Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Çocuğu Yoğun Bakım Ünitesinde Yatan Annelerin Gereksinimlerinin, Kaygı Düzeylerinin ve Baş Etme Tarzlarının Belirlenmesi: Kesitsel Bir Çalışma
Determination of the Needs, Anxiety Levels and Coping Styles of the Mothers of Children Hospitalized at the Intensive Care Unit: A Cross-Sectional Study
Gülşah OĞULa, Zehra ÇALIŞKANb, Semra KOCAÖZc
aNiğde Ömer Halisdemir Üniversitesi Eğitim ve Araştırma Hastanesi, Çocuk Yoğun Bakım Ünitesi, Niğde, TÜRKİYE
bNevşehir Hacı Bektaş Veli Üniversitesi Semra ve Vefa Küçük Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Çocuk Sağlığı ve Hastalıkları Hemşireliği ABD, Nevşehir, TÜRKİYE
cNiğde Ömer Halis Demir Üniversitesi Zübeyde Hanım Sağlık Yüksekokulu, Hemşirelik Bölümü, Doğum ve Kadın Hastalıkları Hemşireliği ABD, Niğde, TÜRKİYE
Turkiye Klinikleri J Pediatr. 2022;31(1):27-38
doi: 10.5336/pediatr.2020-79935
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, çocuğu yoğun bakım ünitesinde yatan annelerin gereksinimlerinin, kaygı düzeylerinin ve baş etme tarzlarının belirlenmesi amacı ile yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı tipte yapılan araştırmanın örneklemini, Niğde Eğitim Araştırma Hastanesinin Çocuk Yoğun Bakım Ünitesinde yatan çocukların anneleri (n=210) oluşturmaktadır. Veriler; Çocuk ve Ebeveyn Bilgi Formu, Çocuk Yoğun Bakım Aile Gereksinim Ölçeği (Aile Formu), Durumluluk-Sürekli Kaygı Ölçeği ve Stresle Başa Çıkma Tarzları Ölçeği ile annelerle yüz yüze görüşülerek toplanmıştır. Bulgular: Annelerin Çocuk Yoğun Bakım Aile Gereksinim Ölçeği'nden aldıkları puanlara (Çocuk Yoğun Bakım Aile Gereksinim Ölçeği=165,71±34,64) göre gereksinimlerinin yüksek düzeyde olduğu, en fazla yakınlık ve güven gereksinimi, en az destek gereksinimi olduğu tespit edilmiştir. Annelerin kaygı düzeylerinin yüksek (durumluluk kaygı puanı=44,04±6,79; sürekli kaygı puanı=50,02±7,66) olduğu belirlenmiştir. Annelerin Stresle Başa Çıkma Tarzları Ölçeği alt boyutlarından, en çok sosyal destek arama yaklaşımını en az çaresiz yaklaşımı kullandıkları bulunmuştur. Yapılan korelasyon analizine göre; annelerin kaygı puanları ve destek gereksinimleri ile boyun eğici ve çaresiz yaklaşım puanları arasında pozitif yönde zayıf düzeyde anlamlı bir ilişki bulunmuştur. Sonuç: Elde ettiğimiz sonuçlar, sağlık profesyonellerinin anneleri hastalığın seyri, tedavisi ve uygulanan müdahaleler hakkında bilgilendirmesi ve annelerin düzenli aralıklarla çocuklarının güvende olduğunu görebilmeleri için düzenlemeler yapması gerektiğini göstermektedir.

Anahtar Kelimeler: Anne; baş etme; yoğun bakım üniteleri; gereksinim; kaygı
ABSTRACT
 Objective: This descriptive study was conducted to determine the needs, anxiety levels and coping styles of the mothers of children hospitalized at the intensive care unit. Material and Methods: The sample of the descriptive study consisted of the mothers (n=210) of children hospitalized at the Children Intensive Care Unit of Niğde Training and Research Hospital. Data were collected with the Child and Parent Information Form, Child Intensive Care Family Needs Scale (Family Form), the State-Trait Anxiety Scale, and the Stress Coping Styles Scale by a face-to-face interview with the mothers. Results: The Pediatric Intensive Care Family Needs Scale (Child Intensive Care Family Needs Scale=165.71±34.64) scores of the mothers showed that their needs were high, with the need for proximity and trust the most and that for support the least prominent. The anxiety levels of the mothers were high (state anxiety score= 44.04±6.79; trait anxiety score=50.02±7.66). Seeking social support was the most commonly used approach among the Stress Coping Styles Scale subscales while helplessness was used the least. According to the correlation analysis, a weakly significant positive relationship was present between the mothers' anxiety scores and support needs and their submissive and helpless approach scores. Conclusion: The results indicate that health care professionals should inform mothers about the course of the disease, the treatment and the interventions and also make arrangements so that the mothers can see at regular intervals that their children are safe.

Keywords: Mother; coping; intensive care units; need; anxiety
REFERENCES:
  1. Günay O, Sevinç N, Ergun Aslantaş E. Hastanede yatan çocukların annelerinde durumluk ve sürekli anksiyete düzeyi ve ilişkili faktörler [State and trait anxiety levels among mothers of inpatient children and related factors]. Turk J Public Health. 2017;15(3):176-86. [Crossref] 
  2. Açıkgöz A, Şayık D, Söngüt S, Kaya Y, Köksal İ. Pediatri kliniklerinde refakatçi olarak kalan annelerin yaşadığı güçlükler ve hastanede kalmanın depresyon, anksiyete, stres düzeylerine etkisi [The burdens of sitter mothers at paediatrics clinics and the effect of hospital stay on depression, anxiety and stress levels]. Kocaeli Medical J. 2017;6(2):43-7. [Link] 
  3. Rodríguez-Rey R, Alonso-Tapia J. Development of a screening measure of stress for parents of children hospitalised in a Paediatric Intensive Care Unit. Aust Crit Care. 2016; 29(3):151-7. [Crossref]  [PubMed] 
  4. Değirmenci GY. Çocuk hastanelerinde aile destek hizmetleri, ABD Örneği [Family support services in children's hospitals, USA example]. H.Ü. Sağlık Bilimleri Fakültesi Dergisi. 2016;3(1):12-22. [Link] 
  5. Jee RA, Shepherd JR, Boyles CE, Marsh MJ, Thomas PW, Ross OC. Evaluation and comparison of parental needs, stressors, and coping strategies in a pediatric intensive care unit. Pediatr Crit Care Med. 2012;13(3):e166-72. [Crossref]  [PubMed] 
  6. Yıldırım G, Baltacı Göktaş S, Köse S, Yıldız T. Kemoterapi tedavisi gören çocukların annelerindeki kaygı düzeyleri [Anxiety state of mothers whose children are having chemotherapy treatment]. Int J Basic Clin Med. 2014;2(2):69-76. [Link] 
  7. Başkale H, Çetinkaya B, Ceylan S, Öztaş Ü. Epilepsili çocukların annelerinin yaşam doyumu ve başa çıkma tutumları [Satisfaction with life and cope of mothers with epileptic children]. JCP. 2019;17(2):265-78. [Crossref] 
  8. Erdoğan S, Oto A, Boşnak M. Depression status in children's parents during hospitalization in the pediatric intensive care unit. ACU Sağlık Bil. Derg. 2016;(2):79-82. [Link] 
  9. Erdoğan N. Yoğun bakım ünitesinde yatan hastaların yakınlarının gereksinimleri ve stresle baş etme tarzlarının belirlenmesi [Yüksek lisans tezi]. Nevşehir: Nevşehir Hacı Bektaş Veli Üniversitesi; 2019. Erişim Tarihi: 30.07.2019 [Link] 
  10. Molter NC. Needs of relatives of critically ill patients: A descriptive study. Heart Lung. 1979; 8(2):332-9. [PubMed] 
  11. Karagözoğlu Ş, Özden D, Yıldız FT. Yoğun bakım ünitesinde hasta yakınlarının gereksinimleri [The needs of intensive care unit patients' relatives]. Turkiye Klinikleri J Nurs Sci. 2014;6(2):102-11. [Link] 
  12. Küçükoğlu S, Aytekin A, Gülhaş NF. Yenidoğan yoğun bakım ünitesinde bebeği yatan annelerin gereksinimlerinin belirlenmesi [Identifying the needs of mothers whose babies were admitted to neonatal intensive care units]. Hemşirelikte Eğitim ve Araştırma Dergisi. 2015;12(3):182-8. [Link] 
  13. Kuzlu TA, Kalıncı N, Topan AK. Üniversite hastanesinde çocuklara verilen bakımın aile merkezli bakım yönünden incelenmesi [Examination of the care given to children in the university hospital in terms of family centered care]. Fırat Sağlık Hizmetleri Dergisi. 2011;6(16):1-17.
  14. Chatzaki M, Klimathianaki M, Anastasaki M, Chatzakis G, Apostolakou E, Georgopoulos D. Defining the needs of ICU patient families in a suburban/rural Greek population: A prospective cohort study. J Clin Nurs. 2012;21(13-14):1831-9. [Crossref]  [PubMed] 
  15. Al-Mutair AS, Plummer V, Clerehan R, O'Brien A. Needs and experiences of intensive care patients' families: a Saudi qualitative study. Nurs Crit Care. 2014;19(3):135-44. [Crossref]  [PubMed] 
  16. Turan T, Başbakkal Z, Ozbek S. Effect of nursing interventions on stressors of parents of premature infants in neonatal intensive care unit. J Clin Nurs. 2008;17(21):2856-66. [Crossref]  [PubMed] 
  17. Köroğlu TF. Türkiye'de çocuk yoğun bakım hizmetleri: Mevcut durum ve öneriler. İstanbul: Çocuk Acil Tıp ve Yoğun Bakım Derneği; 2006. [Link] 
  18. Biket AP, Tönük S. Çocuk yoğun bakım ünitelerinin tarihçesi ve günümüzde Türkiye'deki durumunun örneklerle incelenmesi [History of pediatric intensive care units and an analysis of the recent status in Turkey with examples]. Sigma. 2012;4:64-76.
  19. Sümbüloğlu K, Sümbüloğlu V. Örnekleme. Biyoistatistik. 15. Baskı. Ankara: Hatipoğlu Baskı; 2012. p.261-7. [Link] 
  20. Akşit S, Cimete G. Çocuğun yoğun bakım ünitesine kabulünde, annelere uygulanan hemşirelik bakımının annelerin anksiyete düzeyine etkisi [The effect of nursing interventions on the anxiety level of mothers after admission of their children to the intensive care unit]. C.Ü Hemşirelik Yüksekokulu Dergisi. 2001;5(2):25-36. [Link] 
  21. Maxwell KE, Stuenkel D, Saylor C. Needs of family members of critically ill patients: A comparison of nurse and family perceptions. Heart Lung. 2007;36(5):367-76. [Crossref]  [PubMed] 
  22. Obringer K, Hilgenberg C, Booker K. Needs of adult family members of intensive care unit patients. J Clin Nurs. 2012;21(11-12):1651-8. [Crossref]  [PubMed] 
  23. Sönmez S. Pediatrik yoğun bakım ünitesinde çocuğu yatan ailelerin saptadıkları gereksinimlerin hemşireler tarafından algılanması [Doktora tezi]. İzmir: Ege Üniversitesi; 2002. Erişim Tarihi: 01.07.2018. [Link] 
  24. Öner N, Le Compte A. Durumluk, Sürekli Kaygı Envanteri El Kitabı. İstanbul: Boğaziçi Üniversitesi Matbaası; 1983. [Link] 
  25. Şahin NH, Durak A. Stresle başa çıkma tarzları ölçeği: Üniversite öğrencileri için uyarlanması [A brief coping styles inventory for university students]. Türk Psikoloji Dergisi. 1995;10(34):56-73. [Link] 
  26. Şahin NH. Stresle Başa Çıkma Olumlu Bir Yaklaşım. 4. Baskı. Ankara: Türk Psikologlar Derneği Yayınları; 2010. p.5-35. [Link] 
  27. Fry S, Warren NA. Perceived needs of critical care family members: a phenomenological discourse. Crit Care Nurs Q. 2007;30(2):181-8. [Crossref]  [PubMed] 
  28. Akbaş M, Akça E, Şenoğlu A, Gökyıldız Sürücü Ş. Yenidoğan yoğun bakım ünitesinde bebeği yatan anne-babaların anksiyete ve depresyon düzeylerinin incelenmesi [The analysis of anxiety and depression levels among parents whose newborns were hospitalized at neonatal intensive care unit]. STED. 2019;28(2):87-97. [Crossref] 
  29. Er M. Çocuk, hastalık, anne-babalar ve kardeşler [Child, illness, parent siblings]. Çocuk Sağlığı ve Hastalıkları Dergisi. 2006;49(2):155-68. [Link] 
  30. Pourghane P, Rajab pour Nikfam M, Ebadi A. Perceived stressors of hospitalized patients' family in cardiac care unites: A qualitative content analysis. The Qualitative Report. 2018; 23(7): 1515-29. [Crossref] 
  31. Ueki S, Niinomi K, Takashima Y, Kimura R, Komai K, Murakami K, et al. Predictors of maternal state anxiety on arrival at a Japanese hospital outpatient clinic: A cross-sectional study. J Clin Nurs. 2015;24(17-18):2383-91. [Crossref]  [PubMed] 
  32. Çelebioğlu A. Yenidoğanın hastaneye kabulünde ebeveynlerin duyguları ve hemşirelik yaklaşımı [Parents' emotions and nursing approach to admission of newborn to hospital]. J Hum Sci. 2006; 8(1):1-8. [Link] 
  33. Brooten D, Youngblut JM, Caicedo C, Dankanich J. Parents: Wish I had done, wish I had not done, and coping after child NICU/PICU death. J Am Assoc Nurse Pract. 2019;31(3):175-83. [Crossref]  [PubMed] 
  34. Boztepe H, Çavuşoğlu H. Bir üniversite hastanesindeki uygulamaların aile merkezli bakım yönünden incelenmesi [Examination of a family centered care practice at the children's units of university hospital]. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi. 2009;11-24. [Link] 

.: Up To Date

.: Process List

Login

 Forgot your password?

 New Registration  

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