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Kültürel Olarak Ağrıyı Algılama ve Menstürasyon Dönemde Ağrıyla Baş Etmede Kullanılan Yöntemler: Türkiye Örneği

Yıl 2024, Cilt: 7 Sayı: 1, 265 - 283, 31.05.2024
https://doi.org/10.33708/ktc.1388329

Öz

Mensturasyon doğal bir süreç olup, bu dönemin rahatsız edici semptomlarından biri olan ağrı, yaşam kalitesini olumsuz etkilemektedir. Bu çalışmanın amacı mensturasyon döneminde kadınların kültürel olarak ağrıyı algılama biçimlerini, yaşadıkları ağrıyla baş etmede kullandıkları geleneksel ve tamamlayıcı tıp uygulamalarını ve ağrı inançlarını belirlemektir. Bu kesitsel bir çalışmadır. Araştırmanın örneklemini 892 kadın oluşturdu. Demografik veriler ve menstural dönemde yaşanan ağrıyla baş etmede kullanılan yöntemleri belirmeye yönelik Kişisel Bilgi Formu ve Ağrı İnançları Ölçeği kullanılarak veriler toplandı. Ağrıyı azaltmada %71,9’unun geleneksel yöntemler kullandığı belirlendi. Ağrı inanç puanını etkileyen faktörler; eğitim düzeyi, sağlık sigortası durumu, en uzun yaşanılan bölge, adet döneminde ağrı sıklığı, ağrı kesici kullanımı, geleneksel yöntem kullanımı ve ağrıya neden olan faktörlerdi (p<0,05). Ağrı İnançları Ölçeği toplam puanı ile organik inançlar alt boyutu puan ortalamaları ve psikolojik inançlar alt boyutları arasında istatistiksel olarak anlamlı pozitif korelasyon bulunmuştur(p<0,05). Kadınlar adet ağrısıyla baş etmede farmakolojik uygulamalara göre geleneksel ve tamamlayıcı tıp uygulamalarını daha sık kullanmaktadırlar. Adet ağrısıyla başa çıkmak için geleneksel ve tamamlayıcı tıp uygulayan kadınların psikolojik ağrı inanç puanları yüksek ve anlamlı bulundu.

Etik Beyan

In line with the standards for national ethics rules, ethics committee approval was obtained from the ethics committee of a university (Number: KAEK-348, Date: 26 May 2021). Before data was collected, a written informed consent was obtained from the participants after the purpose of the research in accordance with the Helsinki Declaration was explained. Also, participants were informed about the fact that their participation is voluntary, and their answers will be kept confidential and evaluated only as scientific data.

Destekleyen Kurum

yok

Teşekkür

yok

Kaynakça

  • References
  • Abreu-Sánchez, A., Ruiz-Castillo, J., Onieva-Zafra, MD., Parra-Fernández, ML., & Fernández-Martínez E. (2020). Interference and Impact of Dysmenorrhea on the life of Spanish Nursing Students. Int. J. Environ. Res. Public Health, 17, 6473. doi:10.3390/ijerph17186473
  • Armour, M., Smith, CA., Steel, KA., & Macmillan, F. (2019). The Effectiveness of Self-care and Lifestyle Interventions in Primary Dysmenorrhea: A Systematic Review and Meta-analysis. BMC Complementary and Alternative Medicine, 19(22):1-16. doi: https://doi.org/10.1186/s12906-019-2433-8
  • Astuti, I., & Resti, RN. (2019). The Influence of Red Ginger Drinking Towards Degadration Dysmenorrhea Pain Intensity. ISGH, 3(1): 27-30.
  • Azima, S., Bakhshayesh, H. R., Kaviani, M., Abbasnia, K., & Sayadi, M. (2015). Comparison of the Effect of Massage Therapy and Isometric Exercises on Primary Dysmenorrhea: A Randomized Controlled Clinical Trial. Journal of Pediatric and Adolescent Gynecology, 28(6), 486-491.
  • Chen, CX., Draucker, CB., & Carpenter, JS. (2018). What Women Say About Their Dysmenorrhea: A Qualitative Hematic Analysis. BMC Women's Health, 18:47. doi:10.1186/s12905-018-0538-8.
  • Çay, B.,&Saka, S. (2020). The Effect of Short Term Aerobic Exercise on Dysmenorrhea in Young Adults. J Health Pro Ress, 2(3), 94-101.
  • Doğan, N., & Goris, S. (2018). The Effect of Pain Levels and Pain Beliefs of Elderly People Living in Nursing Home on Quality of Life. International Journal of Caring Sciences, 11( 2), 947-954 Gül, H., & Erel, S. (2018). The Determination of the Pain Beliefs of the Students at Akdeniz University Vocational School of Health Services. In SHS Web of Conferences, 48, 1-6. doi:10.1051/shsconf/20184801066
  • Erol Ursavaş, F., & Karayurt, Ö. (2020). The Effects of Pain Management Education on Knowledge, Attitudes, and Beliefs in Nursing Students in Turkey: A Quasi-experimental Study. Perspectives in Psychiatric Care, 1-8.
  • Gooberman-Hill R. (2015). Ethnographies of Pain: Culture, Context and Complexity. British Journal of Pain, 9(1), 32-35.
  • Jin, M. (2017). Pain Assessment Tools Used When Caring Through Cultural Boundaries: A Qualitative Systematic Literature Review. Degree Thesis in Health Care and Social Welfare, Vaasa.
  • Joshi, P. R., Maharjan, R. K., & Dawadi, C. K. (2020). Nepalese women's cultural beliefs and practices regarding postpartum period. Journal of the Scientific Society, 47(2), 93-98.
  • Kapadi, R., & Elander, J. (2020). Pain Coping, Pain Acceptance and Analgesic Use as Predictors of Health-related Quality of Life Among Women With Primary Dysmenorrhea. European Journal of Obstetrics & Gynecology and Reproductive Biology, 246, 40–44. doi:10.1016/j.ejogrb.2019.12.032
  • Kattuoa, M., Issa, R., & Beitawi, S. (2020). Commonly Used Herbal Remedies for the Treatment of Primary Dysmenorrhea and Heavy Menstrual Bleeding by Herbalists in Amman, Jordan: A Cross-sectional Survey. Jordan Journal of Pharmaceutical Sciences, 13(4). Kennedy, N., Healy, J., & O’Sullivan, K. (2014). The Beliefs of Third-level Healthcare Students Towards Low-Back Pain. Pain Research and Treatment, 1–5. doi:10.1155/2014/675915 Kılıç, Z.,& Alkan, BM. (2021). The Effect of Pain Belief of the Elderly People with Chronic Low Back Pain on Quality of Life and Disability. J PMR Sci, 24(1), 1-7. doi: 10.31609/jpmrs.2020-74455.
  • Kılıçarslan, F. N. (2019). Examining the Relationship Between Nursing Students' Pain Beliefs and Pain Fears. Nursing Program, Master Thesis. Ankara Yıldırım Beyazıt University. Institute of Health Sciences, Ankara.
  • Kim, SD. (2019). Yoga for Menstrual Pain in Primary Dysmenorrhea: A Meta-Analysis of Randomized Controlled Trials. Complementary Therapies in Clinical Practice, 36, 94–99. doi:10.1016/j.ctcp.2019.06.006.
  • Kilci, Ş., Daşıkan, Z.,& Muslu, A. (2019). Complementary and Integrative Therapy Practices on Pain Management in Primary Dysmenorrhea. Atatürk University Journal of Woman’s Studies, 1(2), 70-80.
  • Maharani, SI., Pramono, N., &Wahyuni, S. (2017). Dark Chocolate’s Effect on Menstrual Pain in Late Adolescents. Belitung Nursing Journal, 3(6), 686-692.
  • Marván, ML., Chrisler, JC., Gorman, JA., & Barney, A. (2017). The Meaning of Menarche: A Cross-Cultural Semantic Network Analysis. Health Care for Women International, 38, 9, 971-982. doi: 10.1080/07399332.2017.1338706.
  • Mohamed, EAE., Attia, AA., Omran, AAH., & Afifi, HAE. (2020). Traditional Practices Self-Reported by Nursing Students to Relieve Dysmenorrhea. Egyptian Journal of Health Care, 11(1), 176-190.
  • Orhan, C., Van Looveren, E., Cagnie, B., Mukhtar, N. B., Lenoir, D., & Meeus, M. (2018). Are Pain Beliefs, Cognitions, and Behaviors Influenced by Race, Ethnicity, and Culture in Patients With Chronic Musculoskeletal Pain: A Systematic Review. Pain physician, 21(6), 541-558.
  • Özcan Güler, D. (2022). From Traditional Culture To Modern Practices: Healer Women. Folklor Akademi Dergisi, 5(2), 327 – 336.
  • Parra-Fernández, ML., Onieva-Zafra, MD., Abreu-Sánchez, A., Ramos-Pichardo, JD., Iglesias-López, MT., & Fernández-Martínez, E. (2020). Management of Primary Dysmenorrhea Among University Students in the South of Spain and Family Influence. Int. J. Environ. Res. Public Health, 17, 5570. doi:10.3390/ijerph17155570
  • Riddle, DL., Jensen, MP., Ang, D., Slover Perera, R., & Dumenci, L. (2018). Do Pain Coping and Pain Beliefs Associate with Outcome Measures Before Knee Arthroplasty in Patients Who Catastrophize About Pain? A Cross-sectional Analysis from a Randomized Clinical Trial. Clin Orthop Relat Res 476, 778-786.
  • Sarı Çetin, H.,& Erbil, N. (2020). Pain Management in Premenstrual Syndrome. Ordu University Journal of Nursing Studies 3(2), 202-210. doi:10.38108/ouhcd.693294
  • Sut, N., & Kahyaoglu-Sut, H. (2017). Effect of Aromatherapy Massage on Pain in Primary Dysmenorrhea: A Meta-Analysis. Complementary Therapies in Clinical Practice, 27, 5-10. doi: 10.1016/j.ctcp.2017.01.001.
  • Şahin, S., Kaplan, S., Abay, H., Akalın, A., Demirhan, İ., & Pınar, G. (2015). Evaluation of the Frequency of Dysmenorrhea and Associated Factors Among the University Students. Journal of Ankara Health Science, (1-2-3), 25-43.
  • Şengüleroğlu, N., Kıdık, E, Özdemir, MB., Mıdık-Özpak, A., Fidancı, İ., Yengi Tacil, D., Arslan, İ.,& Tekin, O. (2020). The Complementary and Alternative Treatments Applied by the Patients Before Coming to the Doctor. J Contemp Med, 10(4), 637-641. doi: 10.16899/jcm.751870.
  • Topcu, S. Y. (2018). Relations Among Pain, Pain Beliefs, and Psychological Well-Being in Patients with Chronic Pain. Pain Management Nursing, 19(6), 637-644. doi: 10.1016/j.pmn.2018.07.007
  • Tsonis, O., Gkrozou, F., Barmpalia, Z., Makopoulou, A., & Siafaka, V. (2021). Integrating Lifestyle Focused Approaches into the Management of Primary Dysmenorrhea: Impact on Quality of Life. International Journal of Women’s Health, 13, 327–336. doi:10.2147/IJWH.S264023.
  • TUİK Cinsiyete ve yaş grubuna göre 2020 nüfus. Erişim: (https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2020-37210). Erişim tarihi: 29.04.2021.
  • Uzunçakmak, T., & Kılıç, M. (2017). Pain Experience of Nursing Students and the Methods Used to Cope With Pain. Ağrı, 29(3), 117–121. doi: 10.5505/agri.2017.32650.
  • Şener, N., & Taşhan-Timur, S. (2020). Evaluating the Relationship Between Dysmenorrhea and Personality Traits in University Students. HEAD. 17(2),148-54. doi: 10.5222/HEAD.2020.46667.
  • Vlachou, E., Owens, D. A., Lavdaniti, M., Kalemikerakis, J., Evagelou, E., Margari, N., Fasoi, G., Evangelidou, E., Govina, O., & Tsartsalis, A. N. (2019). Prevalence, Wellbeing, and Symptoms of Dysmenorrhea Among University Nursing Students in Greece. Diseases, 7(1), 1-4. doi:10.3390/diseases7010005
  • Yang, M., Chen, X., Bo, L., Lao, L., Chen, J., Yu, S., Yu, Z., Tang, H., Yi, L., Wu, X., Yang, J.,& Liang, F. (2017). Moxibustion for Pain Relief in Patients With Primary Dysmenorrhea: A Randomized Controlled Trial. PLoS ONE, 12(2), 0170952. doi:10.1371/journal.pone.0170952.

Cultural Perception of Pain and Methods Used in Coping with Pain During Menstruation İn Turkey

Yıl 2024, Cilt: 7 Sayı: 1, 265 - 283, 31.05.2024
https://doi.org/10.33708/ktc.1388329

Öz

Menstruation is a natural process, and pain, an unpleasant symptom, negatively affects quality of life. The aim of this study is to determine women's cultural perception of pain during menstruation, traditional and complementary medicinal practices used to cope with the pain, and pain beliefs.
This study has a cross-sectional design. The sample of the study consisted of 892 women For data collection a questionnaire created by the researchers after literature review and the Pain Beliefs Questionnaire were used. 71.9% of the participants used traditional methods to reduce menstrual pain. Factors that affected the pain beliefs score were education level, health insurance status, longest region of residence, frequency of pain during menstruation, using painkillers, using traditional methods and factors causing pain (p<0.05). A statistically significant positive correlation was found between the total score on the Pain Beliefs Questionnaire, mean score of organic beliefs and psychological beliefs sub-dimensions (p<0.05). Women use traditional and complementary medicine practices more frequently than pharmacological practices in coping with menstrual pain. The Psychological Pain Belief scores of women who practiced traditional and complementary medicine to deal with menstrual pain were high and significant.

Kaynakça

  • References
  • Abreu-Sánchez, A., Ruiz-Castillo, J., Onieva-Zafra, MD., Parra-Fernández, ML., & Fernández-Martínez E. (2020). Interference and Impact of Dysmenorrhea on the life of Spanish Nursing Students. Int. J. Environ. Res. Public Health, 17, 6473. doi:10.3390/ijerph17186473
  • Armour, M., Smith, CA., Steel, KA., & Macmillan, F. (2019). The Effectiveness of Self-care and Lifestyle Interventions in Primary Dysmenorrhea: A Systematic Review and Meta-analysis. BMC Complementary and Alternative Medicine, 19(22):1-16. doi: https://doi.org/10.1186/s12906-019-2433-8
  • Astuti, I., & Resti, RN. (2019). The Influence of Red Ginger Drinking Towards Degadration Dysmenorrhea Pain Intensity. ISGH, 3(1): 27-30.
  • Azima, S., Bakhshayesh, H. R., Kaviani, M., Abbasnia, K., & Sayadi, M. (2015). Comparison of the Effect of Massage Therapy and Isometric Exercises on Primary Dysmenorrhea: A Randomized Controlled Clinical Trial. Journal of Pediatric and Adolescent Gynecology, 28(6), 486-491.
  • Chen, CX., Draucker, CB., & Carpenter, JS. (2018). What Women Say About Their Dysmenorrhea: A Qualitative Hematic Analysis. BMC Women's Health, 18:47. doi:10.1186/s12905-018-0538-8.
  • Çay, B.,&Saka, S. (2020). The Effect of Short Term Aerobic Exercise on Dysmenorrhea in Young Adults. J Health Pro Ress, 2(3), 94-101.
  • Doğan, N., & Goris, S. (2018). The Effect of Pain Levels and Pain Beliefs of Elderly People Living in Nursing Home on Quality of Life. International Journal of Caring Sciences, 11( 2), 947-954 Gül, H., & Erel, S. (2018). The Determination of the Pain Beliefs of the Students at Akdeniz University Vocational School of Health Services. In SHS Web of Conferences, 48, 1-6. doi:10.1051/shsconf/20184801066
  • Erol Ursavaş, F., & Karayurt, Ö. (2020). The Effects of Pain Management Education on Knowledge, Attitudes, and Beliefs in Nursing Students in Turkey: A Quasi-experimental Study. Perspectives in Psychiatric Care, 1-8.
  • Gooberman-Hill R. (2015). Ethnographies of Pain: Culture, Context and Complexity. British Journal of Pain, 9(1), 32-35.
  • Jin, M. (2017). Pain Assessment Tools Used When Caring Through Cultural Boundaries: A Qualitative Systematic Literature Review. Degree Thesis in Health Care and Social Welfare, Vaasa.
  • Joshi, P. R., Maharjan, R. K., & Dawadi, C. K. (2020). Nepalese women's cultural beliefs and practices regarding postpartum period. Journal of the Scientific Society, 47(2), 93-98.
  • Kapadi, R., & Elander, J. (2020). Pain Coping, Pain Acceptance and Analgesic Use as Predictors of Health-related Quality of Life Among Women With Primary Dysmenorrhea. European Journal of Obstetrics & Gynecology and Reproductive Biology, 246, 40–44. doi:10.1016/j.ejogrb.2019.12.032
  • Kattuoa, M., Issa, R., & Beitawi, S. (2020). Commonly Used Herbal Remedies for the Treatment of Primary Dysmenorrhea and Heavy Menstrual Bleeding by Herbalists in Amman, Jordan: A Cross-sectional Survey. Jordan Journal of Pharmaceutical Sciences, 13(4). Kennedy, N., Healy, J., & O’Sullivan, K. (2014). The Beliefs of Third-level Healthcare Students Towards Low-Back Pain. Pain Research and Treatment, 1–5. doi:10.1155/2014/675915 Kılıç, Z.,& Alkan, BM. (2021). The Effect of Pain Belief of the Elderly People with Chronic Low Back Pain on Quality of Life and Disability. J PMR Sci, 24(1), 1-7. doi: 10.31609/jpmrs.2020-74455.
  • Kılıçarslan, F. N. (2019). Examining the Relationship Between Nursing Students' Pain Beliefs and Pain Fears. Nursing Program, Master Thesis. Ankara Yıldırım Beyazıt University. Institute of Health Sciences, Ankara.
  • Kim, SD. (2019). Yoga for Menstrual Pain in Primary Dysmenorrhea: A Meta-Analysis of Randomized Controlled Trials. Complementary Therapies in Clinical Practice, 36, 94–99. doi:10.1016/j.ctcp.2019.06.006.
  • Kilci, Ş., Daşıkan, Z.,& Muslu, A. (2019). Complementary and Integrative Therapy Practices on Pain Management in Primary Dysmenorrhea. Atatürk University Journal of Woman’s Studies, 1(2), 70-80.
  • Maharani, SI., Pramono, N., &Wahyuni, S. (2017). Dark Chocolate’s Effect on Menstrual Pain in Late Adolescents. Belitung Nursing Journal, 3(6), 686-692.
  • Marván, ML., Chrisler, JC., Gorman, JA., & Barney, A. (2017). The Meaning of Menarche: A Cross-Cultural Semantic Network Analysis. Health Care for Women International, 38, 9, 971-982. doi: 10.1080/07399332.2017.1338706.
  • Mohamed, EAE., Attia, AA., Omran, AAH., & Afifi, HAE. (2020). Traditional Practices Self-Reported by Nursing Students to Relieve Dysmenorrhea. Egyptian Journal of Health Care, 11(1), 176-190.
  • Orhan, C., Van Looveren, E., Cagnie, B., Mukhtar, N. B., Lenoir, D., & Meeus, M. (2018). Are Pain Beliefs, Cognitions, and Behaviors Influenced by Race, Ethnicity, and Culture in Patients With Chronic Musculoskeletal Pain: A Systematic Review. Pain physician, 21(6), 541-558.
  • Özcan Güler, D. (2022). From Traditional Culture To Modern Practices: Healer Women. Folklor Akademi Dergisi, 5(2), 327 – 336.
  • Parra-Fernández, ML., Onieva-Zafra, MD., Abreu-Sánchez, A., Ramos-Pichardo, JD., Iglesias-López, MT., & Fernández-Martínez, E. (2020). Management of Primary Dysmenorrhea Among University Students in the South of Spain and Family Influence. Int. J. Environ. Res. Public Health, 17, 5570. doi:10.3390/ijerph17155570
  • Riddle, DL., Jensen, MP., Ang, D., Slover Perera, R., & Dumenci, L. (2018). Do Pain Coping and Pain Beliefs Associate with Outcome Measures Before Knee Arthroplasty in Patients Who Catastrophize About Pain? A Cross-sectional Analysis from a Randomized Clinical Trial. Clin Orthop Relat Res 476, 778-786.
  • Sarı Çetin, H.,& Erbil, N. (2020). Pain Management in Premenstrual Syndrome. Ordu University Journal of Nursing Studies 3(2), 202-210. doi:10.38108/ouhcd.693294
  • Sut, N., & Kahyaoglu-Sut, H. (2017). Effect of Aromatherapy Massage on Pain in Primary Dysmenorrhea: A Meta-Analysis. Complementary Therapies in Clinical Practice, 27, 5-10. doi: 10.1016/j.ctcp.2017.01.001.
  • Şahin, S., Kaplan, S., Abay, H., Akalın, A., Demirhan, İ., & Pınar, G. (2015). Evaluation of the Frequency of Dysmenorrhea and Associated Factors Among the University Students. Journal of Ankara Health Science, (1-2-3), 25-43.
  • Şengüleroğlu, N., Kıdık, E, Özdemir, MB., Mıdık-Özpak, A., Fidancı, İ., Yengi Tacil, D., Arslan, İ.,& Tekin, O. (2020). The Complementary and Alternative Treatments Applied by the Patients Before Coming to the Doctor. J Contemp Med, 10(4), 637-641. doi: 10.16899/jcm.751870.
  • Topcu, S. Y. (2018). Relations Among Pain, Pain Beliefs, and Psychological Well-Being in Patients with Chronic Pain. Pain Management Nursing, 19(6), 637-644. doi: 10.1016/j.pmn.2018.07.007
  • Tsonis, O., Gkrozou, F., Barmpalia, Z., Makopoulou, A., & Siafaka, V. (2021). Integrating Lifestyle Focused Approaches into the Management of Primary Dysmenorrhea: Impact on Quality of Life. International Journal of Women’s Health, 13, 327–336. doi:10.2147/IJWH.S264023.
  • TUİK Cinsiyete ve yaş grubuna göre 2020 nüfus. Erişim: (https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2020-37210). Erişim tarihi: 29.04.2021.
  • Uzunçakmak, T., & Kılıç, M. (2017). Pain Experience of Nursing Students and the Methods Used to Cope With Pain. Ağrı, 29(3), 117–121. doi: 10.5505/agri.2017.32650.
  • Şener, N., & Taşhan-Timur, S. (2020). Evaluating the Relationship Between Dysmenorrhea and Personality Traits in University Students. HEAD. 17(2),148-54. doi: 10.5222/HEAD.2020.46667.
  • Vlachou, E., Owens, D. A., Lavdaniti, M., Kalemikerakis, J., Evagelou, E., Margari, N., Fasoi, G., Evangelidou, E., Govina, O., & Tsartsalis, A. N. (2019). Prevalence, Wellbeing, and Symptoms of Dysmenorrhea Among University Nursing Students in Greece. Diseases, 7(1), 1-4. doi:10.3390/diseases7010005
  • Yang, M., Chen, X., Bo, L., Lao, L., Chen, J., Yu, S., Yu, Z., Tang, H., Yi, L., Wu, X., Yang, J.,& Liang, F. (2017). Moxibustion for Pain Relief in Patients With Primary Dysmenorrhea: A Randomized Controlled Trial. PLoS ONE, 12(2), 0170952. doi:10.1371/journal.pone.0170952.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kadın Araştırmaları
Bölüm Makaleler
Yazarlar

Meryem Türkan Işık 0000-0002-4091-8583

Rana Can Özdemir 0000-0003-0655-4736

Erken Görünüm Tarihi 31 Mayıs 2024
Yayımlanma Tarihi 31 Mayıs 2024
Gönderilme Tarihi 9 Kasım 2023
Kabul Tarihi 25 Mayıs 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 1

Kaynak Göster

APA Işık, M. T., & Can Özdemir, R. (2024). Cultural Perception of Pain and Methods Used in Coping with Pain During Menstruation İn Turkey. Akdeniz Kadın Çalışmaları Ve Toplumsal Cinsiyet Dergisi, 7(1), 265-283. https://doi.org/10.33708/ktc.1388329

Dergide yayımlanan tüm çalışmalar, kamu ve tüzel kişilerce, gerekli atıflar verilmek koşuluyla kullanıma açık olup dergide yayımlanmış çalışmaların tüm sorumluluğu yazarlarına aittir.