Nederland telt 5,3 miljoen mensen met een chronische ziekte of aandoening, waarvan 522.000 kinderen en jongeren tussen de 0 en 24 jaar. Er is al veel onderzoek gedaan naar de cardiale adaptatie en ook naar de verlaagde rusthartslag bij sportende gezonde kinderen, maar nog niet bij chronisch zieke kinderen. …

Full text beschikbaar met HU-account Achtergrond Multimorbiditeit, functionele beperkingen en kwetsbaarheid bij thuiswonende ouderen leiden tot een toenemende zorgcomplexiteit in de eerstelijn. Een proactieve, integrale aanpak is hierbij noodzakelijk. In de periode oktober 2014–oktober 2015 is een …

Aim Many long-term ostomates are ‘out-of-sight’ of healthcare, and it is unknown how ostomates deal with ostomy- related problems and how these problems affect their quality of life (QOL). The aim is to examine patient-related studies describing ostomy-related problems and their impact on the perceived …

Artrose is een chronisch degeneratieve aandoening van de gewrichten. De behandeling van artrose is vooralsnog symptomatisch en gericht op het remmen van het degeneratieproces. Oefentherapie op het land is echter niet altijd mogelijk als gevolg van pijn, waardoor hydrotherapie een adequatere optie zou …

OBJECTIVES: To determine the effectiveness of a proactive primary care program on the daily functioning of older people in primary care. DESIGN: Single-blind, three-arm, cluster-randomized controlled trial with 1-year follow-up. SETTING: Primary care setting, 39 general practices in the Netherlands. PARTICIPANTS: …

Background: In postoperative pain treatment patients are asked to rate their pain experience on a single uni-dimensional pain scale. Such pain scores are also used as indicator to assess the quality of pain treatment. However, patients may differ in how they interpret the Numeric Rating Scale (NRS) …

Despite ample research on depression after stroke, the debate continues regarding whether symptoms such as sleep disturbances, loss of energy, changes in appetite and diminished concentration should be considered to be consequences of stroke or general symptoms of depression. By comparing symptoms …

Background and objective Public involvement in palliative care is challenging and difficult, because people in need of palliative care are often not capable of speaking up for themselves. Patient representatives advocate for their common interests. The aim of our study was to examine in depth the current …

The obser-view is a method to generate data and create a learning space for both researcher and participants in qualitative research. It includes reflection between the two after the researcher has observed the participant. This article aims to reveal the benefits and challenges encountered when using …

Purpose To empirically define the concept of burden of neck pain. The lack of a clear understanding of this construct from the perspective of persons with neck pain and care providers hampers adequate measurement of this burden. An additional aim was to compare the conceptual model obtained with the …