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Impact of Self-efficacy, Grit, and Depression on Self-management among Patients Undergoing Hemodialysis

  • Global Health and Nursing
  • Abbr : Global Health Nurs
  • 2026, 16(1), pp.22~30
  • DOI : 10.35144/ghn.2026.16.1.22
  • Publisher : Research Institute of Nursing Science
  • Research Area : Medicine and Pharmacy > Nursing Science
  • Received : December 2, 2025
  • Accepted : January 2, 2026
  • Published : January 31, 2026

Sung, Min-Kyung 1 Ban, Seon Hwa 2

1베데스다병원
2영산대학교

Accredited

ABSTRACT

Purpose: To inform the development of nursing interventions for enhancing successful dialysis management, this study examined the levels of self-efficacy, grit, and depression and identified predictors of self-management in patients undergoing hemodialysis (HD). Methods: Per the established eligibility criteria, the data were collected from 177 patients who were conveniently sampled from those undergoing HD at one healthcare facility in Metropolitan City U and two facilities in City Y over a period of six weeks (July 14 to August 31, 2024). Structured questionnaires were distributed to participants after informed consent was obtained. Seven incomplete questionnaires were excluded, and 170 completed questionnaires were included in the final analysis. Results: Multiple regression analysis identified depression (β=-.38, p<.001), grit (β=.20, p=.001), self-efficacy (β=.20, p=.004), and interdialytic weight gain(β=-.16, p=.010) as significant predictors of self-management, explaining 44.9% of the variance of self-management. Conclusion: The primary goal of HD is to preserve patients’ current health status and avert further deterioration, underscoring the pivotal role of self-management. The results of this study will serve as a foundational basis for developing strategies to enhance self-management and improve the quality of life for patients receiving HD.

Citation status

* References for papers published after 2024 are currently being built.