| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Era Pertti", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Rantanen Taina", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Sarianna Sipil\u00e4", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Puhakainen, Matti", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-08-11T13:42:39Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-08-11T13:42:39Z", "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:1492919", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/46597", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Suomalaisen v\u00e4est\u00f6n yleisimpi\u00e4 pitk\u00e4aikaissairauksia ovat perinteisesti olleet erilaiset syd\u00e4n- ja verisuonisairaudet. Diabeteksen esiintyvyys on voimakkaassa kasvussa, jonka vuoksi siit\u00e4 on tullut my\u00f6s yksi maamme yleisimmist\u00e4 pitk\u00e4aikaissairauksista. Yhdess\u00e4 n\u00e4m\u00e4 sairaudet ovat edesauttaneet erilaisten munuaissairauksien yleistymist\u00e4. My\u00f6s ik\u00e4\u00e4ntymisen on n\u00e4hty olevan yhteydess\u00e4 munuaissairauksien lis\u00e4\u00e4ntymiseen. T\u00e4ss\u00e4 pro gradu- tutkielmassa mielenkiinto kohdistettiin kroonista munuaisten vajaatoimintaa sairastaviin yksil\u00f6ihin. Tutkimuksessa tarkoituksena oli tutkia peritoneaalidialyysipotilaiden el\u00e4m\u00e4nlaatua sek\u00e4 ik\u00e4\u00e4ntymisen yhteytt\u00e4 hoitojen sujuvuuteen, potilaana selviytymiseen ja el\u00e4m\u00e4nlaatuun. \r\n\r\nTutkimuksen aineisto ker\u00e4ttiin aikav\u00e4lill\u00e4 2011\u20132014 Keski-Suomen-, Satakunnan- sek\u00e4 Pohjois-Pohjanmaan sairaanhoitopiirien peritoneaalidialyysipotilailta. Tutkimukseen osallistui yhteens\u00e4 41 potilasta. Vastaajien ik\u00e4jakauma oli 23\u201384 vuotta. Aineistonkeruu tapahtui kvantitatiivisten monivalintakyselyjen avulla. Ensimm\u00e4inen n\u00e4ist\u00e4 oli tutkielmaa varten kehitetty kyselylomake. RAND- 36 el\u00e4m\u00e4nlaatumittarilla arvioitiin vastaajien el\u00e4m\u00e4nlaatua. Kyselylomakkeen avulla saatua aineistoa tarkasteltiin ristiintaulukoinnin ja Chi square -testill\u00e4, joiden avulla saatiin tarkasteltua yleisesti frekvenssijakaumaa ja muuttujien v\u00e4list\u00e4 riippuvuutta. RAND-36 pistem\u00e4\u00e4rien (0-100) suhteen tarkasteltiin el\u00e4m\u00e4nlaatuasteikoiden keskiarvoja ja keskihajontoja. N\u00e4it\u00e4 tarkasteltiin suhteessa potilaiden ik\u00e4luokkiin ja hoitomuotoihin. Asetelmaa testattiin viel\u00e4 tilastollisesti yksisuuntaisen varianssianalyysin sek\u00e4 t-testin avulla. Spearmanin j\u00e4rjestyskorrelaatikertoimen avulla testattiin el\u00e4m\u00e4nlaadun ulottuvuuksien muuttujien ja vastemuuttujien v\u00e4list\u00e4 yhteyksi\u00e4. \r\n\r\nTutkielmassa selvisi, ett\u00e4 peritoneaalidialyysipotilaiden terveyteen liittyv\u00e4 el\u00e4m\u00e4nlaatu oli painottunut, RAND- 36 el\u00e4m\u00e4nlaatuasteikoiden keskiarvojen osalta, keskitason yl\u00e4puolelle (ka>50). Ainoastaan CAPD potilaat saivat keskitasoa alhaisempia pisteit\u00e4 fyysisen toimintakyvyn (ka=45.0) ja sosiaalisen toimintakyvyn (ka=47.6) suhteen. Yksisuuntaisen varianssianalyysin avulla saatiin selville, ett\u00e4 sosiaalisen toimintakyvyn osalta, keskiarvot hoitomuotojen v\u00e4lill\u00e4 vaihtelivat tilastollisesti merkitsev\u00e4ll\u00e4 tavalla (p-arvo<0.05). Riippumattomien ryhmien t-testin avulla pystyttiin osoittamaan, ett\u00e4 ik\u00e4\u00e4ntymisell\u00e4 ei ollut yhteytt\u00e4 el\u00e4m\u00e4nlaatuasteikoiden keskiarvoihin (p-arvo>0.05). Ik\u00e4\u00e4ntymisell\u00e4 ei my\u00f6sk\u00e4\u00e4n ollut yhteytt\u00e4 hoitojen sujuvuuteen tai potilaana selviytymiseen, joka oli n\u00e4ht\u00e4viss\u00e4 frekvenssien tasaisena jakautumisena ik\u00e4luokkien v\u00e4lille. Chi square- testi osoitti, ett\u00e4 muuttujaryhmien ja ik\u00e4luokkien v\u00e4lill\u00e4 ei ollut tilastollisesti merkitt\u00e4v\u00e4\u00e4 riippuvuussuhdetta (p-arvot<0.05). Kipujen aiheuttaman ty\u00f6n h\u00e4iriintymisen ja kipujen voimakkuuden v\u00e4lill\u00e4 havaittiin negatiivinen ja tilastollisesti eritt\u00e4in merkitsev\u00e4 korrelaatio (p-arvo <0.001). Sama tulos oli my\u00f6s huomattavissa sosiaalisen toiminnan ja elinvoimaisuuden v\u00e4lill\u00e4. Loppuun kuluneisuuden tunne ja arvio terveyden heikkenemisest\u00e4 eiv\u00e4t kuitenkaan korreloineet kesken\u00e4\u00e4n (p-arvo >0,05)\r\n\r\n\r\nTutkimuksen p\u00e4\u00e4tulokset osoittivat, ett\u00e4 peritoneaalidialyysipotilaiden el\u00e4m\u00e4nlaatu oli, RAND-36 el\u00e4m\u00e4nlaatumittarilla mitattuna, keskim\u00e4\u00e4r\u00e4ist\u00e4 parempaa, lukuun ottamatta CAPD potilaiden tuloksia. Tulokset osoittivat my\u00f6s, ett\u00e4 ik\u00e4\u00e4ntyminen ei ole vastaajien kohdalla yhteydess\u00e4 hoitojen sujuvuuteen, potilaana selviytymiseen eik\u00e4 el\u00e4m\u00e4nlaatuun. T\u00e4st\u00e4 huolimatta, esimerkiksi Suomessa hemodialyysi on suositumpi hoitomuoto kuin peritoneaalidialyysi. T\u00e4m\u00e4 aihealue kaipaa lis\u00e4\u00e4 tutkimuksia, jotta peritoneaalidialyysihoitojen eduista ja soveltuvuudesta ik\u00e4\u00e4ntyneille, saadaan tarkempaa tietoa. Lopullinen p\u00e4\u00e4t\u00f6svalta dialyysihoitomuotojen valinnassa on l\u00e4\u00e4k\u00e4rill\u00e4. Ihanteellisessa tilanteessa valinnan tekemiseen tulisi k\u00e4ytt\u00e4\u00e4 uusimpia ja luotettavia tutkimustuloksia, ja tehd\u00e4 valinta yhteisymm\u00e4rryksess\u00e4 potilaan kanssa. T\u00e4llaiseen p\u00e4\u00e4t\u00f6ksentekoon olisi t\u00e4rke\u00e4\u00e4 pyrki\u00e4 erityisesti ik\u00e4\u00e4ntyneiden munuaispotilaiden kohdalla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Among Finnish population, the most common chronic diseases have traditionally been various cardiovascular diseases. In addition the incidence of diabetes is increasing rapidly, and together with the other chronic diseases and with aging, have participated to the increase of additional conditions such as renal diseases. This Master's thesis had the purpose to explore the quality of life of patients, who have been diagnosed with chronic renal failure. The aim of this study was to investigate the quality of life of peritoneal dialysis patients and the associa-tion of aging to fluency of treatment, coping as a patient and to quality of life.\r\n\r\nThe data was collected between 2011-2014 from the peritoneal dialysis patients in hospital districts of Central Finland, Satakunta- and Northern Ostrobothnia. The data was obtained from 41 patients, who were between 23 \u2013 84 years old and was collected with two quantitative questionnaires. The first questionnaire was constructed by the researcher and the second questionnaire one was the RAND- 36 health survey. The data from the first questionnaire was examined with cross tabulation and Chi square- test. These showed the general distribution of the data and the dependence between the variables. The data from RAND- 36 questionnaire was analyzed through means (0-100) and standard deviations by comparing treatment type and age groups to quality of life scales. The data was tested with one-way anova and independent samples t-test. With Spearman\u2019s rank-order correlation the aim was to test correlation between the variables from the quality of life dimensions to depend-ent variables. \r\n\r\nThe results indicated that peritoneal dialysis patients health-related quality of life means were focused above the mid-level in terms of the RAND 36 quality of life scales. Only CAPD patients had lower results on physical (mean>45.0) and social performance (mean=47.6). One-way anova indicated statistically significant variance on quality of life scale between treatment types in social performance (p-value<0.05). T-test indicated that there was no significant association between the means of quality of life scales and age groups. Cross tabulation indi-cated that the frequencies were normally distributed between age groups on coping as a patient and treatment fluency. In addition, there was no significant statistical dependence between age and the variables, which were tested by Chi square- test (p-value <0.05). Spearman's rank correlation coefficient revealed that there\u2019s a strong negative and statistically significant high correlation between disruption of work caused by pain and pain inten-sity (p-value <0.001). The same result was also noticeable between social activity and vitality. However, burn out feeling and opinion about how one\u2019s health is weakening, didn\u2019t correlate with each other (p-value> 0.05).\r\n\r\nThe main results of the study indicated that the quality of life of peritoneal dialysis patients is, according to the RAND-36 health survey, above the mid-level, apart from the social and physical performance of CAPD pa-tients. \r\nThe results of this master\u2019s thesis indicated, that aging is not associated to the quality of the peritoneal dialysis treatment fluency, coping as a patient, or to quality of life. In spite of this, for example in Finland hemodialysis treatment is more popular than peritoneal dialysis. This issue needs more attention and further scientific studies, in order to obtain more knowledge about the advantages of peritoneal dialysis and suitability for elderly pa-tients. The final decision of the renal replacement therapy type is made by nephrologists. However, it would be ideal to make the decision according to latest and most reliable scientific study results, and in mutual under-standing with the patients, especially among elderly patients.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Matti Puhakainen (masapuha) on 2015-08-11 13:42:39.493881. 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.group@korppi.jyu.fi) on 2015-08-11T13:42:39Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201508112645.docx: 118902 bytes, checksum: cd480bfe5451c3e62c54635e40dcde49 (MD5)\r\nlicense.html: 4900 bytes, checksum: 23cd510bdd8b64b839c675f853c12eef (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-08-11T13:42:39Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201508112645.docx: 118902 bytes, checksum: cd480bfe5451c3e62c54635e40dcde49 (MD5)\r\nlicense.html: 4900 bytes, checksum: 23cd510bdd8b64b839c675f853c12eef (MD5)\r\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (66 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": "Asiasanat: diabetes", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "el\u00e4m\u00e4nlaatu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hemodialyysi", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "munuaisten vajaatoiminta", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "peritoneaalidialyysi", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "pitk\u00e4aikaissairaus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Peritoneaalidialyysipotilaiden el\u00e4m\u00e4nlaatu sek\u00e4 ik\u00e4\u00e4ntymisen yhteys hoitojen sujuvuuteen, potilaana selviytymiseen ja el\u00e4m\u00e4nlaatuun", "language": null, "element": "title", "qualifier": null, "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-201508112645", "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": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2015-08-11T13:42:40Z", "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": "50423", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "diabetes", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "el\u00e4m\u00e4nlaatu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "dialyysihoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "munuaisten vajaatoiminta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "krooniset taudit", "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"}]
|