{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T19:51:10Z","timestamp":1792698670610,"version":"4.5.0"},"reference-count":33,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T00:00:00Z","timestamp":1616457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>(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\u2019 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\u2019 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 \u00b1 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 \u00b1 39.23. Only occupational status and the type of dialysis were significantly and positively correlated with patients\u2019 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.<\/jats:p>","DOI":"10.3390\/nursrep11010019","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T23:59:41Z","timestamp":1616543981000},"page":"195-201","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Evaluating Self-Efficacy among Patients Undergoing Dialysis Therapy"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9650-9068","authenticated-orcid":false,"given":"Hayfa","family":"Almutary","sequence":"first","affiliation":[{"name":"Medical\/Surgical Nursing Department, King Abdulaziz University, Jeddah 21589, Saudi Arabia"},{"name":"Medical\/Surgical Department, Faculty of Nursing, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahla","family":"Tayyib","sequence":"additional","affiliation":[{"name":"Nursing Practice Department, College of Nursing, Umm Al-Qura University, Alalziziah Makkah 77207, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/S0140-6736(20)30045-3","article-title":"Global, regional, and national burden of chronic kidney disease, 1990\u20132017: A systematic analysis for the Global Burden of Disease Study 2017","volume":"395","author":"Bikbov","year":"2020","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Hill, N.R., Fatoba, S.T., Oke, J.L., Hirst, J.A., O\u2019Callaghan, C.A., Lasserson, D.S., and Hobbs, F.D.R. (2016). Global Prevalence of Chronic Kidney Disease\u2014A Systematic Review and Meta-Analysis. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0158765"},{"key":"ref_3","unstructured":"World Health Organization (2018, October 30). Projections of Mortality and Causes of Death, from 2016 to 2060. Available online: http:\/\/www.who.int\/healthinfo\/global_burden_disease\/projections\/en\/."},{"key":"ref_4","unstructured":"Centers for Disease Control and Prevention (2020, October 30). Global Health\u2014Saudi Arabia, Available online: https:\/\/www.cdc.gov\/globalhealth\/countries\/saudi_arabia\/default.htm."},{"key":"ref_5","unstructured":"Saudi Centre for Organ Transplantation (2020, October 30). Annual Report 2019, Available online: http:\/\/www.scot.gov.sa\/images\/Report_En_F_9-Annual%20Report%202019%20En.pdf."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"832","DOI":"10.4103\/1319-2442.113913","article-title":"Prevalence of patients with end-stage renal disease on dialysis in the West Bank, Palestine","volume":"24","author":"Khader","year":"2013","journal-title":"Saudi J. Kidney Dis. Transplant."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"825","DOI":"10.7326\/0003-4819-158-11-201306040-00007","article-title":"Kidney Disease: Improving Global Outcomes Chronic Kidney Disease Guideline Development Work Group M. Evaluation and management of chronic kidney disease: Synopsis of the kidney disease: Improving global outcomes 2012 clinical practice guideline","volume":"158","author":"Stevens","year":"2013","journal-title":"Ann. Intern. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1111\/jorc.12270","article-title":"The effect of a self-management program on hand-washing\/mask-wearing behaviours and self-efficacy level in peritoneal dialysis patients: A pilot study","volume":"45","author":"Karadag","year":"2019","journal-title":"J. Ren. Care"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1111\/j.1440-1797.2010.01309.x","article-title":"Challenging chronic kidney disease: Experience from chronic kidney disease prevention programs in Shanghai, Japan, Taiwan and Australia","volume":"15","author":"Chen","year":"2010","journal-title":"Nephrology"},{"key":"ref_10","first-page":"255","article-title":"Delineation of Self-Care and Associated Concepts","volume":"43","author":"Richard","year":"2011","journal-title":"J. Nurs. Sch."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3828","DOI":"10.1093\/ndt\/gfr788","article-title":"The chronic kidney disease self-efficacy (CKD-SE) instrument: Development and psychometric evaluation","volume":"27","author":"Lin","year":"2012","journal-title":"Nephrol. Dial. Transplant."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1111\/j.1365-2648.2009.05243.x","article-title":"Self-efficacy, self-care behaviours and quality of life of kidney transplant recipients","volume":"66","author":"Weng","year":"2010","journal-title":"J. Adv. Nurs."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1053\/j.ackd.2008.01.006","article-title":"Self-Efficacy and Self-Management Behaviors in Patients With Chronic Kidney Disease","volume":"15","author":"Curtin","year":"2008","journal-title":"Adv. Chronic Kidney Dis."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1177\/0193945916661322","article-title":"Self-efficacy and blood pressure self-care behaviors in patients on chronic he-modialysis","volume":"39","author":"Peters","year":"2017","journal-title":"West. J. Nurs. Res."},{"key":"ref_15","unstructured":"Bandura, A. (1997). Self-Efficacy: The Exercise of Control, Freeman."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1177\/109019819902600107","article-title":"Exploring Self-Efficacy as a Predictor of Disease Management","volume":"26","author":"Clark","year":"1999","journal-title":"Health Educ. Behav."},{"key":"ref_17","unstructured":"Hartono, G.M., and Pohan, L.D. (2017). The motivation of health behavior: How self-efficacy and outcome expectancies impact health behavior intention of long-term cancer survivors. UI Proc. Soc. Sci. Humanit., 1."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1123\/jpah.2012-0030","article-title":"The Role of Symptoms and Self-Efficacy in Predicting Physical Activity Change Among Older Adults with Arthritis","volume":"11","author":"Sperber","year":"2014","journal-title":"J. Phys. Act. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1111\/j.1365-2648.2009.04993.x","article-title":"Promoting self-management improves the health status of patients having peritoneal dialysis","volume":"65","author":"Su","year":"2009","journal-title":"J. Adv. Nurs."},{"key":"ref_20","unstructured":"Wang, D.W. (2017). Positive Mental Health and Self-Efficacy in Management of Chronic Kidney Disease: A Mixed-Methods Study in a Rural, Minority Population. [Ph.D. Thesis, Duke University]."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2609","DOI":"10.1111\/jocn.13305","article-title":"Prediction of self-care behaviour on the basis of knowledge about chronic kidney disease using self-efficacy as a mediator","volume":"25","author":"Wu","year":"2016","journal-title":"J. Clin. Nurs."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1177\/135910457000100301","article-title":"Back-Translation for Cross-Cultural Research","volume":"1","author":"Brislin","year":"1970","journal-title":"J. Cross Cult. Psychol."},{"key":"ref_23","first-page":"16137","article-title":"Self-Management and Self-Efficacy in Hemodialysis Patients","volume":"1","author":"Purba","year":"2018","journal-title":"J. Nurs. Care"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"27222","DOI":"10.5812\/jjcdc.27222v2","article-title":"The Association Between Self-Concept and Self-Efficacy in Patients Under Treatment by Hemodialysis","volume":"4","author":"Jafari","year":"2015","journal-title":"Jundishapur J. Chronic Dis. Care"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1177\/1744987120904770","article-title":"Self-management, self-efficacy and knowledge among patients under haemodialysis: A case in Iran","volume":"25","author":"Hafezieh","year":"2020","journal-title":"J. Res. Nurs."},{"key":"ref_26","first-page":"430","article-title":"The Self-Efficacy in Hemodialysis Patients","volume":"Volume 25","author":"Oktarina","year":"2020","journal-title":"Proceedings of the 2nd Sriwijaya International Conference of Public Health (SICPH 2019)"},{"key":"ref_27","first-page":"463","article-title":"Quality of Life and Self-Efficacy in Three Dialysis Modalities: Incenter Hemodialysis, Home Hemodialysis, and Home Peritoneal Dialysis","volume":"42","author":"Wright","year":"2015","journal-title":"Nephrol. Nurs. J. J. Am. Nephrol. Nurses\u2019 Assoc."},{"key":"ref_28","first-page":"443","article-title":"Self-efficacy in patients with clinical manifestations of vascular diseases","volume":"61","author":"Sol","year":"2006","journal-title":"PsycEXTRA Dataset"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s41100-018-0162-y","article-title":"Dialysis-related factors affecting self-efficacy and quality of life in patients on haemodialysis: A cross-sectional study from Palestine","volume":"4","author":"Mousa","year":"2018","journal-title":"Ren. Replace. Ther."},{"key":"ref_30","first-page":"605","article-title":"The evaluation of self-care and self-efficacy in patients undergoing hemodialysis","volume":"16","author":"Mollaoglu","year":"2009","journal-title":"J. Eval. Clin. Pract."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.colegn.2015.09.005","article-title":"Self-efficacy, depression and self-care activities of people with type 2 diabetes in Turkey","volume":"24","author":"Kav","year":"2017","journal-title":"Collegian"},{"key":"ref_32","first-page":"615","article-title":"The peritoneal dialysis experience: Insights from long-term patients","volume":"31","author":"Curtin","year":"2005","journal-title":"Nephrol. Nurs. J. J. Am. Nephrol. Nurses\u2019 Assoc."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1159\/000484115","article-title":"Comparison of Quality of Life in Patients Undergoing Hemodialysis and Peritoneal Dialysis: A Systematic Review and Meta-Analysis","volume":"42","author":"Zazzeroni","year":"2017","journal-title":"Kidney Blood Press. Res."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/11\/1\/19\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:39:48Z","timestamp":1760161188000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/11\/1\/19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,23]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,3]]}},"alternative-id":["nursrep11010019"],"URL":"https:\/\/doi.org\/10.3390\/nursrep11010019","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-187774\/v1","asserted-by":"object"}]},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,23]]}}}