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[{"key": "dc.contributor.advisor", "value": "Sj\u00f6gren, Tuulikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Hirvonen, Elisa", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-05-27T17:41:59Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-05-27T17:41:59Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2019", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/64235", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Sosiaali- ja terveysalan digitalisaation my\u00f6t\u00e4 et\u00e4teknologia on tulossa osaksi kuntoutusta my\u00f6s Kelan harkinnanvaraisessa kuntoutuksessa. Tutkimus liittyy Jyv\u00e4skyl\u00e4n yliopiston ja Kansanel\u00e4kelaitoksen \u201dEt\u00e4teknologia syd\u00e4nkuntoutuksessa\u201d -hankkeeseen, jonka tavoitteena oli selvitt\u00e4\u00e4 et\u00e4teknologian vaikuttavuutta toimintakykyyn sek\u00e4 el\u00e4m\u00e4nlaatuun sepelvaltimotautia sairastavilla. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 et\u00e4teknologiaa sis\u00e4lt\u00e4v\u00e4n moniammatillisen laitosmuotoisen kuntoutuksen vaikuttavuutta sepelvaltimotautikuntoutujien ty\u00f6kykyyn. Tutkimuskysymykset olivat: Vaikuttaako tavanomainen moniammatillinen kuntoutus ja tavanomaisen kuntoutuksen lis\u00e4ksi et\u00e4teknologiasovellusta hy\u00f6dynt\u00e4v\u00e4 laitosmuotoinen kuntoutus sepelvaltimotautia sairastavien ty\u00f6kykyyn ja onko ty\u00f6kyvyn muutoksissa eroja et\u00e4teknologiaa sis\u00e4lt\u00e4v\u00e4\u00e4 kuntoutusta ja tavanomaista kuntoutusta saaneiden v\u00e4lill\u00e4? \n\nTutkimuksen aineisto oli yhden kuntoutuslaitoksen syd\u00e4nkuntoutujia (N= 59) vuosilta 2015\u20122016, joista 81%:a oli miehi\u00e4 ja 19%:a naisia. Tutkittavien keski-ik\u00e4 oli 54,5 vuotta (SD=7,6 vuotta). Tutkittavat satunnaistettiin ryhm\u00e4tasolla (CRT) 12 kuukautta kest\u00e4v\u00e4\u00e4n kuntoutukseen. Koeryhm\u00e4 (n= 29) sai et\u00e4teknologia-avusteista (Movendos-sovellus ja Fitbit-aktiivisuusranneke) sek\u00e4 tavanomaista kuntoutusta ja kontrolliryhm\u00e4 (n= 30) sai tavanomaista kuntoutusta. Molempien ryhmien laitoskuntoutusjaksot olivat samanmittaisia. Mittareina olivat ty\u00f6kykyindeksin summapistem\u00e4\u00e4r\u00e4 sek\u00e4 viisi ty\u00f6kykyindeksin kysymyst\u00e4: ty\u00f6kyvyn arvio asteikolla 0\u00ac\u00ac\u201310, ty\u00f6kyvyn arvio ty\u00f6n ruumiillisten vaatimusten kannalta, ty\u00f6kyvyn arvio ty\u00f6n henkisten vaatimusten kannalta, arvio kyvyst\u00e4 ty\u00f6skennell\u00e4 nykyisess\u00e4 ammatissa kahden vuoden kuluttua ja ty\u00f6st\u00e4 poissaolot terveydentilan takia viimeisten 12 kuukauden aikana. Aineiston analysoinnissa k\u00e4ytettiin parittaisten ja riippumattomien otosten t-testi\u00e4, MannWhitneyn testi\u00e4 sek\u00e4 Wilcoxonin testi\u00e4. \n\nEt\u00e4teknologiaa hy\u00f6dynt\u00e4v\u00e4 kuntoutus lis\u00e4si koettua ty\u00f6kyky\u00e4 (ty\u00f6kykyindeksin summapistem\u00e4\u00e4r\u00e4) tilastollisesti merkitsev\u00e4sti 12 kuukauden kuntoutuksen aikana (p= 0,02, 95% lv -4,69 \u2012 -0,46), mutta ryhmien v\u00e4linen muutos ei ollut tilastollisesti merkitsev\u00e4 (p= 0,14, 95% lv -2,34 \u2012 1,55). Ty\u00f6kyvyss\u00e4 ty\u00f6n henkisten vaatimusten kannalta ryhmien v\u00e4lill\u00e4 oli eroa alku- ja loppumittausten erotuksessa (p= 0,02), mutta ryhmien sis\u00e4iset muutokset eiv\u00e4t olleet tilastollisesti merkitsevi\u00e4 (p= 0,22\u20120,37). Muissa mittareissa ryhmien v\u00e4lill\u00e4 tai sis\u00e4ll\u00e4 ei ollut tilastollisesti merkitsevi\u00e4 eroja. Ty\u00f6st\u00e4 poissaolojen m\u00e4\u00e4r\u00e4 oli kasvanut kummassakin ryhm\u00e4ss\u00e4 kuntoutuksen aikana verrattuna kuntoutuksen alkuun (p= 0,02\u20120,03).\n\nEt\u00e4teknologiaa hy\u00f6dynt\u00e4v\u00e4 kuntoutus ei ole tuonut lis\u00e4arvoa sepelvaltimotautikuntoutujien ty\u00f6kykyyn verrattuna tavanomaiseen kuntoutukseen. Syd\u00e4nkuntoutuksessa tulisi tulevaisuudessa huomioida paremmin ty\u00f6kykyyn liittyvi\u00e4 asioita osana tavanomaista kuntoutusta ja et\u00e4teknologiaa hy\u00f6dynt\u00e4en.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-05-27T17:41:59Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-05-27T17:41:59Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "63", "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": "moniammatillinen kuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "et\u00e4teknologia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "et\u00e4kuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "syd\u00e4nkuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Moniammatillisen, et\u00e4teknologiaa hy\u00f6dynt\u00e4v\u00e4n kuntoutuksen vaikutus sepelvaltimotautia sairastavien ty\u00f6kykyyn", "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-201905272838", "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": "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": "restrictedAccess", "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": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6kyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "sepelvaltimotauti", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutujat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutustutkimus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ICF", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutuspalvelut", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/en/workspaces/facilities).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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