Inclusion Criteria:  Over the age of 18 In patients over the age of 65, the Standardized Mini Mental Test (SMMT) score is 26 and above, Having hemodialysis three days / times a week for 6 months or longer with the diagnosis of chronic renal failure, Can speak and understand Turkish, General condition is good and comfortable (whose life findings are within normal limits) Do not have any problem that prevents cognitive, affective and verbal communication, Do not use any sedative drugs, Do not have any psychiatric illness, Those who sign the informed consent form will be included in the sample.  Exclusion Criteria:  - who do not agree to participate in the study, younger than 18, In patients over 65 years of age, whose SMMT value is below 24 points Patients undergoing hemodialysis without a diagnosis of chronic renal failure, Receiving hemodialysis treatment for less than 6 months and once or twice a week, Can't speak Turkish, General condition unstable (shortness of breath, arrhythmia, fluctuations in blood pressure), Diagnosed with anxiety, panic attack and using medication for anxiety, Using any sedative medication, Have any problem that prevents cognitive, affective and verbal communication, Any psychiatric illness, Those who do not sign the informed volunteer consent form will not be included in the study.  Study termination criteria:  Who want to leave the research, Changing institution / province, If the patient dies, the study will be terminated.