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[{"key": "dc.contributor.advisor", "value": "Multanen, Juhani", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Piitulainen, Kirsi", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tynkkynen, Aino", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2022-08-01T05:24:30Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2022-08-01T05:24:30Z", "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/123456789/82422", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Alaselk\u00e4kipu on yleinen terveysongelma, joka aiheuttaa inhimillist\u00e4 k\u00e4rsimyst\u00e4, sairauspoissaoloja ja merkitt\u00e4v\u00e4\u00e4 taloudellista haittaa yksil\u00f6lle, ty\u00f6nantajille ja yhteiskunnalle. Toimivien hoitopolkujen kehitt\u00e4minen terveydenhuollon eri toimijoiden v\u00e4lille on t\u00e4rke\u00e4\u00e4 sairauspoissaolojen v\u00e4hent\u00e4miseksi. Ty\u00f6terveyshuollon case managerina toimivan ty\u00f6terveyshoitajan avulla ty\u00f6ntekij\u00e4 saa yksil\u00f6idyt tukitoimet ty\u00f6h\u00f6n paluuseen sairauspoissaolon j\u00e4lkeen. Keski-Suomessa tehdyn pilottikokeilun perusteella yhteisty\u00f6 ja koordinointi ty\u00f6terveyshuollon case managerin avulla eri toimijoiden v\u00e4lill\u00e4 voi v\u00e4hent\u00e4\u00e4 v\u00e4lilevytyr\u00e4leikkauksen j\u00e4lkeisi\u00e4 sairauspoissaoloja. \n\nT\u00e4m\u00e4n tutkielman tarkoituksena oli selvitt\u00e4\u00e4 Keski-Suomen sairaanhoitopiirin Osaty\u00f6kykyisille tie ty\u00f6el\u00e4m\u00e4\u00e4n -hankkeen (OTE7) aineiston avulla henkil\u00f6iden, joilla on pitkittynytt\u00e4 alaselk\u00e4kipua sek\u00e4 v\u00e4lilevytyr\u00e4leikkauksesta toipuvien ty\u00f6h\u00f6n paluun tukitoimia case managerin koordinoimana. Kiinnostuksen kohteena oli kuntoutus- ja ty\u00f6n muokkaustoimenpiteet, sairauspoissaolot ja ty\u00f6h\u00f6npaluusuunnitelmaan k\u00e4ytetty aika. Osallistujina oli 40 (i\u00e4n keskiarvo 43.5 vuotta, SD 10.2) ty\u00f6ss\u00e4 k\u00e4yv\u00e4\u00e4 henkil\u00f6\u00e4. V\u00e4lilevytyr\u00e4operoitujen ryhm\u00e4ss\u00e4 oli 27 osallistujaa ja pitkittynytt\u00e4 alaselk\u00e4kipua sairastavien ryhm\u00e4ss\u00e4 13. Tutkittavilla oli k\u00e4ynti erikoissairaanhoidossa joko ortopedian tai fysiatrian poliklinikalla. Erikoissairaanhoidosta kirjoitettiin hankkeen toimintamallin mukaan kahden viikon sairausloma ja l\u00e4hetettiin tieto tutkittavan ty\u00f6terveyshuoltoon, josta case manager otti yhteytt\u00e4 osallistujaan ja ty\u00f6h\u00f6npaluusuunnitelma tehtiin. Case manager koordinoi tutkittavan ty\u00f6n muokkaus- ja kuntoutustoimenpiteit\u00e4.\n\nKuntoutustoimista eniten k\u00e4ytettiin ty\u00f6fysioterapeutin palveluja ja yleisin ty\u00f6nmuokkaustoimi oli osa-aikaty\u00f6n tekeminen. Noin puolella osallistujista muokattiin ty\u00f6t\u00e4. Osallistujista 60 % pystyi palamaan ty\u00f6h\u00f6n erikoissairaanhoidossa kirjoitetun kahden viikon sairauspoissaolon j\u00e4lkeen. Tutkittavien ty\u00f6h\u00f6npaluuprosentti oli 93 kolmen kuukauden seurantajakson aikana. Alaselk\u00e4kipua sairastavien ja v\u00e4lilevytyr\u00e4leikkauksesta toipuvien v\u00e4lisi\u00e4 tilastollisesti merkitsevi\u00e4 eroja oli fysioterapiak\u00e4ynneiss\u00e4 yksityisell\u00e4 sektorilla, kaikissa alaselk\u00e4kipuun liittyviss\u00e4 sairauspoissaolop\u00e4iviss\u00e4 ja ty\u00f6terveyshoitajan k\u00e4ytt\u00e4m\u00e4ss\u00e4 ajassa ty\u00f6h\u00f6npaluusuunnitelmaa varten. Ty\u00f6nmuokkaustoimet eiv\u00e4t eronneet ryhmien v\u00e4lill\u00e4.\n\nErikoissairaanhoidon ja ty\u00f6terveyshuoltojen yhteisty\u00f6 hy\u00f6dytt\u00e4\u00e4 sek\u00e4 yksil\u00f6\u00e4, ty\u00f6nantajaa ett\u00e4 yhteiskuntaa. Case managerin koordinoima ty\u00f6h\u00f6n paluu voi lyhent\u00e4\u00e4 sairauspoissaolojen pituutta ja tehostaa ty\u00f6h\u00f6n paluuta oikein kohdennettujen kuntoutus- ja ty\u00f6nmuokkaustoimenpiteiden avulla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2022-08-01T05:24:30Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2022-08-01T05:24:30Z (GMT). No. of bitstreams: 0\n Previous issue date: 2022", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "63", "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.title", "value": "Case manager ty\u00f6h\u00f6n paluun tukena pitkittynytt\u00e4 alaselk\u00e4kipua sairastavilla sek\u00e4 v\u00e4lilevytyr\u00e4leikkauksesta toipuvilla", "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-202208013978", "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": "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": "50422", "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": "selk\u00e4sairaudet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6terveyshuolto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6kyky", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ty\u00f6terveys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "sairauspoissaolot", "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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