The researcher has received a practitioner reflexology certificate. The researcher will begin the massage during the second hour of dialysis, as the patient's condition is more stable and the unit is less crowded due to routine care. Before the intervention, the patient's privacy will be protected in the reflexology group; The researcher will sit in a chair at the foot of the patient's bed and perform a reflexology massage.

In order to perform Therapeutic Touch application, the researcher attended the first level training prepared by the International Therapeutic Touch Association and received a certificate. For therapeutic touch application, the researcher will start the application in the second hour of dialysis, as the patient's condition is more stable and the unit is less crowded due to routine care. Therapeutic touch application will be applied to women in the hemodialysis care unit, twice a week for four weeks, for a total of 8 sessions, each lasting 15 minutes.

No intervention will be made.

1. First, the patient's foot will be cleaned with cotton dipped in warm water,
2. In order not to disturb the patient, the hands will be warmed and one or two ccs of baby oil will be used to facilitate the massage.
3. Before applying the main technique, the first two minutes of each session will be spent using the relaxation technique, which involves back and forth movements with the palm of the palm on the outer edge of the foot, from the outer part of the ankle to the little toe, to relieve muscle tension and spasm.
4. Then, alternate pressure will be applied to the reflex points of the right thumb by taking the heel of one foot in the left hand.

Sexual Quality of Life Scale, Symonds et al. It is a scale whose validity and reliability have been established by. The scale is a scale that can be applied to all women over the age of 18, but the validity and reliability study of the original scale was conducted on women in the 18-65 age group. The scale is easy to apply, six-point Likert type, and consists of 18 items that individuals can answer on their own. Each item is expected to be answered considering your sexual life in the last four weeks. In the original version of the scale, it is stated that each item can be scored between 1-6 or 0-5. In this study, a 1-6 point system (1 = Completely agree, 2 = Largely agree, 3 = Partially agree, 4 = Partially disagree, 5 = Largely disagree, 6 = Strongly disagree) was used. In this way, the score range that can be obtained from the scale is between 18-108. It is accepted that as the score obtained from the scale increases, the individual's quality of sexual life also increases.

The Fatigue Severity Scale, developed by Krup, is a scale consisting of nine items that evaluates the general impact of fatigue on daily activities. The Turkish validity and reliability of the scale was determined by Armutlu et al. Made by. In the scale, individuals are asked to rate the fatigue they felt throughout the past week on a scale from 1 to 7. Each section is scored between 1 (completely disagree) and 7 (completely agree). The total score is calculated by taking the average of nine items. The cut-off value for pathological fatigue was determined as 4 and above. The lower the total score, the less fatigue. Armutlu et al. In the study, it was stated that the Cronbach's alpha coefficient of the scale was 0.94.