Maoxiao Nie, Yunfeng Yan, Qingtianlei Chen, Guozhong Wang, Yong Zeng, Quanming Zhao*


Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, The Key Laboratory of Remodelling-Related Cardiovascular Diseases, Department of Cardiology, 2 Anzhen Road, Chaoyang District, Beijing 100029, China


Introduction: Self-efficacy (SE) means the confidence that a person has in himself to perform a certain behavior successfully. SE can be effective in various dimensions of health behaviors and increase the empowerment of people with chronic diseases. The main aim of the present study was to determine the SE level of patients with chronic diseases and the effective factors related to it.

Materials and methods: This descriptive-analytical study was conducted on 500 patients with chronic cardiovascular and renal diseases, diabetes and hypertension. The selection method of patients was by available sampling method, and the required information was collected using the Chorionic Disease Self-Efficacy Scale (CDSES) questionnaire. In order to analyze the obtained results, multiple linear regression was used in the SPSS Ver.24 software environment.

Results: The findings of the present study showed that the overall mean SE score of chronic diseases was equal to 5.19±1.49. The average scores of the CDSES questionnaire in the first dimension (SE related to self-behavior management) were equal to 4.93±1.54. While for the second dimension (general SE) and third (SE related to achieving the desired result) it was equal to 5.49±1.71 and 5.39±1.95, respectively. In addition, the results showed that age (B=-0.97), an education level (B=3.69) and income level (B=19.11) are predictive variables of SE in chronic patients.

Conclusion: Based on the results, it can be concluded that to determine the level of SE, several factors such as job type, income level, education level, gender, type of disease chronicity, place of residence (city or village), age and marital status have a significant effect and men, working people, urban residents, younger patients, married people and people with high-income levels have a higher SE level than others. 


Self-Efficacy, chronic diseases, self-care, patients.