Abstract: Objective To analysis the evolution of the concept of health literacy of chronic disease and clarify its connotation. Methods We comprehensively searched for studies related to health literacy of chronic diseases from databases, including CNKI, Wanfang Data, CBM, VIP, PubMed, Web of Science, ProQuest, Springer Link and Elsevier Science Direct. Relevant papers from the inception of databases up to July 2023 were selected. Rodgers evolutionary method of concept analysis was applied. Results A total of 47 articles were included. Ultimately, the concept attributes of health literacy of chronic disease were knowledge of chronic diseases, treatment adherence, actively accessing and understanding health information, ability to interact in face-to-face and online, health decision-making. Antecedents include demographic factors, disease factors, family and social support, -本文引用:陈爽,李艳玲.慢性病健康素养的概念分析［J］.医学研究与教育,2024,41(2):71-80.DOI:10.3969/j.issn.1674-490X.2024.02.010.·护理学·慢性病健康素养的概念分析陈爽^1,2,李艳玲²(1.河北大学护理学院,河北 保定 071000;2. 河北大学附属医院,河北 保定 071000)摘要:目的 梳理慢性病健康素养的概念演变并阐明其概念内涵。方法 全面检索中国期刊全文数据库、万方数据知识服务平台、中国生物医学文献数据库、维普数据库、PubMed、Web of Science、ProQuest、Springer Link、Elsevier Science Direct数据库中与慢性病健康素养相关的研究,检索时限为建库至2023年7月。采用Rodgers演化概念分析法进行分析。结果 共47篇文献纳入概念分析。最终归纳出慢性病健康素养的概念属性分别是慢性病防治知识、治疗依从性、主动获取和理解健康信息、线上及线下交互能力、健康决策;前因包括人口学因素、疾病因素、家庭和社会支持、心理因素及组织因素;后果包括自我管理行为、自我效能、疾病控制情况、健康赋权及健康相关生活质量。结论 通过概念分析明确了慢性病背景下健康素养的概念内涵,随着相关研究的不断涌现,这一概念内涵还需要进一步探索与演变。关键词:慢性病;健康素养;概念分析;护理DOI:10.3969/j.issn.1674-490X.2024.02.010中图分类号:R473.1 文献标志码:A 文章编号:1674-490X(2024)02-0071-10Concept analysis of health literacy of chronic diseasesCHEN Shuang^1,2,LI Yanling²(1. College of Nursing Sciences,Hebei University,Baoding 071000,China;2. Affiliated Hospital of Hebei University,Baoding 071000,China)Abstract: Objective To analysis the evolution of the concept of health literacy of chronic disease and clarify its connotation. Methods We comprehensively searched for studies related to health literacy of chronic diseases from databases, including CNKI, Wanfang Data, CBM, VIP, PubMed, Web of Science, ProQuest, Springer Link and Elsevier Science Direct. Relevant papers from the inception of databases up to July 2023 were selected. Rodgers evolutionary method of concept analysis was applied. Results A total of 47 articles were included. Ultimately, the concept attributes of health literacy of chronic disease were knowledge of chronic diseases, treatment adherence, actively accessing and understanding health information, ability to interact in face-to-face and online, health decision-making. Antecedents include demographic factors, disease factors, family and social support, -收稿日期:2023-09-07第一作者:陈爽(1993—),女,河北保定人,主管护师,在读硕士,主要从事慢性病护理。E-mail: chenshuang1629@163.com通信作者:李艳玲(1978—),女,河北保定人,主任护师,在读博士,硕士生导师,主要从事老年护理和护理管理研究。E-mail: xsliyanling@163.com第2期陈爽等:慢性病健康素养的概念分析2024年psychological factors, and organizational factors. Consequences include self-management behaviors, self-efficacy, disease control, health empowerment, and health-related quality of life. Conclusion The conceptual connotation of health literacy in the context of chronic diseases was clarified through concept analysis. In the future,this concept will need to be explored and evolved as relevant studies continue to emerge.

Key words: chronic disease, health literacy, concept analysis, nursing