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[{"key": "dc.contributor.author", "value": "Knaapi-Junnila, Sari", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2012-05-16T07:18:24Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2012-05-16T07:18:24Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2012", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1216771", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/37847", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\nKuntoutuminen lonkan tekonivelleikkauksesta \u2013 kuntoutujien kertomat tarinamallit\r\nKnaapi-Junnila Sari\r\nFysioterapian pro gradu-tutkielma.\r\nJyv\u00e4skyl\u00e4n yliopisto, liikunta- ja terveystieteiden tiedekunta, terveystieteiden laitos, 2012.\r\n167 sivua, 36 liitesivua.\r\n\r\nT\u00e4m\u00e4 tutkimus on osa Jyv\u00e4skyl\u00e4n yliopiston johtamaa Osallistava potilasohjaus fysioterapiassa -tutkimushanketta. T\u00e4m\u00e4n osatutkimuksen tavoitteena on ymm\u00e4rt\u00e4\u00e4 kuntoutumisen merkityksi\u00e4 lonkan tekonivelleikkauksesta kuntoutuville.\r\n\r\nTutkimusaineisto koostuu kymmenen, 63\u201379-vuotiaan kuntoutujan haastatteluista leikkaukseen valmistautuessa ja siit\u00e4 kuntoutumisen alkuvaiheessa. Tutkimuksessa selvitet\u00e4\u00e4n, mink\u00e4laisia tarinoita he kertovat kuntoutumisestaan. K\u00e4ytetyt tutkimusmetodit pohjautuvat kielellisyyteen, kerronnallisuuteen ja performatiivisuuteen. Laaja tutkimusaineisto analysoitiin narratiivien analyysimenetelmin.\r\n\r\nAnalyysin tuloksena aineistosta l\u00f6ydettiin nelj\u00e4 tarinamallia: Kuntoutumisen oikeus -, Autonominen kuntoutuminen -, Kuntoutumisen turvattomuus - ja Luottavainen kuntoutuminen -tarinamalli.Vuorovaikutuskokemuksilla terveydenhuollon kanssa on t\u00e4rke\u00e4 merkitys kaikissa tarinamalleissa, mutta niiss\u00e4 painotetaan vuorovaikutustapahtumaa eri tavoin. Kuntoutumisen oikeus - ja Luottavainen kuntoutuminen -tarinamallissa painopiste on vuorovaikutusprosessin tuloksissa: n\u00e4ist\u00e4 ensimm\u00e4isess\u00e4 tulosten tarkastelu suuntautuu menneisyyteen (syyt) kun taas j\u00e4lkimm\u00e4isess\u00e4 katse on tulevaisuuteen (seuraukset). Autonominen kuntoutuminen -tarinamallissa painopiste on tulosten sijaan vuorovaikutuskumppaneiden ominaisuuksissa ja\r\nKuntoutumisen turvattomuus -tarinamallissa puolestaan p\u00e4\u00e4paino on vuorovaikutuskumppaneiden v\u00e4lisess\u00e4 suhteessa.\r\n\r\nTarinamalleihin sis\u00e4ltyy moraalista arviointia terveydenhuollon ja sen henkil\u00f6st\u00f6n toiminnasta sek\u00e4 niiden\r\nsyist\u00e4, seurauksista ja oikeutuksista. Tarinamallit kertovat kuntoutumisesta vuorovaikutuskokemuksista koostuvana, prosessimaisena kokonaisuutena, joka sis\u00e4lt\u00e4\u00e4 kokemuksia itsest\u00e4 (kehosta, ajatuksista, ensisijaisista -sosiaalisista - ja taustatunteista) sek\u00e4 toiminnasta elinymp\u00e4rist\u00f6ss\u00e4. Niiss\u00e4 k\u00e4sitell\u00e4\u00e4n oikeuksia, velvollisuuksia, autonomisuutta, kontrollia sek\u00e4 luottamusta tai ep\u00e4luottamusta ja turvallisuutta tai turvattomuutta kuntoutumisessa.\r\n\r\nTarinamallit kertovat ristiriidasta julkisen terveydenhuollon resurssien ja sit\u00e4 tarvitsevien v\u00e4lill\u00e4. Vastapooleina tarinamalleissa ovat uhritarina terveydenhuollon ylikuormitetuista ty\u00f6ntekij\u00f6ist\u00e4 ja selviytymistarina, jonka p\u00e4\u00e4henkil\u00f6iksi kuntoutujat ovat pakotettuja. Tutkimuksen lopussa pohditaan, kuinka ymm\u00e4rryst\u00e4 kuntoutumisen\r\nmerkityksist\u00e4 voidaan jatkossa hy\u00f6dynt\u00e4\u00e4 terveydenhuollon toimintak\u00e4yt\u00e4nt\u00f6jen, esimerkiksi fysioterapeuttisen ohjauksen, kehitt\u00e4misess\u00e4. Aiemmissa toimintaan ja identiteettiin liittyviss\u00e4 tutkimuksissa ei systemaattisen katsauksen perusteella ole selvitetty lonkan tekonivelleikkauksen fysioterapiaohjauksen l\u00e4pik\u00e4yneiden kuntoutujien kertomia kokemuksia. Tunnekokemuksia n\u00e4iss\u00e4 aiemmissa tutkimuksissa ei ole raportoitu muidenkaan kuntoutujien osalta.", "language": "", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\n\r\nRehabilitating from a hip endoprosthesis operation \u2013 story models narrated by the patients\r\nKnaapi-Junnila Sari\r\nMaster\u00b4s thesis in Physiotherapy.\r\nUniversity of Jyv\u00e4skyl\u00e4, Faculty of Sport and Health Sciences, Department of Health Sciences, 2012.\r\n167 pages, 36 pages of appendices.\r\n\r\n\r\n\r\n\r\n\r\n\r\nThe purpose of this thesis is to understand the meanings that patients relate to rehabilitating from a hip\r\nendoprosthesis operation. Ten arthrosis-suffering patients took part in this survey before and after their\r\noperation.\r\n\r\nThe starting point for this qualitative study is the patients\u2019 experiences of themselves and their agency in the\r\nchanges taking place during rehabilitating. This thesis establishes what kinds of stories the patients tell about\r\nrehabilitating. The data is analyzed with data-oriented narrative methods.\r\n\r\nFour story models can be found in the data: rehabilitating as a right, autonomous rehabilitating, insecurity of\r\nrehabilitating, and trusting rehabilitating. The interaction taking place with healthcare has an important role in all\r\nstory models, but emphasis is given to different parts of it. They tell about rehabilitating as a process comprised\r\nof interaction episodes and patients\u2019 experiences of themselves and their own agency. They deal with rights,\r\nresponsibility, autonomy and control as well as trust or distrust and a sense of security or feeling of insecurity\r\nduring rehabilitating.\r\n\r\nThe story models tell about the insufficiency of public healthcare. One part of this is the victim story of\r\nhealthcare workers, and the other part is a survivor story of which the patients are forced to become part. How\r\nthis understanding of the meanings of rehabilitating could be used is reflected on at the end of this thesis. The\r\nsystematic review of patients\u2019 experiences indicated that no earlier knowledge of this kind exists about the\r\npatient-group in question and that feeling-experiences lack completely.", "language": "eng", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Sari Knaapi-Junnila (sakaknaa) on 2012-05-16 07:18:23.189697. 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 2012-05-16T07:18:24Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201205161668.pdf: 4546503 bytes, checksum: fee2668bee64a23ede9c60be65f4b165 (MD5)\r\nlicense.html: 5027 bytes, checksum: 1d79e03294e8e8abfeb9c6ac7683e459 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2012-05-16T07:18:24Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201205161668.pdf: 4546503 bytes, checksum: fee2668bee64a23ede9c60be65f4b165 (MD5)\r\nlicense.html: 5027 bytes, checksum: 1d79e03294e8e8abfeb9c6ac7683e459 (MD5)\r\n Previous issue date: 2012", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "167 s", "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": "agency", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "fysioterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "arthroplasty", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kuntoutuminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "narratiivisuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hip", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "nivelrikko", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "interpersonal relations", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tekonivelet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "narration", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "osteoarthritis", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "toimijuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vuorovaikutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "physical therapy specialty", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "recovery of function", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "replacement", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Kuntoutuminen lonkan tekonivelleikkauksesta : kuntoutujien kertomat tarinamallit", "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-201205161668", "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": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": 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