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[{"key": "dc.contributor.advisor", "value": "Piirainen Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Holopainen, Riikka", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Keskil\u00e4, Anu", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-12-12T11:06:19Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-12-12T11:06:19Z", "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:1453514", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44862", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\nRiikka Holopainen ja Anu Keskil\u00e4 (2014) \u201dTUTKAT P\u00c4\u00c4LL\u00c4\u201d Fysioterapeuttien k\u00e4sityksi\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeisest\u00e4 fysioterapeuttisesta ohjauksesta. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto. Fysioterapian pro gradu-tutkielma. s. 51. \r\nT\u00e4m\u00e4 pro gradu -tutkielma koostuu kahdesta osasta, joista ensimm\u00e4inen on systemaattinen kirjallisuuskatsaus koskien lonkan tekonivelleikkauksen j\u00e4lkeisen fysioterapian vaikuttavuutta, ja toinen on empiiriseen tutkimustietoon perustuva fenomenografinen tutkimusartikkeli, joka kuvaa fysioterapeuttien k\u00e4sityksi\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeisest\u00e4 fysioterapeuttisesta ohjauksesta. \r\nLonkan tekonivelleikkausten m\u00e4\u00e4r\u00e4 kasvaa v\u00e4est\u00f6n ik\u00e4\u00e4ntyess\u00e4, ja se on kustannustehokas toimenpide potilaiden siirtyess\u00e4 nopeasti toimintakyvytt\u00f6myydest\u00e4 toimintakykyisyyteen. Fysioterapia kuuluu l\u00e4hes aina leikkauksen j\u00e4lkeiseen kuntoutukseen ja joskus kuntoutusta tehd\u00e4\u00e4n ennen leikkausta. Tutkimusn\u00e4ytt\u00f6 sek\u00e4 pre- ett\u00e4 postoperatiivisesta fysioterapiasta on kuitenkin ep\u00e4selv\u00e4\u00e4. T\u00e4m\u00e4n tutkimuksen tarkoituksena on tuoda esiin kirjallisuuskatsauksen tarjoaman fysioterapian vaikuttavuuden tarkastelun lis\u00e4ksi fysioterapeuttien k\u00e4sityksi\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeisest\u00e4 fysioterapeuttisesta ohjauksesta.\r\nKirjallisuuskatsauksemme, jossa oli mukana 15 RCT -tutkimusta, mukaan tutkimusn\u00e4ytt\u00f6 postoperatiivisen fysioterapian vaikuttavuudesta on vaihtelevaa ja tutkimusten vertailua vaikeuttaa tutkimusten vaihteleva sis\u00e4ll\u00f6llinen sek\u00e4 raportoinnin laatu. Tutkimusten n\u00e4yt\u00f6n vahvuutta sek\u00e4 niiden vertailukelpoisuutta arvioitaessa haastetta lis\u00e4\u00e4 se, ett\u00e4 postoperatiivisen fysioterapian ns. standardiprotokollaa ei viel\u00e4 ole yleisesti k\u00e4yt\u00f6ss\u00e4, eli se mihin lis\u00e4interventioita verrataan, n\u00e4ytt\u00e4\u00e4 olevan vaihtelevaa ja/tai huonosti kuvattu. Toimivia fysioterapiainterventioita n\u00e4ytt\u00e4isiv\u00e4t olevan vesiterapiaa, voimaharjoittelua, osakuormitteista k\u00e4velymattoharjoittelua, tehokasta ja s\u00e4\u00e4nn\u00f6llist\u00e4 kotiharjoittelua, s\u00e4hk\u00f6stimulaatiohoitoa sek\u00e4 k\u00e4siergometriharjoittelua sis\u00e4lt\u00e4v\u00e4t interventiot. Fysioterapiainterventioista n\u00e4ytt\u00e4isi siis olevan lis\u00e4arvoa kuntoutumisessa, varsinkin jos niihin liittyv\u00e4 harjoittelu on tarpeeksi tehokasta ja s\u00e4\u00e4nn\u00f6llist\u00e4. \r\nToisessa osassa tutkimusmenetelm\u00e4n\u00e4 oli avoin recall-haastattelu ja analyysimenetelm\u00e4n\u00e4 oli fenomenografia. Tutkimuksessa haastateltiin nelj\u00e4\u00e4 erikoissairaanhoidossa toimivaa fysioterapeuttia. Empiirisen aineiston fenomenografisen analyysin pohjalta nousi kuusi teemaa, jotka varioivat hierarkkisesti kolmessa kategoriassa. Esiin nousseet teemat olivat potilaan osallistuminen, kehollinen ohjaus, eettisyys ohjaussuhteessa, fysioterapeutin asiantuntijuus, yhteisty\u00f6 ja terveydenhuoltoj\u00e4rjestelm\u00e4n eettisyys. Kukin teema varioi sis\u00e4ll\u00f6llisesti niin, ett\u00e4 teemoista muodostui kolme hierarkkista kuvauskategoriaa. N\u00e4m\u00e4 olivat asiantuntijal\u00e4ht\u00f6inen fysioterapeuttinen ohjaus, potilaan yksil\u00f6llisyytt\u00e4 arvostava fysioterapeuttinen ohjaus ja fysioterapeuttinen ohjaus osana potilaan kuntoutumista. Hierarkkisuus ilmeni siten, ett\u00e4 aina edellinen oli osana seuraavaa kuvauskategoriaa. Fysioterapeuttien k\u00e4sityksiss\u00e4 korostuivat fysioterapeutin ammatillinen osaamisen, vuorovaikutuksen ja eettisyyden suuri merkitys fysioterapeuttisen ohjauksen onnistumisen kannalta. Terveydenhuollon resurssien ollessa yh\u00e4 rajallisemmat my\u00f6s fysioterapeuttisen ohjauksen suhteen, ja kun fysioterapian tiedet\u00e4\u00e4n olevan vaikuttavaa vain sen ollessa tarpeeksi s\u00e4\u00e4nn\u00f6llist\u00e4 ja tehokasta, tulevaisuudessa korostuvat fysioterapeuttisen ohjauksen laatu ja fysioterapeuttien vuorovaikutustaidot.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\n\r\nRiikka Holopainen and Anu Keskil\u00e4 (2014) Physiotherapists\u2019 perceptions of patient education after total hip arthroplasty (THA). Department of Health Sciences. University of Jyv\u00e4skyl\u00e4. Physiotherapy Master\u2019s Thesis. 51 pages. \r\n\r\nThis study consists of two parts. Part one is a systematic review of effectiveness of post-operative physiotherapy after THA. The second part is a qualitative study describing physiotherapists\u2019 perceptions of patient education after THA. The number of THAs in aging population is growing and THA is a cost-effective procedure moving people quickly from poor functional capacity to good functional capacity. Post-operative physiotherapy is almost always a standard part of the rehabilitation and sometimes there is also pre-operative physiotherapy. Still there is lack of valid evidence of the effectiveness of post-operative physiotherapy and there is challenges comparing different studies because there is no (national or) global standard post-operative physiotherapy protocol. The aim of this study is in addition to the systematic review of effectiveness of post-operative physiotherapy to explore physiotherapists\u2019 perceptions of post-operative patient-education.\r\n\r\nThe results. The systematic review included 15 RCT -studies. The evidence of effectiveness of post-operative physiotherapy after THA is limited. It is challenging to compare different studies due to limited quality of reporting and content. Effective interventions seem to be interventions that include hydrotherapy, strength training, treadmill training with partial bodyweight support, effective, regular and controlled home exercise programs, electrotherapy and arm-interval exercises with an arm ergometer. \r\n \r\nThe sample group in the qualitative study consisted of four physiotherapists, working with inpatients in hospital setting in Southern Finland. Data were collected by semi-structured recall \u2013interview and the analysis was phenomenographic. We found six themes that varied hierarchically in three categories that describe different ways of understanding patient education. The themes were cooperation, counseling movement awareness, ethical educational relationship, ethicalness of national health care system, physiotherapy expertise and patients\u2019 active participation. The three different categories, therapist-centered patient education, patient education that values individuality and patient education as part of individual rehabilitation process, described the increasing awareness of what patient education can mean. Physiotherapy expertise, communication and interaction, and ethicality were the key elements of successful post-operative patient education.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Anu Keskil\u00e4 (anukes) on 2014-12-12 11:06:18.622068. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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