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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "J\u00e4\u00e4skel\u00e4inen, Tuija", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Salo, Ida", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-08-19T05:50:54Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-08-19T05:50:54Z", "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/123456789/71450", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Krooniset sairaudet aiheuttavat maailmanlaajuisesti suuren taakaan ihmisten terveydelle ja toimintakyvylle. Usean kroonisen sairauden samanaikainen esiintyminen eli monisairastavuus on yhdistetty esimerkiksi monisairaan toimintakyvyn heikentymiseen, itsen\u00e4isyyden v\u00e4henemiseen sek\u00e4 terveydenhuollon kustannusten kasvuun. Kroonisia sairauksia sairastavien ja monisairaiden m\u00e4\u00e4r\u00e4n ennustetaan lis\u00e4\u00e4ntyv\u00e4n tulevaisuudessa. T\u00e4ss\u00e4 tutkimuksessa selvitettiin, kuinka kroonisista sairauksista masennus, diabetes, aivoverenkiertoh\u00e4iri\u00f6 ja krooninen keuhkosairaus eli astma tai keuhkoahtaumatauti, ovat yhteydess\u00e4 tutkittavien el\u00e4m\u00e4nlaatuun yksitt\u00e4isin\u00e4 sairauksina ja niist\u00e4 muodostuvana monisairastavuutena.\n\nTutkimuksen aineistona k\u00e4ytettiin Terveyden ja hyvinvoinnin laitoksen (THL) FinTerveys 2017-v\u00e4est\u00f6tutkimuksen aineistoa, joka rajattiin t\u00e4ss\u00e4 tutkimuksessa 50 vuotta t\u00e4ytt\u00e4neisiin tutkittaviin. Tutkittavien (N=3162) sairaustiedot perustuivat kyselylomakkeilla ker\u00e4ttyyn itse raportoituun tietoon. El\u00e4m\u00e4nlaatua arvioitiin tutkittavien subjektiiviseen arvioon perustuvalla EuroHIS-8-el\u00e4m\u00e4nlaatumittarilla. Sairauksien lukum\u00e4\u00e4r\u00e4n ja nelj\u00e4n eri kroonisen sairauden yhteytt\u00e4 koettuun el\u00e4m\u00e4nlaatuun tarkasteltiin lineaarisella regressioanalyysilla. Edelleen sairauksien lukum\u00e4\u00e4r\u00e4n sek\u00e4 yksitt\u00e4isten kroonisten sairauksien yhteytt\u00e4 el\u00e4m\u00e4nlaadun eri osa-alueita kuvaaviin kysymyksiin tarkasteltiin bin\u00e4\u00e4risell\u00e4 logistisella regressioanalyysilla.\n\nSek\u00e4 yhden ett\u00e4 v\u00e4hint\u00e4\u00e4n kahden kroonisen sairauden sairastaminen oli yhteydess\u00e4 heikompaan el\u00e4m\u00e4nlaadun kokonaisindeksiin (B=-0,206 ja B=-0,496, p<0,001). Monisairastavuus oli voimakkaimmin yhteydess\u00e4 riskiin kokea heikompaa tyytyv\u00e4isyytt\u00e4 omasta terveydest\u00e4 (OR=4,0; 95% LV 2,8-5,6) sek\u00e4 heikompaa tarmoa arkip\u00e4iv\u00e4n el\u00e4m\u00e4ss\u00e4 (OR=3,5; 95% LV 2,5-5,0). Masennuksen yhteys el\u00e4m\u00e4nlaatuun oli ilmeinen: se lis\u00e4si merkitt\u00e4v\u00e4sti riski\u00e4 olla tyytym\u00e4tt\u00f6m\u00e4mpi itse\u00e4 kohtaan (OR=4,8; 95% LV 3,4-6,7) sek\u00e4 kokea heikompaa tarmoa arkip\u00e4iv\u00e4n el\u00e4m\u00e4ss\u00e4 (OR=5,2; 95% LV 3,6-7,5). Riski heikomman el\u00e4m\u00e4nlaadun kokemiseen havaittiin monilla osa-alueilla my\u00f6s diabeteksen ja keuhkosairauden kohdalla, joskin riski oli pienempi kuin masennuksessa. Esimerkiksi riski\u00e4 suurempaan tyytym\u00e4tt\u00f6myyteen omaa terveytt\u00e4 kohtaan diabetes lis\u00e4si 1,9-kertaiseksi ja keuhkosairaus 1,8- kertaiseksi. Aivoverenkiertoh\u00e4iri\u00f6 ei ollut yhteydess\u00e4 heikentyneeseen el\u00e4m\u00e4nlaatuun.\n\nJohtop\u00e4\u00e4t\u00f6ksen\u00e4 todetaan, ett\u00e4 tarkastelluista kroonisista sairauksista masennus, diabetes ja krooninen keuhkosairaus sek\u00e4 usean sairauden samanaikainen esiintyminen olivat yhteydess\u00e4 heikompaan el\u00e4m\u00e4nlaatuun. Eri sairauksista masennus n\u00e4ytt\u00e4ytyi merkitt\u00e4vimp\u00e4n\u00e4 riskin\u00e4 heikolle el\u00e4m\u00e4nlaadulle. Sairastavuuden rinnalla sosiodemografiset tekij\u00e4t ja elintavat olivat merkitsev\u00e4sti yhteydess\u00e4 tutkittavien el\u00e4m\u00e4nlaadun kokemukseen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Chronic diseases cause a major burden for public health and functioning worldwide. Having a multiple chronic conditions (multimorbidity) is associated with disability, loss of independence and increased healthcare costs, for example. The amount of people with single chronic diseases and multimorbidity is expected to increase in the future. The purpose of this study was to examine how depression, diabetes, stroke and chronic lung disease (asthma or chronic obstructive pulmonary disease) as individual diseases or as multimorbidity combined by these diseases are associated with perceived quality of life (QOL) in subjects.\n\nData is based on the National FinHealth 2017 Study from Finnish institute for health and welfare. This study focuses on subjects aged fifty years and older (N=3162). Information on chronic conditions are based on self-report-questionnaires and perceived quality of life is measured using EuroHIS-8 quality of life measurement. The association between four separate diseases and number of chronic conditions and perceived quality of life was first analyzed with multiple linear regression model. Further, the association between four separate diseases and number of chronic conditions and different dimensions of quality of life was analyzed with binary logistic regression model.\n\nHaving one or at least two chronic conditions was associated with lower quality of life index in multiple regression model (B=-0,206 ja B=-0,496, p<0,001). Having multiple chronic conditions was strongly associated with higher risk to be more dissatisfied with health (OR=4,0; 95% CI 2,8-5,6) and to have insufficient energy for everyday life (OR=3,5; 95% CI 2,5-5,0). Depression was strongly associated with lower quality of life. Depression was associated with strongly increased risk to be more dissatisfied with oneself (OR=4,8; 95% CI 3,4-6,7) and have insufficient energy for everyday life (OR=5,2; 95% CI 3,6-7,5). Moreover, diabetes and chronic lung disease were associated with increased risk for lower QOL in different dimensions, but the association was weaker. Subjects with diabetes had 1.9-times higher risk and with chronic lung disease 1.8-times higher risk for being more dissatisfied with health, for example. In this study, stroke was not associated with quality of life.\n\nThis study showed that depression, diabetes and chronic lung disease and having multiple of these chronic conditions were associated with lower perceived quality of life in Finnish subjects fifty years and older. As an individual disease, depression seemed to be associated with significantly increased risk for lower quality of life. In addition to chronic conditions sosiodemographic factors and life-style habits such as leisure-time exercise and sufficient amount of sleep were strongly associated with perceived quality of life.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-08-19T05:50:54Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-08-19T05:50:54Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "83", "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": "monisairastavuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Masennuksen, diabeteksen, aivoverenkiertoh\u00e4iri\u00f6n ja kroonisen keuhkosairauden yhteys koettuun el\u00e4m\u00e4nlaatuun : tarkastelussa FinTerveys 2017 -tutkimuksen 50 vuotta t\u00e4ytt\u00e4neet tutkittavat", "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-202008195584", "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": 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"schema": "dc"}, {"key": "dc.subject.yso", "value": "kansanterveys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "aivoverenkiertoh\u00e4iri\u00f6t", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "komorbiditeetti", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "el\u00e4m\u00e4nlaatu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "masennus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "diabetes", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "krooniset taudit", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "keuhkosairaudet", 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