Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Kemoterapi Alan Kanser Hastalarında Stres Yaratan Durumlar ve Stresle Baş Etme Stratejileri: Tanımlayıcı ve Kesitsel Bir Çalışma
Stressful Situations in Cancer Patients Receiving Chemotherapy and Strategies for Coping with Stress: A Descriptive and Cross-Sectional Study
Zuhal SERBESTa , Serap SAYARb
aNecmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Tıbbi Onkoloji BD, Konya, Türkiye
bKTO Karatay Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Konya, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):810-21
doi: 10.5336/nurses.2022-95152
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışma, kemoterapi alan kanser hastalarında stres oluşturan durumları ve hastaların stresle baş etme stratejilerini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel türde bir araştırmadır. Araştırmanın örneklemini 10 Ekim 2021-30 Mart 2022 tarihleri arasında onkoloji kliniğinde yatan 150 hasta oluşturmuştur. Verilerin toplanmasında ''Sosyodemografik, Klinik Özellikler ve Stres Yaratan Durumlara İlişkin Bilgi Formu'' ve ''Stresle Başa Çıkma Tarzları Ölçeğ'' kullanılmıştır. Bulgular: Hastalarda kemoterapi tedavisinin yan etkilerinden en fazla bulantı kusma (%47) ve yorgunluğun (%65) stres oluşturduğu belirlenmiştir. Hastalar, ölçek alt boyutlarından en fazla kendine güvenli yaklaşımı kullanmışlardır. Hastaların boyun eğici yaklaşım puan ortalaması, eğitim durumuna ve yaş gruplarına göre; iyimser yaklaşım puan ortalaması tanı süresi ve medeni duruma göre farklılık göstermektedir. Fiziksel sorunlar ile baş etmede profesyonel yardım alanların, çaresiz yaklaşım puan ortalaması; psikososyal sorunlarla baş etmede dikkatini başka yöne çekme davranışı kullananların boyun eğici yaklaşım puan ortalaması daha düşüktür. Sonuç: Kırk yaş üzeri ve eğitim durumu düşük olan hastaların daha çok boyun eğici yaklaşımı kullandığı, evli ve tanı aldığı süre 24 aydan fazla olan hastaların daha az iyimser yaklaşım kullandığı, fiziksel sorunlarla baş etmek için profesyonel yardım almayanların çaresiz yaklaşımı daha fazla kullandığı ve psikososyal sorunlarla baş etmek için dikkati başka yöne çekme tekniği kullanmayanların boyun eğici yaklaşımı daha fazla kullandığı, bu hastaların stresle başa çıkma tarzlarının etkisiz olduğu bulunmuştur.

Anahtar Kelimeler: Kanser; hemşirelik; stres; stresle baş etme; kemoterapi
ABSTRACT
 Objective: This study was performed to determine the stressors of cancer patients receiving chemotherapy and their strategies for coping with stress. Material and Methods: It is a descriptive and cross-sectional study. The sample of the study was 150 patients who were hospitalized in the oncology clinic between October 10, 2021 and March 30, 2022. ''Sociodemographic, Clinical and StressCreating Situations Information Form'' and ''Ways of Coping Inventory'' were used as data collection tools. Results: It was determined that the most common side effects of chemotherapy treatment were nausea- vomiting (47%) and fatigue (65%). The patients used the selfconfident approach the most among the scale sub-dimensions. According to the sub-dimension scores of the scale submissive approach, education level and age groups; optimistic approach mean score shows a statistically significant difference according to the duration of diagnosis, marital status. The average score of the helpless approach in coping with physical problems compared to those who did not receive professional help; those who use distraction behavior in coping with psychosocial problems have a lower submissive approach score average. Conclusion: Patients over the age of 40 and with low educational status use more submissive approach, patients who are married and have more than 24 months of diagnosis use less optimistic approach, those who didn't seek professional help to cope with physical problems use the desperate approach more, and those who didn't use attention diverting techniques to cope with psychosocial problems use the submissive approach more, the way these patients coped with stress was found to be ineffective.

Keywords: Cancer; nursing; stress; coping with stress; chemotherapy
REFERENCES:
  1. Şentürk S, Bıçak D, Akça D. Kanserli hasta yakınlarının yaşadıkları sorunlar ve hemşirelik yaklaşımı [The problems of the cancer patient's relatives and nursing approach]. Sağlık Akademisyenleri Dergisi. 2018;5(1):35-9. [Crossref] 
  2. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49. [Crossref]  [PubMed] 
  3. Türkiye İstatistik Kurumu [İnternet]. [Erişim tarihi: 01 Mayıs 2022]. Ölüm ve ölüm nedeni istatistikleri. Erişim linki: [Link] 
  4. Akçay D, Gözüm S. Kemoterapi alan meme kanserli hastalarda, kemoterapinin yan etkilerine ilişkin verilen eğitim ve evde izlemin yaşam kalitesine etkisinin değerlendirilmesi [Evaluation of the effect of education of chemotherapy side effects and home follow-up on the quality of life in patients with breast cancer given chemotherapy]. Meme Sağlığı Dergisi. 2012;8(4):191-9. [Link] 
  5. Aprilianto E, Lumadi SA, Handian FI. Family social support and the self-esteem of breast cancer patients undergoing neoadjuvant chemotherapy. J Public Health Res. 2021;10(2):2234. [Crossref]  [PubMed]  [PMC] 
  6. El Kheir DYM, Ibrahim AHM. Epidemiological assessment of distress during chemotherapy: who is affected? J Taibah Univ Med Sci. 2019;14(5):448-53. [Crossref]  [PubMed]  [PMC] 
  7. Aslam MS, Naveed S, Ahmed A, Abbas Z, Gull I, Athar MA. Side effects of chemotherapy in cancer patients and evaluation of patients opinion about starvation based differential chemotherapy. Journal of Cancer Therapy. 2014;5:817-22. [Crossref] 
  8. Wen S, Xiao H, Yang Y. The risk factors for depression in cancer patients undergoing chemotherapy: a systematic review. Support Care Cancer. 2019;27(1):57-67. [Crossref]  [PubMed] 
  9. McMullen M, Lau PKH, Taylor S, McTigue J, Cook A, Bamblett M, et al. Factors associated with psychological distress amongst outpatient chemotherapy patients: an analysis of depression, anxiety and stress using the DASS-21. Appl Nurs Res. 2018;40:45-50. [Crossref]  [PubMed] 
  10. Prapa P, Papathanasiou IV, Bakalis V, Malli F, Papagiannis D, Fradelos EC. Quality of life and psychological distress of lung cancer patients undergoing chemotherapy. World J Oncol. 2021;12(2-3):61-6. [Crossref]  [PubMed]  [PMC] 
  11. Sanford SD, Wagner LI, Beaumont JL, Butt Z, Sweet JJ, Cella D. Longitudinal prospective assessment of sleep quality: before, during, and after adjuvant chemotherapy for breast cancer. Support Care Cancer. 2013;21(4):959-67. [Crossref]  [PubMed] 
  12. Imanian M, Imanian M, Karimyar M. Sleep quality and fatigue among breast cancer patients undergoing chemotherapy. Int J Hematol Oncol Stem Cell Res. 2019;13(4):196-200. [Crossref]  [PubMed]  [PMC] 
  13. Distefano M, Riccardi S, Capelli G, Costantini B, Petrillo M, Ricci C, et al. Quality of life and psychological distress in locally advanced cervical cancer patients administered pre-operative chemoradiotherapy. Gynecol Oncol. 2008;111(1):144-50. [Crossref]  [PubMed] 
  14. Kudjawu S, Agyeman-Yeboah J. Experiences of women with breast cancer undergoing chemotherapy: a study at Ho Teaching Hospital, Ghana. Nurs Open. 2021;8(6):3161-9. [Crossref]  [PubMed]  [PMC] 
  15. Wampaalu PB, Eriksson LE, Naamala A, Nabirye RC, Wettergren L. Experiences of patients undergoing chemotherapy - a qualitative study of adults attending Uganda Cancer Institute. Afr Health Sci. 2016;16(3):744-9. [Crossref]  [PubMed]  [PMC] 
  16. Pakyüz SÇ, Dedeli Çaydam Ö, Koşar Şahin C. Sitotoksik kemoterapi alan hastalarda stres belirtileri ve düzeyi ile baş etme yöntemleri arasında ilişki var mıdır [Is there relationship between stress symptoms, stress level and stress coping strategies in patients taking cytotoxic chemotherapy]. JAREN. 2019;5(1):1-9. [Crossref] 
  17. Schepisi G, De Padova S, De Lisi D, Casadei C, Meggiolaro E, Ruffilli F, et al. Psychosocial issues in long-term survivors of testicular cancer. Front Endocrinol (Lausanne). 2019;10:113. [Crossref]  [PubMed]  [PMC] 
  18. Çolak S, Vural F, Bilik Ö. Prostat kanserli hastaların yaşadığı psikososyal sorunlar ve hemşirelik yaklaşımları [Psychosocial problems experienced of patients with prostate cancer and nursing approaches]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi. 2022;15(2):233-9. [Crossref] 
  19. Ökten C, Özer Z. Cancer patients and loneliness: a systematic review. Nurs Pract Today. 2016;3(4):128-39. [Link] 
  20. Tunç Aksan A, Gizir CA. Sağlık psikolojik danışmanlığı çerçevesinde meme kanserli kadınların yaşantıları ve psiko-sosyal gereksinimleri [Breast cancer woman's experiences and psycho-social needs within the framework of health counseling]. Mersin Üniversitesi Eğitim Fakültesi Dergisi. 2017;13(3):977-99. [Crossref] 
  21. Ülger E, Alacacıoğlu A, Gülseren AŞ, Zencir G, Tarhan MO, Demir L. Kanserde psikolojik sorunlar ve psikososyal onkolojinin önemi [Psychosocial problems in cancer and the importance of psychosocial oncology]. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2014;28(2):85-92. [Crossref] 
  22. Şahin NH, Durak A. Stresle Başa Çıkma Tarzları Ölçeği: üniversite öğrencileri için uyarlanması [Stress Coping Styles Scale: adaptation for university students]. Türk Psikoloji Dergisi. 1995;10(34):56-73. [Link] 
  23. Chua AS, DeSantis SM, Teo I, Fingeret MC. Body image investment in breast cancer patients undergoing reconstruction: taking a closer look at the Appearance Schemas Inventory-Revised. Body Image. 2015;13:33-7. [Crossref]  [PubMed]  [PMC] 
  24. Gorman LM. The psychosocial impact of cancer on the individual, family, and society. In: Bush NJ, Gorman L, eds. Psychosocial Nursing Care Along the Cancer Continuum. 3rd ed. Pittsburgh: Oncology Nursing Society; 2018. p.3-23. [Link] 
  25. Dempster M, Howell D, McCorry NK. Illness perceptions and coping in physical health conditions: a meta-analysis. J Psychosom Res. 2015;79(6):506-13. [Crossref]  [PubMed] 
  26. Kaliampos A, Roussi P. Religious beliefs, coping, and psychological well-being among Greek cancer patients. J Health Psychol. 2017;22(6):754-64. [Crossref]  [PubMed] 
  27. Ahmadi F, Mohamed Hussin NA, Mohammad MT. Religion, culture and meaning-making coping: a study among cancer patients in Malaysia. J Relig Health. 2019;58(6):1909-24. [Crossref]  [PubMed]  [PMC] 
  28. Günay İsmailoğlu E, Khorshid L. Baş-boyun kanserli hastaların stresle baş etme tarzları ve sosyal destek düzeylerinin incelenmesi [The examination of coping styles with stress and level of social support in patients with head and neck cancer]. Türkiye Klinikleri J Nurs Sci. 2016;8(4):288-96. [Crossref] 
  29. Mukwato KP, Mweemba P, Makukuka MK, Makoleka MM. Stress and coping mechanisms among breast cancer patients anf family caregivers: a review of literatüre. Medical Journal of Zambia. 2010;37(1):40-5. [Link] 
  30. Yilmaz SD, Bal MD, Beji NK, Arvas M. Ways of coping with stress and perceived social support in gynecologic cancer patients. Cancer Nurs. 2015;38(2):E57-62. [Crossref]  [PubMed] 
  31. Putri SB, Jannah M. The effect of logotherapy on depression in breast cancer patients under chemotherapy. World Journal of Research and Review. 2019;8(2):30-2. [Crossref] 
  32. Gibbons A, Groarke A. Coping with chemotherapy for breast cancer: asking women what works. Eur J Oncol Nurs. 2018;35:85-91. [Crossref]  [PubMed] 
  33. Kim HS, Nho JH, Nam JH. A serial multiple mediator model of sense of coherence, coping strategies, depression, and quality of life among gynecologic cancer patients undergoing chemotherapy. Eur J Oncol Nurs. 2021;54:102014. [Crossref]  [PubMed] 
  34. Barre PV, Padmaja G, Rana S, Tiamongla. Stress and quality of life in cancer patients: medical and psychological intervention. Indian J Psychol Med. 2018;40(3):232-8. [Crossref]  [PubMed]  [PMC] 
  35. Kelkil BA, Atnafu NT, Dinegde NG, Wassie M. Coping strategies of stress and its associated factors among breast cancer patients in Tikur Anbesa specialized hospital, Ethiopia: Institution-based cross-sectional study. BMC Womens Health. 2022;22(1):252. [Crossref]  [PubMed]  [PMC] 

.: 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