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Publication
Intervenção da enfermagem comunitária nos cuidados de saúde para pessoas trans em processo de afirmação de género
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 4.59 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
As pessoas trans (pessoas cuja identidade de género não corresponde ao sexo
atribuído à nascença) iniciam nalguma altura da sua vida, um processo de afirmação
de género social, psicológico, biofisiológico e/ou legal e que lhes permite reduzir a
disforia percebida. Estas são frequentemente discriminadas nos cuidados de saúde,
e apesar de lhes ser internacionalmente reconhecida a necessidade de cuidados de
saúde especializados, o desconhecimento sobre estes resultam em más práticas e,
consequentemente, em piores resultados em saúde.
Foi desenvolvido um projeto de intervenção comunitária no serviço Espaço
Intendente – centro de saúde sexual de base comunitária do Grupo de Ativistas em
Tratamentos dirigido a pessoas trans - com o objetivo de contribuir para a prevenção
de complicações nas pessoas trans que pretendem iniciar ou que já iniciaram terapia
hormonal como parte do seu processo de afirmação de género.
Com base na metodologia de planeamento em saúde de Imperatori e
Giraldes e na Teoria das Transições de Meleis procedeu-se à identificação de
problemas no processo de afirmação de género a partir de um questionário.
Identificaram-se 11 diagnósticos de enfermagem e priorizou-se o “desenvolvimento
do adulto comprometido”. Em resposta criou-se uma consulta de enfermagem à
afirmação de género, publicou-se um guia dirigido à terapia hormonal e submeteu-se
uma proposta de um protocolo de referenciação ao Centro Hospitalar Psiquiátrico de
Lisboa.
Este projeto contribuiu para a criação de um serviço especializado a pessoas
trans que visitavam o centro, em complementaridade e articulação com o SNS.
Trans people (people whose gender identity does not correspond to the sex assigned at birth) begin a social, psychological, bio-physiological and legal gender affirmation process at some point in their lives, which allows them to reduce their perceived dys phoria. Unfortunately, they are often discriminated against in health care settings, and despite their internationally recognized need for specialized health care, the lack of knowledge about these processes results in bad practices and, consequently, poor health outcomes. A community intervention project was developed in the Espaço Intendente service – a community-based sexual health center aimed at trans people of the Treatment Ac tivists Group - intending to contribute to the prevention of complications in transgender people who intend to start, or already started, hormone therapy as part of their gender affirmation process. Based on the methodology of health planning by Imperatori and Giraldes and the Theory of Transitions by Meleis, problems in gender affirmation were identified using a questionnaire. As a result, eleven nursing diagnoses were identified, and “commit ted adult development” was prioritized. In response, a gender affirmation nursing consultation was created, a guide to hormone therapy was published, and a referral protocol proposal was submitted to the Psychiatric Hospital Center in Lisbon. This project contributed to creating a specialized service for trans people who visited the centre in complementarity and articulation with the NHS.
Trans people (people whose gender identity does not correspond to the sex assigned at birth) begin a social, psychological, bio-physiological and legal gender affirmation process at some point in their lives, which allows them to reduce their perceived dys phoria. Unfortunately, they are often discriminated against in health care settings, and despite their internationally recognized need for specialized health care, the lack of knowledge about these processes results in bad practices and, consequently, poor health outcomes. A community intervention project was developed in the Espaço Intendente service – a community-based sexual health center aimed at trans people of the Treatment Ac tivists Group - intending to contribute to the prevention of complications in transgender people who intend to start, or already started, hormone therapy as part of their gender affirmation process. Based on the methodology of health planning by Imperatori and Giraldes and the Theory of Transitions by Meleis, problems in gender affirmation were identified using a questionnaire. As a result, eleven nursing diagnoses were identified, and “commit ted adult development” was prioritized. In response, a gender affirmation nursing consultation was created, a guide to hormone therapy was published, and a referral protocol proposal was submitted to the Psychiatric Hospital Center in Lisbon. This project contributed to creating a specialized service for trans people who visited the centre in complementarity and articulation with the NHS.
Description
Keywords
Enfermagem em saúde comunitária Pessoas transgénero Terapia de reposição hormonal Identidade de género