目的 通过Meta分析明确国内社区老年人健康促进行为的影响因素，为制订针对性的干预措施提供依据。方法 计算机检索PubMed、Web of Science、Embase、The Cochrane Library、知网、万方、维普、中国生物医学文献服务系统等中英文数据库中公开发表的国内社区老年人健康促进行为相关研究。采用R 4.4.3软件进行Meta分析。结果 共纳入20篇横断面研究，总样本量17 529例。结果显示，性别、受教育程度、家庭人均月收入水平、参加健康教育活动、自我效能、日常生活能力、社会支持情况、社会支持利用度、数字健康素养等是国内社区老年人健康促进行为的主要影响因素（均P＜0.05）。结论 国内社区老年人健康促进行为受社会人口学因素、环境因素和个人内在因素的多元影响，护理人员可根据上述因素制订针对性干预措施，改善其健康促进行为。

Objective To identify the influencing factors of health-promoting behaviors among community-dwelling older adults in China through a Meta-analysis,and to provide evidence for developing targeted intervention.Methods Both Chinese and English databases,including PubMed,Web of Science,Embase,The Cochrane Library,CNKI,WanFang,VIP,and CBM,were systematically searched for published studies related to the topic.A Meta-analysis was performed using R software (version 4.4.3).Results A total of 20 cross-sectional studies were included,involving 17,529 participants.The results showed that gender,education level,average monthly household income per capita,participation in health education activities,self-efficacy,activities of daily living,social support,utilization of social support,and digital health literacy were the main influencing factors of health-promoting behaviors among community-dwelling older adults in China (all P＜0.05).Conclusions Health-promoting behaviors among community-dwelling older adults are influenced by multiple factors,including sociodemographic,environmental and intrapersonal factors.Nursing staff can develop targeted intervention based on these factors to improve their health-promoting behaviors.

R473.2

国家自然科学基金（42407564）