Inclusion Criteria:  aged 18 years and above had a histopathological diagnosis of haematological cancer according to World Health Organisation classification a fatigue score of ≥ 4 based on the fatigue subscale of Edmonton Symptom Assessment System  Exclusion Criteria:  impaired conscious level cognitive impairment or any psychiatric illness that would prevent patients from giving informed consent or participate fully in the study active or past history of cancer of other systems a haemoglobin level of < 8g/dl