Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
The Effect of Reiki Practice on Stress and Anxiety Level in Nurses: A Randomized Controlled Trial
Reiki Uygulamasının Hemşirelerin Stres ve Kaygı Düzeyine Etkisi: Randomize Kontrollü Bir Çalışma
Zeliha BÜYÜKBAYRAM GENÇa
aSiirt University Faculty of Health Sciences, Department of Nursing, Siirt, Türkiye
J Tradit Complem Med. 2024;7(3):232-40
doi: 10.5336/jtracom.2024-103175
Article Language: EN
Full Text
ABSTRACT
Objective: Nursing is a profession with intense working hours. This intense work schedule can cause anxiety and stress for nurses. Therefore, this study was carried out to examine the effects of reiki application on stress and anxiety levels in nurses. Material and Methods: The research was carried out as a quasi-experimental study with pretest and posttest control groups. The research was between May 2021 and September 2022, with nurses actively working in a hospital located in the southeast of Türkiye. A total of 128 nurses who volunteered were included in the study. The participants were divided into 2 groups, 64 to the reiki group and 64 to the control group. Data were collected using the Individual Information Form, Perceived Stress Scale, and Beck Anxiety Inventory. Descriptive statistics, Shapiro-Wilk test of normality, independent samples t-test, Pearson chi-square or Fisher exact test was used. Results: In terms of the descriptive characteristics of the nurses, no statistically significant difference was found between the reiki and control groups in terms of gender, marital status, education level, unit of employment, length of service, satisfaction with the profession and age (p>0.05). It was found that reiki application reduced the stress and anxiety scores of nurses and the difference between the groups was significant (p<0.05). Conclusion: It has been observed that the reiki practice applied in nurses effectively reduces their stress and anxiety levels. In line with these results, it can be recommended that the use of reiki as an independent nursing practice should be expanded not only to patients but also to different sample groups such as nurses.

Keywords: Anxiety; nursing; reiki; stress
ÖZET
Amaç: Hemşirelik, yoğun çalışma saatleri olan bir meslektir. Bu yoğun çalışma temposu, hemşirelerin kaygı ve stres yaşamasına neden olabilmektedir. Dolaysıyla bu çalışma, reiki uygulamasının hemşirelerde stres ve kaygı düzeylerine etkisini incelenmesi amacıyla yapıldı. Gereç ve Yöntemler: Araştırma ön-test ve son-test kontrol gruplu yarı deneysel bir çalışma olarak gerçekleştirilmiştir. Araştırma, Mayıs 2021 ile Eylül 2022 tarihleri arasında, Türkiye'nin güneydoğusunda bulunan bir hastanede aktif olarak görev yapan hemşireler ile gerçekleştirildi. Araştırmaya gönüllü olan toplam 128 hemşire dâhil edildi. Katılımcılar 64'ü reiki grubu ve 64'ü kontrol grubu olmak üzere 2 gruba ayrıldı. Veriler Bireysel Bilgi Formu, Algılanan Stres Ölçeği ve Beck Kaygı Envanteri kullanılarak toplanmıştır. Tanımlayıcı istatistikler, Shapiro Wilk normallik testi, bağımsız örnekler t-testi, Pearson kikare veya Fisher kesin testi kullanıldı. Bulgular: Hemşirelerin, tanımlayıcı özellikleri açısından reiki ve kontrol grubu arasında cinsiyet, medeni durum, eğitim düzeyi, çalışılan birim, çalışma süresi, meslekten memnuniyet durumu ve yaş açısından istatistiksel olarak anlamlı fark saptanmamıştır (p>0.05). Reiki uygulaması, hemşirelerin stres ve kaygı puanlarını azalttığı ve gruplar arası farkın istatistiksel olarak önemli olduğunu saptamıştır (p<0.05). Sonuç: Reiki uygulamasının hemşirelerin stres ve anksiyete düzeylerini azaltmada etkili olduğu belirlendi. Bu sonuçlar doğrultusunda, reiki uygulaması bağımsız bir hemşirelik uygulaması olarak sadece hastalara yönelik değil, hemşireler gibi farklı örneklem gruplarında da kullanımının yaygınlaştırılması önerilebilir.

Anahtar Kelimeler: Kaygı; hemşirelik; reiki; stres
REFERENCES:
  1. Aydın GÇ, Aytaç S, Şanlı Y. Hemşirelerde algılanan stres ve stres semptomlarının işten ayrılma eğilimi üzerindeki etkisi [The effects of perceived stress and stress symptoms on nurses' tendency to leave work]. IBAD Journal of Social Sciences. 2020;526-38. [Crossref] 
  2. Li H, Zhao M, Shi Y, Xing Z, Li Y, Wang S, et al. The effectiveness of aromatherapy and massage on stress management in nurses: A systematic review. J Clin Nurs. 2019;28(3-4):372-85. [Crossref]  [PubMed] 
  3. Happell B, Dwyer T, Reid-Searl K, Burke KJ, Caperchione CM, Gaskin CJ. Nurses and stress: recognizing causes and seeking solutions. J Nurs Manag. 2013;21(4):638-47. [Crossref]  [PubMed] 
  4. Khamisa N, Oldenburg B, Peltzer K, Ilic D. Work related stress, burnout, job satisfaction and general health of nurses. Int J Environ Res Public Health. 2015;12(1):652-66. [Crossref]  [PubMed]  [PMC] 
  5. Munnangi S, Dupiton L, Boutin A, Angus LDG. Burnout, perceived stress, and job satisfaction among trauma nurses at a level i safety-net trauma center. J Trauma Nurs. 2018;25(1):4-13. [Crossref]  [PubMed] 
  6. Velana M, Rinkenauer G. Individual-level interventions for decreasing job-related stress and enhancing coping strategies among nurses: a systematic review. Front Psychol. 2021;12:708696. [Crossref]  [PubMed]  [PMC] 
  7. Özgür G, Babacan Gümüş A, Gürdağ Ş. Hastanede çalışan hemşirelerde ruhsal belirtilerin incelenmesi [Investigation of psychiatric symptoms in nurses working in a hospital]. Düşünen Adam the Journal of Psychiatry and Neurological Sciences. 2011;24(4):296-305. [Crossref] 
  8. Cooke M, Holzhauser K, Jones M, Davis C, Finucane J. The effect of aromatherapy massage with music on the stress and anxiety levels of emergency nurses: comparison between summer and winter. J Clin Nurs. 2007;16(9):1695-703. [Crossref]  [PubMed] 
  9. Cuneo CL, Curtis Cooper MR, Drew CS, Naoum-Heffernan C, Sherman T, Walz K, et al. The effect of reiki on work-related stress of the registered nurse. J Holist Nurs. 2011;29(1):33-43. [Crossref]  [PubMed] 
  10. Díaz-Rodríguez L, Arroyo-Morales M, Fernández-de-las-Peñas C, García-Lafuente F, García-Royo C, Tomás-Rojas I. Immediate effects of reiki on heart rate variability, cortisol levels, and body temperature in health care professionals with burnout. Biol Res Nurs. 2011;13(4):376-82. [Crossref]  [PubMed] 
  11. Ozgundondu B, Gok Metin Z. Effects of progressive muscle relaxation combined with music on stress, fatigue, and coping styles among intensive care nurses. Intensive Crit Care Nurs. 2019;54:54-63. [Crossref]  [PubMed] 
  12. Özcan Yüce U, Taşcı S. Bakım verici stresi ve reiki enerji terapisi [Caregiver stress and reiki energy therapy]. Turkiye Klinikleri J Nurs Sci. 2020;12(1):158-65. [Crossref] 
  13. Rosada RM, Rubik B, Mainguy B, Plummer J, Mehl-Madrona L. Reiki reduces burnout among community mental health clinicians. J Altern Complement Med. 2015;21(8):489-95. [Crossref]  [PubMed] 
  14. Dyer NL, Baldwin AL, Pharo R, Gray F. "Evaluation of a distance reiki program for frontline healthcare workers' health-related quality of life during the COVID-19 pandemic." Glob. Adv. Integr. Med. Health. 2023;12:1-11. [Crossref]  [PubMed]  [PMC] 
  15. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. New York: Routledge; 1988. [Crossref] 
  16. Baldwin AL, Vitale A, Brownell E, Kryak E, Rand W. Effects of reiki on pain, anxiety, and blood pressure in patients undergoing knee replacement: a pilot study. Holist Nurs Pract. 2017;31(2):80-9. [Crossref]  [PubMed] 
  17. Topdemir EA, Saritas S. The effect of preoperative reiki application on patient anxiety levels. Explore (NY). 2021;17(1):50-4. [Crossref]  [PubMed] 
  18. Billot M, Daycard M, Wood C, Tchalla A. Reiki therapy for pain, anxiety and quality of life. BMJ Support Palliat Care. 2019;9(4):434-8. [Crossref]  [PubMed] 
  19. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96. [Crossref]  [PubMed] 
  20. Eskin M, Harlak H, Demirkıran F, Dereboy Ç. Algılanan Stres Ölçeğinin Türkçeye uyarlanması: güvenirlik ve geçerlik analizi [The adaptation of the Perceived Stress Scale into Turkish: a reliability and validity analysis]. New Symposium Journal. 2013;51(3):132-40. [Link] 
  21. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7. [Crossref]  [PubMed] 
  22. Ulusoy M, Sahın N, Erkmen H. Turkish version of the beck anxiety inventory: psychometric properties. J. Cogn. Psychother. 1988;12(2):163-172. [Link] 
  23. Cassidy N, Collins K, Cyr D, Magni K. The effect of reiki on women's preoperative anxiety in an ambulatory surgery center. J. Perianesth. Nurs. 2010;25(3):196-198. [Crossref] 
  24. Kurebayashi LF, Turrini RN, Souza TP, Takiguchi RS, Kuba G, Nagumo MT. Massage and reiki used to reduce stress and anxiety: Randomized Clinical Trial. Rev Lat Am Enfermagem. 2016;24:e2834. [Crossref]  [PubMed]  [PMC] 
  25. Birocco N, Guillame C, Storto S, Ritorto G, Catino C, Gir N, et al. The effects of reiki therapy on pain and anxiety in patients attending a day oncology and infusion services unit. Am J Hosp Palliat Care. 2012;29(4):290-4. [Crossref]  [PubMed] 
  26. Bat N. The effects of reiki on heart rate, blood pressure, body temperature, and stress levels: A pilot randomized, double-blinded, and placebo-controlled study. Complement Ther Clin Pract. 2021;43:101328. [Crossref]  [PubMed] 
  27. Bukowski EL. The use of self-reiki for stress reduction and relaxation. J Integr Med. 2015;13(5):336-40. [Crossref]  [PubMed] 
  28. Bondi A, Morgan T, Fowler SB. Effects of reiki on pain and anxiety in women hospitalized for obstetrical- and gynecological-related conditions. J Holist Nurs. 2021;39(1):58-65. Erratum in: J Holist Nurs. 2022;40(3):NP1-NP5. [Crossref]  [PubMed] 
  29. Chirico A, D'Aiuto G, Penon A, Mallia L, DE Laurentiis M, Lucidi F, et al. Self-efficacy for coping with cancer enhances the effect of reiki treatments during the pre-surgery phase of breast cancer patients. Anticancer Res. 2017;37(7):3657-65. [Crossref]  [PubMed] 
  30. Dyer NL, Baldwin AL, Rand WL. A large-scale effectiveness trial of reiki for physical and psychological health. J Altern Complement Med. 2019;25(12):1156-62. [Crossref]  [PubMed] 
  31. Mangione L, Swengros D, Anderson JG. Mental health wellness and biofield therapies: an integrative review. Issues Ment Health Nurs. 2017;38(11):930-44. [Crossref]  [PubMed] 
  32. Micillo GP, Garcia NN, Alonso AC, Montiel JM, Bastos MF. Implications of therapeutic touch and relaxation massage on aging. Man. Ther. Posturology Rehabil. J. 2020;(18):1-4. [Crossref] 
  33. Webster LC, Holden JM, Ray DC, Price E, Hastings T. The impact of psychotherapeutic reiki on anxiety. J. Creat. Ment. Health. 2020;15(3):311-26. [Crossref] 

.: Up To Date

.: Process List

Login



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