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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Vartiainen, Mari", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-09-05T08:37:49Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-09-05T08:37:49Z", "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:1573397", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/51189", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\nMari Vartiainen (2016). Kotona asuvien ik\u00e4\u00e4ntyvien naisten p\u00e4ivitt\u00e4isist\u00e4 toiminnoista suo-riutumisen yhteys kaatumisiin. Terveystieteiden laitos, Jyv\u00e4skyl\u00e4n yliopisto, gerontologia ja kansanterveys pro gradu -tutkielma, 48 s.\r\n\r\nT\u00e4m\u00e4n tutkielman tarkoituksena oli selvitt\u00e4\u00e4 kotona asuvien 63\u201376-vuotiaiden naisten p\u00e4i-vitt\u00e4isist\u00e4 toiminnoista suoriutumisen yhteytt\u00e4 kaatumisiin. Yli 65-vuotiaista joka kolmas kaatuu vuosittain ja puolet heist\u00e4 kaatuu toistuvasti. I\u00e4kk\u00e4iden m\u00e4\u00e4r\u00e4n lis\u00e4\u00e4ntyess\u00e4 toistu-vasti kaatuvien ihmisten osuus kasvaa ja kaatumisvammoja tapahtuu entist\u00e4 enemm\u00e4n. Kaa-tumisten seuraukset voivat olla vakavia sek\u00e4 yksil\u00f6lle ett\u00e4 yhteiskunnalle. Kaatumisten eh-k\u00e4isyohjelmien k\u00e4ytt\u00f6\u00f6notto on j\u00e4\u00e4nyt liian v\u00e4h\u00e4iseksi. Yksi keino kaatumisten ehk\u00e4ise-miseksi olisi pysty\u00e4 tunnistamaan ne kaatumisvaaraa lis\u00e4\u00e4v\u00e4t tekij\u00e4t, jotka ovat yhteydess\u00e4 vaikeuksiin suorittaa p\u00e4ivitt\u00e4isi\u00e4 toimintoja. Jo yksikin vaikeus p\u00e4ivitt\u00e4isiss\u00e4 perustoimin-noissa tai asioimiseen liittyviss\u00e4 toiminnoissa lis\u00e4\u00e4 kaatumisvaaraa. Lis\u00e4\u00e4 tutkimusta tarvi-taan p\u00e4ivitt\u00e4isten toimintojen ja asioimistoimintojen suorittamisen vaikeustasoista, joiden avulla voitaisiin luotettavasti tunnistaa kaatumisvaarassa olevat ik\u00e4ihmiset.\r\n \r\nTutkielmassa k\u00e4ytettiin FITSA-tutkimuksen vuosien 2000\u20132001 aineistoa (N=434), joka sis\u00e4lsi toimintakyvylt\u00e4\u00e4n hyv\u00e4kuntoisia 63\u201376-vuotiaita naisia, joilta oli toimintakykymit-tausten lis\u00e4ksi ker\u00e4tty vuoden kaatumisseuranta. Kaatumisia seurattiin kaatumiskalenterilla, jota tutkittavat t\u00e4yttiv\u00e4t kuukausittain. P\u00e4ivitt\u00e4isist\u00e4 toiminnoista suoriutumista selvitettiin kyselylomakkeella, joka sis\u00e4lsi 9 kysymyst\u00e4 p\u00e4ivitt\u00e4isist\u00e4 perustoiminnoista ja 8 kysymyst\u00e4 asioimiseen liittyvist\u00e4 toiminnoista. Analyyseja varten tutkittavat jaettiin kaatuneiden ja ei-kaatuneiden ryhmiin. Ryhmien v\u00e4lisi\u00e4 eroja tarkasteltiin riippumattomien otosten t-testill\u00e4 ja \u03c72-testill\u00e4. P\u00e4ivitt\u00e4isist\u00e4 toiminnoista suoriutumisen yhteytt\u00e4 kaatumisiin tutkittiin logis-tisella regressioanalyysill\u00e4. Malli vakioitiin kaatumishistorialla ja i\u00e4ll\u00e4.\r\n\r\nKaatuneiden ja ei-kaatuneiden ryhm\u00e4t erosivat toisistaan kaatumishistorian (p= 0.014), pai-non (p= 0.029) ja painoindeksin (p= 0.012) osalta. Naiset, jotka eiv\u00e4t olleet kaatuneet seu-rannan aikana, suoriutuivat kaatuneita paremmin varpaan kynsien leikkaamisesta (p= 0.003) ja siirtymisest\u00e4 vuoteeseen ja vuoteesta pois (p= 0.015). Vaikeudet varpaan kynsien leik-kaamisessa lis\u00e4siv\u00e4t todenn\u00e4k\u00f6isyytt\u00e4 kaatua 1.8 kertaisesti (OR 1.8; 95 % LV 1.20\u20132.71) ja vaikeudet siirtymisiss\u00e4 vuoteeseen ja vuoteesta pois 2.5 kertaisesti (OR 2.5; 95 % LV 1.19\u20135.38). Yhteyksien todenn\u00e4k\u00f6isyys kaatumisiin s\u00e4ilyi, kun mallit vakioitiin kaatumishistori-alla ja i\u00e4ll\u00e4. \r\n\r\nJohtop\u00e4\u00e4t\u00f6s: Vaikeudet varpaan kynsien leikkaamisessa sek\u00e4 siirtymisess\u00e4 vuoteeseen ja vuoteesta pois ovat yhteydess\u00e4 kotona asuvien 63\u201376-vuotiaiden naisten kaatumisiin.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\nMari Vartiainen (2016). Association between ability to carry out the activities of daily living and falls among community- dwelling elderly women. Department of health science. Uni-versity of Jyv\u00e4skyl\u00e4, gerontology and public health Master\u00b4s thesis, 48 pp.\r\n\r\nThe aim of this study was to examine association between ability to carry out the activities of daily living and falls among community living 63\u201376 years old women. Every year one in three adults aged 65 and older falls over and half of them frequently. As the population ages, the number of frequent fallers and fall related injuries continues to increase. Consequences of falls may be serious both for an individual and for society. The implementation of fall prevention programs in clinical practice are too low. One possibility to prevent falls is to identify factors related to the ability of carry out the activities of daily living that might pre-dict falls. Difficulties in at least one of ADL or IADL increase the risk of falling. Further studies are needed to reliably identify those who are at risk for falls and their ADL and IADL levels.\r\n\r\nThis study was based on Finnish Twin Study on Aging (FITSA). Analyses were drawn from the first FITSA data collection in 2000\u20132001. The study population consisted of 434 com-munity-living, high functioning 63\u201376-year-old women. The incidence of falls was prospec-tively followed up with fall calendars during 12 months. Information on difficulties in activ-ities of daily living (ADL) and instrumental ADL (IADL) was collected with questionnaires. For the data analyses, participants were divided into two separate groups: fallers and non-fallers. Mean differences between the groups were analysed with independent samples t-test and \u03c72-test. Association between falls and carrying out the activities of daily living were analysed with binary logistic regression analyses adjusted by age and fall history.\r\n\r\nFallers and non-fallers differed from each other by fall history (p= 0.014), weight (p= 0.029) and body mass index (p= 0.012). Non-fallers performed better in clipping toe-nails (p= 0.003) and getting into and out of bed (p= 0.015) compared with fallers. Those with difficul-ties in clipping toe-nails (OR 1.8; 95 % IC 1.20\u20132.71) and getting into and out of bed (OR 2.5; 95 % IC 1.19\u20135.38) had 1.8 and 2.5 times higher risk for falls than those without the aforementioned difficulties. Odds ratios did not changed after adjustment by fall history and age. \r\n\r\nConclusion: Difficulties in clipping toe-nails and getting into and out of bed predicted falls among 63\u201376-year-old women.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Mari Vartiainen (marvarti) on 2016-09-05 08:37:48.578678. 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 2016-09-05T08:37:49Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201609053955.pdf: 674997 bytes, checksum: 3a794d475d41c5876eb98367e8490e41 (MD5)\r\nlicense.html: 4859 bytes, checksum: 65d85538dede7575a70d826d6ebdb75b (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-09-05T08:37:49Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201609053955.pdf: 674997 bytes, checksum: 3a794d475d41c5876eb98367e8490e41 (MD5)\r\nlicense.html: 4859 bytes, checksum: 65d85538dede7575a70d826d6ebdb75b (MD5)\r\n Previous issue date: 2016", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (48 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": "kaatumiset", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": 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