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[{"key": "dc.contributor.advisor", "value": "Bergstr\u00f6m, Tomi", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Niskanen, Roosa", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Kvist, Juuso", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2025-01-14T06:56:23Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2025-01-14T06:56:23Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2024", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/99418", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Psykiatriassa on kasvava tarve laajentaa tutkimussuuntausta oirekeskeisist\u00e4 satunnaistetuista kontrollikokeista kohti mielenterveyspalveluiden k\u00e4ytt\u00e4jien tarpeita ja n\u00e4k\u00f6kulmia huomioivaa tutkimusta. Tutkielmamme on osa laajempaa entisen L\u00e4nsi-Pohjan sairaanhoitopiirin alueella toteutettua PSILEAPS-kyselytutkimushanketta (a Participatory Survey to Investigate the Long-term Effectiveness of Adult Psychiatric Services). Tutkimuksessa mielenterveyspalveluiden k\u00e4ytt\u00e4jilt\u00e4, heid\u00e4n l\u00e4heisilt\u00e4\u00e4n ja hoidosta vastaavilta ty\u00f6ntekij\u00f6ilt\u00e4 kysyttiin, mist\u00e4 he arvioivat palvelutarpeen johtuvan ja mitk\u00e4 asiat ovat hoidossa auttaneet tai voisivat auttaa. Eksploratiivisen osatutkimuksemme tavoitteena on tuottaa tietoa, mitk\u00e4 hoitotavat ja -menetelm\u00e4t asiakkaat kokevat auttaviksi, sek\u00e4 mitk\u00e4 tekij\u00e4t heid\u00e4n n\u00e4k\u00f6kulmastaan vaikuttavat voinnissa tapahtuviin muutoksiin. Tutkimamme kyselyaineisto ker\u00e4ttiin 85 osallistujalta Tornion ja Kemin psykiatrian poliklinikoilla vuonna 2022.\n\nTarkastelimme hoidossa auttavia tapoja ja menetelmi\u00e4 kuvailevin tilastollisin menetelmin. Asiakkaat arvioivat hy\u00f6tyv\u00e4ns\u00e4 eniten hoidon jatkuvuudesta ja hoitotapaamisista. Analysoimme aineistol\u00e4ht\u00f6isen m\u00e4\u00e4r\u00e4llisen sis\u00e4ll\u00f6nanalyysin avulla avokysymyksi\u00e4 vointia kohentavista sek\u00e4 heikent\u00e4vist\u00e4 tekij\u00f6ist\u00e4. Asiakkaat toivat vastauksissaan esille eniten sosiaalista ulottuvuutta ja hoidollisia tekij\u00f6it\u00e4 voinnin kohentumiseen vaikuttavina tekij\u00f6in\u00e4. Vointia heikent\u00e4vist\u00e4 tekij\u00f6ist\u00e4 asiakkaat toivat esille eniten terveydellisi\u00e4 sek\u00e4 el\u00e4m\u00e4ntilanteeseen liittyvi\u00e4 tekij\u00f6it\u00e4.\n\nVointia kohentavien ja heikent\u00e4vien tekij\u00f6iden yhteyksi\u00e4 asiakkaiden demografisiin ja kliinisiin taustatekij\u00f6ihin tarkastelimme ristiintaulukoinnein Pearsonin khii toiseen -testin ja Fisherin tarkan testin avulla. Psyykenl\u00e4\u00e4kehoitoa saaneet asiakkaat mainitsivat muita useammin hoidollisia tekij\u00f6it\u00e4 vointiaan kohentavina. Psykiatrista sairaalahoitoa saaneet asiakkaat mainitsivat muita useammin palautumiseen liittyvi\u00e4 tekij\u00f6it\u00e4 ja muita harvemmin sosiaaliseen ulottuvuuteen liittyvi\u00e4 tekij\u00f6it\u00e4 vointiaan kohentavina. 30- vuotiaat ja nuoremmat mainitsivat muita useammin sosiaaliseen ulottuvuuteen liittyvi\u00e4 tekij\u00f6it\u00e4 vointiaan kohentavina. Yli 30-vuotiaat mainitsivat muita useammin el\u00e4m\u00e4ntilanteeseen liittyvi\u00e4 tekij\u00f6it\u00e4 vointiaan heikent\u00e4vin\u00e4. Parisuhteessa olevat asiakkaat mainitsivat muita harvemmin el\u00e4m\u00e4ntilanteeseen liittyvi\u00e4 tekij\u00f6it\u00e4 vointiaan heikent\u00e4vin\u00e4. Muita tilastollisesti merkitsevi\u00e4 yhteyksi\u00e4 ei havaittu.\n\nTutkimustuloksemme puoltavat asiakkaan yksil\u00f6llisen kontekstin ja tarpeenmukaisuuden huomiointia sek\u00e4 psykiatrisessa tutkimuksessa ett\u00e4 k\u00e4yt\u00e4nn\u00f6n mielenterveyshoidossa. Muodostimme eksploratiivisen tutkimuksemme pohjalta hypoteesin:\nMielenterveyspalveluissa tarkasti ennalta m\u00e4\u00e4riteltyjen hoitomenetelmien k\u00e4ytt\u00e4minen asiakkaan yksil\u00f6llisen tilanteen huomioinnin ja hoidon jatkuvuuden kustannuksella eiv\u00e4t paranna hoidon koettua vaikuttavuutta pidemm\u00e4ll\u00e4 aikav\u00e4lill\u00e4. Hypoteesia tulee jatkossa testata konfirmatorisella tutkimusasetelmalla.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "There is a growing need in psychiatry to broaden research focus from symptom-based randomized controlled trials to studying the actual needs and views of mental health service users. This master\u2019s thesis is part of a larger research project, a Participatory Survey to Investigate the Long-term Effectiveness of Adult Psychiatric Services (PSILEAPS), conducted in the Finnish Western Lapland catchment area. Mental health service users, their care providers and their social network members were asked for their views on why mental health services have been needed and what factors help or could help in the treatment. Our sub-study aims to explore service users' views on helpful treatment methods and approaches as well as factors that improve and weaken their wellbeing. The survey data from 85 participants was collected at the psychiatric outpatient clinics in Tornio and Kemi during the year 2022.\n\nWe examined service users' views on helpful treatment methods and approaches using descriptive statistical analyses. Service users ranked continuity of care and therapeutic meetings as the most helpful. We examined service users' views on factors that improve and weaken their wellbeing using data-driven quantitative content analysis. Factors related to social dimension and received care were mentioned most frequently as wellbeing improving, while factors related to health and life situation were mentioned most frequently as wellbeing weakening.\n\nWe used Pearson\u2019s Chi-Square Test and Fisher\u2019s Exact Test to examine the associations between these factors and service users\u2019 demographic and clinical background variables. Service users who had received psychopharmacological care more frequently mentioned care related factors as improving their wellbeing. Those who had received psychiatric inpatient care more frequently mentioned factors related to recovery and social factors less frequently as improving their wellbeing. Service users aged 30 and younger more often mentioned social factors as improving their wellbeing. Those over the age of 30 more often mentioned factors related to life situation as weakening their wellbeing. Service users in a relationship less frequently mentioned factors related to life situation as weakening their wellbeing. No other statistically significant associations were found.\n\nOur findings suggest that psychiatric research and practice should place greater emphasis on individual contexts and need-adapted treatment. Based on our exploratory study, we formed the following hypothesis: The use of strictly predefined treatment methods at the expense of considering the service user\u2019s individual context and continuity of care does not improve the perceived effectiveness of treatment in the long term. However, this hypothesis should be assessed with a confirmatory research design.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2025-01-14T06:56:23Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2025-01-14T06:56:23Z (GMT). No. of bitstreams: 0\n Previous issue date: 2024", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "56", "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": "asiakasn\u00e4k\u00f6kulma", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "eksploratiivinen tutkimus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tarpeenmukainen hoito", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "avoimen dialogin hoitomalli", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Mielenterveyspalveluiden k\u00e4ytt\u00e4jien n\u00e4kemyksi\u00e4 heid\u00e4n hoidossaan auttavista menetelmist\u00e4 sek\u00e4 heid\u00e4n vointiaan kohentavista ja heikent\u00e4vist\u00e4 tekij\u00f6ist\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-202501141187", "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": "Kasvatustieteiden ja psykologian tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Education and Psychology", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Psykologian laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Psychology", "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": "Psykologia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Psychology", "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": "student", "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": "202", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "osallistava tutkimus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "mielenterveys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "mielenterveyspalvelut", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "psykiatriset potilaat", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "psykiatrinen hoito", "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"}]
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