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[{"key": "dc.contributor.advisor", "value": "Poskiparta, Marita", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Turkia, Ilona", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-06-13T07:11:22Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-06-13T07:11:22Z", "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/123456789/64582", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Lapsen ennenaikainen syntym\u00e4 on \u00e4idille usein kriisi ja riski post-traumaattisen stressih\u00e4iri\u00f6n oireille sek\u00e4 erilaisille negatiiviselle tunteille. N\u00e4m\u00e4 saattavat ilmet\u00e4 pitk\u00e4nkin ajan kuluttua lapsen syntym\u00e4n j\u00e4lkeen ja vaikeuttaa \u00e4idin kyky\u00e4 muodostaa side lapsen kanssa. Keskoslapsen tarve laadukkaalle vanhemman vuorovaikutukselle on erityisen suuri, ja t\u00e4m\u00e4 suojaa lapsen normaalia kehityst\u00e4. Perhekeskeisess\u00e4 keskosten hoidossa pyrit\u00e4\u00e4n ottamaan vanhemmat mukaan lapsen sairaalahoitoon ja p\u00e4\u00e4t\u00f6ksentekoon sek\u00e4 edist\u00e4m\u00e4\u00e4n varhaista vuorovaikutusta ja \u00e4itien tunteiden k\u00e4sittely\u00e4. \u00c4itien onnistuneella kielteisten tunteiden k\u00e4sittelyll\u00e4 sek\u00e4 varhaisen vuorovaikutuksen tukemisella on merkitt\u00e4v\u00e4 vaikutus \u00e4idin kyvylle olla vuorovaikutuksessa lapsen kanssa ja kiinty\u00e4 keskoslapseen.\nT\u00e4m\u00e4n pro gradu -tutkimuksen tarkoituksena oli kuvata keskoslasten \u00e4itien ajatuksia siit\u00e4, millaisia tunteita he ovat kokeneet lapsen ennenaikaiseen syntym\u00e4\u00e4n liittyen ja miten he ovat k\u00e4sitelleet koettuja tunteita. Tavoitteena oli selvitt\u00e4\u00e4 \u00e4itien saaman tuen riitt\u00e4vyytt\u00e4 keskoshoidon aikana sek\u00e4 k\u00e4ytettyj\u00e4 tunteiden k\u00e4sittelyn keinoja. Lis\u00e4ksi tutkimuksessa selvitettiin \u00e4itien kokemuksia varhaisesta vuorovaikutuksesta ja kiintymyksest\u00e4 lapseen. Tutkimus perustuu kes\u00e4ll\u00e4 2018 s\u00e4hk\u00f6postin kautta ker\u00e4ttyihin kymmenen 1\u20132-vuotiaan keskoslapsen \u00e4idin vastauksiin. \u00c4idit rekrytoitiin mukaan keskoslasten vanhempien yhdistyksen Kevyt Ry:n kautta. Aineisto analysoitiin aineistol\u00e4ht\u00f6isell\u00e4 sis\u00e4ll\u00f6nanalyysill\u00e4.\nTuloksina ilmeni, ett\u00e4 lapsen syntyminen keskosena oli \u00e4ideille kriisi ja aiheutti vahvaa pelkoa, ahdistusta, stressioireita sek\u00e4 turhautumista sairaalan k\u00e4yt\u00e4nt\u00f6ihin. \u00c4idit kokivat oman roolinsa lapsen \u00e4itin\u00e4 puutteelliseksi ja riitt\u00e4m\u00e4tt\u00f6m\u00e4ksi sairaalaymp\u00e4rist\u00f6ss\u00e4. Mik\u00e4li kotona oli muitakin lapsia, kokivat \u00e4idit vahvaa riitt\u00e4m\u00e4tt\u00f6myyden tunnetta. \u00c4idit saivat halutessaan riitt\u00e4v\u00e4\u00e4 tukea asian k\u00e4sittelyyn henkil\u00f6kunnalta, puolisolta, l\u00e4heisilt\u00e4 sek\u00e4 vertaistukena, mutta toisaalta tilanteen koettiin edellytt\u00e4v\u00e4n viel\u00e4 tunteiden k\u00e4sittely\u00e4. Varhainen vuorovaikutus koettiin t\u00e4rke\u00e4ksi lapsen voinnin, suhteen kehittymisen ja lapseen tutustumisen kannalta, mutta my\u00f6s haasteita lapsen kehittym\u00e4tt\u00f6myyden sek\u00e4 sairaalaymp\u00e4rist\u00f6n ja sen k\u00e4yt\u00e4nt\u00f6jen vuoksi koettiin. \u00c4idit tunsivat sairaalassa, ett\u00e4 lapsi ei ollut oma vaan sairaalan lapsi, ja heill\u00e4 oli vahva pelko lapsen menett\u00e4misest\u00e4. Ajan my\u00f6t\u00e4 \u00e4idit kuvasivat kiintymyst\u00e4 lapseen normaalina, rakkaudellisena ja l\u00e4mpim\u00e4n\u00e4. Kiitollisuus lapsen selviytymisest\u00e4 n\u00e4htiin lopulta suhdetta vahvistaneena tekij\u00e4n\u00e4.\nTutkimuksen perusteella ennenaikainen syntym\u00e4 on suuri haaste \u00e4itien psyykkiselle hyvinvoinnille sek\u00e4 lapsen tuntemiselle l\u00e4heiseksi. Kiintymyssuhteen muodostuminen n\u00e4ytt\u00e4isi riippuvan monesta tekij\u00e4st\u00e4. Keskoslasten \u00e4itien henkil\u00f6kohtainen tilanne, koetut tunteet ja mieltymykset tunteiden k\u00e4sittelyyn ja perhekeskeisen hoidon toteuttamiseen tulee ottaa huomioon tarjotessa tukea \u00e4ideille. Varhaisen vuorovaikutuksen tukemisen tulisi olla ensisijaisessa asemassa keskosten hoidon toteuttamisessa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-06-13T07:11:22Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-06-13T07:11:22Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "69", "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": "keskosuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "keskoslasten \u00e4idit", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tunteiden k\u00e4sittely", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Keskoslasten \u00e4itien ajatuksia tunteiden k\u00e4sittelyst\u00e4, varhaisesta vuorovaikutuksesta ja kiintymyksest\u00e4 lapseen", "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-201906133184", "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": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": 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