The goal of this clinical trial is to compare the effects of reflexology and progressive muscle relaxation in reducing fatigue among hemodialysis patients and to determine which intervention provides greater relief from fatigue. The main question it aims to answer is: Is there any difference in effectiveness of reflexology and progressive muscle relaxation techniques in reducing fatigue levels among patients undergoing hemodialysis? Participents will be randomly assigned to one of three groups: Group 1: 20 participants will receive reflexology therapy 3 times per week for 12 weeks. Group 2: 20 participants will receive progressive muscle relaxation 3 times per week for 12 weeks. Group 3: 20 participants will be a controlled group. fatigue and sleep quality will be measured before and after the intervention using: Fatigue Severity Scale Pittsburgh Sleep Quality Index Epworth Sleepiness scale This study aims to offer safe, low cost and non-pharmacological method that can help hemodialysis patients in reducing fatigue and sleeping better.
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Change from baseline in Fatigue severity scale (FSS) at 12 weeks
Timeframe: Baseline and after 12 weeks of intervention