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[{"key": "dc.contributor.author", "value": "H\u00e4nninen, Mimmu", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2011-06-27T10:22:03Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2011-06-27T10:22:03Z", "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:1163610", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/27229", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 keskivaikeaa ja vaikeaa dementiaa sairastavien keskisuomalaisten ik\u00e4\u00e4ntyneiden el\u00e4m\u00e4nlaatua. El\u00e4m\u00e4nlaatua on tutkittu niin maailmalaajuisesti kuin Suomessa paljon, mutta dementiaa sairastavat on otettu tutkimuskohteiksi vasta l\u00e4hiaikoina. El\u00e4m\u00e4nlaadun kokonaisuus on monipuolinen ja haastava tutkimuskohde, ja sen yhdist\u00e4minen dementiaa sairastavien tutkimukseen tuo esiin uusia haasteita.\n\nTutkimus on osa viel\u00e4 julkaisematonta v\u00e4it\u00f6skirjaprojektia, jossa tutkittiin ik\u00e4\u00e4ntyneit\u00e4 yhdentoista keskisuomalaisen kunnan alueelta. Aineiston keruussa on k\u00e4ytetty Care Keys -projektissa luotuja mittareita, QUALID -el\u00e4m\u00e4nlaatumittaria ja Cornell -depressioseulaa. Tutkimuksen tarkasteluun valittiin dementiaa sairastavia ik\u00e4\u00e4ntyneit\u00e4, joilla dementian vaikeusastetta kuvaavan MMSE -testin tulokset j\u00e4iv\u00e4t alle 17 pisteen. Tutkimus on suoritettu havainnoimalla tutkittavia, ja lomakkeet on t\u00e4ytt\u00e4nyt ik\u00e4\u00e4ntynytt\u00e4 hoitava henkil\u00f6 tai omainen. Tutkimuksen tulokset on analysoitu k\u00e4ytt\u00e4m\u00e4ll\u00e4 Mann-Whitneyn U-testi\u00e4.\n\nVaikeaa dementiaa sairasti tutkittavista 65,1 %, laitoshoidossa asuvista l\u00e4hes 70 %. El\u00e4m\u00e4nlaadun keskiarvo oli tutkimuksessa 34,5 pistett\u00e4, joka vastaa alenemassa olevaa el\u00e4m\u00e4nlaatua. Hyv\u00e4 el\u00e4m\u00e4nlaatu tutkittavista oli ainoastaan 4,9 %:lla, kun taas huono tai eritt\u00e4in huono 54,7 %:lla. Masennus oli yleist\u00e4 niin laitoshoidossa kuin palveluasumisessa, vakavia masennusoireita esiintyi kaikkiaan 63,2 %:lla tutkittavista. Masennuksella todettiin olevan l\u00e4hes merkitsev\u00e4 yhteys el\u00e4m\u00e4nlaatuun (p = 0.040) koko aineistoa tarkasteltaessa. Lis\u00e4ksi dementiaan erikoistumisella yksik\u00f6ss\u00e4 oli merkitsev\u00e4 yhteys el\u00e4m\u00e4nlaatuun (p = 0.017), mutta vain palveluasumisen asiakkailla. Dementian vaikeusasteella ei todettu olevan\nmerkitsev\u00e4\u00e4 yhteytt\u00e4 el\u00e4m\u00e4nlaatuun tai masennukseen samalla tavalla, kuin vastaavissa aiemmissa tutkimuksissa.\n\nTutkimuksen tulokset osoittavat masennuksen yleisyyden dementiaa sairastavilla, sek\u00e4 alenevassa olevan tai jo alhaisen el\u00e4m\u00e4nlaadun. Kognitiivisilta oiminnoiltaan kyvykk\u00e4\u00e4mmill\u00e4 ik\u00e4\u00e4ntyneill\u00e4 masennuspisteet olivat korkeammat, mutta el\u00e4m\u00e4nlaatu silti parempi kuin vaikeammin dementoituneilla.", "language": null, "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Mimmu H\u00e4nninen (mimaeeha) on 2011-06-27 10:22:00.793857. 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 2011-06-27T10:22:03Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-2011062711058.pdf: 706870 bytes, checksum: 60516affdb64f4c27d62a3f46bb64e89 (MD5)\nlicense.html: 5013 bytes, checksum: 86995c952f4a6c767658724cfdd58a45 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2011-06-27T10:22:03Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-2011062711058.pdf: 706870 bytes, checksum: 60516affdb64f4c27d62a3f46bb64e89 (MD5)\nlicense.html: 5013 bytes, checksum: 86995c952f4a6c767658724cfdd58a45 (MD5)\n Previous issue date: 2011", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "47 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": "pitk\u00e4aikaishoito", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Dementiaa sairastavien ik\u00e4\u00e4ntyneiden el\u00e4m\u00e4nlaatu pitk\u00e4aikaishoidossa", "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-2011062711058", "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": "el\u00e4m\u00e4nlaatu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "dementia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "masennus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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