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[{"key": "dc.contributor.advisor", "value": "von Bonsdorff, Mikaela", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Turunen, Sini", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2022-06-03T10:26:13Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2022-06-03T10:26:13Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2022", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/81452", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Resilienssill\u00e4 tarkoitetaan henkil\u00f6n kyky\u00e4 selviyty\u00e4 ja toipua merkitt\u00e4vist\u00e4 vastoink\u00e4ymisist\u00e4. Gerastenia (aiemmin hauraus-raihnaus-oireyhtym\u00e4) taas on ik\u00e4\u00e4ntymiseen liittyv\u00e4 moniulotteinen oireyhtym\u00e4. Gerastenia tarkoittaa elimist\u00f6n haavoittuvuutta tai haurastumista, johon liittyy kasvanut riski haitallisille terveydentilan muutoksille ja toimintakyvyn romahtamiselle. \n\nT\u00e4m\u00e4n pro gradu -tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, miten resilienssi on yhteydess\u00e4 gerasteniaan ik\u00e4\u00e4ntyneill\u00e4 miehill\u00e4 ja naisilla. Lis\u00e4ksi oltiin kiinnostuneita siit\u00e4, selitt\u00e4\u00e4k\u00f6 itsearvioitu terveys eroja resilienssin ja gerastenian yhteydess\u00e4 ik\u00e4\u00e4ntyneill\u00e4 miehill\u00e4 ja naisilla. Aihetta on tutkittu v\u00e4h\u00e4n, vaikka psykologisten tekij\u00f6iden on todettu olevan yhteydess\u00e4 ik\u00e4\u00e4ntyneen henkil\u00f6n fyysiseen terveyteen ja toimintakykyyn. \n \nTutkimusaineistona k\u00e4ytettiin Helsingin syntym\u00e4kohorttitutkimuksen (HBCS) aineistoa. Resilienssi\u00e4 ja itsearvioitua terveytt\u00e4 arvioitiin vuoden 2015 postikyselyss\u00e4 ja gerasteniaa vuosien 2017\u201318 kliinisiss\u00e4 mittauksissa. Tutkittavia oli yhteens\u00e4 480, joista miehi\u00e4 206 ja naisia 274. Tutkittavien keski-ik\u00e4 oli 74,1 vuotta. Resilienssi\u00e4 arvioitiin Hardy-Gill resilienssimittarilla, jossa tiedusteltiin tutkittavan kokemaa stressaavinta tapahtumaa viimeisen viiden vuoden ajalta ja h\u00e4nen sopeutumistaan siihen. Gerasteniaa arvioitiin Frailty-indeksill\u00e4, jossa selvitettiin tutkittavan terveydellisi\u00e4 vajeita, kuten oireita, sairauksia ja toimintakyvyn heikentymist\u00e4. Aineistoa analysoitiin lineaarisella regressiomallilla sukupuolittain, jossa vakioivana tekij\u00e4n\u00e4 k\u00e4ytettiin itsearvioitua terveytt\u00e4. Lis\u00e4ksi muina vakioivina tekij\u00f6in\u00e4 k\u00e4ytettiin ik\u00e4\u00e4 ja koulutustasoa.\n\nTulosten mukaan korkeampi resilienssipistem\u00e4\u00e4r\u00e4 oli tilastollisesti merkitsev\u00e4sti yhteydess\u00e4 pienemp\u00e4\u00e4n gerasteniaa kuvaavaan pistem\u00e4\u00e4r\u00e4\u00e4n. Miehill\u00e4 resilienssin ja gerastenian yhteys s\u00e4ilyi edelleen, kun itsearvioitu terveys lis\u00e4ttiin malliin. Naisilla itsearvioitu terveys taas selitti resilienssin ja gerastenian yhteytt\u00e4. Korkeampi resilienssi miespuolisilla tutkittavilla oli siis yhteydess\u00e4 v\u00e4h\u00e4isemp\u00e4\u00e4n gerasteniaan. Tutkimus vahvistaa n\u00e4ytt\u00f6\u00e4 siit\u00e4, ett\u00e4 resilienssi on yhteydess\u00e4 terveydentilaan ja toimintakykyyn ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4. Jatkossa olisi hyv\u00e4 selvitt\u00e4\u00e4 tarkemmin sukupuolten v\u00e4lisi\u00e4 eroja resilienssin ja gerastenian yhteydess\u00e4. Tutkimusn\u00e4ytt\u00f6\u00e4 olisi t\u00e4rke\u00e4\u00e4 saada my\u00f6s siit\u00e4, voisiko resilienssi\u00e4 vahvistamalla ennaltaehk\u00e4ist\u00e4 gerastenian ilmenemist\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The psychosocial aspects of successful aging are being increasingly associated with the prevention of disabilities and the general health of older adults. In this study, resilience is defined as an ability or capacity to thrive regardless of adversity. Frailty, a multidimensional age-related syndrome, has been investigated mainly with respect to biological aging. Frailty is a current public health issue, causing decrease in one\u2019s functional status and a devastating accumulation of health deficits. The purpose of this study was to explore the potential association between frailty and resilience in older adults. In addition, the study investigated whether self-rated health explained the association between frailty and resilience in older men and women.\n\nThe research data used in this study was a part of the Helsinki Birth Cohort Study, which is an ongoing prospective cohort study. The study consisted of a total of 480 participants, born in Helsinki between 1934 and 1944 of which 206 were men and 274 women. Resilience was assessed in the postal survey conducted in 2015. Frailty was assessed during clinical examinations in 2017-18. The mean age of the participants was 74,1 years. To evaluate resilience, the Hardy-Gill resilience scale was used. In the Hardy-Gill resilience scale, participants are asked to identify the most stressful event during the past five years combined with questions about their adaptation after the adversity. Frailty was assessed using the Frailty Index, which includes 41 health deficits, such as symptoms, disabilities, and diseases. A linear regression analysis was used to analyse the data.\n\nIn this study, there was a significant negative linear association between resilience and frailty. The association remained after adjustment for age and highest level of education. When self-rated health was added to the final regression model, a significant association between resilience and frailty remained for men but for women the association was non-significant. The findings from this study deepen the previous knowledge of the importance of psychosocial factors in the healthy ageing process. The possibility to prevent frailty by strengthening resilience is a question yet to be answered. Further studies are needed to investigate gender differences between the main variables.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2022-06-03T10:26:13Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2022-06-03T10:26:13Z (GMT). No. of bitstreams: 0\n Previous issue date: 2022", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "61", "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.subject.other", "value": "itsearvioitu terveys", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Resilienssin ja gerastenian yhteys 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-202206033070", "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": "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": "50423", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "resilienssi", "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": "ik\u00e4\u00e4ntyminen", "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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