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Published on: February 8, 2019
[Evaluation of visiting nursing care using geographical information system (GIS) technology]
1College of Nursing, University of Illinois at Chicago, Chicago, IL 60612, USA. lsj1109@yahoo.co.kr
Taehan Kanho Hakhoe Chi
|November 9, 2006
Summary
Visiting nursing care improved elderly participants
Area of Science:
- Community Health
- Gerontology
- Public Health
Background:
- Previous evaluations of visiting nursing programs focused on average health status changes.
- Socio-ecological characteristics and their impact on health were not adequately considered.
- Geographical Information System (GIS) offers a tool for mapping and analyzing spatial health data.
Purpose of the Study:
- To evaluate visiting nursing care for elderly individuals with cerebrovascular risk factors.
- To demonstrate the utility of Exploratory Spatial Data Analysis (ESDA) with GIS for planning and evaluating community-based nursing programs.
Main Methods:
- 184 elderly participants with cerebrovascular risk factors were enrolled from 13 community areas.
- Visiting nursing care was provided to all participants.
- ESDA using GIS technology was employed to analyze pre-post changes and spatial autocorrelation of health data.
Main Results:
- Visiting nursing care led to improvements in lifestyle habits, family management ability, and stress levels.
- The extent of these improvements varied across different regions.
- Changes in family management ability and stress levels showed a significant correlation with neighborhood characteristics (Morgan's I= 0.1841, 0.1675).
Conclusions:
- Community health programs must integrate individual health status with socio-ecological factors for effective interventions.
- GIS technology can enhance the monitoring, evaluation, and design of visiting nursing programs by incorporating spatial analysis.
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