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[{"key": "dc.contributor.advisor", "value": "Piirainen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Korpi, Hilkka", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Luukkonen, Mika", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-06-24T11:47:25Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-06-24T11:47:25Z", "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/123456789/64797", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kipu on yksi yleisimmist\u00e4 CP-vammaan liittyvist\u00e4 ongelmista. Alriksson-Schmidt ja H\u00e4gglund (2016) mukaan kipuja esiintyi 32,4% CP-vammaa sairastavista nuorista korostuen erityisesti tyt\u00f6ill\u00e4 sek\u00e4 GMFCS- III-V toimintakykyisyyden luokissa. Kirurgisten toimenpiteiden j\u00e4lkitiloina on raportoitu my\u00f6s kivulle herkistymist\u00e4. Hoinessin ym. (2014) tutkimuksessa lapsilla havaittiin monitasokirurgisen alaraajojen korjausleikkauksen j\u00e4lkeist\u00e4 herkistymist\u00e4 kivulle viiden vuoden seurannassa. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 kipukokemuksia nuorilta, joilla on CP-vamma ja joita on hoidettu monitasokirurgisesti. Tutkimus toteutettiin Jyv\u00e4skyl\u00e4n yliopiston sek\u00e4 Lasten- ja nuortensairaalan yhteisty\u00f6n\u00e4.\n\nT\u00e4m\u00e4 kvalitatiivinen tutkimus toteutettiin fenomenologisella tutkimusotteella. Tutkimukseen osallistui seitsem\u00e4n monitasokirurgisesti hoidettua CP-vammaa sairastavaa nuorta. Tutkimusaineisto ker\u00e4ttiin yksil\u00f6llisten avoimienhaastattelujen avulla. Aineiston analyysi toi esiin tutkittavien yksil\u00f6llisi\u00e4 kokemuksia kivusta, jotka t\u00e4ss\u00e4 tutkimuksessa kuvattiin Giorgin (1985) mukaan merkitysverkostoina sek\u00e4 merkitysaspekteina.\n\nTutkittavien merkityskokonaisuuksien synteesin\u00e4 muodostui viisi erilaista kivun merkitysverkostoa, jotka kuvasivat kivun kokemista, normaalia CP vammaisen el\u00e4m\u00e4\u00e4, kipua kovempi, onnekas kivuttomuus, kivun pelko sek\u00e4 ep\u00e4tietoisuuden haitta. Merkitysverkostoista muodostui kaksi kivun merkitysperspektiivin aspektia, jotka pyrkiv\u00e4t ymm\u00e4rt\u00e4m\u00e4\u00e4n kipuilmi\u00f6n olennaisia piirteit\u00e4. Merkitysperspektiivin aspekteiksi nimettiin; sopeutuva kivun kokeminen sek\u00e4 negatiivinen kivun kokeminen.\n\nT\u00e4st\u00e4 aihealueesta oli varsin v\u00e4h\u00e4n aiempaa tutkimustietoa joten tutkimuksen t\u00e4rke\u00e4n\u00e4 tavoitteena oli tuottaa tietoa, joka tukisi CP-vammaa sairastavien kivunhoitoon osallistuvia ammattilaisia heid\u00e4n ty\u00f6ss\u00e4\u00e4n sek\u00e4 toisi kokemusten kautta tukea mm. leikkausp\u00e4\u00e4t\u00f6st\u00e4 harkitseville nuorille, joilla on CP-vamma ja heid\u00e4n perheilleen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2019-06-24T11:47:25Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-06-24T11:47:25Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "85", "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.title", "value": "\"Saattaa v\u00e4h\u00e4n m\u00f6ks\u00e4ht\u00e4\u00e4\" : kivun merkityksi\u00e4 nuorille, joilla on CP-vamma", "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-201906243379", "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": 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"yvv"}, {"key": "yvv.contractresearch.initiative", "value": "university", "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": "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": "CP-vammaiset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "nuoret", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "lapset (ik\u00e4ryhm\u00e4t)", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "krooninen kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vammaiset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "postoperatiivinen hoito", "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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