RELEVANCE SELF-EFFICACY WITH ANXIETY AND DEPRESSION AMONG PATIENTS RECEIVING HEMODIALYSIS REFERRED TO HEMODIALYSIS UNIT AT EDUCATIONAL - THERAPEUTIC CENTER IN RASHT

Many patients with chronic renal failure undergo dialysis to survive their
illness. Since this is a chronic and debilitating disease, patients are prone to multiple psychiatric
consequences. Depression and anxiety are the most common disorders. Physical, psychological, social
problems are brought to light in regards to the patient's ability to perform activities and self-efficacy in
achieving a good quality of life.
The purpose of this study is to examine relationships among self-care self-efficacy, anxiety and
depression in 160 patients receiving hemodialysis.
Materials & Methods: This is an analytical-descriptive study that was done on 160 patients under
hemodialysis treatment, and they were selected randomly in educational - therapeutic centers of Rasht
city, Iran, in 2011. The data were collected by using four questionnaires of demographic information,
Hospital Anxiety Depression Scale (HADS), and General Self Efficacy Scale (GSES). The data were
analyzed by SPSS 17 soft ware by applying Pearson correlation test, t-test, and analysis variance linear
regression. (p<0.05)
Results: The mean age of the patients was 50.39 ± 11.86 (22-76 year). The findings showed that score
of self-care were 33.14±4.93, anxiety 9.86±3.59, depression 8.59±3.30. Majority of patients (70.6%)
had favorite general self efficacy and anxiety and depression of moderate to severe. Also, there is a
significant relationship between self-care with age (p<0.05) and anxiety with job (p<0.04).
Conclusion: Based on our findings, depression and anxiety are common findings in patients
undergoing hemodialysis, which will affect their quality of life, The self efficacy is one of the factors
that control and achieve the outcomes expected by patients, thus increasing self-efficacy can increase
patients self care