Caregiver Stress Management Guide
Caregiver Stress Management Guide
vfHkLoh—fr
bl e‚Mîwy dks cukus esa fuEu lzksrksa o O;fä;ksa us ;ksxnku fn;k%
thr cgknqj
lohrk nksbZeksbZ
jktho fgUxlys
gksi lkslkbVh
dSju efFk;kl
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gsysu eksjxu
fdEcjyh ikej
vksiu lkslkbVh
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vrqy flag
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elwjh Vhe% 'kkfyuh Fkkik] jkuh HkkxhjFkh] lehrk flag vkSj deyk nsoh
bEekuq,y gkfLiVy ,lksfl,'ku o lEcfU/kr çdk'ku] ftuesa ls dqN fuEu gSa%
eSuq,y ubZ fn'kk & ;qokvksa esa yphysiu dks fodflr djuk
f¶yipkVZ & Þleqnk, esa ekufld :i ls LoLF; jgukß
çkstsDV cqjkal ds czks'kj
esaVy gsYFk QkmaMs'ku U;wthySaM% ekufld LokLF; dh vksj ikap dne
efgyk LokLF;% https://www.womenshealth.gov/publications/our-publications/fact-
sheet/caregiver-stress.html
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ns[kHkky djusokyksa dk ruko o Fkdku% ÅtkZ] ldkjkRed o vk'kk dks iqu% çkIr djus dh ;qfä;k¡%
http://www.helpguide.org/articles/stress/caregiving-stress-and-burnout.htm
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dkSu fdldk vkSj U;k% http://www.whoswhoandthenew.blogspot.com
fo"k; lwph
vfHkLoh—fr 1
fo"k; lwph 2
eSU;qvy dk ç;ksx dSls djsa 3
le; lkj.kh 4
e‚Mîwy 1% ns[kHkky djus okys D;k gS\ 5
e‚Mîwy 2% ekufld chekjh 7
e‚Mîwy 3% ekufld chekjh ls xzLr O;fä dh ns[kHkky djuk 1 & ,d laokn dkS'ky 12
e‚Mîwy 4% ekufld chekjh ls xzLr O;fä dh ns[kHkky djuk 2 & ckrphr 14
e‚Mîwy 5% nokb;ka 17
e‚Mîwy 6% 'kjkc vkSj lsgr 22
e‚Mîwy 7% ruko dk çcU/ku 25
e‚Mîwy 8% Lo;a dh ns[kHkky 30
e‚Mîwy 9% ,d çHkkoh ns[kHkkydrkZ gksuk o leh{kk djuk 34
xzUFklwph 36
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 3
ns[kHkky djus okyksa ds lewg esa og O;fä tks lkbdks lks'ky fMlsfcfyVh ls xzLr O;fä dh ns[kHkky
fdldks vkeaf=r gksuk pkfg,\ djrs gSaA ;k og O;fä tks lewg dh cSBd esa 'kkfey gksuk pkgrs gSaA
dksf'k'k djsa fd ,d nwljs ds vkl&ikl jgus okyksa o ,d gh leqnk;
ds O;fä;ksa dk lewg cuk;k tk,A
vkerkSj ij mu lewgksa esa [kqydj ckrphr gksrh gS] ftuesa leku fyax
ds lnL; gksrs gSaA
ns[kHkky djus okys lewg dks fdruh le; vkSj miyC/krk dks /;ku esa j[krs gq, lewg dks yxkrkj feyuk
ckj feyuk pkfg,\ pkfg, & eghus esa de ls de ,d ckj feyuk pkfg,A
lewg ds lnL;ksa dks lHkh cSBdksa esa fgLlk ysus ds fy, deZBrk
fn[kkuh pkfg,A
çR;sd e‚Mîwy esa ,d ?kaVs dk le; yxsxkA
ns[kHkky djus okys lewg esa fdls gksuk leqnk; dk dksbZ Hkh O;fä ftls i<+uk fy[kuk vkrk gSA
pkfg,\ lewg dh lqfo/kk ds fy, rhu fnu dk çf'k{k.k] ftuesa bu e‚Mîwy ds
fo"k;ksa dks fy;k tk,xk] ;g lqfuf'pr djus ds fy, fd lewg
lgk;ddrkZ jkspd vkSj lgHkkxh rjhdksa dk mi;ksx dj ldsaA
le; lkj.kh
ns[kHkkydrkZ lewg dh 'kq:vkr lewg esa vkus okys gj ns[kHkkydrkZ dh igpku djsaA
ls igys ds lIrkg feydj mfpr oä vkSj LFkku ij ppkZ djsa tgka lewg fey ldrk gSA
lqfuf'pr djsa fd LFkku mfpr gks] lHkh lnL;ksa ds fy, mi;qä gks] tgka
vko';d yksx ;k #dkoVsa u gksaA
ehfVax ls igys dk fnu vxys fnu çLrqr djus okys e‚Mîwy dks iwjk i<+saA
LFkku lqfuf'pr djsa
lalk/ku% lqfuf'pr djsa tks lalk/ku pkfg, og vkids ikl gksaA
tks pkfg, mudh lwph gj e‚Mîwy ds vkjaHk esa gSA lalk/ku esa 'kkfey gSa cM+k
dkxt] ekdZj isu] ipsZ bR;kfnA
ns[kHkkydrkZ lewg dks gj lIrkg fo"k; dks l= ds 'kq: esa ifjp; nsa vkSj l= ds var esa nksgjk,aA
fdruh ckj feyuk pkfg,\ ;fn fiNys l= esa x`g dk;Z fn;k gks rks lqfuf'pr djsa fd og bl l= esa
nksgjk;k tk,A
le;
gj l= ,d ?kaVs dk gksuk pkfg,A
fØ;k,a bl çdkj djsa fd e‚Mîwy dh tks ;kstuk gS og iwjh ykxw gks ldsA
dHkh&dHkh dqN ,sls fo"k;ksa ij ppkZ 'kq: gks tkrh gSa tks egRoiw.kZ gSa & mu ij
ppkZ ds fy, oä nsa tks fd mi;qä vkSj yksxksa ds fy, ykHknk;d gS] t:jh gks
rks çksxzke dk oä esa FkksM+k Qsj&cny dj ppkZ ds fy, lnL;ksa dks oä nsaA
cjkcj lgHkkfxrk
lqfuf'pr djsa fd gj lnL; cjkcj lgHkkxh gksA
dqN lnL; çk—frd :i ls T;knk cksydj lewg ij gkoh gksrs gSaA
lewg esa 'kehZys yksxksa dks Hkh vius fopkj ck¡Vus dh vuqefr nsaA
çk:i
okrkZyki lfØ; vkSj lgHkkfxrk ds rjhdksa ij /;ku nsa] ftlds fy, eSU;qvy
esa fn, x, tYnh ls iwNusokys ç'uksa ls vki ppkZ dh 'kq#vkr dj ldrs gSaA
dbZ ç'uksa ds ,d ls T;knk lgh tokc gksrs ldrs gSa
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 5
fØ;k ls lh[ksa%
;g xfrfof/k ml tkudkjh ij /;ku dsafær djus djsxh ftls iwjs ikBîØe esa fn;k tk,xkA
dkxt dks vkf[kjh l= esa leh{kk ds fy, j[ksaA vkf[kjh l= esa leh{kk ds }kjk lewg ds lnL;ksa ds Kku esa
gq, ifjorZu dk irk pysxkA
6 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
fu"d"kZ%
lnL;ksa dks vius lkFkh ds ikl tkus dks dgsaA fuEufyf[kr ij ppkZ djus dks dgsa %
vkt mUgksaus D;k lh[kk\
vkus okys g¶rksa ds fo"k;ksa esa mUgsa fdl fo"k; dk bartkj gS vkSj D;ksa\
vkt tks lh[kk ml ls lacaf/kr dksbZ ç'u gS\
var esa gj çfrHkkxh dks viuh ppkZ dks lewg ds lkFk ckaVus dks dgsaA lcdk /kU;okn djrs gq, mUgsa vxys
lIrkg dk oä ;kn fnyk,aA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 7
igyh fØ;k
lcdk Lokxr djsaA
gj çfrHkkxh viuk ifjp; nsaA fuEufyf[kr ckrsa crk,a
viuk uke
bl lIrkg gqbZ ,d vPNh ?kVuk
,d pht tks mUgsa fiNys l= ls ;kn gSA
cpiu ds cqjs vuqHko vuqHko dVq lekftd vuqHko o uqdlku >syus ds dkj.k O;fä dks ekufld chekjh gks
ldrh gS A dqN ifjokjksa esa bldk [krjk T;knk gksrk gSA lkFk gh dbZ vU; dkj.k gks ldrs gSa] tks ge le>
ugha ikrsA ;s dkj.k fnekx ds dke djus ds rjhds dks çHkkfor djrs gSaA
fnekx dh egRoiw.kZrk
'kkjhfjd vkSj ekufld LokLF; ds fy, fnekx dk lgh rjg dk;Z djuk vko';d gSA
uhps fn, x, fp= fnekx dh Hkwfedk dks n'kkZrs gS %
cl Mªkboj cl pykus ds fy, ftEesnkj gS mlh rjg 'kjhj dks pykus ds fy, fnekx ftEesnkj gSA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 9
cpiu esa
vk?kkr
fnekxh pksV
vuqokaf'kd% vkids fnekx dh lajpuk vkids utnhdh fj'rsnkj ls feyrh gSA dHkh&dHkh ekufld chekjh ,d
ih<+h ls nwljh ih<+h esa tk ldrh gSA bldk dkj.k gS fd euq"; dk fnekx xHkkZoLFkk esa cu tkrk gSA utnhdh
fj'rsnkjksa esa ;fn ijs'kkuh gks rks vkids fnekx dh jpuk ij vlj iM+ ldrk gSA
cpiu esa gqbZ nq?kZVuk dk vlj% 'kkjhfjd 'kks"k.k] gknls] chekjh& /;ku vkSj tks cpiu esa ns[kHkky t:jh gS
mlesa dehA
LokLF; ds fy, gkfudkjd ruko% ruko ;k fpark] Mj ;k nq%[k] lek/kku u dj ikuk] [kqn ls ;k nwljksa ls
csotg vis{kk ;k ekax j[kukA
10 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
ekufld #i ls
chekj O;fä dk
O;ogkj ,oa
fØ;k,a
iz'u%
1- lgh ;k xyr % ekufld chekjh fdlh dks Hkh gks ldrh gS\
mÙkj ¾ lghA
2- ekufld #i ls chekj O;fä ds rhu crkZo crk,a\
mÙkj ¾ [kqn ls ckrsa djuk] galuk] fpYykuk] vkØked O;ogkj] de lekftd xfrfof/k;ka] vlkekU; O;ogkj]
fcLrj esa jguk] 'kCn nksgjkukA
3- D;k ekufld chekjh xyr dk;Z dk naM gS\
mÙkj ¾ ughaA
4- lgh ;k xyr % ekufld chekjh] fnekx dh leL;k ls tqM+h gS\
mÙkj ¾ lghA
5- fdu rhu O;fä;ksa ls vki vius fj'rsnkj dh fnekxh chekjh ds ckjs esa ckr djds enn ekax ldrs gSa\
mÙkj ¾ ifjokj vkSj nksLr] lekftd dk;ZdrkZ] M‚DVj
6- D;k ekufld chekjh tq[kke dh rjg QSyrh gS\
mÙkj ¾ ughaA
7- rhu rjhds crk,a ftuls ekufld chekjh gks ldrh gS\
mÙkj ¾ mi;qZä fØ;k ns[ksaA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 11
2
fu"d"kZ
3]2]1 vH;klA
lewg esa lcls iwNsa
rhu phtsa tks vkt lh[kha
fo"k; ds lacaf/kr nks loky
,d fopkj tks vkt ds l= esa lq>kA
x`g dk;Z
ifjokj ds nks lnL;ksa ls ekufld chekjh ij ckr djsaA
tks lh[kk og vius ifjokj ,oa nksLrksa dks Hkh crk,aA
2 http://www.whoswhoandthenew.blogspot.com
12 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
igyh fØ;k
çfrHkkfx;ksa dk Lokxr djrs gq, fuEufyf[kr lcds lkFk ckaVus dks dgsa%
fiNys lIrkg dh ,d fo'ks"krk
,d pht tks fiNys l= ls ;kn gksA
fØ;k ls lh[k
ge ekSf[kd laokn ij fdrus fuHkZj gSaA
ekufld chekjh ls xzLr O;fä dh ns[kHkky ds fy, laokn vfuok;Z gSA
;g xfrfof/k n'kkZrh gS fd%
ge tkurs gSa fd og D;k O;ä djuk pkgrs gSa ij ugha dj ikrsA
çfrHkkxh ,slh ?kVuk ds ckjs esa lksps tc muds lkFk ;k fdlh fj'rsnkj ds lkFk ,slk gqvkA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 13
çfrHkkfx;ksa dks ,sls vuqHko gks ldrs gSaA ftl dkj.k og vius fj'rsnkj ls Mjrs gksaA mUgsa ,slk viuk
vuqHko ckaVus dks dgsaA
laokn
laf{kIr esa laokn ds rjhds crk,aA buds ckjs esa Vscy 2 esa crk;k x;k gSA
rhljh fØ;k
lnL;ksa dks lewg esa fuEufyf[kr ckaVus dks dgsa%
,d mnkgj.k tc mUgsa vius fj'rsnkj ls laokn esa dfBukbZ gqbZ gksA
mu dfBu ifjfLFkfr esa mUgksaus D;k fd;k\
D;k vki dqN dkj.k crk ldrs gSa ftl otg ls vkids fj'rsnkj ls esy&feyki djuk dfBu gS\
fnekx ds jlk;u vlarqfyr gksus ds dkj.k lgh dke ugha djrkA
laokn ds fy, fnekx }kjk Hkstk gqvk lans'k [kjkc gks tkrk gSA
nokb;ksa ds nq"çHkko Hkh laokn ij vlj djrs gSaA
14 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
igyh xfrfof/k
lewg dks fuEufyf[kr ckaVus dks dgsa%
fiNys lIrkg dh ,d fo'ks"k ckr
fiNyh cSBd dh ,d ;knxkj ckr
lnL;%
viuh ekufld chekjh ls xzLr fj'rsnkj dh Hkwfedk fuHkk,axsA
pqukSrhiw.kZ ,oa dfBu O;ogkj fuHkk,axsA
izca/kd%
ns[kHkky djus okys dh Hkwfedk fuHkk,axsA
O;ogkj dks O;ofLFkr djus ds fy, mi;qZä rjhdksa ds mnkgj.k n'kkZ,axsA
rhu vyx O;ogkj ds fy,] ukVd rhu ckj fd;k tk,xk] gj O;ogkj ds fy, ,d lnL; dks ysaA
igys ldkjkRed c<+kos dks n'kkZ,aA
nwljh ckj çfr:i / uewuk dk ukVd djsaA
rhljh ckj O;ogkj dks <kyus dks n'kkZ,aA
tc ,d ckj lkjh 'kSfy;ksa dk çn'kZu gks tk, rks bl fØ;k dks fQj ls nksgjk ldrs gSaA bl ckj lewg lnL;
dks ns[kHkky djus okyh dh Hkwfedk fuHkkuh gS vkSj QSflfyVsVj dks fj'rsnkj dhA lnL;ksa dks NksVs&NksVs lewgksa
esa bl vH;kl dks djus dks dgsaA QSflfyVsVj lcdk fujh{k.k djsA
fØ;k ls lh[k%
bl fØ;k }kjk ns[kHkky djus dh fofHkUu 'kSfy;ksa dk çn'kZu gksuk pkfg,A rkfd ns[kHkky djus okys
muls lh[kdj dfBu O;ogkjksa dks laHkky ik,aA
16 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
fu;fer dk;ZØe
ih ih ,l Mh ds fy, fu;fer dk;ZØe t:jh gS rkfd vkxs dh pht ns[k lds vkSj u, uewus cu ldsaA
mnkgj.k% lqcg dk fu;fer dk;ZØe rkfd og le> lds fd D;k xfrfof/k;ka gS vkSj D;k djuk gSA
,d fu;fer dk;ZØe tgka ifjokj dk gj lnL; viuk dk;Z tkurk gS viuh ftEesnkjh le>rk gS vkSj mUgsa
irk gS fd ?kj ds dkeksa esa gkFk cVkuk gS] ,d rjhdk gS ftlls vPNh vknrksa dks c<+kok nsus esa enn feyrh
gSA lewg ds lnL;ksa dks tksM+ksa esa ckaVs vkSj bu fo"k;ksa ij ppkZ djus dks dgsa%
vius ifjokj dh enn djus ds fy, muds ikl D;k fu;fer dk;ZØe gSaA
dksbZ ,d dk;Z tks og vius ifjokj dh enn ds fy, tksM+uk pkgrs gSaA
fu"d"kZ%
cSBd dks laf{kIr esa crk,a%
vPNs O;ogkj dk çn'kZu ekufld chekjh ls xzLr O;fä ds O;ogkj esa ifjorZu ds fy, egRoiw.kZ gSA
lnL;ksa dks tksM+s esa ckaVdj bu fo"k;ksa ij ppkZ djus dks dgsa%
vkt lcls fnypLi pht D;k lh[khA
vkt D;k nks phts vius ifjokj esa mi;ksx djuk pkgsaxs] foLrkj esa crk,aA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 17
e‚Mîwy 5% nokb;ka
e‚Mîwy dk mís';% vko';d lkexzh%
og le> lds fd ekufld pkVZ isij
chekjh ls xzLr fj'rsnkj ds ekdZj isu
lQy mipkj ds fy, D;k mi;qä LFkku
vko';d gSA ns[kHkky ds dk;Z dh çfrfyfi ¼tks bLrseky u dh xbZ gks½
nokbZ ds lk/ku ;k vk—frA
dc nokbZ ennxkj
jgh vkSj dSls\
nq"çHkko çfrfØ;k
fnu esa 2 yhVj ikuh ih,aA T;knk lCth] Qy [kk,a] pkoy de [kk,aA
dCt
[kwc ikuh ih,aA ;fn nks g¶rksa esa Bhd u gks rks M‚DVj dks crk,aA
fljnnZ
jkr dks uhan esa Fkwd fudyuk M‚DVj dks crk,aA jkr esa nks rfd;ksa dk bLrseky djsaA
fnu esa rhu ckj [kkuk [kk,aA rsy vkSj ehBk de ysaA dPph lCth [kk,aA ikuh
otu c<+uk [kwc ih,aA lfØ; jgsa vkSj O;k;ke djsaA
M‚DVj ls nokbZ dh [kqjkd vkSj mlds ysus ds le; dks nksckjk iwNsaA
T;knk uhan vkuk
T;knk fpM+fpM+k mrkoykiu ;fn jkr dks gks] rks 'kke dh [kqjkd tYnh ysaA fQj Hkh Bhd u gks rks M‚DVj
dks crk,aA
vki nq"çHkkoksa ds ckjs esa vius M‚DVj ls ckr dj ldrs gSa rFkk vkSj mik; Hkh iwN ldrs gSaA dksbZ vkSj nokbZ ;k [kqjkd esa
cnyko mik; gks ldrk gSA
20 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
s gSaA nokb
dr Z
yx l dqN rc rd
kg yksxk
l s 3 lIr k pkfg,
A gSA sa dks ysa tc r
sa 2 gu ftanx d M
d s v lj e kst ysrs j h Hkj ‚DV
nokb j euk u
j
nokbZ dks nokbZ Z [kku
h iM djsA
ejht + ld
rh
js[kkfp= ls le>k,a
tc fj'rsnkj nokbZ ysuk u pkgs rc mldks nokbZ ysus ds fy, çksRlkfgr djuk eqf'dy gks ldrk gS% lewg dks viuk vuqHko
ckaVus ds fy, cksysa tc mUgksaus fj'rsnkj dks nokbZ ysus ds fy, cksyk gks vkSj mUgksaus euk dj fn;k gksA
rc D;k gqvk\ D;k mUgksaus fiNys l= esa crkbZ xbZ O;ogkj ifjorZu dh rduhd dk bLrseky fd;kA
ns[kHkky djus okys vius fj'rsnkj ds lkFk M‚DVjh tkap ds fy,] M‚DVj ds ikl tk,aA
M‚DVj dh lykg lquuk t:jh gS rkfd ns[kHkky djus okys vius fj'rsnkj dh enn dj
ldsaA
vkidk fj'rsnkj dSlk eglwl dj jgs gSa vkSj tSls muds y{k.k gksa] og vkidks bZekunkjh ls
MkDVj M‚DVj dh iwjh ckr ugha crk,axsA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 21
lkekftd dk;ZdrkZ lkekftd dk;ZdrkZ ;k lewg vkids fj'rsnkj dh ns[kHkky ds fy, ,d Iyku ;k
leqnk; esa dkSu vkidh ;kstuk ns ldrk gS] tks vkt fl[kk,a lc rRoksa ij vk/kkfjr gSA ¼nokbZ vkSj Lo;a dh
enn dj ldrk gSA ns[kHkky½
t:jh gS vki vius lkekftd dk;ZdrkZ ds lkFk dk;Z djsa] vkids fj'rsnkj esa cM+k
lq/kkj vk ldrk gS] ;fn vki ns[kHkky ds Iyku dk ikyu djsaA
fu"d"kZ
lewg dks tksM+ksa esa ckaVdj fuEufyf[kr ij ppkZ djus dks dgs%
nokbZ;ksa ds ckjs esa vkidks D;k egRoiw.kZ pht ;kn gS\
nq"çHkko ds ckjs esa D;k lh[kk\
dkSu&dkSu lh pht fj'rsnkj dh chekjh dh ns[kHkky esa lgk;d gks ldrh gS\
dkSu mipkj dh uhfr dk ikyu djus esa vkidh enn dj ldrs gSa\
vkt lcls cM+h ckr D;k lh[ksa lh[kh\
igyk dk;Z nwljk dk;Z & fiNys lIrkg ds dk;Z dks laf{kIr esa
:f>>d feVkus o çfrHkkfx;ksa dks mRlkfgr djus ds fy, nksgjkuk
xksy ?ksjs esa cSB tk,aA çR;sd O;fä ls uhps nh xbZ ckrksa fiNys lIrkg ds nok o bykt ds Iyku dks
ij muds fopkj lqusa nksgjkukA
fiNys lIrkg dk eq[; vkd"kZ.k lewg ls iwNsa fd fiNys lIrkg tks lh[kk mlls
,d ijs'kkuh tks chrs lIrkg esa lkeus vkbZ gksA D;k ;kn gSA
dqN ,slk tks iwjk lewg muds ckjs esa u tkurk tks mUgksaus fiNys lIrkg lh[kk Fkk D;k mUgksaus mu
gksA ckrksa dks ç;ksx fd;kA
fny dh ijs'kkuh
fu"d"kZ%
lewg dks tksM+ks esa ckaVs vkSj mUgsa igys Hkkx ls 3]2]1 vH;kl djus dks dgsaA
3% rhu phtsa tks vkt lh[kha mu ij ppkZ djsaA
2% nks phtsa ftUgsa os ç;ksx esa yk,axs mu ij ppkZ djus dks dgsaA
1% ;fn os dksbZ ç'u iwNuk pkgrs gksa rks iwNsaA
lewg dks fQj ls ,d lkFk cqykdj iwNsa fd D;k os viuh ppkZ esa ls dqN ckrsa lcds lkFk ckaVuk pkgrs gSa\
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 25
igyh fØ;k
lcdk lewg esa Lokxr djsaA
lewg ds çR;sd O;fä ls iwNsa fd mUgksaus lewg dh fiNyh cSBd ls D;k lh[kk vkSj ,d pht ftls vyx
rjhds ls djus dh dksf'k'k dhA
bl lIrkg dk fo"k; crk,a ns[kHkky djus okyk gksuk cgqr vPNk gks ldrk
bl lIrkg dk fo"k; gS ns[kHkky djus okys dk gS
rukoA. blds dqN ykHk fuEufyf[kr gSa%
lewg ls muds fopkj lqus o fopkjksa dks cM+s çfrQy feyuk
dkxt ij fy[ksaA fo'ks"k volj
lewg dks tksM+ksa esa ckaVs vkSj mUgsa ns[kHkky etsnkj
djus dh mudh Hkwfedk ds fo"k; esa nks mís'; çnku djrk gS
vPNh o cqjh ckrksa ij ppkZ djus dks dgsaA lewg }kjk crk, x, ykHkksa dks lwph esa
lewg dks fQj bdëk djsa vkSj muls mudh tksM+sa gks ldrk gS fd lewg vyx&vyx
ppkZ dh eq[; ckrsa iwNsaA ykHkksa ds ckjs esa crk,A
26 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
nwljh fØ;k
lewg ls iwNsa fd ,d ns[kHkky djus okys vkSj ukSdjh djus okys fdl çdkj leku gSa\
vius mÙkj ,d cM+s isij ij fy[ksaA
vxj lewg dks lgk;rk pkfg, rks mlds fy, dqN fgnk;srsa uhps fn, x, gSaA
ns[kHkky ugha gksxh vxj og dk;Z ugha djsaxsA vxj deZpkjh dke ugha djsxk rks dk;Z ugha gksxkA
ukSdjh djus okys o ns[kjs[k djus okys esa ,d cM+k varj gksrk gSA ¼ru[okg @osru dks NksM+dj½
ukSdjh okys dke ij tkrs gSa vkSj okil ?kj vkrs gSaA
ns[kjs[k djus okys ogha jgrs gSa tgka og jgrs gSaA og vius dk;Z ls yxkrkj tqM+s jgrs gSaA
ns[kHkky djus okys ds fy, egRoiw.kZ fcanq%
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3
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 27
cPpksa dks Ldwy ds fy, rS;kj djuk ¼mBuk] uk'rk cukuk] rS;kj djuk o le; ij Ldwy Hkstuk½
tc dksbZ dke dh pht VwV tk, ¼diM+s /kksus dh e'khu o Qksu½
[ksy [ksyuk ¼vPNk [ksyus dh bPNk] thrus dh bPNk] xyrh u djus dh bPNk½
csdkj ruko%
ruko rc csdkj o cqjk gksrk gS tc og yacs le; rd jgsA Åij fn, x, mnkgj.k os ruko gSa tks FkksM+s le; ds fy,
gksrs gSaA
ruko ijs'kkuh curk gS tc%
ruko yacs le; rd jgsA
ruko ds dkj.k vki vius dk;Z Bhd ls u dj ik jgs gksa ¼tSls& [kkuk] lksuk] og dk;Z djuk tks gesa ilan gS½.
uhps nh xbZ lwph ij ppkZ djsa vkSj lewg ds lHkh yksxksa ls muds fopkj lqusa
ruko dks de djus okyh phtsa fiNys g¶rksa esa lh[ks x, rjhds
mu phtksa ij /;ku nsa tks vki dj ldrs gSa u fd O;ogkj dks fu;a=.k djus ds tks rjhds vkius lh[ks Fks
tks vki djuk pkgrs gSaA tSls
NksVh&NksVh lQyrkvksa dks euk,a muls [kq'k gksaA vius dks çksRlkfgr djsa tc phtsa vPNh rjg ls gks
tk,
lcdks c/kkbZ nsaA /kU;okfnr gksa vkSj vius fj'rsnkj ds fy, tks dk;Z
vki dj jgs gSa mldks igpkusA
vr% ns[kHkky djus okys dh {kerk cuk, j[kus ds fy, nks egRoiw.kZ rjhds gSa%
viuk /;ku j[ksa ¼;g nwljs e‚Mîwy esa gS½
Nqêh iM+ tk,aA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 29
NBh xfrfof/k
fofHkUu rjhdksa dks lkspsa ftuls vki vius fj'rsnkj ls nwj jg ldsaA dqN lq>ko gS%
nwljs fe=ksa o
fj'rsnkjksa ds lkFk
nwljksa ls enn Nqêh ysa le; fcrk,a
ekaxs
x`g dk;Z%
lewg ds çR;sd lnL; dks ?kj tkdj fuEu dk;Z djus dks dgsaA
fdlh Hkh ,d nksLr o ikfjokfjd lnL; dks pqusa tks mUgsa ns[kHkky djus esa enn dj ldrs gSaA
ml O;fä dks og lc tks vkius lewg dh cSBd esa lh[kk vkSj mls ;g Hkh crk,a fd og vkidh fdl rjg enn
dj ldrk gSA
vkt vkius D;k lh[kk og vkils vxys lIrkg fjiksVZ djus dks dgk tk,xkA
30 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
ns[kHkkydrkZ dks [kqn ,d mnkgj.k gksuk pkfg,A vxj vki pkgrs gSa fd vkidk fj'rsnkj viuh [kqn dh ns[kHkky djus dh
ftEesnkjh ys rks vkidks mlds fy, Lo;a dh ns[kHkky djus dk ,d mnkgj.k cuuk gksxkA
viuh ns[kHkkydrkZ dh Hkwfedk dks ,d xkM+h ¼dkj ;k eksVjlkbfdy½ dh rjg le>saA xkM+h dks pyus ds fy, ba/ku dh vko';drk
gksrh gSA vxj isVªksy lekIr gks tk, rks xkM+h ugha pysxhA vxj vki vius 'kjhj :ih xkM+h dh ns[kHkky ugha djsaxs rks vki VwV
tk,axsA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 31
dqN vkSj t:jh ckrsa tks vkidks /;ku j[kuh gS ,d ns[kHkkydrkZ ds :i esa
ns[kHkkydrkZ ds :i esa] vkidks flQZ nsuk gh ugha gS cfYd vidks nwljksa ls enn o leFkZu Hkh ysuk gSA
O;k;ke
ruko ls gksus okys uqdlku dks ge çfrfnu O;k;ke djds de dj ldrs gSaA
O;k;ke 'kjhj dh enn djrk gS
ekalisf'k;ksa dks vkjke nsrk gS
efLr"d esa jlk;uksa dks NksM+us esa enn djrk gS ftlls gesa vPNk eglwl gksrk gS
gesa 'kfä çnku djrk gS
gesa LoLFk o g"Viq"V cukrk gS
gekjh fpark o ruko dks nwj djrk gS
blls gesa Fkdku eglwl gksrh gS ftlds dkj.k ge jkr dks vPNh uhan lksrs gSa
fu"d"kZ
l= dks nksgjk,a
lewg dks tksM+ksa esa ck¡Vs vkSj ppkZ djus dks dgsa%
vkt mUgksaus lcls eq[; ckr D;k lh[kh\
rhu phtsa tks os vxys lIrkg [kqn ds fy, djsaxsA
lewg dks bdëk djsa vkSj muls muds fopkj lqus tks mUgksaus tksM+s esa ppkZ fd;sA
xzgdk;Z%
lewg dks crk,a muls vxys lIrkg iwNk tk,xk fd mUgksaus dSls iwjs lIrkg esa nwljksa ls viuh ns[kHkky ds fy, enn yhA
34 ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk
igyh fØ;k & mRlkfgr djuk nwljh fØ;k & ,d çHkkoh ns[kHkky djus okyk@
fiNys lIrkg dk ,d eq[; vkd"kZ.k o pqukSrh dks ns[kHkkydrkZ dSls cus
nwljksa ds lkFk ckaVsaA ;g crk dj fØ;k dk ifjp; nsa fd vki pkgrs gSa
fiNys g¶rksa dh xbZ fØ;kvksa esa ls ,d djsa ¼;fn fd çfrHkkxh dks lc dqN tks mUgksaus ,d lkFk
le; gks rks½A lh[kk gS mldks crk,aA
fiNys lIrkg ds l= dks laf{kIr esa crk,aA eq[; mís'; gS fd ns[kHkky djus okys ,d nwljs ls
lewg dks cksys fd og crk,a fd bl lewg esa jgus ckr djsa o uhps nh xbZ Vscy ij ppkZ djsaA
ls mUgksaus tks Hkh lh[kk mls dSls ç;ksx fd;kA bl vH;kl dk mís'; gS fd lHkh Kku tks chrs
g¶rksa esa lh[kk x;k gS ,d lkFk ,d vH;kl esa
yk;k tk;s ftlls fd os vkSj çHkkoh ns[kHkkydrkZ
cuuk lh[k ldsaA
rhljh fØ;k & dkSu] D;k] dgka] D;ksa vkSj dSls fØ;k
;g fØ;k igys l= esa iwjh gks xbZ FkhA tks fjd‚MZ vkius ml l= ls bl l= rd cuk;k gS og yk,aA vkt%
Hkkx ysus okys okyksa dks fn[kk,a muds fopkj D;k FksA
ppkZ djsa fd mudk Kku ns[kHkkydrkZ ds :i esa mudh Hkwfedk ds ckjs esa dSls cny x;k gSA
fØ;k fQj ls nksgjk,aA blls gesa irk pysxk fd çfrHkkfx;ksa dk Kku fdl gn rd ;k lhek rd vkSj fdl {ks= esa c<+k
gSA
ubZ mEehn & leqnk; vk/kkfjr ns[kHkky dks etcwr djuk 35
le>nkjh vki dk dk;Z ,d ns[kHkky djus okys ds ekufld chekjh D;k gS\
:i esa ekufld chekjh vkids fj'rsnkj dh xyrh
ns[kHkkydrkZ gksus dk D;k eryc gS\ ugha gS
ftruk laHko gks mruh gh vki vdsys lc dqN ugha dj ldrs viuh ns[kHkky esa 'kkfey gks ldrs gSa
vis{kk j[kuk tkusa fd vki D;k dj ldrs gS mudks vlgk; u le>sA mUgsa ?kj ij dke
vki D;k ugha dj ldrs o ftEesnkjh lkSais
enn ekaxs o Lohdkj djsa mUgsa mudh lsgr laca/kh dksbZ ftEesnkjh
O;ogkj esa vkdkj nsus] djds fn[kkus o udy lkSaisA
djus okyh rduhd dk bLrseky djs
ikBîØe dh leh{kk
lewg dks tksM+ks esa ck¡Vs vkSj fuEufyf[kr ç'uksa ij ppkZ djus ds fy, dgsaA
1- e‚Mîwy esa nh x;h tkudkjh esa ls] lewg ds fy, lcls vf/kd #fpdj tkudkjh D;k Fkh\
2- D;k dksbZ vkSj tkudkjh blesa 'kkfey dh tk ldrh gS\
3- ns[kHkky djus okyksa dh t:jrksa ds fy, dkSu lk e‚Mîwy mi;qä Fkk\ fdlh ,d ij xksyk yxk,A
xzUFklwph
Dr Ashtekar, S. (2014). Handbook on Mental Health for Community Workers.
Basic Needs India.
Eapen V., Graham P., S. S. (2004). Where There Is No Psychiatrist: A Mental
Health Care Manual. Psychiatric Services, 55(2), 200–200.
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The COPSI Collaborative. (2012). Community Based Care Manual for Lay Health
Workers Working with people with Schizophrenia and their families. Rama
Harmalkar. Sangath.
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www.eha-health.org