Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effect of Computer Based Game on Improving Nursing Students' Basic Life Support Application Skills: Experimental Study
Hemşirelik Öğrencilerinin Temel Yaşam Desteği Uygulama Becerilerinin Geliştirilmesinde Bilgisayar Destekli Oyunun Etkisi: Deneysel Çalışma
Ayşe DEMİRAYa, Selin KESKİN KIZILTEPEa
aDepartment of Nursing, Düzce University Faculty of Health Sciences, Düzce, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(1):106-14
doi: 10.5336/nurses.2021-83054
Article Language: EN
Full Text
ABSTRACT
Objective: The use of computer-aided simulation in the development of nursing students' basic life support skills has become increasingly widespread. The aim of this study is to evaluate the effect of computer-aided game in the development of basic life support application skills of second-year nursing students. Material and Methods: The universe of this randomised controlled study included 194 second-year nursing students of Health Sciences University who were enrolled in a first-aid lesson. Experimental and control groups were randomly selected among these students according to the results of power analysis. Experimental (n=28) and control (n=28) groups of the study were determined within the scope of simple random sampling method. The data were collected by using 'Introductory Information Form', 'Basic Life Support Skill Evaluation Form' which were prepared by the researchers. Quantitative data were presented as median (minimum-maximum), frequency (percent). Mann-Whitney U test was used for comparison of non-normally distributed paired groups. Statistical significance level was set at p 0.05). However, it was determined that the performance of the students who used computer based game was better than those who did not. Conclusion: It is recommended that computer-aided 3D serious games should be developed and used in the education of nursing students and that studies on this subject should be increased.

Keywords: Computer simulation; nursing students; basic life support
ÖZET
Amaç: Hemşirelik öğrencilerinin temel yaşam desteği becerilerinin geliştirilmesinde bilgisayar destekli simülasyon kullanımı giderek yaygınlaşmaktadır. Bu araştırmanın amacı, hemşirelik 2. sınıf öğrencilerinin temel yaşam desteği uygulama becerilerinin geliştirilmesinde bilgisayar destekli oyunun etkisini değerlendirmektir. Gereç ve Yöntemler: Randomize kontrollü olarak planlanan çalışmanın evrenini sağlık bilimleri fakültesi hemşirelik bölümünde öğrenim gören, ilkyardım dersini alan ve 2. sınıfta okuyan 194 öğrenci oluşturmaktadır. Deney ve kontrol grubu randomize olarak bu öğrenciler içerisinden power analiz sonucuna göre seçilmiştir. Çalışmanın deney (n=28) ve kontrol (n=28) grupları basit rastgele örnekleme yöntemi kapsamında belirlenmiştir. Veriler, araştırmacılar tarafından hazırlanan 'Tanıtıcı Bilgi Formu' ve 'Temel Yaşam Desteği Beceri Değerlendirme Formu' kullanılarak toplanmıştır. Nicel veriler ortanca (minimum-maksimum), frekans (yüzde) şeklinde sunulmuştur. Normal dağılım göstermeyen 2'li grupların karşılaştırılmasında Mann-Whitney U testi kullanılmıştır. Anlamlılık düzeyi p0,05). Ancak bilgisayar destekli oyunu kullanan öğrencilerin performansının, kullanmayanlara göre daha iyi olduğu saptanmıştır. Sonuç: Bilgisayar destekli 3 boyutlu oyunların geliştirilerek, hemşirelik öğrencilerinin eğitiminde kullanılması ve konuyla ilişkili çalışmaların artırılması önerilmektedir.

Anahtar Kelimeler: Bilgisayar destekli simülasyon; hemşirelik öğrencileri; temel yaşam desteği
REFERENCES:
  1. Alt-Gehrman P. Nursing simulation and transfer of knowledge in undergraduate nursing programs: a literature review. Nurs Educ Perspect. 2019;40(2):95-98. [Crossref]  [PubMed] 
  2. Hegland PA, Aarlie H, Strømme H, Jamtvedt G. Simulation-based training for nurses: systematic review and meta-analysis. Nurse Educ Today. 2017;54:6-20. [Crossref]  [PubMed] 
  3. Lavoie P, Clarke SP. Simulation in nursing education. Nursing. 2017;47(7):18-20. [Crossref]  [PubMed] 
  4. Rourke S. How does virtual reality simulation compare to simulated practice in the acquisition of clinical psychomotor skills for pre-registration student nurses? A systematic review. Int J Nurs Stud. 2020;102:103466. [Crossref]  [PubMed] 
  5. García-Suárez M, Méndez-Martínez C, Martínez-Isasi S, Gómez-Salgado J, Fernández-García D. Basic life support training methods for health science students: a systematic review. Int J Environ Res Public Health. 2019;16(5):768. [Crossref]  [PubMed]  [PMC] 
  6. Adib-Hajbaghery M, Sharifi N. Effect of simulation training on the development of nurses and nursing students' critical thinking: a systematic literature review. Nurse Educ Today. 2017; 50:17-24. [Crossref]  [PubMed] 
  7. La Cerra C, Dante A, Caponnetto V, Franconi I, Gaxhja E, Petrucci C, et al. Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis. BMJ Open. 2019;9(2):e025306. [Crossref]  [PubMed]  [PMC] 
  8. Labrague JL, Enroe MD, Fronda DC, Obeidat AA. Interprofessional simulation in undergraduate nursing program: an integrative review. Nurse Education Today. 2018;67:46-55. [Crossref]  [PubMed] 
  9. Hara CY, Aredes Ndel A, Fonseca LM, Silveira RC, Camargo RA, de Goes FS. Clinical case in digital technology for nursing students' learning: an integrative review. Nurse Educ Today. 2016;38:119-25. [Crossref]  [PubMed] 
  10. Bonacaro A, Williams G, Brownie S. Teaching basic life support to the digital generation: randomized trial comparing videoassisted versus practical simulation. The World of Critical Care Nursing. 2014;9(3):100-4. [Crossref] 
  11. Fonseca Del Pozo FJ, Valle Alonso J, Canales Velis NB, Andrade Barahona MM, Siggers A, Lopera E. Basic life support knowledge of secondary school students in cardiopulmonary resuscitation training using a song. Int J Med Educ. 2016;7:237-41. [Crossref]  [PubMed]  [PMC] 
  12. Mpotos N, Yde L, Calle P, Deschepper E, Valcke M, Peersman W, et al. Retraining basic life support skills using video, voice feedback or both: a randomised controlled trial. Resuscitation. 2013;84(9):72-7. [Crossref]  [PubMed] 
  13. Roppolo LP, Heymann R, Pepe P, Wagner J, Commons B, Miller R, et al. A randomized controlled trial comparing traditional training in cardiopulmonary resuscitation (CPR) to self-directed CPR learning in first year medical students: the two-person CPR study. Resuscitation. 2011;82(3):319-25. [Crossref]  [PubMed] 
  14. Tawalbeh LI, Tubaishat A. Effect of simulation on knowledge of advanced cardiac life support, knowledge retention, and confidence of nursing students in Jordan. J Nurs Educ. 2014; 53(1):38-44. [Crossref]  [PubMed] 
  15. Tobase L, Peres HHC, Tomazini EAS, Teodoro SV, Ramos MB, Polastri TF. Basic life support: evaluation of learning using simulation and immediate feedback devices1. Rev Lat Am Enfermagem. 2017;25:e2942. [Crossref]  [PubMed]  [PMC] 
  16. Boada I, Rodriguez-Benitez A, Garcia-Gonzalez JM, Olivet J, Carreras V, Sbert M. Using a serious game to complement CPR instruction in a nurse faculty. Comput Methods Programs Biomed. 2015;122(2):282-91. [Crossref]  [PubMed] 
  17. Bonnetain E, Boucheix JM, Hamet M, Freysz M. Benefits of computer screen-based simulation in learning cardiac arrest procedures. Med Educ. 2010;44(7):716-22. [Crossref]  [PubMed] 
  18. Lau Y, Nyoe RSS, Wong SN, Ab Hamid ZB, Leong BS, Lau ST. Effectiveness of digital resuscitation training in improving knowledge and skills: a systematic review and meta-analysis of randomised controlled trials. Resuscitation. 2018;131:14-23. [Crossref]  [PubMed] 
  19. Kardong-Edgren SE, Oermann MH, Odom-Maryon T, Ha Y. Comparison of two instructional modalities for nursing student CPR skill acquisition. Resuscitation. 2010;81(8):1019-24. [Crossref]  [PubMed] 
  20. Mpotos N, De Wever B, Cleymans N, Raemaekers J, Loeys T, Herregods L, et al. Repetitive sessions of formative self-testing to refresh CPR skills: a randomised non-inferiority trial. Resuscitation. 2014;85(9):1282-6. [Crossref]  [PubMed] 
  21. Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students' CPR psychomotor skill performan ce. Resuscitation. 2011;82(4):447-53. [Crossref]  [PubMed] 
  22. Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ, et al. Part 5: adult basic life support and cardiopulmonary resuscitation quality. 2015 American Heart Association Guidelines Update For Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. 2015;132:414-35. [Crossref]  [PubMed] 
  23. Perkins GD, Handley AJ, Koster RW, Castrén M, Smyth MA, Olasveengen T, et al; Adult basic life support and automated external defibrillation section Collaborators. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99. [PubMed] 
  24. 3D MedSim Simulation Systems [Internet]. [Cited: 01.09.2019]. Available from: [Link] 
  25. Aqel AA, Ahmad MM. High-fidelity simulation effects on CPR knowledge, skills, acquisition, and retention in nursing students. Worldviews Evid Based Nurs. 2014;11(6):394-400. [Crossref]  [PubMed] 
  26. Buttussi F, Pellis T, Cabas Vidani A, Pausler D, Carchietti E, Chittaro L. Evaluation of a 3D serious game for advanced life support retraining. Int J Med Inform. 2013;82(9):798-809. [Crossref]  [PubMed] 
  27. Delasobera BE, Goodwin TL, Strehlow M, Gilbert G, D'Souza P, Alok A, et al. Evaluating the efficacy of simulators and multimedia for refreshing ACLS skills in India. Resuscitation. 2010;81(2):217-23. [Crossref]  [PubMed] 
  28. Min MK, Yeom SR, Ryu JH, Kim YI, Park MR, Han SK, et al. Comparison between an instructor-led course and training using a voice advisory manikin in initial cardiopulmonary resuscitation skill acquisition. Clin Exp Emerg Med. 2016;3(3):158-64. [Crossref]  [PubMed]  [PMC] 
  29. Norman J. Systematic review of the literature on simulation in nursing education. ABNF J. 2012;23(2):24-8. [PubMed] 
  30. Yuan HB, Williams BA, Fang JB. The contribution of high fidelity simulation to nursing students' confidence and competence: a syste matic review. International Nursing Review. 2012;59(1):26-33. [Crossref] 
  31. Attin M, Winslow K, Smith T. Animation shows promise in initiating timely cardiopulmonary resuscitation: results of a pilot study. Comput Inform Nurs. 2014;32(4):166-71. [Crossref]  [PubMed] 
  32. Curtin LB, Finn LA, Czosnowski QA, Whitman CB, Cawley MJ. Computer-based simulation training to improve learning outcomes in mannequin-based simulation exercises. Am J Pharm Educ. 2011;75(6):113. [Crossref]  [PubMed]  [PMC] 
  33. Kang J, Seomun G. Evaluating web-based nursing education's effects: a systematic review and meta-analysis. West J Nurs Res. 2018; 40(11):1677-97. [Crossref]  [PubMed] 

.: Up To Date

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