Abstract

(1) Background: Perceived disease-related self-efficacy is considered a fundamental component of the successful self-management of chronic diseases. Prior studies have found that self-efficacy is associated with improvements in health behaviors and health status among people with chronic kidney disease (CKD). However, few studies have evaluated self-efficacy among patients undergoing dialysis. (2) Methods: This study was performed to evaluate CKD patients’ self-efficacy and to determine the factors that significantly affect self-efficacy among dialysis patients. This was a cross-sectional study using a convenience sample of 190 patients undergoing dialysis. The patients’ self-efficacy was measured using the CKD Self-Efficacy Scale. Inferential statistics were used to analyze the data. (3) Results: The mean age of the participants was 49.24 ± 13.15 years. Almost half of them were males (48.4%), and 75.3% were married. The majority of the patients (83%) were undergoing hemodialysis. The total score for self-efficacy was 192.57 ± 39.23. Only occupational status and the type of dialysis were significantly and positively correlated with patients’ perceived self-efficacy scores. (4) Conclusions: This study provides primary evidence of the perceived self-efficacy among CKD patients who are on dialysis. The results of this cross-sectional study showed that greater self-efficacy was associated with employment and peritoneal dialysis. Strategies to enhance self-efficacy among dialysis patients, especially those on hemodialysis, are needed.

Highlights

  • Chronic kidney disease (CKD) is a global public health problem with increasing incidence, prevalence, and mortality rates [1,2]

  • (4) Conclusions: This study provides primary evidence of the perceived selfefficacy among CKD patients who are on dialysis

  • 36.3% reported having been on dialysis for 1–4 years, and 33.7% had been on dialysis for a longer period (5–10 years)

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Summary

Introduction

Chronic kidney disease (CKD) is a global public health problem with increasing incidence, prevalence, and mortality rates [1,2]. According to the World Health Organization report, there will be a projected increase of 14% in the mortality rate related to CKD by 2030, accounting for 11.5 million deaths globally [3]. In Saudi Arabia, CKD is the fourth leading cause of death [4]. CKD can progress to end-stage kidney disease (ESKD) and cause other complications that require dialysis or kidney transplantation [6,7]. Due to the chronic nature of the disease, CKD requires continuous monitoring and care. Especially nurses, play key roles in providing care and education to patients and need to empower patients to be actively engaged in the self-management of their disease

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