“…PUH experienced multiple physiological and psychosocial stressors such as feeling tired, arterial and venous stick, hospital transportation, frequent hospitalizations, and the length of time on dialysis (Tchape et al., 2018). These physiological and psychological functioning limitations increase perceived stress (PS; Behjat et al., 2020). Out of 100 PUH, 56% had severe stress, and 27% had extreme stress (Joseph et al., 2017).…”