Lee Suk Jeong, Park Jeong Mo
College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA.
Taehan Kanho Hakhoe Chi. 2006 Oct;36(6):1042-54. doi: 10.4040/jkan.2006.36.6.1042.
Previous evaluation studies of the visiting nursing program explained an average change of the participants' health status, without considering socio-ecological characteristics and their impacts. However, these factors must affect individual health problems and lifestyles. For effective and appropriate community based programs, the Geographical Information System (GIS) can be utilized. GIS is a computer-based tool for mapping and analyzing things that happen on earth, and integrates statistical analysis with unique visualization. The purpose of this study was to evaluate visiting nursing care and to advocate the usefulness of planning and evaluating visiting nursing programs using Exploratory Spatial Data Analysis (ESDA) with GIS technology.
One hundred eighty-four elderly participants with cerebrovascular risk factors who lived in 13 areas of one community received visiting nursing care. The data analyzed characteristics of pre-post change and autocorrelation by ESDA using GIS technology.
Visiting nursing care showed an improvement in the participants' lifestyle habits, and family management ability and stress level, while the improvements were different depending on the regions. The change of family management ability and stress level correlated with neighborhoods (Morgan's I= 0.1841, 0.1675).
Community health providers need to consider the individual participant's health status as well as socio-ecological factors. Analysis using GIS technology will contribute to the effective monitoring, evaluation and design of a visiting nursing program.
以往对上门护理项目的评估研究解释了参与者健康状况的平均变化，却未考虑社会生态特征及其影响。然而，这些因素必定会影响个人的健康问题和生活方式。对于有效且合适的社区项目而言，可利用地理信息系统（GIS）。GIS是一种基于计算机的工具，用于绘制和分析地球上发生的事物，并将统计分析与独特的可视化相结合。本研究的目的是评估上门护理，并倡导使用探索性空间数据分析（ESDA）和GIS技术来规划和评估上门护理项目的有用性。
居住在一个社区13个区域的184名有脑血管危险因素的老年参与者接受了上门护理。通过使用GIS技术的ESDA分析前后变化特征和自相关性。
上门护理使参与者的生活习惯、家庭管理能力和压力水平得到改善，不过改善情况因地区而异。家庭管理能力和压力水平的变化与邻里关系相关（摩根指数I = 0.1841，0.1675）。
社区卫生服务提供者需要考虑个体参与者的健康状况以及社会生态因素。使用GIS技术进行分析将有助于有效监测、评估和设计上门护理项目。
