[大学医院医护人员对跨性别者管理的自我评估]

[Self-assessment of healthcare workers regarding the management of trans people in a university hospital].

作者信息

Freton L, Khene Z-E, Richard C, Mathieu R, Alimi Q, Duval E, Vassal L, Bertheuil N, Aillet S, Bonnet F, Ravel C, Guenego A, Travers D, Morel-Journel N, Hascoet J, Peyronnet B

机构信息

Université de Rennes, urologie, CHU Rennes, Rennes, France.

出版信息

Prog Urol. 2021 Dec;31(16):1108-1114. doi: 10.1016/j.purol.2021.03.008. Epub 2021 Jun 17.

DOI:10.1016/j.purol.2021.03.008

PMID:34147357

Abstract

INTRODUCTION

Trans people face more barriers when seeking healthcare than the cisgender population probably due to a lack of knowledge, education and comfort of healthcare workers. The purpose of this study was to assess the knowledge and comfort felt by healthcare professionals in managing trans people in a French university hospital.

METHODS

A self-questionnaire was emailed to healthcare professionals working in departments usually involved in the care of trans people in a French university hospital "not specialized" in medical and surgical gender transition. The questionnaire included demographic questions and Likert scales regarding their knowledge and comfort in taking care of trans people. Responses on the 7-point Likert scales were categorized into "low", "medium" and "high" groups, and responses on the 5-point Likert scales were categorized into "in favour", "neutral" and "against" groups.

RESULTS

One hundred and two (29%) healthcare professionals answered the questionnaire. Half worked in surgical departments (urology, plastic surgery, gynecology), 24% worked in medical departments (endocrinology, reproductive medicine, cytogenetics) and 26% worked in psychiatry. The majority (60.3%) rated their level of knowledge as "low" and 39.7% as "medium". Sixteen percent rated their level of comfort in managing trans people as "low", 72.5% as "medium" and 11.5% as "high". A majority (77.5%) were in favor of having the costs of gender transition care covered by the national health insurance system, 16.4% were neutral and 6% were against this idea. Feelings about surgical and hormonal gender transition were overwhelmingly (96.4%) in favour or neutral and 91% were willing to get more training and education to manage trans people.

CONCLUSION

The lack of comfort felt by healthcare professionals in university hospital in managing trans people seems to be related to a lack of knowledge and training in that field and not to a disagreement with the need of transgender healthcare.

LEVEL OF EVIDENCE

摘要

引言

跨性别者在寻求医疗保健时面临比顺性别者更多的障碍，这可能是由于医护人员缺乏相关知识、教育以及对此缺乏自在感。本研究的目的是评估法国一家大学医院的医护人员在管理跨性别者方面的知识和自在感。

方法

向在一家法国大学医院（非专门从事医学和外科性别转换的医院）中通常参与跨性别者护理工作的科室工作的医护人员发送了一份自填式问卷。问卷包括人口统计学问题以及关于他们在照顾跨性别者方面的知识和自在感的李克特量表。7分量表的回答被分为“低”、“中”和“高”组，5分量表的回答被分为“赞成”、“中立”和“反对”组。

结果

102名（29%）医护人员回答了问卷。一半人员在外科科室（泌尿外科、整形外科、妇科）工作，24%在医学科室（内分泌科、生殖医学、细胞遗传学）工作，26%在精神科工作。大多数（60.3%）将他们的知识水平评为“低”，39.7%评为“中”。16%将他们在管理跨性别者方面的自在感水平评为“低”，72.5%评为“中”，11.5%评为“高”。大多数（77.5%）赞成国家医疗保险系统涵盖性别转换护理费用，16.4%中立。6%反对这一想法。对手术和激素性别转换的看法绝大多数（96.4%）是赞成或中立，91%愿意接受更多培训和教育以管理跨性别者。