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[{"key": "dc.contributor.advisor", "value": "H\u00e4kkinen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Silvennoinen, Noora", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2020-12-29T08:23:02Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2020-12-29T08:23:02Z", "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/123456789/73492", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Alaselk\u00e4kipu on yleinen oire, joka aiheuttaa merkitt\u00e4v\u00e4\u00e4 taloudellista haittaa ja sen vuoksi\ntehokkaiden hoitomenetelmien kehitt\u00e4minen on t\u00e4rke\u00e4\u00e4. Hyv\u00e4ksymis- ja omistautumisterapia\n(HOT) on kognitiivisbehavioraalinen hoitomenetelm\u00e4, jonka tulokset kivun hoidossa ovat\nlupaavia my\u00f6s verkkopohjaisena. T\u00e4m\u00e4n pilottitutkimuksen tarkoitus oli arvioida HOTmenetelm\u00e4n mukaisen verkkohoitomallin vaikutusta kroonisten alaselk\u00e4kipuisten kuntoutujien\nkipuun, el\u00e4m\u00e4ntyytyv\u00e4isyyteen ja toimintakykyyn. Lis\u00e4ksi selvitettiin kuntoutujien\ntyytyv\u00e4isyytt\u00e4 ja kokemusta osallistumisesta verkkohoitomalliin.\n\nPilottitutkimukseen rekrytoitiin 17 (ik\u00e4 31-62vuotta) alaselk\u00e4kipuista kuntoutujaa KeskiSuomen sairaanhoitopiirin fysiatrian poliklinikalta. Verkkohoitomalli koostui\nryhm\u00e4muotoisesta alku ja lopputapaamisesta, 12 viikon verkko-ohjelmasta ja 12 viikon\nomaharjoittelu ajasta. Verkkohoitomallin lis\u00e4ksi kuntoutujat saivat tavanomaistahoitoa.\nS\u00e4hk\u00f6isill\u00e4 kyselyill\u00e4 kartoitettiin alaselk\u00e4- ja alaraajakipua (VAS-jana), el\u00e4m\u00e4ntyytyv\u00e4isyytt\u00e4\n(SWLS), toimintakyky\u00e4 (ODI) ja tyytyv\u00e4isyytt\u00e4 kuntoutukseen. Lis\u00e4ksi kahdelle kuntoutujalle,\njoista toinen koki hy\u00f6tyneens\u00e4 kuntoutuksesta ja toinen ei, toteutettiin laadullinen\nosallistumiskysely tyytyv\u00e4isyydest\u00e4 ja kokemuksesta.\n\nVerkkohoitomallin suoritti loppuun 8 kuntoutujaa. Alaselk\u00e4kipu oli alkumittauksessa\nkeskiarvoisesti 66 mm. Kipu oli lis\u00e4\u00e4ntynyt intervention j\u00e4lkeen 11mm ja v\u00e4hentynyt\nseurannassa 16mm, mutta n\u00e4m\u00e4 muutokset eiv\u00e4t olleet tilastollisesti merkitsevi\u00e4 (p>0.05).\nAlaraajakipu s\u00e4ilyi l\u00e4ht\u00f6tasolla (58 mm). El\u00e4m\u00e4ntyytyv\u00e4isyysindeksi oli alussa 15, eik\u00e4\nintervention j\u00e4lkeinen kahden pisteen nousu tai seurannan nelj\u00e4n pisteen lasku olleet\nmerkitsevi\u00e4 muutoksia (p>0.05). Toiminnan haitta oli alussa vaikea (60 %) eik\u00e4 siin\u00e4\ntapahtunut muutoksia. Tutkittavien tyytyv\u00e4isyys verkko-ohjelmaan kokonaisuutena ja\nryhm\u00e4tapaamisiin oli kohtalainen (ka 6) ja verkko-ohjelman koettu hy\u00f6dyllisyys heikko (ka 4).\nKuntoutujat kokivat verkko-ohjelman helppok\u00e4ytt\u00f6iseksi ja sis\u00e4ll\u00f6n sopivaksi. Kuntoutuksesta\nhy\u00f6tynyt koki oppineensa uusia taitoja verkkohoitomallista. Kehitysehdotuksena nousi esiin\nsoveltuvien kuntoutujien valinta sek\u00e4 ehdotus laajemmasta perehdytyksest\u00e4 sis\u00e4lt\u00f6\u00f6n. \n\nT\u00e4ss\u00e4 pilottitutkimuksessa verkkohoitomallilla ei ollut vaikutusta kuntoutujien kipuun,\ntoimintakykyyn tai el\u00e4m\u00e4ntyytyv\u00e4isyyteen eik\u00e4 kuntoutujat olleet erityisen tyytyv\u00e4isi\u00e4 HOTmenetelm\u00e4n perustuvaan kuntoutukseen. Verkkohoitomallia tulee kehitt\u00e4\u00e4 edelleen ja\nlis\u00e4tutkimusta tarvitaan verkkohoitomallin vaikuttavuudesta", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2020-12-29T08:23:02Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2020-12-29T08:23:02Z (GMT). No. of bitstreams: 0\n Previous issue date: 2020", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "78", "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": "verkkopohjainen et\u00e4kuntoutus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hyv\u00e4ksymis- ja omistautumisterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Psykologisen verkkohoitomallin vaikutuksia kuntoutujien kipuun, toimintakykyyn, el\u00e4m\u00e4ntyytyv\u00e4isyyteen sek\u00e4 osallistumistyytyv\u00e4isyys : pilottitutkimus kroonisilla alaselk\u00e4kipuisilla", "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-202012297422", "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": "Terveyskasvatus", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Health Education", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.collaborator", "value": "public", "language": "", "element": "contractresearch", "qualifier": "collaborator", "schema": "yvv"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "business", "language": "", "element": "contractresearch", "qualifier": "initiative", "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": "50411", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kipu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kuntoutujat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hyv\u00e4ksymis- ja omistautumisterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "tyytyv\u00e4isyys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "toimintakyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vaikutukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "selk\u00e4sairaudet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kivunhoito", "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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