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Development of a Health Management Support System for Patients with Diabetes Mellitus at Home

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Abstract

Recently, a patient with diabetes mellitus (DM) type 2 has been increasing in Japan. The patient should be managed not only by a specialist but also by himself focusing his attention on the improvement of his lifestyle at home. In the present study, we tried to develop a health management support system by which a diabetic patient in early stage can easily enter his daily life information, i.e. the biological information such as the data of blood sugar levels and blood pressure levels etc., the information of exercise and diet and send the information to the medical institution with a personal digital assistant (PDA). Afterwards, the patient can receive health instruction information by the physician in charge for self-care at his home with a PDA. The daily life information sent from the patient is stored in a server installed at the medical institution and analyzed. The physician can obtain the results of analysis by using a PC and send the instruction information necessary for patient management to the patient at home by using e-mail after diagnosing the patient’s condition by the system. To evaluate usability of the developed patient information input system with a PDA, an experiment was conducted by corporation of 20 volunteers who were possible self management and whose age’s range from 20s to 60s by questionnaire survey. As a result, almost examinees answered that lifestyle information could be easily entered by the sense like a mobile-phone and lots of positive opinions were obtained.

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References

  1. Ministry of Health: Labour and Welfare, The national health and nutrition survey in 2006. http://www.mhlw.go.jp/houdou/2008/04/h0430-2.html (in Japanese).

  2. Azuma, M., and Kawaguchi, T., Utility of Telenursing for Diabetes Self-Management. Promoting Center for Nursing Research, University of Hyogo. Coll. Nurs. Art Sci. 2:1–47, 2004(in Japanese).

    Google Scholar 

  3. Azuma, M., Kawaguchi, T., Advances in nursing using the telenursing system part 2: its application in home nursing for diabetes mellitus patients. Promoting Center for Nursing Research, University of Hyogo. Coll. Nurs. Art Sci. 1:7–11, 2003(in Japanese).

    Google Scholar 

  4. Japan Diabetes Society. List of food exchange for the diabetic treatment: the sixth edition. BUNKODO CO., LTD. 2002 (in Japanese).

  5. Wakamatsu, H., and Takahashi, T., Remote information system for control and support of everyday life.. J. Jpn. Soc. Health Sci. 24(1):105–117, 2008(in Japanese).

    Google Scholar 

  6. Giorgino, T., Azzini, I., Rognoni, C., Quaglini, S., Stefanelli, M., Gretter, R. et al., Automated spoken dialogue system for hypertensive patient home management. Int. J. Med. Inform. 74:159–167, 2005 doi:10.1016/j.ijmedinf.2004.04.026.

    Article  Google Scholar 

  7. Prado, M., Roa, L. M., and Reina-Tosina, J., Viability study of a personalized and adaptive knowledge-generation telehealthcare system for nephrology (NEFROTEL). Int. J. Med. Inform. 75:646–657, 2006 doi:10.1016/j.ijmedinf.2006.03.005.

    Article  Google Scholar 

  8. Levin, E., and Levin, A., Evaluation of spoken dialogue technology for real-time health data collection. J. Med. Internet Res. 8(4): e30, 2006. doi:10.2196/jmir.8.4.e30.

    Article  Google Scholar 

  9. Kollmann, A., Riedl, M., Kastner, P., Schreier, G., and Ludvik, B., Feasibility of a mobile phone-based data service for functional insulin treatment of type 1 diabetes mellitus patients. J. Med. Internet Res. 9(5): e36, 2007. doi:10.2196/jmir.9.5.e36.

    Article  Google Scholar 

  10. Ma, C., Warren, J., Phillips, P., and Stanek, J., Empowering patients with essential information and communication support in the context of diabetes. Int. J. Med. Inform. 75:577–596, 2006 doi:10.1016/j.ijmedinf.2005.09.001.

    Article  Google Scholar 

  11. Kwon, H. S., Cho, J. H., Kim, H. S., Song, B. R., Ko, S. H., Lee, J. M. et al., Establishment of blood glucose monitoring system using the internet. Diabetes Care. 27(2): 478–483, 2004 doi:10.2337/diacare.27.2.478.

    Article  Google Scholar 

  12. Honda, M., Toyasaki, M., Kazumi, T., Nanbu, S., Diabetes medical nutrition therapy in general physicians supported by International Institute for Diabetes Education and Study. J Jpn. Diabetes Soc. 49(2): 163–169, 2006. (in Japanese).

    Google Scholar 

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Authors and Affiliations

  1. Course of Healthcare Informatics, Graduate School of Applied Informatics, University of Hyogo, Kobe, Japan

    Shoko Tani, Terutaka Marukami, Atsuko Matsuda & Hiroshi Inada

  2. Hyogo Prefectural Amagasaki Hospital, Amagasaki, Japan

    Akiko Shindo

  3. University of Kindai Himeji, Himeji, Japan

    Keiko Takemoto

Authors
  1. Shoko Tani
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  2. Terutaka Marukami
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  3. Atsuko Matsuda
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  4. Akiko Shindo
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  5. Keiko Takemoto
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  6. Hiroshi Inada
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Tani, S., Marukami, T., Matsuda, A. et al. Development of a Health Management Support System for Patients with Diabetes Mellitus at Home. J Med Syst 34, 223–228 (2010). https://doi.org/10.1007/s10916-008-9233-x

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  • DOI: https://doi.org/10.1007/s10916-008-9233-x

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