目的 界定老年人老化焦虑的概念，为开展老化焦虑相关研究提供参考。 方法 系统检索中国知网、万方数据库、维普网、中国生物医学文献服务系统、Web of Science、PubMed、Cochrane Library、Embase数据库，检索时限为建库至2023年12月31日。应用Walker 和 Avant概念分析框架，从概念定义、概念属性、前因和后果、测评工具方面对老年人老化焦虑进行分析。 结果 共纳入老化焦虑相关文献39篇，其中中文6篇、英文33篇。概念属性包括对未来的感知、负面情绪、损失风险。前置因素包括个体特征因素、心理、认知及行为相关因素、支持性相关因素。后果主要包括影响健康状况、导致负面心理障碍、降低生活质量及改变行为模式。 结论 通过Walker和Avant概念分析方法，明确了老年人老化焦虑概念，可为引起医护人员对老年人心理变化的关注，及时发现老年人在老化过程中出现的焦虑心理，制订相应的干预措施及深入开展相关研究提供参考。

Objective To define the concept of aging anxiety in the older adults，to provide references for further research on the psychological aspects of the elderly. Methods Systematic literature searching was conducted in databases including CNKI，Wanfang，VIP，China Biomedical Data，Web of Science，PubMed，Cochrane Library，Embase and other databases. Time limit was set from the establishment of the databases to December 31，2023. The Walker and Avant conceptual analysis framework was applied to analyze aging anxiety in older adults from five aspects：concept definition，concept attributes，antecedents and consequences，and measurement tools. Results A total of 39 articles of aging anxiety related literature were included with six articles in Chinese and 33 articles in English. The conceptual attributes classified into three aspects：perception of the future，negative emotions，and risk of loss. Antecedents included individual characteristic factors，psychological cognitive and behavioral related factors，and supportive related factors. Consequences were mainly divided into four aspects：impact on health status of older adults，development of negative psychological barriers，quality of life decline，and behavioral changes. Conclusion The concept of aging anxiety in older adults can be clarified by Walker and Avant concept analysis method. It provides a reference for drawing the attention of healthcare professionals to the psychological changes of the elderly，detecting their anxiety in aging process in time，planning further interventions，and conducting in-depth related research.