| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Piirainen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Mannisenm\u00e4ki, Liisa", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-05-25T05:08:21Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-05-25T05:08:21Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2015", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1474160", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/46010", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "T\u00e4m\u00e4n fenomenologisen pro gradu -tutkielman tarkoituksena oli kuvata ja ymm\u00e4rt\u00e4\u00e4 lonkan tekonivelleikkauksen l\u00e4pik\u00e4yneiden henkil\u00f6iden omakohtaisia kokemuksia ja niiden merkityksi\u00e4 kotona selviytymisest\u00e4 kolmen kuukauden kuluttua leikkauksesta. Suomessa tehd\u00e4\u00e4n vuosittain 7 500 lonkan tekonivelleikkausta ja v\u00e4est\u00f6n ik\u00e4\u00e4ntyess\u00e4 leikkausten m\u00e4\u00e4r\u00e4t tulevat lis\u00e4\u00e4ntym\u00e4\u00e4n. Fysioterapialla on keskeinen osuus lonkan tekonivelleikatun kuntoutusprosessissa. T\u00e4m\u00e4n vuoksi fysioterapian vaikuttavuuden selvitt\u00e4minen on perusteltua ja tutkimuksissa on tarpeellista ottaa huomioon my\u00f6s lonkan tekonivelleikkauksen l\u00e4pik\u00e4yneiden henkil\u00f6iden omat kokemukset. Tutkimustuloksista saadun tiedon avulla lis\u00e4t\u00e4\u00e4n ymm\u00e4rryst\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeisest\u00e4 kotona selviytymisest\u00e4 potilaan itsens\u00e4 kokemana ja tietoa voidaan hy\u00f6dynt\u00e4\u00e4 lonkan tekonivelleikatun fysioterapian hoitok\u00e4yt\u00e4nteiss\u00e4 edist\u00e4m\u00e4\u00e4n lonkan tekonivelleikatun kotona selviytymist\u00e4.\r\n\r\nTutkimukseen osallistui viisi elektiivisen lonkan tekonivelleikkauksen l\u00e4pik\u00e4ynytt\u00e4 henkil\u00f6\u00e4. Tutkimusteht\u00e4vin\u00e4 oli selvitt\u00e4\u00e4 miten kotona selviytyminen koettiin, mink\u00e4laisia merkityksi\u00e4 kokemuksista nousi esiin ja mik\u00e4 oli olennaista kotona selviytymisess\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeen. Tutkimusaineisto ker\u00e4ttiin haastattelemalla osallistujia ensin kolmen viikon ja uudestaan kolmen kuukauden kuluttua lonkan tekonivelleikkauksesta. Haastattelut litteroitiin ja tekstiaineistoa syntyi 144 A4 sivua. Aineiston analyysissa k\u00e4ytettiin fenomenologista tutkimusmenetelm\u00e4\u00e4 soveltaen Giorgin kehitt\u00e4m\u00e4\u00e4 aineiston merkitysanalyysia.\r\n\r\nTutkimuksen tulosten mukaan lonkan tekonivelleikkauksen j\u00e4lkeisest\u00e4 kotona selviytymisest\u00e4 nousi esiin nelj\u00e4 olennaista merkityst\u00e4. Erilaisten tukiverkostojen t\u00e4rke\u00e4 merkitys tuli esiin selkeimmin. Kivuttomuuden my\u00f6t\u00e4 lis\u00e4\u00e4ntyv\u00e4 toimintakyky koettiin helpotuksena ja se antoi voimaa toiveikkaaseen tulevaisuuden suunnitteluun. Merkitt\u00e4v\u00e4\u00e4 kuitenkin oli, ett\u00e4 puutteelliseksi koettu tieto aktiivisuutta edist\u00e4v\u00e4st\u00e4 toiminnasta ei mahdollistanut turvallista ja tarkoituksenmukaista toimintakyvyn lis\u00e4\u00e4ntymist\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeen parhaalla mahdollisella tavalla. Huomionarvoista oli, ett\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeisess\u00e4 kotona selviytymisess\u00e4 oli merkitt\u00e4vi\u00e4 yksil\u00f6llisi\u00e4 eroavaisuuksia. Tutkimuksen tuloksista saatua tietoa voidaan hy\u00f6dynt\u00e4\u00e4 siten, ett\u00e4 fysioterapian suunnittelussa, toteuttamisessa ja arvioinnissa lonkan tekonivelleikkauksen j\u00e4lkeen kehitet\u00e4\u00e4n toimintakyky\u00e4 tukevaa ohjausta sek\u00e4 otetaan huomioon yksil\u00f6llisyys ja kokonaisvaltaisuus, sill\u00e4 ne ovat avainasemassa edist\u00e4m\u00e4ss\u00e4 kotona selviytymist\u00e4 lonkan tekonivelleikkauksen j\u00e4lkeen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The purpose of this phenomenological master\u00b4s thesis was to describe and understand personal experiences and their significance in coping at home, as experienced by those who had undergone total hip replacement surgery. The survey was carried out three months after the surgery. In Finland, 7 500 total hip replacement surgeries are performed every year. With the aging population, the operation rate will increase in the future. Physiotherapy has a central role in the post-surgical rehabilitation process. Therefore, it is important to determine the effectiveness of physiotherapy and it is also necessary to consider patients\u00b4 individual experiences. The answers to the survey presented in this thesis will increase the understanding of coping at home experienced by those who had undergone total hip replacement. The information obtained can be further used to promote the clinical practices of physiotherapy to improve coping at home after hip replacement surgery.\r\n\r\nThe participants of this study included five patients that had undergone an elective total hip replacement surgery. The aims of the research were to clarify how coping at home was experienced, what kind of meanings of the experiences emerged and what was essential at coping at home after hip replacement surgery. The research material was collected by interviewing the participants first at three weeks and once again at three months after the surgery. The interviews were transcribed to text material consisting of 144 pages. The research material was analyzed by applying the phenomenological analysis method developed by Giorgi.\r\n\r\nThe results of this study revealed four significant aspects in associated with coping at home after total hip replacement surgery. Various support networks emerged as the most significant aspect. Analgesia and, consequently, increasing functional capacity was seen as a relief and it also empowered the patients for a hopeful future planning. A significant finding of the study was that activity promoting information, which was considered incomplete, did not promote the best possible safe and appropriate increase in activity after hip replacement surgery. This study also clearly revealed that there are great individual differences in coping at home after a total hip replacement surgery. The results of this study can be utilized when designing, executing and estimating physiotherapy by developing the guidance that promotes the activity level after hip replacement surgery. In addition, the results of this study suggest to better take into account the individual and overall situation. These are key factors that contribute to coping at home after hip repalcement surgery.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Liisa Mannisenm\u00e4ki (likrmann) on 2015-05-25 05:08:18.357135. 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 2015-05-25T05:08:21Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201505251972.pdf: 2695013 bytes, checksum: 9ff0d9c347cdbf01727d293c7bef8b3d (MD5)\r\nlicense.html: 4854 bytes, checksum: c5dd64518ced0d71c849b4203e44397c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-05-25T05:08:21Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201505251972.pdf: 2695013 bytes, checksum: 9ff0d9c347cdbf01727d293c7bef8b3d (MD5)\r\nlicense.html: 4854 bytes, checksum: c5dd64518ced0d71c849b4203e44397c (MD5)\r\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (62 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": "lonkan tekonivelleikkaus ja fysioterapia tai kuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "fenomenologia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "\"Yksin en selvi\u00e4isi\" : lonkan tekonivelleikattujen kokemuksia kotona selviytymisest\u00e4", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.title.alternative", "value": "Lonkan tekonivelleikattujen kokemuksia kotona selviytymisest\u00e4", "language": null, "element": "title", "qualifier": "alternative", "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-201505251972", "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": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.method", "value": "Fenomenologia", "language": null, "element": "subject", "qualifier": "method", "schema": "dc"}, {"key": "dc.date.updated", "value": "2015-05-25T05:08:22Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"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": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "lonkka", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tekonivelet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "leikkaushoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintakyky", "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"}]
|