“…Patients with ESRD undergoing HD treatment may experience many physiological problems such as uremia, joint pain and cardiovascular complications (Gilbar et al, 2005), and may also experience a wide range of multiple and radical lifestyle changes that affect their QOL (Covic et al, 2004;Molsted et al, 2004;Kring and Crane, 2009;Cengic and Resic, 2010) and their social and psychological well-being (White and Grenyer, 1999;Weisbord et al, 2003;Tsay and Hung, 2004;Cukor et al, 2007;Yong et al, 2009). …”