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[{"key": "dc.contributor.author", "value": "Vuoksenranta, Suvi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-12-09T18:43:26Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-12-09T18:43:26Z", "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:1288799", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/42617", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ik\u00e4\u00e4ntyneiden m\u00e4\u00e4r\u00e4n kasvun my\u00f6t\u00e4 ik\u00e4\u00e4ntyneiden kaatumistapaturmat lis\u00e4\u00e4ntyv\u00e4t. Kaatumistapaturman yksi vakavimmista seurauksista on lonkkamurtuma, my\u00f6s niiden m\u00e4\u00e4r\u00e4 lis\u00e4\u00e4ntyy. L\u00e4\u00e4kkeiden k\u00e4yt\u00f6n tiedet\u00e4\u00e4n olevan yhteydess\u00e4 ik\u00e4\u00e4ntyneiden kaatumistapaturmiin. Ik\u00e4\u00e4ntyneiden l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 on kasvussa. Osa ik\u00e4\u00e4ntyneiden k\u00e4ytt\u00e4mist\u00e4 l\u00e4\u00e4kkeist\u00e4 on vaikutuksiltaan rauhoittavia. L\u00e4\u00e4kkeen rauhoittava vaikutus voi olla l\u00e4\u00e4kkeen varsinainen k\u00e4ytt\u00f6aihe tai se voi olla haitta- tai sivuvaikutus. T\u00e4ss\u00e4 pro gradu-tutkielmassa selvitet\u00e4\u00e4n onko l\u00e4\u00e4kkeiden rauhoittavalla kokonaiskuormalla yhteytt\u00e4 yli 60-vuotiaiden kotona asuvien lonkkamurtumasta toipuvien henkil\u00f6iden kaatumistapaturmiin.\nTutkimukseen osallistui Keski-Suomen keskussairaalassa 1.3.2008\u201331.12.2010 v\u00e4lisen\u00e4 aikana leikatut lonkkamurtumapotilaat. Tutkimuksen sis\u00e4\u00e4nottokriteerein\u00e4 oli asuminen Jyv\u00e4skyl\u00e4ss\u00e4 tai Jyv\u00e4skyl\u00e4n l\u00e4hikunnassa, yli 60 vuoden ik\u00e4, asuminen kotona tai palvelutalossa ilman y\u00f6valvontaa ja itsen\u00e4inen liikkuminen. Alkumittauksiin kutsuttiin 136 henkil\u00f6\u00e4. Tutkimuksesta suljettiin pois 55 henkil\u00f6\u00e4. Kaiken kaikkiaan tutkimukseen otettiin mukaan 81 henkil\u00f6\u00e4. Tutkittavilta ker\u00e4ttiin l\u00e4\u00e4kitystiedot kyselylomakkeella. L\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 varmistettiin terveydenhoitajan ja tarvittaessa l\u00e4\u00e4k\u00e4rintarkastuksen yhteydess\u00e4. L\u00e4\u00e4kkeet koodattiin sen mukaan onko niill\u00e4 rauhoittavaa vaikutusta. Koodien avulla laskettiin henkil\u00f6n k\u00e4ytt\u00e4mien l\u00e4\u00e4kkeiden rauhoittava kokonaiskuorma. Kaatumisia sis\u00e4tiloissa ja kaatumisia ulkona seurattiin kyselylomakkeella kolmen kuukauden ajalta alkumittausten j\u00e4lkeen. L\u00e4\u00e4kkeiden rauhoittavan kokonaiskuorman ja kaatumisten v\u00e4list\u00e4 suhdetta arvioitiin logistisen regressioanalyysin avulla.\nKaatuneiden ryhm\u00e4 ei eronnut k\u00e4ytettyjen l\u00e4\u00e4kkeiden rauhoittavan kokonaiskuorman suhteen ei-kaatuneiden henkil\u00f6iden ryhm\u00e4st\u00e4. Sis\u00e4ll\u00e4 kaatuneiden ryhm\u00e4 erosi tilastollisesti merkitsev\u00e4sti k\u00e4ytettyjen l\u00e4\u00e4kkeiden rauhoittavan kuorman suhteen ei- sis\u00e4ll\u00e4 kaatuneiden ryhm\u00e4st\u00e4. Logistisessa regressioanalyysiss\u00e4 rauhoittavien l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 ei ollut yhteydess\u00e4 kaatumisiin silloin, kun yhteytt\u00e4 tarkasteltiin kaikkien kaatumisten osalta. Rauhoittavien l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 sen sijaan lis\u00e4si sis\u00e4ll\u00e4 kaatumisen riskin yli kolmenkertaiseksi verrattuna niihin, joilla ei ollut k\u00e4yt\u00f6ss\u00e4 rauhoittavaa l\u00e4\u00e4kett\u00e4. Kaatumisten ja l\u00e4\u00e4kkeiden rauhoittavan kuorman yhteytt\u00e4 olisi jatkossa hyv\u00e4 tutkia lis\u00e4\u00e4 suuremmalla tutkimusjoukolla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "With the number of elderly people growing also the number of falling accidents occurring among the elderly will grow. Hip fracture is one of the most serious consequences of falls. The use of medication is known to be associated with the falls of elderly people. And the use of medication is increasing among elderly people. Some of the medicines used by older people have sedative effects. These effects may be the main reason for the use of the medication or it may also just be a side effect. The objective of this thesis was to find out whether there is an association between the use of medication with sedative effects (sedative load) and the accidental falls of over 60-year-old people living at home and recovering from a fall- related hip fracture.\nParticipants of the study were hip fracture patients operated on at the Central Finland Central Hospital in 1.3.2008 \u2013 31.12.2010. The inclusion criteria included living in the city of Jyv\u00e4skyl\u00e4 or its neighbouring municipalities, over 60 years of age, living at home or in a sheltered home without night-time surveillance and independent mobility. 136 participants were invited for initial measurements and 81 were accepted into the study after checking the exclusion criteria. The use of medications was mapped by asking participants to fill in a questionnaire. The information was confirmed by a nurse and when necessary during a medical examination. All medicines were coded according to whether they have a sedative effect. The codes were then used to calculate the total sedative load of the medicines used by a person. Falls indoors and outdoors were followed by a questionnaire covering three months after the initial measurements. The connection between the sedative load of the medication used and the falls was evaluated by using a logistic regression analysis.\nThe group of fallers did not differ in terms of sedative load from the non-fallers group. The sedative load of the group of indoor fallers did differ with a statistically significant amount from that of the non-indoor fallers. In the logistic regression analysis the use of medication with sedative effects was not connected to falls when the connection was looked at on a total falls level. However, the use of medication with sedative effects more than tripled the risk of indoor falls compared to those who were not using medication with sedative effects. The connection between accidental falls and the use of medication with sedative effects should be explored more in the future with a larger study population.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Suvi Vuoksenranta (suvuokse) on 2013-12-09 18:43:25.816260. 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 2013-12-09T18:43:26Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201312092764.pdf: 3054995 bytes, checksum: 03b3d340281ec48be3790c8625c731d4 (MD5)\nlicense.html: 4976 bytes, checksum: 06f9eef4db01938ec85935aaa1ee7dfa (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-12-09T18:43:26Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201312092764.pdf: 3054995 bytes, checksum: 03b3d340281ec48be3790c8625c731d4 (MD5)\nlicense.html: 4976 bytes, checksum: 06f9eef4db01938ec85935aaa1ee7dfa (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": "kaatumistapaturmat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "l\u00e4\u00e4kkeiden rauhoittava kuorma", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "lonkkamurtuma.", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "L\u00e4\u00e4kkeiden rauhoittavan kokonaiskuormituksen yhteys kaatumistapaturmiin lonkkamurtumasta toipuvilla ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4", "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-201312092764", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", 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