用经过验证的仪器进行性别确认手术后患者报告的结果的多维评估
Ya-Ching Hung, Benjamin C Park1, Patrick E Assi2
1Vanderbilt University School of Medicine.
Annals of plastic surgery
|August 9, 2023
概括
性别确认手术 (GAS) 显著改善了患者报告的结果 (PROs),包括生活质量和减少性别失调症. 这些积极影响是长期持续的,证明了GAS对跨性别和性别多样性个体的有效性.
科学领域:
- 医学和健康科学医学和健康科学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 对于在接受性别确认手术 (GAS) 的跨性别和性别多元人群中评估患者报告的结果 (PROs) 存在有限的验证工具.
- 范德比尔特迷你患者报告结果测量-性别 (VMP-G) 是一款新验证的心理测量仪器,旨在评估这一群体中的PRO.
研究的目的:
- 在接受性别确认手术 (GAS) 的个人中,使用范德比尔特迷你患者报告结果测量-性别 (VMP-G) 评估患者报告的结果 (PRO).
- 评估GAS对生活质量,自我概念,满意度和性别障碍症的影响.
主要方法:
- 总共包括了207名在范德比尔特大学医学中心寻求GAS的患者.
- 数据是使用研究电子数据捕获 (REDCap) 调查工具匿名收集的.
- 范德比尔特迷你患者报告结果测量-性别 (VMP-G) 被用于评估PRO,得分从20到100不等.
主要成果:
- 与手术前患者相比,术后患者在所有VMP-G尺度上报告了显著更高的PRO (P < 0.001).
- GAS与白人,非白人,二进制和非二进制个体以及21岁以下的个体 (P <0.05) 的改善PRO相关.
- 在VMP-G的得分持续到GAS后1年,在性别失调领域的月度改善为0.02 (P = 0.02).
结论:
- 性别确认手术可持续改善患者报告的结果,包括减少性别失调症.
- VMP-G 是一个经过验证的工具,用于评估GAS患者的PRO.
- GAS对跨性别和性别多样性个体的福祉产生了积极和持久的影响.
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