1 ﺖﺷاﺪﻬﺑهﺪﻜﺸﻧاد،ﺖﻣﻼﺳيﺎﻘﺗراوشزﻮﻣآهوﺮﮔ،دﺎﺘﺳا ناﺮﻳا،ناﺮﻬﺗ،ناﺮﻬﺗﻲﻜﺷﺰﭘمﻮﻠﻋهﺎﮕﺸﻧاد، . 2 ناﺮﻳا،ناﺮﻬﺗ،ناﺮﻬﺗﻲﻜﺷﺰﭘمﻮﻠﻋهﺎﮕﺸﻧاد،ﺖﺷاﺪﻬﺑهﺪﻜﺸﻧاد،ﺖﻣﻼﺳيﺎﻘﺗراوشزﻮﻣآهوﺮﮔ،ﻲﺑﺮﻣ . 3 ناﺮﻳا،ناﺮﻬﺗ،ناﺮﻬﺗﻲﻜﺷﺰﭘمﻮﻠﻋهﺎﮕﺸﻧاد،ﺖﺷاﺪﻬﺑهﺪﻜﺸﻧاد،ﺖﻣﻼﺳيﺎﻘﺗراوشزﻮﻣآهوﺮﮔ،ﻲﺼﺼﺨﺗيﺮﺘﻛديﻮﺠﺸﻧاد . 4 ﺎﻨﺷرﺎﻛيﻮﺠﺸﻧاد ﺎﻘﺗراوشزﻮﻣآهوﺮﮔ،ﺪﺷراﻲﺳ ي ،ﺖﻣﻼﺳ ،ﺖﺷاﺪﻬﺑهﺪﻜﺸﻧاد ناﺮﻬﺗﻲﻜﺷﺰﭘمﻮﻠﻋهﺎﮕﺸﻧاد ناﺮﻳا،ناﺮﻬﺗ، . هﺪﻨﺴﻳﻮﻧ لوﺆﺴﻣي : ﻲﻧاﺮﻬﻃيدﺎﻫ Email: h-tehrani@razi.tums.ac.ir لﺎﺳ لوا / هرﺎﻤﺷ 1 / رﺎﻬﺑ 1391 دﺦﻳرﺎﺗ ﺖﻓﺎﻳر : 6 / 12 / 1390 شﺮﻳﺬﭘﺦﻳرﺎﺗ : 4 / 2 / 1391
ﺶﻧاد
شﺮﮕﻧ
و
ﻲﻫﺎﮔآ
ﺮﺑ
شزﻮﻣآ
ﺮﻴﺛﺄﺗ
ﻲﺳرﺮﺑ
نﺎﺘﺳﺮﻴﺑد
نازﻮﻣآ
يﺎﻫ
زﺪﻳا
درﻮﻣ
رد
جورﺎﻓ
نﺎﺘﺳﺮﻬﺷ
هدازﻲﻋﺎﺠﺷدوواد 1 ، يﺮﻫﺎﻃﻢﻴﻫاﺮﺑاﻲﺘﻴﮔ 2 ، ﻲﻧاﺮﻬﻃيدﺎﻫ 3 ، ﻲﻨﻴﺴﺣﺪﻴﻤﺣﺪﻴﺳ 4 هﺪﻴﻜﭼ ﻪﻣﺪﻘﻣ : ﻪﺑارنﺎﻴﻧﺎﻬﺟﻪﺟﻮﺗنﺎﻨﭽﻤﻫ ﻞﻜﺸﻣﻦﻳاﺎﻴﻧد ردزﺪﻳا دراﻮﻣﻦﻴﻟوازوﺮﺑزاﻪﻫدﻪﺳﺖﺷﺬﮔﺎﺑ نوﺪﺑوﺖﺳاهدﺮﻛﺐﻠﺟدﻮﺧ ﺖﺳاهدﻮﺑهﺮﻈﺘﻨﻣﺮﻴﻏ وﺰﻴﮕﻧاﺮﺑلﺎﺠﻨﺟ ،هﺪﻴﭽﻴﭘزﺪﻳا هزاﺪﻧاﻪﺑﻲﻠﻜﺸﻣ ﺮﺘﻤﻛﺮﻴﺧاﻪﻫدردﻚﺷ . رﻮﻈﻨﻣ ﻪﺑﺮﺿﺎﺣ ﺶﻫوﮋﭘﻦﻳاﺮﺑﺎﻨﺑ ﺶﻧادشﺮﮕﻧوﻲﻫﺎﮔآناﺰﻴﻣﺮﺑﻲﻧاﺮﻨﺨﺳشورﻪﺑشزﻮﻣآﺮﻴﺛﺄﺗﻲﺳرﺮﺑ ﺪﻳدﺮﮔمﺎﺠﻧازﺪﻳادرﻮﻣردنﺎﺘﺳﺮﻴﺑدنازﻮﻣآ . شور ﺎﻫ : ﻄﻣﻦﻳا يورﺮﺑﻲﺑﺮﺠﺗﻪﻤﻴﻧﻪﻌﻟﺎ 400 ﺶﻧادزاﺮﻔﻧ نﺎﺘﺳﺮﻴﺑدنازﻮﻣآ شورﻪﺑﻪﻛﻲﻟﺎﻤﺷنﺎﺳاﺮﺧنﺎﺘﺳاردجورﺎﻓﺮﻬﺷيﺎﻫ ﻪﻧﻮﻤﻧ ﻪﺷﻮﺧيﺮﻴﮔ ﻪﻠﺣﺮﻣﺪﻨﭼيا ﺖﻓﺮﮔمﺎﺠﻧا،ﺪﻧدﻮﺑهﺪﺷبﺎﺨﺘﻧايا . دﺮﮔﺖﻬﺟ ﺶﺳﺮﭘزاتﺎﻋﻼﻃايروآ ﻪﻣﺎﻧ ردﻪﻛﺪﻳدﺮﮔهدﺎﻔﺘﺳايا ﻪﻠﺣﺮﻣ ود ) ﺶﻴﭘ نﻮﻣزآ -ﺲﭘ نﻮﻣزآ ( ﻂﺳﻮﺗ ﺪﻳدﺮﮔ ﻞﻴﻤﻜﺗ ﺶﻫوﮋﭘ يﺎﻫﺪﺣاو . هداد ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ ﺖﻬﺟ و ﻲﻔﻴﺻﻮﺗ رﺎﻣآ زا ﺎﻫ نﻮﻣزآ ﺪﻨﻧﺎﻤﻫﻲﻠﻴﻠﺤﺗيﺎﻫ Paired-t ﺪﺷهدﺎﻔﺘﺳا . ﺘﻧ ﺎ ﺞﻳ : زا شزﻮﻣآزا ﻞﺒﻗﻲﻫﺎﮔآ تاﺮﻤﻧﻦﻴﮕﻧﺎﻴﻣ 60 / 2 ﻪﺑ 70 / 2 ﺖﻓﺎﻳﺶﻳاﺰﻓا شزﻮﻣآزا ﺪﻌﺑ ) 05 / 0 < P ( ﻦﻴﮕﻧﺎﻴﻣﻦﻴﻨﭽﻤﻫ و، زاﻢﻫشﺮﮕﻧتاﺮﻤﻧ 55 / 2 ﻪﺑ 66 / 2 ﺖﻓﺎﻳﺶﻳاﺰﻓا ) 05 / 0 < P ( ﻲﻨﻌﻣﺶﻳاﺰﻓاودﺮﻫو ﺖﺳاهدﻮﺑراد . و ﺚﺤﺑ ﻪﺠﻴﺘﻧ يﺮﻴﮔ : ﺶﻧاد شﺮﮕﻧ حﻼﺻا و ﻲﻫﺎﮔآ دﻮﺒﻬﺑ ﺮﺑ شزﻮﻣآ ﺖﺳا ﺮﺛﺆﻣ زﺪﻳا ﻪﺑ ﺖﺒﺴﻧ نازﻮﻣآ . بﺎﺨﺘﻧا ﻦﻳاﺮﺑﺎﻨﺑ ﺶﻧاد ﻲﻫﺎﮔآ ﺶﻳاﺰﻓا رﻮﻈﻨﻣ ﻪﺑ ﻲﺷزﻮﻣآ ﺐﺳﺎﻨﻣ يﺎﻫرﺎﻜﻫار ﺪﻣآرﺎﻛ زا ،زوﺮﺑ و ﺪﻳﺪﺟ تﺎﻋﻼﻃاﺐﺴﻛ و نازﻮﻣآ ﺗ ﻪﺑ نوﺮﻘﻣ و ﻦﻳﺮ ﻪﻓﺮﺻ ﺶﻴﭘياﺮﺑتﺎﻣاﺪﻗاﻦﻳﺮﺗ ﻲﻣزﺪﻳايرﺎﻤﻴﺑﻪﺑﻼﺘﺑازايﺮﻴﮔ ﺪﺷﺎﺑ . يﺪﻴﻠﻛنﺎﮔژاو : ﺶﻧاد،زﺪﻳا،شﺮﮕﻧ،ﻲﻫﺎﮔآ،شزﻮﻣآ نﺎﺘﺳﺮﻴﺑدنازﻮﻣآ . ﻪﻣﺪﻘﻣ مودﻲﻧﺎـﻬﺟ ﮓﻨﺟزاﺲﭘ يﺮﺸﺑﻪﻌﻣﺎﺟيﻼﺑﻦﻳﺮﺘﮔرﺰﺑ ﻲﻣزﺪﻳاﻲﻣﺪﻧﺎﭘ زاﻪـﻫدﻪـﺳﻪﺑﻚﻳدﺰﻧﺖﺷﺬﮔﺎﺑوﺪﺷﺎﺑ ﻦﻴﻟوازوﺮﺑ ﻪﺟﻮﺗنﺎﻨﭽﻤﻫﻞﻜﺸﻣﻦﻳاﺎﻴﻧدردزﺪﻳا دراﻮﻣ ردﻚـﺷنوﺪﺑوﺖﺳاهدﺮﻛلﻮﻐﺸﻣدﻮﺧﻪﺑار نﺎﻴﻧﺎﻬﺟ ﻪﻫد ،هﺮـﻈﺘﻨﻣﺮـﻴﻏزﺪﻳا هزاﺪﻧاﻪﺑﻲﻠﻜﺸﻣﺮﺘﻤﻛﺮﻴﺧا يﺎﻫ ﺖﺳاهدﻮﺑﺰﻴﮕﻧاﺮﺑلﺎﺠﻨﺟوهﺪﻴﭽﻴﭘ ) 1 .( ﻦﻴﻨـﺳردﺮﻴﻣوگﺮﻣﻢﻬﻣﻞﻠﻋ زاﻲﻜﻳ،زﺪﻳا 20 ﺎـﺗ 45 ﻮﻃﻪﺑزﺪﻳاﻪﺑﻲﮔدﻮﻟآ،ﺖﺳاﻲﮕﻟﺎﺳ ﻦﺳ زالﻮﻤﻌﻣر زا ﺮﺘﻤﻛ 25 ﻲﻣ عوﺮﺷﻲﮕﻟﺎﺳ گﺮـﻣ ﺖﻠﻋﻦﻴﻣودودﻮﺷ ﺖﺳاﺎﻴﻧدردﻲﻧاﻮﺟﻦﺳردﺮﻴﻣ و ) 2 .( نﺎـﻧاﻮﺟ ﻦﻳاﺮﺑﺎﻨﺑ هوﺮﮔ ،نﺎﻧاﻮﺟﻮﻧو ﺐﻴﺳآ رﺎﻴﺴﺑيﺎﻫ ﻼﺘﺑا ﻞﺑﺎﻘﻣرديﺮﻳﺬﭘ ﻲﻣزﺪﻳا ﻪﺑ ﺪﻨﺷﺎﺑ ) 3 .( ﻼﺘـﺒﻣنﺎـﻧاﻮﺟﻮﻧﻢﺠﻨﭘﻚﻳﺮﺑﻎﻟﺎﺑ ـﻴﻣﺮﺑاﺮﺑود زاﺶﻴﺑﻪﻛﺪﻨﺘﺴﻫﺮﺘﺧدزﺪﻳاﻪﺑ ردﻼﺘـﺑاناﺰ ﺖﺳاﻦﻴﻐﻟﺎﺑ ﺖﻴﻌﻤﺟ . و ندﺮـﻛﻪـﺑﺮﺠﺗنﺎـﻣز ﻲﻧاﻮـﺟﻮﻧ ردﻲـﺴﻨﺟوﻲـﺼﺨﺷﺖـﻳﻮﻫوﺖﺳاﻲﺼﺨﺷبﺎﺨﺘﻧا
ﻲﻣﻞﻜﺷنﺎﻣزﻦﻳا دﺮﻴﮔ ) 4 .( هداﻮﻧﺎﺧﺐﻴﻛﺮﺗيرﺎﻤﻴﺑﻦﻳا ﺖﻴﻨﻣا،ﻊﻣاﻮﺟدﺮﻛرﺎﻛ ،ﺎﻫ وهدادراﺮـﻗﺮﻴﺛﺄـﺗ ﺖـﺤﺗارﻲﻋﺎـﻤﺘﺟاﻪﻳﺎﻣﺮﺳوﻲﻳاﺬﻏ ﺶﺨﺑمﺎﻤﺗﻒﻴﻌﻀﺗﻪﺑﺮﺠﻨﻣ ﻧوﻪﻌﻣﺎﺟيﺎﻫ ﻲـﻠﻣيﺎﻫدﺎﻬ ﻲﻣ ﻲـﻤﻴﻈﻋﻞﻜـﺸﻣﺎـﺑارراﺪـﻳﺎﭘﻪﻌـﺳﻮﺗﻞﻛردودﻮﺷ ﻲﻣﻪﺟاﻮﻣ دزﺎﺳ ) 5 .( ﻲﻣنﺎﺸﻧﺪﻫاﻮﺷ ،غﻮﻠﺑﻦﺳﺶﻫﺎﻛﺎﺑنﺎﻣﺰﻤﻫﻪﻛﺪﻫد ﺶﻳاﺰـﻓاﻲـﺳﻮﺴﺤﻣرﻮـﻃﻪﺑناﺮﻳاردجاودزاﻦﻴﻟوا ﻦﺳ ﺖﺳاﻪﺘﻓﺎﻳ . ﻦﻴـﺑﻲﻧﻻﻮـﻃﻲﻧﺎﻣزفﺎﻜﺷﻪﺑﺮﺠﻨﻣﺮﻣاﻦﻳا ﺖـﺳاهﺪـﻳدﺮﮔجاودزاوغﻮﻠﺑ . ﻲـﺳﺮﺘﺳد ﻲـﻓﺮﻃزا ﻪـﺑ ﻪﻧﺎـﺳر ﺮﻳﺎﺳﻪﺑﻲﺳﺮﺘﺳد ﺎﻳوﻲﻤﺳرﺮﻴﻏتﺎﻋﻼﻃا يﺎـﻫ نآ،ﺖـﻧﺮﺘﻨﻳاوهراﻮﻫﺎـﻣﺪـﻨﻧﺎﻣﻲﻧﺎﻬﺟ ضﺮـﻌﻣردارﺎـﻫ ﻲـﻣ راﺮﻗﻲﺴﻨﺟ ﺮﻄﺧﺮﭘيﺎﻫرﺎﺘﻓر ﻪـﺑﻪـﺟﻮﺗﺎـﺑوﺪـﻫد ﻦﻳا عﻮﻴﺷناﺰﻴﻣﻪﻛ HIV ﻦﻴﻳﺎـﭘعﻮﻴﺷﻪﻠﺣﺮﻣزاناﺮﻳارد ﺖــﺳاهﺪــﺷدراوﺰــﻛﺮﻤﺘﻣعﻮﻴــﺷﻪــﻠﺣﺮﻣﻪــﺑ ) 6 ( اﺬــﻟ؛ ﺖﺳﺎﻴﺳدراد تروﺮﺿ ﺬﮔ ﻪـﺑماﺪـﻗارﻮﺸﻛ ﻲﺘﺷاﺪﻬﺑنارا ﻪﻣﺎﻧﺮﺑياﺮﺟاوﻲﺣاﺮﻃ ﮓـﻨﻫﺮﻓﺎﺑﺐﺳﺎﻨﺘﻣﻲﺷزﻮﻣآيﺎﻫ ﺪﻨﻳﺎﻤﻧﻲﻧاﺮﻳانﺎﻧاﻮﺟﻦﻴﺑرد . ﻲﻣنﺎﺸﻧﻒﻠﺘﺨﻣتﺎﻌﻟﺎﻄﻣﺞﻳﺎﺘﻧ ﻪـﻣﺎﻧﺮﺑردﻪـﻛﺪـﻫد شﺮﮕﻧحﻼﺻا نآﺐﻗﺎﻌﺘﻣوشزﻮﻣآزﺪﻳا ﺎﺑهزرﺎﺒﻣ يﺎـﻫ ﺎـﻬﻨﺗﻲﺘـﺷاﺪﻬﺑﺢﻴﺤﺻرﺎﺘﻓرﺞﻳوﺮﺗوﻪﻨﻴﻣزﻦﻳاردﻂﻠﻏ ﭘياﺮﺑهار ﺶﻴ ﺖﺳايرﺎﻤﻴﺑﻦﻳازايﺮﻴﮔ ) 7 .( ،عﻮـﺿﻮﻣﻚـﻳ يﺎﺘـﺳارردرﺎـﺘﻓرﺮـﻴﻴﻐﺗمﺎـﮔﻦﻴﻟوا عﻮـﺿﻮﻣنآصﻮـﺼﺧردﻲﻓﺎـﻛﺶﻧادوﻲﻫﺎﮔآﻦﺘﺷاد ﺖﺳا . ﺶﻴـﭘ ﻲﻓﺎـﻛﺶﻧادوﻲﻫﺎﮔآﻦﺘﺷادﻪﻛاﺮﭼ طﺮـﺷ ﻦـﻳاﻪـﺑﻪﺟﻮﺗ ﺎﺑوﺖﺳارﺎﺘﻓرﺮﻴﻴﻐﺗﺰﻴﻧوروﺎﺑﺮﻴﻴﻐﺗ ﻪـﻛ رﻮـﻀﺣسراﺪﻣردنﺎﻧاﻮﺟونﺎﻧاﻮﺟﻮﻧزا يدﺎﻳزﺪﺻرد ﺶﻴﭘ شزﻮﻣآ،ﺪﻧراد ﺖـﻴﻤﻫازاسراﺪﻣردزﺪﻳازا يﺮﻴﮔ هﮋﻳو ﻲـﻣرادرﻮـﺧﺮﺑيا ﺪـﺷﺎﺑ ) 8 .( ﻦـﻳازا رﻮـﻈﻨﻣﻪـﺑور ﺶﻧادشﺮﮕﻧوﻲﻫﺎﮔآﺮﺑشزﻮﻣآﺮﻴﺛﺄﺗﻲﺳرﺮﺑ ردنازﻮﻣآ ﺪﻳدﺮﮔاﺮﺟاوﻲﺣاﺮﻃ،ﺮﺿﺎﺣﺶﻫوﮋﭘزﺪﻳادرﻮﻣ . وداﻮﻣ شور ﺎﻫ ﺖﺳاﻲﺑﺮﺠﺗﻪﻤﻴﻧ ﻪﻌﻟﺎﻄﻣﻚﻳ ﺶﻫوﮋﭘﻦﻳا . درﻮـﻣﻪﻧﻮﻤﻧ ﺮﻈﻧ 400 ﺶﻧادزا ﺮﻔﻧ نﺎﺘـﺳاجورﺎـﻓ نﺎﺘـﺳﺮﻬﺷنازﻮـﻣآ ﻲــﻣﻲﻟﺎﻤــﺷنﺎــﺳاﺮﺧ ﺪــﺷﺎﺑ . شورزاﺶﻫوﮋــﭘﻦــﻳارد ﻪﻧﻮﻤﻧ ﻪﺷﻮﺧيﺮﻴﮔ ﻪﻠﺣﺮﻣﺪﻨﭼيا ﺪـﺷهدﺎﻔﺘﺳايا . ﻦﻳﺪـﺑ وشزﻮـﻣآهراداﺎـﺑمزﻻ ﻲﮕﻨﻫﺎـﻤﻫزاﺲـﭘ ﻪﻛترﻮﺻ نﺎﺘﺳﺮﻴﺑدﺖﺴﻴﻟسﺎﺳاﺮﺑ،جورﺎﻓ نﺎﺘﺳﺮﻬﺷشروﺮﭘ يﺎﻫ ﺶﻧادرﺎﻣآونﺎﺘﺳﺮﻬﺷﻦﻳا نازﻮﻣآ ﻪﺘﺷروﻪﻳﺎﭘﻚﻴﻜﻔﺗﻪﺑ نﺎﻴﻣزا،ﺲﻨﺟوﻲﻠﻴﺼﺤﺗ 1400 ﺶﻧادﺮﻔﻧ ﻪﻧﻮﻤﻧزﻮﻣآ يا ﻢﺠﺣﻪﺑ 400 ﺪﻧﺪﺷبﺎﺨﺘﻧاﺮﻔﻧ . ﻊﻤﺟ راﺰﺑا ﺶﺳﺮﭘ تﺎﻋﻼﻃايروآ ﻪﻣﺎﻧ ﻪـﺳ ﻞﻣﺎـﺷ يا وﻲﻫﺎـﮔآﺶﺠﻨـﺳتﻻاﺆـﺳ،يدﺮـﻓتﺎـﺼﺨﺸﻣﺶﺨﺑ دﻮﺑشﺮﮕﻧ . ﻞﻣﺎـﺷيدﺮﻓتﺎﺼﺨﺸﻣ 7 ﻪـﻨﻴﻣزردلاﺆـﺳ ﻴــﺼﺤﺗﻪﺘــﺷروﻲﻠﻴــﺼﺤﺗﻪــﻳﺎﭘ،ﺲﻨــﺟ،ﻦــﺳ دﻮــﺑﻲﻠ . ﻞﻣﺎﺷ ﻲﻫﺎﮔآﺶﺠﻨﺳﻪﺑطﻮﺑﺮﻣتﻻاﺆﺳ 9 رﺎـﻬﭼ لاﺆﺳ ﻪﻨﻳﺰﮔ يا ) MCQ ( و 6 دﻮﺑﻂﻠﻏوﺢﻴﺤﺻلاﺆﺳ . ﺖـﻬﺟ زاﺰﻴﻧشﺮﮕﻧﺶﺠﻨﺳ 13 سﺎـﻴﻘﻣسﺎـﺳاﺮـﺑﻪـﻛلاﺆﺳ ﻪﺟردتﺮﻜﻴﻟ ﺪـﻳدﺮﮔهدﺎﻔﺘﺳا،دﻮﺑهﺪﺷيﺪﻨﺑ . هﺮـﻤﻧﻞـﻛ ﻲﻫﺎﮔآﻪﺑطﻮﺑﺮﻣ 15 زﺎـﻴﺘﻣاﻪـﻛ دﻮـﺑزﺎـﻴﺘﻣا 5 -0 نﺎـﺸﻧ ﻴﺘﻣا،ﻒﻴﻌﺿﻲﻫﺎﮔآهﺪﻨﻫد زﺎ 10 -6 ﻲﻫﺎـﮔآهﺪـﻨﻫدنﺎﺸﻧ زﺎﻴﺘﻣاوﻂﺳﻮﺘﻣ 15 -11 بﻮـﻠﻄﻣ ﻲﻫﺎـﮔآهﺪـﻨﻫدنﺎـﺸﻧ ﻲﻣ ﺪﺷﺎﺑ . شﺮـﮕﻧﻪﺑطﻮﺑﺮﻣزﺎﻴﺘﻣاﻞﻛ 13 ﺮـﻈﻧ ردزﺎـﻴﺘﻣا زﺎﻴﺘﻣاﻪﻛﺪﺷﻪﺘﻓﺮﮔ 4 -0 ،ﻒﻴﻌـﺿشﺮـﮕﻧهﺪـﻨﻫدنﺎﺸﻧ زﺎﻴﺘﻣا 8 -5 زﺎـﻴﺘﻣاوﻂﺳﻮﺘﻣ شﺮﮕﻧ 13 -9 هﺪـﻨﻫدنﺎـﺸﻧ ﻲﻣ بﻮﻠﻄﻣ شﺮﮕﻧ ﺪﺷﺎﺑ . ﺶـﺳﺮﭘ رﺎـﺒﺘﻋاﺖـﻬﺟ زا ﻪـﻣﺎﻧ ر ﺪـﺷهدﺎﻔﺘـﺳاﻲﻳاﻮـﺘﺤﻣرﺎﺒﺘﻋاشو . ﺪـﺑ ﻳ ﻪـﻛﺐـﻴﺗﺮﺗﻦ ﺶﺳﺮﭘ رﺎﻴﻌﻣسﺎﺳاﺮﺑ ﻪﻣﺎﻧ و ﺮـﺒﺘﻌﻣﺐـﺘﻛ،ﻲـﻤﻠﻋ يﺎـﻫ زاﻦـﺗﻦﻳﺪﻨﭼﻂﺳﻮﺗوﺪﺷﻪﻴﻬﺗﻪﺘﺷﺬﮔﻲﻤﻠﻋتﺎﻘﻴﻘﺤﺗ
راﺮـﻗﻲـﻤﻠﻋﺪـﻴﻳﺄﺗوﺪـﻳدزﺎﺑدرﻮﻣﻲﻤﻠﻋتﺄﻴﻫيﺎﻀﻋا ﺖﻓﺮﮔ . دﺪـﺠﻣنﻮـﻣزآشورزاراﺰﺑاﻲﻳﺎﻳﺎﭘﻦﻴﻴﻌﺗﺖﻬﺟ ﺪﺷهدﺎﻔﺘﺳا . ﺮﭘﻪﻛترﻮﺻﻦﻳﺪﺑ ﺶﺳ ردهﺪـﺷﻢﻴﻈﻨﺗﻪﻣﺎﻧ ﻪﻠﺻﺎﻓﺎﺑﻪﻠﺣﺮﻣود 14 رﺎـﻴﺘﺧاردﻞﻴﻤﻜﺗﺖﻬﺟزور 15 ﺶﻧادزا ﺮﻔﻧ نﺎﺘـﺳﺮﻴﺑدزا ﻲـﻜﻳنازﻮـﻣآ نﺎﺘـﺳﺮﻬﺷيﺎـﻫ ﺪﺣاوزا ﻪﻛجورﺎﻓ ﺪـﻧﺪﻳدﺮﮔفﺬـﺣﺶﻫوﮋﭘدرﻮﻣيﺎﻫ ﺖﻓﺮﮔراﺮﻗ . نﻮﻣزآﻪﻠﺣﺮﻣودزاﻞﺻﺎﺣﻲﮕﺘﺴﺒﻤﻫ 90 / 0 دﻮﺑ . ﺖﻳﺎـﺿرﺐـﺴﻛ وفاﺪـﻫاﻊﻳزﻮﺗوﻲﻓﺮﻌﻣزاﺲﭘ ــﭘﺪــﺣاو زااﺪــﺘﺑا،ﻖــﻴﻘﺤﺗردﺖﻛﺮــﺷياﺮــﺑﺶﻫوﮋ ﺶﻧاد ﺶﻴـﭘنازﻮﻣآ ﺪـﻣآﻞـﻤﻋﻪـﺑنﻮـﻣزآ . ياﺮـﺑﺲﭙـﺳ ﻪﻧﻮﻤﻧ ﻚـﻳردﻲﻧاﺮﻨﺨـﺳشورﻪـﺑﻲـﺷزﻮﻣآﻪـﻣﺎﻧﺮﺑﺎـﻫ تﺪﻣﻪﺑﻪﺴﻠﺟ 30 اﺮـﺟاﻲـﺷزﻮﻣآهوﺰـﺟ ﻪﻳاراوﻪﻘﻴﻗد ﺪﺷ . ﺶﺳﺮﭘﻂﺳﻮﺗﻲﻳﺎﻬﻧنﻮﻣزآهﺎﻣﻚﻳزاﺲﭘ ﻪﻴﻟواﻪﻣﺎﻧ ﺪﻣآﻞﻤﻋﻪﺑ . هدادﻞﻴﻠﺤﺗوﻪﻳﺰﺠﺗﺖﻬﺟ اﺎـﻫ مﺮـﻧز راﺰـﻓا 5 / 11 SPSS نﻮﻣزآوﻲﻔﻴﺻﻮﺗرﺎﻣآو يرﺎﻣآيﺎﻫ Paired-t و t ﺪﻳدﺮﮔهدﺎﻔﺘﺳا . ﺘﻧ ﺎ ﺞﻳ ﻪﻧﻮﻤﻧرد ﻪﻌﻟﺎﻄﻣ درﻮﻣ يﺎﻫ 2 / 51 ﺪﺻرد ﻪﻧﻮﻤﻧ ﺮﺘﺧد ﺎﻫ و 8 / 48 ﺪﻧدﻮﺑﺮﺴﭘﺪﺻرد . لوﺪـﺟ 1 ﻚـﻴﻓاﺮﮔﻮﻣدﻊـﻳزﻮﺗ ﻪﻧﻮﻤﻧ ﻲﻣنﺎﺸﻧارﻲﺳرﺮﺑدرﻮﻣيﺎﻫ ﺪﻫد . ﺐـﺴﻛﻊﺑﺎـﻨﻣدرﻮـﻣردﻪـﻌﻟﺎﻄﻣﻦﻳاﺞﻳﺎﺘﻧ تﺎـﻋﻼﻃا ﻪـﺑطﻮـﺑﺮﻣتﺎـﻋﻼﻃاﺐﺴﻛﻊﺒﻨﻣ ﻦﻳﺮﺘﺸﻴﺑﻪﻛداد نﺎﺸﻧ ﻪﻧﺎﺳر دﻮﺑﻦﻳﺪﻟاوﻪﺑطﻮﺑﺮﻣﻊﺒﻨﻣﻦﻳﺮﺘﻤﻛوﻲﻫوﺮﮔيﺎﻫ . وﻦﻴـﻴﻌﺗﻪـﻛﺶﻫوﮋـﭘﻦـﻳالوافﺪـﻫﺎـﺑﻪﻄﺑاررد ﺶﻧاد ﻲﻫﺎﮔآناﺰﻴﻣﻪﺴﻳﺎﻘﻣ زﺪـﻳايرﺎﻤﻴﺑدرﻮﻣردنازﻮﻣآ نﺎﺸﻧﺞﻳﺎﺘﻧ،دﻮﺑﻲﻧاﺮﻨﺨﺳشورﺎﺑشزﻮﻣآزاﺪﻌﺑ وﻞﺒﻗ ﻴﻣﻪﻛداد زاﺪـﻌﺑوﻞﺒﻗزﺪﻳايرﺎﻤﻴﺑﻪﻨﻴﻣزردﻲﻫﺎﮔآناﺰ ﻲﻨﻌﻣرﻮﻃﻪﺑشزﻮﻣآ ﺖﺳاهدﺮﻛﺮﻴﻴﻐﺗيراد ) لوﺪﺟ 2 .( ﺮﻴﺛﺄــﺗﻪــﺴﻳﺎﻘﻣوﻦﻴــﻴﻌﺗ،مودفﺪــﻫﺎــﺑ ﻪــﻄﺑاررد ﺮـﺑ زﺪـﻳايرﺎـﻤﻴﺑدرﻮﻣ رد ﻲﻧاﺮﻨﺨﺳ شور ﻪﺑشزﻮﻣآ ﺶﻧادشﺮﮕﻧ تاﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣﻪﻛ دادنﺎﺸﻧﺞﻳﺎﺘﻧ،نازﻮﻣآ زا 55 / 2 ﻪﺑ 66 / 2 ﻓﺎﻳﺶﻳاﺰﻓا ظﺎـﺤﻟ زاﺶﻳاﺰﻓاﻦﻳاوﺖ ﻲﻨﻌﻣيرﺎﻣآ دﻮﺑراد ) 05 / 0 < P .( لوﺪﺟ 1 . ﺶﻧادﻚﻴﻓاﺮﮔﻮﻣدﻊﻳزﻮﺗ ﻲﺳرﺮﺑدرﻮﻣنازﻮﻣآ ﺮﻴﻐﺘﻣ داﺪﻌﺗ ) ﺪﺻرد ( ﻲﻠﻴﺼﺤﺗﻪﺘﺷر ﻲﻣﻮﻤﻋشزﻮﻣآ 170 ) 8 / 42 ( ﻲﺿﺎﻳر 18 ) 7 / 4 ( ﻲﺑﺮﺠﺗ 51 ) 8 / 12 ( ﻲﻧﺎﺴﻧا 106 ) 5 / 26 ( ﻲﻨﻓ 52 ) 2 / 13 ( ﻦﺳ 14 لﺎﺳ 93 ) 4 / 23 ( 15 لﺎﺳ 120 ) 2 / 30 ( 16 لﺎﺳ 129 ) 5 / 32 ( 17 لﺎﺳ 51 ) 8 / 12 ( 18 لﺎﺳ 4 ) 2 / 1 ( ﻲﻠﻴﺼﺤﺗﻪﻳﺎﭘ لوا 170 ) 8 / 42 ( مود 127 ) 0 / 32 ( مﻮﺳ 100 ) 2 / 25 ( لوﺪﺟ 2 . ﺶﻧادﻞﻛشﺮﮕﻧوﻲﻫﺎﮔآﻪﺴﻳﺎﻘﻣ وﻞﺒﻗنازﻮﻣآ شزﻮﻣآزاﺪﻌﺑ شزﻮﻣآ زا ﻞﺒﻗ ﻦﻴﮕﻧﺎﻴﻣ ) رﺎﻴﻌﻣفاﺮﺤﻧا ( شزﻮﻣآ زا ﺪﻌﺑ ﻦﻴﮕﻧﺎﻴﻣ ) ا رﺎﻴﻌﻣفاﺮﺤﻧ ( ﻲﻨﻌﻣ يراد ﻲﻫﺎﮔآ ) 58 / 0 ( 60 / 2 ) 50 / 0 ( 70 / 2 007 / 0 شﺮﮕﻧ ) 61 / 0 ( 55 / 2 ) 53 / 0 ( 66 / 2 008 / 0 طﺎـﺒﺗرا ﻦﻴﻴﻌﺗ،ﺶﻫوﮋﭘ ﻦﻳامﻮﺳ فﺪﻫ ﺎﺑ ﻪﻄﺑار رد ﺶﻧادﻲﻫﺎﮔآناﺰﻴﻣوﺲﻨﺟﻦﻴﺑ زا ﺪـﻌﺑوﻞـﺒﻗنازﻮـﻣآ ﺪﻌﺑوﻞﺒﻗ ﻲﻫﺎﮔآناﺰﻴﻣ ﻦﻴﺑ ﻪﻛدادنﺎﺸﻧﺞﻳﺎﺘﻧ شزﻮﻣآ را ﺲﻨﺟوشزﻮﻣآزا ﻲﻨﻌﻣطﺎﺒﺗ دراددﻮﺟويراد . ﻦﻳﺪﺑ ﺶﻧادﻪﻛ ترﻮﺻ ﺖﺒـﺴﻧ يﺮـﺘﻬﺑ ﻲﻫﺎﮔآزا ﺮﺴﭘنازﻮﻣآ شزﻮـﻣآزاﺪـﻌﺑﻪـﭼوشزﻮـﻣآزاﻞﺒﻗﻪﭼناﺮﺘﺧد ﻪﺑ ﺪﻧدﻮﺑ رادرﻮﺧﺮﺑ ) 05 / 0 < P .( ﻦﻴـﻴﻌﺗ ،ﺶﻫوﮋـﭘﻦـﻳا مرﺎـﻬﭼ فﺪـﻫ ﺎﺑطﺎﺒﺗرا رد
شزﻮـﻣآزاﺪـﻌﺑ وﻞـﺒﻗشﺮـﮕﻧ وﻲﻫﺎـﮔآﻦﻴﺑ طﺎﺒﺗرا ﺶﻧاد ﺎﻤﻴﺑدرﻮﻣ ردنازﻮﻣآ ،ﻲﻠﻴـﺼﺤﺗ ﻪﺘـﺷرﺎﺑ زﺪﻳاير زاﺪـﻌﺑو ﻞـﺒﻗشﺮﮕﻧوﻲﻫﺎﮔآﻦﻴﺑ ﻪﻛدادنﺎﺸﻧﺞﻳﺎﺘﻧ ﺶﻧادﻲﻠﻴﺼﺤﺗﻪﺘﺷروشزﻮﻣآ ردهﺪﻨﻨﻛﺖﻛﺮﺷنازﻮﻣآ ﻲـﻨﻌﻣطﺎـﺒﺗراﻲﺷزﻮﻣآﻪﻣﺎﻧﺮﺑ دراددﻮـﺟويراد . ﻦﻳﺪـﺑ ﺶﻧادﻪﻛ ترﻮﺻ ﺮﻳﺎـﺳﻪـﺑ ﺖﺒﺴﻧﻲﺑﺮﺠﺗ ﻪﺘﺷرنازﻮﻣآ ﺶﻧاد ﻧدﻮﺑرادرﻮﺧﺮﺑيﺮﺘﻬﺑشﺮﮕﻧوﻲﻫﺎﮔآزانازﻮﻣآ ﺪ ) 05 / 0 < P .( ﺚﺤﺑ ﻪـﻨﻴﻣزردشزﻮـﻣآﺮﻴﺛﺄـﺗﻲـﺳرﺮﺑ،ﺶﻫوﮋﭘﻦﻳازافﺪﻫ هار ﺶﻴــﭘولﺎــﻘﺘﻧايﺎــﻫ ردزﺪــﻳايرﺎــﻤﻴﺑزايﺮــﻴﮔ ﺶﻧاد نﺎﺘﺳﺮﻴﺑدنازﻮﻣآ ﺢﻄـﺳﺮـﺑجورﺎـﻓنﺎﺘـﺳﺮﻬﺷيﺎﻫ نآشﺮﮕﻧوﻲﻫﺎﮔآ دﻮﺑﺎﻫ . ﺶﻴﭘﻪﺑﺮﮔا ناﻮـﻨﻋﻪـﺑيﺮـﻴﮔ ﻲﺳﺎﺳا دﺎـﻘﺘﻋايرﺎﻤﻴﺑرﺎﺸﺘﻧازا يﺮﻴﮔﻮﻠﺟياﺮﺑهارﻦﻳﺮﺗ ﻲﻣ ردهﺎﮕﻧآ ،ﻢﻴﺷﺎﺑﻪﺘﺷاد وﻲﻫﺎـﮔآناﺰﻴﻣﻦﻴﻴﻌﺗﻪﻛﻢﻴﺑﺎﻳ ﺶﻧادشﺮﮕﻧ ﻲﻫﺎـﮔآﻦـﻳايﺎﻘﺗراوﻦﻴﻨﺳﻦﻳاردنازﻮﻣآ ﻪﻣﺪﻘﻣ شزﻮـﻣآﻪـﻳاراياﺮﺑﻲﻟﻮﺻاﻲﺣاﺮﻃياﺮﺑيا يﺎـﻫ ﻲﻣنآياﺮﺟاﺢﻴﺤﺻشوروﺪﻴﻔﻣ ﺪﺷﺎﺑ . ﻞـﺻﺎﺣﺞﻳﺎـﺘﻧ ﻲﻫﺎـﮔآﻪﻄﻴﺣﺎﺑﻂﺒﺗﺮﻣتﺎﻋﻼﻃاﻞﻴﻠﺤﺗوﻪﻳﺰﺠﺗزاهﺪﺷ درﻮﻣداﺮﻓارد زاهﺪﺷﺐﺴﻛﻦﻴﮕﻧﺎﻴﻣﻪﻛدادنﺎﺸﻧﻪﻌﻟﺎﻄﻣ زاﻞــﺒﻗردتازﺎــﻴﺘﻣاﻪــﻋﻮﻤﺠﻣﺰــﻴﻧوتﻻاﺆــﺳﻲﻣﺎــﻤﺗ ﻲﻨﻌﻣ توﺎﻔﺗشزﻮﻣآياﺮﺟازاﺪﻌﺑ ﺎﺑشزﻮﻣآ دراديراد ﻲـﻣﻦـﻳاﻪﻛ هروديراﺰـﮔﺮﺑمﺪـﻋﻞـﻴﻟدﻪـﺑﺪـﻧاﻮﺗ يﺎـﻫ ﺶـﻧادياﺮﺑﻪﺘﺷﺬﮔردﻲﺷزﻮﻣآ ﻖـﻴﻘﺤﺗﻦـﻳاردنازﻮـﻣآ ﺪﺷﺎﺑ . ورﺎـﺑ ﻪﻛﻲﺗﺎﻌﻟﺎﻄﻣ ﺮﺘﺸﻴﺑرد ش ردتوﺎـﻔﺘﻣ يﺎـﻫ ﻲﻣهﺪﻳدﻲﺠﻳﺎﺘﻧﻦﻴﻨﭼﺰﻴﻧهﺪﺷمﺎﺠﻧاﺎﻴﻧد دﻮﺷ . ناﻮـﻨﻋﻪﺑ ﻪــﺘﻓﺎﻳلﺎــﺜﻣ ﺶﻫوﮋــﭘزا ﻞــﺻﺎﺣيﺎــﻫ Maswanya و نارﺎــﻜﻤﻫ ) 9 ( ﻲــﻠﻛرﻮــﻃﻪــﺑﻪــﻛدادنﺎــﺸﻧﻦــﭘاژرد زﺪـﻳادرﻮـﻣ رد نﺎﻳﻮﺠـﺸﻧادﻲﻫﺎﮔآﺶﻳاﺰﻓاﺮﺑ شزﻮﻣآ ﺖﺳاهدﻮﺑﺮﺛﺆﻣ . ﻪﻌﻟﺎﻄﻣ يورﺮـﺑﻪـﻛلﺎـﭙﻧرديا 81 ﻛرﺎﻛزاﺮـﻔﻧ نﺎـﻨ داﺮـﻓاﻲﻫﺎـﮔآناﺰﻴﻣﻪﻛداد نﺎﺸﻧﺰﻴﻧ،ﺪﺷمﺎﺠﻧاﻲﺘﺷاﺪﻬﺑ ﻲﺷزﻮﻣآهرودﻚﻳزاﺪﻌﺑوﻞﺒﻗﻖﻴﻘﺤﺗردهﺪﻨﻨﻛ ﺖﻛﺮﺷ ﻲـﻨﻌﻣفﻼﺘـﺧازﺪﻳادرﻮﻣردتﺪﻣهﺎﺗﻮﻛ ﻪـﻛدراديراد درادﺖﻘﺑﺎﻄﻣﻲﻠﻌﻓتﺎﻌﻟﺎﻄﻣﺎﺑ ) 10 .( ﻪﻛ ﻪﻳﺮﺠﻴﻧردﻲﺑﺮﺠﺗ ﻪﻤﻴﻧﺶﻫوﮋﭘﻚﻳردﻦﻴﻨﭽﻤﻫ ﻣ ﺮﺑﻲﻨﺘﺒﻣ شزﻮﻣآﺮﻴﺛﺄﺗ ياﺮﺑ ﻲﻫﺎـﮔآ ناﺰـﻴﻣﺮـﺑ سراﺪ ﺶﻧاد ﺞﻳﺎـﺘﻧ،ﺪﺷ مﺎﺠﻧازﺪﻳا درﻮﻣ ردﻲﻧﺎﺘﺳﺮﻴﺑد نازﻮﻣآ ﺪـﺣاو شﺮﮕﻧ وﻲﻫﺎﮔآناﺰﻴﻣ ﻪﻛداد نﺎﺸﻧ درﻮـﻣ يﺎـﻫ ﻲـﻨﻌﻣتوﺎـﻔﺗ ﻲﺷزﻮﻣآﻪﻣﺎﻧﺮﺑﺪﻌﺑوﻞﺒﻗ ﺶﻫوﮋﭘ يراد دراد ) 11 .( ﻲﻣنﺎﺸﻧ ﺶﻫوﮋﭘﺞﻳﺎﺘﻧﺰﻴﻧشﺮﮕﻧﻪﻨﻴﻣزرد ﻪـﻛ ﺪﻫد آﻪﻣﺎﻧﺮﺑياﺮﺟازا ﻞﺒﻗردشﺮﮕﻧﻦﻴﮕﻧﺎﻴﻣ ﺪـﻌﺑ ﺎﺑﻲﺷزﻮﻣ ﻲﻨﻌﻣتوﺎﻔﺗنآياﺮﺟا زاﻲﻛﺎـﺣﺪـﻣﺎﻴﭘﻦـﻳاﻪﻛدرادراد ﺶﻧادشﺮﮕﻧﺮﺑشزﻮﻣآﺖﺒﺜﻣﺮﻴﺛﺄﺗ ﻲﻣنازﻮﻣآ ﺎﺑﻪﻛﺪﺷﺎﺑ زاﻞـﺻﺎﺣﺞﻳﺎﺘﻧ Maswanya نارﺎـﻜﻤﻫو ) 9 ( ﺖـﻘﺑﺎﻄﻣ ويﺪﻨﻣﺎـﺷﺶﻫوﮋـﭘزاﻞـﺻﺎﺣﺞﻳﺎـﺘﻧﻦﻴﻨﭽﻤﻫ؛ﺖﺷاد نارﺎــﻜﻤﻫ ) 12 ( شﺮــﮕﻧﺮــﺑشزﻮــﻣآﺮﻴﺛﺄــﺗدرﻮــﻣرد ﺶﻧاد دنازﻮﻣآ ﻪـﺑﻼﺘـﺒﻣنارﺎـﻤﻴﺑوزﺪـﻳايرﺎﻤﻴﺑدرﻮﻣر ﻪـﻣﺎﻧﺮﺑزاﺪـﻌﺑوﻞـﺒﻗشﺮـﮕﻧﻦﻴـﺑﻪـﻛدادنﺎـﺸﻧزﺪﻳا ﻲﻨﻌﻣتوﺎﻔﺗﻲﺷزﻮﻣآ ﺞﻳﺎـﺘﻧﺎـﻣا ؛دراددﻮـﺟو يرﺎﻣآراد ﻪﻌﻟﺎﻄﻣ Tuchinda نارﺎـﻜﻤﻫ و ) 13 ( ﻦـﻳا ردﺪـﻨﻠﻳﺎﺗرد دﻮـﺑتوﺎـﻔﺘﻣﺮﺿﺎﺣ ﺶﻫوﮋﭘﺞﻳﺎﺘﻧﺎﺑﻪﻨﻴﻣز . ﻪـﻌﻟﺎﻄﻣرد ــــﻣﺎﻧﺮﺑﺮﻴﺛﺄــــﺗرﻮــــﻈﻨﻣﻪــــﺑﻪــــﻛقﻮــــﻓ ﻪ KAP )
Knowledge, Attitude, Practice
( زﺪـﻳايرﺎـﻤﻴﺑﺮـﺑ ﻲﻨﻌﻣتاﺮﻴﻴﻐﺗﺪﺷمﺎﺠﻧا درﻮـﻣداﺮﻓاشﺮﮕﻧرديرﺎﻣآراد ﺪﻳدﺮﮕﻧهﺪﻫﺎﺸﻣﺶﻫوﮋﭘ . ﻲﻋﺎﺠــﺷ ﻂــﺳﻮﺗﻪــﻛ ﻲــﺸﻫوﮋﭘرد ﻦﻴــﻨﭽﻤﻫ هداز رد ﺖـﺷاﺪﻬﺑشزﻮـﻣآ شورود ﺮﻴﺛﺄـﺗﻲـﺳرﺮﺑﺖﻬﺟ
هﺎﮕﺸﻧادنﺎﻳﻮﺠﺸﻧاد شﺮﮕﻧوﻲﻫﺎﮔآ ﺮﺑ ﻪﺘﻔﻫﻪﺳ لﻮﻃ مﺎﻴﭘ رﻮﻧ ﺞﻳﺎـﺘﻧ ،ﺪـﺷ مﺎـﺠﻧازﺪـﻳا درﻮﻣرد ﺰﻘﺳ ﺪﺣاو ﺪـﺣاوشﺮـﮕﻧ ناﺰـﻴﻣ ﻦﻴـﺑﻪـﻛداد نﺎﺸﻧ درﻮـﻣيﺎـﻫ يرﺎـﻣآتوﺎـﻔﺗ شزﻮﻣآياﺮﺟا زاﺪﻌﺑو ﻞﺒﻗﺶﻫوﮋﭘ ﻲﻨﻌﻣ دراددﻮﺟوراد ) 14 .( ﻪـﺑﺖﺒـﺴﻧ نﺎـﻧاﻮﺟﻲﻫﺎﮔآندﻮﺑﻲﻓﺎﻛﺎﻧﻲﻠﻛرﻮﻃﻪﺑ ﺖﺒـﺴﻧنﺎﻧآردﺖﺳردشﺮﮕﻧدﺎﺠﻳاموﺰﻟوزﺪﻳايرﺎﻤﻴﺑ درﻮﻣﻪﻟﺄﺴﻣﻦﻳاﻪﺑ هﺪـﺷمﺎـﺠﻧاتﺎـﻘﻴﻘﺤﺗﺐـﻠﻏاﺪـﻴﻳﺄﺗ ﺖﺳا . عﻮﺿﻮﻣﻦﻳاهﺪﻨﻫدنﺎﺸﻧتﺎﻘﻴﻘﺤﺗﺐﻠﻏا ﻦﻴﻨﭽﻤﻫ داﺮـﻓاشﺮﮕﻧحﻼﺻاوﻲﻫﺎﮔآدﻮﺒﻬﺑﺮﺑشزﻮﻣآﻪﻛﺖﺳا ﺖﺳاﺮﺛﺆﻣ . ﻲﺷزﻮﻣآﺐﺳﺎﻨﻣيﺎﻫرﺎﻜﻫار بﺎﺨﺘﻧاﻦﻳاﺮﺑﺎﻨﺑ ﺶﻧادﻲﻫﺎﮔآ ﺶﻳاﺰﻓارﻮﻈﻨﻣﻪﺑ تﺎﻋﻼﻃاﺐﺴﻛونازﻮﻣآ ﺪﻣآرﺎﻛ زازوﺮﺑوﺪﻳﺪﺟ ـﺑنوﺮـﻘﻣوﻦﻳﺮﺗ ﻪﻓﺮـﺻ ﻪ ﻦﻳﺮـﺗ ﺶﻴﭘياﺮﺑ تﺎﻣاﺪﻗا ﻲﻣزﺪﻳا يرﺎﻤﻴﺑﻪﺑﻼﺘﺑازا يﺮﻴﮔ ﺪﺷﺎﺑ ) 15 .( ﻪﺘﻓﺎﻳسﺎﺳاﺮﺑ ﻪـﺑﻪـﺟﻮﺗ ﺎﺑوﺮﺿﺎﺣﺶﻫوﮋﭘيﺎﻫ هرﺎـﺑردتﺎـﻋﻼﻃاﺐـﺴﻛياﺮـﺑﻊـﺒﻨﻣﻦﻳﺮـﺘﻬﺑﻪـﻛﻦﻳا ﻪﻧﺎﺳر،زﺪﻳايرﺎﻤﻴﺑ ﻞﻳﺎـﺳوﻦـﻳاوهدﻮـﺑﻲـﻫوﺮﮔيﺎـﻫ ﻲﻣﻲﻌﻤﺟطﺎﺒﺗرا ﻲﻫﺎـﮔآردﻲـﺳﺎﺳاﺶـﻘﻧﺪﻧاﻮﺗ يزﺎـﺳ نﺎﻧاﻮﺟ ﻲﻣ دﺎﻬﻨﺸﻴﭘاﺬﻟ ،ﺪﺷﺎﺑﻪﺘﺷاد تﺎـﻋﻼﻃاﻪـﻛدﻮـﺷ ﻦــﻳاﻖــﻳﺮﻃزايرﺎــﻤﻴﺑﻦــﻳادرﻮــﻣردﻲــﻘﻴﻗدوﻞــﻣﺎﻛ ﻪﻧﺎﺳر ﻪﻧﺎﺳرودﻮﺷنﺎﻴﺑﺎﻫ ندﺮـﺑﻻﺎـﺑ ياﺮﺑﻲﻫوﺮﮔيﺎﻫ ﻪﻣﺎﻧﺮﺑزﺪﻳايرﺎﻤﻴﺑزاﻪﻌﻣﺎﺟﻲﻫﺎﮔآﺢﻄﺳ ﻲـﺷزﻮﻣآيﺎﻫ ﺪﻧروآرداﺮﺟاﻪﺑﺮﻤﺘﺴﻣ رﻮﻃﻪﺑار . ﻞـﺑﺎﻗﺞﻳﺎـﺘﻧزاﻲﻜﻳ ﻦــﻳاﺶﻫوﮋــﭘﻦــﻳاﻪــﺟﻮﺗ ﻦﻳﺮــﺘﻤﻛزاﻲــﻜﻳﻪــﻛدﻮــﺑ ﺶــﻧادتﺎــﻋﻼﻃاﺐــﺴﻛيﺎﻫﺪــﺻرد ﻖــﻳﺮﻃزانازﻮــﻣآ ﺖـﺳاهدﻮﺑ ﺖﺷاﺪﻬﺑنﺎﺳﺎﻨﺷرﺎﻛﺎﺑهروﺎﺸﻣ . ﻪﻴـﺻﻮﺗاﺬـﻟ ﻲــﻣ ﮓــﻨﻫﺮﻓﺎــﺑدﻮــﺷ ﻞﻨــﺳﺮﭘﺶــﻘﻧشزﻮــﻣآويزﺎــﺳ ردزﺪـﻳاﻪـﺑﺢﻴﺤﺻشﺮﮕﻧوﻲﻫﺎﮔآﺞﻳوﺮﺗردﻲﺘﺷاﺪﻬﺑ ﻞﻨـﺳﺮﭘﻖـﻳﺮﻃزاتﺎـﻋﻼﻃاﺐـﺴﻛ ﻪـﺑارمدﺮﻣ،رﻮﺸﻛ ﻪﺑًﺎﻌﻄﻗﻪﻛﻲﺘﺷاﺪﻬﺑ ردداﺮـﻓا شﺮـﮕﻧوﻲﻫﺎـﮔآيﺎﻘﺗرا دﺮﻛﺐﻴﻏﺮﺗ،دﻮﻤﻧﺪﻫاﻮﺧﻚﻤﻛﻪﻨﻴﻣزﻦﻳا . ﻪﺠﻴﺘﻧ يﺮﻴﮔ زا ﺞﻳﺎﺘﻧ هﺪﺷﻞﺻﺎﺣ ﻲﻣ ﻪـﺑشزﻮـﻣآﻪـﻛﺖﻓﺎﻳردناﻮﺗ شﺮـــﮕﻧ وﻲﻫﺎـــﮔآﺶﻳاﺰـــﻓاﺮـــﺑ ﻲﻧاﺮﻨﺨـــﺳشور ﺶﻧاد ياﺮـﺑ وﺖـﺳا هدﻮـﺑ ﺮﺛﺆـﻣزﺪﻳا درﻮﻣرد نازﻮﻣآ ﺶﻴـــﭘ نازراوﻦﻳﺮـــﺘﻬﺑزازﺪـــﻳازايﺮـــﻴﮔ وﻦﻳﺮـــﺗ ﻲﻳاﺮﺟا ﺗ ﻲﻣﺎﻫرﺎﻜﻫارﻦﻳﺮ ﺪﺷﺎﺑ . References
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Vol 1, No 1, Spring 2012 Received: 25.2.2012 Accepted:23.4.2012
The Effect of Education on Knowledge and Attitude of High School Students about AIDS in Faruj, Iran
Davoud Shojaeizadeh1, Geeti Ebrahim Taheri2, Hadi Tehrani3, Seyed Hamid Hosseini4
Abstract
Background: Three decades after the incidence of the first cases of AIDS in the world, this problem is still attracting world attention. No problem has been as complex or controversial and unexpected as AIDS in the recent decade. This study was conducted to survey the effect of education through lectures on the knowledge and attitude of high school students regarding AIDS.
Methods: This quasi-experimental study was performed on 400 high school students of Faruj, in the Northern Khorasan Province, Iran, who were selected by multi-stage cluster sampling. Information was collected using questionnaires that were completed in two stages (pre-test and post-test) by the
research units. The data were analyzed by descriptive statistics and analytical tests such as paired
t-test.
Results: The results showed that the mean score of knowledge before education was 2.60 and after
education was 2.70 (P < 0.05), it also showed that the average attitude score increased from 2.55 to 2.66 (P < 0.05). The increase in both cases was significant.
Conclusion: Education is effective in improving the knowledge and attitude of students regarding
AIDS. Therefore, choosing suitable educational strategies to raise awareness among students and providing new and updated information is among the most efficient and cost-effective measures in preventing AIDS.
Keywords: Education, Knowledge, Attitude, AIDS, High school students.
1
Professor, Department of Health Education and Health Promotion, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.
2 Lecturer, Department of Health Education and Health Promotion, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.
3.
PhD Student, Department of Health Education and Health Promotion, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.
4 MSc Student, Department of Health Education and Health Promotion, Faculty of Health, Tehran University of Medical Sciences, Tehran, Iran.
