国家自然科学基金青年科学基金项目（72204107）；2022年珠海市社会发展领域科技计划项目（2220004000123）；2022年珠海市医学科研基金项目（2220009000147）
目的：在ABC-X模型指引下探讨珠海市医护人员发生职业倦怠情况及影响因素，为减轻其职业倦怠感提供依据。方法：于2023年3月-2023年6月对珠海市各级医务人员职业倦怠状况展开横断面问卷调查。利用简式倦怠量表（Burnout Measure-short version，BMS）评价职业倦怠水平，采用Kruskal-Wallis H秩和检验和多元Logistic回归分析模型分析珠海市医务人员职业倦怠水平的影响因素。结果：收回有效问卷2 127份，问卷回收率92.29%；珠海市医务人员在收入和慢性疾病方面总体分布比较，差异均有统计学意义（P＜0.05）。回归分析结果显示，有慢性疾病（OR=1.310，95%CI：1.004，1.709）、锻炼减少（OR=1.331，95%CI：1.007，1.759）和工作环境为临床科室（OR=1.333，95%CI：1.007，1.759）是发生职业倦怠的危险因素。结论：珠海市医护人员职业倦怠呈现较高水平，影响倦怠的因素涵盖了危险因素、资源配置及认知三个维度。建议医院管理部门优化医护人员工作环境、实施系统化的培训并提供支持、为医护人员制定全面的健康计划，从而缓解珠海市医护人员职业倦怠。
Objective：This study aims to investigate the occurrence and influencing factors of occupational burnout among medical staff in Zhuhai City under the guidance of the ABC-X model，providing a basis for alleviating their burnout. Methods：A cross-sectional survey using questionnaires was conducted from March to June 2023 among medical personnel at various levels in Zhuhai City. The Burnout Measure-short version（BMS）was utilized to assess the level of occupational burnout，while the Kruskal-Wallis H test and multivariate Logistic regression analysis were employed to analyze the factors influencing the burnout levels among Zhuhai's medical staff. Results：A total of 2，127 valid questionnaires were retrieved，with a response rate of 92.29%. There were statistically significant differences（P < 0.05）in the overall distribution of income and chronic diseases among medical personnel in Zhuhai City. Regression analysis revealed that having a chronic disease（OR=1.310，95%CI：1.004，1.709），reduced physical exercise（OR=1.331，95%CI：1.007，1.759），and working in a clinical department（OR=1.333，95%CI：1.007，1.759）were risk factors for occupational burnout. Conclusion：Medical staff in Zhuhai City exhibit a high level of occupational burnout. Factors affecting burnout encompass three dimensions：risk factors，resource allocation，and cognition. It is recommended that hospital management departments optimize the work environment for medical personnel，implement systematic training and support，and develop a comprehensive health plan for them to alleviate occupational burnout among medical staff in Zhuhai City.