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[{"key": "dc.contributor.advisor", "value": "Lappalainen, Raimo", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Ristolainen, Emmiina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "R\u00e4ih\u00e4, Emma", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-09-16T11:04:55Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-09-16T11:04:55Z", "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:1643201", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/51382", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Suomessa tyypin 1 diabeteksen esiintyvyys on maailman korkeinta ja monen diabeetikon verensokerit ovat vaarallisen korkeita. Hyv\u00e4n hoitotasapainon saavuttamiseksi elinik\u00e4isen sairauden hoidossa tarvitaan perinteisten menetelmien lis\u00e4ksi my\u00f6s psykologisia interventioita. T\u00e4ss\u00e4 pro gradu -tutkielmassa tarkasteltiin ryhm\u00e4muotoisen hyv\u00e4ksymis- ja omistautumisterapiaan pohjautuvan lyhyt intervention vaikutuksia tyypin 1 diabetesta sairastavien nuorten hoitotasapainoon sek\u00e4 hyvinvointiin. Pilottitutkimuksessa oli mukana yksitoista tyypin 1 diabetesta sairastavaa nuorta, joista viisi osallistui diabetesryhm\u00e4\u00e4n. Diabetesinterventiossa hy\u00f6dynnettiin hyv\u00e4ksymis- ja omistautumisterapian ty\u00f6muotoja, kuten arvoty\u00f6skentely\u00e4, kokemuksellisia harjoitteita ja tietoisuustaitojen kehitt\u00e4mist\u00e4. Lis\u00e4ksi ryhm\u00e4ss\u00e4 kartoitettiin nuorten diabeteksen tilannetta ja he p\u00e4\u00e4siv\u00e4t keskustelemaan toistensa kanssa sairauteensa liittyvist\u00e4 kokemuksista. Tutkimuksessa kartoitettiin intervention vaikutuksia pitk\u00e4aikaisverensokeriarvoihin, tietoiseen l\u00e4sn\u00e4oloon ja hyv\u00e4ksynt\u00e4\u00e4n, diabetekseen liittyv\u00e4\u00e4n psykologiseen joustavuuteen, masentuneisuuteen sek\u00e4 yleiseen ja diabetekseen liittyv\u00e4\u00e4n el\u00e4m\u00e4nlaatuun. Lis\u00e4ksi yksil\u00f6haastatteluiden avulla kartoitettiin interventioon osallistuneiden nuorten diabeteksen tilannetta sek\u00e4 intervention vaikutuksia diabeteksen hoitoon sek\u00e4 yleiseen hyvinvointiin. M\u00e4\u00e4r\u00e4llinen aineisto analysoitiin Wilcoxonin testill\u00e4, jonka avulla tutkittiin intervention aikana tapahtuvia ryhm\u00e4n sis\u00e4isi\u00e4 muutoksia interventio- ja verrokkiryhmill\u00e4 erikseen. Lis\u00e4ksi diabetesinterventioon osallistuneiden nuorten yksil\u00f6llisi\u00e4 eroja tarkasteltiin viivadiagrammien avulla. Interventioon osallistuneiden nuorten ja heid\u00e4n vanhempiensa haastatteluita analysoitiin aineistol\u00e4ht\u00f6isesti teemoittelemalla. Interventio ei saanut aikaan ryhm\u00e4tasoisia muutoksia pitk\u00e4aikaisverensokeriarvoissa, kun taas nuorten tietoinen l\u00e4sn\u00e4olo ja hyv\u00e4ksynt\u00e4 sek\u00e4 diabetekseen liittyv\u00e4 psykologinen joustavuus lis\u00e4\u00e4ntyiv\u00e4t. My\u00f6s interventioryhm\u00e4\u00e4n osallistuneiden nuorten yleinen el\u00e4m\u00e4nlaatu parani, kun taas intervention vaikutuksista diabetekseen liittyv\u00e4\u00e4n el\u00e4m\u00e4nlaatuun saatiin ristiriitaisia tuloksia. Puolestaan verrokkiryhm\u00e4ss\u00e4 ei tapahtunut ryhm\u00e4tasoisia muutoksia. Diabetesryhm\u00e4\u00e4n osallistuneet nuoret pitiv\u00e4t interventiosta sek\u00e4 erityisesti sen tarjoamasta vertaistuesta. Nuoret ja heid\u00e4n vanhempansa kokivat ryhm\u00e4n vaikuttaneen my\u00f6nteisesti nuorten ajattelu- ja k\u00e4ytt\u00e4ytymismalleihin sek\u00e4 diabeteksen hoitoon. T\u00e4m\u00e4n pilottitutkimuksen perusteella ryhm\u00e4muotoista hyv\u00e4ksymis- ja omistautumisterapiaan pohjautuvaa lyhytinterventiota voidaan suositella mahdolliseksi tukitoimeksi osana tyypin 1 diabetesta sairastavien nuorten hoitoa. Pilottitutkimuksen suuntaa antavien tulosten perusteella voidaan sanoa, ett\u00e4 tyypin 1 diabetesta sairastavien nuorten pitk\u00e4aikaisen hoitoon sitoutumisen onnistumiseksi tulee tukea nuorten hoitomotivaatiota ja jaksamista arvopohjaisten menetelmien avulla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Emma R\u00e4ih\u00e4 (emkakara) on 2016-09-16 11:04:54.798701. 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 2016-09-16T11:04:55Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201609164130.pdf: 873462 bytes, checksum: 0b87ef859eea0bd90a3837ee61800005 (MD5)\r\nlicense.html: 5235 bytes, checksum: 73bdef4d496fff75e5ceabff1be8a371 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-09-16T11:04:55Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201609164130.pdf: 873462 bytes, checksum: 0b87ef859eea0bd90a3837ee61800005 (MD5)\r\nlicense.html: 5235 bytes, checksum: 73bdef4d496fff75e5ceabff1be8a371 (MD5)\r\n Previous issue date: 2016", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (53 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": "Hyv\u00e4ksymis- ja omistautumisterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tyypin 1 diabetes", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tyypin 1 diabetesta sairastavat nuoret", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ryhm\u00e4interventio", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "psykologinen joustavuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "pitk\u00e4aikaisverensokeri", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Ryhm\u00e4muotoisen hyv\u00e4ksymis- ja omistautumisterapian vaikutukset tyypin 1 diabetesta sairastavien nuorten hoitotasapainoon ja hyvinvointiin : pilottitutkimus", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, 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