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الاكتئاب لدى النساء العاملات في بغداد
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ان في هذه الاية الكريمة لآبلغ وصف للاكتئاب حيث الضيق الشديد والشعور باليأس من الدنيا والوحدة .

وقال المتنبي :.

كفى بك داء ان ترى الموت شافياً

وحسب المنايا ان يكن امانيا

وقال مجنون ليلى :.

وامطر في التراب سحاب جفني

وقلبي في هموم واكتئاب

الحزن والقلق والهم والغم جزء من حياة الناس وهناك كثير من العوامل الممهدة هي التي تجعل من الفرد عرضة للاصابة بالاكتئاب مثل ( الحرمان العاطفي ، الحوادث ، الامراض الجسمية ، المشاكل الزوجية ، التعب المستمر … ) .

وهذه تصيب الانسان ولا يتمكن من مواجهتها والتكيف امامها والتغلب عليها ، وقد اظهر تقرير منظمة الصحة العالمية لعام (2005 ) ان الاكتئاب يشكل السبب الثالث حالياً للمرض والاجازة والانقطاع عن العمل والخسائر الاقتصادية في العمل وتتوقع المنظمة ان الاكتئاب سيكون السبب الاول للمرض والعجز الصحي والانقطاع عن العمل عام ( 5 202) ( منظمة الصحة العالمية )

ومن اعراضه الجسمية انقباض الصدر والشعور بالضيق وفقدان الشهية والصداع والتعب والازمات الحركية ، اما الاعراض النفسية فهي اليأس والاسى وهبوط الروح المعنوية وانحراف المزاج وعدم ضبط النفس وضعف الثقة في النفس والقلق والتوتر والارق وفتور الانفعال والانطواء والانسحاب والانخراط في البكاء ( انترنيت )                                                         

وكذلك من اعراضه اهمال في المظهر والاناقة وتميل تعابير الوجه الى العبوس وتباطىء المشي والحركة مع اضطراب النوم حيث الارق واضطراب الشهية وفقدان الوزن مع تباطىء النشاط والتفكير والذاكرة وضعف القدرة على التركيز مع الاصابة بالامساك وضعف الرغبة الجنسيـة وقد يترافق الاكتئـاب احيانـاً باعراض الهلاوس والاوهام الذهانية ( سرحان وآخرون ، 2003 ) وان الهلاوس والاوهام الذهانية المرافقة للاكتئاب الشديد تدور حول فكرة شعور المريض بالذنب واحتقار الذات وانعدام القيمة ( انت المذنب ، انت شرير ، انه خطؤك ) ويتقبلها المريض كعقاب على اخطاءه ( رستم ، 2004 ) . والاكتئاب يظهر في اشكال متعددة هي : .

  • الاكتئاب الخفيف وهو اخف صور الاكتئاب .
  • الاكتئاب البسيط .
  • الاكتئاب الحاد .
  • الاكتئاب المزمن وهو دائم .
  • الاكتئاب التفاعلي وهو رد فعل الحلول الكوارث وهو قصير المدى .
  • الاكتئاب الشرطي وهو اكتئاب يرجع مصدره الاصلي الى خبره جارحة يعود الى الظهور بظهور وضع مشابه او خبرة مماثلة للوضع او الخبرة السابقة .
  • اكتئاب سن العقود ويحدث عند النساء في الاربعينات وعند الرجال في الخمسينات ويلاحظ فيه القلق والهم والتهيج وربما صحبته ميول انتحارية .
  • الاكتئاب العصابي .
  • الاكتئاب الذهاني .

والفرق بينهما ان مريض الاكتئاب الذهاني يسيء تفسير ( الواقع الخارجي ويصاحبه اوهام وهذيان الخطيئة . ( انترنت ) .

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Effectiveness of an Education Program ConcerningCardiotocography on Nurses- MidwivesPractice in Maternity Hospitals at Baghdad City.
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