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[{"key": "dc.contributor.author", "value": "Putkisaari, Minna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-08-09T17:24:27Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-08-09T17:24:27Z", "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:1277656", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41949", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Masennuksen on todettu heikent\u00e4v\u00e4n ik\u00e4ihmisten el\u00e4m\u00e4nlaatua ja toimintakyky\u00e4, mutta se j\u00e4\u00e4 usein havaitsematta ja siksi my\u00f6s hoitamatta. Vakavaa masennusta on todettu esiintyv\u00e4n noin 1\u20134 %:lla ik\u00e4ihmisist\u00e4. Ik\u00e4ihmisten m\u00e4\u00e4r\u00e4n lis\u00e4\u00e4ntyess\u00e4 my\u00f6s pitk\u00e4aikaisen laitoshoidon tarve kasvaa. Ik\u00e4ihmisten pitk\u00e4aikaiseen laitoshoitoon sijoittumisen riskitekij\u00f6it\u00e4 on selvitetty useissa tutkimuksissa, mutta masennuksen yhteytt\u00e4 laitoshoitoon sijoittumiseen on tutkittu melko v\u00e4h\u00e4n. Tutkimukseni tarkoituksena oli selvitt\u00e4\u00e4, ennustaako l\u00e4ht\u00f6tilanteessa todettu masennus pitk\u00e4aikaiseen laitoshoitoon sijoittumista yhdeks\u00e4n vuoden ja nelj\u00e4n kuukauden seurannan aikana 55\u201380-vuotiailla ik\u00e4ihmisill\u00e4. \n\nTutkimuksessa k\u00e4ytettiin Terveys 2000 -tutkimuksen aineistoa. Tutkimukseen osallistui 3336 55\u201380-vuotiasta henkil\u00f6\u00e4, jotka eiv\u00e4t tutkimuksen alussa asuneet pitk\u00e4aikaisessa laitoshoidossa. CIDI-haastatteluun (Composite International Diagnostic Interview), jossa selvitettiin tutkimushenkil\u00f6iden masentuneisuutta, osallistui 2104 henkil\u00f6\u00e4. Analysoinnista rajattiin viel\u00e4 pois ne henkil\u00f6t, joilla oli puutteellinen CIDI-diagnoosi ja ne, joilla oli ollut pitk\u00e4aikaisen laitoshoidon jakso ennen Terveys 2000 -tutkimusta. Tutkimushenkil\u00f6it\u00e4 (n = 2093) seurattiin joko ensimm\u00e4iseen pitk\u00e4aikaiseen laitoshoitoon sijoittumiseen, kuolemaan tai 9 vuoden ja 4 kuukauden seuranta-ajan loppuun asti. Tutkimushenkil\u00f6iden tiedot laitoshoitoon sijoittumisesta saatiin Hilmo-rekisterist\u00e4. Aineistoa tarkasteltiin frekvenssijakaumien, ristiintaulukoinnin sek\u00e4 Mann-Whitneyn U-testin ja \u03c7\u00b2-testin avulla. Vakavan masennuksen yhteytt\u00e4 pitk\u00e4aikaiseen laitoshoitoon sijoittumiseen tutkittiin Coxin regressioanalyysill\u00e4. \n\nTutkittavista miehist\u00e4 3 %:lla ja naisista 7 %:lla todettiin l\u00e4ht\u00f6tilanteessa vakava masennus. Vakavasti masentuneista 9 % (n = 10) ja ei-masentuneista 7 % (n = 140) sijoittui pitk\u00e4aikaiseen laitoshoitoon seurannan aikana, mutta ero ei ollut tilastollisesti merkitsev\u00e4. Coxin regressioanalyysin perusteella vakavalla masennuksella oli yhteys pitk\u00e4aikaiseen laitoshoitoon sijoittumiseen 75\u201380-vuotiaiden ik\u00e4ryhm\u00e4ss\u00e4 (HR = 3,34, 95 % CI = 1,44\u20137,76). Yhteys s\u00e4ilyi merkitsev\u00e4n\u00e4, kun vakioiviksi tekij\u00f6iksi malliin lis\u00e4ttiin sukupuoli, siviilis\u00e4\u00e4ty ja kognitiivinen toimintakyky sek\u00e4 edelleen l\u00e4hes merkitsev\u00e4n\u00e4, kun malli vakioitiin ADL-toiminnoista selviytymisell\u00e4. \n\nMasennuksen ja ik\u00e4ihmisten pitk\u00e4aikaiseen laitoshoitoon sijoittumisen yhteydest\u00e4 on jonkin verran my\u00f6s aiempaa tutkimusn\u00e4ytt\u00f6\u00e4. Jatkossa tulisi edelleen tehd\u00e4 aiheesta lis\u00e4tutkimuksia, jotta vanhusty\u00f6n resursseja voitaisiin kohdentaa oikein ik\u00e4ihmisten pitk\u00e4aikaiseen laitoshoitoon sijoittumisen viiv\u00e4stytt\u00e4miseksi ja jopa ehk\u00e4isemiseksi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Depression decreases quality of life and physical functioning among older people. However, depression is infrequently recognized and therefore also goes untreated. 1\u20134 % of older people are estimated to have major depression. While the number of older people grows the need for long-term care increases. Several studies have investigated the predictors of institutionalization among older people but the association of depression and institutionalization has been less studied. The purpose of this study was to investigate if depression predicts institutionalization among community-dwelling people aged 55\u201380 years during a 9-year and 4-month period. \n\t\nData come from the national Health 2000 survey. 3336 community-living people aged 55\u201380 years took part in the survey. 2104 persons of them took part in the Composite International Diagnostic Interview (CIDI) for the assessment of depressive symptoms. Those who had missing data in the CIDI-interview and those who had had a period of long-term institutional care before the Health 2000 survey were excluded. Participants (n = 2093) were followed until first entry into institutional care, until death or the end of the follow-up. Information on institutional care was based on the HILMO-register data. Data were analyzed by computing frequencies, cross tabulations, Mann-Whitney U-tests and Chi-square tests. Cox proportional hazard models were used to examine the predictive association of major depression with institutionalization. \n\n3% of men and 7% of women had major depression at baseline. 9% of those who had major depression (n = 10) and 7 % those who were non-depressed (n = 140) entered into long-term care during the follow-up, but the difference was not statistically significant. Results showed that major depression was associated with an increased risk of long-term institutionalization among people aged 75\u201380 years (HR = 3.34, 95% CI = 1.44\u20137.76). Controlling for sex, marital status and cognitive functioning did not change the results, however, adjusting for and ADL-functioning attenuated the association between major depression and institutionalization. \n\nThere is some evidence showing the association between major depression and institutionalization among older people. Further studies on the subject are still needed so that preventive health and social care measures and resources could be aimed correctly in order to delay institutionalization among older people.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Minna Putkisaari (mikaputk) on 2013-08-09 17:24:26.883428. 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 2013-08-09T17:24:27Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201308092137.docx: 207995 bytes, checksum: 38a80946687cd26d95e10f0f40c3786e (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 2013-08-09T17:24:27Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201308092137.docx: 207995 bytes, checksum: 38a80946687cd26d95e10f0f40c3786e (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\u00e4ntyneet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "masennus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "laitoshoito", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Masennus ik\u00e4ihmisten pitk\u00e4aikaisen laitoshoidon tarpeen ennustajana", "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-201308092137", "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.date.updated", "value": "2013-08-09T17:24:27Z", "language": null, "element": "date", "qualifier": "updated", "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": "masennus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "laitoshoito", "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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