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[{"key": "dc.contributor.advisor", "value": "Sj\u00f6gren, Tuulikki", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Sinkkonen, Essi", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2021-12-14T07:59:44Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2021-12-14T07:59:44Z", "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/123456789/78962", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Sepelvaltimotauti on yleinen v\u00e4est\u00f6n terveyteen ja kuolleisuuteen vaikuttava sairaus, joka n\u00e4ytt\u00e4ytyy sit\u00e4 sairastavan henkil\u00f6n el\u00e4m\u00e4ss\u00e4 biopsykososiaalisena kokonaisuutena. Vaikuttavuudestaan huolimatta \nsyd\u00e4nkuntoutus on silti alihy\u00f6dynnetty\u00e4. Teknologisten\nratkaisujen k\u00e4ytt\u00f6 taas on lis\u00e4\u00e4ntynyt sosiaali- ja terveysalalla. T\u00e4m\u00e4 pro gradu-tutkielma koostuu kahdesta osasta. Kirjallisuuskatsauksessa kartoitettiin aiempaa tutkimustietoa et\u00e4teknologiaa sis\u00e4lt\u00e4v\u00e4n syd\u00e4nkuntoutuksen vaikuttavuudesta sepelvaltimotautikuntoutujien psyykkiseen hyvinvointiin, kest\u00e4vyyskuntoon ja el\u00e4m\u00e4nlaatuun. Artikkelik\u00e4sikirjoituksessa raportoidaan tuloksia CRT-tutkimuksesta, jossa selvitettiin et\u00e4teknologiaa sis\u00e4lt\u00e4v\u00e4n\nsyd\u00e4nkuntoutuksen tuomaa lis\u00e4arvoa sepelvaltimotautikuntoutujien masennusoireisiin,\nhengitys- ja verenkiertoelimist\u00f6n kuntoon ja sosiaaliseen el\u00e4m\u00e4nlaatuun verrattuna tavanomaiseen syd\u00e4nkuntoutukseen, jossa et\u00e4teknologiaa ei k\u00e4ytetty. Lis\u00e4ksi kartoitettiin intervention aikaisia muutoksia selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4.\n\nKirjallisuuskatsauksen tietokantahaku tehtiin Medline-, Cinahl- ja PsycINFO-tietokantoihin. CRT-tutkimuksen aineistona toimi 59 koe- ja kontrolliryhm\u00e4\u00e4n satunnaistetun sepelvaltimotautikuntoutujan tulokset koskien muutosta masennusoireissa (DEPS), hengitysja verenkiertoelimist\u00f6n kunnossa (VO2max) ja sosiaalisessa el\u00e4m\u00e4nlaadussa (WHOQOL-bref) 12 kuukauden intervention aikana. Molemmat ryhm\u00e4t osallistuivat vuoden mittaiseen tavanomaiseen syd\u00e4nkuntoutukseen, jonka ohella koeryhm\u00e4 sai k\u00e4ytt\u00f6\u00f6ns\u00e4 et\u00e4teknologiaa.\nRyhmien v\u00e4liset erot analysoitiin kahden riippumattoman otoksen t-testill\u00e4 ja muutosten taustalla vaikuttavia tekij\u00f6it\u00e4 selvitettiin lineaarisella regressioanalyysill\u00e4.\n\nAiemmissa tutkimuksissa et\u00e4teknologiaa sis\u00e4lt\u00e4v\u00e4 syd\u00e4nkuntoutus on useimmiten havaittu yht\u00e4\nvaikuttavaksi psyykkisen hyvinvoinnin, kest\u00e4vyyskunnon ja el\u00e4m\u00e4nlaadun paranemisen suhteen kuin tavanomainen syd\u00e4nkuntoutus. Et\u00e4teknologian tuomasta lis\u00e4arvosta tehtyj\u00e4 tutkimuksia on viel\u00e4 v\u00e4h\u00e4n. CRT-tutkimus antaa viitteit\u00e4 siit\u00e4, ett\u00e4 et\u00e4teknologia ei tuota lis\u00e4arvoa tavanomaiseen syd\u00e4nkuntoutukseen, kun tutkimuskohteena ovat masennus, hengitys- ja verenkiertoelimist\u00f6n kunto ja el\u00e4m\u00e4nlaatu. Syd\u00e4nkuntouksessa v\u00e4h\u00e4isemp\u00e4\u00e4 masennusoireiden lis\u00e4\u00e4ntymist\u00e4 selitti el\u00e4m\u00e4nlaadun paraneminen. Hengitys- ja verenkiertoelimist\u00f6n kunnon kehittymist\u00e4 selittiv\u00e4t erityisesti l\u00e4ht\u00f6tilanteen suurempi fyysinen aktiivisuus sek\u00e4 lyhyempi aika syd\u00e4ntoimenpiteest\u00e4. Tulevaisuudessa syd\u00e4nkuntoutuksessa tulisi tutkia tarkemmin, miten teknologia voisi tukea ja antaa lis\u00e4arvoa kokonaisvaltaiseen kuntoutumiseen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Coronary heart disease affects in the health and mortality of the European population. The disease occurs in biological, psychological, and social matrixes of health consistent with the biopsychosocial model. Cardiac rehabilitation has been stated to be an essential part of the treatment of coronary heart disease but it is still underused. The use of technological solutions\nhas increased among social and health sector. This Master\u2019s thesis consists of two parts. The aim of the literature review was to investigate previous studies concerning the effectiveness of remote technology-enhanced cardiac rehabilitation on coronary rehabilitee\u2019s psychological health, exercise capacity and quality of life. In the article part will be reported results from\nCRT-study which aim was to assess the added value of remote technology-enhanced cardiac rehabilitation on coronary rehabilitee\u2019s depressive symptoms, cardiorespiratory fitness and social quality of life compared to standard cardiac rehabilitation without remote technology, and to assess factors explaining the possible changes in the primary variables.\n\nA database search for the literature review was made to Medline, Cinahl and PsycInfo following certain PICOS criteria. In the RCT-study the data consist of the results of 59 coronary rehabilitees cluster randomized to experimental and control groups. The results concern the\nchanges in depressive symptoms (DEPS), cardiorespiratory fitness (VO2max) and social quality\nof life (WHOQOL-bref) during a 12-month intervention. Both groups participated in a standard cardiac rehabilitation. In addition, the experimental group used remote technology. Differences between the groups were analyzed with independent samples t-test, and linear regression analysis was used to assess the factors explaining the possible changes.\n\nIn most of the previous studies remote technology-enhanced cardiac rehabilitation has been reported to be as effective as standard cardiac rehabilitation concerning depression and anxiety, exercise capacity and quality of life. There are still only few of studies concerning the added value of remote technology. Differences were not observed between the groups concerning the changes in primary variables in the CRT-study. Positive changes in quality of life explained smaller increase in depressive symptoms. More time spent in physical activity at the baseline and shorter time from last operation explained greater increase in cardiorespiratory fitness. Based on the previous studies the remote technology-enhanced cardiac rehabilitation might act as an option for standard cardiac rehabilitation. Based on the CRT-results, remote technology does not bring any added value for the standard cardiac rehabilitation. In the future, it is\nimportant to find out how remote technology could support and bring value for comprehensive rehabilitation.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2021-12-14T07:59:44Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2021-12-14T07:59:44Z (GMT). No. of bitstreams: 0\n Previous issue date: 2021", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "92", "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": "et\u00e4teknologia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "biopsykososiaalinen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hengitys- ja verenkiertoelimist\u00f6", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Et\u00e4teknologiaa sis\u00e4lt\u00e4v\u00e4n syd\u00e4nkuntoutuksen vaikuttavuus sepelvaltimotautikuntoutujien biopsykososiaalisiin tekij\u00f6ihin", "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-202112145949", "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": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.collaborator", "value": "finance", "language": "", "element": "contractresearch", "qualifier": "collaborator", "schema": "yvv"}, {"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": "restrictedAccess", "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": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "henkinen hyvinvointi", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "sepelvaltimotauti", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vaikuttavuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "el\u00e4m\u00e4nlaatu", "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.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/collections/archival-workstation).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/kokoelmat/arkistotyoasema..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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