{'fraction_non_alphanumeric': 0.03308613804905876, 'fraction_numerical': 0.010838562464346835, 'mean_word_length': 5.219858156028369, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Predictor of Self-Efficacy in Individuals with Chronic Disease: Stress-Coping Strategies.

BACKGROUND
Self-efficacy and coping with stress in chronic diseases affect the course of the disease. This study aims to investigate the relationship between stress-coping strategies of individuals with chronic diseases and their self-efficacy.


METHODS
The sample of this methodological study consisted of 178 patients who were hospitalized in a university hospital between November 2017 and November 2018. Data were collected by the face-to-face interview method using a Patient Information Form, Stress Coping Styles Scale, and Self-Efficacy Scale. This study followed STROBE checklist for cross-sectional studies.


RESULTS
The study found that there was a strong relationship between patients' coping strategies and their self-efficacies and that the variables that predict self-efficacy in order of importance were self-confident approach (β=.41), the helpless approach (β=-0.24), and the submissive approach (β= -0.15), respectively. The study also found that the optimistic approach and the seeking social support approach had no significant contribution to the model.


CONCLUSIONS
The most important predictor of self-efficacy in individuals with chronic disease was the self-confident approach, which was one of the problem-oriented coping strategies. Therefore, patients should be taught to use effective methods to cope with stress to increase their self-efficacy, and their self-confidence should be supported.


RELEVANCE TO CLINICAL PRACTICE
In individuals with chronic disease, self-efficacy has an important role to get better psycho-social adaptation. To determine patients' self-efficacy levels and predictors will guide nursing initiatives.