目的 分析并阐述急性缺血性脑卒中就医延迟的概念内涵。方法 系统检索中国知网、万方、维普、CBM、Pubmed、Web of Science、CINAHL、Embase等数据库。检索时限为建库至2023年4月。应用Rodgers演化概念分析法对纳入文献进行分析。结果 急性缺血性脑卒中就医延迟包括：就医过程时间依赖性、就医决策态度倾向性和健康信念行为转化不适当性等3个概念属性。先决条件涉及患者、家庭及社会、医院层面；结果关注并发症的增加、预后及生活质量、家庭负担和医疗资源浪费等。结论 通过概念分析明确了急性缺血性脑卒中就医延迟的概念属性。未来研究者可在完善院内外卒中救治体系的环境下，重视社会支持，以此提高患者自我效能，改善健康信念，增强就医行为意图，并对急性缺血性脑卒中就医延迟行为进行更为全面、深入的了解。

Objective To explore the concept and connotation of delayed medical treatment in acute ischemic stroke(AIS).Methods Systematic retrieval of CNKI,Wanfang,VIP,CBM,Pubmed,Web of Science,CINAHL,Embase and other databases was conducted.The retrieval time was from inceptions to April 2023.The included literature was analyzed by Rodgers evolutionary concept analysis.Results The delay in seeking medical care for AIS included 3 conceptual attributes:time dependence of medical treatment process,attitudinal tendency of medical decision making and inappropriate transformation of health belief behavior.Prerequisites invovled the patients,family members,social environment,hospitals.The results involved the increase of complications,prognosis and quality of life,family burden and waste of medical resources.Conclusions The conceptual attribute of delay in seeking medical care for AIS was clarified through conceptual analysis.In the future,researchers can improve patients’ self-efficacy and health beliefs,enhance patients’ intention to seek medical care,and provide them a more comprehensive and in-depth understanding of delay in seeking medical care for AIS.

R473.74