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[{"key": "dc.contributor.advisor", "value": "Sj\u00f6gren, Tuulikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Mikkonen, Laura", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2018-11-23T13:33:51Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2018-11-23T13:33:51Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2018", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/60316", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Johdanto Teollisuudessa on paljon sairauspoissaoloja verrattuna tavanomaiseen sairastavuuteen. Pitki\u00e4 sairauspoissaoloja aiheuttavat etenkin tuki- ja liikuntaelinvaivat. Tutkimustieto varhaisen tuen ja sairauspoissaolok\u00e4yt\u00e4nt\u00f6jen vaikuttavuudesta sairauspoissaolojen hallinnassa on ristiriitaista. T\u00e4m\u00e4n tutkimuksen tavoitteena oli tutkia mets\u00e4teollisuuden toimipisteess\u00e4 toteutetun sairauspoissaoloja ehk\u00e4isev\u00e4n ja henkil\u00f6st\u00f6n terveytt\u00e4 tukevan hankkeen aikaansaamaa muutosta sairauspoissaoloissa ja hankkeen aikaisten toimenpiteiden toteutumista. Toiseksi oli tavoitteena tutkia sairauspoissaoloja ja tuki- ja liikuntaelinoireesta ty\u00f6ss\u00e4 koettua haittaa selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4. \n\nMenetelm\u00e4t Tutkimusjoukkona olivat mets\u00e4teollisuuden toimipisteess\u00e4 hankkeen ajan vuosina 2013\u20132015 ty\u00f6skennelleet henkil\u00f6t (n=343). Hankkeen alussa toteutettiin ty\u00f6terveyskysely ja hankkeen aikana toteutettiin kyselyyn perustuen tarvittavia yksil\u00f6tason toimenpiteit\u00e4 ter-veyden tukemiseksi. Kyselyn vastausprosentti oli 56. Analyysissa verrattiin ty\u00f6terveyskyselyyn vastanneiden (n=193) ja vastaamattomien (n=150) ryhmiss\u00e4 tapahtunutta muutosta sairauspoissaoloissa, ty\u00f6terveyshuollon asiantuntijoilla k\u00e4ynneiss\u00e4 ja varhaisen tuen toimenpiteisiin osallistumisessa. Toiseksi tarkasteltiin ryhmien sis\u00e4ll\u00e4 tapahtunutta muutosta. Tilastollisina menetelmin\u00e4 olivat \u03c7\u00b2-testi, Mann-Whitney U-testi, McNemarin testi, Cochranin Q-testi ja Wilcoxon merkittyjen sijalukujen testi. Logistisella regressioanalyysilla tutkittiin sairauspoissaoloja ja tuki- ja liikuntaelinoireesta ty\u00f6ss\u00e4 koettua haittaa selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4. \nTulokset Kahden vuoden seurannan aikana sairauspoissaolot v\u00e4heniv\u00e4t ty\u00f6terveyskyselyyn vastanneiden ryhm\u00e4n 26\u201345-vuotiaissa (p=0.008) ja 36\u201345-vuotiaissa (p=0.034). 46\u201365 \u2013vuotiaiden terveyskyselyyn vastanneiden ryhm\u00e4ss\u00e4 tai terveyskyselyyn vastaamattomien miss\u00e4\u00e4n ik\u00e4ryhm\u00e4ss\u00e4 ei tapahtunut sairauspoissaoloissa muutosta. Varhaisen tuen keskustelujen toteuma lis\u00e4\u00e4ntyi ty\u00f6terveyskyselyyn vastanneiden ryhm\u00e4ss\u00e4 (p=0.015). Ty\u00f6fysioterapeutilla k\u00e4ynnit lis\u00e4\u00e4ntyiv\u00e4t koko aineistossa nelinkertaisesti (p<0.001). Regressioanalyysissa yli kolmen p\u00e4iv\u00e4n sairauspoissaolojen riski\u00e4 lis\u00e4siv\u00e4t tupakointi ja tule-oireesta koettu haitta ty\u00f6ss\u00e4. Yli 13 p\u00e4iv\u00e4n sairauspoissaolon riski\u00e4 lis\u00e4siv\u00e4t edellisten lis\u00e4ksi ty\u00f6n fyysinen toistorasitus ja ylipaino. Yli 29 p\u00e4iv\u00e4n sairauspoissaoloja selittiv\u00e4t tupakointi ja itse arvioitu heikentynyt ty\u00f6- ja toimintakyky. Toinen ty\u00f6 suojasi sairauspoissaoloilta. Ty\u00f6n v\u00e4h\u00e4inen vaihtelevuus ja hankalat ty\u00f6asennot lis\u00e4siv\u00e4t riski\u00e4 kokea ty\u00f6ss\u00e4 haittaa selk\u00e4- tai niska-hartiaseudun oireesta. Lis\u00e4ksi sel\u00e4n oireesta ty\u00f6ss\u00e4 koettua haittaa selittiv\u00e4t v\u00e4h\u00e4inen liikunta, p\u00e4iv\u00e4ty\u00f6, itse arvioitu heikentynyt ty\u00f6kyky ja henkil\u00f6st\u00f6n keskuudessa koettu ep\u00e4asiallinen kohtelu. Fyysisesti liian kuormittavaksi koettu ty\u00f6 lis\u00e4si yl\u00e4raajavaivasta ty\u00f6ss\u00e4 koettua haittaa. Ylipaino lis\u00e4si riski\u00e4 kokea ty\u00f6ss\u00e4 haittaa alaraajan oireesta. \nJohtop\u00e4\u00e4t\u00f6kset 26\u201345-vuotiailla mets\u00e4teollisuuden ty\u00f6ntekij\u00f6ill\u00e4 ty\u00f6terveyskysely yhdistettyn\u00e4 yksil\u00f6llisiin ja ty\u00f6paikalla tapahtuneisiin terveytt\u00e4 tukeviin toimenpiteisiin, sairauspoissaolok\u00e4yt\u00e4nt\u00f6ihin ja varhaiseen tukeen auttoi v\u00e4hent\u00e4m\u00e4\u00e4n sairauspoissaoloja. Terveelliset elintavat, heikentyneeseen ty\u00f6kykyyn reagointi, ty\u00f6n j\u00e4rkev\u00e4 kuormitustaso sek\u00e4 ty\u00f6ntekij\u00e4n riitt\u00e4v\u00e4 suorituskyky suhteessa ty\u00f6n vaatimuksiin voi auttaa v\u00e4hent\u00e4m\u00e4\u00e4n tuki- ja liikuntaelinoireesta ty\u00f6ss\u00e4 koettua haittaa ja sairauspoissaoloja.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Introduction. Industry has high rates of sickness absence and musculoskeletal disorders are the most prevalent causes of long sickness absences. There are contradictory studies about the effect of early intervention and sickness absence management on preventing sickness absence. The aim of this study was at first to study the effects of the sickness absence management \u2013project and measure how action worked. Secondly the aim was to study factors explaining sickness absence and employees subjective experienced musculoskeletal disorders in work.\n\nMethods The study population consisted of finnish employees (n=343), who were working in forest industry factory in years 2013-2015. Health survey was implemented in the beginning of the project. The overall response rate was 56 %. Based on quastionnaire the employees with health problems were contacted and if necessary treated in work place or/and in occupational health care. In the analysis the study population was divided in two groups: 1) employees who answered the quastionnaire (n=193) and 2) employees who did not answered the questionnaire (n=150). These two groups were compared. Secondly were analysed the change of sickness absence inside the groups. In statistical analysis there were used \u03c7\u00b2-test, Mann-Whitney U-test, McNemar\u00b4s test, Cochran\u00b4s Q-test, Wilcoxon test and logistic regression.\nResults Sickness absence rate decreased in the group who answered health quastionnaire and were aged between 26-45 \u2013years old. There were no change in other age groups and there were no change in the group who did not answered the questinnaire. Use of occupational therapist increased during the project in both groups and was quadruple compared to beginning. Employees who smoked, suffered from musculoskeletal disorder in workplace, experied physically demanding work conditions, were overwighted or had decreased self reported working ability had increased risk for sickness absence. Another job protected from sickness absence. Difficult work postures and not varying work increased the risk to suffer neck or back problems in work place. Physical inactivity, working on daytime, decreased working ability and poor atmosphere in workplace incresed the risk to suffer from backproblems in the workplace. Physically too demanding job increased the risk to suffer upper limb problems in the workplace. Overweigthed employees experienced more problems with lower limb in the workplace. \nConclusion Contacting and treating the employee with health problem based on heatlh quastionnaire was helpful in decreasing sickness absence rates with employees aged 26-45 years. Adjusting working conditions suitable for employees musculoskeletal system and employees sufficient physical condition might help in reducing sickness absence and musculoskeleltal disorders in workplace.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2018-11-23T13:33:51Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2018-11-23T13:33:51Z (GMT). No. of bitstreams: 0\n Previous issue date: 2018", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "72", "language": "", "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": "sairauspoissaolojen hallinta", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "sairauspoissaolok\u00e4yt\u00e4nn\u00f6t", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tuki- ja liikuntaelinoire", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Sairauspoissaolojen hallinta ja henkil\u00f6st\u00f6n terveyden tukeminen mets\u00e4teollisuuden toimipisteess\u00e4", "language": "", "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-201811234866", "language": "", "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": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "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": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "business", "language": "", "element": "contractresearch", "qualifier": "initiative", "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": "openAccess", "language": null, "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": "", "element": "subject", "qualifier": 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