The aim to investigate the level of psychological distress on patients undergoing hemodialysis at Al-Suwaiq Renal dialysis center as well as to explore the effectiveness of home-based exercise method in reducing such psychological distress, depression, and anxiety. the main questions aims to answer, 1. Does hemodialysis patients have high level of psychological distress. 2. Does exercise has effect on reducing psychological distress on hemodialysis patients. participants randomized into control and intervention group, intervention group received home based exercise for 6 month while control group not, to compare in reducing of psychological distress.
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Change in Depression Score (PHQ-9) From Baseline to 6 Months.
Timeframe: Baseline (prior to intervention.) and 6 months after intervention.
Change in Anxiety Score (GAD-7) From Baseline to 6 Months.
Timeframe: Baseline (prior to intervention.) and 6 months after intervention.