Anthonissen C J, Schols J M G A
Universitair Medisch Centrum St Radboud, afd. Verpleeghuisgeneeskunde, Nijmegen.
Ned Tijdschr Geneeskd. 2002 Mar 2;146(9):412-5.
To ascertain the state of affairs in Dutch nursing homes with regard to the Organ Donation Act, two years after its introduction.
Descriptive, questionnaire study.
By means of a structured questionnaire the availability, implementation and use of the protocol on tissue donation as well as difficulties in the use of this protocol were enquired about in April 2000 in all 253 Dutch combined and categorical somatic nursing homes. The attitude of nursing home physicians to tissue donation in nursing homes was also assessed. The questionnaire was sent to heads of the Medical Departments, who supplied the answers in cooperation with the nursing home physicians. Finally, partly based on registration data from the Donor Register and from Bio Implant Services, an inventory was made of the number of occasions the national Donor Register was consulted and of the number of tissue donations from nursing homes.
In total, 186 questionnaires were returned (response: 73.5%). A protocol on tissue donation had been introduced by 136 (73%) of the Dutch nursing homes, and 96 (52%) of the nursing homes actually used such a protocol. Since the introduction of the Organ Donation Act, the number of tissue donations from nursing homes has not increased: 1-2 skin and 15-20 cornea donors per year. The nursing home physicians were of the opinion that compliance with the protocol required a considerable amount of time, work and emotions, yet due to the large number of contraindications for donation, these efforts were scarcely rewarded.
在《器官捐赠法》实施两年后，查明荷兰养老院在该法方面的情况。
描述性问卷调查研究。
2000年4月，通过结构化问卷，对荷兰所有253家综合性和分类性躯体养老院的组织捐赠协议的可用性、实施情况和使用情况以及使用该协议的困难进行了询问。还评估了养老院医生对养老院组织捐赠的态度。问卷发送给了医疗部门负责人，他们与养老院医生合作提供了答案。最后，部分基于捐赠者登记册和生物植入服务的登记数据，统计了查询国家捐赠者登记册的次数以及养老院组织捐赠的次数。
共收回186份问卷（回复率：73.5%）。136家（73%）荷兰养老院引入了组织捐赠协议，96家（52%）养老院实际使用了该协议。自《器官捐赠法》实施以来，养老院组织捐赠的数量并未增加：每年有1 - 2名皮肤捐赠者和15 - 20名角膜捐赠者。养老院医生认为，遵守该协议需要大量时间、工作和精力，但由于捐赠的禁忌症众多，这些努力几乎没有得到回报。
