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[{"key": "dc.contributor.advisor", "value": "Tarkka, Ina.", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "H\u00e4yrinen, Mira", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2015-12-10T17:46:39Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2015-12-10T17:46:39Z", "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:1505750", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/48047", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tyypin 1 diabeetikoiden m\u00e4\u00e4r\u00e4 kasvaa kansallisesti sek\u00e4 kansainv\u00e4lisesti. Sairauteen liittyy kysymyksi\u00e4 varsinkin hoidon jatkuvaan yll\u00e4pitoon liittyen ja diabeetikoiden el\u00e4m\u00e4nlaadun on todettu olevan huonompaa verrattuna verrokkiv\u00e4est\u00f6\u00f6n. Liikunta aiheuttaa my\u00f6s oman erityispiirteens\u00e4 hoidon toimivuuteen. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli sek\u00e4 kvantitatiivisesti, ett\u00e4 kvalitatiivisesti selvitt\u00e4\u00e4 sairaus-spesifi\u00e4 el\u00e4m\u00e4nlaatua tyypin 1 diabeetikoiden osalta. Lis\u00e4ksi tarkoituksena oli verrata fyysisen aktiivisuuden tasoa el\u00e4m\u00e4nlaatumittareihin sek\u00e4 hoitotasapainoon.\n\nT\u00e4h\u00e4n tutkimukseen kehitettiin kyselylomake ja aineisto (N=99; mediaani-ik\u00e4 22 v; 60.6% naisia) ker\u00e4ttiin yhteisty\u00f6ss\u00e4 diabeteshoitajien kanssa Mikkelin ja Keski-Suomen keskussairaaloiden diabetespoliklinikan vastaanotoilla kev\u00e4\u00e4ll\u00e4 2015. Kyselylomake koostui kolmesta osasta: taustatekij\u00e4t, el\u00e4m\u00e4nlaatu ja liikunta. El\u00e4m\u00e4nlaatua mitattiin suomennetulla modifioidulla DDS-17 (Diabetes Distress Scale)-mittarilla ja liikuntaa kysyttiin terveysliikuntasuositusten n\u00e4k\u00f6kulmasta yhdell\u00e4 THL:n Terveys 2011-tutkimuksessakin k\u00e4ytetyll\u00e4 kysymyssarjalla.\n\nEl\u00e4m\u00e4nlaatu kuusiportaisella asteikoilla kokonaisuudessaan oli hyv\u00e4 (med 2.2). El\u00e4m\u00e4nlaatumittari voitiin jakaa nelj\u00e4\u00e4n eri osa-alueeseen: hoitov\u00e4symykseen, emotionaaliseen taakkaan, hoitohenkil\u00f6kunnan osaamattomuuteen sek\u00e4 l\u00e4heisten ymm\u00e4rt\u00e4m\u00e4tt\u00f6myyteen. Kuitenkin el\u00e4m\u00e4nlaatumittarin kahdella eri osa-alueella arvosanan \u2265 3 (kuormittuneisuus huomioitava) antaneita oli hoitov\u00e4symyksen (38.8%) ja emotionaalisen taakan (32.3%) osalta huomattavasti. Liikunta-aktiivisuudella ei ollut t\u00e4ss\u00e4 aineistossa vaikutusta el\u00e4m\u00e4nlaatumittariin kokonaisuudessaan, eik\u00e4 yhteenk\u00e4\u00e4n sen osa-alueeseen (p>0.05). Lis\u00e4ksi hoitotasapainon mittarina k\u00e4ytetty pitk\u00e4aikaisverensokeri ei korreloinut liikunta-aktiivisuuden kanssa (r=-0.03; p>0.05) lainkaan, eik\u00e4 liikuntaryhmien v\u00e4lill\u00e4 ollut (p=0.80) eroa hoitotasapainon suhteen. Kaikkein kontrolloivimmiksi tekij\u00f6iksi diabeetikon el\u00e4m\u00e4ss\u00e4 nousivat ajank\u00e4ytt\u00f6 ja suunnitelmallisuus sek\u00e4 sairauden aiheuttamat rajoitukset.\n\nNuorten aikuisten tyypin 1 diabeetikoiden sairaus-spesifi el\u00e4m\u00e4nlaatu oli hyv\u00e4ll\u00e4 tasolla, mutta osa-alueittain hoitov\u00e4symys ja emotionaalinen taakka nousivat merkitt\u00e4viksi kuormitustekij\u00f6iksi. Liikunnalla ei ollut vaikutusta hoitotasapainoon tai el\u00e4m\u00e4nlaatuun. Saadusta tuloksesta huolimatta liikunnan yleisten positiivisten terveysvaikutusten takia sen harrastamista ei voi suositella lopetettavan, mutta sen merkityst\u00e4 diabeteksen hoidossa voidaan pohtia tarkemmin yksil\u00f6kohtaisesti.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Studies have shown that type 1 diabetes is a growing condition both nationally and internationally. Constant self-care of type 1 diabetes contains several specific characteristics and it has been shown that the quality of life is lower amongst the people with the condition when compared to healthy population. Physical activity (PA) also brings its own factor to the equation. The main purpose of this study was to investigate (1) the diabetes dependent quality of life (DDQoL) of type 1 diabetics and (2) compare it to PA and also (3) investigate the relation between PA and glycemic control.\n\nA specific questionnaire was created for this study and the data (N=99; MED age 22 years; 60.6% women) was collected by co-operating with two diabetes nurses from Keski-Suomi and Mikkeli central hospitals. The questionnaire was carried out in outpatient clinics of diabetes during spring 2015. There were three different sections in the questionnaire: background statics, quality of life and physical activity. The diabetes dependent quality of life was measured with modified DDS-17 (Diabetes Disstress Scale) which was translated into Finnish and pre-tested before the actual study. Measurement of the physical activity was based on one of the physical activity guidelines questionnaire conducted by THL (National institute for health and welfare).\n\nBased on the questionnaire the DDQoL was generally in good level (range 1-6; MED 2.2). A mean item score of 3 or higher (moderate distress) was considered as a level of distress worthy of clinical attention. There were four subscales in DDQoL: emotional burden, regimen-related distress, physician-related distress and diabetes-related interpersonal distress. Though the DDQoL altogether was good there were two subscales, emotional burden (32.3%) and regimen-related distress (38.8%), where the percentage of people having scores over three was considerable. Relation between physical activity and DDQoL or any of its subscales was not found (p>0.05). Also there was no correlation between glycemic control and physical activity (r=-0.03; p>0.05) and there were no significant differences between three physical activity groups (p=0.80) regarding the glygemic control.\n\nAltogether the diabetes dependent quality of life was at a good level but emotional burden and regimen-related distress were considerable. There were no shown relation between physical activity and DDQoL or glycemic control. Despite the results, recommendation of physical activity can not be questioned because of its general positive health benefits. The meaning of PA in managing diabetes should be discussed in an individual level.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Mira H\u00e4yrinen (miemhayr) on 2015-12-10 17:46:39.275269. 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 2015-12-10T17:46:39Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201512103977.pdf: 715087 bytes, checksum: c8acd9554b8352e24d2657e1b95e2808 (MD5)\nlicense.html: 4843 bytes, checksum: ac70c11e38eecb3c663aeb7fea315e71 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2015-12-10T17:46:39Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201512103977.pdf: 715087 bytes, checksum: c8acd9554b8352e24d2657e1b95e2808 (MD5)\nlicense.html: 4843 bytes, checksum: ac70c11e38eecb3c663aeb7fea315e71 (MD5)\n Previous issue date: 2015", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (56 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": "1 tyypin diabetes", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "nuoret aikuiset", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "liikunta", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "liikunta-aktiivisuus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "el\u00e4m\u00e4nlaatu", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "diabetes-spesifi el\u00e4m\u00e4nlaatu", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Nuorten aikuisten tyypin 1 diabeetikoiden diabetes-spesifi el\u00e4m\u00e4nlaatu ja liikunta", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, 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