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基于赋权模式的教育对接受激素治疗的 transgender 人群生活质量的影响:一项随机临床试验。

The impact of empowerment model-based education on quality of life of transgender people under hormone therapy: A randomized clinical trial.

作者信息

Asadi Maryam, Tabari Fariba, Haghani Shima, Heidari Mohammad Eghbal

机构信息

School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

J Family Med Prim Care. 2020 Jun 30;9(6):2794-2800. doi: 10.4103/jfmpc.jfmpc_1201_19. eCollection 2020 Jun.

Abstract

INTRODUCTION

Gender identity disorder is a complex psychological problem and people with this disorder are at risk of many problems, including reduced quality of life. Empowerment intervention is one of the methods that can be used to improve the quality of life of people. The present study aimed to investigate the effect of empowerment model-based training on the quality of life of transgender people undergoing hormone therapy.

METHODS

The present study is a randomized clinical trial that was conducted in 2012 on 81 transgender people at Tehran Welfare Center. The study samples were randomly assigned into two groups of intervention and control. The intervention group received training based on the empowerment model (threat perception, problem-solving, educational participation, and evaluation) and the control group received routine treatment.

RESULTS

According to the findings, after the intervention, a statistically significant difference was found between the two groups in terms of the mean level of overt anxiety ( = 0.045) and aspects of emotional health ( = 0.030), the general perception of health ( = 0.007), mental health ( = 0.008), and overall quality of life ( = 0.005). Also, although there was a statistically significant difference in the aspect emotional well-being in the intervention group before and after the intervention ( = 0.034), this difference was not significant between the two groups ( = 0.274).

CONCLUSION

The results showed that the empowerment-based training program had a significant relationship with the improvement in aspects of emotional health, the overall perception of health, mental health, emotional well-being and overall quality of life.

摘要

引言

性别认同障碍是一个复杂的心理问题,患有这种障碍的人面临许多问题的风险,包括生活质量下降。赋权干预是可用于改善人们生活质量的方法之一。本研究旨在调查基于赋权模式的培训对接受激素治疗的跨性别者生活质量的影响。

方法

本研究是一项随机临床试验,于2012年在德黑兰福利中心对81名跨性别者进行。研究样本被随机分为干预组和对照组。干预组接受基于赋权模式(威胁感知、解决问题、教育参与和评估)的培训,对照组接受常规治疗。

结果

根据研究结果,干预后,两组在明显焦虑平均水平(=0.045)、情绪健康方面(=0.030)、总体健康认知(=0.007)、心理健康(=0.008)和总体生活质量(=0.005)方面存在统计学显著差异。此外,虽然干预组干预前后在情绪幸福感方面存在统计学显著差异(=0.034),但两组之间的这种差异不显著(=0.274)。

结论

结果表明,基于赋权的培训计划与情绪健康、总体健康认知、心理健康、情绪幸福感和总体生活质量方面的改善有显著关系。

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