摘要目的:采用Rodgers演化概念分析法分析并阐明慢性病患者自我倡权概念的涵义。方法:系统检索PubMed、Web of Science、Cochrane Library、CINAHL、Embase、Medline、维普、万方、中国知网、中国生物医学文献数据库中与慢性病患者自我倡权相关的研究，检索时限为1992年2月1日至2024年6月30日，应用Rodgers演化概念分析法分析纳入的文献。结果:共纳入72篇文献。慢性患者自我倡权的概念属性包括思想认知、自我行动、资源整合；涉及的先决条件包括个人特征、技能学习、可获得性支持；结局包括改善症状管理、遵循治疗方案、对护理和生命质量的提升、减少对医疗保健的需求；测量工具包括患者自我倡权量表、自我倡权量表、老年安全倡权赋权量表、女性癌症患者自我倡权量表。结论:通过Rodgers演化概念分析法明确了慢性病患者自我倡权的概念属性，未来研究可以结合量化和质性研究，深入挖掘慢性病患者自我倡权的意义。

abstractsObjective:To analyze and clarify the meaning of the concept of self-advocacy among patients with chronic diseases using the Rodgers evolutionary concept analysis method.Methods:A systematic search was conducted in databases including PubMed, Web of Science, Cochrane Library, CINAHL, Embase, Medline, VIP, Wanfang, the China National Knowledge Infrastructure, and Chinese Biomedical Literature Database for studies related to self-advocacy in chronic disease patients from February 1, 1992, to June 30, 2024. The Rodgers evolutionary concept analysis method was applied to analyze the selected literature.Results:A total of 72 articles were included in this study. The concept attributes of self-advocacy in chronic disease patients were identified as cognitive awareness, self-action, and resource integration. The antecedents involved included personal characteristics, skill learning, and available support. The outcomes covered improved symptom management, adherence to treatment plans, enhanced nursing and quality of life, and reduced demand for healthcare. The measurement tools used were the Patient Self-Advocacy Scale, Self-Advocacy Scale, Elderly Safety Advocacy Empowerment Scale, and Female Cancer Patient Self-Advocacy Scale.Conclusions:The conceptual attributes of self-advocacy in chronic disease patients were clarified through the Rodgers evolutionary concept analysis method. Future research can combine quantitative and qualitative studies to further explore the significance of self-advocacy in patients with chronic diseases.