Holding the hope? Therapist and client perspectives on long COVID recovery: A Q-methodology.

PURPOSE: Long COVID is a global health concern which has debilitating effects on the individual experiencing it. In the United Kingdom, psychological therapies are being offered to people with long COVID, although the evidence for these therapies is yet to be demonstrated. This research aimed to understand how therapists and clients define and understand recovery from long COVID, and use hope theory to interpret the results. METHODS: An online Q-methodology was employed, where participants sorted a range of statements pertaining to long COVID recovery based on their level of agreement with them. These arranged statements (Q-sorts) were collated and factor analysed to explore and compare underlying perspectives. RESULTS: Sixteen participants were recruited for the study, including eleven clients, four IAPT therapists and one therapist working in the broader long COVID pathway. A four-factor model is reported, including (1) Psychological Pathways to Recovery, (2) Social Context and Agency, (3) Physiological Goals of Recovery and (4) Personal Meaning Making. All IAPT therapists loaded onto the psychological pathways factor, whereas the remaining participants shared more diverse perspectives. CONCLUSIONS: The belief that long COVID recovery was possible, taken as an indicator of hopefulness, was rated highest for Factor 1, Psychological Pathways to Recovery, and Factor 3, Physiological Recovery Goals. This suggested that having a clear definition of recovery, or clear guidance on how to intervene, promoted hopefulness and, theoretically, well-being. However, clients reported experiences of being invalidated and disbelieved by health professionals, with psychological explanations sometimes being experienced as dismissive and invalidating. Clinical implications and future research directions are discussed.

Application of nursing intervention based on Snyder's hope theory in individuals with spinal cord injury.

OBJECTIVE: To study the effect of nursing intervention derived from Snyder's hope theory in individuals with spinal cord injury. METHODS: We retrospectively analyzed clinical data of 80 patients with spinal cord injury who were admitted to General Hospital of Pingxiang Mining Group Co., from August 2021 to October 2023. According to different nursing methods, they were assigned into a control group (n = 40, routine curative care) and an observation group (n = 40, routine curative care plus nursing intervention derived from Snyder's hope theory). The two groups were compared in terms of emotional state, level of hope, living standard, occurrence of complications, and nursing satisfaction. According to the occurrence of complications after nursing, the patients were divided into a good prognosis group and a poor prognosis group, and the influencing factors for prognosis were analyzed by univariate analysis and logistic multivariate analysis. RESULTS: After nursing, the anxiety and depression scores decreased in both groups when compared to their pre-nursing scores, with lower scores in the observation group than in the controls (P<0.05). Also, the observation group exhibited significantly higher score of hope, higher score of quality of life, and lower occurrence of complications when compared to the control group (P<0.05). The nursing satisfaction rate in the observation group was 95.00% (38/40), which was noticeably greater than 65.00% (26/40) in the control group (P<0.05). Multivariate analysis showed that nursing methods (P = 0.007, OR = 7.828, 95% CI: 1.766-34.688) and HB after intervention (P = 0.029, OR = 0.965, 95% CI: 0.935-0.996) were the influencing factors of complications after nursing intervention in patients with SCI. CONCLUSION: The implementation of nursing intervention derived from Snyder's hope theory can decrease the anxiety and depression levels, lower the occurrence of complications, enhance the hope level, increase the satisfaction rate, and improve the overall quality of life in patients with spinal cord injury.

Feeling hopeful: development and validation of the trait emotion hope scale.

While prominent measures of hope are largely cognitive in nature, many scholars and laypeople view hope primarily as an emotion. Although Snyder's Elaborated Hope Theory attempts to theoretically balance these two perspectives, no measure yet exists of hope as a purely emotional process, only as a cognitive process. Overlooking the emotional features of hope limits our ability to more fully and precisely understand this construct. As such, across three studies (N = 2,900), we develop and validate the Trait Emotion Hope Scale (TEHS). In Study 1, we report on item development and piloting of the TEHS, examining internal consistency as well as convergent and discriminant validity. Study 2 includes an exploratory factor analysis (EFA) and further examines internal consistency and construct validity. Finally, in Study 3 we report a confirmatory factor analysis (CFA) to cross-validate the factor structure identified in Study 2 in a large, international sample. Importantly, we find that the TEHS accounts for significant unique variance beyond cognitive hope, indicating that the two constructs are distinct and not redundant. Taken together, these three studies demonstrate that the TEHS is psychometrically sound and provides a valid measure for those interested in examining hope as an emotion in their research.

Corrigendum: "A new hope" for positive psychology: a dynamic systems reconceptualization of hope theory.

[This corrects the article DOI: 10.3389/fpsyg.2022.809053.].

Nursing model based on Snyder's hope theory in emergency care of patients with acute myocardial infarction.

OBJECTIVE: To investigate the effect of Snyder's hope theory in emergency care for patients with acute myocardial infarction (AMI). METHODS: This retrospective study included 200 AMI patients admitted to Rugao People's Hospital from January 2019 to December 2021. The patients were divided into a conventional group (routine care, n=100) and an intervention group (care based on Snyder's Hope theory, n=100) according to differences in nursing approach. Baseline data of the two groups were collected. The psychological state was evaluated using the self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Self-care ability was assessed using the exercise of self-care agency (ESCA) scale. The myocardial enzyme indexes including cardiac troponin T (cTnT) and myocardial creatine kinase isoenzyme (CK-MB), as well as electrocardiogram index (Tp-Te/QT) were compared between the two groups. Complications of the two groups were recorded, and the risk factors for complications in the intervention group were examined. RESULTS: After nursing, the SAS and SDS scores in the intervention group were lower than those in the conventional group (P < 0.05). The ESCA scores in all dimensions were higher in the intervention group than those of the conventional group (P < 0.05). The cTnT and CK-MB decreased in both groups, but the decreases in the intervention group were greater than those of the conventional group (P < 0.05). The Tp-Te/QT in the intervention group (0.25±0.04) was lower than that in the conventional group (0.32±0.06, P < 0.05). The incidence of complications in the intervention group was 9.00%, lower than 21.00% in the conventional group (P < 0.05). Multivariate logistic regression analysis showed that cTnT, CK-MB, and Tp-Te/QT were influencing factors for complications in the intervention group (P < 0.05). CONCLUSION: The effect of nursing based on Snyder's hope theory in emergency care fof AMI patients is promising because it can improve the psychological state of patients and reduce the incidence of complications.

A randomized controlled trial of a nurse-led psychological pain solution-focused intervention for depressed inpatients: study protocol.

BACKGROUND: Depressed patients commonly experience psychological pain. Research pointed to positive psychological interventions as an effective means of ameliorating psychological pain, although the exact effect is unclear. Based on the hope theory and solution-focused brief therapy (SFBT), this study combines hope theory with solution-focused brief therapy to develop a nurse-led psychological pain solution-focused (PPSF) intervention in depressed patients. METHODS: This is an assessor-blinded randomized controlled trial following the SPIRIT guidance. A total of 84 depressed patients will be recruited from the inpatient wards of a psychiatric hospital and randomly assigned to the control and experimental groups. Patients in the control group will be treated as usual. In contrast, patients in the experimental group will receive 6 sessions of the PPSF intervention for two weeks on top of the routine care. Primary outcomes are psychological pain, hope, cognitive distortions. Secondary outcomes are depression and suicidal ideation. Data will be collected at 5-time points: baseline, 1 and 2 weeks (post-intervention), 1 month (follow up), and 6 months after baseline. Generalized equation evaluation will be used to assess the effectiveness of the PPSF intervention. DISCUSSION: From a positive psychology perspective, there remains much room for developing psychological pain interventions in depressed patients. SFBT and hope theory are both based on positive psychology. With hope theory as the general framework and SFBT questions as the practical guide, the PPSF intervention program is designed that nursing staff can implement. If the intervention is effective, it will advance the development of psychological pain interventions for patients with depression. TRIAL REGISTRATION: ChiCTR2100048223.

Virtuous Hope: Moral Exemplars, Hope Theory, and the Centrality of Adversity and Support.

Psychology has primarily studied hope as a value-neutral trait even though it has a history of being counted among the virtues. The current study seeks to conceptualize hope as a virtue while building on the dominant empirical paradigm (Hope Theory; Snyder, 2002). Ithemba is the isiZulu word for hope, and this qualitative study investigated the lived experiences and meaning construction of ithemba/hope among 13 nominated moral exemplars in a South African township. Participants ranged from 20 to 75+, including farmers, educators, caregivers, entrepreneurs, and construction workers. Independent coders conducted thematic analysis from a theoretical top-down process (within Hope Theory and virtue science frameworks) and an inductive bottom-up approach (open coding). Data reflected much of the existing Hope Theory model; however, many pathways were relational and spiritual, and goals were inherently beneficial to others. A virtue science framework was used to construct the cognitive, motivational, and behavioral dimensions of virtuous hope. This study constructed the operational definition of virtuous hope as the ardent pursuit of realizing a particular vision of the common good with intention and action, often growing out of adversity and shaped in relation to other people and the transcendent. Supplementary Information: The online version contains supplementary material available at 10.1007/s41042-022-00083-1.

Carpe diem or carpe mañana? Emotion priming affects intertemporal choice among Internet addicts and normal Internet users.

In this digitalized era, Internet addiction has been a severe problem that needs imperative solutions derived from the same mechanism that leads to its addiction. To uncover a more nuanced mechanism for Internet addiction in association with decision-making focus and emotions and thus generate effective interventions, we conducted three experiments to investigate how various forms of emotion priming affect intertemporal choice among Internet addicts and normal Internet users. We divided the emotions into three categories, namely emotional valence (negative and positive emotions), expected emotion type (expected regret, expected joy), and current emotion type (current regret, current joy). In experiment one, we examined the effect of two participant types (Internet addicts and normal Internet users) with three emotion valences (positive, negative, and neutral). In experiment two, we examined the effect of two participant types (Internet addicts and normal Internet users) with three current emotion types (current regret, joy, and neutral). In experiment three, we examined the effect of two participant types (Internet addicts and normal Internet users) with two expected emotion types (expected regret and expected joy). We conducted a completely randomized experimental design in each experiment and used subjective value as the dependent variable index of intertemporal choice. The results showed that the subjective value of Internet addicts was significantly lower than that of normal Internet users across three studies. The subjective value of individuals primed with positive emotions was significantly higher than those primed with negative emotions, no matter whether they were normal Internet users or addicts (experiment one). The subjective value of individuals primed with expected joy was significantly higher than those primed with expected regret, no matter whether they were normal Internet users or addicts (experiment three). When primed with current joy, however, the Internet addicts' subjective value was significantly lower than when primed with current regret, but this did not apply to normal Internet users (experiment two). These results suggest positive emotions and expected joy enhanced long-term goals and greater rewards focus on intertemporal decision-making compared to negative emotions and expected regret. However, current joy facilitated short-term goals, and smaller rewards focus on intertemporal decision-making compared to current regret. The theoretical and practical implications for Internet addiction are also discussed in this paper.

The hope theory and specific learning disorders and/or attention deficit disorders (SLD/ADHD): Developmental perspectives.

Research on disabilities has generally used a deficit-oriented approach. However, the recent appreciation of the personal strengths and positive traits of the disabled has raised awareness of them as empowering and activating factors. According to the hope theory, the ability to embrace future perspectives, set meaningful goals, and plan specific paths to reach these goals predict well-being and adjustment. We review the research on the role of hope in the lives of individuals with SLD/ADHD from a developmental perspective. We investigate hope as a resource in predicting these people's ability to deal with personal risks through developmental stages and contextual conditions. We conclude by proposing future research and intervention directions.

Psychosocial factors associated with dispositional hope, agency thinking, and pathways thinking in a homeless adult population.

Adults facing homelessness often perceive themselves to be at the bottom of society, which has implications for their current and future well-being. Snyder's hope theory, which posits that agency thinking and pathways thinking are necessary for achieving a hopeful outlook on life, may be helpful for understanding drivers of well-being among individuals experiencing homelessness. In this study, we examined dispositional hope, perceived goal attainment, social support, and perceived standing in society among 123 adults experiencing homelessness who were attending a support group at a daytime drop-in center in the United States. Participants completed self-report measures related to the aforementioned variables of interest. We discovered that higher levels of self-reported goal attainment, independent of the type of goal identified, were significantly associated with total hope and both its subscales, that social support was significantly associated with total hope and pathways thinking, and that perceived standing in society was significantly associated with total hope and agency thinking.

"A New Hope" for Positive Psychology: A Dynamic Systems Reconceptualization of Hope Theory.

In this review of the central tenets of hope theory, we examine the meta-theoretical, theoretical, and methodological foundations of the literature base. Our analysis moves from a broad examination of the research landscape in hope theory across disciplines, to a deeper investigation of the empirical literature in university students. This review highlights the significant impact of this body of research in advancing our understanding of aspects of thriving characterized by hope. However, we also evidence several limitations that may impede the advancement of the next wave of growth in this field. To address these limitations, we argue for an interdisciplinary approach to expanding the meta-theoretical, theoretical, and methodological horizons, enabling a more dynamic systems approach to the study of hope. Drawing on the intersection of positive psychology with systems thinking, we describe a methodological approach that enables a deeper examination of the processes and interactions through which hope emerges, using an analysis of the lived experience of young people. It is proposed that this research agenda will bring to life an alternate story about the resourcefulness of our youth through their own voice, enabling us to leverage this in the design of more effective strategies to facilitate hope in the future. This research agenda provides a roadmap that will provide alternative methodologies that address the current limitations in the field of hope research and, importantly, can provide fuel to spur on the acceleration of the next wave of research and practice in the field of positive psychology more broadly.

Application of Snyder’s hope theory in patients with pelvic floor exercise after prophylactic stoma retraction / 中国实用护理杂志

Objective:To explore the effect of pelvic floor muscle functional exercise based on Snyder hope theory in patients after prophylactic stoma retraction.Methods:74 patients with low rectal cancer who underwent prophylactic stoma retraction from July 2019 to June 2021 were randomly divided into intervention group and control group. The patients in the control group received routine nursing and pelvic floor muscle functional exercise. The patients in the intervention group received functional exercise intervention based on Snyder′s hope theory on the basis of the control group. The hope level and self-care ability of the patients in the two groups were evaluated before the intervention and 3 months after stoma restitution. The anal function of the patients in the two groups was evaluated 1 month and 3 months after stoma restitution.Results:Before the intervention, there was no significant difference in the score of hope level and self-care ability between the two groups ( P>0.05). Three months after the operation, the score of hope level in the observation group was 36.20 ± 3.82, which was higher than that in the control group (31.26 ± 5.03) ( t = 4.63, P<0.05). Three months after the operation, the self-care ability score of the observation group was 123.57 ± 10.82, which was higher than that of the control group (108.23 ± 9.48) ( t = 6.31, P<0.05). One month and three months after stoma retraction, the anal function scores of the observation group were 12.03 ± 3.94, 5.91 ± 2.05 respectively, which were lower than those of the control group (13.86 ± 2.19, 7.26 ± 1.74) ( t = 2.40, 2.99, both P<0.05). Conclusion:Pelvic floor muscle functional exercise based on Snyder′s hope theory can improve the hope level of patients after stoma retraction, improve their anal function and improve their self-care ability.

An Emerging Preventive Mental Health Care Strategy: The Neurobiological and Functional Basis of Positive Psychological Traits.

Even with the expanding burden of the COVID-19 pandemic on mental health, our approach to mental health care remains largely reactive rather than preventive. This trend is problematic because the majority of outpatient visits to primary care providers across the country is related to unmet mental health needs. Positive psychology has the potential to address these issues within mental health care and provide primary care providers with strategies to serve their patients more effectively. Positive psychology has many frameworks like hope, which can be measured using simple questionnaires in the waiting room. Moreover, there is a growing body of neurobiological evidence that lends credence to positive psychology concepts in the context of differential neuronal activation patterns. Many positive psychological instruments not only have high construct validity but also have connections to observable neurobiological differences tied to differences in psychosocial functioning. Despite the current evidence, we still need robust research that explores if such psychometric measurements and related interventions lead to clinically significant and favorable health outcomes in patients outside of controlled environments.

Intervention study of Snyder's hope theory on the stigma of stroke in young and middle-aged patients: a randomised trial.

BACKGROUND: Stigma refers to the sense of discrimination that society has towards a certain group of people, and this part of the group will also have a sense of shame due to their own negative circumstance. Young and middle-aged stroke patients need long-term effective support from their families and society, which can easily produce shame, and have a negative impact on disease treatment. METHODS: A total of 94 young and middle-aged stroke patients admitted to our hospital from November 2018 to November 2020 were selected and randomly allocated to 2 groups, with 47 cases in each group. The control group received routine intervention, and the observation group received SHT intervention. The stigma, hope level, compliance with functional exercise, National Institute of Health Stroke Scale (NIHSS) score and changes in activities of daily living were compared between the 2 groups before and after intervention. RESULTS: The total scores of social interaction, treatment, ability, and stigma of the observation group were lower than those of the control group after 1 month of intervention (P<0.05). The observation group's positive attitude towards reality and the future, taking positive actions, maintaining close relationships with others, and hope levels after 1 month of intervention were all higher than the control group (P<0.05). The functional exercise compliance of the observation group was higher than that of the control group after 1 month of intervention (P<0.05). The Barthel index score of the observation group was higher than that of the control group after 1 month of intervention, and the NIHSS score was lower than that of the control group (P<0.05). CONCLUSIONS: The application of SHT to young and middle-aged stroke patients can reduce stigma, improve hope level and compliance with functional exercise, improve neurological function, and enhance the ability for daily living. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100045926.

Positive Psychology and Hope as Lifestyle Medicine Modalities in the Therapeutic Encounter: A Narrative Review.

The majority of deaths in the United States are attributable to lifestyle-associated chronic diseases. Therapeutic encounters must now routinely address lifestyle-related behavior changes and promote patients' active involvement in self-care and chronic disease management. Positive psychology has been recognized in the realm of lifestyle medicine for its potential applications in effecting patient behavior change. One notable framework within positive psychology that is well suited for facilitating specific behavior changes is hope theory, which can be used to elicit change talk and build agency among patients with chronic diseases. This review explores key literature in positive psychology and hope theory and its practical applications to direct patient care, which includes an illustrative case study. There are still many unexplored intersections of health-related variables and hope. The cognitive framework of hope theory lends itself well to a broad range of situations, including brief ambulatory encounters. Clinicians will be instrumental in increasing our understanding of how hope theory can be applied to the therapeutic encounter. There are simple and efficient ways to innovate in this area. Having information about a patient's hope has the potential to make empathic connections easier and create opportunities to ask specific questions to help patients overcome barriers.

Measuring hope during the COVID-19 outbreak in the Philippines: development and validation of the state locus-of-Hope scale short form in Filipino.

Various adaptations of the Dispositional Hope Scale have been validated and used for specific research and applied purposes. The Locus-of-Hope Scale was developed as a cultural adaptation that measures internal and external aspects of agency related to goal-pursuit that are typical in collectivist cultures. The scale has been used to account for variations in well-being-related factors in collectivist societies but still assumes that hope-related thoughts are dispositional. A State Locus-of-Hope Scale was developed to assess hope-related thinking concerning ongoing events and experience during the COVID-19 outbreak in the Philippines in March 2020. The 16-item scale in Filipino was adapted from a short version of Locus-of-Hope Scale. Using data from 3128 respondents, confirmatory factor analysis indicated a good fit between the four-factor model (compared to one-factor and two-factor models), supporting the scale's structural validity. There was also good evidence for the subscales' convergent and discriminant validity. Preliminary evidence for construct criterion validity was demonstrated by examining associations with well-being and anxiety. The results indicate the viability of the State Locus-of-Hope scale for assessing temporal hope-related thoughts that can inform efforts to understand how individuals engage in goal-related processes and maintain well-being in specific personal and social situations.

When Facing Hopeful and Hopeless Experiences: Using Snyder's Hope Theory to Understand Parents' Caregiving Experiences for Their Medically Complex Child.

INTRODUCTION: An emerging subpopulation within pediatric chronic illness is children living with complex chronic conditions. Managing a child's complex chronic conditions can be emotionally taxing for parents. Many parents regard hope as a "life-sustaining and essential" process for them. METHOD: We used the central concepts within Snyder's hope theory to guide our directed content analysis of parents' interviews about their hopeful and hopeless experiences. Our sample consisted of primarily Christian married mothers. RESULTS: We found themes within each concept of Snyder's hope theory that clarifies the social and communicative processes that facilitate more hopeful thinking for parents. DISCUSSION: Understanding how individuals communicate or enact hopeful thinking is an important contributor to performing hope in social settings like hospitals and nonprofit organizations (Ronald McDonald House) that support parents with medically complex children. Our findings indicate that messages should help parents identify care solutions, offer words of encouragement, and help parents create life goals that maintain a child's quality of life.

Hope and Physical Exercise: The Contributions of Hope, Self-Efficacy, and Optimism in Accounting for Variance in Exercise Frequency.

We examine the relationship of hope with exercise using Snyder's hope model, which defines hope as a combination of goal-directed planning (pathways) and motivation (agency). We surveyed 102 participants online via Amazon MTurk. The Adult Hope Scale and Goal-Specific Hope Scale assessed general hope and hope regarding exercise. The Leisure-Time Exercise Questionnaire assessed frequency of exercise and of any activity "long enough to work up a sweat." We also measured optimism, exercise self-efficacy, depression, anxiety, and stress. Because hope emphasizes planning and motivation (both likely needed in fitness regimens), we expected it to relate to exercise frequency after controlling for these other variables. Indeed, exercise goal-specific hope was correlated with frequency of exercise and activity long enough to sweat, though general hope was not. This relationship held after controlling for all other variables. Future research may be useful in investigating causality, including whether hope-based interventions result in increased exercise engagement.

A quasi-experiment of hope group counseling on improving hope levels in offenders / 中国心理卫生杂志

Objective:To explore the effectiveness of an 8-week hope group counseling on the level of hope in offenders.Methods:The experiment used quasi-experiment design and 24 offenders whose scores of Adult Dispositional Hope Scale (ADHS) were one standard deviation lower than the overall average were assigned to the intervention group (n =12) and the control group (n =12).The subjects in the intervention group received group counseling for improving the level of hope (90 min per week for 8 times),and the control group kept normal.The ADHS (including agency thoughts and pathway thoughts),Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to evaluate the effectiveness before and after intervention.Besides,the study involved the follow-up test in the forth-week after the intervention.Differences within groups were compared by using t-test of paired samples.Differences between groups were compared by using analysis of covariance and JohnsonNeyman method.Result:The results of differences within groups showed that,in the follow-up test,the scores of ADHS,agency thought and pathway thought were higher than that of before the intervention,and the scores of SAS were lower than that of before the intervention(Ps ＜0.01).The results of differences between groups showed that,=in the follow-up test,the scores of ADHS,agency thought and pathway thought were higher in the intervention group than in the control group,and the scores of SAS were lower in the intervention group than in the control group [(48.0 ±5.7)vs.(39.2 ±5.6),(23.1 ±3.4)vs.(19.0 ±3.2),(24.9 ±3.0)vs.(20.2 ± 3.4),(36.4 ± 7.6)vs.(41.2 ±6.5);Ps ＜0.01].The results of Johnson-Neyman method showed that when the scores of ADHS in the intervention group were between 8 and 37 points on the pre-test,the scores of hope on the post-test were higher in the intervention group than in the control group[(48.8 ± 4.9) vs.(35.7 ± 4.9),P ＜ 0.05].Conclusion:These findings suggest that the group counseling could improve the level of hope in offenders.

Evaluation of Snyder hope theory in early rehabilitation of stroke patients / 中国实用护理杂志

Objective To study the effects of early rehabilitation with stroke patients by applying Snyder hope theory in clinical nursing. Methods A total of 76 acute stroke patients from Henan Province Hospital of Traditional Chinese Medicine were divided into two groups by random digits table method:experimental group and control group, 38 cases in each group. The final effective cases were 72 and 36 cases in each. The control group received routine care, while those in the experimental group accepted nursing intervention with Snyder hope theory based on routine puncture care for 4 weeks. Herth Hope Index(HHI), National Institute of Health Stroke Scale(NIHSS), Barthel Index(BI) and adherence score before and after 4 weeks were evaluated and compared between 2 groups. Results Before intervention and 4 weeks after intervention, the experimental group of patients with hope level score respectively (31.61 ± 1.95), (40.67 ± 4.01) points, NIHSS scores respectively (18.27 ± 5.31), (10.41 ± 4.21) points, BI scores respectively (37.19 ± 3.31), (46.12 ± 3.51) points, and adherence of functional exercise scores (0.97 ± 0.31), (2.81 ± 0.52) points. The differences were statistically significant (t=17.765-52.571, all P<0.01). There were statistically significant differences with hope level, NIHSS score, BI score before intervention and 4 weeks after intervention in the control group (t=5.435, 4.929, 11.067, all P<0.01), except for adherence of functional exercise scores (t=1.220, P=0.231) in the control group, but the change not as the experimental group. Compared with the control group, there were statistically significant in the score of hope level, NIHSS score, BI score and adherence of functional exercise with the experimental group after intervention ( t=6.030-10.690, all P<0.01). Conclusions The nursing with Snyder hope theory can promote the progress of early rehabilitation of acute stroke patients as well as the patients′exercise adherence.