“…In end-stage renal disease, alternative treatment methods such as hemodialysis should be used to replace the kidney functions and keep the patient alive (2). Patients undergoing hemodialysis experience many symptoms such as nausea, vomiting, decreased appetite, hypotension, muscle contractions, chest pain, headache, and fatigue, all of which adversely affect their daily functioning and quality of life (3). Fatigue is a prevalent and frustrating symptom among these patients (3)(4)(5).…”