Beagan Brenda L, Chiasson Alana, Fiske Cheryl A, Forseth Stephanie D, Hosein Alisha C, Myers Marianne R, Stang Janine E
School of Occupational Therapy, Dalhousie University, 5869 University Avenue, Forrest Building, Room 215, P.O. Box 15000, Halifax, Nova Scotia, Canada B3H 4R2.
Can J Occup Ther. 2013 Apr;80(2):82-91. doi: 10.1177/0008417413484450.
Gender identity disorder and the process of transitioning involve both mental and physical health, yet there is virtually no discussion of transgender health care in occupational therapy.
This study draws on interviews with primary-care nurses and physicians about their experience with transgender health care, extending the insights gleaned there to make suggestions for occupational therapy practice with this population.
Semi-structured interviews were conducted with 12 primary care nurses and 9 physicians who had clinical experience with lesbian, gay, and bisexual patients.
Participants felt uncertain about transgender care, wanting more specialized knowledge. Collaborating with patients, acknowledging stigma, ensuring inclusive systems and procedures, navigating health care, and providing holistic care emerged as key elements for best practice. Advocacy was a crucial part of care provision.
Suggestions are provided for therapists to ensure that space and interactions are welcoming to transgender clients as well as suggestions for occupational therapy intervention in the transitioning process.
性别认同障碍及转变过程涉及身心健康，但职业治疗领域几乎未对跨性别者的医疗保健进行讨论。
本研究通过对初级保健护士和医生进行访谈，了解他们在跨性别者医疗保健方面的经验，并在此基础上拓展见解，为针对这一群体的职业治疗实践提出建议。
对12名有女同性恋、男同性恋和双性恋患者临床经验的初级保健护士和9名医生进行了半结构化访谈。
参与者对跨性别者护理感到不确定，希望获得更多专业知识。与患者合作、承认污名、确保包容的系统和程序、安排医疗保健以及提供整体护理成为最佳实践的关键要素。倡导是护理工作的重要组成部分。
为治疗师提供了相关建议，以确保空间和互动对跨性别客户具有包容性，同时也为跨性别转变过程中的职业治疗干预提供了建议。
