당뇨환자를 위한 웹 기반의 유헬스 자가영양관리 프로그램 개발

Abstract

Objectives: The purpose of this study was to develop web-based self-nutritionmanagement u-Health program for diabetic patients (DMDMG: Diabetes Mellitus DietaryManagement Guide) for achieving systematic self-management of diet. Methods: The program consisted of five parts with different contents according to theresults of needs assessment. Five major parts were 1) meal management part whichcontains calorie prescription, meals recording and dietary assessment, 2) prevention ofdisease part with information of diabetes and assessment of dietary behavior, 3) dietarybehavior modification part with an education on dietary behavior modification plan anddietary behavior plan, 4) meal plan containing a training section for meal plan and selfconstructing part for meal planning by making tables, and 5) information about myselfwhich composed with general and physical information. The system proposed in thisstudy provides nutrients intake results right after input of diet intake, which is possiblewith simultaneous calculation of input data in the server with 3,495 food and 1,821meal data base. The nutrients analysis program was evaluated with 26 diabetic patientswith two-day 24 hr recall. Results: The differences of nutrients intakes between DMDMG and CANPRO 3.0ranged from 13.5-16.5%, which was caused by the differences of databases of the twoprograms. The characteristics of DMDMG were; 1) it can provide an interactive tailorednutrition management, 2) it is a practical tool of diabetes nutritional management, 3) theprogram gives motivation for the dietary behavior modification. Conclusions: The effectiveness of whole program needs to be conducted, but theprogram was an innovative tool for self-management of nutrient intakes, diet behaviors,meal management and tailored nutrition education.