【摘要】 目的 分析基层卫生人员职业倦怠现状，探讨工作-家庭支持、工作满意度和职业认同对职业倦怠的影响及其关系。方法 采用多阶段抽样方法，对我国中部地区某省320所基层卫生机构中的基层卫生人员进行整群调查，使用单因素分析、分层线性回归分析、中介效应分析，研究工作-家庭支持、工作满意度、职业认同对基层卫生人员职业倦怠的影响，以及职业认同和工作满意度的中介作用。结果 在8 135名基层卫生人员中，职业倦怠检出率为62.59%。工作-家庭支持与职业认同、工作满意度呈正相关，与职业倦怠呈负相关(均P<0.05)。工作-家庭支持(β=-0.192,P<0.001)、职业认同(β=-0.352,P<0.001)和工作满意度(β=-0.179,P<0.001)是职业倦怠的负向关联因子。职业认同、工作满意度在工作-家庭支持对职业倦怠的影响中起部分中介作用，中介效应占比分别为32.80%、22.30%。结论 工作-家庭支持能够降低基层卫生人员产生职业倦怠的概率，职业认同和工作满意度均是工作-家庭支持对职业倦怠的中介影响因素。更多还原

【Abstract】 Objective To analyze the current status of job burnout among primary health care workers and explore the impact of work-family support, job satisfaction, and career identity on job burnout and their interrelationships. Methods A multi-stage sampling method was used to investigate 8 135 primary health care workers from 320 primary health care institutions in a central Chinese province. Univariate and hierarchical linear regression analyses, along with mediation effect analysis, were used to assess the impact of work-family support, career identity, and job satisfaction on primary health care workers′ job burnout, and to examine the mediating roles of career identity and job satisfaction. Results The prevalence of job burnout among the 8 135 primary health care workers was 62.59%. Work-family support was significantly positively correlated with career identity and job satisfaction and negatively correlated with job burnout(all P<0.05). Work-family support(β=-0.192, P<0.001), career identity(β=-0.352, P<0.001), and job satisfaction(β=-0.179, P<0.001) were negative related with job burnout. Career identity and job satisfaction partially mediated the impact of work-family support on job burnout, with mediation effect proportions of 32.80% and 22.30%, respectively. Conclusions Work-family support can reduce the probability of job burnout among primary health care workers, and both career identity and job satisfaction are mediating factors in the impact of work-family support on job burnout.更多还原