Exploring Self-Care Efficacy and Depression among Hemodialysis Patients in a Government Hospital: Implications for Nursing Interventions in Eastern Visayas, Philippines

Abstract

Chronic kidney disease (CKD) poses a major global health challenge, potentially advancing to end-stage renal disease (ESRD), which requires either kidney transplantation or hemodialysis (HD) for management.Individuals undergoing hemodialysis frequently face a myriad of physical, emotional, and psychological obstacles, which can result in diminished self-care proficiency and an elevated susceptibility to depression. This investigation evaluated self-care proficiency and levels of depression among 100 hemodialysis patients in a governmental medical facility through a descriptive-correlational methodology employing a three-part questionnaire that included the Chronic Kidney Disease Self-Efficacy Scale (CKD-SE) and the Patient Health Questionnaire-9 (PHQ-9). The results indicated that the majority of patients demonstrated a moderate degree of self-care efficacy (65%) and moderate levels of depression (55%). Additionally, no significant associations were discerned between socio-demographic variables, self-efficacy, and the extent of depression. This research underscores the urgent requirement for healthcare interventions targeted at augmenting self-care proficiency and addressing depression in hemodialysis patients, proposing that tailored educational and psychological support initiatives could ameliorate patient care and overall health outcomes.