基于移动医疗技术的维持性血液透析患者自我管理的研究进展

Research Progress on Self-Management of Maintenance Hemodialysis Patients Based on Mobile Medical Technology

摘要: 目的：探讨移动医疗技术给维持性血液透析患者自我健康管理干预带来的全新路径。方法：系统检索中国知网、万方、维普、PubMed、Web of Science等国内外数据库，全面梳理移动医疗技术在维持性血液透析患者自我健康管理干预中的应用形式和实施过程中的影响因素。结果：其应用形式包含移动应用程序、社交媒体、远程检测和云平台，还有人工智能与聊天机器人等，存在的挑战包括数字鸿沟现象、缺少个性化、工作量大以及隐私保护难题等，这些因素一起形成了持续应用的主要障碍。结论：文章全面梳理了依靠移动医疗技术的维持性血液透析患者自我健康管理干预的研究进展与面临的挑战，为今后该领域的研究提供参考。

Abstract: Objective: To explore the new path that mobile medical technology brings to self-health management intervention for patients undergoing maintenance hemodialysis. Methods: A systematic search was conducted in domestic and foreign databases such as CNKI, Wanfang, VIP, PubMed, and Web of Science to comprehensively review the application forms and influencing factors during the implementation of mobile medical technology in self-health management intervention for patients undergoing maintenance hemodialysis. Results: The application forms include mobile applications, social media, remote monitoring, cloud platforms, artificial intelligence, chatbots, etc. The existing challenges include the digital divide, lack of personalization, heavy workload, and privacy protection issues, which together form the main obstacles to continuous application. Conclusion: This article comprehensively reviews the research progress and challenges in self-health management intervention for patients undergoing maintenance hemodialysis relying on mobile medical technology, providing a reference for future research in this field.