目的 以适应性体验的交互为切点,整合分析女性尿失禁患者群体的特质并探寻对策.方法 计算机检索PubMed、Web of Science、Embase、Cochrane Library、中国知网、维普资讯中文期刊服务平台、万方数据知识服务平台、中国生物医学文献数据库,搜索关于女性尿失禁患者适应性体验的质性研究,检索时限为建库至 2022 年 6 月.采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献质量进行评价,采用汇集性整合方法对结果进行整合.结果 共纳入15 篇文献,提炼 60 个结果,形成 10 个类别,合成 5 个整合结果,即身体失控和生活失衡、陷入严重的情绪内耗、病症认知偏差、尝试自我重建、内控和发展.结论 女性尿失禁患者遭受长期症状困扰,应发挥临床护理人员的效力,刺激患者主观能动性并满足患者多元的需求,群策群力强化妇女保健意识和推进健康老龄化.

Transgender women are biologically male but have a persistent and intense desire to identify as female,as well as gender dysphoria that may make them uncomfortable with gender issues.Whether transsexual surgery is performed or not,gender-affirming hormone therapy for transgender people can change their appearance,and then match their gender to reduce gender dysphoria.However Previously,the diagnosis and treatment of transgender women in China were carried out in the department of psychiatry and the department of plastic and cosmetic surgery,lacking the participation of reproductive endocrinology experts.The expert consensus and guiding literature related to gender-affirming hormone therapy for transgender women are still rare in China.This paper reviews the published literature and existing guidelines,including treatment principles,drug selection,usage and dosage,related side effects,post medication monitoring,and specific treatment strategy recommendations for adults and adolescents,in order to provide diagnostic and therapeutic strategy for transgender health professionals.