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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen , Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Alanko, Tuulikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Aaltonen, Anna", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-10-23T06:16:10Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-10-23T06:16:10Z", "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/123456789/72309", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Yhdeksi kroonisen kivun hoitomuodoksi on noussut Hyv\u00e4ksymis- ja omistautumisterapia (HOT), jonka avulla pyrit\u00e4\u00e4n l\u00f6yt\u00e4m\u00e4\u00e4n keinoja kroonisen kivun hyv\u00e4ksynn\u00e4n ja psykologisen joustavuuden lis\u00e4\u00e4miseen kroonista kipua sairastaville potilaille. T\u00e4ss\u00e4 opinn\u00e4ytety\u00f6ss\u00e4 tarkasteltiin HOT-terapiaa k\u00e4ytt\u00e4v\u00e4n psykologisen verkkohoitomallin vaikutuksia kroonisen kivun hyv\u00e4ksynt\u00e4\u00e4n ja psykologiseen joustamattomuuteen kroonista alaselk\u00e4kipua sairastavilla potilailla. Lis\u00e4ksi selvitettiin intervention ohjaajien ajatuksia hoitomallin k\u00e4ytett\u00e4vyydest\u00e4 ja kehitt\u00e4miskohteista. \n\nPilottihankkeeseen rekrytoitiin 17 kroonista alaselk\u00e4kipua sairastavaa potilasta. He olivat i\u00e4lt\u00e4\u00e4n 31\u201365-vuotiaita. Heid\u00e4n alaselk\u00e4kipunsa oli kest\u00e4nyt keskim\u00e4\u00e4rin seitsem\u00e4n vuotta. Intervention suoritti kahdeksan potilasta. Interventio sis\u00e4lsi kaksi tapaamista ja 12 viikkoa kest\u00e4neen verkkohoito-ohjelman. Tavoitteena oli, ett\u00e4 osallistujat oppivat ymm\u00e4rt\u00e4m\u00e4\u00e4n kipua ja saavat v\u00e4lineit\u00e4 kivun kanssa selvi\u00e4miseen. Kuntoutuksen vaikutusta tarkasteltiin kroonisen kivun hyv\u00e4ksynt\u00e4 (CPAQ) \u2013 ja psykologinen joustamattomuus (PIPS) -kyselyiden avulla. Potilaat t\u00e4yttiv\u00e4t kyselyt intervention alkaessa ja p\u00e4\u00e4ttyess\u00e4 sek\u00e4 kolme kuukauden seurannan j\u00e4lkeen. Lis\u00e4ksi haastattelemalla koottiin ohjaajien ajatuksia ja kehitysehdotuksia pilottikokeilusta.\n\nKroonisen kivun hyv\u00e4ksynn\u00e4n kokonaistulos oli alkukyselyss\u00e4 15.5 ja tulos parani intervention p\u00e4\u00e4tytty\u00e4 (22.0 pistett\u00e4, p=0.043) ja seurantajakson (18.9 pistett\u00e4, p=0.041) j\u00e4lkeen. Toiminnallisuus -ulottuvuus parani (p=0.042\u20130.016) ja kipumy\u00f6nteisyys -ulottuvuus pysyi muuttumattomana koko hankkeen ajan (p=0.26\u20130.61). Psykologisen joustavuuden osalta ei tapahtunut muutosta hankkeen aikana (p=0.21\u20130.35). Ohjaajien haastatteluista nousi esiin se, ett\u00e4 verkkohoitomalli on heid\u00e4n mielest\u00e4\u00e4n sis\u00e4ll\u00f6lt\u00e4\u00e4n toimiva kokonaisuus ja sit\u00e4 oli helppo k\u00e4ytt\u00e4\u00e4. Kehitysehdotuksina nousi esiin sopivien osallistujien ohjaaminen ryhm\u00e4\u00e4n, teknisten ominaisuuksien tarkastelu ja tarve tutkia t\u00e4m\u00e4ntyyppist\u00e4 kuntoutusmuotoa lis\u00e4\u00e4. \n\nTutkimuksen perusteella interventioon osallistujien kivun hyv\u00e4ksynt\u00e4 kehittyi hieman, mutta psykologisen joustavuuden osalta ei tapahtunut muutosta. Ohjaajien kokemuksen perusteella psykologinen verkkohoitomalli Kipin\u00e4 voisi toimia hyv\u00e4n\u00e4 lis\u00e4n\u00e4 perinteisen kuntoutuksen rinnalla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-10-23T06:16:10Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-10-23T06:16:10Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "66", "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": "krooninen alaselk\u00e4kipu", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "verkkohoito-ohjelma/et\u00e4kuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Psykologisen verkkokuntoutuksen vaikutuksia kivun hyv\u00e4ksynt\u00e4\u00e4n ja psykologiseen joustavuuteen kroonisen selk\u00e4kivun hoidossa ja ohjaajien ajatuksia sek\u00e4 kehitysehdotuksia verkkohoitomallin pilotoinnista", "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-202010236362", "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": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": 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