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[{"key": "dc.contributor.advisor", "value": "Sipil\u00e4, Sarianna", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Uotila, Henri", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-07-06T06:53:24Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-07-06T06:53:24Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2021", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/77003", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Viimeisen 20 vuoden aikana gerastenian k\u00e4site on vakiintunut tiedeyhteis\u00f6ss\u00e4 kuvaamaan \nik\u00e4\u00e4ntymiseen liit\u00e4nn\u00e4ist\u00e4 oireyhtym\u00e4\u00e4, joka johtaa ik\u00e4\u00e4ntyneen henkil\u00f6n lis\u00e4\u00e4ntyneeseen \nhaurauteen sek\u00e4 heikentyneeseen stressinsietokykyyn. V\u00e4est\u00f6n ik\u00e4\u00e4ntyess\u00e4 sek\u00e4 heikentyneen \nkognitiivisen toimintakyvyn ett\u00e4 gerastenian esiintyvyys lis\u00e4\u00e4ntyy. T\u00e4m\u00e4 muutos osaltaan \nlis\u00e4\u00e4 terveydenhuollon kustannuksia ja resurssien tarpeen m\u00e4\u00e4r\u00e4\u00e4. T\u00e4m\u00e4n pro gradu \u2013\ntutkielman tarkoituksena oli selvitt\u00e4\u00e4 vuoden pituisen kotikuntoutusintervention vaikutuksia \nniiden ik\u00e4\u00e4ntyneiden ihmisten kognitiiviseen toimintakykyyn, joilla on todettu gerastenia tai \nsen esiaste.\nTutkielmassa k\u00e4ytetty aineisto on per\u00e4isin Etel\u00e4-Karjalan sosiaali- ja terveyspiirin (Eksote) \nKauKoIK\u00c4 \u2013 tutkimushankkeesta. Tutkimukseen osallistui 300 Eksoten alueen kotona asuvaa \nik\u00e4\u00e4ntynytt\u00e4 henkil\u00f6\u00e4, joilla oli todettu gerastenia tai sen esiaste. Tutkittavat henkil\u00f6t \nsatunnaistettiin interventio- ja verrokkiryhmiin, joista ensin mainittu osallistui vuoden \npituiseen kotikuntoutusinterventioon. Tutkimuksessa kognitiivista toimintakyky\u00e4 mitattiin \nMMSE-testist\u00f6ll\u00e4 (0kk, 6kk ja 12kk). Tutkimuksen taustamuuttujina olivat ik\u00e4, sukupuoli, \nkoulutusvuodet, siviilis\u00e4\u00e4ty, painoindeksi sek\u00e4 toteutuneet fysioterapiakerrat. Intervention \nvaikutusta kognitiiviseen toimintakykyyn tarkasteltiin toistomittausten varianssianalyysill\u00e4. \nVarianssianalyysin tuloksia tarkasteltiin sek\u00e4 koko aineiston, ett\u00e4 alaryhmien osalta.\nKoko aineistoa tarkasteltaessa interventiolla ei havaittu olevan tilastollisesti merkitsev\u00e4\u00e4 \nvaikutusta kognitiiviseen toimintakykyyn (yhdysvaikutus p=0.311). Kognitiivinen \ntoimintakyky heikkeni vuoden aikana tilastollisesti merkitsev\u00e4sti (p<0.001) sek\u00e4 interventio-, \nett\u00e4 verrokkiryhmiss\u00e4 (MMSE-summapistem\u00e4\u00e4r\u00e4 0 kk: 24.3\u00b13.1 12 kk: 23.5\u00b14.3 ja 0 kk: \n24.6\u00b13.2 12 kk: 23.2\u00b14.2). Alaryhm\u00e4analyyseissa gerastenian esiasteesta k\u00e4rsivien \ntutkittavien osalta interventiolla ei ollut tilastollisesti merkitsev\u00e4\u00e4 vaikutusta (yhdysvaikutus \np=0.850). Varsinaisesta gerasteniasta k\u00e4rsivien tutkittavien ryhm\u00e4ss\u00e4 interventio kuitenkin\nhidasti kognition heikkenemist\u00e4 tilastollisesti melkein merkitsev\u00e4sti (yhdysvaikutus p=0.057).\nTutkielman tulosten perusteella kotona suoritettavalla liikuntainterventiolla saattaa olla \nkognitiivisen toimintakyvyn heikkenemist\u00e4 hidastava vaikutus niiden ihmisten kohdalla, joilla \non todettu varsinainen gerastenia.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Over the past 20 years, the concept of frailty has established in the scientific community to \ndescribe an age-related syndrome that results in increased fragility and impaired stress \ntolerance in the elderly. As the population ages, the incidence of both cognitive impairment \nand frailty, increases in the population. This change contributes to increasing health care costs \nand the amount of resources needed. The purpose of this master 's thesis was to investigate the \neffects of a one-year home-based exercise intervention on the cognitive functioning of older\npeople with frailty or pre-frailty.\nThe data used in this master\u2019s thesis is from South Karelia social and health care district\u2019s \n(Eksote) KauKoIK\u00c4 \u2013 research project. The research project involved 300 community-dwelling older people living in the Eksote-area who had been diagnosed with frailty or prefrailty. Subjects were randomized to intervention and control groups, the first-mentioned \nparticipating in a one-year home rehabilitation intervention. Cognitive functioning was \nmeasured using the MMSE-questionnaire. Background variables were age, gender, years of \neducation, marital status, body mass index and commitment to intervention. The effects of the \nintervention on cognitive function were analysed with repeated measures ANOVA.\nThe intervention was not found to have a statistically significant effect on cognitive \nfunctioning (interaction p=0.311). Cognitive function declined in both groups (MMSE score 0 \nmonths: 24.3\u00b13.1 12 months: 23.5\u00b14.3 and 0 months: 24.6\u00b13.2 12 months 23.2\u00b14.2) \nstatistically significantly (p<0.001) over the one year. In subgroup analyses of subjects with \npre-frailty, intervention did not have a statistically significant effect (interaction p=0.850).\nHowever, in the group of subjects with frailty, the intervention slowed down the decline of \ncognitive functioning statistically almost significantly (interaction p<0.057).\nBased on the results of this master\u2019s thesis, home-based physical exercise intervention may \nslow down the decline of cognitive functioning in subjects with frailty.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2021-07-06T06:53:24Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-07-06T06:53:24Z (GMT). No. of bitstreams: 0\n Previous issue date: 2021", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "53", "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": "gerastenia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Kotikuntoutusintervention vaikutus kognitioon ik\u00e4\u00e4ntyneill\u00e4 ihmisill\u00e4, joilla on gerastenia tai sen esiaste", "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-202107064189", "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": "hauraus-raihnausoireyhtym\u00e4", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kotikuntoutus", "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": "interventio", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kognitio", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "harjoittelu", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hauraus", "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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