Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Tip 2 Diyabetli Bireylerin Ayak Bakımı Davranışlarının Değerlendirilmesi
Evaluation of Foot Care Behaviors of Type 2 Diabetic Individuals
Gülten KARAHAN OKUROĞLU a, Şule ECEVİT ALPAR a, Gamze ULU b, Yeşim DOĞAN b, Şerife AKAY b , Nur ERDEM b, Sevda YENER b, Zeynep AZUN b, Kumru BAYRAM b
aMarmara Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, TÜRKİYE
bMarmara Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Erişkin Diyabet Hemşireliği İntern Programı, İstanbul, TÜRKİYE
Turkiye Klinikleri J Nurs Sci. 2021;13(1):87-95
doi: 10.5336/nurses.2020-76143
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırmanın amacı, Tip 2 diyabetli bireylerin ayak bakımı davranışlarını belirlemekti. Gereç ve Yöntemler: Araştırma tanımlayıcı araştırma tipinde uygulandı. Araştırma Kasım 2016-Mayıs 2017 tarihleri arasında İstanbul'da bir eğitim ve araştırma hastanesinde gerçekleştirildi. Örneklem grubunu, 340 Tip 2 diyabetli birey oluşturdu. Araştırmanın verileri Bilgi Formu, Diyabetik Ayak Bakımı Öz-Etkililik Ölçeği (DABÖÖ) ve Ayak Bakımı Davranış Ölçeği (ABDÖ) ile toplandı. Bulgular: Araştırmaya katılan, Tip 2 diyabetli bireylerin yaş ortalaması 53,11±9,57 olup çoğunluğu (%60) kadındı. Katılımcıların DABÖÖ puan ortalamasının 37,89±12,66, ABDÖ puan ortalamasının 50,32±9,97 olduğu ve aralarında pozitif yönde güçlü bir ilişki olduğu bulundu (r=0,707; p=0,000). Katılımcıların eğitim durumu, gelir düzeyi, diyabet kontrol sıklığı, diyabetik ayak bakımı eğitimi alma durumu, ayak yarası oluşma durumu, diyabetik ayak nedeniyle hastaneye yatma durumuna göre DABÖÖ ve ABDÖ puan ortalamaları arasında istatiksel olarak anlamlı fark bulundu (p<0,05). Sonuç: Katılımcıların diyabetik ayak öz etkililiklerinin ve ayak bakımı davranışlarının yetersiz olduğu ve eğitim durumu, gelir durumu, kontrole gitme sıklığı, eğitim alma durumu, ayak yarası oluşma ve diyabetik ayak nedeniyle hastanede yatma durumuna göre farklılık gösterdiği saptandı.

Anahtar Kelimeler: Diyabetik ayak; ayak bakımı; öz etkililik; Tip 2 diyabet; hemşirelik
ABSTRACT
 Objective: The aim of the study was to determine foot care behaviors of individuals with Type 2 diabetes. Material and Methods: The study was carried out in descriptive research Type. The study consisted between November 2016 and May 2017 in a training and research hospital in İstanbul. The sample group consisted of 340 individuals with Type 2 diabetes. The data of the study were collected with the Information Form, Diabetic Foot Care Self-Efficacy Scale and Foot Care Behavior Scale. Results: The mean age of the patients with Type 2 diabetes was 53.11±9.57 and the majority (60%) were female. The mean score of the Diabetic Foot Care Self-Efficacy Scale of the participants was 37.89±12.66, and the mean score of the Foot Care Behavior Scale was 50.32±9.97, and there was a positive relationship between them (r=0.707; p=0.000). There was a statistically significant difference between participants' educational status, income level, frequency of diabetes control, diabetic foot care education, foot injury status, hospitalization status due to diabetic foot, and mean scores of scales (p<0.05). Conclusion: It was determined that the diabetic foot self efficacy and foot care behaviors of the participants were insufficient and differed according to the educational status, income status, frequency of going to control, educational status, foot wound formation and hospitalization due to diabetic foot.

Keywords: Diabetic foot; foot care; self efficacy; Type 2 diabetes; nursing
REFERENCES:
  1. American Diabetes Association (ADA). Standards of medical care in diabetes-2015. Diabetes Care. 2016;38(SuplementI):63-4.[Link] 
  2. Türkiye Endokrinoloji ve Metabolizma Derneği (TEMD). Diabetes Mellitus ve Komplikasyonlarının Tanı, Tedavi ve İzlem Kılavuzu-2017. 10. Baskı. Ankara: TEMD Yayınları; Mayıs 2018. ISBN: 978-605-4011-32-2
  3. Dorresteijn JA, Kriegsman DM, Assendelft WJ, Valk GD. Patient education for preventing diabetic foot ulceration. Cochrane Database Syst Rev. 2012;10:CD001488. Update in: Cochrane Database Syst Rev. 2014;12:CD001488.[Crossref] [PubMed] [PMC] 
  4. Boulton AJ, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. The global burden of diabetic foot disease. Lancet. 2005;366(9498):1719-24.[Crossref] [PubMed] 
  5. Moxey PW, Gogalniceanu P, Hinchliffe RJ, Loftus IM, Jones KJ, Thompson MM, et al. Lower extremity amputations--a review of global variability in incidence. Diabet Med. 2011;28(10):1144-53.[Crossref] [PubMed] 
  6. International Diabetes Federation (IDF). Diabetes Atlas 8th ed. Brussels: IDF Publ; 2017.
  7. Saltoğlu N, Kılıçoğlu Ö, Baktıroğlu S, Oşar Siva Z, Aktaş Ş, Altındaş M, et al. [Diagnosis, treatment and prevention of diabetic foot wounds and infections: Turkish Consensus Report]. Klinik Dergisi. 2015;28(1):2-34.[Crossref] 
  8. Lincoln NB, Radford KA, Game FL, Jeffcoate WJ. Education for secondary prevention of foot ulcers in people with diabetes: a randomised controlled trial. Diabetologia. 2008;51(11):1954-61.[Crossref] [PubMed] 
  9. Anselmo MI, Nery M, Parisi MC. The effectiveness of educational practice in diabetic foot: a view from Brazil. Diabetol Metab Syndr. 2010;2(1):45.[Crossref] [PubMed] [PMC] 
  10. Bakker K, Apelqvist J, Schaper NC; International Working Group on Diabetic Foot Editorial Board. Practical guidelines on the management and prevention of the diabetic foot 2011. Diabetes Metab Res Rev. 2012;28 Suppl 1:225-31.[Crossref] [PubMed] 
  11. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA. 2005;293(2):217-28.[Crossref] [PubMed] 
  12. Perrin BM, Swerissen H, Payne C. The association between foot-care self efficacy beliefs and actual foot-care behaviour in people with peripheral neuropathy: a cross-sectional study. J Foot Ankle Res. 2009;2:3.[Crossref] [PubMed] [PMC] 
  13. Li R, Yuan L, Guo XH, Lou QQ, Zhao F, Shen L, et al. The current status of foot self-care knowledge, behaviours, and analysis of influencing factors in patients with type 2 diabetes mellitus in China. International Journal of Nursing Sciences. 2014;1(3):266-71.[Crossref] 
  14. Nural N, Hindistan S. [ The opinions of nurses graduated from faculty about bachelor's degree education and affected factors]. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2015;18(2):118-21.[Link] 
  15. Vijay V, Narasimham DV, Seena R, Snehalatha C, Ramachandran A. Clinical profile of diabetic foot infections in south India--a retrospective study. Diabet Med. 2000;17(3):215-8.[Crossref] [PubMed] 
  16. Tennvall GR, Apelqvist J, Eneroth M. Costs of deep foot infections in patients with diabetes mellitus. Pharmacoeconomics. 2000;18(3):225-38.[Crossref] [PubMed] 
  17. McInnes A, Jeffcoate W, Vileikyte L, Game F, Lucas K, Higson N, et al. Foot care education in patients with diabetes at low risk of complications: a consensus statement. Diabet Med. 2011;28(2):162-7.[Crossref] [PubMed] [PMC] 
  18. Beiranvand S, Fayazi S, Asadizaker M. Effect of educational programs on the knowledge, attitude, and practice of foot care in patients with diabetes. Jundishapur J Chronic Dis Care. 2015;4(2):e26540.[Crossref] 
  19. Abdulghani HM, AlRajeh AS, AlSalman BH, AlTurki LS, AlNajashi NS, Irshad M, et al. Prevalence of diabetic comorbidities and knowledge and practices of foot care among diabetic patients: a cross-sectional study. Diabetes Metab Syndr Obes. 2018;11:417-25.[Crossref] [PubMed] [PMC] 
  20. Satman I, Omer B, Tutuncu Y, Kalaca S, Gedik S, Dinccag N, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-80.[Crossref] [PubMed] [PMC] 
  21. Quarles BE. Educational Methods Increasing Self-Efficacy for the Management of Foot Care in Adults with Siabetes and Implementation of Foot Care Behaviors. ABD, Kentucky: Lexington; 2005.
  22. Biçer EK, Enç N. Diyabetik ayak bakımı öz-etkililik ölçeğinin geçerlik ve güvenirlik çalışması. Diyabet, Obezite ve Hipertansiyon Hemşirelik Forumu. 2014;6(2):39-45.[Link] 
  23. Borges WJ, Ostwald SK. Improving foot self-care behaviors with Pies Sanos. West J Nurs Res. 2008;30(3):325-41; discussion 342-9.[Crossref] [PubMed] 
  24. Biçer EK, Enç N. Ayak bakım davranış ölçeği Türkçe formu geçerlik ve güvenirliği. Diyabet, Obezite ve Hipertansiyon Hemşirelik Forumu. 2014;6(2):35-39.
  25. Bus SA, Van Netten JJ, Lavery LA, Monteiro-Soares M, Rasmussen A, Jubiz Y, Price PE; International Working Group on the Diabetic Foot. IDF clinical practice recommendations on the diabetic foot-2017. A guide for healthcare professionals. International Diabetes Federation, Brussels; 2017.[Link] 
  26. Kumarasinghe SA, Hettiarachchi P, Wasalathanthri S. Nurses' knowledge on diabetic foot ulcer disease and their attitudes towards patients affected: A cross-sectional institution-based study. J Clin Nurs. 2018;27(1-2):e203-e212.[Crossref] [PubMed] 
  27. Gabbay RA, Kaul S, Ulbrecht J, Scheffler NM, Armstrong DG. Motivational interviewing by podiatric physicians: a method for improving patient self-care of the diabetic foot. J Am Podiatr Med Assoc. 2011;101(1):78-84.[Crossref] [PubMed] 
  28. Bandura A. Sources of self-efficacy. Self-efficacy: the exercise of control. New York: W. H. Freeman and Company; 1997. p.78-115.
  29. Gözüm S, Aksayan S. [The reliabillty and valldity of Turkish form of the self-effİcacy scale]. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 1999;2(1):21-34.[Link] 
  30. Gulam-Abbas Z, Lutale JK, Morbach S, Archibald LK. Clinical outcome of diabetes patients hospitalized with foot ulcers, Dar es Salaam, Tanzania. Diabet Med. 2002;19(7):575-9.[Crossref] [PubMed] 
  31. Batkın D, Çetinkaya F. [The Knowledge, Attitude and Behaviours of the Diabetic Patients on Diabetic Foot and Foot Care]. Journal Of Health Sciences. 2005;14 (Suppl. 1):6-12.[Link] 
  32. Yücel F, Sunay D. Assessment of knowledge, attitudes and behaviours of diabetic patients about diabetic foot and foot care. Ankara Med J. 2016;16(3):270-84.[Link] 
  33. Biçer EK, Enç N. Evaluation of foot care and self-efficacy in patients with diabetes in Turkey: an interventional study. International Journal of Diabetes in Developing Countries. 2016;36(3):334-44.[Crossref] 
  34. Naicker AS, Ohnmar H, Choon SK, Yee KLC, Naicker MS, Das S, et al. A study of risk factors associated with diabetic foot, knowledge and practice of foot care among diabetic patients. Int Med J. 2009;16(3):189-93.[Link] 
  35. Valk GD, Kriegsman DM, Assendelft WJ. Patient education for preventing diabetic foot ulceration. A systematic review. Endocrinol Metab Clin North Am. 2002;31(3):633-58.[Crossref] [PubMed] 
  36. Anselmo MI, Nery M, Parisi MC. The effectiveness of educational practice in diabetic foot: a view from Brazil. Diabetol Metab Syndr. 2010;2(1):45.[Crossref] [PubMed] [PMC] 
  37. Hartalkar A, Hartalkar S, Peshwe K, Nath B. Profile of patients with diabetes taking self foot care: data from a rural teaching hospital. Indian Journal of Forensic and Community Medicine. 2016;3(1):1-4.[Crossref] 
  38. Litzelman DK, Marriott DJ, Vinicor F. The role of footwear in the prevention of foot lesions in patients with NIDDM. Conventional wisdom or evidence-based practice? Diabetes Care. 1997;20(2):156-62.[Crossref] [PubMed] 
  39. Chiwanga FS, Njelekela MA. Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania - a cross-sectional study. J Foot Ankle Res. 2015;8:20.[Crossref] [PubMed] [PMC] 
  40. Kaya H. Patient education in health services and responsibilities of nurse. Türkiye Klinikleri Journal of Nursing Science. 2009;1(1):19-23.[Link] 
  41. T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu. Olgun N, Özkan S, Satman İ, Yetkin İ, Çalışkan D, Özcan Şi editörler. Erişkin Diyabetli Bireyler İçin Eğitimci Rehberi. Yayın No: 945. Ankara: Koza Basım Yayın Ltd. Şti.; 2014.

.: Up To Date

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