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[{"key": "dc.contributor.advisor", "value": "Piirainen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Calleeuw, Niina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-06-08T19:32:12Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-06-08T19:32:12Z", "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:1475440", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/46238", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Niina Calleeuw (2015). Valmistautuminen lonkan tekonivelleikkaukseen: potilaiden kokemuksia pre-operatiivisesta ohjauksesta. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, fysioterapian pro gradu \u2013tutkielma, 88 s., 20 liitett\u00e4. \r\n \r\nT\u00e4m\u00e4n fenomenologis-hermeneuttisen tutkimuksen tarkoituksena on selvitt\u00e4\u00e4, millaisena lonkan tekonivelleikkaukseen valmistautuvat potilaat kokivat moniammatillisen, Rapid Recovery \u2013mallia toteuttavan pre-operatiivisen potilasohjauksen. Tutkielma on osa laajempaa potilasohjaustutkimusta, joka toteutetaan yhteisty\u00f6ss\u00e4 Jyv\u00e4skyl\u00e4n yliopiston ja Keski-Suomen keskussairaalan kanssa. Tutkimuskokonaisuuden tavoitteena on muodostaa kokonaisk\u00e4sitys potilasohjauksesta, jonka pohjalta voidaan kehitt\u00e4\u00e4 ja kohdentaa tarkemmin nykyisi\u00e4 ohjausk\u00e4yt\u00e4nteit\u00e4 vastaamaan lis\u00e4\u00e4ntyneeseen potilasm\u00e4\u00e4r\u00e4\u00e4n ja hoidon vaatimuksiin. \r\n \r\nTutkimukseen osallistuivat kymmenen primaaristi lonkan tekonivelleikkaukseen valmistautuvaa potilasta. Tutkimusmenetelm\u00e4n\u00e4 k\u00e4ytettiin avointa haastattelua, jolloin haastateltavien oli mahdollista kuvata luonnollisesti ja avoimesti kokemuksiaan ohjaustilanteista. Tutkimuksen analyysissa k\u00e4ytettiin fenomenologisen tutkimuksen modifioitua Giorgin (1994) nelivaiheista analyysimenetelm\u00e4\u00e4, jossa yksil\u00f6lliset merkitysverkostojen synteesit muodostivat menetelm\u00e4n nelj\u00e4nness\u00e4 vaiheessa yhteisen merkitysverkostojen synteesin. \r\n \r\nTutkimuksen tuloksissa yksil\u00f6lliset merkitysverkostot ja niiden synteesit johdattivat muodostamaan yhteisen merkitysverkostojen synteesin, jossa pre-operatiivisen ohjauksen olennaiset merkitykset nivoutuivat yhteiseksi p\u00e4\u00e4ilmi\u00f6ksi toivoksi kivuttomasta toimintakykyisest\u00e4 el\u00e4m\u00e4st\u00e4. Toivoa kivuttomasta toimintakykyisest\u00e4 el\u00e4m\u00e4st\u00e4 vahvisti voimaannuttava ohjaus, jossa ohjauksen antajaan luotettiin, ohjauksesta rohkaistuttiin ja huolenpidosta vahvistuttiin. Toivoa kivuttomasta toimintakykyisest\u00e4 el\u00e4m\u00e4st\u00e4 heikensi ristiriitainen ohjaus, jossa ohjaus tuotti h\u00e4mmennyst\u00e4, hoidon antajaan petyttiin tai ep\u00e4ammatillisuutta paheksuttiin. Lonkan tekonivelleikkauksen merkitys koettiin itsen\u00e4isemm\u00e4n el\u00e4m\u00e4n mahdollistajana, koska siin\u00e4 oli toive rajoittavasta kivusta vapatumisen, apuv\u00e4lineitt\u00e4 liikkumiseen ja aktiivisen el\u00e4m\u00e4notteen vahvistumisesta. V\u00e4livaihe el\u00e4m\u00e4ss\u00e4 merkitykseen liittyi leikkauksen levollinen hyv\u00e4ksyminen, kuntoutumiseen oikeutus ja hyv\u00e4n el\u00e4m\u00e4nlaadun s\u00e4ilytt\u00e4minen. Lonkan tekonivelleikkaus el\u00e4m\u00e4npiirin laajenemisen mahdollistajana merkityskokonaisuus rakentui yksin\u00e4isyyden helpottumisen ja vertaisiin tukeutumisen kautta. Tutkimuksen tulokset vahvistavat potilaskeskeisen ja holistisen ohjauksen sek\u00e4 ohjauksen antajan kommunikatiivisten ohjaustaitojen merkityst\u00e4. Se mill\u00e4 tavalla preoperatiivista ohjausta annetaan, vaikuttaa voimakkaasti potilaan odotuksiin tulevaa leikkausta kohtaan \r\n \r\nAvainasanat: pre-operatiivinen ohjaus, lonkan tekonivelleikkaus, kokemus, fenomenologishermeneuttinen tutkimus, merkitysanalyysi", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Niina Calleeuw (2015). Preparing for hip arthroplasty: patient experiences of pre-operative counselling. Department of Sport and health sciences, University of Jyv\u00e4skyl\u00e4, Master\u00b4s thesis, 88 pp. \r\n \r\nThe aim of this hermeneutic phenomenology study is to investigate how patients, who are preparing for hip arthroplasty, experienced multiprofessional Rapid recovery pre-operative councelling. This study is part of a larger research project which is accomplished with cooperation of University of Jyv\u00e4skyl\u00e4 and Central Finland Health Care District. The aim of the entirety research project is to develop knowledge and understanding of patient councelling. The purpose is to develop and focus better councelling methods, in order to answer to the growing amount of patients and to tackle this specific challenge in health care. \r\n \r\nThe study explored ten patients who were preparing for a primary hip arthroplasty procedure. The aim of this study was collect pure and natural experiences about councelling in preoperative situations, so data was collected through separate, open-ended one-to-one interviews with the patients. Study analysis followed the Giorgi\u00b4s (1994) modified four step analyse method. The first step in the study was the individual description of the experienced situation, and after description analysis it continued into its fourth step to shared synthesis of meanings. \r\n \r\nAccording to results of this study from the shared experiences, the main finding was that councelling is giving hope for a painless and active future life. This hope was reinforced via empowering councelling, which meant patients trust the caregiver, councelling was giving strength for patients and enhanced a safety feeling. On the other hand, hope for a painless and active future life could be reduced through incoherent councelling, which lead to frustration, diassapointment of healthcare professionals through their anti-professionalism. The meaning of hip arthroplasty was experienced as giving more freedom for future life and daily activities, because hope to emancipate from restricting pain was seen as target of the upcoming surgey: hope of moving without walking aids and have a more active life style. Hip arthroplasty was seen also as a short episode of life which was less worrying: operation was accepted, rehabilitation was justified and the operation was part of keeping a good life going on. Hip arthroplasty was also experienced as a way of expanding environmental factors, which meant better social contacts and reduced loneliness. This study suggests to consider a more patientcentered councelling and a more holistic care in patient pre-operative councelling. Heath care professionals should also take their communicative skills in consideration, because the way preoperative councelling is given can affect strongly the expectations of surgery while awaiting hip arthroplasty operation. \r\n \r\nKeywords: pre-operative councelling, hip arthroplasty, experience, hermeneutic phenomenology research, meaning analyse.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Niina Calleeuw (nimaelot) on 2015-06-08 19:32:11.366479. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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