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[{"key": "dc.contributor.author", "value": "Jyrkk\u00e4, P\u00e4ivi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-06-07T13:07:08Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-06-07T13:07:08Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2013", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1269470", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41710", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Joka vuosi Suomessa diagnosoidaan yli 13 000 uutta muistisairasta. Voidaan puhua sek\u00e4 kansanterveydellisest\u00e4 ett\u00e4 taloudellisesta haasteesta yhteiskunnalle. Muistisairauksia ei toistaiseksi osata parantaa l\u00e4\u00e4kkeiden avulla, mutta varhaisella diagnosoinnilla, hoidolla ja kuntoutuksella voidaan ehk\u00e4ist\u00e4 toimintakyvyn heikkenemist\u00e4 ja lis\u00e4t\u00e4 mahdollisuuksia asua pidemp\u00e4\u00e4n omassa kodissaan. Siksi tiedon kartuttaminen muistisairauden varhaisessa tunnistamisessa on yksi t\u00e4rkeimmist\u00e4 tekij\u00f6ist\u00e4 muistih\u00e4iri\u00f6isten ihmisten auttamiseksi. T\u00e4m\u00e4n pro gradu \u2013tutkielman tarkoituksena oli selvitt\u00e4\u00e4 ik\u00e4\u00e4ntyneiden ihmisten selviytymist\u00e4 v\u00e4lineellisist\u00e4 p\u00e4ivitt\u00e4istoiminnoista eli IADL (instrumental activities of daily living) -toiminnoista ja tarkastella, miss\u00e4 IADL-toiminnossa koettu avun tarve mahdollisesti auttaisi tunnistamaan alkavaa muistih\u00e4iri\u00f6t\u00e4.\n\nTutkimus pohjautuu Life-Space Mobility in Old Age (LISPE) \u2013hankkeen l\u00e4ht\u00f6tilannehaastatteluaineistoon, joka ker\u00e4ttiin tutkittavien kodeissa 2012. Otoksen koko oli kaikkiaan 2550 75\u201390-vuotiasta itsen\u00e4isesti kotona asuvaa ihmist\u00e4 Muuramen ja Jyv\u00e4skyl\u00e4n alueelta ja heist\u00e4 848 osallistui tutkimukseen. Aineiston tarkastelussa k\u00e4ytettiin frekvenssijakaumia, ristiintaulukointeja, khiin neli\u00f6testi\u00e4, riippumattomien otosten t-testi\u00e4 sek\u00e4 Mann-Whitneyn U-testi\u00e4. Bin\u00e4\u00e4risen logistisen regressioanalyysin avulla selvitettiin, onko IADL-toiminnoista selviytymisell\u00e4 yhteytt\u00e4 alentuneeseen kognitiiviseen tasoon. Lis\u00e4ksi tutkittiin, vaikuttaako jokin valituista taustamuuttujista kyseiseen yhteyteen. \n\nNaisilla avun tarvetta IADL-toiminnoissa esiintyi kokonaisuudessaan hieman miehi\u00e4 yleisimmin. Niill\u00e4 ik\u00e4\u00e4ntyneill\u00e4, jotka raportoivat avun tarvetta ruoan laittamisessa, l\u00e4\u00e4kkeiden annostelussa ja ottamisessa sek\u00e4 raha-asioiden hoitamisessa todenn\u00e4k\u00f6isyys alentuneeseen kognitiiviseen tasoon oli jopa kuusinkertainen verrattaessa niihin ik\u00e4\u00e4ntyneisiin, joilla ei ollut avun tarvetta n\u00e4iss\u00e4 IADL-toiminoissa. \n\nIADL-toimintojen ja muistin v\u00e4list\u00e4 yhteytt\u00e4 on tutkittu jo laajalti ja t\u00e4m\u00e4n tutkimuksen tulokset vahvistavat aiemmista tutkimuksista saatuja tuloksia. Tuloksista voitiin selke\u00e4sti osoittaa, miss\u00e4 IADL-toiminnoissa koettu avun tarve oli yhteydess\u00e4 alentuneeseen kognitiiviseen tasoon. Ja kyseiset IADL-toiminnot ovat niit\u00e4 p\u00e4ivitt\u00e4istoimintoja, joissa tarvitaan suurinta kognitiivista kapasiteettia muihin IADL-toimintoihin verrattuna. Tuloksia voidaan hy\u00f6dynt\u00e4\u00e4 muistisairauksien varhaisessa tunnistamisessa esimerkiksi kotihoidossa kiinnitt\u00e4m\u00e4ll\u00e4 erityist\u00e4 huomiota ik\u00e4\u00e4ntyneiden ruoka- ja l\u00e4\u00e4kehuollon toteutumiseen sek\u00e4 raha-asioiden hoitoon.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "There are over 13000 new incidences of memory diseases diagnosed in Finland every year. This is both a health and financial challenge to the community. It is not possible to cure memory diseases medically only by early detection, care and rehabilitation we can retain functional capacity and increase the possibility to live longer at home. It is important to collect information about the early detection of memory disorder. The purpose of this study was to investigate the coping of instrumental activities of daily living in older people and to examine which IADL- functions can help to identify early memory disorder.\n\nThe study is based on the Life-Space Mobility in Old Age-project (LISPE) which was performed at the homes of the examinees in 2012. The whole study involved 2550 75 to 90-year-old community-dwelling people in the Muurame and Jyv\u00e4skyl\u00e4 municipalities and 848 of them participated to the study. Data were analyzed by computing frequencies and cross-tabulations. Comparisons between groups were performed using chi-square test or the independent samples Mann-Whitney U test. Binary logistic regression analysis was used to investigate the association between the MMSE and IADL-functions while taking the potential confounders into account.\n\nMainly IADL- functions causes more need of help for women. For those examinees who need help with the cooking, taking meds and handling money, the risk of weakened cognitive level were even six times higher than those who did not have difficulties. \n\nIn this study the findings clearly showed that need of help in certain IADL-functions can be associated with weakened cognitive level. These IADL-functions are the activities of daily living where we need the highest cognitive capacity. We can use these findings to recognize the early signs of dementia in older people living at home.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by P\u00e4ivi Jyrkk\u00e4 (pamajyrk) on 2013-06-07 13:07:08.305831. 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 2013-06-07T13:07:08Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201306071921.pdf: 581860 bytes, checksum: 0193780a3d7d842efccf422bc1f57bf1 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-06-07T13:07:08Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201306071921.pdf: 581860 bytes, checksum: 0193780a3d7d842efccf422bc1f57bf1 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto.", "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": "ik\u00e4\u00e4ntynyt ihminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "IADL-toiminnot", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "muistih\u00e4iri\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "varhainen tunnistaminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "MMSE-testin yhteys ik\u00e4\u00e4ntyneiden ihmisten v\u00e4lineellisiin p\u00e4ivitt\u00e4istoimintoihin", "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-201306071921", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": 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