<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="research-article"        dtd-version="1.4">
            <front>

                <journal-meta>
                                    <journal-id></journal-id>
            <journal-title-group>
                                                                                    <journal-title>Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2587-2427</issn>
                                                                                            <publisher>
                    <publisher-name>Aydin Adnan Menderes University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.46237/amusbfd.1456684</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Nursing (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Hemşirelik (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Kalp Damar Cerrahisi Geçirecek Hastaların Umut, Depresyon ve Sosyal Destek Düzeylerinin Belirlenmesi</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>Determination of Hope, Depression and Social Support Levels of Patients Undergo Heart and Vessel Surgery Patients</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-3810-297X</contrib-id>
                                                                <name>
                                    <surname>Demir Korkmaz</surname>
                                    <given-names>Fatma</given-names>
                                </name>
                                                                    <aff>EGE ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0003-0726-0633</contrib-id>
                                                                <name>
                                    <surname>Dolgun</surname>
                                    <given-names>Eda</given-names>
                                </name>
                                                                    <aff>EGE ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-7559-5377</contrib-id>
                                                                <name>
                                    <surname>Karacabay</surname>
                                    <given-names>Kevser</given-names>
                                </name>
                                                                    <aff>KÜTAHYA SAĞLIK BİLİMLERİ ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-8661-0066</contrib-id>
                                                                <name>
                                    <surname>Yavuz Van Giersbergen</surname>
                                    <given-names>Meryem</given-names>
                                </name>
                                                                    <aff>EGE ÜNİVERSİTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20250131">
                    <day>01</day>
                    <month>31</month>
                    <year>2025</year>
                </pub-date>
                                        <volume>9</volume>
                                        <issue>1</issue>
                                        <fpage>130</fpage>
                                        <lpage>141</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20240321">
                        <day>03</day>
                        <month>21</month>
                        <year>2024</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20241105">
                        <day>11</day>
                        <month>05</month>
                        <year>2024</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2017, Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi</copyright-statement>
                    <copyright-year>2017</copyright-year>
                    <copyright-holder>Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Amaç: Araştırma kalp damar cerrahisi geçirecek hastaların umut, depresyon ve sosyal destek düzeylerinin belirlenmesi amacıyla yapıldı.Yöntem: Araştırma bir Üniversite Hastanesinin Kalp ve Damar Cerrahisi Kliniği&#039;nde yapıldı. Araştırmanın örneklemi kalp damar cerrahisi olmayı bekleyen 185 hastadan oluştu.  Araştırmanın verileri; Tanımlayıcı veri formu, Herth Umut Ölçeği, Algılanan Sosyal Destek Ölçeği ve Beck Depresyon Ölçeği kullanılarak ameliyat öncesinde yüz yüze görüşme yöntemi ile toplandı. Verilerin değerlendirilmesinde yüzdelik hesaplamalar, ortalama ve standart sapma, Mann- Whitney U testi, Ki-kare testi, korelasyon ve çoklu regresyon analizi kullanıldı. Bulgular: Araştırmaya katılan hastaların yaş ortalamasının 59.96±13.27 olduğu görüldü. Hastaların Beck Depresyon Ölçeği Puan Ortalaması 11.96±1.88, Herth Umut Ölçeği Puan Ortalaması 68.07±1.11, Çok Boyutlu Algılanan Sosyal Destek Ölçeği Puan Ortalaması 73.07±1.00 idi. Beck Depresyon puanı ile Umut ölçek puanı arasında istatistiksel olarak anlamlı, negatif yönlü bir ilişki bulundu. Hastaların Herth Umut toplam puanını Beck depresyon toplam puanının, sosyal destek toplam puanının, eğitim durumunun etkilediği belirlendi. Hastaların Beck depresyon toplam puanını Herth umut toplam puanının, sosyal destek toplam puanının, medeni durumun etkilediği belirlendi.Sonuç: Çalışma sonucuna göre hastaların üçte birinde orta ve şiddetli düzeyde depresyon bulgusu olduğu belirlendi. Hastaların umutlarının ve algılanan sosyal destek puan ortalamalarının yüksek olduğu görüldü. Ayrıca hastaların Beck depresyon toplam puanını Herth umut toplam puanının ve sosyal destek toplam puanının etkilemesi nedeniyle kalp damar cerrahisi geçirecek hastaların depresyon durumlarının belirlenmesi ve depresyon bulgusu olan hastalar için konsültasyon liyezon hemşirelerinden destek alınması önerilebilir.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>Objective: The aim of study was to determine hope, depression and social support levels of patients who will undergo heart and vessel surgery.Methods: The descriptive research was performed in Heart and Vessel Surgery Clinics at a University Medical Faculty Hospital. The sample consisted of 185 patients awaiting heart and vessel surgery. Data were collected face to face interview before surgery using Descriptive data form, Herth Hope Index, Multidimensional Scale of Perceived Social Support and Beck Depression Inventory. Percentage, mean, standard deviation, Mann- Whitney U test, Chi-square test, correlation and multiple regressions analysis were used for analyzing.Results: It was seen that mean age was 59.96±13.27. The mean Beck depression inventory, Herth Hope Index and Perceived Social support levels were 11.96±1.88, 68.07±1.11, 73.07±1.00 respectively. Statistically meaningful and negatively relation difference was found between Beck depression score and hope score. It was determined that Beck depression total score, social support total score and education status of the patients affected Herth Hope total score. That Herth Hope total score, social support total score and marital status of the patients affected Beck depression total score was found. Depression score was found low, hope and social support score were high when social support provided to patients by spouses. Conclusion: According to the study results, it was determined that one third of the patients had moderate and severe depression symptoms. It was observed that the patients&#039; hope and perceived social support scores were high. In addition, since the patients&#039; Beck depression total score is affected by the Herth hope total score and the social support total score, it may be recommended to determine the depression status of patients who will undergo cardiovascular surgery and to receive support from consultation liaison nurses for patients with depression symptoms.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>Kalp damar cerrahisi</kwd>
                                                    <kwd>  Umut</kwd>
                                                    <kwd>  Depresyon</kwd>
                                                    <kwd>  Sosyal destek</kwd>
                                                    <kwd>  Hemşirelik bakımı</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>Heart vessel surgery</kwd>
                                                    <kwd>  Hope</kwd>
                                                    <kwd>  Depression</kwd>
                                                    <kwd>  Social support</kwd>
                                                    <kwd>  Nursing care</kwd>
                                            </kwd-group>
                                                                                                        <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">Ege Üniversitesi Bilimsel Araştırma Projeleri</named-content>
                            </funding-source>
                                                                            <award-id>2014-HYO-007</award-id>
                                            </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1.	World Heart Report 2023: Confronting the World’s Number One Killer. Geneva, Switzerland. World Heart Federation. 2023. https://world-heart-federation.org/wp-content/uploads/World-Heart-Report-2023.pdf. (Erişim tarihi: 22.12.2023)</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2.	Türkiye İstatistik Kurumu (TÜİK) Ölüm ve Ölüm Nedeni İstatistikleri, 2022. 
https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2022-49679. (Erişim tarihi: 
22.02.2023)</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3.	World Health Organization (WHO). Fact sheets: Cardiovascular diseases (CVDs). 2021. 
www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases (cvds) [Erişim tarihi 10.01.2023)</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4.	Arslantaş, H., Adana, F., Kaya, F., &amp; Turan, D. (2010). Yatan hastalarda umutsuzluk ve sosyal destek düzeyi 
ve bunları etkileyen faktörler. Florence Nightingale Journal of Nursing, 18(2), 87-97.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5.	Kavradim, S. T. Özer, Z. C. Bozcuk, H. (2012). Hope in people with cancer: a multivariate analysis from 
Turkey. Journal of Advanced Nursing, 69(5),1183-1196.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6.	Özteke Kozan, H. İ., Kesici, Ş. (2023). Death anxiety among older adults with chronic illnesses during 
Covid-19: A qualitative approach. Journal of Community Psychology, 51(6), 2465–2479.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7.	Yildirim, D., Akman, O., Ozturk, S., &amp; Yakin, O. (2024). The correlation between death anxiety, loneliness and 
hope levels in patients treated in the cardiac intensive care unit. Nursing in Critical Care, 29(3), 486-492.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8.	Türk Dil Kurumu (TDK). Umut http://tdk.gov.tr/index.php?
option=com_bts&amp;arama=kelime&amp;guid=TDK.GTS.52f4b2dc2192e2.66142460. (Erişim Tarihi: 07.02.2022)</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9.	Sullivan, M. D.  (2003). Hope  and hopelessness at the end of life. The American Journal of Geriatric 
Psychiatry, 11(4),393-405.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10.	Rakhshan, M., Toufigh, A., Dehghani-Firouzabadi, A., Yektatalab, S. (2020). Effect of cardiac rehabilitation 
on hope among cardiac patients after coronary artery bypass graft surgery. Risk Management and 
Healthcare Policy, 13,1319–1326.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11.	Çiçekli, N., Çalışkan, İ. (2022). Açık kalp ameliyatı olacak hastaların spiritüel iyi oluş ve umut düzeylerinin 
belirlenmesi: Tanımlayıcı araştırma. Turkiye Klinikleri J Cardiovasc Sci. 34(1),17-25.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12.	Bezerra, S. M. M. D. S., Gomes, E. T., Galvão, P. C. D. C., &amp; Souza, K. V. D. (2018). Spiritual well-being and hope 
in the preoperative period of cardiac surgery. Revista Brasileira de Enfermagem, 71(2), 398-405.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13.	Kaleta, K., &amp; Mróz, J. (2020). The relationship between basic hope and depression: Forgiveness as a 
mediator. Psychiatric Quarterly, 91(3), 877-886.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14.	Yaghoobzadeh, A., Soleimani, M. A., Allen, K. A., Chan, Y. H., &amp; Herth, K. A. (2018). Relationship between 
spiritual well-being and hope in patients with cardiovascular disease. Journal of religion and health, 57, 
938-950.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15.	Tao, Y., Yu, H., Liu, S. Wang, C., Yan, M.,  Sun, L., et al. (2022). Hope and depression: the mediating role of 
social support and spiritual coping in advanced cancer patients. BMC Psychiatry, 22, 345,1-9.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16.	Feng, L., Yin, R. (2021). Social support and hope mediate the relationship between gratitude and 
depression among front-line medical staff during the pandemic of COVID-19. Frontiers in Psychology, 12, 
623873.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17.	Friedmann, E., Thomas, S. A., Liu, F., Morton, P. G., Chapa, D., Gottlieb, S. S., et al. (2006). Relationship of 
depression, anxiety, and social isolation to chronic heart failure outpatient mortality. American heart journal, 
152(5), 940.e1–940.e9408.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18.	Bahadır Yılmaz, E., Ergun, A. (2010). Kalp yetmezliği olan hastaların algılanan sosyal destek ile umutsuzluk 
ve ölüm kaygısı düzeyleri arasındaki ilişki. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi,6(3), 1-10.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19.	Eriksson, M., Asplund, K., Hochwalder, J., Svedlund, M. (2013). Changes in hope and health-related quality 
of life in couples following acute myocardial infarction: a quantitative longitudinal study. Scand J Caring Sci, 
27, 295-302.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20.	Kavradim, S. T., Özer, Z. C. (2014). Kanser tanısı alan hastalarda umut, Psikiyatride Güncel Yaklaşımlar, 
6(2), 154-164.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21.	Tully, P., Baker, R. A. (2012). Depression, anxiety, and cardiac morbidity outcomes after coronary artery 
bypass surgery: a contemporary and practical review. J Geriatr Cardiol, 9(2),197-208.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22.	Herth, K. (1991). Development and refinement of an instrument to measure hope. Scholarly Inquiry for 
Nursing Practice, 5(1), 39-51.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23.	Aslan, Ö., Sekmen, K., Kömürcü, Ş., Özet, A. (2007) Kanserli hastalarda umut. C.Ü. Hemşirelik Yüksekokulu 
Dergisi,11(2),18-24.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24.	Beck, A. T. (1961). An inventory for measuring depression. Archives of General Psychology, 4, 561-571.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25.	Beck, A. T. (1984) Internal consistencies of the original and revised BDI. J. of Clinical Psychology, 40(6), 
1365-1367.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26.	Hisli, N. (1988). Beck depresyon envanterinin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 22, 118-126.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27.	Zimet, G. D., Dahlen, N. W., Zimet, S. G., Farley, G. K. (1988). The multidimensional scale of perceived social 
support. Journal of Personality Assessment, 52, 30-41.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28.	Eker, D., Arkar, H. (1995). Çok boyutlu algılanan sosyal destek ölçeği’nin faktör yapısı, geçerlik ve 
güvenirliği. Türk Psikiyatri Dergisi, 10(34), 45-55.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29.	Contrada, R. J., Boulifard, D. A., Hekler, E. B, Idler, E. L, Spruill, T. M, Labouvie,  et al. (2008). Psychosocial 
factors in heart surgery: presurgical vulnerability and postsurgical recovery. Health Psychology, 27(3), 309–
319.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30.	Raič, M. (2017). Depression and heart diseases: Leading health problems. Psychiatria Danubina, 29(4), 
770–777.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31.	Sbolli, M., Fiuzat, M., Cani, D., O&#039;Connor, C. M. (2020). Depression and heart failure: the lonely comorbidity. 
European Journal of Heart Failure, 22(11), 2007–2017.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32.	Karabiber, M., Dığın, F. (2023). Koroner arter bypass greft ameliyatı olacak hastaların anksiyete ve 
depresyon düzeyleri ve etkileyen faktörlerin incelenmesi. Gevher Nesibe Journal of Medical &amp; Health 
Sciences, 8(4), 1070-1078.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33.	Cserep, Z., Losoncz, E., Balog, P., Szili-Török T., Husz, A., Juhasz, B., et al. (2012). The impact of preoperative 
anxiety and education level on long-term mortality after cardiac surgery. Journal of Cardiothoracic 
Surgery,7(86), 1-8</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34.	Hare, D. L, Toukhsati, S. R., Johansson, P., Jaarsma, T. (2014). Depression and cardiovascular disease: A 
clinical review. European Heart Journal, 35,1365-1372.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35.	Carney, R. M.,  Freedland, K. E. (2017). Depression and coronary heart disease. Nature Reviews Cardiology, 
14(3), 145-155.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36.	Mattina, G. F, Van Lieshout, R. J, Steiner, M. (2019). Inflammation, depression and cardiovascular disease 
in women: the role of the immune system across critical reproductive events. Ther Adv Cardiovasc Dis, 13, 1-26.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37.	Negré, J. A. D. S., Souza, L. S., Negri, E. C. (2023). Brazilian adults&#039; hope and spirituality in preoperative heart 
surgery: A Cross-sectional study. Brazilian Journal Of Cardiovascular Surgery, 28(4), e20220230.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38.	Mahdavi, A., Esmaeili, R., Heidari-Gorji, M. A., Mohammadi-Tazeh, F., Charati, J. Y. (2016). Anxiety and hope 
to life in open heart surgery patients-A cross sectional study. J Cardiovasc Disease Res, 7(1), 23-26.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">39.	Yılmaz, E. (2016). Cerrahi süreç: Ameliyat öncesi hazırlık ve bakım. Ed: Eti Aslan F., Cerrahi Bakım Vaka 
Analizleri ile Birlikte. Akademisyen Tıp Kitabevi yayın Dağıtım ve Pazarlama AŞ. Ankara, 319-345.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">40.	Urden, L. (2010). Psychosocial alterations. Ed: Urden LD, Stacy KM, Lough ME. Critical Care Nursing. Sixth 
Edition. Mosby Elsevier, 75-91.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">41.	Mohammadi, N., Abbasi, M., Nasrabadi, A. N., Salehiomran, A., Davaran, S., Norouzadeh, R. (2015). Passion 
for life: Lived experiences of patients after coronary artery bypass graft. J Teh Univ Heart Ctr, 10(3),129-133.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">42.	Köseoğlu Örnek, Ö., Günaydın, H. N., Kolaç, N., Açıkgöz, B., Kavala, A. A., Türkyılmaz, S. (2022). Kalp damar 
cerrahi hastalarının anksiyete düzeyleri: Baş etme yöntemleri, öz-etkililik düzeyi ve sosyal destek 
mekanizmalarının incelenmesi: Tanımlayıcı ve ilişki arayıcı araştırma. Turkiye Klinikleri J Cardiovasc Sci. 
34(2), 35-45.</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">43.	Sorensen, E., Wang, F. (2009). Social support, depression, functional status, and gender differences in 
older adults undergoing first-time coronary artery bypass graft surgery. Heart &amp; Lung, 38(4), 306-317.</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">44.	Sarıçam, H., Akın, A. (2013). Bütünleyici umut ölçeğinin Türkçe’ye uyarlanması: Geçerlik ve güvenirlik 
çalışması. Adıyaman Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 6(15), 291-308.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
