Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study
Abstract Background Patient activation in chronic kidney disease (CKD) is increasingly being prioritized and considered a quality metric in CKD. Given the importance of patients’ activation in improving the quality of chronic disease care, this study aimed to assess patients’ activation levels and i...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | Renal Replacement Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41100-022-00431-6 |
| _version_ | 1798004315856568320 |
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| author | Reyhane Mirmazhari Mansour Ghafourifard Zahra Sheikhalipour |
| author_facet | Reyhane Mirmazhari Mansour Ghafourifard Zahra Sheikhalipour |
| author_sort | Reyhane Mirmazhari |
| collection | DOAJ |
| description | Abstract Background Patient activation in chronic kidney disease (CKD) is increasingly being prioritized and considered a quality metric in CKD. Given the importance of patients’ activation in improving the quality of chronic disease care, this study aimed to assess patients’ activation levels and its relationship with self-efficacy among patients undergoing hemodialysis. Methods In this cross-sectional study, a total of 180 patients undergoing maintenance hemodialysis were selected by random sampling from the largest hemodialysis center (dialysis center of Emam Reza hospital, Tabriz) in Iran. Data were collected by demographics, patient activation measure, and chronic kidney disease self-efficacy (CKD-SE) scale from March to May 2021. Collected data were analyzed using SPSS software (ver. 26) using ANOVA, t-test, Pearson correlation coefficient, and multiple regression tests. Results The majority of the participants (35%) were at level 1 of activation and only 28.9% of the individuals were at level 4. According to the results, the mean score of self-efficacy in patients undergoing hemodialysis (in a possible range of 0–10) was 5.50 ± 1.45. Multiple regression analysis showed that factors including self-efficacy, educational level, and marital status were significant predictors of change in patient activation (R 2 = 0.85, adjusted R 2 = 0.66, p < 0.001). The results showed that self-efficacy was the main predictor of patient activation (β = 0.49, p < 0.001). Conclusion According to the result, improving the patients' self-efficacy could improve the patient's activation. Moreover, patients with lower educational level reported the lower activation score; therefore, health care providers should improve the knowledge of patients with lower educational level, encourage them to be more active in their health care, and help them in providing more tailored strategies to improve the quality of care more efficiently. Furthermore, Measuring patients' activation level at admission to the dialysis unit is recommended for all patients undergoing hemodialysis. |
| first_indexed | 2024-04-11T12:21:32Z |
| format | Article |
| id | doaj.art-82cda48082ee4258a75f67d1b5297162 |
| institution | Directory Open Access Journal |
| issn | 2059-1381 |
| language | English |
| last_indexed | 2024-04-11T12:21:32Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Renal Replacement Therapy |
| spelling | doaj.art-82cda48082ee4258a75f67d1b52971622022-12-22T04:24:05ZengBMCRenal Replacement Therapy2059-13812022-09-018111110.1186/s41100-022-00431-6Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional studyReyhane Mirmazhari0Mansour Ghafourifard1Zahra Sheikhalipour2Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesDepartment of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical SciencesAbstract Background Patient activation in chronic kidney disease (CKD) is increasingly being prioritized and considered a quality metric in CKD. Given the importance of patients’ activation in improving the quality of chronic disease care, this study aimed to assess patients’ activation levels and its relationship with self-efficacy among patients undergoing hemodialysis. Methods In this cross-sectional study, a total of 180 patients undergoing maintenance hemodialysis were selected by random sampling from the largest hemodialysis center (dialysis center of Emam Reza hospital, Tabriz) in Iran. Data were collected by demographics, patient activation measure, and chronic kidney disease self-efficacy (CKD-SE) scale from March to May 2021. Collected data were analyzed using SPSS software (ver. 26) using ANOVA, t-test, Pearson correlation coefficient, and multiple regression tests. Results The majority of the participants (35%) were at level 1 of activation and only 28.9% of the individuals were at level 4. According to the results, the mean score of self-efficacy in patients undergoing hemodialysis (in a possible range of 0–10) was 5.50 ± 1.45. Multiple regression analysis showed that factors including self-efficacy, educational level, and marital status were significant predictors of change in patient activation (R 2 = 0.85, adjusted R 2 = 0.66, p < 0.001). The results showed that self-efficacy was the main predictor of patient activation (β = 0.49, p < 0.001). Conclusion According to the result, improving the patients' self-efficacy could improve the patient's activation. Moreover, patients with lower educational level reported the lower activation score; therefore, health care providers should improve the knowledge of patients with lower educational level, encourage them to be more active in their health care, and help them in providing more tailored strategies to improve the quality of care more efficiently. Furthermore, Measuring patients' activation level at admission to the dialysis unit is recommended for all patients undergoing hemodialysis.https://doi.org/10.1186/s41100-022-00431-6Patient activationChronic kidney disease (CKD)Self-efficacyHemodialysis |
| spellingShingle | Reyhane Mirmazhari Mansour Ghafourifard Zahra Sheikhalipour Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study Renal Replacement Therapy Patient activation Chronic kidney disease (CKD) Self-efficacy Hemodialysis |
| title | Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study |
| title_full | Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study |
| title_fullStr | Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study |
| title_full_unstemmed | Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study |
| title_short | Relationship between patient activation and self-efficacy among patients undergoing hemodialysis: a cross-sectional study |
| title_sort | relationship between patient activation and self efficacy among patients undergoing hemodialysis a cross sectional study |
| topic | Patient activation Chronic kidney disease (CKD) Self-efficacy Hemodialysis |
| url | https://doi.org/10.1186/s41100-022-00431-6 |
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