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Purpose. Chronic renal failure patients undergoing hemodialysis may experience symptoms such as fatigue. Symptoms of fatigue can cause patients unable to perform simple activities,can not remember things that have already passed, inability to socialize with other people and experiencing poor sleep quality.Methods. This study aims to determine differences in fatigue levels of hemodialysis patients after progressive muscle relaxation techniques. The design used in the study ispre test and post test without control group. Thesample of this study were20 respondents.The sample in this study using purposive sampling.Analysis of the data used to determine the effectiveness of progressive muscle relaxation techniques was using Paired t-test. Results.The level of fatigue patients before given the action that is mild fatigue as much as 4 respondents (20%), moderate as much as 6 respondents (30%) and severe as much as 10 respondents (50%). Fatigue levels after the patient given the action that is not fatigueas much as 4 respondents (20%), mild as much as 6 respondents (30%) and moderate as much as 10 respondents (50%). There is significant difference between the mean fatigue level before and after given progressive muscle relaxation technique (p < 0.000). Conclusion. Management corresponding to the problem of fatigue that occur in hemodialysis patients can improve the welfare and quality of life of patients. Keywords— hemodialysis patient, the patient's fatigue level, progressive muscle relaxation techniques

Progressive Muscle Relaxation Techniques effectiveness against The Difference of Fatigue Level of Patients Undergoing Hemodialysis in Medan