{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:53:56Z","timestamp":1791251636438,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T00:00:00Z","timestamp":1781395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T00:00:00Z","timestamp":1781395200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n This study evaluates the association between care dependency and self\u2010efficacy in patients undergoing hemodialysis, representing one of the first domestic contributions to this area of research in Turkey.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This descriptive and correlational study was conducted in two dialysis centers in Mersin province, Turkey, between September 2025 and December 2025. The study included 143 hemodialysis outpatients who met the inclusion criteria. Care dependency and self\u2010efficacy were assessed using the General Self\u2010Efficacy Scale and the Care Dependency Scale. Statistical analyses were performed using SPSS version 25.0.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Participants demonstrated moderate levels of care dependency and self\u2010efficacy, with a mean Care Dependency Scale score of 55.6\u2009\u00b1\u200923.6 and a mean General Self\u2010Efficacy Scale score of 27.8\u2009\u00b1\u20099.33. Self\u2010efficacy was significantly associated with care dependency (\n \u03b2<\/jats:italic>\n \u2009=\u20090.67,\n p<\/jats:italic>\n \u2009<\u20090.001). The inclusion of self\u2010efficacy in the regression model explained an additional 20.7% of the variance in care dependency (\n \u0394R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.21).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The findings suggest that self\u2010efficacy is a key determinant of care dependency among hemodialysis patients. Care dependency appears to be closely related to patients' perceived self\u2010efficacy, beyond sociodemographic characteristics. Interventions aimed at enhancing self\u2010efficacy may therefore be beneficial in reducing care dependency and improving patient outcomes in clinical practice.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/hdi.70101","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T03:27:41Z","timestamp":1781494061000},"page":"781-785","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship Between Care Dependency and Self\u2010Efficacy in Patients Receiving Hemodialysis Treatment"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5697-8572","authenticated-orcid":false,"given":"Ezgi Mutluay","family":"Yayla","sequence":"first","affiliation":[{"name":"Nursing Department, Health Sciences Faculty Tarsus University Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2462-0232","authenticated-orcid":false,"given":"Mehmet","family":"A\u011faslan","sequence":"additional","affiliation":[{"name":"Nursing Department, Health Sciences Faculty Tarsus University Mersin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,14]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"83","article-title":"Hemodiyaliz Hastalar\u0131nda Yorgunluk, Bak\u0131m Ba\u011f\u0131ml\u0131l\u0131\u011f\u0131 ve Etkileyen Fakt\u00f6rlerin \u0130ncelenmesi\/ Investigation of Fatigue, Care Dependence and Affecting Factors in Hemodialysis Patients","volume":"17","author":"G\u00fcler S.","year":"2022","journal-title":"Turk Nefroloji, Diyaliz Ve Transplantasyon Hemsireleri Dernegi"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-04973-8"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.5505\/ktd.2020.78557"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09907-5"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2022.111105"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1745-7599.12017"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNR.0000000000000422"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12493"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0274454"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.13164"},{"key":"e_1_2_10_12_1","first-page":"35","volume-title":"Measures in Health Psychology: A User's Portfolio: Causal and Control Beliefs","author":"Schwarzer R.","year":"1995"},{"issue":"2","key":"e_1_2_10_13_1","first-page":"39","article-title":"General Self Efficacy of the Patient With Periton Dialysis","volume":"14","author":"Usta Ye\u015filbalkan \u00d6.","year":"2005","journal-title":"Journal of Neuroscience Nursing"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2702.1999.00245.x"},{"key":"e_1_2_10_15_1","first-page":"71","article-title":"Validity and Reliability of the Care Dependency Scale in Elderly Individuals","volume":"13","author":"Hakverdio\u011flu Y\u00f6nt G.","year":"2010","journal-title":"Turkish Journal of Geriatrics"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.21608\/pssjn.2023.157504.1218"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13305"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.53947\/miphmp.v1i1.55"},{"key":"e_1_2_10_19_1","first-page":"484","volume-title":"Proceedings of the 4th International Conference on Sustainable Innovation 2020\u2013Health Science and Nursing (ICoSIHSN 2020)","author":"Nur I.","year":"2021"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.33086\/nhc.v2i3.3859"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70101","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hdi.70101","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.70101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T01:46:53Z","timestamp":1791251213000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.70101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,14]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/hdi.70101"],"URL":"https:\/\/doi.org\/10.1111\/hdi.70101","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,14]]},"assertion":[{"value":"2026-05-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}