目的 分析并阐明癌症患者疾病感知的概念内涵。方法 系统检索PubMed、CINAHL、Cochrane Library、Embase、Web of Science、PsycINFO、中国生物医学文献服务系统、中国知网、万方和维普数据库中与癌症患者疾病感知相关的研究，检索时限为建库至2025年7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63篇文献，癌症患者疾病感知包括认知情绪多维整合、基于主观建构、动态调节反馈、文化塑造、行为导向等5个概念属性；前因包括个体及社会文化、疾病相关特征和心理情绪特质因素；后果关注情绪状态、健康行为、生活质量及社会功能重建等。结论 通过概念分析明确了癌症患者疾病感知概念属性；研究者和医护人员可结合其概念内涵，深化相关研究并制订针对性干预策略，以优化癌症患者管理。

Objective To analyze and clarify the conceptual connotations of illness perception in cancer patients.Methods A systematic search was conducted in PubMed,CINAHL,Cochrane Library,Embase,Web of Science,PsycINFO,China Biomedical Literature Service System,CNKI,Wanfang Data,and VIP Database for studies related to illness perception in cancer patients,with the research period from inception to July 2025.Literature was screened according to inclusion criteria,and Rodgers’ evolutionary concept analysis method was used to analyze the included literature.Results A total of 63 articles were included.Illness perception in cancer patients comprises 5 conceptual attributes: multidimensional integration of cognition and emotion,based on subjective construction,dynamic regulatory feedback,cultural shaping,and behavioral orientation.Antecedents include individual and sociocultural factors,disease-related characteristics,and psychological and emotional traits.Consequences focus on emotional status,health behaviors,quality of life,and reconstruction of social functions.Conclusions This concept analysis clarifies the conceptual attributes of illness perception in cancer patients.Researchers and healthcare professionals can use these conceptual connotations to deepen related research and develop targeted intervention strategies to optimize the management of cancer patients.

R473.73