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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "R\u00e4s\u00e4nen, Mira", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-10-29T07:28:08Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-10-29T07:28:08Z", "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/123456789/72388", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Kaatumisen pelko on moniulotteinen ja useasta tekij\u00e4st\u00e4 koostuva ongelma, jonka on todettu rajoittavan p\u00e4ivitt\u00e4ist\u00e4 el\u00e4m\u00e4\u00e4 ja heikent\u00e4v\u00e4n el\u00e4m\u00e4nlaatua. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko kaatumisen pelolla yhteytt\u00e4 terveyspalvelujen k\u00e4ytt\u00f6\u00f6n sairaalasta kotiutuneilla ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4. Lis\u00e4ksi tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, mitk\u00e4 muut tekij\u00e4t selitt\u00e4v\u00e4t terveyspalvelujen k\u00e4ytt\u00f6\u00e4 kyseisess\u00e4 joukossa. \nTutkimuksessa hy\u00f6dynnettiin i\u00e4kk\u00e4iden kuntoutusta selvitt\u00e4neess\u00e4 tutkimushankkeessa, (Promotion of Physical Activity and Mobility Among Older People With Musculoskeletal Disorders, eli ProPA) ker\u00e4tty\u00e4 aineistoa. T\u00e4ss\u00e4 pro gradu \u2013tutkielmassa k\u00e4siteltiin kyseist\u00e4 aineistoa kaatumisen pelkoon ja terveyspalveluihin liittyvien kysymysten osalta alkumittauksessa sek\u00e4 kolmen ja kuuden kuukauden seurantamittauksissa. Kaatumisen pelkoa mitattiin Falls Efficacy Scale International (FES-I) \u2013kyselyll\u00e4. Kognitiivista toimintakyky\u00e4 mitattiin Mini-Mental State Examination (MMSE) \u2013testill\u00e4 ja elinpiirin laajuutta selvitettiin Life-Space Assessment (LSA) \u2013kyselyll\u00e4. Kaatumisen pelon yhteytt\u00e4 terveyspalvelujen k\u00e4ytt\u00f6\u00f6n tarkasteltiin bin\u00e4\u00e4risen logistisen regressioanalyysin avulla ja kaatumisen pelon muutosta sairaalasta kotiutumisen j\u00e4lkeen tarkasteltiin frekvenssitaulukon avulla. \nTutkittavien keski-ik\u00e4 oli 80 vuotta (SD 8.2) ja enemmist\u00f6 oli naisia (85%). FES-I kyselyn vastaukset jaettiin jakaumaperusteisesti kolmeen ryhm\u00e4\u00e4n. Bin\u00e4\u00e4risen logistisen regressioanalyysin avulla tarkasteltuna jokainen kaatumispelkokyselyss\u00e4 saatu piste kasvatti vakioimattomassa mallissa riski\u00e4 kuulua \u201dK\u00e4ytt\u00e4\u00e4 kotihoidon palveluita\u201d-ryhm\u00e4\u00e4n 1.07-kertaiseksi (p<0.001). Kun malli vakioitiin i\u00e4ll\u00e4 ja LSA- sek\u00e4 MMSE-testin tuloksella, yhteys kaatumisen pelon ja kotihoidon palvelujen v\u00e4lill\u00e4 ei ollut en\u00e4\u00e4 tilastollisesti merkitsev\u00e4, vaan korkeampi ik\u00e4 (1.17; luottamusv\u00e4li eli LV 1.06-1.28), heikentynyt MMSE-testin tulos (0.72; LV 0.57-0.92) ja rajoittunut elinpiiri (0.93; LV 0.89-0.97) olivat yhteydess\u00e4 kotihoidon palvelujen k\u00e4ytt\u00f6\u00f6n. Lis\u00e4ksi, kaatumisen pelolla ei t\u00e4m\u00e4n tutkimuksen mukaan ollut yhteytt\u00e4 ensiapupalveluiden tai l\u00e4\u00e4k\u00e4ripalveluiden k\u00e4ytt\u00f6\u00f6n. \nKaatumisen pelolla ei t\u00e4m\u00e4n tutkimuksen mukaan havaittu olevan yhteytt\u00e4 kotihoidon palvelujen eik\u00e4 ensiapupalvelujen k\u00e4ytt\u00f6\u00f6n tai l\u00e4\u00e4k\u00e4rik\u00e4ynteihin sairaalasta kotiutuneiden ik\u00e4\u00e4ntyneiden joukossa. Kolmen kuukauden seurantamittauksessa havaittiin kaatumisen pelon v\u00e4hentyneen, mutta my\u00f6sk\u00e4\u00e4n sill\u00e4 ei ollut yhteytt\u00e4 kotihoidon palvelujen k\u00e4ytt\u00f6\u00f6n. Kotihoidon palvelujen k\u00e4yt\u00f6n taustalla olivat sen sijaan korkeampi ik\u00e4, heikentynyt kognitiivinen kyky ja pienempi elinpiiri. T\u00e4m\u00e4n tutkimuksen perusteella voidaan todeta, ett\u00e4 i\u00e4kk\u00e4ill\u00e4 erityisesti kognitiivisen toimintakyvyn ja liikkumiskyvyn heikentyminen ovat yhteydess\u00e4 kotipalvelujen k\u00e4ytt\u00f6\u00f6n.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Fear of falling (FoF) is a multidimensional and multifactorial problem that is known to compromise everyday life and weaken the quality of life. The present study aimed to investigate whether fear of falling and the use of health services are associated among older people after hospitalization. The aim was also to investigate potential other factors that explain use of health services.\nThe data was based on study on rehabilitation of elderly discharged from hospital (Promotion of physical activity and Mobility Among Older People With Musculoskeletal Disorders, ProPA). Data on FoF and health services were collected at baseline and after three and six months. The FoF was assessed with Falls Efficacy Scale International (FES-I) \u2013questionnaire. The answers of FES-I \u2013questionnaire were divided into tertiles by distribution. Cognitive function were assessed using Mini-Mental State Examination (MMSE)-test and mobility ability using Life-Space Assessment (LSA) \u2013questionnaire. The association between FoF and health services was assessed with binary logistic regression and the change of FoF was assessed with the table of frequencies. \nThe mean age of the participants was 80 years (SD 8.2) and the majority of them were females (85%). According to unadjusted binary logistic regression, every point in FES-I \u2013scale increased the risk of belonging \u201cuses the home care services\u201d \u2013group by 1.07 times (p<0.001). In the final adjusted model, older age (odds ratio i.e. OR 1.17; 95% confidence interval i.e. 95% CI 1.06 to 1.28), weakened cognitive function (OR 0.72; 95% CI 0.57 to 0.92) and mobility limitation (OR 0.93; 95% CI 0.89 to 0.97) were associated with use of home care services, however. The association between FoF and use of home care services was no longer statistically significant. Moreover, there was not an association between FoF and physician appointments or use of emergency room services. \nTo conclude, no association between FoF and use of home care services or physician appointments or use of emergency room services were found. The three-month follow up showed that FoF had decreased three months after the discharge from hospital, but the change was not associated with use of the home care services. However, older age and weakened cognitive and mobility function explained the use of home care services among frail old adults who had been recently hospitalized and discharged from hospital due to musculoskeletal trauma or elective operation.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-10-29T07:28:08Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-10-29T07:28:08Z (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.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": "kaatumisen pelko", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Kaatumisen pelon yhteys terveyspalvelujen k\u00e4ytt\u00f6\u00f6n sairaalasta kotiutuneilla ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4", "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-202010296435", "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": "potilaan kotiuttaminen", "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": "kaatuminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "pelko", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "terveyspalvelut", "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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