接受性别确认手术患者的围手术期性别错称经历：呼吁建立一个性别包容的医疗环境。
Perioperative misgendering experiences in patients undergoing gender-affirming surgery: a call for a gender-inclusive healthcare environment.
作者信息
Chang Brian L, Sayyed Adaah A, Haffner Zoë K, Deldar Romina, Mondshine Joshua, Hill Alison, Del Corral Gabriel A
机构信息
Department of Plastic and Reconstructive Surgery, District of Columbia, MedStar Georgetown University Hospital, Washington, D.C., USA.
District of Columbia, Georgetown University School of Medicine, Washington, USA.
出版信息
Eur J Plast Surg. 2023 Jan 24:1-9. doi: 10.1007/s00238-022-02040-2.
BACKGROUND
Transgender individuals have long experienced discrimination and exclusion from medicine. Misgendering occurs when an individual is referred to using a gender or address incongruent with their identity. We evaluated the incidence of misgendering throughout the perioperative experience for patients undergoing gender-affirming surgery (GAS).
METHODS
Patients diagnosed with gender dysphoria who previously received GAS by the senior author were contacted to complete an IRB-approved survey to evaluate instances of misgendering while in the hospital for GAS. Study results were summarized using descriptive statistics.
RESULTS
Of 471 patients contacted, 182 completed the survey (38.6%). The most cited gender identity was transfemale (28.0%). Most patients reported respect for their gender identity (60.4%) and name (76.8%) during their perioperative experience. Twenty-two percent cited triggering experiences, and 15.4% reported interactions with healthcare employees causing them to reach out to a support system. Misgendering most commonly included incorrect use of patients' preferred names and/or pronouns ( = 50, 86.2%), most commonly at surgical check-in ( = 10, 45.5%). Recommendations to improve feelings of gender congruence during patients' stay included updated names and gender identities in electronic medical records (80.8%), and names and pronouns listed on curtains and doors (52.3%) and name tags (51.5%).
CONCLUSIONS
Until now, the exact incidence of misgendering among patients seeking GAS have not been well established. Despite high levels of satisfaction, a large proportion still reported serious instances of misgendering. Improvements must be made to the perioperative experience to reduce misgendering and provide support and comfort during the sensitive period surrounding patients' gender transition. Not gradable.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s00238-022-02040-2.
背景
跨性别者长期以来在医疗领域遭受歧视和排斥。当个体被用与其身份不符的性别或称呼来指代时，就会出现性别错称的情况。我们评估了接受性别确认手术（GAS）的患者在围手术期经历中性别错称的发生率。
方法
联系了之前由资深作者实施过GAS手术且被诊断为性别焦虑症的患者，让他们完成一项经机构审查委员会批准的调查，以评估住院接受GAS手术期间的性别错称情况。研究结果采用描述性统计进行总结。
结果
在联系的471名患者中，182名完成了调查（38.6%）。最常提及的性别认同是跨性别女性（28.0%）。大多数患者表示在围手术期经历中，他们的性别认同（60.4%）和名字（76.8%）得到了尊重。22%的患者提到了触发不良经历的情况，15.4%的患者报告了与医护人员的互动使他们求助于支持系统。性别错称最常见的情况是不正确地使用患者喜欢的名字和/或代词（n = 50，86.2%），最常发生在手术登记时（n = 10，45.5%）。在患者住院期间改善性别认同感受的建议包括在电子病历中更新名字和性别认同（80.8%），以及在窗帘、门上列出名字和代词（52.3%）以及佩戴名牌（51.5%）。
结论
到目前为止，寻求GAS手术的患者中性别错称的确切发生率尚未明确确定。尽管满意度较高，但仍有很大比例的患者报告了严重的性别错称情况。必须改善围手术期体验，以减少性别错称，并在患者性别转变的敏感时期提供支持和安慰。不可分级。
补充信息
在线版本包含可在10.1007/s00238-022-02040-2获取的补充材料。
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