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[{"key": "dc.contributor.advisor", "value": "Sillanp\u00e4\u00e4, Elina", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Lindfors, Heidi", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-05-26T10:05:51Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-05-26T10:05:51Z", "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/123456789/69231", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Terveydenhuoltoalalla teht\u00e4v\u00e4 ty\u00f6 on fyysisesti ja psyykkisesti kuormittavaa, sill\u00e4 se sis\u00e4lt\u00e4\u00e4 usein vuoroty\u00f6t\u00e4, pitki\u00e4 ja kiireisi\u00e4 ty\u00f6vuoroja, lyhyit\u00e4 ty\u00f6vuorojen v\u00e4lisi\u00e4 palautumisaikoja, lihasvoimaa vaativia hoitoteht\u00e4vi\u00e4 sek\u00e4 vaativia potilaskohtaamisia. Fyysinen suorituskyky on yksi ty\u00f6kykyyn vaikuttavista tekij\u00f6ist\u00e4. Kest\u00e4vyyssuorituskyky\u00e4 voidaan arvioida hapenottokyky\u00e4 mittaavilla testeill\u00e4. Hapenottokyky kertoo elimist\u00f6n kapasiteetista k\u00e4ytt\u00e4\u00e4 happea energiantuotantoon sek\u00e4 vastustaa v\u00e4symist\u00e4. Hyv\u00e4 hapenottokyky auttaa elimist\u00f6\u00e4 palautumaan, mik\u00e4 on vuoroty\u00f6ss\u00e4 t\u00e4rke\u00e4\u00e4. Hapenottokyvyn merkitys korostuu my\u00f6s ik\u00e4\u00e4ntyess\u00e4, sill\u00e4 ty\u00f6n fyysiset vaatimukset ovat i\u00e4kk\u00e4\u00e4lle rasittavampia. Hapenottokyky laskee i\u00e4n my\u00f6t\u00e4 johtuen monista elimist\u00f6ss\u00e4 tapahtuvista fysiologisista muutoksista ja kuormittavan liikunnan m\u00e4\u00e4r\u00e4n v\u00e4henemisest\u00e4. Hapenottokyvyn ja ty\u00f6kyvyn yhteytt\u00e4 ei ole tarkasteltu suomalaisilla terveydenhuoltoalan ty\u00f6ntekij\u00f6ill\u00e4 edustavilla aineistoilla. \nT\u00e4m\u00e4 pro gradu -tutkielma tarkasteli, vaihteleeko itsearvioitu ty\u00f6kyky eri ty\u00f6aikamuodoissa ja selitt\u00e4\u00e4k\u00f6 ik\u00e4 tai hapenottokyky mahdollista yhteytt\u00e4. Tutkimusaineisto ker\u00e4ttiin Kunnossa Kaiken Ik\u00e4\u00e4 -ohjelman ja sairaanhoitopiirien yhteisty\u00f6n\u00e4 valtakunnallisella mittauskiertueella. Tutkimusjoukkoon kuului 4499 terveydenhuoltoalan ty\u00f6ntekij\u00e4\u00e4. Itsearvioitua ty\u00f6kyky\u00e4 selvitettiin Ty\u00f6terveyslaitoksen kehitt\u00e4m\u00e4n Ty\u00f6kykyindeksin avulla ja hapenottokyky\u00e4 arvioitiin leposykkeeseen, sykev\u00e4livaihteluun, ik\u00e4\u00e4n, sukupuoleen, painoon, pituuteen ja itsearvioituun liikunta-aktiivisuuteen perustuvalla kest\u00e4vyyskuntoindeksill\u00e4. Tilastollisina analyysimenetelmin\u00e4 k\u00e4ytettiin T-testi\u00e4, yksisuuntaista varianssianalyysia sek\u00e4 lineaarista regressioanalyysi\u00e4. \nSairaanhoitopiirien ty\u00f6tekij\u00f6iden itsearvioidun ty\u00f6kyvyn keskiarvot eri ty\u00f6aikamuodoissa vaihtelivat v\u00e4lill\u00e4 7,88,7 asteikolla, jossa luku 10 kuvaa parasta mahdollista ty\u00f6kyky\u00e4. Sek\u00e4 naisissa, ett\u00e4 miehiss\u00e4 kolmivuoroty\u00f6t\u00e4 tekevien itsearvioitu ty\u00f6kyky oli muita ty\u00f6aikamuotoryhmi\u00e4 parempi, mutta ainoastaan naisissa eri ty\u00f6aikamuotoryhm\u00e4t erosivat toisistaan tilastollisesti merkitsev\u00e4sti (p=0,001). Kolmivuoroty\u00f6t\u00e4 tekevien naisten ty\u00f6kyky oli parempi kuin kaksivuoroty\u00f6t\u00e4 tekevill\u00e4 (p=0,001). Parempi kest\u00e4vyyskuntoindeksi oli yhteydess\u00e4 parempaan itsearvioituun ty\u00f6kykyyn (p<0,001). Parempi kest\u00e4vyyskuntoindeksi oli yhteydess\u00e4 parempaan itsearvioituun ty\u00f6kykyyn kaikissa muissa ty\u00f6aikamuodoissa, paitsi y\u00f6ty\u00f6t\u00e4 tekevill\u00e4 naisilla. \nTerveydenhuoltoalan ty\u00f6ntekij\u00f6iden ty\u00f6ss\u00e4 jaksaminen ja hyv\u00e4n ty\u00f6kyvyn yll\u00e4pit\u00e4minen aina ty\u00f6uran loppuun asti on yhteiskunnan kannalta merkitt\u00e4v\u00e4\u00e4. Samalla kuitenkin tiedet\u00e4\u00e4n, ett\u00e4 terveydenhuoltoalan ty\u00f6ntekij\u00f6ill\u00e4 on kohonnut ty\u00f6kyvyn heikkenemisen riski ty\u00f6n fyysisen kuormittavuuden vuoksi. Toimiva ja laadukas terveydenhuolto on hyvinvointivaltion kulmakivi ja hyvinvoivat ty\u00f6ntekij\u00e4t ovat toimivan terveydenhuollon perusta. T\u00e4m\u00e4 aineisto suomalaisen terveydenhuollon henkil\u00f6st\u00f6st\u00e4 tukee aiempaa tutkimusn\u00e4ytt\u00f6\u00e4, jonka mukaan hyv\u00e4 kest\u00e4vyyskunto on yhteydess\u00e4 parempaan itsearvioituun ty\u00f6kykyyn ja sit\u00e4 kautta saattaa ehk\u00e4ist\u00e4 i\u00e4n ja ty\u00f6n kuormittavuuden vuoksi tapahtuvaa ty\u00f6kyvyn heikkenemist\u00e4. Vaikka terveydenhuoltoalalla teht\u00e4v\u00e4 ty\u00f6 pit\u00e4\u00e4 sis\u00e4ll\u00e4\u00e4n paljon fyysist\u00e4 aktiivisuutta, tarvitsee hyv\u00e4n hapenottokyvyn yll\u00e4pit\u00e4minen my\u00f6s s\u00e4\u00e4nn\u00f6llist\u00e4 hengityselimist\u00f6\u00e4 kuormittavaa liikuntaa. UKK-Instituutin vuonna 2019 julkaisemien aikuisten liikuntasuositusten mukaan joka viikkoon tulisi sis\u00e4lty\u00e4 v\u00e4hint\u00e4\u00e4n 2,5 tuntia reipasta tai 1,15 tuntia rasittavaa liikuntaa. Terveydenhuoltoalalla s\u00e4\u00e4nn\u00f6llisen kuormittavan liikunnan harrastamisen merkitys korostuu, sill\u00e4 hyv\u00e4 hapenottokyky on erityisen t\u00e4rke\u00e4\u00e4 fyysisesti kuormittavissa ammateissa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Work in healthcare sector is physically and mentally demanding. It includes shiftwork, long and hectic work days, as well as short recovery times between shifts. Moreover, the work tasks require muscle strength and the work entails demanding meetings with patients. Physical fitness is one of the factors influencing work ability. Maximal oxygen uptake can be used as a proxy of physical fitness, especially of cardiorespiratory fitness (CRF). Maximal oxygen uptake indicates capacity to use oxygen for energy production and resist fatigue. Good maximal oxygen uptake helps the body to recover, which is important in shift work. From the viewpoint of work ability, the importance of maximal oxygen uptake increases with age because the physiological demands of the work are more strenuous to older workers. However, maximal oxygen uptake declines with age due to various age-related physiological changes in the body and declining amount of strenuous exercise. The association between maximal oxygen uptake and work ability has not been examined with data representative of Finnish healthcare workers. \nThis master's thesis examined whether self-assessed work ability varies among people working different working shifts and whether age or oxygen uptake explains a possible relationship. The data was collected as a part of the fitness test campaign organized by the Fit for Life program and hospital districts. Study population included 4499 healthcare workers. Self-reported work ability was measured with the work ability index developed by Institution of Occupational Health. CRF index was estimated with Polar Fitness Test, which is based on resting heart rate, heart rate variability, age, sex, weight, height and self-reported physical activity. Analytical methods used were Ttest, one-way analysis of variance and linear regression analysis. \nThe average self-reported working ability did not differ significantly between the work time groups. Three-shift workers had the best self-reported working ability among both women and men. In women, self-reported working ability differed significantly between the two-shift and three-shift groups (p=0,001). Better CRF index and younger age were associated with better self-reported work ability (p<0,001 and p<0,001, respectively). Better CRF index was associated with better self-reported working ability in all work time groups, the only exception being the women who were working at night shifts. \nIt has been shown that healthcare workers are at increased risk if incapacity of work due to the physical demands of their work, nonetheless, from the viewpoint of the society, it is crucial that health care workers maintain their good work ability. A high-quality health care system is the basis of a welfare state, and hence, well-being of the workers is a prerequisite of a functioning healthcare system. The present study is based on unique data set that includes Finnish health care workers. The main findings of this study were that good cardiovascular fitness is associated with work ability. We also showed that better CRF index was associated with better self-reported working ability. Although work in the healthcare sector involves a lot of physical activity, maintaining good maximal oxygen uptake also requires regular exercise that puts a strain on the respiratory system. UKK Institute`s physical activity guidelines from 2019 recommend 2.5 hours of vigorous or 1.15 hours of strenuous exercise every week. In the healthcare sector, regular vigorous exercise plays an even more pivotal role, as good maximal oxygen uptake is extremely important in physically demanding professions.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-05-26T10:05:51Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-05-26T10:05:51Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "48", "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": "Kest\u00e4vyyskunnon yhteys vuoroty\u00f6ntekij\u00f6iden koettuun ty\u00f6kykyyn terveydenhuoltoalalla", "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-202005263483", "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": "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": "terveysala", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6kyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vuoroty\u00f6", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen kunto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6n kuormittavuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikunta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyv\u00e4t ty\u00f6ntekij\u00e4t", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen kuormittavuus", "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.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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