This paper summarizes the progress of the application of digital health technology in the self-management behavior of maintenance hemodialysis patients, introduces the concepts of digital health technology and self-management behavior of maintenance hemodialysis patients, discusses the effectiveness of digital health technology in the self-management behavior of maintenance hemodialysis patients, and puts forward relevant remaining problems and suggestions, to provide a reference basis for further advancing the application of digital health technology in the self- management of maintenance hemodialysis patients.

Wei Linzhuo, Liu Hongmei, Li Mengwen, Gao Hanxi. Advances in the Use of Digital Health Technologies in Self-Management of Maintenance Hemodialysis Patients. Academic Journal of Medicine & Health Sciences (2025), Vol. 6, Issue 7: 1-7. https://doi.org/10.25236/AJMHS.2025.060701.

[1] JHA V, AL-GHAMDI S M G, LI G, et al. Global Economic Burden Associated with Chronic Kidney Disease: A Pragmatic Review of Medical Costs for the Inside CKD Research Programme [J]. Adv Ther, 2023, 40(10): 4405-20.

[2] NABER T, PUROHIT S. Chronic Kidney Disease: Role of Diet for a Reduction in the Severity of the Disease [J]. Nutrients, 2021, 13(9).

[3] IMMELFARB J, VANHOLDER R, MEHROTRA R, et al. The current and future landscape of dialysis [J]. Nat Rev Nephrol, 2020, 16(10): 573-85.

[4] Ding Zijun, Zhou Nannan, Luo Xing, et al. Cognitive Impairment in Patients on Maintenance Hemodialysis and Its Influencing Factors:a Multicenter Cross-sectional Study [J]. Chinese General Practice,2025,28(23):2885-2893.

[5] Liang Yaoxian, Zhao Xinju, Wei Tao. Research report on the development of China's hemodialysis [J]. Chinese Journal of Blood Purification, 2024, 23(05): 321-329.

[6] MA L C, LIU Y M, LIN Y C, et al. Factors Influencing Self-Management Behaviors among Hemodialysis Patients [J]. J Pers Med, 2022, 12(11).

[7] Gong Yanlin, Gao Xinyue, Chen Jing, et al. Benefit finding experience in maintenance hemodialysis patients:a qualitative research [J]. Chinese Journal of Nursing, 2024, 59(02): 164-169.

[8] Ren Zhijian, Luo Qun, Cai Kedan. Research progresses in the use of artificial intelligence for hemodialysis monitoring and complication prediction [J]. Chinese Journal of Blood Purification, 2024, 23(04): 295-298.

[9] Jin ziheng, Song jie, Lu Xiaohan, et al. Application of Virtual Reality technology in patients with Maintenance Hemodialysis: a scoping review [J]. Chinese Nursing Management, 2023, 23(01): 142-147.

[10] Xu Zhijun, Zhou Qingping, Liang Zhenning, et al. Influence pathway of self-management behavior in maintenance hemodialysis patients based on COM-B model [J]. The Journal of Practical Medicine,2023,39(23):3120-3126.

[11] LIMBU Y B, GAUTAM R K, ZHOU W. Predicting Vaccination Intention against COVID-19 Using Theory of Planned Behavior: A Systematic Review and Meta- Analysis [J]. Vaccines (Basel), 2022, 10(12).

[12] DING Y, JIANG H, LIU J, et al. Effects of the theory of planned behavior and nudge strategy-based intervention on the adherence to anticoagulation treatment in patients with non-valvular atrial fibrillation [J]. Geriatr Nurs, 2023, 51: 17- 24.

[13] Wu Tao, Qian Ruilian, Fang Yuanyuan. Application progress on theory of planned behavior in medication adherence [J]. Chinese Nursing Research, 2022, 36(06): 1042-1047.

[14] Su Tao, Zhu Yue, Wang Zhangyi, et al. Research progress on the application of theory of planned behavior in oral health behaviors [J]. Chinese Nursing Research, 2024, 38(12): 2194-2198.

[15] XUE P, BAI A Y, JIANG Y, et al. [WHO global strategy on digital health and its implications to China] [J]. Zhonghua Yu Fang Yi Xue Za Zhi, 2022, 56(2): 218- 221.

[16] FERRANTE M, ESPOSITO L E, STOECKEL L E. From palm to practice: prescription digital therapeutics for mental and brain health at the National Institutes of Health [J]. Front Psychiatry, 2024, 15: 1433438.

[17] The Central People's Government of the People's Republic of China. [During the "14th Five-Year Plan" period, China will comprehensively develop digital health through "Eight Major Tasks" and "Eight Major Actions"]. [EB/OL]. (2023-04-21)[2025-06-18]. https: //www. gov. cn/yaowen/2023-04/21/content_5752580.htm

[18] Guo Yuchen, Wang Jing, Liang Zhimin, et al. Visualization analysis of nurse-led digital healthinterventions based on CiteSpace [J]. Chinese Nursing Research, 2023, 37(14): 2477-2487.

[19] RIVARA M B, HIMMELFARB J. From Home to Wearable Hemodialysis: Barriers, Progress, and Opportunities [J]. Clin J Am Soc Nephrol, 2024, 19(11): 1488-1495.

[20] YANG Y, CHEN H, QAZI H, et al. Intervention and Evaluation of Mobile Health Technologies in Management of Patients Undergoing Chronic Dialysis: Scoping Review [J]. JMIR Mhealth Uhealth, 2020, 8(4): e15549.

[21] TEONG L F, KHOR B H, NG H M, et al. Effectiveness of a Nutritional Mobile Application for Management of Hyperphosphatemia in Patients on Hemodialysis: A Multicenter Open-Label Randomized Clinical Trial [J]. J Pers Med, 2022, 12(6).

[22] FAKIH EL KHOURY C, CRUTZEN R, SCHOLS J, et al. A Dietary Mobile App for Patients Undergoing Hemodialysis: Prospective Pilot Study to Improve Dietary Intakes [J]. J Med Internet Res, 2020, 22(7): e17817.

[23] Shi Suhua, Wang Peili, Zou Qiongfang, et al. Application of “Internet +” nutrition education on patients with maintenance hemodialysis [J]. Chinese Journal of Nursing, 2021, 56(01): 33-39.

[24] Xu Jun, Ji Xiaojing, Liu Changhua, et al. Telemedicine-facilitated intra-regional collaborative management for patients on hemodialysis in the community [J]. Journal of Nursing Science, 2022, 37(13): 1-4+21.

[25] HUANG R, LIU N, NICDAO M A, et al. Emotion sharing in remote patient monitoring of patients with chronic kidney disease [J]. J Am Med Inform Assoc, 2020, 27(2): 185-193.

[26] KOLBEN Y, GORK I, PELED D, et al. Continuous Monitoring of Advanced Hemodynamic Parameters during Hemodialysis Demonstrated Early Variations in Patients Experiencing Intradialytic Hypotension [J]. Biomedicines, 2024, 12(6).

[27] Cao Ti, Chen Hui, Qin Jinxue, et al. Sedentary behavior and determinants in elderlypatients on maintenance hemodialysis [J]. Journal of Nursing Science, 2023, 38(09): 35-39.

[28] ZHANG F, WANG H, WANG W, et al. The Role of Physical Activity and Mortality in Hemodialysis Patients: A Review [J]. Front Public Health, 2022, 10: 818921.

[29] HOSHINO J. Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients [J]. Nutrients, 2021, 13(5).

[30] MALLAMACI F, PISANO A, TRIPEPI G. Physical activity in chronic kidney disease and the EXerCise Introduction To Enhance trial [J]. Nephrol Dial Transplant, 2020, 35(Suppl 2): ii18-ii22.

[31] Li Na, Jiang Hongying, Bai Yihua, et al. Progresses in the study of cognitive impairment anddecreased activities of daily living in maintenancehemodialysis patients [J]. Chinese Journal of Blood Purification, 2024, 23(05): 360-363.

[32] MALHOTRA R, RAHIMI S, AGARWAL U, et al. The Impact of a Wearable Activity Tracker and Structured Feedback Program on Physical Activity in Hemodialysis Patients: The Step4Life Pilot Randomized Controlled Trial [J]. Am J Kidney Dis, 2023, 82(1): 75-83.

[33] SHESHADRI A, KITTISKULNAM P, LAZAR A A, et al. A Walking Intervention to Increase Weekly Steps in Dialysis Patients: A Pilot Randomized Controlled Trial [J]. Am J Kidney Dis, 2020, 75(4): 488-96.

[34] KOOMAN J P, WIERINGA F P, HAN M, et al. Wearable health devices and personal area networks: can they improve outcomes in haemodialysis patients [J]. Nephrol Dial Transplant, 2020, 35(Suppl 2): ii43-ii50.

[35] Cao Mingcong, Ma Xiaoying, Jia Rufu, et al. Drug informatization management based on thecollaboration between doctors and nurses on thecompliance with dialysis medications and biochemistryparameters in hemodialysis outpatients [J]. Chinese Journal of Blood Purification, 2024, 23(01): 71-74.

[36] Yue Xiaohong, Xue Yiing, Si Fangying. Study on Influential Factors for Medication Complianceof Phosphate Binder in Patients with MaintenanceHemodialysis and Pharmaceutical Intervention [J]. China Pharmacy, 2021, 32(08): 1003-1008.

[37] Liu Liang, Zhou Lin, Zhang Qing, et al. Mediation effect of self-neglect in family resilience andmedication adherence in older patients undergoingmaintenance hemodialysis [J]. Journal Of Central South University (Medical Science) , 2023, 48(07): 1066-1075.

[38] SHI Y, PU S, PENG H, et al. Impact of mobile application and outpatient follow- up on renal endpoints and physiological indices in patients with chronic kidney disease: a retrospective cohort study in Southwest China [J]. BMC Med Inform Decis Mak, 2024, 24(1): 163.

[39] MARTINS A R, FERREIRA M C, FERNANDES C S. Emerging technologies for supporting patients during Hemodialysis: A scoping review [J]. Int J Med Inform, 2025, 193: 105664.

[40] SINGH K, DIAMANTIDIS C J, RAMANI S, et al. Patients' and Nephrologists' Evaluation of Patient-Facing Smartphone Apps for CKD [J]. Clin J Am Soc Nephrol, 2019, 14(4): 523-529.

[41] Liang Lifen, Wang Ling, Zhao Jing, et al. Influence of peer support intervention on maintenancehemodialysis patients [J]. Chinese Nursing Research, 2024, 38(01): 176-181.

[42] Wei Xiaowei, Li Qiang, Yuan Qian, et al. Intervention Effect of Solution-focused Group Therapyon Negative Emotion and Medical Coping Modes ofHemodialysis Patients [J]. Chinese Journal of Clinical Psychology, 2022, 30(01): 207-211+240.

[43] He Lifang, Li Qianqian, Gan Xiang. Influence of stigma on psychological distress amongyoung and middle-aged maintenance hemodialysispatients [J]. Chinese Journal of Nursing, 2022, 57(21): 2585-2591.

[44] TAO Y, LIU T, LI P, et al. Self-management experiences of haemodialysis patients with self-regulatory fatigue: A phenomenological study [J]. J Adv Nurs, 2023, 79(6): 2250-8.

[45] TUROŃ-SKRZYPIŃSKA A, TOMSKA N, MOSIEJCZUK H, et al. Impact of virtual reality exercises on anxiety and depression in hemodialysis [J]. Sci Rep, 2023, 13(1): 12435.

[46] QI S, YANG Q, HU S, et al. The Benefits of Virtual Reality Travel on Symptom Burden and Mental Health of Hemodialysis Patients [J]. J Pain Symptom Manage, 2024.

[47] HSIEH C H, LI D. Understanding how virtual reality forest experience promote physiological and psychological health for patients undergoing hemodialysis [J]. Front Psychiatry, 2022, 13: 1007396.

[48] ALHAMMAD N, ALAJLANI M, ABD-ALRAZAQ A, et al. Patients' Perspectives on the Data Confidentiality, Privacy, and Security of mHealth Apps: Systematic Review [J]. J Med Internet Res, 2024, 26: e50715.