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[{"key": "dc.contributor.advisor", "value": "Piirainen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Rantanen, Piritta", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-06-21T07:03:26Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-06-21T07:03:26Z", "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:1545306", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/50503", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Keuhkoahtaumatauti (COPD) on yleinen kansansairaus (GOLD 2016), joka aiheuttaa yli 100\r\nmiljoonan euron kustannukset vuosittain (Herse ym. 2015). Liikunnallisella kuntoutuksella on\r\nvahvempi tieteellinen tutkimusn\u00e4ytt\u00f6 keuhkoahtaumataudin hoidossa kuin mill\u00e4\u00e4n muulla\r\nhoitomuodolla (Garvey ym. 2013; McCarthy ym. 2015). Kuntoutuksen on todettu olevan\r\nmy\u00f6s kustannusvaikuttavaa (Griffiths ym. 2001; Viita ym. 2014; Leinonen 2015), sill\u00e4 sairaalahoidon ja kuoleman riski pienenee keuhkoahtaumatautia sairastavilla s\u00e4\u00e4nn\u00f6llisen fyysisen aktiivisuuden my\u00f6t\u00e4 (Garcia-Aemerich ym. 2006; Gimeno-Santos ym. 2014). Kuntoutusta ei usein kuitenkaan korosteta riitt\u00e4v\u00e4sti keuhkoahtaumataudin hoitopoluissa (K\u00e4m\u00e4r\u00e4inen & Kontula 2010; McCarthy ym. 2015). Er\u00e4\u00e4n etel\u00e4suomalaisen keuhkopoliklinikan kehitt\u00e4misprojektissa syntyi tarve kartoittaa perusterveydenhuollon fysioterapeuttien koulutustarvetta keuhkoahtaumatautia sairastavien asiakkaiden fysioterapiasta. T\u00e4m\u00e4n pro gradu -ty\u00f6n tarkoituksena oli kartoittaa fysioterapeuttien koulutustarvetta keuhkoahtaumatautia sairastavien asiakkaiden fysioterapiasta sek\u00e4 sit\u00e4, millaisesta koulutuksesta fysioterapeutit ovat saaneet hyvi\u00e4 oppimiskokemuksia.\r\n\r\nTietoa fysioterapeuttien koulutustarpeesta hankittiin kyselytutkimuksen avulla. Kysely l\u00e4hetettiin kev\u00e4\u00e4ll\u00e4 2015 avoterveydenhuollossa, p\u00e4ivystys- ja sairaalan vuodeosastoilla ty\u00f6skenteleville perusterveydenhuollon fysioterapeuteille (N=124), vastauksia saatiin 39 (31,5 %). Aineisto analysoitiin SPSS 22.00 avulla. Korrelaatiokertoimen avulla verrattiin vastaajien koettua osaamista muihin muuttujiin. Faktorianalyysin avulla muodostettiin summamuuttuja \u201dkoettu osaaminen\u201d, jota verrattiin vastaajien taustatietoihin. Avoimet kysymykset analysoitiin sis\u00e4ll\u00f6nanalyysin avulla.\r\n\r\nTulosten perusteella fysioterapeutit kohtaavat jonkin verran keuhkoahtaumatautia sairastavia, fysioterapia saattaa kuitenkin liitty\u00e4 johonkin muuhun sairauteen kuin keuhkoahtaumatautiin. Vastanneista vain kolme (7,7 %) koki osaamisensa hyv\u00e4ksi keuhkoahtaumatautia sairastavan fysioterapiassa. Suurin osa (61,5 %) ei kokenut osaamistaan hyv\u00e4ksi eik\u00e4 huonoksi ja yli nelj\u00e4sosa koki osaamisensa huonoksi. Suurin osa fysioterapeuteista toivoo kuitenkin lyhytt\u00e4 puolen (71,8 %) tai koko p\u00e4iv\u00e4n kest\u00e4v\u00e4\u00e4 koulutusta (41 %). Fysioterapeutit haluaisivat eniten perustietoa sek\u00e4 uusinta tutkittua tietoa keuhkoahtaumataudin hoidosta. Fysioterapeuttien osaaminen oli yhteydess\u00e4 yksitt\u00e4isin\u00e4 muuttujina siihen, ett\u00e4 fysioterapeutti koki kiinnostusta hengityselimist\u00f6n\r\ntoimintaa tukevaa fysioterapiaa kohtaan (\u03c1 0.591, p<0.001) sek\u00e4 koki auttavansa\r\n(\u03c1 0.718, p<0.001) ja siihen, ett\u00e4 koettiin l\u00f6ytyv\u00e4n ty\u00f6kaluja my\u00f6s keuhkoahtaumataudin\r\nennaltaehk\u00e4isyyn (\u03c1 0.459, p<0.01). Faktorianalyysin avulla koetusta osaamisesta muodostettu\r\nsummamuuttuja ei ollut yhteydess\u00e4 vastaajien taustatekij\u00f6ihin. Suurimmaksi haasteeksi fysioterapiassa koettiin sopivan rasitustason l\u00f6yt\u00e4minen. 25 % fysioterapeuteista ei painottanut fyysisen aktiivisuuden merkityst\u00e4 keuhkoahtaumatautia sairastavilla asiakkailla.\r\n\r\nPerusterveydenhuollon fysioterapeuteilla on selke\u00e4 koulutustarve keuhkoahtaumatautia\r\nsairastavien asiakkaiden fysioterapiasta. T\u00e4ydennyskoulutuksessa on t\u00e4rke\u00e4\u00e4 yhdist\u00e4\u00e4 teoriaa\r\nja k\u00e4yt\u00e4nt\u00f6\u00e4 sek\u00e4 pohdiskelua.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Chronic Obstructive Pulmonary Disease (COPD) is a common disease (GOLD 2016), that\r\ncauses over 100 million euros costs annually in Finland (Herse et al. 2015). Pulmonary\r\nrehabilitation has a stronger evidence than any other management of COPD (Garvey et al.\r\n2013; McCarthy et al. 2015). Rehabilitation is also cost-effective (Griffiths ym. 2001; Viita ym. 2014; Leinonen 2015), because regular physical activity reduces the risk of the\r\nhospitalization and mortality of persons with COPD (Gimeno-Santos et al. 2014 Garcia-\r\nAemerich et al. 2006). However, rehabilitation is not often utilized in the clinical pathways of COPD (K\u00e4m\u00e4r\u00e4inen & Kontula 2010; McCarthy et al. 2015). In the developmental project of the pulmonary clinic in Southern Finland, emerged a need to evaluate the perceived educational needs of the physiotherapists working in the primary care about COPD. The purpose of this study was to identify the perceived educational needs of the physiotherapists about COPD and describe what kind of education have given good learning experiences for physiotherapists.\r\n\r\nInformation about the educational needs of the physiotherapists was gathered by a survey. The survey was sent in the spring 2015 for physiotherapists working in the primary care either in the open, hospital or emergency ward (N=124), 39 (31,5 %) responded to the survey. The data was analyzed by SPSS 22.00 Statistics. Perceived competence of the physiotherapists was compared to the other variables by Spearman correlation test. Factor analysis was conducted to identify the factor of \u201dperceived competence\u201d, which was then compared to the characteristics of the respondents. The qualititative data was analyzed by content analysis. \r\n\r\nAccording to the results, physiotherapists encounter persons with COPD, but the physiotherapy might relate to some other issues than COPD. Only three (7,7 %) of the respondents rated their competence as good. Most of the physiotherapists (61,5 %) perceived their competence \u201dnot good or bad\u201d and over 25 % rated their competence as bad. Most of the physiotherapists (71,8 %) wish only for a short half day education or a one day education (41 %). Physiotherapists wished most to have basic information about COPD and education about the newest evidence in the management of COPD. The self-rated competence was related as a single variable to the sense of interest (\u03c1 0.591, p<0.001), the sense of helping (\u03c1 0.718, p<0.001) and to the sense of having tools for preventing COPD (\u03c1 0.459, p<0.01). The factor \u201cperceived competence\u201d was not related to the respondents' background data. The greatest challenge in the physiotherapy was refining the approriate level of exercise. 25 % of the physiotherapists did not emphasize the importance of physical activity in persons with COPD. \r\n\r\nPhysiotherapists working in the primary care have a need for education about physiotherapy management for chronic obstructive pulmonary disease. It is important to combine theory, practice and discussion in the continuing education.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Piritta Rantanen (pianrant) on 2016-06-21 07:03:25.375330. 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 2016-06-21T07:03:26Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201606213261.pdf: 1655625 bytes, checksum: 0077cad10ab0c874f322f6a0efa38de0 (MD5)\r\nlicense.html: 4855 bytes, checksum: 1fa64ea54867f0093314523c06d44b76 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-06-21T07:03:26Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201606213261.pdf: 1655625 bytes, checksum: 0077cad10ab0c874f322f6a0efa38de0 (MD5)\r\nlicense.html: 4855 bytes, checksum: 1fa64ea54867f0093314523c06d44b76 (MD5)\r\n Previous issue date: 2016", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (91 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": "fysioterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "keuhkoahtaumatauti", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "t\u00e4ydennyskoulutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ammatillinen kehittyminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "sosiaalisen oppimisen teoria", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Fysioterapeuttien koulutustarve keuhkoahtaumatautia sairastavien asiakkaiden fysioterapiasta", "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-201606213261", "language": null, "element": "identifier", "qualifier": 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"value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2016-06-21T07:03:26Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.collaborator", "value": "public", "language": "", "element": "contractresearch", "qualifier": "collaborator", "schema": "yvv"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": 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