Background &Aim: Self-efficacy improvement of patients receiving hemodialysis is valuable for their self-care and achieving to the expected outcomes. Thus, this study was conducted by the aim of determining the predictive factors of self-efficacy in patients receiving hemodialysis in educational-therapeutic center of Razi in Rasht.

Methods: This analytical-cross sectional study was performed on 73 patients under treatment with hemodialysis referring to Razi educational-therapeutic center in Rasht city, 2014. The sample was selected randomly from eligible patients who had inclusion criteria of the study. The data were collected by a tool in two parts consisting personal information (including charlson index and self-care) and Chronic Renal Patient’s Self-efficacy Questionnaires. The data were analyzed by descriptive (frequency, mean and SD) and analytic (Independent t-test, ANOVA and linear regression) statistics tests in SPSS, version-22. Significant level in this study was less than 0.05.

Results: The findings showed that the mean and SD of total self-efficacy of sample was 5.9 ± 1.4 that had significant direct relationship with living in rental homes (p= 0.049) and no-comorbidities (p=0.043). Linear regression analysis revealed that comorbidities was only variable that can be as a predictive factor for lower score in self-efficacy (β= -0.18 and p= 0.022).

Conclusion: Poor self-efficacy in patients receiving hemodialysis with comorbidity highlights the special need of these patients to nursing attention on self-efficacy promotion thorough holistic assessment and also specific educational plans.