大流行时期以变性人为中心的护理

Olga B. Marega, Juan E. Mezzich
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摘要

前言和目的:本文旨在概述在COVID-19大流行时期,跨性别者需要以人为本的性健康方法。方法:回顾国际卫生保健标准和以人为本的卫生保健原则和策略,阐明科学和人文主义。会议还讨论了伦理要求,包括尊重所有人的尊严和"首先不伤害",以及科学考虑,包括承认人与健康的生态-生物-心理-社会-精神多层面。结果:在当前大流行的背景下,这里概述的方法关注普遍的性权利,以及人的性多样性的多维性。阿根廷卫生部在2014年颁布了《性别认同法》,并在2020年修订了《性别认同法》,以应对这一流行病。这里概述的卫生保健方法包括在大流行背景下促进跨性别者、异装癖者和性非二元者获得卫生保健的建议。结论:所有人都可以呈现和体验一种独特的多维性特征,应在全面健康和整体人的多维框架内对其进行彻底评估。保健应在科学上彻底,提供时应谨慎,遵循"首先不伤害"的道德原则,充分尊重人权和性权利及责任,旨在促进所有人在其整个生命过程中的全面健康和完全福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TRANSGENDER PERSON-CENTERED CARE IN PANDEMIC TIMES
Introduction and Objectives: This article aims to outline the need for a person-centered approach to sexual health for transgender people in COVID-19 pandemic times.Methods: These involved reviews of international healthcare standards and the principles and strategies of person-centered health care, which articulate science and humanism. Ethical imperatives, including respect for all persons’ dignity and “first do not harm” as well as scientific considerations, including recognition of the eco-bio-psycho-social-spiritual multidimensionality of person and health were attended to.Results: The approach outlined here attends to Universal Sexual Rights, and the multidimensionality of persons’ sexual diversity, in the context of the current pandemic. This is illustrated through the Gender Identity Law enacted by the Argentine Ministry of Health in 2014 and its 2020 amendment, formulated in the face of the pandemic. The healthcare approach outlined here involves recommendations to promote access to health care for transgender, transvestite, and sexual non-binary people in the context of the pandemic.Conclusions: All persons can present and experience a unique and multidimensional sexual profile that should be assessed thoroughly within the multidimensional framework of total health and total person. Health care should be scientifically thorough, provided prudently, informed by the “first do not harm” ethical principle, fully respectful of human and sexual rights and responsibilities, and aimed at advancing total health and complete well-being for all throughout their life course.
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