎن ﭘﻮﺳﺘﺮﻫﺎ ﻓﺎرﺳﻲ اﺳﺖ‪.‬‬
‫‪ -4‬اﺟﺰاي ﭘﻮﺳـﺘﺮ‪ :‬ﭘﻮﺳـﺘﺮ ﺑﺎﻳـﺪ ﺷـﺎﻣﻞ ﺗﻴﺘـﺮ در ﺑـﺎﻻي ﭘﻮﺳـﺘﺮ‪ ،‬ﻧـﺎم ﻛﺎﻣـﻞ ﺗﻤـﺎﻣﻲ ﻧﻮﻳـﺴﻨﺪﮔﺎن و ﻧـﺎم و‬
‫ﻣﺸﺨﺼﺎت ﻣﻮﺳﺴﻪ ﻳﺎ داﻧﺸﮕﺎه ﻣﺮﺑﻮﻃﻪ‪ ،‬ﻧﺎم ﺷﻬﺮ در زﻳﺮ ﺗﻴﺘﺮ )زﻳﺮ ﻧﺎم اراﺋﻪ ﻛﻨﻨﺪه ﺑﺎﻳﺪ ﺧﻂ ﻛـﺸﻴﺪه ﺷـﻮد(‪،‬‬
‫ﻛﺪ اراﺋﻪ ﭘﻮﺳﺘﺮ )اراﺋﻪ ﺷﺪه در ﺳﺎﻳﺖ ﻫﻤﺎﻳﺶ( در ﺑﺎﻻي ﺳﻤﺖ ﭼﭗ ﭘﻮﺳﺘﺮ و ﻣﺘﻦ اﺻﻠﻲ )ﺑﻪ ﻫﻤﺮاه ﺗﺼﻮﻳﺮ‬
‫ﻳﺎ ﻧﻤﻮدار در ﺻﻮرت ﻟﺰوم( ﺑﺎﺷﺪ‪.‬‬
‫‪ -5‬ﻓﻮﻧﺖﻫﺎ‪ :‬ﺑﺎﻳﺪ از ﻓﻮﻧﺖﻫﺎي رﺳﻤﻲ و ﺧﻮاﻧﺎ ﺑﺎ اﻧﺪازه ‪ 70 Point‬ﺑﺮاي ﺗﻴﺘﺮ‪ 40 Point ،‬ﺑﺮاي ﺳﺎب ﺗﻴﺘﺮ و‬
‫ﺣﺪاﻗﻞ ‪ 27 Point‬ﺑﺮاي ﻣﺘﻦ اﺻﻠﻲ اﺳﺘﻔﺎده ﺷﻮد‪ .‬ﺑﻪ ﻛﺎر ﺑﺮدن اﺷﻜﺎل و ﻧﻤﻮدارﻫﺎي ﮔﻮﻳﺎ و ﻛﺎﻫﺶ ﺣﺠـﻢ‬
‫ﻣﺘﻦ در ﭘﻮﺳﺘﺮ ﺗﻮﺻﻴﻪ ﻣﻲ ﺷﻮد‪.‬‬
‫‪ -6‬ﻛﻠﻴﻪ ﭘﻮﺳﺘﺮﻫﺎ ﺑﺎﻳﺪ ﻗﺒﻞ از ﺳﺎﻋﺖ ‪ 7:45‬در روز ﺗﻌﻴﻴﻦ ﺷﺪه در ﻣﺤﻞ ﻣﺸﺨﺺ ﺷﺪه ﻧﺼﺐ ﺷﻮد‪.‬‬
‫‪ -7‬اراﺋﻪ ﻛﻨﻨﺪه ﭘﻮﺳﺘﺮ ﺑﺎﻳﺪ در روز اراﺋﻪ و در زﻣﺎﻧﻬﺎي ﻓﻮاﺻﻞ ﺳﺨﻨﺮاﻧﻲﻫـﺎ در ﻛﻨـﺎر ﭘﻮﺳـﺘﺮ ﺧـﻮد‪ ،‬آﻣـﺎده‬
‫ﭘﺎﺳﺨﮕﻮﻳﻲ ﺑﻪ ﺑﺎزدﻳﺪﻛﻨﻨﺪﮔﺎن ﺑﺎﺷﺪ‪.‬‬