目的 分析并阐明夫妻疾病沟通的概念内涵。方法 系统检索中国知网、万方、维普、中国生物医学文献服务系统、PubMed、Web of Science、Scopus、Embase、psycINFO和CINAHL数据库中与夫妻疾病沟通相关的研究，检索时限为建库至2022年12月，依据纳入标准筛选文献，应用Rodgers演化概念分析法对文献进行分析。结果 共纳入39篇文献,夫妻疾病沟通包括4个概念属性：疾病内容沟通、情感性沟通、沟通风格和保护性隐瞒;前因包括社会、疾病、心理和沟通因素,后果包括亲密关系、心理健康、社会支持、生活质量、疾病不确定感和恐惧感。结论 通过概念分析明确了夫妻疾病沟通的概念属性，研究者可结合其概念内涵，对夫妻疾病沟通进行更为全面、深入的研究。

Objective To analyze and clarify the conceptual connotation of disease communication in couples.Methods We searched the studies on disease communication in couples from CNKI,Wanfang Data,VIP,SinoMed,PubMed,Web of Science,Scopus,Embase,psycINFO,and CINAHL.We selected the relevant papers from the inception of databases to December 2022 according to inclusion criteria.Rodgers evolutionary method of concept analysis was used to analyze those literatures.Results A total of 39 articles were retrieved.Four attributes were identified on disease communication in couples,including communication of disease content,affective communication,communication style,and protective concealment.Antecedent factors included society,disease,psychology,and communication.Consequence factors included intimacy,mental health,social support,quality of life,uncertainty of disease,and fear of disease.Conclusions The concept analysis identified the concept attributes of disease communication in couples and to provide guidance for researchers to conduct more comprehensive and in-depth studies.

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国家自然科学基金项目（72004205）；中国博士后基金面上项目（2019M652589）；河南省高等学校重点科研项目（21A320068）