Objective:To test the reliability and validity of the Decision Self-Efficacy Scale-Chinese version in advanced chronic kidney disease population.Methods:A total of 152 advanced chronic kidney patients were investigated with Decision Self-Efficacy Scale-Chinese version and Decisionalconflict Scale-Chinese version(DCS).Results:The Alpha coefficients of the scalewas 0.874 and the Guttmann split-half reliability coefficient was 0.771.Confirmatory factor analysis showed that comparative fit index CFI(0.884)and Tucker-Lewis index TLI(0.855)reached the acceptable level.The Decision Self-Efficacy Scale was correlated with DCS(r=-0.58,p<0.001).One way ANOVA test showed that only income was associated with decision self-efficacy in patients.Conclusions:Thescaleis a valid and practical measure for advanced chronic kidney patients.It shows good at internal reliability and its validityis acceptable.