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[{"key": "dc.contributor.advisor", "value": "Rantanen, Taina", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Vuoristo, Kaisa-Maria", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-04-23T18:30:52Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-04-23T18:30:52Z", "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:1695359", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/53654", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\r\n\r\nVuoristo, K-M. 2017. I\u00e4kk\u00e4iden ihmisten koettu terveys ja ulkona liikkumisen autonomian muutos. Liikuntatieteellinen tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto, gerontologian ja kansanterveyden pro gradu -tutkielma, 39s.\r\n\r\nMik\u00e4li ik\u00e4\u00e4ntyneet ihmiset pystyv\u00e4t hoitamaan omia asioitaan ja el\u00e4\u00e4 haluamallaan tavalla, he ovat autonomisia. Autonomia voi toteutua siten, ett\u00e4 i\u00e4kk\u00e4\u00e4t ihmiset voivat p\u00e4\u00e4tt\u00e4\u00e4 omista asioistaan sek\u00e4 toimia aktiivisesti p\u00e4\u00e4t\u00f6stens\u00e4 mukaan. Ulkona liikkumisen autonomia tarkoittaa sit\u00e4, ett\u00e4 i\u00e4kk\u00e4\u00e4t henkil\u00f6t voivat liikkua kodin ulkopuolella sill\u00e4 tavoin kuin haluavat. Koet-tua terveytt\u00e4 pidet\u00e4\u00e4n luotettavana terveydentilan kuvaajana ja sill\u00e4 voidaan ennustaa terveyspalveluiden k\u00e4ytt\u00f6\u00e4 ja kuolleisuutta. Ik\u00e4\u00e4ntyneen ihmisen kokemukseen terveydest\u00e4\u00e4n vaikuttaa muun muassa kliininen terveydentila sek\u00e4 toimintakyky. \r\n\r\nT\u00e4m\u00e4n pro gradu-tutkielma on osa Life-Space in old age-tutkimusta. Tutkimus toteutettiin Jyv\u00e4skyl\u00e4n ja Muuramen alueilla ja siihen osallistui 848 kotona asuvaa 75-90- vuotiasta henkil\u00f6\u00e4. Kahden vuoden seuranta-ajan j\u00e4lkeen tutkimuksessa oli mukana 748 henkil\u00f6\u00e4. Tutkielman tilastollisina menetelmin\u00e4 k\u00e4ytettiin frekvenssijakaumien tarkastelua, ristiintaulukointia ja \u03c72-testi\u00e4. Koetun terveyden eri ryhmien v\u00e4lisi\u00e4 keskiarvoja ulkona liikkumisen autonomian suhteen vertailtiin yksisuuntaisella varianssianalyysill\u00e4 ja toistomittausten varianssianalyysill\u00e4. Ulkona liikkumisen autonomiaa vakioitiin my\u00f6s taustamuuttujilla, eli sukupuolella, i\u00e4ll\u00e4, asumismuodolla, sairauksien lukum\u00e4\u00e4r\u00e4ll\u00e4, kyvyll\u00e4 k\u00e4vell\u00e4 0.5km ja koulutusvuosien m\u00e4\u00e4r\u00e4ll\u00e4.\r\n\r\nTutkimuksena alkaessa vastaajista 35.8% koki terveytens\u00e4 olevan hyv\u00e4, 54.3% keskinkertainen ja 9.9% huono. Koettu terveys oli vahvasti yhteydess\u00e4 ulkona liikkumisen autonomiaan (p <0.001). Osa koetun terveyden ja ulkona liikkumisen autonomian yhteydest\u00e4 selittyi sill\u00e4, ett\u00e4 terveytens\u00e4 hyv\u00e4ksi kokevat henkil\u00f6t olivat nuorempia, heill\u00e4 oli v\u00e4hemm\u00e4n sairauksia ja parempi k\u00e4velykyky kuin henkil\u00f6ill\u00e4, jotka kokivat terveytens\u00e4 huonoksi tutkimuksen alkaessa. He s\u00e4ilyiv\u00e4t samanlaisina kahden vuoden seurannan aikana, koska ulkona liikkumisen autonomia heikkeni yht\u00e4 nopeasti kaikissa koetun terveyden luokissa. Vakiointi ei muuttanut ulkona liikkumisen autonomian yhteytt\u00e4 koettuun terveyteen l\u00e4ht\u00f6tilanteessa (p <0.001), eik\u00e4 kahden vuoden seuranta-aikana (p <0.001). Terveytens\u00e4 huonoksi kokevien ulkona liikkumisen autonomian rajoittuminen selittyi osittain heid\u00e4n korkeamman ik\u00e4ns\u00e4 ja heikentyneen k\u00e4velykykyns\u00e4 perusteella. Ulkona liikkumisen autonomia v\u00e4henee i\u00e4n my\u00f6t\u00e4, mutta sen m\u00e4\u00e4r\u00e4 vaihte-lee sen mukaan, millaiseksi ik\u00e4\u00e4ntynyt ihminen kokee terveytens\u00e4. Ulkona liikkumisen autonomian heikentymist\u00e4 voidaan siis pit\u00e4\u00e4 ik\u00e4\u00e4ntymiseen liittyv\u00e4n\u00e4 ilmi\u00f6n\u00e4, johon oleellisesti vaikuttaa ik\u00e4\u00e4ntyneiden henkil\u00f6iden kokemus terveydentilasta.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\r\n\r\nVuoristo, K-M. 2017. The self-rated health of the older people and the change in autonomy of moving outdoors. Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Gerontology and public health, Master\u00b4s thesis, 39 pp.\r\n\r\nIf the older people have the ability to care of themselves and to live as they wish to live, the people feel autonomy. Autonomy can is so that the older people can themselves decide what they want to do and work actively according to their decicions. Autonomy of moving outdoors means that the older people can move outside their home in a way that they want. Self-rated health is considered a reliable measure of health status and it can predict the use of health services and mortality. How the older people rates their health is influenced among other things by their clinical health and functional ability. \r\n\r\nThis master\u00b4s thesis is a part of Life-Space in old age-research. The research was conducted in the Jyv\u00e4skyl\u00e4 and Muurame region. At the baseline 848 home-dwelling people aged 75-90 years participated in the study. After a two-year follow-up the study had 748 participants. The data were analysed in the thesis using frequency distributions, cross-tabulations and \u03c72-test. The means of autonomy of moving outdoors in groups of self-rated health were compared with one-way anova and repeated measures anova. The autonomy to move outdoors was adjusted also with coveriates, gender, age, type of dwelling, number of chronic conditions, the ability to walk 0.5. km and the years of education.\r\n\r\nAt baseline, 35.8 % of the participants rated their health to be good, 54.3 % as fair and 9.9. % as poor. Self-rated health had a strong correlation to the autonomy of moving outdoors (p < 0.001). A part of correlation between self-rated health and autonomy of moving outdoors explained that the people who rated their health as good were younger, had less chronic conditions and better ability to walk than people who felt their health as poor at the baseline. They remained the same for the two year follow-up, because the autonomy of moving outdoors declined as fast in every self-rated health group. The adjustment did not change the correlation of autonomy of moving outdoors to the self-rated health at the baseline (p < 0.001) or after the two years follow-up (p <0.001). The outdoor moving restrictions of the people who rated their health as poor were partly explained by their higher age and impaired ability to walk. The autonomy of moving outdoors decreases with increasing age but it\u00b4s level variates along how the aged people rates their health. Therefore, it can be assumed that the decrease in the autonomy of moving outdoors correlates with poor self-rated health.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kaisa-Maria Vuoristo (kavuoris) on 2017-04-23 18:30:51.990131. 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 2017-04-23T18:30:52Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201704232045.pdf: 603561 bytes, checksum: 516736d3f63a7cdebc58a1d1b80d3daf (MD5)\r\nlicense.html: 4845 bytes, checksum: f6c3d0e0184180a2792836b943709ad7 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-04-23T18:30:52Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201704232045.pdf: 603561 bytes, checksum: 516736d3f63a7cdebc58a1d1b80d3daf (MD5)\r\nlicense.html: 4845 bytes, checksum: f6c3d0e0184180a2792836b943709ad7 (MD5)\r\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (43 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": "koettu terveys", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ulkona liikkumisen autonomia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "osallisuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "I\u00e4kk\u00e4iden ihmisten koettu terveys ja ulkona liikkumisen autonomian muutos", "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-201704232045", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, 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