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[{"key": "dc.contributor.advisor", "value": "Vuoskoski, Pirjo", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Hiekkala, Sinikka", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tiitinen, Susanna", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-05-22T07:38:42Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-05-22T07:38:42Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2024", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/95047", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Spinal cord injury causes impairments of body function, participation and activities. Despite the impairments, a person with a spinal cord injury can live a fulfilling and meaningful life. Rehabilitation plays a significant role in assisting the person towards well-being. Rehabilitation is a process that improves the functionality and participation. This process is influenced by many personal factors, and therefore an individual rehabilitation pathway is created. Only few studies on the experiences of these individual rehabilitation pathways of persons with spinal cord injuries have been conducted. It is important to explore individual experiences of these rehabilitation pathways. This study explores the experiences of persons with spinal cord injury on rehabilitation pathways. The aim of the study was firstly, to produce knowledge about the rehabilitation pathways of persons with spinal cord injuries, and secondly, examine the differences and similarities between the experiences related to the rehabilitation process. The goal was to expand the understanding of the rehabilitation pathways of persons with spinal cord injuries as a qualitative and experiential phenomenon. \n\nThe study was part of the Finnish Spinal Cord Injury (FinSCI) study. The research utilized a qualitative and a narrative approach as well as a hermeneutic approach. The data of this study was gathered from the interview data of the FinSCI study, which was already deductively coded according to the rehabilitation process. The data of this study consisted of these original data quotes which were coded for different stages of the rehabilitation process. Participants consisted of 15 spinal cord injured persons. The data was analyzed with reflexive thematic analysis.\n \nFour main themes emerged from the analysis. These themes represent narratives constructed from experiences of rehabilitation pathways. The first narrative reflects the starting point of rehabilitation and describes the experiences of causes of injury and initial treatment. The other three shared and equal narratives describe the experiences and meanings of the changes in independence and physical functionality, the need for support, and life changes after the spinal cord injury. Achieving and maintaining independence and physical functionality was meaningful. The rehabilitation was described as progressing from learning to maintaining, but secondary health conditions limited the rehabilitation. Individuality and interaction appeared to be significant in the need for support narrative. At the beginning of the rehabilitation, importance of the received support and the need for support were described. Also experiences of being alone and without suitable support were described. Life changes were part of the rehabilitation pathways, and own life reconstructed during rehabilitation pathway. This process was individual. The study expanded the understanding of rehabilitation pathways of persons with spinal cord injury. A deeper examination of experiences is needed to increase the understanding of rehabilitation pathways. The results can be used in the development of rehabilitation and treatment of persons with spinal cord injuries.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Selk\u00e4ydinvamma aiheuttaa h\u00e4iri\u00f6it\u00e4 kehon toimintaan, osallistumiseen ja suoriutumiseen. Rajoitteista huolimatta selk\u00e4ydinvamman saanut henkil\u00f6 pystyy el\u00e4m\u00e4\u00e4n monipuolista ja mielek\u00e4st\u00e4 el\u00e4m\u00e4\u00e4, jonka mahdollistumisessa kuntoutumisella on merkitt\u00e4v\u00e4 rooli. Kuntoutumisella tarkoitetaan prosessia, jolla pyrit\u00e4\u00e4n parantamaan toimintakyky\u00e4 ja osallistumista. Siihen vaikuttavat monet yksil\u00f6lliset tekij\u00e4t, ja sen vaiheiden my\u00f6t\u00e4 muodostuu yksil\u00f6llinen kuntoutumispolku. Selk\u00e4ydinvamman saaneiden henkil\u00f6iden kuntoutumispolkukokemuksia on tutkittu toistaiseksi v\u00e4h\u00e4n, vaikka niiden selvitt\u00e4minen olisi t\u00e4rke\u00e4\u00e4 kuntoutuksen kehitt\u00e4miseksi. T\u00e4ss\u00e4 pro gradu -tutkielmassa tarkasteltiin selk\u00e4ydinvamman saaneiden henkil\u00f6iden kuntoutumispolkukokemuksia. Tutkimuksen tarkoituksena oli tuottaa tietoa selk\u00e4ydinvamman saaneiden henkil\u00f6iden kuntoutumispolkukokemuksista sek\u00e4 niiden eroista ja yhtenev\u00e4isyyksist\u00e4, siten kuin ne ilmenev\u00e4t heid\u00e4n kuntoutumisprosessiinsa kytkeytyviss\u00e4 kokemuksissaan. Tavoitteena oli lis\u00e4t\u00e4 ymm\u00e4rryst\u00e4 selk\u00e4ydinvamman saaneiden henkil\u00f6iden kuntoutumispoluista laadullisena ja kokemuksellisena ilmi\u00f6n\u00e4.\n\nTutkimus oli osa Selk\u00e4ydinvammaisten henkil\u00f6iden terveys ja toimintakyky sek\u00e4 haasteet esteett\u00f6myydess\u00e4 (FinSCI) -tutkimusta. Tutkimus toteutettiin laadullista ja narratiivista tutkimusotetta sek\u00e4 hermeneuttista l\u00e4hestymistapaa hy\u00f6dynt\u00e4en. Tutkimuksen aineistona oli FinSCI-tutkimuksen haastatteluaineisto, joka oli ennalta koodattu teorial\u00e4ht\u00f6isesti kuntoutumisen prosessin mukaisesti. T\u00e4m\u00e4n tutkimuksen aineisto koostui n\u00e4ist\u00e4 kuntoutumisprosessin eri vaiheisiin koodatuista aineistositaateista. Tutkimukseen osallistui 15 selk\u00e4ydinvamman saanutta henkil\u00f6\u00e4. Aineisto analysoitiin refleksiivist\u00e4 temaattista analyysi\u00e4 mukaillen. \n\nAnalyysin tuloksena muodostui nelj\u00e4 p\u00e4\u00e4teemaa, jotka kuvattiin narratiiveina kuntoutumispolkukokemuksista. N\u00e4ist\u00e4 yksi kuvasi kokemuksia vamman synnyst\u00e4 ja alkuvaiheen hoidosta ollen kuntoutumispolun l\u00e4ht\u00f6piste. T\u00e4t\u00e4 seuranneet kolme muuta yhdenvertaista ja rinnakkaista narratiivia kuvasivat itsen\u00e4isyyden ja fyysisen toimintakyvyn muutoksia, tuen tarpeita sek\u00e4 omann\u00e4k\u00f6isen el\u00e4m\u00e4n muodostumista ja n\u00e4ihin sis\u00e4ltyneit\u00e4 merkityksi\u00e4 kuntoutumispolulla. Itsen\u00e4isyyden ja fyysisten muutosten osalta merkitykselliseksi koettiin niiden saavuttaminen ja yll\u00e4pit\u00e4minen. Kuntoutumispolun kuvattiin etenev\u00e4n uuden opettelusta saavutetun yll\u00e4pit\u00e4miseen, mutta selk\u00e4ydinvammaan liittyv\u00e4t liit\u00e4nn\u00e4isongelmien koettiin rajoittaneen kuntotumista. Tuen tarpeen osalta merkityksellisen\u00e4 n\u00e4ytt\u00e4ytyi yksil\u00f6llisyyden huomioiminen ja vuorovaikutus. Kuntoutumisen alussa kuvattiin muilta saadun tuen merkityst\u00e4 sek\u00e4 tuen tarvetta, mutta kokemuksissa n\u00e4ytt\u00e4ytyi my\u00f6s yksin ja ilman sopivaa tukea j\u00e4\u00e4minen. Omann\u00e4k\u00f6isen el\u00e4m\u00e4n muodostumissa merkityksellisen\u00e4 n\u00e4ytt\u00e4ytyi sen yksil\u00f6llisyys. Selk\u00e4ydinvamman koettiin muuttaneen el\u00e4m\u00e4\u00e4 ja omann\u00e4k\u00f6inen el\u00e4m\u00e4 muodostui kuntoutumisen lomassa. Tutkimus lis\u00e4si ymm\u00e4rryst\u00e4 selk\u00e4ydinvamman saaneiden henkil\u00f6iden kuntoutumispoluista kokemuksellisena ilmi\u00f6n\u00e4. Tulevaisuudessa tarvitaan kuitenkin niiden syvemp\u00e4\u00e4 tarkastelua, jotta ymm\u00e4rryst\u00e4 kuntoutumispoluista voidaan laajentaa. Tutkimuksen tuloksia voidaan hy\u00f6dynt\u00e4\u00e4 selk\u00e4ydinvamman saaneiden henkil\u00f6iden kuntoutuksen ja hoidon kehitt\u00e4misess\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2024-05-22T07:38:42Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-05-22T07:38:42Z (GMT). No. of bitstreams: 0\n Previous issue date: 2024", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "69", "language": "", "element": "format", "qualifier": "extent", "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": "kuntoutuminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "kuntoutumispolku", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Selk\u00e4ydinvamman saaneiden henkil\u00f6iden kuntoutumispolkukokemukset : laadullinen ja narratiivinen tutkimus (FinSCI-tutkimus)", "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-202405223811", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"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": "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": null, "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": "kokemukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "selk\u00e4ydinvammat", "language": null, "element": "subject", "qualifier": "yso", "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/en/workspaces/facilities/facilities#autotoc-item-autotoc-2).", "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/fi/tyoskentelytilat/laitteet-ja-tilat#autotoc-item-autotoc-2.", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}]
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