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[{"key": "dc.contributor.author", "value": "Grahn, Kristina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-10-31T07:41:04Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-10-31T07:41:04Z", "language": "", "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:1448154", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44516", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Potilasohjeet ovat t\u00e4rke\u00e4 osa potilasohjausta. Tutkimusn\u00e4ytt\u00f6 osoittaa, ett\u00e4 potilaiden osallistuminen ohjausmateriaalien suunnitteluun ja arviointiin lis\u00e4\u00e4 potilaiden tyytyv\u00e4isyytt\u00e4 ja sitoutumista omaan hoitoonsa. Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 millaiseksi potilaat arvioivat saamansa potilasohjeet Keski-Suomen sairaanhoitopiiriss\u00e4. Lis\u00e4ksi tutkimuksessa tarkasteltiin arviointiin kehitetyn mittarin luotettavuutta.\r\nTutkimuksen aineistonkeruu toteutettiin kyselyn\u00e4 lonkan ja polven tekonivelleikkaukseen sek\u00e4 ortopediseen p\u00e4iv\u00e4kirurgiseen toimenpiteeseen osallistuvilla potilailla (N= 334). Potilaita pyydettiin arvioimaan saamiaan kirjallisia potilasohjeita tutkimuksessa kehitetyn mittarin avulla, joka sis\u00e4lsi 15 suljettua Likert-asteikollista (1-4) v\u00e4itt\u00e4m\u00e4\u00e4 sek\u00e4 kaksi avointa kysymyst\u00e4. Aineiston analyysimenetelmin\u00e4 olivat ristiintaulukointi, \u03c72-testi, faktorianalyysi, Studentin t-testi, yksisuuntainen varianssianalyysi sek\u00e4 bin\u00e4\u00e4rinen logistinen regressioanalyysi. Lis\u00e4ksi avoimet kysymykset analysoitiin sis\u00e4ll\u00f6nanalyysin avulla. Arviointimittarin luotettavuutta tarkasteltiin Cronbachin alfa-kertoimen avulla.\r\nTutkimus osoitti, ett\u00e4 potilaat arvioivat potilasohjeiden olevan p\u00e4\u00e4s\u00e4\u00e4nt\u00f6isesti hyvi\u00e4 sis\u00e4ll\u00f6lt\u00e4\u00e4n (ka 3,50, Cronbachin alfa 0,75) ulkoasultaan (ka 3,55, Cronbachin alfa 0,57) sek\u00e4 hy\u00f6dyllisyydelt\u00e4\u00e4n (ka 3,81, Cronbachin alfa 0,82). Kaikkien v\u00e4itt\u00e4mien osalta vastauksien keskiarvo oli 3,61 ja Cronbachin alfa-kerroin oli 0,81. Miehet suhtautuivat kriittisemmin ohjeiden ulkoasuun kuin naiset (p=0,005). I\u00e4lt\u00e4\u00e4n alle 55-vuotiaat olivat kriittisimpi\u00e4 ohjeiden ulkoasuun (p= <0,001) sek\u00e4 sis\u00e4lt\u00f6\u00f6n (p=0,035) suhteessa muihin ik\u00e4ryhmiin. 66 vuotta t\u00e4ytt\u00e4neet naiset olivat selke\u00e4sti tyytyv\u00e4isempi\u00e4 ohjeisiin nuorempiin naisiin verrattuna (p= <0,001). Potilaat ilmoittivat ohjeiden olevan selkeit\u00e4, informatiivisia sek\u00e4 edist\u00e4v\u00e4n leikkauksesta toipumista. Potilaiden mukaan ohjeissa ei kuitenkaan mainittu mahdollisia ongelmatilanteita tai kotona eteen tulevia arjen hankaluuksia. My\u00f6sk\u00e4\u00e4n erityisryhmi\u00e4, kuten muistisairaita, ei ohjeissa huomioitu.\r\nPotilaat tarvitsevat kirjallisia ohjeita omatoimiseen itsehoitoon ja kuntoutumiseen. Tutkimustulosten perusteella voitiin p\u00e4\u00e4tell\u00e4, ett\u00e4 hoitohenkil\u00f6st\u00f6n tulee r\u00e4\u00e4t\u00e4l\u00f6id\u00e4 ohjauksen ja materiaalien sis\u00e4ll\u00f6t potilaan tarpeiden mukaan sek\u00e4 arvioida potilaan kyky\u00e4 omaksua ja hy\u00f6dynt\u00e4\u00e4 saamiaan ohjeita. Arviointimittarin luotettavuudesta potilask\u00e4yt\u00f6ss\u00e4 saatiin alustavaa n\u00e4ytt\u00f6\u00e4 t\u00e4ss\u00e4 tutkimuksessa. Kuitenkin mittarin testaaminen suuremmalla aineistolla ja eri potilasryhmill\u00e4 antaisi lis\u00e4informaatiota mittarin validiteetista. T\u00e4m\u00e4n tutkimuksen perusteella voitiin my\u00f6s p\u00e4\u00e4tell\u00e4, ett\u00e4 potilailla on halua osallistua ohjeiden kehitt\u00e4misty\u00f6h\u00f6n. Potilaiden osallistuminen arvioijana ohjeiden suunnitteluun antaa arvokasta tietoa siit\u00e4, millaisia asioita potilas pit\u00e4\u00e4 t\u00e4rke\u00e4n\u00e4 mutta joita h\u00e4n ei v\u00e4ltt\u00e4m\u00e4tt\u00e4 suullisen ohjauksen aikana osaa tai muista kysy\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Written health information is an integral part of patient education in health care. Furthermore, involving patients to material planning and evaluation process will improve patients\u2019 satisfaction and adherence to their care. The purpose of this study was to examine patients\u2019 perceptions of written patient information in Central Finland Healthcare District. In this study, a measurement tool to evaluate the written health information was designed for patients. Furthermore, the study sought to determine if the instrument developed for this study would be a valid tool for patients in the future. \r\n\r\nA total of 334 patients completed a questionnaire concerning their perception of the content, appearance and usefulness of the patient information leaflet they had received during their visit at hospital. The questionnaire consisted of 15 Likert-scaled (1-4) closed questions. In two additional open-ended questions, patients were asked to provide their views about the patient education material. Statistical data analysis was completed with SPSS 20.0 software by cross tabulation, Chi-square \u2013test, factor analysis, Student\u2019s t-test, one-way analysis of variances (ANOVA) and binary logistic regression. In addition, a content analysis was used for the open-ended questions. Furthermore, Cronbach\u2019s alpha was calculated to determine the reliability and internal consistency of the measurement tool. \r\n\r\nThe results showed that the patients were overall satisfied with the content (mean score, 3.50, Cronbach\u2019s alpha 0.75), physical appeal (mean score 3.55, Cronbach\u2019s alpha 0.57) and usefulness (mean score 3.81, Cronbach\u2019s alpha 0.82) of the patient education materials. The total mean score for the instrument was 3.61, Cronbach\u2019s alpha 0.81. Male patients were significantly more critical towards the physical appeal of written health information (p= 0.005) than women. Compared to other age groups, patients aged 55 and below were most critical group towards the physical appeal (p= <0.001) and content (p= 0.035) of the materials. Women older than 66 were more likely to be satisfied with the written health information (p= <0.001) than younger women were. Overall, the patients were active in answering the open-ended questions and provided also suggestions on how to improve the materials. The patients stated that the materials were clear, informative and accelerated their recovery from surgery. However, any problems that might occur at home after surgery were not mentioned in the materials. The patients also commented that the materials did not pay attention to groups with special needs such as memory disease. \r\n\r\nThe patients rely on written health information for their self-care and rehabilitation. Overall results indicated that the patient education material should be tailored according to patient\u2019s needs and abilities to make use of written health information. The instrument developed for this study seemed to be reliable in patient use in health care; however there is a need for additional research to improve the content validity of the instrument. Patient\u2019s involvement into development and evaluation of the written health materials will give the health educator valuable information about patient\u2019s unmet information needs during the counselling sessions.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kristina Grahn (krpaelgr) on 2014-10-31 07:41:04.145482. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-10-31T07:41:04Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201410313152.pdf: 971141 bytes, checksum: aed66d92cfd6ff44d6c92bacd20e74f6 (MD5)\r\nlicense.html: 4849 bytes, checksum: 5bd129788d8f67705e0861ced97f50b7 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-10-31T07:41:04Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201410313152.pdf: 971141 bytes, checksum: aed66d92cfd6ff44d6c92bacd20e74f6 (MD5)\r\nlicense.html: 4849 bytes, checksum: 5bd129788d8f67705e0861ced97f50b7 (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (79 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": "potilasneuvonta", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "potilasohjeet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "osallisuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "arviointi", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "laatu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "asiakasl\u00e4ht\u00f6isyys", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "patient education", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "patient education handout", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "patient participation", "language": 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"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": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Health Education", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2014-10-31T07:41:05Z", "language": "", "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": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": 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