摘要目的：探讨希望理论对强直性脊柱炎患者住院期间心理状况的影响。方法将80例强直性脊柱炎患者随机分为观察组和对照组，每组40例，两组患者均给予常规护理和心理健康教育，观察组在此基础上将希望理论贯穿其中。分别使用Herth希望指数( HHI)、焦虑自评量表( SAS)、抑郁自评量表( SDS)评价两组患者的心理状况和希望指数的变化。结果干预后，观察患者 T 维度、P 维度评分及总分均明显优于对照组(P<0.05)，观察组患者SAS、SDS评分下降明显优于对照组患者(P<0.05)，观察组患者出院当天护理满意度评分明显高于对照组患者( P<0.05)。结论基于希望理论开展的护理措施和健康教育能提高强直性脊柱炎患者的希望指数，改善其焦虑、抑郁的心理情绪，提高患者的生活质量。

abstractsObjective To explore the influence of the theory of hope on the psychological status of patients with ankylosing spondylitis during hospitalization. Methods A total of 80 cases of patients with ankylosing spondylitis were randomly divided into observation group and control group, 40 cases in each group. The patients of the two groups were both given routine care and mental health education. The observation group adopted the theory of hope on the basis of the observation group. Herth hope index ( HHI ) , Self-rating Anxiety Scale ( SAS ) and Self-rating Depression Scale ( SDS) were used to evaluate the psychological status and hope index of the patients of the two groups. Results After the intervention, the T dimension, P dimension score and total score of the patients of the observation group were signifi-cantly better than that of the control group ( P<0. 05 ) . The SAS and SDS scores of the observation group were signifi-cantly lower than that of the control group ( P<0. 05 ) , and the satisfaction rate of the patients of the observation group at discharge was significantly higher than that of the control group ( P<0. 05 ) . Conclusions The nursing measures and health education carried out on the basis of the hope theory can improve the hope index of ankylosing spondylitis pa-tients, improve their anxiety and depression, and improve the quality of life of patients with anxiety and depression.