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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Broman, Pauliina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-05-20T05:48:21Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-05-20T05:48:21Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2020", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/69099", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "V\u00e4est\u00f6n ik\u00e4rakenteen muutosten ja ik\u00e4\u00e4ntymispolitiikan my\u00f6t\u00e4 ik\u00e4\u00e4ntyneiden kotiin tuotavien palveluiden tarve kasvaa. Autonomian ja osallisuuden kokemus on my\u00f6s ik\u00e4\u00e4ntyneiden ihmisten perustarve, mutta riippuvaisuus muiden avusta voi v\u00e4hent\u00e4\u00e4 autonomian ja osallisuuden kokemista. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 kotona asuvien ik\u00e4\u00e4ntyneiden henkil\u00f6iden autonomian ja osallisuuden kokemisen yhteytt\u00e4 kotihoidon palveluiden k\u00e4ytt\u00f6\u00f6n. Lis\u00e4ksi tarkoituksena oli selvitt\u00e4\u00e4, miten autonomian ja osallisuuden kokeminen el\u00e4m\u00e4n eri osa-alueilla on yhteydess\u00e4 kotihoidon palveluiden k\u00e4ytt\u00f6\u00f6n. \n \nTutkimuksen aineistona hy\u00f6dynnettiin I\u00e4kk\u00e4iden kuntoutujien fyysisen aktiivisuuden edist\u00e4minen (Promotion of physical activity, ProPA) -tutkimuksessa ker\u00e4tty\u00e4 aineistoa. Tutkittavien (n=117) autonomian ja osallisuuden kokemista arvioitiin i\u00e4kk\u00e4ill\u00e4 henkil\u00f6ill\u00e4 validoidulla versiolla Impact on Participation and Autonomy (IPA) -kyselylomakkeesta. Lis\u00e4ksi kotihoidon eli kotisairaanhoitajan tai kotiavustajan kotiin tarjoamaa apua selvitettiin kyselylomakkeella. Kotihoidon palveluja saaneiden ja palveluitta j\u00e4\u00e4neiden v\u00e4lisi\u00e4 eroja tarkasteltiin Studentin t-testill\u00e4, Mann-Whitney\u2019n U-testill\u00e4 ja Fisherin tarkalla testill\u00e4. Koetun autonomian ja osallisuuden ja niiden osa-alueiden sek\u00e4 kotihoidon avun v\u00e4list\u00e4 yhteytt\u00e4 tarkasteltiin bin\u00e4\u00e4risell\u00e4 logistisella regressioanalyysilla. \n \nKotihoidon apua saaneet olivat keskim\u00e4\u00e4rin 8 vuotta vanhempia (p<0.001), heill\u00e4 oli 2.5 vuotta v\u00e4hemm\u00e4n koulutusta (p<0.001) ja yksi krooninen sairaus enemm\u00e4n (p=0.008) kuin niill\u00e4, jotka eiv\u00e4t saaneet kotihoidon palveluita. Ryhm\u00e4t erosivat kognitiivisen toimintakyvyn (MMSE-testi p<0.001), liikkumiskyvyn (SPPB-testi p<0.001), masennusoireiden (CES-D -testi p=0.007) sek\u00e4 autonomian ja osallisuuden (IPA-O -kysely) kokonaispistem\u00e4\u00e4r\u00e4n suhteen (p=0.001). Kokonaispistem\u00e4\u00e4r\u00e4n\u00e4 tarkasteltuna koettu autonomia ja osallisuus olivat yhteydess\u00e4 kotihoidon tarjoamien palveluiden k\u00e4ytt\u00f6\u00f6n i\u00e4ll\u00e4 ja koulutuksella vakioidussa mallissa (OR 1.07, 95 % LV=1.02-1.13), mutta monimuuttujamallissa yhteytt\u00e4 ei en\u00e4\u00e4 havaittu. Monimuuttujamallissa ik\u00e4 (OR 1.12, 95 % LV 1.02-1.22), liikkumiskyky (OR 0.66, 95 % LV 0.48-0.91) ja kognitiivinen toimintakyky (OR 0.74, 95 % LV 0.57-0.96) olivat yhteydess\u00e4 kotihoidon palvelujen k\u00e4ytt\u00f6\u00f6n. Osa-alueita erikseen tarkasteltaessa kotihoidon palveluja saaneet kokivat autonomian ja osallisuutensa rajoittuneen liikkumisen suhteen noin 3.1 kertaa, raha-asioista huolehtimisen suhteen noin 2.8 kertaa sek\u00e4 sosiaalisten suhteiden ja itsest\u00e4 huolehtimisen suhteen noin 2.5 kertaa todenn\u00e4k\u00f6isemmin verrattuna niihin, jotka eiv\u00e4t saaneet kotihoidon palveluita. \n \nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 todetaan, ett\u00e4 ik\u00e4\u00e4ntyneiden henkil\u00f6iden koettu autonomia ja osallisuus eiv\u00e4t olleet yhteydess\u00e4 kotihoidon apuun sairaalasta kotiutumisen j\u00e4lkeen, kun tarkasteltiin mittarin antamaa kokonaispistem\u00e4\u00e4r\u00e4\u00e4. Sen sijaan ik\u00e4 ja heikentynyt liikkumiskyky sek\u00e4 kognitiivinen toimintakyky selittiv\u00e4t kotihoidon palveluiden k\u00e4ytt\u00f6\u00e4. Kotihoidon apua saavat kokivat koetun autonomian ja osallisuutensa kuitenkin rajoittuneen usealla el\u00e4m\u00e4n osa-alueella. Tulevaisuudessa kotiin tuotavien palveluiden sek\u00e4 sen eri muotojen monipuolinen kehitt\u00e4minen on tarpeellista, jotta ik\u00e4\u00e4ntyneiden autonomian ja osallisuuden kokemusta voidaan tukea paremmin.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The need of health care services provided at home is increasing due to the demographic changes and ageing policy. Autonomy and participation are basic needs of older people, but dependence on help of others can reduce experience about autonomy and participation. The purpose of this study was to investigate whether perceived autonomy and participation are associated with the use of homecare services. Additionally, the purpose was to explore if different fields of autonomy and participation are associated with the use of home care services. \n \nThe data used in this study was taken from Promotion of physical activity (ProPA) -trial. Participants\u2019 (n=117) perceived autonomy and participation were assessed with the Impact on Participation and Autonomy (IPA) -questionnaire using version validated among older people. Moreover, use of home care service was enquired using questionnaire. Comparison between the groups was performed with independent t-test, Mann-Whitney U-test and Fisher\u2019s Exact Tests. The association between perceived autonomy and participation and the use of home care service was examined with logistic regression analysis. \n \nParticipants who received home care service were on average 8 years older (p<0.001), 2.5 years less educated (p<0.001) and they had one chronic disease more (p=0.008) than those who did not receive home care service. These groups differed between their cognitive ability (MMSE-test p<0.001), physical mobility (SPPB-test p<0.001), depressive symptoms (CES-D -test p=0.007) and perceived autonomy and participation (IPA-O -questionnaire) total score (p=0.001). When adjusted with age and education, total score of perceived autonomy and participation was associated with the use of home care service, but the association was not observed in multivariate model. In the multivariate model, age (OR 1.12, 95 % CI 1.02-1.22), physical mobility (OR 0.66, 95 % CI 0.48-0.91) and cognitive function (OR 0.74, 95 % CI 0.57-0.96) were associated with the use of home care service. When different parts of perceived autonomy and participation were analyzed separately, physical mobility (3.1 times), taking care of financial situation (2.8 times) and in social relationships and self-care (2.5 times) were experienced restricted more often than among those who did not receive home care service. \n \nIn conclusion, the results show that there was not association between the perceived autonomy and participation and the use of home care service in older people after hospitalization. Instead, age and decreased physical mobility and cognitive function explained variation of the home care service usage. Participants who received home care service experienced that their autonomy and participation was lower in several fields of life compared to those who did not receive the home care. In the future, it is important to develop different kind of tailored services to be offered at home. This can enable well supported perceived autonomy and participation among older people.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-05-20T05:48:21Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-05-20T05:48:21Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "49", "language": "", "element": "format", "qualifier": "extent", "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": "kotona asuminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kotiin tuotavat palvelut", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Ik\u00e4\u00e4ntyneiden henkil\u00f6iden koetun autonomian ja osallisuuden yhteys kotiin tuotaviin palveluihin sairaalasta kotiutumisen j\u00e4lkeen", "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-202005203353", "language": "", "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "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": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "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": "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": "50423", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "autonomia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "osallisuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "itsem\u00e4\u00e4r\u00e4\u00e4minen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kotihoito", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}]
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