Relationship Between Self-Efficacy and Coping Mechanisms in Chronic Renal Failure Patients Undergoing Hemodialysis at RSUD Sekarwangi, Sukabumi Regency

Background: This study aims to determine the relationship between self-efficacy and coping mechanisms in patients with chronic renal failure undergoing hemodialysis at Sekarwangi Hospital, Sukabumi Regency.

Aim: The aim of this study is to explore how self-efficacy influences coping mechanisms in hemodialysis patients with chronic renal failure.

Methods: A correlational research design with a cross-sectional approach was used. The sample consisted of 56 patients selected through total sampling. Self-efficacy was measured using a Likert scale, while coping mechanisms were assessed with a similar Likert scale-based instrument. The phi correlation test was applied for data analysis to examine the relationship between the two variables.

As a result: The study found a significant relationship between self-efficacy and coping mechanisms in chronic renal failure patients undergoing hemodialysis, with a p-value of 0.030. Patients with high self-efficacy were more likely to use adaptive coping mechanisms, which effectively manage stress. In contrast, patients with low self-efficacy tended to use maladaptive coping strategies that exacerbated their physical and psychological conditions.

In conclusion: This study highlights the importance of integrating a biopsycho-social and spiritual approach to improving patient self-efficacy, an aspect that has not been widely explored in similar research. It also addresses a gap in the literature regarding the relationship between self-efficacy and coping mechanisms in chronic renal failure patients in Indonesia, particularly in non-metropolitan areas. Based on these findings, it is recommended that hospitals implement interventions to strengthen patients' self-efficacy, enhancing stress management and improving their quality of life.