Assistência de enfermagem a população transexual na atenção básica / Nursing care for the transsexual population in primary care / Cuidados de enfermería a la población transexual en la atención primaria

Objetivo: analisar as evidências da literatura sobre aassistência de enfermagem à população transexual na atenção básica. Método:Revisão integrativa da literatura, realizada nas bases de dados Biblioteca Virtual em Saúde, Literatura Latino Americana e do Caribe em Ciências da Saúde (LILACS) e na Biblioteca Eletrônica Cientifica Online (SCIELO), utilizando os descritores Cuidados de enfermagem AND Pessoas transgênero AND Enfermagem de Atenção Primária. Resultados:Encontrados 2 artigos, publicados nos últimos 5 anos. Ficou evidenciado lacunas importantes que vem desde a formação acadêmica, no despreparo e desconhecimento acerca da sexualidade. Conclusão:Conclui-se, portanto, que foram encontrados poucos artigos com essa temática, evidenciando a necessidade de realização de mais pesquisas acerca do tema assistência de enfermagem à população transexual.

Objective: to analyze the evidence in the literature on nursing care for the transsexual population in primary care. Method:Integrative literature review, carried out in the Virtual Health Library, Latin American and Caribbean Literature in Health Sciences (LILACS) and Online Scientific Electronic Library (SCIELO) databases, using the descriptors Nursing care AND Transgender people AND Primary Care Nursing. Results:Found 2 articles, published in the last 5 years. It was evidenced important gaps that come from the academic formation, in the unpreparedness and lack of knowledge about sexuality. Conclusion:It is concluded, therefore, that few articles were found with this theme, highlighting the need to carry out more research on the topic of nursing care for the transsexual population.

Objetivo: analizar las evidencias en la literatura sobre el cuidado de enfermería a la población transexual en la atención primaria. Método:Revisión integrativa de la literatura, realizada en las bases de datos Biblioteca Virtual en Salud, Literatura Latinoamericana y Caribeña en Ciencias de la Salud (LILACS) y Biblioteca Científica Electrónica en Línea (SCIELO), utilizando los descriptores Cuidados de Enfermería Y Personas trans y Enfermería de Atención Primaria. Resultados: Se encontraron 2 artículos, publicados en los últimos 5 años. Se evidenció importantes lagunas que provienen de la formación académica, en la falta de preparación y conocimiento sobre la sexualidad. Conclusión:Se concluye, por lo tanto, que fueron encontrados pocos artículos con esta temática, destacando la necesidad de realizar más investigaciones sobre el tema del cuidado de enfermería a la población transexual.

O que o profissional da saúde precisa saber a respeito do atendimento às pessoas transexuais ou transgênero / What does the health professional needs to know about the care of transgender people

RESUMO: Introdução: As pessoas transexuais encontram uma série de dificuldades no atendimento médico, tanto na rede privada como na pública no Brasil. Objetivo: Demonstrar aos profissionais da área da saúde a realidade vivida pelas pessoas transexuais, quando necessitam de atendimento médico no Brasil, visando aprimorar os conhecimentos sobre o atendimento a este grupo populacional. Métodos: Coleta de dados realizada em fevereiro de 2020 com buscas nas bases eletrônicas: PubMed, Scielo, Lilacs e Google Scholar. Utilizou-se os descritores em associação: transgender; medical care; transexual; cross-sex hormone therapy, no período entre 2000 a 2020. Resultados: Encontramos 720 publicações com as palavras-chave transgender persons e medical care, 30 com as palavras-chave transgender, medical care e cross-sex hormone therapy, sendo escassos os estudos feitos no Brasil. Conclusão: Para que ocorra uma melhora no atendimento à saúde das pessoas transexuais é necessário que sejam inseridas disciplinas específicas sobre este tema na grade curricular dos cursos técnicos, de graduação e de pós-graduação da área da saúde. (AU)

ABSTRACT: Introduction: Transsexual people encounter a series of difficulties in medical care, both in the private and public health systems in Brazil. Objectives: Demonstrate to health professionals the reality experienced by transsexual people when they need medical care in Brazil, in order to improve knowledge about the care of this population group. Methods: Data collection was carried out in February 2020 with searches in electronic databases: Pubmed, Scielo, Lilacs and Google Scholar. The following descriptors were used: transgender; medical care; transsexual; cross-sex hormone therapy from 2000 to 2020.Results: We found 720 publications with the keywords transgender persons and medical care, 30 with the keywords transgender, medical care and cross-sex hormone therapy, with few studies conducted in Brazil Conclusion: To improve the health care of transgender people, it is necessary to insert specific disciplines on this topic in the curriculum of technical, undergraduate and graduate courses in the health area. (AU)

Effects on Voice Fundamental Frequency and Satisfaction with Voice in Trans Men during Testosterone Treatment-A Longitudinal Study.

OBJECTIVES: To investigate effects of testosterone treatment regarding voice virilization, voice problems, and voice satisfaction in transsexual female-to-male individuals, referred to as trans men. STUDY DESIGN: Longitudinal. METHODS: Fifty trans men, diagnosed with transsexualism, 18-64 years, met the inclusion criteria. Voice data before treatment and after 3, 6, or 12 months were available from 49 participants, and for 28 participants also after 18 and/or 24 months of treatment. Digital audio recordings of speech range profiles and voice range profiles were carried out in a sound-treated booth following clinical routines. Acoustic analyses of fundamental frequency (F0) and sound pressure level were made. Endocrine data and answers from questionnaires concerning voice function and voice problems were collected from medical records. RESULTS: Mean F0 and mode F0 of the habitual voice decreased significantly after 3 months, 6 months, and up to 12 months, when group data were congruent with reference data for males. Mean F0 was 125 Hz after 12 months with a large interindividual variation. Sound pressure level values did not change significantly. Voice satisfaction correlated with lower F0 values. Twenty-four percent of the participants reported voice symptoms, for example, vocal instability and fatigue, and had received voice therapy. F0 values did not correlate with androgen levels. CONCLUSIONS: Most trans men developed a male voice and were satisfied. However, it is important to detect the substantial group of trans men with voice problems and with insufficient voice virilization and who may need voice therapy. Therefore, we recommend systematic voice assessments during testosterone treatment.