紧急医疗服务响应者对德国跨性别,跨性别和非二进制患者的观点
Torben Brod1, Kambiz Afshar2, Christoph Schroeder1
1Hannover Medical School, Department of Emergency Medicine, Hannover, Germany.
The western journal of emergency medicine
|June 25, 2025
概括
德国的急救医疗服务 (EMS) 提供者表现出积极的态度,但缺乏照顾跨性别,跨性别和非二进制 (TIN) 患者的知识和培训. 需要提高教育和意识,以确保为这群人提供适当的医院前护理.
科学领域:
- 医院前的急救医学 医院前的急救医学
- 医学教育 医学教育
- 健康 公平 卫生 公平
背景情况:
- 性别少数群体,包括跨性别,跨性别和非二进制 (TIN) 个体,由于临床医生的知识有限,面临着在紧急情况下获得低于最佳护理的风险.
- 关于紧急医疗服务 (EMS) 响应者对TIN患者的准备情况的证据很少.
- 本研究涉及德国EMS专业人员关于TIN患者护理的知识,态度和培训需求.
研究的目的:
- 探索德国EMS专业人员与跨性别,跨性别和非二进制患者的经验.
- 评估EMS响应人员关于TIN患者护理的知识,态度和感知培训需求.
- 发现当前对这一脆弱群体的EMS培训和准备方面的差距.
主要方法:
- 2023年4月,德国各地的急诊医疗技术人员 (EMT),护理人员 (EMT-P) 和医院前急诊医生 (EP) 进行了电子调查.
- 调查问卷包括15个闭式项目,评估与TIN患者护理相关的经验,知识,态度和培训需求.
- 标准描述性统计和千平方测试被用来分析数据.
主要成果:
- 共有906名EMS专业人员完成了调查 (31%的响应率).
- 虽然近一半的人报告了与TIN患者的经验,但发现了重要的知识差距,以及舒适度和沟通行为之间的差异.
- 关于TIN患者管理的正式培训很少,只有5-7%的受访者接受过相关教育;62-63%的人同意迫切需要提高认识.
结论:
- 德国EMS响应者对TIN患者表现出积极的态度,但在知识和临床准备方面存在缺陷.
- 在EMS中,对TIN患者的护理尚未成为常规,这凸显了对加强教育和培训的迫切需要.
- 改善培训对于确保对跨性别,跨性别和非二进制个体提供公平和适当的医院前护理至关重要.
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