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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kaistinen, Eveliina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2017-05-31T17:53:49Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2017-05-31T17:53:49Z", "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:1702445", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/54226", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kaistinen, E. 2017. Kivun yhteys elinpiirin laajuuteen sairaalasta kotiutuneilla i\u00e4kk\u00e4ill\u00e4 kuntoutujilla. Liikuntatieteellinen tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto, Gerontologian ja kansanterveyden Pro Gradu -tutkielma, 57 s.\n\nI\u00e4kk\u00e4\u00e4t ihmiset kokevat enemm\u00e4n kipua kuin nuoret. Kipu heikent\u00e4\u00e4 ik\u00e4\u00e4ntyneen ihmisen liikkumiskyky\u00e4, lis\u00e4\u00e4 kaatumisen pelkoa ja kaatumisen riski\u00e4. Hyv\u00e4 liikkumiskyky on puolestaan yhteydess\u00e4 laajaan elinpiiriin. Kipu saattaa vaikuttaa ik\u00e4\u00e4ntyneen ihmisen elinpiiriss\u00e4 liikkumiseen. Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko kipu tai muut selitt\u00e4v\u00e4t tekij\u00e4t yhteydess\u00e4 elinpiirin laajuuteen sairaalasta kotiutuneilla i\u00e4kk\u00e4ill\u00e4 kuntoutujilla kuuden kuukauden aikana sairaalasta kotiutumisen j\u00e4lkeen. Muita tarkasteltavia selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4 olivat ik\u00e4, yksin/yhdess\u00e4 asuminen, kaatumisen pelko (FES-I), alaraajojen fyysinen toimintakyky (SPPB), masennusoireet (CES-D) ja kognitiivinen toimintakyky (MMSE).\n\nT\u00e4ss\u00e4 tutkielmassa k\u00e4ytettiin aineistona Sairaalasta kotiutuvien i\u00e4kk\u00e4iden kuntoutujien fyysisen aktiivisuuden edist\u00e4minen (ProPa) -tutkimushankkeen aineistoa. Tutkimuksessa kartoitettiin tutkimushenkil\u00f6iden tilannetta ennen sairaalaan joutumista, kotiutumisen j\u00e4lkeen ja 3 kuukauden sek\u00e4 6 kuukauden kuluttua sairaalasta kotiutumisesta. Tutkimushenkil\u00f6it\u00e4 t\u00e4ss\u00e4 tutkimuksessa oli 69, joista naisia oli 63 ja miehi\u00e4 6. Tutkittavat olivat i\u00e4lt\u00e4\u00e4n 61\u201393-vuotiaita (ka 79.8, SD 8.0). Kuvailevien analyysien lis\u00e4ksi tilastollisena analyysimenetelm\u00e4n\u00e4 k\u00e4ytettiin Spearmanin j\u00e4rjestyskorrelaatiota ja Generalized Estimating Equations (GEE) -analyysia. \n\nElinpiirin laajuus palautui 51 prosentilla (n=35) tutkimushenkil\u00f6ist\u00e4 kuuden kuukauden seurannan aikana v\u00e4hint\u00e4\u00e4n sille tasolle, jossa se oli ollut ennen sairaalaan joutumista. Kipu oli merkitsev\u00e4sti yhteydess\u00e4 elinpiirin laajuuteen (B= -2.99, p=0.002) kuuden kuukauden seurannan aikana vakioimattomassa mallissa. Monimuuttujamallissa (kipu, ik\u00e4, yksin asuminen, FES-I, SPPB, CES-D, MMSE) elinpiirin laajuutta selitti kaatumisen pelko (FES-I: B= -1.157, p=0.006). Kolmen kuukauden kohdalla yksin asuminen (B= -8.813, p=0.045) ja kuuden kuukauden kohdalla ik\u00e4 (B=-0.990, p=0.011) sek\u00e4 kaatumisen pelko (FES-I: B=1.269, p=0.043) selitt\u00e4v\u00e4t tilastollisesti merkitsev\u00e4sti sairaalasta kotiutuneen i\u00e4kk\u00e4\u00e4n kuntoutujan elinpiirin laajuutta. \n\nKorkea ik\u00e4 ja kaatumisen pelko rajoittavat sairaalasta kotiutuneen i\u00e4kk\u00e4\u00e4n kuntoutujan elinpiiri\u00e4. Lis\u00e4ksi yksin asuminen voi olla yhteydess\u00e4 elinpiirin rajoittumiseen. Tutkimustulosten yleistett\u00e4vyytt\u00e4 heikent\u00e4\u00e4 naisten suuri osuus tutkittavista ja tutkimushenkil\u00f6iden v\u00e4h\u00e4inen m\u00e4\u00e4r\u00e4. Tulevaisuudessa tarvitaan lis\u00e4\u00e4 tutkimusta edustavalla otoksella kivun yhteydest\u00e4 elinpiirin laajuuteen i\u00e4kk\u00e4ill\u00e4 ihmisill\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kaistinen, E. 2017. Association between pain and life-space of older people after hospitalization. Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Master\u2019s Thesis of Gerontology and Public Health, 57 pages. \n\nPain is often a compromise function in old age. Pain is associated with decreased functional ability and increased fear of falling and risk of falling among older people. On the other hand, good functional ability enables wide life-space. In old age, pain may restrict life-space mobility. The purpose of this study was to examine whether there is an association between pain (The Brief Pain Inventory, PBI) and life-space (The University of Alabama at Birmingham Study of Aging Life-Space Assessment, LSA) of older people after their hospitalization. This study also examined whether age, living alone or together, fear of falling (FES-I), lower extremity function (SPPB), depressive symptoms (CES-D) and cognitive ability (MMSE) are associated with older people\u2019s life-space after the hospitalization. \n\nThe data was a part of the Propa-study. This study included 69 participants, of which 63 were women. The participants were aged from 61 to 93 years (mean age 79.8 y, SD 8.0). Measurements were performed before the hospitalization, right after the hospitalization, 3 months after the hospitalization, and 6 months after the hospitalization. Statistical analyses such as Spearman\u2019s rank correlation and Generalized Estimating Equations (GEE) were used. \n\nDuring the 6-month examination period, 51 percent of participants recovered to their pre-hospital level of life-space or achieved even wider life-space. In the unadjusted model, pain was significantly associated with life-space after the hospitalization. In the multivariate model (including pain, age, living alone/together, SBBP, CES-D, MMSE), greater fear of falling significantly restricted life-space (FES-I: B= -1.157, p=0.006). After 3 months, living alone (B= -8.813, p=0.045) was significantly associated with smaller life-space. After 6 months, higher age (B=-0.990, p=0.011) and greater fear of falling (FES-I: B=1.269, p=0.043) significantly restricted life-space. \n\nIn conclusion, older age and greater fear of falling restrict life-space among older people during the following 6 months after their hospitalization. Living alone also seemed to be associated with smaller life-space. The association between pain and life-space of older people needs further investigation.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Eveliina Kaistinen (eviikais) on 2017-05-31 17:53:48.998943. 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 2017-05-31T17:53:49Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201705312607.pdf: 804974 bytes, checksum: 03a1f2e93d0d9653dcdb4fb4f6f4b2df (MD5)\nlicense.html: 4853 bytes, checksum: 03bf5b29b0305d6ac667bb01f8e64ff2 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2017-05-31T17:53:49Z (GMT). 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