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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kokko, Kaisa", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-03-23T06:15:53Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-03-23T06:15:53Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2016", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1524773", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/49163", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kaisa Kokko (2016). Nukkumisergonomia kroonisilla selk\u00e4kipupotilailla. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, fysioterapian pro gradu -tutkielma, 40 sivua, 3 liitett\u00e4.\n\nKroonisilla selk\u00e4kipupotilailla univaikeudet ovat yleisi\u00e4. T\u00e4m\u00e4n poikkileikkaustutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 nukkumiseen liittyvi\u00e4 tekij\u00f6it\u00e4 sek\u00e4 terveydenhuollossa annettua nukkumisergonomian ohjausta kroonisilla selk\u00e4kipupotilailla.\n\nTutkimukseen osallistui 106 Keski-Suomen keskussairaalan fysiatrian poliklinikan potilasta, jotka oli l\u00e4hetetty l\u00e4\u00e4k\u00e4rin konsultaatioon alaselk\u00e4kivun vuoksi. Aineisto koostuu kyselylomakkeen tiedoista, jotka t\u00e4ytettiin ensisijaisesti fysiatrian poliklinikalla. Potilaat jaettiin unen koetun riitt\u00e4vyyden perusteella kahteen ryhm\u00e4\u00e4n, joissa riitt\u00e4v\u00e4sti nukkuvat kokivat nukkuvansa riitt\u00e4v\u00e4sti aina tai melko usein. Riitt\u00e4m\u00e4tt\u00f6m\u00e4sti nukkuvat kokivat nukkuvansa riitt\u00e4v\u00e4sti harvoin, melko harvoin tai ei koskaan. \n\nTutkimuksen tulokset osoittivat, ett\u00e4 potilaat, jotka kokivat nukkuvansa riitt\u00e4v\u00e4sti, selk\u00e4kivun kivun kesto oli lyhyempi ja selk\u00e4kivun intensiteetti matalampi verrattuna riitt\u00e4m\u00e4tt\u00f6m\u00e4sti nukkuviin potilaisiin. Lis\u00e4ksi riitt\u00e4v\u00e4sti nukkuvat raportoivat toimintakykyns\u00e4 paremmaksi, masennusoireet v\u00e4h\u00e4isimm\u00e4ksi sek\u00e4 unen keston pidemm\u00e4ksi, kuin riitt\u00e4m\u00e4tt\u00f6m\u00e4sti nukkuvat. \n\nL\u00e4hes kaikilla tutkimukseen osallistuneista potilaista (93%) esiintyi nukkumista haittaavaa kipua, j\u00e4ykkyytt\u00e4 tai puutumista jossain kehon osassa. Potilaista 79%:lla nukkumista h\u00e4iritsev\u00e4t oireet esiintyiv\u00e4t sel\u00e4ss\u00e4. Nukkumiseen liittyviss\u00e4 oireissa ainoastaan puutumisoireita oli enemm\u00e4n riitt\u00e4m\u00e4tt\u00f6m\u00e4sti nukkuvilla. Kaikista potilaista 51%:lla nukkumisasento vaikutti selk\u00e4kivun oireisiin ja 57% potilaista ilmoitti joutuneensa vaihtamaan nukkumisasentoa selk\u00e4kipuoireiden vuoksi. Riitt\u00e4v\u00e4sti ja riitt\u00e4m\u00e4tt\u00f6m\u00e4sti nukkuvien v\u00e4lill\u00e4 ei ollut eroa nukkumisasentojen vaikutuksessa selk\u00e4kivun oireisiin tai eri nukkumisasentojen rajoittumisessa.\n\nPotilaista, joilla oli nukkumiseen liittyvi\u00e4 oireita 28% oli saanut ohjausta nukkumiseen liittyen. Useimmiten ohjausta oli antanut fysioterapeutti (22%). L\u00e4\u00e4k\u00e4rilt\u00e4 oli saanut ohjausta 7% potilaista. Yksi oli saanut ohjausta osteopaatilta ja yksi hierojalta. Useimmin nukkumisen ohjaus sis\u00e4lsi nukkumisasentoon ja tukityynyjen k\u00e4ytt\u00f6\u00f6n liittyv\u00e4\u00e4 ohjausta. Nukkumisv\u00e4lineisiin liittyv\u00e4\u00e4 ohjausta sai 17% ohjatuista. Ohjausta saaneista potilaista hieman yli puolet (56%) koki ohjauksen helpottaneen v\u00e4h\u00e4n kipu-, j\u00e4ykkyys- ja/tai puutumisoireita makuulla. Potilaista 11% koki ohjauksen helpottaneen oireita huomattavasti ja 30% ei kokenut ohjauksen helpottaneen oireita.\n\nYhteenvetona voidaan todeta, ett\u00e4 tutkimukseen osallistuneilla kroonisilla selk\u00e4kipupotilailla nukkumiseen liittyv\u00e4t kipuoireet olivat yleisi\u00e4 vaikeuttaen nukkumista. Riitt\u00e4m\u00e4tt\u00f6m\u00e4ksi koettu uni oli my\u00f6s yhteydess\u00e4 kroonisen selk\u00e4kivun liit\u00e4nn\u00e4isoireisiin, kuten toimintakykyyn ja mielialaan. Moni potilaista oli pyrkinyt helpottamaan nukkumista haittaavia oireita vaihtamalla nukkumisasentoa tai \u2013v\u00e4lineit\u00e4. Nukkumiseen liittyv\u00e4 ohjaus terveydenhuollossa oli kuitenkin v\u00e4h\u00e4ist\u00e4. Nukkumisergonomian kartoittaminen sek\u00e4 ohjaus tulisi n\u00e4hd\u00e4 osana biopsykososiaalista kroonisen selk\u00e4kipupotilaan hoito- ja kuntoutusmallia.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kaisa Kokko (2015), Sleep ergonomics among patients with chronic back pain. Department of Health Sciences, University of Jyva\u0308skyla\u0308, Masters thesis, 40pp, 3 appendices.\n\nSleep disorders are common among patients with chronic back pain. The aims of this cross-sectional study was to examine the factors associated with sleeping and patient education of sleep ergonomics in health care among chronic back pain patients.\n\nThe study participatns consisted of 106 patients who were sent to Physiatry Outpatient Clinic in Central Finland Central Hospital for physician consultation because of low back pain. The data was collected with questionnaires that were filled mainly in the clinic. The patients were divided in two groups based on their subjective experience of sleep sufficiency. The sufficiently sleeping patient group experienced that they slept sufficiently always or almost always. Respectively, the insufficient sleeping patient group experienced that they slept sufficient rarely, somewhat rarely or never.\n\nThe results indicated that the patients who experienced sleeping sufficiently had shorter back pain history and the lower intensity of back pain compared to the insufficiently sleeping patients. Moreover, sufficiently sleeping patients reported their daily function better, depression symptoms lower and sleep duration longer than the insufficiently sleeping patient group.\n\nAlmost every patient (93%) experienced pain, stiffness or numbness in some body part, which disturbed sleeping. 79% of the patients had sleep disturbing symptoms in the back area. Numbness was the only sleep-disturbing symptom that insufficiently sleeping patients experienced more than those sleeping sufficiently. About half of the patients (51%) experienced that body position affected the symptoms of back pain and 57% of the patients informed that they were forced to change sleeping position because of back pain symptoms. There was no difference between sufficiently and insufficiently sleeping patients in sleeping positions that influenced back pain symptoms or limitations in sleeping positions.\n\n28% of the patients who had sleep-disturbing symptoms had received sleeping related education in health care. Physiotherapist gave the guidance for 22% and physician for 7% of the patients. One patient had had guidance from osteopath and one from massagist. Most frequently the education included advices related to sleep positons or use of position supporting pillows. Guidance concerning pillow or mattress/bed had 17% of the guided patients. 56% of the patients who had education of sleep ergonomics experienced that with guidance pain, stiffness and/or numbness was relieved little. 11% of the patients experienced that the guidance relieved symptoms significantly and 30% did\u2019t experience any relief.\n\nIn conclusion, back pain symptoms and difficulties related to sleep were common among the chronic back pain patients of this study. Sleeping insufficiently was also related to comorbid symptoms of chronic back pain, like daily function and mood. Many of the patients had tried to relieve the sleep-disturbing symptoms by changing sleeping position or bed/pillow. However, sleep related education was scarce. Evaluating sleep disturbances and guidance for sleep ergonomics should be an essential part of the biopsychosocial model of treatment and rehabilitation of chronic back pain.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kaisa Kokko (kmkokko) on 2016-03-23 06:15:52.965749. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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Aineisto on luettavissa Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6asemalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "This material has a restricted access due to copyright reasons. It can be read at the workstation at Jyv\u00e4skyl\u00e4 University Library reserved for the use of archival materials: https://kirjasto.jyu.fi/en/workspaces/facilities.", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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