Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Epilepsiye İlişkin Verilen Eğitimin Çocukların Yaşam Kalitesi ve Bilgi Düzeyine Etkisi: Bir Karma Yöntem Çalışması
The Effect of Education About Epilepsy on Quality of Life and Knowledge Level of Children: A Mixed-method Study
Özlem AVCIa, Meral BAYATb
aİstanbul Medipol Üniversitesi Sağlık Bilimleri Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği, İstanbul, TÜRKİYE
bErciyes Üniversitesi Sağlık Bilimleri Fakültesi, Çocuk Sağlığı ve Hastalıkları Hemşireliği, Kayseri, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(2):219-30
doi: 10.5336/nurses.2020-77866
Article Language: TR
Full Text
ÖZET
 Amaç: Epilepsili çocuklarda tekrarlayan nöbetlerin varlığı, yaşam kalitelerini etkileyebilmektedir. Bu çalışma, epilepsili çocuklara verilen hasta eğitiminin, yaşam kalitelerine ve bilgi düzeylerine etkisini değerlendirmek amacıyla randomize kontrollü deneysel desende bir karma yöntem çalışması olarak yapılmıştır. Gereç ve Yöntemler: Bir üniversite hastanesinin çocuk nöroloji polikliniğinde yalnızca epilepsi tanısıyla izlenen 7-16 yaş grubu çocuk, çalışma (n=52) ve kontrol grubu (n=52) olacak şekilde çalışmaya alınmıştır. Çalışmanın yapılabilmesi için etik kurul onayıyla çocuk ve annelerinden onamları alınmıştır. Verilerin toplanmasında; Çocuk Tanıtıcı Form, Epilepsiye İlişkin Yaşam Kalitesi Ölçeği, Epilepsi Bilgi Testi ve Çocuk Görüşme Formu kullanılmıştır. Veriler; ortalama, yüzdelik, Mann-Whitney U, Independent t, Paired t ve Wilcoxon eşleştirilmiş 2 örnek testleri kullanılarak değerlendirilmiştir. Yapılan derinlemesine görüşmeler için içerik analizi oluşturulmuştur. Bulgular: Çalışma grubundaki çocukların yaş ortalamasının 10,69±2,78, %50'sinin kız; kontrol grubundaki çocukların yaş ortalamasının 10,40±2,65, %53,8'inin kız olduğu bulunmuştur. Eğitim öncesi; çalışma ve kontrol grubundaki çocukların yaşam kalitesi ve bilgi puan ortalamaları açısından fark olmadığı görülmüştür. Eğitim sonrası, çalışma grubundaki çocukların yaşam kalitesi ve bilgi testi puan ortalamalarının arttığı ve çalışma grubundaki çocukların hastalığa ilişkin daha olumlu ifadelerde bulundukları belirlenmiştir. Kontrol grubundaki çocukların yaşam kaliteleri ve bilgi düzeyleri azalırken, epilepsiye ilişkin yanlış bilgilerinin ve olumsuz görüşlerinin devam ettiği saptanmıştır. Sonuç: Epilepsiye ilişkin verilen eğitimin, çocukların yaşam kalitesi ve bilgi düzeylerine olumlu katkıları olduğu bulunmuştur.

Anahtar Kelimeler: Epilepsili çocuk; eğitim; bilgi; yaşam kalitesi; hemşire
ABSTRACT
 Objective: Epilepsy with recurrent seizures may affect life quality of child. This study was conducted to evaluate the effect of education about epilepsy on their quality of life and knowledge levels, as a mixed-method study, randomized controlled experimental design. Material and Methods: Epileptic children between 7-16 years old in study (n=52) and control groups (n=52) followed up at Child Neurology Policlinic of a university hospital were taken to the study. Written consents of ethical committee, children and mothers were obtained. Data were collected with Child Questionnaire Form, Quality of Life in Epilepsy Inventory for Adolescent, Epilepsy Knowledge Test, Child Interview Form and evaluated by mean, percentage, Mann Whitney U, Independent t, Paired t and Wilcoxon tests. Context analysis was improved for depth interviews. Results: The average age of the children in the study group was 10.69±2.78, 50% of them were girls. These mean age was 10.40±2.65 for the control group and 53.8% of them were girls. Before the education; there was not any significant difference in terms of the mean scores in the quality of life and knowledge levels. After the education, the quality of life and knowledge test mean scores of the study group increased and they made more positive statements about the disease. The quality of life and knowledge levels of control group decreased, their misinformation and negative opinions about epilepsy continued. Conclusion: Education about epilepsy has positive effects on children's quality of life and knowledge level.

Keywords: Child with epilepsy; education; knowledge; quality of life; nurse
REFERENCES:
  1. Ekinci Ö, Toros F. Epilepsi tanılı çocuk ve ergenlerde ruhsal bozukluklar. [Psychiatric disorders in children and adolescents with epilepsy]. Psikiyatride Güncel Yaklaşımlar. 2013;5(1):60-77. [Crossref] 
  2. Tatlı B, Güler S. Çocukluk çağında non epileptik paroksismal olaylar. [Non epileptic paroxysmal events in childhood]. Türk Pediatri Arşivi. 2017;52:59-65. [Crossref] [PubMed] [PMC] 
  3. Minardi C, Minacapelli R, Valastro P, Vasile F, Pitino S, Pavone P, et al. Epilepsy in children: from diagnosis to treatment with focus on emergency. J Clin Med. 2019;2;8(1):39. [Crossref] [PubMed] [PMC] 
  4. Çavuşoğlu H. Çocuk Sağlığı Hemşireliği. 10. Baskı. Ankara: Sistem Ofset Bakımevi; 2013.
  5. Efe E, İşler A. Çocuklarda sinir sistemi hastalıkları, yaralanmaları ve hemşirelik bakımı. Conk Z, Başbakkal Z, Bal Yılmaz H, Bolışık B, editörler. Pediatri Hemşireliği. 2. Baskı. Ankara: Akademisyen Tıp Kitabevi; 2013. p.607-59. [Link] 
  6. Türk A. Çocukluk çaği epilepsilerinin yaşam kalitesi üzerindeki etkilerinin incelenmesi, epileptik değişkenler, zeka, kaygı ve depresyon skor ları ile yaşam kalitesi arasındaki ilişkinin belirlenmesi [Uzmanlık tezi]. Ankara: Gazi Üniversitesi; 2002. [Link] 
  7. Harden J, Black R, Chin RFM. Families' experiences of living with pediatric epilepsy: a qualitative systematic review. Epilepsy Behav. 2016;60:225-37. [Crossref] [PubMed] 
  8. Avcı Ö, Bayat M, Elmalı F. Epilepsili çocuk ve ebeveynlerinin yaşadıkları güçlükler ve etkilenimleri. [The difficulties and responses of children with epilepsy and their parents]. Turkiye Klinikleri J Nurs. 2011;3(1):1-8. [Link] 
  9. Yıldız Akkuş Ş, Bütün Ayhan A. Kronik hastalığı olan çocukların davranışlarının ve yaşam kalitelerinin incelenmesi. [Investigation of the behavioral problems and life quality of the children with chronic diseases]. Turkish J Pediatr Dis. 2020;14:129-35. [Link] 
  10. Dang LT, Silverstein FS. Drug treatment of seizures and epilepsy in newborns and children. Pediatr Clin North Am. 2017;64(6):1291-308. [Crossref] [PubMed] 
  11. Shore CP, Perkins SM, Austin JK. The Seizures and Epilepsy Education (SEE) program for families of children with epilepsy: a preliminary study. Epilepsy Behav. 2008; 12(1):157-64. [Crossref] [PubMed] 
  12. Karaca A, Durna Z. Epilepsi hastasına psikososyal destek. [Psychosocial support in epilepsy patient]. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2019;7(1):218-25. [Link] 
  13. Pavone P, Marino S, Marino SD, Falsaperla R. Management of childhood seizure in pediatric emergency department. Annals of Epilepsy and Seizures. 2018;1(1):1-4. [Link] 
  14. Gannon Tagher C, Knapp LM. Pediatric Nursing A Case Based Approach. 1st ed. USA: Wolters Kluwers; 2020. [Link] 
  15. Uyar GÖ, Şanlıer N. Çocukluk çağı dirençli epilepsilerinde ketojenik diyet uygulamalarının etkisi. [The effect of ketogenic diet treatment in drug-resistant epilepsies of childhood]. Turk J Neurol. 2018;24:216-25. [Crossref] 
  16. Jantzen S, Godeffroy EM, Krisl TH, Aksu F, Püst B, Kohl B, et al. FLIP&FLAP- a training programme for children and adolescents with epilepsy and their parents. Seizure. 2009;18(7):478-86. [Crossref] [PubMed] 
  17. Wohlrab GC, Rinnert S, Bettendorf U, Fischbach H, Heinen G, Klein P; Famoses Project Group. Famoses: a modular educational program for children with epilepsy and their parents. Epilepsy Behav. 2007;10(1):44-8. [Crossref] [PubMed] 
  18. Sawin KJ, Lannon SL, Austin JK. Camp experiences and attitudes toward epilepsy: a pilot study. J Neurosci Nurs. 2001;33(1):57-64. [Crossref] [PubMed] 
  19. Cushner-Weinstein S, Berl M, Salpekar JA, Johnson JL, Pearl PL, Conry JA, et al. The benefits of a camp designed for children with epilepsy: evaluating adaptive behaviors over 3 years. Epilepsy Behav. 2007;10(1):170-8. [Crossref] [PubMed] 
  20. Hagemann A, Pfäfflin M, Nussbeck FW, May TW. The efficacy of an educational program for parents of children with epilepsy (FAMOSES): results of a controlled multicenter evaluation study. Epilepsy Behav. 2016;64(Pt A):143-51. [Crossref] [PubMed] 
  21. Ramaglia G, Romeo A, Viri M, Lodi M, Sacchi S, Cioffi G. Impact of idiopathic epilepsy on mothers and fathers: strain, burden of care, worries and perception of vulnerability. Epilepsia. 2007;48(9):1810-4. [Crossref] [PubMed] 
  22. Laino D, Mencaroni E, Esposito S. Management of pediatric febrile seizures. Int J Environ Res Public Health. 2018;12;15(10):2232. [Crossref] [PubMed] [PMC] 
  23. Aras Doğan Ş, Altun Yılmaz E. Epilepsi tanısı alan adölesanların sağlıklı yaşam bilgisi davranışları ve etkileyen faktörler. [Adolescent's healthy lifestyle behaviours who diagnosed with epilepsy and the factors that influence their behaviours]. Cumhuriyet Nurs J. 2017;6(2):83-90. [Link] 
  24. Özmen S, Demirci E, Doğan H, Demirel Özsoy S, Per H, Öztop DB. Epilepsili çocuklarda psikopatoloji, yaşam kalitesi ve ebeveynlerinde psikopatoloji taraması. [Psycho pathology and life quality in children with epilepsy and psychopathology in their parents]. JCP. 2018;16(1):55-68. [Link] 
  25. Bican Demir A, Uzun Uslu P, Atasayar G, Kılınçel O, Akkaya C, Bora İ. Epilepsi hastalarında yaşam kalitesinin değerlen dirilmesi ve psikiyatrik tanılarının gözden geçirilmesi. [Evaluation of life quality in epilepsy patients and review of psychiatric diagnosis]. Epilepsi. 2018;24(1):21-6. [Link] 
  26. Momeni M, Ghanbari A, Bidabadi E, Yousefzadeh-Chabok S. Health-related quality of life and related factors in children and adolescents with epilepsy in Iran. J Neurosci Nurs. 2015;47(6):340-5. [Crossref] [PubMed] 
  27. Moreira H, Carona C, Silva N, Frontini R, Bullinger M, Canavarro MC. Psychological and quality of life outcomes in pediatric populations: a parent-child perspective. J Pediatr. 2013;163(5):1471-8. [Crossref] [PubMed] 
  28. Başkale H, Çetinkaya B, Ceylan SS, Öztaş Ü. Epilepsili Çocukların Annelerinin Yaşam Doyumu ve Başa Çıkma Tutumları. JCP. 2019;17(2):265-78.
  29. Jones JE, Blocher JB, Jackson DC, Sung C, Fujikawa M. Social anxiety and self-concept in children with epilepsy: a pilot intervention study. Seizure. 2014;23(9):780-5. [Crossref] [PubMed] [PMC] 
  30. Conant KD, Morgan AK, Muzykewicz D, Clark DC, Thiele EA. A karate program for improving self-concept and quality of life in childhood epilepsy: results of a pilot study. Epilepsy Behav. 2008;12(1):61-5. [Crossref] [PubMed] 
  31. van den Bogard F, Hamer HM, Sassen R, Reinsberger C. Sport and physical activity in epilepsy. Dtsch Arztebl Int. 2020;6;117(1-2):1-6. [PubMed] [PMC] 
  32. Tutar Güven Ş, İşler A. Epilepsi hastalığı olan çocuklarda nöbete ilişkin öz-yeterliğin hastalık yönetimi açısından önemi. [Importance of seizure self-efficacy in children with epilepsy for disease management]. Epilepsi. 2014; 20(3):103-6. [Link] 
  33. Elliott J, Shneker B. Patient, caregiver, and health care practitioner knowledge of, beliefs about, and attitudes toward epilepsy. Epilepsy Behav. 2008;12(4):547-56. [Crossref] [PubMed] 
  34. Ay R. Epilepsi ve damgalanma: bir gözden geçirme. [Epilepsy and stigmatization: a review]. Klinik Psikiyatri. 2017;20:129-36. [Crossref] 

.: 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