Adult patients with CKD who receive haemodialysis treatment often experience physiological problems and psychological problems. Patients receiving maintenance hemodialysis described fatigue as a debilitating symptom that prevent them participate in social and recreational activities, which can lead to decrements in mental health and poor satisfaction with life [4]. Fatigue is a prevalent and debilitating symptom affecting 62%-72% patients undergoing hemodialysis [5][6][7]. Fatigue is negatively associated with