血液学家的舒适性和经验与提供护理的跨性别青年
Eric S Mullins1,2, Tanya L Kowalczyk Mullins2,3
1Division of Hematology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Blood vessels, thrombosis & hemostasis
|August 6, 2025
概括
血液学家显示,照顾跨性别和性别多元青年的舒适性有所变化. 在性别肯定激素治疗 (GAHT) 之前,需要更多关于血栓形成风险和血栓预防的教育和数据.
科学领域:
- 血液学 血液学 血液学
- 内分泌学 在内分泌学.
- 青少年医学 青少年医学
背景情况:
- 变性人和性别多样 (TG) 个体可能需要在性别肯定激素治疗 (GAHT) 之前对血栓形成风险进行血液学评估.
- 由于缺乏正式的指导方针,导致该人群中血栓形成风险管理的变化.
- 血液学家的经验和舒适度与TG年轻人没有很好地描述.
研究的目的:
- 评估血液学家在照顾TG年轻人的经验和舒适性.
- 探索血液学家的实践,关于在GAHT前进行血栓预防的建议.
- 确定改善对接受GAHT的TG年轻人护理的需求.
主要方法:
- 在美国中西部,与15名血液学家 (儿科,成人,双重培训) 进行了半结构化采访.
- 面试评估了人口统计,实践特征,对TG护理的舒适性以及对血栓预防的经验.
- 参与者是护理年龄小于22岁的青少年的血液学家.
主要成果:
- 几乎所有接受采访的血液学家都对TG青少年和年轻成年人有过经验.
- 关于TG特定的护理,包括代词使用和过渡知识,报告了可变的舒适度.
- 大多数TG临床护理教育发生在住院后;建议的改进包括有针对性的教育和更多的血栓形成风险数据.
- 三分之一的血液病学家在高血压前建议进行血栓预防;其他人评估但没有开处方.
结论:
- 血液学家越来越多地参与评估TG年轻人在GAHT前进行血栓预防.
- 加强对TG护理的教育和关于GAHT相关血栓形成风险的可靠数据至关重要.
- 需要标准化的指导方针和改进的培训,以优化对TG年轻人的照顾.
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