| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Korniloff, Katariina", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Raatikainen, Ilkka", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2016-12-16T12:16:55Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2016-12-16T12:16:55Z", "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:1644762", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/52391", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\nIlkka Raatikainen (2016). Liikunta-aktiivisuuden yhteys terveyspalvelujen k\u00e4ytt\u00f6\u00f6n masentuneilla. Terveystieteenlaitos, Jyv\u00e4skyl\u00e4n yliopisto, fysioterapian pro gradu -tutkielma, 49 sivua, 7 liitett\u00e4.\nT\u00e4m\u00e4n pro gradu -tutkimuksen tavoitteena oli selvitt\u00e4\u00e4 osana FDMSA -seurantatutkimusta 5-vuotisessa pitkitt\u00e4isasetelmassa liikunta-aktiivisuuden yhteytt\u00e4 terveyspalvelujen k\u00e4ytt\u00f6\u00f6n masentuneilla sek\u00e4 tutkia masennukseen yhteydess\u00e4 olevia tekij\u00f6it\u00e4 liikunta-aktiivisuuden mukaan.\nTutkimukseen osallistui 447 i\u00e4lt\u00e4\u00e4n 45\u201365 -vuotiasta masennuspotilasta Keski-Suomen keskussairaalan sairaanhoitopiirin alueelta, joiden Beckin depressioasteikon pistem\u00e4\u00e4r\u00e4 oli 10 tai yli ja joiden masennusdiagnoosi oli varmennettu k\u00e4ytt\u00e4en M.I.N.I. (Mini-International Neuropsychiatric Interview) -haastattelua. Masennuksen vaikeusastetta arviointiin Montgomery-\u00c5sbergin (MADRS) depressioasteikolla. Tutkittavien vapaa-ajan liikunta-aktiivisuutta arviointiin itseraportoidulla kyselylomakkeella ja terveyspalvelujen k\u00e4ytt\u00f6 laskettiin tutkittavien potilasasiakirjoista viiden vuoden seuranta-ajalta. Tuloksien analysoinnissa k\u00e4ytettiin lineaarista regressioanalyysi\u00e4.\nMasennuspotilaista 25 % raportoi oman vapaa-ajan liikunta-aktiivisuutensa alhaiseksi, 41 % kohtalaiseksi ja 34 % korkeaksi. Korkeampi vapaa-ajan liikunta-aktiivisuus oli lineaarisesti yhteydess\u00e4 alhaisempaan masennuksen vaikeusasteeseen (MADRS) (p=0.002) sek\u00e4 alhaisempiin masennusoirepisteisiin (BDI) (p<0.001), alhaisempaan kehon painoindeksiin (BMI) (p=0.005) sek\u00e4 alhaisimpiin triglyseridi-arvoihin (p=0.025) sek\u00e4 korkeampiin HDL-kolesteroli arvoihin (p=0.002). Lis\u00e4ksi korkeampi vapaa-ajan liikunta-aktiivisuus oli lineaarisesti yhteydess\u00e4 alhaisempaan vy\u00f6t\u00e4r\u00f6n ymp\u00e4rysmittaan naisilla (p=0.002) mutta ei miehill\u00e4 (p=0.22). Liikunta-aktiivisuudella ei ollut yhteytt\u00e4 terveyspalvelujen k\u00e4ytt\u00f6\u00f6n masentuneilla, kun tulokset oli vakioitu i\u00e4n, sukupuolen, koulutusvuosien, siviilis\u00e4\u00e4dyn, liit\u00e4nn\u00e4issairauksien sek\u00e4 perheen tulotason mukaan. Masennuspotilaat k\u00e4yttiv\u00e4t eniten l\u00e4\u00e4k\u00e4ripalveluita, puhelimen v\u00e4lityksell\u00e4 tapahtuvia yhteydenottoja sek\u00e4 masennushoitajan palveluita ja v\u00e4hiten psykologin ja p\u00e4ihdehoitajan palveluita.\nVaikka vapaa-ajan liikunta-aktiivisuudella ei ollut yhteytt\u00e4 masentuneiden terveyspalvelujen k\u00e4ytt\u00f6\u00f6n viiden vuoden seurannassa, oli korkeampi vapaa-ajan liikunta-aktiivisuus yhteydess\u00e4 terveyden kannalta my\u00f6nteisiin tekij\u00f6ihin, ennen kaikkea alhaisempiin masennusoireisiin sek\u00e4 lievemp\u00e4\u00e4n masennuksen vaikeusasteeseen. Terveyspalvelujen k\u00e4yt\u00f6ss\u00e4 suurin kuormitus kohdistui l\u00e4\u00e4k\u00e4ripalveluihin. Tutkimuksen tulokset korostavatkin liikunnan merkityst\u00e4 masennuksen ehk\u00e4isyss\u00e4 ja hoidossa. Pitk\u00e4aikaisia v\u00e4est\u00f6pohjaisia tutkimuksia terveyspalvelujen k\u00e4yt\u00f6st\u00e4 kaivataan lis\u00e4\u00e4 terveyspalvelujen resursoinnin kohdentamiseksi tehokkaammin ja j\u00e4rkev\u00e4mmin.\nAvainsanat: masennus, vapaa-ajan liikunta-aktiivisuus, terveyspalvelut, terveyspalvelujen k\u00e4ytt\u00f6\u2003", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\nIlkka Raatikainen (2016). Association between leisure time physical activity and health care utilization among people with depression. Department of Health Sciences. University of Jyv\u00e4skyl\u00e4. Master Thesis in Physiotherapy, 49 pages, 7 appendices.\nThe main aim of this retrospective study was to investigate the association between leisure time physical activity (LTPA) and health care utilization (HCU) and furthermore, socio-demographic and clinical factors according to LTPA level among depressed patients based on the Finnish Depression and Metabolic Syndrome in Adults (FDMSA) (2009-2011) study and its 5-year follow-up (2012-2016).\n447 depressed patients aged 45-65 from municipalities within the Central Finland Hospital District, Finland participated in this study. Depressive symptoms (DS) were determined with the 21-item Beck Depression Inventory (BDI-21) with a cut-off score \u226510 and the psychiatric diagnosis was confirmed upon having a diagnostic interview using Mini-International Neuropsychiatric Interview (M.I.N.I.). Severity of depression was evaluated by using Montgomery-\u00c5sberg Depression Rating Scale (MADRS). LTPA were assessed by using self-reported questionnaire. Use of health services were counted from participant\u2019s health care records. Linear regression analysis with bootstrap was used to examine associations between LTPA and HCU and associations between LTPA and socio-demographic and clinical factors.\nOut of 447 depressed patients 25 % reported their LTPA level as low, 41% as moderate and 34% as high. Among depressed patients higher levels of LTPA were statistically significantly linearly associated with lower BDI (p<0.001), MADRS (p=0.002), BMI (p=0.005), triglyceride (p=0.025) and higher HDL (p=0.002) values. Increased LTPA was also statistically significantly linearly associated with decreased waist circumference among female (p=0.002), but not among men (p=0.22). LTPA level was not related to the health care utilization among depressed patients after the results were adjusted from age, gender, education years, marital status, comorbid diseases and household income. Burden of the health service use by depressed patients were most on physician services, phone calls and depression nurse services and less on psychologist and substance abuse nurse services.\nAlthough LTPA level is not associated with HCU among depressed patients is increased LTPA positively associated with many health-related factors. More important, increased LTPA is associated with decreased MADRS and BDI among people with depression. Heaviest burden by depressed patient is on physicians. These findings outline the importance of physical activity (PA) on care and prevention of depression. It also shows that further research is needed to find out how to manage the use of health care services more effectively.\nKeywords: Depression, leisure time physical activity, health care utilization, health services", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Ilkka Raatikainen (iltaraat) on 2016-12-16 12:16:54.853044. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =False]", "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 2016-12-16T12:16:55Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201612165136.pdf: 1220291 bytes, checksum: 806410443c5a022769a8584f25134152 (MD5)\nlicense.html: 1145 bytes, checksum: 1a8a452097ec5314e120c96689baf10f (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2016-12-16T12:16:55Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201612165136.pdf: 1220291 bytes, checksum: 806410443c5a022769a8584f25134152 (MD5)\nlicense.html: 1145 bytes, checksum: 1a8a452097ec5314e120c96689baf10f (MD5)\n Previous issue date: 2016", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (65 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": "masennus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "vapaa-ajan liikunta-aktiivisuus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terveyspalvelut", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terveyspalvelujen k\u00e4ytt\u00f6", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Liikunta-aktiivisuuden yhteys terveyspalvelujen k\u00e4ytt\u00f6\u00f6n masentuneilla", "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-201612165136", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Terveystieteiden laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "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": "2016-12-16T12:16:55Z", "language": null, "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": null, "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "restrictedAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "masennus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vapaa-aika", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikunta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen aktiivisuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveyspalvelut", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Aineistoon p\u00e4\u00e4sy\u00e4 on rajoitettu tekij\u00e4noikeussyist\u00e4. Aineisto on luettavissa Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6asemalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "This material has a restricted access due to copyright reasons. It can be read at the workstation at Jyv\u00e4skyl\u00e4 University Library reserved for the use of archival materials: https://kirjasto.jyu.fi/en/workspaces/facilities.", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
|