通过文档捕捉性别认同:农村心理健康诊所的项目评估
Pamela Byrnes1, Julie Roebuck1
1University of Virginia School of Nursing, Charlottesville, Virginia, USA.
Public health nursing (Boston, Mass.)
|November 5, 2025
概括
在农村诊所实施系统性性别认同文档是可行的,并改善了LGBTQIA+年轻人的护理. 这有助于加强性别认同的护理,并减少心理健康差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 青少年健康 青少年健康
- 心理健康 心理健康
背景情况:
- 性别认同文件对于性别肯定护理至关重要,特别是对于面临潜在拒绝的LGBTQIA+青少年来说.
- 缺乏家庭支持会增加这些青少年自杀,抑郁和焦虑的风险.
- 缺乏在临床环境中收集性别身份信息的国家标准.
研究的目的:
- 评估农村精神卫生诊所青少年的性别认同记录实践.
- 评估是否符合美国儿科学会关于包容性护理的建议.
主要方法:
- 在2020年至2023年期间,对151名年龄在4-18岁的患者进行了回顾性图表审查.
- 对性别认同和代词的评估基线和纵向文档.
主要成果:
- 性别身份证件从2020年的0%大幅提高到2023年的95%.
- 代词文档不一致,性别认同仅在摄入时进行评估.
- 文档上的差距可能会导致变性青少年的痛苦和未满足的心理健康需求.
结论:
- 在农村门诊环境中,可以实现有系统的性别身份文件,为包容性实践提供一个模型.
- 调查结果可以为公共卫生护士提供信息,帮助他们减少差距,改善对性别多样性青年的照顾.
- 这项研究支持政策影响力和多步骤倡议,以加强对性别多元青年的照顾.
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