目的 探讨Synder希望理论对膀胱癌术后患者希望水平及自我感受负担的影响。 方法 选择2020年5月至2021年3月湖南省某三级甲等医院92例膀胱癌患者为研究对象，干预组和对照组各46例，对照组给予常规护理措施，干预组在此基础上行基于Snyder希望理论的护理干预。采用Herth希望指数量表和自我感受负担量表评价两组患者干预前后得分水平。 结果 6例患者中途退出研究，对照组有效样本44例，干预组42例。干预后，干预组患者的希望量表得分高于干预前，自我感受负担得分低于干预前，与对照组比较差异均有统计学意义（均P＜0.05）。 结论 基于Synder希望理论的护理干预能有效提升膀胱癌术后患者的希望水平，并降低自我感受负担，值得临床推广。

Objective To explore the effects of Snyder's hope theory on the hope and self-perceived burden of postoperative bladder cancer patients. Methods Ninety-two postoperative bladder cancer patients were selected from a tertiary hospital in Hunan Province from May，2020 to March，2021.They were divided into the intervention group (46 cases) and the control group (46 cases).The control group received routine nursing care，and the intervention group received nursing interventions based on the Snyder's hope theory besides the routine care.The Herth Hope Index (HHI) and Self-Perceived Burden Scale (SPBS) were adopted to evaluate the patients in the two groups before and after the intervention. Results Six cases dropped out of the study and the valid cases in the control and intervention groups were 44 and 42.The HHI score of the intervention group after the intervention was significantly higher than that before the intervention，while the SPBS score was significantly lower.The HHI and SPBS scores of the intervention group after the intervention were statistically different from those of the control group (both P＜0.05). Conclusions The nursing interventions based on the Snyder's hope theory can effectively improve the hope of postoperative bladder cancer patients，and reduce their self-perceived burden，which is worthy of clinical promotion.

R47