Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Hemodiyaliz Hastalarında Hastalığı Kabul ile Konfor Düzeyi Arasındaki İlişkinin Belirlenmesi: İlişki Arayıcı Çalışma
Determining the Relationship Between Disease Acceptance and Comfort Level in Hemodialisis Patients: A Relationship Exploring Study
Fatma ATEŞ KISAARSLANa , Ayşe KACAROĞLU VİCDANb
aNecmettin Erbakan Üviversitesi Sağlık Bilimleri Enstitüsü, Doktora Programı, Konya, Türkiye
bMuğla Sıtkı Koçman Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Hemşirelik Esasları AD, Muğla, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(2):392-402
doi: 10.5336/nurses.2023-99932
Article Language: TR
Full Text
ÖZET
 Amaç: Bu araştırma, hemodiyaliz hastalarında hastalığı kabul ile konfor düzeyleri arasındaki ilişkinin belirlenmesi amacıyla yapıldı. Gereç ve Yöntemler: Araştırma 13.04.2021-03.06.2021 tarihleri arasında Antalya ilinde bulunan özel bir diyaliz merkezinde, ilişki arayıcı araştırma tasarımı kullanılarak yapıldı. Araştırmaya 166 hemodiyaliz tedavisi uygulanan hasta alındı. Veri toplama aşamasında Hasta Tanılama Formu, Hastalığı Kabul Ölçeği ve Genel Konfor Ölçeği kullanıldı. İstatistiksel değerlendirmede; sayı, yüzde, t-testi, ANOVA, varyans homojenliği için Levene testi, Tamhane T2 testi, Bonferroni testi ve Pearson korelasyon analizinden yararlanıldı. Anlamlılık düzeyi p<0,05 kabul edildi. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 61,36±14,14, %63,9'u erkek, %47'si ilkokul mezunu, %73,5'i evlidir. Hastaların hemodiyaliz tedavisi alma süresi 37,45±55,04 ay olduğu belirlendi. Hastaların %91'inin haftada 3 kez hemodiyaliz tedavisi aldığı, %79,5'inin başka kronik hastalığı bulunduğu, %50'sinin bakım konusunda destek aldığı, %81'inin hemodiyaliz tedavisine ilişkin eğitim aldığı bulundu. Hastalığı Kabul Ölçek puan ortalaması 22,20±8,65, Genel Konfor Ölçek puan ortalaması ise 129,27±13,94'tür. Sonuç: Hastaların eğitim durumu, gelir durumları ve bakım konusunda destek almaları ile Hastalığı Kabul Ölçek puan ortalamaları arasında istatistiksel olarak anlamlı bir ilişki belirlendi. Haftada 2 kez hemodiyaliz tedavisi alan hastaların Genel Konfor Ölçeğinin rahatlama boyutu puan ortalaması arasında pozitif yönde bağlantı olduğu görüldü. Bireylerin hemodiyaliz süreleri ile Hastalığı Kabul Ölçek puan ortalamaları ve Genel Konfor Ölçek puan ortalaması arasında pozitif yönde anlamlı bir ilişki belirlendi. Araştırmaya katılan hastaların, hastalığı kabulü ile konfor düzeyi arasında pozitif ilişki olduğu; hastaların, hastalığı kabul düzeyi artıkça konfor düzeyinin de arttığı bulundu. Araştırma sonucunda hastalara bireyselleştirilmiş eğitim verilmesi ve çalışmanın farklı bölgelerde tekrarlanması önerilir.

Anahtar Kelimeler: Hemodiyaliz tedavisi; hasta; hastalığı kabul; konfor düzeyi; hemşire
ABSTRACT
 Objective: The research was conducted to determine the relationship between disease acceptance and comfort levels of hemodialysis patients. Material and Methods: The research was conducted using a relationship-seeking study design in a private dialysis center in Antalya between 13.04.2021 and 03.06.2021. 166 individuals receiving hemodialysis treatment were included in the study. Data was collected using the Patient Evaluation Form, Acceptance of Illness Scale and Comfort Rating Scale. Number, percentage, t-test, ANOVA, Levene test for homogeneity of variance, Tamhan's T2 test, Bonferroni test and Pearson Correlation analysis were used for statistical evaluation. Significance level was set at p<0.05. Results: In the study, the mean age of the individuals was 61.36±14.14; 63.9% of the individuals were male, 47% were elementary school graduate, and 73.5% were married. Hemodialysis treatment duration of the individuals was 37.45±55.04 months. The study found that 91% of the individuals received hemodialysis treatment 3 times a week; 79.5% of the individuals had other chronic diseases, 50% received support for their care and 81% of the individuals had training on hemodialysis treatment. The mean score in the Acceptance of Illness Scale was 22.20±8.65 and the mean score in the Comfort Rating Scale was 129.27±13.94. Conclusion: A statistically significant relationship was found between patients' education level, income level and availability of support for care and the mean scores in the Acceptance of Illness Scale. A positive relationship was found between the comfort rating scale relaxation dimension mean scores of the individuals who received hemodialysis treatment 2 times a week A positive and significant relationship was determined between individuals' hemodialysis duration and their Illness Acceptance Scale mean score and General Comfort Scale score mean. A positive relationship was found between acceptance of illness and comfort level of individuals included in the study and in the study as the level of acceptance of illness increased, comfort level also increased. As a result of the research, individualized education was provided to patients and the study was carried out in different regions.

Keywords: Hemodialysis treatment; patient; acceptance of ıllness; comfort level; nursing
REFERENCES:
  1. Cockwell P, Fisher LA. The global burden of chronic kidney disease. Lancet. 2020;395(10225):662-4. [Crossref]  [PubMed] 
  2. Kovesdy CP. Epidemiology of chronic kidney disease: an update 2022. Kidney Int Suppl (2011). 2022;12(1):7-11. [Crossref]  [PubMed]  [PMC] 
  3. Lv JC, Zhang LX. Prevalence and disease burden of chronic kidney disease. Adv Exp Med Biol. 2019;1165:3-15. [Crossref]  [PubMed] 
  4. Kalantar-Zadeh K, Jafar TH, Nitsch D, Neuen BL, Perkovic V. Chronic kidney disease. Lancet. 2021;398(10302):786-802. [Crossref]  [PubMed] 
  5. Matsushita K, Ballew SH, Wang AY, Kalyesubula R, Schaeffner E, Agarwal R. Epidemiology and risk of cardiovascular disease in populations with chronic kidney disease. Nat Rev Nephrol. 2022;18(11):696-707. [Crossref]  [PubMed] 
  6. Melo GAA, Aguiar LL, Silva RA, Quirino GDS, Pinheiro AKB, Caetano JÁ. Factors related to impaired comfort in chronic kidney disease patients on hemodialysis. Rev Bras Enferm. 2019;72(4):889-95. English, Portuguese. [Crossref]  [PubMed] 
  7. Ruiz-Ortega M, Rayego-Mateos S, Lamas S, Ortiz A, Rodrigues-Diez RR. Targeting the progression of chronic kidney disease. Nat Rev Nephrol. 2020;16(5):269-88. [Crossref]  [PubMed] 
  8. Kolcaba K. Evolution of the mid range theory of comfort for outcomes research. Nurs Outlook. 2001;49(2):86-92. [Crossref]  [PubMed] 
  9. Campo S, Lacquaniti A, Trombetta D, Smeriglio A, Monardo P. Immune system dysfunction and inflammation in hemodialysis patients: two sides of the same coin. J Clin Med. 2022;11(13):3759. [Crossref]  [PubMed]  [PMC] 
  10. Nair D, Bonnet K, Wild MG, Umeukeje EM, Fissell RB, Faulkner ML, et al. Psychological adaptation to serious illness: a qualitative study of culturally diverse patients with advanced chronic kidney disease. J Pain Symptom Manage. 2021;61(1):32-41.e2. [Crossref]  [PubMed]  [PMC] 
  11. Büyükkaya Besen D, Esen A. Hastalığı kabul ölçeğinin Türk toplumundaki diyabetik bireylere uyarlanması [The adaptation of the acceptance of illness scale to the diabetic patients in Turkish society]. TSK Koruyucu Hekimlik Bülteni. 2011;10(2):155-64. [Link] 
  12. Kacaroğlu Vicdan A. The effect of training given to hemodialysis patients according to the comfort theory. Clin Nurse Spec. 2020;34(1):30-7. [Crossref]  [PubMed] 
  13. Telford K, Kralik D, Koch T. Acceptance and denial: implications for people adapting to chronic illness: literature review. J Adv Nurs. 2006;55(4):457-64. [Crossref]  [PubMed] 
  14. Jankowska-Polańska B, Kasprzyk M, Chudiak A, Uchmanowicz I. Effect of disease acceptance on quality of life in patients with chronic obstructive pulmonary disease (COPD). Pneumonol Alergol Pol. 2016;84(1):3-10. [Crossref]  [PubMed] 
  15. Şireci E, Karabulutlu EY. Tip 2 diabetes mellituslu hastaların hastalıklarını kabullenme ve kendi bakımlarındaki öz yeterlilik düzeylerinin belirlenmesi [Diabetes mellitus type ii patients' acceptance of illness and determination of self efficacy levels for their care]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2017;20(1):48-55. [Link] 
  16. Tabiee S, Momeni A, Saadatjoo SA. The effects of comfort-based interventions (back massage and patient and family education) on the level of comfort among hemodialysis patients. Modern Care Journal. 2017;14(3):e64687. [Crossref] 
  17. Gülay T, Eler ÇÖ, Ökdem Ş, Çıtak EA. Hemodiyaliz hastalarında konfor düzeyinin incelenmesi [Examining the comfort level of hemodialysis patients]. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2020;7(2):122-9. [Crossref] 
  18. Ayık ÜC, Yılmaz Karabulutlu E. Hemodiyaliz tedavisi alan hastaların hastalığı kabullenmesi ve dini baş etme tarzlarının incelenmesi [Examination of acceptance of illness and religious coping styles of patients undergoing hemodialysis treatment]. Nefroloji Hemşireliği Dergisi. 2020;15(2):57-67. [Crossref] 
  19. Griva K, Li ZH, Lai AY, Choong MC, Foo MW. Perspectives of patients, families, and health care professionals on decision-making about dialysis modality-the good, the bad, and the misunderstandings! Perit Dial Int. 2013;33(3):280-9. [Crossref]  [PubMed]  [PMC] 
  20. Jaworski M, Panczyk M, Cedro M, Kucharska A. Adherence to dietary recommendations in diabetes mellitus: disease acceptance as a potential mediator. Patient Prefer Adherence. 2018;12:163-74. [Crossref]  [PubMed]  [PMC] 
  21. Estridge KM, Morris DL, Kolcaba K, Winkelman C. Comfort and fluid retention in adult patients receiving hemodialysis. Nephrol Nurs J. 2018;45(1):25-60. [PubMed] 
  22. Felton BJ, Revenson TA. Coping with chronic illness: A study of illness controllability and the influence of coping strategies on psychological adjustment. Journal of Consulting and Clinical Psychology. 1984;52(3):343-53. [Crossref]  [PubMed] 
  23. Kolcaba KY. Holistic comfort: operationalizing the construct as a nurse-sensitive outcome. ANS Adv Nurs Sci. 1992;15(1):1-10. [Crossref]  [PubMed] 
  24. Kuğuoğlu S, Karabacak Ü. Genel konfor ölçeğinin Türkçe'ye uyarlanması [Turkish version of the general comfort questionaire]. Florence Nightingale Journal of Nursing. 2008;16(61):16-23. [Link] 
  25. Uchmanowicz I, Jankowska-Polanska B, Motowidlo U, Uchmanowicz B, Chabowski M. Assessment of illness acceptance by patients with COPD and the prevalence of depression and anxiety in COPD. Int J Chron Obstruct Pulmon Dis. 2016;11:963-70. [Crossref]  [PubMed]  [PMC] 
  26. Yılmaz FT, Şahin AD, Türesin AK. Tip 2 diyabetli bireylerde hastalığı kabul düzeyinin glisemik kontrol ile ilişkisi [Relationship with glycemic control and acceptance of illness in type 2 diabetic individuals]. Cukurova Medical Journal. 2019;44(4):1284-91. [Crossref] 
  27. Medeiros RC, Sousa MNA, Santos MLL, Renatta H, Medeiros HRL, Freitas TD, et al. Epidemiological profile of patients under hemodialysis [Perfil epidemiológico de pacientes em tratamento hemodialítico]. Journal of Nursing. 2015;9(11):9846-52. [Link] 
  28. Pan CW, Wu Y, Zhou HJ, Xu BX, Wang P. Health-related quality of life and its factors of hemodialysis patients in suzhou, china. blood purif. 2018;45(4):327-33. [Crossref]  [PubMed] 
  29. İlaslan Eİ, Dalkıran Ş, Özer ZC, Balcı MK. Tip 2 diyabetli bireylerin hastalığı kabul düzeyi ve bakım verenlerin bakım verme yükü [Level of acceptance of illness by persons with type 2 diabetes and burden on caregivers]. Sürekli Tıp Eğitimi Dergisi. 2021;30(2):84-95. [Crossref] 
  30. Santos RCD, Melo GAA, Silva RA, Silva FLBD, Viana Júnior AB, Caetano JÁ. Relationship between the comfort level of chronic renal patients and sociodemographic and clinical variables. Rev Bras Enferm. 2020;73(suppl 5):e20200085. English, Portuguese. [Crossref]  [PubMed] 
  31. Borzou SR, Anosheh M, Mohammadi E, Kazemnejad A. Patients' perception of comfort facilitators during hemodialysis procedure: a qualitative study. Iran Red Crescent Med J. 2014;16(7):e19055. [Crossref]  [PubMed]  [PMC] 
  32. Şentürk Z. Hemodiyaliz hastalarında sıvı kontrolü ve konfor arasındaki ilişkinin incelenmesi [Yüksek lisans tezi]. Aydın. Aydın Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü; 2021. Erişim tarihi: 17.10.2023 Erişim linki: [Link] 
  33. Dikmen RD, Aslan H. The effects of the symptoms experienced by patients undergoing hemodialysis treatment on their comfort levels. Journal of Clinical Nephrology and Renal Care. 2020;6(2):1-9. [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