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[{"key": "dc.contributor.advisor", "value": "Katariina Korniloff", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Isotalo, Kata", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-01-27T12:57:30Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-01-27T12:57:30Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2017", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1665667", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/52880", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Masennus on kansainv\u00e4lisesti yksi merkitt\u00e4vimmist\u00e4 toimintakyky\u00e4 heikent\u00e4vist\u00e4 sairauksista. Masennusoireet lis\u00e4\u00e4v\u00e4t merkitt\u00e4v\u00e4sti riski\u00e4 sairastua masennukseen. Ainoastaan v\u00e4hemmist\u00f6n masennuksesta k\u00e4rsivist\u00e4 on todettu hakevan apua sairauteen ja hoitoa haetaan sit\u00e4 todenn\u00e4k\u00f6isemmin, mit\u00e4 vaikeampi ja pitk\u00e4kestoisempi masennustila on, ja mit\u00e4 suurempi siihen liittyv\u00e4 koettu toimintakyvyn heikkeneminen on. T\u00e4m\u00e4n poikkileikkaustutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 masennusoireiden yhteytt\u00e4 terveyspalvelujen k\u00e4ytt\u00f6\u00f6n. Lis\u00e4ksi haluttiin selvitt\u00e4\u00e4, mit\u00e4 terveyspalveluita k\u00e4ytt\u00f6 kuormittaa ja mitk\u00e4 taustatekij\u00e4t ovat yhteydess\u00e4 terveyspalvelujen k\u00e4ytt\u00f6\u00f6n. \r\n\r\nKolmen eri sairaanhoitopiirin alueilta ker\u00e4tyst\u00e4 otoksesta 2745 i\u00e4lt\u00e4\u00e4n 45- 74-vuotiasta henkil\u00f6\u00e4 osallistui tutkimukseen Suomessa. Masennusoireita mitattiin Beck depressiokyselyll\u00e4 (BDI-21) ja masennusoireiden raja-arvoksi m\u00e4\u00e4ritettiin \u226510 pistett\u00e4. Terveyspalvelujen k\u00e4ytt\u00f6\u00e4 mitattiin itse ilmoitettuina l\u00e4\u00e4k\u00e4rin ja hoitajan vastaanottok\u00e4yntein\u00e4 sek\u00e4 sairaalassa vietettyjen p\u00e4ivien lukum\u00e4\u00e4r\u00e4n\u00e4 kuluneen 12 kuukauden aikana. Masennusoireiden ja terveyspalvelujen k\u00e4yt\u00f6n v\u00e4list\u00e4 yhteytt\u00e4 testattiin riippumattomien muuttujien t-testill\u00e4. Lis\u00e4ksi bin\u00e4\u00e4risen logistisen regressioanalyysin avulla selvitettiin terveyspalvelujen k\u00e4ytt\u00f6\u00f6n yhteydess\u00e4 olevia tekij\u00f6it\u00e4.\r\n\r\nMasennusoireiden esiintyvyys aineistossa oli 15 %. Masennusoireisista henkil\u00f6ist\u00e4 95 % (n=394) ja henkil\u00f6ist\u00e4, joilla ei todettu masennusoireita 86 % (n=2008) k\u00e4ytti terveyspalveluita kuluneen 12 kk aikana (p=0.001). Masennusoireiset k\u00e4yttiv\u00e4t vuositasolla keskim\u00e4\u00e4rin 8.6 (SD10.4) kertaa terveyspalveluita, kun oireettomalla v\u00e4est\u00f6ll\u00e4 k\u00e4yntej\u00e4 oli 4.7 (SD6.4) (p=0.001). Terveyspalvelujen k\u00e4ytt\u00f6 kohdistui useimmin l\u00e4\u00e4k\u00e4rinpalveluihin sek\u00e4 masennusoireisilla ett\u00e4 oireettomilla. Terveyspalvelujen k\u00e4yt\u00f6n todenn\u00e4k\u00f6isyytt\u00e4 lis\u00e4siv\u00e4t masennusoireet (OR 1.894), korkeampi ik\u00e4 (OR 0.978), naissukupuoli (OR 0.707), kohtalainen tulotaso (OR 0.678), alhainen liikunta-aktiivisuus (OR 1.316), muut krooniset sairaudet kuten syd\u00e4nsairaudet (OR 3.98), tuki- ja liikuntaelinsairaudet (OR3.1), sy\u00f6p\u00e4 (OR 5.01), diabetes (OR 5.6) sek\u00e4 keuhkosairaudet (OR 4.02). \r\n\r\nTulokset osoittavat, ett\u00e4 masennusoireet ovat yhteydess\u00e4 lis\u00e4\u00e4ntyneeseen terveys-palvelujen k\u00e4ytt\u00f6\u00f6n. Jatkossa olisi t\u00e4rke\u00e4\u00e4 tutkia syit\u00e4, joiden vuoksi masennusoireista k\u00e4rsiv\u00e4t henkil\u00f6t hakeutuvat terveyspalvelujen pariin ja tehd\u00e4 aikaisen vaiheen oireseulonnasta terveydenhuoltoon rutiinitoimenpide, jotta masennusoireisiin pystytt\u00e4isiin puuttumaan jo ennen masennuksen puhkeamista. Lis\u00e4\u00e4 tutkimuksia kaivataan siit\u00e4, voisiko hoitajien ja fysioterapeuttien suoravastaanottotoiminnan lis\u00e4\u00e4misell\u00e4 v\u00e4hent\u00e4\u00e4 l\u00e4\u00e4k\u00e4rin palveluihin syntyv\u00e4\u00e4 painetta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Depression is one of the leading causes of disability. Depressive symptoms increase a risk for depression. However, only the minority of the depressive patients seek for help. The purpose of this Thesis was to study an association between depressive symptoms and the health care service use and further, to find out which services are loaded and variables associated with use of health care.\r\n\r\nAll together 2745 people aged 45-74 from three different health regions conducted in the study in Finland. Depressive symptoms were measured with BDI-21- questionnaire with the cutoff point \u226510. Health care utilization was measured by questionnaire asking the number of visits to doctor or nurse during last 12 months. The association between depressive symptoms and health care utilization was tested with dependent variables t-test. In addition, a binary logistic regression analysis was made to examine factors associated with the use of health care. \r\n\r\nThe prevalence of depressive symptoms was 15 %. The results showed that 95 % (n=394) of people with depressive symptoms and 86 % (n=2008) of the population that didn't have depressive symptoms used health care services during last 12 months (p=0.001). Those with depressive symptoms used average 8.6 (SD10.4) times health care services annually, when usage without depressive symptomatology was average 4.7 (SD 6.4) times in last 12 months (p= 0.001). The health care utilization focuses in doctoral services in all population groups, also in population with depressive symptoms. The people with depressive symptoms used more health care services compared to other population. Depressive symptoms (OR 1.894), higher age (OR 0.978), female gender (OR 0.707), moderate income (OR 0.678) and low physical activity level (OR 1.316) other chronic diseases like heart diseases (OR 3.98), musculoskeletal disorders (OR3.1), cancer (OR 5.01), diabetes (OR 5.6) and respiratory diseases (OR 4.02) increases the odds for health care utilization. \r\nIn conclusion, according to the results of this study depressive symptoms is associated with increased use of health care services, especially doctoral services. In future it would be significant to study the causes that drive those with depressive symptoms to use health care services, and to make an early-stage screening sys-tems a routine in health care system to interfere the depressive symptoms before developing into a depressive disorder. More research need to be done evaluating weather extending a straight reception system for nurses and physiotherapists could be a conclusion to decrease the burden of the doctoral services. Also more research needs to be done about psychophysical physiotherapy as an early-stage treatment for those with depressive symptoms.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kata Isotalo (kahaisot) on 2017-01-27 12:57:30.203686. 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 2017-01-27T12:57:30Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201701271290.doc: 507904 bytes, checksum: feb945f0c747e512122b6bfb421db73e (MD5)\r\nlicense.html: 4843 bytes, checksum: 16f84944c67871283d8ac81f7f57cdca (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-01-27T12:57:30Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201701271290.doc: 507904 bytes, checksum: feb945f0c747e512122b6bfb421db73e (MD5)\r\nlicense.html: 4843 bytes, checksum: 16f84944c67871283d8ac81f7f57cdca (MD5)\r\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (51 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": "Beck Depression Inventory", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "masennusoireet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "psykofyysinen fysioterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terveyspalvelujen k\u00e4ytt\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "terveyspalvelut", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "depressive symptoms", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "health care services", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "health care service utilization", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "use of health care service", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Masennusoireiden ja terveyspalvelujen k\u00e4yt\u00f6n v\u00e4linen yhteys : FIN-D2D-v\u00e4est\u00f6tutkimus", "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-201701271290", "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", 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