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初级卫生保健中卫生人员关于变性者的实践与知识。

Practices and knowledge of health personnel about transgenderity in Primary Health Care.

作者信息

de Sousa Francisco Jean Gomes, Amatuzzi Edgar, Nunciaroni Andressa Teoli, Caravaca-Morera Jaime Alonso, Ribeiro Claudia Regina, Lemos Adriana

机构信息

Universidade do Estado do Rio de Janeiro, Brazil.

Universidade Federal do Estado do Rio de Janeiro, Brazil.

出版信息

Aten Primaria. 2025 Feb;57(2):103081. doi: 10.1016/j.aprim.2024.103081. Epub 2024 Sep 20.

DOI:10.1016/j.aprim.2024.103081
PMID:39305818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11458546/
Abstract

OBJECTIVE

To describe the practices and knowledge of Nursing Technicians and Community Health Agents of Primary Health Care for the transgender population.

DESIGN

Descriptive research with a qualitative approach. SITE: The study was developed in a digital environment.

PARTICIPANTS

18 Community Health Agents and 12 Nursing Technicians who worked in Primary Health Care Units from several Brazilian states.

METHOD

Sampling technique by chain indication or networks (snowball), data production by Google Forms form. The theoretical saturation technique was used to close the interviews. Categorical thematic content analysis with IRAMUTEQ software support.

RESULTS

Professionals' lack of knowledge about policies and terms was evidenced; there were conceptual confusions, inadequate associations, and a restricted approach to the prevention of sexually transmitted infections.

CONCLUSIONS

The lack of training reflects a cisnormative and binary approach, compromising the assistance to the transgender population. Disrespect for the social name persists, highlighting the need for permanent education for health professionals, aiming at an inclusive and respectful care practice.

摘要

目的

描述初级卫生保健中的护理技术员和社区卫生工作者对跨性别群体的做法和知识。

设计

采用定性方法的描述性研究。

地点

该研究在数字环境中开展。

参与者

来自巴西多个州的初级卫生保健单位的18名社区卫生工作者和12名护理技术员。

方法

通过连锁指示或网络(滚雪球)抽样技术,通过谷歌表单收集数据。采用理论饱和技术结束访谈。在IRAMUTEQ软件支持下进行分类主题内容分析。

结果

证明了专业人员对政策和术语缺乏了解;存在概念混淆、关联不当以及对性传播感染预防的方法有限。

结论

缺乏培训反映出一种顺性别规范和二元方法,损害了对跨性别群体的援助。对社会称呼的不尊重仍然存在,突出了对卫生专业人员进行持续教育的必要性,目标是实现包容和尊重的护理实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff7/11458546/1cda1d83bb2c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff7/11458546/e0d44833f9bc/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff7/11458546/1cda1d83bb2c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff7/11458546/e0d44833f9bc/gr1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ff7/11458546/1cda1d83bb2c/gr2.jpg

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本文引用的文献

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[Understanding to care: Do we really know in primary care what gender incongruence is?].[理解以关怀:在初级保健中,我们真的了解性别不一致是什么吗?]
Aten Primaria. 2023 Dec;55(12):102755. doi: 10.1016/j.aprim.2023.102755. Epub 2023 Sep 8.
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Transsexuality and health demands: representations of nursing students.跨性别与健康诉求:护理学生的表现。
Rev Gaucha Enferm. 2023 Jun 5;44:e20220046. doi: 10.1590/1983-1447.2023.20220046.en. eCollection 2023.
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Sexual and reproductive health: team competences in Primary Health Care services.
性与生殖健康:初级卫生保健服务中的团队能力
Cien Saude Colet. 2018 Nov;23(11):3481-3490. doi: 10.1590/1413-812320182311.20962016.
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Difficulties experienced by trans people in accessing the Unified Health System.跨性别者在使用统一医疗系统时遇到的困难。
Cien Saude Colet. 2016 Aug;21(8):2517-26. doi: 10.1590/1413-81232015218.14362015.
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[Sampling in qualitative research: a proposal for procedures to detect theoretical saturation].[质性研究中的抽样:关于检测理论饱和度程序的建议]
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