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[{"key": "dc.contributor.advisor", "value": "Tarkka, Ina", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Rinne, Marjo", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Saarij\u00e4rvi, Eerika", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-08-26T07:56:10Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-08-26T07:56:10Z", "language": null, "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:1493567", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/46708", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Eerika Saarij\u00e4rvi (2015). Pystyvyysk\u00e4sityksi\u00e4 selitt\u00e4v\u00e4t tekij\u00e4t alaselk\u00e4kipuisilla naishoitajilla, Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, Liikuntal\u00e4\u00e4ketieteen pro gradu -tutkielma, 56 s., 4 liitett\u00e4. Min\u00e4pystyvyydell\u00e4 tiedet\u00e4\u00e4n olevan merkitt\u00e4v\u00e4 rooli alaselk\u00e4oireiden v\u00e4hentymisen ja kuntoutumisen kannalta. Alaselk\u00e4kipuisten naishoitajien pystyvyysk\u00e4sityksi\u00e4 ei ole juuri tutkittu, vaikka ep\u00e4spesifi alaselk\u00e4kipu on alalla hyvin yleist\u00e4 ja siit\u00e4 aiheutuvat kustannukset ovat merkitt\u00e4vi\u00e4. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli tutkia millaiset ovat alaselk\u00e4kipuisten naishoitajien pystyvyysk\u00e4sitykset, onko heid\u00e4n terveyskunnon osatekij\u00f6ill\u00e4 yhteytt\u00e4 pystyvyysk\u00e4sityksiin ja mitk\u00e4 tekij\u00e4t selitt\u00e4v\u00e4t naishoitajien pystyvyysk\u00e4sityksi\u00e4. Aineisto oli osa UKK-instituutissa vuosina 2011\u20132015 toteutetun Prevention of Chronic Low Back Pain in Female Nurses (NURSE-RCT) -tutkimuksen 12 kuukauden seurantamittausaineistoa. Yhteens\u00e4 117 subakuuttia tai jaksottaista alaselk\u00e4kipua kokevaa naishoitajaa oli satunnaistettu nelj\u00e4\u00e4n eri interventioryhm\u00e4\u00e4n (verrokki-, neuvonta-, harjoittelu-, neuvonta + harjoitteluryhm\u00e4t). P\u00e4\u00e4tulosmuuttujana k\u00e4ytettiin modifioitua The Low Back Activity Confidence Scalea (LoBACS). Seitsem\u00e4ntoista kysymyksen pystyvyyskysely t\u00e4ytettiin terveyskuntomittausten yhteydess\u00e4 12 kuukauden seurannan kohdalla. Terveyskuntomuuttujien lis\u00e4ksi selitt\u00e4vin\u00e4 muuttujina tarkasteltiin numeerisella (0-10) asteikolla (Numeric Rating Scale, NRS) mitattua selk\u00e4kipua, koettua ty\u00f6kyky\u00e4, ty\u00f6viihtyvyytt\u00e4 sek\u00e4 vapaa-ajan viikoittaista fyysist\u00e4 aktiivisuutta. Aineisto analysoitiin IBM SPSS Statistics 22-ohjelmalla. Tilastollisina testein\u00e4 k\u00e4ytettiin ristiintaulukointia, yksisuuntaista varianssianalyysi\u00e4 (ANOVA), Kruskal-Wallisin testi\u00e4, Mann Whitney U-testi\u00e4, Spearmanin osittaiskorrelaatiota sek\u00e4 yleistetty\u00e4 lineaarista mallia (generalized linear models, GLMs).\nAlaselk\u00e4kipuiset naishoitajat olivat hyvin varmoja pystyvyydest\u00e4\u00e4n 12 kuukauden seurantamittausten kohdalla. Lihaskunto oli merkitsev\u00e4 terveyskunnon osatekij\u00e4 pystyvyysk\u00e4sitysten kannalta. Pystyvyyden eri osa-alueita selittiv\u00e4t vahvimmin koettu ty\u00f6kyky, vapaa-ajan fyysisen aktiivisuuden luokka ja terveyskuntomittauksista muunneltu punnerrus. Pystyvyysk\u00e4sitykset olivat vahvat kaikissa interventioryhmiss\u00e4. Harjoitteluryhm\u00e4ss\u00e4 liikuntaan liittyv\u00e4t pystyvyysk\u00e4sitykset (p=0,048) ja kokonaispystyvyys (p=0,027) olivat neuvontaryhm\u00e4\u00e4 paremmat. Pystyvyytt\u00e4 selitt\u00e4vien tekij\u00f6iden osuus vaihteli ryhmitt\u00e4in. Tarkastellut muuttujat selittiv\u00e4t pystyvyytt\u00e4 voimakkaammin neuvonta- ja neuvonta + harjoitteluryhmiss\u00e4 kuin verrokki- ja harjoitteluryhmiss\u00e4. Koettu ty\u00f6kyky, vapaa-ajan fyysinen aktiivisuus ja lihaskunto olivat naishoitajien koetun pystyvyyden kannalta t\u00e4rke\u00e4mpi\u00e4 kuin ty\u00f6viihtyvyys tai kivun kokeminen. Alaselk\u00e4kipuiset naishoitajat voivat pystyvyysk\u00e4sitystens\u00e4 kannalta hy\u00f6ty\u00e4 oikeinkohdistetusta neuvonnasta ja harjoittelusta. Pystyvyysuskomuksia olisi t\u00e4rke\u00e4\u00e4 selvitt\u00e4\u00e4 koko intervention ajan, jolloin mahdolliset interventiojakson aikana tapahtuneet muutokset ilmenisiv\u00e4t. K\u00e4ytt\u00f6kelpoisia arviointi- ja seurantamenetelmi\u00e4 ja p\u00e4tevi\u00e4 pystyvyysk\u00e4sitysmittareita tarvitaan jatkossakin. N\u00e4in voitaisiin jo akuutissa ja subakuutissa vaiheessa vahvistaa alaselk\u00e4kipuisten aktiivista itses\u00e4\u00e4tely\u00e4 kipunsa suhteen, edist\u00e4\u00e4 heid\u00e4n kuntoutumistaan ja ehk\u00e4ist\u00e4 kivun pitkittymist\u00e4 ja uusiutumista.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Eerika Saarij\u00e4rvi (2015). Factors explaining Self-efficacy in Female Nurses with Low Back Pain. Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, (Sport and Exercise Medicine), Master\u2019s thesis, 56 pp, 4 appendices. Self-efficacy is an important predictor of functional recovery in nonspecific low back pain. The role of self-efficacy beliefs among female nurses have not been widely investigated although low back pain is very common musculoskeletal problem among nursing staff and it causes significant economic costs. The purpose of this study was to determine self-efficacy beliefs among female nurses, investigate the association between health-related fitness tests and self-efficacy and describe factors explaining nurses\u2019 confidence in their ability to perform tasks successfully. The data is part of the UKK-institute Prevention of Chronic Low Back Pain in Female Nurses (NURSE-RCT) 12 months follow-up data collected during 2011\u20132015. Female nurses (n=117) with subacute or recurrent low back pain were randomized to one of the four intervention groups (control-, counselling-, exercise- and counselling + exercise). The primary outcome was the modified version of The Low Back Activity Confidence Scale (LoBACS). The questionnaire was filled while subjects participated in the health-related fitness tests after six months intervention had finished. In addition to five health-related fitness test, Numeric Rating Scale (NRS) for pain, work ability, job satisfaction, and overall level of physical activity were analysed. The analyses were carried out using IBM SPSS Statistics 22 software. Descriptive statistics were calculated and differences between intervention groups were examined using cross-tabulation, one-way analysis of variance (ANOVA) and Kruskal Wallis Test. A comparison between age groups was done using Mann-Whitney U test. Correlations between self-efficacy beliefs and health-related fitness test were examined using Spearman partial correlation coefficients and explanatory factors using generalized linear models (GLMs). According to the results at 12 months follow-up, nurses with low back pain were very confident in their capability to perform requested tasks successfully. Muscle strength was significantly associated with subjects\u2019 self-efficacy beliefs. Work ability, overall level of physical activity and modified push-up explained best beliefs in whole sample. Subjects within different intervention groups were also confident. Subjects in exercise group had better beliefs concerning exercise (p=.048) and total self-efficacy (p=.027) compared to counselling group. The explanatory factors varied between intervention groups. Factors investigated in this thesis explained nurses\u2019 self-efficacy beliefs better among counselling- and counselling + exercise group than control- or exercise group. Self-reported work ability, overall level of physical activity and muscle strength were more important to nurses\u2019 self-efficacy beliefs than job satisfaction or pain. Nurses with subacute or recurrent low back pain might benefit from functional counselling and physical training. In order to detect changes occurred during interventions, self-efficacy beliefs should be measured from the beginning of interventions. Although several instruments assessing self-efficacy have been developed in the context of low back pain there still is need for reliable and valid method of assessment of in acute and subacute stage. It would enhance subjects\u2019 active self-regulation in early stages, promote their rehabilitation process and prevent poor long-term outcome.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Eerika Saarij\u00e4rvi (eesaarij) on 2015-08-26 07:56:09.536491. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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No. of bitstreams: 2\nURN:NBN:fi:jyu-201508262756.pdf: 1006768 bytes, checksum: 2fd07fc4fa2cc85623fe692fa97f09cf (MD5)\nlicense.html: 4844 bytes, checksum: 8c86e351507cc9c6bf330abd1ec0dcf2 (MD5)\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (68 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": "min\u00e4pystyvyys", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", 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