在加拿大接受性别肯定激素治疗后,患者报告的结果,提供者报告的结果和生理参数:系统性审查
Liam Jackman1, Cynthia Chan2, Micon Garvilles3
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
概括
加拿大的性别肯定激素治疗显示出积极的身体和心理健康结果. 标准化的患者报告结果措施对于改善基于证据的护理和以患者为中心的实践至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 性别研究是性别研究.
背景情况:
- 加拿大转诊以获得性别确认护理的人数增加了十倍.
- 临床指南主张在性别肯定性激素护理中进行系统的结果测量.
- 对加拿大性别肯定激素治疗结果的研究是有限的.
研究的目的:
- 系统地审查和综合加拿大性别肯定激素治疗的结果.
- 确定现有加拿大研究中结果测量的程度和质量.
- 突出对标准化结果报告的需求.
主要方法:
- 在五个数据库 (MEDLINE,Embase,PsycINFO,Scopus,CINAHL) 进行了全面的搜索.
- 包括的研究集中在加拿大接受激素治疗的跨性别和性别多样性 (TGD) 个体.
- 使用CASP和JBI工具评估方法质量;通过叙事综合总结结果.
主要成果:
- 包括34篇文章,代表3990名患者.
- 62%的研究报告了生理参数,50%的研究报告了患者报告的结果 (PRO).
- 疗法在身体变化方面达到80%的有效性;雌激素/抗雄激素疗法在85%的患者中改善了心理健康,但副作用有限.
结论:
- 加拿大的性别肯定激素治疗显示出积极的结果.
- 非常需要标准化结果测量工具,特别是患者报告的结果测量 (PROM).
- 实施标准化的PROM将增强基于证据的实践和以患者为中心的护理.
关键词:
肯定性别的护理.跨性别人士的卫生服务.医疗服务研究 医疗服务研究激素治疗是一种激素治疗.这些是PROMs.患者报告的结果衡量结果.生理学参数 生理学参数提供商报告的结果.系统性审查 系统性审查更多相关视频
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