Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Hekim İnternet Sayfalarındaki Rinoplasti Bilgilendirmelerinin Okunabilirlik Açısından Farklı Branşlar Bazında Karşılaştırılması
The Comparison of the Readability of Rhinoplasty Information Texts on Surgeons Web Site Between Different Specialisations
Mustafa Mert BAŞARANa, İhsan KUZUCUb
aKulak Burun Boğaz Hastalıkları Kliniği, Dr. Yaşar Eryılmaz Doğubayazıt Devlet Hastanesi, Ağrı, TÜRKİYE
bKulak Burun Boğaz Hastalıkları ABD, Aksaray Üniversitesi Tıp Fakültesi, Aksaray, TÜRKİYE
Turkiye Klinikleri J Med Sci. 2019;39(3):304-9
doi: 10.5336/medsci.2018-63549
Article Language: TR
Full Text
ÖZET
 Amaç: Rinoplasti operasyonu; plastik cerrah ve kulak burun boğaz (KBB) hastalıkları uzmanları tarafından yapılan, sıklıkla hangi bölüme gidecekleri konusunda kararsız kaldıkları, sık yapılan bir ameliyattır. Bu operasyonun kim tarafından yapılacağına karar vermede sosyal medyanın etkisi fazladır. Bu çalışmada, plastik ve KBB uzmanlarının internet üzerinde yer alan rinoplasti bilgilendirme metinlerini okunabilirlik açısından değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Google arama motoru kullanılarak 'Rinoplasti' kelimesi taratıldı. İlk 30 plastik cerrah ve ilk 30 kulak burun boğaz uzmanının web sitesindeki rinoplasti hakkında bilgilendirme metinlerinin ilk 100 kelimesi LIDA programı kullanılarak Gunning-Fog indeksi, Flesch-Kincaid ve Ateşman değerleri açısından karşılaştırıldı. Bulgular: Flesch-Kincaid değerleri karşılaştırıldığında, plastik cerrahların (23,18±3,38) bilgilendirme yazılarının KBB uzmanlarına (25,25±3,60) oranla istatistiksel olarak daha az olduğu bulunmuş; bu nedenle daha okunabilir olduğu düşünülmüştür. Öte yandan, Ateşman ve Fog-Gunning değerleri plastik cerrahi grubunda daha iyi sonuçlar vermekle beraber, KBB ile karşılaştırıldığında anlamlı bir fark bulunmamıştır. Sonuç: Rinoplasti operasyonları için plastik cerrah ve KBB hekimleri tarafından hazırlanmış bilgilendirme yazılarının okunabilirliği karşılaştırıldığında, plastik cerrahların metinlerinin daha okunabilir olduğu; bu nedenle hastaların rinoplasti için daha çok plastik cerrahları tercih ettiği düşünülmüştür, ancak her iki yazıda Türkçe için daha uygun görülen Ateşman değeri okunabilirliği zor olarak göstermiş, ancak istatistiksel bir fark gözlenmemiştir. Bu durumun hastaların yazıları zor okuyabildiğini; bu nedenle internet ortamında yer alan bilgilendirme yazılarından ziyade sosyal medyada yer alan resimlerin ve kendi yakınlarının tecrübelerinin rinoplasti operasyonu açısından kişileri yönlendirmelerine neden olduğu düşünülmektedir. Bu nedenle, internet üzerinde paylaşılan bilgilendirme metinlerine daha fazla özen gösterilmelidir.

Anahtar Kelimeler: İletişim; internet; kulak burun boğaz hastalıkları; kulak burun boğaz cerrahi prosedürler; plastik cerrahi; rinoplasti
ABSTRACT
 Objective: Rhinoplasty is an operation usually carried by both plastic surgeons and otorhinolaryngologists. Patients decide the surgeons and social media plays a crucial role for this decision. Social media plays a crucial role in choice of operations. In our research we compared the readability of information texts between web sites of otolaryngologists and plastic surgeons. Material and Methods: We searched the word 'Rhinoplasty' using google and first 30 web sites were investigated. First 100 words of rhinoplasty information texts from these web sites of plastic surgeons and otolaryngologists were included in our study using LIDA program. Gunning-Fog index, Flesch-Kincaid and Atesman values were mea-sured and compared between groups. Results: Flesch-Kincaid value from web sites of plastic surgeons (23.18±3.38) was found significantly lower regarding to otolaryngologists (25.25±3.60) suggesting better readability. Gunning-Fog index and Atesman values were also beter on plastic surgeons group without any statistical significance. Conclusion: Our results showed the readability of rhinoplasty texts of plastic surgeons was slightly better than otola-ryngologists. This might be the reason for choosing plastic surgeons for rhinoplasty operations. However, Atesman scores which is believed to be more related with Turkish language; the readability of both groups were found to be hard and there was no significant difference. This causes patients' pictures in social media and experiences of their relatives to be more reliable than information texts. As a result, we believe the information texts especially prepared for surgeries should be written with more care.

Keywords: Communication; internet; otorhinolaryngologic diseases, otorhinolaryngologic surgical procedures; surgery, plastic; rhinoplasty
REFERENCES:
  1. Lam HKS, Yeung ACL, Cheng TCE. The impact of firms' social media initiatives on operational efficiency and innovativeness. J Oper Manag. 2016;47-48:28-43. [Crossref] 
  2. Küçükdurmaz F, Mutlu S, Mutlu H, Parvizi J. A comparison of the quality of online information about total knee arthroplasty available in Turkish and English: a cross-sectional study. Acta Orthop Traumatol Turc. 2015;49(4):370-4. [Crossref]  [PubMed] 
  3. Wozney L, Chorney J, Huguet A, Song JS, Boss EF, Hong P. Online tonsillectomy re-sources: are parents getting consistent and readable recommendations? Otolaryngol Head Neck Surg. 2017;156(5):844-52. [Crossref]  [PubMed] 
  4. Wong K, Levi JR. Readability of pediatric otolaryngology information by children's hospitals and academic institutions. Laryngoscope. 2017;127(4):E138-44. [Crossref]  [PubMed] 
  5. Nassif SJ, Wong K, Levi JR. The Índice Flesch-Szigriszt and Spanish Lexile Analyzer to evaluate Spanish patient education materials in otolaryngology. Laryngoscope. 2018;128(1):E21-6. [Crossref]  [PubMed] 
  6. Boztaş N, Ozbilgin Ş, Ocmen E, Altuntaş G, Ozkardeşler S, Hancı V, et al. [Evalua-ting the readibility of informed consent forms available before anaesthesia: a compara-tive study]. Turk J Anaesth Reanim. 2014;42:140-4. [Crossref]  [PubMed]  [PMC] 
  7. Goldbort R. Readable writing by scientists and researchers. J Environ Health. 2001;63(8):40-1.
  8. Plavén-Sigray P, Matheson GJ, Schiffler BC, Thompson WH. The readability of scientific texts is decreasing over time. Elife. 2017;6:e27725. [Crossref]  [PubMed]  [PMC] 
  9. Ateşman E. [Measuring the Readability in Turkish]. A.Ü. Tömer Dergisi. 1997;58:171-4.
  10. Kessels RP. Patients' memory for medical information. J R Soc Med. 2003;96(5):219-22. [Crossref]  [PubMed]  [PMC] 
  11. Kitching JB. Patient information leaflets--the state ofthe art. J R Soc Med. 1990;83(5):298-300. [Crossref]  [PubMed]  [PMC] 
  12. Serxner S. How readability of patient education materials affects outcomes. J Vasc Nurs. 2000;18:97-101. [Crossref] 
  13. Pothier L, Pothier DD. Patient-orientated web sites on laryngectomy: is their informa-tion readable? Eur J Cancer Care (Engl). 2009;18(6):594-7. [Crossref]  [PubMed] 
  14. Pew Internet & American Life Project (PIALP). Health Information on the Internet, U.S; 2009.
  15. Ward B, Ward M, Paskhover B. Google trends as a resource for informing plastic sur-gery marketing desicions. Aesthetic Plast Surg. 2018;42(2):598-602. [Crossref]  [PubMed] 
  16. Tan SS, Goonawardene N. Internet health information seeking and the patient-physician relationship: a systematic review. J Med Internet Res. 2017;19(1):e9. [Crossref]  [PubMed]  [PMC] 
  17. Parmeshwar N, Reid CM, Park AJ, Brandel MG, Dobke MK, Gosman AA. Evaluation of information sources in plastic surgery decision-making. Cureus. 2018;10(6):e2773. [Crossref]  [PubMed]  [PMC] 
  18. Eker L, Tüzün EH, Aytar A, Daşkapan A. [Readability levels of health education ma-terials used in physical therapy and rehabilitation clinics]. Fizyoterapi Rehabilitasyon. 2013;24 (1):93-8.
  19. Durukan E. [The relationship of reading skills of students and readability levels of texts]. Ana Dili Eğitimi Dergisi. 2014;2(3):68-76. [Crossref] 

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