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[{"key": "dc.contributor.author", "value": "Sepp\u00e4nen, Tytti", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-12-03T20:03:23Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-12-03T20:03:23Z", "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:1288472", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/42586", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Luotettavan tiedon saaminen aivoverenkiertoh\u00e4iri\u00f6\u00f6n sairastuneiden toimintakyvyst\u00e4 ja toimintakyvyn muutoksista on t\u00e4rke\u00e4\u00e4 kuntoutustarpeen ja kuntoutuksen vaikuttavuuden arvioimiseksi. Aivoverenkiertoh\u00e4iri\u00f6ist\u00e4 (AVH) seuraa usein pitk\u00e4aikaisia tai pysyvi\u00e4 oireita, jotka vaikuttavat sairastuneen henkil\u00f6n toimintakykyyn. FIM\u00ae -j\u00e4rjestelm\u00e4 on toimintakyvyn ja avuntarpeen seuranta- ja arviointikokonaisuus, jota hy\u00f6dynnet\u00e4\u00e4n muun kuntoutumisessa tapahtuvan muutoksen ja vaikuttavuuden arvioimisessa. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli tarkastella FIM\u00ae -toimintakyvyn ja avuntarpeen mittarilla mitattua motorista ja kognitiivista toimintakyky\u00e4 ja toimintakyvyn muutosta AVH potilailla. Muutosta analysoitiin sairauden akuutissa, subakuutissa ja kroonisessa vaiheessa, oikean ja vasemman hemisf\u00e4\u00e4rin vaurioissa, naisilla ja miehill\u00e4, 36 p\u00e4iv\u00e4n seurannan aikana.\nTutkimusaineisto koostui 1.1.2010 \u2013 31.12.2012 v\u00e4lisen\u00e4 aikana FIM\u00ae -mittarilla ja RehabFIM\u2122 -tietoj\u00e4rjestelm\u00e4n avulla ker\u00e4tyist\u00e4 tiedoista. Analyysit tehtiin aivoverenkiertoh\u00e4iri\u00f6it\u00e4 sairastaville henkil\u00f6ille, joille oli suoritettu toimintakyvyn alku- ja loppuarvioinnit. Materiaalina oli 1983 miest\u00e4 ja 1526 naista (yht. 3509), keski-ik\u00e4 68 vuotta (16v \u2013 102v). Analyysimenetelmin\u00e4 k\u00e4ytettiin ristiintaulukointia, riippumattomien ryhmien t-testi\u00e4 ja verrannollisten parien t-testi\u00e4 sek\u00e4 yksi- ja monisuuntaista varianssianalyysi\u00e4.\nTuloksista ilmeni, ett\u00e4 FIM\u00ae -toimintakykymittarilla arvioidussa AVH -potilaiden toimintakyvyss\u00e4 tapahtui positiivista muutosta alku- ja loppuarvioinnin v\u00e4lill\u00e4 motorisella ja kognitiivisella osa-alueella. Sukupuolella ei ollut eroa toimintakyvyn muutoksessa, mutta i\u00e4ll\u00e4 oli merkityst\u00e4. Muutosta oli havaittavissa sairauden akuutissa, subakuutissa ja kroonisessa vaiheessa, muutos oli kaikissa ryhmiss\u00e4 tilastollisesti eritt\u00e4in merkitsev\u00e4\u00e4. Sill\u00e4, sairastiko vasemman tai oikean hemisf\u00e4\u00e4rin vauriota, ei ollut vaikutusta kokonaispistemuutokseen. \nFIM\u00ae- mittari on herkk\u00e4 mittamaan AVH -potilaiden toimintakyky\u00e4 ja toimintakyvyss\u00e4 tapahtuvaa muutosta sairauden akuutissa, subakuutissa ja kroonisessa vaiheessa. Tehokas ja tarkka mittari auttaa kohdentamaan kuntoutuksen oikeaan aikaan ja takaa n\u00e4in parhaat mahdolliset tulokset henkil\u00f6n toimintakyvyn parantumiselle.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "To obtain reliable information on the functional capacity and its changes in patients with cerebrovascular diseases is important for the rehabilitation needs and assessement of the effectiveness of rehabilitation. Stroke is often followed by a long-lasting or permanent deficit that affect person\u00b4s functional and cognitive capacity. Functional Independence Measure (FIM\u00aeSystem) is the most widely accepted functional assessment measure in use in the rehabilitation community. It is considered most useful for assessment of progress during inpatient rehabilitation. The purpose of this study was to examine the functional capacity and the changes in it in patients with stroke. The changes were analyzed when patient were in acute, sub-acute or chronic phase, and the right and left hemispheric lesions in both women and men were investigated.\nThe data were collected by FIM instrument during the period of 1.1 2010 \u2013 31.12 2012. All subjects were persons with stroke. FIM assessements were made at the beginning and the end of the rehabilitation. The material was 1983 men and 1526 women (3509 in total). Mean age was 68 years (from age 16 to 102). The statistical methods were cross-tabulation, t-tests and analysis of variance.\nThe results showed positive changes in the functional status from the start of rehabilitative care to discharge in functional and cognitive capacity. Gender had no effect on the capacity of chance but the age was relevant. The positive change was detectable in patients with acute, sub-acute or chronic phase of disease. The chance was statistically highly significant in all three groups. There was no difference in total FIM score in person with the left or right hemispheric lesion. \nFIM System is a valid and reliable measure with stroke patients. It shows functional capacity and its changes that occur in patients with acute, sub -acute or chronic phase. It is an efficient and accurate measure to assist to target rehabilitation at the right time, ensuring the best possible results for the person\u00b4s functional capacity.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Tytti Sepp\u00e4nen (tyhesaar) on 2013-12-03 20:03:23.116382. 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 2013-12-03T20:03:23Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201312032727.pdf: 726714 bytes, checksum: 55ef1c1f8271b53c31879fde6524eace (MD5)\nlicense.html: 4903 bytes, checksum: 06c8dccafddf9282da3106637eb74f03 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-12-03T20:03:23Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201312032727.pdf: 726714 bytes, checksum: 55ef1c1f8271b53c31879fde6524eace (MD5)\nlicense.html: 4903 bytes, checksum: 06c8dccafddf9282da3106637eb74f03 (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": "toimintakyky", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "aivoverenkiertoh\u00e4iri\u00f6t", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "FIM -toimintakykymittari", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyneet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "FIM\u00ae -mittari AVH potilaiden toimintakyvyn muutoksen seurannassa", "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-201312032727", "language": null, "element": "identifier", "qualifier": "urn", "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": "2013-12-03T20:03:24Z", "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": "toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "aivoverenkiertoh\u00e4iri\u00f6t", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "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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