Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Cerrahi Hastalarının Sağlık Bilgilerine Erişim İçin İnterneti Kullanım Durumları
Status of Internet Use to Achieve Health Information Among Surgery Patients
Melek ERTÜRK YAVUZa, Bahar AKSOYa,b, Kübra BAŞBOĞAa, Kübra AYa, Ayla GÜRSOYc
aHemşirelik Bölümü,
bÇocuk Sağlığı ve Hastalıkları Hemşireliği AD, Karadeniz Teknik Üniversitesi Sağlık Bilimleri Fakültesi, Trabzon, TÜRKİYE
cHemşirelik Bölümü, Uluslararası Kıbrıs Üniversitesi Sağlık Bilimleri Yüksekokulu, Lefkoşa, KKTC
Turkiye Klinikleri J Nurs Sci. 2019;11(1):17-24
doi: 10.5336/nurses.2018-61466
Article Language: TR
Full Text
ÖZET
Amaç: Cerrahi birimlerde yatan hastaların sağlıkla ilgili bilgiye ulaşmak için interneti kullanım durumlarını ve internetten edinilen bilginin hasta kararlarına etkisini saptamaktır. Gereç ve Yöntemler: Tanımlayıcı nitelikteki araştırmanın örneklemini, bir üniversite hastanesinin cerrahi birimlerinde yatan 300 hasta oluşturdu. Veriler SPSS (Statistical Package for Social Sciences) 22,0 paket programı kullanılarak, ki-kare ile analiz edildi. Ayrıca, çalışmada sayı, yüzde, ortalama ve standart sapma kullanıldı. Bulgular: Katılımcıların %44,0'ünün evinde, %67,0'sinin ise telefonunda internet bulunmakta idi. Hastaların %54,7'sinin herhangi bir sağlık sorununa yönelik olarak, %51,7'sinin ise cerrahi kliniğinde yatmasına neden olan sağlık sorunu hakkında bilgi almak için interneti kullandığı belirlendi. İnterneti kullanma nedenlerinin başında; hekimin koyduğu tanı hakkında bilgi alma (%64,4), semptomları anlayabilme (%50,0) ve hekim seçme (%49,4) gelmektedir. Hastaların cerrahi kliniğinde yatmasına neden olan sağlık sorunu ile ilgili olarak interneti kullanma nedenlerinin başında ise ameliyat (%58,7), hekimin koyduğu tanı (%47,7) ve verilen tedavi (%47,7) hakkında bilgi almak yer almaktadır. Sağlıkla ilgili bilgi edinmek için interneti kullanma ile yaş, eğitim, evde ve telefonda internetin olması, yaşanılan yer ve gelir düzeyi arasında anlamlı fark bulunur iken, cinsiyet açısından anlamlı bir fark saptanmadı. Sağlıkla ilgili bilgi almak için interneti kullananların %61,0'inin internetten edindiği bilgileri kısmen güvenilir bulduğu belirlendi. Sonuç: Hastaların yarısından fazlası, sağlıkla ilgili bilgi edinmek için interneti kullanmaktadır. Ancak, yaklaşık üçte ikisi internetten elde ettiği bilgileri güvenilir bulmamaktadır.

Anahtar Kelimeler: İnternet; cerrahi servisi; hasta; bilgi; perioperatif hemşirelik
ABSTRACT
Objective: The study was carried out to determine internet use of patients' who were hospitalized at surgical units to reach the health-related information and the effect of acquired information from the internet on patient decisions. Material and Methods: The sample of this descriptive study was consisted of 300 patients who were hospitalized at surgery units of a university hospital. The data of the study were processed using SPSS (Statistical Package for Social Sciences) 22.0 package program and analyzed using chi-square test. In addition, number, percentage, mean and standard deviation were used in the study. Results: It was identified that 44.0% of the patients had internet access at home and 67.0% of them on mobile phone. It was found that 54.7% of the patients used internet to get information about any kind of health problem while 51.7% of them about the health problem that caused them to be hospitalized at the surgery unit. Major reasons for using internet were to get information about the diagnosis made by physicians (64.4%), to understand symptoms (50.0%) and to choose physicians (49.4%). Patients' main reasons for using internet to get information about the health problems that caused them to be hospitalized in the surgical wards were to achieve information about operation (58.7%), physicians' diagnosis (47.7%) and the provided treatment (47.7%). There were significant differences between using internet to get information about health and age, education, internet access at home and on phones, place of residence and income level whereas there was no significant difference between using internet to get information about health and sex. It was also found that 61.0% of those who used internet to get information about health found that information partly reliable. Conclusion: More than half of the patients used internet to get information about health. However; nearly two third of them did not find that information obtained from internet reliable.

Keywords: Internet; surgical service; patient; information; perioperative nursing
REFERENCES:
  1. Internet World Stats (IWS). Top 20 Countries With Highest Number Of Internet Users 2016. [Link]
  2. Türkiye İstatistik Kurumu (TÜİK). Hane Halkı Bilişim Teknolojileri Kullanım Araştırması 2015. Sayı: 18660. [Link]
  3. Yılmaz E. [The impact of patients? medical information seeking behaviours on the internet on doctor-patient communication in Turkey]. Galatasaray Üniversitesi İletişim Dergisi. 2014;93-108.
  4. Zülfikar H. [The internet usage behaviour and access patterns of the patients to the health information on the internet]. Florence Nightingale Hemşirelik Dergisi. 2014;22(1):46-52. [Crossref]
  5. Cutilli CC. Seeking health information: what sources do your patients use? Orthop Nurs. 2010;29(3):214-9. [PubMed]
  6. Demir Y, Gözüm S. [New approaches in health education; web based health education]. DEUHYO ED. 2011;4(4):196203.
  7. Laurent MR, Cremers S, Verhoef G, Dierickx D. Internet use for health information among haematology outpatients: a cross-sectional survey. Inform Health Soc Care. 2012;37(2):62-73. [Crossref] [PubMed]
  8. Honey MLL, Aspden TJ, Brackley KE, Haua R, Sheed L, Ashmore-Price H, et al. Patients?s internet use in New Zealand for information about medicines: implications for policy and practice. Health Policy and Technology. 2018;72(2):119-24. [Crossref]
  9. Internet World Stats (IWS) (2013). Internet Usage & Population Statistics 2012. [Link]
  10. Atci IB, Yilmaz H, Kocaman U, Samanci MY. An evaluation of internet use by neurosurgery patients prior to lumbar disc surgery and of information available on internet. Clin Neurol Neurosurg. 2017;158:56-9. [Crossref] [PubMed]
  11. Cooley DL, Mancuso AM, Weiss LB, Coren JS. Health-related internet use among patients of osteopathic physicians. J Am Osteopath Assoc. 2011;111(8):473-82. [PubMed]
  12. van Uden-Kraan CF, Drossaert CH, Taal E, Smit WM, Moens HJ, Siesling S, et al. Healthrelated internet use by patients with somatic diseases: frequency of use and characteristics of users. Inform Health Soc Care. 2009;34(1):18-29. [Crossref] [PubMed]
  13. Fraval A, Ming Chong Y, Holcdorf D, Plunlett V, Tran P. Internet use by orthopaedic outpatients-current trends and practices. Australas Med J. 2012;5(12):633-8. [Crossref] [PubMed] [PMC]
  14. Tengilimoğlu E, Parıltı N, Yar CE. [Social media usage level in the choice of hospital and doctors: Ankara case study]. Gazi Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2015;17(2):76-96.
  15. Burrus MT, Werner BC, Starman JS, Kurkis GM, Pierre JM, Diduch DR, et al. Patient perceptions and current trends in ınternet use by orthopedic outpatients]. HSS J. 2017;13(3): 271-5. [Crossref] [PubMed] [PMC]
  16. Tosun B, Özdemir S, Tosun U, Ataç E, Cebeci G. Determination of attitudes of healthcare professionals regarding health information on the internet. Gülhane Tıp Derg. 2015;57:247-51. [Crossref]
  17. Pazarcı Ö, Gölge UH, Çamurcu Y, Saygılı H, Kılınç S, Keskinbıçkı MV, et al. [Internet use by orthopedic and traumatology patients in Turkey]. Cumhuriyet Üniversitesi Tıp Fakültesi Dergisi. 2015;37(4):269-75. [Crossref]
  18. Şen O, Erkek B, Çakmak A, Sözener U, Akyol C, Kuzu MA. [The internet usage of general surgery patients and the patients? relatives in seeking information]. Ulus Cerrahi Derg. 2008;24(3):156-9.
  19. Yirmibeşoğlu E, Öztürk SS, Erkal HŞ, Egehan İ. [Factors affecting diagnostic and therapeutic process in cancer patients]. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2005;12(2):125-8.
  20. Iverson SA, Howard KB, Penney BK. Impact of internet use on health-related behaviors and the patient-physician relationship: a surveybased study and review. J Am Osteopath Assoc. 2008;108(12):699-711. [PubMed]

.: Up To Date

.: Process List

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com