目的 解析老年人主动健康行为的概念内涵。方法 系统检索PubMed、Web of Science、Embase、Proquest、中国知网、中国生物医学文献服务系统、万方数据库、维普等数据库中与老年人主动健康行为相关的文献,检索时限为建库至2025年4月15日,采用Walker和Avant概念分析法进行分析。结果 对最终纳入的28篇文献进行分析后发现,老年人主动健康行为定义属性包括健康意识觉醒、健康能动性增强、适老化健康行为实践、支持性自我管理实施等4个循环要素,前因包括人口社会学、心理认知及外部环境因素,后果包括对老年人自身、家庭、社会的影响。结论 明晰老年人主动健康行为概念内涵,可为护理人员开展老年人健康促进干预提供理论指引,为改善老年人健康管理、提升老年人健康水平、实现健康老龄化提供科学依据。

Objective To analyze the conceptual connotation of proactive health behavior in older adults.Methods A systematic search was conducted in PubMed, Web of Science, Embase, Proquest, CNKI, China Biomedical Literature Database (CBM), Wanfang, and VIP for literature related to proactive health behavior in older adults, with the search period from inception to April 15, 2025. The Walker and Avant concept analysis method was used for analysis.Results Analysis of the 28 ultimately included articles revealed that the defining attributes of proactive health behavior in older adults consist of 4 cyclical components: awakening of health awareness, enhancement of health agency, age-friendly health behavior practice, and supportive self-management implementation. The antecedents include demographic and sociological factors, psychological and cognitive factors, and external environmental factors. The consequences include impacts on the older adults themselves, their families, and society.Conclusions Clarifying the conceptual connotation of proactive health behavior in older adults can provide theoretical guidance for nurses to conduct health promotion intervention for the group, and offer a scientific basis for improving their health management and health status, and achieving healthy aging.

R473.59

江苏高校优势学科四期项目南京中医药大学护理学科开放课题(YSHL202501)