شيوع سردرد در دانش آموزان11 تا 18 ساله ي شهر اصفهان
شيوع سردرد در دانش آموزان11 تا 18 ساله ي شهر اصفهان
شيوع سردرد در دانش آموزان11 تا 18 ساله ي شهر اصفهان
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ﻲﺸﻫوﮋﭘ ﻪﻟﺎﻘﻣ<br />
90/<br />
6/<br />
10 : شﺮﻳﺬﭘ ﺦﻳرﺎﺗ<br />
Email: yaghini@med.mui.ac.ir<br />
90/<br />
3/<br />
25 : ﺖﻓﺎﻳرد ﺦﻳرﺎﺗ<br />
. ﺖﺳا نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد رد 385427 هرﺎﻤﺷ ﻪﺑ <strong>ي</strong>اﻪﻓﺮﺣ<br />
<strong>ي</strong>اﺮﺘﻛد هرود <strong>ي</strong>ﻪﻣﺎﻧنﺎﻳﺎﭘ<br />
ﻞﺻﺎﺣ ﻪﻟﺎﻘﻣ ﻦﻳا *<br />
1<br />
ناﺮﻳا ،نﺎﻬﻔﺻا ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،نﺎﻛدﻮﻛ ﺖﻣﻼﺳ <strong>ي</strong>ﺎﻘﺗرا تﺎﻘﻴﻘﺤﺗ ﺰﻛﺮﻣ ،ﻲﻜﺷﺰﭘ<br />
<strong>ي</strong>هﺪﻜﺸﻧاد<br />
،نﺎﻛدﻮﻛ هوﺮﮔ ،رﺎﻳدﺎﺘﺳا<br />
2<br />
ناﺮﻳا ،نﺎﻬﻔﺻا ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،نﺎﻛدﻮﻛ ﺖﻣﻼﺳ <strong>ي</strong>ﺎﻘﺗرا تﺎﻘﻴﻘﺤﺗ ﺰﻛﺮﻣ ،ﻲﻜﺷﺰﭘ<br />
<strong>ي</strong>هﺪﻜﺸﻧاد<br />
،نﺎﻛدﻮﻛ هوﺮﮔ ،رﺎﻴﺸﻧاد<br />
1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
1390 هﺎﻣ ﺮﻬﻣ لوا ﻪﺘﻔﻫ/<br />
149 هرﺎﻤﺷ/<br />
ﻢﻬﻧ<br />
و ﺖﺴﻴﺑ لﺎﺳ<br />
نﺎﻬﻔﺻا ﺮﻬﺷ <strong>ي</strong>ﻪ<br />
ﻟﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآﺶﻧاد<br />
رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
3<br />
3<br />
2<br />
1<br />
، دار <strong>ي</strong>ﻮﻠﻋ ﻢﻳﺮﻣ ، ﺮﻔﻬﺑ <strong>ي</strong>دﺎﺷ ، نﺎﻳدﻮﻤﺤﻣ نارﻮﺗ ﺮﺘﻛد ، ﻲﻨﻴﻘﻳ ﺪﻴﻣا ﺮﺘﻛد<br />
3<br />
3<br />
ﺎﻳﻮﭘ هرﺎﻬﺑ ، ﻲﻧﺎﺑﺮﻗ ﻪﻴﺿار<br />
هﺪﻴﻜﭼ<br />
<strong>ي</strong>ﻪﻌﻣﺎﺟ<br />
رد صﻮﺼﺧ ﻪﺑ<br />
،نآ<br />
ﺖﻴﻤﻫا و <strong>در</strong>دﺮﺳ عاﻮﻧا <strong>در</strong>ﻮﻣ رد ﻲﻤﻛ تﺎﻌﻟﺎﻄﻣ ﺎﻣا ،ﺖﺳا<br />
ﻲﻧاﻮﺟﻮﻧ و ﻲﻛدﻮﻛ نارود تﺎﻳﺎﻜﺷ ﻦﻳﺮﺗﻊﻳﺎﺷ<br />
زا <strong>در</strong>دﺮﺳ : ﻪﻣﺪﻘﻣ<br />
ﺮﻬﺷ <strong>ي</strong>ﻪﻟﺎﺳ<br />
<strong>18</strong> ﺎﺗ 11 نازﻮﻣآﺶﻧاد<br />
رد نآ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣاﻮﻋ و <strong>در</strong>دﺮﺳ عاﻮﻧا عﻮﻴﺷ ﻦﻴﻴﻌﺗ فﺪﻫ ﺎﺑ ﺮﺿﺎﺣ <strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
. ﺖﺳا هﺪﺷ مﺎﺠﻧا ،ناﺮﻳا<br />
رد نازﻮﻣآﺶﻧاد<br />
. ﺪﺷ مﺎﺠﻧا نﺎﻬﻔﺻا<br />
شور ﻪﺑ <strong>ي</strong>ﺮﻴﮔﻪﻧﻮﻤﻧ<br />
. ﺪﺷ مﺎﺠﻧا ﻪﻟﺎﺳ<br />
<strong>18</strong> ﺎﺗ 11 زﻮﻣآﺶﻧاد<br />
4096 <strong>ي</strong>ور ﺮﺑ نﺎﻬﻔﺻا ﺮﻬﺷ رد 1388 ﺎﺗ 1385 <strong>ي</strong>ﺎﻫلﺎﺳ<br />
ﻦﻴﺑ ﻲﻌﻄﻘﻣ <strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
ﻦﻳا : ﺎﻫشور<br />
و هاﺮﻤﻫ ﻢﻳﻼﻋ ،<strong>در</strong>دﺮﺳ عاﻮﻧا ﻞﻣﺎﺷ تﺎﻋﻼﻃا . ﺖﻓﺮﮔ مﺎﺠﻧا ﻲﻫﺎﮕﺸﻧاد ﺶﻴﭘ و نﺎﺘﺳﺮﻴﺑد ،ﻲﻳﺎﻤﻨﻫار سراﺪﻣ زا <strong>ي</strong>اﻪﻠﺣﺮﻣ<br />
ﻚﻳ <strong>ي</strong>اﻪﺷﻮﺧ<br />
-<strong>ي</strong>اﻪﻘﺒﻃ<br />
-ﻲﻓدﺎﺼﺗ<br />
. ﺪﺷ <strong>ي</strong>روآﻊﻤﺟ<br />
ﻪﻣﺎﻧﺶﺳﺮﭘ<br />
ﻞﻴﻤﻜﺗ و ﻪﺒﺣﺎﺼﻣ ﻖﻳﺮﻃ زا ﻚﺷﺰﭘ ﻪﺑ ﻪﻌﺟاﺮﻣ و <strong>در</strong>دﺮﺳ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣاﻮﻋ<br />
ﻪﺑ ﺖﺒﺴﻧ ﺮﺘﺧد نازﻮﻣآﺶﻧاد<br />
رد . ﺪﻧدﻮﺑ ﻼﺘﺒﻣ <strong>در</strong>دﺮﺳ عاﻮﻧا زا ﻲﻜﻳ ﻪﺑ ( ﺪﺻرد 49/<br />
9)<br />
ﺮﻔﻧ 2047 ،ﻪﻌﻟﺎﻄﻣ <strong>در</strong>ﻮﻣ زﻮﻣآ ﺶﻧاد ﺮﻔﻧ 4096 ﻞﻛ زا : ﺎﻫﻪﺘﻓﺎﻳ<br />
<strong>در</strong>دﺮﺳ و ( P < 0/<br />
01 ،ﺪﺻرد<br />
11/<br />
5 ﻞﺑﺎﻘﻣ رد 27)<br />
ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ ،(<br />
P<br />
< 0/<br />
01 ،ﺪﺻرد<br />
39/<br />
4 ﻞﺑﺎﻘﻣ رد 60/<br />
4)<br />
<strong>در</strong>دﺮﺳ ﻲﻠﻛ ﻲﻧاواﺮﻓ ،ﺮﺴﭘ نازﻮﻣآﺶﻧاد<br />
ﺮﺘﺧد نازﻮﻣآ ﺶﻧاد ﻪﺑ ﺖﺒﺴﻧ ﺮﺴﭘ نازﻮﻣآﺶﻧاد<br />
رد ﺰﻴﻧ ﺮﺘﺳﻼﻛ <strong>در</strong>دﺮﺳ ؛دﻮﺑ<br />
ﺮﺘﺸﻴﺑ <strong>ي</strong>رادﻲ<br />
ﻨﻌﻣ رﻮﻃ ﻪﺑ<br />
( P < 0/<br />
01)<br />
،ﺪﺻرد<br />
27/<br />
1 ﻞﺑﺎﻘﻣ رد 33/<br />
2)<br />
ﻲﻨﺸﻨﺗ<br />
نازﻮﻣآﺶﻧاد<br />
ﺮﺜﻛا رد . ﺖﺷاد ﺶﻳاﺰﻓا <strong>ي</strong>رادﻲ<br />
ﻨﻌﻣ رﻮﻃ ﻪﺑ<br />
ﻦﺳ ﺶﻳاﺰﻓا ﺎﺑ <strong>در</strong>دﺮﺳ ﻲﻧاواﺮﻓ ،ﺲﻨﺟ ود ﺮﻫ رد .( P = 0/<br />
01 ،ﺪﺻرد<br />
0 ﻞﺑﺎﻘﻣ رد 0/<br />
39)<br />
دﻮﺑ ﺮﺘﺸﻴﺑ<br />
ﻦﻴﺑ . دﻮﺑ ﺮﺘﺸﻴﺑ ( ﺪﺻرد 37/<br />
1)<br />
نﺎﺘﺴﻣز ﻞﺼﻓ رد <strong>در</strong>دﺮﺳ زوﺮﺑ ﺮﺴﭘ نازﻮﻣآﺶﻧاد<br />
رد ﻪﻛ ﻲﻟﺎﺣ رد ؛دﻮﺒﻧ<br />
طﺎﺒﺗرا رد ﻲﺻﺎﺧ ﻞﺼﻓ ﺎﺑ <strong>در</strong>دﺮﺳ زوﺮﺑ ( ﺪﺻرد 80)<br />
ﺮﺘﺧد<br />
. ( P < 0/<br />
05)<br />
ﺖﺷاد دﻮﺟو <strong>ي</strong>رادﻲ<br />
ﻨﻌﻣ توﺎﻔﺗ <strong>در</strong>دﺮﺳ ﺎﺑ هاﺮﻤﻫ ﻢﻳﻼﻋ و <strong>در</strong>دﺮﺳ زوﺮﺑ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣاﻮﻋ ﻲﺧﺮﺑ رد ﺮﺴﭘ و ﺮﺘﺧد نازﻮﻣآﺶﻧاد<br />
زا ﺎﻫنآ<br />
ﻦﻴﺑ رد ﻲﻨﺸﻨﺗ و ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ و ﺪﻨﺘﺴﻫ ﻼﺘﺒﻣ <strong>در</strong>دﺮﺳ عاﻮﻧا زا ﻲﻜﻳ ﻪﺑ نﺎﻬﻔﺻا ﺮﻬﺷ <strong>ي</strong>ﻪﻟﺎﺳ<br />
<strong>18</strong> ﺎﺗ 11 نازﻮﻣآﺶﻧاد<br />
زا ﻲﻤﻴﻧ دوﺪﺣ : <strong>ي</strong>ﺮﻴﮔﻪﺠﻴﺘﻧ<br />
<strong>ي</strong>ﺮﻴﮔﺶﻴﭘ<br />
و نﺎﻣرد صﻮﺼﺧ رد ﻲﺷزﻮﻣآ <strong>ي</strong>ﺎﻫﻪﻣﺎﻧﺮﺑ<br />
<strong>ي</strong>راﺰﮔﺮﺑ ﻖﻳﺮﻃ زا نﺎﻤﻠﻌﻣ صﻮﺼﺧ ﻪﺑ<br />
و نازﻮﻣآﺶﻧاد<br />
ﻲﻫﺎﮔآ ﺶﻳاﺰﻓا . ﺖﺳا را<strong>در</strong>ﻮﺧﺮﺑ ﻲﻳﻻﺎﺑ عﻮﻴﺷ<br />
. دﻮﺷﻲﻣ<br />
ﻪﻴﺻﻮﺗ <strong>در</strong>دﺮﺳ تﻼﻤﺣ<br />
ﻚـﻳ رد ﻲـﺘﺣ و ﻒﻠﺘﺨﻣ ﻊﻣاﻮﺟ رد نآ ﺮﺑ ﺮﺛﺆﻣ<br />
رد ﻪـﻌﻟﺎﻄﻣ ﻚـﻳ سﺎـﺳا ﺮـﺑ . ﺖـﺳا هدﻮﺑ<br />
عﻮﻴـﺷ ،ﻪﻟﺎﺳ<br />
ﻞﻣاﻮﻋ و<br />
توﺎﻔﺘﻣ ﻪﻌﻣﺎﺟ<br />
<strong>18</strong> ﺎﺗ 11 زﻮﻣآ ﺶﻧاد 1679 <strong>ي</strong>ور ﺮﺑ ﻪﻳﺮﺠﻴﻧ<br />
ﺪـﺻرد 13/<br />
5 نﺮـﮕﻴﻣ عﻮﻴﺷ و ﺪﺻرد 19/<br />
5<br />
. ( 2)<br />
عﻮﻴـﺷ ،ﻪﻟﺎـﺳ<br />
15 ﺎﺗ 13 نازﻮﻣآﺶﻧاد<br />
<strong>در</strong>دﺮﺳ ﻲﻠﻛ<br />
ﺖﺳا هﺪﺷ شراﺰﮔ<br />
ﻦﻴﺑ و ناﻮﻳﺎﺗ رد<br />
رد و ( 3)<br />
ﺪـﺻرد 27/<br />
6 ﻲﻨـﺸﻨﺗ <strong>در</strong>دﺮـﺳ و 12/<br />
2<br />
نﺮـﮕﻴﻣ<br />
ناﺮﻳا ،زﻮﻣآﺶﻧاد<br />
،ناﻮﺟﻮﻧ ،كدﻮﻛ ،ﻲﻨﺸﻨﺗ <strong>در</strong>دﺮﺳ ،نﺮﮕﻴﻣ ،<strong>در</strong>دﺮﺳ : <strong>ي</strong>ﺪﻴﻠﻛ نﺎﮔژاو<br />
ﻲﻧاﻮـﺟﻮﻧ و ﻲﻛدﻮﻛ نارود تﺎﻳﺎﻜﺷ ﻦﻳﺮﺗﻊﻳﺎﺷ<br />
ﻪﻣﺪﻘﻣ<br />
زا <strong>در</strong>دﺮﺳ<br />
،ﻲﻠﻴـﺼﺤﺗ دﺮـﻜﻠﻤﻋ ﺮﺑ ﻲﻬﺟﻮﺗ ﻞﺑﺎﻗ ﻲﻔﻨﻣ ﺮﻴﺛﺄﺗ ﻪﻛ ﺖﺳا<br />
ﻲـﻠﻛ رﻮﻃ ﻪﺑ<br />
و <strong>ي</strong>دﺮﻓ ﻦﻴﺑ ﻂﺑاور و ﻲﺘﺧﺎﻨﺷناور<br />
ﺖﻣﻼﺳ<br />
ﺞﻳﺎـﺘﻧ .( 1)<br />
<strong>در</strong>اﺬـﮔﻲـﻣ<br />
نازﻮـﻣآﺶـﻧاد<br />
ﻲﻋﺎﻤﺘﺟا دﺮﻜﻠﻤﻋ<br />
ﻞﻣﺎـﺷ ،<strong>در</strong>دﺮـﺳ عاﻮـﻧا عﻮﻴـﺷ صﻮـﺼﺧ رد ﺎـﻫشراﺰﮔ<br />
( Tension headache)<br />
ﻲﻨـﺸﻨﺗ <strong>در</strong>دﺮﺳ و ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ<br />
3<br />
ناﺮﻳا ،نﺎﻬﻔﺻا ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻳﻮﺠﺸﻧاد<br />
تﺎﻘﻴﻘﺤﺗ <strong>ي</strong>ﻪﺘﻴﻤﻛ<br />
و ﻲﻜﺷﺰﭘ <strong>ي</strong>هﺪﻜﺸﻧاد<br />
،ﻲﻜﺷﺰﭘ <strong>ي</strong>ﻮﺠﺸﻧاد<br />
www.mui.ac.ir<br />
ﻲﻨﻴﻘﻳ ﺪﻴﻣا ﺮﺘﻛد : لوﺆﺴﻣ <strong>ي</strong>هﺪﻨﺴﻳﻮﻧ<br />
1046
نارﺎﻜﻤﻫ و ﻲﻨﻴﻘﻳ ﺪﻴﻣا<br />
،ﻲﺘﺧﺎﻨﺷناور<br />
<strong>ي</strong>ﺎﻫسﺮﺘﺳا<br />
1047<br />
عاﻮﻧا<br />
،ﻲﮔداﻮﻧﺎﺧ<br />
<strong>ي</strong>ﻪﻘﺑﺎﺳ<br />
عﻼﻃا ،...<br />
و ﻲﻋﺎﻤﺘﺟا -<strong>ي</strong>دﺎﺼﺘﻗا<br />
ﺖﻴﻌﺿو ،ﻲﮔﺪﻧز ﻚﺒﺳ<br />
ﺖﻬﺟ <strong>ي</strong>اﻪﻌﻣﺎﺟ<br />
زﺎﻴﻧ <strong>در</strong>ﻮﻣ<br />
ﺮﻫ رد <strong>در</strong>دﺮﺳ ﻚﻳژﻮﻟﻮﻴﻣﺪﻴﭘا <strong>ي</strong>ﻮﮕﻟا زا<br />
<strong>ي</strong>ﺮﻴﮔﺶﻴﭘ<br />
ﻒﻠﺘﺨﻣ حﻮﻄﺳ رد <strong>ي</strong>ﺰﻳرﻪﻣﺎﻧﺮﺑ<br />
رد هﺪﺷ مﺎﺠﻧا كﺪﻧا تﺎﻌﻟﺎﻄﻣ ﻦﺘﻓﺮﮔ ﺮﻈﻧ رد ﺎﺑ . ﺖﺳا<br />
صﻮﺼﺧ ﻪﺑ<br />
،نآ<br />
ﺖﻴﻤﻫا و ناﺮﻳا رد <strong>در</strong>دﺮﺳ عاﻮﻧا <strong>در</strong>ﻮﻣ<br />
ﻲﺳرﺮﺑ<br />
ﻪﺑ<br />
ﺮﺿﺎﺣ<br />
<strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
،نازﻮﻣآﺶﻧاد<br />
<strong>ي</strong>ﻪﻌﻣﺎﺟ<br />
رد<br />
نازﻮﻣآﺶﻧاد<br />
رد نآ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣاﻮﻋ و <strong>در</strong>دﺮﺳ عاﻮﻧا عﻮﻴﺷ<br />
. ﺖﺳا ﻪﺘﺧادﺮﭘ نﺎﻬﻔﺻا ﺮﻬﺷ <strong>ي</strong>ﻪﻟﺎﺳ<br />
<strong>18</strong> ﺎﺗ 11<br />
ﺎﻫشور<br />
<strong>ي</strong>ﺎـﻫلﺎـﺳ<br />
ﻦﻴـﺑ ﺮـﺿﺎﺣ ﻲـﻌﻄﻘﻣ و <strong>ي</strong>اهﺪﻫﺎﺸﻣ<br />
<strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
نازﻮـﻣآﺶـﻧاد<br />
<strong>ي</strong>ور ﺮـﺑ نﺎﻬﻔﺻا ﺮﻬﺷ رد<br />
-ﻲﻓدﺎﺼﺗ<br />
شور ﻪﺑ <strong>ي</strong>ﺮﻴﮔﻪﻧﻮﻤﻧ<br />
. ﺪﺷ مﺎﺠﻧا ﻪﻟﺎﺳ<br />
1388 ﺎﺗ 1385<br />
<strong>18</strong> ﺎﺗ 11<br />
،ﻲﻳﺎـﻤﻨﻫار سراﺪﻣ زا <strong>ي</strong>اﻪﻠﺣﺮﻣ<br />
ﻚﻳ <strong>ي</strong>اﻪﺷﻮﺧ<br />
-<strong>ي</strong>اﻪﻘﺒﻃ<br />
. ﺖﻓﺮﮔ<br />
مﺎﺠﻧا ﻲﻫﺎﮕﺸﻧاد ﺶﻴﭘ و نﺎﺘﺳﺮﻴﺑد<br />
60)<br />
ﻪﺘـﺷﺬﮔ تﺎـﻌﻟﺎﻄﻣ زا <strong>در</strong>دﺮـﺳ ﻲـﻨﻴﻤﺨﺗ<br />
عﻮﻴﺷ ﺎﺑ<br />
3 <strong>در</strong>وآﺮـﺑ ﺖـﻗد و ﺪـﺻرد 95 نﺎـﻨﻴﻤﻃا ﺢﻄـﺳ ،(<br />
ﺪﺻرد<br />
1024 ( ﺮﺴﭘ و ﺮﺘﺧد)<br />
هوﺮﮔ ﺮﻫ <strong>ي</strong>اﺮﺑ ﻪﻧﻮﻤﻧ ﻢﺠﺣ ،ﺪﺻرد<br />
،<strong>ي</strong>ﺮـﻴﮔﻪـﻧﻮﻤﻧ<br />
شور ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ و ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد ﺮﻔﻧ<br />
<strong>در</strong>وآﺮـﺑ ﺮـﻔﻧ 2048 ﺲﻨﺟ ﺮﻫ <strong>ي</strong>اﺮﺑ ﻲﻳﺎﻬﻧ <strong>ي</strong>ﻪﻧﻮﻤﻧ<br />
ﻢﺠﺣ<br />
،شروﺮـﭘ و شزﻮـﻣآ <strong>ي</strong>هرادا<br />
ﻪـﺑ ﻪـﻌﺟاﺮﻣ زا ﺲﭘ . ﺪﻳدﺮﮔ<br />
ﺖـﺴﻴﻟ و ﻲﻠﻴـﺼﺤﺗ ﻊـﻄﻘﻣ ﺮـﻫ رد نازﻮـﻣآﺶـﻧاد<br />
ﻪـﺑ<br />
ﻪـﺳرﺪﻣ<br />
داﺪﻌﺗ<br />
24 و ﺺﺨـﺸﻣ ﻪـﻴﺣﺎﻧ ﻚـﻴﻜﻔﺗ ﻪـﺑ سراﺪﻣ<br />
<strong>ي</strong>ﻪـﻤﻫ<br />
ﻪـﺳرﺪﻣ ﺮـﻫ رد و<br />
ﺪﺷ بﺎﺨﺘﻧا ﻲﻓدﺎﺼﺗ ترﻮﺻ<br />
. ﺪﻧﺪﺷ ﻪﻌﻟﺎﻄﻣ <strong>در</strong>او<br />
نازﻮﻣآ ﺶﻧاد<br />
و ﻞـﻴﻤﻜﺗ زرورﺎﻛ ﻂﺳﻮﺗ ﻪﺒﺣﺎﺼﻣ ﻖﻳﺮﻃ زا تﺎﻋﻼﻃا<br />
هدﺎﻔﺘـﺳا <strong>در</strong>ﻮـﻣ <strong>ي</strong>ﻪﻣﺎﻧﺶﺳﺮﭘ<br />
. ﺪﺷ <strong>ي</strong>روآﻊﻤﺟ<br />
ﻪﻣﺎﻧﺶﺳﺮﭘ<br />
تﺎـﻋﻼﻃا ﻪـﺑ طﻮـﺑﺮﻣ ﺖﻤـﺴﻗ ود ﻞﻣﺎـﺷ حﺮـﻃ ﻦﻳا رد<br />
<strong>در</strong>دﺮﺳ ﻪﺑ طﻮﺑﺮﻣ تﺎﻋﻼﻃا و ( ﺲﻨﺟ و ﻦﺳ)<br />
ﻚﻴﻓاﺮﮔﻮﻣد<br />
نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآ ﺶﻧاد رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
ﺪـﺻرد 23/<br />
4 ﻲـﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ عﻮﻴﺷ ﺮﮕﻳد <strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
ﻚﻳ<br />
نازﻮـﻣآﺶـﻧاد<br />
ﻦﻴﺑ ﺰﻴﻧ ﻪﻴﻛﺮﺗ رد . ( 4)<br />
ﺐﻴﺗﺮﺗ ﻪﺑ ﻲﻨﺸﻨﺗ و ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ عﻮﻴﺷ ،ﻪﻟﺎﺳ<br />
ﺖﺳا هﺪﺷ شراﺰﮔ<br />
<strong>18</strong> ﺎﺗ 14<br />
ﻦﻴـﺑ ﺮـﮕﻳد <strong>ي</strong>ﻪـﻌﻟﺎﻄﻣ<br />
ﻚﻳ رد و ( 5)<br />
ﺪﺻرد 5/<br />
1 و 21/<br />
3<br />
25/<br />
9 و 14/<br />
5 ﺐـﻴﺗﺮﺗ ﻪـﺑ ﻪﻟﺎـﺳ<br />
. ( 6)<br />
17 ﺎـﺗ 15 نازﻮﻣآ ﺶﻧاد<br />
ﺖﺳا هﺪﺷ شراﺰﮔ ﺪﺻرد<br />
<strong>در</strong>دﺮـﺳ عﻮﻴـﺷ نﺎـﻤﻟآ رد ﻪـﻛ ﺖـﺳا ﻲﻟﺎـﺣ رد ﻦـﻳا<br />
ﻪـﺑ ﻪﻟﺎـﺳ 15 ﺎـﺗ 12 نازﻮـﻣآﺶﻧاد<br />
ﻦﻴﺑ ﻲﻨﺸﻨﺗ و ﻲﻧﺮﮕﻴﻣ<br />
ﺖﺒـﺴﻧ ﻪـﻛ ﺖﺳا هﺪﺷ شراﺰﮔ ﺪﺻرد 4/<br />
5 و 6/<br />
9<br />
ﻂﺒﺗﺮﻣ ﺪﻧاﻮﺗﻲﻣ<br />
. ( 7)<br />
ﺪﺷﺎﺑﻲﻣ<br />
ﺐﻴﺗﺮﺗ<br />
<strong>ي</strong>ﺮﺘﻤﻛ عﻮﻴﺷ ﻊﻣاﻮﺟ ﺮﻳﺎﺳ ﻪﺑ<br />
تﺎﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﻦﻴﺑ دﺎﻳز توﺎﻔﺗ ﺖﻠﻋ<br />
ﻲﻨـﺳ <strong>ي</strong>هدوﺪـﺤﻣ<br />
رد توﺎـﻔﺗ ،ﻪـﻌﻟﺎﻄﻣ مﺎـﺠﻧا نﺎـﻣز ﺎـﺑ<br />
و ﻪـﻧﻮﻤﻧ ﻢـﺠﺣ و <strong>ي</strong>ﺮـﻴﮔﻪـﻧﻮﻤﻧ<br />
،ﻪﻌﻟﺎﻄﻣ <strong>در</strong>ﻮﻣ <strong>ي</strong>ﺎﻫﻪﻧﻮﻤﻧ<br />
<strong>ي</strong>رﻮـﻃ ﻪـﺑ<br />
؛ﺪﺷﺎﺑ<br />
<strong>در</strong>دﺮﺳ ﺺﻴﺨﺸﺗ شور ﻪﻤﻫ زا ﺮﺗﻢﻬﻣ<br />
زا ﺲـﭘ <strong>در</strong>دﺮـﺳ ﻲﻳﺎـﻬﻧ ﺺﻴﺨﺸﺗ تﺎﻌﻟﺎﻄﻣ ﻲﺧﺮﺑ رد ﻪﻛ<br />
زا ﻂــﻘﻓ ﺮــﮕﻳد ﻲــﻀﻌﺑ رد و هدﻮــﺑ ﻚــﺷﺰﭘ ﺖــﻳﺰﻳو<br />
. ﺖﺳا هﺪﺷ هدﺎﻔﺘﺳا <strong>در</strong>اﺪﻧﺎﺘﺳا <strong>ي</strong>ﺎﻫﻪﻣﺎﻧﺶﺳﺮﭘ<br />
رد ﻲﻤﻛ<br />
تﺎﻌﻟﺎﻄﻣ<br />
،نارﺎﻜﻤﻫ<br />
و<br />
Mateen شراﺰﮔ ﻖﺒﻃ<br />
رد و <strong>در</strong>دﺮـﺳ عاﻮـﻧا <strong>در</strong>ﻮـﻣ رد ﻪﻌﺳﻮﺗ لﺎﺣ رد <strong>ي</strong>ﺎﻫرﻮﺸﻛ<br />
دﻮﺟﻮﻣ تﺎﻋﻼﻃا ﺮﺘﺸﻴﺑ و ﺖﺳا هﺪﺷ مﺎﺠﻧا ﻒﻠﺘﺨﻣ ﻦﻴﻨﺳ<br />
ﺮـﺑ ﻲـﻨﺘﺒﻣ <strong>در</strong>دﺮـﺳ عاﻮﻧا ﻚﻳژﻮﻟﻮﻴﻣﺪﻴﭘا <strong>ي</strong>ﺎﻫﻮﮕﻟا <strong>در</strong>ﻮﻣ رد<br />
. ( 8)<br />
ﺪﺷﺎﺑﻲﻣ<br />
ﺎﻴﻧد<br />
طﺎﻘﻧ ﺮﻳﺎﺳ رد هﺪﺷ مﺎﺠﻧا تﺎﻌﻟﺎﻄﻣ<br />
ﻲـﺳرﺮﺑ ﻪـﺑ ﻲﻓﺎﻛ <strong>ي</strong>ﻪﻧﻮﻤﻧ<br />
ﻢﺠﺣ ﺎﺑ <strong>ي</strong>دوﺪﻌﻣ تﺎﻌﻟﺎﻄﻣ<br />
و ﻪـﺘﺧادﺮﭘ ﻲـﻧاﺮﻳا نازﻮـﻣآﺶـﻧاد<br />
رد <strong>در</strong>دﺮـﺳ عاﻮﻧا عﻮﻴﺷ<br />
ﻦﻴـﻋ رد . ﺖـﺳا دﻮﺟﻮﻣ صﻮﺼﺧ ﻦﻳا رد ﻲﻤﻛ تﺎﻋﻼﻃا<br />
ﻪـﻛ ﺪـﻫدﻲـﻣ<br />
نﺎـﺸﻧ هﺪـﺷ مﺎـﺠﻧا تﺎـﻌﻟﺎﻄﻣ ﺞﻳﺎـﺘﻧ ،لﺎﺣ<br />
رد ﻲﻋﻮﻴـﺷ زا ﺐـﻴﺗﺮﺗ ﻪـﺑ ﻲﻨـﺸﻨﺗ و ﻲﻧﺮﮕﻴﻣ <strong>ي</strong>ﺎﻫ<strong>در</strong>دﺮﺳ<br />
ﻦﻴـﺑ رد ﺪـﺻرد 32/<br />
5 ﺎـﺗ 5/<br />
5 و ﺪﺻرد 13 ﺎﺗ 1/<br />
7<br />
دوﺪﺣ<br />
. ( 9-13)<br />
ﺪﻨﺘﺴﻫ<br />
را<strong>در</strong>ﻮﺧﺮﺑ ﻲﻧاﺮﻳا<br />
نازﻮﻣآﺶﻧاد<br />
ﺪﻨﻧﺎﻣ <strong>در</strong>دﺮﺳ ﺮﺑ راﺬﮔﺮﻴﺛﺄﺗ<br />
ﻒﻠﺘﺨﻣ ﻞﻣاﻮﻋ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ<br />
1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
www.mui.ac.ir
نارﺎﻜﻤﻫ و ﻲﻨﻴﻘﻳ ﺪﻴﻣا<br />
رﻮـﻃ ﻪﺑ ﺮﺴﭘ نازﻮﻣآﺶﻧاد<br />
. دﻮﺑ ﺮﺘﺸﻴﺑ <strong>ي</strong>رادﻲ<br />
ﻨﻌﻣ رﻮﻃ ﻪﺑ<br />
رد ﺮﺘﺳﻼﻛ <strong>در</strong>دﺮﺳ ﻲﻧاواﺮﻓ<br />
ﺮﺴﭘ<br />
ﺎـﻣا ،دﻮـﺑ<br />
ﺮﺘـﺸﻴﺑ ﺮﺘﺧد نازﻮﻣآﺶﻧاد<br />
ﻪﺑ ﺖﺒﺴﻧ <strong>ي</strong>رادﻲﻨﻌﻣ<br />
<strong>در</strong>دﺮـﺳ ﻲـﻧاواﺮﻓ رد <strong>ي</strong>رادﻲـﻨﻌﻣ<br />
توﺎـﻔﺗ هوﺮـﮔ ود ﻦﻴـﺑ<br />
. ﺖﺷاﺪﻧ دﻮﺟو ﻪﻧازور ﻦﻣﺰﻣ <strong>در</strong>دﺮﺳ ﺎﻳ<br />
و ﻚﻴﻧﺎﮔرا<br />
ﻚـﻴﻜﻔﺗ ﻪـﺑ ﻒـﻠﺘﺨﻣ ﻦﻴﻨـﺳ رد <strong>در</strong>دﺮـﺳ ﻲﻠﻛ ﻲﻧاواﺮﻓ<br />
،ﺲﻨﺟ ود ﺮﻫ رد . ﺖﺳا<br />
ﻪﻈﺣﻼﻣ ﻞﺑﺎﻗ 2 لوﺪﺟ رد ﺲﻨﺟ<br />
ﺶﻳاﺰـﻓا <strong>ي</strong>رادﻲﻨﻌﻣ<br />
رﻮﻃ ﻪﺑ<br />
ﻦﺳ ﺶﻳاﺰﻓا ﺎﺑ <strong>در</strong>دﺮﺳ ﻲﻧاواﺮﻓ<br />
17 ﻦـﺳ رد ﺮـﺘﺧد نازﻮـﻣآﺶﻧاد<br />
رد ﻪﻛ <strong>ي</strong>رﻮﻃ ﻪﺑ<br />
؛ﺖﺷاد<br />
<strong>18</strong> ﻦـﺳ رد ﺮـﺴﭘ نازﻮـﻣآﺶﻧاد<br />
و ( ﺪﺻرد 78/<br />
9)<br />
. ﺪﺷ هﺪﻫﺎﺸﻣ ﻲﻧاواﺮﻓ ﻦﻳﺮﺘﺸﻴﺑ ( ﺪﺻرد 60)<br />
ود ﻚـﻴﻜﻔﺗ<br />
ﻪﺑ ﻒﻠﺘﺨﻣ ﻞﻣاﻮﻋ ﺎﺑ <strong>در</strong>دﺮﺳ زوﺮﺑ<br />
زوﺮﺑ طﺎﺒﺗرا صﻮﺼﺧ رد . ﺖﺳا هﺪﻣآ<br />
طﺎﺒﺗرا<br />
ﻲﮕﻟﺎﺳ<br />
ﻲﮕﻟﺎﺳ<br />
3 لوﺪﺟ رد ﺲﻨﺟ<br />
توﺎـﻔﺗ ﺮـﺴﭘ و ﺮـﺘﺧد نازﻮﻣآﺶﻧاد<br />
ﻦﻴﺑ<br />
،ﻞﺼﻓ<br />
ﺎﺑ <strong>در</strong>دﺮﺳ<br />
ﺮـﺘﺧد نازﻮﻣآﺶﻧاد<br />
ﺮﺜﻛا رد ﻪﻛ <strong>ي</strong>رﻮﻃ<br />
ﻪﺑ<br />
؛دﻮﺑ<br />
<strong>ي</strong>رادﻲ<br />
ﻨﻌﻣ<br />
ﻲﻟﺎـﺣ<br />
رد ؛دﻮـﺒﻧ<br />
طﺎـﺒﺗرا رد ﻲﺻﺎﺧ<br />
ﻞﺼﻓ ﺎﺑ <strong>در</strong>دﺮﺳ زوﺮﺑ<br />
نﺎﺘـﺴﻣز ﻞـﺼﻓ رد <strong>در</strong>دﺮﺳ زوﺮﺑ ﺮﺴﭘ نازﻮﻣآﺶﻧاد<br />
رد<br />
ﻦﻳﺮﺘـﺸﻴﺑ ﻲﺑاﻮـﺧﻢـﻛ<br />
ﻦﻴـﺑ<br />
رد ،ﻦﻴـﻨﭽﻤﻫ . ﺖـﺷاد<br />
1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
ﻪﻛ<br />
. دﻮﺑ ﺮﺘﻤﻛ رﺎﻬﺑ ﻞﺼﻓ رد و ﺮﺘﺸﻴﺑ<br />
و سﺮﺘـﺳا ،ﻲﮕﺘـﺴﺧ ،ﻞـﻛ رد<br />
<strong>در</strong>دﺮـﺳ زوﺮـﺑ ﺎـﺑ ار طﺎـﺒﺗرا<br />
ﺎـﺑ <strong>در</strong>دﺮـﺳ زوﺮـﺑ <strong>در</strong>اﻮﻣ ﺪﺻرد 17/<br />
4 ،ﺮﺘﺧد نازﻮﻣآﺶﻧاد<br />
P<br />
< 0/<br />
0001<br />
0/<br />
3130<br />
< 0/<br />
0001<br />
< 0/<br />
0001<br />
0/<br />
3670<br />
0/<br />
0030<br />
. ﺖﺷاد طﺎﺒﺗرا ﻲﮔﺪﻋﺎﻗ<br />
نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآ ﺶﻧاد رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
<strong>در</strong>دﺮـﺳ ﻲﻠﻠﻤﻟاﻦﻴﺑ<br />
ﻦﻤﺠﻧا ﺺﺧﺎﺷ سﺎﺳا ﺮﺑ هﺮﻤﻧ ﻞﻣﺎﺷ<br />
تﺎﻴـــﺻﻮﺼﺧ ،(<br />
International headache society)<br />
<strong>در</strong>دﺮـﺳ ﺎـﺑ ﻂﺒﺗﺮـﻣ ﻞﻣاﻮﻋ و نآ ﺎﺑ هاﺮﻤﻫ ﻢﻳﻼﻋ و <strong>در</strong>دﺮﺳ<br />
و هﺪـﻨﻨﻛ عوﺮﺷ ﻞﻣاﻮﻋ ،ﺎﻫﺮﺘﺧد رد ﻪﻧﺎﻴﻫﺎﻣ تدﺎﻋ ،ﻞﺼﻓ)<br />
ﻂﺳﻮﺗ ﻪﻣﺎﻧﺶﺳﺮﭘ<br />
<strong>ي</strong>رﻮﺻ رﺎﺒﺘﻋا . دﻮﺑ ( ﻚﺷﺰﭘ ﻪﺑ ﻪﻌﺟاﺮﻣ<br />
ﺪـﻴﻳﺄﺗ<br />
( Neurology)<br />
بﺎـﺼﻋا ﻲﻠﺧاد ﺺﺼﺨﺘﻣ ﺮﻔﻧ 10<br />
40 ﺎــﺑ ﻪﺒﺣﺎــﺼﻣ ﻖــﻳﺮﻃ زا ﻪــﻣﺎﻧﺶــﺳﺮﭘ<br />
ﻲﻳﺎــﻳﺎﭘ . ﺪــﺷ<br />
ﺪـﺷ ﺪـﻴﻳﺄﺗ Split Half شور زا هدﺎﻔﺘـﺳا ﺎﺑ و زﻮﻣآﺶﻧاد<br />
.( Cronbach's alpha = 0/<br />
82)<br />
2<br />
t و <strong>ي</strong>رﺎـﻣآ <strong>ي</strong>ﺎـﻫنﻮـﻣزآ<br />
زا هدﺎﻔﺘـﺳا ﺎـﺑ ﺎـﻫهداد<br />
راﺰـﻓامﺮـﻧ<br />
رد ( OR)<br />
ﺲﻧﺎـﺷ ﺖﺒـﺴﻧ <strong>ي</strong>ﻪﺒﺳﺎﺤﻣ<br />
ﻦﻴﻨﭽﻤﻫ<br />
version 16, SPSS Inc.,<br />
) 16 <strong>ي</strong>ﻪﺨـــﺴﻧ<br />
SPSS<br />
ﺢﻄـﺳ . ﺖﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ <strong>در</strong>ﻮﻣ ( Chicago, IL<br />
. ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد 0/<br />
05 زا ﺮﺘﺸﻴﺑ <strong>ي</strong>رﺎﻣآ رادﻲ<br />
ﻨﻌﻣ<br />
ﺮـﻔﻧ 2047 ،ﻪـﻌﻟﺎﻄﻣ <strong>در</strong>ﻮـﻣ زﻮﻣآﺶﻧاد<br />
ﺎﻫﻪﺘﻓﺎﻳ<br />
ﺮﻔﻧ 4096 ﻞﻛ زا<br />
. ﺪـﻧدﻮﺑ ﻼﺘـﺒﻣ <strong>در</strong>دﺮـﺳ عاﻮـﻧا زا ﻲﻜﻳ ﻪﺑ ( ﺪﺻرد 49/<br />
9)<br />
عﻮﻧ ﻚﻴﻜﻔﺗ ﻪﺑ و ﺲﻨﺟ ﻚﻴﻜﻔﺗ ﻪﺑ <strong>در</strong>دﺮﺳ ﻲﻠﻛ ﻲﻧاواﺮﻓ<br />
هﺪﻫﺎـﺸﻣ . ﺖـﺳا هﺪـﺷ هداد نﺎـﺸﻧ 1 لوﺪﺟ رد <strong>در</strong>دﺮﺳ<br />
،<strong>در</strong>دﺮـﺳ<br />
ﻲﻠﻛ ﻲﻧاواﺮﻓ ﺮﺘﺧد نازﻮﻣآﺶﻧاد<br />
رد ﻪﻛ دﻮﺷﻲﻣ<br />
نازﻮـﻣآﺶﻧاد<br />
ﻪﺑ ﺖﺒﺴﻧ<br />
نﺎﻬﻔﺻا ﺮﻬﺷ <strong>ي</strong>ﻪ<br />
ﻟﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآﺶﻧاد<br />
رد ﺲﻨﺟ ﻚﻴﻜﻔﺗ ﻪﺑ <strong>در</strong>دﺮﺳ عاﻮﻧا ﻲﻧاواﺮﻓ . 1 لوﺪﺟ<br />
نﺎﻨﻴﻤﻃا <strong>ي</strong>هدوﺪﺤﻣ<br />
Cl:<br />
ﺪﺻرد 95<br />
2/<br />
35 ( 2/<br />
6–<br />
2/<br />
0)<br />
0/<br />
84 ( 1/<br />
1–<br />
0/<br />
6)<br />
2/<br />
83 ( 3/<br />
3–<br />
2/<br />
3)<br />
1/<br />
2 ( 1/<br />
5–<br />
1/<br />
1)<br />
0/<br />
6 ( 2/<br />
3–<br />
0/<br />
1)<br />
-<br />
ﺮﺴﭘ<br />
داﺪﻌﺗ ( ﺪﺻرد)<br />
808 ( 39/<br />
4)<br />
94 ( 4/<br />
4)<br />
237 ( 11/<br />
5)<br />
557 ( 27/<br />
1)<br />
6 ( 0/<br />
29)<br />
8 ( 0/<br />
39)<br />
ﺮﺘﺧد<br />
داﺪﻌﺗ ( ﺪﺻرد)<br />
1239 ( 60/<br />
4)<br />
80 ( 3/<br />
9)<br />
554 ( 27)<br />
681 ( 33/<br />
2)<br />
4 ( 0/<br />
2)<br />
0 ( 0)<br />
www.mui.ac.ir<br />
نازﻮﻣآﺶﻧاد<br />
ﻞﻛ<br />
داﺪﻌﺗ ( ﺪﺻرد)<br />
2047 ( 49/<br />
9)<br />
174 ( 4/<br />
2)<br />
791 ( 19/<br />
3)<br />
1238 ( 30/<br />
2)<br />
10 ( 0/<br />
25)<br />
8 ( 0/<br />
2)<br />
ﻲﻨﺸﻨﺗ <strong>در</strong>دﺮﺳ و ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ<br />
<strong>در</strong>دﺮﺳ عﻮﻧ<br />
<strong>در</strong>دﺮﺳ عاﻮﻧا ﻞﻛ<br />
ﻪﻧازور ﻦﻣﺰﻣ <strong>در</strong>دﺮﺳ<br />
نﺮﮕﻴﻣ<br />
ﻲﺸﻨﺗ <strong>در</strong>دﺮﺳ<br />
ﻚﻴﻧﺎﮔرا <strong>در</strong>دﺮﺳ<br />
ﺮﺘﺳﻼﻛ <strong>در</strong>دﺮﺳ<br />
1048
نازﻮﻣآ ﺶﻧاد رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
11<br />
ﺎﺗ<br />
<strong>18</strong><br />
نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ<br />
ﻲﻨﻴﻘﻳ ﺪﻴﻣا<br />
نارﺎﻜﻤﻫ و<br />
نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
–<br />
لﺎﺳ<br />
29<br />
/<br />
هرﺎﻤﺷ<br />
149<br />
/<br />
ﻪﺘﻔﻫ<br />
ﺮﻬﻣ لوا<br />
1390<br />
1049<br />
لوﺪﺟ<br />
2<br />
.<br />
رد ﺲﻨﺟ ﻚﻴﻜﻔﺗ ﻪﺑ ﻒﻠﺘﺨﻣ ﻦﻴﻨﺳ رد <strong>در</strong>دﺮﺳ ﻲﻠﻛ ﻲﻧاواﺮﻓ<br />
ﺶﻧاد<br />
نازﻮﻣآ<br />
11<br />
ﺎﺗ<br />
<strong>18</strong><br />
ﻟﺎﺳ<br />
ﻪ<br />
<strong>ي</strong><br />
ﺮﻬﺷ<br />
نﺎﻬﻔﺻا<br />
ﻞﻛ<br />
ﺶﻧاد<br />
نازﻮﻣآ<br />
ﺮﺘﺧد<br />
ﺮﺴﭘ<br />
ﻦﺳ<br />
)<br />
لﺎﺳ<br />
(<br />
ﻲﺒﺴﻧ ﻲﻧاواﺮﻓ<br />
)<br />
ﺪﺻرد<br />
(<br />
ﻲﻠﻛ ﻲﻧاواﺮﻓ<br />
)<br />
ﺪﺻرد<br />
(<br />
ﻲﺒﺴﻧ ﻲﻧاواﺮﻓ<br />
)<br />
ﺪﺻرد<br />
(<br />
ﻲﻠﻛ ﻲﻧاواﺮﻓ<br />
)<br />
ﺪﺻرد<br />
(<br />
ﻲﺒﺴﻧ ﻲﻧاواﺮﻓ<br />
)<br />
ﺪﺻرد<br />
(<br />
ﻲﻠﻛ ﻲﻧاواﺮﻓ<br />
)<br />
ﺪﺻرد<br />
(<br />
11<br />
)<br />
9<br />
/<br />
25<br />
(<br />
556<br />
/<br />
144<br />
)<br />
7<br />
(<br />
144<br />
)<br />
8<br />
/<br />
32<br />
(<br />
225<br />
/<br />
74<br />
)<br />
6<br />
(<br />
74<br />
)<br />
1<br />
/<br />
21<br />
(<br />
331<br />
/<br />
70<br />
)<br />
7<br />
/<br />
8<br />
(<br />
70<br />
12<br />
)<br />
29<br />
(<br />
520<br />
/<br />
151<br />
)<br />
4<br />
/<br />
7<br />
(<br />
151<br />
)<br />
9<br />
/<br />
33<br />
(<br />
2<strong>18</strong><br />
/<br />
74<br />
)<br />
6<br />
(<br />
74<br />
)<br />
5<br />
/<br />
25<br />
(<br />
302<br />
/<br />
77<br />
)<br />
5<br />
/<br />
9<br />
(<br />
77<br />
13<br />
)<br />
4<br />
/<br />
41<br />
(<br />
497<br />
/<br />
206<br />
)<br />
1<br />
/<br />
10<br />
(<br />
206<br />
)<br />
7<br />
/<br />
52<br />
(<br />
237<br />
/<br />
125<br />
)<br />
1<br />
/<br />
10<br />
(<br />
125<br />
)<br />
2<br />
/<br />
31<br />
(<br />
260<br />
/<br />
81<br />
)<br />
0<br />
/<br />
10<br />
(<br />
81<br />
14<br />
)<br />
1<br />
/<br />
47<br />
(<br />
508<br />
/<br />
243<br />
)<br />
9<br />
/<br />
11<br />
(<br />
243<br />
)<br />
9<br />
/<br />
64<br />
(<br />
258<br />
/<br />
154<br />
)<br />
4<br />
/<br />
12<br />
(<br />
154<br />
)<br />
6<br />
/<br />
35<br />
(<br />
250<br />
/<br />
89<br />
)<br />
0<br />
/<br />
11<br />
(<br />
89<br />
15<br />
)<br />
1<br />
/<br />
60<br />
(<br />
572<br />
/<br />
348<br />
)<br />
0<br />
/<br />
17<br />
(<br />
348<br />
)<br />
2<br />
/<br />
72<br />
(<br />
331<br />
/<br />
239<br />
)<br />
3<br />
/<br />
19<br />
(<br />
239<br />
)<br />
2<br />
/<br />
45<br />
(<br />
241<br />
/<br />
109<br />
)<br />
5<br />
/<br />
13<br />
(<br />
109<br />
16<br />
)<br />
7<br />
/<br />
63<br />
(<br />
523<br />
/<br />
333<br />
)<br />
3<br />
/<br />
16<br />
(<br />
333<br />
)<br />
1<br />
/<br />
70<br />
(<br />
302<br />
/<br />
212<br />
)<br />
1<br />
/<br />
17<br />
(<br />
212<br />
)<br />
7<br />
/<br />
54<br />
(<br />
221<br />
/<br />
121<br />
)<br />
9<br />
/<br />
14<br />
(<br />
121<br />
17<br />
)<br />
9<br />
/<br />
68<br />
(<br />
477<br />
/<br />
329<br />
)<br />
0<br />
/<br />
16<br />
(<br />
329<br />
)<br />
9<br />
/<br />
78<br />
(<br />
252<br />
/<br />
199<br />
)<br />
1<br />
/<br />
16<br />
(<br />
199<br />
)<br />
7<br />
/<br />
57<br />
(<br />
225<br />
/<br />
130<br />
)<br />
1<br />
/<br />
16<br />
(<br />
130<br />
<strong>18</strong><br />
)<br />
1<br />
/<br />
66<br />
(<br />
443<br />
/<br />
293<br />
)<br />
3<br />
/<br />
14<br />
(<br />
293<br />
)<br />
0<br />
/<br />
72<br />
(<br />
225<br />
/<br />
162<br />
)<br />
1<br />
/<br />
13<br />
(<br />
162<br />
)<br />
60<br />
(<br />
2<strong>18</strong><br />
/<br />
131<br />
)<br />
2<br />
/<br />
16<br />
(<br />
131<br />
*P<br />
0001<br />
/<br />
0<br />
<<br />
0001<br />
/<br />
0<br />
<<br />
0001<br />
/<br />
0<br />
<<br />
*Chi-Square test<br />
لوﺪﺟ<br />
3<br />
.<br />
رد ﻒﻠﺘﺨﻣ ﻞﻣاﻮﻋ ﺎﺑ <strong>در</strong>دﺮﺳ زوﺮﺑ طﺎﺒﺗرا<br />
ﺶﻧاد<br />
نازﻮﻣآ<br />
11<br />
ﺎﺗ<br />
<strong>18</strong><br />
ﻟﺎﺳ<br />
ﻪ<br />
<strong>ي</strong><br />
ﺮﻬﺷ<br />
نﺎﻬﻔﺻا<br />
ﻞﻛ<br />
ﺶﻧاد<br />
آ<br />
ﻣ<br />
نازﻮ<br />
)<br />
ﺪﺻرد<br />
(<br />
داﺪﻌﺗ<br />
ﺮﺘﺧد<br />
)<br />
ﺪﺻرد<br />
(<br />
داﺪﻌﺗ<br />
ﺮﺴﭘ<br />
)<br />
ﺪﺻرد<br />
(<br />
داﺪﻌﺗ<br />
*P<br />
ﻞﺼﻓ<br />
رﺎﻬﺑ<br />
)<br />
2<br />
(<br />
42<br />
)<br />
5<br />
/<br />
1<br />
(<br />
<strong>18</strong><br />
)<br />
9<br />
/<br />
2<br />
(<br />
24<br />
0001<br />
/<br />
0<br />
<<br />
نﺎﺘﺴﺑﺎﺗ<br />
)<br />
10<br />
(<br />
206<br />
)<br />
9<br />
/<br />
4<br />
(<br />
61<br />
)<br />
9<br />
/<br />
17<br />
(<br />
145<br />
ﺰﻴﻳﺎﭘ<br />
)<br />
9<br />
/<br />
9<br />
(<br />
204<br />
)<br />
4<br />
/<br />
4<br />
(<br />
54<br />
)<br />
5<br />
/<br />
<strong>18</strong><br />
(<br />
150<br />
نﺎﺘﺴﻣز<br />
)<br />
2<br />
/<br />
20<br />
(<br />
415<br />
)<br />
3<br />
/<br />
9<br />
(<br />
115<br />
)<br />
1<br />
/<br />
37<br />
(<br />
300<br />
طﺎﺒﺗرا نوﺪﺑ<br />
)<br />
6<br />
/<br />
57<br />
(<br />
1<strong>18</strong>0<br />
)<br />
80<br />
(<br />
991<br />
)<br />
3<br />
/<br />
23<br />
(<br />
<strong>18</strong>9<br />
ﻲﮕﺘﺴﺧ<br />
)<br />
38<br />
(<br />
777<br />
)<br />
9<br />
/<br />
36<br />
(<br />
457<br />
)<br />
6<br />
/<br />
39<br />
(<br />
320<br />
2250<br />
/<br />
0<br />
سﺮﺘﺳا<br />
)<br />
35<br />
(<br />
715<br />
)<br />
4<br />
/<br />
43<br />
(<br />
538<br />
)<br />
9<br />
/<br />
21<br />
(<br />
177<br />
0001<br />
/<br />
0<br />
<<br />
ﻢﻛ<br />
ﻲﺑاﻮﺧ<br />
)<br />
3<br />
/<br />
33<br />
(<br />
683<br />
)<br />
5<br />
/<br />
35<br />
(<br />
440<br />
)<br />
30<br />
(<br />
243<br />
0110<br />
/<br />
0<br />
ﺮﺳ ﻪﺑ ﻪﺑﺮﺿ<br />
)<br />
8<br />
/<br />
22<br />
(<br />
467<br />
)<br />
7<br />
/<br />
22<br />
(<br />
281<br />
)<br />
23<br />
(<br />
<strong>18</strong>6<br />
8710<br />
/<br />
0<br />
ﻪﻧﺎﻳار ﺎﺑ رﺎﻛ<br />
)<br />
5<br />
/<br />
19<br />
(<br />
400<br />
)<br />
11<br />
(<br />
136<br />
)<br />
7<br />
/<br />
32<br />
(<br />
264<br />
0001<br />
/<br />
0<br />
<<br />
دﺎﻳز باﻮﺧ<br />
)<br />
3<br />
/<br />
13<br />
(<br />
273<br />
)<br />
7<br />
/<br />
9<br />
(<br />
120<br />
)<br />
9<br />
/<br />
<strong>18</strong><br />
(<br />
153<br />
0001<br />
/<br />
0<br />
<<br />
نﻮﻳﺰﻳﻮﻠﺗ <strong>ي</strong>ﺎﺷﺎﻤﺗ<br />
)<br />
7<br />
/<br />
12<br />
(<br />
260<br />
)<br />
9<br />
/<br />
7<br />
(<br />
98<br />
)<br />
20<br />
(<br />
162<br />
0001<br />
/<br />
0<br />
<<br />
ﻲﮕﻨﺳﺮﮔ<br />
)<br />
5<br />
/<br />
12<br />
(<br />
256<br />
)<br />
2<br />
/<br />
11<br />
(<br />
139<br />
)<br />
5<br />
/<br />
14<br />
(<br />
117<br />
0330<br />
/<br />
0<br />
ﺎﻫﻮﺑ زا ﻲﺧﺮﺑ<br />
)<br />
8<br />
/<br />
11<br />
(<br />
241<br />
)<br />
4<br />
/<br />
19<br />
(<br />
124<br />
)<br />
5<br />
/<br />
14<br />
(<br />
117<br />
0020<br />
/<br />
0<br />
شزرو<br />
)<br />
6<br />
/<br />
6<br />
(<br />
135<br />
)<br />
5<br />
/<br />
5<br />
(<br />
68<br />
)<br />
3<br />
/<br />
8<br />
(<br />
67<br />
0130<br />
/<br />
0<br />
ﻪﻓﺮﺳ<br />
)<br />
9<br />
/<br />
5<br />
(<br />
121<br />
)<br />
2<br />
/<br />
5<br />
(<br />
64<br />
)<br />
7<br />
(<br />
57<br />
0840<br />
/<br />
0<br />
ﺎﻫاﺬﻏ ﻲﺧﺮﺑ<br />
)<br />
3<br />
/<br />
4<br />
(<br />
88<br />
)<br />
3<br />
/<br />
3<br />
(<br />
41<br />
)<br />
8<br />
/<br />
5<br />
(<br />
47<br />
0070<br />
/<br />
0<br />
ﻲﺧﺮﺑ<br />
ﺎﻫوراد<br />
)<br />
1<br />
(<br />
21<br />
)<br />
1<br />
(<br />
12<br />
)<br />
1<br />
/<br />
1<br />
(<br />
9<br />
8230<br />
/<br />
0<br />
ﻲﮔﺪﻋﺎﻗ<br />
-<br />
)<br />
4<br />
/<br />
17<br />
(<br />
215<br />
-<br />
-<br />
*Chi-Square test<br />
www.mui.ac.ir
نارﺎﻜﻤﻫ و ﻲﻨﻴﻘﻳ ﺪﻴﻣا<br />
*P<br />
0/<br />
0080<br />
< 0/<br />
0001<br />
< 0/<br />
0001<br />
0/<br />
6470<br />
0/<br />
0190<br />
< 0/<br />
0001<br />
< 0/<br />
0001<br />
0/<br />
0070<br />
< 0/<br />
0001<br />
*Chi-Square test<br />
1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآ ﺶﻧاد رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
نﺎﻬﻔﺻا ﺮﻬﺷ <strong>ي</strong>ﻪ<br />
ﻟﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآﺶﻧاد<br />
رد <strong>در</strong>دﺮﺳ <strong>ي</strong>ﺎﻫدوﺰﻴﭘا ﺎﺑ هاﺮﻤﻫ ﻢﻳﻼﻋ . 4 لوﺪﺟ<br />
ﺮﺴﭘ<br />
داﺪﻌﺗ ( ﺪﺻرد)<br />
280 ( 34/<br />
6)<br />
146 ( <strong>18</strong>)<br />
144 ( 17/<br />
8)<br />
116 ( 14/<br />
3)<br />
125 ( 15/<br />
4)<br />
79 ( 9/<br />
7)<br />
85 ( 10/<br />
5)<br />
71 ( 8/<br />
7)<br />
80 ( 9/<br />
9)<br />
و 11/<br />
5 ﺐﻴﺗﺮﺗ ﻪﺑ ناﺮﺴﭘ رد و ﺪﺻرد 33/<br />
2<br />
ﺮﺘﺧد<br />
داﺪﻌﺗ ( ﺪﺻرد)<br />
360 ( 29/<br />
1)<br />
328 ( 26/<br />
5)<br />
313 ( 25/<br />
3)<br />
168 ( 13/<br />
6)<br />
147 ( 11/<br />
9)<br />
81 ( 6/<br />
5)<br />
62 ( 5)<br />
70 ( 5/<br />
6)<br />
54 ( 4/<br />
4)<br />
و 27 ﺐﻴﺗﺮﺗ<br />
. دﻮﺑ ﺪﺻرد 27/<br />
1<br />
<strong>ي</strong>ﻮــﮕﻟا صﻮــﺼﺧ رد هﺪــﺷ مﺎــﺠﻧا تﺎــﻌﻟﺎﻄﻣ<br />
دوﺪـﺤﻣ ناﺮـﻳا رد نازﻮﻣآﺶﻧاد<br />
رد<br />
<strong>در</strong>دﺮﺳ ﻚﻳژﻮﻟﻮﻴﻣﺪﻴﭘا<br />
2226 <strong>ي</strong>ور ﺮـﺑ <strong>ي</strong>وﺮـﺴﺧ و ﻲـﻬﻟاﺖـﻳآ<br />
<strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
. ﺖﺳا<br />
داد نﺎـﺸﻧ زاﺮﻴـﺷ رد ( لﺎـﺳ 13 ﺎﺗ 6)<br />
ﻲﻧﺎﺘﺴﺑد زﻮﻣآﺶﻧاد<br />
5/<br />
5 و 1/<br />
7<br />
ﺐـﻴﺗﺮﺗ ﻪﺑ ﻲﻨﺸﻨﺗ و ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ عﻮﻴﺷ ﻪﻛ<br />
رد هﺪـﻣآ ﺖـﺳد ﻪﺑ<br />
عﻮﻴﺷ زا ﺮﺘﻤﻛ رﺎﻴﺴﺑ ﻪﻛ ﺖﺳا<br />
ﺪﺻرد<br />
.( 9)<br />
ﺪﺷﺎﺑﻲﻣ<br />
ﺮﺿﺎﺣ <strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
سﺎـﺳا ﺮـﺑ نازﻮـﻣآﺶـﻧاد<br />
اﺪـﺘﺑا ،نﺎـﻧآ <strong>ي</strong>ﻪـﻌﻟﺎﻄﻣ<br />
رد<br />
ﺪﻧﺪـﺷ<br />
لﺎـﺑﺮﻏ <strong>در</strong>دﺮـﺳ ﻲـﻠﻠﻤﻟاﻦﻴـﺑ<br />
ﻦـﻤﺠﻧا <strong>ي</strong>ﺎـﻫرﺎﻴﻌﻣ<br />
،ﺲﭙـﺳ<br />
و ( ﺖﺳا هﺪﺸﻧ ﻪﻳارا<br />
<strong>ي</strong>ﺮﮕﻟﺎﺑﺮﻏ ﻪﺠﻴﺘﻧ زا ﻲﺷراﺰﮔ)<br />
ﺖـﺤﺗ ﺺﺼﺨﺘﻣ ﻚﺷﺰﭘ ﻂﺳﻮﺗ <strong>در</strong>دﺮﺳ ﻪﺑ كﻮﻜﺸﻣ داﺮﻓا<br />
ﺲﭙـﺳ و ﺪـﻨﺘﻓﺮﮔ راﺮـﻗ ﻲﻨﻴﻟﺎـﺑ <strong>ي</strong>ﻪـﻨﻳﺎﻌﻣ<br />
و لﺎـﺣ حﺮـﺷ<br />
. ( 9)<br />
ﺖﻓﺮﮔ ترﻮﺻ <strong>در</strong>دﺮﺳ ﺺﻴﺨﺸﺗ<br />
زا ﺲـﭘ ﺺﻴﺨـﺸﺗ ﻪـﻛ ﺰـﻴﻧ نﺎـﻤﻟآ رد <strong>ي</strong>اﻪـﻌﻟﺎﻄﻣ<br />
رد<br />
ﻲﻨـﺸﻨﺗ و ﻲـﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ عﻮﻴﺷ ،دﻮﺑ<br />
ﺺﺼﺨﺘﻣ ﺖﻳﺰﻳو<br />
4/<br />
5 و 6/<br />
9 ﺐـﻴﺗﺮﺗ ﻪـﺑ ﻪﻟﺎـﺳ 15 ﺎﺗ 12 نازﻮﻣآﺶﻧاد<br />
ﻦﻴﺑ<br />
نازﻮﻣآﺶﻧاد<br />
ﻞﻛ<br />
داﺪﻌﺗ ( ﺪﺻرد)<br />
640 ( 31/<br />
3)<br />
474 ( 23/<br />
1)<br />
457 ( 22/<br />
3)<br />
284 ( 13/<br />
9)<br />
276 ( 13/<br />
3)<br />
160 ( 7/<br />
8)<br />
147 ( 7/<br />
2)<br />
141 ( 6/<br />
8)<br />
134 ( 6/<br />
5)<br />
اﺪﺻ ﻪﺑ ﺖﻴﺳﺎﺴﺣ<br />
ﻲﺑاﻮﺧﻲﺑ<br />
ﺪﻳد لﻼﺘﺧا<br />
شﺰﻳر ﻚﺷا<br />
غاﺮﻔﺘﺳاو<br />
عﻮﻬﺗ<br />
ﻲﺴﺣ ﻲﺑ<br />
ﻲﮕﻨﺳﺮﮔ سﺎﺴﺣا<br />
ندﺮﮔ ﻲﺘﻔﺳ<br />
ﻲﻨﻴﺑ نﺎﻘﺘﺣا<br />
4 لوﺪـﺟ رد ﺲﻨـﺟ ود رد <strong>در</strong>دﺮـﺳ ﺎـﺑ هاﺮﻤﻫ ﻢﻳﻼﻋ<br />
دوﺰـﻴﭘا ﺎـﺑ هاﺮﻤﻫ ﻢﻳﻼﻋ ﻦﻳﺮﺗﻊﻳﺎﺷ<br />
. ﺖﺳا هﺪﺷ هداد نﺎﺸﻧ<br />
ﺪﻳد لﻼﺘﺧا و ﻲﺑاﻮﺧﻲﺑ<br />
،اﺪﺻ<br />
ﻪﺑ ﺖﻴﺳﺎﺴﺣ ﻞﻣﺎﺷ <strong>در</strong>دﺮﺳ<br />
و ﺮـﺘﺧد نازﻮـﻣآﺶﻧاد<br />
رد ﺪﻳد لﻼﺘﺧا و ﻲﺑاﻮﺧﻲﺑ<br />
. دﻮﺑ<br />
،غاﺮﻔﺘﺳا و عﻮﻬﺗ ،ﻲﮕﻨﺳﺮﮔ سﺎﺴﺣا ،اﺪﺻ ﻪﺑ ﺖﻴﺳﺎﺴﺣ<br />
نازﻮـﻣآﺶـﻧاد<br />
رد ندﺮﮔ ﻲﺘﻔﺳ و ﻲﺴﺣﻲﺑ<br />
،ﻲﻨﻴﺑ نﺎﻘﺘﺣا<br />
. ﺪﺷ ﻪﻈﺣﻼﻣ<br />
23/<br />
3)<br />
ﺮـﻔﻧ 289 ،<strong>در</strong>دﺮـﺳ<br />
ﻪـﺑ ﻼﺘﺒﻣ ﺮﺘﺧد<br />
ﺮﺘﺸﻴﺑ ﺮﺴﭘ<br />
1239 زا<br />
( ﺪـﺻرد 26/<br />
9)<br />
ﺮﻔﻧ 2<strong>18</strong> ،ﻼﺘﺒﻣ<br />
ﺮﺴﭘ 808 زا و ( ﺪﺻرد<br />
ﺪـﻧدﻮﺑ هدﺮـﻛ ﻪـﻌﺟاﺮﻣ ﻚـﺷﺰﭘ ﻪـﺑ <strong>در</strong>دﺮـﺳ مﺎﮕﻨﻫ رد<br />
. ( P = 0/<br />
0660)<br />
ﺚﺤﺑ<br />
و <strong>در</strong>دﺮـﺳ عاﻮـﻧا عﻮﻴـﺷ ﻦﻴﻴﻌﺗ ،ﺮﺿﺎﺣ<br />
<strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
زا فﺪﻫ<br />
<strong>ي</strong>ﻪﻟﺎـﺳ<br />
<strong>18</strong> ﺎـﺗ 11 نازﻮـﻣآﺶـﻧاد<br />
رد نآ ﺎﺑ ﻂﺒﺗﺮﻣ ﻞﻣاﻮﻋ<br />
ﻲـﻠﻛ عﻮﻴـﺷ ،ﻪـﻌﻟﺎﻄﻣ ﻦـﻳا ﺞﻳﺎﺘﻧ ﻖﺒﻃ . دﻮﺑ نﺎﻬﻔﺻا ﺮﻬﺷ<br />
39/<br />
4 و 60/<br />
4<br />
www.mui.ac.ir<br />
ﺐـﻴﺗﺮﺗ ﻪـﺑ ناﺮـﺴﭘ و ناﺮـﺘﺧد رد <strong>در</strong>دﺮﺳ<br />
ﻪـﺑ ناﺮـﺘﺧد رد ﻲﻨﺸﻨﺗ و ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ عﻮﻴﺷ و ﺪﺻرد<br />
1050
نارﺎﻜﻤﻫ و ﻲﻨﻴﻘﻳ ﺪﻴﻣا<br />
1051<br />
. ( 6-9-15)<br />
ﺖﺳا هدﺮﻛ اﺪﻴﭘ ﺶﻳاﺰﻓا ﻦﺳ ﺶﻳاﺰﻓا ﺎﺑ<br />
رد ﻲـﻧﺮﮕﻴﻣ <strong>در</strong>دﺮـﺳ عوﺮـﺷ ،دﻮـﺟﻮﻣ ﺪﻫاﻮـﺷ ﻖـﺒﻃ<br />
،ﺖـﺳا ( ﻲﮕﻟﺎﺳ 10)<br />
ناﺮﺘﺧد زا ﺮﺗدوز ( ﻲﮕﻟﺎﺳ 7)<br />
عﻮﻴـﺷ ( ﻪـﺳرﺪﻣ عوﺮـﺷ)<br />
ناﺮﺴﭘ<br />
ﻲﮕﻟﺎـﺳ 7 ﻦﺳ زا ﻞﺒﻗ ﻦﻳاﺮﺑﺎﻨﺑ<br />
دوﺪـﺣ رد ﺎـﻣا ،ﺖﺳا<br />
ناﺮﺘﺧد زا ﺮﺘﺸﻴﺑ ناﺮﺴﭘ رد <strong>در</strong>دﺮﺳ<br />
زا ﺶﻴـﺑ ناﺮـﺘﺧد<br />
رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ ﻲﮕﻟﺎﺳ 14 ﺎﺗ10<br />
. ( 14-15)<br />
دﻮﺷﻲﻣ<br />
نﺎـﺸﻧ ﻦﻴـﻨﭽﻤﻫ <strong>ي</strong>وﺮﺴﺧ و ﻲﻬﻟاﺖﻳآ<br />
<strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
ﺞﻳﺎﺘﻧ<br />
ﻦﺳ<br />
ناﺮﺴﭘ<br />
ﺮـﻴﻏ باﻮـﺧ <strong>ي</strong>ﻮـﮕﻟا و ﻲﮔداﻮﻧﺎـﺧ ﺖﺒﺜﻣ <strong>ي</strong>ﻪﻘﺑﺎﺳ<br />
ﻪﻛ داد<br />
و نﺮـﮕﻴﻣ ﻪـﺑ نﺎﻳﻼﺘﺒﻣ <strong>ي</strong>اﺮﺑ ﺮﻄﺧ ﻞﻣاﻮﻋ ﻦﻳﺮﺗﻢﻬﻣ<br />
ﻲﮔداﻮﻧﺎـﺧ <strong>ي</strong>ﻪﻘﺑﺎﺳ<br />
ﻪﻛ <strong>ي</strong>رﻮﻃ<br />
ﺐﻴﺗﺮﺗ ﻪﺑ ار ﻲﻨﺸﻨﺗ <strong>در</strong>دﺮﺳ<br />
ﻪﺑ<br />
؛ﺪﺷﺎﺑﻲﻣ<br />
ﻲﻌﻴﺒﻃ<br />
ﻲﻨﺸﻨﺗ <strong>در</strong>دﺮﺳ<br />
و نﺮﮕﻴﻣ ﻪﺑ ﻼﺘﺑا ﺲﻧﺎﺷ ،ﺖﺒﺜﻣ<br />
<strong>ي</strong>ﻮـﮕﻟا نآ ﺮـﺑ هوﻼـﻋ . ﺪـﻫدﻲﻣ<br />
ﺶﻳاﺰﻓا ﺮﺑاﺮﺑ 2/<br />
9 و 8/<br />
4<br />
ﻲـﺸﻨﺗ <strong>در</strong>دﺮﺳ و نﺮﮕﻴﻣ ﻪﺑ ﻼﺘﺑا ﺲﻧﺎﺷ ﻲﻌﻴﺒﻃ ﺮﻴﻏ باﻮﺧ<br />
ﺞﻳﺎﺘﻧ . ( 9)<br />
ﺪﻫدﻲﻣ<br />
ﺶﻳاﺰﻓا 4/<br />
4 و 5/<br />
6<br />
ﻞـﻣاﻮﻋ ﻪـﻛ ﺪﻫدﻲﻣ<br />
ﺎﺑ ﺮﺑاﺮﺑ ﺐﻴﺗﺮﺗ ﻪﺑ ار<br />
نﺎﺸﻧ ﻪﻨﻴﻣز ﻦﻳا رد ﻒﻠﺘﺨﻣ تﺎﻌﻟﺎﻄﻣ<br />
ﻞـﻴﺧد ﻲـﻧﺮﮕﻴﻣ <strong>در</strong>دﺮـﺳ رد ﻲﻬﺟﻮﺗ ﻞﺑﺎﻗ ناﺰﻴﻣ ﻪﺑ ﻚﻴﺘﻧژ<br />
ﻲﻄﻴﺤﻣ ﻞﻣاﻮﻋ ﺪﻳﺎﺷ ﻲﻨﺸﻨﺗ <strong>در</strong>دﺮﺳ ﻪﺑ نﺎﻳﻼﺘﺒﻣ رد . ﺪﻨﺘﺴﻫ<br />
باﻮﺧ <strong>ي</strong>ﻮﮕﻟا و زﻮﻣآﺶﻧاد<br />
هداﻮﻧﺎﺧ رد ﺶﻨﺗ دﻮﺟو : ﺪﻨﻧﺎﻣ<br />
<strong>ي</strong>ﺎﻫﻪﻣﺎﻧﺮﺑ<br />
،ﻪﺠﻴﺘﻧ رد . ﺪﺷﺎﺑ<br />
طﺎﺒﺗرا رد <strong>در</strong>دﺮﺳ ﺎﺑ ﻲﻌﻴﺒﻃ ﺮﻴﻏ<br />
<strong>ي</strong>ﻮـﮕﻟا دﺎـﺠﻳا ،ﻲـﻳادزﺶﻨﺗ<br />
شزﻮﻣآ ﺖﻬﺟ رد <strong>ي</strong>اﻪﻠﺧاﺪﻣ<br />
رد ﺶﻨـﺗ ﺶﻫﺎـﻛ و باﻮـﺧ ﺖـﺷاﺪﻬﺑ و ﻲـﻌﻴﺒﻃ باﻮـﺧ<br />
عاﻮﻧا ﻦﻴﻜﺴﺗ رد <strong>ي</strong>ﺮﺛﺆﻣ<br />
ﺶﻘﻧ ﺪﻨﻧاﻮﺗﻲﻣ<br />
زﻮﻣآﺶﻧاد<br />
<strong>در</strong>دﺮـﺳ تﻼـﻤﺣ زا <strong>ي</strong>ﺮـﻴﮔﺶﻴﭘ<br />
هداﻮﻧﺎﺧ<br />
رد و ﺪﺷﺎﺑ ﻪﺘﺷاد <strong>در</strong>دﺮﺳ<br />
.( 9)<br />
دﻮﺷ ﻊﻗاو ﺮﺛﺆﻣ<br />
ﻦﻴــﺑ رد <strong>در</strong>دﺮــﺳ عاﻮــﻧا <strong>ي</strong>ﻻﺎــﺑ عﻮﻴــﺷ دﻮــﺟو ﺎــﺑ<br />
نﺎـﻤﻠﻌﻣ ﻲﻫﺎـﮔآ ،دﻮـﺟﻮﻣ<br />
ﺪﻫاﻮﺷ ﻖﺒﻃ ﺮﺑ و نازﻮﻣآﺶﻧاد<br />
ﻦـﻳا رد ﺪـﻧراد نازﻮـﻣآﺶـﻧاد<br />
ﺎـﺑ ﻲـﻜﻳدﺰﻧ طﺎـﺒﺗرا ﻪـﻛ<br />
ﻚـﻳ رد نارﺎـﻜﻤﻫ و ناﺮﻘﻳﺎـﻗ . ﺖﺴﻴﻧ بﻮﻠﻄﻣ صﻮﺼﺧ<br />
ﻲﻠﻴـﺼﺤﺗ ﻊﻃﺎـﻘﻣ نﺎـﻤﻠﻌﻣ ﻲﻫﺎﮔآ ناﺰﻴﻣ ﻦﻴﻴﻌﺗ ﻪﺑ ﻪﻌﻟﺎﻄﻣ<br />
ﺖـﺷر ﺮﻬـﺷ ( نﺎﺘـﺳﺮﻴﺑد و ﻲﻳﺎـﻤﻨﻫار ،نﺎﺘـﺴﺑد)<br />
ﻪﻧﺎﮔﻪﺳ<br />
نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآ ﺶﻧاد رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
<strong>ي</strong>هدوﺪـﺤﻣ<br />
،ﻦﻴـﻨﭽﻤﻫ . ( 7)<br />
ﺖـﺳا هﺪـﺷ شراﺰﮔ ﺪﺻرد<br />
ﺎـﺗ 6 ( 9)<br />
<strong>ي</strong>وﺮـﺴﺧ و ﻲـﻬﻟاﺖﻳآ<br />
<strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
رد داﺮﻓا ﻲﻨﺳ<br />
11 ﺮﺿﺎﺣ <strong>ي</strong> ﻪﻌﻟﺎﻄﻣ رد ﻪﻛ ﻲﻟﺎﺣ رد ؛ﺖﺳا<br />
هدﻮﺑ لﺎﺳ<br />
1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
www.mui.ac.ir<br />
13<br />
<strong>در</strong>دﺮﺳ عﻮﻴﺷ ،ﻪﻌﻟﺎﻄﻣ ود ﺮﻫ ﺞﻳﺎﺘﻧ ﻖﺒﻃ و دﻮﺑ لﺎﺳ <strong>18</strong> ﺎﺗ<br />
ﻲﺳرﺮﺑ رد ﻪﻛ ﻲﻟﺎﺣ رد<br />
؛ﺖﺳا<br />
هدﻮﺑ ﺮﺘﺸﻴﺑ<br />
ﺮﺗﻻﺎﺑ ﻦﻴﻨﺳ<br />
زﻮـﻣآﺶـﻧاد<br />
1965 ،ﺖـﺷر ﺮﻬـﺷ رد نارﺎﻜﻤﻫ و ناﺮﻘﻳﺎﻗ<br />
<strong>ي</strong>ﻪــﻣﺎﻧﺶــﺳﺮﭘ<br />
ﻖــﻳ<br />
ﺮﻃ<br />
عﻮﻴـﺷ و ﺪـﻨﺘﻓﺮﮔ راﺮـﻗ ﻲـﺳرﺮﺑ<br />
.( 11)<br />
دﻮﺑ ﺪﺻرد 8/<br />
8 ﻪﻌﻣﺎﺟ ﻦﻳا<br />
رد<br />
زا ﻪﻟﺎــﺳ <strong>18</strong> ﺎــﺗ 14 ﻲﻧﺎﺘــﺳﺮﻴﺑد<br />
<strong>در</strong>ﻮﻣ نﺮﮕﻴﻣ ﻲﺼﻴﺨﺸﺗ<br />
رد ﻲﻧﺮﮕﻴﻣ<br />
رد ﻲـﻳازﺮﻴﻣ ﻂـﺳﻮﺗ ﺮﮕﻳد <strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
ﻚﻳ رد ﻦﻴﻨﭽﻤﻫ<br />
<strong>در</strong>دﺮﺳ<br />
زا ﻲـﺷﺎﻧ دﺮﻜﻠﻤﻋ ﺖﻓا و ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ عﻮﻴﺷ ،دﺮﻛﺮﻬﺷ<br />
زا هدﺎﻔﺘـﺳا ﺎـﺑ ﺐـﻴﺗﺮﺗ ﻪـﺑ ﻲﻧﺎﺘـﺳﺮﻴﺑد ﺮـﺘﺧد 550 رد نآ<br />
ﺞﻳﺎﺘﻧ ﻖﺒﻃ . ﺪﺷ ﻲﺳرﺮﺑ MIDAS و HIS <strong>ي</strong>ﺎﻫﻪﻣﺎﻧﺶﺳﺮﭘ<br />
زا ﺪــﺻرد 13/<br />
3<br />
ﻪــﻛ ﺪــﺷ ﺺﺨــﺸﻣ ﻲــﺳرﺮﺑ ﻦــﻳا<br />
. ( 12)<br />
ﺪﻨﺘﺷاد نﺮﮕﻴﻣ نازﻮﻣآﺶﻧاد<br />
زا ﻪــﻛ تﺎــﻌﻟﺎﻄﻣ ﻦــﻳا رد <strong>در</strong>دﺮــﺳ عاﻮــﻧا عﻮﻴــﺷ<br />
،ﺪـﻧدﻮﺑ<br />
هدﺮـﻛ هدﺎﻔﺘﺳا <strong>در</strong>دﺮﺳ ﺺﻴﺨﺸﺗ <strong>ي</strong>اﺮﺑ ﻪﻣﺎﻧﺶﺳﺮﭘ<br />
. دﻮﺑ ﺮﺘﻤﻛ ﺮﺿﺎﺣ <strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
ﻪﺑ ﺖﺒﺴﻧ<br />
2213 <strong>ي</strong>ور ﺮـﺑ دﺎـﺑآمﺮـﺧ<br />
رد ﻲـﻣاﺮﻬﺑ <strong>ي</strong>ﻪـﻌﻟﺎﻄﻣ<br />
رد<br />
ﻪـﺑ ﺞﻳﺎـﺘﻧ ،ﻪﻣﺎﻧﺶﺳﺮﭘ<br />
زا هدﺎﻔﺘﺳا ﺎﺑ ﻲﻧﺎﺘﺳﺮﻴﺑد زﻮﻣآﺶﻧاد<br />
<strong>در</strong>ﻮـﻣ داﺮـﻓا زا ﺪـﺻرد 44/<br />
4<br />
ﻪـﻛ داد نﺎـﺸﻧ هﺪﻣآ ﺖﺳد<br />
30 ﻲـﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ عﻮﻴﺷ و ﺪﻧدﻮﺑ <strong>در</strong>دﺮﺳ <strong>ي</strong>اراد ﻪﻌﻟﺎﻄﻣ<br />
صﻮـﺼﺧ رد ﻪـﻛ دﻮـﺑ ﺪـﺻرد 14/<br />
4<br />
ﻲﻨـﺸﻨﺗ <strong>در</strong>دﺮـﺳ و<br />
ﺮﺘـﺸﻴﺑ هﺪـﺷ مﺎـﺠﻧا <strong>ي</strong>ﻪـﻌﻟﺎﻄﻣ<br />
ﺞﻳﺎـﺘﻧ ﺎـﺑ ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ<br />
. ( 13)<br />
ﺪـﻧاﻮﺗﻲـﻣ<br />
رﻮﺸﻛ ﻞﺧاد تﺎﻌﻟﺎﻄﻣ ﻦﻴﺑ ﺎﻫتوﺎﻔﺗ<br />
ﺖﺷاد ﻲﻧاﻮﺨﻤﻫ<br />
ﺖﻠﻋ<br />
و ﻪـﻧﻮﻤﻧ ﻢـﺠﺣ ،<strong>ي</strong>ﺮﻴﮔﻪﻧﻮﻤﻧ<br />
<strong>ي</strong>هﻮﺤﻧ<br />
،ﻪﻌﻟﺎﻄﻣ مﺎﺠﻧا نﺎﻣز<br />
<strong>ي</strong>ﺎﻫﺮﻬـﺷ رد <strong>در</strong>دﺮـﺳ ﺮـﻄﺧ ﻞـﻣاﻮﻋ ﻲـﻧاواﺮﻓ رد توﺎﻔﺗ<br />
،ﻪﺘـﺷﺬﮔ تﺎـﻌﻟﺎﻄﻣ مﺎﻤﺗ رد ﻲﺒﻳﺮﻘﺗ<br />
رﻮﻃ ﻪﺑ . ﺪﺷﺎﺑ ﻒﻠﺘﺨﻣ<br />
رد <strong>در</strong>دﺮـﺳ عﻮﻴـﺷ ،ﺎﻫرﻮـﺸﻛ ﺮﻳﺎﺳ رد ﻪﭼ و ناﺮﻳا رد ﻪﭼ<br />
و ﺖﺳا هدﻮﺑ ﺮﺴﭘ نازﻮﻣآﺶﻧاد<br />
زا ﺮﺘﺸﻴﺑ ﺮﺘﺧد نازﻮﻣآﺶﻧاد
نارﺎﻜﻤﻫ و ﻲﻨﻴﻘﻳ ﺪﻴﻣا<br />
. ﺪﻫدﻲﻣ<br />
رد هﺪـﺷ مﺎـﺠﻧا تﺎـﻌﻟﺎﻄﻣ زا <strong>ي</strong>رﺎﻴﺴﺑ ،دﻮﺟو ﻦﻳا ﺎﺑ<br />
ﻪﺋارا<br />
ﺪﻧدﻮﺑ هدﺮﻛ هدﺎﻔﺘﺳا ﻪﺑﺎﺸﻣ شور زا نﺎﻬﺟ ﻒﻠﺘﺨﻣ طﺎﻘﻧ<br />
. دﺮـﻛﻲـﻣ<br />
ﻢﻫاﺮـﻓ ار ﺞﻳﺎﺘﻧ <strong>ي</strong>ﻪﺴﻳﺎﻘﻣ<br />
نﺎﻜﻣا شور ﻦﻳا و<br />
<strong>ي</strong>ﺮﮕﻟﺎـﺑﺮﻏ زا ﺲـﭘ هﺪـﻨﻳآ تﺎﻌﻟﺎﻄﻣ رد دﻮﺷﻲﻣ<br />
دﺎﻬﻨﺸﻴﭘ<br />
تﺎـﻋﻼﻃا ﺮـﺗﻖـﻴﻗد<br />
<strong>ي</strong>روآﻊـﻤﺟ<br />
ﺖـﻬﺟ ،نازﻮـﻣآﺶﻧاد<br />
11 نازﻮـﻣآﺶﻧاد<br />
. دﺮﻴﮔ ترﻮﺻ ﻚﺷﺰﭘ ﺖﻳﺰﻳو و ﻪﺒﺣﺎﺼﻣ<br />
<strong>ي</strong>ﺮﻴﮔﻪﺠﻴﺘﻧ<br />
زا ﻲﻤﻴﻧ دوﺪﺣ ،ﻪﻌﻟﺎﻄﻣ ﻦﻳا ﺞﻳﺎﺘﻧ ﻖﺒﻃ<br />
ﻼﺘﺒﻣ <strong>در</strong>دﺮﺳ عاﻮﻧا زا ﻲﻜﻳ ﻪﺑ نﺎﻬﻔﺻا ﺮﻬﺷ <strong>ي</strong>ﻪﻟﺎﺳ<br />
<strong>18</strong> ﺎﺗ<br />
ﺐـﻴﺗﺮﺗ ﻪـﺑ ﻲﻨـﺸﻨﺗ و ﻲـﻧﺮﮕﻴﻣ <strong>در</strong>دﺮـﺳ عﻮﻴﺷ ﻪﻛ ﺪﻧدﻮﺑ<br />
عﻮﻴـﺷ <strong>ي</strong>هﺪـﻨﻫد<br />
نﺎـﺸﻧ ﻦﻳا و دﻮﺑ ﺪﺻرد 30/<br />
2 و 19/<br />
3<br />
. ﺪﺷﺎﺑﻲﻣ<br />
نازﻮﻣآﺶﻧاد<br />
نﺎـﻤﻠﻌﻣ صﻮﺼﺧ ﻪﺑ<br />
و نازﻮﻣآﺶﻧاد<br />
شزﻮﻣآ فﺪﻫ ﺎﺑ ﻲﺷزﻮﻣآ <strong>ي</strong>ﺎﻫﻪﻣﺎﻧﺮﺑ<br />
ﻦﻴﺑ رد ﻞﻜﺸﻣ ﻦﻳا <strong>ي</strong>ﻻﺎﺑ<br />
ﻲﻫﺎﮔآ ﺶﻳاﺰﻓا<br />
<strong>ي</strong>راﺰﮔﺮﺑ ﻖﻳﺮﻃ زا<br />
<strong>ي</strong>هدﺎـﺳ<br />
تﻼﺧاﺪـﻣ و نآ ﺎـﺑ ﻂﺒﺗﺮـﻣ ﻞـﻣاﻮﻋ ،<strong>ي</strong>رﺎـﻤﻴﺑ<br />
<strong>ي</strong>ﺎـﻫشور<br />
و باﻮـﺧ <strong>ي</strong>ﻮـﮕﻟا حﻼـﺻا ﺪـﻨﻧﺎﻣ <strong>ي</strong>رﺎـﺘﻓر<br />
تﻼـﻤﺣ <strong>ي</strong>ﺮـﻴﮔﺶﻴـﭘ<br />
و نﺎﻣرد رد ﺪﻧاﻮﺗﻲﻣ<br />
ﻲﻳادزﺶﻨﺗ<br />
مﺎـﺠﻧا . ﺪـﺷﺎﺑ هﺪـﻨﻨﻛ ﻚـﻤﻛ نازﻮـﻣآﺶـﻧاد<br />
رد <strong>در</strong>دﺮـﺳ<br />
ﻪـﻧﻮﮔ ﻦـﻳا ﻲـﺸﺨﺑﺮﺛا صﻮـﺼﺧ رد ﺮﺘـﺸﻴﺑ تﺎـﻌﻟﺎﻄﻣ<br />
ﻪﺑ<br />
. دﻮﺷﻲﻣ<br />
ﻪﻴﺻﻮﺗ تﻼﺧاﺪﻣ<br />
ﻲﻧا<strong>در</strong>ﺪﻗ و ﺮﻜﺸﺗ<br />
نﺎﻬﻔﺻا نﺎﺘﺳا شروﺮﭘ و شزﻮﻣآ مﺮﺘﺤﻣ ﺖﻳﺮﻳﺪﻣ زا<br />
ﻲـﻠﻋ ﺮـﺘﻛد زا و حﺮـﻃ ﻦـﻳا <strong>ي</strong>اﺮـﺟا رد <strong>ي</strong>رﺎﻜﻤﻫ ﻞﻴﻟد<br />
شراﺰـﮔ ﻦـﻳا <strong>ي</strong>ﻪﻴﻬﺗ<br />
رد <strong>ي</strong>رﺎﻜﻤﻫ ﺮﻃﺎﺧ ﻪﺑ<br />
ﻲﻳﺎﺿﺮﻣﻼﻏ<br />
. ﺪﻳآﻲﻣ<br />
ﻞﻤﻋ ﻪﺑ ﺮﻳﺪﻘﺗ<br />
1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآ ﺶﻧاد رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
. ﺪﻨﺘﺧادﺮﭘ ﻲﻧﺮﮕﻴﻣ <strong>در</strong>دﺮﺳ ﻪﺑ<br />
ﺖﺒﺴﻧ<br />
<strong>در</strong>ﻮـﻣ <strong>ي</strong>ﺎﻫﺪـﺣاو زا ﺪـﺻرد 43 ﻲﻫﺎـﮔآ ،ﺞﻳﺎـﺘﻧ ﻖﺒﻃ<br />
و ﻂـﺳﻮﺘﻣ ﺪـﺣ رد ﺪﺻرد<br />
39/<br />
7<br />
،ﻒﻴﻌﺿ ﺪﺣ رد ﺶﻫوﮋﭘ<br />
ﺪـﺻرد 50 زا ﺮـﺘﻤﻛ . دﻮـﺑ بﻮـﺧ ﺪـﺣ رد ﺪـﺻرد 17/<br />
3<br />
نآ <strong>ي</strong>ﺎﻫﻪﻠﻤﺣ<br />
زﺎﻏآ ﻪﻛ<br />
. ( 16)<br />
ﺪﻧدﻮﺑ هﺎﮔآ ،ﺖﺳا<br />
ﻦﻳا و نﺮﮕﻴﻣ ندﻮﺑ ﻊﻳﺎﺷ زا نﺎﻤﻠﻌﻣ<br />
ﻲﻧاﻮﺟﻮﻧ ﻦﻴﻨﺳ رد ﻪﻤﻫ زا ﺶﻴﺑ<br />
<strong>ي</strong>ور<br />
ﺮـﺑ نﺎـﻴﻏاﺮﭼ<br />
و ﻲـﻬﻟاﺖـﻳآ<br />
<strong>ي</strong>ﻪـﻌﻟﺎﻄﻣ<br />
24 ،(<br />
ﺮﻔﻧ 538)<br />
ﻖـﺒﻃ<br />
زاﺮﻴﺷ ﺮﻬﺷ ﻲﻳاﺪﺘﺑا سراﺪﻣ نارﺎﮔزﻮﻣآ<br />
ﻪـﺑ ﻼﺘـﺒﻣ ﺪـﺻرد 10 ،ﻲـﺸﻨﺗ <strong>در</strong>دﺮـﺳ ﻪﺑ ﻼﺘﺒﻣ ﺪﺻرد<br />
-ﻲـﻧﺮﮕﻴﻣ<br />
مأﻮـﺗ <strong>در</strong>دﺮـﺳ ﻪﺑ ﻼﺘﺒﻣ ﺪﺻرد 5/<br />
2<br />
. ﺪﻧدﻮﺑ<br />
و نﺮﮕﻴﻣ<br />
نﺮـﮕﻴﻣ ﺰـﻴﻧ نارﺎﮔزﻮﻣآ ﻦﻴﺑ رد ﻪﻛ ﻦﻳا ﺐﻟﺎﺟ <strong>ي</strong>ﻪﺘﻜﻧ<br />
ﻲﺸﻨﺗ<br />
،ﻲﮔدﺮﺴﻓا ﺎﺑ ﻲﺸﻨﺗ <strong>در</strong>دﺮﺳ و ﻲﻌﻴﺒﻃ ﺮﻴﻏ باﻮﺧ <strong>ي</strong>ﻮﮕﻟا ﺎﺑ<br />
<strong>در</strong>دﺮـﺳ و ﻲﻋﺎـﻤﺘﺟا دﺮﻛرﺎـﻛ رد لﻼﺘـﺧا و ندﻮﺑ ﻞﻫﺄﺘﻣ<br />
رد لﻼﺘﺧا و ﻲﮔدﺮﺴﻓا ،ﻲﻌﻴﺒﻃ ﺮﻴﻏ باﻮﺧ <strong>ي</strong>ﻮﮕﻟا ﺎﺑ مأﻮﺗ<br />
.( 17)<br />
<strong>ي</strong>اﺮـﺟا و ﻲـﺣاﺮﻃ ﻪـﻛ ﺪـﺳرﻲـﻣ<br />
ﺖﺳا ﻪﺘﺷاد ﻪﻄﺑار ﻲﻋﺎﻤﺘﺟا دﺮﻛرﺎﻛ<br />
ﺮـﻈﻧ ﻪﺑ ،ﻪﺠﻴﺘﻧ رد<br />
<strong>ي</strong>اﺮـﺑ ﻢـﻫ ﺪﻧاﻮﺗﻲﻣ<br />
نارﺎﮔزﻮﻣآ <strong>ي</strong>اﺮﺑ ﻲﺷزﻮﻣآ <strong>ي</strong>ﺎﻫﻪﻣﺎﻧﺮﺑ<br />
و ﺪـﺷﺎﺑ ﺪـﻴﻔﻣ نازﻮـﻣآﺶﻧاد<br />
<strong>ي</strong>اﺮﺑ ﻢﻫ و نارﺎﮔزﻮﻣآ دﻮﺧ<br />
ش<strong>در</strong>دﺮـﺳ ﺎـﺑ رﺎـﮔزﻮﻣآ <strong>در</strong>ﻮـﺧﺮﺑ <strong>ي</strong>هﻮﺤﻧ<br />
ﻪﻛ ﻦﻳا ﺮﺗﻢﻬﻣ<br />
ﺎـﺑ زﻮـﻣآﺶـﻧاد<br />
<strong>در</strong>ﻮـﺧﺮﺑ <strong>ي</strong>هﻮـﺤﻧ<br />
<strong>ي</strong>اﺮﺑ ﻲﻳﻮﮕﻟا ﺪﻧاﻮﺗﻲﻣ<br />
ﺎـﺑ رﺎﮔزﺎـﺳﺎﻧ <strong>ي</strong>ﻪـﻠﺑﺎﻘﻣ<br />
ﺐـﻴﺗﺮﺗ ﻦﻳﺪـﺑ و ﺪﺷﺎﺑ ش<strong>در</strong>دﺮﺳ<br />
ﻲﺘـﺷاﺪﻬﺑ <strong>ي</strong>ﺎﻫرﺎﺘﻓر ﻪﺑ ﺮﺠﻨﻣ ﺪﻧاﻮﺗﻲﻣ<br />
. دﻮﺷ زﻮﻣآﺶﻧاد<br />
رﺎﮔزﻮﻣآ رد <strong>در</strong>دﺮﺳ<br />
رد ﺖﺳردﺎﻧ<br />
<strong>ي</strong>روآﻊـﻤﺟ<br />
،ﺮـﺿﺎﺣ <strong>ي</strong>ﻪﻌﻟﺎﻄﻣ<br />
ﺖﻳدوﺪﺤﻣ ﻦﻳﺮﺗﻢﻬﻣ<br />
ﻪـﻛ <strong>ي</strong>رﻮـﻃ ﻪـﺑ<br />
؛دﻮـﺑ<br />
ﻪـﻣﺎﻧﺶـﺳﺮﭘ<br />
سﺎﺳا ﺮﺑ تﺎﻋﻼﻃا<br />
زا نآ ﺎـﺑ ﻂﺒﺗﺮـﻣ ﻞـﻣاﻮﻋ و نآ عﻮـﻧ ،<strong>در</strong>دﺮـﺳ ﺺﻴﺨﺸﺗ<br />
ار <strong>ي</strong>ﺮﺗﻖﻴﻗد<br />
www.mui.ac.ir<br />
تﺎﻋﻼﻃا ﻚﺷﺰﭘ ﺖﻳﺰﻳو و ﻪﺒﺣﺎﺼﻣ ﻖﻳﺮﻃ<br />
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نارﺎﻜﻤﻫ و ﻲﻨﻴﻘﻳ ﺪﻴﻣا<br />
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headache in children: a critical review of the<br />
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1570-5.<br />
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Headache 2010; 50(2): 210-8.<br />
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Chen SP. Relationship between childhood<br />
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5. Unalp A, Dirik E, Kurul S. Prevalence and clinical<br />
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Ayvacioglu U, et al. Headache prevalence in<br />
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epidemiological study in Bursa. Headache 2006;<br />
46(4): 649-55.<br />
7. Fendrich K, Vennemann M, Pfaffenrath V ,Evers<br />
S, May A, Berger K, et al. Headache prevalence<br />
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نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ <strong>18</strong> ﺎﺗ 11 نازﻮﻣآ ﺶﻧاد رد <strong>در</strong>دﺮﺳ عﻮﻴﺷ<br />
10. Ayatollahi SM, Moradi F, Ayatollahi SA.<br />
Prevalences of migraine and tension-type<br />
headache in adolescent girls of Shiraz (southern<br />
Iran). Headache 2002; 42(4): 287-90.<br />
11. Ghayeghran AR, Fath Sami Sh. Survey on<br />
prevalence of Migraine in high school students<br />
of Rasht city. J Guilan Univ Med Sci 2004;<br />
50(13): 22-6.<br />
12. Mirzaei MG. A review of cammon migraine in<br />
girls high school and related fall in education in<br />
Shahrekord region. J Shahrekord Univ Med Sci<br />
2004; 5(4): 55-62.<br />
13. Bahrami P. Incidence of migraine in high school<br />
students in Khorramabad. Yafte-e 2005; 7(1):<br />
55-60.<br />
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Diamond S, Stewart WF. Migraine in<br />
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status and family history. Neurology 2007;<br />
69(1): 16-25.<br />
15. Zwart JA, Dyb G, Holmen TL, Stovner LJ, Sand<br />
T. The prevalence of migraine and tension-type<br />
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Moghadam P. Survey of Teachers' Knowledge<br />
about Migraine in Rasht in 2005. J Guilan Univ<br />
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17. Ayatollahi SMT, Cheraghian B. An<br />
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1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
www.mui.ac.ir
Journal of Isfahan Medical School Original Article<br />
Vol 29, No 149, 1 st week, October 2011 Received: 15.6.2011 Accepted: 1.9.2011<br />
Prevalence of Headache in 11 to <strong>18</strong>-Year-Old Students in Isfahan, Iran<br />
Abstract<br />
Omid Yaghini MD 1 , Toran Mahmoudian MD 2 , Shadi Behfar 3 , Maryam Alavirad 3 ,<br />
Razieh Ghorbani 3 , Bahareh Pooya 3<br />
Background: Headache is one of the most common complaints in childhood and adolescence. However,<br />
few studies have been conducted concerning different types of headaches and their importance,<br />
particularly among Iranian students. The present study aimed to determine the prevalence of various<br />
types of headaches and their related factors among 11 to <strong>18</strong>-year-old students of Isfahan, Iran.<br />
Methods: This cross-sectional study was performed on 4096 students who aged 11 to <strong>18</strong> years old<br />
during 2006-09. Stratified, cluster random sampling was used to select student from junior high schools,<br />
high schools, and pre-university schools in Isfahan. Required data including types of headaches,<br />
comorbid symptoms, and factors related to headaches were collected by referring to a physician through<br />
interviewing and completing a questionnaire.<br />
Findings: Out of 4096 subjects, 2047 (49.9%) had headaches. The frequency of total headaches,<br />
migraine headaches, and tension headaches were significantly higher among girls compared to boys<br />
(60.4% vs. 39.4%; P < 0.01; 27% vs. 11.5%; P < 0.01; and 33.2% vs. 27.1%; P < 0.01, respectively).<br />
On the other hand, cluster headache was more common in male students than in females (39% vs. 0%;<br />
P = 0.01). In both sexes, the frequency of headache significantly increased with increasing age. While<br />
in most of female students (80%), the incidence of headache was not associated with a certain season,<br />
in male students, the incidence of headache was higher in winter (37.1%). There was a significant<br />
difference between female and male students in some factors related to the incidence of headache<br />
(P < 0.05).<br />
Conclusion: Approximately half of 11 to <strong>18</strong>-year-old students of Isfahan suffer from one of the types<br />
of headaches among which migraine and tension headaches had a high prevalence. Enhancing the<br />
awareness and knowledge of the students and teachers through holding educational programs about<br />
how to treat and prevent headache attacks is recommended.<br />
Keywords: Headache, Migraine, Tension headache, Child, Adolescent, Student, Iran<br />
* This paper was derived from a medical doctorate thesis (No. 385427) in Isfahan University of Medical<br />
Sciences, Isfahan, Iran.<br />
1<br />
Assistant Professor, Department of Pediatrics, School of Medicine, Child Health Promotion Research Center, Isfahan<br />
University of Medical Sciences, Isfahan, Iran.<br />
2<br />
Associate Professor, Department of Pediatrics, School of Medicine, Child Health Promotion Research Center, Isfahan<br />
University of Medical Sciences, Isfahan, Iran.<br />
3<br />
Student of Medicine, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.<br />
Corresponding Author: Omid Yaghini MD, Email: yaghini@med.mui.ac.ir<br />
1390 ﺮﻬﻣ لوا ﻪﺘﻔﻫ / 149 هرﺎﻤﺷ / 29 لﺎﺳ – نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ هﺪﻜﺸﻧاد ﻪﻠﺠﻣ<br />
www.mui.ac.ir<br />
1054