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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kinnunen, Minna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-06-06T16:18:49Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-06-06T16:18:49Z", "language": "", "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:1542821", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/50140", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\n\r\n\r\nMinna Kinnunen (2016). Lonkkamurtumasta kuntoutuvan ik\u00e4\u00e4ntyneen henkil\u00f6n sosiaalinen toimintakyky \u2013 N\u00e4\u00f6ntarkkuuden yhteys sosiaaliseen osallistumiseen. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, Gerontologian ja kansanterveyden Pro Gradu-tutkielma, 50 s.\r\n\r\nIk\u00e4\u00e4ntyneiden henkil\u00f6iden osuus v\u00e4est\u00f6st\u00e4 kasvaa ja ik\u00e4\u00e4ntymiseen liittyv\u00e4 n\u00e4k\u00f6kyvyn hei-kentyminen yleistyy. Heikentynyt n\u00e4k\u00f6kyky on yksi merkitt\u00e4vimmist\u00e4 lonkkamurtuman riski-tekij\u00f6ist\u00e4. N\u00e4k\u00f6kyvyn heikentymisen on todettu vaikuttavan negatiivisesti ik\u00e4\u00e4ntyneiden hen-kil\u00f6iden sosiaaliseen osallistumiseen. My\u00f6s lonkkamurtuma v\u00e4hent\u00e4\u00e4 usein sosiaalista kanssak\u00e4ymist\u00e4 sek\u00e4 harrastustoimintaan osallistumista. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4 lonkkamurtumasta kuntoutuvien ik\u00e4\u00e4ntyneiden henkil\u00f6iden n\u00e4\u00f6ntarkkuuden yhteytt\u00e4 sosiaaliseen toimintakykyyn vuoden seuranta-aikana. \r\n\r\nProspektiivisessa seurantatutkimuksessa k\u00e4ytettiin ProMo-hankkeen (Promotion mobility after hip fracture) tutkimusaineistoa. Tutkittavat olivat vuosina 2008\u20132009 Keski-Suomen keskussairaalassa lonkkamurtuman vuoksi hoidettuina olleita, yli 60-vuotiaita itsen\u00e4isesti ko-tona asuvia henkil\u00f6it\u00e4. Tutkimukseen osallistui kaikkiaan 63 (78 %) naista ja 18 (22 %) miest\u00e4, joita seurattiin vuoden ajan lonkkamurtuman j\u00e4lkeen. Poissulkukriteerein\u00e4 tutkimuksessa olivat vakava syd\u00e4n-, verisuoni- tai keuhkosairaus, etenev\u00e4 sairaus (esim. ALS), vakava masennus (BDI-II >29), alkoholismi tai heikko kognitiivinen toimintakyky (MMSE <18). Tutkittavien n\u00e4\u00f6ntarkkuutta arvioitiin E-n\u00e4k\u00f6taulututkimuksen avulla. N\u00e4\u00f6ntarkkuuden visusarvoksi valittiin paras, silm\u00e4laseilla korjattu, molempien silmien yhteismitattu arvo. Sosiaalista toimintakyky\u00e4 selvitettiin kyselylomakkeen kysymyksill\u00e4, jotka liittyiv\u00e4t liikuntaharrastuksiin ja j\u00e4rjest\u00f6-, yhdistys sek\u00e4 kerhotoimintaan osallistumiseen.\r\n\r\nTutkittavat jaettiin kahteen ryhm\u00e4\u00e4n n\u00e4\u00f6ntarkkuusmittauksen visusarvojen mukaisesti. Heikentyneen n\u00e4\u00f6ntarkkuuden ryhm\u00e4n visusarvo oli \u2264 0.5. Normaalin n\u00e4\u00f6ntarkkuuden ryhm\u00e4ss\u00e4 visusarvot olivat yli 0.5. Ryhmien v\u00e4lisi\u00e4 mahdollisia eroja tarkasteltiin riippumattomien otos-ten t-testin, \u03c7\u00b2-testin ja Mann-Whitneyn U-testin avulla. N\u00e4\u00f6ntarkkuuden yhteytt\u00e4 sosiaaliseen osallistumiseen tutkittiin GEE-analyysin avulla.\r\n\r\nAlkutilanteessa, keskim\u00e4\u00e4rin yhdeks\u00e4n viikkoa murtuman j\u00e4lkeen, heikentyneen n\u00e4\u00f6ntark-kuuden ryhm\u00e4st\u00e4 38 % osallistui liikuntaharrastuksiin, normaalin n\u00e4\u00f6ntarkkuuden ryhm\u00e4ss\u00e4 vastaava luku oli 52 %. Loppumittauksissa, noin vuosi alkumittausten j\u00e4lkeen, molempien ryhmien liikuntaharrastuksiin osallistuminen oli lis\u00e4\u00e4ntynyt (54 % heikentyneen n\u00e4\u00f6ntarkkuuden ryhm\u00e4ss\u00e4 ja 79 % normaalin n\u00e4\u00f6ntarkkuuden ryhm\u00e4ss\u00e4). Ryhmien v\u00e4linen ero osallistumisaktiivisuudessa s\u00e4ilyi samansuuntaisena koko seuranta-ajan (aika p= 0.005, ryhm\u00e4 p=0.003). Osallistumisessa j\u00e4rjest\u00f6-, yhdistys- ja kerhotoimintaan ei n\u00e4\u00f6ntarkkuusryhmien v\u00e4lill\u00e4 todettu eroja. My\u00f6sk\u00e4\u00e4n ajan vaikutus ei ollut tilastollisesti merkitsev\u00e4 tekij\u00e4 sosiaaliselle osallistumiselle. Loppumittauksessa osallistumisaktiivisuus v\u00e4heni alkutilanteeseen verrattuna molemmissa ryhmiss\u00e4, mutta v\u00e4heneminen ei ollut tilastollisesti merkitsev\u00e4\u00e4.\r\nHeikentynyt n\u00e4\u00f6ntarkkuus on yhteydess\u00e4 v\u00e4h\u00e4isemp\u00e4\u00e4n liikuntaharrastuksiin osallistumiseen lonkkamurtumasta kuntoutuvilla ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4, mutta muuhun sosiaaliseen osallistumiseen n\u00e4\u00f6ntarkkuudella ei todettu olevan yhteytt\u00e4.\r\nAsiasanat: n\u00e4\u00f6ntarkkuus, sosiaalinen toimintakyky, sosiaalinen osallistuminen, lonkkamurtuma, ik\u00e4\u00e4ntyneet", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\n\r\nMinna Kinnunen (2016). Aged person`s social functioning after recovering hip fracture \u00ac \r\nAssociation between visual acuity and social participation Department of Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u00b4s Thesis in Gerontology and Public Health, 50 pages.\r\n\r\nProportion of the elderly population is growing and that`s why low vision is becoming more common among elderly. Impaired vision is one of the major risk factors for hip fracture. Low vision has been shown to influence negatively to older people`s social participation. Hip frac-ture also reduces frequency of the social interaction and participation in leisure activities. The purpose of this study was to examine and reach wider comprehension on aged people social functioning after hip fracture and examine the association between visual acuity and social functioning.\r\n\r\nIn this prospective research was utilized ProMo (Promotion mobility after a hip fracture) \u2013study follow-up data. The participants of this study were operated for a hip fracture in 2008-2009 in Central Finland Central hospital. Participants were over 60 years old community-dwelling people. 63 (78%) of participants in this study were women and 18 (22%) men and they were followed-up for one year after hip fracture. Exclusion criterias of the study were serious cardiac, vascular or pulmonary disease, progressive disease (eg. ALS), severe depres-sion (BDI-II>29), alcoholism or poor cognitive functioning (MMSE<18). Participants\u2019 visual acuity was measured with an E-char and better eye`s visual acuity was used for analysis. So-cial functioning was measured with questions related to the exercise activities, as well as participation to the society-, union- and club activities.\r\n\r\nThe participants were divided into two groups according to visual acuity (VA). Low visual acuity group members VA was \u22640.5 and normal visual acuity group members VA was over 0.5. Potential differences between the groups were analyzed with independent samples t-test, \u03c7\u00b2-test and Mann-Whitney U-test. Association between visual acuity and social participation were analyzed with GEE method. \r\n\r\nIn the baseline, average 9 weeks after hip fracture, 38 % of participants with low vision acuity took part in various sports activities, compared to 52 % of participants in the normal visual acuity group. After one year of hip fracture, participation in sport activities of both groups had increased (54% of low visual acuity group and 79 % in normal visual acuity group). The dif-ference between groups remained parallel through follow-up (visual acuity p=0.003) and time p=0.005). There was no difference in participation to the society-, union- or club activities between groups. Even time wasn\u00b4t statistically significant factor to social participation. Follow-up showed that taking part to society-, union- and club activities decreased in both groups, but it wasn`t statistically significant.\r\n\r\n\r\nLow vision acuity is associated with lower level of participation in sport activities in elderly people who are recovering from hip fracture, but low vision acuity isn\u2019t associated with other social participation.\r\n\r\n\r\nKeywords: visual acuity, social function, social participation, hip fractures, aged", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Minna Kinnunen (minkinnu) on 2016-06-06 16:18:48.786050. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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