to answer your question simply:
facebook is a tool to communicate with your friends and family, not much else, so whether or not it's "worth creating an account" is up to you depending on how important such communication is to you.
A more complex answer would be:
facebook is a site designed to change the way we think of socialising, by ruining it and by adding pointless elements that don't make sense (You received 5 pokes). However, facebook can be useful if you need to keep up with something specifically, for instance, A theatre for which I am an actor has a "group" consisting of all it's members, so that they can easily inform people of rehearsal times. Other than that, I don't really use facebook, I prefer to socialise with people when I find it nescacary and via other forms of communication. Again, whether or not it's worth getting a profile is down to your own personal preferences regarding your social-life