Freeman R
Dental Health Services Research Unit, University of Dundee, Dundee, Scotland.
Eur Arch Paediatr Dent. 2008 Feb;9 Suppl 1:16-22. doi: 10.1007/BF03262651.
The European Academy of Paediatric Dentistry has called for a series of evidence-based statements to inform their guidelines on the behavioural management of the child patient. Communication between dentist, parent and child based upon scientifically robust research evidence was felt to be central to this request in order to provide empathetic and child-centred care for children and their parents attending for dental health care.
Shekelle and colleagues [1999] devised a series of steps to develop an evidence-based clinical guideline. This framework allows first, the identification and refinement of the subject area and secondly, the identification and assessment of the evidence-base. Four areas of communication were identified as being of central importance. These were identification of the mother-child dyad; affective communication skills; problem solving and negotiation skills.
It was recommended that paediatric dentists should become knowledgeable and competent in these skills in order to provide patient-centred care for the children and parents attending their clinics for dental treatment.
欧洲儿童牙科学会呼吁制定一系列循证声明，为其关于儿童患者行为管理的指南提供依据。基于科学可靠的研究证据，牙医、家长和儿童之间的沟通被认为是这一要求的核心，以便为前来接受牙科保健的儿童及其家长提供有同理心且以儿童为中心的护理。
谢凯莱及其同事[1999年]设计了一系列步骤来制定循证临床指南。该框架首先允许确定和细化主题领域，其次允许确定和评估证据基础。确定了四个沟通领域至关重要。这些领域是母婴二元组的识别；情感沟通技巧；解决问题和谈判技巧。
建议儿童牙医应精通这些技能，以便为前来其诊所接受牙科治疗的儿童和家长提供以患者为中心的护理。
