目的 明确慢性病患者感知控制概念的定义及内涵，为制订干预措施提高其感知控制水平提供借鉴。方法 系统检索Web of Science、PubMed、中国知网、万方、维普数据库中慢性病患者感知控制的相关文献，检索时间为各数据库建库至2024年1月。采用Rodgers演化概念分析法进行分析。结果 共纳入39篇文献。慢性病患者感知控制包括贯穿疾病管理周期、多维度交互影响、以调整重评内部资源为依托、以实现健康行为重塑为导向4个概念属性，其先决条件包括患者人口学因素、疾病相关因素、心理及社会因素；结果包括影响患者自我管理行为、影响患者生活质量、影响患者症状负担；测量指标为慢性病患者感知控制水平。结论 通过概念分析明确了慢性病患者感知控制的概念属性，有助于护理人员结合感知控制内涵，识别慢性病患者感知控制特征并制订针对性干预措施，以提高其感知控制水平，帮助其预防或减轻疾病管理失控，促进其身心健康。

Objective To clarify the definition and connotation of the concept of perceived control in patients with chronic diseases,and to provide a reference for formulating intervention measures to improve their perceived control level.Methods Systematic literature search was conducted in Web of Science,PubMed,CNKI,Wanfang,and VIP databases for relevant literature on perceived control in patients with chronic diseases,with the search period from the inception of databases to January 2024.The Rodgers evolutionary concept analysis method was used for analysis.Results A total of 39 literatures were included.Perceived control in patients with chronic diseases included 4 conceptual attributes,namely management throughout the course of the disease,multidimensional interactive influence,relying on the adjustment and evaluation of internal resources and orientation to a health behavior remodeling.Its preconditions included patient demographic factors,disease-related factors,psychological and social factors.The results included influencing self-management behavior,affecting quality of life and effecting the burden of symptoms.The measured index was the perceived control level of patients with chronic diseases.Conclusions The conceptual attributes of perceived control in patients with chronic diseases are clarified by concept analysis,which is helpful for nursing staff to combine the connotation,identify its characteristics,formulate targeted interventions to improve the level of perceived control,help patients prevent or reduce disease management out of control,and promote physical and mental health.

R47-05

河南省科技攻关计划(232102310500)