目的 基于Leventhal提出的自我调节常识模型（common-sense model of self-regulation,CSM），探讨烧伤患者各病程阶段疾病感知的动态变化，为制订阶段性心理干预方案提供依据。方法 采用诠释性现象学分析法，目的抽样法选取17例烧伤患者，围绕CSM模型5个核心维度实施纵向半结构化访谈，经编码、主题聚类与跨案例整合分析资料。结果 提炼出4个核心主题：劫后余生的生存焦虑与阶段化认知转变、多元归因的心理调适与责任感知、疾病后果的个体化认知差异、疾病控制感的动态波动与社会支持重建。结论 烧伤患者疾病感知随康复进程呈现阶段性、个性化特征，其归因方式、后果认知与控制感重建均与心理适应密切相关；临床应基于疾病感知的动态变化，结合CSM模型制订针对性的阶段化心理干预策略。

Objective To explore the dynamic changes in illness perception among burn patients at different stages of the disease course based on the Common-Sense Model of Self-regulation(CSM),and to provide a basis for developing stage-specific psychological intervention strategies.Methods Using interpretive phenomenological analysis,17 burn patients were purposively sampled.Longitudinal semi-structured interviews were conducted based on the 5 dimensions of CSM.Data were analyzed through coding,thematic clustering,and cross-case integration.Results 4 core themes were extracted:survival anxiety in the aftermath of disaster with stage-specific cognitive shifts; psychological adjustment and perception of responsibility in multi-causal attribution; individualized cognitive differences in disease consequences; dynamic fluctuations in sense of control over the disease and reconstruction of social support.Conclusions Illness perception in burn patients exhibits stage-specific and individualized characteristics throughout the rehabilitation process.Attribution styles,consequence perceptions,and reconstruction of sense of control are closely related to psychological adaptation.Clinical practice should develop targeted stage-specific psychological intervention strategies based on the dynamic changes in illness perception,in accordance with CSM.

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海军军医大学教学成果立项培育项目（JPY202410）；海军军医大学深蓝护理科研项目（2022KYD10）