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[{"key": "dc.contributor.advisor", "value": "Rantanen, Taina", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Bostr\u00f6m, P\u00e4ivi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-04-26T11:31:48Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-04-26T11:31:48Z", "language": null, "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:1695409", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/53696", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Toiminnanohjaus on osa kognitiivisia toimintoja. Se koostuu kyvyist\u00e4 suunnitella ja toteuttaa tavoitteellista toimintaa sek\u00e4 arvioida toiminnan tuloksellisuutta. Toiminnanohjauksen h\u00e4iri\u00f6t\u00f6n toiminta on edellytys itsen\u00e4iselle el\u00e4m\u00e4lle. Hyv\u00e4 el\u00e4m\u00e4nlaatu on sek\u00e4 t\u00e4rke\u00e4\u00e4 jokaiselle meist\u00e4 ett\u00e4 er\u00e4s kansanterveydellisist\u00e4 tavoitteista. Ik\u00e4\u00e4ntyvien henkil\u00f6iden toiminnanohjauksen yhteytt\u00e4 el\u00e4m\u00e4nlaatuun on tutkittu v\u00e4h\u00e4n. Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko toiminnanohjaus yhteydess\u00e4 el\u00e4m\u00e4nlaatuun itsen\u00e4isesti asuvilla i\u00e4kk\u00e4ill\u00e4 ihmisill\u00e4 ja, ett\u00e4 selitt\u00e4v\u00e4tk\u00f6 ik\u00e4, liikkumiskyky, sosioekonomiset tekij\u00e4t, sairastavuus ja fyysinen aktiivisuus t\u00e4t\u00e4 yhteytt\u00e4.\n\nTutkimus on osa Kuulo, huomiokyky ja hyvinvointi -tutkimusta, johon osallistui 169 76\u201391-vuotiasta henkil\u00f6\u00e4. Heist\u00e4 157 oli mukana t\u00e4m\u00e4n tutkimuksen analyysiss\u00e4. El\u00e4m\u00e4nlaatua arvioitiin WHOQOL-BREF-mittarilla ja toiminnanohjausta Trail Making -testill\u00e4 (TMT). Muistia tutkittiin Mini-Mental State Examination -testill\u00e4 (MMSE). Tilastollisina menetelmin\u00e4 k\u00e4ytettiin frekvenssijakaumien tarkastelua, Kruskall-Wallisin -testi\u00e4, ristiintaulukointia ja \u03c72-testi\u00e4. Toiminnanohjauksen ja el\u00e4m\u00e4nlaadun yhteytt\u00e4 analysoitiin yksisuuntaisella varianssianalyysill\u00e4 ja yleisell\u00e4 lineaarisella mallilla. Malli vakioitiin i\u00e4ll\u00e4 ja alaraajojen fyysist\u00e4 toimintakyky\u00e4 mittaavan Short Physical Performance Battery -testin (SPPB) pistem\u00e4\u00e4r\u00e4ll\u00e4.\n\n\nTutkittavien keski-ik\u00e4 oli 82,3 vuotta ja 63 % oli naisia. MMSE-testin pistem\u00e4\u00e4r\u00e4n keskiarvo oli 26 (SE 0.21) ja 19 % sai testiss\u00e4 v\u00e4hemm\u00e4n kuin 24 pistett\u00e4. El\u00e4m\u00e4nlaatu oli sit\u00e4 parempi mit\u00e4 parempi oli toiminnanohjaus (p=0.022). Yhteytt\u00e4 selittiv\u00e4t alaraajojen toimintakyvyn ja i\u00e4n erot. Korkea ik\u00e4 ja huono alaraajojen toimintakyky olivat yleisempi\u00e4 henkil\u00f6ill\u00e4, joilla oli sek\u00e4 heikentynyt toiminnanohjaus ett\u00e4 matala el\u00e4m\u00e4nlaatu verrattuna henkil\u00f6ihin, joilla toiminnanohjaus ja el\u00e4m\u00e4nlaatu olivat parempia.\n\nTutkimus tuotti uutta tietoa toiminnanohjauksen ja el\u00e4m\u00e4nlaadun yhteyksist\u00e4 ik\u00e4\u00e4ntyv\u00e4ss\u00e4 v\u00e4est\u00f6ss\u00e4. Aiemmat tutkimukset, jotka ovat koskeneet paljolti kroonisiin sairauksiin sairastuneiden ja muistisairauden eri vaiheissa olevia kliinisi\u00e4 otoksia, eiv\u00e4t ole havainneet yhteytt\u00e4 kognitiivisen kyvyn ja el\u00e4m\u00e4nlaadun v\u00e4lill\u00e4. Muistitoimintojen heikkeneminen saattaa alentaa kyky\u00e4 arvioida el\u00e4m\u00e4nlaatua luotettavasti. T\u00e4ss\u00e4 tutkimuksessa, jossa osallistujien muisti oli parempi, havaittiin yhteys toiminnanohjauksen ja el\u00e4m\u00e4nlaadun v\u00e4lill\u00e4. Ik\u00e4\u00e4ntyvien ihmisten kognitiivisen ja fyysisen toimintakyvyn yll\u00e4pit\u00e4minen saattaa parantaa el\u00e4m\u00e4nlaatua, joskin ilmi\u00f6iden ajallinen j\u00e4rjestys j\u00e4\u00e4 avoimeksi t\u00e4m\u00e4n tutkimuksen perusteella.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Executive functions are a set of cognitive processes, which are essential for independent behavior. A good quality of life is important to both, individuals and society. The purpose of this study was to investigate the association between executive functions and quality of life among community-dwelling older people and the effect of age, mobility, socioeconomic factors, number of chronic diseases and physical activity on this association.\n\nThe study is part of the Hearing, cognition and well-being -study. 169 persons aged 76\u201391 participated in the study. The data of this thesis consist 157 persons. Quality of Life was assessed with the The World Health Organization Quality of Life-Bref (WHOQOL-BREF) instrument. Executive functions were assessed with The Trail Making Test. Cognitive functions were measured with Mini-Mental State examination test (MMSE). Data were analyzed by computing frequencies, Kruskall-Wallis -test, cross tabulations, \u03c72-test and One-way Anova. General Linear Model was used to investigate the association between executive functions and quality of life. Age and physical functioning were used as covariates.\n\nThe mean age of the participants was 82,3 years and 63 % were female. The mean MMSE score was 26 (SE 0.21) and 19 % had less than 24 points. Analysis showed a significant association between executive functions and quality of life (p=0.022). The better executive function level, the better quality of life. Those, who had worse level of executive functions and quality of life, were older (p=0.005), had lower physical functioning (p= 0.003) and lower level of cognitive function (p<0.001) than those, whose executive function level and quality of life were higher. \n\nThis study provided new knowledge on association between executive functions and quality of life among community-dwelling older people. Previous studies have mainly been clinical trials focused on people with chronic illnesses and in different cognitive stages. Association between cognitive function and quality of life have not been found in these previous studies. Declines in cognitive functions might decrease the ability to reliably assess quality of life. In this study association was found. Maintaining the cognitive and physical functions might improve quality of life among older people.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by P\u00e4ivi Bostr\u00f6m (pamabost) on 2017-04-26 11:31:48.096211. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). 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No. of bitstreams: 2\nURN:NBN:fi:jyu-201704262090.pdf: 402103 bytes, checksum: e5100e30a71b7f6dd36aec55bb51fc3f (MD5)\nlicense.html: 4801 bytes, checksum: d547c4d006179b291bbbe9106eafc331 (MD5)\n Previous issue date: 2017", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (54 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": "toiminnanohjaus", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": 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