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[{"key": "dc.contributor.author", "value": "Ruth, Tanja", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2011-02-13T15:49:41Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2011-02-13T15:49:41Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2011", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1148462", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/26554", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\n\nL\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 ja sen yhteydet tasapainoon 67\u201396-vuotiailla vanhainkotiasukkailla\nTanja Ruth\nJyv\u00e4skyl\u00e4n yliopisto, Liikunta- ja terveystieteiden tiedekunta, Terveystieteiden laitos, 2011\n41 sivua + 2 liitett\u00e4\n\n\nI\u00e4kk\u00e4\u00e4t k\u00e4ytt\u00e4v\u00e4t paljon erilaisia l\u00e4\u00e4kkeit\u00e4 ja ik\u00e4\u00e4ntymismuutosten vuoksi he ovat alttiimpia l\u00e4\u00e4kkeiden haittavaikutuksille. Erityisesti useiden l\u00e4\u00e4kkeiden samanaikaisen k\u00e4yt\u00f6n on todettu olevan yhteydess\u00e4 i\u00e4kk\u00e4iden ihmisten tasapaino-ongelmiin ja kaatumistapaturmiin. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli kartoittaa vanhainkodissa asuvien henkil\u00f6iden l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00e4 ja sen yhteyksi\u00e4 tasapainoon. Keskeisen\u00e4 tavoitteena oli selvitt\u00e4\u00e4 verenpainel\u00e4\u00e4kkeiden ja keskipitk\u00e4- ja pitk\u00e4vaikutteisten bentsodiatsepiinien k\u00e4yt\u00f6n sek\u00e4 s\u00e4\u00e4nn\u00f6llisesti k\u00e4ytettyjen l\u00e4\u00e4kkeiden lukum\u00e4\u00e4r\u00e4n yhteyksi\u00e4 tasapainoon i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4. \n\nTutkimusaineistona k\u00e4ytettiin toimintakyky\u00e4 tukevan liikunta- ja aktivointiohjelman alkumittausaineistoa (N=112). Tutkimus toteutettiin yhteens\u00e4 viidess\u00e4 eri vanhainkodissa Jyv\u00e4skyl\u00e4ss\u00e4, Tampereella ja Turussa. Tutkimuksen kohderyhm\u00e4n\u00e4 olivat 65-vuotiaat ja sit\u00e4 vanhemmat vanhainkodeissa asuvat naiset ja miehet. Verenpainel\u00e4\u00e4kkeiden sek\u00e4 keskipitk\u00e4- ja pitk\u00e4vaikutteisten bentsodiatsepiinien k\u00e4yt\u00f6n yhteyksi\u00e4 tasapainoon selvitettiin vertailemalla kyseisten l\u00e4\u00e4kkeiden k\u00e4ytt\u00e4ji\u00e4 ja ei-k\u00e4ytt\u00e4ji\u00e4. L\u00e4\u00e4kkeiden lukum\u00e4\u00e4r\u00e4n yhteyksi\u00e4 tasapainoon selvitettiin vertailemalla 1\u20135, 6\u201310 ja yli 10 l\u00e4\u00e4kett\u00e4 k\u00e4ytt\u00e4vi\u00e4 henkil\u00f6it\u00e4. Tasapainon mittarina k\u00e4ytettiin Bergin tasapainotesti\u00e4. Aineisto analysoitiin ristiintaulukoinnilla ja \u03c7\u00b2-testill\u00e4. \n\nEniten k\u00e4ytettyj\u00e4 l\u00e4\u00e4kkeit\u00e4 tutkimushenkil\u00f6iden keskuudessa olivat syd\u00e4n- ja verisuonitautil\u00e4\u00e4kkeet (86,6 %) ja psyykenl\u00e4\u00e4kkeet (66,1 %). Verenpainel\u00e4\u00e4kkeiden tai keskipitk\u00e4- ja pitk\u00e4vaikutteisten bentsodiatsepiinien k\u00e4yt\u00f6ll\u00e4 ei todettu olevan yhteytt\u00e4 tasapainoon t\u00e4ss\u00e4 aineistossa. L\u00e4\u00e4kkeiden lukum\u00e4\u00e4r\u00e4n ja tasapainotestisuorituksen v\u00e4lill\u00e4 todettiin olevan eritt\u00e4in merkitsev\u00e4 yhteys siten, ett\u00e4 valtaosa 1\u20135 l\u00e4\u00e4kkeen k\u00e4ytt\u00e4jist\u00e4 sijoittui parhaaseen luokkaan, valtaosa 6\u201310 l\u00e4\u00e4kkeen k\u00e4ytt\u00e4jist\u00e4 keskitason luokaan ja valtaosa yli kymmenen l\u00e4\u00e4kkeen k\u00e4ytt\u00e4jist\u00e4 heikoimpaan luokkaan tasapainotestiss\u00e4 (p=.000). \n\nJatkotutkimuksissa tulisi pyrki\u00e4 paremmin kontrolloimaan sekoittavien tekij\u00f6iden kuten i\u00e4n, erilaisten pitk\u00e4aikaissairauksien ja muiden l\u00e4\u00e4kitysten vaikutusta tasapainoon.", "language": null, "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Tanja Ruth (tasuruth) on 2011-02-13 15:49:39.935682. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2011-02-13T15:49:41Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201102131769.pdf: 349950 bytes, checksum: e70fe702615e0d7a7ecdc4ee15267696 (MD5)\nlicense.html: 5017 bytes, checksum: ed3d0102a22cec50a495e7c96ed9ebf6 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2011-02-13T15:49:41Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201102131769.pdf: 349950 bytes, checksum: e70fe702615e0d7a7ecdc4ee15267696 (MD5)\nlicense.html: 5017 bytes, checksum: ed3d0102a22cec50a495e7c96ed9ebf6 (MD5)\n Previous issue date: 2011", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "41 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tasapaino", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "i\u00e4kk\u00e4\u00e4t ihmiset", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vanhainkotiasukkaat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "L\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 ja sen yhteydet tasapainoon 67-96-vuotiailla vanhainkotiasukkailla", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201102131769", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Terveystieteiden laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50423", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "l\u00e4\u00e4kkeet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tasapaino", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vanhainkodit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "l\u00e4\u00e4kehoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": 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