牙医对非手术根管治疗的知识,一个系统的审查
Edmund Monsef1, Xan Goodman2, Rucha Patil1
1UCLA School of Dentistry, Los Angeles, CA, USA.
Journal of dentistry
|April 5, 2024
概括
世界各地的牙医表现出对非手术性根管治疗 (NSRCT) 的知识很差,影响了护理质量. 重新评估教育策略对于改善基于证据的牙科实践至关重要.
科学领域:
- 牙科科学 牙科科学
- 牙周内科医院 牙周内科医院 牙周内科医院
- 基于证据的牙科.
背景情况:
- 牙科实践严重依赖于牙医的基础知识.
- 社区非手术根管治疗 (NSRCT) 的低于最佳质量是全球关注的问题.
- 了解牙医的知识水平对于改善治疗结果至关重要.
研究的目的:
- 系统地测量牙医对非手术根管治疗 (NSRCT) 的现有知识.
- 识别可能导致治疗质量低于最佳的知识差距.
主要方法:
- 在主要数据库 (OVID Medline,EMBASE,Web of Science) 和手动搜索中进行了全面的文献搜索.
- 从51项涉及19个国家的15580名牙医的研究中提取和分析了数据.
- 用445个问题评估了知识,涵盖29个NSRCT主题,从文献,外部机构或专家共识中获得"黄金标准".
主要成果:
- 在NSRCT中,牙医的知识水平被发现是低到中等和高度可变的,平均正确答案率为57% (SD 17%).
- 作者经常将知识水平描述为负面的,49篇论文建议额外的教育.
- 建议还包括增加使用协议 (6篇论文) 和对知识缺陷的研究 (5篇论文).
结论:
- 牙医对非手术性根管治疗的知识不尽量,通常是不够的,这可能会限制护理质量.
- 教育策略和目标需要重新评估,考虑牙医的认知能力和有效知识转移的动机.
- 解决基于证据的实践障碍,包括知识缺陷,对于提高牙科护理质量至关重要.
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