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Biomedical subjects

J W Heyink

Publications and source records attributed to J W Heyink.

8 recordsLinked to original sources

Experience of bereaved relatives who granted or refused permission for organ donation.

A group of individuals who had granted or refused permission to have organs removed from a decreased relative for transplantation were interviewed. Organ donation was found to be a very delicate subject: the request for organ donation often comes unexpectedly and most relatives are not aware of the wishes of the decreased (donor codicil), which complicates the decision process. Some of the relatives who refused regretted their decision later. Remorse was also encountered in the group who gave their permission, although positive feelings were more common. The position of the member of staff who asks for permission is complicated. Suggestions are presented to improve the procedure.

Attitude to Health↗

[Results of liver transplantation in children; parents' opinion].

Since 1982, the liver transplantation team of the University Hospital of Groningen has been carrying out transplantations in children. This article focuses on the experiences of the parents of 19 children who have undergone transplantation. An interview and two questionnaires were used to collect the data. Data concerned children's physical and psychosocial functioning and their daily behaviour. Five older children also filled in two questionnaires. In general, parents were positive about their child's functioning. When the interviews were analysed at an individual level, several problems were reported, however. These problems did not fall within one specific domain. As a consequence, the questionnaires did not show any significant differences between these children and a matched control group of healthy children. The parents of the children aged 1-3 yr were more positive about their children's functioning than the parents of the children aged 4-12 yr. The positive results should be assessed in the light of children's functioning before transplantation: when compared with pre-transplantation problems, present problems are of little significance.

Activities of Daily Living↗

[Liver transplantation: patients' experiences].

The Dutch orthotopic liver transplant programme was evaluated recently. This article focuses on the physical functioning, the pattern of activities, the social functioning and the level of wellbeing of 31 transplant patients. Data were generated by means of questionnaires and interviews. The majority of the patients look upon themselves as 'healthy'. Their physical potential has greatly improved. Three-quarters of the patient group think they are able to go back to work. However, from the interviews it appears that one third of the patient group suffered from more or less serious psychological problems following transplantation.

Activities of Daily Living↗

Research into quality of life: a qualitative approach in the evaluation of a liver transplant programme.

This article describes and analyses the psycho-social impact of a liver transplant programme. Through in-depth interviews an inventory has been made of experiences of liver patients/their relatives: those who were on the waiting list, those in the green-light phase, patients who were transplanted (with or without success), patients who were turned down. The article is based on qualitative data. This qualitative approach can provide a better understanding of the problems of the liver transplant technology, and in this way it can contribute to the frame of reference of those who draw up the health policy.

Health Policy↗

[The elderly and the relationship between denture problems and visits to the dentist: an exploratory study].

Seventy-five percent of the Dutch elderly population has full dentures. Despite the fact that many have problems with their dentures, demand for care is low. This explorative study focuses on the individuals' own explanation of this phenomenon. Thirty-one persons over 55 years of age participated. The data were obtained from content-analysis of taped interviews. Most respondents with serious complaints did not consider the possibility of the dentist contributing to the solution of their problems. Some respondents did not see the dentist after loosing their last natural teeth. Others stopped seeking care convinced that further treatment could not solve their problems. In the case of old dentures a psychological process of adaptation to slowly developing problems inhibits the demand for care. Some implications of these findings are briefly discussed.

Aged↗