Abstract:

Objective To investigate the impact of psychological capital and occupational stress on job burnout among community traditional Chinese medicine physicians in a certain district of Shanghai，and to explore the mediating role of psychological capital between occupational stress and job burnout，aiming to provide references for reducing job burnout among community traditional Chinese medicine physicians. Methods Using convenience sampling，157 community traditional Chinese medicine physicians in a certain district of Shanghai from April to May 2025 were investigated using the psychological capital scale，occupational stress scale，and job burnout scale，and the data were analyzed. Results The mean scores of occupational stress，psychological capital，and job burnout among community traditional Chinese medicine physicians were （61.35±11.98），（87.32±13.13） and （78.38±17.11）points，respectively. Statistically significant differences in occupational stress were observed among community traditional Chinese medicine physicians with respect to gender，age，years of service，professional title，marital status，and monthly income（all P<0.05）. Similarly，statistically significant differences in psychological capital were found in terms of age，years of service，professional title and monthly income（all P<0.05）. There were statistically significant differences in occupational burnout in terms of age，length of service，professional title，and monthly income（all P<0.05）. A higher level of occupational stress was associated with a higher level of job burnout of community traditional Chinese medicine physicians（r=0.365，P<0.01），a higher level of psychological capital was linked to lower levels of both occupational stress and job burnout（r=-0.489，-0.418，both P<0.01）. Psychological capital partially mediated the relationship between occupational stress and job burnout among community traditional Chinese medicine physicians，with an effect value of 0.275，accounting for 44.43% of the total effect. Conclusion Occupational stress had a positive impact on job burnout among community traditional Chinese medicine physicians，while psychological capital partially mediated this relationship. Hospital management should reduce occupational stress of community traditional Chinese medicine physicians and implement interventions to enhance their psychological capital levels，thereby reducing job burnout.

Key words: Community, Traditional Chinese medicine physician, Occupational stress, Psychological capital, Occupational burnout, Influencing factors