【摘要】 目的探讨不同付费方式对白血病患儿家长心理状况的影响。方法采用Zung抑郁自评量表和焦虑自评量表对自费、新型农村合作医疗(新农合)、卫生部临床路径(直补)3组白血病患儿家长及对照组患儿家长的抑郁和焦虑情况进行测评,采用单因素方差分析及最小显著差数法比较其差异有无统计学意义。结果白血病患儿家长较对照组比较,抑郁及焦虑程度明显增高(P<0.01)。卫生部临床路径直补组较自费组和新农合组相比,抑郁及焦虑程度明显减轻(P<0.05)。结论白血病患儿家长存在不同程度的抑郁及焦虑等心理问题,卫生部临床路径直补可显著降低患儿家长抑郁及焦虑的程度。更多还原

【Abstract】 Objective To evaluate the influence of different payment mode on psychological condition of childhood leukemia parents.Methods The depression and anxiety levels were rated with the help of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)among the parents of leukemia children,who,according to their payment mode,were divided into three groups:own expense group,the new rural cooperative medical system group and the Ministry of health clinical path group.All data were analyzed by SPSS 10.0 descriptive analysis with one-factor analysis of variance and Least-Significant Difference.Results The depression and anxiety that childhood leukemia parents suffered were much higher than that in control group(P<0.01).The depression and anxiety of parents in the Ministry of health clinical path group were much lower than those in own expense group and the new rural cooperative medical system group(P<0.05).Conclusion Childhood leukemia parents suffered different levels psychological problems such as depression and anxiety.The Ministry of health clinical path can help reduce childhood leukemia parents′ depression and anxiety.更多还原