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牙科学生和工作人员对循证口腔卫生原则教育的依从性:一个最佳实践实施项目。

Compliance with education on evidence-based oral hygiene principles among dental students and staff: a best practice implementation project.

作者信息

Alizadeh Mahasti, Nastarin Parastou, Talebpour Amin

机构信息

Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute.

Department of Orthodontics, Faculty of Dentistry.

出版信息

JBI Evid Implement. 2022 Dec 1;20(4):364-373. doi: 10.1097/XEB.0000000000000345.

Abstract

OBJECTIVES

This study aims to assess compliance with evidence-based criteria regarding oral hygiene principle education provided for children and adolescents in the Tabriz Faculty of Dentistry.

INTRODUCTION

Oral health problems might lead to lowering the quality of life amongst children and adolescents; so, providing education regarding oral health principles is of great importance.

METHODS

Eight audit criteria were assessed using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GriP) audit and feedback tool. Barriers were identified and dental students and staff were instructed by the team members and asked to educate children and adolescents referred to orthodontic department about oral hygiene practices. Changes in audit criteria were collected by direct observation and interview and reported using descriptive statistics.

RESULTS

In the follow-up phase, the percentage of patients who were advised to brush their teeth with fluoride toothpaste twice a day, floss daily, and seek regular dental check-ups increased, as compared with the baseline audit (37, 43 and 33%, respectively). Professional fluoride application, fissure sealant and individualized intervention and/or prevention treatment plans increased by 30, 35 and 15%, respectively in the follow-up phase; while advice on diet and risks of alcohol, tobacco and smoking increased by 93%.

CONCLUSION

The use of standard clinical audit tools in dentistry wards causes improvement in the compliance with providing oral hygiene principle instructions among dental students and staff. Standard tools can increase the effectiveness of corrective interventions by identifying weaknesses in patient care process.

摘要

目的

本研究旨在评估大不里士牙科学院为儿童和青少年提供的口腔卫生原则教育是否符合循证标准。

引言

口腔健康问题可能会降低儿童和青少年的生活质量;因此,提供口腔健康原则教育非常重要。

方法

使用循证医学中心实用临床证据应用系统(PACES)和将研究成果应用于实践(GriP)审核与反馈工具评估八项审核标准。识别出障碍后,团队成员对牙科学生和工作人员进行指导,并要求他们对转诊至正畸科的儿童和青少年进行口腔卫生实践教育。通过直接观察和访谈收集审核标准的变化情况,并使用描述性统计进行报告。

结果

在随访阶段,与基线审核相比,建议每天用含氟牙膏刷牙两次、每天使用牙线以及定期进行口腔检查的患者百分比有所增加(分别为37%、43%和33%)。在随访阶段,专业应用氟化物、窝沟封闭以及个性化干预和/或预防治疗计划分别增加了30%、35%和15%;而关于饮食以及酒精、烟草和吸烟风险的建议增加了93%。

结论

在牙科病房使用标准临床审核工具可提高牙科学生和工作人员在提供口腔卫生原则指导方面的依从性。标准工具可通过识别患者护理过程中的薄弱环节来提高纠正干预措施的有效性。

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