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[{"key": "dc.contributor.advisor", "value": "Nikander, Riku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Sorvari, Iina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-11-24T10:42:31Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-11-24T10:42:31Z", "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/123456789/72769", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Omaishoitajuus lis\u00e4\u00e4ntyy ja koskettaa erityisesti ik\u00e4\u00e4ntyneit\u00e4 ihmisi\u00e4. Omaishoitajat kokevat ty\u00f6ss\u00e4\u00e4n psyykkist\u00e4 kuormitusta, mutta heit\u00e4 voi olla haasteellista tavoittaa kuntoutukseen ja tukipalveluihin omaishoitoteht\u00e4vien sitovuuden vuoksi. Lis\u00e4ksi omaishoitajien kuntoutus on painottunut enemm\u00e4n fyysiseen kuntoutukseen. Kehitt\u00e4m\u00e4ll\u00e4 et\u00e4muotoisia palveluita voidaan pyrki\u00e4 vastaamaan omaishoitajien tarpeisiin helpommin saavutettavista ja my\u00f6s psyykkisen kuormittuneisuuden huomioivista palvelumalleista. Toisaalta omaishoitajia voi olla haasteellista sitouttaa et\u00e4kuntoutukseen esimerkiksi energian- ja ajanpuutteen vuoksi. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko et\u00e4kuntoutusohjelman k\u00e4ytt\u00f6aktiivisuudella yhteytt\u00e4 masennusoireiden muutoksiin ik\u00e4\u00e4ntyneill\u00e4 omaishoitajilla.\n\nTutkimusaineistona k\u00e4ytettiin Omaishoitajien psyykkisen hyvinvoinnin edist\u00e4minen -hankkeen aineistoa. Tutkittavat olivat keskim\u00e4\u00e4rin 72-vuotiaita ja osallistuivat nelj\u00e4 kuukautta kest\u00e4neeseen kuntoutusohjelmaan sek\u00e4 10 kuukauden kuluttua toteutettuihin seurantamittauksiin. Masennusoireita mitattiin Beck Depression Inventory-II -mittarilla (BDI-II). Analyysimenetelmin\u00e4 k\u00e4ytettiin varianssianalyysi\u00e4 selvitt\u00e4m\u00e4\u00e4n, oliko et\u00e4kuntoutusintervention aiheuttama masennusoireiden v\u00e4heneminen merkitsev\u00e4 sek\u00e4 erikseen yli viisi vuotta omaishoitajina toimineilla. Lis\u00e4ksi Spearmanin korrelaatioanalyysi\u00e4 k\u00e4ytettiin alustavasti ja GEE-analyysi\u00e4 varmentamaan, oliko et\u00e4kuntoutusohjelman k\u00e4ytt\u00f6aktiivisuudella ja muilla tekij\u00f6ill\u00e4 sek\u00e4 masennusoireiden muutoksilla merkitsev\u00e4\u00e4 yhteytt\u00e4.\n\nTutkimuksen tuloksina havaittiin, ett\u00e4 nelj\u00e4n kuukauden et\u00e4kuntoutusinterventio v\u00e4hensi omaishoitajien masennusoireita 15.0 (\u00b1 6.4) pisteest\u00e4 10.6 (\u00b1 5.7) pisteeseen (p < 0.001), mutta masennusoireet lis\u00e4\u00e4ntyiv\u00e4t 10 kuukauden seurannassa 12.6 (\u00b1 6.8) pisteeseen, eik\u00e4 masennusoireiden muutos ollut en\u00e4\u00e4 merkitsev\u00e4 (p = 0.08). Vierailup\u00e4ivien ja ajan yhdysvaikutus oli yhteydess\u00e4 masennusoireiden v\u00e4henemiseen siten, ett\u00e4 suurempi m\u00e4\u00e4r\u00e4 vierailup\u00e4ivi\u00e4 yhdistyi masennusoireiden suurempaan v\u00e4henemiseen (p < 0.05), mutta muutoin k\u00e4ytt\u00f6aktiivisuus ei ollut yhteydess\u00e4 masennusoireiden v\u00e4henemiseen. Omaishoitajuuden kestolla (> 5 vuotta) oli merkitsev\u00e4 yhteys masennusoireiden v\u00e4henemiseen (p < 0.05) niin, ett\u00e4 pidempi omaishoitajuuden kesto yhdistyi suurempaan masennusoireiden v\u00e4henemiseen.\n\nJohtop\u00e4\u00e4t\u00f6ksin\u00e4 todetaan, ett\u00e4 erityisesti pidemp\u00e4\u00e4n omaishoitajana toimineet n\u00e4ytt\u00e4isiv\u00e4t hy\u00f6tyv\u00e4n et\u00e4kuntoutuksesta, koska heid\u00e4n masennusoireensa v\u00e4heniv\u00e4t eniten. T\u00e4ten et\u00e4kuntoutusta tulisi suunnata erityisesti pidemp\u00e4\u00e4n teht\u00e4v\u00e4ss\u00e4\u00e4n toimineille omaishoitajille. Lis\u00e4tutkimusta tarvitaan ik\u00e4\u00e4ntyneille omaishoitajille suunnatun et\u00e4kuntoutuksen k\u00e4ytt\u00f6aktiivisuuden ja masennusoireiden muutosten v\u00e4lisest\u00e4 yhteydest\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The need of caregiving increases along with increasing number of older adults in Finland. Caregivers confront mental stress and burden but because of time taking nature of caregiving, it can be difficult for them to participate in rehabilitation and other offered social and health services. Furthermore, rehabilitation of caregivers has previously focused mainly on physical disabilities rather than mental well-being. Programs offered via internet, as an e-rehabilitation, can meet the needs of caregivers and improve service accessibility and thus help to cope with mental burden of older caregivers. However, caregivers\u2019 commitment to web-based rehabilitation programs can be a challenge because of their lack of energy or time. The purpose of this study was to investigate if there is an association between the usage activity of an e-rehabilitation program and the changes in depressive symptoms in older caregivers.\n\nData of this study were collected in the project \u201cPromoting psychological well-being of caregivers\u201d. Participants were approximately 72 years old and took part in a four-month e-rehabilitation program with 10-month follow-up measurements. The change in depressive symptoms was measured with the Beck Depression Inventory-II (BDI-II). ANOVA was used to investigate if the reduction in depressive symptoms among e-rehabilitees and those being a caregiver for more than five years was significant, and GEE analysis was used to test whether more active usage of e-rehabilitation program and/or other factors were associated with reduction in depressive symptoms.\n\nThis study showed that the four-month e-rehabilitation intervention reduced caregivers\u2019 depressive symptoms from 15.0 (\u00b1 6.4) points to 10.6 (\u00b1 5.7) points (p < 0.001), but symptoms increased to 12.6 (\u00b1 6.8) points at the 10-month follow-up measurement (p = 0.08). The interaction between usage of the rehabilitation program (days when the program was used during the intervention period) and time was associated with reduction in depressive symptoms so that a greater number of usage days was associated with a greater reduction in depressive symptoms (p < 0.05). Otherwise the usage activity was not associated with a reduction in depressive symptoms. Being a caregiver for over 5 years was significantly associated with the reduction in depressive symptoms (p < 0.05).\n\nThis study concludes that those being a caregiver for more than five years benefitted the most from e-rehabilitation program since their depressive symptoms decreased most. Therefore, the e-rehabilitation program can be targeted to most vulnerable older caregivers. Further research is needed to reveal effective ways to use e-rehabilitation programs to reduce depressive symptoms of older caregivers.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-11-24T10:42:31Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-11-24T10:42:31Z (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": "masennusoireet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "et\u00e4kuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Et\u00e4kuntoutusohjelman k\u00e4ytt\u00f6aktiivisuuden yhteys masennusoireiden muutoksiin ik\u00e4\u00e4ntyneill\u00e4 omaishoitajilla", "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-202011246735", "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": "omaishoitajat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "omaishoito", "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": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "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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