Journal of Traditional Medical Complementary Therapies

.: REVIEW
Kardiyovasküler Hastalıklarda Tamamlayıcı ve İntegratif (Bütünleşik) Uygulamalar: Geleneksel Derleme
Complementary and Integrative Applications in Cardiovascular Diseases: Traditional Review
Sebiha AKTAŞ USa , Sultan TAŞCIb
aHemşire, Sinop, Türkiye
bErciyes Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği ABD, Kayseri, Türkiye
J Tradit Complem Med. 2024;7(2):213-24
doi: 10.5336/jtracom.2024-101839
Article Language: TR
Full Text
ÖZET
 Dünyada ve ülkemizde kardiyovasküler hastalıklar ileri tedavi ve bakım gerektiren, sık hastaneye yatışlara sebep olabilen ve komplikasyonlarla ilerleyebilen önemli bir sağlık problemidir. Hemşirelerin hastalığın alevlenmesi, ilerlemesi ve/veya komplikasyonların meydana gelmesini önlemede önemli sorumlulukları bulunmaktadır. Kardiyovasküler hastalıkların günlük yaşam aktiviteleri ve yaşam kalitesi üzerindeki etkileri gözden geçirildiğinde, birçok hasta hastalığın alevlenmesini önlemek, semptom kontrolünü sağlamak ve komplikasyonları önlemek amacıyla tamamlayıcı ve integratif terapi yöntemlerini kullanmaktadır. Kardiyovasküler hastalığı olan bireylerin hastalığa bağlı yaşadığı problemler, semptomlar ve onların maliyeti dikkate alındığında, tamamlayıcı ve integratif terapi yöntemlerinin kardiyovasküler hastalık semptomlarını ve komplikasyonları azaltmada uygulamasının kolay, maliyeti az ve özellikle hasta memnuniyeti açısından etkin uygulamaları içerdiği dikkat çekmektedir. Literatür incelendiğinde, çalışmalarda bazı tamamlayıcı ve integratif terapi yöntemleri ile ilgili kanıtlar olmasına rağmen bazıları konusunda henüz yeterli düzeyde kanıt bulunmamaktadır. Tamamlayıcı ve integratif terapi yöntemlerinin kardiyovasküler hastalığın ilerlemesini geciktirdiği ve/veya mortaliteyi azaltmada etkili olduğu tanımlanırsa bu yöntemlere yönelimin daha da artacağı düşünülmektedir. Hastaların tıbbi öyküsüne ek olarak tamamlayıcı ve integratif terapi uygulamaları açısından da belirlenmeleri bu uygulamalardan dolayı gelişebilecek yan etki ve maliyeti azaltacaktır. Bu sebeple; hemşireler, bireylerin gereksinimlerini değerlendirirken açık ve etkili iletişim kurmalı, inançlarını, gelenek, göreneklerini ve alışkanlıklarını açıkça ifade etmesini sağlamalı, tamamlayıcı ve integratif terapi uygulama durumlarını değerlendirmeli, faydaları ile gelişebilecek yan etkileri açısından hastalarını bilgilendirmelidir. Hemşireler kardiyovasküler hastalığı olan bireylerde tamamlayıcı ve integratif terapi kullanımı hakkında detaylı bilgi sahibi olmalı, kanıta dayalı uygulamalar konusunda araştırma yapmalı ve bu kanıt düzeylerine göre bireylere göre eğitim ve danışmanlık hizmeti sağlamalıdır.

Anahtar Kelimeler: Kardiyovasküler hemşirelik; tamamlayıcı ve integratif terapiler; kanıta dayalı uygulamalar
ABSTRACT
 Cardiovascular disease (CVD) is an important health problem in the world and in our country, requiring advanced treatment and care, causing frequent hospitalizations and progressing with complications. Nurses have important responsibilities in preventing disease exacerbation, progression and/or complications. When the effects of CVDs on daily living activities and quality of life are reviewed, many patients use complementary and integrative therapy (CIT) methods to prevent exacerbation of the disease, provide symptom control and prevent complications. Considering the problems, symptoms and costs experienced by individuals with CVD due to the disease, it is noteworthy that CIT methods are easy to apply, low-cost and especially effective in terms of patient satisfaction in reducing CVD symptoms and complications. When the literature is examined, although there is evidence about some CIT methods in studies, there is not yet sufficient evidence for some of them. If it is determined that CIT methods delay the progression of CVD and/or are effective in reducing mortality, it is thought that the tendency towards these methods will increase even more. Determining patients in terms of CIT applications in addition to their medical history will reduce the side effects and costs that may develop due to these applications. For this reason, nurses should communicate openly and effectively when evaluating the needs of individuals, ensure that they clearly express their beliefs, traditions, customs and habits, evaluate CIT application situations, and inform their patients about its benefits and possible side effects. Nurses should have detailed information about the use of CIT in individuals with CVD, conduct research on evidence-based practices, and provide training and consultancy services to individuals according to these evidence levels.

Keywords: Cardiovascular nursing; complementary and integrative therapies; evidence-based practices
REFERENCES:
  1. World Health Organization [Internet]. ©2024 WHO [Cited: February 2, 2024]. Cardiovascular diseases. Available from: [Link] 
  2. World Health Organization [Internet]. ©2024 WHO [Cited: February 2, 2024]. Cardiovascular diseases (CVDs). Available from: [Link] 
  3. Türkiye İstatistik Kurumu [İnternet]. [Erişim tarihi: 2 Şubat 2024]. Ölüm ve ölüm nedeni istatistikleri. Erişim linki: [Link] 
  4. Kyu HH, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2018;392(10159):1859-922. [Link] 
  5. Arslan S, Gökçe E, Deniz Doğan S, Özgen H, Şişman H, Baysal D, et al. Kardiyovasküler hastalığı olan bireylerde tamamlayıcı ve alternatif tıp yöntemlerinin kullanımı [The use of complementary and alternative medicine among individuals with cardiovascular disease]. Çukurova Medical Journal. 2020;45(4):1644-52. [Crossref] 
  6. McMurray JJ, Adamopoulos S, Anker SD, Auricchio A, Böhm M, Dickstein K, et al; ESC Committee for Practice Guidelines. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2012;33(14):1787-847. Erratum in: Eur Heart J. 2013;34(2):158. [PubMed] 
  7. Özdemir Ü, Taşcı S. Kanserde tamamlayıcı ve integratif (bütünleşik) sağlık uygulamaları. Kapucu S, Kutlutürkan S, editörler. Hemşirelik Öğrencilerine Yönelik Onkoloji Hemşireliği. 1. Baskı. Ankara: Hipokrat Yayıncılık; 2020. p.173-98.
  8. Bolat C. Kalp ve damar hastalarında tamamlayıcı/alternatif tedavi tutum ve uygulamaları [Yüksek lisans tezi]. İstanbul: Sabahattin Zaim Üniversitesi; 2021. [Erişim tarihi: 2 Şubat 2024]. Erişim linki: [Link] 
  9. Dilek S, Mert H. The use of complementary and alternative medicine in individuals with heart failure. Int J Caring Sci. 2021;14(2):1204-11. [Link] 
  10. Rabito MJ, Kaye AD. Complementary and alternative medicine and cardiovascular disease: an evidence-based review. Evid Based Complement Alternat Med. 2013;2013:672097. [Crossref]  [PubMed]  [PMC] 
  11. Uçar A, Canbolat O. Kardiyovasküler hastalıklarda tamamlayıcı ve alternatif tedavi kullanma durumu [Use of complementary and alternative medicine in cardiovascular diseases]. Journal of Cardiovascular Nursing. 2022;12(29):155-62. [Link] 
  12. Salah AO, Salameh AD, Bitar MA, Zyoud SH, Alkaiyat AS, Al-Jabi SW. Complementary and alternative medicine use in coronary heart disease patients: a cross-sectional study from Palestine. BMC Complement Med Ther. 2020;20(1):231. [Crossref]  [PubMed]  [PMC] 
  13. Prasad K, Sharma V, Lackore K, Jenkins SM, Prasad A, Sood A. Use of complementary therapies in cardiovascular disease. Am J Cardiol. 2013;111(3):339-45. [Crossref]  [PubMed] 
  14. Dalmayrac E, Quignon A, Baufreton C. Complementary and Alternative Medicine in Cardiac Surgery: Prevalence and Modality of use. Heart Lung Circ. 2016;25(7):712-8. [Crossref]  [PubMed] 
  15. National Center for Complementary and Integrative Health [Internet]. [Cited: February 2, 2024]. Complementary, alternative, or integrative health: what's in a name? Available from: [Link] 
  16. Hersberger L, Dietz A, Bürgler H, Bargetzi A, Bargetzi L, Kägi-Braun N, et al. Individualized nutritional support for hospitalized patients with chronic heart failure. J Am Coll Cardiol. 2021;77(18):2307-19. [Crossref]  [PubMed] 
  17. Imaizumi VM, Laurindo LF, Manzan B, Guiguer EL, Oshiiwa M, Otoboni AMMB, et al. Garlic: A systematic review of the effects on cardiovascular diseases. Crit Rev Food Sci Nutr. 2023;63(24):6797-819. [Crossref]  [PubMed] 
  18. Liao J, Xiong Q, Yin Y, Ling Z, Chen S. The effects of fish oil on cardiovascular diseases: systematical evaluation and recent advance. Front Cardiovasc Med. 2022;8:802306. [Crossref]  [PubMed]  [PMC] 
  19. Zhi-yong Z. A discussion about the origin and development of Taijiquan from the perspective of the history of evolution of Taijiquan techniques. J Phys Educ. Published online 2013. [Link] 
  20. Utkan Karasu A. Tai Chi. Demirsoy Ü, Özyemişçi Taşkıran Ö, editörler. Zihin Beden Tıbbı. 1. Baskı. Ankara: Türkiye Klinikleri; 2022. p.71-6.
  21. Liang H, Luo S, Chen X, Lu Y, Liu Z, Wei L. Effects of Tai Chi exercise on cardiovascular disease risk factors and quality of life in adults with essential hypertension: A meta-analysis. Heart Lung. 2020;49(4):353-63. [Crossref]  [PubMed] 
  22. Taylor-Piliae R, Finley BA. Benefits of tai chi exercise among adults with chronic heart failure: a systematic review and meta-analysis. J Cardiovasc Nurs. 2020;35(5):423-34. [Crossref]  [PubMed] 
  23. Tyagi A, Cohen M. Yoga and hypertension: a systematic review. Altern Ther Health Med. 2014;20(2):32-59. [PubMed] 
  24. Vivekananda S, ed. Gürelman A, çeviri editörü. Patancali'nin Yoga Bilimi-Yoga Sutraları. 1. Baskı. İstanbul: Purnam Yayınları; 2014.
  25. Li J, Gao X, Hao X, Kantas D, Mohamed EA, Zheng X, et al. Yoga for secondary prevention of coronary heart disease: A systematic review and meta-analysis. Complement Ther Med. 2021;57:102643. [Crossref]  [PubMed] 
  26. Kalra S, Miraj M, Ajmera P, Shaik RA, Seyam MK, Shawky GM, et al. Effects of yogic interventions on patients diagnosed with cardiac diseases. a systematic review and meta-analysis. Front Cardiovasc Med. 2022;9:942740. [Crossref]  [PubMed]  [PMC] 
  27. Sharma G, Mooventhan A, Naik G, Nivethitha L. A review on role of yoga in the management of patients with cardiac arrhythmias. Int J Yoga. 2021;14(1):26-35. [Crossref]  [PubMed]  [PMC] 
  28. Wahlstrom M, Rydell Karlsson M, Medin J, Frykman V. Effects of yoga in patients with paroxysmal atrial fibrillation - a randomized controlled study. Eur J Cardiovasc Nurs. 2017;16(1):57-63. [Crossref]  [PubMed] 
  29. Nielsen A, Ocker L, Majd I, Draisin JA, Taromina K, Maggenti MT, et al. Acupuncture Intervention Protocol: Consensus Process for a Pragmatic Randomized Controlled Trial of Acupuncture for Management of Chronic Low Back Pain in Older Adults: An NIH HEAL Initiative Funded Project. Glob Adv Health Med. 2021;10:21649561211007091. [Crossref]  [PubMed]  [PMC] 
  30. Demirağ S. Geleneksel ve Tamamlayıcı Tıp Uygulamaları: Bugünden Yarına, Hayata Uygulama. 1. Baskı. Ankara: Hipokrat Kitabevi; 2020.
  31. White A, Cummings M, Filshie J. An Introduction to Western Medical Acupuncture. 2nd ed. United Kingdom: Elsevier Ltd; 2018.
  32. Liu Y, Meng HY, Khurwolah MR, Liu JB, Tang H, Aa N, et al. Acupuncture therapy for the treatment of stable angina pectoris: An updated meta-analysis of randomized controlled trials. Complement Ther Clin Pract. 2019;34:247-53. [Crossref]  [PubMed] 
  33. de Lima Pimentel R, Duque AP, Moreira BR, Rodrigues LF Junior. Acupuncture for the treatment of cardiovascular diseases: a systematic review. J Acupunct Meridian Stud. 2019;12(2):43-51. [Crossref]  [PubMed] 
  34. Yee D, Novak E, Platts A, Nassif ME, LaRue SJ, Vader JM. Comparison of the Kansas city cardiomyopathy questionnaire and minnesota living with heart failure questionnaire in predicting heart failure outcomes. Am J Cardiol. 2019;123(5):807-12. [Crossref]  [PubMed]  [PMC] 
  35. Li DZ, Zhou Y, Yang YN, Ma YT, Li XM, Yu J, et al. Acupuncture for essential hypertension: a meta-analysis of randomized sham-controlled clinical trials. Evid Based Complement Alternat Med. 2014;2014:279478. [Crossref]  [PubMed]  [PMC] 
  36. Zhao L, Li D, Zheng H, Chang X, Cui J, Wang R, et al. Acupuncture as adjunctive therapy for chronic stable angina: a randomized clinical trial. JAMA Intern Med. 2019;179(10):1388-97. [Crossref]  [PubMed]  [PMC] 
  37. Kanat T. Aromaterapi [Aromatheraphy]. Journal of Biotechnology and Strategic Health Research. 2019;3:67-73. [Crossref] 
  38. Farrar AJ, Farrar FC. Clinical aromatherapy. Nurs Clin North Am. 2020;55(4):489-504. [Crossref]  [PubMed]  [PMC] 
  39. Turan Kavradim S, Yangöz ŞT, Ozer Z. Effectiveness of aromatherapy inhalation on anxiety and haemodynamic variables for patients with cardiovascular disease: A systematic review and meta-analysis. Int J Clin Pract. 2021;75(11):e14593. [Crossref]  [PubMed] 
  40. Abdelhakim AM, Hussein AS, Doheim MF, Sayed AK. The effect of inhalation aromatherapy in patients undergoing cardiac surgery: A systematic review and meta-analysis of randomized controlled trials. Complement Ther Med. 2020;48:102256. [Crossref]  [PubMed] 
  41. Lopes L de S, Bündchen D, Modesto FC, Quintão M, Chermont S, Cavalcanti ACD, et al. Aromatherapy in patients with cardiovascular diseases: a systematic review. International Journal of Cardiovascular Sciences. 2020;34(1):74-80. [Crossref] 
  42. Liao IC, Chen SL, Wang MY, Tsai PS. Effects of Massage on Blood Pressure in Patients With Hypertension and Prehypertension: A Meta-analysis of Randomized Controlled Trials. J Cardiovasc Nurs. 2016;31(1):73-83. [Crossref]  [PubMed] 
  43. Xiong XJ, Li SJ, Zhang YQ. Massage therapy for essential hypertension: a systematic review. J Hum Hypertens. 2015;29(3):143-51. [Crossref]  [PubMed] 
  44. Vijayakumar V, Boopalan D, Ravi P, Chidambaram Y, Anandhan A, Muthupandi P, et al. Effect of massage on blood pressure in patients with hypertension: A meta-analysis. J Bodyw Mov Ther. 2024;37:109-14. [Crossref]  [PubMed] 
  45. Pamungkas IG, Herawati T, Agustia NP. Reducing reducing patient's pain with post coronary artery bypass graft (CABG) by performing foot massage: a systematic review. Babali Nursing Research. 2023;4(2):278-91. [Crossref] 
  46. Ramesh C, Pai VB, Patil N, Nayak BS, George A, George LS, et al. Effectiveness of massage therapy on post-operative outcomes among patients undergoing cardiac surgery: A systematic review. Int J Nurs Sci. 2015;2(3):304-12. [Crossref] 
  47. Yağcı N. Fizyoterapide osteopati yaklaşımları [Osteopathy approaches in physiotherapy]. Turkiye Klinikleri J Physiother Rehabil-Special Topics. 2015;1(2):35-42. [Link] 
  48. Gera C, Malik M, Kaur J, Saini M. A systematic review and meta-analysis on effect of spinal mobilization and manipulation on cardiovascular responses. Hong Kong Physiother J. 2020;40(2):75-87. Erratum in: Hong Kong Physiother J. 2021;41(1):75. [Crossref]  [PubMed]  [PMC] 
  49. Amoroso Borges BL, Bortolazzo GL, Neto HP. Effects of spinal manipulation and myofascial techniques on heart rate variability: A systematic review. J Bodyw Mov Ther. 2018;22(1):203-8. [Crossref]  [PubMed] 
  50. Ayu Kurnia S, Kaloeti DVS, Yuniarti KW, Saputri NE. Blood Pressure Control and Heart Rate: Effectiveness Brief Hypnotic Induction Methods on Adults. Proceedings of the International Conference on Psychological Studies (ICPSYCHE 2020). 2021;530:24-9. [Crossref] 
  51. Nugraha DA, Pujiastuti SE, Widiyanto B, Anwar C. Effect of hypno-pressure on mean arterial pressure in patients with cardiovascular disorders. Malaysian Journal of Nursing. 2023;14(3):86-93. [Crossref] 
  52. Kastubi K, Minarti M, Saudah N. Hypnotherapy decreases stress in elderly hypertension. IJNMS. 2017;1(1):1-10. [Crossref] 
  53. Garcia R, Bouleti C, Li A, Frasca D, El Harrouchi S, Marechal J, et al. Hypnosis versus placebo during atrial flutter ablation: the PAINLESS Study: a randomized controlled trial. JACC Clin Electrophysiol. 2020;6(12):1551-60. [Crossref]  [PubMed] 
  54. American Art Therapy Association [Internet]. [Cited: February 2, 2024]. About art therapy. Available from: [Link] 
  55. Kim KS, Lor M. Art Making as a Health Intervention: Concept Analysis and Implications for Nursing Interventions. ANS Adv Nurs Sci. 2022;45(2):155-69. [Crossref]  [PubMed]  [PMC] 
  56. Conceição LS, Neto MG, do Amaral MA, Martins-Filho PR, Oliveira Carvalho V. Effect of dance therapy on blood pressure and exercise capacity of individuals with hypertension: A systematic review and meta-analysis. Int J Cardiol. 2016;220:553-7. [Crossref]  [PubMed] 
  57. Gomes Neto M, Menezes MA, Oliveira Carvalho V. Dance therapy in patients with chronic heart failure: a systematic review and a meta-analysis. Clin Rehabil. 2014;28(12):1172-9. [Crossref]  [PubMed] 
  58. Oyur Çelik G, Güzelçiçek A, Çelik S. The Effects of Music Therapy on Patients With Coronary Artery Disease Before the Invasive Procedure: A Randomized Controlled Study. J Perianesth Nurs. 2022;37(2):194-8. [Crossref]  [PubMed] 
  59. Doğrusöz P, Öztürk Ş. Koroner arter bypass greft cerrahisi uygulanan hastalarda müziğin anksiyete ve ağri düzeyine etkisi [The effect of music on anxiety and pain level in patients applied coronary artery bypass graft surgery]. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi. 2023;3(1):78-91. [Crossref] 
  60. Vambheim SM, Kyllo TM, Hegland S, Bystad M. Relaxation techniques as an intervention for chronic pain: A systematic review of randomized controlled trials. Heliyon. 2021;7(8):e07837. [Crossref]  [PubMed]  [PMC] 
  61. Yue T, Wang Y, Liu H, Kong Z, Qi F. Effects of High-Intensity Interval vs. Moderate-Intensity Continuous Training on Cardiac Rehabilitation in Patients With Cardiovascular Disease: A Systematic Review and Meta-Analysis. Front Cardiovasc Med. 2022;9:845225. [Crossref]  [PubMed]  [PMC] 
  62. Lopes S, Afreixo V, Teixeira M, Garcia C, Leitão C, Gouveia M, et al. Exercise training reduces arterial stiffness in adults with hypertension: a systematic review and meta-analysis. J Hypertens. 2021;39(2):214-22. [Crossref]  [PubMed] 
  63. Esmailiyan M, Amerizadeh A, Vahdat S, Ghodsi M, Doewes RI, Sundram Y. Effect of Different Types of Aerobic Exercise on Individuals With and Without Hypertension: An Updated Systematic Review. Curr Probl Cardiol. 2023;48(3):101034. [Crossref]  [PubMed] 
  64. Leggio M, Fusco A, Loreti C, Limongelli G, Bendini MG, Mazza A, et al. Effects of exercise training in heart failure with preserved ejection fraction: an updated systematic literature review. Heart Fail Rev. 2020;25(5):703-11. [Crossref]  [PubMed] 
  65. AbuElkhair A, Boidin M, Buckley BJR, Lane DA, Williams NH, Thijssen D, et al. Effects of different exercise types on quality of life for patients with atrial fibrillation: a systematic review and meta-analysis. J Cardiovasc Med (Hagerstown). 2023;24(2):87-95. [Crossref]  [PubMed] 
  66. Venugopal V, Yogapriya C, Deenadayalan B, Akila A, Poonguzhali S, Poornima R, et al. Foot reflexology for reduction of blood pressure in hypertensive individual: A systematic review. Foot (Edinb). 2023;54:101974. [Crossref]  [PubMed] 
  67. Heidari F, Rejeh N, Heravi-Karimooi M, Tadrisi SD, Vaismoradi M. Effect of short-term hand reflexology on anxiety in patients before coronary angiography: A randomized placebo controlled trial. Eur J Integr Med. 2017;16:1-7. [Crossref] 
  68. Gunes K, Gezginci E, Tok M. The effect of reflexology on pain, anxiety, fatigue, and sleep in patients undergoing coronary artery bypass graft surgery: A randomized controlled trial. European Journal of Integrative Medicine. 2024;66. 102342. [Crossref] 
  69. Aiyer R, Johnson E, Poli J. Transcutaneous Electrical Nerve Stimulation. 1st ed. Cham: Springer International Publishing; 2022. [Crossref] 
  70. Xu X, Zhang H, Yan Y, Wang J, Guo L. Effects of electrical stimulation on skin surface. Acta Mech Sin. 2021;37(12):1843-71. [Crossref]  [PubMed]  [PMC] 
  71. do Amaral Sartori S, Stein C, Coronel CC, Macagnan FE, Plentz RDM. Effects of transcutaneous electrical nerve stimulation in autonomic nervous system of hypertensive patients: a randomized controlled trial. Curr Hypertens Rev. 2018;14(1):66-71. [Crossref]  [PubMed] 
  72. Genç E. Açık kalp ameliyatı geçiren hastalarda mobilizasyon öncesi transkutanöz elektriksel sinir stimülasyonun ağrı düzeyine etkisi [Yüksek lisans tezi]. İstanbul: Medipol Üniversitesi; 2019. [Erişim tarihi: 2 Şubat 2024]. Erişim linki: [Link] 
  73. Başer M TS. Kanıta Dayalı Rehberleriyle Tamamlayıcı ve Destekleyici Uygulamalar. 1. Baskı. Ankara: Akademisyen Kitabevi; 2015.
  74. Sokhanvar S, Tirgari B, Forouzi MA, Salari M, Jahani Y. Effect of ice bag application to femoral region on pain and vital signs in patients with acute myocardial infarction undergoing percutaneous coronary intervention: A randomized controlled trial. Open Nurs J. 2023;17(1):1-9. [Crossref] 
  75. Wicaksono G, Djamil M. Effectiveness of Cold Compress with Ice Gel on Pain Intensity among Patients with Post Percutaneous Coronary Intervention (PCI). International Journal of Nursing and Health Services (IJNHS) Program, Master of Applied Health. 2020;3(6):680-6. [Link] 

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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