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[{"key": "dc.contributor.author", "value": "Bakker, Birgitta", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-05-14T09:43:17Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-05-14T09:43:17Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1435437", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/43405", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Autonomian eli itsem\u00e4\u00e4r\u00e4\u00e4misoikeuden yll\u00e4pit\u00e4minen on yksi sosiaali- ja terveydenhuollon johtavista periaatteista ja edellytys aktiiviselle el\u00e4m\u00e4lle ja osallistumiselle. Ik\u00e4\u00e4ntyneiden ihmisten autonomiaa on tutkittu vanhusten pitk\u00e4aikaishoidossa ja osana sairauksien hoitoon liittyv\u00e4\u00e4 p\u00e4\u00e4t\u00f6ksentekoa. Autonomiaa on tarkasteltu p\u00e4\u00e4asiassa yksil\u00f6n ominaisuutena, eik\u00e4 sen yhteytt\u00e4 ymp\u00e4rist\u00f6n olosuhteisiin ole riitt\u00e4v\u00e4sti huomioitu. T\u00e4m\u00e4n tutkimuksen tarkoituksena on selvitt\u00e4\u00e4 kotona asuvien ik\u00e4\u00e4ntyneiden ihmisten elinymp\u00e4rist\u00f6ss\u00e4 vaikuttavien tekij\u00f6iden yhteytt\u00e4 autonomian ja osallisuuden kokemiseen. \n\nTutkimuksen aineistona k\u00e4ytettiin Life-Space Mobility in Old Age (LISPE) -tutkimushankkeen haastatteluaineistoa vuodelta 2012. Tutkimukseen osallistui 848 itsen\u00e4isesti kotona asuvaa 75-90 -vuotiasta henkil\u00f6\u00e4 Jyv\u00e4skyl\u00e4n ja Muuramen alueelta. Tutkittavien kokemaa autonomiaa ja vaikutusmahdollisuuksia omassa el\u00e4m\u00e4ss\u00e4\u00e4n arvioitiin Impact on Participation and Autonomy (IPA) -standardoidun kyselylomakkeen yleist\u00e4 autonomian tunnetta arvioivalla kysymyksell\u00e4. Koettua ymp\u00e4rist\u00f6\u00e4 arvioitiin The World Health Organization Quality of Life Assessment short version (WHOQOL-BREF) -el\u00e4m\u00e4nlaatumittarin ymp\u00e4rist\u00f6ulottuvuutta mittaavilla kysymyksill\u00e4. Aineistoa tarkasteltiin frekvenssijakaumien ja ristiintaulukoinnin avulla. Ryhmien v\u00e4listen erojen merkitsevyytt\u00e4 selvitettiin \u03c72-testill\u00e4 tai Mann-Whitneyn U-testill\u00e4. Ymp\u00e4rist\u00f6tekij\u00f6iden yhteytt\u00e4 koettuun autonomiaan analysoitiin logistisella regressioanalyysill\u00e4.\n\nIk\u00e4\u00e4ntyneist\u00e4 ihmisist\u00e4 74 % koki mahdollisuutensa vaikuttaa omaan el\u00e4m\u00e4\u00e4ns\u00e4 hyv\u00e4n\u00e4. Autonomiansa hyv\u00e4ksi kokeneet olivat tyytyv\u00e4isempi\u00e4 elinymp\u00e4rist\u00f6\u00f6ns\u00e4, he olivat terveempi\u00e4 ja heill\u00e4 oli parempi liikkumiskyky kuin autonomiansa heikentyneeksi kokeneilla (p<0.001). Autonomian kokemisessa ei ollut eroa miesten ja naisten v\u00e4lill\u00e4 (p=0.555). Ymp\u00e4rist\u00f6\u00f6ns\u00e4 tyytym\u00e4tt\u00f6m\u00e4t henkil\u00f6t kokivat autonomiansa heikentyneeksi yli 10 kertaa todenn\u00e4k\u00f6isemmin kuin ymp\u00e4rist\u00f6\u00f6ns\u00e4 tyytyv\u00e4iset henkil\u00f6t (OR=11.0, 95 % Cl=6.5-18.7). Yhteys ei selittynyt tutkittavien i\u00e4ll\u00e4, terveydentilalla tai liikkumiskyvyll\u00e4. Ymp\u00e4rist\u00f6tekij\u00f6ist\u00e4 huonoksi koettu taloudellinen tilanne (OR=2.5, 95 % Cl=1.6-3.8), heikot mahdollisuudet vapaa-ajan toimintaan (OR=4.2, 95 % Cl=2.7-6.5), riitt\u00e4m\u00e4t\u00f6n tiedonsaanti (OR=1.9, 95 % Cl=1.2-3.2), tyytym\u00e4tt\u00f6myys asuinalueeseen (OR=2.3, 95 % Cl=1.2-4.4) ja huonot kulkuyhteydet (OR=1.9, 95 % Cl=1.1-3.2) lis\u00e4siv\u00e4t tilastollisesti merkitsev\u00e4sti riski\u00e4 heikentyneeseen autonomiaan.\n\nYksil\u00f6llisten tekij\u00f6iden ohella ymp\u00e4rist\u00f6tekij\u00f6ill\u00e4 on suuri merkitys ik\u00e4\u00e4ntyneiden ihmisten autonomian kokemiselle. Autonomian ja osallisuuden vahvistaminen ik\u00e4\u00e4ntyneiden ihmisten omassa elinymp\u00e4rist\u00f6ss\u00e4 tukee my\u00f6s itsen\u00e4ist\u00e4 kotona asumista ja el\u00e4m\u00e4nlaatua. Autonomian kokemusta m\u00e4\u00e4ritt\u00e4vist\u00e4 tekij\u00f6ist\u00e4 tarvitaan kuitenkin lis\u00e4\u00e4 tutkimustietoa, jotta voidaan kehitt\u00e4\u00e4 toimivia interventiomenetelmi\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Maintaining autonomy is one of the major principles in social and health policies and a prerequisite for active living and participation. Autonomy in old age has been studied in long-term care and as a part of a decision-making process in health care. The association between autonomy and environmental factors, however, has not been adequately examined. The purpose of this study was to fill this gap in our knowledge by investigating these associations among community-dwelling older adults.\n\nThis study is a part of the Life-Space Mobility in Old Age (LISPE) research project. The data consist of 848 interviews and tests performed in 2012. The participants were community-dwelling people aged 75 to 90 years in municipalities of Jyv\u00e4skyl\u00e4 and Muurame in Central Finland. The perceived autonomy was assessed by one question of Impact on Participation and Autonomy (IPA) -standardized questionnaire. The perceived environment was assessed by The World Health Organization Quality of Life Assessment short version (WHOQOL-BREF) -questionnaire. The data were examined using frequency-distribution analysis, cross-tabulations, \u03c72-tests and Mann-Whitney U-tests. The association between perceived autonomy and environmental factors was analysed with logistic regression analysis by taking the potential confounding factors into account. \n\nThree of four (74%) older people perceived their possibilities to live their life the way they wanted to be good. Those who had a high sense of autonomy were more satisfied with their environment than those with impaired sense of autonomy. They were also healthier and had better lower extremity functions than those who had an impaired sense of autonomy (p<0.001). Sense of autonomy did not differ between men and women (p=0.555). Those who were not satisfied with their environment were in risk of impaired sense of autonomy over 10 times more often than those who were satisfied (OR=11.0, 95 % Cl=6.5-18.7). Participant age, health status or lower extremity functions did not explain the association. Dissatisfaction with financial situation (OR=2.5, 95 % Cl=1.6-3.8), poor opportunities for leisure activities (OR=4.2, 95 % Cl=2.7-6.5), insufficient information (OR=1.9, 95 % Cl=1.2-3.2), dissatisfaction with home-environment (OR=2.3, 95 % Cl=1.2-4.4) and problems with transport (OR=1.9, 95 % Cl=1.1-3.2) increased significantly the risk of impaired sense of autonomy.\n\nIn conclusion, the results indicate that, in addition to personal factors, also environmental factors are significant in perceiving autonomy. Maintaining autonomy and participation might enhance also independent housing and quality of life in old age. The determinants of autonomy should be studied further by utilizing qualitative study approaches to find suitable methods for intervention.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Birgitta Bakker (bimabakk) on 2014-05-14 09:43:17.297784. 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 2014-05-14T09:43:17Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201405141717.pdf: 291814 bytes, checksum: 744614870c55074efe674c8935f75d2b (MD5)\nlicense.html: 4937 bytes, checksum: 6ec75b93985b238242ec4c70161ff463 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-05-14T09:43:17Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201405141717.pdf: 291814 bytes, checksum: 744614870c55074efe674c8935f75d2b (MD5)\nlicense.html: 4937 bytes, checksum: 6ec75b93985b238242ec4c70161ff463 (MD5)\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (53 sivua)", "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": 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