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[{"key": "dc.contributor.advisor", "value": "Rantanen, Taina", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Rantakokko, Merja", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Valkonen, Jenni", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-06-03T09:49:17Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-06-03T09:49:17Z", "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:1542729", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/50073", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ymp\u00e4rist\u00f6ll\u00e4 on merkityst\u00e4 ik\u00e4\u00e4ntyneiden ihmisten toiminnan onnistumiselle. Tarpeita vastaava ymp\u00e4rist\u00f6 voi tukea toimintakyky\u00e4, kun taas esteellinen ymp\u00e4rist\u00f6 voi heikent\u00e4\u00e4 toimintakyky\u00e4 sek\u00e4 lis\u00e4t\u00e4 avun tarvetta. Asuinymp\u00e4rist\u00f6n esteet ovat yleisi\u00e4, ja niiden on todettu vaikuttavan ik\u00e4\u00e4ntyneiden ihmisten toimintakykyyn ja hyvinvointiin. Toimintakyvyn ja terveyden heikentyess\u00e4 asuinymp\u00e4rist\u00f6n esteet voivat muodostua kotona selviytymisen ja asumisen kannalta ratkaisevaksi esteeksi ja johtaa muuttamiseen. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4 objektiivisten ymp\u00e4rist\u00f6n esteiden ja muuttamisen yhteytt\u00e4 itsen\u00e4isesti asuvilla ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4. Lis\u00e4ksi tarkoituksena oli tutkia muuttuuko ymp\u00e4rist\u00f6n esteiden m\u00e4\u00e4r\u00e4 muuttamisen seurauksena.\n\nTutkimus on osa kaksivuotista prospektiivista kohorttitutkimusta, Life-Space Mobility in Old Age -tutkimusta (LISPE), jonka aineisto on ker\u00e4tty vuosina 2011\u20132013. Tutkimukseen osallistui 848 i\u00e4lt\u00e4\u00e4n 75\u201390-vuotiasta Jyv\u00e4skyl\u00e4n ja Muuramen alueella itsen\u00e4isesti asuvaa henkil\u00f6\u00e4. Ymp\u00e4rist\u00f6n esteit\u00e4 arvioitiin objektiivisesti The Housing Enabler -mittarilla (HE) kodin v\u00e4litt\u00f6m\u00e4ss\u00e4 ulkoymp\u00e4rist\u00f6ss\u00e4 ja sis\u00e4\u00e4nk\u00e4ynnin yhteydess\u00e4. Ymp\u00e4rist\u00f6n esteiden ja muuttamisen v\u00e4list\u00e4 yhteytt\u00e4 tutkittiin bin\u00e4\u00e4risell\u00e4 logistisella regressioanalyysill\u00e4, ja muuttamisen vaikutuksia ymp\u00e4rist\u00f6n esteiden m\u00e4\u00e4r\u00e4\u00e4n ja asuinymp\u00e4rist\u00f6n taustamuuttujiin Wilcoxonin Signed Rank -testill\u00e4, McNemarin testill\u00e4 sek\u00e4 marginaalisella homogeenisuus testill\u00e4. Fyysinen toimintakyky huomioitiin analyysiss\u00e4 sekoittavana tekij\u00e4n\u00e4. Fyysist\u00e4 toimintakyky\u00e4 selvitettiin Short Physical Performance Battery -testist\u00f6ll\u00e4 (SPPB), koettuina vaikeuksina kerrosv\u00e4lin portaiden nousussa sek\u00e4 apuv\u00e4lineen k\u00e4yt\u00f6ll\u00e4.\n\nTutkimuksen seuranta-aikana 35 henkil\u00f6\u00e4 muutti. Muuttamisen todenn\u00e4k\u00f6isyys oli nelinkertainen henkil\u00f6ill\u00e4, jotka asuivat hissitt\u00f6m\u00e4ss\u00e4 kerrostalossa ja yli kolminkertainen henkil\u00f6ill\u00e4, jotka asuivat rivi- tai paritalossa verrattuna hissillisess\u00e4 kerrostalossa asuviin henkil\u00f6ihin. HE-mittarilla arvioidut ymp\u00e4rist\u00f6n esteet eiv\u00e4t olleet yhteydess\u00e4 muuttamiseen. Tulosten mukaan ik\u00e4\u00e4ntyneet ihmiset muuttivat hissitt\u00f6m\u00e4st\u00e4 kerrostalosta, omakoti-, pari- ja rivitalosta hissilliseen kerrostaloon. HE-mittarilla arvioitujen ymp\u00e4rist\u00f6n esteiden keskim\u00e4\u00e4r\u00e4inen lukum\u00e4\u00e4r\u00e4 ei muuttunut muuttamisen seurauksena. Tutkimuksen aikana muuttaneet henkil\u00f6t muuttivat p\u00e4\u00e4asiallisesti esikaupunkialueelta kaupunkialueelle.\n\nOsa ik\u00e4\u00e4ntyneist\u00e4 ihmisist\u00e4 reagoi karkeisiin ymp\u00e4rist\u00f6n esteisiin, kuten kotitalon hissitt\u00f6myyteen, ja heikkenev\u00e4\u00e4n toimintakykyyn muuttamalla esteett\u00f6m\u00e4mp\u00e4\u00e4n ymp\u00e4rist\u00f6\u00f6n. Lis\u00e4ksi ik\u00e4\u00e4ntyneet ihmiset hakeutuvat esikaupunkialueelta kaupunkialueelle l\u00e4hemm\u00e4s palveluita. Huomaamattomampiin ymp\u00e4rist\u00f6n esteisiin ei kuitenkaan kiinnitet\u00e4 huomiota. Muuttaminen vanhuudessa on suuri, stressi\u00e4 aiheuttava el\u00e4m\u00e4nmuutos. T\u00e4m\u00e4n vuoksi palveluj\u00e4rjestelm\u00e4\u00e4n tulisi kehitt\u00e4\u00e4 toimintamalli, joka mahdollistaa ik\u00e4\u00e4ntyneiden ihmisten ohjauksen ja tukemisen muuttoa suunniteltaessa. Ohjauksen ja tuen painopiste tulisi olla muuton optimoinnissa ymp\u00e4rist\u00f6n esteiden n\u00e4k\u00f6kulmasta, toistuvan muuttotarpeen ennaltaehk\u00e4isemisess\u00e4 sek\u00e4 toimintakyvyn, itsen\u00e4isyyden ja osallisuuden tukemisessa ik\u00e4\u00e4ntyneille ihmisille soveltuvien asuinymp\u00e4rist\u00f6jen avulla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Environmental factors have an influence on older people\u2019s functional ability. Suitable environment in relation to needs may enhance functional ability whereas environmental barriers may decrease functional ability and increase need for help. Environmental barriers are common and it has been discovered that barriers influence older people\u2019s functioning and well-being. Environmental barriers may compromise independency and lead to relocation among those whose health and functional ability have declined. The purpose of this master\u00b4s thesis was to discover whether there is association between objectively evaluated environmental barriers and relocation among community-dwelling older people. In addition to this the aim was to discover whether the quantity of physical environmental barriers change after relocation.\n\nThis study is part of a two-year prospective cohort study Life-Space Mobility in Old Age study (LISPE). The data has been collected during the years 2011\u20132013 and the sample consists of 848 community-dwelling older people aged 75\u201390 living in the municipalities of Jyv\u00e4skyl\u00e4 and Muurame. Environmental barriers were evaluated objectively by using the Housing Enabler Screening Tool (HE). Logistic regression analysis was used to explore the association between environmental barriers and relocation. Wilcoxon Signed Rank test, McNemar\u2019s test and marginal homogeneity test were used to explore the changes in quantity of environmental barriers and environmental background variables. Physical functioning was taken into account as a confounding variable. The Short Physical Performance Battery (SPPB), perceived difficulties in climbing up 1 flight of stairs and use of assistive device of mobility were used to assess physical functioning.\n\nThe odds for relocation were fourfold among people who lived in block of flats without elevator and over threefold among people who lived in semi-detached or terrace house compared to those who lived in block of flats with elevator. Environmental barriers evaluated by HE were not associated with relocation nor did the quantity of environmental barriers change after relocation. Based on the results older people relocate from block of flats without elevator, detached, semi-detached and terrace houses to block of flats with elevator. Persons who relocated during the study moved mainly from suburban areas to urban areas.\n\nSome older people react to declining functional ability and obvious environmental barriers such as lack of elevator by moving to more accessible environments. Less obvious environmental barriers remain unnoticed. Older people move from suburban areas to urban areas closer to amenities. Relocation in old age is a stressful change in life. Therefore guidance and support should be offered to older people who consider relocation. Emphasis of guidance and support should be on optimizing relocation from the environmental barriers perspective, prevention of remove and supporting functional ability, independence and participation among older people with the help of accessible residential environments.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Jenni Valkonen (jemavalk) on 2016-06-03 09:49:17.593920. 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 2016-06-03T09:49:17Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201606032853.pdf: 207054 bytes, checksum: cc46b31febe92e5904896cdff2818b9e (MD5)\nlicense.html: 4869 bytes, checksum: 778d2d122597dcb6fac174eb33ba88e4 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-06-03T09:49:17Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201606032853.pdf: 207054 bytes, checksum: cc46b31febe92e5904896cdff2818b9e (MD5)\nlicense.html: 4869 bytes, checksum: 778d2d122597dcb6fac174eb33ba88e4 (MD5)\n Previous issue date: 2016", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (47 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": "ymp\u00e4rist\u00f6n esteet", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "muuttaminen", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "toimintakyky", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntynyt v\u00e4est\u00f6", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Objektiivisten ymp\u00e4rist\u00f6n esteiden ja muuttamisen yhteys itsen\u00e4isesti asuvilla ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4", "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-201606032853", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", 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