目的 分析并阐明老年慢性病患者健康信息回避的概念内涵。方法 系统检索PubMed、Web of Science、CINAHL、Embase、ProQuest Dissertations & Theses Global、中国生物医学文献服务系统、中国知网、维普、万方等数据库，并追溯了领域内关键理论文献，检索时限为建库至2024年3月。应用Rodgers演化概念分析法对纳入文献进行分析。结果 共纳入51篇文献。老年慢性病患者健康信息回避包括负面的情感响应、主动的回避行为、情境依赖性3个概念属性；前因包括情绪防御、行为惯性、低健康素养和高认知负荷；后果包括自我健康管理不足、代际矛盾扩大、医患关系受损和社会隔离加重。结论 通过概念分析明确了老年慢性病患者健康信息回避的概念属性，研究者可结合其概念内涵，进行更为全面、深入的研究。

Objective To analyze and clarify the conceptual connotation of health information avoidance in elderly patients with chronic diseases. Methods Databases including PubMed, Web of Science, SINAHL, Embase, ProQuest Dissertations & Theses Global, Chinese Biomedical Literature Service System, CNKI, VIP, and Wanfang were systematically searched, and key theoretical literature in the field was traced,with the search period from inception to March 2024. Rodgers’ evolutionary concept analysis method was applied to analyze the included literature.Results A total of 51 articles were included. The concept of health information avoidance in elderly patients with chronic diseases included 3 attributes: negative emotional response, active avoidance behavior, and context dependence. Antecedents included emotional defense, behavioral inertia, low health literacy, and high cognitive load. Consequences included insufficient self-health management, increased intergenerational conflict, impaired doctor-patient relationship, and exacerbated social isolation.Conclusions This concept analysis clarifies the attributes of health information avoidance in elderly patients with chronic diseases, enabling researchers to conduct more comprehensive and in-depth studies based on its conceptual connotation.

R473.59

国家自然科学基金（72204066）；黑龙江省哲学社会科学研究规划项目（21RKC212）