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Complementary methods such as reflexology should be used with pharmacological methods to reduce dyspnea and fatigue of COPD patients.

Background: This study was performed to evaluate relationships between different demographic variables and hopelessness and depression in end of life Turkish cancer patients. This study was a descriptive survey with repeated measures conducted a university hospital in the city of Erzurum, in the eastern part of Turkey. The study enrolled 216 patients undergoing palliative treatment at the hospital. Materials and Methods: Data were collected using questionnaires (demographic questionnaire, Beck Hopelessness Scale (BHS), Beck Depression Scale (BDS) and analyzed for demographic and disease-related variable effects on hopelessness and depression. Results: Th hopelessness score was significantly high in female, illiterate, married, and living in rural areas cancer patients. Both hopelessness and depression scores were significantly higher with longer disease duration, receiving radiotherapy treatment, and having metastatic disease. Conclusions: These findings demonstrate the coexistence of the physical, psychological, and cognitive problems faced by patients with cancer. Nurses can conduct brief screening assessments to identify patients with probable distress and and psychosocial support, as well as referrals to support services.

This study aimed to determine the relationship of the spiritual orientation of nurses with compassion fatigue, burnout, and compassion satisfaction of nurses working in two large hospitals. Design and Methods: This was a descriptive relational study conducted in Atatürk University Research Hospital between April and September 2016. Data were collected from 379 volunteer nurses using the convenience sampling method. A questionnaire, Professional Quality of Life Scale (ProQOL) R-IV and Spiritual Orientation Inventory (SOI) were used to collect the research data. Findings: It was found that 55.7% of nurses were aged 18 to 27 years, 74.1% of nurses were females. The professional satisfaction of the nurses was high, with low rates of burnout and compassion fatigue. The spiritual orientation of the nurses was high according to the average SOI total score (98.83 ± 15.04). The mean score for compassion fatigue was 21.50 ± 8.69, and the mean score for compassion satisfaction was 34.10 ± 9.91. The mean score for burnout was 19.83 ± 6.39. Practice Implications: Nurses' compassion fatigue, burnout and compassion satisfaction should be evaluated regularly. The results revealed no correlation between spiritual orientation and these parameters. Studies investigating compassion fatigue among nurses should question the time nurses spend on themselves and leisure time.

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